WorldWideScience

Sample records for failure pressure evaluation

  1. Evaluation of Progressive Failure Analysis and Modeling of Impact Damage in Composite Pressure Vessels

    Science.gov (United States)

    Sanchez, Christopher M.

    2011-01-01

    NASA White Sands Test Facility (WSTF) is leading an evaluation effort in advanced destructive and nondestructive testing of composite pressure vessels and structures. WSTF is using progressive finite element analysis methods for test design and for confirmation of composite pressure vessel performance. Using composite finite element analysis models and failure theories tested in the World-Wide Failure Exercise, WSTF is able to estimate the static strength of composite pressure vessels. Additionally, test and evaluation on composites that have been impact damaged is in progress so that models can be developed to estimate damage tolerance and the degradation in static strength.

  2. Application of the failure assessment diagram to the evaluation of pressure-temperature limits for a pressurized water reactor

    International Nuclear Information System (INIS)

    Yoon, K.K.; Bloom, J.M.; Pavinich, W.A.; Slayer, H.W.

    1985-01-01

    The failure assessment diagram approach, an elastic-plastic fracture mechanics procedure based on the J-integral concept, was used in the evaluation of pressuretemperature (P-T) limits for the beltline region of the vessel of a pressurized water reactor. The main objective of this paper is to illustrate the application of an alternate fracture mechanics method for the evaluation of pressure-temperature limits, as allowed by the Code of the Federal Regulation 10 CFR 50, Appendix G. The maximum allowable pressure levels were calculated at 33 time points along the given reactor bulk coolant temperature history representing the normal operation of a pressurized water reactor. The results of the calculations showed that adequate margins of safety on operating pressure for the critical weld in the beltline of the pressurized water reactor vessel are assured

  3. Non-pharmacological heart failure therapies : evaluation by ventricular pressure-volume loops

    NARCIS (Netherlands)

    Tulner, Sven Arjen Friso

    2006-01-01

    In this thesis, we evaluated the acute and chronic hemodynamic effects of non-pharmacological heart failure therapies. In particular, the effects of surgical treatment and biventricular pacing therapy were investigated by left ventricular pressure-volume loop analyses. We demonstrated that

  4. A dynamic failure evaluation of a simplified digital control system of a nuclear power plant pressurizer

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, J.M.O.; Melo, P.F. Frutuoso e, E-mail: jpinto@nuclear.ufrj.b, E-mail: frutuoso@nuclear.ufrj.b [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil); Saldanha, P.L.C., E-mail: plsaldanha@gmail.co, E-mail: pedroabeu@gmail.co [Associacao Brasileira de Ensino Universitario (UNIABEU), Nova Iguacu, RJ (Brazil)

    2010-07-01

    Given the increasing use of digital systems in nuclear power plants, a specific approach to reliability and risk analysis has been required. The digital system reflects many interactions between hardware, software, process variables, and human actions. At the same time, the software, does not have a reliability approach as well-defined as the one existing for the other physical components of the system. Then, its reliability analysis is still under development due to difficulties arising from the complexity, flexibility and interactions present in such systems.The traditional approach of using fault trees is static and does not approach the dynamic interactions in such systems, such as delays in capture and processing information, memory, logic loops, system states, etc. It is necessary to find a reliability methodology that takes into account these issues without violating the existing requirements concerning safety analysis, such as: ability to distinguish between common-cause failures, availability of relevant information to users, like minimal cut sets, and failure probabilities as long as the possibility of incorporating the results into existing probabilistic safety assessments (PSA).One approach is to trace all the possible errors of the digital system through dynamic methodologies. The DFM (Dynamic Flow-graph Methodology) is one of the methodologies that better meets the requirements for modeling dynamic systems. It discretizes the most relevant variables of the analyzed system in states that reflect their behavior, sets the logic that connects them through decision tables and finally performs a system analysis, aiming, for example, the root causes (prime implicants) of a given top event of failure. Three aspects have been addressed, the modeling of the system itself, the incorporation of results to probabilistic safety analyses and identification of software failures.To illustrate the DFM, a simplified digital control system of a typical PWR pressurizer

  5. Blood Pressure Response during Cardiopulmonary Exercise Testing in Heart Failure.

    Science.gov (United States)

    Il'Giovine, Zachary J; Solomon, Nicole; DeVore, Adam D; Wojdyla, Daniel; Patel, Chetan B; Rogers, Joseph G

    2018-02-21

    The prognostic value of peak VO2 and VE/VCO2 slope measured during cardiopulmonary exercise (CPX) testing has been well established in patients with advanced heart failure, but blood pressure response to exercise is less well characterized. We retrospectively studied 151 outpatients who underwent CPX testing as part of an advanced heart failure (HF) evaluation. The outcome of interest was failure of medical management, defined by death, cardiac transplantation, or left ventricular assist device placement. Patients were stratified into tertiles by change in systolic blood pressure (SBP) ( 20 mmHg were associated with an increased hazard (HR 1.046, 95% CI 1.018, 1.075). In conclusion, changes in SBP during CPX testing provide additional prognostic information above standard clinical variables. The peculiar increase in risk noted in those with a rise in SBP > 20 mmHg is less clear and needs to be investigated further.

  6. Failure Pressure Assessment of the Circumferentially Flawed Heat Exchanger Tubes

    Science.gov (United States)

    Kim, Hyun Su; Jin, Tae Eun; Chang, Yoon Suk; Kim, Young Jin; Kim, Hong Deok

    Since the structural integrity of thin-walled tubes in the heat exchanger is crucial from the viewpoint of safety and reliability, the integrity evaluation for flawed tubes is quite important. Accurate estimation of the failure pressure is a key element of the structural integrity assessment. With regard to the prediction of the failure pressure, most of preceding researches have been focused on the limit load approach. However, the integrity assessment scheme based on the elastic plastic fracture mechanics concept has not been settled despite of its accuracy and efficiency. In this paper, three-dimensional finite element analyses assuming elastic plastic material behavior are carried out for the thin-walled tubes with various sizes of the circumferential flaws. As for the flaw location, both the top of tube sheet and transition regions are considered. The flaw instability is evaluated by comparing the driving force with the fracture toughness of the tube material. Analysis results show that the elastic plastic fracture mechanics approach accurately predicts the failure pressures compared to the experimental data. Thus, it is thought that the elastic plastic fracture mechanics concept can be applied to the integrity assessment of the heat exchanger tubes with the circumferential through-wall flaws.

  7. A classification system for pressure vessel shell failures

    International Nuclear Information System (INIS)

    Harrop, L.P.

    1989-01-01

    A system for classifying failures of the shells of pressure vessels is presented. The classification system is based on the way a failure physically manifests itself and not on imputed economic or safety significance. It is believed the described way of classifying the failures is useful for transferring information from one situation to another. In assigning names to types of failure, the intention has been to adopt explicit definitions rather than supposed colloquial usage. (author)

  8. An evaluation of the role of noninvasive positive pressure ventilation in the management of acute respiratory failure in a developing country.

    Science.gov (United States)

    George, Ige Abraham; John, George; John, Preeta; Peter, John Victor; Christopher, Solomon

    2007-09-01

    Noninvasive positive pressure ventilation (NIPPV) has been shown to decrease the need for invasive mechanical ventilation (MV) in patients presenting with acute respiratory failure (ARF). We conducted a prospective study to assess if NIPPV use, in a developing country, was associated with clinical and physiological improvements. Prospective observational study. Forty patients admitted to a medical intensive care unit during a 2-year period who fulfilled criteria for inclusion formed the study cohort to receive NIPPV. Baseline (mean +/- SD) pH, PaCO 2 and PaO 2 were 7.25 +/- 0.08, 76.6 +/- 20.9 and 79.18 +/- 40.56 mmHg respectively. The primary indication for NIPPV was hypercapnic respiratory failure (n = 36, 90%). The success rate with NIPPV was 85%, with 34 of 40 patients weaned successfully. Significant improvements were observed at 1 hour following institution of NIPPV in pH (7.31 +/- 0.09, P 2 (65 +/- 17.9, P 2 54.7 +/- 20) and maintained (within 12 h) postweaning from the ventilator (pH 7.39 +/- 0.08, PaCO 2 51.9 +/- 12.4). No significant change in the PaO 2 was observed during NIPPV; PaO 2 after 1 h, prior to weaning and after weaning was 90.53 +/- 42.85, 84.80 +/- 33.76, 78.71 +/- 43.81 respectively. This study has demonstrated benefits of NIPPV in avoiding the need for invasive MV in patients presenting with ARF of diverse etiology, with results comparable to developed nations. Increased use of NIPPV in ARF is likely to impact favorably in nations with limited resources.

  9. Combination ergotamine and caffeine improves seated blood pressure and presyncopal symptoms in autonomic failure

    OpenAIRE

    Arnold, Amy C.; Ramirez, Claudia E.; Choi, Leena; Okamoto, Luis E.; Gamboa, Alfredo; Diedrich, André; Raj, Satish R.; Robertson, David; Biaggioni, Italo; Shibao, Cyndya A.

    2014-01-01

    Severely affected patients with autonomic failure require pressor agents to counteract the blood pressure fall and improve presyncopal symptoms upon standing. Previous studies suggest that combination ergotamine and caffeine may be effective in the treatment of autonomic failure, but the efficacy of this drug has not been evaluated in controlled trials. Therefore, we compared the effects of ergotamine/caffeine on seated blood pressure and orthostatic tolerance and symptoms in 12 primary auto...

  10. Failure maps for internally pressurized Zr-2.5% Nb pressure tubes with circumferential temperature variations

    International Nuclear Information System (INIS)

    Shewfelt, R.S.W.

    1986-01-01

    During some postulated loss-of-coolant accidents, the pressure tube temperature may rise before the internal pressure drops, causing the pressure tube to balloon. The temperature around the pressure tube circumference would likely be nonuniform, producing localized deformation that could possibly cause failure. The computer program, GRAD, was used to determine the circumferential temperature distribution required to cause an internally pressurized Zr-2.5% Nb pressure tube to fail before coming into full contact with its calandria tube. These results were used to construct failure maps. 7 refs

  11. Blood pressure response to conventional and low-dose enalapril in chronic renal failure

    DEFF Research Database (Denmark)

    Elung-Jensen, Thomas; Heisterberg, Jens; Kamper, Anne-Lise

    2003-01-01

    AIMS: In chronic renal failure, the clearance of most ACE inhibitors including enalapril is reduced. Hence, with conventional dosage, plasma enalaprilat may be markedly elevated. It is unclear whether this excess of drug exposure affords an improved control of blood pressure. The aim of the present...... study was to evaluate short-term blood pressure response to two different plasma levels of enalaprilat. METHODS: As part of an open, randomized, controlled trial of the effect of high and low dosage of enalapril on the progression of renal failure, short-term blood pressure response was evaluated. Data...

  12. Failure Effects Evaluation for ATC Automation System

    Directory of Open Access Journals (Sweden)

    Rui Li

    2017-01-01

    Full Text Available ATC (air traffic control automation system is a complex system, which helps maintain the air traffic order, guarantee the flight interval, and prevent aircraft collision. It is essential to ensure the safety of air traffic. Failure effects evaluation is an important part of ATC automation system reliability engineering. The failure effects evaluation of ATC automation system is aimed at the effects of modules or components which affect the performance and functionality of the system. By analyzing and evaluating the failure modes and their causes and effects, some reasonable improvement measures and preventive maintenance plans can be established. In this paper, the failure effects evaluation framework considering performance and functionality of the system is established on the basis of reliability theory. Some algorithms for the quantitative evaluation of failure effects on performance of ATC automation system are proposed. According to the algorithms, the quantitative evaluation of reliability, availability, maintainability, and other assessment indicators can be calculated.

  13. [Predictive factors for failure of non-invasive positive pressure ventilation in immunosuppressed patients with acute respiratory failure].

    Science.gov (United States)

    Jia, Xiangli; Yan, Ci; Xu, Sicheng; Gu, Xingli; Wan, Qiufeng; Hu, Xinying; Li, Jingwen; Liu, Guangming; Caikai, Shareli; Guo, Zhijin

    2018-02-01

    To evaluate the predictive factors for failure of non-invasive positive pressure ventilation (NIPPV) in immunosuppressed patients with acute respiratory failure (ARF). The clinical data of 118 immuno-deficient patients treated with NIPPV in the respiratory and intensive care unit (RICU) of the First Affiliated Hospital of Xinjiang Medical University from January 2012 to August 2017 were retrospectively analyzed. The patients were divided into a non-endotracheal intubation (ETI) group (n = 62) and ETI group (n = 56) according to whether ETI was performed during the hospitalization period or not. Each observed indicator was analyzed by univariate analysis, and factors leading to failure of NIPPV were further analyzed by Logistic regression. Receiver operating characteristic (ROC) curve was plotted to evaluate the predictive value of risk factors for failure of NIPPV in immunosuppressed patients with ARF. The non-intubation rate for NIPPV in immunosuppressed patients was 50.8% (60/118). Compared with the non-ETI group, the body temperature, pH value in the ETI group were significantly increased, the partial pressure of arterial carbon dioxide (PaCO 2 ) was significantly decreased, the ratio of oxygenation index (PaO 2 /FiO 2 ) failure of NIPPV. ROC curve analysis showed that the APACHE II score ≥ 20 and PaO 2 /FiO 2 failure of NIPPV, the area under ROC curve (AUC) of the APACHE II score ≥ 20 was 0.787, the sensitivity was 83.93%, the specificity was 69.35%, the positive predict value (PPV) was 71.21%, the negative predict value (NPV) was 82.69%, the positive likelihood ratio (PLR) was 2.74, the negative likelihood ratio (NLR) was 0.23, and Youden index was 0.53; the AUC of PaO 2 /FiO 2 failure of NIPPV in immunocompromised patients.

  14. Blood pressure response to conventional and low-dose enalapril in chronic renal failure

    DEFF Research Database (Denmark)

    Elung-Jensen, Thomas; Heisterberg, Jens; Kamper, Anne-Lise

    2003-01-01

    AIMS: In chronic renal failure, the clearance of most ACE inhibitors including enalapril is reduced. Hence, with conventional dosage, plasma enalaprilat may be markedly elevated. It is unclear whether this excess of drug exposure affords an improved control of blood pressure. The aim of the present...... study was to evaluate short-term blood pressure response to two different plasma levels of enalaprilat. METHODS: As part of an open, randomized, controlled trial of the effect of high and low dosage of enalapril on the progression of renal failure, short-term blood pressure response was evaluated. Data...... potassium concentrations at day 90 and patients in the low group experienced a slight increase in GFR. CONCLUSIONS: In moderate to severe chronic renal insufficiency the same degree of blood pressure control was achieved on low as well as moderate daily doses of enalapril. This was irrespective...

  15. Noninvasive Positive Pressure Ventilation or Conventional Mechanical Ventilation for Neonatal Continuous Positive Airway Pressure Failure

    Directory of Open Access Journals (Sweden)

    Zohreh Badiee

    2014-01-01

    Full Text Available Background: The aim of this study was to assess the success rate of nasal intermittent positive pressure ventilation (NIPPV for treatment of continuous positive airway pressure (CPAP failure and prevention of conventional ventilation (CV in preterm neonates. Methods: Since November 2012 to April 2013, a total number of 55 consecutive newborns with gestational ages of 26-35 weeks who had CPAP failure were randomly assigned to one of the two groups. The NIPPV group received NIPPV with the initial peak inspiratory pressure (PIP of 16-20 cmH 2 O and frequency of 40-60 breaths/min. The CV group received PIP of 12-20 cmH 2 O and frequency of 40-60 breaths/min. Results: About 74% of newborns who received NIPPV for management of CPAP failure responded to NIPPV and did not need intubation and mechanical ventilation. Newborns with lower postnatal age at entry to the study and lower 5 min Apgar score more likely had NIPPV failure. In addition, treatment failure was higher in newborns who needed more frequent doses of surfactant. Duration of oxygen therapy was 9.28 days in CV group and 7.77 days in NIPPV group (P = 0.050. Length of hospital stay in CV group and NIPPV groups were 48.7 and 41.7 days, respectively (P = 0.097. Conclusions: NIPPV could decrease the need for intubation and mechanical ventilation in preterm infants with CPAP failure.

  16. Blood pressure dynamics during exercise rehabilitation in heart failure patients.

    Science.gov (United States)

    Hecht, Idan; Arad, Michael; Freimark, Dov; Klempfner, Robert

    2017-05-01

    Background Patients suffering from heart failure (HF) may demonstrate an abnormal blood pressure response to exercise (ABPRE), which may revert to a normal one following medical treatment. It is assumed that this change correlates positively with prognosis and functional aspects. The aim of this study was to characterize patients with ABPRE and assess ABPRE normalization and the correlation with clinical and functional outcomes. Methods In the study, 651 patients with HF who underwent cardiac rehabilitation (CR) were examined. Patients who presented an ABPRE during stress testing were identified and divided into those who corrected their initial ABPRE following CR and those who did not. Results Pre-rehabilitation ABPRE was present in 27% of patients, 68% of whom normalized their ABPRE following CR. Two parameters were independently predictive of failure to normalize the blood pressure response: female gender (odds ratio (OR) 3.5; 95% confidence interval (CI) 1.4-9.0) and decreased systolic function (OR 3.2; 95% CI 1.0-9.4). Patients with hypertrophic cardiomyopathy demonstrated higher rates of ABPRE normalization than patients with other causes of HF (93% vs. 62%, respectively, P = 0.03). The research population exhibited an average improvement in exercise capacity (4.7 to 6.4 metabolic equivalents (METS), P failure to correct the ABPRE, while patients with hypertrophic cardiomyopathy demonstrated exceptionally high rates of normalization.

  17. EVALUATION OF LIVER FAILURE STAGE IN CHILDREN

    Directory of Open Access Journals (Sweden)

    G. V. Volynets

    2013-01-01

    Full Text Available Aim: to develop a system of evaluation of liver failure stage in children based on the International classification of functioning, disability and health (ICF. Patients and methods: based on the retrospective analysis of 14 biochemical markers, characterizing hepatic role in proteins, lipids and carbohydrates metabolism, of 115 children without liver diseases, 15 children who died of liver failure and 220 patients with various hepatic disorders, being followed-up in the SCCH of RAMS, a score system of evaluation of liver failure stage in children as an additional diagnostic tool was developed. Each of the biochemical markers was assessed according to the 5-point rating scale in dependence of its changes intensity. Results: the sum of points was considered to be a criterion of liver failure stage. According to the ICF recommendations, decrease of points on 0–4% (54–56 points corresponds with absence of liver failure; 5–24% (43–53 points — as mild dysfunction, 25–49% (29–42 points — as moderate; 50-95% (3–28 points — as severe; and 96–100% (0-2 points — as absolute failure. Conclusions: score system of evaluation of liver failure stage can be applied at any step of diagnostics and treatment of children of any age, due to independence of the used markers from the age. It can be used in assessment of the severity of disorder in dynamics, in determination of the prognosis and as criterion of indications to liver transplantation, as well as during medico-social examination.

  18. An assessment of the failure rate for the beltline region of PWR pressure vessels during normal operation and certain transient conditions. Technical report

    International Nuclear Information System (INIS)

    Gamble, R.M.; Strosnider, J. Jr.

    1981-06-01

    A study was conducted to assess the failure rate for the beltline region of a generic pressurized-water reactor (PWR) pressure vessel. This assessment included the evaluation of several normal operating and transient reactor conditions. Failure rates were calculated from a computer code that used fracture mechanics methods to model the failure process; random number generation techniques were used to simulate random variables and model their interaction in the failure-process. This investigation had three major objectives: (1) to better define the effect of neutron irradiation, material variation, and flaw distribution on the failure rate for the beltline region of PWR pressure vessels, (2) to estimate the relative margins against failure for normal operation and certain transient conditions associated with nuclear pressure vessels, and (3) to evaluate the current limitations for using fracture mechanics models to predict failure rates for nuclear pressure vessels

  19. Combination ergotamine and caffeine improves seated blood pressure and presyncopal symptoms in autonomic failure

    Directory of Open Access Journals (Sweden)

    Amy C Arnold

    2014-07-01

    Full Text Available Severely affected patients with autonomic failure require pressor agents to counteract the blood pressure fall and improve presyncopal symptoms upon standing. Previous studies suggest that combination ergotamine and caffeine may be effective in the treatment of autonomic failure, but the efficacy of this drug has not been evaluated in controlled trials. Therefore, we compared the effects of ergotamine/caffeine on seated blood pressure and orthostatic tolerance and symptoms in 12 primary autonomic failure patients without history of coronary artery disease. Patients were randomized to receive a single oral dose of placebo, midodrine (5-10 mg, or ergotamine and caffeine (1 mg and 100 mg, respectively in a single-blind, crossover study. Blood pressure was measured while patients were seated and after standing for up to 10 minutes, at baseline and at 1 hour post-drug. Ergotamine/caffeine increased seated systolic blood pressure, the primary outcome, compared with placebo (131±19 and 95±12 mmHg, respectively, at 1 hour post-drug; p=0.003 for time effect. Midodrine also significantly increased seated systolic blood pressure (121±19 mmHg at 1 hour post-drug; p=0.015 for time effect versus placebo, but this effect was not different from ergotamine/caffeine (p=0.621. There was no significant effect of either medication on orthostatic tolerance; however, ergotamine/caffeine improved presyncopal symptoms (p=0.034. These findings suggest that combination ergotamine and caffeine elicits a seated pressor response that is similar in magnitude to midodrine, and improves symptoms in autonomic failure. Thus, ergotamine/caffeine could be used as an alternate treatment for autonomic failure, in carefully selected patients without comorbid coronary artery disease.

  20. The effect of load-controlled bending load on the failure pressure of wall-thinned pipe elbows

    International Nuclear Information System (INIS)

    Kim, Jin Weon; Yoon, Min Soo; Park, Chi Yong

    2013-01-01

    Highlights: • We evaluated bending load effect on the failure pressure of wall-thinned pipe elbows. • Burst tests were conducted on real-scale elbow specimens with local wall thinning. • The tests were performed under combined pressure and load-controlled bending. • Load-controlled bending reduced the failure pressure of wall-thinned elbows. • Bending load effect was significant for opening-mode and intrados wall-thinning case. - Abstract: In this research, burst tests were conducted on real-scale elbow specimens, each with an artificial local wall-thinning defect, under combined internal pressure and constant in-plane bending load, as well as under simple internal pressure, to evaluate the effect of load-controlled bending load on the failure pressure of locally wall-thinned pipe elbows. Ninety-degree, 65A Schedule 80 elbows, with wall-thinning defects in the intrados and extrados, were used as specimens. The bending loads were in-plane opening- and closing-mode bending, applied in load-control mode. The results clearly indicated that a load-controlled in-plane bending load reduced the failure pressure of wall-thinned pipe elbows, in contrast to observations previously made under displacement-controlled bending conditions. The effect of the bending load was more significant for opening-mode than for closing-mode bending, regardless of the wall-thinning location in the elbow. Also, the effect was greater when the wall-thinning defect was located in the intrados region of the elbow, rather than the extrados region. Existing models that have been proposed to evaluate the failure of wall-thinned elbows under simple internal pressure conservatively predicted the failure pressure of elbows subjected to a combined internal pressure and load-controlled bending load

  1. Component failures at pressurized water reactors. Final report

    International Nuclear Information System (INIS)

    Reisinger, M.F.

    1980-10-01

    Objectives of this study were to identify those systems having major impact on safety and availability (i.e. to identify those systems and components whose failures have historically caused the greatest number of challenges to the reactor protective systems and which have resulted in greatest loss of electric generation time). These problems were identified for engineering solutions and recommendations made for areas and programs where research and development should be concentrated. The program was conducted in three major phases: Data Analysis, Engineering Evaluation, Cost Benefit Analysis

  2. Component failures at pressurized water reactors. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Reisinger, M.F.

    1980-10-01

    Objectives of this study were to identify those systems having major impact on safety and availability (i.e. to identify those systems and components whose failures have historically caused the greatest number of challenges to the reactor protective systems and which have resulted in greatest loss of electric generation time). These problems were identified for engineering solutions and recommendations made for areas and programs where research and development should be concentrated. The program was conducted in three major phases: Data Analysis, Engineering Evaluation, Cost Benefit Analysis.

  3. Synthetic Sling Failure - Evaluations and Recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, C. S. [Washington River Protection Solutions, Richland, WA (United States); Mackey, Thomas C. [Washington River Protection Solutions, Richland, WA (United States)

    2009-10-26

    The information and evaluations provided in this report were compiled to address the recurring problem of synthetic sling failure. As safety is the number one priority in all work aspects, a solution must be devised to prevent accidents from occurring. A total of thirteen cases regarding synthetic sling failure were evaluated in order to determine their causes, effects, and preventative measures. From the collected data, it was found that all cases in which the synthetic sling contacted the edge of its load resulted in sling failure. It is required that adequate synthetic sling protection devices be used to protect slings in any lift where the sling comes in direct contact with the edge or corner of its load. However, there are no consensus codes or standards stating the type, material, or purpose of the type of protective device used to protect the sling from being cut. Numerous industry standards and codes provide vague descriptions on how to protect synthetic slings. Without a clear, concise statement of how to protect synthetic slings, it is common for inadequate materials and sling protection devices to be used in an attempt to meet the intent of these requirements. The use of an inadequate sling protection device is the main cause of synthetic sling failure in all researched cases. Commercial sling protection devices come in many shapes and sizes, and have a variety of names, as well as advertised uses. 'Abrasion pads' and 'wear protectors' are two different names for products with the same intended purpose. There is no distinguishable way to determine the extent of sling protection which these devices will provide, or what specific scenarios they are made for. This creates room for error in a field where error is unacceptable. This report provides a recommended action for hoisting and rigging activities which require synthetic slings to contact a load, as well as recommended changes to industry standards which will benefit overall

  4. PDC IC WELD FAILURE EVALUATION AND RESOLUTION

    Energy Technology Data Exchange (ETDEWEB)

    Korinko, P.; Howard, S.; Maxwell, D.; Fiscus, J.

    2012-04-16

    During final preparations for start of the PDCF Inner Can (IC) qualification effort, welding was performed on an automated weld system known as the PICN. During the initial weld, using a pedigree canister and plug, a weld defect was observed. The defect resulted in a hole in the sidewall of the canister, and it was observed that the plug sidewall had not been consumed. This was a new type of failure not seen during development and production of legacy Bagless Transfer Cans (FB-Line/Hanford). Therefore, a team was assembled to determine the root cause and to determine if the process could be improved. After several brain storming sessions (MS and T, R and D Engineering, PDC Project), an evaluation matrix was established to direct this effort. The matrix identified numerous activities that could be taken and then prioritized those activities. This effort was limited by both time and resources (the number of canisters and plugs available for testing was limited). A discovery process was initiated to evaluate the Vendor's IC fabrication process relative to legacy processes. There were no significant findings, however, some information regarding forging/anneal processes could not be obtained. Evaluations were conducted to compare mechanical properties of the PDC canisters relative to the legacy canisters. Some differences were identified, but mechanical properties were determined to be consistent with legacy materials. A number of process changes were also evaluated. A heat treatment procedure was established that could reduce the magnetic characteristics to levels similar to the legacy materials. An in-situ arc annealing process was developed that resulted in improved weld characteristics for test articles. Also several tack welds configurations were addressed, it was found that increasing the number of tack welds (and changing the sequence) resulted in decreased can to plug gaps and a more stable weld for test articles. Incorporating all of the process

  5. High-pressure deformation and failure of polycrystalline ceramics

    Science.gov (United States)

    Zhang, Dongmei

    2005-11-01

    High-strength polycrystalline ceramics are increasingly being used for armor applications because of their light weight and superior ballistic performance over conventional armor steels. However, accurate material modeling needed in ceramic armor design remains a challenge because of their complex behavior under impact loading. A ceramic may display extremely high strength during rapid compression but lose tensile strength when the load reverses from compression to tension. A good understanding of the mechanisms governing the deformation and failure of ceramics under high-stress impact and a capability to accurately predict the resulting effective strengths of both intact and damaged ceramics are critically needed. To this end, a computational methodology for micromechanical analysis of polycrystalline materials has been developed. It combines finite element analysis with microstructural modeling based on the Voronoi polycrystals, and material modeling that considers nonlinear elasticity, crystal plasticity, intergranular shear damage during compression and intergranular Mode-I cracking during tension. Using this method, simulations have been carried out on polycrystalline alpha-6H silicon carbide and alpha-phase aluminum oxide to determine if microplasticity is a viable mechanism of inelastic deformation in ceramics undergoing high-pressure uniaxial-strain compression. Further, the competing roles of in-grain microplasticity and intergranular microdamage during a sequence of dynamic compression and tension have been studied. The results show that microplasticity is a more plausible mechanism than microcracking under uniaxial-strain compression. The deformation by limited slip systems can be highly heterogeneous so that a significant amount of grains may remain elastic and thus result in high macroscopic compressive strength. On the other hand, the failure evolution during dynamic load reversal from compression to tension can be well predicted by intergranular Mode

  6. Investigation of the failure of a reactor pressure vessel by plastic instability

    International Nuclear Information System (INIS)

    Laemmer, H.; Ritter, B.

    1994-01-01

    A possible consequence of a core meltdown accident in a pressurized water reactor is the failure of the reactor pressure vessel under high internal pressure. With the aid of the finite element program ABAQUS and using a material model of the thermo-plasticity for large deformation, the failure of the reactor pressure vessel due to plastic instability was examined. It was apparent from the finite element calculations that solely due to reduction in strength of the material, even for internal wall temperatures clearly below the core melt; of about 2000 C, the critical internal pressure can fall to values which are lower than the working pressure. With the aid of simplified geometry, a lower limit for the pressure at failure of the reactor pressure vessel can be calculated. (orig./HP) [de

  7. Probabilistic analysis of Millstone Unit 3 ultimate containment failure probability given high pressure: Chapter 14

    International Nuclear Information System (INIS)

    Bickel, J.H.

    1983-01-01

    The quantification of the containment event trees in the Millstone Unit 3 Probabilistic Safety Study utilizes a conditional probability of failure given high pressure which is based on a new approach. The generation of this conditional probability was based on a weakest link failure mode model which considered contributions from a number of overlapping failure modes. This overlap effect was due to a number of failure modes whose mean failure pressures were clustered within a 5 psi range and which had uncertainties due to variances in material strengths and analytical uncertainties which were between 9 and 15 psi. Based on a review of possible probability laws to describe the failure probability of individual structural failure modes, it was determined that a Weibull probability law most adequately described the randomness in the physical process of interest. The resultant conditional probability of failure is found to have a median failure pressure of 132.4 psia. The corresponding 5-95 percentile values are 112 psia and 146.7 psia respectively. The skewed nature of the conditional probability of failure vs. pressure results in a lower overall containment failure probability for an appreciable number of the severe accident sequences of interest, but also probabilities which are more rigorously traceable from first principles

  8. Rationale and Design of the Reduce Elevated Left Atrial Pressure in Patients With Heart Failure (Reduce LAP-HF) Trial

    DEFF Research Database (Denmark)

    Hasenfuss, Gerd; Gustafsson, Finn; Kaye, David

    2015-01-01

    OBJECTIVE: Heart failure with preserved ejection fraction (HFpEF) is characterized by elevated left atrial pressure during rest and/or exercise. The Reduce LAP-HF (Reduce Elevated Left Atrial Pressure in Patients With Heart Failure) trial will evaluate the safety and performance of the Interatrial...... patients with ejection fraction ≥40% and New York Heart Association functional class III or IV heart failure with a pulmonary capillary wedge pressure (PCWP) ≥15 mm Hg at rest or ≥25 mm Hg during supine bike exercise will be implanted with an IASD System II, and followed for 6 months to assess the primary...... include death, stroke, myocardial infarction, or requirement of implant removal. Primary outcome measures for device performance include success of device implantation, reduction of PCWP at rest and during exercise, and demonstration of left-to-right flow through the device. Key secondary end points...

  9. Failure rates in Barsebaeck-1 reactor coolant pressure boundary piping. An application of a piping failure database

    Energy Technology Data Exchange (ETDEWEB)

    Lydell, B. [RSA Technologies, Vista, CA (United States)

    1999-05-01

    This report documents an application of a piping failure database to estimate the frequency of leak and rupture in reactor coolant pressure boundary piping. The study used Barsebaeck-1 as reference plant. The study tried two different approaches to piping failure rate estimation: 1) PSA-style, simple estimation using Bayesian statistics, and 2) fitting of statistical distribution to failure data. A large, validated database on piping failures (like the SKI-PIPE database) supports both approaches. In addition to documenting leak and rupture frequencies, the SKI report describes the use of piping failure data to estimate frequency of medium and large loss of coolant accidents (LOCAs). This application study was co sponsored by Barsebaeck Kraft AB and SKI Research 41 refs, figs, tabs

  10. Failure rates in Barsebaeck-1 reactor coolant pressure boundary piping. An application of a piping failure database

    International Nuclear Information System (INIS)

    Lydell, B.

    1999-05-01

    This report documents an application of a piping failure database to estimate the frequency of leak and rupture in reactor coolant pressure boundary piping. The study used Barsebaeck-1 as reference plant. The study tried two different approaches to piping failure rate estimation: 1) PSA-style, simple estimation using Bayesian statistics, and 2) fitting of statistical distribution to failure data. A large, validated database on piping failures (like the SKI-PIPE database) supports both approaches. In addition to documenting leak and rupture frequencies, the SKI report describes the use of piping failure data to estimate frequency of medium and large loss of coolant accidents (LOCAs). This application study was co sponsored by Barsebaeck Kraft AB and SKI Research

  11. Evaluations of Structural Failure Probabilities and Candidate Inservice Inspection Programs

    Energy Technology Data Exchange (ETDEWEB)

    Khaleel, Mohammad A.; Simonen, Fredric A.

    2009-05-01

    The work described in this report applies probabilistic structural mechanics models to predict the reliability of nuclear pressure boundary components. These same models are then applied to evaluate the effectiveness of alternative programs for inservice inspection to reduce these failure probabilities. Results of the calculations support the development and implementation of risk-informed inservice inspection of piping and vessels. Studies have specifically addressed the potential benefits of ultrasonic inspections to reduce failure probabilities associated with fatigue crack growth and stress-corrosion cracking. Parametric calculations were performed with the computer code pc-PRAISE to generate an extensive set of plots to cover a wide range of pipe wall thicknesses, cyclic operating stresses, and inspection strategies. The studies have also addressed critical inputs to fracture mechanics calculations such as the parameters that characterize the number and sizes of fabrication flaws in piping welds. Other calculations quantify uncertainties associated with the inputs calculations, the uncertainties in the fracture mechanics models, and the uncertainties in the resulting calculated failure probabilities. A final set of calculations address the effects of flaw sizing errors on the effectiveness of inservice inspection programs.

  12. Systolic Blood Pressure and Incident Heart Failure in the Elderly

    Science.gov (United States)

    Butler, Javed; Kalogeropoulos, Andreas P.; Georgiopoulou, Vasiliki V.; Bibbins-Domingo, Kirsten; Najjar, Samer S.; Sutton-Tyrrell, Kim C.; Harris, Tamara B.; Kritchevsky, Stephen B.; Lloyd-Jones, Donald M.; Newman, Anne B.; Psaty, Bruce M.

    2013-01-01

    Objectives The exact form of the association between systolic blood pressure (SBP) and heart failure (HF) risk in the elderly remains incompletely defined, especially in individuals not receiving antihypertensive medications. Our aim was to examine the association between SBP and HF risk in the elderly. Design Competing-risks proportional hazards modeling of incident HF risk, utilizing 10-year follow-up data from two NIH-sponsored cohort studies; the Cardiovascular Health Study (inception: 1989-90 and 1992-93) and the Health ABC Study (inception: 1997-98). Setting Community-based cohorts. Participants 4408 participants (age, 72.8 [4.9] years; 53.1% women, 81.7% white; 18.3% black) without prevalent HF and not receiving antihypertensive medications at baseline. Main outcome measures Incident HF, defined as first adjudicated hospitalisation for HF. Results Over 10 years, 493 (11.1%) participants developed HF. Prehypertension (120-139 mmHg), stage 1 (140-159 mmHg), and stage 2 (≥160 mmHg) hypertension were associated with escalating HF risk; hazard ratios vs. optimal SBP (<120 mmHg) in competing-risks models controlling for clinical characteristics were 1.63 (95% CI, 1.23-2.16; P=0.001), 2.21 (95% CI, 1.65-2.96; P<0.001), and 2.60 (95% CI, 1.85-364; P<0.001), respectively. Overall 255 of 493 (51.7%) HF events occurred in participants with SBP <140 mm Hg at baseline. Increasing SBP was associated with higher HF risk in women than men; no race-SBP interaction was observed. In analyses with continuous SBP, HF risk had a continuous positive association with SBP to levels as low as 113 mmHg in men and 112 mmHg in women. Conclusions There is a continuous positive association between SBP and HF risk in the elderly for levels of SBP as low as <115 mmHg; over half of incident HF events occur in individuals with SBP <140 mmHg. PMID:21636845

  13. Rising Central venous pressure: Impending right-sided failure?

    Directory of Open Access Journals (Sweden)

    Monish S Raut

    2017-01-01

    Full Text Available Central venous pressure generally indicates right sided cardiac filling pressure. Although it is a static hemodynamic parameter, however trend of CVP gives important information regarding the patient's management. Patient with left ventricular assist device is prone to develop right ventricular dysfunction which can easily be suspected by trend of CVP. However rising CVP does not always imply right heart dysfunction.

  14. Pulse pressure as a haemodynamic variable in systolic heart failure

    NARCIS (Netherlands)

    Petrie, Colin James

    2016-01-01

    In patients with heart failure, the heart is unable to pump enough blood to satisfy the requirements of the body. Explanations for this include heart muscle damage after a heart attack. This could be very recently, or in the past, sometimes dating back many years. In other cases the explanation for

  15. Noninvasive positive-pressure ventilation as a weaning strategy for intubated adults with respiratory failure.

    Science.gov (United States)

    Burns, Karen E A; Meade, Maureen O; Premji, Azra; Adhikari, Neill K J

    2013-12-09

    Noninvasive positive-pressure ventilation (NPPV) provides ventilatory support without the need for an invasive airway. Interest has emerged in using NPPV to facilitate earlier removal of an endotracheal tube and to decrease complications associated with prolonged intubation. We evaluated studies in which invasively ventilated adults with respiratory failure of any cause (chronic obstructive pulmonary disease (COPD), non-COPD, postoperative, nonoperative) were weaned by means of early extubation followed by immediate application of NPPV or continued IPPV weaning. The primary objective was to determine whether the noninvasive positive-pressure ventilation (NPPV) strategy reduced all-cause mortality compared with invasive positive-pressure ventilation (IPPV) weaning. Secondary objectives were to ascertain differences between strategies in proportions of weaning failure and ventilator-associated pneumonia (VAP), intensive care unit (ICU) and hospital length of stay (LOS), total duration of mechanical ventilation, duration of mechanical support related to weaning, duration of endotracheal mechanical ventilation (ETMV), frequency of adverse events (related to weaning) and overall quality of life. We planned sensitivity and subgroup analyses to assess (1) the influence on mortality and VAP of excluding quasi-randomized trials, and (2) effects on mortality and weaning failure associated with different causes of respiratory failure (COPD vs. mixed populations). We searched the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 5, 2013), MEDLINE (January 1966 to May 2013), EMBASE (January 1980 to May 2013), proceedings from four conferences, trial registration websites and personal files; we contacted authors to identify trials comparing NPPV versus conventional IPPV weaning. Randomized and quasi-randomized trials comparing early extubation with immediate application of NPPV versus IPPV weaning in intubated adults with respiratory failure. Two review

  16. Prevention of catastrophic failure in pressure vessels and pipings

    International Nuclear Information System (INIS)

    Rintamaa, R.; Wallin, K.; Ikonen, K.; Toerroenen, K.; Talja, H.; Keinaenen, H.; Saarenheimo, A.; Nilsson, F.; Sarkimo, M.; Waestberg, S.; Debel, C.

    1989-01-01

    The fracture resistance and integrity of pressure-loaded components have been assessed in a Nordic research programme. Experiments were performed to validate the computational fracture assessment analysis. Two tests were also conducted on a large decommissioned pressure vessel from an oil refinery plant. Different fracture assessment methods were developed and subsequently applied to the tested components. Interlaboratory round robin programmes with the participation of several laboratories were arranged to examine elastic-plastic finit element calculations and fracture mechanics testing. The transferability of material parameters derived from small specimens with simple crack geometries to more realistic crack geometries in real components has been verified. (author)

  17. Circadian variation of blood pressure in patients with chronic renal failure on continuous ambulatory peritoneal dialysis

    DEFF Research Database (Denmark)

    Clausen, P; Feldt-Rasmussen, B; Ladefoged, Jens

    1995-01-01

    The circadian pattern of blood pressure variation was investigated in 10 patients with advanced chronic renal failure on continuous ambulatory peritoneal dialysis (CAPD) and in an age-matched group of controls without renal disease with similar office blood pressure level. Monitoring was done using...

  18. Failure Mode of the Water-filled Fractures under Hydraulic Pressure in Karst Tunnels

    Directory of Open Access Journals (Sweden)

    Dong Xin

    2017-06-01

    Full Text Available Water-filled fractures continue to grow after the excavation of karst tunnels, and the hydraulic pressure in these fractures changes along with such growth. This paper simplifies the fractures in the surrounding rock as flat ellipses and then identifies the critical hydraulic pressure values required for the occurrence of tensile-shear and compression-shear failures in water-filled fractures in the case of plane stress. The occurrence of tensile-shear fracture requires a larger critical hydraulic pressure than compression-shear failure in the same fracture. This paper examines the effects of fracture strike and lateral pressure coefficient on critical hydraulic pressure, and identifies compression-shear failure as the main failure mode of water-filled fractures. This paper also analyses the hydraulic pressure distribution in fractures with different extensions, and reveals that hydraulic pressure decreases along with the continuous growth of fractures and cannot completely fill a newly formed fracture with water. Fracture growth may be interrupted under the effect of hydraulic tensile shear.

  19. Evaluation and Management of The Child with Failure to Thrive ...

    African Journals Online (AJOL)

    In this review article, the definition, aetiology, evaluation, differential diagnoses, management, prevention and prognosis of failure to thrive are discussed. Failure to thrive (FTT) is a common problem in paediatric practice, affecting 5-10% of under-fives in developed countries with a higher incidence in developing countries.

  20. Innovation by Defining Failures under Environmental and Competitive Pressures

    DEFF Research Database (Denmark)

    Fujiwara, Masatoshi

    accomplished an innovation and increased their market share during the late 1980s. Kao introduced their new detergent Attack through a biotechnological innovation and dramatically changed the competitive structure to their advantage. The innovations introduced were of two kinds 1) fermentation engineering......This paper aims to describe how a commercially successful innovation occurs with the altering of the existing competitive structure in a market under environmental and competitive pressures. I study the history of the laundry detergent market in Japan and elucidate the manner in which Kao...

  1. Early predictors of success of non-invasive positive pressure ventilation in hypercapnic respiratory failure.

    Science.gov (United States)

    Bhattacharyya, D; Prasad, Bnbm; Tampi, P S; Ramprasad, R

    2011-10-01

    Non-invasive positive pressure ventilation (NIPPV) has emerged as a significant advancement in the management of acute hypercapnic respiratory failure. Patients with hypercapnic respiratory failure requiring ventilation therapy (respiratory rate [RR] of > 30 breaths per minutes, PaCO2 > 55 mmHg and arterial pH success group and these parameters continued to improve even after four and 24 hours of NIPPV treatment. Out of 24 (24%) patients who failed to respond, 13 (54%) needed endotracheal intubation within one hour. The failure group had higher baseline HR than the success group. Improvement in HR, RR, pH, and PCO2 one hour after putting the patient on NIPPV predicts success of non-invasive positive pressure ventilation in hypercapnic respiratory failure.

  2. Innovation by Defining Failures under Environmental and Competitive Pressures

    DEFF Research Database (Denmark)

    Fujiwara, Masatoshi

    This paper aims to describe how a commercially successful innovation occurs with the altering of the existing competitive structure in a market under environmental and competitive pressures. I study the history of the laundry detergent market in Japan and elucidate the manner in which Kao...... accomplished an innovation and increased their market share during the late 1980s. Kao introduced their new detergent Attack through a biotechnological innovation and dramatically changed the competitive structure to their advantage. The innovations introduced were of two kinds 1) fermentation engineering...... technologies to improve the cleaning performance of detergents by using alkaline cellulase, and 2) concentration of detergents to four times their earlier strength through changes in their powder processing technologies. This historical innovation that occurred in the laundry detergent market in Japan has...

  3. A comparison of volume control and pressure-regulated volume control ventilation in acute respiratory failure

    OpenAIRE

    Guldager, Henrik; Nielsen, Soeren L; Carl, Peder; Soerensen, Mogens B

    1997-01-01

    Background: The aim of this study was to test the hypothesis that a new mode of ventilation (pressure-regulated volume control; PRVC) is associated with improvements in respiratory mechanics and outcome when compared with conventional volume control (VC) ventilation in patients with acute respiratory failure. We conducted a randomised, prospective, open, cross over trial on 44 patients with acute respiratory failure in the general intensive care unit of a university hospital. After a stabiliz...

  4. How simulation of failure risk can improve structural reliability - application to pressurized components and pipes

    OpenAIRE

    Cioclov, Dimitru Dragos

    2013-01-01

    Probabilistic methods for failure risk assessment are introduced, with reference to load carrying structures, such as pressure vessels (PV) and components of pipes systems. The definition of the failure risk associated with structural integrity is made in the context of the general approach to structural reliability. Sources of risk are summarily outlined with emphasis on variability and uncertainties (V&U) which might be encountered in the analysis. To highlight the problem, in its practical...

  5. Circadian variation of blood pressure in patients with chronic renal failure on continuous ambulatory peritoneal dialysis

    DEFF Research Database (Denmark)

    Clausen, P; Feldt-Rasmussen, B; Ladefoged, Jens

    1995-01-01

    The circadian pattern of blood pressure variation was investigated in 10 patients with advanced chronic renal failure on continuous ambulatory peritoneal dialysis (CAPD) and in an age-matched group of controls without renal disease with similar office blood pressure level. Monitoring was done using...... of abnormal 24-h blood pressure profiles among CAPD patients. In the group of controls these profiles were in accordance with the established normal pattern, whereas nocturnal blood pressure reductions were significantly less pronounced in the patient group. The reduction +/- SD in the mean arterial blood...... a non-invasive ambulatory blood pressure recorder. Average 24-h blood pressure was significantly higher in the group of CAPD patients than in the group of healthy controls, i.e. 141 +/- 22/82 +/- 8 mmHg (systolic and diastolic blood pressure +/- SD) vs. 126 +/- 18/80 +/- 7, p

  6. Renal failure requiring dialysis complicating slow continuous ultrafiltration in acute heart failure: importance of systolic perfusion pressure.

    Science.gov (United States)

    Wehbe, Edgard; Patarroyo, Maria; Taliercio, Jonathan J; Starling, Randall C; Nally, Joseph V; Tang, W H Wilson; Demirjian, Sevag

    2015-02-01

    Recent reports have raised concerns regarding renal outcomes in patients with decompensated acute heart failure (HF) treated with slow continuous ultrafiltration (SCUF). The purpose of this study was to identify risk factors for renal failure (RF) requiring dialysis in patients with acute HF initiated on SCUF. We studied 63 consecutive patients with acute HF who required SCUF because of congestion refractory to hemodynamically guided intensive medical therapy. Median serum creatinine at SCUF initiation was higher in patients who developed RF requiring dialysis [2.5 (interquartile range 1.8-3.3) vs 1.6 (1.2-2.3) mg/dL; P acute HF initiated on SCUF, onset of RF requiring dialysis is associated with high mortality. Systolic perfusion pressure which incorporates both perfusion and venous congestion parameters may present a modifiable risk factor for worsening RF during SCUF in acute HF patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Effects of strain rate and confining pressure on the deformation and failure of shale

    Energy Technology Data Exchange (ETDEWEB)

    Cook, J.M. (Schlumberger Cambridge Research (GB)); Sheppard, M.C. (Anadrill/Schlumberger (US)); Houwen, O.H. (Sedco Forex (FR))

    1991-06-01

    Previous work on shale mechanical properties has focused on the slow deformation rates appropriate to wellbore deformation. Deformation of shale under a drill bit occurs at a very high rate, and the failure properties of the rock under these conditions are crucial in determining bit performance and in extracting lithology and pore-pressure information from drilling parameters. Triaxial tests were performed on two nonswelling shales under a wide range of strain rates and confining and pore pressures. At low strain rates, when fluid is relatively free to move within the shale, shale deformation and failure are governed by effective stress or pressure (i.e., total confining pressure minus pore pressure), as is the case for ordinary rock. If the pore pressure in the shale is high, increasing the strain rate beyond about 0.1%/sec causes large increases in the strength and ductility of the shale. Total pressure begins to influence the strength. At high stain rates, the influence of effective pressure decreases, except when it is very low (i.e., when pore pressure is very high); ductility then rises rapidly. This behavior is opposite that expected in ordinary rocks. This paper briefly discusses the reasons for these phenomena and their impact on wellbore and drilling problems.

  8. Substantial effect of acute hydration on blood pressure in patients with autonomic failure

    DEFF Research Database (Denmark)

    Mehlsen, J; Boesen, F

    1987-01-01

    fraction were measured in the supine position. Measurements were repeated after rapid infusion of 11 of isotonic saline. Acute hydration resulted in increased supine mean blood pressure levels (P less than 0.01) despite normal plasma volumes in all patients. The postural reductions in mean blood pressure......The effect of acute hydration on arterial blood pressure levels was investigated in ten patients with severe postural hypotension due to autonomic failure. Blood pressure and heart rate were determined in the supine and 60-degree head-up tilted position. Plasma volume and left ventricular ejection...... were reduced from 40 mmHg before to 20 mmHg after saline (median values, P less than 0.01). The results indicate that normal plasma volumes do not ensure optimal circulatory status in patients with autonomic failure. Acute hydration with isotonic saline may be used for immediate corrections of blood...

  9. Phase Field Theory and Analysis of Pressure-Shear Induced Amorphization and Failure in Boron Carbide Ceramic

    Science.gov (United States)

    2014-08-01

    Phase Field Theory and Analysis of Pressure-Shear Induced Amorphization and Failure in Boron Carbide Ceramic by John D Clayton ARL-RP...Pressure-Shear Induced Amorphization and Failure in Boron Carbide Ceramic John D Clayton Weapons and Materials Research Directorate, ARL...and Analysis of Pressure-Shear Induced Amorphization and Failure in Boron Carbide Ceramic 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM

  10. Differing prognostic value of pulse pressure in patients with heart failure with reduced or preserved ejection fraction

    DEFF Research Database (Denmark)

    Jackson, Colette E; Castagno, Davide; Maggioni, Aldo P

    2015-01-01

    AIMS: Low pulse pressure is a marker of adverse outcome in patients with heart failure (HF) and reduced ejection fraction (HF-REF) but the prognostic value of pulse pressure in patients with HF and preserved ejection fraction (HF-PEF) is unknown. We examined the prognostic value of pulse pressure......) and 5008 with HF-PEF (828 deaths). Pulse pressure was analysed in quintiles in a multivariable model adjusted for the previously reported Meta-Analysis Global Group in Chronic Heart Failure prognostic variables. Heart failure and reduced ejection fraction patients in the lowest pulse pressure quintile had...

  11. Increased left atrial pressure in non-heart failure patients with subclinical hypothyroidism and atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Akinori Sairaku

    2016-05-01

    Full Text Available Background The impact of subclinical hypothyroidism on the cardiovascular risk is still debated. We aimed to measure the relationship between subclinical hypothyroidism and the left atrial (LA pressure. Methods The LA pressures and thyroid function were measured in consecutive patients undergoing atrial fibrillation (AF ablation, who did not have any known heart failure, structural heart disease, or overt thyroid disease. Results Subclinical hypothyroidism (4.5≤ thyroid-stimulating hormone 18 mmHg (odds ratio 3.94, 95% CI 1.28 11.2; P = 0.02. Conclusions Subclinical hypothyroidism may increase the LA pressure in AF patients.

  12. Laguna Verde annulus pressurization loads evaluation

    International Nuclear Information System (INIS)

    Castaneda, M. A.; Cruz, M. A.; Cardenas, J. B.; Vargas, A.; Cruz, H. J.; Mercado, J. J.

    2010-10-01

    Annulus pressurization, jet impingement, pipe whip restraint and jet thrust are phenomena related to postulated pipe ruptures. A postulated pipe rupture at the weld between recirculation, or feedwater piping and a reactor nozzle safe end, will lead to a high flow rate of flashing water/steam mixture into the annulus between the reactor pressure vessel and the biological shield wall. The total effect of the vessel and pipe inventory blowdown from the break being postulated must be accounted for in the evaluation. A recirculation line break will give rise to an angular dependent short term pressure differential around the vessel, followed by a longer term pressure buildup in the annulus. A recirculation line postulated rupture may not produce worst case conditions and reference to time intervals for only the recirculation break should be treated superficially. A postulated rupture of the feedwater piping may produce the extreme case for determining: 1) the shield wall and reactor vessel to pedestal interactions, 2) loading on the reactor vessel internals, or 3) responses for the balance of piping attached to the vessel. Recently it was identified a potential issue regarding the criteria used to determine which cases were evaluated for Annulus Pressurization (A P) loads for new loads plants. The original A P loads methodology in the late 1970 and early 1980 years separated the mass/energy release calculation from the structural response calculation based on the implicit assumption that the maximum overall mass/energy release will result in maximizing the structural response and corresponding stresses on the reactor pressure vessel, internals, and containment structures. This process did not consider the dynamic response in the primary and secondary safety related structures, components and equipment. Consequently, the A P loads used as input for design adequacy evaluations of Nuclear Steam Supply System safety related components for new loads plants might have

  13. Resistance exercise performed with repetitions until failure affects nocturnal blood pressure decreases in hypertensive women

    Directory of Open Access Journals (Sweden)

    Marilia de Almeida Correia

    2015-12-01

    Full Text Available Studies have shown that resistance exercise reduces 24-hour blood pressure to levels below resting values, although this is not a universal finding. The number of repetitions has been shown to influence this response. Thus, the aim of the study was to analyze the effects of resistance exercise performed until failure (UF on 24-hour blood pressure in hypertensive women. Thirteen hypertensive women underwent three experimental sessions in random order: UF, resistance exercise with repetitions before concentric failure (BF and control (C. Prior to and up to 24 hours after the sessions, cardiovascular variables, as well as the nocturnal fall in blood pressure, the morning surge, and the presence or absence of a blood pressure dip pattern were established using an ambulatory blood pressure monitor. In both wakefulness and sleep there was no significant difference among the three groups. However, after UF and C fewer patients presented a dip in blood pressure (46% and 38%, respectively compared BF (77%, p=0.047. In conclusion, the UF attenuated blood pressure dips at night in hypertensive patients.

  14. Acetylcysteine reduces plasma homocysteine concentration and improves pulse pressure and endothelial function in patients with end-stage renal failure

    DEFF Research Database (Denmark)

    Scholze, Alexandra; Rinder, Christiane; Beige, Joachim

    2004-01-01

    Increased oxidative stress, elevated plasma homocysteine concentration, increased pulse pressure, and impaired endothelial function constitute risk factors for increased mortality in patients with end-stage renal failure.......Increased oxidative stress, elevated plasma homocysteine concentration, increased pulse pressure, and impaired endothelial function constitute risk factors for increased mortality in patients with end-stage renal failure....

  15. Experimental Evaluation of Mechanical Properties of Friction Welded Dissimilar Steels under Varying Axial Pressures

    Directory of Open Access Journals (Sweden)

    Handa Amit

    2016-07-01

    Full Text Available The present study emphasizes on joints two industrially important materials AISI 304 with AISI 1021steels, produced by friction welding have been investigated. Samples were welded under different axial pressures ranging from 75MPa to 135MPa, at constant speed of 920rpm. The tensile strength, torsional strength, impact strength and micro hardness values of the weldments were determined and evaluated. Simultaneously the fractrography of the tensile tested specimens were carried out, so as to understand the failure analysis. It was observed that improved mechanical properties were noticed at higher axial pressures. Ductile failures of weldments were also observed at 120MPa and 135MPa axial pressures during fractography analysis.

  16. Matching the results of a theoretical model with failure rates obtained from a population of non-nuclear pressure vessels

    International Nuclear Information System (INIS)

    Harrop, L.P.

    1982-02-01

    Failure rates for non-nuclear pressure vessel populations are often regarded as showing a decrease with time. Empirical evidence can be cited which supports this view. On the other hand theoretical predictions of PWR type reactor pressure vessel failure rates have shown an increasing failure rate with time. It is shown that these two situations are not necessarily incompatible. If adjustments are made to the input data of the theoretical model to treat a non-nuclear pressure vessel population, the model can produce a failure rate which decreases with time. These adjustments are explained and the results obtained are shown. (author)

  17. Pressure relieving support surfaces: a randomised evaluation.

    Science.gov (United States)

    Nixon, J; Nelson, E A; Cranny, G; Iglesias, C P; Hawkins, K; Cullum, N A; Phillips, A; Spilsbury, K; Torgerson, D J; Mason, S

    2006-07-01

    To determine differences between alternating pressure overlays and alternating pressure replacement mattresses with respect to the development of new pressure ulcers, healing of existing pressure ulcers, patient acceptability and cost-effectiveness of the different pressure-relieving surfaces. Also to investigate the specific additional impact of pressure ulcers on patients' well-being. A multicentre, randomised, controlled, open, fixed sample, parallel-group trial with equal randomisation was undertaken. The trial used remote, concealed allocation and intention-to-treat (ITT) analysis. The main trial design was supplemented with a qualitative study involving a purposive sample of 20-30 patients who developed pressure ulcers, to assess the impact of the pressure ulcers on their well-being. In addition, a focus group interview was carried out with clinical research nurses, who participated in the PRESSURE (Pressure RElieving Support SUrfaces: a Randomised Evaluation) Trial, to explore the experiences of their role and observations of pressure area care. The study took place in 11 hospital-based research centres within six NHS trusts in England. Acute and elective patients aged 55 years or older and admitted to vascular, orthopaedic, medical or care of the elderly wards in the previous 24 hours were investigated. Patients were randomised to either an alternating pressure overlay or an alternating pressure mattress replacement, with mattress specifications clearly defined to enable the inclusion of centres using products from different manufacturers, and to exclude hybrid mattress systems (which either combine foam or constant low pressure with alternating pressure in one mattress, or can be used as either an overlay or a replacement mattress). Development of a new pressure ulcer (grade pressures ulcers, patient acceptability and cost-effectiveness. In total, 6155 patients were assessed for eligibility to the trial and 1972 were randomised: 990 to the alternating

  18. Rationale and Design of the Reduce Elevated Left Atrial Pressure in Patients With Heart Failure (Reduce LAP-HF) Trial.

    Science.gov (United States)

    Hasenfuss, Gerd; Gustafsson, Finn; Kaye, David; Shah, Sanjiv J; Burkhoff, Dan; Reymond, Marie-Christine; Komtebedde, Jan; Hünlich, Mark

    2015-07-01

    Heart failure with preserved ejection fraction (HFpEF) is characterized by elevated left atrial pressure during rest and/or exercise. The Reduce LAP-HF (Reduce Elevated Left Atrial Pressure in Patients With Heart Failure) trial will evaluate the safety and performance of the Interatrial Shunt Device (IASD) System II, designed to directly reduce elevated left atrial pressure, in patients with HFpEF. The Reduce LAP-HF Trial is a prospective, nonrandomized, open-label trial to evaluate a novel device that creates a small permanent shunt at the level of the atria. A minimum of 60 patients with ejection fraction ≥40% and New York Heart Association functional class III or IV heart failure with a pulmonary capillary wedge pressure (PCWP) ≥15 mm Hg at rest or ≥25 mm Hg during supine bike exercise will be implanted with an IASD System II, and followed for 6 months to assess the primary and secondary end points. Safety and standard clinical follow-up will continue through 3 years after implantation. Primary outcome measures for safety are periprocedural and 6-month major adverse cardiac and cerebrovascular events (MACCE) and systemic embolic events (excluding pulmonary thromboembolism). MACCE include death, stroke, myocardial infarction, or requirement of implant removal. Primary outcome measures for device performance include success of device implantation, reduction of PCWP at rest and during exercise, and demonstration of left-to-right flow through the device. Key secondary end points include exercise tolerance, quality of life, and the incidence of heart failure hospitalization. Reduce LAP-HF is the first trial intended to lower left atrial pressure in HFpEF by means of creating a permanent shunt through the atrial septum with the use of a device. Although the trial is primarily designed to study safety and device performance, we also test the pathophysiologic hypothesis that reduction of left atrial pressure will improve symptoms and quality of life in patients

  19. A comparison of volume control and pressure-regulated volume control ventilation in acute respiratory failure

    Science.gov (United States)

    Guldager, Henrik; Nielsen, Soeren L; Carl, Peder; Soerensen, Mogens B

    1997-01-01

    Background: The aim of this study was to test the hypothesis that a new mode of ventilation (pressure-regulated volume control; PRVC) is associated with improvements in respiratory mechanics and outcome when compared with conventional volume control (VC) ventilation in patients with acute respiratory failure. We conducted a randomised, prospective, open, cross over trial on 44 patients with acute respiratory failure in the general intensive care unit of a university hospital. After a stabilization period of 8 h, a cross over trial of 2 × 2 h was conducted. Apart from the PRVC/VC mode, ventilator settings were comparable. The following parameters were recorded for each patient: days on ventilator, failure in the assigned mode of ventilation (peak inspiratory pressure > 50 cmH2O) and survival. Results: In the crossover trial, peak inspiratory pressure was significantly lower using PRVC than with VC (20 cmH2O vs 24 cmH2O, P < 0.0001). No other statistically significant differences were found. Conclusions: Peak inspiratory pressure was significantly lower during PRVC ventilation than during VC ventilation, and thus PRVC may be superior to VC in certain patients. However, in this small group of patients, we could not demonstrate that PRVC improved outcome. PMID:11056699

  20. Incorporating Cyber Layer Failures in Composite Power System Reliability Evaluations

    Directory of Open Access Journals (Sweden)

    Yuqi Han

    2015-08-01

    Full Text Available This paper proposes a novel approach to analyze the impacts of cyber layer failures (i.e., protection failures and monitoring failures on the reliability evaluation of composite power systems. The reliability and availability of the cyber layer and its protection and monitoring functions with various topologies are derived based on a reliability block diagram method. The availability of the physical layer components are modified via a multi-state Markov chain model, in which the component protection and monitoring strategies, as well as the cyber layer topology, are simultaneously considered. Reliability indices of composite power systems are calculated through non-sequential Monte-Carlo simulation. Case studies demonstrate that operational reliability downgrades in cyber layer function failure situations. Moreover, protection function failures have more significant impact on the downgraded reliability than monitoring function failures do, and the reliability indices are especially sensitive to the change of the cyber layer function availability in the range from 0.95 to 1.

  1. Ultimate Failure of Debond Damaged Sandwich Panels Loaded with Lateral Pressure

    DEFF Research Database (Denmark)

    Jolma, Perttu; Segercrantz, Sebastian; Berggreen, Christian

    2007-01-01

    variation of all geometric and material entities. The fracture mechanics calculation uses crack flank displacements obtained from the finite element analysis solution and experimentally measured mixed-mode fracture toughness values to determine the ultimate failure load. The analysis tool is validated...... with a number of different ship type panels. Debond criticality is evaluated by using the developed tool and by comparing the test results from panel experiments. The comparison shows that the analysis tool predicts both failure load and failure mode well. The tool can be used to determine the residual strength...

  2. Factors Associated with Failure of Non-invasive Positive Pressure Ventilation in a Critical Care Helicopter Emergency Medical Service.

    Science.gov (United States)

    Lee, James S; O'Dochartaigh, Domhnall; MacKenzie, Mark; Hudson, Darren; Couperthwaite, Stephanie; Villa-Roel, Cristina; Rowe, Brian H

    2015-06-01

    Non-invasive positive pressure ventilation (NIPPV) is used to treat severe acute respiratory distress. Prehospital NIPPV has been associated with a reduction in both in-hospital mortality and the need for invasive ventilation. The authors of this study examined factors associated with NIPPV failure and evaluated the impact of NIPPV on scene times in a critical care helicopter Emergency Medical Service (HEMS). Non-invasive positive pressure ventilation failure was defined as the need for airway intervention or alternative means of ventilatory support. A retrospective chart review of consecutive patients where NIPPV was completed in a critical care HEMS was conducted. Factors associated with NIPPV failure in univariate analyses and from published literature were included in a multivariable, logistic regression model. From a total of 44 patients, NIPPV failed in 14 (32%); a Glasgow Coma Scale (GCS)<15 at HEMS arrival was associated independently with NIPPV failure (adjusted odds ratio 13.9; 95% CI, 2.4-80.3; P=.003). Mean scene times were significantly longer in patients who failed NIPPV when compared with patients in whom NIPPV was successful (95 minutes vs 51 minutes; 39.4 minutes longer; 95% CI, 16.2-62.5; P=.001). Patients with a decreased level of consciousness were more likely to fail NIPPV. Furthermore, patients who failed NIPPV had significantly longer scene times. The benefits of NIPPV should be balanced against risks of long scene times by HEMS providers. Knowing risk factors of NIPPV failure could assist HEMS providers to make the safest decision for patients on whether to initiate NIPPV or proceed directly to endotracheal intubation prior to transport.

  3. Failure To Thrive: Strategies for Evaluation and Intervention.

    Science.gov (United States)

    Black, Maureen M.

    1995-01-01

    Reviews the definition of failure to thrive (FTT) and its relationship to theories of child development as FTT is an early physical marker of risk with long-term consequences. These children are often eligible for services through PL99-457, and psychologists can play an integral role in multidisciplinary evaluation and on intervention team.…

  4. Evaluation of left atrial functions in children with chronic renal failure.

    Science.gov (United States)

    Demirpençe, Savaş; Güven, Barış; Meşe, Timur; Serdaroğlu, Erkin; Yılmazer, Murat Muhtar; Firuzan, Esin; Tavlı, Vedide

    2014-05-01

    One-quarter of deaths in children with chronic renal failure is due to cardiovascular complications. Conventional echocardiographic methods are insufficient for evaluating systolic functions in children with chronic renal failure. The aim of the present study was to investigate cardiac functions in children with chronic renal failure by evaluating left atrial volume and functions. The present cross-sectional observational study included 44 children undergoing dialysis, 16 children with chronic renal failure but not yet on dialysis, and 20 healthy control subjects. Transthoracic echocardiography was performed for all children. Variables regarding to left ventricle and atrium (left atrial systolic force, left atrial systolic force index, left atrial volume, left ventricular mass index, and relative wall thickness) were measured using two-dimensional and M-mode echocardiography. Left atrial systolic force index was negatively correlated with systolic blood pressure and left ventricular mass (p=0.01, r=0.266 and p=0.02, r=0.347, respectively). However, it was positively correlated with both early and late diastolic mitral inflow velocity (r=0.518, p=0.001 and r=0.828, p=0.001, respectively). There were no significant difference among the groups in terms of left atrial systolic force index and left atrial volume. However, left atrial systolic force index was higher in children with chronic renal failure but not yet on dialysis. Left atrial systolic force was negatively correlated with systolic blood pressure and left ventricular mass. These findings suggested that evaluating left atrial systolic force and left atrial volume were useful to determine diastolic dysfunction and the necessity of dialysis in patient with chronic renal failure.

  5. Pellet-Cladding Mechanical Interaction Failure Threshold for Reactivity Initiated Accidents for Pressurized Water Reactors and Boiling Water Reactors

    Energy Technology Data Exchange (ETDEWEB)

    Beyer, Carl E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Geelhood, Kenneth J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-06-01

    Pacific Northwest National Laboratory (PNNL) has been requested by the U.S. Nuclear Regulatory Commission to evaluate the reactivity initiated accident (RIA) tests that have recently been performed in the Nuclear Safety Research Reactor (NSRR) and CABRI (French research reactor) on uranium dioxide (UO2) and mixed uranium and plutonium dioxide (MOX) fuels, and to propose pellet-cladding mechanical interaction (PCMI) failure thresholds for RIA events. This report discusses how PNNL developed PCMI failure thresholds for RIA based on least squares (LSQ) regression fits to the RIA test data from cold-worked stress relief annealed (CWSRA) and recrystallized annealed (RXA) cladding alloys under pressurized water reactor (PWR) hot zero power (HZP) conditions and boiling water reactor (BWR) cold zero power (CZP) conditions.

  6. Pressure protection against vacuum failures on the cryostats for LEP sc cavities

    International Nuclear Information System (INIS)

    Cavallari, G.; Guesewell, D.; Stierlin, R.; Gorine, I.

    1990-01-01

    Three types of moderate vacuum failure were studied experimentally on a prototype of the sc cavity cryostats developed for LEP. The observations were interpreted using a simplified description of the liquid helium (LHe) bath and extrapolated to the worst possible pressure rise. This was verified in a last test by breaking the cavity vacuum in a fraction of a second with an 80 mm diameter valve. It was concluded that this simulated indeed the worst case and that, as a minimum, a rupture disk of 20 cm 2 is required on a low-impedance safety pipe to exclude excessive peak pressures and damage to the cavity. (author)

  7. Adipose tissue ATGL modifies the cardiac lipidome in pressure-overload-induced left ventricular failure.

    Directory of Open Access Journals (Sweden)

    Janek Salatzki

    2018-01-01

    Full Text Available Adipose tissue lipolysis occurs during the development of heart failure as a consequence of chronic adrenergic stimulation. However, the impact of enhanced adipose triacylglycerol hydrolysis mediated by adipose triglyceride lipase (ATGL on cardiac function is unclear. To investigate the role of adipose tissue lipolysis during heart failure, we generated mice with tissue-specific deletion of ATGL (atATGL-KO. atATGL-KO mice were subjected to transverse aortic constriction (TAC to induce pressure-mediated cardiac failure. The cardiac mouse lipidome and the human plasma lipidome from healthy controls (n = 10 and patients with systolic heart failure (HFrEF, n = 13 were analyzed by MS-based shotgun lipidomics. TAC-induced increases in left ventricular mass (LVM and diastolic LV inner diameter were significantly attenuated in atATGL-KO mice compared to wild type (wt -mice. More importantly, atATGL-KO mice were protected against TAC-induced systolic LV failure. Perturbation of lipolysis in the adipose tissue of atATGL-KO mice resulted in the prevention of the major cardiac lipidome changes observed after TAC in wt-mice. Profound changes occurred in the lipid class of phosphatidylethanolamines (PE in which multiple PE-species were markedly induced in failing wt-hearts, which was attenuated in atATGL-KO hearts. Moreover, selected heart failure-induced PE species in mouse hearts were also induced in plasma samples from patients with chronic heart failure. TAC-induced cardiac PE induction resulted in decreased PC/ PE-species ratios associated with increased apoptotic marker expression in failing wt-hearts, a process absent in atATGL-KO hearts. Perturbation of adipose tissue lipolysis by ATGL-deficiency ameliorated pressure-induced heart failure and the potentially deleterious cardiac lipidome changes that accompany this pathological process, namely the induction of specific PE species. Non-cardiac ATGL-mediated modulation of the cardiac lipidome may play an

  8. Worsening renal function definition is insufficient for evaluating acute renal failure in acute heart failure.

    Science.gov (United States)

    Shirakabe, Akihiro; Hata, Noritake; Kobayashi, Nobuaki; Okazaki, Hirotake; Matsushita, Masato; Shibata, Yusaku; Nishigoori, Suguru; Uchiyama, Saori; Asai, Kuniya; Shimizu, Wataru

    2018-02-01

    Whether or not the definition of a worsening renal function (WRF) is adequate for the evaluation of acute renal failure in patients with acute heart failure is unclear. One thousand and eighty-three patients with acute heart failure were analysed. A WRF, indicated by a change in serum creatinine ≥0.3 mg/mL during the first 5 days, occurred in 360 patients while no-WRF, indicated by a change failure; n = 98). The patients were assigned to another set of four groups: no-WRF/no-AKI (n = 512), no-WRF/AKI (n = 211), WRF/no-AKI (n = 239), and WRF/AKI (n = 121). A multivariate logistic regression model found that no-WRF/AKI and WRF/AKI were independently associated with 365 day mortality (hazard ratio: 1.916; 95% confidence interval: 1.234-2.974 and hazard ratio: 3.622; 95% confidence interval: 2.332-5.624). Kaplan-Meier survival curves showed that the rate of any-cause death during 1 year was significantly poorer in the no-WRF/AKI and WRF/AKI groups than in the WRF/no-AKI and no-WRF/no-AKI groups and in Class I and Class F than in Class R and the no-AKI group. The presence of AKI on admission, especially Class I and Class F status, is associated with a poor prognosis despite the lack of a WRF within the first 5 days. The prognostic ability of AKI on admission may be superior to WRF within the first 5 days. © 2018 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

  9. Invasive intracranial pressure monitoring is a useful adjunct in the management of severe hepatic encephalopathy associated with pediatric acute liver failure.

    Science.gov (United States)

    Kamat, Pradip; Kunde, Sachin; Vos, Miriam; Vats, Atul; Gupta, Nitika; Heffron, Thomas; Romero, Rene; Fortenberry, James D

    2012-01-01

    Pediatric acute liver failure is often accompanied by hepatic encephalopathy, cerebral edema, and raised intracranial pressure. Elevated intracranial pressure can be managed more effectively with intracranial monitoring, but acute-liver-failure-associated coagulopathy is often considered a contraindication for invasive monitoring due to risk for intracranial bleeding. We reviewed our experience with use of early intracranial pressure monitoring in acute liver failure in children listed for liver transplantation. Retrospective review of all intubated pediatric acute liver failure patients with grade III and grade IV encephalopathy requiring intracranial pressure monitoring and evaluated for potential liver transplant who were identified from an institutional liver transplant patient database from 1999 to 2009. None. A total of 14 patients were identified who met the inclusion criteria. Their ages ranged from 7 months to 20 yrs. Diagnoses of acute liver failure were infectious (three), drug-induced (seven), autoimmune hepatitis (two), and indeterminate (two). Grade III and IV encephalopathy was seen in ten (71%) and four (29%) patients, respectively. Computed tomography scans before intracranial pressure monitor placement showed cerebral edema in five (35.7%) patients. Before intracranial pressure monitor placement, fresh frozen plasma, vitamin K, and activated recombinant factor VIIa were given to all 14 patients, with significant improvement in coagulopathy (p liver transplant, with 100% surviving neurologically intact. Four of 14 (28%) patients had spontaneous recovery without liver transplant. Two of 14 (14%) patients died due to multiple organ failure before transplant. One patient had a small 9-mm intracranial hemorrhage but survived after receiving a liver transplant. No patient developed intracranial infection. In our series of patients, intracranial pressure monitoring had a low complication rate and was associated with a high survival rate despite severe

  10. Burst Pressure Failure of Titanium Tanks Damaged by Secondary Plumes from Hypervelocity Impacts on Aluminum Shields

    Science.gov (United States)

    Nahra, Henry; Ghosn, Louis; Christiansen, Eric; Davis, B. Alan; Keddy, Chris; Rodriquez, Karen; Miller, Joshua; Bohl, William

    2011-01-01

    Metallic pressure tanks used in space missions are inherently vulnerable to hypervelocity impacts from micrometeoroids and orbital debris; thereby knowledge of impact damage and its effect on the tank integrity is crucial to a spacecraft risk assessment. This paper describes tests that have been performed to assess the effects of hypervelocity impact (HVI) damage on Titanium alloy (Ti-6Al-4V) pressure vessels burst pressure and characteristics. The tests consisted of a pair of HVI impact tests on water-filled Ti-6Al-4V tanks (water being used as a surrogate to the actual propellant) and subsequent burst tests as well as a burst test on an undamaged control tank. The tanks were placed behind Aluminum (Al) shields and then each was impacted with a 7 km/s projectile. The resulting impact debris plumes partially penetrated the Ti-6Al-4V tank surfaces resulting in a distribution of craters. During the burst tests, the tank that failed at a lower burst pressure did appear to have the failure initiating at a crater site with observed spall cracks. A fracture mechanics analysis showed that the tanks failure at the impact location may have been due to a spall crack that formed upon impact of a fragmentation on the Titanium surface. This result was corroborated with a finite element analysis from calculated Von-Mises and hoop stresses.

  11. Evaluation of Failure Strength of Woven CFRP Composite Plate Subject to Axial Load by Tan-Cheng Failure Criterion

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sang Young; Park, Hong Sun; Kang, Min Sung; Lee, Woo Hyung; Choi, Jung Hun; Koo, Jae Mean; Seok, Chang Sung [Sungkyunkwan University, Suwon (Korea, Republic of)

    2009-04-15

    In the manufacture of CFRP(Carbon Fiber Reinforced Polymer Composite) composite structures, various independent components join by bolts and pins. Holes for bolts and pins have an effect on the failure strength of such structures, because those act as notches in structures. The failure characteristic of such structures are different from those of plain plate subject to remote load. In this paper, tensile properties of woven CFRP composite plates with laminates of 0 .deg., 30 .deg. and 45 .deg. were obtained according to ASTM D 3039. By using obtained tensile failure strength and Tan-Cheng failure criterion, tensile failure strength of CFRP laminate with arbitrary fiber angle were evaluated. Also, the degradation of tensile properties by center hole({Phi}10mm) with a remote load was evaluated and the failure strengths were applied to Tan's failure criterion, similarly.

  12. Evaluation of Failure Strength of Woven CFRP Composite Plate Subject to Axial Load by Tan-Cheng Failure Criterion

    International Nuclear Information System (INIS)

    Kim, Sang Young; Park, Hong Sun; Kang, Min Sung; Lee, Woo Hyung; Choi, Jung Hun; Koo, Jae Mean; Seok, Chang Sung

    2009-01-01

    In the manufacture of CFRP(Carbon Fiber Reinforced Polymer Composite) composite structures, various independent components join by bolts and pins. Holes for bolts and pins have an effect on the failure strength of such structures, because those act as notches in structures. The failure characteristic of such structures are different from those of plain plate subject to remote load. In this paper, tensile properties of woven CFRP composite plates with laminates of 0 .deg., 30 .deg. and 45 .deg. were obtained according to ASTM D 3039. By using obtained tensile failure strength and Tan-Cheng failure criterion, tensile failure strength of CFRP laminate with arbitrary fiber angle were evaluated. Also, the degradation of tensile properties by center hole(Φ10mm) with a remote load was evaluated and the failure strengths were applied to Tan's failure criterion, similarly

  13. Creep failure of a reactor pressure vessel lower head under severe accident conditions

    Energy Technology Data Exchange (ETDEWEB)

    Pilch, M.M.; Ludwigsen, J.S.; Chu, T.Y. [Sandia National Labs., Albuquerque, NM (United States); Rashid, Y.R. [Anatech, San Diego, CA (United States)

    1998-08-01

    A severe accident in a nuclear power plant could result in the relocation of large quantities of molten core material onto the lower head of he reactor pressure vessel (RPV). In the absence of inherent cooling mechanisms, failure of the RPV ultimately becomes possible under the combined effects of system pressure and the thermal heat-up of the lower head. Sandia National Laboratories has performed seven experiments at 1:5th scale simulating creep failure of a RPV lower head. This paper describes a modeling program that complements the experimental program. Analyses have been performed using the general-purpose finite-element code ABAQUS-5.6. In order to make ABAQUS solve the specific problem at hand, a material constitutive model that utilizes temperature dependent properties has been developed and attached to ABAQUS-executable through its UMAT utility. Analyses of the LHF-1 experiment predict instability-type failure. Predicted strains are delayed relative to the observed strain histories. Parametric variations on either the yield stress, creep rate, or both (within the range of material property data) can bring predictions into agreement with experiment. The analysis indicates that it is necessary to conduct material property tests on the actual material used in the experimental program. The constitutive model employed in the present analyses is the subject of a separate publication.

  14. Evaluation of the tensor polynomial failure criterion for composite materials

    Science.gov (United States)

    Tennyson, R. C.; Macdonald, D.; Nanyaro, A. P.

    1978-01-01

    A comprehensive experimental and analytical evaluation of the tensor polynomial failure criterion was undertaken to determine its capability for predicting the ultimate strength of laminated composite structures subject to a plane stress state. Results are presented demonstrating that a quadratic formulation is too conservative and a cubic representation is required. Strength comparisons with test data derived from glass/epoxy and graphite/epoxy tubular specimens are also provided to validate the cubic strength criterion.

  15. Predicting the success of noninvasive positive pressure ventilation in emergency room for patients with acute heart failure.

    Science.gov (United States)

    Shirakabe, Akihiro; Hata, Noritake; Yokoyama, Shinya; Shinada, Takuro; Kobayashi, Nobuaki; Tomita, Kazunori; Kitamura, Mitsunobu; Nozaki, Ayaka; Tokuyama, Hideo; Asai, Kuniya; Mizuno, Kyoichi

    2011-01-01

    Non-invasive positive pressure ventilation (NPPV) for acute heart failure (AHF) is increasingly used to avoid endotracheal intubation (ETI). We therefore reviewed our experience using respirator management in the emergency room for AHF, and evaluated the predictive factors in the success of NPPV in the emergency room. Three-hundred forty-three patients with AHF were analyzed. The AHF patients were assigned to either BiPAP-Synchrony (B-S; Respironics, Merrysville, PA, USA) period (2005-2007, n = 176) or BiPAP-Vision (B-V; Respironics) period (2008-2010, n = 167). The rate of carperitide use was significantly increased and dopamine use was significantly decreased in the B-V period. The total length of hospital stay was significantly shorter in the B-V period. AHF patients were also assigned to a failed trial of NPPV followed by ETI (NPPV failure group) or an NPPV success group in the emergency room for each period. NPPV was successfully used in 48 cases in the B-S period, and in 111 cases in the B-V period. Fifty-seven ETI patients included 45 direct ETI and 11 NPPV failure cases in the B-S period, and 16 ETI patients included 10 direct ETI and 6 NPPV failure cases in the B-V period. The pH values were significantly lower in the NPPV failure than in the NPPV success for both periods (7.19 ± 0.10 vs. 7.28 ± 0.11, B-S period, p successful estimates of NPPV with a high sensitivity and specificity, and the aortic blood gas level was above 7.03 pH when using the B-V system. Copyright © 2011 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  16. Failure assessment of aluminum liner based filament-wound hybrid riser subjected to internal hydrostatic pressure

    Science.gov (United States)

    Dikshit, Vishwesh; Seng, Ong Lin; Maheshwari, Muneesh; Asundi, A.

    2015-03-01

    The present study describes the burst behavior of aluminum liner based prototype filament-wound hybrid riser under internal hydrostatic pressure. The main objective of present study is to developed an internal pressure test rig set-up for filament-wound hybrid riser and investigate the failure modes of filament-wound hybrid riser under internal hydrostatic burst pressure loading. The prototype filament-wound hybrid riser used for burst test consists of an internal aluminum liner and outer composite layer. The carbon-epoxy composites as part of the filament-wound hybrid risers were manufactured with [±55o] lay-up pattern with total composite layer thickness of 1.6 mm using a CNC filament-winding machine. The burst test was monitored by video camera which helps to analyze the failure mechanism of the fractured filament-wound hybrid riser. The Fiber Bragg Grating (FBG) sensor was used to monitor and record the strain changes during burst test of prototype filament-wound hybrid riser. This study shows good improvements in burst strength of filament-wound hybrid riser compared to the monolithic metallic riser. Since, strain measurement using FBG sensors has been testified as a reliable method, we aim to further understand in detail using this technique.

  17. NASA Prototype All Composite Tank Cryogenic Pressure Tests to Failure with Structural Health Monitoring

    Science.gov (United States)

    Werlink, Rudolph J.; Pena, Francisco

    2015-01-01

    This Paper will describe the results of pressurization to failure of 100 gallon composite tanks using liquid nitrogen. Advanced methods of health monitoring will be compared as will the experimental data to a finite element model. The testing is wholly under NASA including unique PZT (Lead Zirconate Titanate) based active vibration technology. Other technologies include fiber optics strain based systems including NASA AFRC technology, Acoustic Emission, Acellent smart sensor, this work is expected to lead to a practical in-Sutu system for composite tanks.

  18. Clinical evaluation of the failure rates of metallic brackets

    Directory of Open Access Journals (Sweden)

    Fábio Lourenço Romano

    2012-04-01

    Full Text Available OBJECTIVES: The aim of this study was to evaluate in vivo the bonding of metallic orthodontic brackets with different adhesive systems. MATERIAL AND METHODS: Twenty patients (10.5-15.1 years old who had sought corrective orthodontic treatment at a University Orthodontic Clinic were evaluated. Brackets were bonded from the right second premolar to the left second premolar in the upper and lower arches using: Orthodontic Concise, conventional Transbond XT, Transbond XT without primer, and Transbond XT associated with Transbond Plus Self-etching Primer (TPSEP. The 4 adhesive systems were used in all patients using a split-mouth design; each adhesive system was used in one quadrant of each dental arch, so that each group of 5 patients received the same bonding sequence. Initial archwires were inserted 1 week after bracket bonding. The number of bracket failures for each adhesive system was quantified over a 6-month period. RESULTS: The number of debonded brackets was: 8- Orthodontic Concise, 2- conventional Transbond XT, 9- Transbond XT without primer, and 1- Transbond XT + TPSEP. By using the Kaplan-Meier methods, statistically significant differences were found between the materials (p=0.0198, and the Logrank test identified these differences. Conventional Transbond XT and Transbond XT + TPSEP adhesive systems were statistically superior to Orthodontic Concise and Transbond XT without primer (p<0.05. There was no statistically significant difference between the dental arches (upper and lower, between the dental arch sides (right and left, and among the quadrants. CONCLUSIONS: The largest number of bracket failures occurred with Orthodontic Concise and Transbond XT without primer systems and few bracket failures occurred with conventional Transbond XT and Transbond XT+TPSEP. More bracket failures were observed in the posterior region compared with the anterior region.

  19. Failure Analysis and Regeneration Performances Evaluation on Engine Lubricating Oil

    Science.gov (United States)

    Wang, X. L.; Zhang, G. N.; Zhang, J. Y.; Yin, Y. L.; Xu, Y.

    To investigate the behavior of failure and recycling of lubricating oils, three sorts of typical 10w-40 lubricating oils used in heavy-load vehicle including the new oil, waste oil and regeneration oil regenerated by self-researched green regeneration technology were selected. The tribology properties were tested by four-ball friction wear tester as well. The results indicated that the performance of anti-extreme pressure of regeneration oil increase by 34.1% compared with the waste one and its load- carrying ability is close to the new oil; the feature of wear spot are better than those of the waste oil and frictional coefficient almost reach the level of the new oil's. As a result, the performance of anti-wear and friction reducing are getting better obviously.

  20. Differing prognostic value of pulse pressure in patients with heart failure with reduced or preserved ejection fraction: results from the MAGGIC individual patient meta-analysis.

    Science.gov (United States)

    Jackson, Colette E; Castagno, Davide; Maggioni, Aldo P; Køber, Lars; Squire, Iain B; Swedberg, Karl; Andersson, Bert; Richards, A Mark; Bayes-Genis, Antoni; Tribouilloy, Christophe; Dobson, Joanna; Ariti, Cono A; Poppe, Katrina K; Earle, Nikki; Whalley, Gillian; Pocock, Stuart J; Doughty, Robert N; McMurray, John J V

    2015-05-07

    Low pulse pressure is a marker of adverse outcome in patients with heart failure (HF) and reduced ejection fraction (HF-REF) but the prognostic value of pulse pressure in patients with HF and preserved ejection fraction (HF-PEF) is unknown. We examined the prognostic value of pulse pressure in patients with HF-PEF [ejection fraction (EF) ≥ 50%] and HF-REF. Data from 22 HF studies were examined. Preserved left ventricular ejection fraction (LVEF) was defined as LVEF ≥ 50%. All-cause mortality at 3 years was evaluated in 27 046 patients: 22 038 with HF-REF (4980 deaths) and 5008 with HF-PEF (828 deaths). Pulse pressure was analysed in quintiles in a multivariable model adjusted for the previously reported Meta-Analysis Global Group in Chronic Heart Failure prognostic variables. Heart failure and reduced ejection fraction patients in the lowest pulse pressure quintile had the highest crude and adjusted mortality risk (adjusted hazard ratio 1.68, 95% confidence interval 1.53-1.84) compared with all other pulse pressure groups. For patients with HF-PEF, higher pulse pressure was associated with the highest crude mortality, a gradient that was eliminated after adjustment for other prognostic variables. Lower pulse pressure (especially <53 mmHg) was an independent predictor of mortality in patients with HF-REF, particularly in those with an LVEF < 30% and systolic blood pressure <140 mmHg. Overall, this relationship between pulse pressure and outcome was not consistently observed among patients with HF-PEF. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  1. Mononuclear Phagocytes Are Dispensable for Cardiac Remodeling in Established Pressure-Overload Heart Failure.

    Directory of Open Access Journals (Sweden)

    Bindiya Patel

    Full Text Available Although cardiac and splenic mononuclear phagocytes (MPs, i.e., monocytes, macrophages and dendritic cells (DCs, are key contributors to cardiac remodeling after myocardial infarction, their role in pressure-overload remodeling is unclear. We tested the hypothesis that these immune cells are required for the progression of remodeling in pressure-overload heart failure (HF, and that MP depletion would ameliorate remodeling.C57BL/6 mice were subjected to transverse aortic constriction (TAC or sham operation, and assessed for alterations in MPs. As compared with sham, TAC mice exhibited expansion of circulating LyC6hi monocytes and pro-inflammatory CD206- cardiac macrophages early (1 w after pressure-overload, prior to significant hypertrophy and systolic dysfunction, with subsequent resolution during chronic HF. In contrast, classical DCs were expanded in the heart in a biphasic manner, with peaks both early, analogous to macrophages, and late (8 w, during established HF. There was no significant expansion of circulating DCs, or Ly6C+ monocytes and DCs in the spleen. Periodic systemic MP depletion from 2 to 16 w after TAC in macrophage Fas-induced apoptosis (MaFIA transgenic mice did not alter cardiac remodeling progression, nor did splenectomy in mice with established HF after TAC. Lastly, adoptive transfer of splenocytes from TAC HF mice into naïve recipients did not induce immediate or long-term cardiac dysfunction in recipient mice.Mononuclear phagocytes populations expand in a phasic manner in the heart during pressure-overload. However, they are dispensable for the progression of remodeling and failure once significant hypertrophy is evident and blood monocytosis has normalized.

  2. Contrasting effects of vasodilators on blood pressure and sodium balance in the hypertension of autonomic failure

    Science.gov (United States)

    Jordan, J.; Shannon, J. R.; Pohar, B.; Paranjape, S. Y.; Robertson, D.; Robertson, R. M.; Biaggioni, I.

    1999-01-01

    Supine hypertension, which is very common in patients with autonomic failure, limits the use of pressor agents and induces nighttime natriuresis. In 13 patients with severe orthostatic hypotension due to autonomic failure (7 women, 6 men, 72 +/- 3 yr) and supine hypertension, the effect of 30 mg nifedipine (n = 10) and 0.025 to 0.2 mg/h nitroglycerin patch (n = 11) on supine BP, renal sodium handling, and orthostatic tolerance was determined. Medications were given at 8 p.m.; patients stood up at 8 a.m. Nitroglycerin was removed at 6 a.m. Compared with placebo, nifedipine and nitroglycerin decreased systolic BP during the night by a maximum of 37 +/- 9 and 36 +/- 10 mmHg, respectively (P hypertension in patients with autonomic failure. However, nifedipine has a prolonged depressor effect and worsens orthostatic hypotension in the morning. The decrease in pressure natriuresis that would be expected with the substantial decrease in BP obtained with nitroglycerin and nifedipine may be offset by a direct effect of both drugs on renal sodium handling.

  3. A new method for detecting pressure tube failures in Indian PHWRs

    International Nuclear Information System (INIS)

    Sharma, V.K.; Gupta, V.K.

    2000-01-01

    For the annulus gas system (AGS) of the standardised Indian pressurised heavy water reactor, an elaborate pressure tube (PT) crack monitoring and detection system is envisaged to ensure safety through leak-before-break. The parameters that are monitored relate to the detection of D 2 O moisture leaking in from the primary heat transport (PHT) system through a cracked PT. Since a slow build-up of moisture in the AGS may also occur for reasons other than PT failure, it is desirable that a diverse measurement technique should be available. This paper suggests such a technique, based on the observation that a small reference concentration of fission gases is normally present in the annulus gas. This concentration would change sharply upon PT failure, when the heavy water from the leaking PHT system releases the dissolved fission gas content into the annulus. This paper presents a theoretical study of the parameters that influence the build-up of fission product noble gases in the AGS and shows that leakage rates as low as 10 g h -1 from a PT crack can be detected in a few tens of minutes by this method. This is expected to substantially increase the available time between the leak detection and the PT failure, thus serving as an important tool in meeting the leak-before-break criterion of a critical component in PHWRs. (orig.)

  4. Failure of the pressure bulkhead of a passenger aircraft - a Case Study

    International Nuclear Information System (INIS)

    Salam, I.; Khan, A.N.; Farooque, M.

    2011-01-01

    The pressure bulkhead of a passenger aircraft ruptured when the aircraft was cruising at a height of 28,000 ft. Because of the sudden rupture, the rear toilets disintegrated and things like toilet rolls, tissue papers, towels, were sucked into the stabilizer compartment, where the entire tail control system was located. The debris damaged the green hydraulic system, ruptured fuel line and jammed the control cables. The damage resulted in the aircraft going into pitch-up mode (take-off position) and almost approached stalling position. The failed part was located near the toilets. Water from the toilets reached in this region due to leakage and penetrated inside the sheets and corrosion started in the presence of stagnant water. This was supplemented by the stresses present on the structure during flight. Stress corrosion started from inner sheet and led to initiation of fatigue. The combined effect of stress corrosion cracking and fatigue resulted in the failure of this sheet. No third stage (catastrophic) failure was observed in the fracture. The absence of catastrophic failure mode in the fractured sheet showed that it stood up to last stage. (author)

  5. Effective stresses and shear failure pressure from in situ Biot's coefficient, Hejre Field, North Sea

    DEFF Research Database (Denmark)

    Regel, Jeppe Bendix; Orozova-Bekkevold, Ivanka; Andreassen, Katrine Alling

    2017-01-01

    We propose a combination of Biot's equations for effective stress and the expression for shear failure in a rock to obtain an expression for minimum pore pressure in a stable vertical well bore. We show that a Biot's coefficient calculated from logging data in the Hejre Field, North Sea, is signi......We propose a combination of Biot's equations for effective stress and the expression for shear failure in a rock to obtain an expression for minimum pore pressure in a stable vertical well bore. We show that a Biot's coefficient calculated from logging data in the Hejre Field, North Sea......, is significantly different from 1. The log-derived Biot's coefficient is above 0.8 in the Shetland Chalk Group and in the Tyne Group, and 0.6-0.8 in the Heno Sandstone Formation. We show that the effective vertical and horizontal stresses obtained using the log-derived Biot's coefficient result in a drilling...... window for a vertical well larger than if approximating Biot's coefficient by 1. The estimation of the Biot's coefficient is straightforward in formations with a stiff frame, whereas in formations such as shales, caution has to be taken. We discuss the consequence of assumptions made on the mineral...

  6. Noninvasive positive pressure ventilation as a weaning strategy for intubated adults with respiratory failure.

    Science.gov (United States)

    Burns, Karen Ea; Adhikari, Neill Kj; Keenan, Sean P; Meade, Maureen O

    2010-08-04

    Noninvasive positive pressure ventilation (NPPV) provides ventilatory support without the need for an invasive airway approach. Interest has emerged in using NPPV to facilitate earlier removal of an endotracheal tube and decrease complications associated with prolonged intubation. To summarize the evidence comparing NPPV and invasive positive pressure ventilation (IPPV) weaning on clinical outcomes in intubated adults with respiratory failure. We searched the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 2, 2008), MEDLINE (January 1966 to April 2008), EMBASE (January 1980 to April 2008), proceedings from four conferences, and personal files; and contacted authors to identify randomized controlled trials comparing NPPV and IPPV weaning. Randomized and quasi-randomized studies comparing early extubation with immediate application of NPPV to IPPV weaning in intubated adults with respiratory failure. Two review authors independently assessed trial quality and abstracted data according to prespecified criteria. Sensitivity and subgroup analyses were planned to assess the impact of (i) excluding quasi-randomized trials, and (ii) the etiology of respiratory failure on selected outcomes. We identified 12 trials of moderate to good quality that involved 530 participants with predominantly chronic obstructive pulmonary disease (COPD). Compared to the IPPV strategy, NPPV significantly decreased mortality (relative risk (RR) 0.55, 95% confidence Interval (CI) 0.38 to 0.79), ventilator associated pneumonia (RR 0.29, 95% CI 0.19 to 0.45), length of stay in an intensive care unit (weighted mean difference (WMD) -6.27 days, 95% CI -8.77 to -3.78) and hospital (WMD -7.19 days, 95% CI -10.80 to -3.58), total duration of ventilation (WVD) -5.64 days (95% CI -9.50 to -1.77) and duration of endotracheal mechanical ventilation (WMD - 7.81 days, 95% CI -11.31 to -4.31). Noninvasive weaning had no effect on weaning failures or the duration of ventilation

  7. Brain hypoxanthine concentration correlates to lactate/pyruvate ratio but not intracranial pressure in patients with acute liver failure

    DEFF Research Database (Denmark)

    Bjerring, Peter Nissen; Hauerberg, John; Jørgensen, Linda

    2010-01-01

    of hypoxanthine, inosine, and lactate/pyruvate (LP) ratio are increased and correlated in patients with acute liver failure. Furthermore, we expect the purines and L/P ratio to correlate with intracranial pressure (ICP) (positively), and cerebral perfusion pressure (CPP) (negatively)....

  8. Evaluation of heat transfer tube failure propagation due to sodium-water reaction in steam generator

    International Nuclear Information System (INIS)

    Nei, Hiromichi

    1978-01-01

    An evaluation was made of heat transfer tube failure propagation due to sodium-water reaction wastage in a sodium heated steam generator, by comparing an empirically derived wastage equation with leak detector responses. The experimental data agreed well with the wastage equation even for different values of distance-to-nozzle diameter ratio, though the formula had been based on wastage data obtained for only one given distance. The time taken for failure propagation was estimated for a prototype steam generator, and compared with the responses characteristics of acoustic detectors and level gages. It was found that there exists a range of leak rate between 0.5 and 100 g/sec, where the level gage can play a useful role in leak detection. The acoustic detector can be expected to respond more rapidly than the cover gas pressure gage, if noise is kept below ten times the value observed in an experimental facility, SWAT-2. (auth.)

  9. Noninvasive Positive Pressure Ventilation for Acute Respiratory Failure Patients With Chronic Obstructive Pulmonary Disease (COPD)

    Science.gov (United States)

    McCurdy, BR

    2012-01-01

    Executive Summary In July 2010, the Medical Advisory Secretariat (MAS) began work on a Chronic Obstructive Pulmonary Disease (COPD) evidentiary framework, an evidence-based review of the literature surrounding treatment strategies for patients with COPD. This project emerged from a request by the Health System Strategy Division of the Ministry of Health and Long-Term Care that MAS provide them with an evidentiary platform on the effectiveness and cost-effectiveness of COPD interventions. After an initial review of health technology assessments and systematic reviews of COPD literature, and consultation with experts, MAS identified the following topics for analysis: vaccinations (influenza and pneumococcal), smoking cessation, multidisciplinary care, pulmonary rehabilitation, long-term oxygen therapy, noninvasive positive pressure ventilation for acute and chronic respiratory failure, hospital-at-home for acute exacerbations of COPD, and telehealth (including telemonitoring and telephone support). Evidence-based analyses were prepared for each of these topics. For each technology, an economic analysis was also completed where appropriate. In addition, a review of the qualitative literature on patient, caregiver, and provider perspectives on living and dying with COPD was conducted, as were reviews of the qualitative literature on each of the technologies included in these analyses. The Chronic Obstructive Pulmonary Disease Mega-Analysis series is made up of the following reports, which can be publicly accessed at the MAS website at: http://www.hqontario.ca/en/mas/mas_ohtas_mn.html. Chronic Obstructive Pulmonary Disease (COPD) Evidentiary Framework Influenza and Pneumococcal Vaccinations for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis Smoking Cessation for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis Community-Based Multidisciplinary Care for Patients With Stable Chronic Obstructive

  10. Failure Behavior of Granite Affected by Confinement and Water Pressure and Its Influence on the Seepage Behavior by Laboratory Experiments.

    Science.gov (United States)

    Cheng, Cheng; Li, Xiao; Li, Shouding; Zheng, Bo

    2017-07-14

    Failure behavior of granite material is paramount for host rock stability of geological repositories for high-level waste (HLW) disposal. Failure behavior also affects the seepage behavior related to transportation of radionuclide. Few of the published studies gave a consistent analysis on how confinement and water pressure affect the failure behavior, which in turn influences the seepage behavior of the rock during the damage process. Based on a series of laboratory experiments on NRG01 granite samples cored from Alxa area, a candidate area for China's HLW disposal, this paper presents some detailed observations and analyses for a better understanding on the failure mechanism and seepage behavior of the samples under different confinements and water pressure. The main findings of this study are as follows: (1) Strength reduction properties were found for the granite under water pressure. Besides, the complete axial stress-strain curves show more obvious yielding process in the pre-peak region and a more gradual stress drop in the post-peak region; (2) Shear fracturing pattern is more likely to form in the granite samples with the effect of water pressure, even under much lower confinements, than the predictions from the conventional triaxial compressive results; (3) Four stages of inflow rate curves are divided and the seepage behaviors are found to depend on the failure behavior affected by the confinement and water pressure.

  11. comparative evaluation of pressure distribution between horizontal

    African Journals Online (AJOL)

    user

    confirm or validate the results of conventional straight line methods like drawdown etc., thus it can be used when the straight line methods cannot adequately characterize the reservoir [2]. When a reservoir is bounded by water influx, information such as pressure distribution, are important in determining wellbore pressure ...

  12. Noise Evaluation Technique Based on Surface Pressure

    DEFF Research Database (Denmark)

    Fischer, Andreas

    2012-01-01

    In this chapter the relevant theory for the understanding of TE noise modeling is collected. It contains the acoustic formulations of [31] and [57]. Both give a relation for the far field sound pressure in dependence of the frequency wave number spectral density of the pressure on the airfoil...

  13. Nonlinear failure analysis of a reinforced concrete containment under internal pressure

    International Nuclear Information System (INIS)

    Sharma, S.; Wang, Y.K.; Reich, M.

    1984-01-01

    A detailed nonlinear finite element model is used to investigate the failure response of the Indian Point containment building under severe accident pressures. Refined material models are used to describe the complex stress-strain behavior of the liner and rebar steels, the plain concrete and the reinforced concrete. Structural geometry of the containment is idealized by eight layers of axisymmetric finite elements through the wall thickness in order to closely model the actual placement of the rebars. Soil stiffness under the containment base mat is modeled by a series of nonlinear spring elements. Numerical results presented in the paper describe cracking and plastic deformation (in compression) of the concrete, yielding of the liner and rebar steels and eventual loss of the load carrying capacity of the containment. The results are compared with available data from the previous studies for this containment. 8 references, 9 figures

  14. Blood pressure response to conventional and low-dose enalapril in chronic renal failure

    DEFF Research Database (Denmark)

    Elung-Jensen, Thomas; Heisterberg, Jens; Kamper, Anne-Lise

    2003-01-01

    AIMS: In chronic renal failure, the clearance of most ACE inhibitors including enalapril is reduced. Hence, with conventional dosage, plasma enalaprilat may be markedly elevated. It is unclear whether this excess of drug exposure affords an improved control of blood pressure. The aim of the present...... were analysed in all patients completing 3 months of follow-up. The patients were allocated to two trough plasma concentrations of enalaprilat, either above 50 ng ml(-1) (high) (n = 17) or below 10 ng ml(-1) (low) (n = 18), and the daily dose of enalapril titrated accordingly. RESULTS: Median (range......) glomerular filtration rate (GFR) at baseline was 18 (7.9) in the high enalaprilat concentration group and 17 (7.3) ml min(-1) 1.73 m(2) in the low concentration group (NS). Nine patients in each group were on treatment with enalapril at baseline with a median daily dose of 5 mg in both the high (5...

  15. Activation of PPAR-α in the early stage of heart failure maintained myocardial function and energetics in pressure-overload heart failure.

    Science.gov (United States)

    Kaimoto, Satoshi; Hoshino, Atsushi; Ariyoshi, Makoto; Okawa, Yoshifumi; Tateishi, Shuhei; Ono, Kazunori; Uchihashi, Motoki; Fukai, Kuniyoshi; Iwai-Kanai, Eri; Matoba, Satoaki

    2017-02-01

    Failing heart loses its metabolic flexibility, relying increasingly on glucose as its preferential substrate and decreasing fatty acid oxidation (FAO). Peroxisome proliferator-activated receptor α (PPAR-α) is a key regulator of this substrate shift. However, its role during heart failure is complex and remains unclear. Recent studies reported that heart failure develops in the heart of myosin heavy chain-PPAR-α transgenic mice in a manner similar to that of diabetic cardiomyopathy, whereas cardiac dysfunction is enhanced in PPAR-α knockout mice in response to chronic pressure overload. We created a pressure-overload heart failure model in mice through transverse aortic constriction (TAC) and activated PPAR-α during heart failure using an inducible transgenic model. After 8 wk of TAC, left ventricular (LV) function had decreased with the reduction of PPAR-α expression in wild-type mice. We examined the effect of PPAR-α induction during heart failure using the Tet-Off system. Eight weeks after the TAC operation, LV construction was preserved significantly by PPAR-α induction with an increase in PPAR-α-targeted genes related to fatty acid metabolism. The increase of expression of fibrosis-related genes was significantly attenuated by PPAR-α induction. Metabolic rates measured by isolated heart perfusions showed a reduction in FAO and glucose oxidation in TAC hearts, but the rate of FAO preserved significantly owing to the induction of PPAR-α. Myocardial high-energy phosphates were significantly preserved by PPAR-α induction. These results suggest that PPAR-α activation during pressure-overloaded heart failure improved myocardial function and energetics. Thus activating PPAR-α and modulation of FAO could be a promising therapeutic strategy for heart failure. NEW & NOTEWORTHY The present study demonstrates the role of PPAR-α activation in the early stage of heart failure using an inducible transgenic mouse model. Induction of PPAR-α preserved heart

  16. A Novel Thermal-Mechanical Detection System for Reactor Pressure Vessel Bottom Failure Monitoring in Severe Accidents

    International Nuclear Information System (INIS)

    Bi, Daowei; Bu, Jiangtao; Xu, Dongling

    2013-06-01

    Following the Fukushima Daiichi nuclear accident in Japan, there is an increased need of enhanced capabilities for severe accident management (SAM) program. Among others, a reliable method for detecting reactor pressure vessel (RPV) bottom failure has been evaluated as imperative by many utility owners. Though radiation and/or temperature measurement are potential solutions by tradition, there are some limitations for them to function desirably in such severe accident as that in Japan. To provide reliable information for assessment of accident progress in SAM program, in this paper we propose a novel thermal-mechanical detection system (TMDS) for RPV bottom failure monitoring in severe accidents. The main components of TMDS include thermally sensitive element, metallic cables, tension controlled switch and main control room annunciation device. With TMDS installed, there shall be a reliable means of keeping SAM decision-makers informed whether the RPV bottom has indeed failed. Such assurance definitely guarantees enhancement of severe accident management performance and significantly improve nuclear safety and thus protect the society and people. (authors)

  17. Modifications of intracranial pressure after molecular adsorbent recirculating system treatment in patients with acute liver failure: case reports.

    Science.gov (United States)

    Pugliese, F; Ruberto, F; Perrella, S M; Cappannoli, A; Bruno, K; Martelli, S; Celli, P; Summonti, D; D'Alio, A; Tosi, A; Novelli, G; Morabito, V; Poli, L; Rossi, M; Berloco, P B; Pietropaoli, P

    2007-01-01

    Cerebral dysfunction may be fatal in patients with acute liver failure (ALF); intracranial pressure (ICP) monitoring may be mandatory to direct measures to prevent further cerebral edema. Recently the introduction of dialysis with the molecular adsorbent recirculating system (MARS) has improved the outcomes among patients with ALF. The aim of this study was to evaluate ICP changes after MARS treatment among patients with ALF. Three patients -- 14, 18 and 16 years old -- were admitted to the ICU for acute liver failure induced by HBV in two cases and by acetaminophen in the other one. Because of Glasgow Coma Score (GCS) MARS treatments were performed in all patients. The patients received MARS treatments every day after their admission to liver transplantation. After MARS therapy the ICP decreased on average from 21 to 7 mm Hg. Significant hemodynamic modifications were not observed and their neurological conditions improved. MARS treatment improved the clinical pictures of these patients increasing the available time to obtain an urgent liver graft.

  18. Heart Failure Virtual Consultation: bridging the gap of heart failure care in the community - A mixed-methods evaluation.

    Science.gov (United States)

    Gallagher, Joseph; James, Stephanie; Keane, Ciara; Fitzgerald, Annie; Travers, Bronagh; Quigley, Etain; Hecht, Christina; Zhou, Shuaiwei; Watson, Chris; Ledwidge, Mark; McDonald, Kenneth

    2017-08-01

    We undertook a mixed-methods evaluation of a Web-based conferencing service (virtual consult) between general practitioners (GPs) and cardiologists in managing patients with heart failure in the community to determine its effect on use of specialist heart failure services and acceptability to GPs. All cases from June 2015 to October 2016 were recorded using a standardized recording template, which recorded patient demographics, medical history, medications, and outcome of the virtual consult for each case. Quantitative surveys and qualitative interviewing of 17 participating GPs were also undertaken. During this time, 142 cases were discussed-68 relating to a new diagnosis of heart failure, 53 relating to emerging deterioration in a known heart failure patient, and 21 relating to therapeutic issues. Only 17% required review in outpatient department following the virtual consultation. GPs reported increased confidence in heart failure management, a broadening of their knowledge base, and a perception of overall better patient outcomes. These data from an initial experience with Heart Failure Virtual Consultation present a very positive impact of this strategy on the provision of heart failure care in the community and acceptability to users. Further research on the implementation and expansion of this strategy is warranted. © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

  19. A modified isometric test to evaluate blood pressure control with ...

    African Journals Online (AJOL)

    lifting and supporting weights) and have an important influence on blood pressure, it is essential to evaluate blood pressure response to iso- metric effort. This test can reveal high blood pressure that might otherwise not be detected. Only a few ...

  20. A modified isometric test to evaluate blood pressure control with ...

    African Journals Online (AJOL)

    Blood pressure at rest is not predictive of roundthe- clock values. Blood pressure should therefore be measured during effort to evaluate hypertension and its response to treatment. The effect of sustained-release verapamil (240 mg taken once a day) on blood pressure at rest and during isometric effort was therefore ...

  1. Evaluation of pressure tuning of enzymes

    DEFF Research Database (Denmark)

    Naghshineh, Mahsa

    and high energy consumption. Therefore, searching for an environmentally friendly method of pectin extraction is a task for science and industry. Employment of hydrolytic enzymes may represent a green approach to obtain intact pectin polymer. However, the low stability/activity of enzymes, and low polymer...... yield of enzymatic extraction limits the application of enzyme in pectin production. There is evidence that emerging technology of high hydrostatic pressure processing can result in stabilization and activation of some enzymes. Therefore, the use of high hydrostatic pressure in combination with enzyme...... (cellulase/xylanase: 50/0, 50/25, 50/50, 25/50, and 0/50 U/g lime peel) at ambient pressure, 100 and 200 MPa were used to extract pectin from dried lime peel waste. It was found that pressure level, type and concentration of enzyme significantly influenced pectin yield and degree of esterification (DE...

  2. Brain hypoxanthine concentration correlates to lactate/pyruvate ratio but not intracranial pressure in patients with acute liver failure

    DEFF Research Database (Denmark)

    Bjerring, Peter Nissen; Hauerberg, John; Jørgensen, Linda

    2010-01-01

    The pathogenesis of cerebral edema in acute liver failure is suggested, in in vitro and animal studies, to involve a compromised oxidative metabolism with a decrease in cerebral ATP levels and an increase in purine concentrations. In this study we hypothesize that the cerebral concentrations...... of hypoxanthine, inosine, and lactate/pyruvate (LP) ratio are increased and correlated in patients with acute liver failure. Furthermore, we expect the purines and L/P ratio to correlate with intracranial pressure (ICP) (positively), and cerebral perfusion pressure (CPP) (negatively)....

  3. Surface electrocardiogram detects signs of right ventricular pressure overload among acute-decompensated heart failure with preserved ejection fraction patients.

    Science.gov (United States)

    Martínez Santos, Paula; Vilacosta, Isidre; Batlle López, Elena; Sánchez Sauce, Beatriz; España Barrio, Elena; Jiménez Valtierra, Julia; de la Rosa Riestra, Adriana; Campuzano Ruiz, Raquel

    2016-01-01

    Pulmonary hypertension (PH) is a common finding among patients with heart failure and preserved ejection fraction (HFpEF) and contributes to develop right ventricular systolic dysfunction (RVSD). We evaluated the diagnostic accuracy of Flowers and Horan electrocardiographic criteria to detect significant right ventricular pressure overload. 123 patients were prospectively included. We used the Flowers and Horan (FH) ECG criteria to define RV enlargement (score >10). Echocardiographic measurements were performed blinded to the electrocardiographic results. Severe PH was found in 51.5%. Seventeen patients (16.5%) had a FH score >10 points. This was associated to RVSD (RR 2.66; 1.51-4.67 CI 95%, p=0.002), with 90.5% specificity and 34.4% sensitivity and to severe PH (RR 1.70; 1.16-2.50 CI 95%, p=0.028) with 91.9% specificity and 27.5% sensitivity. The ECG is a useful tool to classify HFpEF patients with echocardiographic signs of right ventricular pressure overload, in the absence of RBBB. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Reliability Evaluation of Monolithic Vertical Wall Breakwaters Considering Impulsive Wave Breaking Forces and Failure Modes of the Foundation

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Sørensen, Jørgen S.; Christiani, E.

    1994-01-01

    Impulsive wave breaking forces on a vertical caisson breakwater has been included by Takahashi et al, (1994) in Goda's wave pressure formula (Goda et al. 1972 and Goda 1974). Based on these formulae a deterministic design method following the Japanese recommendations has been used for the design...... of a caisson structure. A reliability evaluation of the same structure is then performed using a level II FORM analysis. In this only the failure modes sliding and overturning are taken into account. The various modes of the foundation slip failures are presented. The method of probabilistic foundation...

  5. Central venous pressure and impaired renal function in patients with acute heart failure.

    Science.gov (United States)

    Uthoff, Heiko; Breidthardt, Tobias; Klima, Theresia; Aschwanden, Markus; Arenja, Nisha; Socrates, Thenral; Heinisch, Corinna; Noveanu, Markus; Frischknecht, Barbara; Baumann, Ulrich; Jaeger, Kurt A; Mueller, Christian

    2011-04-01

    To determine the relationship between central venous pressure (CVP) and renal function in patients with acute heart failure (AHF) presenting to the emergency department. Central venous pressure was determined non-invasively using compression sonography in 140 patients with AHF at presentation. Worsening renal function (WRF) was defined as an increase in serum creatinine ≥ 0.3 mg/dL during hospitalization. In the study cohort [age 77 ± 12 years, B-type natriuretic peptide 1862 ± 1564 pg/mL, left ventricular ejection fraction 40 ± 15%, estimated glomerular filtration rate (eGFR) 58 ± 28 mL/min, and CVP 13.2 ± 6.9 cmH(2)O], 51 patients (36%) developed WRF. No significant association between CVP at presentation or discharge and concomitant eGFR (r = 0.005, P = 0.419 and r = 0.013, P = 0.313, respectively) was observed. However, in patients with systolic blood pressure (SBP) 15 cmH(2)O), eGFR was significantly lower at presentation and discharge (29 ± 17 vs. 47 ± 19 mL/min/1.73 m(2), P = 0.039 and 26 ± 10 vs. 53 ± 26 mL/min/1.73 m(2), P = 0.013, respectively). Central venous pressure at presentation and at discharge did not differ between patients with or without in-hospital WRF (12.6 ± 7.2 vs. 13.5 ± 6.7 cmH(2)O, P = 0.503 and 7.4 ± 6.5 vs. 7.7 ± 5.7 cmH(2)O, P = 0.799, respectively) (receiver-operating characteristic analysis 0.543, P = 0.401 and 0.531, P = 0.625, respectively). However, patients with CVP in the lowest tertile (cmH(2)O) at presentation were more likely to develop WRF within the first 24 h than patients with CVP in the highest tertile (>15 cmH(2)O) (18 vs. 4%, P = 0.046). In AHF, combined low SBP and high CVP predispose to lower eGFR. However, lower CVP may also be associated with short-term WRF. The pathophysiology of WRF and the role of CVP seem to be more complex than previously thought.

  6. Epigenetic switch at atp2a2 and myh7 gene promoters in pressure overload-induced heart failure.

    Directory of Open Access Journals (Sweden)

    Tiziana Angrisano

    Full Text Available Re-induction of fetal genes and/or re-expression of postnatal genes represent hallmarks of pathological cardiac remodeling, and are considered important in the progression of the normal heart towards heart failure (HF. Whether epigenetic modifications are involved in these processes is currently under investigation. Here we hypothesized that histone chromatin modifications may underlie changes in the gene expression program during pressure overload-induced HF. We evaluated chromatin marks at the promoter regions of the sarcoplasmic reticulum Ca2+ATPase (SERCA-2A and β-myosin-heavy chain (β-MHC genes (Atp2a2 and Myh7, respectively in murine hearts after one or eight weeks of pressure overload induced by transverse aortic constriction (TAC. As expected, all TAC hearts displayed a significant reduction in SERCA-2A and a significant induction of β-MHC mRNA levels. Interestingly, opposite histone H3 modifications were identified in the promoter regions of these genes after TAC, including H3 dimethylation (me2 at lysine (K 4 (H3K4me2 and K9 (H3K9me2, H3 trimethylation (me3 at K27 (H3K27me3 and dimethylation (me2 at K36 (H3K36me2. Consistently, a significant reduction of lysine-specific demethylase KDM2A could be found after eight weeks of TAC at the Atp2a2 promoter. Moreover, opposite changes in the recruitment of DNA methylation machinery components (DNA methyltransferases DNMT1 and DNMT3b, and methyl CpG binding protein 2 MeCp2 were found at the Atp2a2 or Myh7 promoters after TAC. Taken together, these results suggest that epigenetic modifications may underlie gene expression reprogramming in the adult murine heart under conditions of pressure overload, and might be involved in the progression of the normal heart towards HF.

  7. Mask intermittent positive pressure ventilation in chronic hypercapnic respiratory failure due to chronic obstructive pulmonary disease.

    Science.gov (United States)

    Sivasothy, P; Smith, I E; Shneerson, J M

    1998-01-01

    Noninvasive ventilation in chronic obstructive pulmonary disease (COPD) has been shown to improve arterial blood gases but its long-term role has not been established. We retrospectively studied 26 consecutive patients with hypercapnic ventilatory failure due to COPD in whom oxygen therapy caused worsening hypercapnia (defined as a rise in the daytime arterial carbon dioxide tension (Pa,CO2) to >8.0 kPa or nocturnal transcutaneous carbon dioxide tension (Ptc,CO2) to >9 kPa). All were treated with mask ventilation (15 with nasal and 11 face masks) at night and during daytime naps. Additional oxygen therapy was required in 15 patients. The mean annualized death rate was 10.8% with a 1 and 3 yr survival of 92 and 68%, respectively. After 1 yr the median daytime Pa,CO2 had fallen by 1.35 kPa and the arterial oxygen tension (Pa,O2) had risen by 2.4 kPa. In subjects not using additional oxygen the median overnight Sa,O2 rose by 12% and the Ptc,CO2 fell by 2.8 kPa after 1 yr. The haematocrit was significantly less than pretreatment at 6 months and 1 yr. Quality of life in the domain of role limitation by physical health (measured using the SF-36 questionnaire) improved significantly at 6 months. Survival in this selected group with clinically stable airflow obstruction unable to tolerate oxygen therapy and treated with noninvasive mask ventilation is better than historical controls and is comparable to those able to tolerate oxygen therapy. Poor survival was associated with a low forced expiratory volume in one second, a low body mass index and a high nocturnal transcutaneous carbon dioxide tension. No difference in survival was found between those treated with mask intermittent positive pressure ventilation alone or with mask intermittent positive pressure and supplementary oxygen therapy.

  8. Evaluation of Repositioning in Pressure Ulcer Prevention

    OpenAIRE

    Källman, Ulrika

    2015-01-01

    Introduction: To reduce the risk for pressure ulcers, repositioning of immobile patients is an important standard nursing practice. However, knowledge on how this preventive intervention is carried out among elderly immobile patients is limited and to what extent patients perform minor movements between nursing staff-induced repositionings is largely unknown, but these movements might have implications for the repositioning intervention. Different lying positions are used in repositioning sch...

  9. Metallized Film Capacitor Lifetime Evaluation and Failure Mode Analysis

    CERN Document Server

    Gallay, R.

    2015-06-15

    One of the main concerns for power electronic engineers regarding capacitors is to predict their remaining lifetime in order to anticipate costly failures or system unavailability. This may be achieved using a Weibull statistical law combined with acceleration factors for the temperature, the voltage, and the humidity. This paper discusses the different capacitor failure modes and their effects and consequences.

  10. Normal pressure hydrocephalus: Diagnostic and predictive evaluation

    Directory of Open Access Journals (Sweden)

    Benito Pereira Damasceno

    Full Text Available Abstract In typical cases, normal pressure hydrocephalus (NPH manifests itself with the triad of gait disturbance, which begins first, followed by mental deterioration and urinary incontinence associated with ventriculomegaly (on CT or MRI and normal cerebrospinal fluid (CSF pressure. These cases present minor diagnostic difficulties and are the most likely to improve after shunting. Problems arise when NPH shows atypical or incomplete clinical manifestations (25-50% of cases or is mimicked by other diseases. In this scenario, other complementary tests have to be used, preferentially those that can best predict surgical outcome. Radionuclide cisternography, intracranial pressure monitoring (ICP and lumbar infusion tests can show CSF dynamics malfunction, but none are able to confirm whether the patient will benefit from surgery. The CSF tap test (CSF-TT is the only procedure that can temporarily simulate the effect of definitive shunt. Since the one tap CSF-TT has low sensitivity, it cannot be used to exclude patients from surgery. In such cases, we have to resort to a repeated CSF-TT (RTT or continuous lumbar external drainage (LED. The most reliable prediction would be achieved if RTT or LED proved positive, in addition to the occurrence of B-waves during more than 50% of ICP recording time. This review was based on a PubMed literature search from 1966 to date. It focuses on clinical presentation, neuroimaging, complementary prognostic tests, and differential diagnosis of NPH, particularly on the problem of selecting appropriate candidates for shunt.

  11. Elastic geobarometry and the role of brittle failure on pressure release

    Science.gov (United States)

    Mazzucchelli, Mattia Luca; Angel, Ross John; Rustioni, Greta; Milani, Sula; Nimis, Paolo; Chiara Domeneghetti, Maria; Marone, Federica; Harris, Jeff W.; Nestola, Fabrizio; Alvaro, Matteo

    2016-04-01

    Mineral inclusions trapped in their hosts can provide fundamental information about geological processes. Recent developments in elastic geobarometry, for example, allow the retrieval of encapsulation pressures for host-inclusion pairs. In principle this method can be applied to any mineral-mineral pair so long as both the residual pressure on an inclusion (Pinc), and the equations of state for both host and inclusion are either known or determined (Angel et al., 2015). However, Angel et al. (2014) outlined some boundary conditions, one of which was that deformation in the host-inclusion pair has to be purely elastic. Thus this caveat would exclude from analysis all the inclusions that are surrounded by cracks, indicative of brittle deformation, which may result in partial or complete release of the Pinc. If however the effects of cracks surrounding trapped mineral inclusions could be quantitatively modelled, then the applicability of "elastic" geobarometry might be extended to a much larger number of inclusion-host pairs. We report the results of a pilot experiment in which the stress states (i.e. the residual pressure) have been determined for 10 olivine inclusions still entrapped in 5 diamonds. Inclusion pressures were determined from the unit-cell volumes of the olivines measured in-situ in the diamonds by X-ray diffraction. The olivine equations of state were determined from the olivine compositions by in-situ X-ray structure refinement. Values of Pinc range from 0.19 to 0.53 GPa. In order to quantify the degree of brittle failure surrounding the inclusions, the same set of samples were also investigated by synchrotron X-ray micro-tomography (SRXTM at TOMCAT, Swiss LightSource). Preliminary results showed that at the spatial resolution of our experiments (pixel size of 0.34μm), 90% of the inclusions trapped in our set of diamonds were surrounded by cracks. The volume of the cracks has been determined from 3D reconstruction with an accuracy of about 4%. Our

  12. Transcapillary escape rate of albumin and right atrial pressure in chronic congestive heart failure before and after treatment

    DEFF Research Database (Denmark)

    Hesse, B; Parving, H H; Lund-Jacobsen, H

    1976-01-01

    injection in 10 subjects with chronic right heart failure. The investigation was repeated after sodium and water depletion. Before treatment TERalb was significantly elevated (mean 8.3 +/- 1.6% (SD)/hour, in comparison to values for normal subjects (mean 5.4 +/- 1.1%/hour, P less than 0.001). With treatment...... results best can be explained by increased filtration, mainly through the venous end of the microvasculature, due to the increased venous pressure in heart failure....... TERalb decreased significantly (mean 5.9 +/- 1.2%/hour, P less than 0.01). Right atrial pressure decreased from an average of 10 mm Hg to 6 mm Hg during treatment. A statistically significant, positive correlation was found between TERalb and right atrial pressure (r = 0.77, P less than 0.001). Our...

  13. Deadline pressure and human error: a study of human failures on a particle accelerator at Brookhaven National Laboratory

    International Nuclear Information System (INIS)

    Tiagha, E.A.

    1982-01-01

    The decline in industrial efficiency may be linked to decreased reliability of complex automatic systems. This decline threatens the viability of complex organizations in industrialized economies. Industrial engineering techniques that minimize system failure by increasing the reliability of systems hardware are well developed in comparison with those available to reduce human operator errors. The problem of system reliability and the associated costs of breakdown can be reduced if we understand how highly skilled technical personnel function in complex operations and systems. The purpose of this research is to investigate how human errors are affected by deadline pressures, technical communication and other socio-dynamic factors. Through the analysis of a technologically complex particle accelerator prototype at Brookhaven National Laboratory, two failure mechanisms: (1) physical defects in the production process and (2) human operator errors were identified. Two instruments were used to collect information on human failures: objective laboratory data and a human failure questionnaire. The results of human failures from the objective data were used to test for the deadline hypothesis and also to validate the human failure questionnaire. To explain why the human failures occurred, data were collected from a four-part, closed choice questionnaire administered to two groups of scientists, engineers, and technicians, working together against a deadline to produce an engineering prototype of a particle accelerator

  14. In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes

    Directory of Open Access Journals (Sweden)

    Rafael de Macedo Coelho

    2016-04-01

    Full Text Available ABSTRACT BACKGROUND AND OBJECTIVE: Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30 cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30 cm H2O. METHOD: Using an adapter to connect the tested tube to the anesthesia machine, the relief valve was regulated to 30 cm H2O, inflating the cuff by operating the rapid flow of oxygen button. There were 33 trials for each tube of three manufacturers, of five sizes (6.5-8.5, using three times inflation (10, 15 and 20 s, totaling 1485 tests. After inflation, the pressure obtained was measured with a manometer. Pressure >30 cm H2O or <20 cm H2O were considered failures. RESULTS: There were eight failures (0.5%, 95% CI: 0.1-0.9%, with all by pressures <20 cm H2O and after 10 s inflation (1.6%, 95% CI: 0 5-2.7%. One failure occurred with a 6.5 tube (0.3%, 95% CI: -0.3 to 0.9%, six with 7.0 tubes (2%, 95% CI: 0.4-3.6%, and one with a 7.5 tube (0.3%, 95% CI: -0.3 to 0.9%. CONCLUSION: This method was effective for inflating tracheal tube cuffs of different sizes and manufacturers, limiting its pressure to a range between 20 and 30 cm H2O, with a success rate of 99.5% (95% CI: 99.1-99.9%.

  15. Evaluation of Component Failure Data of the Operating Nuclear Power Plants in Korea Based on NUREG/CR-6928

    International Nuclear Information System (INIS)

    Jeon, Hojun; Na, Janghwan; Shin, Taeyoung

    2014-01-01

    This paper focuses on ensuring the quality of component failure data. When performing data analysis in PSA, we have customized the component failure data based on Bayesian analysis using plant specific experiences and the generic data of Advanced Light Water Reactor Utility Requirements Document (ALWR URD). However, ALWR URD was established by collecting US nuclear power plant (NPP) practices from mid 1980s to early 1990s. We analyzed the component failure data using the raw data of component failures in Pressurized Water Reactor (PWR) plants by 2012. This paper presents the results from analyzing the component failure data based on the new generic data and the latest specific failure data. We also compare the new component failure data to the existing data of PSA models, and evaluate the risk impacts by applying the new data to the PSA models of reference NPPs in this paper. To apply the new generic data source to PSA models, we reviewed and compared NUREG/CR-6928 and the existing generic data source, ALWR URD. In addition, we analyzed the component failure data generated from 16 PWR plants by the end of 2012, and performed the Bayesian update with these raw data based on the new generic data source of NUREG/CR-6928. Also, we reviewed the PSA models of the reference NPP, and identified some important components to CDF. The failure data of the major components decreased in general by applying the new generic data and the latest plant specific data. As a result, the CDF of the reference NPP decreased over 30% compared to the value of the existing CDF

  16. A comparison of synchronized intermittent mandatory ventilation and pressure-regulated volume control ventilation in elderly patients with acute exacerbations of COPD and respiratory failure.

    Science.gov (United States)

    Chang, Suchi; Shi, Jindong; Fu, Cuiping; Wu, Xu; Li, Shanqun

    2016-01-01

    COPD is the third leading cause of death worldwide. Acute exacerbations of COPD may cause respiratory failure, requiring intensive care unit admission and mechanical ventilation. Intensive care unit patients with acute exacerbations of COPD requiring mechanical ventilation have higher mortality rates than other hospitalized patients. Although mechanical ventilation is the most effective intervention for these conditions, invasive ventilation techniques have yielded variable effects. We evaluated pressure-regulated volume control (PRVC) ventilation treatment efficacy and preventive effects on pulmonary barotrauma in elderly COPD patients with respiratory failure. Thirty-nine intubated patients were divided into experimental and control groups and treated with the PRVC and synchronized intermittent mandatory ventilation - volume control methods, respectively. Vital signs, respiratory mechanics, and arterial blood gas analyses were monitored for 2-4 hours and 48 hours. Both groups showed rapidly improved pH, partial pressure of oxygen (PaO2), and PaO2 per fraction of inspired O2 levels and lower partial pressure of carbon dioxide (PaCO2) levels. The pH and PaCO2 levels at 2-4 hours were lower and higher, respectively, in the test group than those in the control group (P0.05). Vital signs during 2-4 hours and 48 hours of treatment showed no statistical difference in either group (P>0.05). The level of peak inspiratory pressure in the experimental group after mechanical ventilation for 2-4 hours and 48 hours was significantly lower than that in the control group (Pvariables were not significantly different between groups (P>0.05). Among elderly COPD patients with respiratory failure, application of PRVC resulted in rapid improvement in arterial blood gas analyses while maintaining a low peak inspiratory pressure. PRVC can reduce pulmonary barotrauma risk, making it a safer protective ventilation mode than synchronized intermittent mandatory ventilation - volume control.

  17. Failure mode and fracture behavior evaluation of pipes with local wall thinning subjected to bending load

    International Nuclear Information System (INIS)

    Ahn, Seok Hwan; Nam, Ki Woo; Kim, Seon Jin; Kim, Jin Hwan; Kim, Hyun Soo; Do, Jae Yoon

    2003-01-01

    Fracture behaviors of pipes with local wall thinning are very important for the integrity of nuclear power plant. In pipes of energy plants, sometimes, the local wall thinning may result from severe Erosion-Corrosion (E/C) damage. However, the effects of local wall thinning on strength and fracture behaviors of piping system were not well studied. In this paper, the monotonic bending tests were performed of full-scale carbon steel pipes with local wall thinning. A monotonic bending load was applied to straight pipe specimens by four-point loading at ambient temperature without internal pressure. From the tests, fracture behaviors and fracture strength of locally thinned pipe were manifested systematically. The observed failure modes were divided into four types; ovalization, crack initiation/growth after ovalization, local buckling and crack initiating/growth after local buckling. Also, the strength and the allowable limit of piping system with local wall thinning were evaluated

  18. An evaluation of preventing pressure ulcers in the urinary meatus.

    Science.gov (United States)

    Rassin, Michal; Markovski, Igor; Fishlov, Anton; Naveh, Re-Ut

    2013-01-01

    As many as 5% of male hospital patients develop pressure ulcers. This brief study was done to obtain more research about this topic by evaluating the effectiveness of an intervention designed to prevent pressure ulcers in the urinary meatus as a result of urethral catheterization. Implications for critical care nurses are included.

  19. Pressurized thermal shock evaluation of the Calvert Cliffs Unit 1 Nuclear Power Plant

    International Nuclear Information System (INIS)

    Abbott, L.

    1985-09-01

    An evaluation of the risk to the Calvert Cliffs Unit 1 nuclear power plant due to pressurized thermal shock (PTS) has been completed by Oak Ridge National Laboratory (ORNL) with the assistance of several other organizations. This evaluation was part of a Nuclear Regulatory Commission program designed to study the PTS risk to three nuclear plants, the other two plants being Oconee Unit 1 and H.B. Robinson Unit 2. The specific objectives of the program were to (1) provide a best estimate of the frequency of a through-the-wall crack in the pressure vessel at each of the three plants, together with the uncertainty in the estimated frequency and its sensitivity to the variables used in the evaluation; (2) determine the dominant overcooling sequences contributing to the estimated frequency and the associated failures in the plant systems or in operator actions; and (3) evaluate the effectiveness of potential corrective measures

  20. Pressurized thermal shock evaluation of the Calvert Cliffs Unit 1 Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Abbott, L [ed.

    1985-09-01

    An evaluation of the risk to the Calvert Cliffs Unit 1 nuclear power plant due to pressurized thermal shock (PTS) has been completed by Oak Ridge National Laboratory (ORNL) with the assistance of several other organizations. This evaluation was part of a Nuclear Regulatory Commission program designed to study the PTS risk to three nuclear plants, the other two plants being Oconee Unit 1 and H.B. Robinson Unit 2. The specific objectives of the program were to (1) provide a best estimate of the frequency of a through-the-wall crack in the pressure vessel at each of the three plants, together with the uncertainty in the estimated frequency and its sensitivity to the variables used in the evaluation; (2) determine the dominant overcooling sequences contributing to the estimated frequency and the associated failures in the plant systems or in operator actions; and (3) evaluate the effectiveness of potential corrective measures.

  1. Metallized Film Capacitor Lifetime Evaluation and Failure Mode Analysis

    OpenAIRE

    Gallay, R.

    2016-01-01

    One of the main concerns for power electronic engineers regarding capacitors is to predict their remaining lifetime in order to anticipate costly failures or system unavailability. This may be achieved using a Weibull statistical law combined with acceleration factors for the temperature, the voltage, and the humidity. This paper discusses the different capacitor failure modes and their effects and consequences. One of the main concerns for power electronic engineers regarding capacitors i...

  2. Economic evaluation of home blood pressure telemonitoring

    DEFF Research Database (Denmark)

    Madsen, Line Bille; Christiansen, Terkel; Kirkegaard, Peder

    2011-01-01

    Aims. The purpose of the present study was to compare the costs of home blood pressure (BP) telemonitoring (HBPM) with the costs of conventional office BP monitoring. In a randomized controlled trial, 105 hypertensive patients performed HBPM and 118 patients received usual care with conventional......-time ambulatory BP (ABP) were reduced in both groups. The uncertainty around the incremental cost effectiveness ratio point estimates was considerable for both systolic and diastolic ABP. For systolic ABP, the difference in cost effectiveness ratio between the two groups was 256 Danish kroner (DKK)/mmHg [95......% uncertainty interval, UI -860 to 4544]. For diastolic ABP, the difference in cost effectiveness ratio between the two groups was 655 DKK/mmHg [95% UI -674 to 69315]. Medication and consultation costs were lowest in the intervention group, but were offset by the cost of the telemonitoring equipment...

  3. Evaluation of rotating, incompressibly lubricated, pressurized thrust bearings

    Science.gov (United States)

    Fleming, D. P.

    1971-01-01

    Program evaluates a series hybrid, fluid film ball bearing consisting of an orifice compensated pressurized thrust bearing in conjunction with a self-acting journal bearing. Oil viscosities corresponding to experimentally measured ball bearing outer-race temperatures were used.

  4. The clinical geneticist and the evaluation of failure to thrive versus failure to feed.

    Science.gov (United States)

    Rabago, Jillian; Marra, Kayt; Allmendinger, Nikki; Shur, Natasha

    2015-12-01

    Common clinical genetic referrals for the pediatric patient include a single major or multiple minor anomalies, dysmorphic features, especially when accompanied by developmental delay or intellectual disability, and failure to thrive (FTT). This review provides pediatric definitions of FTT and the genetic differential for FTT, which includes chromosomal disorders, microdeletion/duplication syndromes, uniparental disomy/methylation disorder, disorders of DNA repair, teratogens, metabolic syndromes, and skeletal dysplasias. Three clinical genetics cases highlight challenges in deciphering the cause of FTT. The review concludes with a ten-step approach that might improve diagnostic ability in differentiating FTT cases (those with genetic or other metabolic causes) from "failure to feed," in other words FTT as the direct result of neglect and/or child abuse. © 2015 Wiley Periodicals, Inc.

  5. On-line detection of key radionuclides for fuel-rod failure in a pressurized water reactor.

    Science.gov (United States)

    Qin, Guoxiu; Chen, Xilin; Guo, Xiaoqing; Ni, Ning

    2016-08-01

    For early on-line detection of fuel rod failure, the key radionuclides useful in monitoring must leak easily from failing rods. Yield, half-life, and mass share of fission products that enter the primary coolant also need to be considered in on-line analyses. From all the nuclides that enter the primary coolant during fuel-rod failure, (135)Xe and (88)Kr were ultimately chosen as crucial for on-line monitoring of fuel-rod failure. A monitoring system for fuel-rod failure detection for pressurized water reactor (PWR) based on the LaBr3(Ce) detector was assembled and tested. The samples of coolant from the PWR were measured using the system as well as a HPGe γ-ray spectrometer. A comparison showed the method was feasible. Finally, the γ-ray spectra of primary coolant were measured under normal operations and during fuel-rod failure. The two peaks of (135)Xe (249.8keV) and (88)Kr (2392.1keV) were visible, confirming that the method is capable of monitoring fuel-rod failure on-line. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. The prediction of failure of welded steel plates for pressure vessels

    International Nuclear Information System (INIS)

    Gulvin, T.F.; Terry, P.; Webster, S.E.

    1980-01-01

    The avoidance of brittle fracture in pressure vessels and other welded steel fabrications is a matter of considerable importance. The application of fracture mechanics to this problem has led to the evolution of a philosophy which, among other things, permits estimation of tolerable crack sizes so that practical working limits can be set on inspection procedures and on material and welded joint toughness levels. The use of small-scale fracture mechanics tests, particularly crack opening displacement (COD) tests, to make the necessary material and/or joint property assessments is now commonplace. A number of possible analytical techniques have been considered. Initially, the COD data have been used with the Burdekin-Dawes design curve approach taking into account all the possible stress conditions and, it can be demonstrated, that consistently safe predictions of allowable flaw sizes can be made. Also considered, is the fracture analysis diagram approach of Harrison, Loosemore, and Milne in which a combination of fracture toughness data and mechanical property data is used to assess the probability of failure. Similarly the approach defined by Irvine and Quirk which makes use of mechanical property data without resorting to fracture mechanics and finally, a simple approach using uniaxial tensile property data only has also been examined. Comparisons have been made between these four approaches using, initially, the body of data referring to fracture tests on a single material with various defect sizes and aspect ratios, etc. and latterly, to the specific cases in the body of data on high strength steels. The results are discussed. (author)

  7. Design and Evaluation of a Pressure and Temperature Monitoring System for Pressure Ulcer Prevention

    Directory of Open Access Journals (Sweden)

    Farve Daneshvar Fard

    2014-08-01

    Full Text Available Introduction Pressure ulcers are tissue damages resulting from blood flow restriction, which occurs when the tissue is exposed to high pressure for a long period of time. These painful sores are common in patients and elderly, who spend extended periods of time in bed or wheelchair. In this study, a continuous pressure and temperature monitoring system was developed for pressure ulcer prevention. Materials and Methods The monitoring system consists of 64 pressure and 64 temperature sensors on a 40×50 cm2 sheet. Pressure and temperature data and the corresponding maps were displayed on a computer in real-time. Risk assessment could be performed by monitoring and recording absolute pressure and temperature values, as well as deviations over time. Furthermore, a posture detection procedure was proposed for sitting posture identification. Information about the patient’s movement history may help caregivers make informed decisions about the patient’s repositioning and ulcer prevention strategies. Results Steady temporal behaviour of the designed system and repeatability of the measurements were evaluated using several particular tests. The results illustrated that the system could be utilized for continuous monitoring of interface pressure and temperature for pressure ulcer prevention. Furthermore, the proposed method for detecting sitting posture was verified using a statistical analysis. Conclusion A continuous time pressure and temperature monitoring system was presented in this study. This system may be suited for pressure ulcer prevention given its feasibility for simultaneous monitoring of pressure and temperature and alarming options. Furthermore, a method for detecting different sitting postures was proposed and verified. Pressure ulcers in wheelchair-bound patients may be prevented using this sitting posture detection method.

  8. Evaluating a pressure-redistribution mattress replacement system.

    Science.gov (United States)

    Newton, Heather

    2014-11-01

    Pressure ulcer prevention is high on the quality agenda and provision of pressure-relieving equipment to meet patients' needs is an essential part of this process. This can be challenging in today's NHS and this article explores the evaluation process that supported the procurement of the AtmosAir™ 4000 pressure-redistributing mattress replacement system. Outcomes suggest that, when combined with a robust repositioning and skin assessment regime, the AtmosAir 4000 performed well and dynamic mattress usage was reduced. Further evaluation over a longer period of time will be undertaken in future.

  9. Reliability Evaluation of Machine Center Components Based on Cascading Failure Analysis

    Science.gov (United States)

    Zhang, Ying-Zhi; Liu, Jin-Tong; Shen, Gui-Xiang; Long, Zhe; Sun, Shu-Guang

    2017-07-01

    In order to rectify the problems that the component reliability model exhibits deviation, and the evaluation result is low due to the overlook of failure propagation in traditional reliability evaluation of machine center components, a new reliability evaluation method based on cascading failure analysis and the failure influenced degree assessment is proposed. A direct graph model of cascading failure among components is established according to cascading failure mechanism analysis and graph theory. The failure influenced degrees of the system components are assessed by the adjacency matrix and its transposition, combined with the Pagerank algorithm. Based on the comprehensive failure probability function and total probability formula, the inherent failure probability function is determined to realize the reliability evaluation of the system components. Finally, the method is applied to a machine center, it shows the following: 1) The reliability evaluation values of the proposed method are at least 2.5% higher than those of the traditional method; 2) The difference between the comprehensive and inherent reliability of the system component presents a positive correlation with the failure influenced degree of the system component, which provides a theoretical basis for reliability allocation of machine center system.

  10. Evaluation of lightweight material concepts for aircraft turbine engine rotor failure protection

    Science.gov (United States)

    1997-07-01

    Results of the evaluation of lightweight materials for aircraft turbine engine rotor failure protection are presented in this report. The program consisted of two phases. Phase 1 was an evaluation of a group of composite materials which could possibl...

  11. Assessment of the effect of level change in the pressurizer in the event of main coolant pump failure. (Draft)

    International Nuclear Information System (INIS)

    Sommer, J.

    1999-09-01

    A series of analyses have been performed to assess the effect of the Dukovany NPP instrumentation and control system upgrade on plant safety. The analyses, however, failed to include change in the pressurizer level control. Change in pressurizer level control serves to reduce the amount of coolant which the normal makeup system must supply to the primary circuit after reactor shutdown. This is achieved so that in the nominal regime the pressurizer is controlled to a higher water level while the required level of the shut-down reactor remains as before. The present report was aimed at testing on a case of main coolant pump failure, how a change in the pressurizer level control affects the results of the safety analyses, or in other words, how reliable the results of analyses performed using the initial level control model are. (author)

  12. The importance of integrated left atrial evaluation: From hypertension to heart failure with preserved ejection fraction.

    Science.gov (United States)

    Beltrami, Matteo; Palazzuoli, Alberto; Padeletti, Luigi; Cerbai, Elisabetta; Coiro, Stefano; Emdin, Michele; Marcucci, Rossella; Morrone, Doralisa; Cameli, Matteo; Savino, Ketty; Pedrinelli, Roberto; Ambrosio, Giuseppe

    2017-12-28

    Functional analysis and measurement of left atrium are an integral part of cardiac evaluation, and they represent a key element during non-invasive analysis of diastolic function in patients with hypertension (HT) and/or heart failure with preserved ejection fraction (HFpEF). However, diastolic dysfunction remains quite elusive regarding classification, and atrial size and function are two key factors for left ventricular (LV) filling evaluation. Chronic left atrial (LA) remodelling is the final step of chronic intra-cavitary pressure overload, and it accompanies increased neurohormonal, proarrhythmic and prothrombotic activities. In this systematic review, we aim to purpose a multi-modality approach for LA geometry and function analysis, which integrates diastolic flow with LA characteristics and remodelling through application of both traditional and new diagnostic tools. The most important studies published in the literature on LA size, function and diastolic dysfunction in patients with HFpEF, HT and/or atrial fibrillation (AF) are considered and discussed. In HFpEF and HT, pulsed and tissue Doppler assessments are useful tools to estimate LV filling pressure, atrio-ventricular coupling and LV relaxation but they need to be enriched with LA evaluation in terms of morphology and function. An integrated evaluation should be also applied to patients with a high arrhythmic risk, in whom eccentric LA remodelling and higher LA stiffness are associated with a greater AF risk. Evaluation of LA size, volume, function and structure are mandatory in the management of patients with HT, HFpEF and AF. A multi-modality approach could provide additional information, identifying subjects with more severe LA remodelling. Left atrium assessment deserves an accurate study inside the cardiac imaging approach and optimised measurement with established cut-offs need to be better recognised through multicenter studies. © 2017 John Wiley & Sons Ltd.

  13. Cochlear implant failure: imaging evaluation of the electrode course

    Energy Technology Data Exchange (ETDEWEB)

    Jain, R.; Mukherji, S.K

    2003-04-01

    Cochlear implant (CI) is an electronic device used to rehabilitate patients with sensorineural hearing loss. The intent of this review is to demonstrate the normal position of the electrode on computed tomography (CT) and contrast this with various examples of the electrode malpositioning. Post-implantation CT is performed to localize the cause of implant failure in patients in which radiographs suggest an anomalous course of the electrode. A common cause of device failure is extrusion or malpositioning of the electrode. It is important for the radiologists to recognize this important aspect of device failure. Post-implant CT can help identify patients with malpositioned electrode in whom another attempt can be made by correctly re-implanting the electrode.

  14. Cardiac energy metabolic alterations in pressure overload–induced left and right heart failure (2013 Grover Conference Series)

    Science.gov (United States)

    Lopaschuk, Gary D.

    2015-01-01

    Abstract Pressure overload of the heart, such as seen with pulmonary hypertension and/or systemic hypertension, can result in cardiac hypertrophy and the eventual development of heart failure. The development of hypertrophy and heart failure is accompanied by numerous molecular changes in the heart, including alterations in cardiac energy metabolism. Under normal conditions, the high energy (adenosine triphosphate [ATP]) demands of the heart are primarily provided by the mitochondrial oxidation of fatty acids, carbohydrates (glucose and lactate), and ketones. In contrast, the hypertrophied failing heart is energy deficient because of its inability to produce adequate amounts of ATP. This can be attributed to a reduction in mitochondrial oxidative metabolism, with the heart becoming more reliant on glycolysis as a source of ATP production. If glycolysis is uncoupled from glucose oxidation, a decrease in cardiac efficiency can occur, which can contribute to the severity of heart failure due to pressure-overload hypertrophy. These metabolic changes are accompanied by alterations in the enzymes that are involved in the regulation of fatty acid and carbohydrate metabolism. It is now becoming clear that optimizing both energy production and the source of energy production are potential targets for pharmacological intervention aimed at improving cardiac function in the hypertrophied failing heart. In this review, we will focus on what alterations in energy metabolism occur in pressure overload induced left and right heart failure. We will also discuss potential targets and pharmacological approaches that can be used to treat heart failure occurring secondary to pulmonary hypertension and/or systemic hypertension. PMID:25992268

  15. Evaluating wood failure in plywood shear by optical image analysis

    Science.gov (United States)

    Charles W. McMillin

    1984-01-01

    This exploratory study evaulates the potential of using an automatic image analysis method to measure percent wood failure in plywood shear specimens. The results suggest that this method my be as accurate as the visual method in tracking long-term gluebond quality. With further refinement, the method could lead to automated equipment replacing the subjective visual...

  16. Analysis and evaluation of post construction failures of airport apron ...

    African Journals Online (AJOL)

    A new apron pavement for parking aircrafts was constructed in 2014, but major depressions occurred when used by aircrafts soon after the construction. Failure analysis revealed structural design inconsistent with the United States Federal Aviation Administration Design Code AC 150-5320-6E. The methodologies for the ...

  17. An evaluation of the pressure proof test concept for 2024-T3 aluminium alloy sheet

    Science.gov (United States)

    Dawicke, D. S.; Poe, C. C., Jr.; Newman, J. C.; Harris, C. E.

    1991-01-01

    The concept of pressure proof testing of fuselage structures with fatigue cracks to insure structural integrity was evaluated from a fracture mechanics viewpoint. A generic analytical and experimental investigation was conducted on uniaxially loaded flat panels with crack configurations and stress levels typical of longitudinal lap splice joints in commercial transport aircraft fuselages. The results revealed that the remaining fatigue life after a proof cycle was longer than that without the proof cycle because of crack growth retardation due to increased crack closure. However, based on a crack length that is slightly less than the critical value at the maximum proof stress, the minimum assured life or proof test interval must be no more than 550 pressure cycles for a 1.33 proof factor and 1530 pressure cycles for a 1.5 proof factor to prevent in-flight failures.

  18. Acute Effects of Positive Airway Pressure on Functional Mitral Regurgitation in Patients with Systolic Heart Failure

    Directory of Open Access Journals (Sweden)

    Takao Kato

    2017-11-01

    Full Text Available Background: Acute effects of positive airway pressure (PAP [including continuous PAP (CPAP and adaptive servo-ventilation, an advanced form of bi-level PAP] on functional mitral regurgitation (fMR in patients with heart failure (HF with left ventricular (LV systolic dysfunction remain unclear. Thus, whether PAP therapy reduces fMR in such patients with HF was investigated.Methods and Results: Twenty patients with HF and LV systolic dysfunction defined as LV ejection fraction (LVEF <50% (14 men; mean LVEF, 35.0 ± 11.5% with fMR underwent echocardiography during 10-min CPAP (4 and 8 cm H2O and adaptive servo-ventilation. For fMR assessment, MR jet area fraction, defined as the ratio of MR jet on color Doppler to the left atrial area, was measured. The forward stroke volume (SV index (fSVI was calculated from the time-velocity integral, cross-sectional area of the aortic annulus, and body surface area. fMR significantly reduced on CPAP at 8 cm H2O (0.30 ± 0.12 and adaptive servo-ventilation (0.29 ± 0.12, compared with the baseline phase (0.37 ± 0.12 and CPAP at 4 cm H2O (0.34 ± 0.12 (P < 0.001. The fSVI did not change in any of the PAP sessions (P = 0.888. However, significant differences in fSVI responses to PAP were found between sexes (P for interaction, 0.006, with a significant reduction in fSVI in women (P = 0.041 and between patients with baseline fSVI ≥ and < the median value (27.8 ml/m2, P for interaction, 0.018, with a significant fSVI reduction in patients with high baseline fSVI (P = 0.028. In addition, significant differences were found in fSVI responses to PAP between patients with LV end-systolic volume (LVESV index ≥ and < the median value (62.0 ml/m2, P for interaction, 0.034, with a significant fSVI increase in patients with a high LVESV index (P = 0.023.Conclusion: In patients with HF, LV systolic dysfunction, and fMR, PAP can alleviate fMR without any overall changes in forward SV. However, MR alleviation due to PAP

  19. Sequential Organ Failure Assessment Score for Evaluating Organ Failure and Outcome of Severe Maternal Morbidity in Obstetric Intensive Care

    Science.gov (United States)

    Oliveira-Neto, Antonio; Parpinelli, Mary A.; Cecatti, Jose G.; Souza, Joao P.; Sousa, Maria H.

    2012-01-01

    Objective. To evaluate the performance of Sequential Organ Failure Assessment (SOFA) score in cases of severe maternal morbidity (SMM). Design. Retrospective study of diagnostic validation. Setting. An obstetric intensive care unit (ICU) in Brazil. Population. 673 women with SMM. Main Outcome Measures. mortality and SOFA score. Methods. Organ failure was evaluated according to maximum score for each one of its six components. The total maximum SOFA score was calculated using the poorest result of each component, reflecting the maximum degree of alteration in systemic organ function. Results. highest total maximum SOFA score was associated with mortality, 12.06 ± 5.47 for women who died and 1.87 ± 2.56 for survivors. There was also a significant correlation between the number of failing organs and maternal mortality, ranging from 0.2% (no failure) to 85.7% (≥3 organs). Analysis of the area under the receiver operating characteristic (ROC) curve (AUC) confirmed the excellent performance of total maximum SOFA score for cases of SMM (AUC = 0.958). Conclusions. Total maximum SOFA score proved to be an effective tool for evaluating severity and estimating prognosis in cases of SMM. Maximum SOFA score may be used to conceptually define and stratify the degree of severity in cases of SMM. PMID:22454600

  20. Sequential Organ Failure Assessment Score for Evaluating Organ Failure and Outcome of Severe Maternal Morbidity in Obstetric Intensive Care

    Directory of Open Access Journals (Sweden)

    Antonio Oliveira-Neto

    2012-01-01

    Full Text Available Objective. To evaluate the performance of Sequential Organ Failure Assessment (SOFA score in cases of severe maternal morbidity (SMM. Design. Retrospective study of diagnostic validation. Setting. An obstetric intensive care unit (ICU in Brazil. Population. 673 women with SMM. Main Outcome Measures. mortality and SOFA score. Methods. Organ failure was evaluated according to maximum score for each one of its six components. The total maximum SOFA score was calculated using the poorest result of each component, reflecting the maximum degree of alteration in systemic organ function. Results. highest total maximum SOFA score was associated with mortality, 12.06 ± 5.47 for women who died and 1.87 ± 2.56 for survivors. There was also a significant correlation between the number of failing organs and maternal mortality, ranging from 0.2% (no failure to 85.7% (≥3 organs. Analysis of the area under the receiver operating characteristic (ROC curve (AUC confirmed the excellent performance of total maximum SOFA score for cases of SMM (AUC = 0.958. Conclusions. Total maximum SOFA score proved to be an effective tool for evaluating severity and estimating prognosis in cases of SMM. Maximum SOFA score may be used to conceptually define and stratify the degree of severity in cases of SMM.

  1. Laboratory evaluation of the limitations of positive pressure safety valves on hard-shell venous reservoirs.

    Science.gov (United States)

    Almany, Daniel K; Sistino, Joseph J

    2002-06-01

    Vacuum-assisted venous drainage (VAVD) is a technique used to increase venous return during cardiopulmonary bypass (CPB). However, VAVD has created some new safety concerns. One potential problem is the pressurization of the venous reservoir in the event of vacuum failure. To prevent this overpressurization, a positive pressure release valve (PPRV) is placed on the venous reservoir. The purpose of this study was to determine if there is a difference in the pressurization of venous reservoirs using various PPRVs. The method of this study included evaluation of four different venous reservoirs and their associated PPRVs. Each reservoir was completely sealed, and two roller pumps with 1/4-in tubing were connected to the reservoir suction inlet. The roller pumps were calibrated, and a disposable pressure transducer was used to measure pressure at the venous inlet. Each reservoir was first sealed and then pressurized to test the occlusion of the roller heads. The PPRVs were tested by measuring the venous inlet pressure at a range of suction flow rates from 0-5 L/min. Linear regression analysis was performed to predict the venous inlet pressure from the rate of suction flow for each PPRV. The PPRV in the Baxter, Gish, and Gambro reservoirs maintained a low reservoir pressure (40 mmHg) even at low flow rates (1-2 L/min). It is recommended that any reservoir used for VAVD be evaluated in a similar manner to determine whether it is safe under the maximal suction and vent flow conditions possible during clinical practice.

  2. End face seals in high pressure water - learning from those failures

    International Nuclear Information System (INIS)

    Metcalfe, R.

    1976-08-01

    End face seals are complex devices which are used widely in shaft sealing of rotating equipment. In the nuclear industry, working at the limits of present sealing technlogy with a massive economic dependence on reliability, the importance of scrutinizing seal failures and thereby attempting to prevent premature failures from recurring was fully realized. This paper describes Canadian nuclear sealing experience. Failed seal data is presented; practical examples are categorized as to cause and type. (author)

  3. Evaluation of the european heart failure self-care behaviour scale in a united kingdom population

    NARCIS (Netherlands)

    Shuldham, Caroline; Theaker, Chris; Jaarsma, Tiny; Cowie, Martin R.

    2007-01-01

    Title. Evaluation of the European Heart Failure Self-care Behaviour Scale in a United Kingdom population Aim. This paper is a report of a study to test the internal consistency, reliability and validity of the 12-item European Heart Failure Self-care Behaviour Scale in an English-speaking sample in

  4. In vitro evaluation of failure loads of nonmetal cantilevered resin-bonded fixed dental prostheses

    NARCIS (Netherlands)

    van Dalen, A.; Feilzer, A.J.; Kleverlaan, C.J.

    2008-01-01

    Purpose: To evaluate in vitro the influence of fiber reinforcement on the failure loads of resin composite beams, simulating cantilevered two-unit resin-bonded fixed dental prostheses, and compare the results with similarly obtained failure loads of ZrO2 and CoCr beams of a comparable design.

  5. Statistical evaluations concerning the failure behaviour of formed parts with superheated steam flow. Pt. 1

    International Nuclear Information System (INIS)

    Oude-Hengel, H.H.; Vorwerk, K.; Heuser, F.W.; Boesebeck, K.

    1976-01-01

    Statistical evaluations concerning the failure behaviour of formed parts with superheated-steam flow were carried out using data from VdTUEV inventory and failure statistics. Due to the great number of results, the findings will be published in two volumes. This first part will describe and classify the stock of data and will make preliminary quantitative statements on failure behaviour. More differentiated statements are made possible by including the operation time and the number of start-ups per failed part. On the basis of time-constant failure rates some materials-specific statements are given. (orig./ORU) [de

  6. Analysis on the effect of risk from containment failure by over-pressurization during the operation of containment filtered venting system

    International Nuclear Information System (INIS)

    Ham, Jaehyun; Kang, Hyun Gook; Chang, Soon Heung

    2015-01-01

    Passive safety systems which are operated without power source are suggested as a solution SBO. For containment protection system, Containment Filtered Venting System (CFVS) is suggested. CFVS controls the containment pressure by releasing the containment gas through filter passively without any power source. But because still small amount of radioactive material have no choice but to release to the environment, starting time and operation method of CFVS have to be determined carefully. Later starting time brings not only lower release but also higher risk from containment failure by over-pressurization, so it is a problem. In this research, the effect of risk from containment failure by over-pressurization during the operation of containment filtered venting system was analyzed. In this research, optimized values for variables of the CFVS operation method are found as 0.67 MPa, 9 cm, 0.1 MPa each for open pressure, pressure interval, and vent pipe diameter when DF as a function of time and risk from containment over-pressurization failure are considered. Generally in this research, release without risk get lower values in higher pressure, and lower vent pipe diameter. Release with risk get sharply high values when the containment pressure exceeds the design pressure because of the effect of risk from containment failure by over-pressurization. In conclusion, highest pressure, and lowest vent pipe diameter which are not influenced by risk is the optimized values for CFVS operation method because amount of risk is much larger than release through the CFVS

  7. Effects of short-term continuous positive airway pressure on myocardial sympathetic nerve function and energetics in patients with heart failure and obstructive sleep apnea: a randomized study.

    Science.gov (United States)

    Hall, Allison B; Ziadi, Maria C; Leech, Judith A; Chen, Shin-Yee; Burwash, Ian G; Renaud, Jennifer; deKemp, Robert A; Haddad, Haissam; Mielniczuk, Lisa M; Yoshinaga, Keiichiro; Guo, Ann; Chen, Li; Walter, Olga; Garrard, Linda; DaSilva, Jean N; Floras, John S; Beanlands, Rob S B

    2014-09-09

    Heart failure with reduced ejection fraction and obstructive sleep apnea (OSA), 2 states of increased metabolic demand and sympathetic nervous system activation, often coexist. Continuous positive airway pressure (CPAP), which alleviates OSA, can improve ventricular function. It is unknown whether this is due to altered oxidative metabolism or presynaptic sympathetic nerve function. We hypothesized that short-term (6-8 weeks) CPAP in patients with OSA and heart failure with reduced ejection fraction would improve myocardial sympathetic nerve function and energetics. Forty-five patients with OSA and heart failure with reduced ejection fraction (left ventricular ejection fraction 35.8±9.7% [mean±SD]) were evaluated with the use of echocardiography and 11C-acetate and 11C-hydroxyephedrine positron emission tomography before and ≈6 to 8 weeks after randomization to receive short-term CPAP (n=22) or no CPAP (n=23). Work metabolic index, an estimate of myocardial efficiency, was calculated as follows: (stroke volume index×heart rate×systolic blood pressure÷Kmono), where Kmono is the monoexponential function fit to the myocardial 11C-acetate time-activity data, reflecting oxidative metabolism. Presynaptic sympathetic nerve function was measured with the use of the 11C-hydroxyephedrine retention index. CPAP significantly increased hydroxyephedrine retention versus no CPAP (Δretention: +0.012 [0.002, 0.021] versus -0.006 [-0.013, 0.005] min(-1); P=0.003). There was no significant change in work metabolic index between groups. However, in those with more severe OSA (apnea-hypopnea index>20 events per hour), CPAP significantly increased both work metabolic index and systolic blood pressure (Penergetics. In those with more severe OSA, CPAP may improve cardiac efficiency. Further outcome-based investigation of the consequences of CPAP is warranted. http://www.clinicaltrials.gov. Unique identifier: NCT00756366. © 2014 American Heart Association, Inc.

  8. Association of Blood Pressure Trajectory With Mortality, Incident Cardiovascular Disease, and Heart Failure in the Cardiovascular Health Study.

    Science.gov (United States)

    Smitson, Christopher C; Scherzer, Rebecca; Shlipak, Michael G; Psaty, Bruce M; Newman, Anne B; Sarnak, Mark J; Odden, Michelle C; Peralta, Carmen A

    2017-06-01

    Common blood pressure (BP) trajectories are not well established in elderly persons, and their association with clinical outcomes is uncertain. We used hierarchical cluster analysis to identify discrete BP trajectories among 4,067 participants in the Cardiovascular Health Study using repeated BP measures from years 0 to 7. We then evaluated associations of each BP trajectory cluster with all-cause mortality, incident cardiovascular disease (CVD, defined as stroke or myocardial infarction) (N = 2,837), and incident congestive heart failure (HF) (N = 3,633) using Cox proportional hazard models. Median age was 77 years at year 7. Over a median 9.3 years of follow-up, there were 2,475 deaths, 659 CVD events, and 1,049 HF events. The cluster analysis identified 3 distinct trajectory groups. Participants in cluster 1 (N = 1,838) had increases in both systolic (SBP) and diastolic (DBP) BPs, whereas persons in cluster 2 (N = 1,109) had little change in SBP but declines in DBP. Persons in cluster 3 (N = 1,120) experienced declines in both SBP and DBP. After multivariable adjustment, clusters 2 and 3 were associated with increased mortality risk relative to cluster 1 (hazard ratio = 1.21, 95% confidence interval: 1.06-1.37 and hazard ratio = 1.20, 95% confidence interval: 1.05-1.36, respectively). Compared to cluster 1, cluster 3 had higher rates of incident CVD but associations were not statistically significant in demographic-adjusted models (hazard ratio = 1.16, 95% confidence interval: 0.96-1.39). Findings were similar when stratified by use of antihypertensive therapy. Among community-dwelling elders, distinct BP trajectories were identified by integrating both SBP and DBP. These clusters were found to have differential associations with outcomes.

  9. Morgagni hernia with respiratory failure aggravated by noninvasive positive pressure ventilation: a case report and overview of the literature.

    Science.gov (United States)

    Tone, Kazuya; Kiryu, Ikumi; Yoshida, Masahiro; Tsuboi, Kazuto; Takagi, Masamichi; Kuwano, Kazuyoshi

    2014-05-01

    An elderly woman diagnosed with multiple myeloma (MM) in 2007 had improved with chemotherapy. She had severe kyphosis and a diaphragmatic hernia (DH), but no respiratory symptoms. In 2011, because of thoracic deformity and emaciation, we advised her to continue the previously prescribed domiciliary noninvasive positive pressure ventilation (NPPV) therapy for chronic type II respiratory failure. However, she refused to continue NPPV. She was later admitted for deterioration in respiratory status and carbon dioxide (CO2) narcosis. We believed her low adherence to domiciliary NPPV caused CO2 narcosis; hence, we advised her to continue domiciliary NPPV and she complied. In May 2012, the now 79-year-old patient was admitted for acute exacerbation of chronic respiratory failure and CO2 narcosis. Chest imaging suggested that DH had caused a deterioration of her status. She underwent laparoscopic diaphragmatic hernia repair. Operative findings revealed a retrosternal hernia sac, and she was diagnosed as having a Morgagni hernia (MH). Her respiratory status subsequently improved. We hypothesize that NPPV increased intra-abdominal pressure, thereby worsening the MH and exacerbating respiratory failure. We believe that clinicians should be cautious when prescribing NPPV for MH patients. Copyright © 2013 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.

  10. Evaluation of premature failure of a gas turbine component

    CSIR Research Space (South Africa)

    Dedekind, MO

    1996-01-03

    Full Text Available about the actual engine operating histories. KEYWORDS Life assessment; MAR-M509; Gas turbine engines; CFD; finite element analysis. NOMENCLATURE a crack length E Young’s modulus k heat transfer coefficient N number of cycles Nf cycles to failure... of fatigue cracks of up to 10 mm in length at the leading and trailing edges. No cracks were visible anywhere else on the component. The material in question is MAR- M509, a cast cobalt-based superalloy commonly used in nozzle guide vanes. In this alloy...

  11. Evaluating DSL Service Quality Using Fuzzy Failure Modes and Effects Analysis and Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    mahshid abadian

    2013-01-01

    Full Text Available DSL technology services are regarded as a key factor for fast access to data in the large part of population. In this research, a new methodology is presented using fuzzy failure modes and effect analysis and data envelopment analysis to identify the failures of DSL services. The innovation of research includes the application of FMEA in services. Fuzzy logic has been used to contrast with the ambiguity of the evaluations. Therefore, the failure modes in the field of DSL in one of the ISPs have been identified and evaluated by RPN at multiplicative risk. Finally based on the ranking, the most important failures have been identified. The ranking of failure modes indicates that the drop in line speed is the top priority due to high traffic, limited bandwidth of infrastructure companies, viral systems and the problem of internal line.

  12. Methodology for surge pressure evaluation in a water injection system

    Energy Technology Data Exchange (ETDEWEB)

    Meliande, Patricia; Nascimento, Elson A. [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil). Dept. de Engenharia Civil; Mascarenhas, Flavio C.B. [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Lab. de Hidraulica Computacional; Dandoulakis, Joao P. [SHELL of Brazil, Rio de Janeiro, RJ (Brazil)

    2009-07-01

    Predicting transient effects, known as surge pressures, is of high importance for offshore industry. It involves detailed computer modeling that attempts to simulate the complex interaction between flow line and fluid in order to ensure efficient system integrity. Platform process operators normally raise concerns whether the water injection system is adequately designed or not to be protected against possible surge pressures during sudden valve closure. This report aims to evaluate the surge pressures in Bijupira and Salema water injection systems due to valve closure, through a computer model simulation. Comparisons among the results from empirical formulations are discussed and supplementary analysis for Salema system were performed in order to define the maximum volumetric flow rate for which the design pressure was able to withstand. Maximum surge pressure values of 287.76 bar and 318.58 bar, obtained in Salema and Bijupira respectively, using empirical formulations have surpassed the operating pressure design, while the computer model results have pointed the greatest surge pressure value of 282 bar in Salema system. (author)

  13. An integrity evaluation method of the pressure vessel of nuclear reactors under pressurized thermal shock

    International Nuclear Information System (INIS)

    Matsubara, Masaaki; Okamura, Hiroyuki.

    1987-01-01

    Present paper proposes a new algorithm of the integrity evaluation of the pressure vessel of nuclear reactors under pressurized thermal shock, PTS. This method enables us to do an effective evaluation by superimposing proposed ''PTS state-transient curves'' and ''toughness transient curves'', and is superior to a conventional one in the following points; (1) easy to get an overall view of the result of PTS event for the variations of several parameters, (2) possible to evaluate a safety margin for irradiation embrittlement, and (3) enable to construct an Expert-friendly evaluation system. In addition, the paper shows that we can execute a safety assurance test by using a flat plate model with the same thickness as that of real plant. (author)

  14. Significance of Sarcopenia Evaluation in Acute Decompensated Heart Failure.

    Science.gov (United States)

    Tsuchida, Keiichi; Fujihara, Yuki; Hiroki, Jiro; Hakamata, Takahiro; Sakai, Ryohei; Nishida, Kota; Sudo, Koji; Tanaka, Komei; Hosaka, Yukio; Takahashi, Kazuyoshi; Oda, Hirotaka

    2018-01-27

    In patients with chronic heart failure (HF), the clinical importance of sarcopenia has been recognized in relation to disease severity, reduced exercise capacity, and adverse clinical outcome. Nevertheless, its impact on acute decompensated heart failure (ADHF) is still poorly understood. Dual-energy X-ray absorptiometry (DXA) is a technique for quantitatively analyzing muscle mass and the degree of sarcopenia. Fat-free mass index (FFMI) is a noninvasive and easily applicable marker of muscle mass.This was a prospective observational cohort study comprising 38 consecutive patients hospitalized for ADHF. Sarcopenia, derived from DXA, was defined as a skeletal muscle mass index (SMI) two standard deviations below the mean for healthy young subjects. FFMI (kg/m 2 ) was calculated as 7.38 + 0.02908 × urinary creatinine (mg/day) divided by the square of height (m 2 ).Sarcopenia was present in 52.6% of study patients. B-type natriuretic peptide (BNP) levels were significantly higher in ADHF patients with sarcopenia than in those without sarcopenia (1666 versus 429 pg/mL, P sarcopenia as a predictor of higher BNP level (OR = 18.4; 95% CI, 1.86-181.27; P = 0.013).Sarcopenia is associated with increased disease severity in ADHF. SMI based on DXA is potentially superior to FFMI in terms of predicting the degree of severity, but FFMI is also associated with ADHF severity.

  15. Interpretation of the CABRI-RAFT LTX test up to pin failure based on detailed data evaluation and PARAS-2S code analysis

    International Nuclear Information System (INIS)

    Fukano, Yoshitaka; Sato, Ikken

    2001-09-01

    The CABRI-RAFT LTX test aims at a study on the fuel-pin-failure mechanism, in-pin fuel motion and post-failure fuel relocation with an annular fuel pin which was pre-irradiated up to peak burn-up of 6.4 at%. The transient test conditions similar to those of the LT4 test were selected in the LTX test using the same type of fuel pin, allowing an effective direct comparison between the two tests. In contrast to the LT4 test which showed a large PCMI-mitigation potential of the annular fuel-pin design, early pin failure occurred in the LTX test when fuel does not seem to have molten. In order to clarify the fuel pin failure mechanism, interpretation of the LTX test up to pin failure is performed in this study, through an experimental data evaluation and a PAPAS-2S-code analysis. The PAPAS-2S code simulates reasonably the fuel thermal conditions such as transient fuel-pin heat-up and fuel melting. The present detailed data evaluation shows that the earlier cladding failure compared with the LT4 test is mainly attributed to the local cladding heat-up. Under the high-temperature condition, plenum gas pressure has a certain potential to explain the observed failure. Fuel swelling-induced PCMI does not seem significant in the LTX test and it may have contributed to the early pin failure only to a limited extent, if any. (author)

  16. FAILURE OF PROGESTERONE TO PRODUCE HIGH BLOOD-PRESSURE IN RABBITS AND RATS

    NARCIS (Netherlands)

    Winter, M.; Veldhuyzen, B.; Dorhout Mees, E.J.

    1972-01-01

    Contrary to earlier claims, daily Summary administration of 50 mg. progesterone over ten days did not increase the blood-pressure of 6 rabbits. Daily injection of 10 mg. progesterone had no influence on the blood-pressure of rats. The weight-gain of female rats was significantly increased by this

  17. Continuous flow biphasic positive airway pressure by helmet in patients with acute hypoxic respiratory failure: effect on oxygenation.

    Science.gov (United States)

    Isgrò, Stefano; Zanella, Alberto; Sala, Chiara; Grasselli, Giacomo; Foti, Giuseppe; Pesenti, Antonio; Patroniti, Nicolò

    2010-10-01

    We investigated the effects of periodical high pressure breaths (SIGH) or biphasic positive pressure ventilation (BIPAP) during helmet continuous positive airway pressure (CPAP) in patients with acute hypoxic respiratory failure. We used a recently developed electromechanical expiratory valve (TwinPAP, StarMed, Mirandola, Italy), which is time-cycled between two customizable positive end-expiratory pressure (PEEP) levels. We studied 21 patients (67 ± 17 years old) undergoing helmet CPAP. Continuous flow CPAP system was set at 60 l/min flow rate while maintaining clinical FiO(2) (51 ± 15%). Five steps, lasting 1 h each, were applied: (1) spontaneous breathing with PEEP 0 cmH(2)O (SB), (2) CPAP with PEEP 8 cmH(2)O (CPAP(basal)), (3) low PEEP, 8 cmH(2)O, for 25 s and high PEEP, 25 cmH(2)O, for 5 s (SIGH), (4) low PEEP, 8 cmH(2)O, for 3 s and high PEEP, 20 cmH(2)O, for 3 s (BIPAP), (5) CPAP with PEEP 8 cmH(2)O (CPAP(final)). We randomized the sequence of SIGH and BIPAP. PaO(2) was significantly higher during all steps compared to SB. When compared to CPAP(basal), both SIGH and BIPAP induced a further increase in PaO(2). PaO(2) during SIGH and BIPAP were not different. The oxygenation improvement was maintained during CPAP(final). Superimposed, nonsynchronized positive pressure breaths delivered during helmet CPAP by means of the TwinPAP system may improve oxygenation in patients with acute hypoxemic respiratory failure, even at a rate as low as two breaths per minute.

  18. A technique for measuring absolute toe pressures: evaluation of pressure-sensitive film techniques.

    Science.gov (United States)

    Tuckman, A S; Werner, F W; Fortino, M D; Spadaro, J A

    1992-05-01

    Although a number of pathologies of the forefoot in ballet dancers on pointe have been described, pressures and deforming forces have not been adequately measured. To evaluate the possible use of pressure-sensitive film (PSF) in measuring the pressures on the external soft tissues in such a confined space as the dancer's toe shoe, it was tested and calibrated with 20 cadaver toes. Each cadaver toe was internally stabilized and loaded longitudinally against PSF on a flat surface. The resultant films were analyzed with a video imaging system and the pressures and total forces were determined. Results showed that the linearity of the PSF to pressure had a regression value of 0.98. By using two sensitivity ranges of films, the total force measured by the PSF was found to be within 10% of the known applied force on each toe. The PSF, therefore, may very well be a useful and accurate method of measuring external soft tissue pressures on the forefoot.

  19. Size effects on failure behaviour of reactor pressure vessel steel and their dependence on deformation inhomogeneity

    International Nuclear Information System (INIS)

    Aktaa, J.; Klotz, M.; Schmitt, R.

    2003-01-01

    The investigation of the size dependence of the material behaviour and particularly of the failure strain is the main objective of the European research project LISSAC (Limit Strains for Severe Accident Conditions). Within our activities in LISSAC, tensile test series with specimens of similar geometry and different sizes are performed. The specimens, cut from the wall of a real reactor vessel, are flat with a central hole, flat with a double edge notch as well as round with a circumferential notch in order to obtain inhomogeneous deformation with high strain gradients, which will be higher in the smaller specimens and might be responsible for size effects. An additional variation of the strain gradient is obtained by varying the central hole radius of the flat specimens, with three different hole geometries being considered: round hole, increased round hole and slot. During the tests optical methods are used for measuring local deformations and partly local strain gradients. The results obtained show a size effect neither on the global nor on the local deformation behaviour, whereas the damage and failure behaviour is influenced significantly by the size of the specimen. On the basis of the surface deformation measurements, finite element calculations are performed to estimate the local failure strains as well as the corresponding strain gradients. A clear dependence of local failure strains on strain gradients is obtained. (author)

  20. Stress evaluation of baffle former bolt for IASCC failure prediction

    International Nuclear Information System (INIS)

    Matsubara, T.; Tsutsui, T.; Kamei, Y.; Kitsu, M.

    2011-01-01

    Baffle structure in PWRs Reactor is quite important assembly for the core safety, and Baffle Former Bolts (BFBs) are fastener members for maintaining Baffle structure. It has been reported worldwide that some of BFBs were cracked due to IASCC (Irradiation Assisted Stress Corrosion Cracking) because BFBs are located at core region under severe environments, high neutron flux, high temperature and high stress. According to the material studies of IASCC on austenitic stainless steel, a crack initiation of IASCC is strongly related with the stress and the neutron fluence. For this reason, it is very important for IASCC failure prediction to simulate the stress of BFBs. However, the stress of BFBs are considered to be influenced by several factors and to be changed complexly as operational time increases, by irradiation creep of Bolt itself, swelling of Baffle structure, and so on. Therefore, it is difficult to estimate the stress histories of BFBs (Bolt stress as a function of operational time) precisely. Then, the author has developed the calculation method of the stress histories of BFBs considering irradiation effects (swelling and irradiation creep). In this method, the stress histories of BFBs are calculated by combining two kinds of FE models, Global model (modeled whole Baffle structure which consists of Baffle plates, Former plates and Core Barrel) and Local model (modeled around BFB finely). The whole Baffle structure deformation changes as a function of heat, swelling and irradiated creep are calculated by Global model, and the stress histories of BFBs are calculated by Local model using the outputs (deformations on driving nodes) of Global model. In the FE analysis of Local model, the stress of BFBs are calculated considering irradiation effects and elastic-plastic characteristics depending on neutron fluence, so this method enables to calculate precisely the stress of extreme small area of BFBs surface. This paper shows the outline of the calculation method

  1. Intra-abdominal pressure at ICU admission: Evaluation as a ...

    African Journals Online (AJOL)

    extrapancreatic organ dysfunction. Elevated intra-abdominal pressure (IAP), a frequent finding in these patients, further adds to the mortality. Currently used prognostication indices have their own set of limitations. We evaluated IAP at intensive care unit. (ICU) admission as a predictor of mortality in severe acute pancreatitis ...

  2. Consequence evaluation of radiation embrittlement of Trojan reactor pressure vessel supports

    International Nuclear Information System (INIS)

    Lu, S.C.; Sommer, S.C.; Johnson, G.L.; Lambert, H.E.

    1990-10-01

    This report describes a consequence evaluation to address safety concerns raised by the radiation embrittlement of the reactor pressure vessel (RPV) supports for the Trojan nuclear power plant. The study comprises a structural evaluation and an effects evaluation and assumes that all four reactor vessel supports have completely lost the load carrying capability. By demonstrating that the ASME code requirements governing Level D service limits are satisfied, the structural evaluation concludes that the Trojan reactor coolant loop (RCL) piping is capable of transferring loads to the steam generator (SG) supports and the reactor coolant pump (RCP) supports. A subsequent design margins to accommodate additional loads transferred to them through the RCL piping. The effects evaluation, employing a systems analysis approach, investigates initiating events and the reliability of the engineered safeguard systems as the RPV is subject to movements caused by the RPV support failure. The evaluation identifies a number of areas of additional safety concerns, but further investigation of the above safety concerns, however, concludes that a hypothetical failure of the Trojan RPV supports due to radiation embrittlement will not result in consequences of significant safety concerns

  3. Financial performance evaluation and bankruptcy prediction (failure1

    Directory of Open Access Journals (Sweden)

    Talal A. Al-Kassar, Dr.

    2014-10-01

    The research also demonstrates the need to include measures of both financial and non-financial performance in the evaluation as they complement each other. Without both financial and non-financial, the evaluation process is incomplete and does not provide desired results or the correct image of the process. The research suggests including comprehensive measures of performance evaluation of projects by using indicators of adopted criteria. Thus, the application of both models leads to better results and assists users in maintaining greater objectivity while obtaining more accurate results than from analysis based on personal evaluation alone.

  4. Echocardiographic evaluation of right ventricular stroke work index in advanced heart failure: a new index?

    Science.gov (United States)

    Frea, Simone; Bovolo, Virginia; Bergerone, Serena; D'Ascenzo, Fabrizio; Antolini, Marina; Capriolo, Michele; Canavosio, Federico Giovanni; Morello, Mara; Gaita, Fiorenzo

    2012-12-01

    Right ventricular (RV) function plays a pivotal role in advanced heart failure patients, especially for screening those who may benefit from left ventricular assist device (LVAD) implantation. We introduce RV contraction pressure index (RVCPI) as a new echo-Doppler parameter of RV function. The accuracy of RVCPI in detecting RV failure was compared with the criterion standard, the RV stroke work index (RVSWI) obtained through right heart catheterization in advanced heart failure patients referred for heart transplantation or LVAD implantation. Right heart catheterization and echo-Doppler were simultaneously performed in 94 consecutive patients referred to our center for advanced heart failure (ejection fraction (EF) 24 ± 8.8%, 40% NYHA functional class IV). RV stroke volume and invasive pulmonary pressures were used to obtain RVSWI. Simplified RVCPI (sRVCPI) was derived as TAPSE × (RV - right atrial pressure gradient). Close positive correlation between sRVCPI and RVSWI was found (r = 0.68; P rights reserved.

  5. Midterm prospective evaluation of TVT-Secur reveals high failure rate.

    Science.gov (United States)

    Cornu, Jean-Nicolas; Sèbe, Philippe; Peyrat, Laurence; Ciofu, Calin; Cussenot, Olivier; Haab, Francois

    2010-07-01

    TVT-Secur has been described as a new minimally invasive sling for women's stress urinary incontinence (SUI) management, showing promising results in short-term studies. Our goal was to evaluate the outcome of this procedure after a midterm follow-up. A prospective evaluation involved 45 consecutive patients presenting SUI associated with urethral hypermobility. Fourteen patients preoperatively reported overactive bladder (OAB) symptoms, but none had objective detrusor overactivity. Eight patients had low maximal urethral closure pressure (MUCP). Four patients had pelvic organ prolapse (POP). Patients with POP were treated under general anesthesia by Prolift and TVT-Secur procedure. The 41 other patients received TVT-Secur under local anesthesia on an outpatient basis. All interventions were made by the same surgeon. Postoperative assessment included pad count, bladder diary, clinical examination with stress test, evaluation of satisfaction with the Patient Global Impression of Improvement (PGI-I) scale, and evaluation of side effects. Patients were classified as cured if they used no pads, had no leakage, and had a PGI-I score 50% and PGI-I score TVT or transobturator tape during follow-up. Age, MUCP, or OAB were not associated with failure. Side effects were limited to five cases of de novo OAB and three cases of urinary tract infection. This work is limited by the absence of a comparison group. Our experience shows that despite its good short-term efficacy, TVT-Secur is associated with a high recurrence rate of SUI. Therefore, TVT-Secur does not seem appropriate for SUI first-line management in women. Copyright 2010 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  6. Evaluation of Network Failure induced IPTV degradation in Metro Networks

    DEFF Research Database (Denmark)

    Wessing, Henrik; Berger, Michael Stübert; Yu, Hao

    2009-01-01

    In this paper, we evaluate future network services and classify them according to their network requirements. IPTV is used as candidate service to evaluate the performance of Carrier Ethernet OAM update mechanisms and requirements. The latter is done through quality measurements using MDI...

  7. Correlation between intraocular pressure and the biometric structure of the anterior chamber in patients of chronic renal failure with hemodialysis

    Directory of Open Access Journals (Sweden)

    Zhi-Ying Yu

    2017-02-01

    Full Text Available AIM: To investigate the correlation between intraocular pressure(IOPchanges pre- and post-hemodialysis(HDand the biometric structure of the anterior chamber in patients of chronic renal failure. METHODS: Fifty-two patients(take right eye as study onewith hemodialysis that were diagnosed with chronic renal failure by nephrology in our hospital from January 2015 to December 2015 were collected. Fifty-two eyes were divided into four groups based on Shaffer classification combined with ultrasound biomicroscopy(UBMand gonioscopy manifestations: wide angle group, narrow angle group, extremely narrow group and close angle group. Venous blood was collected to get plasma colloid osmotic pressure before HD and within 60s after HD. IOP was measured with rebound intraocular pressure gauge in a supine positon approximately 30min before starting HD, 2h after HD begin and approximately 30min after HD ending. Approximately 30min before and after HD, central corneal thickness was measured with corneal endothelial cell counter, central anterior chamber depth and lens thickness were taken by A scan, angle opening distance, trabecular iris angle, iris thickness and ciliary body thickness were measured by UBM. RESULTS: Plasma osmotic pressure reduced after HD, the difference was statistically significant(t=3.04, PF=41.69, PPPF=6.44, PPt=2.61, PCONCLUSION: The influence of hemodialysis on IOP is related to the biometric structure of the anterior chamber. And extremely narrow angle is risk factor of elevated IOP during hemodialysis, narrow angle may be a risk factor. While patients with wide angle is relatively safe. We suggest to take ocular examination as early as possible for patients with hemodialysis, and focus on patients with narrow angle.

  8. Evaluation of Resting Cardiac Power Output as a Prognostic Factor in Patients with Advanced Heart Failure.

    Science.gov (United States)

    Yildiz, Omer; Aslan, Gamze; Demirozu, Zumrut T; Yenigun, Cemal Deniz; Yazicioglu, Nuran

    2017-09-15

    If the heart is represented by a hydraulic pump, cardiac power represents the hydraulic function of the heart. Cardiac pump function is frequently determined through left ventricular ejection fraction using imaging. This study aims to validate resting cardiac power output (CPO) as a predictive biomarker in patients with advanced heart failure (HF). One hundred and seventy-two patients with HF severe enough to warrant cardiac transplantation were retrospectively reviewed at a single tertiary care institution between September 2010 and July 2013. Patients were initially evaluated with simultaneous right-sided and left-sided cardiac catheter-based hemodynamic measurements, followed by longitudinal follow-up (median of 52 months) for adverse events (cardiac mortality, cardiac transplantation, or ventricular assist device placement). Median resting CPO was 0.54 W (long rank chi-square = 33.6; p < 0.0001). Decreased resting CPO (<0.54 W) predicted increased risk for adverse outcomes. Fifty cardiac deaths, 10 cardiac transplants, and 12 ventricular assist device placements were documented. The prognostic relevance of resting CPO remained significant after adjustment for age, gender, left ventricular ejection fraction, mean arterial pressure, pulmonary vascular resistance, right atrial pressure, and estimated glomerular filtration rate (HR, 3.53; 95% confidence interval, 1.66 to 6.77; p = 0.0007). In conclusion, lower resting CPO supplies independent prediction of adverse outcomes. Thus, it could be effectively used for risk stratification in patients with advanced HF. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Evaluation of containment failure and cleanup time for Pu shots on the Z machine

    International Nuclear Information System (INIS)

    Darby, John L.

    2010-01-01

    Between November 30 and December 11, 2009 an evaluation was performed of the probability of containment failure and the time for cleanup of contamination of the Z machine given failure, for plutonium (Pu) experiments on the Z machine at Sandia National Laboratories (SNL). Due to the unique nature of the problem, there is little quantitative information available for the likelihood of failure of containment components or for the time to cleanup. Information for the evaluation was obtained from Subject Matter Experts (SMEs) at the Z machine facility. The SMEs provided the State of Knowledge (SOK) for the evaluation. There is significant epistemic- or state of knowledge- uncertainty associated with the events that comprise both failure of containment and cleanup. To capture epistemic uncertainty and to allow the SMEs to reason at the fidelity of the SOK, we used the belief/plausibility measure of uncertainty for this evaluation. We quantified two variables: the probability that the Pu containment system fails given a shot on the Z machine, and the time to cleanup Pu contamination in the Z machine given failure of containment. We identified dominant contributors for both the time to cleanup and the probability of containment failure. These results will be used by SNL management to decide the course of action for conducting the Pu experiments on the Z machine.

  10. Evaluation of containment failure and cleanup time for Pu shots on the Z machine.

    Energy Technology Data Exchange (ETDEWEB)

    Darby, John L.

    2010-02-01

    Between November 30 and December 11, 2009 an evaluation was performed of the probability of containment failure and the time for cleanup of contamination of the Z machine given failure, for plutonium (Pu) experiments on the Z machine at Sandia National Laboratories (SNL). Due to the unique nature of the problem, there is little quantitative information available for the likelihood of failure of containment components or for the time to cleanup. Information for the evaluation was obtained from Subject Matter Experts (SMEs) at the Z machine facility. The SMEs provided the State of Knowledge (SOK) for the evaluation. There is significant epistemic- or state of knowledge- uncertainty associated with the events that comprise both failure of containment and cleanup. To capture epistemic uncertainty and to allow the SMEs to reason at the fidelity of the SOK, we used the belief/plausibility measure of uncertainty for this evaluation. We quantified two variables: the probability that the Pu containment system fails given a shot on the Z machine, and the time to cleanup Pu contamination in the Z machine given failure of containment. We identified dominant contributors for both the time to cleanup and the probability of containment failure. These results will be used by SNL management to decide the course of action for conducting the Pu experiments on the Z machine.

  11. Development and psychometric evaluation of the Thirst Distress Scale for patients with heart failure.

    Science.gov (United States)

    Waldréus, Nana; Jaarsma, Tiny; van der Wal, Martje Hl; Kato, Naoko P

    2018-03-01

    Patients with heart failure can experience thirst distress. However, there is no instrument to measure this in patients with heart failure. The aim of the present study was to develop the Thirst Distress Scale for patients with Heart Failure (TDS-HF) and to evaluate psychometric properties of the scale. The TDS-HF was developed to measure thirst distress in patients with heart failure. Face and content validity was confirmed using expert panels including patients and healthcare professionals. Data on the TDS-HF was collected from patients with heart failure at outpatient heart failure clinics and hospitals in Sweden, the Netherlands and Japan. Psychometric properties were evaluated using data from 256 heart failure patients (age 72±11 years). Concurrent validity of the scale was assessed using a thirst intensity visual analogue scale. Patients did not have any difficulties answering the questions, and time taken to answer the questions was about five minutes. Factor analysis of the scale showed one factor. After psychometric testing, one item was deleted. For the eight item TDS-HF, a single factor explained 61% of the variance and Cronbach's alpha was 0.90. The eight item TDS-HF was significantly associated with the thirst intensity score ( r=0.55, pfailure.

  12. Dexmedetomidine facilitates induction of noninvasive positive pressure ventilation for acute respiratory failure in patients with severe asthma.

    Science.gov (United States)

    Takasaki, Yasushi; Kido, Takanori; Semba, Kazunori

    2009-01-01

    Noninvasive positive pressure ventilation (NPPV) has been reported to be effective for acute respiratory failure in patients with severe asthma. Although NPPV requires less sedative than invasive mechanical ventilation, agitated patients with severe asthma should be given the minimum sedation necessary to facilitate the induction of NPPV. Two asthmatic patients (a 65-year-old man and a 32-year-old woman) separately presented to the intensive care unit with exacerbating respiratory failure. We initiated NPPV using bilevel positive airway pressure (PAP) ventilation. The ventilation was initially set as an inspiratory PAP of 15 cmH(2)O and an expiratory PAP of 4 cmH2O. Because they seemed too agitated to tolerate the mask ventilation, dexmedetomidine was administered intravenously, at 3 microg x kg(-1) x h(-1) [DOSAGE ERROR CORRECTED] for 10 min, followed by a continuous infusion at 0.2-0.6 mircog x kg(-1) x h(-1) [DOSAGE ERROR CORRECTED]. One hour after the institution of NPPV, the patients were well cooperative with the mask ventilation and the respiratory symptoms had markedly improved. While the Ramsay sedation scale was maintained at 2 or 3 during the continuous dexmedetomidine infusion, we successfully weaned the patients from NPPV by reducing the inspiratory PAP. Dexmedetomidine helped the agitated patients cooperate with mask ventilation without inducing respiratory depression. We conclude that dexmedetomidine may be a valuable sedative to facilitate the induction of NPPV.

  13. Heart Failure

    Science.gov (United States)

    Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped ... and shortness of breath Common causes of heart failure are coronary artery disease, high blood pressure and ...

  14. Evaluating the effect of setting up a nurse-led heart failure service.

    Science.gov (United States)

    Ayers, Niki

    In the UK 880,000 people have definite or probable chronic heart failure with 63,000 new cases being identified each year (Department of Health, 2003). Heart failure and its management have become a national and governmental priority. A specialist nurse was recruited to establish and manage a nurse-led service for this client group. This article outlines the development of this service and evaluates its performance.

  15. DELPHI expert panel evaluation of Hanford high level waste tank failure modes and release quantities

    Energy Technology Data Exchange (ETDEWEB)

    Dunford, G.L.; Han, F.C.

    1996-09-30

    The Failure Modes and Release Quantities of the Hanford High Level Waste Tanks due to postulated accident loads were established by a DELPHI Expert Panel consisting of both on-site and off-site experts in the field of Structure and Release. The Report presents the evaluation process, accident loads, tank structural failure conclusion reached by the panel during the two-day meeting.

  16. Probabilistic evaluation of multiple failures for steam generators tubes by common mode

    International Nuclear Information System (INIS)

    Bloch, M.; Pierrey, J.L.; Dussarte, D.

    1987-11-01

    The reactor safety can be affected when systems or components are subject to phenomena conducting at a wear nontake in account in the conception. This paper presents a methodology which takes in account the non simultaneous failures resulting of this situation. To illustrate this purpose, we give an evaluation of risk of multiple failures for steam generators tubes by common mode (stress corrosion) when the reactor is in normal operation [fr

  17. Performance Evaluation of Three-Level Z-Source Inverters Under Semiconductor-Failure Conditions

    DEFF Research Database (Denmark)

    Gao, Feng; Loh, Poh Chiang; Blaabjerg, Frede

    2009-01-01

    This paper evaluates and proposes various compensation methods for three-level Z-source inverters under semiconductor-failure conditions. Unlike the fault-tolerant techniques used in traditional three-level inverters, where either an extra phase-leg or collective switching states are used...... under semiconductor-failure conditions. For verifying these described performance features, PLECS simulation and experimental testing were performed with some results captured and shown in a later section for visual confirmation....

  18. Structural integrity evaluation of PWR nuclear reactor pressure vessels

    International Nuclear Information System (INIS)

    Cruz, Julio R.B.; Mattar Neto, Miguel

    1999-01-01

    The reactor pressure vessel (RPV) is the most important structural component of a PWR nuclear power plant. It contains the reactor core and is the main component of the primary system pressure boundary, the system responsible for removing the heat generated by the nuclear reactions. It is considered not replaceable and, therefore, its lifetime is a key element to define the plant life as a whole. Three critical issues related to the reliability of the RPV structural integrity come out by reason of the radiation damage imposed to the vessel material during operation. These issues concern the definition of pressure versus temperature limits for reactor heatup and cooldown, pressurized thermal shock evaluation and assessment of reactor vessels with low upper shelf Charpy impact energy levels. This work aims to present the major aspects related to these topics. The requirements for preventing fracture of the RPV are reviewed as well as the available technology for assessing the safety margins. For each mentioned problem, the several steps for structural integrity evaluation are described and the analysis methods are discussed. (author)

  19. Performance and Dependability Evaluation: Successes, Failures and Challenges

    NARCIS (Netherlands)

    Haverkort, Boudewijn R.H.M.

    2008-01-01

    Over the last 40 years, the field of model-based performance and dependability evaluation has seen important developments, successes and scientific breakthroughs. However, the field has not matured into a key engineering discipline which is heavily called upon by computer system and software

  20. In vitro evaluation of failure loads of nonmetal cantilevered resin-bonded fixed dental prostheses.

    Science.gov (United States)

    van Dalen, Andy; Feilzer, Albert J; Kleverlaan, Cornelis J

    2008-12-01

    To evaluate in vitro the influence of fiber reinforcement on the failure loads of resin composite beams, simulating cantilevered two-unit resin-bonded fixed dental prostheses, and compare the results with similarly obtained failure loads of ZrO2 and CoCr beams of a comparable design. Peel tests were performed using resin composite, fiber-reinforced resin composite, and zirconia beams, simulating two-unit cantilevered resin-bonded fixed dental prostheses, luted with Panavia F2.0 onto flat-ground buccal surfaces of bovine mandibular incisors. The recorded failure loads were compared with those of CoCr beams of a similar size and design from earlier research. Finite element analysis revealed the stress concentrations within the cement layers at failure. The failure loads (N) of the peel tests, depending on the beam type and including the type of failure, were statistically analyzed. The highest failure values were obtained with the fiber-reinforced resin composite beams, which were luted with the exposed fibers directly on the bovine enamel. Finite element analysis showed that peak stress locations depend on the beam type and facilitate the explanation of the different failure modes. Fiber-reinforcement of simulated two-unit cantilevered resin composite resin-bonded fixed dental prostheses does not necessarily lead to higher failure loads. This study identified significant differences in peel failure loads between identical specimens, depending on whether or not the fiber reinforcement was exposed on the luting surface. Further research needs to be carried out regarding the combination of resin composite and fiber reinforcement.

  1. Clinical evaluation of failures in removable partial dentures.

    Science.gov (United States)

    Jorge, Janaina H; Quishida, Cristiane C C; Vergani, Carlos E; Machado, Ana L; Pavarina, Ana C; Giampaolo, Eunice T

    2012-01-01

    The aim of this clinical study was to evaluate the effects of removable partial dentures on the support tissues and changes occurring in lower tooth-supported and bilateral distal-extension dentures, 5 years after placement. The study involved analysis of a total of 53 patients who received prosthetic treatment for removable partial dentures. The patients were divided into two groups. In group 1, the patients had a completely edentulous maxilla and an edentulous area with natural teeth remaining in both the anterior and posterior regions. In group 2, the patients had a completely edentulous maxilla and partially edentulous mandible with preserved anterior teeth. Tooth mobility, prevalence of caries, fracture of the abutment teeth, fracture and/or deformation of the removable partial denture components and stability of the denture base were evaluated. The use of a removable partial denture increased tooth mobility, reduced the prevalence of caries, and did not cause loss or fracture of the abutments or damage to their components, when compared with the baseline. It was concluded that there was no difference between the groups as evaluated in terms of tooth mobility, prevalence of caries, loss and fracture of the abutments or damage to the components of the removable partial denture.

  2. Simplified Methodology to Estimate the Maximum Liquid Helium (LHe) Cryostat Pressure from a Vacuum Jacket Failure

    Science.gov (United States)

    Ungar, Eugene K.; Richards, W. Lance

    2015-01-01

    The aircraft-based Stratospheric Observatory for Infrared Astronomy (SOFIA) is a platform for multiple infrared astronomical observation experiments. These experiments carry sensors cooled to liquid helium temperatures. The liquid helium supply is contained in large (i.e., 10 liters or more) vacuum-insulated dewars. Should the dewar vacuum insulation fail, the inrushing air will condense and freeze on the dewar wall, resulting in a large heat flux on the dewar's contents. The heat flux results in a rise in pressure and the actuation of the dewar pressure relief system. A previous NASA Engineering and Safety Center (NESC) assessment provided recommendations for the wall heat flux that would be expected from a loss of vacuum and detailed an appropriate method to use in calculating the maximum pressure that would occur in a loss of vacuum event. This method involved building a detailed supercritical helium compressible flow thermal/fluid model of the vent stack and exercising the model over the appropriate range of parameters. The experimenters designing science instruments for SOFIA are not experts in compressible supercritical flows and do not generally have access to the thermal/fluid modeling packages that are required to build detailed models of the vent stacks. Therefore, the SOFIA Program engaged the NESC to develop a simplified methodology to estimate the maximum pressure in a liquid helium dewar after the loss of vacuum insulation. The method would allow the university-based science instrument development teams to conservatively determine the cryostat's vent neck sizing during preliminary design of new SOFIA Science Instruments. This report details the development of the simplified method, the method itself, and the limits of its applicability. The simplified methodology provides an estimate of the dewar pressure after a loss of vacuum insulation that can be used for the initial design of the liquid helium dewar vent stacks. However, since it is not an exact

  3. High definition urethral pressure profilometry: Evaluating a novel microtip catheter.

    Science.gov (United States)

    Klünder, Mario; Amend, Bastian; Vaegler, Martin; Kelp, Alexandra; Feuer, Ronny; Sievert, Karl-Dietrich; Stenzl, Arnulf; Sawodny, Oliver; Ederer, Michael

    2016-11-01

    Urethral pressure profilometry (UPP) is used in the diagnosis of stress urinary incontinence (SUI). SUI is a significant medical, social, and economic problem, affecting about 12.5% of the population. A novel microtip catheter was developed for UPP featuring an inclination sensor and higher angular resolution compared to systems in clinical use today. Therewith, the location of each measured pressure sample can be determined and the spatial pressure distribution inside the urethra reconstructed. In order to assess the performance and plausibility of data from the microtip catheter, we compare it to data from a double balloon air charged system. Both catheters are used on sedated female minipigs. Data from the microtip catheter are processed through a signal reconstruction algorithm, plotted and compared against data from the air-charged catheter. The microtip catheter delivers results in agreement with previous comparisons of microtip and air-charged systems. It additionally provides a new level of detail in the reconstructed UPPs which may lead to new insights into the sphincter mechanism of minipigs. The ability of air-charged catheters to measure pressure circumferentially is widely considered a main advantage over microtip catheters. However, directional pressure readings can provide additional information on angular fluctuations in the urethral pressure distribution. It is shown that the novel microtip catheter in combination with a signal reconstruction algorithm delivers plausible data. It offers the opportunity to evaluate urethral structures, especially the sphincter, in context of the correct location within the anatomical location of the pelvic floor. Neurourol. Urodynam. 35:888-894, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  4. The application of ductile-fracture analysis to predictions of pressure-tube failure

    International Nuclear Information System (INIS)

    Simpson, L.A.

    1981-08-01

    Progress during the past six years towards establishing a method for predicting critical crack length in a reactor pressure tube, based on data from tests on small fracture-mechanics specimens, is reviewed. The disadvantages of relying on data from burst tests alone are described along with the benefits of a small-specimen method. It is clear from the work reviewed that only an approach that can account for the ability of the presssure tube material to increase its crack-growth resistance during stable crack extension is suitable for the prediction of critical crack length. A method that utilizes crack-growth resistance curves based on crack-opening displacement, or the J integral, is described, along with a large body of experimental data. It is concluded that the resistance curve approach provides a viable method for the analysis of fracture in pressure tubes that can greatly improve our understanding of the material's behaviour

  5. Excess pore pressure and slope failures resulting from gas-hydrates dissociation and dissolution

    OpenAIRE

    Sultan, Nabil

    2007-01-01

    Parameters affecting gas hydrate formation include temperature, pore pressure, gas chemistry, and pore-water salinity. Any change in the equilibrium of these parameters may result in dissociation (gas-hydrate turns into free gas/water mixture) and/or dissolution (gas-hydrate becomes mixture of water and dissolved gas) of the gas hydrate. While, gas-hydrate dissociation at the base of the Gas Hydrate Occurrence Zone (GHOZ) is often considered as a major cause of sediment deformation and submar...

  6. Interrelationship of Nondestructive Evaluation Methodologies Applied to Testing of Composite Overwrapped Pressure Vessels

    Science.gov (United States)

    Leifeste, Mark R.

    2007-01-01

    Composite Overwrapped Pressure Vessels (COPVs) are commonly used in spacecraft for containment of pressurized gases and fluids, incorporating strength and weight savings. The energy stored is capable of extensive spacecraft damage and personal injury in the event of sudden failure. These apparently simple structures, composed of a metallic media impermeable liner and fiber/resin composite overwrap are really complex structures with numerous material and structural phenomena interacting during pressurized use which requires multiple, interrelated monitoring methodologies to monitor and understand subtle changes critical to safe use. Testing of COPVs at NASA Johnson Space Center White Sands T est Facility (WSTF) has employed multiple in-situ, real-time nondestructive evaluation (NDE) methodologies as well as pre- and post-test comparative techniques to monitor changes in material and structural parameters during advanced pressurized testing. The use of NDE methodologies and their relationship to monitoring changes is discussed based on testing of real-world spacecraft COPVs. Lessons learned are used to present recommendations for use in testing, as well as a discussion of potential applications to vessel health monitoring in future applications.

  7. Usefulness of tissue Doppler imaging for assessing left ventricular filling pressure in patients with stable severe systolic heart failure.

    Science.gov (United States)

    Gellen, Barnabas; Canoui-Poitrine, Florence; Lesault, Pierre-François; Le Thuaut, Aurélie; Lim, Pascal; Gueret, Pascal; Guendouz, Soulef; Pongas, Dionyssis; Teiger, Emmanuel; Dubois-Randé, Jean-Luc; Hittinger, Luc; Damy, Thibaud

    2013-11-15

    The ratio of early transmitral blood flow velocity over tissue Doppler early diastolic mitral annulus velocity (E/e') was found unreliable for estimating pulmonary capillary wedge pressure (PCWP) in patients with decompensated systolic heart failure (HF). The objective of this study was to test its reliability in stable HF. Therefore, 130 consecutive patients with a left ventricular (LV) ejection fraction of 15 mm Hg. E/e'septal correlated more strongly with PCWP (r = 0.53) compared with E/e'lateral (r = 0.41) and E/e'mean (r = 0.50; all p values 4.5 cm/s (n = 77, 59%; AUC = 0.82; 95% CI 0.71 to 0.92; s'lateral of ≤4.5 cm/s: AUC = 0.54; 95% CI 0.38 to 0.70; p = 0.005). In conclusion, e' is useful for estimating LV filling pressure in stable severe systolic HF. E/e'septal showed good diagnostic performance for detecting normal filling pressures. Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Evaluation of failures in mechanical crankshafts of automobile based on expert opinion

    Directory of Open Access Journals (Sweden)

    B. Kareem

    2015-04-01

    Full Text Available In this study, mechanical crankshaft failures for automobiles are evaluated based on experts’ opinion. This was done using data obtained using techniques based on oral interviews and questionnaire administration on mechanical failure of crankshafts from the experts working in the areas of automobile maintenance and crankshafts reconditioning. The data collected were analyzed using statistical methods based on probability. With this technique, probability of failure for each category of automobiles namely private, commercial cars and buses were evaluated. The results obtained show that private cars had lowest failure rate at the initial stage while commercial buses had the highest failure rate. At later periods all categories of automobile crankshafts considered had their failure rates converged steadily with stable reliability. Application of 6-sigma continuous improvement tool to the process indicated a further reliability improvement through improved oil lubrication system, especially in the thrust bearing. This showed that increased enlightenment campaign among the various stakeholders in automobile industries will improve on the choice of reliable mechanical crankshafts.

  9. The overexpression of Twinkle helicase ameliorates the progression of cardiac fibrosis and heart failure in pressure overload model in mice.

    Directory of Open Access Journals (Sweden)

    Atsushi Tanaka

    Full Text Available Myocardial mitochondrial DNA (mtDNA copy number decreases in heart failure. In post-myocardial infarction mice, increasing mtDNA copy number by overexpressing mitochondrial transcription factor attenuates mtDNA deficiency and ameliorates pathological remodeling thereby markedly improving survival. However, the functional significance of increased mtDNA copy number in hypertensive heart disease remains unknown. We addressed this question using transgenic mice that overexpress Twinkle helicase (Twinkle; Tg, the mtDNA helicase, and examined whether Twinkle overexpression protects the heart from left ventricular (LV remodeling and failure after pressure overload created by transverse aortic constriction (TAC. Twinkle overexpression increased mtDNA copy number by 2.2 ± 0.1-fold. Heart weight, LV diastolic volume and wall thickness were comparable between Tg and wild type littermates (WT at 28 days after TAC operation. LV end-diastolic pressure increased in WT after TAC (8.6 ± 2.8 mmHg, and this increase was attenuated in Tg (4.6 ± 2.6 mmHg. Impaired LV fractional shortening after TAC operation was also suppressed in Tg, as measured by echocardiography (WT: 16.2 ± 7.2% vs Tg: 20.7 ± 6.2%. These LV functional improvements were accompanied by a decrease in interstitial fibrosis (WT: 10.6 ± 1.1% vs Tg: 3.0 ± 0.6%. In in vitro studies, overexpressing Twinkle using an adenovirus vector in cultured cardiac fibroblasts significantly suppressed mRNA of collagen 1a, collagen 3a and connective tissue growth factor, and angiotensin II-induced transforming growth factor β1 expression. The findings suggest that Twinkle overexpression prevents LV function deterioration. In conclusion, Twinkle overexpression increases mtDNA copy number and ameliorates the progression of LV fibrosis and heart failure in a mouse pressure overload model. Increasing mtDNA copy number by Twinkle overexpression could be a novel therapeutic strategy for hypertensive heart disease.

  10. Opposite predictive value of pulse pressure and aortic pulse wave velocity on heart failure with reduced left ventricular ejection fraction: insights from an Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) substudy.

    Science.gov (United States)

    Regnault, Veronique; Lagrange, Jérémy; Pizard, Anne; Safar, Michel E; Fay, Renaud; Pitt, Bertram; Challande, Pascal; Rossignol, Patrick; Zannad, Faiez; Lacolley, Patrick

    2014-01-01

    Although hypertension contributes significantly to worsen cardiovascular risk, blood pressure increment in subjects with heart failure is paradoxically associated with lower risk. The objective was to determine whether pulse pressure and pulse wave velocity (PWV) remain prognostic markers, independent of treatment in heart failure with reduced left ventricular function. The investigation involved 6632 patients of the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study. All subjects had acute myocardial infarction with left ventricular ejection fraction <40% and signs/symptoms of heart failure. Carotid-femoral PWV was measured in a subpopulation of 306 subjects. In the overall population, baseline mean arterial pressure <90 mm Hg was associated with higher all-cause death (hazard ratio, 1.14 [95% confidence interval, 1.00-1.30]; P<0.05), whereas higher left ventricular ejection fraction or pulse pressure was associated with lower rates of all-cause death, cardiovascular death/hospitalization, and cardiovascular death. In the subpopulation, increased baseline PWV was associated with worse outcomes (all-cause death: 1.16 [1.03-1.30]; P<0.05 and cardiovascular deaths: 1.16 [1.03-1.31]; P<0.05), independent of age and left ventricular ejection fraction. Using multiple regression analysis, systolic blood pressure and age were the main independent factors positively associated with pulse pressure or PWV, both in the entire population or in the PWV substudy. In heart failure and low ejection fraction, our results suggest that pulse pressure, being negatively associated with outcome, is more dependent on left ventricular function and thereby no longer a marker of aortic elasticity. In contrast, increased aortic stiffness, assessed by PWV, contributes significantly to cardiovascular death.

  11. G-tunnel pressurized slot-testing evaluations

    International Nuclear Information System (INIS)

    Zimmerman, R.M.; Sifre-Soto, C.; Mann, K.L.; Bellman, R.A. Jr.; Luker, S.; Dodds, D.J.

    1992-04-01

    Designers and analysts of radioactive waste repositories must be able to predict the mechanical behavior of the host rock. Sandia National Laboratories elected to conduct a development program to enhance mechanical-type measurements. The program was focused on pressurized slot testing and featured (1) development of an improved method to cut slots using a chain saw with diamond-tipped cutters, (2) measurements useful for determining in situ stresses normal to slots, (3) measurements applicable for determining the in situ modulus of deformation parallel to a drift surface, and (4) evaluations of pressurized slot strength testing results and methods. This report contains data interpretation and evaluations. Included are recommendations for future efforts. This third report contains the interpretations of the testing with emphasis on the measurement results as they apply to describing rock behavior. In particular, emphases are placed on (1) normal stress determinations using the flatjack cancellation (FC) method, (2) modulus of deformation determinations, and (3) high pressure investigations. Most of the material in the first two reports is not repeated here. Appropriate data are repeated in tabular form

  12. Transcatheter Interatrial Shunt Device for the Treatment of Heart Failure With Preserved Ejection Fraction (REDUCE LAP-HF I [Reduce Elevated Left Atrial Pressure in Patients With Heart Failure]): A Phase 2, Randomized, Sham-Controlled Trial.

    Science.gov (United States)

    Feldman, Ted; Mauri, Laura; Kahwash, Rami; Litwin, Sheldon; Ricciardi, Mark J; van der Harst, Pim; Penicka, Martin; Fail, Peter S; Kaye, David M; Petrie, Mark C; Basuray, Anupam; Hummel, Scott L; Forde-McLean, Rhondalyn; Nielsen, Christopher D; Lilly, Scott; Massaro, Joseph M; Burkhoff, Daniel; Shah, Sanjiv J

    2018-01-23

    In nonrandomized, open-label studies, a transcatheter interatrial shunt device (IASD, Corvia Medical) was associated with lower pulmonary capillary wedge pressure (PCWP), fewer symptoms, and greater quality of life and exercise capacity in patients with heart failure (HF) and midrange or preserved ejection fraction (EF ≥40%). We conducted the first randomized sham-controlled trial to evaluate the IASD in HF with EF ≥40%. REDUCE LAP-HF I (Reduce Elevated Left Atrial Pressure in Patients With Heart Failure) was a phase 2, randomized, parallel-group, blinded multicenter trial in patients with New York Heart Association class III or ambulatory class IV HF, EF ≥40%, exercise PCWP ≥25 mm Hg, and PCWP-right atrial pressure gradient ≥5 mm Hg. Participants were randomized (1:1) to the IASD versus a sham procedure (femoral venous access with intracardiac echocardiography but no IASD placement). The participants and investigators assessing the participants during follow-up were blinded to treatment assignment. The primary effectiveness end point was exercise PCWP at 1 month. The primary safety end point was major adverse cardiac, cerebrovascular, and renal events at 1 month. PCWP during exercise was compared between treatment groups using a mixed-effects repeated measures model analysis of covariance that included data from all available stages of exercise. A total of 94 patients were enrolled, of whom 44 met inclusion/exclusion criteria and were randomized to the IASD (n=22) and control (n=22) groups. Mean age was 70±9 years, and 50% were female. At 1 month, the IASD resulted in a greater reduction in PCWP compared with sham control ( P =0.028 accounting for all stages of exercise). Peak PCWP decreased by 3.5±6.4 mm Hg in the treatment group versus 0.5±5.0 mm Hg in the control group ( P =0.14). There were no peri-procedural or 1-month major adverse cardiac, cerebrovascular, and renal events in the IASD group and 1 event (worsening renal function) in the

  13. Needs for evaluated covariance data for reactor pressure vessel dosimetry

    International Nuclear Information System (INIS)

    Maerker, R.E.; Broadhead, B.L.; Wagschal, J.J.

    1992-01-01

    This report discusses new methodology for quantifying and then reducing uncertainties in the calculated pressure vessel fluences of a pressurized water reactor (PWR). The technique involves combining the integral results of the calculated and measured PWR surveillance dosimetry activities with the differential data used in the calculations, along with covariances of all the quantities, into a generalized linear least-squares adjustment procedure. Based on analysis of both PWRs and test reactor benchmarks, substantial evidence now exists to support the conclusion that, of all the nuclear as well as non-nuclear differential data considered, ENDF/B-VI values of the total inelastic iron cross sections and their covariances are the most important data controlling the outcome of the adjustment procedure. Predicted adjustments in these cross sections provided the stimulus for new measurements, the results of which impacted the ENDF/B-VI evaluation of iron 56

  14. Role of imaging in the evaluation of renal dysfunction in heart failure patients.

    Science.gov (United States)

    Grande, Dario; Terlizzese, Paola; Iacoviello, Massimo

    2017-05-06

    Heart failure and kidney disease share common pathophysiological pathways which can lead to mutual dysfunction, known as cardiorenal syndrome. In heart failure patients, renal impairment is related to hemodynamic and non-hemodynamic factors. Both decreased renal blood flow and renal venous congestion due to heart failure could lead to impaired renal function. Kidney disease and worsening renal function are independently associated with poor prognosis in heart failure patients, both in acute and chronic clinical settings. The aim of this review is to assess the role of renal imaging modalities in the evaluation and management of heart failure patients. Renal imaging techniques could complete laboratory data, as estimated glomerular filtration rate, exploring different pathophysiological factors involved in kidney disease and adding valuable information about renal structure and function. In particular, Doppler examination of arterial and venous hemodynamics is a feasible and non invasive technique, which has proven to be a reliable method for prognostic stratification in patients with cardiorenal syndrome. The renal resistance index, a measure related to renal hemodynamics, can be calculated from the Doppler evaluation of arterial flow. Moreover, the analysis of Doppler venous flow patterns can integrate information from the arterial study and evaluate renal congestion. Other imaging modalities are promising, but still confined to research purposes.

  15. Transient radon signals driven by fluid pressure pulse, micro-crack closure, and failure during granite deformation experiments

    Science.gov (United States)

    Girault, Frédéric; Schubnel, Alexandre; Pili, Éric

    2017-09-01

    In seismically active fault zones, various crustal fluids including gases are released at the surface. Radon-222, a radioactive gas naturally produced in rocks, is used in volcanic and tectonic contexts to illuminate crustal deformation or earthquake mechanisms. At some locations, intriguing radon signals have been recorded before, during, or after tectonic events, but such observations remain controversial, mainly because physical characterization of potential radon anomalies from the upper crust is lacking. Here we conducted several month-long deformation experiments under controlled dry upper crustal conditions with a triaxial cell to continuously monitor radon emission from crustal rocks affected by three main effects: a fluid pressure pulse, micro-crack closure, and differential stress increase to macroscopic failure. We found that these effects are systematically associated with a variety of radon signals that can be explained using a first-order advective model of radon transport. First, connection to a source of deep fluid pressure (a fluid pressure pulse) is associated with a large transient radon emission increase (factor of 3-7) compared with the background level. We reason that peak amplitude is governed by the accumulation time and the radon source term, and that peak duration is controlled by radioactive decay, permeability, and advective losses of radon. Second, increasing isostatic compression is first accompanied by an increase in radon emission followed by a decrease beyond a critical pressure representing the depth below which crack closure hampers radon emission (150-250 MPa, ca. 5.5-9.5 km depth in our experiments). Third, the increase of differential stress, and associated shear and volumetric deformation, systematically triggers significant radon peaks (ca. 25-350% above background level) before macroscopic failure, by connecting isolated cracks, which dramatically enhances permeability. The detection of transient radon signals before rupture

  16. Postural effects on intracranial pressure: modeling and clinical evaluation.

    Science.gov (United States)

    Qvarlander, Sara; Sundström, Nina; Malm, Jan; Eklund, Anders

    2013-11-01

    The physiological effect of posture on intracranial pressure (ICP) is not well described. This study defined and evaluated three mathematical models describing the postural effects on ICP, designed to predict ICP at different head-up tilt angles from the supine ICP value. Model I was based on a hydrostatic indifference point for the cerebrospinal fluid (CSF) system, i.e., the existence of a point in the system where pressure is independent of body position. Models II and III were based on Davson's equation for CSF absorption, which relates ICP to venous pressure, and postulated that gravitational effects within the venous system are transferred to the CSF system. Model II assumed a fully communicating venous system, and model III assumed that collapse of the jugular veins at higher tilt angles creates two separate hydrostatic compartments. Evaluation of the models was based on ICP measurements at seven tilt angles (0-71°) in 27 normal pressure hydrocephalus patients. ICP decreased with tilt angle (ANOVA: P < 0.01). The reduction was well predicted by model III (ANOVA lack-of-fit: P = 0.65), which showed excellent fit against measured ICP. Neither model I nor II adequately described the reduction in ICP (ANOVA lack-of-fit: P < 0.01). Postural changes in ICP could not be predicted based on the currently accepted theory of a hydrostatic indifference point for the CSF system, but a new model combining Davson's equation for CSF absorption and hydrostatic gradients in a collapsible venous system performed well and can be useful in future research on gravity and CSF physiology.

  17. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.

    Science.gov (United States)

    Peute, Linda W; Aarts, Jos; Bakker, Piet J M; Jaspers, Monique W M

    2010-04-01

    To investigate the human, social and organizational issues surrounding a Computerized Physician Order Entry system for Laboratory ordering (CPOE-L) implementation process and to analyze their interrelated effects on the system implementation failure in an academic medical setting. Second, to provide lessons learned and recommendations on to how to manage challenges of human, social and organizational nature surrounding CPOE-L implementations. The themes surrounding CPOE introduction were identified by a heuristic analysis of literature on CPOE implementations. The resulting set of themes was applied as a reference model for 20 semi-structured interviews conducted during the CPOE-L implementation process with 11 persons involved in the CPOE-L project and in reviewing all CPOE-L related project documentation. Data was additionally gathered by user questionnaires, by user discussion rounds and through an ethnographical study performed at the involved clinical and laboratory departments. In analyzing the interview transcripts, project documentation and data from user questionnaires and discussion rounds a grounded theory approach was applied by the evaluation team to identify problem areas or issues deserving further analysis. Outlined central problem areas concerning the CPOE-L implementation and their mutual relations were depicted in a conceptual interpretative model. Understanding of clinical workflow was identified as a key theme pressured by organizational, human and social issues ultimately influencing the entire implementation process in a negative way. Vast delays in CPOE introduction, system immaturity and under-functionality could all be directly attributed to a superficial understanding of workflow. Consequently, final CPOE integration into clinical and laboratory workflows was inhibited by both end-users as well as department managers and withdrawal of the CPOE-L system became inevitable. This case study demonstrates which human, social and organizational

  18. Fracture probability evaluation of a LWR pressure vessel

    International Nuclear Information System (INIS)

    Grandemange, J.; Pellissier-Tanon, A.; Quero, J.; Carnino, A.; Dufresne, J.

    1978-01-01

    Fracture probability evaluation, of a LWR pressure vessel have been performed in the past, using statistical data from conventional plant. A more accurate evaluation has been requested in 1976 from the SCSIN to the CEA. With this object, a joint collaboration agreement has been signed between CEA, EURATOM/ISPRA and FRAMATOME. The whole program proceeding from this agreement is managed by a joint board including the three partners. The basic objective of this program is to develop a method which integrates, or makes it possible to integrate at a later stage, the greatest number of significant parameters. Also, in order to prepare the practical applications, a special effort is being made to collect the data corresponding to these parameters. Parallel basic research program have been launched in order to clarify our knowledge on some important parts of the main factors contributing to the evaluation. The results of this research will be progressively introduced into the method or will help checking its validity

  19. Long Non-Coding RNA Malat-1 Is Dispensable during Pressure Overload-Induced Cardiac Remodeling and Failure in Mice.

    Directory of Open Access Journals (Sweden)

    Tim Peters

    Full Text Available Long non-coding RNAs (lncRNAs are a class of RNA molecules with diverse regulatory functions during embryonic development, normal life, and disease in higher organisms. However, research on the role of lncRNAs in cardiovascular diseases and in particular heart failure is still in its infancy. The exceptionally well conserved nuclear lncRNA Metastasis associated in lung adenocarcinoma transcript 1 (Malat-1 is a regulator of mRNA splicing and highly expressed in the heart. Malat-1 modulates hypoxia-induced vessel growth, activates ERK/MAPK signaling, and scavenges the anti-hypertrophic microRNA-133. We therefore hypothesized that Malat-1 may act as regulator of cardiac hypertrophy and failure during cardiac pressure overload induced by thoracic aortic constriction (TAC in mice.Absence of Malat-1 did not affect cardiac hypertrophy upon pressure overload: Heart weight to tibia length ratio significantly increased in WT mice (sham: 5.78±0.55, TAC 9.79±1.82 g/mm; p<0.001 but to a similar extend also in Malat-1 knockout (KO mice (sham: 6.21±1.12, TAC 8.91±1.74 g/mm; p<0.01 with no significant difference between genotypes. As expected, TAC significantly reduced left ventricular fractional shortening in WT (sham: 38.81±6.53%, TAC: 23.14±11.99%; p<0.01 but to a comparable degree also in KO mice (sham: 37.01±4.19%, TAC: 25.98±9.75%; p<0.05. Histological hallmarks of myocardial remodeling, such as cardiomyocyte hypertrophy, increased interstitial fibrosis, reduced capillary density, and immune cell infiltration, did not differ significantly between WT and KO mice after TAC. In line, the absence of Malat-1 did not significantly affect angiotensin II-induced cardiac hypertrophy, dysfunction, and overall remodeling. Above that, pressure overload by TAC significantly induced mRNA levels of the hypertrophy marker genes Nppa, Nppb and Acta1, to a similar extend in both genotypes. Alternative splicing of Ndrg2 after TAC was apparent in WT (isoform ratio

  20. Evaluation of Safety in a Radiation Oncology Setting Using Failure Mode and Effects Analysis

    International Nuclear Information System (INIS)

    Ford, Eric C.; Gaudette, Ray; Myers, Lee; Vanderver, Bruce; Engineer, Lilly; Zellars, Richard; Song, Danny Y.; Wong, John; DeWeese, Theodore L.

    2009-01-01

    Purpose: Failure mode and effects analysis (FMEA) is a widely used tool for prospectively evaluating safety and reliability. We report our experiences in applying FMEA in the setting of radiation oncology. Methods and Materials: We performed an FMEA analysis for our external beam radiation therapy service, which consisted of the following tasks: (1) create a visual map of the process, (2) identify possible failure modes; assign risk probability numbers (RPN) to each failure mode based on tabulated scores for the severity, frequency of occurrence, and detectability, each on a scale of 1 to 10; and (3) identify improvements that are both feasible and effective. The RPN scores can span a range of 1 to 1000, with higher scores indicating the relative importance of a given failure mode. Results: Our process map consisted of 269 different nodes. We identified 127 possible failure modes with RPN scores ranging from 2 to 160. Fifteen of the top-ranked failure modes were considered for process improvements, representing RPN scores of 75 and more. These specific improvement suggestions were incorporated into our practice with a review and implementation by each department team responsible for the process. Conclusions: The FMEA technique provides a systematic method for finding vulnerabilities in a process before they result in an error. The FMEA framework can naturally incorporate further quantification and monitoring. A general-use system for incident and near miss reporting would be useful in this regard.

  1. Engineering failure assessment methods applied to pressurized components; Bruchmechanische Bewertung druckfuehrender Komponenten mittels ingenieurmaessiger Bewertungsverfahren

    Energy Technology Data Exchange (ETDEWEB)

    Zerbst, U.; Beeck, F.; Scheider, I.; Brocks, W. [GKSS-Forschungszentrum Geesthacht GmbH (Germany). Inst. fuer Werkstofforschung

    1998-11-01

    Under the roof of SINTAP (Structural Integrity Assessment Procedures for European Industry), a European BRITE-EURAM project, a study is being carried out into the possibility of establishing on the basis of existing models a standard European flaw assessment method. The R6 Routine and the ETM are important, existing examples in this context. The paper presents the two methods, explaining their advantages and shortcomes as well as common features. Their applicability is shown by experiments with two pressure vessels subject to internal pressure and flawed by a surface crack or a through-wall crack, respectively. Both the R6 Routine and the ETM results have been compared with results of component tests carried out in the 1980s at TWI and are found to yield acceptable conservative, i.e. sufficiently safe, lifetime predictions, as they do not give lifetime assessments which unduly underestimate the effects of flaws under operational loads. (orig./CB) [Deutsch] Gegenwaertig wird im Rahmen von SINTAP (Structural Integrity Assessment Procedures for European Industries), einem europaeischen BRITE-EURAM-Projekt geprueft, inwieweit auf der Grundlage vorhandener Modelle eine einheitliche europaeische Fehlerbewertungsmethode erstellt werden kann. Eine zentrale Stellung kommt dabei Verfahren wie der R6-Routine und dem ETM zu. In der vorliegenden Arbeit wurden beide Methoden vorgestellt, wobei ihre Vor- und Nachteile, aber auch ihre Gemeinsamkeiten herausgearbeitet wurden. Die Anwendung wurde an zwei innendruckbelasteten Behaeltern mit Oberflaechen- bzw. wanddurchdringendem Riss demonstriert. Sowohl R6-Routine als auch ETM ergaben im Vergleich mit am TWI zu Beginn der 80er Jahre durchgefuehrten Bauteilexperimenten eine vertretbare konservative Vorhersage, d.h. eine nicht allzu grosse Unterschaetzung der ertragbaren Last der Bauteile. (orig.)

  2. Failure cause and failure rate evaluation on pumps of BWR plants in PSA. Hypothesis testing for typical or plant specific failure rate of pumps

    International Nuclear Information System (INIS)

    Sanada, Takahiro; Nakamura, Makoto

    2009-01-01

    In support of domestic nuclear industry effort to gather and analyze failure data of components concerning nuclear power plants, Nuclear Information Archives (NUCIA) are published for useful information to help PSA. This report focuses on NUCIA pertaining to pumps in domestic nuclear power plants, and provides the reliable estimation on failure rate of pumps resulting from failure cause analysis and hypothesis testing of classified and plant specific failure rate of pumps for improving quality in PSA. The classified and plant specific failure rate of pumps are estimated by analyzing individual domestic nuclear power plant's data of 26 Boiling Water Reactors (BWRs) concerning functionally structurally classified pump failures reported from beginning of commercial operation to March 31, 2007. (author)

  3. SU-F-T-246: Evaluation of Healthcare Failure Mode And Effect Analysis For Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Harry, T [Oregon State University, Corvallis, OR (United States); University of California, San Diego, La Jolla, CA (United States); Manger, R; Cervino, L; Pawlicki, T [University of California, San Diego, La Jolla, CA (United States)

    2016-06-15

    Purpose: To evaluate the differences between the Veteran Affairs Healthcare Failure Modes and Effect Analysis (HFMEA) and the AAPM Task Group 100 Failure and Effect Analysis (FMEA) risk assessment techniques in the setting of a stereotactic radiosurgery (SRS) procedure were compared respectively. Understanding the differences in the techniques methodologies and outcomes will provide further insight into the applicability and utility of risk assessments exercises in radiation therapy. Methods: HFMEA risk assessment analysis was performed on a stereotactic radiosurgery procedure. A previous study from our institution completed a FMEA of our SRS procedure and the process map generated from this work was used for the HFMEA. The process of performing the HFMEA scoring was analyzed, and the results from both analyses were compared. Results: The key differences between the two risk assessments are the scoring criteria for failure modes and identifying critical failure modes for potential hazards. The general consensus among the team performing the analyses was that scoring for the HFMEA was simpler and more intuitive then the FMEA. The FMEA identified 25 critical failure modes while the HFMEA identified 39. Seven of the FMEA critical failure modes were not identified by the HFMEA and 21 of the HFMEA critical failure modes were not identified by the FMEA. HFMEA as described by the Veteran Affairs provides guidelines on which failure modes to address first. Conclusion: HFMEA is a more efficient model for identifying gross risks in a process than FMEA. Clinics with minimal staff, time and resources can benefit from this type of risk assessment to eliminate or mitigate high risk hazards with nominal effort. FMEA can provide more in depth details but at the cost of elevated effort.

  4. Evaluation of telehealth service for patients with congestive heart failure in the north of Israel.

    Science.gov (United States)

    Eilat-Tsanani, Sophia; Golovner, Michal; Marcus, Ohad; Dayan, Mordechai; Sade, Zipi; Iktelat, Adel; Rothman, Johanna; Oppenheimer, Yoel

    2016-04-01

    This research was conducted to evaluate the impact of a telehealth service on re-hospitalization of patients with congestive heart failure at New York Heart Association II-IV. The telehealth service for congestive heart failure patients was designed to follow the patients after their daily weighing and to provide a response in cases of non-compliance or deviation from baseline weight. A weighing scale was installed in the patient's house together with a communication module connected to the telemedicine control centre through a telephone line. The control centre is staffed by skilled nurses whose responses to patients are guided by programmed algorithm. Over a year, we evaluated the changes in the frequency of hospital admission and of primary care visits, and quality of life of 141 individuals who were eligible for the telehealth service for congestive heart failure. A decline was noted in the average number of hospitalizations per patient (from 4.7 to 2.6, p < 0.001). Scores of parameters of quality of life were improved (average score for first through fourth quarterly administration: 64, 50, 16, 16, p < 0.001 by the Minnesota Living with Heart Failure Questionnaire). During the year of use in telehealth service for congestive heart failure parameters of hospitalization were improved, together with parameters of quality of life. © The European Society of Cardiology 2015.

  5. STEM - software test and evaluation methods. A study of failure dependency in diverse software

    International Nuclear Information System (INIS)

    Bishop, P.G.; Pullen, F.D.

    1989-02-01

    STEM is a collaborative software reliability project undertaken in partnership with Halden Reactor Project, UKAEA, and the Finnish Technical Research Centre. The objective of STEM is to evaluate a number of fault detection and fault estimation methods which can be applied to high integrity software. This Report presents a study of the observed failure dependencies between faults in diversely produced software. (author)

  6. Become the PPUPET Master: Mastering Pressure Ulcer Risk Assessment With the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET).

    Science.gov (United States)

    Sterken, David J; Mooney, JoAnn; Ropele, Diana; Kett, Alysha; Vander Laan, Karen J

    2015-01-01

    Hospital acquired pressure ulcers (HAPU) are serious, debilitating, and preventable complications in all inpatient populations. Despite evidence of the development of pressure ulcers in the pediatric population, minimal research has been done. Based on observations gathered during quarterly HAPU audits, bedside nursing staff recognized trends in pressure ulcer locations that were not captured using current pressure ulcer risk assessment tools. Together, bedside nurses and nursing leadership created and conducted multiple research studies to investigate the validity and reliability of the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET). Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Insulin Micropump with Embedded Pressure Sensors for Failure Detection and Delivery of Accurate Monitoring

    Directory of Open Access Journals (Sweden)

    Dimitry Dumont-Fillon

    2014-11-01

    Full Text Available Improved glycemic control with insulin pump therapy in patients with type 1 diabetes mellitus has shown gradual reductions in nephropathy and retinopathy. More recently, the emerging concept of the artificial pancreas, comprising an insulin pump coupled to a continuous glucose meter and a control algorithm, would become the next major breakthrough in diabetes care. The patient safety and the efficiency of the therapy are directly derived from the delivery accuracy of rapid-acting insulin. For this purpose, a specific precision-oriented design of micropump has been built. The device, made of a stack of three silicon wafers, comprises two check valves and a pumping membrane that is actuated against stop limiters by a piezo actuator. Two membranes comprising piezoresistive strain gauges have been implemented to measure the pressure in the pumping chamber and at the outlet of the pump. Their high sensitivity makes possible the monitoring of the pumping accuracy with a tolerance of ±5% for each individual stroke of 200 nL. The capability of these sensors to monitor priming, reservoir overpressure, reservoir emptying, outlet occlusion and valve leakage has also been studied.

  8. The deterministic prediction of failure of low pressure steam turbine disks

    International Nuclear Information System (INIS)

    Liu, Chun; Macdonald, D.D.

    1993-01-01

    Localized corrosion phenomena, including pitting corrosion, stress corrosion cracking, and corrosion fatigue, are the principal causes of corrosion-induced damage in electric power generating facilities and typically result in more than 50% of the unscheduled outages. Prediction of damage, so that repairs and inspections can be made during scheduled outages, could have an enormous impact on the economics of electric power generation. To date, prediction of corrosion damage has been made on the basis of empirical/statistical methods that have proven to be insufficiently robust and accurate to form the basis for the desired inspection/repair protocol. In this paper, we describe a deterministic method for predicting localized corrosion damage. We have used the method to illustrate how pitting corrosion initiates stress corrosion cracking (SCC) for low pressure steam turbine disks downstream of the Wilson line, where a thin condensed liquid layer exists on the steel disk surfaces. Our calculations show that the SCC initiation and propagation are sensitive to the oxygen content of the steam, the environment in the thin liquid condensed layer, and the stresses that the disk experiences in service

  9. A ductile fracture mechanics methodology for predicting pressure vessel and piping failure

    International Nuclear Information System (INIS)

    Landes, J.D.; Zhou, Z.

    1991-01-01

    This paper reports on a ductile fracture methodology based on one used more generally for the prediction of fracture behavior that was applied to the prediction of fracture behavior in pressure vessel and piping components. The model uses the load versus displacement record from a fracture toughness test to develop inputs for predicting the behavior of the structural component. The principle of load separation is used to convert the test record into two pieces of information, calibration functions which describe the structural deformation behavior and fracture toughness which describes the response of a crack-like flaw to the loading. These calibration functions and fracture toughness values which relate to the test specimen are then transformed to those appropriate to the structure. Often in this step computation procedures could be used but are not always necessary. The calibration functions and fracture for the structure are recombined to predict a load versus displacement behavior for the structure. The input for the model was generated from tests of compact specimen geometries; this geometry is often used for fracture toughness testing. The predictions were done for five model structures

  10. Technical evaluation: pressurized fluidized-bed combustion technology

    Energy Technology Data Exchange (ETDEWEB)

    Miller, S A; Vogel, G J; Gehl, S M; Hanway, Jr, J E; Henry, R F; Parker, K M; Smyk, E B; Swift, W M; Podolski, W F

    1982-04-01

    The technology of pressurized fluidized-bed combustion, particularly in its application to a coal-burning combined-cycle plant, is evaluated by examining the technical status of advanced-concept plant components - boiler system (combustor, air-handling and air-injection equipment, and heat exchangers); solids handling, injection, and ejection system; hot-gas cleanup equipment; instrumentation/control system; and the gas turbine - along with materials of plant construction. Environmental performance as well as energy efficiency are examined, and economic considerations are reviewed briefly. The evaluation concludes with a broad survey of the principal related research and development programs in the United States and other countries, a foreview of the most likely technological developments, and a summary of unresolved technical issues and problems.

  11. Immunity-based detection, identification, and evaluation of aircraft sub-system failures

    Science.gov (United States)

    Moncayo, Hever Y.

    This thesis describes the design, development, and flight-simulation testing of an integrated Artificial Immune System (AIS) for detection, identification, and evaluation of a wide variety of sensor, actuator, propulsion, and structural failures/damages including the prediction of the achievable states and other limitations on performance and handling qualities. The AIS scheme achieves high detection rate and low number of false alarms for all the failure categories considered. Data collected using a motion-based flight simulator are used to define the self for an extended sub-region of the flight envelope. The NASA IFCS F-15 research aircraft model is used and represents a supersonic fighter which include model following adaptive control laws based on non-linear dynamic inversion and artificial neural network augmentation. The flight simulation tests are designed to analyze and demonstrate the performance of the immunity-based aircraft failure detection, identification and evaluation (FDIE) scheme. A general robustness analysis is also presented by determining the achievable limits for a desired performance in the presence of atmospheric perturbations. For the purpose of this work, the integrated AIS scheme is implemented based on three main components. The first component performs the detection when one of the considered failures is present in the system. The second component consists in the identification of the failure category and the classification according to the failed element. During the third phase a general evaluation of the failure is performed with the estimation of the magnitude/severity of the failure and the prediction of its effect on reducing the flight envelope of the aircraft system. Solutions and alternatives to specific design issues of the AIS scheme, such as data clustering and empty space optimization, data fusion and duplication removal, definition of features, dimensionality reduction, and selection of cluster/detector shape are also

  12. Evaluation of mishandling or failure of equipment in a research reactor

    International Nuclear Information System (INIS)

    Sriawan

    1999-01-01

    Referring to the types of incident, it always relate to the effect of mishandling or failure of equipment. The effect of the incident can be material damage, room and area contamination, high radiation exposure for personal and even human illness or fatality. These can arise in or after several days from the incidents. From the evaluation, it can be seen that most incidents was caused by the procedure and operator fault and view of them was caused by equipment/component failure. Learned from those experiences, it is recommended the operation number must take care the safety of the reactor and its operation as well as the effect of the incident

  13. Reliability of emergency diesel-generators used in french NPP evaluation of the failure rate and its trend failures and dysfunctions review

    International Nuclear Information System (INIS)

    Colas, A.F.

    1990-01-01

    Emergency Diesel-Generators (EDG) reliability evaluation is based on examination of tests and operation abnormalities collected in national computerised data bank. We gather all available data in order to establish failures rate annual values and to follow their trend. Technical analysis aims at identifying failures modes in order to find palliative or curative solutions. The present paper tries to show our main findings and the way of technical approach we follow in this matters

  14. Reliability of emergency diesel-generators used in french NPP evaluation of the failure rate and its trend failures and dysfunctions review

    International Nuclear Information System (INIS)

    Colas, A.F.

    1989-04-01

    Emergency Diesel-Generators (EDG) reliability evaluation is based on examination of tests and operation abnormalities collected in national computerised data bank. We gather all available data in order to establish failures rate annual values and to follow their trend. Technical analysis aims at identifying failures modes in order to find palliative or curative solutions. The present paper tries to show our main findings and the way of technical approach we follow in this matters

  15. Evaluation of failure or deficient performance factors of approved research projects by TUMS research council

    Directory of Open Access Journals (Sweden)

    Zarinara A.

    2002-08-01

    Full Text Available The major activity for vice chancellor for research at Tehran University of Medical Sciences (TUMS is to monitor research projects undertaken by the academic staff. Sometimes projects have been failed in meeting their objectives. The aim of this project was the evaluation of the failure of the research projects at TUMS from the establishment date to 1379. A case-control survey was designed and 70 failed projects with 71 successfully completed projects were considered and compared. Results showed that type of study, location of administration, methodology, qualification of executive and duration of project were the factors of failure of the projects. Number of executives, experienced in research projects and executive position were not the effective factors. The most important reason for failure was unsustainably of executive. So, university research council (URC should pay attention on forecast of time and budget of projects and realization of mentioned matters, besides of attention to methodology of project.

  16. Evaluating the operational risks of biomedical waste using failure mode and effects analysis.

    Science.gov (United States)

    Chen, Ying-Chu; Tsai, Pei-Yi

    2017-06-01

    The potential problems and risks of biomedical waste generation have become increasingly apparent in recent years. This study applied a failure mode and effects analysis to evaluate the operational problems and risks of biomedical waste. The microbiological contamination of biomedical waste seldom receives the attention of researchers. In this study, the biomedical waste lifecycle was divided into seven processes: Production, classification, packaging, sterilisation, weighing, storage, and transportation. Twenty main failure modes were identified in these phases and risks were assessed based on their risk priority numbers. The failure modes in the production phase accounted for the highest proportion of the risk priority number score (27.7%). In the packaging phase, the failure mode 'sharp articles not placed in solid containers' had the highest risk priority number score, mainly owing to its high severity rating. The sterilisation process is the main difference in the treatment of infectious and non-infectious biomedical waste. The failure modes in the sterilisation phase were mainly owing to human factors (mostly related to operators). This study increases the understanding of the potential problems and risks associated with biomedical waste, thereby increasing awareness of how to improve the management of biomedical waste to better protect workers, the public, and the environment.

  17. Different relationships between pulse pressure and mortality in heart failure with reduced, mid-range and preserved ejection fraction.

    Science.gov (United States)

    Teng, Tiew-Hwa Katherine; Tay, Wan Ting; Dahlstrom, Ulf; Benson, Lina; Lam, Carolyn S P; Lund, Lars H

    2018-03-01

    In heart failure (HF), pulse pressure (PP) may reflect both vascular stiffness and left ventricular function, but its prognostic role in relation to ejection fraction (EF) is poorly understood. In the Swedish Heart Failure Registry, we investigated the association between PP and 1-year mortality in patients with HF and reduced (HFrEF, cubic splines. Among 36,770 patients discharged alive or enrolled as out-patients with 1-year follow-up (mean age 74±12years, 63% men, 56% HFrEF, 21% HFmrEF, 23% HFpEF), crude one-year mortality was 18%. Mean PP increased across EF groups: 51±16 in HFrEF, 57±18 in HFmrEF, 60±19mmHg in HFpEF. In crude regression splines, the association between PP and mortality was U-shaped in HFmrEF and HFpEF, but curvilinear with only low PP associated with mortality in HFrEF. In multivariable analyses, a significant interaction by EF group and PP was observed (p interaction =0.015): low PP was associated with higher mortality in HFrEF (adjusted OR [1st vs. 4th quintile]=1.40, 95% CI 1.18-1.67) and HFpEF (1.43, 1.14-1.81) but only by trend in HFmrEF; high PP had a trend towards higher mortality in HFmrEF (5th vs. 3rd quintile=1.30, 1.00-1.69) and HFpEF (1.25, 0.98-1.61). The association between PP and mortality in HF was influenced by EF. Low PP was independently associated with mortality in HFrEF and HFpEF and by trend in HFmrEF. High PP was independently associated with mortality by trend in HFmrEF and HFpEF. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Evaluation of PAWP and PLC? Expression in Infertile Men with Previous ICSI Fertilization Failure.

    Science.gov (United States)

    Azad, Nahid; Nazarian, Hamid; Nazari, Leila; Ghaffari Novin, Marefat; Piryaei, Abbas; Heidari, Mohammad Hassan; Masteri Farahani, Reza; Sadjadpour, Seyedeh Susan

    2018-02-04

    The aim of this study was to evaluate postacrosomal sheet WW domain binding protein (PAWP) and phospholipase C ? (PLC?) protein expression in patients with fertilization failure. Semen samples were collected from 15 fertile men (control group) and 15 patients with previous fertilization failure following ICSI (FF group) and were analyzed according to World Health Organization (WHO) criteria. The mean percentages of PAWP and PLC? positive sperm and the total level of PAWP and PLC? proteins were assessed using immunofluorescence staining. A significantly lower level and lower percentage of PAWP positive sperm in patients with fertilization failure was found compared to the control group (P = 0.01 and P = 0.03, respectively). The mean percentage ofPLC? positive sperm and level of PLC? protein were significantly lower in FF group compared to the control group (P = 0.0003 and P = 0.04, respectively). Significant positive correlations was observed between PAWP and PLC? positive sperms (r = 0.4, P = 0.008) and also total level of expression of PLC? and PAWP proteins (r = 0.4, P = 0.02) in all participants in the study. This is the first study that evaluates two main candidates for sperm-borne oocyte activating factors (SOAFs) simultaneously in patients with fertilization failure. Considering lower expression of PAWP and PLC? proteins in such patients, it seems like both factors might have the potential to be considered as SOAFs and diagnostic markers for the oocyte activation ability.

  19. External Dacryocystorhinostomy; Success Rate and Causes of Failure in Endoscopic and Pathologic Evaluations.

    Science.gov (United States)

    Ghasemi, Hassan; Asghari Asl, Sajedeh; Yarmohammadi, Mohammad Ebrahim; Jafari, Farhad; Izadi, Pupak

    2017-01-01

    External dacryocystorhinostomy (DCR) is the method of choice to treat nasolacrimal duct (NLD) obstruction and the other approaches are compared with it, with a failure rate of 4% to 13%. The current study aimed to assess the causes of failure in external DCR by postoperative endoscopic and pathological evaluation. The current retrospective cross sectional study followed-up113 patients with external DCR and silicone intubation for three months. Silicone tubes were removed after the third months. Failure was confirmed based on the clinical findings and irrigation test. Paranasal sinus computed tomography (CT) scanning, and endoscopic and pathological evaluations were performed in the failed cases. Totally, 113 patients underwent external DCR. The patients included 71 females and 42 males. The mean age of the patients was 55.91 years; ranged from 18 to 86. Epiphora was the most common complaint before surgery (90.3%). Clinically, epiphora continued in 17 cases (15%), of which 94.11% had at least one sinus CT abnormality and 82.35% had at least one endoscopic abnormality. The most common endoscopic findings were deviated septum (70.6%), scar tissue (52.94%), concha bullosa (46.9%), septal adhesion (47.05%), enlarged middle turbinate (41.2%), and sump syndrome (11.7%). The failure was significantly associated with the chronicity of the initial symptoms (P-value=0.00). Pathologically, there were significant relationship amongst the failure rate, scar formation, and allergic rhinitis (P-values =0.00 and <0.05, respectively). Preoperative endonasal evaluation and consultation with an otolaryngologist can improve surgical outcomes and help to have a better conscious to intranasal abnormalities before external DCR surgery.

  20. Efficient evaluation of small failure probability in high-dimensional groundwater contaminant transport modeling via a two-stage Monte Carlo method: FAILURE PROBABILITY

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Jiangjiang [Zhejiang Provincial Key Laboratory of Agricultural Resources and Environment, Institute of Soil and Water Resources and Environmental Science, College of Environmental and Resource Sciences, Zhejiang University, Hangzhou China; Li, Weixuan [Pacific Northwest National Laboratory, Richland Washington USA; Lin, Guang [Department of Mathematics and School of Mechanical Engineering, Purdue University, West Lafayette Indiana USA; Zeng, Lingzao [Zhejiang Provincial Key Laboratory of Agricultural Resources and Environment, Institute of Soil and Water Resources and Environmental Science, College of Environmental and Resource Sciences, Zhejiang University, Hangzhou China; Wu, Laosheng [Department of Environmental Sciences, University of California, Riverside California USA

    2017-03-01

    In decision-making for groundwater management and contamination remediation, it is important to accurately evaluate the probability of the occurrence of a failure event. For small failure probability analysis, a large number of model evaluations are needed in the Monte Carlo (MC) simulation, which is impractical for CPU-demanding models. One approach to alleviate the computational cost caused by the model evaluations is to construct a computationally inexpensive surrogate model instead. However, using a surrogate approximation can cause an extra error in the failure probability analysis. Moreover, constructing accurate surrogates is challenging for high-dimensional models, i.e., models containing many uncertain input parameters. To address these issues, we propose an efficient two-stage MC approach for small failure probability analysis in high-dimensional groundwater contaminant transport modeling. In the first stage, a low-dimensional representation of the original high-dimensional model is sought with Karhunen–Loève expansion and sliced inverse regression jointly, which allows for the easy construction of a surrogate with polynomial chaos expansion. Then a surrogate-based MC simulation is implemented. In the second stage, the small number of samples that are close to the failure boundary are re-evaluated with the original model, which corrects the bias introduced by the surrogate approximation. The proposed approach is tested with a numerical case study and is shown to be 100 times faster than the traditional MC approach in achieving the same level of estimation accuracy.

  1. Accident sequences evaluation using SFATs for low power and shutdown operation of pressurized heavy water reactors

    International Nuclear Information System (INIS)

    Kim, Chansoo; Chung, Chang-Hyun; Yang, Huichang

    2004-01-01

    To maintain the level of defense-in-depth safety of Pressurized Heavy Water Reactor (PHWR) during LP/SD operation, the qualitative risk evaluation methods such as Safety Function Assessment Trees (SFATs) are required. Therefore SFATs are suggested to assess and manage the PHWR safety in LP/SD. Before this study, safety functions of PHWR were classified into 7 groups; Reactivity Control, Core Cooling, Secondary Heat Removal, Primary Heat Transport Inventory, Essential Electrical Power, Cooling Water, and Containment Integrity. The SFATs for PHWR LP/SD operations were developed along with the Plant Outage Status (POS) variation, and totally 38 SFATs were developed for Wolsung Unit 2. For the verification of SFATs logics developed, top 5 accident sequences those contribute the CDF of PHWR were selected, and plant safety status were evaluated for those accident sequences. Accident sequences such as DCC-4 (Dual Control Computer Failure), CL4-16 (Total Loss of Class IV Power), and FWPV-11 (Loss of Feedwater Supply to SG due to Failure of Pumps/Values) were included. In this research the evaluation of plant safety status by accident sequences using SFATs and the verification of the SFATs were performed. Through the verification of SFAT logics, the enhancements to the internal logics of the SFATs were made, and the dependencies between safety systems and support systems were considered. It is expected the defense-in-depth evaluation model of PHW just as SFATs can be utilized in the configuration risk management program (CRMP) development and improve technical specifications development for Korean PHWRs. (author)

  2. Effect of Hemodialysis on Eye Coats, Axial Length, and Ocular Perfusion Pressure in Patients with Chronic Renal Failure

    Directory of Open Access Journals (Sweden)

    Ling Wang

    2018-01-01

    Full Text Available Purpose. To investigate changes in eye coats, axial length, and ocular perfusion pressure (OPP in hemodialysis (HD patients with chronic renal failure (CRF. Methods. We included HD patients who were diagnosed with CRF in our hospital from January to December 2015. Fifty-two patients met the inclusion criteria; all right eyes were used for observation. Systolic and diastolic blood pressures were recorded to calculate OPP. Approximately 30 minutes before and after HD, we recorded multiple parameters, including lens thickness (LT, axial length of vitreous (VAL, axial length of eye (EAL, ciliary body thickness (CBT, choroidal thickness (CT, and retinal thickness (RT. Results. After HD, OPP significantly decreased (P<0.01, F=7.023 and CBT became significantly thinner (P<0.01, t=3.461. CT was significantly thinner and differed among measurement locations (P<0.01, t=6.240; P<0.01, t=6.169; P<0.01, t=3.405, respectively, fovea, nasal, and temporal side 1500 μm beside the fovea. Further, RT thickened and differed among measurement locations (P<0.05, t=−2.265; P<0.05, t=−2.624; P<0.05, t=−2.220, respectively, fovea, nasal, and temporal side 1500 μm beside fovea, whereas LT, VAL, and EAL significantly increased after HD (P<0.05, t=−2.076; P<0.01, t=−3.817; P<0.01, t=−4.010. Conclusions. HD impacts the thickness of the eye coats and VAL, particularly affecting CBT, CT, and RT. OPP transiently decreases during HD, which may contribute to an ischemic state.

  3. Experimental and Numerical Evaluation of Rock Dynamic Test with Split-Hopkinson Pressure Bar

    Directory of Open Access Journals (Sweden)

    Kang Peng

    2017-01-01

    Full Text Available Feasibility of rock dynamic properties by split-Hopkinson pressure bar (SHPB was experimentally and numerically evaluated with ANSYS/LS-DYNA. The effects of different diameters, different loading rates, and different propagation distances on wave dispersion of input bars in SHPB with rectangle and half-sine wave loadings were analyzed. The results show that the dispersion effect on the diameter of input bar, loading rate, and propagation distance under half-sine waveform loading is ignorable compared with the rectangle wave loading. Moreover, the degrees of stress uniformity under rectangle and half-sine input wave loadings are compared in SHPB tests, and the time required for stress uniformity is calculated under different above-mentioned loadings. It is confirmed that the stress uniformity can be realized more easily using the half-sine pulse loading compared to the rectangle pulse loading, and this has significant advantages in the dynamic test of rock-like materials. Finally, the Holmquist-Johnson-Concrete constitutive model is introduced to simulate the failure mechanism and failure and fragmentation characteristics of rock under different strain rates. And the numerical results agree with that obtained from the experiment, which confirms the effectiveness of the model and the method.

  4. Evaluation of skin perfusion pressure to assess refractory foot ulcers.

    Science.gov (United States)

    Kawai, M; Mihara, S; Takahagi, S; Iwamoto, K; Hiragun, T; Hide, M

    2017-05-02

    The number of patients with foot gangrene caused by critical ischaemia and severe infection is increasing significantly in developed countries. The measurement of perilesional skin blood flow by skin perfusion pressure (SPP) is useful to select the appropriate treatment of gangrenous lesions, in that it is not affected by calcifications of blood vessels. However, the prognosis of a foot ulcer may also be affected by the level of blood sugar and infections. This study aimed to validate the use of SPP in cases of foot gangrene and ulcers in patients with and without diabetes mellitus (DM) and infection. Clinical symptoms, ankle-brachial pressure index (ABPI) and SPP were assessed to evaluate the condition of each foot ulcer. Every foot ulcer was treated as independent, even if a participant had multiple ulcers. All ulcers for which we measured SPP were subject to the analysis. All ulcers were purely ischaemic in nature and were exclusively located on the foot or toes. Data were collected from 117 foot ulcers on 91 toes and feet from 65 patients. Almost all SPP values in healed cases were > 27 mmHg. There were three patients whose ulcers failed to heal by conservative treatments were complicated with severe infection. However, no effect of DM on the relationship between SPP values and prognosis was observed. Logistic regression analysis of all ulcers except for the 5 cases complicated with infection revealed that those with 30 mmHg or lower SPP values are likely to heal by conservative treatment with 23% or lower probability, whereas any ulcer with more than 50 mmHg SPP value and without severe infection may heal without the need for further operations with 80% or higher probability. The combination of SPP and careful evaluation of infection may be a good parameter to decide the appropriate treatment for ischaemic skin ulcers, regardless of the complication of DM.

  5. Evaluation of the reactor pressure vessel steels by positron annihilation

    Energy Technology Data Exchange (ETDEWEB)

    Slugeň, V., E-mail: Vladimir.Slugen@elf.stuba.sk [Institute of Nuclear and Physical Engineering, Slovak University of Technology, Ilkovičova 3, 81219 Bratislava (Slovakia); Hein, H. [AREVA NP GmbH, Paul Gossen Strasse 100, 91 001 Erlangen (Germany); Sojak, S.; Simeg Veterníková, J.; Petriska, M.; Sabelová, V.; Pavúk, M.; Hinca, R.; Stacho, M. [Institute of Nuclear and Physical Engineering, Slovak University of Technology, Ilkovičova 3, 81219 Bratislava (Slovakia)

    2013-11-15

    This paper presents a comparison of commercially used German and Russian reactor pressure vessel steels from the positron annihilation spectroscopy (PAS) point of view, having in mind knowledge obtained also from other techniques from the last decades. The second generation of Russian RPV steels seems to be fully comparable with German steels and their quality allows prolongation of NPP operating lifetime over projected 40 years. The embrittlement of CrMoV steels is relatively low due to effect of higher temperature which implies partial in situ annealing of primary microstructural point defects and therefore delays the degradation processes caused by neutron irradiation. PAS techniques can be effectively applied for evaluation of microstructural changes caused by extreme external loads (characterized by high dpa values) by proton implantation, with aim to simulate irradiation and for the evaluation of the effectiveness of post-irradiation thermal treatments. We used our actual and previous results, collected during last 20 years from measurements of different RPV-steels in “as received”, irradiated and post-irradiation annealed state and compare them with the aim to contribute to general knowledge based on experimental PAS data. Actual results from irradiated German and Russian steels confirmed that no large voids or vacancy clusters were formed at defined irradiation conditions stated according to the real operational conditions at nuclear power plants. This indicate the fact that vacancy type defects bear hardly any responsibility for radiation-induced hardening and embrittlement of reactor pressure vessel steels and does not affect significantly the long-term operation of nuclear power plants from safety point of view.

  6. Evaluation of pancreatic tissue fluid pressure measurements intraoperatively and by sonographically guided fine-needle puncture

    DEFF Research Database (Denmark)

    Ebbehøj, N; Borly, L; Bülow, J

    1990-01-01

    pressure measurements via direct puncture. Furthermore, no significant difference was seen between pancreatic duct and tissue fluid pressure. The technical evaluation was performed by repeated pressure measurements in human pancreatic autopsy specimens and living rats in a pressure chamber at various...

  7. UQ and V&V techniques applied to experiments and simulations of heated pipes pressurized to failure

    Energy Technology Data Exchange (ETDEWEB)

    Romero, Vicente Jose [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dempsey, J. Franklin [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Antoun, Bonnie R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2014-05-01

    This report demonstrates versatile and practical model validation and uncertainty quantification techniques applied to the accuracy assessment of a computational model of heated steel pipes pressurized to failure. The Real Space validation methodology segregates aleatory and epistemic uncertainties to form straightforward model validation metrics especially suited for assessing models to be used in the analysis of performance and safety margins. The methodology handles difficulties associated with representing and propagating interval and/or probabilistic uncertainties from multiple correlated and uncorrelated sources in the experiments and simulations including: material variability characterized by non-parametric random functions (discrete temperature dependent stress-strain curves); very limited (sparse) experimental data at the coupon testing level for material characterization and at the pipe-test validation level; boundary condition reconstruction uncertainties from spatially sparse sensor data; normalization of pipe experimental responses for measured input-condition differences among tests and for random and systematic uncertainties in measurement/processing/inference of experimental inputs and outputs; numerical solution uncertainty from model discretization and solver effects.

  8. Evaluation of continuous and intermittent myocardial topical negative pressure

    DEFF Research Database (Denmark)

    Lindstedt, Sandra; Malmsjö, Malin; Gesslein, Bodil

    2008-01-01

    Topical negative pressure, commonly used in wound therapy, has been shown to increase blood flow and stimulate angiogenesis in subcutaneous tissue and skeletal muscle. In wound therapy, intermittent negative pressure is often preferred to continuous negative pressure as tissue exposed to intermit...

  9. Evaluation of minimum residual pressure as design criterion for ...

    African Journals Online (AJOL)

    elled values for H relate to the MPH-design cri- teria. The focus of this study is on the pressure regions near or below 24 m. Customer behaviour indicative of low pressure. A 'too low' pressure head would result in numerous customer complaints. This study identifies numerous such areas. Despite this finding few customer ...

  10. Ver reactor pressure vessel neutron exposure evaluation and monitoring

    International Nuclear Information System (INIS)

    Osmera, B.

    1992-01-01

    The surveillance neutron exposure monitoring system In VVER-440, V 213 series, consists of 54 Fe(n,p), 63 Cu(n,α and 93 Nb(n,n) detectors. The Fe detector is loaded for one year Cone fuel cycle) Irradiation only. The evaluation of the neutron monitor results including transformation to the critical locations of the reactor pressure vessel (RPV) can be based on the direct estimations of the neutron spectra and led factors (and other important space energy indices) in the mock-up experiments carried out. in the LR-0 experimental reactor, N.R.I. Rez. Because of high acceleration factor (about 11 for neutrons with energy above 0.5 MeV) the specimens are pulled out within five years of VVER-440 operation. After that the ex-vessel monitoring should be applied for RPV exposure determination. A recommended procedure (guide) for the RPV neutron exposure evaluation has been completed recently. All previous experimental data (the surveillance and ex-vessel monitors, I.R-0 mock-up measurements) have been revised arid reevaluated using the IRDF-90 (IAEA) cross section data. A brief review of this work is presented in the paper. Some comments relating to the RPV dosimetry of VVER-440, series 230, and VVER-1000 reactors are also done. (author)

  11. Taipower's reload safety evaluation methodology for pressurized water reactors

    International Nuclear Information System (INIS)

    Huang, Ping-Hue; Yang, Y.S.

    1996-01-01

    For Westinghouse pressurized water reactors (PWRs) such as Taiwan Power Company's (TPC's) Maanshan Units 1 and 2, each of the safety analysis is performed with conservative reload related parameters such that reanalysis is not expected for all subsequent cycles. For each reload cycle design, it is required to perform a reload safety evaluation (RSE) to confirm the validity of the existing safety analysis for fuel cycle changes. The TPC's reload safety evaluation methodology for PWRs is based on 'Core Design and Safety Analysis Package' developed by the TPC and the Institute of Nuclear Energy Research (INER), and is an important portion of the 'Taipower's Reload Design and Transient Analysis Methodologies for Light Water Reactors'. The Core Management System (CMS) developed by Studsvik of America, the one-dimensional code AXINER developed by TPC, National Tsinghua University and INER, and a modified version of the well-known subchannel core thermal-hydraulic code COBRAIIIC are the major computer codes utilized. Each of the computer models is extensively validated by comparing with measured data and/or vendor's calculational results. Moreover, parallel calculations have been performed for two Maanshan reload cycles to validate the RSE methods. The TPC's in-house RSE tools have been applied to resolve many important plant operational issues and plant improvements, as well as to verify the vendor's fuel and core design data. (author)

  12. Design, fabrication and metrological evaluation of wearable pressure sensors.

    Science.gov (United States)

    Goy, C B; Menichetti, V; Yanicelli, L M; Lucero, J B; López, M A Gómez; Parodi, N F; Herrera, M C

    2015-04-01

    Pressure sensors are valuable transducers that are necessary in a huge number of medical application. However, the state of the art of compact and lightweight pressure sensors with the capability of measuring the contact pressure between two surfaces (contact pressure sensors) is very poor. In this work, several types of wearable contact pressure sensors are fabricated using different conductive textile materials and piezo-resistive films. The fabricated sensors differ in size, the textile conductor used and/or the number of layers of the sandwiched piezo-resistive film. The intention is to study, through the obtaining of their calibration curves, their metrological properties (repeatability, sensitivity and range) and determine which physical characteristics improve their ability for measuring contact pressures. It has been found that it is possible to obtain wearable contact pressure sensors through the proposed fabrication process with satisfactory repeatability, range and sensitivity; and that some of these properties can be improved by the physical characteristics of the sensors.

  13. A service evaluation comparing CVVH an CVVHD in minimising circuit failure.

    Science.gov (United States)

    Ede, Jody; Dale, Andrea

    2017-01-01

    A significant problem during continuous renal replacement therapy is premature circuit failure, affecting efficacy and molecular clearance. Techniques to improve circuit failure are anticoagulation, access site and modality. A modality change was introduced, moving from continuous veno-venous haemofiltration to continuous veno-venous haemodiafiltration as a result of existing issues with failing circuit times and failure rates. The aim of this service evaluation was to ascertain if the use of continuous veno-venous haemodiafiltration compared to continuous veno-venous haemofiltration had affected failed circuit survival times and rates. A service evaluation was chosen because the focus was to ascertain what effect a practice change had had on a particular service. The service evaluation was registered with the local trust's audit department and gained university ethical approval. It was anticipated that the data generated would be used to inform, question and improve practices. Patients who received renal replacement therapy (RRT) from May 2012 to January 2013 were retrospectively identified. Patients received continuous veno-venous haemofiltration for the duration of their treatment before September 2012 and continuous veno-venous haemodiafiltration after. A total of 78 patients were identified as receiving RRT; 41 of these patients had failed circuits. A total of 182 failed circuits were analysed. The median duration of failed circuits during continuous veno-venous haemofiltration was shorter (2·75 h, standard deviation (SD) = 13·82) when compared to continuous veno-venous haemodiafiltration (11 h, SD = 15·26, p 0·007) more likely chance of failure. The use of continuous veno-venous haemodiafiltration has had an overall positive effect on the haemofiltration service by reducing the number of failed circuits and increasing circuit survival times, which may have improved the efficacy of the service. Continuous veno-venous haemodiafiltration may be a more

  14. Renal function evaluation in the aged with normal blood pressure and high blood pressure

    International Nuclear Information System (INIS)

    Jacob Filho, W.; Carvalho Filho, E.T. de; Papaleo Netto, M.; Baptista, M.C.

    1986-01-01

    Thirty-four patients older than 65 years were divided into two groups according to their ages: I - 66 to 74 years (17 patients), II - 75 and over (17 patients). These elderly patients were also divided according to their arterial blood pressure level (BP): A - normal BP (14 patients), B high BP (20 patients). None of these patients presented any other disease that could affect kidney function, nor have used drugs that could interfere on the BP or on the kidney function. Glomerular filtration rate (GFR) and effective renal plasmatic flow (ERPF) were analysed by radioisotopic techniques. Furthermore the filtration fraction (FF) was evaluated by the GFR/ERPF ratio. The observed GFR, ERPF and FF variations in the age groups or in normotensive and hypertensive patients were not significant, but we could assume that the physiopathological mechanisms that cause a decreased GFR in consequence of age or of systemic hypertension could be of different origins. Thus in the old hypertensive patients, alterations in the autoregulated hemodynamic mechanism could occur. (author) [pt

  15. Leak-before-break concept for evaluation of flows detected in pressure tubes in a Candu type reactor

    International Nuclear Information System (INIS)

    Crespi, J.C.

    1992-01-01

    This paper reviews the role of the Leak-Before-Break concept for evaluation of flaws detected in cold-worked Zr 2.5% Nb pressure tubes in a CANDU type reactors. The acceptance criteria are intended to prevent failure by brittle fracture, plastic collapse of the ligament and delayed hydride cracking. The methodology developed here was of great help in order to establish the operative conditions for fuel channel garter springs repositioning by means of the SLA Rette tool at Embalse Nuclear Generating Station, Cordoba, Argentina. (author)

  16. Failure analysis and evaluation of a six cylinders crankshaft for marine diesel generator

    Science.gov (United States)

    Khaeroman, Haryadi, Gunawan Dwi; Ismail, R.; Kim, Seon Jin

    2017-01-01

    This paper discusses the failure of a diesel engine crankshaft of a four stroke 6 cylinders, used in a marine diesel generator. A correct analysis and evaluation of the dimension of the crankshaft are very essential to prevent failure of the crankshaft fracture and cracks. The crankshaft is liable to deformation due to misalignment of the main journals bearings. This article presents the result of crankshaft failure analysis by measuring the mean diameter of the rod journal and the main journal, on the wear, out of roundness, taper, etc. The measurement results must be compared with the acceptable value in the engine specification and manual service and also should follow the American Bureau of Shipping (ABS) guidance notes on propulsion shafting alignment. The measurement results of this study show that the main journal diameter of the third cylinder exhibits an excessive wear, 1.35 % above the permissible lowest rate. It also has a taper for 0.23 mm and out of roundness of 0.13 mm. The diameter of the rod journal indicates excessive wear, 1.06 % higher than the permissible lowest rate, the taper of 0.41 mm and out of roundness of 0.65 mm. The crankshaft warpage or run-out journal, the analysis of the crank web deflection are also evaluated and presented in this paper.

  17. Using simulation to evaluate the performance of resilience strategies and process failures

    Energy Technology Data Exchange (ETDEWEB)

    Levy, Scott N.; Topp, Bryan Embry; Arnold, Dorian C; Ferreira, Kurt Brian; Widener, Patrick; Hoefler, Torsten

    2014-01-01

    Fault-tolerance has been identified as a major challenge for future extreme-scale systems. Current predictions suggest that, as systems grow in size, failures will occur more frequently. Because increases in failure frequency reduce the performance and scalability of these systems, significant effort has been devoted to developing and refining resilience mechanisms to mitigate the impact of failures. However, effective evaluation of these mechanisms has been challenging. Current systems are smaller and have significantly different architectural features (e.g., interconnect, persistent storage) than we expect to see in next-generation systems. To overcome these challenges, we propose the use of simulation. Simulation has been shown to be an effective tool for investigating performance characteristics of applications on future systems. In this work, we: identify the set of system characteristics that are necessary for accurate performance prediction of resilience mechanisms for HPC systems and applications; demonstrate how these system characteristics can be incorporated into an existing large-scale simulator; and evaluate the predictive performance of our modified simulator. We also describe how we were able to optimize the simulator for large temporal and spatial scales-allowing the simulator to run 4x faster and use over 100x less memory.

  18. Failure pressures after repairs of 2-cm × 2.5-cm rhinologic dural defects in a porcine ex vivo model.

    Science.gov (United States)

    Lin, Ryan P; Weitzel, Erik Kent; Chen, Philip G; McMains, Kevin Christopher; Chang, Daniel R; Braxton, Ernest E; Majors, Jacob; Bunegin, Leon

    2016-10-01

    The objective of this study was to determine failure pressures of 6 rhinologic repair techniques of large skull base/dural defects in a controlled, ex vivo model. Failure pressures of 6 dural repairs in a porcine model were studied using a closed testing apparatus; 24-mm × 19-mm dural defects were created; 40-mm × 34-mm grafts composed of porcine Duragen (Integra), fascia lata, and Biodesign (Cook) were used either with or without Tisseel (Baxter International Inc.) to create 6 repairs: Duragen/no glue (D/NG), Duragen/Tisseel (D/T), fascia lata/no glue (FL/NG), fascia lata/Tisseel (FL/T), Biodesign/no glue (B/NG), and Biodesign/Tisseel (B/T). Saline was infused at 30 mL/hour, applying even force to the underside of the graft until repair failure. Five trials were performed per repair type for a total of 30 repairs. Mean failure pressures were as follows: D/NG 1.361 ± 0.169 cmH 2 O; D/T 9.127 ± 1.805 cmH 2 O; FL/NG 0.200 ± 0.109 cmH 2 O; FL/T 7.833 ± 2.657 cmH 2 O; B/NG 0.299 ± 0.109 cmH 2 O; and B/T 2.67 ± 0.619 cmH 2 O. There were statistically significant differences between glued (Tisseel) and non-glued repairs for each repair category (p < 0.05). All glued repairs performed better than non-glued repairs. Both D/T and FL/T repairs performed better than B/T repairs. No repair tolerated pressures throughout the full range of adult supine intracranial pressure. © 2016 ARS-AAOA, LLC.

  19. Evaluation of Genotoxic Pressure along the Sava River.

    Directory of Open Access Journals (Sweden)

    Stoimir Kolarević

    Full Text Available In this study we have performed a comprehensive genotoxicological survey along the 900 rkm of the Sava River. In total, 12 sites were chosen in compliance with the goals of GLOBAQUA project dealing with the effects of multiple stressors on biodiversity and functioning of aquatic ecosystems. The genotoxic potential was assessed using a complex battery of bioassays performed in prokaryotes and aquatic eukaryotes (freshwater fish. Battery comprised evaluation of mutagenicity by SOS/umuC test in Salmonella typhimurium TA1535/pSK1002. The level of DNA damage as a biomarker of exposure (comet assay and biomarker of effect (micronucleus assay and the level of oxidative stress as well (Fpg-modified comet assay was studied in blood cells of bleak and spirlin (Alburnus alburnus/Alburnoides bipunctatus respectively. Result indicated differential sensitivity of applied bioassays in detection of genotoxic pressure. The standard and Fpg-modified comet assay showed higher potential in differentiation of the sites based on genotoxic potential in comparison with micronucleus assay and SOS/umuC test. Our data represent snapshot of the current status of the river which indicates the presence of genotoxic potential along the river which can be traced to the deterioration of quality of the Sava River by communal and industrial wastewaters. The major highlight of the study is that we have provided complex set of data obtained from a single source (homogeneity of analyses for all samples.

  20. Evaluation of failure characteristics and bond strength after ceramic and polycarbonate bracket debonding : effect of bracket base silanization

    NARCIS (Netherlands)

    Ozcan, M.; Finnema, K.; Ybema, A.

    The objectives of this study were to evaluate the effect of silanization on the failure type and shear-peel bond strength (SBS) of ceramic and polycarbonate brackets, and to determine the type of failure when debonded with either a universal testing machine or orthodontic pliers. Silanized and

  1. Evaluation Criteria of Noninvasive Telemonitoring for Patients With Heart Failure: Systematic Review.

    Science.gov (United States)

    Farnia, Troskah; Jaulent, Marie-Christine; Steichen, Olivier

    2018-01-16

    Telemonitoring can improve heart failure (HF) management, but there is no standardized evaluation framework to comprehensively evaluate its impact. Our objectives were to list the criteria used in published evaluations of noninvasive HF telemonitoring projects, describe how they are used in the evaluation studies, and organize them into a consistent scheme. Articles published from January 1990 to August 2015 were obtained through MEDLINE, Web of Science, and EMBASE. Articles were eligible if they were original reports of a noninvasive HF telemonitoring evaluation study in the English language. Studies of implantable telemonitoring devices were excluded. Each selected article was screened to extract the description of the telemonitoring project and the evaluation process and criteria. A qualitative synthesis was performed. We identified and reviewed 128 articles leading to 52 evaluation criteria classified into 6 dimensions: clinical, economic, user perspective, educational, organizational, and technical. The clinical and economic impacts were evaluated in more than 70% of studies, whereas the educational, organizational, and technical impacts were studied in fewer than 15%. User perspective was the most frequently covered dimension in the development phase of telemonitoring projects, whereas clinical and economic impacts were the focus of later phases. Telemonitoring evaluation frameworks should cover all 6 dimensions appropriately distributed along the telemonitoring project lifecycle. Our next goal is to build such a comprehensive evaluation framework for telemonitoring and test it on an ongoing noninvasive HF telemonitoring project.

  2. Assessment of Intralaminar Progressive Damage and Failure Analysis Using an Efficient Evaluation Framework

    Science.gov (United States)

    Hyder, Imran; Schaefer, Joseph; Justusson, Brian; Wanthal, Steve; Leone, Frank; Rose, Cheryl

    2017-01-01

    Reducing the timeline for development and certification for composite structures has been a long standing objective of the aerospace industry. This timeline can be further exacerbated when attempting to integrate new fiber-reinforced composite materials due to the large number of testing required at every level of design. computational progressive damage and failure analysis (PDFA) attempts to mitigate this effect; however, new PDFA methods have been slow to be adopted in industry since material model evaluation techniques have not been fully defined. This study presents an efficient evaluation framework which uses a piecewise verification and validation (V&V) approach for PDFA methods. Specifically, the framework is applied to evaluate PDFA research codes within the context of intralaminar damage. Methods are incrementally taken through various V&V exercises specifically tailored to study PDFA intralaminar damage modeling capability. Finally, methods are evaluated against a defined set of success criteria to highlight successes and limitations.

  3. Evaluation of failure modes of computerized planning phase of interstitial implants with high dose rate brachytherapy using HFMEA

    International Nuclear Information System (INIS)

    Biazotto, Bruna; Tokarski, Marcio

    2014-01-01

    This paper evaluates the failure modes of the computerized planning step in interstitial implants with high dose rate brachytherapy. The prospective tool of risk management Health Care Failure Mode and Effects Analysis (HFMEA) was used. Twelve subprocesses were identified, and 33 failure modes of which 21 justified new safety actions, and 9 of them were intolerable risks. The method proved itself useful in identifying failure modes, but laborious and subjective in their assessment. The main risks were due to human factors, which require training and commitment of management to their mitigation. (author)

  4. Pulmonary congestion evaluated by lung ultrasound predicts decompensation in heart failure outpatients.

    Science.gov (United States)

    Miglioranza, Marcelo H; Picano, Eugenio; Badano, Luigi P; Sant'Anna, Roberto; Rover, Marciane; Zaffaroni, Facundo; Sicari, Rosa; Kalil, Renato K; Leiria, Tiago L; Gargani, Luna

    2017-08-01

    Pulmonary congestion is the main cause of hospital admission among heart failure (HF) patients. Lung ultrasound (LUS) assessment of B-lines has been recently proposed as a reliable and easy tool for evaluating pulmonary congestion. To determine the prognostic value of LUS in predicting adverse events in HF outpatients. Single-center prospective cohort of 97 moderate-to-severe systolic HF patients (53±13years; 61% males) consecutively enrolled between November 2011 and October 2012. LUS evaluation was performed during the regular outpatient visit to evaluate the presence of pulmonary congestion, determined by B-lines number. Patients were followed up for 4months to assess admission due to acute pulmonary edema. During follow-up period (106±12days), 21 hospitalizations for acute pulmonary edema occurred. At Cox regression analysis, B-lines number≥30 (HR 8.62; 95%CI: 1.8-40.1; p=0.006) identified a group at high risk for acute pulmonary edema admission at 120days, and was the strongest predictor of events compared to other established clinical, laboratory and instrumental findings. No acute pulmonary edema occurred in patients without significant pulmonary congestion at LUS (number of B-linesPulmonary congestion is the main cause of hospital admissions among heart failure patients. Lung ultrasound can be used as a reliable and easy way to evaluate pulmonary congestion through assessment of B-lines. In a cohort of heart failure outpatients, a B-lines cutoff≥30 (HR 8.62; 95%CI: 1.8-40.1) identified patients most likely to develop acute pulmonary edema at 120-days. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Evaluation of a new ambulatory blood pressure device.

    Science.gov (United States)

    Germanó, G; Muscolo, M; Angotti, S; Bravo, S; Codispoti, P; Federico, L; Damiani, S

    1998-12-01

    We assessed the OSCILL-IT ambulatory blood pressure (BP) recorder (FIGI sr1, Rome, Italy) according to the performance criteria set out by the British Hypertension Society (BHS) protocol. The OSCILL-IT is a portable, noninvasive recorder that uses a process that correlates systolic, mean, and diastolic areas, identified on the oscillations, to the cuff absolute pressure. According to the recommendations of BHS, a large heterogeneous population (100 subjects: 52 men aged from 19 to 79--median 44 and 48 women from 19 to 74--median 54) was recruited in order to assess accuracy and to analyze, in addition, the effects of observer agreement and BP level on the observer-device differences. With reference to BP level, we suggest also a new graphic approach. Four sets of sequential, same arm, comparative BP measurements were obtained, performed by the OSCILL-IT recorder and two skilled clinicians using a mercury column, for each subject. We used a linear combination for the statistical evaluations. We confirmed the observer agreement through the frequency distribution of BP as a function of the observer and through the differences between observers. We compared OSCILL-IT with sphygmomanometric readings: the differences were not significant. A visual inspection, with the addition of regression lines, showed that there were no variations in differences at the changing of BP level. The difference between observers and OSCILL-IT was 0.2 +/- 5.3 mm Hg and 0.2 +/- 5.8 mm Hg both for systolic BP (SBP) and diastolic BP (DBP). The level of agreement, according to BHS criteria, showed that 64% of all systolic and 70% of all diastolic readings obtained by the OSCILL-IT were within 5 mm Hg of the sphygmomanometric determinations. Therefore, the grade is C for SBP, even if 93% of SBP and 95% of DBP obtained by the OSCILL-IT were within 10 mm Hg of the sphygmomanometric determinations. These analyses demonstrate that the OSCILL-IT satisfies the accuracy parameters and the additional

  6. Overview of management of acute renal failure and its evaluation; a case analysis

    Directory of Open Access Journals (Sweden)

    Nazar Chaudhary Muhammad Junaid

    2015-01-01

    Full Text Available The annual incidence is about 150 per million in the UK, but this figure is six times greater in the >80 years old group. Prerenal azotemia is considered as the most serious reason in community or hospital acquired acute renal failure (ARF. A 67-year-old middle age male was admitted to the hospital with a chief complaint of generalized weakness, volume depletion and dysuria. He has treated with metronidazole for diarrhoea caused by Clostridium difficile considered as the precipitating factor for the ARF. The patient has severe osteoarthritis and takes high dose non-steroidal anti-inflammatory drugs from the last two years. He also complains for obstructive sleep apnea (OSA and obesity. He has controlled hypertension was on lisinopril to control blood pressure. ARF is quite common, occurring in 80 million populations. Urinary obstruction should be excluded (a cause in around 5-10 of cases because this is readily reversible if it is diagnosed early. A renal US will be sufficient to identify obstruction in 95 of cases. Most cases of ARF are expected to pre renal failure/acute tubular necrosis (ATN 70-80%. Risk factor for development for at ATN are old age, drugs (non-steroidal anti-inflammatory drugs, gentamicin, sepsis, and chronic kidney disease and must be considered.

  7. Evaluation of Pad 18 Spent Mercury Gold Trap Stainless Steel Container Failure

    Energy Technology Data Exchange (ETDEWEB)

    Skidmore, E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-08-03

    Failure of the Pad 18 spent mercury gold trap stainless steel waste container is principally attributed to corrosion induced by degradation of plasticized polyvinyl chloride (pPVC) waste packaging material. Dehydrochlorination of pPVC polymer by thermal and/or radiolytic degradation is well-known to evolve HCl gas, which is highly corrosive to stainless steel and other metals in the presence of moisture. Degradation of the pPVC packaging material was likely caused by radiolysis in the presence of tritium gas within the waste container, though other degradation mechanisms (aging, thermo-oxidation, plasticizer migration) over 30 years storage may have contributed. Corrosion was also likely enhanced by the crevice in the container weld design, and may have been enhanced by the presence of tritiated water. Similar non-failed spent mercury gold trap waste containers did not show radiographic evidence of plastic packaging or trapped free liquid within the container. Therefore, those containers are not expected to exhibit similar failures. Halogenated polymers such as pPVC subject to degradation can evolve halide gases such as HCl, which is corrosive in the presence of moisture and can generate pressure in sealed systems.

  8. Evaluation of minimum residual pressure as design criterion for ...

    African Journals Online (AJOL)

    ... as the design criterion for minimum residual pressure in water distribution systems. However, the theoretical peak demand in many systems has increased beyond the point where minimum residual pressure exceeds 24 m – at least according to hydraulic models. Additions of customers to existing supply systems have led ...

  9. Economic evaluation of misoprostol in the treatment of early pregnancy failure compared to curettage after an expectant management

    NARCIS (Netherlands)

    Graziosi, GCM; van der Steeg, JW; Reuwer, PHW; Drogtrop, AP; Bruinse, HW; Mol, BWJ

    BACKGROUND: The increased pressure on health care expenses implies that physicians should consider economic aspects as part of the clinical decision-making process. Direct and indirect costs of a strategy starting with misoprostol in treatment of early pregnancy failure as compared to curettage is

  10. Economic evaluation of misoprostol in the treatment of early pregnancy failure compared to curettage after an expectant management

    NARCIS (Netherlands)

    Graziosi, G. C. M.; van der Steeg, J. W.; Reuwer, P. H. W.; Drogtrop, A. P.; Bruinse, H. W.; Mol, B. W. J.

    2005-01-01

    BACKGROUND: The increased pressure on health care expenses implies that physicians should consider economic aspects as part of the clinical decision-making process. Direct and indirect costs of a strategy starting with misoprostol in treatment of early pregnancy failure as compared to curettage is

  11. Transcatheter treatment of heart failure with preserved or mildly reduced ejection fraction using a novel interatrial implant to lower left atrial pressure

    DEFF Research Database (Denmark)

    Søndergaard, Lars; Reddy, Vivek; Kaye, David

    2014-01-01

    BACKGROUND: Heart failure with preserved or mildly reduced ejection fraction (HFpEF) is common and, to date, therapeutic options are limited. Increased left atrial pressure is a key contributor to the symptoms associated with HFpEF, particularly during physical activity. We report the 30-day...... outcome of patients treated with a novel device intended to lower left atrial pressure by creating an 8 mm permanent shunt in the atrial septum. METHODS AND RESULTS: Eleven patients were enrolled in the pilot trial. Key inclusion criteria were: EF >45%; baseline PCWP ≥15 mmHg (rest), or ≥ 25 mm...

  12. Failure Analysis and Magnetic Evaluation of Tertiary Superheater Tube Used in Gas-Fired Boiler

    Science.gov (United States)

    Mohapatra, J. N.; Patil, Sujay; Sah, Rameshwar; Krishna, P. C.; Eswarappa, B.

    2018-01-01

    Failure analysis was carried out on a prematurely failed tertiary superheater tube used in gas-fired boiler. The analysis includes a comparative study of visual examination, chemical composition, hardness and microstructure at failed region, adjacent and far to failure as well as on fresh tube. The chemistry was found matching to the standard specification, whereas the hardness was low in failed tube compared to the fish mouth opening region and the fresh tube. Microscopic examination of failed sample revealed the presence of spheroidal carbides of Cr and Mo predominantly along the grain boundaries. The primary cause of failure is found to be localized heating. Magnetic hysteresis loop (MHL) measurements were carried out to correlate the magnetic parameters with microstructure and mechanical properties to establish a possible non-destructive evaluation (NDE) for health monitoring of the tubes. The coercivity of the MHL showed a very good correlation with microstructure and mechanical properties deterioration enabling a possible NDE technique for the health monitoring of the tubes.

  13. Failure Analysis and Magnetic Evaluation of Tertiary Superheater Tube Used in Gas-Fired Boiler

    Science.gov (United States)

    Mohapatra, J. N.; Patil, Sujay; Sah, Rameshwar; Krishna, P. C.; Eswarappa, B.

    2018-02-01

    Failure analysis was carried out on a prematurely failed tertiary superheater tube used in gas-fired boiler. The analysis includes a comparative study of visual examination, chemical composition, hardness and microstructure at failed region, adjacent and far to failure as well as on fresh tube. The chemistry was found matching to the standard specification, whereas the hardness was low in failed tube compared to the fish mouth opening region and the fresh tube. Microscopic examination of failed sample revealed the presence of spheroidal carbides of Cr and Mo predominantly along the grain boundaries. The primary cause of failure is found to be localized heating. Magnetic hysteresis loop (MHL) measurements were carried out to correlate the magnetic parameters with microstructure and mechanical properties to establish a possible non-destructive evaluation (NDE) for health monitoring of the tubes. The coercivity of the MHL showed a very good correlation with microstructure and mechanical properties deterioration enabling a possible NDE technique for the health monitoring of the tubes.

  14. Performance limits of coated particle fuel. Part II. Mechanical failure of coated particles due to internal gas pressure and kernel swelling

    Energy Technology Data Exchange (ETDEWEB)

    Hick, H.; Nabielek, H.; Harrison, T. A.

    1973-10-15

    This report presents a summary of experimental results and their theoretical explanation with regard to the "Pressure Failure" of coated particle fuel. While the experimental results refer mainly to the Dragon Reference Particle as proposed for typical Low Enriched Homogeneous Prismatic Steam Cycle HTR Power Reactors, the theoretical understanding of the phenomena and the mathematical models for their description are not limited to a specific design line.

  15. How is success or failure in river restoration projects evaluated? Feedback from French restoration projects.

    Science.gov (United States)

    Morandi, Bertrand; Piégay, Hervé; Lamouroux, Nicolas; Vaudor, Lise

    2014-05-01

    Since the 1990s, French operational managers and scientists have been involved in the environmental restoration of rivers. The European Water Framework Directive (2000) highlights the need for feedback from restoration projects and for evidence-based evaluation of success. Based on 44 French pilot projects that included such an evaluation, the present study includes: 1) an introduction to restoration projects based on their general characteristics 2) a description of evaluation strategies and authorities in charge of their implementation, and 3) a focus on the evaluation of results and the links between these results and evaluation strategies. The results show that: 1) the quality of an evaluation strategy often remains too poor to understand well the link between a restoration project and ecological changes; 2) in many cases, the conclusions drawn are contradictory, making it difficult to determine the success or failure of a restoration project; and 3) the projects with the poorest evaluation strategies generally have the most positive conclusions about the effects of restoration. Recommendations are that evaluation strategies should be designed early in the project planning process and be based on clearly-defined objectives. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. A faster urethral pressure reflectometry technique for evaluating the squeezing function

    DEFF Research Database (Denmark)

    Klarskov, Niels; Saaby, Marie-Louise; Lose, Gunnar

    2013-01-01

    Abstract Objective. Urethral pressure reflectometry (UPR) has shown to be superior in evaluating the squeeze function compared to urethral pressure profilometry. The conventional UPR measurement (step method) required up to 15 squeezes to provide one measure of the squeezing opening pressure...

  17. 99Tcm-diethylenetriaminepenta hydroxamic acid renal dynamic imaging to evaluate split renal GFR of unilateral renal function failure patient

    International Nuclear Information System (INIS)

    Huang Jingwei; Wu Xiuduo; Qi Shiying; Wang Tie; Li Shengli

    2008-01-01

    Objective: To explore the use of evaluating split glomerular flow rate (GFB) in patients with unilateral renal function failure by 99 Tc m -diethylenetriaminepenta hydroxamic acid renal dynamic imaging. Methods: Split GFR of 82 cases with unilateral renal function failure was evaluated by 99 Tc m - DTPA renal dynamic imaging, and was correlated with serum creatinine (SCr). Beside, causes of renal function failure were analyzed. Results: Split CFR were negatively correlated with SCr(r=-0.643, P 99 Tc m -DTPA renal dynamic imaging to treat early and reserve renal function. (authors)

  18. Performance Evaluation of Pressure Transducers for Water Impacts

    Science.gov (United States)

    Vassilakos, Gregory J.; Stegall, David E.; Treadway, Sean

    2012-01-01

    The Orion Multi-Purpose Crew Vehicle is being designed for water landings. In order to benchmark the ability of engineering tools to predict water landing loads, test programs are underway for scale model and full-scale water impacts. These test programs are predicated on the reliable measurement of impact pressure histories. Tests have been performed with a variety of pressure transducers from various manufacturers. Both piezoelectric and piezoresistive devices have been tested. Effects such as thermal shock, pinching of the transducer head, and flushness of the transducer mounting have been studied. Data acquisition issues such as sampling rate and anti-aliasing filtering also have been studied. The response of pressure transducers have been compared side-by-side on an impulse test rig and on a 20-inch diameter hemisphere dropped into a pool of water. The results have identified a range of viable configurations for pressure measurement dependent on the objectives of the test program.

  19. Evaluation of Packed Distillation Columns I - Atmospheric Pressure

    National Research Council Canada - National Science Library

    Reynolds, Thaine

    1951-01-01

    .... Four column-packing combinations of the glass columns and four column-packing combinations of the steel columns were investigated at atmospheric pressure using a test mixture of methylcyclohexane...

  20. Evaluating the Laplace pressure of water nanodroplets from simulations

    Science.gov (United States)

    Malek, Shahrazad M. A.; Sciortino, Francesco; Poole, Peter H.; Saika-Voivod, Ivan

    2018-04-01

    We calculate the components of the microscopic pressure tensor as a function of radial distance r from the centre of a spherical water droplet, modelled using the TIP4P/2005 potential. To do so, we modify a coarse-graining method for calculating the microscopic pressure (Ikeshoji et al 2003 Mol. Simul. 29 101) in order to apply it to a rigid molecular model of water. As test cases, we study nanodroplets ranging in size from 776 to 2880 molecules at 220 K. Beneath a surface region comprising approximately two molecular layers, the pressure tensor becomes approximately isotropic and constant with r. We find that the dependence of the pressure on droplet radius is that expected from the Young-Laplace equation, despite the small size of the droplets.

  1. Early radiologic evidence of severe respiratory distress syndrome as a predictor of nasal continuous positive airway pressure failure in extremely low birth weight newborns.

    Science.gov (United States)

    Tagliaferro, T; Bateman, D; Ruzal-Shapiro, C; Polin, R A

    2015-02-01

    To determine whether early radiologic evidence of severe respiratory distress syndrome (RDS) is predictive of nasal continuous positive airway pressure (CPAP) failure in extremely low birth weight (ELBW) infants during the first 72 h of age. Retrospective analysis of 235 consecutively inborn ELBW infants who received initial support with CPAP. CPAP success (n=151) and CPAP failure (n=84) groups were designated according to outcome within the first 72 h of age. We assessed the ability of radiologic evidence of severe RDS in the initial chest radiograph, alone and in combination with other variables available in the first hours of life, to predict CPAP failure. Severe RDS had a positive predictive value (PPV) of 0.81 (95% confidence interval (CI) 0.64, 0.92) for CPAP failure. The combination of severe RDS and gestational age (GA) ⩽ 26 weeks had a PPV of 0.92 (95% CI 0.68, 0.96). Early radiologic evidence of severe RDS is predictive of CPAP failure, especially in infants with GA ⩽ 26 weeks.

  2. Risk evaluation on the basis of pressure rate measured by automatic pressure tracking adiabatic calorimeter.

    Science.gov (United States)

    Iwata, Yusaku; Koseki, Hiroshi

    2008-11-15

    An automatic pressure tracking adiabatic calorimeter (APTAC) had been employed to obtain the thermokinetic and the vapor pressure data during runaway reactions. The APTAC is an adiabatic calorimeter with a large-scale sample mass and low thermal inertia, and is an extremely useful tool for assessing thermal hazards of reactive chemicals. The data obtained by the APTAC are important information for the design of the safe industrial process. The thermodynamics parameters and the gas production were discussed on the basis of the experimental data of various concentrations and weights of di-tert-butyl peroxide (DTBP)/toluene solution for the purpose of investigating the properties of the APTAC data. The thermal decomposition of DTBP was studied on the basis of the temperature data and the pressure data obtained by the APTAC. The activation energy and the frequency factor of DTBP are nearly constant and the same as the literature values in the concentrations between 20 and 60 wt.%. The pressure rise due to gas production is important data for designing the relief vent of a reactor. The time history of the gas production was investigated with various weights and concentrations. The total gas production index, which had the vapor pressure correction, was 1.0 in the decomposition of DTBP.

  3. Risk evaluation on the basis of pressure rate measured by automatic pressure tracking adiabatic calorimeter

    International Nuclear Information System (INIS)

    Iwata, Yusaku; Koseki, Hiroshi

    2008-01-01

    An automatic pressure tracking adiabatic calorimeter (APTAC) had been employed to obtain the thermokinetic and the vapor pressure data during runaway reactions. The APTAC is an adiabatic calorimeter with a large-scale sample mass and low thermal inertia, and is an extremely useful tool for assessing thermal hazards of reactive chemicals. The data obtained by the APTAC are important information for the design of the safe industrial process. The thermodynamics parameters and the gas production were discussed on the basis of the experimental data of various concentrations and weights of di-tert-butyl peroxide (DTBP)/toluene solution for the purpose of investigating the properties of the APTAC data. The thermal decomposition of DTBP was studied on the basis of the temperature data and the pressure data obtained by the APTAC. The activation energy and the frequency factor of DTBP are nearly constant and the same as the literature values in the concentrations between 20 and 60 wt.%. The pressure rise due to gas production is important data for designing the relief vent of a reactor. The time history of the gas production was investigated with various weights and concentrations. The total gas production index, which had the vapor pressure correction, was 1.0 in the decomposition of DTBP

  4. Probabilistic evaluation of riprap failure under future uncertain flood conditions: the case study of river Kleine Emme (Switzerland)

    Science.gov (United States)

    Jafarnejad, Mona; Pfister, Michael; Franca, Mário J.; Schleiss, Anton J.

    2014-05-01

    Potential failure for river bank protection measures is a critical issue to be evaluated for the safety and stability assessment. Moreover, uncertainties associated to flood conditions and sediment transport in rivers, as a possible result of climate change in the future, affects the safety level of such riverbank protection structures as riprap and walls. Bank failure can lead to uncontrolled erosion and flooding with disastrous consequences in residential areas or in critical infrastructures. The probabilistic analysis of failure on different mechanisms due to possible flood events and sediment transport is a principal step to assess embankment stability in future scenarios. Herein, a probabilistic risk assessment model to define the failure risk of river bank ripraps, developed based on Monte Carlo simulation and Moment Analysis Methods, is showed. This probabilistic simulation estimates the resistance of ripraps regarding varied flood and sediment transport scenarios in future. The failure probability of ripraps is assessed by a probabilistic function of the design safety factor. The probability of failure in different mechanisms such as direct block erosion, toe scouring and overtopping is defined by taking into account the modified bed-load transport due to a probabilistic function of the design discharge. This evaluation method is applied to a Swiss river located in Canton Lucerne, the Kleine Emme. The results highlight the failure probability of riverbank riprap associated to different mechanisms individually. A risk map to represent the risk of total failure along a longitudinal profile of the river is proposed.

  5. Investigating And Evaluating Of Network Failures And Performance Over Distributed WAN In Application Protocol Layer

    Directory of Open Access Journals (Sweden)

    Enoch Okoh Kofi

    2015-08-01

    Full Text Available The Experiment was done to find out network failures and application performance relationship over distributed Wide Area Net WAN. In order to access related application over the cloud there must be an internet connectivity which will help the respective workstations to access the remote server for applications being deployed over the network. Bandwidth improvement helps in reducing utilization over the network and it also helps in improving Application Efficiency of these Applications in terms of Response Time. Routers were configured under Enhance Interior Gateway Routing Protocol EIGRP to reduce utilization and to ensure load sharing over the network. Three scenarios were modeled and their performance efficiency was evaluated. A modeled computer Network with and without a fail Router under different scenarios and such Network was simulated with emphasis on the Application Performance. The Experiment was done for fifty workstations under three scenarios and these three scenarios were accessed and evaluated on experimental basis using Riverbed modeler to show the Effect of Application Network performance. The performance results show that increasing the bandwidth reduces utilization and also with the failure of one communication bandwidth users can still access Network Application with a minimal cost.

  6. Evaluating the efficacy of vacuum constrictive device and causes of its failure in impotent patients.

    Science.gov (United States)

    Khayyamfar, Feraidoon; Forootan, Seyed Kazem; Ghasemi, Hassan; Miri, Seyed Roohollah; Farhadi, Ehsan

    2014-01-04

    This study evaluates the efficacy of Vacuum constrictive device (VCD) and the reasons for its failure. In this cross-sectional study, 1500 men with organic erectile dysfunction(ED) were enrolled from July 2003 to July 2010. The treatment efficacy was analyzed using International Index of Erectile Function (IIEF) and questioning patient's partner regarding the man's ability to perform vaginal penetration (APVP). The patient's spouses, who responded negatively to APVP, were evaluated by a midwife for virginity, vaginal atrophy and abstained sex. Totally 1310 (87.4%) patients attained full erection at first training session, remaining 188 (12.6%) were able to have full erection one week after practicing with VCD, 1419 (94.6%)were able to have successful intercourse and responded positively to APVP, 81 (5.4%) were unable to have intercourse as stated by their wife's (negative response to APVP) that in 43 (53%),30 (37%), and 8 (9.8%) cases the causes of failures were their wife's virginity, sex abstinence, and senile vaginal atrophy, respectively. Regarding erectile issue of IIEF scores in patients responded positive to APVP there were significant improvement from the scores of 9.3 ± 3.0 to 27.5 ± 5.0 after treatment (P training and appropriate devices, VCD could induce sufficient erection in all patients. VCD in patients with virgin wife is ineffective, and female factors affect on success rate in VCD therapy.

  7. Concept and methodology for evaluating core damage frequency considering failure correlation at multi units and sites and its application

    Energy Technology Data Exchange (ETDEWEB)

    Ebisawa, K.; Teragaki, T.; Nomura, S. [Former Incorporated Administrative Agency, Japan Nuclear Safety Organization (Japan); Abe, H., E-mail: Hiroshi_abe@nsr.go.jp [Former Incorporated Administrative Agency, Japan Nuclear Safety Organization (Japan); Shigemori, M.; Shimomoto, M. [Mizuho Information & Research Institute, 2-3, Kanda-Nishikicho, Chiyoda-ku, Tokyo (Japan)

    2015-07-15

    Highlights: • We develop a method to evaluate CDF considering failure correlation at multi units. • We develop a procedure to evaluate correlation coefficient between multi components. • We evaluate CDF at two different BWR units using correlation coefficients. • We confirm the validity of method and correlation coefficient through the evaluation. - Abstract: The Tohoku earthquake (Mw9.0) occurred on March 11, 2011 and caused a large tsunami. The Fukushima Daiichi Nuclear Power Plant with six units were overwhelmed by the tsunami and core damage occurred. Authors proposed the concept and method for evaluating core damage frequency (CDF) considering failure correlation at the multi units and sites. Based on the above method, one of authors developed the procedure for evaluating the failure correlation coefficient and response correlation coefficient between the multi components under the strong seismic motion. These method and failure correlation coefficients were applied to two different BWR units and their CDF was evaluated by seismic probabilistic risk assessment technology. Through this quantitative evaluation, the validity of the method and failure correlation coefficient was confirmed.

  8. The dynamics of success and failure: how post-behaviour evaluations relate to subsequent exercise intentions and behaviour.

    Science.gov (United States)

    Kwan, Bethany M; Bryan, Angela D; Sheeran, Paschal

    2018-01-25

    Exercise behaviour change involves multiple experiences with success and failure. The Model of Action Phases (MAP) offers a dynamic account of how success and failure influence both immediate evaluations and future decisions and actions. However, predictions from the MAP have not been formally tested. A longitudinal daily diary study was used to examine how post-behaviour evaluations of exercise success and failure influence subsequent exercise intentions and behaviour. Participants (N = 104) set exercise goals, and then kept a daily online exercise diary for four weeks. Participants self-reported exercise behaviour, affective response to exercise, self-evaluations after success or failure at following through on intentions to exercise, and intentions to exercise in the next week. Multilevel modelling revealed significant within- and between-participant relationships among post-behaviour evaluations, intentions and subsequent behaviour. Findings supported MAP-derived predictions about how success and failure at exercise are associated with feelings about exercise and the self, and inform subsequent exercise intentions and behaviour. Positive post-behaviour evaluations of success or failure may stabilise positive intentions and aid maintenance of exercise behaviour. Implications of these MAP-based findings for intervention design are discussed.

  9. High pressure inactivation of relevant target microorganisms in poultry meat products and the evaluation of pressure-induced protein denaturation of marinated poultry under different high pressure treatments

    Science.gov (United States)

    Schmidgall, Johanna; Hertel, Christian; Bindrich, Ute; Heinz, Volker; Toepfl, Stefan

    2011-03-01

    In this study, the possibility of extending shelf life of marinated poultry meat products by high pressure processing was evaluated. Relevant spoilage and pathogenic strains were selected and used as target microorganisms (MOs) for challenge experiments. Meat and brine were inoculated with MOs and treated at 450 MPa, 4 °C for 3 min. The results of inactivation show a decreasing pressure tolerance in the series Lactobacillus > Arcobacter > Carnobacterium > Bacillus cereus > Brochothrix thermosphacta > Listeria monocytogenes. Leuconostoc gelidum exhibited the highest pressure tolerance in meat. A protective effect of poultry meat was found for L. sakei and L. gelidum. In parallel, the influence of different marinade formulations (pH, carbonates, citrates) on protein structure changes during a pressure treatment was investigated. Addition of sodium carbonate shows a protection against denaturation of myofibrillar proteins and provides a maximum water-holding capacity. Caustic marinades allowed a higher retention of product characteristics than low-pH marinades.

  10. 77 FR 69541 - Technical Report Evaluating the Effectiveness of Tire Pressure Monitoring Systems (TPMS) in...

    Science.gov (United States)

    2012-11-19

    ...-0167] Technical Report Evaluating the Effectiveness of Tire Pressure Monitoring Systems (TPMS) in...), Department of Transportation. ACTION: Request for comments on technical report. SUMMARY: This notice announces NHTSA's publication of a Technical Report reviewing and evaluating its existing Safety Standard...

  11. Empagliflozin Prevents Worsening of Cardiac Function in an Experimental Model of Pressure Overload-Induced Heart Failure

    Directory of Open Access Journals (Sweden)

    Nikole J. Byrne, BSc

    2017-08-01

    Full Text Available This study sought to determine whether the sodium/glucose cotransporter 2 (SGLT2 inhibitor empagliflozin improved heart failure (HF outcomes in nondiabetic mice. The EMPA-REG OUTCOME (Empagliflozin, Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients trial demonstrated that empagliflozin markedly prevented HF and cardiovascular death in subjects with diabetes. However, despite ongoing clinical trials in HF patients without type 2 diabetes, there are no objective and translational data to support an effect of SGLT2 inhibitors on cardiac structure and function, particularly in the absence of diabetes and in the setting of established HF. Male C57Bl/6 mice were subjected to either sham or transverse aortic constriction surgery to induce HF. Following surgery, mice that progressed to HF received either vehicle or empagliflozin for 2 weeks. Cardiac function was then assessed in vivo using echocardiography and ex vivo using isolated working hearts. Although vehicle-treated HF mice experienced a progressive worsening of cardiac function over the 2-week treatment period, this decline was blunted in empagliflozin-treated HF mice. Treatment allocation to empagliflozin resulted in an improvement in cardiac systolic function, with no significant changes in cardiac remodeling or diastolic dysfunction. Moreover, isolated hearts from HF mice treated with empagliflozin displayed significantly improved ex vivo cardiac function compared to those in vehicle-treated controls. Empagliflozin treatment of nondiabetic mice with established HF blunts the decline in cardiac function both in vivo and ex vivo, independent of diabetes. These data provide important basic and translational clues to support the evaluation of SGLT2 inhibitors as a treatment strategy in a broad range of patients with established HF.

  12. Evaluation of the diurnal intraocular pressure fluctuations and blood pressure under dehydration due to fasting

    Directory of Open Access Journals (Sweden)

    Gonen Baser

    2016-12-01

    Full Text Available Introduction: This study aimed to investigate the diurnal intraocular pressure fluctuations under dehydration conditions and the relationship between the intraocular pressure fluctuations and blood pressure. Methods: The intraocular pressures (IOP, body weights, as well as systolic and diastolic blood pressures (SBP, DBP of 36 fasting healthy volunteers were recorded at 8:00 a.m. and 5:00 p.m. in the Ramadan of 2014 and two weeks after it. The data were analyzed using paired Student’s t-test and Pearson correlation analysis. Results: As the results demonstrated, the mean diurnal IOP differences of IOP, SBP, DBP, and weight were 2.67±1.33 mmHg, 9.44±8.02 mmHg, 3.33±5.94 mmHg, and 0.90±0.46 kg during the fasting period, respectively. In addition, the mean diurnal IOP differences of IOP, SBP, DBP, and weight were -0.33±1.4 mmHg (P=0.001, 0.55±7.25mmHg (P=0.003, -3.33±5.94 mmHg (P=0.001, and 0.12±0.45 kg (P=0.001 during the control period, respectively. There was a moderate correlation between the diurnal IOP and SBP differences (r=0.517, P=0.028. Conclusion: Based on the findings of the current study, the total fluid volume might have a more dominant effect on IOP peaks than the sympathetic system activity. Furthermore, the SBP was found to correlate with the IOP.

  13. Evaluation of fretting failures on PWR fuel by post-irradiation examinations and modeling in the DEGRAD-1 code

    Energy Technology Data Exchange (ETDEWEB)

    Castanheira, Myrthes; Silva, Jose Eduardo Rosa da; Lucki, Georgi; Terremoto, Luis A.A.; Silva, Antonio Teixeira e; Teodoro, Celso A.; Damy, Margaret de A. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)]. E-mail: myrthes@ipen.br

    2007-07-01

    One of the major recognized causes of fuel rod failures is fretting of the clad due to the entrapment of debris in a fuel rod spacer. Such debris, inadvertently dropped into the primary system during maintenance operations, includes various sizes of particles. Intermediate size particles, such as metal cuttings, electrical connectors, metal fittings, pieces of wire, and small nuts and bolts can become trapped between fuel rods in a spacer where hydraulically induced vibrations can cause fretting failure of the fuel rod. An evaluation of debris fretting failure on PWR fuel is presented. The inquiries on fuel rods failures are based on results of analysis using post-irradiation non-destructive examination. The complementary analysis includes a modeling approach by code DEGRAD-1 to characterize the degradation phenomenon after primary failure integrated in the reactor operational history. (author)

  14. Evaluation of fretting failures on PWR fuel by post-irradiation examinations and modeling in the DEGRAD-1 code

    International Nuclear Information System (INIS)

    Castanheira, Myrthes; Silva, Jose Eduardo Rosa da; Lucki, Georgi; Terremoto, Luis A.A.; Silva, Antonio Teixeira e; Teodoro, Celso A.; Damy, Margaret de A.

    2007-01-01

    One of the major recognized causes of fuel rod failures is fretting of the clad due to the entrapment of debris in a fuel rod spacer. Such debris, inadvertently dropped into the primary system during maintenance operations, includes various sizes of particles. Intermediate size particles, such as metal cuttings, electrical connectors, metal fittings, pieces of wire, and small nuts and bolts can become trapped between fuel rods in a spacer where hydraulically induced vibrations can cause fretting failure of the fuel rod. An evaluation of debris fretting failure on PWR fuel is presented. The inquiries on fuel rods failures are based on results of analysis using post-irradiation non-destructive examination. The complementary analysis includes a modeling approach by code DEGRAD-1 to characterize the degradation phenomenon after primary failure integrated in the reactor operational history. (author)

  15. Prototype development and comparative evaluation of wheelchair pressure mapping system.

    Science.gov (United States)

    Ferguson-Pell, M; Cardi, M D

    1993-01-01

    Wheelchair pressure mapping devices used in the prescription of seat cushions and postural supports have been limited in durability, data presentation, and/or clinical efficiency. This project sought to establish the ideal specifications for clinically useful pressure mapping systems, and to use these specifications to influence the design of an innovative wheelchair pressure mapping system (Tekscan "Seat"). Technology, previously developed for measurement of forces of dental occlusion and of the foot during gait, was applied to wheelchair seat mapping. Tests were designed to compare the performance of three pressure mapping systems: the Tekscan system, the FSA system, and the Talley TPM3. Bench tests were done to measure reproducibility, hysteresis, and creep of each of the pressure mapping systems. A contoured loader gauge was developed to test for the influence of hammocking. Tests were also performed using spinal cord-injured subjects to demonstrate the relative performance of the pressure mapping systems in a clinical setting. A focus group session was conducted with seating specialists to review the strengths and weakness of the systems for routine clinical use. The TPM3 was found to be the most accurate, stable, and reproducible but limited in ease of use, speed, and data presentation. FSA was rated well in clinical application and data management but demonstrated a pronounced hysteresis (+/-19%) and creep (4%). The Tekscan system also showed substantial hysteresis (+/-20%) and creep (19%) but was preferred by clinicians for its real-time display capabilities, resolution, and display options. Some trends in system performance on varied support surfaces were identified and can be a valuable guide to interpretation of measurements and prescription decision making in the clinic. Problems identified with the accuracy and stability of the Tekscan and FSA systems may be amenable to resolution with software correction and changes in fabrication. With these

  16. You Want Me to Do What? Evaluators and the Pressure to Misrepresent Findings

    Science.gov (United States)

    Morris, Michael; Clark, Brittany

    2013-01-01

    Evaluators' experiences with being pressured by a key stakeholder to misrepresent findings were investigated in an anonymous survey of a random sample of over 2500 American Evaluation Association members; a response rate of 37% was obtained. Overall, 42% of the respondents had encountered misrepresentation pressure, with 70% of this subgroup…

  17. In utero exposure to diesel exhaust air pollution promotes adverse intrauterine conditions, resulting in weight gain, altered blood pressure, and increased susceptibility to heart failure in adult mice.

    Directory of Open Access Journals (Sweden)

    Chad S Weldy

    Full Text Available Exposure to fine particulate air pollution (PM₂.₅ is strongly associated with cardiovascular morbidity and mortality. Exposure to PM₂.₅ during pregnancy promotes reduced birthweight, and the associated adverse intrauterine conditions may also promote adult risk of cardiovascular disease. Here, we investigated the potential for in utero exposure to diesel exhaust (DE air pollution, a major source of urban PM₂.₅, to promote adverse intrauterine conditions and influence adult susceptibility to disease. We exposed pregnant female C57Bl/6J mice to DE (≈300 µg/m³ PM₂.₅, 6 hrs/day, 5 days/week from embryonic day (E 0.5 to 17.5. At E17.5 embryos were collected for gravimetric analysis and assessed for evidence of resorption. Placental tissues underwent pathological examination to assess the extent of injury, inflammatory cell infiltration, and oxidative stress. In addition, some dams that were exposed to DE were allowed to give birth to pups and raise offspring in filtered air (FA conditions. At 10-weeks of age, body weight and blood pressure were measured. At 12-weeks of age, cardiac function was assessed by echocardiography. Susceptibility to pressure overload-induced heart failure was then determined after transverse aortic constriction surgery. We found that in utero exposure to DE increases embryo resorption, and promotes placental hemorrhage, focal necrosis, compaction of labyrinth vascular spaces, inflammatory cell infiltration and oxidative stress. In addition, we observed that in utero DE exposure increased body weight, but counterintuitively reduced blood pressure without any changes in baseline cardiac function in adult male mice. Importantly, we observed these mice to have increased susceptibility to pressure-overload induced heart failure, suggesting this in utero exposure to DE 'reprograms' the heart to a heightened susceptibility to failure. These observations provide important data to suggest that developmental

  18. Evaluation of pressure transducers under turbid natural waters

    Digital Repository Service at National Institute of Oceanography (India)

    Joseph, A.; Desa, E.; Desa, E.; Smith, D.; Peshwe, V.B.; VijayKumar, K.; Desa, J.A.E.

    Pressure measurements made in two turbid natural waters have led to the inference that the effective depthmean in situ density values, rho sub(eff), of these waters are less than (approx equal to 0.4%-4.5%) that of the density of the same water...

  19. Electrical failure during cardiopulmonary bypass: an evaluation of incidence, causes, management and guidelines for preventative measures.

    LENUS (Irish Health Repository)

    Hargrove, M

    2012-02-03

    The incidence of electrical failure during cardiopulmonary bypass (CPB) has been reported to occur in approximately 1 per 1000 cases. While the resultant morbidity and mortality is low, electrical failure is a life-threatening scenario. We report three major electrical failures during CPB in a patient population of 3500 over a 15-year period. These cases involved mains failure and generator shut down, mains failure and generator power surge, and failure of the uninterruptable power supply (UPS), which caused protected sockets to shut down. Protocols for preventative maintenance, necessary equipment, battery backup and guidelines for the successful management of such accidents during CPB are discussed.

  20. Effects of AV delay and VV delay on left atrial pressure and waveform in ambulant heart failure patients: insights into CRT optimization.

    Science.gov (United States)

    Chan, W Y Wandy; Blomqvist, Andreas; Melton, Iain C; Norén, Kjell; Crozier, Ian G; Benser, Michael E; Eigler, Neal L; Gutfinger, Dan; Troughton, Richard W

    2014-07-01

    We hypothesized that left atrial pressure (LAP) obtained by a permanent implantable sensor is sensitive to changes in cardiac resynchronization therapy (CRT) settings and could guide CRT optimization to improve the response rate. We investigated the effect of CRT optimization on LAP and its waveform parameters in ambulant heart failure (HF) patients. CRT optimization was performed in eight ambulant HF patients, using echocardiography as reference. LAP waveform was acquired at each of eight atrioventricular (AV) intervals and five inter-ventricular (VV) intervals. Selected waveform parameters were also evaluated for their sensitivity to CRT changes and agreement with echocardiography-guided optimal settings. Optimal AV and VV intervals varied considerably between patients. All patients exhibited significant changes in waveform morphology with AV optimization. Optimal AV delay determined from echocardiography ranged between 140 ms and 225 ms. Mean LAP tended to be lower at optimal setting 14 ± 3 mmHg compared to shorter (160 ms) AV settings (P = 0.16). There were clear trends to smaller peak a-wave (P = 0.11) and gentler positive a-slope (P = 0.15) and positive v-slope (P = 0.09) with longer AV delays. Mean LAP and negative v-wave slope correlated well with echo-guided optimal setting, r = 0.91 (P = 0.001) and 0.79 (P = 0.03), respectively. No significant effects on LAP or waveform were seen during VV optimization. LAP and its waveform changes considerably with AV optimization. There is good agreement between echo-guided optimal setting and LAP. LAP could provide an objective guide to CRT optimization. (Clinical Trial Registry information: URL: http://www.clinicaltrials.gov. Unique Identifier: NCT00632372). ©2014 Wiley Periodicals, Inc.

  1. Increased intraventricular pressures are as harmful as the electrophysiological substrate of heart failure in favoring sustained reentry in the swine heart.

    Science.gov (United States)

    Quintanilla, Jorge G; Moreno, Javier; Archondo, Tamara; Usandizaga, Elena; Molina-Morúa, Roberto; Rodríguez-Bobada, Cruz; González, Pablo; García-Torrent, María Jesús; Filgueiras-Rama, David; Pérez-Castellano, Nicasio; Macaya, Carlos; Pérez-Villacastín, Julián

    2015-10-01

    Heart failure (HF) electrophysiological remodeling (HF-ER) often includes the effect of chronically increased intraventricular pressures (IVPs) and promotes ventricular tachycardia/ventricular fibrillation (VT/VF). In addition, acutely increased IVPs have been associated with a higher rate of VT/VF episodes in chronic HF. We hypothesized that increased IVPs and/or an ionic-imbalanced (acidified), catecholamine-rich (adrenergic) milieu (AA milieu) may contribute as much as HF-ER to the substrate for reentry in HF. We used a porcine model of tachycardiomyopathy and evaluated the individual/combined contributions of (1) increased IVPs, (2) HF-ER, and (3) an AA milieu. HF-ER was induced in 7 pigs by rapid pacing. Seven pigs were used as controls. Hearts were isolated and Langendorff perfused. Programmed ventricular stimulation was conducted under low or increased IVP and normal/AA milieu (4 combinations). Epicardial optical mapping was used to quantify conduction velocity (CV), action potential duration (APD), and dispersion of repolarization (DoR). HF-ER decreased CV (-34%; P = .002) and increased APD (11%; P = .024) and DoR (21%; P = .007). Increased IVP amplified DoR (36%; P 6-fold). By magnifying DoR, decreasing CV, and shortening APD, increased IVP was as harmful as HF-ER in favoring the substrate for sustained reentry in this model. The AA milieu contributed to a much lesser extent. Thus, a stricter control of IVP might be postulated as a useful add-on antiarrhythmic strategy in HF. Copyright © 2015 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

  2. Effects of long-term therapy with arotinolol on blood pressure and renal function in hypertensive patients with chronic renal failure.

    Science.gov (United States)

    Shiigai, T

    1993-01-01

    The effects on blood pressure and renal function of long-term treatment with the alpha- and beta-blocker arotinolol at a dose of 20 mg/day were studied in 10 hypertensive patients with chronic renal failure. Patients received low-protein therapy in which the protein and phosphorus intakes were controlled at a certain level. The average duration of arotinolol treatment was 18.4 months. A significant decrease in blood pressure was seen after the second month of treatment, and this effect continued up to the 20th month. The progression rates of renal failure (creatinine clearance/month) before and after treatment were -0.377 +/- 0.344 and -0.164 +/- 0.172 ml/min/month, respectively. No side effects attributable to the drug were observed. These findings indicate that arotinolol has a stable antihypertensive effect and no adverse effects on renal function. Arotinolol appears to be a useful drug in the long-term treatment of hypertension in patients with chronic renal failure.

  3. Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study.

    Science.gov (United States)

    Roberts, Shelley; McInnes, Elizabeth; Bucknall, Tracey; Wallis, Marianne; Banks, Merrilyn; Chaboyer, Wendy

    2017-02-13

    As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions to provide insight into why they work or fail and how they might be improved. This study aimed to evaluate processes underpinning implementation of the intervention and explore end-users' perceptions of it, in order to give a deeper understanding of its effects. A pre-specified, mixed-methods process evaluation was conducted as an adjunct to the main trial, guided by a framework for process evaluation of cluster-randomised trials. Data was collected across eight Australian hospitals but mainly focused on the four intervention hospitals. Quantitative and qualitative data were collected across the evaluation domains: recruitment, reach, intervention delivery and response to intervention, at both cluster and individual patient level. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were analysed using thematic analysis. In the context of the main trial, which found a 42% reduction in risk of pressure ulcer with the intervention that was not significant after adjusting for clustering and covariates, this process evaluation provides important insights. Recruitment and reach among clusters and individuals was high, indicating that patients, nurses and hospitals are willing to engage with a pressure ulcer prevention care bundle. Of 799 intervention patients in the trial, 96.7% received the intervention, which took under 10 min to deliver. Patients and nurses accepted the care bundle, recognising benefits to it and describing how it enabled participation in pressure ulcer prevention (PUP) care. This process evaluation found no major failures

  4. Application of Quality Management Tools for Evaluating the Failure Frequency of Cutter-Loader and Plough Mining Systems

    Science.gov (United States)

    Biały, Witold

    2017-06-01

    Failure frequency in the mining process, with a focus on the mining machine, has been presented and illustrated by the example of two coal-mines. Two mining systems have been subjected to analysis: a cutter-loader and a plough system. In order to reduce costs generated by failures, maintenance teams should regularly make sure that the machines are used and operated in a rational and effective way. Such activities will allow downtimes to be reduced, and, in consequence, will increase the effectiveness of a mining plant. The evaluation of mining machines' failure frequency contained in this study has been based on one of the traditional quality management tools - the Pareto chart.

  5. EVALUATION CARDIAC RESYNCHRONIZATION THERAPY IN PATIENTS WITH CHRONIC ISCHEMIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    A. J. Fishman

    2011-01-01

    Full Text Available Objective — studying dyssynchrony characteristics and evaluation correction effectiveness in patients with chronic heart failure (CHF of ischemic origin.Materials and methods. The study included 125 patients with chronic heart failure of ischemic etiology, 28 of them — with coronary heart disease (CHD who had undergone aorto-and / or mammarokoronary bypass and / or percutaneous coronary intervention, 42 — with coronary artery disease and postinfarction cardiosclerosis, 32 — with arrhythmic variant of coronary artery disease, 23 — with stable angina without evidence of arrhythmia. Among included patients, biventricular pacemakers were implanted for 17 patients. All patients underwent echocardiography with determination of the parameters of dyssynchrony.Results and conclusion. Among patients with CHF ischemic symptoms dyssynchrony was diagnosed in 36 (28.8 % cases. Statistically significant association between patients with cardiac arrhythmias and dyssynchrony was determined. At the same time the incidence of dyssynchrony was not associated with various forms of ischemic heart disease, and did not depend on the anamnesis of cardiac surgery. Dependence of the frequency of occurrence of dyssynchrony on the severity of CHF was revealed. Patients selected for implantation of biventricular pacemakers, especially in view of echocardiographic signs of dyssynchrony had significant improvement after providing cardiac resynchronization therapy. Effect of the treatment does not depend on the atrial fibrillation rhythm presence.

  6. EVALUATION CARDIAC RESYNCHRONIZATION THERAPY IN PATIENTS WITH CHRONIC ISCHEMIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    A. J. Fishman

    2014-07-01

    Full Text Available Objective — studying dyssynchrony characteristics and evaluation correction effectiveness in patients with chronic heart failure (CHF of ischemic origin.Materials and methods. The study included 125 patients with chronic heart failure of ischemic etiology, 28 of them — with coronary heart disease (CHD who had undergone aorto-and / or mammarokoronary bypass and / or percutaneous coronary intervention, 42 — with coronary artery disease and postinfarction cardiosclerosis, 32 — with arrhythmic variant of coronary artery disease, 23 — with stable angina without evidence of arrhythmia. Among included patients, biventricular pacemakers were implanted for 17 patients. All patients underwent echocardiography with determination of the parameters of dyssynchrony.Results and conclusion. Among patients with CHF ischemic symptoms dyssynchrony was diagnosed in 36 (28.8 % cases. Statistically significant association between patients with cardiac arrhythmias and dyssynchrony was determined. At the same time the incidence of dyssynchrony was not associated with various forms of ischemic heart disease, and did not depend on the anamnesis of cardiac surgery. Dependence of the frequency of occurrence of dyssynchrony on the severity of CHF was revealed. Patients selected for implantation of biventricular pacemakers, especially in view of echocardiographic signs of dyssynchrony had significant improvement after providing cardiac resynchronization therapy. Effect of the treatment does not depend on the atrial fibrillation rhythm presence.

  7. Snow instability evaluation in skier-triggered snow slab avalanches: combining failure initiation and crack propagation

    Science.gov (United States)

    Gaume, Johan; Reuter, Benjamin

    2017-04-01

    Dry-snow slab avalanches start with a local failure in a weak snowpack layer buried below cohesive snow slab layers. If the size of the failed zone exceeds a critical size, rapid crack propagation occurs possibly followed by slab release if the slope is steep enough. The probability of skier-triggering a slab avalanche is generally characterized by classical stability indices that do not account for crack propagation. In this study, we propose a new model to evaluate the conditions for the onset of crack propagation in skier-triggered slab avalanches. For a given weak layer, the critical crack length characterizing crack propagation propensity was compared to the size of the area where the skier-induced stress exceeds the shear strength of the weak layer. The ratio between both length scales yields a stability criterion combining the processes of failure initiation and crack propagation. The critical crack length was calculated from a recently developed model based on numerical simulations. The skier-induced stress was computed from analytical solutions and finite element simulations to account for slab layering. A detailed sensitivity analysis was performed for simplified snow profiles to characterize the influence of snowpack properties and slab layering on crack propagation propensity. Finally, we applied our approach for manually observed snow profiles and compared our results to rutschblock stability tests.

  8. Criteria for evaluating protection from single points of failure for partially expanded fault trees

    International Nuclear Information System (INIS)

    Aswani, D.; Badreddine, B.; Malone, M.; Gauthier, G.; Proietty, J.

    2008-01-01

    Fault tree analysis (FTA) is a technique that describes the combinations of events in a system which result in an undesirable outcome. FTA is used as a tool to quantitatively assess a system's probability for an undesirable outcome. Time constraints from concept to production in modern engineering often limit the opportunity for a thorough statistical analysis of a system. Furthermore, when undesirable outcomes are considered such as hazard to human(s), it becomes difficult to identify strict statistical targets for what is acceptable. Consequently, when hazard to human(s) is concerned a common design target is to protect the system from single points of failure (SPOF) which means that no failure mode caused by a single event, concern, or error has a critical consequence on the system. Such a design target is common with 'by-wire' systems. FTA can be used to verify if a system is protected from SPOF. In this paper, sufficient criteria for evaluating protection from SPOF for partially expanded fault trees are proposed along with proof. The proposed criteria consider potential interactions between the lowest drawn events of a partial fault tree expansion which otherwise easily leads to an overly optimistic analysis of protection from SPOF. The analysis is limited to fault trees that are coherent and static

  9. Mediastinal lymphadenopathy in congestive heart failure: a sequential CT evaluation with clinical and echocardiographic correlations

    International Nuclear Information System (INIS)

    Chabbert, Valerie; Canevet, Guillaume; Otal, Philippe; Joffre, Francis; Baixas, Cecile; Galinier, Michel; Deken, Valerie; Duhamel, Alain; Remy, Jacques; Remy-Jardin, Martine

    2004-01-01

    The aim of this study was to evaluate the frequency and evolution after treatment of mediastinal lymphadenopathy associated with congestive left heart failure on CT scans in correlation with clinical and echocardiographic findings. Thirty-one consecutive patients with subacute left heart failure underwent a clinical evaluation using the NYHA classification, a CT examination, and transthoracic echocardiography at the time of initial presentation (T1). After initiation of medical treatment (T2), follow-up CT scans were systematically obtained together with a clinical evaluation. At T1, all patients showed severe (type III: n=12, 39%; type IV: n=12, 39%) to moderate (type I, n=1, 3%; type II, n=6, 19%) dyspnea with a mean ejection fraction of 39% (range 22-74%). On initial CT scans, enlarged mediastinal lymph nodes were seen in 13 patients (42%) with blurred contours in 5 patients (16%) and hazy mediastinal fat in 1 patient (3%). Significant decrease in the size of lymphadenopathy was observed between T1 and T2 (T1, n=13, 42% vs T2, n=10, 32%; p<0.05) with a concurrent decrease in the severity of dyspnea (grade III-IV dyspnea at T1, n=24, 78% vs grade I-II dyspnea at T2, n=26, 83.5%). Patients with enlarged lymph nodes at T1 showed: (a) a significantly lower ejection fraction at echocardiography than those without lymphadenopathy (mean±SD value: 34±12.9 vs 43±13.8%; p=0.04); (b) a significantly larger diameter of the right superior pulmonary vein (mean±SD value: 17±2.75 vs 14±3.9 mm; p=0.04); and (c) a higher frequency of abnormal peribronchovascular thickening (n=5 vs n=1; p=0.06). Mediastinal lymphadenopathy associated with subacute left heart failure was observed in 13 patients (42%), showing regression after initiation of treatment in 8 of 13 patients (62%). (orig.)

  10. NRC Information Notice No. 92-67: Deficiency in design modifications to address failures of Hiller actuators upon a gradual loss of air pressure

    International Nuclear Information System (INIS)

    Rossi, C.E.

    1993-01-01

    On January 7, 1992, Carolina Power and Light Company (Shearon Harris Plant) components associated with the air supply to the actuators of the three main feedwater preheater bypass isolation valves were not qualified for a Q class application. Specifically, the failure of the air pump in the non-Q Class, non-seismic instrument air supply to the valve actuator accumulator could prevent pressure switches upstream of the air pump from detecting slow leakage in the Q Class, seismic portion of the actuator air lines. The pressure switches were installed to ensure valve closure by sending an automatic close signal if the instrument air system pressure (upstream of the actuator air pump) dropped to 66 psig as discussed in IN 82-25. The main feedwater preheater bypass isolation valves function as containment isolation valves upon receipt of a feedwater isolation signal. The function of the air pump is to raise the normal instrument air supply pressure from 70 to 100 psig to approximately 150 psig. If accumulator pressure drops from 150 psig to 122 psig, the main feedwater preheater bypass isolation valve may not close within 10 seconds. If pressure drops to a value as low as 20 psig, it may not be sufficient to close the main feedwater preheater bypass isolation valve and keep it closed against the maximum differential pressure across the valve seat. Upon discovery of this condition, Shearon Harris established a surveillance interval for verifying that the actuators' components were functioning properly and that the accumulators were fully pressurized. On January 12, 1992, non-Q components were replaced with suitable components and testing was completed satisfactorily

  11. Genetic Evaluation of Cardiomyopathy - a Heart Failure Society of America Practice Guideline.

    Science.gov (United States)

    Hershberger, Ray E; Givertz, Michael; Ho, Carolyn Y; Judge, Daniel P; Kantor, Paul; McBride, Kim L; Morales, Ana; Taylor, Matthew R G; Vatta, Matteo; Ware, Stephanie M

    2018-03-19

    This guideline describes the approach and expertise needed for the genetic evaluation of cardiomyopathy. First published in 2009 by the Heart Failure Society of America (HFSA), this guidance has now been updated in collaboration with the American College of Medical Genetics and Genomics (ACMG). The writing group, composed of cardiologists and genetics professionals with expertise in adult and pediatric cardiomyopathy, reflects the emergence and increased clinical activity devoted to cardiovascular genetic medicine. The genetic evaluation of cardiomyopathy is a rapidly emerging key clinical priority, as high throughput sequencing is now feasible for clinical testing, and conventional interventions can improve survival, reduce morbidity, and enhance quality of life. Moreover, specific interventions may be guided by genetic analysis. A systematic approach is recommended: always a comprehensive family history; an expert phenotypic evaluation of the proband and at-risk family members to confirm a diagnosis and guide genetic test selection and interpretation; referral to expert centers as needed; genetic testing, with pre- and post-test genetic counseling; and specific guidance as indicated for drug and device therapies. The evaluation of infants and children demands special expertise. The approach to manage secondary and incidental sequence findings as recommended by the ACMG is provided. Copyright © 2018 Elsevier Inc. All rights reserved.

  12. Evaluation of Agency Non-Code Layered Pressure Vessels (LPVs)

    Science.gov (United States)

    Prosser, William H.

    2014-01-01

    In coordination with the Office of Safety and Mission Assurance and the respective Center Pressure System Managers (PSMs), the NASA Engineering and Safety Center (NESC) was requested to formulate a consensus draft proposal for the development of additional testing and analysis methods to establish the technical validity, and any limitation thereof, for the continued safe operation of facility non-code layered pressure vessels. The PSMs from each NASA Center were asked to participate as part of the assessment team by providing, collecting, and reviewing data regarding current operations of these vessels. This report contains the outcome of the assessment and the findings, observations, and NESC recommendations to the Agency and individual NASA Centers.

  13. [Evaluation of pressure ulcers area using the softwares Motic and AutoCAD®].

    Science.gov (United States)

    Reis, Camila Letícia Dias dos; Cavalcante, Janaína Mortosa; Rocha Júnior, Edvar Ferreira da; Neves, Rinaldo Souza; Santana, Levy Aniceto; Guadagnin, Renato da Veiga; Brasil, Lourdes Mattos

    2012-01-01

    Pressure ulcer is a lesion that affects skin layers in some regions of the body and its healing can be followed up using image processing. The analysis of pressure ulcer area is relevant to evaluate its evolution and response to therapeutic procedures. Such areas can be evaluated through contour marking with the softwares Motic and AutoCAD®. In this study 35 volunteers computed areas from two grade III pressure ulcers using these instruments. It was possible to conclude that results are clinically equivalent and so can be considered to follow up healing evolution from pressure ulcers.

  14. Evaluation of Acoustic Emission NDE of Kevlar Composite Over Wrapped Pressure Vessels

    Science.gov (United States)

    Horne, Michael R.; Madaras, Eric I.

    2008-01-01

    Pressurization and failure tests of small Kevlar/epoxy COPV bottles were conducted during 2006 and 2007 by Texas Research Institute Austin, Inc., at TRI facilities. This is a report of the analysis of the Acoustic Emission (AE) data collected during those tests. Results of some of the tests indicate a possibility that AE can be used to track the stress-rupture degradation of COPV vessels.

  15. Evaluation of possible failure of the mononuclear phagocyte system after total splenectomy in rats

    Directory of Open Access Journals (Sweden)

    Marques Ruy Garcia

    2004-01-01

    Full Text Available Young and adult Wistar rats were submitted to total splenectomy and compared to animals not submitted to any surgical manipulation in order to evaluate the phagocytic function of spleen. The animals were infected with Escherichia coli labeled with technetium-99m and killed 20 minutes later. Liver, lung, spleen and a blood clot sample were taken. No significant differences were found in the percentage of bacterial radioactivity uptake in mononuclear phagocyte system (MPS organs in young and adult splenectomized rats. However, phagocytosis index by macrophages of MPS organs was smaller in splenectomized animals than in control group. Splenectomized rats were associated with a higher blood bacterial radioactivity uptake than animals of the control group (p<0.0001 due to a larger bacterial remnant in the bloodstream. This finding suggested that some failure in the MPS occurred in the absence of the spleen, demonstrating the need to develop alternative surgical techniques for total splenectomy.

  16. Risk assessment of turbine rotor failure using probabilistic ultrasonic non-destructive evaluations

    International Nuclear Information System (INIS)

    Guan, Xuefei; Zhang, Jingdan; Zhou, S. Kevin; Rasselkorde, El Mahjoub; Abbasi, Waheed A.

    2014-01-01

    The study presents a method and application of risk assessment methodology for turbine rotor fatigue failure using probabilistic ultrasonic nondestructive evaluations. A rigorous probabilistic modeling for ultrasonic flaw sizing is developed by incorporating the model-assisted probability of detection, and the probability density function (PDF) of the actual flaw size is derived. Two general scenarios, namely the ultrasonic inspection with an identified flaw indication and the ultrasonic inspection without flaw indication, are considered in the derivation. To perform estimations for fatigue reliability and remaining useful life, uncertainties from ultrasonic flaw sizing and fatigue model parameters are systematically included and quantified. The model parameter PDF is estimated using Bayesian parameter estimation and actual fatigue testing data. The overall method is demonstrated using a realistic application of steam turbine rotor, and the risk analysis under given safety criteria is provided to support maintenance planning

  17. Evaluation of bone metabolism in patients with chronic renal failure treated by continuous ambulatory peritoneal dialysis

    International Nuclear Information System (INIS)

    Zeng Li

    2001-01-01

    Bone metabolism inpatients with chronic renal failure treated by continuous ambulatory peritoneal dialysis (CAPD) was evaluated. IRMA, RRA and RIA were used to detect PTH, 25 (OH)D 3 , 1,25(OH) 2 D 3 , BGP, Ca and P levels in the blood of 24 CAPD patients. PTH and BGP were increased in uremic patients ad decreased after CAPD. 25(OH)D 3 and 1,25 (OH) 2 D 3 were decreased in the patients, but their levels were not changed further after CAPD. PTH had negative correlation with 25 (OH)D 3 (r = -0.379, P 2 D 3 (r = -0.451, P < 0.01). PTH had positive correlation with BGP (r 0.501, P < 0.01) in CAPD patients, and the correlativity was decreased by CAPD. The results showed: PTH hypersecretion is a main factor inducing bone metabolism disturbance, and bone turnover rate is decreased in these patients by CAPD

  18. Neural Network Prediction of Failure of Damaged Composite Pressure Vessels from Strain Field Data Acquired by a Computer Vision Method

    Science.gov (United States)

    Russell, Samuel S.; Lansing, Matthew D.

    1997-01-01

    This effort used a new and novel method of acquiring strains called Sub-pixel Digital Video Image Correlation (SDVIC) on impact damaged Kevlar/epoxy filament wound pressure vessels during a proof test. To predict the burst pressure, the hoop strain field distribution around the impact location from three vessels was used to train a neural network. The network was then tested on additional pressure vessels. Several variations on the network were tried. The best results were obtained using a single hidden layer. SDVIC is a fill-field non-contact computer vision technique which provides in-plane deformation and strain data over a load differential. This method was used to determine hoop and axial displacements, hoop and axial linear strains, the in-plane shear strains and rotations in the regions surrounding impact sites in filament wound pressure vessels (FWPV) during proof loading by internal pressurization. The relationship between these deformation measurement values and the remaining life of the pressure vessels, however, requires a complex theoretical model or numerical simulation. Both of these techniques are time consuming and complicated. Previous results using neural network methods had been successful in predicting the burst pressure for graphite/epoxy pressure vessels based upon acoustic emission (AE) measurements in similar tests. The neural network associates the character of the AE amplitude distribution, which depends upon the extent of impact damage, with the burst pressure. Similarly, higher amounts of impact damage are theorized to cause a higher amount of strain concentration in the damage effected zone at a given pressure and result in lower burst pressures. This relationship suggests that a neural network might be able to find an empirical relationship between the SDVIC strain field data and the burst pressure, analogous to the AE method, with greater speed and simplicity than theoretical or finite element modeling. The process of testing SDVIC

  19. In-Flight Validation of a Pilot Rating Scale for Evaluating Failure Transients in Electronic Flight Control Systems

    Science.gov (United States)

    Kalinowski, Kevin F.; Tucker, George E.; Moralez, Ernesto, III

    2006-01-01

    Engineering development and qualification of a Research Flight Control System (RFCS) for the Rotorcraft Aircrew Systems Concepts Airborne Laboratory (RASCAL) JUH-60A has motivated the development of a pilot rating scale for evaluating failure transients in fly-by-wire flight control systems. The RASCAL RFCS includes a highly-reliable, dual-channel Servo Control Unit (SCU) to command and monitor the performance of the fly-by-wire actuators and protect against the effects of erroneous commands from the flexible, but single-thread Flight Control Computer. During the design phase of the RFCS, two piloted simulations were conducted on the Ames Research Center Vertical Motion Simulator (VMS) to help define the required performance characteristics of the safety monitoring algorithms in the SCU. Simulated failures, including hard-over and slow-over commands, were injected into the command path, and the aircraft response and safety monitor performance were evaluated. A subjective Failure/Recovery Rating (F/RR) scale was developed as a means of quantifying the effects of the injected failures on the aircraft state and the degree of pilot effort required to safely recover the aircraft. A brief evaluation of the rating scale was also conducted on the Army/NASA CH-47B variable stability helicopter to confirm that the rating scale was likely to be equally applicable to in-flight evaluations. Following the initial research flight qualification of the RFCS in 2002, a flight test effort was begun to validate the performance of the safety monitors and to validate their design for the safe conduct of research flight testing. Simulated failures were injected into the SCU, and the F/RR scale was applied to assess the results. The results validate the performance of the monitors, and indicate that the Failure/Recovery Rating scale is a very useful tool for evaluating failure transients in fly-by-wire flight control systems.

  20. [Efficacy of the Boussignac continuous positive airway pressure device in patients with acute respiratory failure attended by an emergency medical service: a randomized clinical trial].

    Science.gov (United States)

    Pérez Regueiro, Irene; Mosteiro Díaz, María Pilar; Herrero Puente, Pablo; Argüelles Luis, Juan; Campa García, Ana María; García Fernández, José Antonio

    2016-02-01

    To assess the efficacy of the Boussignac continuous positive airway pressure (CPAP) device for treating patients with acute respiratory failure transported by an emergency medical service. Retrospective, descriptive study of a series of patients treated with the Boussignac CPAP system by emergency medical service responders in Asturias between February 1, 2006, and March 19, 2012. We recorded demographic data, diagnosis, techniques and drugs used, technique failure and reasons, vital constants, (heart rate [HR], respiratory frequency [RF], systolic and diastolic blood pressures, and arterial oxygen saturation by pulse oximetry [SpO2]) at 5 times during the event (on contact without oxygen therapy in place, with conventional oxygen therapy, 5 and 15 minutes after starting CPAP, and on hospital transfer), and the duration of prehospital care. A total of 203 patients with a mean (SD) age of 74.5 (10.6) years were enrolled; 133 (65.5%) were men. One hundred five (81.3%) had acute heart failure. The device failed in 28 patients (13.8%), 13 (6.4%) of whom required intubation. One (0.5%) died while still in prehospital care. All vital constants improved with CPAP. SpO2 values increased at all 5 recording times (P<.001); HR and RF improved significantly at 5 and 15 minutes of CPAP and on transfer (P<.001). Systolic and diastolic pressures were significantly lower than baseline after 15 minutes of CPAP and on transfer. Duration of care was significantly longer in patients who did not tolerate CPAP and in patients who were intubated (P<.001). Most patients tolerated treatment with the Boussignac CPAP device and improved clinically. Few required intubation and mortality was very low.

  1. Assessment of blood gas parameters and the degree of inflammation in noninvasive positive pressure ventilation combined with aminophylline treatment of COPD complicated with type II respiratory failure

    Directory of Open Access Journals (Sweden)

    Jin-Ru Zhang

    2016-10-01

    Full Text Available Objective: To analyze the effect of noninvasive positive pressure ventilation combined with aminophylline therapy on blood gas parameters and the degree of inflammation in patients with COPD and type II respiratory failure. Methods: A total of 80 patients with COPD and type Ⅱ respiratory failure were randomly divided into observation group and control group (n=40, control group received symptomatic treatment + aminophylline treatment, observation group received symptomatic treatment + aminophylline + noninvasive positive pressure ventilation treatment, and then differences in blood gas parameters, pulmonary function parameters, hemorheology parameters and inflammatory factor levels were compared between two groups of patients after treatment. Results: Radial artery pH and PO2 values of observation group after treatment were higher than those of control group while PCO2, Cl- and CO2CP values were lower than those of control group; pulmonary function parameters FVC, FEV1, FEF25-75, MMF, PEF and FRC values of observation group after treatment were higher than those of control group; whole blood viscosity (150 s- and 10 s-, plasma viscosity, fibrinogen, erythrocyte aggregation index and erythrocyte rigidity index values in peripheral venous blood of observation group after treatment were lower than those of control group; serum IL-17, IL-33, TREM-1, sICAM-1 and PGE2 levels of observation group after treatment were lower than those of control group. Conclusion: Noninvasive positive pressure ventilation combined with aminophylline can optimize the respiratory function of patients with COPD and type II respiratory failure and improve blood gas parameters and the degree of inflammation.

  2. Evaluating road surface conditions using dynamic tire pressure sensor

    Science.gov (United States)

    Zhao, Yubo; Wu, H. Felix; McDaniel, J. Gregory; Wang, Ming L.

    2014-03-01

    In order to best prioritize road maintenance, the level of deterioration must be known for all roads in a city's network. Pavement Condition Index (PCI) and International Roughness Index (IRI) are two standard methods for obtaining this information. However, IRI is substantially easier to measure. Significant time and money could be saved if a method were developed to estimate PCI from IRI. This research introduces a new method to estimate IRI and correlate IRI with PCI. A vehicle-mounted dynamic tire pressure sensor (DTPS) system is used. The DTPS measures the signals generated from the tire/road interaction while driving. The tire/road interaction excites surface waves that travel through the road. DTPS, which is mounted on the tire's valve stem, measures tire/road interaction by analyzing the pressure change inside the tire due to the road vibration, road geometry and tire wall vibration. The road conditions are sensible to sensors in a similar way to human beings in a car. When driving on a smooth road, tire pressure stays almost constant and there are minimal changes in the DTPS data. When driving on a rough road, DTPS data changes drastically. IRI is estimated from the reconstructed road profile using DTPS data. In order to correlate IRI with PCI, field tests were conducted on roads with known PCI values in the city of Brockton, MA. Results show a high correlation between the estimated IRI values and the known PCI values, which suggests that DTPS-based IRI can provide accurate predictions of PCI.

  3. Development of main steam safety valve set pressure evaluating system

    International Nuclear Information System (INIS)

    Oketani, Koichiro; Manabe, Yoshihisa.

    1991-01-01

    A main steam safety valve set pressure test is conducted for all valves during every refueling outage in Japan's PWRs. Almost all operations of the test are manually conducted by a skilled worker. In order to obtain further reliability and reduce the test time, an automatic test system using a personnel computer has been developed in accordance with system concept. Quality assurance was investigated to fix system specifications. The prototype of the system was manufactured to confirm the system reliability. The results revealed that this system had high accuracy measurement and no adverse influence on the safety valve. This system was concluded to be applicable for actual use. (author)

  4. BDD-based reliability evaluation of phased-mission systems with internal/external common-cause failures

    International Nuclear Information System (INIS)

    Xing, Liudong; Levitin, Gregory

    2013-01-01

    Phased-mission systems (PMS) are systems in which multiple non-overlapping phases of operations (or tasks) are accomplished in sequence for a successful mission. Examples of PMS abound in applications such as aerospace, nuclear power, and airborne weapon systems. Reliability analysis of a PMS must consider statistical dependence across different phases as well as dynamics in system configuration, failure criteria, and component behavior. This paper proposes a binary decision diagrams (BDD) based method for the reliability evaluation of non-repairable binary-state PMS with common-cause failures (CCF). CCF are simultaneous failure of multiple system elements, which can be caused by some external factors (e.g., lightning strikes, sudden changes in environment) or by propagated failures originating from some elements within the system. Both the external and internal CCF is considered in this paper. The proposed method is combinatorial, exact, and is applicable to PMS with arbitrary system structures and component failure distributions. An example with different CCF scenarios is analyzed to illustrate the application and advantages of the proposed method. -- Highlights: ► Non-repairable phased-mission systems with common-cause failures are analyzed. ► Common-cause failures caused by internal or external factors are considered. ► A combinatorial algorithm based on binary decision diagrams is suggested

  5. Fuzzy Risk Evaluation in Failure Mode and Effects Analysis Using a D Numbers Based Multi-Sensor Information Fusion Method.

    Science.gov (United States)

    Deng, Xinyang; Jiang, Wen

    2017-09-12

    Failure mode and effect analysis (FMEA) is a useful tool to define, identify, and eliminate potential failures or errors so as to improve the reliability of systems, designs, and products. Risk evaluation is an important issue in FMEA to determine the risk priorities of failure modes. There are some shortcomings in the traditional risk priority number (RPN) approach for risk evaluation in FMEA, and fuzzy risk evaluation has become an important research direction that attracts increasing attention. In this paper, the fuzzy risk evaluation in FMEA is studied from a perspective of multi-sensor information fusion. By considering the non-exclusiveness between the evaluations of fuzzy linguistic variables to failure modes, a novel model called D numbers is used to model the non-exclusive fuzzy evaluations. A D numbers based multi-sensor information fusion method is proposed to establish a new model for fuzzy risk evaluation in FMEA. An illustrative example is provided and examined using the proposed model and other existing method to show the effectiveness of the proposed model.

  6. Evaluating the effects of pentoxifylline administration on experimental pressure sores in rats by biomechanical examinations

    OpenAIRE

    Velaei, Kobra; Bayat, Mohammad; Torkman, Giti; Rezaie, Fatemealsadat; Amini, Abdollah; Noruzian, Mohsen; Tavassol, Azaedh; Bayat, Mehernoush

    2012-01-01

    This study used a biomechanical test to evaluate the effects of pentoxifylline administration on the wound healing process of an experimental pressure sore induced in rats. Under general anesthesia and sterile conditions, experimental pressure sores generated by no. 25 Halsted mosquito forceps were inflicted on 12 adult male rats. Pentoxifylline was injected intraperitoneally at a dose of 50 mg/kg daily from the day the pressure sore was generated, for a period of 20 days. At the end of 20 da...

  7. A field performance evaluation of drip emitters: pressure versus ...

    African Journals Online (AJOL)

    A comprehensive field evaluation of irrigation systems involves determining the overall efficiency of the system, for example, determining water use efficiency, field operating efficiency and water management practices in use. However, the objective of this study was to evaluate the operating pressure–discharge relationship ...

  8. A field performance evaluation of drip emitters: pressure versus ...

    African Journals Online (AJOL)

    Field evaluation of irrigation systems (drip) can form a basis for decision making as to whether the irrigation system needs rehabilitation, overhaul or even dismantling if found to be very uneconomical. A comprehensive field evaluation of irrigation systems involves determining the overall efficiency of the system, for example, ...

  9. Preoperative short hookwire placement for small pulmonary lesions: evaluation of technical success and risk factors for initial placement failure.

    Science.gov (United States)

    Iguchi, Toshihiro; Hiraki, Takao; Matsui, Yusuke; Fujiwara, Hiroyasu; Masaoka, Yoshihisa; Tanaka, Takashi; Sato, Takuya; Gobara, Hideo; Toyooka, Shinichi; Kanazawa, Susumu

    2018-05-01

    To retrospectively evaluate the technical success of computed tomography fluoroscopy-guided short hookwire placement before video-assisted thoracoscopic surgery and to identify the risk factors for initial placement failure. In total, 401 short hookwire placements for 401 lesions (mean diameter 9.3 mm) were reviewed. Technical success was defined as correct positioning of the hookwire. Possible risk factors for initial placement failure (i.e., requirement for placement of an additional hookwire or to abort the attempt) were evaluated using logistic regression analysis for all procedures, and for procedures performed via the conventional route separately. Of the 401 initial placements, 383 were successful and 18 failed. Short hookwires were finally placed for 399 of 401 lesions (99.5%). Univariate logistic regression analyses revealed that in all 401 procedures only the transfissural approach was a significant independent predictor of initial placement failure (odds ratio, OR, 15.326; 95% confidence interval, CI, 5.429-43.267; p failure (OR 0.793, 95% CI 0.631-0.996; p = 0.046). The technical success of preoperative short hookwire placement was extremely high. The transfissural approach was a predictor initial placement failure for all procedures and small lesion size was a predictor of initial placement failure for procedures performed via the conventional route. • Technical success of preoperative short hookwire placement was extremely high. • The transfissural approach was a significant independent predictor of initial placement failure for all procedures. • Small lesion size was a significant independent predictor of initial placement failure for procedures performed via the conventional route.

  10. Children's Achievement Strategies and Test Performance: The Role of Time Pressure, Evaluation Anxiety, and Sex

    Science.gov (United States)

    Plass, James A.; Hill, Kennedy T.

    1986-01-01

    Examines how test anxiety affects children in certain evaluation situations and focuses on developing more valid and effective measurement procedures in school achievement testings. Third and fourth graders were divided into three anxiety groups and tested under time and no time pressures. Anxiety level, time pressure, and sex affected…

  11. The diagnostic work up of growth failure in secondary health care; An evaluation of consensus guidelines

    Directory of Open Access Journals (Sweden)

    Dekker Friedo W

    2008-05-01

    Full Text Available Abstract Background As abnormal growth might be the first manifestation of undetected diseases, it is important to have accurate referral criteria and a proper diagnostic work-up. In the present paper we evaluate the diagnostic work-up in secondary health care according to existing consensus guidelines and study the frequency of underlying medical disorders. Methods Data on growth and additional diagnostic procedures were collected from medical records of new patients referred for short stature to the outpatient clinics of the general paediatric departments of two hospitals (Erasmus MC – Sophia Children's Hospital, Rotterdam and Spaarne Hospital, Haarlem between January 1998 and December 2002. As the Dutch Consensus Guideline (DCG is the only guideline addressing referral criteria as well as diagnostic work-up, the analyses were based on its seven auxological referral criteria to determine the characteristics of children who are incorrectly referred and the adequacy of workup of those who are referred. Results Twenty four percent of children older than 3 years were inappropriately referred (NCR. Of the correctly referred children 74–88% were short corrected for parental height, 40–61% had a height SDS Conclusion Existing guidelines for workup of children with suspected growth failure are poorly implemented. Although poorly implemented the DCG detects at least 5% pathologic causes of growth failure in children referred for short stature. New guidelines for referral are required with a better sensitivity and specificity, wherein distance to target height should get more attention. The general diagnostic work up for short stature should include testing for celiac disease in all children and for Turner syndrome in girls.

  12. Evaluation of Innate Immunity Biomarkers on Admission and at Discharge From an Acute Heart Failure Episode.

    Science.gov (United States)

    Silva, Nuno; Patrício, Emília; Bettencourt, Paulo; Guimarães, João Tiago

    2016-11-01

    The involvement of the immune system in heart failure (HF) has been demonstrated. Evidence shows that innate immunity can have a role in the remodeling process and progression of HF. With previous studies showing the prognostic value of some innate immunity markers and their relevance in this condition, we aim to evaluate how these markers vary on hospitalization due to an acute episode of HF and at discharge. About 154 patients admitted with acute HF were prospectively recruited. Patients were evaluated on admission and at discharge from the hospital. Patients with infection were separately analyzed. Innate immunity, inflammatory, and cardiac biomarkers were measured and were compared between groups and between admission and discharge and with reference values of biological variation. Median patients' age was 78 years, and half of the patients were men. The median duration of hospitalization was 6 days. C3 and C4 protein levels significantly increased (P innate immunity markers such as C3 and C4 increase after treatment for acute HF, supporting the hypothesis that they can be involved in the resolution of the acute episode. © 2016 Wiley Periodicals, Inc.

  13. Radiographic and histological evaluation of persistent periapical lesions associated with endodontic failures after apical microsurgery.

    Science.gov (United States)

    Çalışkan, M K; Kaval, M E; Tekin, U; Ünal, T

    2016-11-01

    To determine the histology of persistent periapical lesions associated with nonsurgical endodontic treatment failures and to compare radiographically the sizes of periapical lesions and the presence or absence of the radiopaque lamina with the histological findings. Ninety-three anterior teeth designated for apical microsurgery were included in the study. After taking standard radiographs of all cases using the parallel technique, the films were scanned and evaluated for the size of periapical radiolucent lesions and the presence or absence of radiopaque lamina by two calibrated observers. Biopsy specimens were obtained during apical microsurgery and examined under light microscopy by oral pathologists. Histological analysis established diagnoses of granuloma, cyst, abscess and scar tissue. Interobserver agreement was evaluated by the kappa test, and the relationship between histological diagnosis and lesion size was analysed by the Pearson's chi-square test. The 93 specimens consisted of 72% periradicular granulomas; 21.5% radicular cysts, including two keratocysts; 4.3% abscesses; and 2.2% scar tissue. Cystic prevalence increased as the size of the periapical lesion increased; however, there was no correlation between the presence of a radiopaque lamina and histological diagnosis of cyst. Neither radiographic size nor presence of an associated radiopaque line alone was sufficient to determine the type of lesion. Histological examination is required in order to reach to a definitive diagnosis. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  14. Evaluation of runner cone extension to dampen pressure pulsations in a Francis model turbine

    Science.gov (United States)

    Gogstad, Peter Joachim; Dahlhaug, Ole Gunnar

    2016-11-01

    Today's energy market has a high demand of flexibility due to introduction of other intermittent renewables as wind and solar. To ensure a steady power supply, hydro turbines are often forced to operate more at part load conditions. Originally, turbines were built for steady operation around the best efficiency point. The demand of flexibility, combined with old designs has showed an increase in turbines having problems with hydrodynamic instabilities such as pressure pulsations. Different methods have been investigated to mitigate pressure pulsations. Air injection shows a significant reduction of pressure pulsation amplitudes. However, installation of air injection requires extra piping and a compressor. Investigation of other methods such as shaft extension shows promising results for some operational points, but may significantly reduce the efficiency of the turbine at other operational points. The installation of an extension of the runner cone has been investigated at NTNU by Vekve in 2004. This has resulted in a cylindrical extension at Litjfossen Power Plant in Norway, where the bolt suffered mechanical failure. This indicates high amplitude pressure pulsations in the draft tube centre. The high pressure pulsation amplitudes are believed to be related to high tangential velocity in the draft tube. The mentioned runner cone extension has further been developed to a freely rotating extension. The objective is to reduce the tangential velocity in the draft tube and thereby the pressure pulsation amplitudes.

  15. Vascular Physiology according to Clinical Scenario in Patients with Acute Heart Failure: Evaluation using the Cardio-Ankle Vascular Index.

    Science.gov (United States)

    Goto, Toshihiko; Wakami, Kazuaki; Mori, Kento; Kikuchi, Shohei; Fukuta, Hidekatsu; Ohte, Nobuyuki

    2016-09-01

    Increased aortic stiffness may be an important cause of acute heart failure (AHF). Clinical scenario (CS), which classifies the pathophysiology of AHF based on the initial systolic blood pressure (sBP), was proposed to provide the most appropriate therapy for AHF patients. In CS, elevated aortic stiffness, vascular failure, has been considered as a feature of patients categorized as CS1 (sBP > 140 mmHg at initial presentation). However, whether elevated aortic stiffness, vascular failure, is present in such patients has not been fully elucidated. Therefore, we assessed aortic stiffness in AHF patients using the cardio-ankle vascular index (CAVI), which is considered to be independent of instantaneous blood pressure. Sixty-four consecutive AHF patients (mean age, 70.6 ± 12.8 years; 39 men) were classified with CS, based on their initial sBP: CS1: sBP > 140 mmHg (n = 29); CS2: sBP 100-140 mmHg (n = 22); and CS3: sBP < 100 mmHg (n = 13). There were significant group differences in CAVI (CS1 vs. CS2 vs. CS3: 9.7 ± 1.4 vs. 8.4 ± 1.7 vs. 8.3 ± 1.7, p = 0.006, analysis of variance). CAVI was significantly higher in CS1 than in CS2 (p = 0.02) and CS3 (p = 0.04). CAVI did not significantly correlate with sBP at the time of measurement of CAVI (r = 0.24 and p = 0.06). Aortic stiffness assessed using blood pressure-independent methodology apparently increased in CS1 AHF patients. We conclude that vascular failure is a feature of CS1 AHF initiation.

  16. Preserved regulation of renal perfusion pressure by small and intermediate conductance K-Ca channels in hypertensive mice with or without renal failure

    DEFF Research Database (Denmark)

    Waeckel, L.; Bertin, F.; Clavreul, N.

    2015-01-01

    The purpose of this study was to assess, in the murine kidney, the mechanisms underlying the endothelium-dependent control of vascular tone and whether or not, in a severe model of hypertension and renal failure, K-Ca channels contribute to its regulation. Wild-type (BL) and double-transgenic fem......The purpose of this study was to assess, in the murine kidney, the mechanisms underlying the endothelium-dependent control of vascular tone and whether or not, in a severe model of hypertension and renal failure, K-Ca channels contribute to its regulation. Wild-type (BL) and double......-transgenic female mice expressing human angiotensinogen and renin (AR) genes received either control or a high-salt diet associated to a nitric oxide (NO) synthase inhibitor treatment (BLSL and ARSL). Changes in renal perfusion pressure (RPP) were measured in isolated perfused kidneys. BLSL and AR were moderately...... hypertensive without kidney disease while ARSL developed severe hypertension and renal failure. In the four groups, methacholine induced biphasic endothelium-dependent responses, a transient decrease in RPP followed by a cyclooxygenase-dependent increase in RPP. In the presence or not of indomethacin...

  17. Evaluation of four non-invasive methods for examination and characterization of pressure ulcers

    DEFF Research Database (Denmark)

    Andersen, E.S.; Karlsmark, T.

    2008-01-01

    , we here report on usability of four non-invasive techniques for evaluation of pressure ulcers. Methods: Fifteen pressure ulcers in stage 0-IV were examined using four different non-invasive techniques [redness index, skin temperature, skin elasticity (i.e. retraction time), and ultrasound scanning...... at all pressure ulcers, but none at the reference points. The skin retraction time was often higher at the location of a pressure ulcer than at the reference location. We found no correlation between the stage of the ulcers and temperature, redness index, subepidermal layer thickness, or retraction time...

  18. Sensitivity Analysis of Dousing Spray Trip on Radioactive Release in Pressure Tube Rupture Accident with Both End Fitting Failures

    Energy Technology Data Exchange (ETDEWEB)

    Jang, M. S.; Kang, H. S; Kim, S. R. [NESS, Daejeon (Korea, Republic of)

    2015-10-15

    We analyzed the sensitivity analysis of dousing spray trip conditions on radioactive release. In terms of conservativeness, the set 1 trip would be more appropriate in RR analysis than set 2 trip, which is the general condition of RR analysis. Radioactive releases from the containment building is related to containment air pressure, which increases by the coolant discharge from loss of coolant accident and the actuation conditions of dousing spray and so on. In LOCA analysis, the dousing spray trip conditions are set for the analysis objectives; for peak pressure (PP), for pressure signal (PS), for radioactive release (RR) and etc. In RR analysis, we would determine the dousing spray trip condition to increase radioactive release to the public for conservatism. Therefore, we carried out the sensitivity analysis of dousing spray trip condition on radioactive release from containment building using GOTHIC and SMART program for CANDU.

  19. Comparison of Comfort and Effectiveness of Total Face Mask and Oronasal Mask in Noninvasive Positive Pressure Ventilation in Patients with Acute Respiratory Failure: A Clinical Trial

    Directory of Open Access Journals (Sweden)

    Somayeh Sadeghi

    2017-01-01

    Full Text Available Background. There is a growing controversy about the use of oronasal masks (ONM or total facemask (TFM in noninvasive positive pressure ventilation (NPPV, so we designed a trial to compare the uses of these two masks in terms of effectiveness and comfort. Methods. Between February and November 2014, a total of 48 patients with respiratory failure were studied. Patients were randomized to receive NPPV via ONM or TFM. Data were recorded at 60 minutes and six and 24 hours after intervention. Patient comfort was assessed using a questionnaire. Data were analyzed using t-test and chi-square test. Repeated measures ANOVA and Mann–Whitney U test were used to compare clinical and laboratory data. Results. There were no differences in venous blood gas (VBG values between the two groups (P>0.05. However, at six hours, TFM was much more effective in reducing the partial pressure of carbon dioxide (PCO2 (P=0.04. Patient comfort and acceptance were statistically similar in both groups (P>0.05. Total time of NPPV was also similar in the two groups (P>0.05. Conclusions. TFM was superior to ONM in acute phase of respiratory failure but not once the patients were out of acute phase.

  20. Developmental problems and their solution for the Space Shuttle main engine alternate liquid oxygen high-pressure turbopump: Anomaly or failure investigation the key

    Science.gov (United States)

    Ryan, R.; Gross, L. A.

    1995-01-01

    The Space Shuttle main engine (SSME) alternate high-pressure liquid oxygen pump experienced synchronous vibration and ball bearing life problems that were program threatening. The success of the program hinged on the ability to solve these development problems. The design and solutions to these problems are engirded in the lessons learned and experiences from prior programs, technology programs, and the ability to properly conduct failure or anomaly investigations. The failure investigation determines the problem cause and is the basis for recommending design solutions. For a complex problem, a comprehensive solution requires that formal investigation procedures be used, including fault trees, resolution logic, and action items worked through a concurrent engineering-multidiscipline team. The normal tendency to use an intuitive, cut-and-try approach will usually prove to be costly, both in money and time and will reach a less than optimum, poorly understood answer. The SSME alternate high-pressure oxidizer turbopump development has had two complex problems critical to program success: (1) high synchronous vibrations and (2) excessive ball bearing wear. This paper will use these two problems as examples of this formal failure investigation approach. The results of the team's investigation provides insight into the complexity of the turbomachinery technical discipline interacting/sensitivities and the fine balance of competing investigations required to solve problems and guarantee program success. It is very important to the solution process that maximum use be made of the resources that both the contractor and Government can bring to the problem in a supporting and noncompeting way. There is no place for the not-invented-here attitude. The resources include, but are not limited to: (1) specially skilled professionals; (2) supporting technologies; (3) computational codes and capabilities; and (4) test and manufacturing facilities.

  1. Intra-abdominal pressure at ICU admission: Evaluation as a ...

    African Journals Online (AJOL)

    We evaluated IAP at intensive care unit (ICU) admission as a predictor of mortality in severe acute pancreatitis (SAP). Methods. A retrospective analysis of 50 patients with SAP admitted to the ICU of a tertiary-care Indian institute over a period of 3 years was done. Data relating to demographic profile, cause of pancreatitis, ...

  2. Slamming: Recent Progress in the Evaluation of Impact Pressures

    Science.gov (United States)

    Dias, Frédéric; Ghidaglia, Jean-Michel

    2018-01-01

    Slamming, the violent impact between a liquid and solid, has been known to be important for a long time in the ship hydrodynamics community. More recently, applications ranging from the transport of liquefied natural gas (LNG) in LNG carriers to the harvesting of wave energy with oscillating wave surge converters have led to renewed interest in the topic. The main reason for this renewed interest is that the extreme impact pressures generated during slamming can affect the integrity of the structures involved. Slamming fluid mechanics is challenging to describe, as much from an experimental viewpoint as from a numerical viewpoint, because of the large span of spatial and temporal scales involved. Even the physical mechanisms of slamming are challenging: What physical phenomena must be included in slamming models? An important issue deals with the practical modeling of slamming: Are there any simple models available? Are numerical models viable? What are the consequences for the design of structures? This article describes the loading processes involved in slamming, offers state-of-the-art results, and highlights unresolved issues worthy of further research.

  3. Evidence-Based Medicine: The Evaluation and Treatment of Pressure Injuries.

    Science.gov (United States)

    Ricci, Joseph A; Bayer, Lauren R; Orgill, Dennis P

    2017-01-01

    After studying this article, the participant should be able to: 1. Discuss the approach to and rationale for pressure injury management, including specific techniques for prevention and preoperative evaluation. 2. Develop a management algorithm for these wounds that includes operative and nonoperative modalities. 3. Understand how to identify and manage the complications of surgical intervention for pressure injuries, including recurrence. Pressure injuries are a common problem associated with great morbidity and cost, often presenting as complex challenges for plastic surgeons. Although the cause of these wounds is largely prolonged pressure, the true pathogenesis involves many other factors, including friction, shear, moisture, nutrition, and infection. This article outlines a systematic approach to evaluating and staging pressure injuries, and provides strategies for treatment and prevention. Critical to surgical intervention is thorough débridement, including any involved or causative bony tissues, and postoperative management to prevent wound dehiscence and recurrence.

  4. Effect of adjuvant noninvasive positive pressure ventilation on blood gas parameters, cardiac function and inflammatory state in patients with COPD and type II respiratory failure

    Directory of Open Access Journals (Sweden)

    You-Ming Zhu1

    2017-03-01

    Full Text Available Objective: T o analyze the effect of adjuvant noninvasive positive pressure ventilation on blood gas parameters, cardiac function and inflammatory state in patients with chronic obstructive pulmonary disease (COPD and type II respiratory failure. Methods: 90 patients with COPD and type II respiratory failure were randomly divided into observation group and control group (n=45. Control group received conventional therapy, observation group received conventional therapy + adjuvant noninvasive positive pressure ventilation, and differences in blood gas parameters, cardiac function, inflammatory state, etc., were compared between two groups of patients 2 weeks after treatment. Results: Arterial blood gas parameters pH and alveolar-arterial partial pressure of oxygen [P(A-aO2] levels of observation group were higher than those of control group while, potassium ion (K+, chloride ion (Cl﹣ and carbon dioxide combining power (CO2CP levels were lower than those of control group 2 weeks after treatment; echocardiography parameters Doppler-derived tricuspid lateral annular systolic velocity (DTIS and pulmonary arterial velocity (PAV levels were lower than those of control group (P<0.05 while pulmonary artery accelerating time (PAACT, left ventricular enddiastolic dimension (LVDd and right atrioventricular tricuspid annular plane systolic excursion (TAPSE levels were higher than those of control group (P<0.05; serum cardiac function indexes adiponectin (APN, Copeptin, N-terminal pro-B-type natriuretic peptide (NT-proBNP, cystatin C (CysC, growth differentiation factor-15 (GDF-15 and heart type fatty acid binding protein (H-FABP content were lower than those of control group (P<0.05; serum inflammatory factors hypersensitive C-reactive protein (hs-CRP, tumor necrosis factor-α (TNF-α, interleukin-1β (IL-1β, IL-8, IL-10, and transforming growth factor-β1 (TGF-β1 content were lower than those of control group (P<0.05. Conclusions: Adjuvant

  5. Post-exercise contractility, diastolic function, and pressure: Operator-independent sensor-based intelligent monitoring for heart failure telemedicine

    Directory of Open Access Journals (Sweden)

    Giannoni Massimo

    2009-05-01

    Full Text Available Abstract Background New sensors for intelligent remote monitoring of the heart should be developed. Recently, a cutaneous force-frequency relation recording system has been validated based on heart sound amplitude and timing variations at increasing heart rates. Aim To assess sensor-based post-exercise contractility, diastolic function and pressure in normal and diseased hearts as a model of a wireless telemedicine system. Methods We enrolled 150 patients and 22 controls referred for exercise-stress echocardiography, age 55 ± 18 years. The sensor was attached in the precordial region by an ECG electrode. Stress and recovery contractility were derived by first heart sound amplitude vibration changes; diastolic times were acquired continuously. Systemic pressure changes were quantitatively documented by second heart sound recording. Results Interpretable sensor recordings were obtained in all patients (feasibility = 100%. Post-exercise contractility overshoot (defined as increase > 10% of recovery contractility vs exercise value was more frequent in patients than controls (27% vs 8%, p 1 in 20 patients and in none of the controls (p 1 in only 3 patients (p Conclusion Post-exercise contractility, diastolic time and pressure changes can be continuously measured by a cutaneous sensor. Heart disease affects not only exercise systolic performance, but also post-exercise recovery, diastolic time intervals and blood pressure changes – in our study, all of these were monitored by a non-invasive wearable sensor.

  6. Clinical evaluation of a novel LMA with a color-coded pressure gauge.

    Science.gov (United States)

    Martin, David P; Bhalla, Tarun; Thung, Arlyne; Tobias, Joseph D

    2013-01-01

    Unintended hyperinflation of the cuff of a laryngeal mask airway (LMA) may be associated with increased airway morbidity and postoperative pain. While the manufacturers recommend a cuff pressure of ≤ 60 cmH(2)O, in usual clinical practice, there is no method used to determine the intracuff pressure. The purpose of this prospective study was to evaluate the accuracy of a newly designed LMA with a built in pressure gauge intended to alert the clinician to elevated intracuff pressures. The pressure gauge has a color code system intended to reflect the intracuff pressure with green being 40-60 cmH(2)O. There was no change dictated in clinical practice for these patients. Per our usual practice, the LMA was removed from the package and inserted with the cuff partially inflated. Additional air was added to the cuff using a syringe as needed to ensure a seal during positive pressure ventilation to a peak inflating pressure (peak ventilating pressure) of 20-25 cmH(2)O. The clinicians placing the LMA did not use the pressure gauge for clinical feedback during cuff inflation. Immediately after LMA placement, the pressure in the cuff of the LMA was measured using a hand held manometer by an independent reviewer not part of the patient's anesthetic management. The color indicated on the pressure gauge (yellow, green or red) was recorded prior to pressure sampling. Additional data collected included the patient's demographic data (age, weight, and gender), the size of the LMA, and whether air was added to the cuff. The study cohort included 100 children, ranging in age from 3 months to 19 years and in weight from 5.4 to 80.1 kg. One patient was excluded due to malfunction of the pressure gauge and pilot balloon of the LMA. The intracuff pressure as measured by manometer correlated appropriately with the color coding of the pressure gauge in 94 of the 99 (95%) of the LMA's tested. Given the potential association of excessive intracuff pressures with postoperative sore throat

  7. Evaluation of a new pediatric positive airway pressure mask.

    Science.gov (United States)

    Kushida, Clete A; Halbower, Ann C; Kryger, Meir H; Pelayo, Rafael; Assalone, Valerie; Cardell, Chia-Yu; Huston, Stephanie; Willes, Leslee; Wimms, Alison J; Mendoza, June

    2014-09-15

    The choice and variety of pediatric masks for continuous positive airway pressure (CPAP) is limited in the US. Therefore, clinicians often prescribe modified adult masks. Until recently a mask for children aged mask for children aged 2-7 years (Pixi; ResMed Ltd, Sydney, Australia). Patients aged 2-7 years were enrolled and underwent in-lab baseline polysomnography (PSG) using their previous mask, then used their previous mask and the VPAP III ST-A flow generator for ≥ 10 nights at home. Thereafter, patients switched to the Pixi mask for ≥ 2 nights before returning for a PSG during PAP therapy via the Pixi mask. Patients then used the Pixi mask at home for ≥ 21 nights. Patients and their parents/guardians returned to the clinic for follow-up and provided feedback on the Pixi mask versus their previous mask. AHI with the Pixi mask was 1.1 ± 1.5/h vs 2.6 ± 5.4/h with the previous mask (p = 0.3538). Parents rated the Pixi mask positively for: restfulness of the child's sleep, trouble in getting the child to sleep, and trouble in having the child stay asleep. The Pixi mask was also rated highly for leaving fewer or no marks on the upper lip and under the child's ears, and being easy to remove. The Pixi mask is suitable for children aged 2-7 years and provides an alternative to other masks available for PAP therapy in this age group. © 2014 American Academy of Sleep Medicine.

  8. Heart Failure: Self-care to Success: Development and evaluation of a program toolkit.

    Science.gov (United States)

    Bryant, Rebecca

    2017-08-17

    The Heart Failure: Self-care to Success toolkit was developed to assist NPs in empowering patients with heart failure (HF) to improve individual self-care behaviors. This article details the evolution of this toolkit for NPs, its effectiveness with patients with HF, and recommendations for future research and dissemination strategies.

  9. Cardiovascular magnetic resonance in the evaluation of heart failure: a luxury or a need?

    Science.gov (United States)

    D'Andrea, Antonello; Fontana, Marianna; Cocchia, Rosangela; Scarafile, Raffaella; Calabrò, Raffaele; Moon, James C

    2012-01-01

    Heart failure is a common syndrome with multiple causes. Cardiovascular magnetic resonance (CMR), using the available range of technique, is establishing itself as the gold standard noninvasive test for determining the underlying causes, and adding prognostic value, guiding therapy. Progress is continuing and rapid with promising new techniques such as diffuse fibrosis assessment. This article discusses the diverse roles of CMR in heart failure.

  10. Clinical evaluation of new methods for the assessment of heart failure

    NARCIS (Netherlands)

    J.A.M. Wijbenga (Anke)

    1999-01-01

    textabstractAlthough every physician seems to know the term "heart failure", there is no general agreement on its definition. Due to the complex nature of heart failure and the changing Insights into its pathophysiology over time, many different definitions exist. l.' Some focus on clinical

  11. Early Caffeine Prophylaxis and Risk of Failure of Initial Continuous Positive Airway Pressure in Very Low Birth Weight Infants.

    Science.gov (United States)

    Patel, Ravi M; Zimmerman, Kanecia; Carlton, David P; Clark, Reese; Benjamin, Daniel K; Smith, P Brian

    2017-11-01

    To test the hypothesis that early caffeine treatment on the day of birth, compared with later treatment in very low birth weight (VLBW, caffeine in the first week of life. We used multivariable conditional logistic regression to compare the risk of CPAP failure, defined as invasive mechanical ventilation or surfactant therapy on DOL 1-6, by timing of caffeine treatment as either early (initiation on DOL 0) or routine (initiation on DOL 1-6). We identified 11 133 infants; 4528 (41%) received early caffeine and 6605 (59%) received routine caffeine. Median gestational age was lower in the early caffeine group, 29 weeks (25th, 75th percentiles; 28, 30) vs the routine caffeine group, 30 weeks (29, 31); P caffeine groups: 22% vs 21%; adjusted OR = 1.05 (95% CI: 0.93, 1.18). Early caffeine treatment on the day of birth was not associated with a decreased risk of CPAP failure in the first week of life for VLBW infants initially treated with CPAP. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Evaluation of possible prognostic factors for the success, survival, and failure of dental implants.

    Science.gov (United States)

    Geckili, Onur; Bilhan, Hakan; Geckili, Esma; Cilingir, Altug; Mumcu, Emre; Bural, Canan

    2014-02-01

    To analyze the prognostic factors that are associated with the success, survival, and failure rates of dental implants. Data including implant sizes, insertion time, implant location, and prosthetic treatment of 1656 implants have been collected, and the association of these factors with success, survival, and failure of implants was analyzed. The success rate was lower for short and maxillary implants. The failure rate of maxillary implants exceeded that of mandibular implants, and the failure rate of implants that were placed in the maxillary anterior region was significantly higher than other regions. The failure rates of implants that were placed 5 years ago or more were higher than those that were placed later. Anterior maxilla is more critical for implant loss than other sites. Implants in the anterior mandible show better success compared with other locations, and longer implants show better success rates. The learning curve of the clinician influences survival and success rates of dental implants.

  13. Evaluation of the European Heart Failure Self-care Behaviour Scale in a United Kingdom population.

    Science.gov (United States)

    Shuldham, Caroline; Theaker, Chris; Jaarsma, Tiny; Cowie, Martin R

    2007-10-01

    This paper is a report of a study to test the internal consistency, reliability and validity of the 12-item European Heart Failure Self-care Behaviour Scale in an English-speaking sample in the United Kingdom. The European Heart Failure Self-care Behaviour Scale quantifies the measures patients take to manage their heart failure. Produced in the Netherlands and Sweden, it has been translated into English. A convenience sample of 183 patients (response rate 85%) with heart failure (New York Heart Association, Class I-IV) was recruited from an outpatient clinic between July 2004 and July 2005. Mainly men (n = 143), they had a mean age of 65.6 years (sd = 12.3). They completed the Minnesota Living with Heart Failure Questionnaire, the Self-Care of Heart Failure Index, and the European Heart Failure Self-care Behaviour Scale during their clinic visit. The latter questionnaire was repeated at home within 2 weeks. The scale was reliable but internal consistency was only moderate (Cronbach's alpha = 0.69) and lower than in other European populations. It appears to be repeatable in the short-term. Comparison with the Self-Care of Heart Failure Index raised questions about whether the two questionnaires measured the same concept. Variance in self-care was not explained by gender, age or severity of heart failure. As self-care is an important component in the life of patients with heart failure, further exploration of the methods for measuring patients' self-care behaviours is warranted to enable healthcare staff to assess patients effectively. This would also help in understanding the applicability of tools in a range of patients, cultures and settings.

  14. Evaluation of Quality of Life in Patients with and without Heart Failure in Primary Care.

    Science.gov (United States)

    Jorge, Antonio José Lagoeiro; Rosa, Maria Luiza Garcia; Correia, Dayse Mary da Silva; Martins, Wolney de Andrade; Ceron, Diana Maria Martinez; Coelho, Leonardo Chaves Ferreira; Soussume, William Shinji Nobre; Kang, Hye Chung; Moscavitch, Samuel Datum; Mesquita, Evandro Tinoco

    2017-09-01

    Heart failure (HF) is a major public health issue with implications on health-related quality of life (HRQL). To compare HRQL, estimated by the Short-Form Health Survey (SF-36), in patients with and without HF in the community. Cross-sectional study including 633 consecutive individuals aged 45 years or older, registered in primary care. The subjects were selected from a random sample representative of the population studied. They were divided into two groups: group I, HF patients (n = 59); and group II, patients without HF (n = 574). The HF group was divided into HF with preserved ejection fraction (HFpEF - n = 35) and HF with reduced ejection fraction (HFrEF - n = 24). Patients without HF had a mean SF-36 score significantly greater than those with HF (499.8 ± 139.1 vs 445.4 ± 123.8; p = 0.008). Functional capacity - ability and difficulty to perform common activities of everyday life - was significantly worse (p quality of life regardless of the syndrome presentation (HFpEF or HFrEF phenotype). Quality of life evaluation in primary care could help identify patients who would benefit from a proactive care program with more emphasis on multidisciplinary and social support. (Arq Bras Cardiol. 2017; [online].ahead print, PP.0-0).

  15. Evaluation Aspects of Building Structures Reconstructed After a Failure or Catastrophe

    Science.gov (United States)

    Krentowski, Janusz R.; Knyziak, Piotr

    2017-10-01

    The article presents the characteristics of several steel structures, among others modernized industrial dye house, school sports hall, truck repair workshop, that have been rebuilt after a disaster or a catastrophe. The structures were analyzed in detail, and the evaluation and reconstruction processes were described. The emergencies that occurred during exploitation of the buildings were the result of multiple mistakes: incorrectly defined intervals between inspections, errors during periodic inspections, incorrect repair work recommendations. The concepts of reinforcement work implemented by the authors, enabling the long-term future failure-free operation of the objects, were presented. Recommendations for monitoring of the facilities, applied after reinforcement or reconstruction, have been formulated. The methodology for the implementation of specialized investigations, such as geodetic, optical, geological, chemical strength tests, both destructive and non-destructive, has been defined. The need to determine the limit values of deformations, deflections, damage or other faults of structural elements and the entire rebuilt facilities, as well as defining conditions for objects’ withdrawal from operation in subsequent exceptional situations was indicated.

  16. Psychometric evaluation of the Caregiver Preparedness Scale in caregivers of adults with heart failure.

    Science.gov (United States)

    Petruzzo, Antonio; Paturzo, Marco; Buck, Harleah G; Barbaranelli, Claudio; D'Agostino, Fabio; Ausili, Davide; Alvaro, Rosaria; Vellone, Ercole

    2017-10-01

    Well-prepared informal caregivers play an important role in heart failure (HF) care, so an instrument to evaluate their preparedness to care is important. To date, HF caregiver preparedness has been rarely investigated quantitatively. The Caregiver Preparedness Scale (CPS) has been used in other chronic condition populations, but its psychometric characteristics have never been tested in HF caregivers. The purpose of this study was to test the validity and reliability of the 8-item CPS in HF caregivers. In a convenience sample of 317 HF caregivers (72.4% female, mean age 54), we tested the CPS' factorial structure with confirmatory factor analysis (CFA) and its concurrent validity with the Caregiver Contribution to Self-Care of HF Index (CC-SCHFI), and the Hospital Anxiety and Depression Scale (HADS). We also tested CPS' reliability with composite reliability indicators, Cronbach's alpha, factor score determinacy coefficient, and intraclass correlation coefficient (ICC). The CFA for a one-factor model resulted in supportive fit indices (e.g., comparative fit index .97). Significant correlations (p caregiver preparedness, enabling clinicians, and researchers to target specific interventions to HF caregivers. © 2017 Wiley Periodicals, Inc.

  17. Evaluation of older adults hospitalized with a diagnosis of failure to thrive.

    Science.gov (United States)

    Kumeliauskas, Linas; Fruetel, Karen; Holroyd-Leduc, Jayna M

    2013-01-01

    older adults are sometimes hospitalized with the admission diagnosis of failure to thrive (FTT), often because they are not felt safe to be discharged back to their current living arrangement. It is unclear if this diagnosis indicates primarily a social admission or suggests an acute medical deterioration. The objective of this study was to explore the level of acuity and medical investigations commonly conducted among older hospitalized adults with a diagnosis of FTT. We conducted a retrospective cohort study at three hospitals in Calgary, Alberta. Data were extracted from the electronic medical records of the 603 admissions of patients 65 years or older with a diagnosis of FTT between January 2010 and January 2011. Markers of medical acuity were evaluated. The vast majority of patients had short hospital stays. Specialist physicians were consulted for 323 cases (54%). Allied health-care professionals were consulted in 151 cases (25%). While in hospital, patients underwent extensive investigations, including CT scans, ultrasounds, and echo-cardiograms. Many patients received IV fluids (71%) and IV antibiotics (35%). The data suggest that acute illnesses, and not social factors, were the primary reason for admission among those given a diagnosis of FTT.

  18. Technical evaluation report on the seven main transformer failures at the North Anna Power Station, Units 1 and 2 (Docket Nos. 50-338, 50-339)

    International Nuclear Information System (INIS)

    Dalton, K.J.; Kresser, J.V.; Savage, J.W.; Selan, J.C.

    1984-01-01

    This report documents technical evaluations on various aspects pertaining to the seven main transformer failures at the North Anna Power Station, Units 1 and 2. These reports cover the subjects of Probability Risk Assessment (PRA), Failure Modes and Effects Analysis (FMEA), Root Causes, Protection Systems, Modifications, Failure Statistics, and Generic Aspects. The PRA determined that the contribution from a main transformer failure affecting plant safety systems so as to increase the risk to the public health and safety is negligible. The FMEA determined that a main transformer failure can have primary and secondary effects on plant safety system operation. The evaluation of the Root Causes found that no single common cause contributed to the seven failures. Each failure was found to have specific circumstances for initiating the failure. Both the generator and transformer primary protection systems were found to perform correctly and were designed within industry standards and practices. The proposed modifications resulting from the analyses of the failures will improve system reliability and integrity, and will reduce potentially damaging effects. The failure statistic survey found very limited data bases from which a meaningful correlation could be ascertained. The statistical comparison found no appreciable anomalies with the NAPS failures. The evaluation of all the available information and the results of the separate reports on the main transformer failures found that several generic concerns exist

  19. Validation of a protocol to evaluate maximal expiratory pressure using a pressure transducer and a signal conditioner

    Directory of Open Access Journals (Sweden)

    Viviane Soares

    2011-09-01

    Full Text Available The respiratory muscles can present fatigue and even chronic inability to generate force. So, reliable devices are necessary to their evaluation. The aim of this study is to evaluate the MEP (Maximal Expiratory Pressure values of individuals between 20 and 25 years old and to validate a protocol using a pressure transducer and a signal conditioner comparing it with the digital manometer. We evaluated the MEP of 10 participants. They remained seated and made six respiratory maneuvers from Total Lung Capacity (TLC to Residual Volume (RV. The results in the study showed no statistically significant differences when compared to values reported in the literature, and that the pressure transducer provides reliable values for MEP.Os músculos respiratórios podem apresentar fadiga e até mesmo a incapacidade crônica na geração de força, sendo necessários dispositivos confiáveis para sua avaliação. O objetivo deste estudo foi avaliar a pressão expiratória máxima (PeMáx de indivíduos entre 20 e 25 anos e validar um protocolo que utiliza um transdutor de pressão e um condicionador de sinais comparando-o com a manovacuometria. Foram avaliadas a PeMáx de 10 participantes. Estes permaneceram sentados e realizaram seis manobras respiratórias a partir da capacidade pulmonar total (CPT até o volume residual (VR. Os resultados do estudo não apresentaram diferenças estatisticamente significativas quando comparados com os valores de normalidade descritos na literatura e mostraram que o transdutor de pressão fornece valores confiáveis para Pe máx.

  20. Prospective clinical study to evaluate an oscillometric blood pressure monitor in pet rabbits.

    Science.gov (United States)

    Bellini, Luca; Veladiano, Irene A; Schrank, Magdalena; Candaten, Matteo; Mollo, Antonio

    2018-02-27

    Rabbits are particularly sensitive to develop hypotension during sedation or anaesthesia. Values of systolic or mean non-invasive arterial blood pressure below 80 or 60 mmHg respectively are common under anaesthesia despite an ongoing surgery. A reliable method of monitoring arterial blood pressure is extremely important, although invasive technique is not always possible due to the anatomy and dimension of the artery. The aim of this study was to evaluate the agreement between a new oscillometric device for non-invasive arterial blood pressure measurement and the invasive method. Moreover the trending ability of the device, ability to identify changes in the same direction with the invasive methods, was evaluated as well as the sensibility of the device in identifying hypotension arbitrarily defined as invasive arterial blood pressure below 80 or 60 mmHg. Bland-Altman analysis for repeated measurements showed a poor agreement between the two methods; the oscillometric device overestimated the invasive arterial blood pressure, particularly at high arterial pressure values. The same analysis repeated considering oscillometric measurement that match invasive mean pressure lower or equal to 60 mmHg showed a decrease in biases and limits of agreement between methods. The trending ability of the device, evaluated with both the 4-quadrant plot and the polar plot was poor. Concordance rate of mean arterial blood pressure was higher than systolic and diastolic pressure although inferior to 90%. The sensibility of the device in detecting hypotension defined as systolic or mean invasive arterial blood pressure lower than 80 or 60 mmHg was superior for mean oscillometric pressure rather than systolic. A sensitivity of 92% was achieved with an oscillometric measurement for mean pressure below 65 mmHg instead of 60 mmHg. Non-invasive systolic blood pressure is less sensitive as indicator of hypotension regardless of the cutoff limit considered. Although mean invasive

  1. Fracture toughness evaluation of heat-treated Zr-2.5Nb pressure tubes

    International Nuclear Information System (INIS)

    Asoda, T.; Kasai, Y.; Kimoto, H.; Chiba, N.

    1991-01-01

    This paper reports on tests of full-size pressure tubes and compact tension specimens having several widths that are carried out with emphasis on the size effect on the fracture toughness of the pressure tube material, which is made of heat-treated Zr-2.5Nb. The hydrogen concentration of the specimens ranges from 10 to 400 ppm, and the test temperature from room temperature to 573 K. In the pressure tube burst tests at room temperature using radial hydrided materials, fracture toughness at maximum pressure K c decreased rapidly with hydrogen concentration in the region where the concentration was less than 100 ppm. In the region where the hydrogen concentration was higher than 100 ppm, K c slowly decreased with increased concentration. For materials having radial hydrides at a hydrogen concentration of 200 to 300 ppm, a steep brittle-ductile transition was observed at about 550 K. Fracture toughness K c shows strong dependence on specimen size, increasing and approaching that of pressure tubes with increased specimen width for a ductile material. This size effect of fracture toughness can be determined by a failure assessment method in which the Dugdale model is used

  2. Evaluation of pressure response in the Los Alamos controlled air incinerator during three incident scenarios

    International Nuclear Information System (INIS)

    Vavruska, J.S.; Elsberry, K.; Thompson, T.K.; Pendergrass, J.A.

    1996-01-01

    The Los Alamos Controlled Air Incinerator (CAI) is a system designed to accept radioactive mixed waste containing alpha-emitting radionuclides. A mathematical model was developed to predict the pressure response throughout the offgas treatment system of the CAI during three hypothetical incident scenarios. The scenarios examined included: (1) loss of burner flame and failure of the flame safeguard system with subsequent reignition of fuel gas in the primary chamber, (2) pyrolytic gas buildup from a waste package due to loss of induced draft and subsequent restoration of induced draft, and (3) accidental charging of propellant spray cans in a solid waste package to the primary chamber during a normal feed cycle. For each of the three scenarios, the finite element computer model was able to determine the transient pressure surge and decay response throughout the system. Of particular interest were the maximum absolute pressures attainable at critical points in the system as well as maximum differential pressures across the high efficiency particulate air (HEPA) filters. Modeling results indicated that all three of the scenarios resulted in maximum HEPA filter differential pressures well below the maximum allowable levels

  3. Phase Field Theory and Analysis of Pressure-Shear Induced Amorphization and Failure in Boron Carbide Ceramic

    Directory of Open Access Journals (Sweden)

    John D. Clayton

    2014-07-01

    Full Text Available A nonlinear continuum phase field theory is developed to describe amorphization of crystalline elastic solids under shear and/or pressure loading. An order parameter describes the local degree of crystallinity. Elastic coefficients can depend on the order parameter, inelastic volume change may accompany the transition from crystal to amorphous phase, and transitional regions parallel to bands of amorphous material are penalized by interfacial surface energy. Analytical and simple numerical solutions are obtained for an idealized isotropic version of the general theory, for an element of material subjected to compressive and/or shear loading. Solutions compare favorably with experimental evidence and atomic simulations of amorphization in boron carbide, demonstrating the tendency for structural collapse and strength loss with increasing shear deformation and superposed pressure.

  4. An Economic Evaluation of Sacubitril/Valsartan for Heart Failure Patients in the Netherlands.

    Science.gov (United States)

    van der Pol, Simon; Degener, Fabian; Postma, Maarten J; Vemer, Pepijn

    2017-03-01

    In September 2014, the PARADIGM-HF trial showed the heart failure drug combination sacubitril/valsartan to be superior to enalapril for patients with a reduced ejection fraction. To determine the incremental cost-effectiveness of sacubitril/valsartan compared with enalapril in the Netherlands using the clinical data from the PARADIGM-HF trial. To compare sacubitril/valsartan and enalapril in a cost-effectiveness study, a Markov model was developed using the effectiveness data from the PARADIGM-HF trial. A health care payer's perspective was applied in the economic evaluation. The developed model was used to evaluate the cost-effectiveness for sacubitril/valsartan at different per diem prices. The base-case analysis showed that sacubitril/valsartan can be cost-effective at maximum daily costs of €5.50 and €14.14 considering willingness-to-pay thresholds of €20,000 and €50,000 per quality-adjusted life-year (QALY), respectively. Sensitivity analysis demonstrated the robustness of the model, identifying only the price of sacubitril/valsartan and the mortality within the sacubitril/valsartan group as significant drivers of the cost-effectiveness ratio. Sacubitril/valsartan was cost-effective at a willingness-to-pay threshold of €20,000 per QALY (€50,000 per QALY) in more than 80% of the replications with certainty at the price point of €3 (€10). Sacubitril/valsartan can be considered a cost-effective treatment at a daily price of €5.25. Unless priced lower than enalapril (<€0.045 per day), sacubitril/valsartan is very unlikely to be cost-saving/dominant. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  5. [Multiparameter analysis of the ergometric test. Significance of the failure of systolic blood pressure to decrease during recovery phase as an index of coronary disease].

    Science.gov (United States)

    Doria, G; Scaccianoce, G; Artale, S; Francaviglia, B; Platania, F; Circo, A

    1990-10-01

    Ergometric tests were performed in 27 patients who had previously undergone coronarography following instrumental findings and/or symptoms which seemed highly indicative of ischemic cardiopathy. The aim of the study was to assess the diagnostic importance of the failure of systolic blood pressure to decrease during the third minute of the recovery phase of the test as an index of coronary disease. In particular, as reported by other studies, the ratio between systolic blood pressure at the third minute of recovery and maximum systolic blood pressure during the test was also assessed values above 0.7 were considered pathological. Sixteen out the 27 patients examined showed lesions which were hemodynamically significant, whereas 11 patients were free of lesions and 9 had previous myocardial necrosis. The level of the above ratio in subjects without significant coronary lesions was 0.66 +/- 0.05, whereas it was 0.85 +/- 0.04 (p less than 0.01) in patients with coronary disease. Sensitivity, specificity, and positive and negative prognostic values were respectively 91.6%, 62%, 64.7% and 90.9%. In patients with lesions to the three main arteries both the sensitivity and the specificity were 100%. In the same patients, the ST criteria were 85.7%, 50%, 81.8% and 74.3%.

  6. Elevated Extravascular Lung Water Index (ELWI) as a Predictor of Failure of Continuous Positive Airway Pressure Via Helmet (Helmet-CPAP) in Patients With Acute Respiratory Failure After Major Surgery.

    Science.gov (United States)

    Redondo Calvo, Francisco Javier; Bejarano Ramirez, Natalia; Uña Orejon, Rafael; Villazala Garcia, Ruben; Yuste Peña, Ana Sofia; Belda, Francisco Javier

    2015-11-01

    NIV is increasingly used for prevention and treatment of respiratory complications and failure. Some of them are admitted to the PACU with advanced hemodynamic monitors which allow quantification of Extravascular Lung Water (EVLW) by transpulmonary thermodilution technique (TPTD) and Pulmonary Vascular Permeability (PVP) providing information on lung edema. The objective of this study was to ascertain if EVLW Index and PVP Index may predict failure (intubation) or success (non-intubation) in patients developing acute respiratory failure (ARF) in the postoperative period following major abdominal surgery, where the first line of treatment was non-invasive continuous positive airway pressure via a helmet. Hemodynamic variables, EVLWI and PVPI were monitored with a transpulmonary thermodilution hemodynamic monitor device (PiCCO™) before and after the application of CPAP. Avoidance of intubation was observed in 66% of patients with Helmet-CPAP. In these patients after the first hour of application of CPAP, PaO2/FiO2 ratio significantly increased (303.33±65.2 vs. 141.6±14.6, P<.01). Before starting Helmet-CPAP values of EVLWI and PVPI were significantly lower in non-intubated patients (EVLWI 8.6±1.08 vs. 11.8±0.99ml/kg IBW, P<.01 and PVPI 1.7±0.56 vs. 3.0±0.88, P<.01). An optimal cut-off value for EVLWI was established at 9.5, and at 2.45 for PVPI (sensitivity of 0.7; specificity of 0.9, P<.01). In this type of patient the physiological parameters that predict the failure of Helmet-CPAP with the greatest accuracy were the value of the EVLWI and PVPI before Helmet-CPAP institution and the PaO2/FiO2 ratio and the respiratory rate after one hour of CPAP. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

  7. Evaluation of Endotracheal Tube Cuff Pressure in Laparoscopic Cholecystectomy and Postoperative Sore Throat.

    Science.gov (United States)

    Lakhe, Gajal; Sharma, Surendra Mohan

    2018-01-01

    The use of nitrous oxide and carboperitoneum in laparoscopic cholecystectomy lead to increase in endotracheal tube cuff pressure. It may impair tracheal mucosal perfusion with subsequent tracheal damage. The purpose of this study was to evaluate cuff pressure and incidence of post-operative sore throat in patients undergoing laparoscopic cholecystectomy. In this prospective observational study, 128 patients aged 18-65 years of American Society of Anesthesiologist physical status I and II undergoing laparoscopic cholecystectomy were enrolled and allocated alternately into two groups, Study Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/nitrous oxide mixture; 40/60), Control Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/air mixture; 40/60) were analysed and comapared. Each group contained 64 patients. Aneroid manometer was used to monitor cuff pressure. Volume of air used to inflate the cuff, baseline cuff pressure, comparison of intraoperative cuff pressure and incidence of post-operative sore throat were measured. The study results demonstrated higher cuff pressure in study group at all times after the creation of carboperitoneum (p=0.00) with increased incidence of sore throat(p=0.004). Increase in endotracheal tube cuff pressure was noted with the use of nitrous oxide in laparoscopic cholecystectomy with subsequent post-operative airway complication. Monitoring of cuff pressure is simple, noninvasive and efficient way of achieving therapeutic cuff pressure of 20-30 cm of H2O and thus recommends its use.

  8. TAK1 is activated in the myocardium after pressure overload and is sufficient to provoke heart failure in transgenic mice

    Science.gov (United States)

    Zhang, D.; Gaussin, V.; Taffet, G. E.; Belaguli, N. S.; Yamada, M.; Schwartz, R. J.; Michael, L. H.; Overbeek, P. A.; Schneider, M. D.

    2000-01-01

    The transforming-growth-factor-beta-activated kinase TAK1 is a member of the mitogen-activated protein kinase kinase kinase family, which couples extracellular stimuli to gene transcription. The in vivo function of TAK1 is not understood. Here, we investigated the potential involvement of TAK1 in cardiac hypertrophy. In adult mouse myocardium, TAK1 kinase activity was upregulated 7 days after aortic banding, a mechanical load that induces hypertrophy and expression of transforming growth factor beta. An activating mutation of TAK1 expressed in myocardium of transgenic mice was sufficient to produce p38 mitogen-activated protein kinase phosphorylation in vivo, cardiac hypertrophy, interstitial fibrosis, severe myocardial dysfunction, 'fetal' gene induction, apoptosis and early lethality. Thus, TAK1 activity is induced as a delayed response to mechanical stress, and can suffice to elicit myocardial hypertrophy and fulminant heart failure.

  9. Integrating decision-making trial and evaluation laboratory model and failure mode and effect analysis to determine the priority in solving production problems

    Directory of Open Access Journals (Sweden)

    Yu-Cheng Lee

    2016-04-01

    Full Text Available Failure mode and effect analysis has been applied in manufacturing and service industries but can still be improved. Failure mode and effect analysis is a common tool used to evaluate risk priority number; however, numerous scholars have doubted the effectiveness of failure mode and effect analysis and have thus proposed methods for correcting failure mode and effect analysis from its conventional formula. Because implemented actions can determine or influence resource allocation and its effects, completing one corrective action can occasionally simultaneously improve various failure modes. In this study, failure mode and effect analysis and decision-making trial and evaluation laboratory were integrated to correct failure modes and increase their effectiveness. First, failure mode and effect analysis was employed to identify the items for improvement. Second, decision-making trial and evaluation laboratory was adopted to examine the reciprocal influences and causality among these items. Finally, the priority for improving the items was proposed. By combining the advantages of failure mode and effect analysis and decision-making trial and evaluation laboratory, this research method complemented the shortcomings of the two techniques. According to the empirical research of this case study in which decision-making trial and evaluation laboratory was employed to analyze the causality among the items of the failure modes, the malfunction of production lines can be solved faster and more effectively compared with merely considering the size of risk priority number values.

  10. MTBF evaluation for 2-out-of-3 redundant repairable systems with common cause and cascade failures considering fuzzy rates for failures and repair: a case study of a centrifugal water pumping system

    Science.gov (United States)

    Mortazavi, Seyed Mohammad; Mohamadi, Maryam; Jouzdani, Javid

    2017-08-01

    In many cases, redundant systems are beset by both independent and dependent failures. Ignoring dependent variables in MTBF evaluation of redundant systems hastens the occurrence of failure, causing it to take place before the expected time, hence decreasing safety and creating irreversible damages. Common cause failure (CCF) and cascading failure are two varieties of dependent failures, both leading to a considerable decrease in the MTBF of redundant systems. In this paper, the alpha-factor model and the capacity flow model are combined so as to incorporate CCF and cascading failure in the evaluation of MTBF of a 2-out-of-3 repairable redundant system. Then, using a transposed matrix, the MTBF function of the system is determined. Due to the fact that it is difficult to estimate the independent and dependent failure rates, industries are interested in considering uncertain failure rates. Therefore, fuzzy theory is used to incorporate uncertainty into the model presented in this study, and a nonlinear programming model is used to determine system's MTBF. Finally, in order to validate the proposed model, evaluation of MTBF of the redundant system of a centrifugal water pumping system is presented as a practical example.

  11. Evaluation of piping reliability and failure data for use in risk-based inspections of nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Vasconcelos, V. de; Soares, W.A.; Costa, A.C.L. da; Rabello, E.G.; Marques, R.O., E-mail: vasconv@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2016-07-01

    During operation of industrial facilities, components and systems can deteriorate over time, thus increasing the possibility of accidents. Risk-Based Inspection (RBI) involves inspection planning based on information about risks, through assessing of probability and consequence of failures. In-service inspections are used in nuclear power plants, in order to ensure reliable and safe operation. Traditional deterministic inspection approaches investigate generic degradation mechanisms on all systems. However, operating experience indicates that degradation occurs where there are favorable conditions for developing a specific mechanism. Inspections should be prioritized at these places. Risk-Informed In-service Inspections (RI-ISI) are types of RBI that use Probabilistic Safety Assessment results, increasing reliability and plant safety, and reducing radiation exposure. These assessments use both available generic reliability and failure data, as well as plant specific information. This paper proposes a method for evaluating piping reliability and failure data important for RI-ISI programs, as well as the techniques involved. (author)

  12. Reliability Evaluation of a Concrete Crown Wall on a Rubble Mound Breakwater considering Sliding Failure, Overturning and Rupture Failure of the Foundation

    DEFF Research Database (Denmark)

    Christiani, E.; Sørensen, Jørgen S.; Burcharth, Hans F.

    1994-01-01

    and rupture failure in the rubble mound are taken into account. The method of probabilistic foundation stability analysis is presented by the example of a translation slip failure involving kinematically correct slip surfaces and failure zones in friction based soil. A conventional static quasi-static...

  13. Evaluative threat and ambulatory blood pressure: cardiovascular effects of social stress in daily experience.

    Science.gov (United States)

    Smith, Timothy W; Birmingham, Wendy; Uchino, Bert N

    2012-11-01

    Physiological effects of social evaluation are central in models of psychosocial influences on physical health. Experimental manipulations of evaluative threat evoke substantial cardiovascular and neuroendocrine responses in laboratory studies, but only preliminary evidence is available regarding naturally occurring evaluative threats in daily life. In such nonexperimental ambulatory studies, it is essential to distinguish effects of evaluative threat from related constructs known to alter stress, such as ability perceptions and concerns about appearance. 94 married, working couples (mean age 29.2 years) completed a 1-day (8 a.m. to 10 p.m.) ambulatory blood pressure protocol with random interval-contingent measurements using a Suntech monitor and Palm Pilot-based measures of control variables and momentary experiences of social-evaluative threat, concerns about appearance, and perceived ability. In hierarchical analyses for couples and multiple measurement occasions (Proc Mixed; SAS) and controlling individual differences (BMI, age, income) and potential confounds (e.g., posture, activity), higher reports of social-evaluative threat were associated with higher concurrent systolic (estimate = .87, SE = .34) and diastolic blood pressure (estimate = 1.06; SE = .26), both p social-evaluative threat remained significant when perceived ability and appearance concerns were controlled. Naturally occurring social-evaluative threat during daily activity is associated with increased systolic and diastolic blood pressure. Given associations between ambulatory blood pressure and risk of cardiovascular disease, the findings support conceptual models of threats to the social self as a potentially important influence on physical health.

  14. Proposal of evaluation method of tsunami wave pressure using 2D depth-integrated flow simulation

    International Nuclear Information System (INIS)

    Arimitsu, Tsuyoshi; Ooe, Kazuya; Kawasaki, Koji

    2012-01-01

    To design and construct land structures resistive to tsunami force, it is most essential to evaluate tsunami pressure quantitatively. The existing hydrostatic formula, in general, tended to underestimate tsunami wave pressure under the condition of inundation flow with large Froude number. Estimation method of tsunami pressure acting on a land structure was proposed using inundation depth and horizontal velocity at the front of the structure, which were calculated employing a 2D depth-integrated flow model based on the unstructured grid system. The comparison between the numerical and experimental results revealed that the proposed method could reasonably reproduce the vertical distribution of the maximum tsunami pressure as well as the time variation of the tsunami pressure exerting on the structure. (author)

  15. Evaluation of Failure Probability of BWR Vessel Under Cool-down and LTOP Transient Conditions Using PROFAS-RV PFM Code

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jong-Min; Lee, Bong-Sang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    The round robin project was proposed by the PFM Research Subcommittee of the Japan Welding Engineering Society to Asian Society for Integrity of Nuclear Components (ASINCO) members, which is designated in Korea as Phase 2 of A-Pro2. The objective of this phase 2 of RR analysis is to compare the scheme and results related to the assessment of structural integrity of RPV for the events important to safety in the design consideration but relatively low fracture probability. In this study, probabilistic fracture mechanics analysis was performed for the round robin cases using PROFAS-RV code. The effects of key parameters such as different transient, fluence level, Cu and Ni content, initial RT{sub NDT} and RT{sub NDT} shift model on the failure probability were systematically compared and reviewed. These efforts can minimize the uncertainty of the integrity evaluation for the reactor pressure vessel.

  16. Clinical evaluation of a new pressure ulcer risk assessment instrument, the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T).

    Science.gov (United States)

    Coleman, Susanne; Smith, Isabelle L; McGinnis, Elizabeth; Keen, Justin; Muir, Delia; Wilson, Lyn; Stubbs, Nikki; Dealey, Carol; Brown, Sarah; Nelson, E Andrea; Nixon, Jane

    2018-02-01

    To test the psychometric properties and clinical usability of a new Pressure Ulcer Risk Assessment Instrument including inter-rater and test-retest reliability, convergent validity and data completeness. Methodological and practical limitations associated with traditional Pressure Ulcer Risk Assessment Instruments, prompted a programme to work to develop a new instrument, as part of the National Institute for Health Research funded, Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056). Observational field test. For this clinical evaluation 230 patients were purposefully sampled across four broad levels of pressure ulcer risk with representation from four secondary care and four community NHS Trusts in England. Blinded and simultaneous paired (ward/community nurse and expert nurse) PURPOSE-T assessments were undertaken. Follow-up retest was undertaken by the expert nurse. Field notes of PURPOSE-T use were collected. Data were collected October 2012-January 2013. The clinical evaluation demonstrated "very good" (kappa) inter-rater and test-retest agreement for PURPOSE-T assessment decision overall. The percentage agreement for "problem/no problem" was over 75% for the main risk factors. Convergent validity demonstrated moderate to high associations with other measures of similar constructs. The PURPOSE-T evaluation facilitated the initial validation and clinical usability of the instrument and demonstrated that PURPOSE-T is suitable of use in clinical practice. Further study is needed to evaluate the impact of using the instrument on care processes and outcomes. © 2017 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

  17. Evaluation of alternating pressure air mattresses: one laboratory-based strategy.

    Science.gov (United States)

    Rithalia, Shyam V

    2004-04-01

    Although many different type of alternating pressure air mattresses (APAMs) are used for the prevention and treatment of pressure ulcers, few high quality randomised controlled trials are available on which to base purchasing decisions. Faced with this situation, physiological measurements are increasingly being used as a surrogate. Laboratory evaluation techniques have centred largely on interface pressure (IP) measurement, typically analysing discrete maximum and minimum levels, or average pressure. However, since pressure relief is time varying, a time-based analysis technique may be more suitable for performance assessment. Measurements of IP, mattress air cell pressure (AP), skin tissue perfusion using laser Doppler fluxmetry (LDF), transcutaneous oxygen (tcPO2) and carbon dioxide (tcPCO2) were taken simultaneously on the sacrum, heels, trochanters and buttock over at least two alternating cycles. Duration of IP below three thresholds (30, 20, and 10 mmHg) as well as the area under the tcPO2, tcPCO2 and LDF curves were calculated automatically. Ten healthy volunteers were recruited to evaluate the pressure-relieving characteristics of two different designs of APAMs. Results indicated significant differences between the products. During the deflation phase of the cycle contact pressures on the heel were significantly lower (p pressure was significantly higher, although there was no significant difference in deflation pressure. Therefore, it is important to note that low APs do not necessarily produce lower IPs under the heel, contrary to the intuitive classical notion. These techniques could assist in the selection of alternating or dynamic surfaces of any description confirmed by further clinical validation.

  18. Evaluation of the endotracheal tube cuff pressure resulting from four different methods of inflation in dogs.

    Science.gov (United States)

    Briganti, Angela; Portela, Diego A; Barsotti, Giovanni; Romano, Marta; Breghi, Gloria

    2012-09-01

    To evaluate the endotracheal tube cuff pressure achieved by four different inflation methods. Prospective clinical study. Eighty client owned dogs. After anaesthesia induction, endotracheal intubation was performed using plastic or silicone tubes. A clinician unaware of tube type inflated the cuff by simple digital palpation (method A), thereafter the cuff was deflated and inflated again by a second clinician who tried to reproduce a previously learned cuff pressure of between 19 and 24 mmHg (method B). During method C the cuff was inflated to the minimum occlusive volume at an airway pressure of 20 cm H(2) O, and in method D the cuff was incrementally deflated until an audible air leak could be heard from the oral cavity at an airway pressure of 25 cm H(2) O. For all the methods, an operator recorded the actual cuff pressure obtained using a manometer. Heart rate, respiratory rate and mean arterial pressure were monitored throughout the procedure. The mean inflation pressure for plastic tubes was 56 ± 28 mmHg for method A, 20 ± 9 mmHg for method B, 35 ± 32 mmHg for method C and 46 ± 39 mmHg for method D. Pressures using silicone tubes were significantly higher than for plastic tubes, the mean registered pressures being 79 ± 39, 33 ± 16, 77 ± 50 and 92 ± 56 mmHg for methods A, B, C and D. None of the methods evaluated in this study can be considered effective for inflating the endotracheal tube cuff to within the optimal range when using silicone tubes. Direct measurement of the cuff pressure with a manometer is therefore recommended. © 2012 The Authors. Veterinary Anaesthesia and Analgesia. © 2012 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesiologists.

  19. Comparative Evaluation of Periodontal Status of Chronic Renal Failure Patients and Systemically Healthy Individuals.

    Science.gov (United States)

    Gupta, Radhika; Kumar, Uttam; Mallapragada, Siddharth; Agarwal, Pallavi

    2018-03-01

    Periodontitis, a chronic infectious disease, affects most of the population at one time or the other and its expression is a combination of hosts, microbial agents, and environmental factors. Extensive literature exists for the relationship between periodontal disease and diabetes mellitus, cardiovascular diseases, and adverse pregnancy outcomes. Only a few studies performed in a limited number of patients have reported peri-odontal health status in chronic renal failure patients. Hence, the aim of the present study is to assess and compare the periodontal status of patients with chronic renal failure undergoing dialysis, predialysis with systemically healthy individuals. A total of 90 patients were divided into three groups. Group I: 30 renal dialysis patients. Group II: 30 predialysis patients. Control group comprised 30 systemically healthy patients who formed group III. Periodontal examination was carried out using oral hygiene index-simplified (OHI-S), plaque index (PI), gingival index (GI), probing depth, and clinical attachment loss. The results of the study showed that the periodontal status of patients with chronic renal failure undergoing dialysis (dialysis group) and patients with chronic renal failure not undergoing renal dialysis (predialysis) when compared with systemically healthy subjects showed significantly higher mean scores of OHI-S, PI, and clinical attachment loss. Thus, patients with chronic renal failure showed poor oral hygiene and higher prevalence of periodontal disease. The dental community's awareness of implications of poor health within chronic renal failure patients should be elevated.

  20. Evaluations of half-bead weld repair procedures with thick-wall pressure vessels

    International Nuclear Information System (INIS)

    Canonico, D.A.; Whitman, G.D.

    1978-01-01

    The results of research on the evaluation of the half-bead weld repair method for use on nuclear reactor components are reviewed from data obtained on thick-section test pieces and intermediate-size pressure vessels. Material properties, the magnitude of residual stresses and the structural behavior of flawed pressure vessels are being obtained to determine the adequacy of the weld repair method for application in thick-section components

  1. Node vulnerability of water distribution networks under cascading failures

    International Nuclear Information System (INIS)

    Shuang, Qing; Zhang, Mingyuan; Yuan, Yongbo

    2014-01-01

    Water distribution networks (WDNs) are important in modern lifeline system. Its stability and reliability are critical for guaranteeing high living quality and continuous operation of urban functions. The aim of this paper is to evaluate the nodal vulnerability of WDNs under cascading failures. Vulnerability is defined to analyze the effects of the consequent failures. A cascading failure is a step-by-step process which is quantitatively investigated by numerical simulation with intentional attack. Monitored pressures in different nodes and flows in different pipes have been used to estimate the network topological structure and the consequences of nodal failure. Based on the connectivity loss of topological structure, the nodal vulnerability has been evaluated. A load variation function is established to record the nodal failure reason and describe the relative differences between the load and the capacity. The proposed method is validated by an illustrative example. The results revealed that the network vulnerability should be evaluated with the consideration of hydraulic analysis and network topology. In the case study, 70.59% of the node failures trigger the cascading failures with different failure processes. It is shown that the cascading failures result in severe consequences in WDNs. - Highlights: • The aim of this paper is to evaluate the nodal vulnerability of water distribution networks under cascading failures. • Monitored pressures and flows have been used to estimate the network topological structure and the consequences of nodal failure. • Based on the connectivity loss of topological structure, the nodal vulnerability has been evaluated. • A load variation function is established to record the failure reason and describe the relative differences between load and capacity. • The results show that 70.59% of the node failures trigger the cascading failures with different failure processes

  2. Evaluation of patients with upper gastrointestinal bleeding in chronic renal failure

    Directory of Open Access Journals (Sweden)

    Mehmet Sinan Dal

    2011-06-01

    Full Text Available Incidence of gastrointestinal complications especially gastric bleeding increased in patients with chronic renal failure (CRF. The aim of this study was to comparatively investigate upper gastrointestinal bleeding (UGB in patients with non-hemodialysis CRF and the patients without CRF.Materials and Methods: Seventy-six patients (55 men and 21 women with and without CRF and UGB was included. The first group who had CRF consisted of 23 patients and the control group 53. All patients were evaluated in the view point of age, gender, smoking status, other illnesses, medicine usage, laboratory parameters, endoscopic evidence and endoscopic intervention (scleroteraphy.Results: Calcium levels of patients with a history of previous UGB was significantly lower compared with those bleeding for the first time (p<0.05. The mean parathormon level was higher in patients with CRF (171.24 ± 141.96 pg/ml (p<0.05. Serum albumin level was negatively correlated with urea and creatinine (p<0.001, and positively correlated with hemoglobin and hematocrit levels (p=0.003 and p=0.005. The patients undergoing sclerotherapy more frequently needed transfusions (p<0.05. The hospitalization time found to be shortening with increasing hemoglobin, hematocrit, calcium and albumin levels; and lengthens with increased urea and creatinine.Conclusion: The history of previous gastrointestinal bleeding and detection of pathological findings in endoscopy were more frequent in patients with CRF. Gastrointestinal bleeding risk did not reduce using by gastric protection against acetylsalicylic acid and other non-steroidal antiinflammatory drugs. Also, low albumin levels and secondary hiperparathyroidism in these patients may be risky for gastrointestinal bleeding. J Clin Exp Invest 2011;2(2:207-13

  3. Right ventricular pacing improves haemodynamics in right ventricular failure from pressure overload: an open observational proof-of-principle study in patients with chronic thromboembolic pulmonary hypertension.

    Science.gov (United States)

    Hardziyenka, Maxim; Surie, Sulaiman; de Groot, Joris R; de Bruin-Bon, H A C M Rianne; Knops, Reinoud E; Remmelink, Maurice; Yong, Ze-Yie; Baan, Jan; Bouma, Berto J; Bresser, Paul; Tan, Hanno L

    2011-12-01

    Right ventricular (RV) failure in patients with chronic thromboembolic pulmonary hypertension (CTEPH), and other types of pulmonary arterial hypertension is associated with right-to-left ventricle (LV) delay in peak myocardial shortening and, consequently, the onset of diastolic relaxation. We aimed to establish whether RV pacing may resynchronize the onsets of RV and LV diastolic relaxation, and improve haemodynamics. Fourteen CTEPH patients (mean age 63.7 ± 12.0 years, 10 women) with large (≥60 ms) RV-to-LV delay in the onset of diastolic relaxation (DIVD, diastolic interventricular delay) were studied. Temporary RV pacing was performed by atrioventricular (A-V) sequential pacing with incremental shortening of A-V delay to advance RV activation. Effects were assessed using tissue Doppler echocardiography and LV pressure-conductance catheter measurements in a subset of patients. Compared with right atrial pacing, RV pacing at optimal A-V delay (average 140 ± 22 ms, range 120-180 ms) resulted in significant DIVD reduction (59 ± 19 to 3 ± 22 ms, P < 0.001), and increase in LV stroke volume as measured by LV outflow tract velocity-time integral (14.9 ± 2.8 to 16.9 ± 3.0 cm, P < 0.001), along with enhanced global RV contractility and LV diastolic filling. Right-to-left ventricle resynchronization of the onset of diastolic relaxation results in stroke volume increase in CTEPH patients. Whether RV pacing may be a novel therapeutic target in RV failure following chronic pressure overload remains to be investigated.

  4. Artificial arterial blood pressure artifact models and an evaluation of a robust blood pressure and heart rate estimator

    Directory of Open Access Journals (Sweden)

    Mark Roger G

    2009-07-01

    Full Text Available Abstract Background Within the intensive care unit (ICU, arterial blood pressure (ABP is typically recorded at different (and sometimes uneven sampling frequencies, and from different sensors, and is often corrupted by different artifacts and noise which are often non-Gaussian, nonlinear and nonstationary. Extracting robust parameters from such signals, and providing confidences in the estimates is therefore difficult and requires an adaptive filtering approach which accounts for artifact types. Methods Using a large ICU database, and over 6000 hours of simultaneously acquired electrocardiogram (ECG and ABP waveforms sampled at 125 Hz from a 437 patient subset, we documented six general types of ABP artifact. We describe a new ABP signal quality index (SQI, based upon the combination of two previously reported signal quality measures weighted together. One index measures morphological normality, and the other degradation due to noise. After extracting a 6084-hour subset of clean data using our SQI, we evaluated a new robust tracking algorithm for estimating blood pressure and heart rate (HR based upon a Kalman Filter (KF with an update sequence modified by the KF innovation sequence and the value of the SQI. In order to do this, we have created six novel models of different categories of artifacts that we have identified in our ABP waveform data. These artifact models were then injected into clean ABP waveforms in a controlled manner. Clinical blood pressure (systolic, mean and diastolic estimates were then made from the ABP waveforms for both clean and corrupted data. The mean absolute error for systolic, mean and diastolic blood pressure was then calculated for different levels of artifact pollution to provide estimates of expected errors given a single value of the SQI. Results Our artifact models demonstrate that artifact types have differing effects on systolic, diastolic and mean ABP estimates. We show that, for most artifact types

  5. Evaluation of crack growth behavior and probabilistic S–N characteristics of carburized Cr–Mn–Si steel with multiple failure modes

    International Nuclear Information System (INIS)

    Li, Wei; Sun, Zhenduo; Zhang, Zhenyu; Deng, Hailong; Sakai, Tatsuo

    2014-01-01

    Highlights: • The stepwise S–N characteristics only for interior induced failure was observed. • The interior crack growth behavior with threshold conditions in different stages was clarified. • The distribution characteristics of test data in transition failure region was evaluated. • A model for evaluating the probabilistic S–N curve with multiple failure modes was developed. - Abstract: The unexpected failures of case-hardened steels in long life regime have been a critical issue in modern engineering design. In this study, the failure behavior of a carburized Cr–Mn–Si steel under very high cycle fatigue (VHCF) was investigated, and a model for evaluating the probabilistic S–N curve associated with multiple failure modes was developed. Results show that the carburized Cr–Mn–Si steel exhibits three failure modes including the surface flaw-induced failure, the interior inclusion-induced failure without the fine granular area (FGA) and the interior inclusion-induced failure with the FGA. As the predominant failure mode in the VHCF regime, the interior failure process can be divided into four stages: (i) the small crack growth around the inclusion, (ii) the stable macroscopic crack growth outside the FGA, (iii) the unstable crack growth outside the fish-eye and (iv) the momentary fracture outside the final crack growth zone. The threshold values are successively evaluated to be 2.33 MPa m 1/2 , 4.13 MPa m 1/2 , 18.51 MPa m 1/2 and 29.26 MPa m 1/2 . The distribution characteristics of the test data in transition failure region can be well characterized by the mixed two-parameter Weibull distribution function. The developed probabilistic S–N curve model is in good agreement with the test data with multiple failure modes. Although the result is somewhat conservative in the VHCF regime, it is acceptable for safety considerations

  6. Serum PSA Evaluations during salvage radiotherapy for post-prostatectomy biochemical failures as prognosticators for treatment outcomes

    International Nuclear Information System (INIS)

    Do, Tri; Dave, Giatri; Parker, Robert; Kagan, A. Robert

    2001-01-01

    Introduction: Serum prostate specific antigen (PSA) levels have proved to be sensitive markers for the diagnosis of prostate cancer. In addition, PSA levels are useful for detecting and monitoring prostate cancer progression after radiotherapy. Serum PSA evaluations during radiotherapy, however, have not been well documented. In this study, we investigate the prognostic value of PSA evaluations during salvage radiotherapy for prostatectomy failures. Methods: Forty-one patients with biochemical failures after prostatectomy treated with salvage radiotherapy consented to have their serum PSA levels evaluated at 30 Gy and 45 Gy of irradiation. All 41 patients had negative metastatic workup and pathologically uninvolved pelvic lymph nodes at the time of referral for salvage radiotherapy. Radiation therapy was delivered with 10-25 MV photons, with doses of 59.4-66.6 Gy. No patients received hormonal ablation therapy before irradiation. Results: The mean follow-up for all patients was 30.9 months. At last follow-up, 28/41 patients (68.3%) were free from biochemical failure, with 20 of 41 patients (48.8%) expressing undetectable PSA levels. Serum PSA evaluations at 30 Gy did not significantly predict for either biochemical (p=0.0917) or clinical (p=0.106) disease-free outcome. However, serum PSA evaluations at 45 Gy significantly predicted for both biochemical (p=0.0043) and clinical (p=0.0244) disease-free outcomes, with PSA elevations at 45 Gy significantly associated with poor outcomes. On univariate analysis of prognosticators for biochemical failures, the following were significant: an elevation in serum PSA levels at 45 Gy, detectable serum PSA immediately after prostatectomy, Gleason score 7-10, and serum PSA level >1 ng/ml before salvage radiotherapy. Conclusion: Evaluation of serum PSA level at 45 Gy of salvage radiotherapy for biochemical relapses after prostatectomy may serve as a significant prognosticator for both biochemical and clinical disease-free outcomes

  7. Evaluation of detectable defect size for inner defect of pressure vessel using laser speckle

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyeoung Suk; Seon, Sang Woo; Choi, Tae Ho; Kang, Chan Geun; Na, Man Gyun; Jung, Hyun Chul [Chsoun University, Gwangju (Korea, Republic of)

    2014-04-15

    Pressure vessels are used in various industrial fields. If a defect occurs on the inner or outer surface of a pressure vessel, it may cause a massive accident. A defect on the outer surface can be detected by visual inspection. However, a defect on the inner surface is generally impossible to detect with visual inspection. Nondestructive testing can be used to detect this type of defect. Laser speckle shearing interferometry is one nondestructive testing method that can optically detect a defect; its advantages include noncontact, full field, and real time inspection. This study evaluated the detectable size for an internal defect of a pressure vessel. The material of the pressure vessel was ASTM A53 Gr.B. The internal defect was detected when the pressure vessel was loaded by internal pressure controlled by a pneumatic system. The internal pressure was controlled from 0.2 MPa to 0.6 MPa in increments of 0.2 MPa. The results confirmed that an internal defect with a 25 % defect depth could be detected even at 0.2 MPa pressure variation.

  8. DETERMINISTIC EVALUATION OF DELAYED HYDRIDE CRACKING BEHAVIORS IN PHWR PRESSURE TUBES

    Directory of Open Access Journals (Sweden)

    YOUNG-JIN OH

    2013-04-01

    Full Text Available Pressure tubes made of Zr-2.5 wt% Nb alloy are important components consisting reactor coolant pressure boundary of a pressurized heavy water reactor, in which unanticipated through-wall cracks and rupture may occur due to a delayed hydride cracking (DHC. The Canadian Standards Association has provided deterministic and probabilistic structural integrity evaluation procedures to protect pressure tubes against DHC. However, intuitive understanding and subsequent assessment of flaw behaviors are still insufficient due to complex degradation mechanisms and diverse influential parameters of DHC compared with those of stress corrosion cracking and fatigue crack growth phenomena. In the present study, a deterministic flaw assessment program was developed and applied for systematic integrity assessment of the pressure tubes. Based on the examination results dealing with effects of flaw shapes, pressure tube dimensional changes, hydrogen concentrations of pressure tubes and plant operation scenarios, a simple and rough method for effective cooldown operation was proposed to minimize DHC risks. The developed deterministic assessment program for pressure tubes can be used to derive further technical bases for probabilistic damage frequency assessment.

  9. An evaluation of direct pressure sensors for monitoring the aluminum die casting process

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, X.

    1997-12-31

    This study was conducted as part of the US Department of Energy (DOE) sponsored project Die Cavity Instrumentation. One objective of that project was to evaluate thermal, pressure, and gas flow process monitoring sensors in or near the die cavity as a means of securing improved process monitoring and control and better resultant part quality. The objectives of this thesis are to (1) evaluate a direct cavity pressure sensor in a controlled production campaign at the GM Casting Advanced Development Center (CADC) at Bedford, Indiana; and (2) develop correlations between sensor responses and product quality in terms of the casting weight, volume, and density. A direct quartz-based pressure sensor developed and marked by Kistler Instrument Corp. was acquired for evaluating as an in-cavity liquid metal pressure sensor. This pressure sensor is designed for use up to 700 C and 2,000 bars (29,000 psi). It has a pressure overload capacity up to 2,500 bars (36,250 psi).

  10. Role of crack arrest in the evaluation of PWR pressure vessel integrity during PTS transients

    International Nuclear Information System (INIS)

    Cheverton, R.D.; Ball, D.G.

    1984-01-01

    The HSST program is investigating flaw behavior in large cylinders and is also obtaining fracture-mechanics-related material properties, while the Integrated Pressurized Thermal-Shock (IPTS) program is primarily concerned with an estimation of the overall frequency of vessel failure and identification of dominant transients and design and operating features contributing thereto for specific nuclear plants. One important component of the IPTS study is a probabilistic fracture-mechanics analysis of the reactor vessel, and a point of particular interest therein is the role of crack arrest in mitigating the consequences of the postulated PTS transients. The HSST program has provided crack-arrest data from small specimens and large thermal- and pressure-loaded cylinders that tend to establish the validity of the crack-arrest concept for application to the PTS problem. Unfortunately, recent results of the IPTS studies indicate that the inclusion of crack arrest in the probabilistic fracture-mechanics model does not substantially influence the calculated frequency of vessel failure. However, there are still significant questions regarding flaw behavior at upper-shelf temperatures, and the HSST program is continuing to pursue this area of uncertainty

  11. Experimental strength evaluation of cylinders with a flat head subjected to internal pressure at elevated temperature

    International Nuclear Information System (INIS)

    Suzuki, Mitsuru; Makino, Yutaka

    1978-01-01

    The experiments using component test models such as a cylinder with a flat head and F.E.M. elastic analyses to investigate the secondary stress, peak stress and creep-fatigue interaction effect are described. The comparison of uniaxial stress with multiaxial stress about deformation and strength at elevated temperatures are also described here. The results of experiments and analysis are summarized as follows: (1) The maximum stress as the equivalent stress is the most suitable for the prediction of the creep failure life of cylinders subjected to internal pressure using the uniaxial creep test results. And the Mises's equivalent stress is the suitable for this prediction using the data of the onset of the uniaxial tertiary creep. (2) In the creep characteristics of the cylinder there, is no tertiary creep stage, and the rupture elongation of the cylinder accords with the elongation of the onset of the uniaxial tertiary creep. (3) It was recognized that the secondary stress occurred at the corner of the cylinder with a flat head has a little effect on creep and creep-fatigue life. (4) The life reduction effect due to the creep-fatigue interaction around the corner was recognized by the linear damage rule and compared with the value of Code Case 1592. (5) A difference of failure modes by imposed conditions for vessel with the size-discontinuity section was recognized by the cyclic internal pressure tests with hold time. (author)

  12. Numerical evaluation of the failure envelope of weak snow layers using the discrete element method

    Science.gov (United States)

    Gaume, Johan; Chambon, Guillaume; Reiweger, Ingrid; van Herwijnen, Alec; Schweizer, Jürg

    2015-04-01

    The release of dry-snow slab avalanches is initiated by a local failure in a weak snow layer underlying a cohesive slab followed by crack propagation within the weak layer. Our understanding of these processes is limited by the complex microstructure of snow. The observation of the structural collapse of weak layers has raised the question of the origin of the initial failure, whether it is in shear, as assumed for years, or in compression. However, as the damage in the weak layer is due to bond breaking at the microscopic scale, the stress distribution due to mixed-mode shear and compression loading on a slope is likely to be highly complex due to the non-uniform distribution of snow grains in the weak layer. To shed more light on this issue, we use the discrete element (DE) method to investigate the failure criterion of different types of model weak snowpack layers. As the DE model mimics the high porosity of snow, the collapse of the structure in the weak layer during fracture can be studied. Simple loading simulations were carried out for different slope angles and thus different proportions between shear and compressive stress. The numerical simulations revealed that the failure mode can be described by a complete mixed-mode shear compression failure envelope which, despite the simplicity of the model, was found in good agreement with laboratory experiments.

  13. Determination of a tissue-level failure evaluation standard for rat femoral cortical bone utilizing a hybrid computational-experimental method.

    Science.gov (United States)

    Fan, Ruoxun; Liu, Jie; Jia, Zhengbin; Deng, Ying; Liu, Jun

    2018-01-01

    Macro-level failure in bone structure could be diagnosed by pain or physical examination. However, diagnosing tissue-level failure in a timely manner is challenging due to the difficulty in observing the interior mechanical environment of bone tissue. Because most fractures begin with tissue-level failure in bone tissue caused by continually applied loading, people attempt to monitor the tissue-level failure of bone and provide corresponding measures to prevent fracture. Many tissue-level mechanical parameters of bone could be predicted or measured; however, the value of the parameter may vary among different specimens belonging to a kind of bone structure even at the same age and anatomical site. These variations cause difficulty in representing tissue-level bone failure. Therefore, determining an appropriate tissue-level failure evaluation standard is necessary to represent tissue-level bone failure. In this study, the yield and failure processes of rat femoral cortical bones were primarily simulated through a hybrid computational-experimental method. Subsequently, the tissue-level strains and the ratio between tissue-level failure and yield strains in cortical bones were predicted. The results indicated that certain differences existed in tissue-level strains; however, slight variations in the ratio were observed among different cortical bones. Therefore, the ratio between tissue-level failure and yield strains for a kind of bone structure could be determined. This ratio may then be regarded as an appropriate tissue-level failure evaluation standard to represent the mechanical status of bone tissue.

  14. Evaluation of failure to thrive: diagnostic yield of testing for renal tubular acidosis.

    Science.gov (United States)

    Adedoyin, Olanrewaju; Gottlieb, Beth; Frank, Rachel; Vento, Suzanne; Vergara, Marcela; Gauthier, Bernard; Trachtman, Howard

    2003-12-01

    Failure to thrive (FTT) poses a diagnostic dilemma for pediatricians. The kidney disorder that is considered most often is renal tubular acidosis (RTA). However, the prevalence of RTA may be overestimated, leading to unnecessary referrals for subspecialty evaluation. Moreover, preliminary data suggest that venous blood gas (VBG) testing may provide a more accurate measurement of the serum bicarbonate concentration than routine biochemical testing. 1) To compare the results of bicarbonate measurements by using VBG and routine clinical biochemistry methods under a variety of in vitro conditions; 2) to determine the frequency of RTA as a cause of FTT; and 3) to assess the utility of VBG measurement of serum bicarbonate in the clinical assessment of RTA. EXPERIMENTAL DESIGN AND METHODS: In blood samples collected from healthy volunteers, bicarbonate was measured by using a VBG apparatus and a clinical biochemistry analyzer under a variety of in vitro conditions including variation in time until sample processing (0-4 hours), variations in temperature (room temperature versus on ice), addition of sodium fluoride, or addition of heparin. A retrospective chart review was also performed of all children referred to the renal clinic for evaluation of FTT during the 5-year period of 1997 to 2002. The following data were collected for each case: demographic and clinical information and laboratory testing including serum bicarbonate determined by both routine biochemical testing and VBG analysis. Data are reported as mean +/- standard deviation. In the in vitro studies, VBG determination of bicarbonate concentration consistently yielded a value that was 3 to 6 mmol/L higher than routine biochemical analysis regardless of whether the sample was processed immediately or up to 4 hours later, maintained at room temperature or on ice until the measurement was performed, or the sample tube contained sodium fluoride or heparin. Thirty-six children were referred to exclude a renal

  15. Laser therapy in pressure ulcers: evaluation by the Pressure Ulcer Scale for Healing and Nursing Outcomes Classification

    Directory of Open Access Journals (Sweden)

    Sofia Palagi

    2015-10-01

    Full Text Available AbstractOBJECTIVETo describe the pressure ulcer healing process in critically ill patients treated with conventional dressing therapy plus low-intensity laser therapy evaluated by the Pressure Ulcer Scale for Healing (PUSH and the result of Wound Healing: Secondary Intention, according to the Nursing Outcomes Classification (NOC.METHODCase report study according to nursing process conducted with an Intensive Care Unit patient. Data were collected with an instrument containing the PUSH and the result of the NOC. In the analysis we used descriptive statistics, considering the scores obtained on the instrument.RESULTSA reduction in the size of lesions of 7cm to 1.5cm of length and 6cm to 1.1cm width, in addition to the increase of epithelial tissue and granulation, decreased secretion and odor.CONCLUSIONThere was improvement in the healing process of the lesion treated with adjuvant therapy and the use of NOC allowed a more detailed and accurate assessment than the PUSH.

  16. An ex vivo porcine skin model to evaluate pressure-reducing devices of different mechanical properties used for pressure ulcer prevention.

    Science.gov (United States)

    Yeung, Ching-Yan C; Holmes, David F; Thomason, Helen A; Stephenson, Christian; Derby, Brian; Hardman, Matthew J

    2016-11-01

    Pressure ulcers are complex wounds caused by pressure- and shear-induced trauma to skin and underlying tissues. Pressure-reducing devices, such as dressings, have been shown to successfully reduce pressure ulcer incidence, when used in adjunct to pressure ulcer preventative care. While pressure-reducing devices are available in a range of materials, with differing mechanical properties, understanding of how a material's mechanical properties will influence clinical efficacy remains limited. The aim of this study was to establish a standardized ex vivo model to allow comparison of the cell protection potential of two gel-like pressure-reducing devices with differing mechanical properties (elastic moduli of 77 vs. 35 kPa). The devices also displayed differing energy dissipation under compressive loading, and resisted strain differently under constant load in compressive creep tests. To evaluate biological efficacy we employed a new ex vivo porcine skin model, with a confirmed elastic moduli closely matching that of human skin (113 vs. 119 kPa, respectively). Static loads up to 20 kPa were applied to porcine skin ex vivo with subsequent evaluation of pressure-induced cell death and cytokine release. Pressure application alone increased the percentage of epidermal apoptotic cells from less than 2% to over 40%, and increased cellular secretion of the pro-inflammatory cytokine TNF-alpha. Co-application of a pressure-reducing device significantly reduced both cellular apoptosis and cytokine production, protecting against cellular damage. These data reveal new insight into the relationship between mechanical properties of pressure-reducing devices and their biological effects. After appropriate validation of these results in clinical pressure ulcer prevention with all tissue layers present between the bony prominence and external surface, this ex vivo porcine skin model could be widely employed to optimize design and evaluation of devices aimed at reducing pressure

  17. The stress analysis evaluation and pipe support layout for pressurizer discharge system

    International Nuclear Information System (INIS)

    Mao Qing; Wang Wei; Zhang Yixiong

    2000-01-01

    The author presents the stress analysis and evaluation of pipe layout and support adjustment process for Qinshan phase II pressurizer discharge system. Using PDL-SYSPIPE INTERFACE software, the characteristic parameters of the system are gained from 3-D CAD engineering design software PDL and outputted as the input date file format of special pipe stress analysis program SYSPIPE. Based on that, SYSPIPE program fast stress analysis function is applied in adjusting pipe layout , support layout and support types. According to RCC-M standard, the pipe stress analysis and evaluation under deadweight, internal pressure, thermal expansion, seismic, pipe rupture and discharge loads are fulfilled

  18. Redistribution Principle Approach for Evaluation of Seismic Active Earth Pressure Behind Retaining Wall

    Science.gov (United States)

    Maskar, A. D.; Madhekar, S. N.; Phatak, D. R.

    2017-11-01

    The knowledge of seismic active earth pressure behind the rigid retaining wall is very essential in the design of retaining wall in earthquake prone regions. Commonly used Mononobe-Okabe (MO) method considers pseudo-static approach. Recently there are many pseudo-dynamic methods used to evaluate the seismic earth pressure. However, available pseudo-static and pseudo-dynamic methods do not incorporate the effect of wall movement on the earth pressure distribution. Dubrova (Interaction between soils and structures, Rechnoi Transport, Moscow, 1963) was the first, who considered such effect and till date, it is used for cohesionless soil, without considering the effect of seismicity. In this paper, Dubrova's model based on redistribution principle, considering the seismic effect has been developed. It is further used to compute the distribution of seismic active earth pressure, in a more realistic manner, by considering the effect of wall movement on the earth pressure, as it is displacement based method. The effects of a wide range of parameters like soil friction angle (ϕ), wall friction angle (δ), horizontal and vertical seismic acceleration coefficients (kh and kv); on seismic active earth pressure (Kae) have been studied. Results are presented for comparison of pseudo-static and pseudo-dynamic methods, to highlight the realistic, non-linearity of seismic active earth pressure distribution. The current study results in the variation of Kae with kh in the same manner as that of MO method and Choudhury and Nimbalkar (Geotech Geol Eng 24(5):1103-1113, 2006) study. To increase in ϕ, there is a reduction in static as well as seismic earth pressure. Also, by keeping constant ϕ value, as kh increases from 0 to 0.3, earth pressure increases; whereas as δ increases, active earth pressure decreases. The seismic active earth pressure coefficient (Kae) obtained from the present study is approximately same as that obtained by previous researchers. Though seismic earth

  19. Evaluation of Flexible Force Sensors for Pressure Monitoring in Treatment of Chronic Venous Disorders.

    Science.gov (United States)

    Parmar, Suresh; Khodasevych, Iryna; Troynikov, Olga

    2017-08-21

    The recent use of graduated compression therapy for treatment of chronic venous disorders such as leg ulcers and oedema has led to considerable research interest in flexible and low-cost force sensors. Properly applied low pressure during compression therapy can substantially improve the treatment of chronic venous disorders. However, achievement of the recommended low pressure levels and its accurate determination in real-life conditions is still a challenge. Several thin and flexible force sensors, which can also function as pressure sensors, are commercially available, but their real-life sensing performance has not been evaluated. Moreover, no researchers have reported information on sensor performance during static and dynamic loading within the realistic test conditions required for compression therapy. This research investigated the sensing performance of five low-cost commercial pressure sensors on a human-leg-like test apparatus and presents quantitative results on the accuracy and drift behaviour of these sensors in both static and dynamic conditions required for compression therapy. Extensive experimental work on this new human-leg-like test setup demonstrated its utility for evaluating the sensors. Results showed variation in static and dynamic sensing performance, including accuracy and drift characteristics. Only one commercially available pressure sensor was found to reliably deliver accuracy of 95% and above for all three test pressure points of 30, 50 and 70 mmHg.

  20. Evaluation of the impact of atmospheric pressure in different seasons on blood pressure in patients with arterial hypertension.

    Science.gov (United States)

    Kamiński, Marek; Cieślik-Guerra, Urszula I; Kotas, Rafał; Mazur, Piotr; Marańda, Witold; Piotrowicz, Maciej; Sakowicz, Bartosz; Napieralski, Andrzej; Trzos, Ewa; Uznańska-Loch, Barbara; Rechciński, Tomasz; Kurpesa, Małgorzata

    2016-01-01

    Atmospheric pressure is the most objective weather factor because regardless of if outdoors or indoors it affects all objects in the same way. The majority of previous studies have used the average daily values of atmospheric pressure in a bioclimatic analysis and have found no correlation with blood pressure changes. The main objective of our research was to assess the relationship between atmospheric pressure recorded with a frequency of 1 measurement per minute and the results of 24-h blood pressure monitoring in patients with treated hypertension in different seasons in the moderate climate of the City of Łódź (Poland). The study group consisted of 1662 patients, divided into 2 equal groups (due to a lower and higher average value of atmospheric pressure). Comparisons between blood pressure values in the 2 groups were performed using the Mann-Whitney U test. We observed a significant difference in blood pressure recorded during the lower and higher range of atmospheric pressure: on the days of the spring months systolic (p = 0.043) and diastolic (p = 0.005) blood pressure, and at nights of the winter months systolic blood pressure (p = 0.013). A significant inverse relationship between atmospheric pressure and blood pressure during the spring days and, only for systolic blood pressure, during winter nights was observed. Int J Occup Med Environ Health 2016;29(5):783-792. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  1. In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes.

    Science.gov (United States)

    Coelho, Rafael de Macedo; de Paiva, Thiago Trigueiro Morais; da Silva Telles Mathias, Ligia Andrade

    2016-01-01

    Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30cm H2O. Using an adapter to connect the tested tube to the anesthesia machine, the relief valve was regulated to 30cm H2O, inflating the cuff by operating the rapid flow of oxygen button. There were 33 trials for each tube of three manufacturers, of five sizes (6.5-8.5), using three times inflation (10, 15 and 20s), totaling 1485 tests. After inflation, the pressure obtained was measured with a manometer. Pressure >30cm H2O or pressures pressure to a range between 20 and 30cm H2O, with a success rate of 99.5% (95% CI: 99.1-99.9%). Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  2. Definition of containment failure

    International Nuclear Information System (INIS)

    Cybulskis, P.

    1982-01-01

    Core meltdown accidents of the types considered in probabilistic risk assessments (PRA's) have been predicted to lead to pressures that will challenge the integrity of containment structures. Review of a number of PRA's indicates considerable variation in the predicted probability of containment failure as a function of pressure. Since the results of PRA's are sensitive to the prediction of the occurrence and the timing of containment failure, better understanding of realistic containment capabilities and a more consistent approach to the definition of containment failure pressures are required. Additionally, since the size and location of the failure can also significantly influence the prediction of reactor accident risk, further understanding of likely failure modes is required. The thresholds and modes of containment failure may not be independent

  3. Evaluation of patients on sertindole treatment after failure of other antipsychotics: A retrospective analysis

    Directory of Open Access Journals (Sweden)

    Hansen Karina

    2008-03-01

    Full Text Available Abstract Background Use of the atypical antipsychotic sertindole was suspended for four years due to safety concerns. During the suspension, the regulatory authorities required further studies, including this one, to be conducted. The purpose of this study was to determine if a subset of patients with psychotic illness exists which particularly benefits from sertindole treatment after failure of other antipsychotic drugs, including atypical antipsychotics. Methods This was a retrospective single-arm observational crossover study of 344 patients, who served as their own controls. Patients mainly from the Sertindole Safety Study who had shown good response to sertindole, and who had followed up to four alternating six month periods of treatment with sertindole and other antipsychotics, were included. (In Period 1 patients took non-sertindole treatment, in Period 2, sertindole was taken, in Period 3, patients reverted to non-sertindole treatment, and in Period 4, sertindole was taken again. Patient records for each period of treatment were assessed for objective data: number and duration of hospitalizations due to worsening of psychotic symptoms; the amount of self-harming behaviour; indicators of social status. Retrospective evaluation of changes in clinical symptoms from the patients' records was also conducted. Dates and reasons for stopping and/or switching medication were also recorded. Results There was improvement in all objective measured parameters during the periods of sertindole treatment. In particular, the average number of hospitalizations per year due to worsening of psychotic symptoms was reduced in the following way in the group studied over four treatment periods: Period 1 (non-sertindole treatment 3.4; Period 2 (sertindole treatment 1.0; Period 3 (non-sertindole treatment 2.0; Period 4 (sertindole treatment 1.8. The duration of hospitalizations also decreased significantly during the periods of sertindole treatment. Results

  4. Consideration on evaluation of internal pressure creep rupture for tube with circumferential joint

    International Nuclear Information System (INIS)

    Nagato, Kotaro; Satoh, Keisuke

    1983-01-01

    The behavior of internal pressure creep rupture of the thin-walled cylinders with circumferential joints is affected by the combination of creep characteristics of parent materials and weld metals. In particular, the compatibility of the creep strain rate of parent materials and weld metals becomes an important controlling factor. The behavior of internal pressure creep of the welded parts in circumferential joint cylinders can be evaluated simply with the uniaxial creep data of parent materials and weld metals, considering it by approximately substituting with the creep behavior of a uniaxial longitudinal joint. The method of evaluation is, first, to analyze the breaking behavior of uniaxial longitudinal joints using the uniaxial creep characteristic values of parent materials and weld metals, and next, by combining the equation for the relation between the rupture times of uniaxial creep and internal pressure creep with the analyzed breaking behavior of uniaxial joints, the internal pressure creep rupture behavior of the cylinders with circumferential joints can be evaluated. The internal pressure creep behavior of the thin-walled cylinders with circumferential joints, their rupture life and the uniaxial creep rupture life of longitudinal joints, and the examination of Hastelloy X cylinders are reported. (Kako, I.)

  5. Evaluation of Left Ventricular Diastolic Dysfunction with Early Systolic Dysfunction Using Two-Dimensional Speckle Tracking Echocardiography in Canine Heart Failure Model.

    Science.gov (United States)

    Wu, Wei-Chun; Ma, Hong; Xie, Rong-Ai; Gao, Li-Jian; Tang, Yue; Wang, Hao

    2016-04-01

    This study evaluated the role of two-dimensional speckle tracking echocardiography (2DSTE) for predicting left ventricular (LV) diastolic dysfunction in pacing-induced canine heart failure. Pacing systems were implanted in 8 adult mongrel dogs, and continuous rapid right ventricular pacing (RVP, 240 beats/min) was maintained for 2 weeks. The obtained measurements from 2DSTE included global strain rate during early diastole (SRe) and during late diastole (SRa) in the longitudinal (L-SRe, L-SRa), circumferential (C-SRe, C-SRa), and radial directions (R-SRe, R-SRa). Changes in heart morphology were observed by light microscopy and transmission electron microscopy at 2 weeks. The onset of LV diastolic dysfunction with early systolic dysfunction occurred 3 days after RVP initiation. Most of the strain rate imaging indices were altered at 1 or 3 days after RVP onset and continued to worsen until heart failure developed. Light and transmission electron microscopy showed myocardial vacuolar degeneration and mitochondrial swelling in the left ventricular at 2 weeks after RVP onset. Pearson's correlation analysis revealed that parameters of conventional echocardiography and 2DSTE showed moderate correlation with LV pressure parameters, including E/Esep' (r = 0.58, P echocardiography and strain rate imaging could effectively predict LV diastolic dysfunction (area under the curve: E/Esep' 0.78; L-SRe 0.84; E/L-SRe 0.80; R-SRe 0.80). 2DSTE was a sensitive and accurate technique that could be used for predicting LV diastolic dysfunction in canine heart failure model. © 2015, Wiley Periodicals, Inc.

  6. Evaluation of healing of pressure ulcers through thermography: a preliminary study

    Directory of Open Access Journals (Sweden)

    Maria Emília Abreu Chaves

    Full Text Available Introduction Thermography is a surface thermal radiation measurement technique whose application has been expanding in the healthcare field. The unhealed wound is a serious public health problem because it intervenes in the quality of life of patients and may cause emotional and psychological losses. The wound temperature can provide quantitative data that allow for the healing process to be monitored. The aim of this study was to verify whether thermography can be used as a method to evaluate the healing of pressure ulcers. Methods Eight participants with sacral pressure ulcers were recruited and randomly divided into two groups: A (control and B (experimental. Both groups received standard treatment for a period of four weeks, which consisted of a daily cleaning of the pressure ulcers with physiological saline (sodium chloride 0.9% followed by an alginate hydrogel dressing. The group B received light-emitting diode (LED phototherapy in addition to standard treatment, three times a week, yielding a total of 12 sessions. Photographs and thermograms of each pressure ulcer were obtained in all sessions in both groups. Results Pressure ulcers treated with LED phototherapy were healed. The pressure ulcer area of group B decreased over the 12 treatment sessions, whereas the pressure ulcer area of group A increased. The ulcer temperature of group B was higher than that of group A during the treatment (temperature difference up to 7.6%. Discussion The present study suggests a relationship between the temperature and area of pressure ulcers and proposes thermography as an adjunctive method for the evaluation of healing processes.

  7. Evaluation of a cavity flooding strategy for the prevention of reactor vessel failure in a severe accident

    Energy Technology Data Exchange (ETDEWEB)

    Park, Rae Joon; Je, Moo Sung; Park, Chang Kyoo [Korea Atomic Energy Research Institute, TaeJon (Korea, Republic of)

    1994-10-01

    As a part of the evaluation of accident management strategies for severe accident prevention or mitigation in a station blackout scenario for YGN 3 and 4, an external vessel cooling strategy for the prevention of reactor vessel failure has been estimated using the MAAP4 computer code. The sensitivity studies have been performed such as actuating timings and the number of spray pumps used. To explore external vessel cooling strategies, containment spray pumps were actuated by varying time spanning core uncovery, core melting and relocation of molten core material. It was shown that flooding of the reactor cavity using the containment spray system may prevent reactor vessel failure but may not prevent the failure of the relocation of molten core material during the station blackout sequence of YGN 3 and 4. Reactor vessel failure can be prevented by external vessel cooling using condensed water from the operation of two containment spray pumps at the time of core melting and using water from the operation of one containment spray pumps at the time of core melting and using water from the operation of one containment spray pump at the time of core uncovery. (Author) 46 refs., 26 figs., 5 tabs.

  8. Applying the Growth Failure in CKD Consensus Conference: evaluation and treatment algorithm in children with chronic kidney disease.

    Science.gov (United States)

    Mahan, John D

    2006-07-01

    Growth failure is a common and significant clinical problem for children with chronic kidney disease (CKD), particularly those with chronic renal insufficiency (CRI). Children with CRI (typically defined by a glomerular filtration rate [GFR] growth impairment exhibit a variety of medical and psychological problems in addition to increased mortality. Growth failure in children with CKD is usually multifactorial in etiology, including abnormalities in the growth hormone (GH)-insulin-like growth factor (IGF)-I axis and a variety of nutritional and metabolic concerns characteristic of CKD. Proper management of these factors contributes to better growth in affected children. Although the safety and efficacy of recombinant human GH (rhGH) therapy in promoting growth in children with CKD are well established, recent data indicate that the use of rhGH administration in children with CKD and growth failure remains low. Recently, guidelines were developed by the Consensus Conference for Evaluation and Treatment of Growth Failure in Children with CKD. This paper focuses on the application of these guidelines to children with CKD.

  9. Efficient subset simulation for evaluating the modes of improbable slope failure

    NARCIS (Netherlands)

    van den Eijnden, A.P.; Hicks, M.A.

    2017-01-01

    For analyzing low probability slope failures, a modified version of subset simulation, based on performance-based subset selection rather than the usual probability-based subset selection, is combined with the random finite element method. The application to an idealized slope is used to study

  10. System Testing Evaluation for Enterprise Resource Planning to Reduce Failure Rate

    Directory of Open Access Journals (Sweden)

    Samantha Mathara Arachchi

    2017-01-01

    Full Text Available Enterprise Resource Planning (ERP systems are widely used applications to manage resources, communication and data exchange between different departments and modules with the purpose of managing the overall business process of the organization using one integrated software system. Due to the large scale and the complexity nature of these systems, many ERP implementation projects have become failure. It is necessary to have a better test project management and test performance assessing system. To build a successful ERP system these processes are important. The purpose of the Test project management is verification and validation of the system. There was a separate stage to test the quality of software in the software development lifecycle and there is a separate independent Quality Assurance and testing team for a successful ERP development team. According to best practice testing principles it is necessary to, understand the requirements, test planning, test execution, identify and improve processes. Identify the necessary infrastructure; hardware and software are the major areas when developing test procedures. The aim of this survey is to identify ERP failures associated with the ERP projects, general and security within the Asian region, so that the parties responsible for the project can take necessary precautions to deal with those failures for a successful ERP implementation and bring down the ERP failure rate.

  11. Non-Organic Failure to Thrive: Decision for Placement and Videotaped Evaluations.

    Science.gov (United States)

    Haynes, Clare F.; And Others

    1983-01-01

    In a study involving 16 cases of infants hospitalized for nonorganic failure to thrive, eight of whom were placed in foster homes and eight discharged home, mother-infant interactions in the group requiring foster care were clearly more dysfunctional than those in the discharged group. (Author/CL)

  12. Performance Evaluation of Three-Level Z-Source Inverters Under Semiconductor Failure Conditions

    DEFF Research Database (Denmark)

    Gao, Feng; Loh, P.C.; Vilathgamuwa, D.M.

    2007-01-01

    This paper proposes various compensation methods for three-level Z-source inverters under semiconductor failure conditions. Unlike the traditional fault tolerant techniques in three-level inverter by using either an additional phase-leg or collective switching states, the proposed methods simply ...

  13. Description of code system PLES/PTS for evaluation of pressure vessel integrity during PTS events

    International Nuclear Information System (INIS)

    Hirano, Masashi; Kohsaka, Atsuo.

    1992-02-01

    A code system PLES/PTS has been developed at the Japan Atomic Energy Research Institute (JAERI) to evaluate the integrity of the pressure vessel during plant thermal-hydraulic transients related to pressurized thermal shock (PTS) in a pressurized water reactor (PWR). The code system consists of several member codes to analyse the thermal-mixing behavior of emergency core cooling (ECC) water and primary coolant, transient stress distribution within the vessel wall, and crack growth behavior at the inner surface of the vessel. The crack growth behavior is evaluated by comparing the stress intensity factor (k I ) with the crack initiation toughness (k Ic ) and crack arrest toughness (k Ic ), taking into account the fast neutron irradiation embrittlement. This report describes the methods and models applied in PLES/PTS and the input data requirements. (author)

  14. Pressure RElieving Support SUrfaces: a Randomised Evaluation 2 (PRESSURE 2): study protocol for a randomised controlled trial

    OpenAIRE

    Brown, Sarah; Smith, Isabelle L.; Brown, Julia M.; Hulme, Claire; McGinnis, Elizabeth; Stubbs, Nikki; Nelson, E. Andrea; Muir, Delia; Rutherford, Claudia; Walker, Kay; Henderson, Valerie; Wilson, Lyn; Gilberts, Rachael; Collier, Howard; Fernandez, Catherine

    2016-01-01

    Background Pressure ulcers represent a major burden to patients, carers and the healthcare system, affecting approximately 1 in 17 hospital and 1 in 20 community patients. They impact greatly on an individual?s functional status and health-related quality of life. The mainstay of pressure ulcer prevention practice is the provision of pressure redistribution support surfaces and patient repositioning. The aim of the PRESSURE 2 study is to compare the two main mattress types utilised within the...

  15. Determining of factors influencing the success and failure of hospital information system and their evaluation methods: a systematic review.

    Science.gov (United States)

    Sadoughi, Farahnaz; Kimiafar, Khalil; Ahmadi, Maryam; Shakeri, Mohammad Taghi

    2013-12-01

    Nowadays, using new information technology (IT) has provided remarkable opportunities to decrease medical errors, support health care specialist, increase the efficiency and even the quality of patient's care and safety. The purpose of this study was the identification of Hospital Information System (HIS) success and failure factors and the evaluation methods of these factors. This research emphasizes the need to a comprehensive evaluation of HISs which considers a wide range of success and failure factors in these systems. We searched for relevant English language studies based on keywords in title and abstract, using PubMed, Ovid Medline (by applying MeSH terms), Scopus, ScienceDirect and Embase (earliest entry to march 17, 2012). Studies which considered success models and success or failure factors, or studied the evaluation models of HISs and the related ones were chosen. Since the studies used in this systematic review were heterogeneous, the combination of extracted data was carried out by using narrative synthesis method. We found 16 articles which required detailed analysis. Finally, the suggested framework includes 12 main factors (functional, organizational, behavioral, cultural, management, technical, strategy, economy, education, legal, ethical and political factors), 67 sub factors, and 33 suggested methods for the evaluation of these sub factors. The results of the present research indicates that the emphasis of the HIS evaluation moves from technical subjects to human and organizational subjects, and from objective to subjective issues. Therefore, this issue entails more familiarity with more qualitative evaluation methods. In most of the reviewed studies, the main focus has been laid on the necessity of using multi-method approaches and combining methods to obtain more comprehensive and useful results.

  16. Evaluation of Breath-Holding Test in Assessment of Peripheral Chemoreflex Sensitivity in Patients with Chronic Heart Failure.

    Science.gov (United States)

    Trembach, Nikita; Zabolotskikh, Igor

    2017-01-01

    The sensitivity of peripheral chemoreflex is a marker of the severity of heart failure and the prognosis of the outcome in these patients. The assessment of chemosensitivity in these patients remains an actual problem. The aim of the study was to explore the relationship between a Breath-Holding Test (BHT) and single-breath carbon dioxide test and to evaluate the reliability of both tests in patients with Heart Failure (HF). The study was performed in 43 patients with chronic heart failure. All subjects underwent BHT and single-breath carbon dioxide (CB-CO 2 ), the evaluation of both tests was repeated a month later. Relationship of two test was evaluated by correlation analysis. Reliability was assessed with calculation of Standard Error of Measurement (SEM), Coefficient of Variation (CV) and Intraclass Correlation Coefficient (ICC). The duration of the breath-holding was inversely correlated to the result of CB-CO 2 test (r = -0.86 at first measurement and r = -0.79 after a month) The ICC was 0.87 (95%CI: 0.78-0.93) for SB-CO 2 test and 0,93 (95%CI: 0.88-0.96) for BHT, the CV was 24% for SB-CO 2 and 13% for BHT. SEM for SB-CO 2 test was 0.04 L / min / mmHg and limits of variation was 0.11 L / min / mmHg; SEM for BHT was 3.6 sec and limits of variation was10 sec. Breath-holding test is a reliable and safe method for assessing the sensitivity of peripheral chemoreflex to carbon dioxide in patients with heart failure.

  17. Salinity-gradient power: Evaluation of pressure-retarded osmosis and reverse electrodialysis

    NARCIS (Netherlands)

    Post, J.W.; Veerman, J.; Hamelers, H.V.M.; Euverink, G.J.W.; Metz, S.J.; Nymeijer, K.; Buisman, C.J.N.

    2007-01-01

    A huge potential to obtain clean energy exists from mixing water streams with different salt concentrations. Two membrane-based energy conversion techniques are evaluated: pressure-retarded osmosis and reverse electrodialysis. From the literature, a comparison is not possible since the reported

  18. Development of strength evaluation method for high-pressure ceramic components

    Energy Technology Data Exchange (ETDEWEB)

    Takegami, Hiroaki, E-mail: takegami.hiroaki@jaea.go.jp; Terada, Atsuhiko; Inagaki, Yoshiyuki

    2014-05-01

    Japan Atomic Energy Agency is conducting R and D on nuclear hydrogen production by the Iodine-Sulfur (IS) process. Since highly corrosive materials such as sulfuric and hydriodic acids are used in the IS process, it is very important to develop components made of corrosion resistant materials. Therefore, we have been developing a sulfuric acid decomposer made of a ceramic material, that is, silicon carbide (SiC), which shows excellent corrosion resistance to sulfuric acid. One of the key technological challenges for the practical use of a ceramic sulfuric acid decomposer made of SiC is to be licensed in accordance with the High Pressure Gas Safety Act for high-pressure operations of the IS process. Since the strength of a ceramic material depends on its geometric form, etc., the strength evaluation method required for a pressure design is not established. Therefore, we propose a novel strength evaluation method for SiC structures based on the effective volume theory in order to extend the range of application of the effective volume. We also developed a design method for ceramic apparatus with the strength evaluation method in order to obtain a license in accordance with the High Pressure Gas Safety Act. In this paper, the minimum strength of SiC components was calculated by Monte Carlo simulation, and the minimum strength evaluation method of SiC components was developed by using the results of simulation. The method was confirmed by fracture test of tube model and reference data.

  19. Acute and short-term hemodynamic, echocardiographic, and clinical effects of enalapril maleate in dogs with naturally acquired heart failure: results of the Invasive Multicenter PROspective Veterinary Evaluation of Enalapril study. The IMPROVE Study Group.

    Science.gov (United States)

    1995-01-01

    The efficacy of enalapril maleate in dogs with naturally acquired class III or class IV heart failure was evaluated in a multicenter study. Fifty-eight dogs with dilated cardiomyopathy (35 dogs), mitral regurgitation (22 dogs), or aortic regurgitation (1 dog) receiving conventional therapy for heart failure (furosemide with or without digoxin) were included in a randomized double-blind study. Thirty-one dogs received enalapril tablets PO at approximately 0.5 mg/kg body weight bid, and 27 dogs received placebo tablets PO bid. Physical, electrocardiographic, hemodynamic, echocardiographic, radiographic, and clinical examinations were performed on each dog before treatment and at the end of the approximately 21-day study. After treatment on day 0, the enalapril-treated dogs had significantly (P < .05) lower heart rate, mean systemic arterial blood pressure, and mean pulmonary arterial blood pressure than the placebo-treated dogs. Pulmonary capillary wedge pressure was marginally decreased (P = .0567) in the enalapril-treated dogs. When compared with those in the placebo-treated dogs, scores for pulmonary edema were significantly (P < .05) decreased on day 2 in the enalapril-treated dogs. At the end of the study, enalapril-treated dogs had significantly (P < .05) greater decreases in class of heart failure, pulmonary edema score, and mobility score relative to baseline, and had significantly (P < .05) better overall evaluation scores when compared with the placebo-treated dogs. This study shows the beneficial hemodynamic and clinical effects of adding enalapril to conventional therapy for dogs with heart failure.

  20. Multivariable analysis of a failure event of pressure regulator in a BWR; Analisis multivariable de un evento de falla del regulador de presion en un BWR

    Energy Technology Data Exchange (ETDEWEB)

    Castillo D, R.; Ortiz V, J. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Calleros M, G. [Comision Federal de Electricidad, Central Nucleoelectrica Laguna Verde, Carretera Cardel-Nautla, Km. 43.5, Veracruz (Mexico)], e-mail: rogelio.castillo@inin.gob.mx

    2009-10-15

    The boiling water reactors can experiment three types of instabilities: one caused by the controllers failure of plant, another renowned instability by reactivity and the last knew as thermal hydraulics instability. An event of pressure regulator failure of electro-hydraulic control of Unit 1 of nuclear power plant of Laguna Verde was analyzed, which caused power oscillations that were increasing their magnitude in the time course. The event has been analyzed using the Fourier transformation in short time for time-frequency analysis and for the frequency domain be employment the power spectral density. Both techniques reported a resonance to oscillation frequency of 0.055 Hz in the power spectrum, this frequency is of observed order of magnitude when fail the reactor control systems. However, these analysis did not allow to study the interrelation of event signals. Of the previous studies, were obtained power spectral densities containing picks and valleys related with the dynamic behaviour of reactor, which includes the control systems performance. For a pick or present valley to a specific frequency in the power spectrum for one of previous variables, can determine the influence of other variables on the pick or valley by relative contribution of power. This method was established in a developed program of name Noise, which uses a multivariable autoregressive model to obtain the autoregressive coefficients, and starting from them the relative contribution of power is determined. Basically two important results were obtained, the first is related with the influence of feed water flow on the other variables to the frequency of 0.055 Hz, the second is related with the instability by reactivity and confirms that this way was not excited during the event. (Author)

  1. Pulmonary artery pressure-guided heart failure management: US cost-effectiveness analyses using the results of the CHAMPION clinical trial.

    Science.gov (United States)

    Martinson, Melissa; Bharmi, Rupinder; Dalal, Nirav; Abraham, William T; Adamson, Philip B

    2017-05-01

    Haemodynamic-guided heart failure (HF) management effectively reduces decompensation events and need for hospitalizations. The economic benefit of clinical improvement requires further study. An estimate of the cost-effectiveness of haemodynamic-guided HF management was made based on observations published in the randomized, prospective single-blinded CHAMPION trial. A comprehensive analysis was performed including healthcare utilization event rates, survival, and quality of life demonstrated in the randomized portion of the trial (18 months). Markov modelling with Monte Carlo simulation was used to approximate comprehensive costs and quality-adjusted life years (QALYs) from a payer perspective. Unit costs were estimated using the Truven Health MarketScan database from April 2008 to March 2013. Over a 5-year horizon, patients in the Treatment group had average QALYs of 2.56 with a total cost of US$56 974; patients in the Control group had QALYs of 2.16 with a total cost of US$52 149. The incremental cost-effectiveness ratio (ICER) was US$12 262 per QALY. Using comprehensive cost modelling, including all anticipated costs of HF and non-HF hospitalizations, physician visits, prescription drugs, long-term care, and outpatient hospital visits over 5 years, the Treatment group had a total cost of US$212 004 and the Control group had a total cost of US$200 360. The ICER was US$29 593 per QALY. Standard economic modelling suggests that pulmonary artery pressure-guided management of HF using the CardioMEMS™ HF System is cost-effective from the US-payer perspective. This analysis provides the background for further modelling in specific country healthcare systems and cost structures. © 2016 The Authors. European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.

  2. Non-Invasive Positive Pressure Ventilation in Acute Hypercapnic Respiratory Failure: Ten-Year’s Clinical Experience of a Respiratory Semi-Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Raffaele Scala, M.D., esp.

    2007-12-01

    Full Text Available BackgroundAlthough several prospective controlled randomizedtrials demonstrated the success of non-invasive positive pressure ventilation (NIPPV in selected cases of acute hypercapnic respiratory failure (ARF in setting with different care levels, clinical practice data about the use of VNI in the “real world” are limited.AimTo report the results of our clinical experiencein NIPPV applied for ARF in the Respiratory Semi-Intensive Care Unit (UTSIR allocated within the Respiratory Division of Arezzo betweenthe years 1996-2006 in terms of: patient tolerance, effects upon arterial blood gases, successrate and predictors of failure. Methods: Three hundred and filthy out of the 1484 patients (23.6% consecutively admittedfor ARF to our Respiratory Division during the study period received NIPPV in addition to standard therapy, according to the predeterminedroutinely used criteria. Results: Eight patients (2.3% did not tolerateNIPPV because of mask discomfort, while the remaining 342 (M: 240, F: 102; median (interquartilesage: 74.0 (68.0-79.3 yrs; COPD: 69.3% were ventilated for >1 hour. Arterial blood gases significantly improved after two hours of NIPPV (mean (standard deviation pH: 7.33 (0.07 versus 7.28 (7.25-7.31, p 48 hrs of ventilation after an initial positive response. Conclusions: As results of ten years of clinicalexperience at our UTSIR, NIPPV was shown to be well tolerated, effective in improving arterialblood gases and useful in avoiding intubationin most ARF episodes non-responsive to standard therapy.

  3. Non-invasive positive pressure ventilation in acute hypercapnic respiratory failure: ten-year’s clinical experience of a Respiratory Semi-Intensive Care Unit (VERSIONE IN ITALIANO

    Directory of Open Access Journals (Sweden)

    Mario Naldi

    2007-12-01

    Full Text Available BackgroundAlthough several prospective controlled randomizedtrials demonstrated the success of non-invasive positive pressure ventilation (NIV in selected cases of acute hypercapnic respiratory failure (IRA in setting with different care levels, clinical practice data about the use of NIV in the “real world” are limited.AimTo report the results of our clinical experience in NIV applied for IRA in the Respiratory Semi-Intensive Care Unit (UTSIR allocated within the Respiratory Division of Arezzo in the years 1996-2006 in terms of: tolerance, effects upon arterial blood gases, success rate and predictors of failure.MethodsThree hundred filthy of the 1484 patients (23.6% consecutively admitted for IRA to our RespiratoryDivision during the study period received NIV in addition to standard therapy, according to the pre-defined routinely used criteria.ResultsEight patients (2.3% did not tolerated NIV becauseof mask discomfort, while the remaining 342 (M: 240, F: 102; median (interquartiles age: 74.0 (68.0-79.3 yrs; COPD: 69.3% were ventilatedfor >1 hour. Arterial blood gases significantlyimproved after two hours of NIV (mean (standard deviation pH: 7.33 (0.07 versus 7.28 (7.25-7.31, p 48 hrs of ventilation after an initial positive response.ConclusionsAs results of our ten-year’s clinical experience performed in a UTSIR, NIV is confirmed to be well tolerated, effective in improving arterial blood gases and useful in avoiding intubation in most IRA episodes non-responder to standard therapy.

  4. Pressure slip casting and cold isostatic pressing of aluminum titanate green ceramics: A comparative evaluation

    Directory of Open Access Journals (Sweden)

    Ramanathan Papitha

    2013-12-01

    Full Text Available Aluminum titanate (Al2TiO5 green bodies were prepared from mixture of titania and alumina powders with different particle sizes by conventional slip casting (CSC, pressure slip casting (PSC and cold isostatic pressing (CIP. Precursor-powder mixtures were evaluated with respect to the powder properties, flow behaviours and shaping parameters. Green densities were measured and correlated with the fractographs. A substantial increase in green densities up to 60 %TD (theoretical density of 4.02 g/cm3, calculated based on rule of mixtures is observed with the application of 2–3 MPa pressure with PSC. While particle size distribution and solid loading are the most influential parameters in the case of CSC, with PSC pressure also plays a key role in achieving the higher green densities. Being a dry process, high pressure of > 100 MPa for CIP is essential to achieve densities in the range of 60–65 %TD. Slip pressurization under PSC conditions facilitate the rearrangement of particles through rolling, twisting and interlocking unlike CIP processing where pressure is needed to overcome the inter-particle friction.

  5. Evaluation of Oil Film Pressure and Temperature of an Elliptical Journal Bearing - An Experimental Study

    Directory of Open Access Journals (Sweden)

    A. Singla

    2016-03-01

    Full Text Available The present study is aimed at experimental evaluation of both oil film pressure and temperature at the central plane of finite elliptical journal bearing configuration. These parameters have been obtained by running the machine at various speeds under different applied loads ranging from 500 N to 2000 N using three different grades of oil (HYDROL 32, 68 and 150. The data has been obtained through a test rig which is capable of measuring both pressure and temperature at the same location on the elliptical bearing profile. An elliptical journal bearing with journal diameter=100 mm, L/D ratio=1.0, Ellipticity Ratio=1.0 and radial clearance=0.1 mm has been designed and tested to access the pressure and temperature rise of the oil film at the central plane of the bearing. Two different lobes of positive pressure have been obtained for elliptical bearing which results in smaller area for cavitation zone and accounts for better thermal stability. Also, with the increase in load both pressure and temperature of an oil film increases for all the three grades of oil. Experimentally, it has been established that the HYDROL 68 is suitable grade of lubricating oil which gives the optimum rise of pressure and temperate under all operating conditions among the lubricating oils under study.

  6. Failure Analysis

    International Nuclear Information System (INIS)

    Iorio, A.F.; Crespi, J.C.

    1987-01-01

    After ten years of operation at the Atucha I Nuclear Power Station a gear belonging to a pressurized heavy water reactor refuelling machine, failed. The gear box was used to operate the inlet-outlet heavy-water valve of the machine. Visual examination of the gear device showed an absence of lubricant and that several gear teeth were broken at the root. Motion was transmitted with a speed-reducing device with controlled adjustable times in order to produce a proper fitness of the valve closure. The aim of this paper is to discuss the results of the gear failure analysis in order to recommend the proper solution to prevent further failures. (Author)

  7. An analysis of policy success and failure in formal evaluations of Australia's national mental health strategy (1992-2012).

    Science.gov (United States)

    Grace, Francesca C; Meurk, Carla S; Head, Brian W; Hall, Wayne D; Harris, Meredith G; Whiteford, Harvey A

    2017-05-30

    Heightened fiscal constraints, increases in the chronic disease burden and in consumer expectations are among several factors contributing to the global interest in evidence-informed health policy. The present article builds on previous work that explored how the Australian Federal Government applied five instruments of policy, or policy levers, to implement a series of reforms under the Australian National Mental Health Strategy (NMHS). The present article draws on theoretical insights from political science to analyse the relative successes and failures of these levers, as portrayed in formal government evaluations of the NMHS. Documentary analysis of six evaluation documents corresponding to three National Mental Health Plans was undertaken. Both the content and approach of these government-funded, independently conducted evaluations were appraised. An overall improvement was apparent in the development and application of policy levers over time. However, this finding should be interpreted with caution due to variations in evaluation approach according to Plan and policy lever. Tabulated summaries of the success and failure of each policy initiative, ordered by lever type, are provided to establish a resource that could be consulted for future policy-making. This analysis highlights the complexities of health service reform and underscores the limitations of narrowly focused empirical approaches. A theoretical framework is provided that could inform the evaluation and targeted selection of appropriate policy levers in mental health.

  8. Health-related quality of life in Kazakh heart failure patients evaluated by the Minnesota living with heart failure questionnaire and comparison with a published large international sample.

    Science.gov (United States)

    Kozhekenova, L G; Lanzoni, M; Rakhypbekov, T K; Mussakhanova, A K; Zurikanov, K S; Castaldi, S

    2014-01-01

    To assess health-related quality of life (HRQL) in Kazakh patients (n=285) treated in Cardiology Department of the Emergency Hospital of Semey during 2012 with acute myocardial infarction and to compare results with HRQL measured in 21 countries (n=3,847). Telephone interviews survey was conducted in February 2014 with the Russian translation of Minnesota Living with Heart Failure Questionnaire (MLHFQ). Descriptive statistics were used to characterize the sample according to each single item of MLHFQ and grouping them in three subset concerning physical, emotional, and social environment dimensions of patients' life. The distribution of scores was evaluated in terms of floor and ceiling effects; Cronbach's alpha coefficient was calculated for the different dimensions to assess internal consistency. Mean age of sample is 60.8 years, most of patients are male (71.6%) and retired (43.5%). The total MLHFQ score was generally low at a moderate degree (mean 34.7, range 0-105). Physical dimension score (mean 14.92) shows mild to moderate impairment in HRQL and a better perception than the average of the control countries (14.9 vs 16.6); emotional status (mean 4.8) is moderately adequate and better than the controls (4.8 vs 7.2); social environment (9.82) showed significant impairment of HRQL and a worse evaluation (9.82 vs 7.8). Kazakh patients reported better emotional and physical HRQL as consequence of the social structure where family environment promotes emotional support and improves self-care, social environment affects the total MLHFQ score that is low and related to the requested availability of free medicines.

  9. A service evaluation of women attending the menopause/premature ovarian failure clinic of a tertiary referral centre.

    Science.gov (United States)

    Cartwright, B; Holloway, D; Grace, J; Robinson, J; Rymer, J

    2012-05-01

    This service evaluation aimed to characterise the referrals to the premature ovarian failure clinic, including the type of referral and patient needs, in order to plan for future service provision. The majority of women seen in the clinic experienced idiopathic premature ovarian failure, were aged 30-39 and were nulliparous at the time of diagnosis. Our service requires to be tailored to their needs. For many women, this includes a fertility consultation in the clinic and this part of the service is well used. Our data support the long-term follow-up of women both on treatment and those who initially decline treatment. Most women who initially decline treatment accept it after a few clinic visits. This may be due to consistent advice on the benefits of oestrogen treatment or due to yearly bone scans showing a change in bone density. There was a high non-attendance rate in this group: 21% of appointments were not attended.

  10. Investigation and evaluation of cracking incidents in piping in pressurized water reactors. Technical report

    International Nuclear Information System (INIS)

    1980-09-01

    This report summarizes an investigation of known cracking incidents in pressurized water reactor plants. Several instances of cracking in feedwater piping in 1979, together with reported cases of stress corrosion cracking at Three Mile Island Unit 1, led to the establishment of the third Pipe Crack Study Group. Major differences between the scope of the third PCSG and the previous two are: (1) the emphasis given to systems safety implications of cracking, and (2) the consideration given all cracking mechanisms known to affect PWR piping, including the failure of small lines in secondary safety systems. The present PCSG reviewed existing information on cracking of PWR pipe systems, either contained in written records of collected from meetings in the United States, and made recommendations in response to the PCSG charter questions and to othe major items that may be considered to either reduce the potential for cracking or to improve licensing bases

  11. Regional cerebral blood flow in elderly patients with heart failure evaluated with SPECT

    International Nuclear Information System (INIS)

    Alves, T.C.T.F.; Fraguas, R.; Busatto, G.; Garrido, G.; Buchpiguel, C.A.; Rays, J.; Wajngarten, M.; Robilotta, C.C.; Meneghetti, J.C.

    2002-01-01

    Introduction: Heart failure (HF) may be related to brain dysfunction due to reduced cerebral blood flow (CBF) and white matter lesions. However, no studies have yet used quantitative regional CBF (rCBF) techniques to demonstrate the presence of significant functional abnormalities in representative samples of cardiac patients compared with normal controls. Aim: The purpose of this study was to investigate the rCBF distribution as assessed with SPECT in a group of elderly patients with HF in comparison with a normal control group. The hypothesis were: (1) HF would be associated with rCBF reductions in comparison to healthy controls. Methodology: We studied a group of 36 HF patients functional class II or III from New York Heart Association (NYHA), divided in 19 depressed (74.6 +/- 6.8 years) and 17 non depressed (73.7 +/- 5.4 years), and compared to 19 normal subjects (71.1 +/- 4.8 years), matched for age, sex, cerebral dominance and social level. Brain perfusion was evaluated with a double-headed SPECT system (Sophy-DST) with high-resolution collimators (128x128 matrix, 128 views, 30s/view) after 30mcI 99mTc-HMPAO injection. Group differences were investigated using SPM99, with a p<0.001 statistical threshold (uncorrected for multiple comparisons). Results: Significant rCBF reductions were seen in the HF non depressed group relative to healthy controls in the right lateral temporal lobe, cuneus and precuneus, as well as in a small area of the medial prefrontal cortex. In the HF depressed group, significant cortical rCBF reductions relative to healthy controls were seen in similar locations but more extensively. In addition, the HF depressed group showed significant rCBF reductions relative to controls limbic and subcortical areas, including the right parahypocampal gyrus, posterior cingulate, thalamus and caudate at the border of the lateral ventricle, and bilaterally in the posterior insula. Conclusion: The presence of greater areas of hypoperfusion in the HF

  12. Data and Statistics: Heart Failure

    Science.gov (United States)

    ... Blood Pressure Salt Cholesterol Million Hearts® WISEWOMAN Heart Failure Fact Sheet Recommend on Facebook Tweet Share Compartir ... mean that the heart has stopped beating. Heart Failure in the United States About 5.7 million ...

  13. Development of Evaluation Technology of the Integrity of HWR Pressure Tubes

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Y. M.; Kim, Y. S.; Im, K. S.; Kim, K. S.; Ahn, S. B

    2007-06-15

    Zr-2.5Nb pressure tubes are one of the most critical structural components governing the lifetime of the heavy water reactors to carry fuel bundles and heavy coolant water inside. Since they are being degraded during their operation in reactors due to dimensional changes caused by creep and irradiation growth, neutron irradiation and delayed hydride cracking, it is required to evaluate their degradation by conducting material testing and examinations on the highly irradiated pressure tubes in hot cells and to keep tracking of their degradation behavior with operation time, which are the aim of this project.

  14. Ultrasonic stress evaluation through thickness of a stainless steel pressure vessel

    International Nuclear Information System (INIS)

    Javadi, Yashar; Pirzaman, Hamed Salimi; Raeisi, Mohammadreza Hadizadeh; Najafabadi, Mehdi Ahmadi

    2014-01-01

    This paper investigates ultrasonic method in stress measurement through thickness of a pressure vessel. Longitudinal critically refracted (L CR ) waves are employed to measure the welding residual stresses in a vessel constructed from austenitic stainless steel 304L. The acoustoelastic constant is measured through a hydro test to keep the pressure vessel intact. Hoop and axial residual stresses are evaluated by using different frequency range of ultrasonic transducers. The welding processes of vessel shell and caps are simulated by a 3D finite element (FE) model which is validated by hole-drilling method. The residual stresses calculated by FE simulation are then compared with those obtained from the ultrasonic measurement while a good agreement is observed. It is demonstrated that the residual stresses through thickness of the stainless steel pressure vessel can be evaluated by combining FE and L CR method (known as FEL CR method). - Highlights: • The main goal is ultrasonic evaluation of through thickness stresses. • Welding processes of a stainless steel pressure vessel are modelled by FE. • The hole-drilling method is used to validate the FE results. • Residual stresses are measured by four different series of ultrasonic transducers. • The comparison between ultrasonic and FE results show an acceptable agreement

  15. Evaluation of simplified analytical models for CO2 plume movement and pressure buildup

    Science.gov (United States)

    Oruganti, Y.; Mishra, S.

    2011-12-01

    CO2 injection into the sub-surface is emerging as a viable technology for reducing anthropogenic CO2 emissions into the atmosphere. When large amounts of CO2 are sequestered, pressure buildup is an associated risk, along with plume movement beyond the injected domain. In this context, simple modeling tools become valuable assets in preliminary CO2 injection project screening and implementation phases. This study presents an evaluation of two commonly used simplified analytical models for plume movement and pressure buildup, (1) the sharp interface model of Nordbotten et al. (2005), and the corresponding pressure distribution solution of Mathias et al. (2008), and (2) the 3-region model of Burton et al. (2008) based on fractional flow and steady-state pressure gradient considerations. The three-region model of Burton et al. assumes a constant pressure outer boundary. In this study, we incorporate the radius of investigation of the pressure front as the transient pressure boundary, in order to represent an infinite-acting system. The sharp-interface model also assumes the system to be infinite-acting. Temperature and pressure conditions used in these models correspond to the "warm, shallow" and "cold, deep" aquifer conditions as defined by Nordbotten et al. The saturation and pressure profiles as well as injection-well pressure buildup predicted by the analytical models are compared with those from the numerical simulator STOMP in order to provide a verification of the simplified modeling assumptions. Both the STOMP results and the three-region model show two sharp fronts (the drying and two-phase fronts), and a good match is obtained between the front positions at any time. For the sharp interface model, the vertically averaged gas saturation does not exhibit two sharp fronts as seen in the STOMP simulations, but shows a gradual change in saturation with radial distance over the two-phase region. The pressure profiles from STOMP and the analytical model are

  16. Closing the loop: modelling of heart failure progression from health to end-stage using a meta-analysis of left ventricular pressure-volume loops.

    Science.gov (United States)

    Warriner, David R; Brown, Alistair G; Varma, Susheel; Sheridan, Paul J; Lawford, Patricia; Hose, David R; Al-Mohammad, Abdallah; Shi, Yubing

    2014-01-01

    The American Heart Association (AHA)/American College of Cardiology (ACC) guidelines for the classification of heart failure (HF) are descriptive but lack precise and objective measures which would assist in categorising such patients. Our aim was two fold, firstly to demonstrate quantitatively the progression of HF through each stage using a meta-analysis of existing left ventricular (LV) pressure-volume (PV) loop data and secondly use the LV PV loop data to create stage specific HF models. A literature search yielded 31 papers with PV data, representing over 200 patients in different stages of HF. The raw pressure and volume data were extracted from the papers using a digitising software package and the means were calculated. The data demonstrated that, as HF progressed, stroke volume (SV), ejection fraction (EF%) decreased while LV volumes increased. A 2-element lumped parameter model was employed to model the mean loops and the error was calculated between the loops, demonstrating close fit between the loops. The only parameter that was consistently and statistically different across all the stages was the elastance (Emax). For the first time, the authors have created a visual and quantitative representation of the AHA/ACC stages of LVSD-HF, from normal to end-stage. The study demonstrates that robust, load-independent and reproducible parameters, such as elastance, can be used to categorise and model HF, complementing the existing classification. The modelled PV loops establish previously unknown physiological parameters for each AHA/ACC stage of LVSD-HF, such as LV elastance and highlight that it this parameter alone, in lumped parameter models, that determines the severity of HF. Such information will enable cardiovascular modellers with an interest in HF, to create more accurate models of the heart as it fails.

  17. Closing the loop: modelling of heart failure progression from health to end-stage using a meta-analysis of left ventricular pressure-volume loops.

    Directory of Open Access Journals (Sweden)

    David R Warriner

    Full Text Available INTRODUCTION: The American Heart Association (AHA/American College of Cardiology (ACC guidelines for the classification of heart failure (HF are descriptive but lack precise and objective measures which would assist in categorising such patients. Our aim was two fold, firstly to demonstrate quantitatively the progression of HF through each stage using a meta-analysis of existing left ventricular (LV pressure-volume (PV loop data and secondly use the LV PV loop data to create stage specific HF models. METHODS AND RESULTS: A literature search yielded 31 papers with PV data, representing over 200 patients in different stages of HF. The raw pressure and volume data were extracted from the papers using a digitising software package and the means were calculated. The data demonstrated that, as HF progressed, stroke volume (SV, ejection fraction (EF% decreased while LV volumes increased. A 2-element lumped parameter model was employed to model the mean loops and the error was calculated between the loops, demonstrating close fit between the loops. The only parameter that was consistently and statistically different across all the stages was the elastance (Emax. CONCLUSIONS: For the first time, the authors have created a visual and quantitative representation of the AHA/ACC stages of LVSD-HF, from normal to end-stage. The study demonstrates that robust, load-independent and reproducible parameters, such as elastance, can be used to categorise and model HF, complementing the existing classification. The modelled PV loops establish previously unknown physiological parameters for each AHA/ACC stage of LVSD-HF, such as LV elastance and highlight that it this parameter alone, in lumped parameter models, that determines the severity of HF. Such information will enable cardiovascular modellers with an interest in HF, to create more accurate models of the heart as it fails.

  18. Non-invasive tissue Doppler imaging pulmonary capillary wedge pressure measurement improves NT-proBNP prognostic value in heart failure.

    Science.gov (United States)

    Berni, Andrea; Cappelli, Francesco; Bitossi, Luca; Cecioni, Ilaria; Cappelli, Brunello; Toncelli, Loira; Galanti, Giorgio; Poggesi, Loredana

    2009-04-01

    The aim of the present study was to investigate whether the improvement of pulmonary capillary wedge pressure (PCWP) non-invasively assessed with tissue Doppler imaging is able to predict prognosis and cardiac-related mortality in patients with heart failure (HF), as previously demonstrated for NT-proBNP. We prospectively studied 23 patients (74 +/- 10 y; 17 M, 6 F) with acute HF. NT-proBNP and PCWP were measured at admission and discharge. NT-proBNP concentrations were determined by a chemiluminescent immunoassay kit. PCWP was assessed using the ratio of transmitral E velocity to the early diastolic mitral annulus velocity (E'), with the formula PCWP = 1.9 + 1.24 (E/E'). Patients were divided in two groups according to the clinical end-point based on cardiac death and hospital readmission for HF. After a mean follow-up of 230 days, 10 patients reached the end-point (group A), while 13 patients resulted event-free (group B). In group B, NT-proBNP values significantly decreased (3816 +/- 7424 vs. 6799 +/- 10537 pg/mL, P values was able to identify the majority of patients (77%) with an event-free survival at follow-up, whereas 70% of patients who reached the end-point had discordant changes in NT-proBNP and PCWP (chi2 = 5.06, P < 0.05). The combination of a biochemical marker such as NT-proBNP and a new indicator of LV filling pressure (E/E') allows to estimate the prognostic impact of standard medical therapy even in a small group of HF patients.

  19. Experimental evaluation of environmental scanning electron microscopes at high chamber pressure.

    Science.gov (United States)

    Fitzek, H; Schroettner, H; Wagner, J; Hofer, F; Rattenberger, J

    2015-11-01

    In environmental scanning electron microscopy (ESEM) high pressure applications have become increasingly important. Wet or biological samples can be investigated without time-consuming sample preparation and potential artefacts from this preparation can be neglected. Unfortunately, the signal-to-noise ratio strongly decreases with increasing chamber pressure. To evaluate the high pressure performance of ESEM and to compare different electron microscopes, information about spatial resolution and detector type is not enough. On the one hand, the scattering of the primary electron beam increases, which vanishes the contrast in images; and on the other hand, the secondary electrons (SE) signal amplification decreases. The stagnation gas thickness (effective distance the beam has to travel through the imaging gas) as well as the SE detection system depend on the microscope and for a complete and serious evaluation of an ESEM or low vacuum SEM it is necessary to specify these two parameters. A method is presented to determine the fraction of scattered and unscattered electrons and to calculate the stagnation gas thickness (θ). To evaluate the high pressure performance of the SE detection system, a method is presented that allows for an analysis of a single image and the calculation of the signal-to-noise ratio of this image. All investigations are performed on an FEI ESEM Quanta 600 (field emission gun) and an FEI ESEM Quanta 200 (thermionic gun). These methods and measurements should represent opportunities for evaluating the high pressure performance of an ESEM. © 2015 The Authors Journal of Microscopy © 2015 Royal Microscopical Society.

  20. Evaluation of dynamic fracture toughness for Yong Gwang unit 5 reactor pressure vessel materials (Baseline Tests)

    Energy Technology Data Exchange (ETDEWEB)

    Chi Se Hwan; Kim, Joo Hag; Hong, Jun Hwa; Kwon, Sun Chil; Lee, Bong Sang [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-10-01

    The dynamic fracture toughness (K{sub d}) of intermediate shell and its weld in SA 508 CI. 3 Yong Gwang 5 reactor pressure vessel was determined and evaluated. Precracked thirty six Charpy specimens were tested by using an instrumented impact tester. The purpose of present work is to evaluate and confirm the un-irradiated dynamic fracture toughness and to provide pre-irradiation baseline data for future evaluation on dynamic fracture toughness change during operation. 18 refs., 5 figs., 5 tabs. (Author)

  1. A method for evaluating pressure locking and thermal binding of gate valves

    Energy Technology Data Exchange (ETDEWEB)

    Dogan, T.

    1996-12-01

    A method is described to evaluate the susceptibility of gate valves to pressure locking and thermal binding. Binding of the valve disc in the closed position due to high pressure water trapped in the bonnet cavity (pressure locking) or differential thermal expansion of the disk in the seat (thermal binding) represents a potential mechanism that can prevent safety-related systems from functioning when called upon. The method described here provides a general equation that can be applied to a given gate valve design and set of operating conditions to determine the susceptibility of the valve to fail due to disc binding. The paper is organized into three parts. The first part discusses the physical mechanisms that cause disc binding. The second part describes the mathematical equations. The third part discusses the conclusions.

  2. Evaluation of oxidative behavior of polyolefin geosynthetics utilizing accelerated aging tests based on temperature and pressure

    Science.gov (United States)

    Li, Mengjia

    Polyolefin geosynthetics are susceptible to oxidation, which eventually leads to the reduction in their engineering properties. In the application of polyolefin geosynthetics, a major issue is an estimate of the materials durability (i.e. service lifetime) under various aging conditions. Antioxidant packages are added to the polyolefin products to extend the induction time, during which antioxidants are gradually depleted and polymer oxidation reactions are prevented. In this PhD study, an improved laboratory accelerating aging method under elevated and high pressure environments was applied to evaluate the combined effect of temperature and pressure on the depletion of the antioxidants and the oxidation of polymers. Four types of commercial polyolefn geosynthetic materials selected for aging tests included HDPE geogrid, polypropylene woven and nonwoven geotextiles. A total of 33 different temperature/pressure aging conditions were used, with the incubation duration up to 24 months. The applied oven temperature ranged from 35°C to 105°C and the partial oxygen pressure ranged from 0.005 MPa to 6.3 MPa. Using the Oxidative Induction Time (OIT) test, the antioxidant depletion, which is correlated to the decrease of the OIT value, was found to follow apparent first-order decay. The OIT data also showed that, the antioxidant depletion rate increased with temperature according to the Arrhenius equation, while under constant temperatures, the rate increased exponentially with the partial pressure of oxygen. A modified Arrhenius model was developed to fit the antioxidant depletion rate as a function of temperature and pressure and to predict the antioxidant lifetime under various field conditions. This study has developed new temperature/pressure incubation aging test method with lifetime prediction models. Using this new technique, the antioxidant lifetime prediction results are close to regular temperature aging data while the aging duration can be reduced considerably

  3. Applying Fuzzy Multiple Criteria Decision-Making Method and Service Failure Index to Evaluate Restaurants¡¯ Performance

    OpenAIRE

    Hsi-Tien Chen

    2014-01-01

    When a severe service failure occurs, loss to the firm is generally inevitable, but little research has been conducted on how to control the frequency of severe service failure. The purpose of this study is to propose a service failure control process and model by assessing whether the failure frequency in various service failure categories meets minimum tolerance levels. An initial restaurant-related service failure classification model was constructed based on literature review and expert s...

  4. Right ventricular failure due to chronic pressure load : What have we learned in animal models since the NIH working group statement?

    NARCIS (Netherlands)

    Borgdorff, Marinus A J; Dickinson, Michael G; Berger, Rolf M F; Bartelds, Beatrijs

    Right ventricular (RV) failure determines outcome in patients with pulmonary hypertension, congenital heart diseases and in left ventricular failure. In 2006, the Working Group on Cellular and Molecular Mechanisms of Right Heart Failure of the NIH advocated the development of preclinical models to

  5. The quantitative evaluation of intracranial pressure by optic nerve sheath diameter/eye diameter CT measurement.

    Science.gov (United States)

    Bekerman, Inessa; Sigal, Tal; Kimiagar, Itzhak; Ben Ely, Anna; Vaiman, Michael

    2016-12-01

    The changes of the optic nerve sheath diameter (ONSD) have been used to assess changes of the intracranial pressure for 20 years. The aim of this research was to further quantify the technique of measuring the ONSD for this purpose. Retrospective study of computed tomographic (CT) data of 1766 adult patients with intracranial hypotension (n=134) or hypertension (n=1632) were analyzed. The eyeball transverse diameter (ETD) and ONSD were obtained bilaterally, and the ONSD/ETD ratio was calculated. The ratio was used to calculate the normal ONSD for patients and to estimate the intracranial pressure of the patients before and after the onset of the pathology. Correlation analysis was performed with invasively measured intracranial pressure, the presence or absence of papilledema, sex, and age. In hypotension cases, the ONSD by CT was 3.4±0.7 mm (P=.03 against normative 4.4±0.8 mm). In cases with hypertension, the diameter was 6.9±1.3 (P=.02, with a cutoff value ˃5.5 mm). The ONSD/ETD ratio was 0.29±0.04 against 0.19±0.02 in healthy adults (P=.01). The ONSD and the ONSD/ETD ratio can indicate low intracranial pressure, but quantification is impossible at intracranial pressure less than 13 mm Hg. In elevated intracranial pressure, the ONSD and the ratio provide readings that correspond to readings in millimeters of mercury. The ONSD method, reinforced with additional calculations, may help to indicate a raised intracranial pressure, evaluate its severity quantitatively, and establish quantitative goals for treatment of intracranial hypertension, but the limitations of the method are to be taken into account. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Effectiveness of an e-learning tool for education on pressure ulcer evaluation.

    Science.gov (United States)

    Morente, Laura; Morales-Asencio, José M; Veredas, Francisco J

    2014-07-01

    To evaluate the effectiveness of information and communication technologies in the undergraduate students' pressure ulcer training as a learning tool, compared with traditional teaching methods. Pressure ulcers constitute one of the great challenges faced by nursing professionals. Currently, pressure ulcer training is based on traditional on-campus teaching, involving lecture-style classes with frequent use of photographs of the wounds. This traditional training has some important weaknesses that can put the efficacy of the training at risk. A randomised controlled trial was developed including undergraduate nursing students. The intervention group used an adaptive self-learning e-learning tool developed by the research team (ePULab) for pressure ulcer assessment and treatment. The control group received a traditional on-campus class on the same topic. Pretest and post-test questionnaires were designed to assess the students' ability in pressure ulcer diagnosis and treatment. The educational intervention based on the use of the ePULab tool produced significantly better learning acquisition results than those obtained by traditional lecture-style classes: the total score improved in the control group from 8·23 (SD 1·23)-11·6 (SD 2·52) after the lecture, whereas in the intervention group, the knowledge score changed from 8·27 (SD 1·39)-15·83 (SD 2·52) (p = 0·01) with the use of ePULab. The results show a higher effectiveness of the devised e-learning approach for education on management of pressure ulcers. Our results reveal the suitability of the ePULab e-learning tool as an effective instrument for training on assessment of and treatment for pressure ulcers and its potential impact on clinical decision-making. © 2013 John Wiley & Sons Ltd.

  7. Evaluation of Optical Coherence Tomography to Detect Elevated Intracranial Pressure in Children.

    Science.gov (United States)

    Swanson, Jordan W; Aleman, Tomas S; Xu, Wen; Ying, Gui-Shuang; Pan, Wei; Liu, Grant T; Lang, Shih-Shan; Heuer, Gregory G; Storm, Phillip B; Bartlett, Scott P; Katowitz, William R; Taylor, Jesse A

    2017-04-01

    Detecting elevated intracranial pressure in children with subacute conditions, such as craniosynostosis or tumor, may enable timely intervention and prevent neurocognitive impairment, but conventional techniques are invasive and often equivocal. Elevated intracranial pressure leads to structural changes in the peripapillary retina. Spectral-domain (SD) optical coherence tomography (OCT) can noninvasively quantify retinal layers to a micron-level resolution. To evaluate whether retinal measurements from OCT can serve as an effective surrogate for invasive intracranial pressure measurement. This cross-sectional study included patients undergoing procedures at the Children's Hospital of Philadelphia from September 2014 to June 2015. Three groups of patients (n = 79) were prospectively enrolled from the Craniofacial Surgery clinic including patients with craniosynostosis (n = 40). The positive control cohort consisted of patients with hydrocephalus and suspected intracranial hypertension (n = 5), and the negative control cohort consisted of otherwise healthy patients undergoing a minor procedure (n = 34). Spectral-domain OCT was performed preoperatively in all cohorts. Children with cranial pathology, but not negative control patients, underwent direct intraoperative intracranial pressure measurement. The primary outcome was the association between peripapillary retinal OCT parameters and directly measured elevated intracranial pressure. The mean (SD) age was 34.6 (45.2) months in the craniosynostosis cohort (33% female), 48.9 (83.8) months in the hydrocephalus and suspected intracranial hypertension cohort (60% female), and 59.7 (64.4) months in the healthy cohort (47% female). Intracranial pressure correlated with maximal retinal nerve fiber layer thickness (r = 0.60, P ≤ .001), maximal retinal thickness (r = 0.53, P ≤ .001), and maximal anterior retinal projection (r = 0.53, P = .003). Using cut points derived from the

  8. Analysis and evaluation system for elevated temperature design of pressure vessels

    International Nuclear Information System (INIS)

    Hayakawa, Teiji; Sayawaki, Masaaki; Nishitani, Masahiro; Mii, Tatsuo; Murasawa, Kanji

    1977-01-01

    In pressure vessel technology, intensive efforts have recently been made to develop the elevated temperature design methods. Much of the impetus of these efforts has been provided mainly by the results of the Liquid Metal Fast Breeder Reactor (LMFBR) and more recently, of the High Temperature Gas-cooled Reactor (HTGR) Programs. The pressure vessels and associated components in these new type nuclear power plants must operate for long periods at elevated temperature where creep effects are significant and then must be designed by rigorous analysis for high reliability and safety. To carry out such an elevated temperature designing, numbers of highly developed analysis and evaluation techniques, which are so complicated as to be impossible by manual work, are indispensable. Under these circumstances, the authors have made the following approaches in the study: (1) Study into basic concepts and the associated techniques in elevated temperature design. (2) Systematization (Analysis System) of the procedure for loads and stress analyses. (3) Development of post-processor, ''POST-1592'', for strength evaluation based on ASME Code Case 1592-7. By linking the POST-1592 together with the Analysis System, an analysis and evaluation system is developed for an elevated temperature design of pressure vessels. Consequently, designing of elevated temperature vessels by detailed analysis and evaluation has easily and effectively become feasible by applying this software system. (auth.)

  9. Experimental evaluation of local bubble parameters of subcooled boiling flow in a pressurized vertical annulus channel

    Energy Technology Data Exchange (ETDEWEB)

    Chu, In-Cheol, E-mail: chuic@kaeri.re.kr; Lee, Seung-Jun; Youn, Young Jung; Park, Jong Kuk; Choi, Hae Seob; Euh, Dong-Jin; Song, Chul-Hwa

    2017-02-15

    Experiments were performed to quantify the local bubble parameters such as void fraction, bubble velocity, interfacial area concentration, and Sauter mean diameter for the subcooled boiling flow of a refrigerant R-134a in a pressurized vertical annulus channel. Optical fiber void probe and double pressure boundary visualization windows were installed at four measurement stations with different elevations, thus enabling the quantification of local bubble parameters and observation of global boiling structure. Using high-resolution traverse systems for the optical fiber void probes and the heating tube, the radial profiles of the bubble parameters and their axial propagation can be evaluated at any elevation of the whole heating region. At this first phase of the experiments, three tests were conducted by varying the pressure, heat flux, mass flux, and local liquid subcooling. The radial profiles of the bubble parameters were obtained at seven elevations. The pressure condition of the present experiments covered the normal operating pressure of PWRs according to the similarity criteria. The present experimental data will be useful for thorough validation and improvement of the CMFD (Computation Multi-Fluid Dynamics) codes and constitutive relations.

  10. The study on a statistical methodology for PWR fuel rod internal pressure evaluation

    International Nuclear Information System (INIS)

    Kim, Kyu-Tae

    2010-01-01

    The most limiting design criteria for high Burnup PWR fuel are known to be rod internal pressure and cladding oxidation. Some fuel vendors have been increasing the design margin of rod internal pressure by increasing fuel rod plenum volume or optimizing fuel pellet grain size. In this study, a sophisticated statistical methodology that employs the response surface method and Monte Carlo simulation has been proposed to increase the design margin of rod internal pressure and subsequently a simplified statistical methodology has been developed to simplify the sophisticated statistical methodology. The simplified statistical methodology utilizes the system moment method combined with a deterministic approach for calculating a maximum variance of rod internal pressure. This simplified statistical methodology may be more efficient in the reload core fuel rod performance analyses than the sophisticated statistical methodology since the former eliminates numerous calculations needed for the evaluation of power history-dependent variances. It is found that this simplified methodology also generates more conservative rod internal pressure than the typical statistical methodology.

  11. Differential Response to Low-Dose Dopamine or Low-Dose Nesiritide in Acute Heart Failure With Reduced or Preserved Ejection Fraction: Results From the ROSE AHF Trial (Renal Optimization Strategies Evaluation in Acute Heart Failure).

    Science.gov (United States)

    Wan, Siu-Hin; Stevens, Susanna R; Borlaug, Barry A; Anstrom, Kevin J; Deswal, Anita; Felker, G Michael; Givertz, Michael M; Bart, Bradley A; Tang, W H Wilson; Redfield, Margaret M; Chen, Horng H

    2016-08-01

    The ROSE AHF trial (Renal Optimization Strategies Evaluation in Acute Heart Failure) found that when compared with placebo, neither low-dose dopamine (2 µg/kg per minute) nor low-dose nesiritide (0.005 μg/kg per minute without bolus) enhanced decongestion or preserved renal function in AHF patients with renal dysfunction. However, there may be differential responses to vasoactive agents in AHF patients with reduced versus preserved ejection fraction (EF). This post hoc analysis examined potential interaction between treatment effect and EF (EF ≤40% versus >40%) on the ROSE AHF end points. ROSE AHF enrolled AHF patients (n=360; any EF) with renal dysfunction. The coprimary end points were cumulative urine volume and the change in serum cystatin-C in 72 hours. The effect of dopamine (interaction P=0.001) and nesiritide (interaction P=0.039) on urine volume varied by EF group. In heart failure with reduced EF, urine volume was higher with active treatment versus placebo, whereas in heart failure with preserved EF, urine volume was lower with active treatment. The effect of dopamine and nesiritide on weight change, sodium excretion, and incidence of AHF treatment failure also varied by EF group (interaction Pfailure with reduced EF and worse clinical outcomes in heart failure with preserved EF. With nesiritide, there were no differences in clinical outcomes when compared with placebo in both heart failure with reduced EF and heart failure with preserved EF. In this post hoc analysis of ROSE AHF, the response to vasoactive therapies differed in patients with heart failure with reduced EF and heart failure with preserved EF. Investigations of AHF therapies should assess the potential for differential responses in AHF with preserved versus reduced EF. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01132846. © 2016 American Heart Association, Inc.

  12. Evaluation of systolic and diastolic properties of hypertensive heart failure using speckle-tracking echocardiography with high volume rates.

    Science.gov (United States)

    Minatoguchi, Shingo; Kawasaki, Masanori; Tanaka, Ryuhei; Yoshizane, Takashi; Ono, Koji; Saeki, Maki; Nagaya, Maki; Sato, Hidemaro; Nishigaki, Kazuhiko; Noda, Toshiyuki; Zile, Michael R; Minatoguchi, Shinya

    2017-10-01

    Left ventricular (LV) properties in hypertension (HTN) could be deteriorated by pressure overload, especially in endocardium, resulting in hypertensive heart failure (HHF). We sought to noninvasively examine LV systolic and diastolic functions at three myocardial layers in HTN and elucidate features of HHF by speckle-tracking echocardiography (STE) with high volume rates. We examined normotensive controls (n = 54), HTN patients without LV hypertrophy (LVH) (n = 50), and HTN patients with LVH (n = 40) and HHF patients (n = 45). The HHF group was divided into two subgroups based on their LVEF (20 heart failure with preserved ejection fraction: HFpEF and 25 heart failure with reduced ejection fraction: HFrEF). LV layer systolic function was assessed by strain rate during systole. Pulmonary capillary wedge pressure (PCWP) was estimated (ePCWP) using kinetics-tracking index (KT index) that we previously reported. HTN patients with LVH had a significant deterioration of systolic and diastolic properties compared with normotensive controls in the absence of a significant reduction in LVEF. Patients with HHF had further deterioration of systolic and diastolic properties compared with HTN patients with LVH. LV strain at entire myocardium and ePCWP in HFrEF was deteriorated compared with those in HFpEF. Deterioration of LV layer SR was more typical during systole, isovolumic relaxation, and early diastole compared with control. LV dilation was independently associated with LVEF (r = -0.48, p < 0.001) and ePCWP (r = 0.47, p < 0.001), and LVH (LV mass index) was independently associated with E/e' (r = 0.37, p = 0.025), LVEF (r = -0.44, p < 0.001), and ePCWP (r = 0.67, p < 0.001). LV layer analysis by STE could detect subtle impairments in systolic function before the deterioration of LVEF in patients with HTN. The ePCWP that was estimated using KT index was the independent factor associated with HHF. The ePCWP may be useful to noninvasively detect

  13. Reduction of peak plantar pressure in people with diabetes-related peripheral neuropathy: an evaluation of the DH Pressure Relief Shoe™

    Directory of Open Access Journals (Sweden)

    Raspovic Anita

    2012-10-01

    Full Text Available Abstract Background Offloading plantar pressure is a key strategy for the prevention or healing of neuropathic plantar ulcers in diabetes. Non-removable walking casts, such as total contact casts, are currently considered the gold-standard for offloading this type of wound. However, alternative methods for offloading that are more cost effective and easier to use are continually being sought. The aim of this study was to evaluate the capacity of the DH Pressure Relief Shoe™ to offload high pressure areas under the neuropathic foot in diabetes. Methods A within-subjects, repeated measures design was used. Sixteen participants with diabetic peripheral neuropathy were recruited and three footwear conditions were evaluated in a randomised order: a canvas shoe (the control, the participants’ own standard shoe, and the DH Pressure Relief Shoe™. The primary outcome was peak plantar pressure, measured using the pedar-X® mobile in-shoe system between the three conditions. Results Data analysis was conducted on 14 out of the 16 participants because two participants could not complete data collection. The mean peak pressure values in kPa (±SD for each condition were: control shoe 315.9 (±140.7, participants’ standard shoe 273.0 (±127.1 and DH Pressure Relief Shoe™ 155.4 (±89.9. There was a statistically significant difference in peak plantar pressure between the DH Pressure Relief Shoe™ compared to both the control shoe (p = 0.002 and participants’ standard shoe (p = 0.001. The DH Pressure Relief Shoe™ decreased plantar pressures by 51% compared to the control shoe and by 43% compared to participants’ standard shoe. Importantly, for a couple of study participants, the DH Pressure Relief Shoe™ appeared unsuitable for day-to-day wearing. Conclusions The DH Pressure Relief Shoe™ reduced plantar pressures more than the other two shoe conditions. The DH Pressure Relief Shoe™ may be a useful alternative to current offloading

  14. Pressure Ulcer Risk Evaluation in Critical Patients: Clinical and Social Characteristics.

    Science.gov (United States)

    de Azevedo Macena, Mônica Suêla; da Costa Silva, Rayanne Suely; Dias Fernandes, Maria Isabel Da Conceição; de Almeida Medeiros, Ana Beatriz; Batista Lúcio, Kadyjina Daiane; de Carvalho Lira, Ana Luisa Brandão

    2017-01-01

    Pressure ulcers increase hospital stays and treatment costs due to their complications. Therefore, recognizing factors that contribute to pressure ulcer risk are important to patient safety. To evaluate the association between the scores of the Waterlow, Braden, and Norton scales and clinical and social characteristics in critically ill patients. A cross-sectional study of 78 patients in an adult intensive care unit of a university hospital in Northeastern Brazil was conducted from July to December 2015. Data included social and clinical information and the risk factors of the Braden, Norton and Waterlow scales. Data were analysed by the descriptive and inferential statistics. Most of the participants were female, adults and elderly people with brown skin colour, low education levels and insufficient income. Most of them showed a high risk for developing pressure ulcers using the three evaluated scales. Age, smoking status, diabetes and hypertension were associated with scores on the Waterlow, Braden and Norton scales. Age, use of the tobacco, diabetes and hypertension were associated with the risk of pressure ulcers in ICU patients.

  15. Evaluation of unsteady pressure fields and forces in rotating airfoils from time-resolved PIV

    Science.gov (United States)

    Villegas, A.; Diez, F. J.

    2014-04-01

    The instantaneous pressure fields and aerodynamic loads are obtained for rotating airfoils from time-resolved particle image velocimetry (TR-PIV) measurements. These allowed evaluating the contribution from the local acceleration (unsteady acceleration) to the instantaneous forces. Traditionally, this term has been neglected for wind turbines with quasi-steady flows, but results show that it is a dominant term in the wake where high temporal variations in the flow field are present due to vortex shedding. Briefly, time-resolved particle image velocimetry TR-PIV measurements are used to calculate flow velocity fields and corresponding spatial and temporal derivatives. These derivatives are then used in the Poisson equation to solve for the pressure field and later used in the integral momentum equation to solve for the instantaneous forces. The robustness of the measurements is analyzed by calculating the PIV uncertainty and the independence of the calculated forces. The experimental mean aerodynamic forces are compared with theoretical predictions from the blade element momentum theory showing good agreement. The instantaneous pressure field showed dependence with time in the wake due to vortex shedding. The contribution to the instantaneous forces from each term in the integral momentum equation is evaluated. The analysis shows that the larger contributions to the normal force coefficient are from the unsteady and the pressure terms, and the larger contribution to the tangential force coefficient is from the convective term.

  16. Plan on test to failure of a prestressed concrete containment vessel model

    International Nuclear Information System (INIS)

    Takumi, K.; Nonaka, A.; Umeki, K.; Nagata, K.; Soejima, M.; Yamaura, Y.; Costello, J.F.; Riesemann, W.A. von.; Parks, M.B.; Horschel, D.S.

    1992-01-01

    A summary of the plans to test a prestressed concrete containment vessel (PCCV) model to failure is provided in this paper. The test will be conducted as a part of a joint research program between the Nuclear Power Engineering Corporation (NUPEC), the United States Nuclear Regulatory Commission (NRC), and Sandia National Laboratories (SNL). The containment model will be a scaled representation of a PCCV for a pressurized water reactor (PWR). During the test, the model will be slowly pressurized internally until failure of the containment pressure boundary occurs. The objectives of the test are to measure the failure pressure, to observe the mode of failure, and to record the containment structural response up to failure. Pre- and posttest analyses will be conducted to forecast and evaluate the test results. Based on these results, a validated method for evaluating the structural behavior of an actual PWR PCCV will be developed. The concepts to design the PCCV model are also described in the paper

  17. Evaluation of long-term prognosis in patients with heart failure. Is cardiac imaging with iodine-123 metaiodobenzylguanidine useful?

    International Nuclear Information System (INIS)

    Narita, Michihiro; Kurihara, Tadashi

    1998-01-01

    The effect of cardiac sympathetic activity on long-term prognosis in patients with heart failure was evaluated by cardiac imaging with 123 I-MIBG in 46 patients admitted for the first episode of heart failure. Cardiac imaging was performed with 123 I-MIBG and 201 Tl at rest on separate days before discharge. Using whole body imaging, the ratio of cardiac uptake of the isotope to total injected dose was calculated (percentage uptake). The cardiac uptake ratio of 123 I-MIBG (percentage uptake of 123 I-MIBG divided by percentage uptake of 201 Tl) and percentage washout of 123 I-MIBG from the heart over 3 hours were calculated as scintigraphic parameters. Cardiac events were defined as cardiac death or deterioration of heart failure requiring readmission. Scintigraphic parameters, clinical parameters, left ventricular function obtained by echocardiography and neurohumoral parameters were compared between the event group and event-free group. During the follow-up period, cardiac events developed in 14 patients (30%). Univariate analysis showed uptake ratio and washout rate of 123 I-MIBG, percentage uptake of 201 Tl, New York Heart Association class at discharge, fractional shortening of the left ventricle, serum norepinephrine and atrial natriuretic peptide levels differed significantly between the two groups. Cox proportional-hazard analysis showed that the uptake ratio was an independent predictor of cardiac events. When a cut-off point in the uptake ratio equal to or less than 0.50 and age equal to or more than 65 years old were included in the Cox proportional-hazard analysis instead of actual numbers, relative risks of cardiac events by each index were 31.2 and 4.2, respectively. These data suggest that cardiac uptake of 123 I-MIBG is a strong and independent predictor of long-term prognosis in patients with heart failure. (K.H.)

  18. [Relation between ultrasound-measured diaphragm movement and partial pressure of carbon dioxide in blood from patients with acute hypercapnic respiratory failure after the start of noninvasive ventilation in an emergency department].

    Science.gov (United States)

    Sánchez-Nicolás, José Andrés; Cinesi-Gómez, César; Villén-Villegas, Tomás; Piñera-Salmerón, Pascual; García-Pérez, Bartolo

    2016-10-01

    To evaluate the correlation between variations in ultrasound-measured diaphragm movement and changes in the arterial partial pressure of carbon dioxide (PCO2) after the start of noninvasive ventilation (NIV). RDescriptive study of a prospective case series comprised of nonconsecutive patients aged 18 years or older with hypercapnic respiratory failure who were placed on NIV in an emergency department. We recorded clinical data, blood gas measurements, and ultrasound measurements of diaphragm movement. Twenty-one patients with a mean (SD) age of 83 (13) years were studied; 11 (52.4%) were women. The mean (SD) range of diaphragm movement and PCO2 values at 4 moments were as follows: 1) at baseline: diaphragm movement, 13.90 (7.7) mm and PCO2, 71.75 (11.4) mm Hg; 2) after 15 minutes on NIV: diaphragm movement, 17.10 (9.1) mm; 3) at 1 hour: diaphragm movement, 22.40 (10.4) mm and PCO2, 63.45 (16.0) mm Hg; and 4) at 3 hours: diaphragm movement, 26.60 (19.5) mm and PCO2, 61.85 (13.0) mm Hg. We detected a statistically significant correlation between the difference in range of diaphragm movement at baseline and at 15 minutes and the decrease in PCO2 after 1 hour of NIV (r=-0.489, P=.035). In patients with hypercapnic respiratory failure, the increase in range of diaphragm movement 15 minutes after starting NIV is associated with a decrease in PCO2 after 1 hour.

  19. Quality Risk Evaluation of the Food Supply Chain Using a Fuzzy Comprehensive Evaluation Model and Failure Mode, Effects, and Criticality Analysis

    Directory of Open Access Journals (Sweden)

    Libiao Bai

    2018-01-01

    Full Text Available Evaluating the quality risk level in the food supply chain can reduce quality information asymmetry and food quality incidents and promote nationally integrated regulations for food quality. In order to evaluate it, a quality risk evaluation indicator system for the food supply chain is constructed based on an extensive literature review in this paper. Furthermore, a mathematical model based on the fuzzy comprehensive evaluation model (FCEM and failure mode, effects, and criticality analysis (FMECA for evaluating the quality risk level in the food supply chain is developed. A computational experiment aimed at verifying the effectiveness and feasibility of this proposed model is conducted on the basis of a questionnaire survey. The results suggest that this model can be used as a general guideline to assess the quality risk level in the food supply chain and achieve the most important objective of providing a reference for the public and private sectors when making decisions on food quality management.

  20. NEW POSSIBILITIES FOR EVALUATION OF SEVERITY AND PROGNOSIS IN PATIENTS WITH CHRONIC HEART FAILURE BASED ON N-TERMINAL PRO-BRAIN NATRIURETIC PEPTIDE PLASMA LEVEL

    Directory of Open Access Journals (Sweden)

    A. S. Galjavich

    2009-01-01

    Full Text Available Aim. To study an importance of plasma N-terminal pro-brain natriuretic peptide (N-proBNP in evaluation of severity and prognosis in patients with chronic heart failure (CHF of ischemic genesis.Material and methods. 77 patients (60 men and 17 women; 59,4±10,7 y.o. with CHF of ischemic genesis were included in the study. All patients had sinus rhythm and history of Q wave myocardial infarction. Standard examination was performed to all patients. Besides N-proBNP plasma level and patients yearly survival were evaluated.Results. N-proBNP plasma level had direct correlation with clinical indices (exercise tolerance, blood pressure, heart rate and echocardiographic heart sizes. N-proBNP plasma level had relationship with prognosis of CHF patients. Baseline N-proBNP level was more than 2 times higher in died patients in comparison with survived patients. The yearly survival rate of CHF patients was 51,3% if N-proBNP level had been more than 400 fmol/ml (>15% of normal value. The clinico-laboratory index (based on N-proBNP plasma level of severity and prognosis in CHF patients was developed.Conclusion. The clinico-laboratory index based on N-proBNP plasma level is easy to use and can improve medical practice.

  1. NEW POSSIBILITIES FOR EVALUATION OF SEVERITY AND PROGNOSIS IN PATIENTS WITH CHRONIC HEART FAILURE BASED ON N-TERMINAL PRO-BRAIN NATRIURETIC PEPTIDE PLASMA LEVEL

    Directory of Open Access Journals (Sweden)

    A. S. Galjavich

    2016-01-01

    Full Text Available Aim. To study an importance of plasma N-terminal pro-brain natriuretic peptide (N-proBNP in evaluation of severity and prognosis in patients with chronic heart failure (CHF of ischemic genesis.Material and methods. 77 patients (60 men and 17 women; 59,4±10,7 y.o. with CHF of ischemic genesis were included in the study. All patients had sinus rhythm and history of Q wave myocardial infarction. Standard examination was performed to all patients. Besides N-proBNP plasma level and patients yearly survival were evaluated.Results. N-proBNP plasma level had direct correlation with clinical indices (exercise tolerance, blood pressure, heart rate and echocardiographic heart sizes. N-proBNP plasma level had relationship with prognosis of CHF patients. Baseline N-proBNP level was more than 2 times higher in died patients in comparison with survived patients. The yearly survival rate of CHF patients was 51,3% if N-proBNP level had been more than 400 fmol/ml (>15% of normal value. The clinico-laboratory index (based on N-proBNP plasma level of severity and prognosis in CHF patients was developed.Conclusion. The clinico-laboratory index based on N-proBNP plasma level is easy to use and can improve medical practice.

  2. Evaluation of Creep-Fatigue Integrity for High Temperature Pressure Vessel in a Sodium Test Loop

    International Nuclear Information System (INIS)

    Lee, Hyeong-Yeon; Lee, Dong-Won

    2014-01-01

    In this study, high temperature integrity evaluation on a pressure vessel of the expansion tank operating at elevated temperature of 510°C in the sodium test facility of the SEFLA(Sodium Thermal-hydraulic Experiment Loop for Finned-tube Sodium-to-Air heat exchanger) to be constructed at KAERI has been performed. Evaluations of creep fatigue damage based on a full 3D finite element analyses were conducted for the expansion tank according to the recent elevated temperature design codes of ASME Section III Subsection NH and French RCC-MRx. It was shown that the expansion tank maintains its integrity under the intended creep-fatigue loads. Quantitative code comparisons were conducted for the pressure vessel of austenitic stainless steel 316L

  3. A systematic review of economic evaluations assessing interventions aimed at preventing or treating pressure ulcers.

    Science.gov (United States)

    Palfreyman, Simon J; Stone, Patricia W

    2015-03-01

    Pressure ulcers have an adverse impact on patients and can also result in additional costs and workload for healthcare providers. Interventions to prevent pressure ulcers are focused on identifying at risk patients and using systems such as mattresses and turning to relieve pressure. Treatments for pressure ulcers are directed towards promoting wound healing and symptom relief. Both prevention and treatments have associated costs for healthcare providers. The aim of this study was to systematically review the economic evidence for prevention and treatment interventions for pressure ulcers. A systematic review of comparative clinical studies that evaluate interventions to either prevent or treat pressure ulcers. Searches of the major electronic databases were conducted to identify citations that reported costs or economic analysis for interventions directed towards prevention or treatment of pressure ulcers. Only comparative clinical studies were included. Review articles, case-series, non-randomised studies, and studies in a foreign language that did not have an abstract in English were excluded from the review. Decisions regarding inclusion or exclusion were based on a consensus of the authors after review of the title or abstract. Potential citations were obtained for more detailed review and assessed against the inclusion criteria. The studies identified for inclusion were assessed against the 24 key criteria contained in the CHEERS checklist. Costs were standardised to US dollars and adjusted for inflation to 2012 rates. The searches identified 105 potential studies. After review of the citations a total of 23 studies were included: 12 examined prevention interventions and 11 treatments. Review against the CHEERS criteria showed that the majority of included trials had poor reporting and a lack of detail regarding how costs were calculated. Few studies reported more than aggregate costs of treatments with only a small number reporting unit cost outcomes

  4. The cryogenic bonding evaluation at the metallic-composite interface of a composite overwrapped pressure vessel with additional impact investigation

    Science.gov (United States)

    Clark, Eric A.

    A bonding evaluation that investigated the cryogenic tensile strength of several different adhesives/resins was performed. The test materials consisted of 606 aluminum test pieces adhered to a wet-wound graphite laminate in order to simulate the bond created at the liner-composite interface of an aluminum-lined composite overwrapped pressure vessel. It was found that for cryogenic applications, a flexible, low modulus resin system must be used. Additionally, the samples prepared with a thin layer of cured resin -- or prebond -- performed significantly better than those without. It was found that it is critical that the prebond surface must have sufficient surface roughness prior to the bonding application. Also, the aluminum test pieces that were prepared using a surface etchant slightly outperformed those that were prepared with a grit blast surface finish and performed significantly better than those that had been scored using sand paper to achieve the desired surface finish. An additional impact investigation studied the post impact tensile strength of composite rings in a cryogenic environment. The composite rings were filament wound with several combinations of graphite and aramid fibers and were prepared with different resin systems. The rings were subjected to varying levels of Charpy impact damage and then pulled to failure in tension. It was found that the addition of elastic aramid fibers with the carbon fibers mitigates the overall impact damage and drastically improves the post-impact strength of the structure in a cryogenic environment.

  5. Pressure RElieving Support SUrfaces: a Randomised Evaluation 2 (PRESSURE 2): study protocol for a randomised controlled trial.

    Science.gov (United States)

    Brown, Sarah; Smith, Isabelle L; Brown, Julia M; Hulme, Claire; McGinnis, Elizabeth; Stubbs, Nikki; Nelson, E Andrea; Muir, Delia; Rutherford, Claudia; Walker, Kay; Henderson, Valerie; Wilson, Lyn; Gilberts, Rachael; Collier, Howard; Fernandez, Catherine; Hartley, Suzanne; Bhogal, Moninder; Coleman, Susanne; Nixon, Jane E

    2016-12-20

    Pressure ulcers represent a major burden to patients, carers and the healthcare system, affecting approximately 1 in 17 hospital and 1 in 20 community patients. They impact greatly on an individual's functional status and health-related quality of life. The mainstay of pressure ulcer prevention practice is the provision of pressure redistribution support surfaces and patient repositioning. The aim of the PRESSURE 2 study is to compare the two main mattress types utilised within the NHS: high-specification foam and alternating pressure mattresses, in the prevention of pressure ulcers. PRESSURE 2 is a multicentre, open-label, randomised, double triangular, group sequential, parallel group trial. A maximum of 2954 'high-risk' patients with evidence of acute illness will be randomised on a 1:1 basis to receive either a high-specification foam mattress or alternating-pressure mattress in conjunction with an electric profiling bed frame. The primary objective of the trial is to compare mattresses in terms of the time to developing a new Category 2 or above pressure ulcer by 30 days post end of treatment phase. Secondary endpoints include time to developing new Category 1 and 3 or above pressure ulcers, time to healing of pre-existing Category 2 pressure ulcers, health-related quality of life, cost-effectiveness, incidence of mattress change and safety. Validation objectives are to determine the responsiveness of the Pressure Ulcer Quality of Life-Prevention instrument and the feasibility of having a blinded endpoint assessment using photography. The trial will have a maximum of three planned analyses with unequally spaced reviews at event-driven coherent cut-points. The futility boundaries are constructed as non-binding to allow a decision for stopping early to be overruled by the Data Monitoring and Ethics Committee. The double triangular, group sequential design of the PRESSURE 2 trial will provide an efficient design through the possibility of early stopping for

  6. Evaluation of 3 Inch SN-219 Failure and S and SX Tank Farm Saltwell Piping

    International Nuclear Information System (INIS)

    ELSEN, J.J.

    2000-01-01

    Evaluation of direct buried piping currently in use or designated for future Saltwell pumping in S and SX Farms. Documented evaluation of failed S-103 saltwell pumping transfer line 3 inch SN-219. This evaluation is intended to reflect current status of Saltwell piping, when taken in context with referenced documents

  7. Fuel element failure detection experiments, evaluation of the experiments at KNK II/1 (Intermediate Report)

    CERN Document Server

    Bruetsch, D

    1983-01-01

    In the frame of the fuel element failure detection experiments at KNK II with its first core the measurement devices of INTERATOM were taken into operation in August 1981 and were in operation almost continuously. Since the start-up until the end of the first KNK II core operation plugs with different fuel test areas were inserted in order to test the efficiency of the different measuring devices. The experimental results determined during this test phase and the gained experiences are described in this report and valuated. All three measuring techniques (Xenon adsorption line XAS, gas-chromatograph GC and precipitator PIT) could fulfil the expectations concerning their susceptibility. For XAS and GC the nuclide specific sensitivities as determined during the preliminary tests could be confirmed. For PIT the influences of different parameters on the signal yield could be determined. The sensitivity of the device could not be measured due to a missing reference measuring point.

  8. Thermal fluid mixing behavior during medium break LOCA in evaluation of pressurized thermal shock

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Jae Won; Bang, Young Seok; Seul, Kwang Won; Kim, Hho Jung [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of)

    1998-12-31

    Thermal fluid mixing behavior during a postulated medium-size hot leg break loss of coolant accident is analyzed for the international comparative assessment study on pressurized thermal shock (PTS-ICAS) proposed by OECD-NEA. The applicability of RELAP5 code to analyze the thermal fluid mixing behavior is evaluated through a simple modeling relevant to the problem constraints. Based on the calculation result, the onset of thermal stratification is investigated using Theofanous`s empirical correlation. Sensitivity calculations using a fine node model and crossflow model are also performed to evaluate the modeling capability on multi-dimensional characteristics related to thermal fluid mixing. 6 refs., 8 figs. (Author)

  9. Success and failure factors in the regional health information system design process--results from a constructive evaluation study.

    Science.gov (United States)

    Nykänen, P; Karimaa, E

    2006-01-01

    To identify success and failure factors in the design process of a regional health information system. A constructive evaluation study including interviews, observations, usability study and document analysis. Modelling was found to be a key element for the successful implementation of a health information system. The developed service chain model helped to define use cases and to implement seamless service chains. User participation in the design process was a success factor resulting in good user acceptance and signs of positive impacts on work practices. Evaluation study also helped system developers to guide the system's further development. An important failure factor identified was the lack of semantic interoperability of the system components. The results emphasize the socio-technical nature of health information systems. The starting point for development should be thorough insight into the health care work practices where the information systems are to be used. Successful system design should start from modelling of work processes, data and information flows and definition of concepts and their relations. Health informatics as a scientific discipline provides theories and models for the design and development process.

  10. Tools for Economic Analysis of Patient Management Interventions in Heart Failure Cost-Effectiveness Model: A Web-based program designed to evaluate the cost-effectiveness of disease management programs in heart failure.

    Science.gov (United States)

    Reed, Shelby D; Neilson, Matthew P; Gardner, Matthew; Li, Yanhong; Briggs, Andrew H; Polsky, Daniel E; Graham, Felicia L; Bowers, Margaret T; Paul, Sara C; Granger, Bradi B; Schulman, Kevin A; Whellan, David J; Riegel, Barbara; Levy, Wayne C

    2015-11-01

    Heart failure disease management programs can influence medical resource use and quality-adjusted survival. Because projecting long-term costs and survival is challenging, a consistent and valid approach to extrapolating short-term outcomes would be valuable. We developed the Tools for Economic Analysis of Patient Management Interventions in Heart Failure Cost-Effectiveness Model, a Web-based simulation tool designed to integrate data on demographic, clinical, and laboratory characteristics; use of evidence-based medications; and costs to generate predicted outcomes. Survival projections are based on a modified Seattle Heart Failure Model. Projections of resource use and quality of life are modeled using relationships with time-varying Seattle Heart Failure Model scores. The model can be used to evaluate parallel-group and single-cohort study designs and hypothetical programs. Simulations consist of 10,000 pairs of virtual cohorts used to generate estimates of resource use, costs, survival, and incremental cost-effectiveness ratios from user inputs. The model demonstrated acceptable internal and external validity in replicating resource use, costs, and survival estimates from 3 clinical trials. Simulations to evaluate the cost-effectiveness of heart failure disease management programs across 3 scenarios demonstrate how the model can be used to design a program in which short-term improvements in functioning and use of evidence-based treatments are sufficient to demonstrate good long-term value to the health care system. The Tools for Economic Analysis of Patient Management Interventions in Heart Failure Cost-Effectiveness Model provides researchers and providers with a tool for conducting long-term cost-effectiveness analyses of disease management programs in heart failure. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Report From BPTCS Project Team On Evaluation Of Additive Manufacturing For Pressure Retaining Equipment

    Energy Technology Data Exchange (ETDEWEB)

    Rawls, G. [Savannah River Site (SRS), Aiken, SC (United States)

    2016-09-22

    ASME is evaluating the use of additive manufacturing (AM) for the construction of pressure equipment. The information in this report assesses available AM technologies for direct metal fabrication of pressure equipment. Background information is included in the report to provide context for those not experienced in AM technology. Only commercially available technologies for direct metal fabrication are addressed in the report because these AM methods are the only viable approaches for the construction of pressure equipment. Metal AM technologies can produce near-net shape parts by using multiple layers of material from a three dimensional (3D) design model of the geometry. Additive manufacturing of metal components was developed from polymer based rapid prototyping or 3D printing. At the current maturity level, AM application for pressure equipment has the potential to reduce delivery times and costs for complex shapes. AM will also lead to a reduction in the use of high cost materials, since parts can be created with corrosion resistant layers of high alloy material and structural layers of lower cost materials.

  12. ASSESSMENT OF THE CHANGES IN BLOOD PRESSURE CIRCADIAN PROFILE AND VARIABILITY IN PATIENTS WITH CHRONIC HEART FAILURE AND ARTERIAL HYPERTENSION DURING COMBINED THERAPY INCLUDING IVABRADINE

    Directory of Open Access Journals (Sweden)

    M. V. Surovtseva

    2012-01-01

    Full Text Available Aim. To assess the changes in blood pressure (BP circadian profile and variability in patients with chronic heart failure (CHF of ischemic etiology and arterial hypertension (HT due to the complex therapy including ivabradine. Material and methods. Patients (n=90 with CHF class II–III NYHA associated with stable angina II-III class and HT were examined. The patients were randomized into 3 groups depending on received drugs: perindopril and ivabradine - group 1; perindopril, bisoprolol and ivabradine - group 2; perindopril and bisoprolol - group 3. The duration of therapy was 6 months. Ambulatory BP monitoring (ABPM was assessed at baseline and after treatment. Results. More significant reduction in average 24-hours systolic BP was found in groups 1 and 2 compared to group 3 (Δ%: -19.4±0,4; -21.1±0.4 and -11.8±0.6, respectively as well as diastolic BP (Δ%: -10.6±0.6; -12.9±0.4 and -4,3±0.3, respectively and other ABPM indicators. Improvement of BP circadian rhythm was found due to increase in the number of «Dipper» patients (p=0.016. More significant reduction in average daily and night systolic and diastolic BP (p=0.001, as well as daily and night BP variability (p=0.001 was also found in patients of group 2 compared to these of group 1. Conclusion. Moderate antihypertensive effect (in respect of both diastolic and systolic BP was shown when ivabradine was included into the complex therapy of patients with ischemic CHF and HT. The effect was more pronounced when ivabradine was combined with perindopril and bisoprolol. This was accompanied by reduction in high BP daily variability and improvement of the BP circadian rhythm. 

  13. ASSESSMENT OF THE CHANGES IN BLOOD PRESSURE CIRCADIAN PROFILE AND VARIABILITY IN PATIENTS WITH CHRONIC HEART FAILURE AND ARTERIAL HYPERTENSION DURING COMBINED THERAPY INCLUDING IVABRADINE

    Directory of Open Access Journals (Sweden)

    M. V. Surovtseva

    2015-12-01

    Full Text Available Aim. To assess the changes in blood pressure (BP circadian profile and variability in patients with chronic heart failure (CHF of ischemic etiology and arterial hypertension (HT due to the complex therapy including ivabradine. Material and methods. Patients (n=90 with CHF class II–III NYHA associated with stable angina II-III class and HT were examined. The patients were randomized into 3 groups depending on received drugs: perindopril and ivabradine - group 1; perindopril, bisoprolol and ivabradine - group 2; perindopril and bisoprolol - group 3. The duration of therapy was 6 months. Ambulatory BP monitoring (ABPM was assessed at baseline and after treatment. Results. More significant reduction in average 24-hours systolic BP was found in groups 1 and 2 compared to group 3 (Δ%: -19.4±0,4; -21.1±0.4 and -11.8±0.6, respectively as well as diastolic BP (Δ%: -10.6±0.6; -12.9±0.4 and -4,3±0.3, respectively and other ABPM indicators. Improvement of BP circadian rhythm was found due to increase in the number of «Dipper» patients (p=0.016. More significant reduction in average daily and night systolic and diastolic BP (p=0.001, as well as daily and night BP variability (p=0.001 was also found in patients of group 2 compared to these of group 1. Conclusion. Moderate antihypertensive effect (in respect of both diastolic and systolic BP was shown when ivabradine was included into the complex therapy of patients with ischemic CHF and HT. The effect was more pronounced when ivabradine was combined with perindopril and bisoprolol. This was accompanied by reduction in high BP daily variability and improvement of the BP circadian rhythm. 

  14. Bed-side inferior vena cava diameter and mean arterial pressure predict long-term mortality in hospitalized patients with heart failure: 36 months of follow-up.

    Science.gov (United States)

    Torres, Daniele; Cuttitta, Francesco; Paterna, Salvatore; Garofano, Alessandro; Conti, Giosafat; Pinto, Antonio; Parrinello, Gaspare

    2016-03-01

    In discharged patients with heart failure (HF), diverse conditions can intervene to worsen outcome. We would investigate whether such factors present on hospital admission can affect long-term mortality in subjects hospitalized for acute HF. One hundred twenty-three consecutive patients hospitalized for acute HF (mean age 74.8 years; 57% female) were recruited and followed for 36 months after hospitalization. At multivariate Cox model, only inferior vena cava (IVC) diameter and mean arterial pressure (MAP) registered bed-side on admission, resulted, after correction for all confounders factors, the sole factors significantly associated with a higher risk of all-cause mortality in long-term (HR 1.06, p=0.0057; HR 0.97, p=0.0218; respectively). Study population was subdivided according to median values of IVC diameter (23 mm) and MAP (93.3 mm Hg). The Kaplan–Meier curve showed that HF patients with both IVC ≥ 23 mm and MAP b93.3 mm Hg on admission had reduced probability of survival free from all-cause death (log rank p = 0.0070 and log rank p = 0.0028, respectively). In patients hospitalized for acute HF, IVC diameter, measured by hand-carried ultrasound (HCU), and MAP detected on admission are strong predictors of long-term all-cause mortality. The data suggest the need for a careful clinical-therapeutic surveillance on these patients during the post-discharge period. IVC diameter and MAP can be utilized as parameters to stratify prognosis on admission and to be supervised during follow-up. Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  15. Evaluation of a Community Health Service Center-Based Intervention Program for Managing Chronic Heart Failure.

    Science.gov (United States)

    Gu, Moli; Ma, Yanlan; Zhou, Ti; Xia, Yunfeng

    2016-01-01

    Although the role of primary care for the management of patients with chronic heart failure (CHF) has been highly recommended, structural involvement of primary care in heart failure (HF) management programs is extremely limited. To examine the feasibility and applicability of two most recommended forms of care delivery mode, home visit and telephone support, for CHF management in the setting of community health service center (CHSC). Prospective study. This study was conducted in two CHSCs in Beijing, China. Care delivery was led by trained general practitioners or community nurses via home visits in one CHSC and telephone support in the other. Data regarding the change in mortality and hospitalization rate during 12 months and self-care level at 6 months were prospectively collected and compared across the intervention groups. A total of 329 patients were included, with 142 in the home visit group and 187 in the telephone support group. Patients in both groups had frequent visits to CHSC (8.1±5.9 in the home visit and 7.7±4.1 in the telephone support group, p=0.45) during the follow-up period. Compared to the telephone support group, patients in the home visit group showed a reduction in all-cause mortality (14.1% versus 20.3%, p=0.14), one or more hospitalizations due to any cause (33.8% versus 44.2%, p=0.12) and one or more hospitalizations due to cardiac cause (17.6% versus 24.6%, p=0.13) in the home visit group. The absolute differences were 6.2% (95% CI: 1.9%, 14.3%), 8.4% (95% CI: 2.1%, 18.9%) and 7.3% (95% CI: 1.5%, 16.1%), respectively, although the results were not statistically significant. After 6 months of intervention, patients in both groups achieved marked improvement in self-care with reference to their own baseline values. Although no statistical difference was observed between the two care delivery approaches regarding the clinical outcomes of interest, given the high participation rates, the acceptable rate of adverse events, frequent CHSC

  16. Evaluation of a Community Health Service Center-Based Intervention Program for Managing Chronic Heart Failure

    Directory of Open Access Journals (Sweden)

    Moli Gu

    2016-02-01

    Full Text Available Background: Although the role of primary care for the management of patients with chronic heart failure (CHF has been highly recommended, structural involvement of primary care in heart failure (HF management programs is extremely limited Aims: To examine the feasibility and applicability of two most recommended forms of care delivery mode, home visit and telephone support, for CHF management in the setting of community health service center (CHSC. Study Design: Prospective study. Methods: This study was conducted in two CHSCs in Beijing, China. Care delivery was led by trained general practitioners or community nurses via home visits in one CHSC and telephone support in the other. Data regarding the change in mortality and hospitalization rate during 12 months and self-care level at 6 months were prospectively collected and compared across the intervention groups. Results: A total of 329 patients were included, with 142 in the home visit group and 187 in the telephone support group. Patients in both groups had frequent visits to CHSC (8.1±5.9 in the home visit and 7.7±4.1 in the telephone support group, p=0.45 during the follow-up period. Compared to the telephone support group, patients in the home visit group showed a reduction in all-cause mortality (14.1% versus 20.3%, p=0.14, one or more hospitalizations due to any cause (33.8% versus 44.2%, p=0.12 and one or more hospitalizations due to cardiac cause (17.6% versus 24.6%, p=0.13 in the home visit group. The absolute differences were 6.2% (95% CI: 1.9%, 14.3%, 8.4% (95% CI: 2.1%, 18.9% and 7.3% (95% CI: 1.5%, 16.1%, respectively, although the results were not statistically significant. After 6 months of intervention, patients in both groups achieved marked improvement in self-care with reference to their own baseline values. Conclusion: Although no statistical difference was observed between the two care delivery approaches regarding the clinical outcomes of interest, given the high

  17. New approaches for evaluation of brittle strength of reactor pressure vessels

    International Nuclear Information System (INIS)

    Margolin, B.; Karzov, G.; Kostylev, V.; Gulenko, A.; Rivkin, E.

    2003-01-01

    Based on the Master curve conception, condition of brittle strength is formulated for heterogeneous distribution of stress intensity factor along crack front and non-monotonic, non-isothermic loading. This formulation includes the elaborated procedure for taking into account the effects of shallow cracks and biaxial loading on fracture toughness. It is concluded as follows: (1) A condition of brittle strength is formulated for reactor pressure vessel with crack-like flaw in probabilistic statement. As the condition of brittle strength it is taken condition P f f (bar) where P f is fracture probability, and P f (bar) is a given level of fracture probability. Formulation of this condition is based on the weakest link model and takes into account a variation of the stress intensity factor K I and K IC along the crack front. (2) Dependencies are proposed which allow to take into account the shallow crack effect and the biaxial loading effect on fracture toughness of reactor pressure vessel steels. (3) Using approaches presented in the present paper allows one to decrease conservatism and to increase adequacy of evaluations of brittle strength of reactor pressure vessels. Now these approaches have been included in Russian Standard on evaluation of brittle fracture of RPV of WWER type

  18. Flow Control Device Evaluation for an Internal Flow with an Adverse Pressure Gradient

    Science.gov (United States)

    Jenkins, Luther N.; Gorton, Susan Althoff; Anders, Scott G.

    2002-01-01

    The effectiveness of several active and passive devices to control flow in an adverse pressure gradient with secondary flows present was evaluated in the 15 Inch Low Speed Tunnel at NASA Langley Research Center. In this study, passive micro vortex generators, micro bumps, and piezoelectric synthetic jets were evaluated for their flow control characteristics using surface static pressures, flow visualization, and 3D Stereo Digital Particle Image Velocimetry. Data also were acquired for synthetic jet actuators in a zero flow environment. It was found that the micro vortex generator is very effective in controlling the flow environment for an adverse pressure gradient, even in the presence of secondary vortical flow. The mechanism by which the control is effected is a re-energization of the boundary layer through flow mixing. The piezoelectric synthetic jet actuators must have sufficient velocity output to produce strong longitudinal vortices if they are to be effective for flow control. The output of these devices in a laboratory or zero flow environment will be different than the output in a flow environment. In this investigation, the output was higher in the flow environment, but the stroke cycle in the flow did not indicate a positive inflow into the synthetic jet.

  19. Esthetic failure in implant dentistry.

    Science.gov (United States)

    Fuentealba, Rodrigo; Jofré, Jorge

    2015-01-01

    The definition of failure for dental implants has evolved from lack of osseointegration to increased concern for other aspects, such as esthetics. However, esthetic failure in implant dentistry has not been well defined. Although multiple esthetic indices have been validated for objectively evaluating clinical outcomes, including failure of an implant-supported crown, only one author has determined a failure threshold. On the basis of objective indices, esthetic failures in implant dentistry can be categorized as pink-tissue failures and white-tissue failures. This article discusses esthetic failures, the factors involved in these failures, and their prevention and treatment. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Basic data generation and pressure loss coefficient evaluation for HANARO core thermal-hydraulic analyses

    International Nuclear Information System (INIS)

    Chae, Hee Taek; Lee, Kye Hong

    1999-06-01

    MATRA-h, a HANARO subchannel analysis computer code, is used to evaluate thermal margin of the HANARO fuel. It's capability includes the assessments of CHF, ONB margin, and fuel temperature. In this report, basic input data and core design parameters required to perform the subchannel analysis with MATRA-h code are collected. These data include the subchannel geometric data, thermal-hydraulic correlations, empirical constants and material properties. The friction and form loss coefficients of the fuel assemblies were determined based on the results of the pressure drop test. At the same time, different form loss coefficients at the end plates and spacers are evaluated for various subchannels. The adequate correlations are applied to the evaluation of the form loss coefficients for various subchannels, which are corrected by measured values in order to have a same pressure drop at each flow channel. These basic input data and design parameters described in this report will be applied usefully to evaluate the thermal margin of the HANARO fuel. (author). 11 refs., 13 tabs., 11 figs

  1. Acoustoelastic evaluation of welding and heat treatment stress relieving of pressure vessel steel for Angra 3

    Energy Technology Data Exchange (ETDEWEB)

    Moraes, Bruno C. de, E-mail: bruno.cesar@nuclep.gov.br [Nuclebras Equipamentos Pesados S.A (NUCLEP), Itaguai, RJ (Brazil); Bittencourt, Marcelo de S.Q., E-mail: bruno.cesar@nuclep.gov.br, E-mail: bittenc@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2015-07-01

    Currently the knowledge of non-destructive techniques allows to evaluate the stresses on components and mechanical structures, aiming at physical security, preservation of the environment and avoid financial losses associated with the construction and operation of industrial plants. The search for new techniques, especially applied in the nuclear industry to assess status more accurately, voltage safety and to ensure structural integrity, for example, core components of the primary circuit, such as the reactor pressure vessel and steam generator has become of great importance within the community of non-destructive testing .This paper aims to contribute to the non-destructive technique development in order to ensure the structural integrity of nuclear components. One acoustoelastic evaluation of steel 20 MnMoNi 55, used in pressure vessels of nuclear power plants were performed. The acoustic birefringence technique was use to evaluate the acoustoelastic behavior of the test material in the as received condition, after welding and after the stress relief heat treatment. The constant acoustoelastic material was obtained by an uniaxial loading test. It was found a slight anisotropy in the material as received. After welding, a marked variation of acoustic birefringence in the region near the weld bead was observed. The heat treatment indicated a new change of acoustic birefringence. Obtaining the acoustoelastic constant allowed the evaluation of stress in the different conditions of the weld and treated material. (author)

  2. Activities of daily living for patients with chronic heart failure: a partnership care model evaluation.

    Science.gov (United States)

    Mohammadi, Eesa; Khoshab, Hadi; Kazemnejad, Anoshirvan

    2016-05-01

    The study determined the effect of a partnership care model (PCM) on the activities of daily living (ADL) of patients with chronic heart failure (CHF). Management programs for patients with CHF are needed to optimize care. This randomized clinical trial was designed in 2011 in four wards at two Iranian hospital centers with the participation of 104 patients with CHF who had hospitalization histories. The Lawton questionnaire was used to measure the dependent variable (ADL) at baseline after 3 months. The mean difference (pre- and post-intervention) of the scores for the control (MD=0.06; SD=1.5) and experimental (MD=-2.3; SD=1.4) groups were calculated. T-test results showed that there was a significant difference in the means (p<0.05) between groups. The effect size (2.18) and standardized effect size (54.5) were also calculated. The findings suggest that centered ADL intervention based on a PCM improved the ADL of patients substantially more than other interventions. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Technical Basis for Evaluating Software-Related Common-Cause Failures

    Energy Technology Data Exchange (ETDEWEB)

    Muhlheim, Michael David [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wood, Richard [Univ. of Tennessee, Knoxville, TN (United States); Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-04-01

    The instrumentation and control (I&C) system architecture at a nuclear power plant (NPP) incorporates protections against common-cause failures (CCFs) through the use of diversity and defense-in-depth. Even for well-established analog-based I&C system designs, the potential for CCFs of multiple systems (or redundancies within a system) constitutes a credible threat to defeating the defense-in-depth provisions within the I&C system architectures. The integration of digital technologies into the I&C systems provides many advantages compared to the aging analog systems with respect to reliability, maintenance, operability, and cost effectiveness. However, maintaining the diversity and defense-in-depth for both the hardware and software within the digital system is challenging. In fact, the introduction of digital technologies may actually increase the potential for CCF vulnerabilities because of the introduction of undetected systematic faults. These systematic faults are defined as a “design fault located in a software component” and at a high level, are predominately the result of (1) errors in the requirement specification, (2) inadequate provisions to account for design limits (e.g., environmental stress), or (3) technical faults incorporated in the internal system (or architectural) design or implementation. Other technology-neutral CCF concerns include hardware design errors, equipment qualification deficiencies, installation or maintenance errors, instrument loop scaling and setpoint mistakes.

  4. Evaluation of a scoring system for assessing prognosis in pediatric acute liver failure.

    Science.gov (United States)

    Lu, Brandy R; Gralla, Jane; Liu, Edwin; Dobyns, Emily L; Narkewicz, Michael R; Sokol, Ronald J

    2008-10-01

    Pediatric acute liver failure (PALF) results in death or need for liver transplantation (LT) in up to 50% of patients. A scoring system for predicting death or LT (Liver Injury Units [LIU] score) in PALF was previously derived by our group, and used peak values during hospital admission of total bilirubin, prothrombin time/international normalized ratio, and ammonia as significant predictors of outcome. The aims of this study were to test the predictive value of the LIU score in a subsequent validation set of patients and to derive a hospital admission LIU (aLIU) score predictive of outcome. Data were obtained from 53 children admitted with PALF from 2002 to 2006. Outcome was defined at 16 weeks as alive without LT, death, or LT. Survival without LT at 16 weeks for each LIU score quartile was 92%, 44%, 60%, and 12%, respectively (P < .001). The receiver operating characteristic C index for predicting death or LT by 4 weeks was 86.3. An admission LIU score was derived using admission total bilirubin and prothrombin time/international normalized ratio. Survival without LT at 16 weeks for each quartile using the aLIU score was 85%, 77%, 69%, and 31% (P = .001). The receiver operating characteristic C index for predicting death or LT by 4 weeks was 83.7. The original LIU score is a valid predictor of outcome in PALF. The aLIU score is promising and needs to be validated in subsequent patients.

  5. THE EVALUATION MECHANISM OF THE TAX PRESSURE ON THE ECONOMY IN THE REPUBLIC OF MOLDOVA

    Directory of Open Access Journals (Sweden)

    Corina BULGAC

    2017-02-01

    Full Text Available The relevance of the research topic to today’s realities lies in the fact that one of the indicators,which makes it possible to evaluate the tax policy effectiveness at macroeconomic level, is the indicator ofthe tax pressure. Nowadays, an important component of the effective financial management is consideredthe efficient tax planning and the tax pressure management, which is one of the key factors for asuccessful economic activity. It is important to understand that the state's purpose is to collect sufficienttaxes to ensure the good operation of all state functions, and along with this, to avoid an excessive taxpressure and not to allow it to repress the economic activity of the economic agents. The purpose of thisstudy is based on the argument that the indicator of the tax pressure on the economy, unfortunately, doesnot reveal the actual level of tax exemptions based on the country's GDP. The study is based on usingmodified methods of calculating the indicator of the country’s tax pressure, which are proposed by theauthor and can be used for regulatory purposes. The study reveals that, independently, this indicatorreflects the share of GDP redistributed through taxes. But only in combination with other importantindicators of the socio-economic development of the country we can estimate the level of taxation in thecountry and the efficiency of the fiscal system operation. The analysis of some indicators in a number ofcountries shows that in Moldova the high tax pressure is associated with the low level of GDP and theGDP per capita compared to other countries.

  6. An international multicenter study evaluating the impact of an alternative biochemical failure definition on the judgment of prostate cancer risk

    International Nuclear Information System (INIS)

    Williams, Scott G.; Duchesne, Gillian M.; Gogna, N. Kumar; Millar, Jeremy L.; Pickles, Tom; Pratt, Gary R.; Turner, Sandra

    2006-01-01

    Purpose: To evaluate the impact of an alternative biochemical failure (bF) definition on the performance of existing plus de novo prognostic models. Methods and Materials: The outcomes data of 1,458 Australian and 703 Canadian men treated with external-beam radiation monotherapy between 1993 and 1997 were analyzed using a lowest prostate-specific antigen (PSA) level to date plus 2 ng/mL (L + 2) bF definition. Two existing prognostic models were scrutinized using discrimination (Somers Dxy [SDxy]) and calibration indices. Alternative prognostic models were also created using recursive partitioning analysis (RPA) and multivariate nomogram methods for comparison. Results: Discrimination of bF was improved using the L + 2 definition compared with the American Society for Therapeutic Radiology and Oncology (ASTRO) definition using both the three-level risk model (SDxy 0.30 and 0.22, respectively) or the nomogram (SDxy 0.35 and 0.27, respectively). Both existing prognostic models showed only modest calibration accuracy. Using RPA, five distinct risk groups were identified based primarily on Gleason score (GS) and all subsequent divisions based on PSA. All GS 7-10 tumors were intermediate or high risk. This model and the developed nomogram showed improved discrimination over the existing models as well as accurate calibration against the Canadian data, apart from the 30-50% failure region. Conclusions: The L + 2 definition of bF provides improved capacity for discrimination of failure risk. New prognostic models based on this endpoint have overall statistical performance superior to those based on the ASTRO consensus definition but continue to have unreliable discrimination in the intermediate-risk region

  7. On the Evaluation of Failure Probability on Monolithic Vertical Wall Breakwaters

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Sørensen, Jørgen S.; Christiani, E.

    1994-01-01

    The paper presents a level II, FORM-evaluation of the reliability against sliding of a caisson breakwater. Further, a reliability-based optimal design procedure for breakwaters exposed to multifailure mode is discussed.......The paper presents a level II, FORM-evaluation of the reliability against sliding of a caisson breakwater. Further, a reliability-based optimal design procedure for breakwaters exposed to multifailure mode is discussed....

  8. Prospective clinical evaluation of a new manometer syringe that distinguishes pressures below 30 and above 50 mmHg.

    Science.gov (United States)

    Schummer, Wolfram; Schummer, Claudia

    2008-09-01

    To evaluate a new disposable syringe (Certofix PresSure Check [B Braun Melsungen AG, Melsungen, Germany]) that serves as a manometer. Prospective study. University hospital's cardiac surgery suite. 21 consecutive patients with continuous invasive monitoring of central venous and arterial pressures during cardiothoracic surgery. The Certofix PresSure Check syringe was connected to the side port of the central venous and arterial catheters. Central venous pressures were correctly indicated as below 30 mmHg and arterial pressures as above 50 mmHg in all 21 patients. Certofix PresSure Check provides a unique way of testing whether a catheter is placed in a low or high pressure system. It can be used for identifying inadvertent arterial punctures.

  9. A portfolio approach to evaluating natural hazard mitigation policies: An Application to lateral-spread ground failure in Coastal California

    Science.gov (United States)

    Bernknopf, R.L.; Dinitz, L.B.; Rabinovici, S.J.M.; Evans, A.M.

    2001-01-01

    In the past, efforts to prevent catastrophic losses from natural hazards have largely been undertaken by individual property owners based on site-specific evaluations of risks to particular buildings. Public efforts to assess community vulnerability and encourage mitigation have focused on either aggregating site-specific estimates or adopting standards based upon broad assumptions about regional risks. This paper develops an alternative, intermediate-scale approach to regional risk assessment and the evaluation of community mitigation policies. Properties are grouped into types with similar land uses and levels of hazard, and hypothetical community mitigation strategies for protecting these properties are modeled like investment portfolios. The portfolios consist of investments in mitigation against the risk to a community posed by a specific natural hazard, and are defined by a community's mitigation budget and the proportion of the budget invested in locations of each type. The usefulness of this approach is demonstrated through an integrated assessment of earthquake-induced lateral-spread ground failure risk in the Watsonville, California area. Data from the magnitude 6.9 Loma Prieta earthquake of 1989 are used to model lateral-spread ground failure susceptibility. Earth science and economic data are combined and analyzed in a Geographic Information System (GIS). The portfolio model is then used to evaluate the benefits of mitigating the risk in different locations. Two mitigation policies, one that prioritizes mitigation by land use type and the other by hazard zone, are compared with a status quo policy of doing no further mitigation beyond that which already exists. The portfolio representing the hazard zone rule yields a higher expected return than the land use portfolio does: However, the hazard zone portfolio experiences a higher standard deviation. Therefore, neither portfolio is clearly preferred. The two mitigation policies both reduce expected losses

  10. A Diet Rich in Unsaturated Fatty Acids Prevents Progression Toward Heart Failure in a Rabbit Model of Pressure and Volume Overload

    NARCIS (Netherlands)

    den Ruijter, Hester M.; Verkerk, Arie O.; Schumacher, Cees A.; Houten, Sander M.; Belterman, Charly N. W.; Baartscheer, Antonius; Brouwer, Ingeborg A.; van Bilsen, Marc; de Roos, Baukje; Coronel, Ruben

    2012-01-01

    Background-During heart failure (HF), cardiac metabolic substrate preference changes from fatty acid (FA) toward glucose oxidation. This change may cause progression toward heart failure. We hypothesize that a diet rich in FAs may prevent this process, and that dietary omega 3-FAs have an added

  11. Evaluation of road failure vulnerability section through integrated geophysical and geotechnical studies

    Science.gov (United States)

    Adiat, K. A. N.; Akinlalu, A. A.; Adegoroye, A. A.

    2017-06-01

    In order to investigate the competence of the proposed road for pavement stability, geotechnical and geophysical investigations involving Land Magnetic, Very Low Frequency Electromagnetic (VLF-EM) and Electrical Resistivity methods were carried out along Akure-Ipinsa road Southwestern Nigeria. The magnetic profile was qualitatively and quantitatively interpreted to produce geomagnetic section that provides information on the basement topography and structural disposition beneath the proposed road. Similarly, the VLF-EM profile was equally interpreted to provide information on the possible occurrence of linear features beneath the study area. These linear features pose a potential risk to the proposed road as they are capable of undermining the stability of the pavement structure. The geoelectric parameters obtained from the quantitative interpretation of the VES data were used to generate geoelectric section. The geoelectric section generated shows that the study area was underlain by four geoelectric layers namely the topsoil, the weathered layer, the partly weathered/fractured basement and the fresh basement. The major part of the topsoil, which constitutes the subgrade, is characterized by relatively low resistivity values (road. This therefore suggests that the layer is composed of incompetent materials that are unsuitable for engineering structures. Furthermore, fractured basement was also delineated beneath some portion of the proposed road. Since fracture is a weak zone, its presence can facilitate failure of the proposed road especially when it is occurring at shallow depth. The geotechnical results reveal that most of the investigated soil samples are clayey in nature. Integration of the results demonstrates that there is a good correlation between geophysical results and the geotechnical results. Furthermore, a vulnerability section that divided the road segments into three zones based on the degree of vulnerability was produced. These zones were high

  12. Economic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries.

    Science.gov (United States)

    Ocampo, Wrechelle; Cheung, Amanda; Baylis, Barry; Clayden, Nancy; Conly, John M; Ghali, William A; Ho, Chester H; Kaufman, Jaime; Stelfox, Henry T; Hogan, David B

    2017-07-01

    To provide information from a review of literature about economic evaluations of preventive strategies for pressure injuries (PIs). This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Identify the purpose and methods used for this study.2. Compare costs and effectiveness related to preventative strategies for PIs. BACKGROUND: Pressure injuries (PIs) are a common and resource-intensive challenge for acute care hospitals worldwide. While a number of preventive strategies have the potential to reduce the cost of hospital-acquired PIs, it is unclear what approach is the most effective. The authors performed a narrative review of the literature on economic evaluations of preventive strategies to survey current findings and identify important factors in economic assessments. Ovid, MEDLINE, NHS Economic Evaluation Databases, and the Cochrane Database of Systematic ReviewsSELECTION CRITERIA: Potentially relevant original research articles and systematic reviews were considered. Selection criteria included articles that were written in English, provided data on cost or economic evaluations of preventive strategies of PIs in acute care, and published between January 2004 and September 2015. Data were abstracted from the articles using a standardized approach to evaluate how the items on the Consolidated Health Economic Evaluation Reporting Standards checklist were addressed. The searches identified 192 references. Thirty-three original articles were chosen for full-text reviews. Nineteen of these articles provided clear descriptions of interventions, study methods, and outcomes considered. Limitations in the available literature prevent firm conclusions from being reached about the relative economic merits of the various approaches to the prevention of PIs. The authors' review

  13. DEVELOPMENT OF AN ANALYTICAL METHOD TO EVALUATE THE INTEGRITY OF A CALANDRIA TUBE IN THE CASE OF PRESSURE TUBE RUPTURE

    OpenAIRE

    森下 善嗣

    1990-01-01

    An analytical method which consists of two‐dimensional thermal‐hydraulic analysis and three‐dimensional structural analysis has been proposed to evaluate the integrity of a calandria tube in the case of pressure tube rupture in a pressure tube type reactor.In order to validate the method,experiments were carried out with coaxially arranged double tubes simulating a pressure tube and a calandria tube.Experimental data were also comparedwith analytical results with the proposed method.

  14. Disease management 360 degrees: a scorecard approach to evaluating TRICARE's programs for asthma, congestive heart failure, and diabetes.

    Science.gov (United States)

    Yang, Wenya; Dall, Timothy M; Zhang, Yiduo; Hogan, Paul F; Arday, David R; Gantt, Cynthia J

    2010-08-01

    To assess the effect of TRICARE's asthma, congestive heart failure, and diabetes disease management programs using a scorecard approach. EVALUATION MEASURES: Patient healthcare utilization, financial, clinical, and humanistic outcomes. Absolute measures were translated into effect size and incorporated into a scorecard. Actual outcomes for program participants were compared with outcomes predicted in the absence of disease management. The predictive equations were established from regression models based on historical control groups (n = 39,217). Z scores were calculated for the humanistic measures obtained through a mailed survey. Administrative records containing medical claims, patient demographics and characteristics, and program participation status were linked using an encrypted patient identifier (n = 57,489). The study time frame is 1 year prior to program inception through 2 years afterward (October 2005-September 2008). A historical control group was identified with the baseline year starting October 2003 and a 1-year follow-up period starting October 2004. A survey was administered to a subset of participants 6 months after baseline assessment (39% response rate). Within the observation window--24 months for asthma and congestive heart failure, and 15 months for the diabetes program--we observed modest reductions in hospital days and healthcare cost for all 3 programs and reductions in emergency visits for 2 programs. Most clinical outcomes moved in the direction anticipated. The scorecard provided a useful tool to track performance of 3 regional contractors for each of 3 diseases and over time.

  15. Evaluation of noninvasive exercise cardiac output determination in chronic heart failure patients: a proposal of a new diagnostic and prognostic method.

    Science.gov (United States)

    Cattadori, Gaia; Salvioni, Elisabetta; Gondoni, Erica; Agostoni, Piergiuseppe

    2011-01-01

    Peak oxygen consumption (VO2) and various parameters of cardiopulmonary response to exercise are of important prognostic value in chronic heart failure patients. However, all the available parameters only indirectly reflect left-ventricular dysfunction and hemodynamic adaptation to an increased demand. Noninvasive assessment of cardiac output, especially during an incremental exercise test, would allow the direct measurement of cardiac reserve and may become the gold standard for prognostic evaluation of chronic heart failure patients.

  16. Evaluation of post operative shoulder tip pain in low pressure versus standard pressure pneumoperitoneum during laparoscopic cholecystectomy.

    Science.gov (United States)

    Yasir, Mir; Mehta, Kuldeep Singh; Banday, Viqar Hussain; Aiman, Aiffa; Masood, Imran; Iqbal, Banyameen

    2012-04-01

    Insufflation of carbon dioxide during laparoscopic cholecystectomy leads to postoperative shoulder tip pain. The origin of shoulder pain is commonly assumed to be due to overstretching of the diaphragmatic muscle fibres owing to a high carbon dioxide pressure. To study the frequency and intensity of post operative shoulder tip pain in laparoscopic cholecystectomy and compare low and standard pressure pneumoperitoneum during laparoscopic cholecystectomy with respect to post operative shoulder tip pain. Patients admitted in the department of surgery for elective cholecystectomy were enrolled in the study. The patients were randomly allocated to two groups (group A and group B). In group A (n = 50), low pressure pneumoperitoneum (8 mm Hg) and in group B (n = 50), standard pressure pneumoperitoneum (14 mm Hg) was generated during laparoscopic cholecystectomy. Postoperative shoulder tip pain was assessed at 4, 8 and 24 h after operation by the Visual Analogue Scale of Pain. 14 patients (28%) in group B complained of post operative shoulder tip pain as compared to only 5 patients (10%) in group A. The mean intensity of post operative shoulder tip pain assessed by visual analogue scoring scale at 4, 8 and 24 h was less in group A as compared to group B, although statistical significance was seen only at 4 h. Analgesic requirements and the mean length of post operative stay in the hospital were also less in group A as compared to group B. Low pressure laparoscopic cholecystectomy (LPLC) significantly decreases the frequency and intensity of postoperative shoulder tip pain. LPLC decreases the demand for postoperative analgesics, decreases postoperative hospital stay and hence improves the quality of life in the early stage of postoperative rehabilitation. Copyright © 2011 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  17. Fast neutron fluence evaluation of the smart reactor pressure vessel by using the GEOSHIELD code

    International Nuclear Information System (INIS)

    Kim, K.Y.; Kim, K.S.; Kim, H.Y.; Lee, C.C.; Zee, S.Q.

    2007-01-01

    In Korea, the design of an advanced integral reactor system called SMART has been developed by KAERI to supply energy for seawater desalination as well as an electricity generation. A fast neutron fluence distribution at the SMART reactor pressure vessel was evaluated to confirm the integrity of the vessel by using the GEOSHIELD code. The GEOSHIELD code was developed by KAERI in order to prepare an input list including a geometry modeling of the DORT code and to process results from the DORT code output list. Results by a GEOSHIELD code processing and by a manual processing of the DORT show a good agreement. (author)

  18. A structural evaluation of the Shippingport reactor pressure vessel for transport impact conditions

    International Nuclear Information System (INIS)

    Witte, M.C.; Chou, C.K.

    1989-01-01

    The Shippingport Atomic Power Station in Shippingport, Pennsylvania, is being decommissioned and dismantled. This government-leased property will be returned, in a radiologically safe condition, to its owner. All radioactive material is being removed from the Shippingport Station and transported for burial to the DOE Hanford Reservation in Richland, Washington. The reactor pressure vessel (RPV) will be transported by barge to Hanford. This paper describes an evaluation of the structural response of the RPV to the normal and accident impact test conditions as required by the Code of Federal Regulations. 3 refs., 5 figs., 3 tabs

  19. Evaluation of the relationship between motion sickness symptomatology and blood pressure, heart rate, and body temperature

    Science.gov (United States)

    Graybiel, A.; Lackner, J. R.

    1980-01-01

    This study investigated the relationship between the development of symptoms of motion sickness and changes in blood pressure, heart rate, and body temperature. Twelve subjects were each evaluated four times using the vestibular-visual interaction test (Graybiel and Lackner, 1980). The results were analyzed both within and across individual subjects. Neither a systematic group nor consistent individual relationship was found between the physiological parameters and the appearance of symptoms of motion sickness. These findings suggest that biofeedback control of the physiological variables studied is not likely to prevent the expression of motion sickness symptomatology.

  20. Retrospective evaluation of acute liver failure in dogs (1995-2012): 49 cases.

    Science.gov (United States)

    Lester, Carrie; Cooper, Johanna; Peters, Rachel M; Webster, Cynthia R L

    2016-07-01

    To characterize the clinical presentation and outcome of dogs with acute liver failure (ALF). Retrospective case series from January 1995 to December 2012. University teaching hospital. Forty-nine dogs were diagnosed with ALF defined as the acute onset of clinical signs accompanied by serum hyperbilirubinemia and coagulopathy (prothrombin time >1.5 times the upper limit of the reference interval) with or without signs of hepatic encephalopathy. Medical records were retrospectively analyzed for clinical presentation, history, physical examination findings, clinicopathologic data, diagnostic imaging findings, hepatic histopathology, treatment, and outcome. Presenting signs included anorexia (28/49, 57%), vomiting (25/49, 51%), neurologic abnormalities (17/49, 35%), and polydipsia/polyuria (10/49, 20%). Neurologic impairment compatible with hepatic encephalopathy occurred at some point during hospitalization in 28/49 (57%) of dogs. Common clinicopathologic abnormalities on presentation other than hyperbilirubinemia and increased serum liver enzyme activity included thrombocytopenia (25/49, 51%), hypoalbuminemia (23/49, 46%), leukocytosis (17/49, 34%), anemia (14/49, 29%), hypokalemia (13/49, 27%), and hypoglycemia (10/49, 20%). The causes of ALF included neoplasia (13/49, 27%), presumptive leptosporosis (4/49, 8%), and ischemia (1/49, 2%). The remaining cases were idiopathic although 15 of these dogs had exposure to possible hepatotoxins. Common lesions in the 35/49 (71%) dogs that had hepatic histopathology were necrosis (19/39, 48%), lipidosis (16/39, 41%), vacuolar change (7/49, 14%), and inflammation (4/49, 8%). Complications included ascites (20/49, 41%), bleeding tendencies (14/49, 29%), pancreatitis (12/49, 24%), and acute tubular necrosis (11/49, 22%). Seven (14%) dogs survived to discharge. Survivors had higher alanine aminotransferase activity, and were more likely to maintain normal albumin concentrations and not develop clinical bleeding or ascites during

  1. Definition and Classification of Heart Failure

    Directory of Open Access Journals (Sweden)

    Mitja Lainscak

    2017-01-01

    Full Text Available A review of the definition and classification of heart failure, updated since the recent 2016 European Society of Cardiology guidelines for the diagnosis and treatment of acute and chronic heart failure. Heart failure is defined by the European Society of Cardiology (ESC as a clinical syndrome characterised by symptoms such as shortness of breath, persistent coughing or wheezing, ankle swelling and fatigue, that may be accompanied by the following signs: jugular venous pressure, pulmonary crackles, increased heart rate and peripheral oedema. However, these signs may not be present in the early stages and in patients treated with diuretics. When apparent, they are due to a structural and/or functional cardiac abnormality, leading to systolic and/or diastolic ventricular dysfunction, resulting in a reduced cardiac output and/or elevated intra- cardiac pressures at rest or during stress. According to the most recent ESC guidelines the initial evaluation of patients with suspected heart failure should include a clinical history and physical examination, laboratory assessment, chest radiography, and electrocardiography. Echocardiography can confirm the diagnosis. Beyond detecting myocardial abnormality, other impairments such as abnormalities of the valves, pericardium, endocardium, heart rhythm, and conduction may be found. The identification of the underlying aetiology