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Sample records for failure rate analysis

  1. Failure rate analysis using GLIMMIX

    Energy Technology Data Exchange (ETDEWEB)

    Moore, L.M.; Hemphill, G.M.; Martz, H.F.

    1998-12-01

    This paper illustrates use of a recently developed SAS macro, GLIMMIX, for implementing an analysis suggested by Wolfinger and O`Connell (1993) in modeling failure count data with random as well as fixed factor effects. Interest in this software tool arose from consideration of modernizing the Failure Rate Analysis Code (FRAC), developed at Los Alamos National Laboratory in the early 1980`s by Martz, Beckman and McInteer (1982). FRAC is a FORTRAN program developed to analyze Poisson distributed failure count data as a log-linear model, possibly with random as well as fixed effects. These statistical modeling assumptions are a special case of generalized linear mixed models, identified as GLMM in the current statistics literature. In the nearly 15 years since FRAC was developed, there have been considerable advances in computing capability, statistical methodology and available statistical software tools allowing worthwhile consideration of the tasks of modernizing FRAC. In this paper, the approaches to GLMM estimation implemented in GLIMMIX and in FRAC are described and a comparison of results for the two approaches is made with data on catastrophic time-dependent pump failures from a report by Martz and Whiteman (1984). Additionally, statistical and graphical model diagnostics are suggested and illustrated with the GLIMMIX analysis results.

  2. Automated Production Flow Line Failure Rate Mathematical Analysis with Probability Theory

    Directory of Open Access Journals (Sweden)

    Tan Chan Sin

    2014-12-01

    Full Text Available Automated lines have been widely used in the industries especially for mass production and to customize product. Productivity of automated line is a crucial indicator to show the output and performance of the production. Failure or breakdown of station or mechanisms is commonly occurs in the automated line in real condition due to the technological and technical problem which is highly affect the productivity. The failure rates of automated line are not express or analyse in terms of mathematic form. This paper presents the mathematic analysis by using probability theory towards the failure condition in automated line. The mathematic express for failure rates can produce and forecast the output of productivity accurately

  3. DETECTING CONGESTIVE HEART FAILURE USING HEART RATE SEQUENTIAL TREND ANALYSIS PLOT

    Directory of Open Access Journals (Sweden)

    SRINIVAS KUNTAMALLA,

    2010-12-01

    Full Text Available Heart rate variability analysis is gaining acceptance as a potential non-invasive means of autonomic nervous system assessment in research as well as clinical domains. In this study, a nonlinear analysis method is developed to detect congestive heart failure. The data obtained from an online and widely used public database (i.e., MIT/BIH physionet database, is used for testing the performance of the method. The method developed is based on the sequential trend analysis plot of heart rate variability and correlates well with the characteristic autonomic nervous system regulations in congestive heart failure. The proposed method can be used for screening as well as diagnosing the heart failure patients. The algorithm is computationally simple and can be implemented in a real time processing hardware. This method classifies 31 out of 32 subjects and has the highest discrimination power in terms of sensitivity, specificity and accuracy.

  4. RELIABILITY ANALYSIS FOR A REPAIRABLE PARALLEL SYSTEM WITH TIME-VARYING FAILURE RATES

    Institute of Scientific and Technical Information of China (English)

    TangShengdao; WangFengquan

    2005-01-01

    To solve a real problem :how to calculate the reliability of a system with time-varying failure rates in industry systems,this paper studies a model for the load-sharing parallel system with time-varying failure rates,and obtains calculating formulas of reliability and availability of the system by solving differential equations. In this paper, the failure rates are expressed in polynomial configuration. The constant,linear and Weibull failure rate are in their special form. The polynomial failure rates provide flexibility in modeling the practical time-varying failure rates.

  5. Rate Dependent Multicontinuum Progressive Failure Analysis of Woven Fabric Composite Structures under Dynamic Impact

    Directory of Open Access Journals (Sweden)

    James Lua

    2004-01-01

    Full Text Available Marine composite materials typically exhibit significant rate dependent response characteristics when subjected to extreme dynamic loading conditions. In this work, a strain-rate dependent continuum damage model is incorporated with multicontinuum technology (MCT to predict damage and failure progression for composite material structures. MCT treats the constituents of a woven fabric composite as separate but linked continua, thereby allowing a designer to extract constituent stress/strain information in a structural analysis. The MCT algorithm and material damage model are numerically implemented with the explicit finite element code LS-DYNA3D via a user-defined material model (umat. The effects of the strain-rate hardening model are demonstrated through both simple single element analyses for woven fabric composites and also structural level impact simulations of a composite panel subjected to various impact conditions. Progressive damage at the constituent level is monitored throughout the loading. The results qualitatively illustrate the value of rate dependent material models for marine composite materials under extreme dynamic loading conditions.

  6. Failure Rates in Introductory Programming

    DEFF Research Database (Denmark)

    Bennedsen, Jens; Caspersen, Michael Edelgaard

    2007-01-01

    It is a common conception that CS1 is a very difficult course and that failure rates are high. However, until now there has only been anecdotal evidence for this claim. This article reports on a survey among institutions around the world regarding failure rates in introductory programming courses...

  7. Statistical Analysis of a Weibull Extension with Bathtub-Shaped Failure Rate Function

    Directory of Open Access Journals (Sweden)

    Ronghua Wang

    2014-01-01

    Full Text Available We consider the parameter inference for a two-parameter life distribution with bathtub-shaped or increasing failure rate function. We present the point and interval estimations for the parameter of interest based on type-II censored samples. Through intensive Monte-Carlo simulations, we assess the performance of the proposed estimation methods by a comparison of precision. Example applications are demonstrated for the efficiency of the methods.

  8. Analysis of field usage failure rate data for plastic encapsulated solid state devices

    Science.gov (United States)

    1981-01-01

    Survey and questionnaire techniques were used to gather data from users and manufacturers on the failure rates in the field of plastic encapsulated semiconductors. It was found that such solid state devices are being successfully used by commercial companies which impose certain screening and qualification procedures. The reliability of these semiconductors is now adequate to support their consideration in NASA systems, particularly in low cost systems. The cost of performing necessary screening for NASA applications was assessed.

  9. Visibility graph analysis of heart rate time series and bio-marker of congestive heart failure

    Science.gov (United States)

    Bhaduri, Anirban; Bhaduri, Susmita; Ghosh, Dipak

    2017-09-01

    Study of RR interval time series for Congestive Heart Failure had been an area of study with different methods including non-linear methods. In this article the cardiac dynamics of heart beat are explored in the light of complex network analysis, viz. visibility graph method. Heart beat (RR Interval) time series data taken from Physionet database [46, 47] belonging to two groups of subjects, diseased (congestive heart failure) (29 in number) and normal (54 in number) are analyzed with the technique. The overall results show that a quantitative parameter can significantly differentiate between the diseased subjects and the normal subjects as well as different stages of the disease. Further, the data when split into periods of around 1 hour each and analyzed separately, also shows the same consistent differences. This quantitative parameter obtained using the visibility graph analysis thereby can be used as a potential bio-marker as well as a subsequent alarm generation mechanism for predicting the onset of Congestive Heart Failure.

  10. Bayesian Analysis of the Survival Function and Failure Rate of Weibull Distribution with Censored Data

    Directory of Open Access Journals (Sweden)

    Chris Bambey Guure

    2012-01-01

    Full Text Available The survival function of the Weibull distribution determines the probability that a unit or an individual will survive beyond a certain specified time while the failure rate is the rate at which a randomly selected individual known to be alive at time will die at time (. The classical approach for estimating the survival function and the failure rate is the maximum likelihood method. In this study, we strive to determine the best method, by comparing the classical maximum likelihood against the Bayesian estimators using an informative prior and a proposed data-dependent prior known as generalised noninformative prior. The Bayesian estimation is considered under three loss functions. Due to the complexity in dealing with the integrals using the Bayesian estimator, Lindley’s approximation procedure is employed to reduce the ratio of the integrals. For the purpose of comparison, the mean squared error (MSE and the absolute bias are obtained. This study is conducted via simulation by utilising different sample sizes. We observed from the study that the generalised prior we assumed performed better than the others under linear exponential loss function with respect to MSE and under general entropy loss function with respect to absolute bias.

  11. Lenient vs. strict rate control in patients with atrial fibrillation and heart failure : a post-hoc analysis of the RACE II study

    NARCIS (Netherlands)

    Mulder, Bart A.; Van Veldhuisen, Dirk J.; Crijns, Harry J. G. M.; Tijssen, Jan G. P.; Hillege, Hans L.; Alings, Marco; Rienstra, Michel; Groenveld, Hessel F.; Van den Berg, Maarten P.; Van Gelder, Isabelle C.

    2013-01-01

    AIMS: It is unknown whether lenient rate control is an acceptable strategy in patients with AF and heart failure. We evaluated differences in outcome in patients with AF and heart failure treated with lenient or strict rate control. METHODS AND RESULTS: This post-hoc analysis of the RACE II trial in

  12. Pitfalls and Precautions When Using Predicted Failure Data for Quantitative Analysis of Safety Risk for Human Rated Launch Vehicles

    Science.gov (United States)

    Hatfield, Glen S.; Hark, Frank; Stott, James

    2016-01-01

    Launch vehicle reliability analysis is largely dependent upon using predicted failure rates from data sources such as MIL-HDBK-217F. Reliability prediction methodologies based on component data do not take into account system integration risks such as those attributable to manufacturing and assembly. These sources often dominate component level risk. While consequence of failure is often understood, using predicted values in a risk model to estimate the probability of occurrence may underestimate the actual risk. Managers and decision makers use the probability of occurrence to influence the determination whether to accept the risk or require a design modification. The actual risk threshold for acceptance may not be fully understood due to the absence of system level test data or operational data. This paper will establish a method and approach to identify the pitfalls and precautions of accepting risk based solely upon predicted failure data. This approach will provide a set of guidelines that may be useful to arrive at a more realistic quantification of risk prior to acceptance by a program.

  13. Reducing the failure rate of hip resurfacing in dysplasia patients: a retrospective analysis of 363 cases.

    Science.gov (United States)

    Gaillard, Melissa D; Gross, Thomas P

    2016-06-07

    Arthritis secondary to developmental hip dysplasia often mandates implant surgery at a relatively young age. Hip resurfacing arthroplasty (HRA), compared with standard stemmed total hip arthroplasty (THA), affords a more active lifestyle including extreme-motion activities but stimulates concerns pertaining to implant failure. We addressed the primary modes of failure through a series of interventions, including a new guideline for achieving proper implant alignment through intraoperative x-rays. We then compared two sequential cohorts in a single-surgeon practice: patients with developmental dysplasia who underwent HRA before (Group 1; 121 hips in 105 patients) and after (Group 2; 242 hips in 210 patients) June 2008, at which time the four interventions were all in place. Implants in Group 2 failed less frequently within two years (0.8 % vs. 6.6 %, p = 0.002) and were more likely to have projected seven-year Kaplan-Meier survivorship (99 % vs. 89 %, p dysplasia a more active lifestyle with favorable implant survival.

  14. Numerical analysis of high strain rate failure of electro-magnetically loaded steel sheets

    Directory of Open Access Journals (Sweden)

    Erice Borja

    2015-01-01

    Full Text Available Electro-magnetic forces provide a potentially power full means in designing dynamic experiments with active control of the loading conditions. This article deals with the development of computational models to simulate the thermo-mechanical response of electro-magnetically loaded metallic structures. The model assumes linear electromagnetic constitutive equations and time-independent electric induction to estimate the Joule heating and the Lorentz forces. The latter are then taken into account when evaluating stress equilibrium. A thermo-visco-plastic model with Johnson-Cook type of temperature and strain rate dependence and combined Swift-Voce hardening is used to evaluate the material's thermo-mechanical response. As a first application, the model is used to analyse the effect of electro-magnetic loading on the ductility of advanced high strength steels.

  15. Multiscale entropy analysis of heart rate variability in heart failure, hypertensive, and sinoaortic-denervated rats: classical and refined approaches.

    Science.gov (United States)

    Silva, Luiz Eduardo Virgilio; Lataro, Renata Maria; Castania, Jaci Airton; da Silva, Carlos Alberto Aguiar; Valencia, Jose Fernando; Murta, Luiz Otavio; Salgado, Helio Cesar; Fazan, Rubens; Porta, Alberto

    2016-07-01

    The analysis of heart rate variability (HRV) by nonlinear methods has been gaining increasing interest due to their ability to quantify the complexity of cardiovascular regulation. In this study, multiscale entropy (MSE) and refined MSE (RMSE) were applied to track the complexity of HRV as a function of time scale in three pathological conscious animal models: rats with heart failure (HF), spontaneously hypertensive rats (SHR), and rats with sinoaortic denervation (SAD). Results showed that HF did not change HRV complexity, although there was a tendency to decrease the entropy in HF animals. On the other hand, SHR group was characterized by reduced complexity at long time scales, whereas SAD animals exhibited a smaller short- and long-term irregularity. We propose that short time scales (1 to 4), accounting for fast oscillations, are more related to vagal and respiratory control, whereas long time scales (5 to 20), accounting for slow oscillations, are more related to sympathetic control. The increased sympathetic modulation is probably the main reason for the lower entropy observed at high scales for both SHR and SAD groups, acting as a negative factor for the cardiovascular complexity. This study highlights the contribution of the multiscale complexity analysis of HRV for understanding the physiological mechanisms involved in cardiovascular regulation.

  16. Performance analysis of multi-radio routing protocol in cognitive radio ad hoc networks under different path failure rate

    Science.gov (United States)

    Che-Aron, Z.; Abdalla, A. H.; Abdullah, K.; Hassan, W. H.

    2013-12-01

    In recent years, Cognitive Radio (CR) technology has largely attracted significant studies and research. Cognitive Radio Ad Hoc Network (CRAHN) is an emerging self-organized, multi-hop, wireless network which allows unlicensed users to opportunistically access available licensed spectrum bands for data communication under an intelligent and cautious manner. However, in CRAHNs, a lot of failures can easily occur during data transmission caused by PU (Primary User) activity, topology change, node fault, or link degradation. In this paper, an attempt has been made to evaluate the performance of the Multi-Radio Link-Quality Source Routing (MR-LQSR) protocol in CRAHNs under different path failure rate. In the MR-LQSR protocol, the Weighted Cumulative Expected Transmission Time (WCETT) is used as the routing metric. The simulations are carried out using the NS-2 simulator. The protocol performance is evaluated with respect to performance metrics like average throughput, packet loss, average end-to-end delay and average jitter. From the simulation results, it is observed that the number of path failures depends on the PUs number and mobility rate of SUs (Secondary Users). Moreover, the protocol performance is greatly affected when the path failure rate is high, leading to major service outages.

  17. Heart rate variability analysis in healthy subjects, patients suffering from congestive heart failure and heart transplanted patients

    Directory of Open Access Journals (Sweden)

    Argentina Leite

    2013-12-01

    Full Text Available This study aimed to find parameters to characterize heart rate variability (HRV and discriminate healthy subjects and patients with heart diseases. The parameters used for discrimination characterize the different components of HRV memory (short and long and are extracted from HRV recordings using parametric as well as non parametric methods. Thus, the parameters are: spectral components at low frequencies (LH and high frequencies (HF which are associated with the short memory of HRV and the long memory parameter (d obtained from autoregressive fractionally integrated moving average (ARFIMA models. In the non parametric context, short memory (α1 and long memory (α2 parameters are obtained from detrended fluctuation analysis (DFA. The sample used in this study contains 24-hour Holter HRV recordings of 30 subjects: 10 healthy individuals, 10 patients suffering from congestive heart failure and 10 heart transplanted patients from the Noltisalis database. It was found that short memory parameters present higher values for the healthy individuals whereas long memory parameters present higher values for the diseased individuals. Moreover, there is evidence that ARFIMA modeling allows the discrimination between the 3 groups under study, being advantageous over DFA.

  18. Evaluation of therapy for dilated cardiomyopathy with heart failure by iodine-123 metaiodobenzyl-guanidine imaging. Comparison with heart rate variability power spectral analysis

    Energy Technology Data Exchange (ETDEWEB)

    Li, Shou-lin; Ikeda, Jun; Takita, Tamotsu; Sekiguchi, Yohei; Demachi, Jun; Chikama, Hisao; Goto, Atsushi; Shirato, Kunio [Tohoku Univ., Sendai (Japan). School of Medicine

    1998-11-01

    The relationship between the myocardial uptake of iodine-123 metaiodobenzylguanidine ({sup 123}I-MIBG) and heart rate variability parameters has not been determined. This study determined the relationship between the change in myocardial uptake of {sup 123}I-MIBG and improvement in left ventricular function after treatment, to determine the usefulness of {sup 123}I-MIBG imaging to assess the effect of therapy on heart failure due to dilated cardiomyopathy (DCM). {sup 123}I-MIBG imaging and power spectral analysis of heart rate variability were performed before and after treatment in 17 patients with heart failure due to DCM. The following parameters were compared before and after treatment: New York Heart Association (NYHA) functional class, radiographic cardiothoracic ratio (CTR), blood pressure, echocardiographic data (left ventricular end-systolic (LVDs) and end-diastolic (LVDd) diameters, left ventricular ejection fraction (LVEF)), plasma concentrations of norepinephrine and epinephrine, heart rate variability power spectral analysis data (mean low frequency (MLF) and high frequency power (MHF)) and the myocardium to mediastinum activity ratio (MYO/M) obtained in early and late images, and washout rate calculated by anterior planar imaging of {sup 123}I-MIBG. The NYHA functional class, LVEF, LVDs, CTR, MLF and MHF improved after treatment. Early MYO/M and late MYO/M improved after treatment. The rate of increase in late MYO/M was positively correlated with the rate of improvement of LVEF after treatment. Furthermore, the late MYO/M was negatively correlated with MLF. Washout rate revealed no correlation with hemodynamic parameters. These findings suggest that late MYO/M is more useful than washout rate to assess the effect of treatment on heart failure due to DCM. Furthermore, the {sup 123}I-MIBG imaging and heart rate variability parameters are useful to assess the autonomic tone in DCM with heart failure. (author)

  19. Resistance profiles and adherence at primary virological failure in three different highly active antiretroviral therapy regimens: analysis of failure rates in a randomized study

    DEFF Research Database (Denmark)

    Roge, BT; Barfod, TS; Kirk, O;

    2004-01-01

    OBJECTIVES: To investigate the interplay between resistance and adherence in the virological failure of three fundamentally different highly active antiretroviral therapy (HAART) regimens. METHODS: We retrospectively identified 56 verified primary virological failures (viral load >400 HIV-1 RNA...... adherent patients on randomized treatment failed in the RS-arm, none in the NN-arm, and six in the ASD-arm. CONCLUSIONS: Primary virological failure was caused mainly by treatment interruption. No primary protease inhibitor (PI) mutations were found in patients failing on boosted saquinavir, whereas...

  20. Associations of estimated glomerular filtration rate and albuminuria with mortality and renal failure by sex: a meta-analysis

    NARCIS (Netherlands)

    Nitsch, D.; Grams, M.; Sang, Y.; Black, C.; Cirillo, M.; Djurdjev, O.; Iseki, K.; Jassal, S.K.; Kimm, H.; Kronenberg, F.; Oien, C.M.; Levey, A.S.; Levin, A.; Woodward, M.; Hemmelgarn, B.R.; Wetzels, J.F.

    2013-01-01

    OBJECTIVE: To assess for the presence of a sex interaction in the associations of estimated glomerular filtration rate and albuminuria with all-cause mortality, cardiovascular mortality, and end stage renal disease. DESIGN: Random effects meta-analysis using pooled individual participant data. SETTI

  1. Rate of Failure of Czech Family Firms

    Directory of Open Access Journals (Sweden)

    Ondřej Machek

    2016-06-01

    Full Text Available Family business is becoming a promising area of research in post-socialist countries, including the Czech Republic. Stability belongs to frequently cited properties of family firms. The goal of this article is to test the hypothesis whether family firms tend to have a lower rate of failure than their non-family counterparts. Using a sample of 1148 family and 5972 non-family firms in the Czech Republic, we find that there is no significant relationship between family involvement and rate of failure. A possible greater stability of family businesses is not necessarily linked with a lower rate of bankruptcy. We also discuss possible reasons and policy implications.

  2. Nonoperating Failure Rates for Avionics Study.

    Science.gov (United States)

    1980-04-01

    ENVIRONMENTAL MITDK-1B RA7324 LC.76.1 OPERATING NONOPERATING DUIAION DUTY CYCLE METHOD METHOD FAILURES SAILURES ANALYSIS IMO)I OP NERO NOP NOP AOP AAOP A...Reliability and Maintainability Sym- posium, Wash., DC, January 1975. 21. Balaban, H.S. , Guidelines for Application of Warranties to Air Force

  3. Resistance profiles and adherence at primary virological failure in three different highly active antiretroviral therapy regimens: analysis of failure rates in a randomized study

    DEFF Research Database (Denmark)

    Roge, BT; Barfod, TS; Kirk, O

    2004-01-01

    copies/mL) among 293 patients randomized to two nucleoside reverse transcriptase inhibitors (NRTIs)+ritonavir+saquinavir (RS-arm) (n=115), two NRTIs+nevirapine+nelfinavir (NN-arm) (n=118), or abacavir+stavudine+didanosine (ASD-arm) (n=60) followed up for a median of 90 weeks. Data on adherence were...... collected from patient files, and genotyping was performed on plasma samples collected at time of failure. RESULTS: Treatment interruption or poor adherence was mainly caused by side effects and accounted for 74% of failures, and was associated with absence of resistance mutations. In the 30 failing...... patients not switched from randomized treatment, we found resistance in two of 12 patients in the RS-arm (M184 V only), four of six patients in the NN-arm [all four had non-nucleoside reverse transcriptase inhibitor (NNRTI) mutations], and seven of 12 patients in the ASD-arm (NRTI mutations only). Two...

  4. Failure Analysis Handbook

    Science.gov (United States)

    1989-08-18

    47) described a method they called the "failure-experience matrix." This matrix was a three-dimensional array of cells , with failure modes along one...Russo, DFat ý , compiled by McDonnell-Dcuglas Astrovautics Cmpany, Huntington Beach, California, published by Metals and Ceramics Information Center...matrix." This matrix was a three dimensional array of cells , with failure modes along one axis, ryont "mechardcal function along a second axis and

  5. Petri nets extension to model state-varying failure rates

    DEFF Research Database (Denmark)

    Lazarova-Molnar, Sanja

    2013-01-01

    One of the most common assumptions in reliability modeling is the constant failure rate. This has been increasingly changing lately, yielding significant research towards abandoning simulation results based on this assumption; thus, deeming constant failure rates as inadequate to model failures......-varying failure rates and extend the formalism of Petri nets to model them. To illustrate our approach we provide an example model that features state-varying failure rates....

  6. Wind Turbine Failures - Tackling current Problems in Failure Data Analysis

    Science.gov (United States)

    Reder, M. D.; Gonzalez, E.; Melero, J. J.

    2016-09-01

    The wind industry has been growing significantly over the past decades, resulting in a remarkable increase in installed wind power capacity. Turbine technologies are rapidly evolving in terms of complexity and size, and there is an urgent need for cost effective operation and maintenance (O&M) strategies. Especially unplanned downtime represents one of the main cost drivers of a modern wind farm. Here, reliability and failure prediction models can enable operators to apply preventive O&M strategies rather than corrective actions. In order to develop these models, the failure rates and downtimes of wind turbine (WT) components have to be understood profoundly. This paper is focused on tackling three of the main issues related to WT failure analyses. These are, the non-uniform data treatment, the scarcity of available failure analyses, and the lack of investigation on alternative data sources. For this, a modernised form of an existing WT taxonomy is introduced. Additionally, an extensive analysis of historical failure and downtime data of more than 4300 turbines is presented. Finally, the possibilities to encounter the lack of available failure data by complementing historical databases with Supervisory Control and Data Acquisition (SCADA) alarms are evaluated.

  7. BIOASSAY VESSEL FAILURE ANALYSIS

    Energy Technology Data Exchange (ETDEWEB)

    Vormelker, P

    2008-09-22

    Two high-pressure bioassay vessels failed at the Savannah River Site during a microwave heating process for biosample testing. Improper installation of the thermal shield in the first failure caused the vessel to burst during microwave heating. The second vessel failure is attributed to overpressurization during a test run. Vessel failure appeared to initiate in the mold parting line, the thinnest cross-section of the octagonal vessel. No material flaws were found in the vessel that would impair its structural performance. Content weight should be minimized to reduce operating temperature and pressure. Outer vessel life is dependent on actual temperature exposure. Since thermal aging of the vessels can be detrimental to their performance, it was recommended that the vessels be used for a limited number of cycles to be determined by additional testing.

  8. Clinical significance of power spectral analysis of heart rate variability and {sup 123}I-metaiodobenzylguanidine (MIBG) myocardial imaging for assessing the severity of heart failure

    Energy Technology Data Exchange (ETDEWEB)

    Ishida, Yoshio; Fukuoka, Shuji; Shimotsu, Yoriko; Sasaki, Tatsuya; Kamakura, Shiro; Yasumura, Yoshio; Miyatake, Kunio; Shimomura, Katsuro [National Cardiovascular Center, Suita, Osaka (Japan); Tani, Akihiro

    1997-04-01

    The significance of power spectral analysis of heart rate variability and of MIBG myocardial imaging to see the sympathetic nervous function was evaluated in patients with congestive heart failure due to dilated cardiomyopathy. Subjects were 10 normal volunteers and 8 patients with severity NYHA II; 10 normals and 25 patients with NYHA II and III; and 17 patients treated with a beta-blocker (metoprolol 5-40 mg). ECG was recorded with a portable ECG recorder for measuring RR intervals for 24 hr, which were applied for power spectral analysis. Early and delayed imagings with 111 MBq of {sup 123}I-MIBG were performed at 15 min and 4 hr, respectively, after its intravenous administration for acquisition of anterior planar and SPECT images. Myocardial blood flow SPECT was also done with 111 MBq of {sup 201}Tl given intravenously, and difference of total defect scores between MIBG and Tl images was computed. MIBG myocardial sympathetic nerve imaging in those patients was found useful to assess the severity of heart failure, to predict the risk patients for beta-blocker treatment and to assess the risk in complicated ventricular tachycardia. (K.H.)

  9. Continuous mixtures with bathtub-shaped failure rates

    OpenAIRE

    Block, Henry W.; LI, YULIN; Savits, Thomas H.; Wang, Jie

    2008-01-01

    The failure rate of a mixture of even the most standard distributions used in reliability can have a complicated shape. However, failure rates of mixtures of two carefully selected distributions will have the well-known bathtub shape. Here we show that mixtures of whole families of distribtions can have a bathtub-shaped failure rate.

  10. Failure Mode and Effect Analysis of Active Magnetic Bearings

    Directory of Open Access Journals (Sweden)

    K.P. Lijesh

    2016-03-01

    Full Text Available In the present research work Failure Mode and Effect Analysis (FMEA of an Active Magnetic Bearing (AMB has been presented. Various possible failures modes of AMBs and the corresponding effects of those failures on performance of AMBs have been identified. The identified failure modes of AMBs will facilitate designer to incorporate necessary design features that would prevent the occurrence of the failure. The severity, occurrence and detection of the failures modes are determined based on a rating scale of 1 to 5 to quantify the Risk Priority Number (RPN of the failure modes. The methods to eliminate or reduce the high-risk-failure modes are proposed.

  11. The effect of heart rate reduction with ivabradine on renal function in patients with chronic heart failure : an analysis from SHIFT

    NARCIS (Netherlands)

    Voors, Adriaan A.; van Veldhuisen, Dirk J.; Robertson, Michele; Ford, Ian; Borer, Jeffrey S.; Boehm, Michael; Komajda, Michel; Swedberg, Karl; Tavazzi, Luigi

    2014-01-01

    Aims We studied the relationship between heart rate and renal function and the effects of heart rate reduction with ivabradine in heart failure patients with and without renal dysfunction. Methods and results From the 6505 patients who were randomized in SHIFT, baseline creatinine and at least one f

  12. Final Report: Multi-Scale Analysis of Deformation and Failure in Polycrystalline Titanium Alloys Under High Strain-Rates

    Science.gov (United States)

    2015-12-28

    J.S. Wark. Laser -induced shock compression of monocrystalline copper: characterization and analysis. Acta Mater, 51(5):1211 – 1228, 2003. [58...to dislocations piercing an arbitrary plane with normal n in the soft grain could be calculated as: CF dA B Λ n (13) Since...elements, this integration is effectively calculated over the soft grain as: 1 cut eN CF e e e e w A   B Λ n (14) Here cuteN is the

  13. Failures Of CMOS Devices At Low Radiation-Dose Rates

    Science.gov (United States)

    Goben, Charles A.; Price, William E.

    1990-01-01

    Method for obtaining approximate failure-versus-dose-rate curves derived from experiments on failures of SGS 4007 complementary metal oxide/semiconductor (CMOS) integrated circuits irradiated by Co60 and Cs137 radioactive sources.

  14. Reliability analysis using an exponential power model with bathtub-shaped failure rate function: a Bayes study.

    Science.gov (United States)

    Shehla, Romana; Khan, Athar Ali

    2016-01-01

    Models with bathtub-shaped hazard function have been widely accepted in the field of reliability and medicine and are particularly useful in reliability related decision making and cost analysis. In this paper, the exponential power model capable of assuming increasing as well as bathtub-shape, is studied. This article makes a Bayesian study of the same model and simultaneously shows how posterior simulations based on Markov chain Monte Carlo algorithms can be straightforward and routine in R. The study is carried out for complete as well as censored data, under the assumption of weakly-informative priors for the parameters. In addition to this, inference interest focuses on the posterior distribution of non-linear functions of the parameters. Also, the model has been extended to include continuous explanatory variables and R-codes are well illustrated. Two real data sets are considered for illustrative purposes.

  15. Calculation of the Actual Failure Rate of a DSP Board Using the FMEDA

    Energy Technology Data Exchange (ETDEWEB)

    Keum, Jong Yong; Suh, Yong Suk; Jang, Gwi Sook; Park, Je Yun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2008-10-15

    Most components have multiple failure modes and these failure modes are more or less important depending on how they are used within a particular design. Though a component is part of a safety function, there is a particular failure mode that has no effect on a safety function. This failure mode is called 'No effect'. This paper presents a method to calculate a DSP (Digital Signal Processor) board failure rate and failure mode data using an FMEDA (Failure Modes Effects and Diagnostic Analysis)

  16. Time between failures model and failure analysis of CNC system

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hai-bo; JIA Ya-zhou; ZHOU Guang-wen

    2007-01-01

    To provide basis for the reliability improvement design of CNC system, the failure data of a type of CNC system in one year are collected under field conditions in workshops. The distribution model parameters of time between failures are estimated by least square method and hypothesis testing is done by d-test method. It is proved that the time between failures of the CNC system follows Weibull distribution and the system has entered into the wear-out failure period. The failure positions and failure causes are analyzed further to indicate the weak subsystems of the CNC system. It can be found that servo unit, electrical system, detecting unit and power supply are principal failure positions and the main failure cause is breakage of components. The corresponding improvement measures are put forward. The paper provides a reference to reliability design and analysis of CNC system for the manufacturer and has great guidance to using and maintaining CNC system for the user.

  17. Utility of overnight pulse oximetry and heart rate variability analysis to screen for sleep-disordered breathing in chronic heart failure.

    Science.gov (United States)

    Ward, Neil R; Cowie, Martin R; Rosen, Stuart D; Roldao, Vitor; De Villa, Manuel; McDonagh, Theresa A; Simonds, Anita; Morrell, Mary J

    2012-11-01

    Sleep-disordered breathing (SDB) is under diagnosed in chronic heart failure (CHF). Screening with simple monitors may increase detection of SDB in a cardiology setting. This study aimed to evaluate the accuracy of heart rate variability analysis and overnight pulse oximetry for diagnosis of SDB in patients with CHF. 180 patients with CHF underwent simultaneous polysomnography, ambulatory electrocardiography and wrist-worn overnight pulse oximetry. SDB was defined as an apnoea-hypopnoea index ≥15/h. To identify SDB from the screening tests, the per cent very low frequency increment (%VLFI) component of heart rate variability was measured with a pre-specified cutoff ≥2.23%, and the 3% oxygen desaturation index was measured with a pre-specified cutoff >7.5 desaturations/h. 173 patients with CHF had adequate sleep study data; SDB occurred in 77 (45%) patients. Heart rate variability was measurable in 78 (45%) patients with area under the %VLFI receiver operating characteristic curve of 0.50. At the ≥2.23% cutoff, %VLFI sensitivity was 58% and specificity was 48%. The 3% oxygen desaturation index was measurable in 171 (99%) patients with area under the curve of 0.92. At the pre-specified cutoff of >7.5 desaturations/h, the 3% oxygen desaturation index had a sensitivity of 97%, specificity of 32%, negative likelihood ratio of 0.08 and positive likelihood ratio of 1.42. Diagnostic accuracy was increased using a cutoff of 12.5 desaturations/h, with sensitivity of 93% and specificity of 73%. The high sensitivity and low negative likelihood ratio of the 3% oxygen desaturation index indicates that pulse oximetry would be of use as a simple screening test to rule out SDB in patients with CHF in a cardiology setting. The %VLFI component of heart rate variability is not suitable for detection of SDB in CHF.

  18. Annual failure rates and marginal bone-level changes of immediate compared to conventional loading of dental implants. A systematic review of the literature and meta-analysis.

    NARCIS (Netherlands)

    Engelhardt, S.; Papacosta, P.; Rathe, F.; Ozen, J.; Jansen, J.A.; Junker, R.

    2015-01-01

    BACKGROUND: Immediate loading of dental implants appears to be a successful option. Questions still remain whether annual failure rates (AFRs) as well as annual marginal bone-level changes are comparable with conventionally loaded implants. HYPOTHESIS: Immediately loaded implants (

  19. Novel application of multi dynamic trend analysis as a sensitive tool for detecting the effects of aging and congestive heart failure on heart rate variability

    Science.gov (United States)

    Lin, Yu-Cheng; Lin, Yu-Hsuan; Lo, Men-Tzung; Peng, Chung-Kang; Huang, Norden E.; Yang, Cheryl C. H.; Kuo, Terry B. J.

    2016-02-01

    The complex fluctuations in heart rate variability (HRV) reflect cardiac autonomic modulation and are an indicator of congestive heart failure (CHF). This paper proposes a novel nonlinear approach to HRV investigation, the multi dynamic trend analysis (MDTA) method, based on the empirical mode decomposition algorithm of the Hilbert-Huang transform combined with a variable-sized sliding-window method. Electrocardiographic signal data obtained from the PhysioNet database were used. These data were from subjects with CHF (mean age = 59.4 ± 8.4), an age-matched elderly healthy control group (59.3 ± 10.6), and a healthy young group (30.3 ± 4.8); the HRVs of these subjects were processed using the MDTA method, time domain analysis, and frequency domain analysis. Among all HRV parameters, the MDTA absolute value slope (MDTS) and MDTA deviation (MDTD) exhibited the greatest area under the curve (AUC) of the receiver operating characteristics in distinguishing between the CHF group and the healthy controls (AUC = 1.000) and between the healthy elderly subject group and the young subject group (AUC = 0.834 ± 0.067 for MDTS; 0.837 ± 0.066 for MDTD). The CHF subjects presented with lower MDTA indices than those of the healthy elderly subject group. Furthermore, the healthy elderly subjects exhibited lower MDTA indices than those of the young controls. The MDTA method can adaptively and automatically identify the intrinsic fluctuation on variable temporal and spatial scales when investigating complex fluctuations in the cardiac autonomic regulation effects of aging and CHF.

  20. Heart rate at baseline influences the effect of ivabradine on cardiovascular outcomes in chronic heart failure: analysis from the SHIFT study.

    Science.gov (United States)

    Böhm, Michael; Borer, Jeffrey; Ford, Ian; Gonzalez-Juanatey, Jose R; Komajda, Michel; Lopez-Sendon, Jose; Reil, Jan-Christian; Swedberg, Karl; Tavazzi, Luigi

    2013-01-01

    We analysed the effect of ivabradine on outcomes in heart failure (HF) patients on recommended background therapies with heart rates ≥75 bpm and bpm in the SHIFT trial. A cut-off value of ≥75 bpm was chosen by the EMEA for approval for the use of ivabradine in chronic heart failure. The SHIFT population was divided by baseline heart rate ≥75 or bpm. The effect of ivabradine was analysed for primary composite endpoint (cardiovascular death or HF hospitalization) and other endpoints. In the ≥75 bpm group, ivabradine reduced primary endpoint (HR 0.76, 95 % CI 0.68-0.85, P bpm or reductions >10 bpm. None of the endpoints was significantly reduced in the bpm group, though there were trends for risk reductions in HF death and hospitalization for heart rate bpm and reductions >10 bpm. Ivabradine was tolerated similarly in both groups. The effect of ivabradine on outcomes is greater in patients with heart rate ≥75 bpm with heart rates achieved bpm or heart rate reductions >10 bpm predicting best risk reduction. Our findings emphasize the importance of identification of high-risk HF patients by high heart rates and their treatment with heart rate-lowering drugs such as ivabradine.

  1. Failure Rates for Fiber Optic Assemblies

    Science.gov (United States)

    1980-10-01

    semiconductors presently dominate the market . As would be expected, the LED is vulnerable to all commcn diode failure modes and mechanisms, as well...of the form: Y b 0 + b 1X1 + b2 X2 + ... b iXi / where Y is the resultant dependent variable; X1, X2 ... Xi are the / independent variables which are...sufficient to support a complex model, rapidly changing markets and technology would make the model obsolete in a matter of months. The development of full

  2. RELIABILITY ANALYSIS FOR A REPAIRABLE PARALLEL SYSTEM WITH TIMEVARYING FAILURE RATES%失效率随时间变化的可修的并联系统的可靠性分析

    Institute of Scientific and Technical Information of China (English)

    汤胜道; 汪凤泉

    2005-01-01

    To solve a real problem:how to calculate the reliability of a system with time v arying failure rates in industry systems,this paper studies a model for the load sharing parallel system with timevarying failure rates,and obtains calculati ng formulas of reliability and availability of the system by solving differentia l equations.In this paper,the failure rates are expressed in polynomial configur ation.The constant,linear and Weibull failure rate are in their special form.The polynomial failure rates provide flexibility in modeling the practical timevar ying failure rates.

  3. Spacecraft Parachute Recovery System Testing from a Failure Rate Perspective

    Science.gov (United States)

    Stewart, Christine E.

    2013-01-01

    Spacecraft parachute recovery systems, especially those with a parachute cluster, require testing to identify and reduce failures. This is especially important when the spacecraft in question is human-rated. Due to the recent effort to make spaceflight affordable, the importance of determining a minimum requirement for testing has increased. The number of tests required to achieve a mature design, with a relatively constant failure rate, can be estimated from a review of previous complex spacecraft recovery systems. Examination of the Apollo parachute testing and the Shuttle Solid Rocket Booster recovery chute system operation will clarify at which point in those programs the system reached maturity. This examination will also clarify the risks inherent in not performing a sufficient number of tests prior to operation with humans on-board. When looking at complex parachute systems used in spaceflight landing systems, a pattern begins to emerge regarding the need for a minimum amount of testing required to wring out the failure modes and reduce the failure rate of the parachute system to an acceptable level for human spaceflight. Not only a sufficient number of system level testing, but also the ability to update the design as failure modes are found is required to drive the failure rate of the system down to an acceptable level. In addition, sufficient data and images are necessary to identify incipient failure modes or to identify failure causes when a system failure occurs. In order to demonstrate the need for sufficient system level testing prior to an acceptable failure rate, the Apollo Earth Landing System (ELS) test program and the Shuttle Solid Rocket Booster Recovery System failure history will be examined, as well as some experiences in the Orion Capsule Parachute Assembly System will be noted.

  4. Markov and semi-Markov processes as a failure rate

    Science.gov (United States)

    Grabski, Franciszek

    2016-06-01

    In this paper the reliability function is defined by the stochastic failure rate process with a non negative and right continuous trajectories. Equations for the conditional reliability functions of an object, under assumption that the failure rate is a semi-Markov process with an at most countable state space are derived. A proper theorem is presented. The linear systems of equations for the appropriate Laplace transforms allow to find the reliability functions for the alternating, the Poisson and the Furry-Yule failure rate processes.

  5. McDonald Generalized Linear Failure Rate Distribution

    Directory of Open Access Journals (Sweden)

    Ibrahim Elbatal

    2014-10-01

    Full Text Available We introduce in this paper a new six-parameters generalized version of the generalized linear failure rate (GLFR distribution which is called McDonald Generalized Linear failure rate (McGLFR distribution. The new distribution is quite flexible and can be used effectively in modeling survival data and reliability problems. It can have a constant, decreasing, increasing, and upside down bathtub-and bathtub shaped failure rate function depending on its parameters. It includes some well-known lifetime distributions as special sub-models. Some structural properties of the new distribution are studied. Moreover we discuss maximum likelihood estimation of the unknown parameters of the new model.

  6. 充血性心力衰竭患者心率变异性分析%Analysis of Heart Rate Variability of Patients With Congestive Heart Failure

    Institute of Scientific and Technical Information of China (English)

    骆小梅; 徐洁; 王贵鹏

    2016-01-01

    目的:探讨充血性心力衰竭患者心率变异性的变化规律。方法收集我院2014年6月~2015年12月门诊及住院部收治的充血性心力衰竭患者97例,根据NYHA心功能分级标准分为心功能Ⅰ~Ⅳ级,选择同期于我院体检健康志愿者100例为对照组。采用Holter系统记录分析仪对受检者进行24 h连续动态心电图监测,应用时域分析法分析心率变异性各指标。结果观察组SDNN、SDANN、SDNNI、RMSSD及PNN50指标均低于对照组,差异有统计学意义(P<0.05);随心功能的降低,SDNN、SDANN呈现下降趋势,但各分级之间差异无统计学意义(P>0.05),心功能Ⅲ级、Ⅳ级患者SDNNI、RMSSD及PNN50低于心功能Ⅰ级患者,心功能Ⅲ级患者RMSSD及PNN50低于心功能Ⅰ级患者,差异均有统计学意义(P<0.05)。结论充血性心力衰竭患者心率变异性下降,并与心功能的改变有关。%Objective To explore the change rule of heart rate variability of patients with congestive heart failure. Methods From June 2014 to December 2015, 97 cases of patients in our hospital were selected and divided into Ⅰ~ Ⅳ stages by NYHA classification criterion of cardiac function. 100 cases of healthy volunteers in the same period were selected as control group. All subjects were examined for 24 hours dynamic electrocardiogram by Holter recording and analyzing instrument. By means of time-domain analysis method, the HRV parameters were analyzed. Results The index of SDNN, SDANN, SDNNI, RMSSD and PNN50 in observation group were lower than control group, differences between two groups were statistically significant (P0.05). The index of SDNNI, RMSSD and PNN50 in Ⅲ and Ⅳ cardiac function patients were low that inⅠcardiac function;the index of RMSSD and PNN50 inⅢcardiac function patients were low that in Ⅰ cardiac function, differences between two groups were statistically significant (P<0.05). Conclusion The heart

  7. U.S. Heart Failure Rates on the Rise

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_163266.html U.S. Heart Failure Rates on the Rise And heart ... Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services. More Health ...

  8. Development of Nonelectronic Part Cyclic Failure Rates

    Science.gov (United States)

    1977-12-01

    Figure 26), QM, and QL (Figure 27). The QH and QL are rugged connectors and utilize a course double lead-thread coupling. Other large connectors...group of relays is cacegorized either by MIL- SPOC classification or part type, as applicable. Operating fail- ure rates for each set of data were

  9. Heart rate and outcome in heart failure with reduced ejection fraction: Differences between atrial fibrillation and sinus rhythm-A CIBIS II analysis.

    Science.gov (United States)

    Mulder, Bart A; Damman, Kevin; Van Veldhuisen, Dirk J; Van Gelder, Isabelle C; Rienstra, Michiel

    2017-09-01

    Heart rate has been associated with prognosis in patients with heart failure with reduced ejection fraction (HFREF) and sinus rhythm; whether this also holds true in patients with atrial fibrillation (AF) is unknown. To evaluate cardiac rhythm and baseline heart rate and the influence of outcome in patients with HFREF enrolled in the Cardiac Insufficiency Bisoprolol Study II. In total, 2539 patients were stratified according to their baseline heart rhythm (AF or sinus rhythm) and into quartiles of heart rate (≤70 bpm, 71-78 bpm, 79-90 bpm, and >90 bpm). The primary outcome was all-cause mortality. Mean follow-up was 1.3 years. Mean age was 61 years, mean left ventricular ejection fraction was 28%, and 80% were male. A total of 521 (21%) patients had AF at baseline. The risk associated with all-cause mortality for each 5 bpm increase in heart rate in patients with sinus rhythm (hazard ratio [HR]: 1.06, 95% confidence interval [CI]: 1.01-1.11, P = 0.012) was significantly different from those with AF (HR: 1.00, 95% CI: 0.94-1.07, P = 0.90, P for interaction = 0.041). The risk associated with higher heart rate in sinus rhythm was primarily attributable to excess risk in the highest quartile (HR: 1.64, 95% CI: 1.18-2.30, P = 0.003). Allocation to bisoprolol did not modify the interaction between heart rate, rhythm and outcome. In HFREF patients with AF, a higher heart rate is not associated with increased event rates in contrast to HFREF patients with sinus rhythm. © 2017 Wiley Periodicals, Inc.

  10. Microcircuit Device Reliability. Digital Failure Rate Data

    Science.gov (United States)

    1981-01-01

    U- OjO ^-*mog«tOf-< r-t^Of-Hf-Hi-’POOO a* a» o oo oo a* <M o co *r r^ u> m u> *ä m o^ -H c\\j •-» o * in csi oo o ^ ^ •-• * o ^t...a :HAMIPACTUBEB :OPEBATI( MAL TYPE RELIABILITY ANALYSIS CENTER t PAW 1 M. : DIVICI : PUNCTIOM : SOU. 1 CLASS : PACKAGE/ ■ 1 PINS

  11. Failure rate of cemented and uncemented total hip replacements

    DEFF Research Database (Denmark)

    Makela, K. T.; Matilainen, M.; Pulkkinen, P.

    2014-01-01

    Objective To assess the failure rate of cemented, uncemented, hybrid, and reverse hybrid total hip replacements in patients aged 55 years or older. Design Register study. Setting Nordic Arthroplasty Register Association database (combined data from Sweden, Norway, Denmark, and Finland......). Participants 347 899 total hip replacements performed during 1995-2011. Main outcome measures Probability of implant survival (Kaplan-Meier analysis) along with implant survival with revision for any reason as endpoint (Cox multiple regression) adjusted for age, sex, and diagnosis in age groups 55-64, 65......-74, and 75 years or older. Results The proportion of total hip replacements using uncemented implants increased rapidly towards the end of the study period. The 10 year survival of cemented implants in patients aged 65 to 74 and 75 or older (93.8%, 95% confidence interval 93.6% to 94.0% and 95.9%, 95...

  12. Voltage stress effects on microcircuit accelerated life test failure rates

    Science.gov (United States)

    Johnson, G. M.

    1976-01-01

    The applicability of Arrhenius and Eyring reaction rate models for describing microcircuit aging characteristics as a function of junction temperature and applied voltage was evaluated. The results of a matrix of accelerated life tests with a single metal oxide semiconductor microcircuit operated at six different combinations of temperature and voltage were used to evaluate the models. A total of 450 devices from two different lots were tested at ambient temperatures between 200 C and 250 C and applied voltages between 5 Vdc and 15 Vdc. A statistical analysis of the surface related failure data resulted in bimodal failure distributions comprising two lognormal distributions; a 'freak' distribution observed early in time, and a 'main' distribution observed later in time. The Arrhenius model was shown to provide a good description of device aging as a function of temperature at a fixed voltage. The Eyring model also appeared to provide a reasonable description of main distribution device aging as a function of temperature and voltage. Circuit diagrams are shown.

  13. Ventricular rate control of atrial fibrillation in heart failure

    NARCIS (Netherlands)

    Rienstra, Michiel; Van Gelder, Isabelle C

    2013-01-01

    In the last few years, there has been a major shift in the treatment of atrial fibrillation (AF) in the setting of hear failure (HF), from rhythm to ventricular rate control in most patients with both conditions. In this article, the authors focus on ventricular rate control and discuss the indicati

  14. Ventricular rate control of atrial fibrillation in heart failure

    NARCIS (Netherlands)

    Rienstra, Michiel; Van Gelder, Isabelle C

    2013-01-01

    In the last few years, there has been a major shift in the treatment of atrial fibrillation (AF) in the setting of hear failure (HF), from rhythm to ventricular rate control in most patients with both conditions. In this article, the authors focus on ventricular rate control and discuss the

  15. Ventricular rate control of atrial fibrillation in heart failure.

    Science.gov (United States)

    Rienstra, Michiel; Van Gelder, Isabelle C

    2013-10-01

    In the last few years, there has been a major shift in the treatment of atrial fibrillation (AF) in the setting of hear failure (HF), from rhythm to ventricular rate control in most patients with both conditions. In this article, the authors focus on ventricular rate control and discuss the indications; the optimal ventricular rate-control target, including detailed results of the Rate Control Efficacy in Permanent Atrial Fibrillation: a Comparison Between Lenient versus Strict Rate Control II (RACE II) study; and the pharmacologic and nonpharmacologic options to control the ventricular rate during AF in the setting of HF.

  16. Asymptotic failure rate of a continuously monitored system

    Energy Technology Data Exchange (ETDEWEB)

    Grall, A. [Institut des Sciences et Technologies de l' Information de Troyes (CNRS-FRE 2732), Equipe de Modelisation et de Surete des Systemes, Universite de Technologie de Troyes, 12 rue Marie Curie, BP 2060, 10010 Troyes Cedex (France)]. E-mail: antoine.grall@utt.fr; Dieulle, L. [Institut des Sciences et Technologies de l' Information de Troyes (CNRS-FRE 2732), Equipe de Modelisation et de Surete des Systemes, Universite de Technologie de Troyes, 12 rue Marie Curie, BP 2060, 10010 Troyes Cedex (France)]. E-mail: laurence.dieulle@utt.fr; Berenguer, C. [Institut des Sciences et Technologies de l' Information de Troyes (CNRS-FRE 2732), Equipe de Modelisation et de Surete des Systemes, Universite de Technologie de Troyes, 12 rue Marie Curie, BP 2060, 10010 Troyes Cedex (France)]. E-mail: christophe.berenguer@utt.fr; Roussignol, M. [Laboratoire d' Analyse et de Mathematiques Appliquees, Universite de Marne la Vallee, 5 bd Descartes, Champs sur Marne, 77454 Marne la Vallee, Cedex 2 (France)]. E-mail: michel.roussignol@univ-mlv.fr

    2006-02-01

    This paper deals with a perfectly continuously monitored system which gradually and stochastically deteriorates. The system is renewed by a delayed maintenance operation, which is triggered when the measured deterioration level exceeds an alarm threshold. A mathematical model is developed to study the asymptotic behavior of the reliability function. A procedure is proposed which allows us to identify the asymptotic failure rate of the maintained system. Numerical experiments illustrate the efficiency of the proposed procedure and emphasize the relevance of the asymptotic failure rate as an interesting indicator for the evaluation of the control-limit preventive replacement policy.

  17. Light water reactor lower head failure analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rempe, J.L.; Chavez, S.A.; Thinnes, G.L. [EG and G Idaho, Inc., Idaho Falls, ID (United States)] [and others

    1993-10-01

    This document presents the results from a US Nuclear Regulatory Commission-sponsored research program to investigate the mode and timing of vessel lower head failure. Major objectives of the analysis were to identify plausible failure mechanisms and to develop a method for determining which failure mode would occur first in different light water reactor designs and accident conditions. Failure mechanisms, such as tube ejection, tube rupture, global vessel failure, and localized vessel creep rupture, were studied. Newly developed models and existing models were applied to predict which failure mechanism would occur first in various severe accident scenarios. So that a broader range of conditions could be considered simultaneously, calculations relied heavily on models with closed-form or simplified numerical solution techniques. Finite element techniques-were employed for analytical model verification and examining more detailed phenomena. High-temperature creep and tensile data were obtained for predicting vessel and penetration structural response.

  18. Failure and damage analysis of advanced materials

    CERN Document Server

    Sadowski, Tomasz

    2015-01-01

    The papers in this volume present basic concepts and new developments in failure and damage analysis with focus on advanced materials such as composites, laminates, sandwiches and foams, and also new metallic materials. Starting from some mathematical foundations (limit surfaces, symmetry considerations, invariants) new experimental results and their analysis are shown. Finally, new concepts for failure prediction and analysis will be introduced and discussed as well as new methods of failure and damage prediction for advanced metallic and non-metallic materials. Based on experimental results the traditional methods will be revised.

  19. Failure modes and effects analysis automation

    Science.gov (United States)

    Kamhieh, Cynthia H.; Cutts, Dannie E.; Purves, R. Byron

    1988-01-01

    A failure modes and effects analysis (FMEA) assistant was implemented as a knowledge based system and will be used during design of the Space Station to aid engineers in performing the complex task of tracking failures throughout the entire design effort. The three major directions in which automation was pursued were the clerical components of the FMEA process, the knowledge acquisition aspects of FMEA, and the failure propagation/analysis portions of the FMEA task. The system is accessible to design, safety, and reliability engineers at single user workstations and, although not designed to replace conventional FMEA, it is expected to decrease by many man years the time required to perform the analysis.

  20. HEART RATE VARIABILITY IN ASSESSMENT OF CLINICAL STATUS, FUNCTIONAL CONDITIONS AND PROGNOSIS IN HEART FAILURE

    Directory of Open Access Journals (Sweden)

    Y. A. Vasyuk

    2006-01-01

    Full Text Available Data about heart rate variability analysis in healthy people and patients with chronic heart failure are reviewed. Prognostic value of time-domain and spectral measures is mentioned. Influence of standard therapy on heart rate variability is described.

  1. Survival Analysis of Fatigue and Rutting Failures in Asphalt Pavements

    Directory of Open Access Journals (Sweden)

    Pabitra Rajbongshi

    2016-01-01

    Full Text Available Fatigue and rutting are two primary failure mechanisms in asphalt pavements. The evaluations of fatigue and rutting performances are significantly uncertain due to large uncertainties involved with the traffic and pavement life parameters. Therefore, deterministically it is inadequate to predict when an in-service pavement would fail. Thus, the deterministic failure time which is known as design life (yr of pavement becomes random in nature. Reliability analysis of such time (t dependent random variable is the survival analysis of the structure. This paper presents the survival analysis of fatigue and rutting failures in asphalt pavement structures. It is observed that the survival of pavements with time can be obtained using the bathtub concept that contains a constant failure rate period and an increasing failure rate period. The survival function (S(t, probability density function (pdf, and probability distribution function (PDF of failure time parameter are derived using bathtub analysis. It is seen that the distribution of failure time follows three parametric Weibull distributions. This paper also works out to find the most reliable life (YrR of pavement sections corresponding to any reliability level of survivability.

  2. A New Finite Interval Lifetime Distribution Model for Fitting Bathtub-Shaped Failure Rate Curve

    Directory of Open Access Journals (Sweden)

    Xiaohong Wang

    2015-01-01

    Full Text Available This paper raised a new four-parameter fitting model to describe bathtub curve, which is widely used in research on components’ life analysis, then gave explanation of model parameters, and provided parameter estimation method as well as application examples utilizing some well-known lifetime data. By comparative analysis between the new model and some existing bathtub curve fitting model, we can find that the new fitting model is very convenient and its parameters are clear; moreover, this model is of universal applicability which is not only suitable for bathtub-shaped failure rate curves but also applicable for the constant, increasing, and decreasing failure rate curves.

  3. Reliability analysis based on the losses from failures.

    Science.gov (United States)

    Todinov, M T

    2006-04-01

    The conventional reliability analysis is based on the premise that increasing the reliability of a system will decrease the losses from failures. On the basis of counterexamples, it is demonstrated that this is valid only if all failures are associated with the same losses. In case of failures associated with different losses, a system with larger reliability is not necessarily characterized by smaller losses from failures. Consequently, a theoretical framework and models are proposed for a reliability analysis, linking reliability and the losses from failures. Equations related to the distributions of the potential losses from failure have been derived. It is argued that the classical risk equation only estimates the average value of the potential losses from failure and does not provide insight into the variability associated with the potential losses. Equations have also been derived for determining the potential and the expected losses from failures for nonrepairable and repairable systems with components arranged in series, with arbitrary life distributions. The equations are also valid for systems/components with multiple mutually exclusive failure modes. The expected losses given failure is a linear combination of the expected losses from failure associated with the separate failure modes scaled by the conditional probabilities with which the failure modes initiate failure. On this basis, an efficient method for simplifying complex reliability block diagrams has been developed. Branches of components arranged in series whose failures are mutually exclusive can be reduced to single components with equivalent hazard rate, downtime, and expected costs associated with intervention and repair. A model for estimating the expected losses from early-life failures has also been developed. For a specified time interval, the expected losses from early-life failures are a sum of the products of the expected number of failures in the specified time intervals covering the

  4. Heart rate reduction in coronary artery disease and heart failure.

    Science.gov (United States)

    Ferrari, Roberto; Fox, Kim

    2016-08-01

    Elevated heart rate is known to induce myocardial ischaemia in patients with coronary artery disease (CAD), and heart rate reduction is a recognized strategy to prevent ischaemic episodes. In addition, clinical evidence shows that slowing the heart rate reduces the symptoms of angina by improving microcirculation and coronary flow. Elevated heart rate is an established risk factor for cardiovascular events in patients with CAD and in those with chronic heart failure (HF). Accordingly, reducing heart rate improves prognosis in patients with HF, as demonstrated in SHIFT. By contrast, data from SIGNIFY indicate that heart rate is not a modifiable risk factor in patients with CAD who do not also have HF. Heart rate is also an important determinant of cardiac arrhythmias; low heart rate can be associated with atrial fibrillation, and high heart rate after exercise can be associated with sudden cardiac death. In this Review, we critically assess these clinical findings, and propose hypotheses for the variable effect of heart rate reduction in cardiovascular disease.

  5. HEART-RATE-VARIABILITY IN LEFT-VENTRICULAR DYSFUNCTION AND HEART-FAILURE - EFFECTS AND IMPLICATIONS OF DRUG-TREATMENT

    NARCIS (Netherlands)

    TUININGA, YS; VANVELDHUISEN, DJ; BROUWER, J; HAAKSMA, J; CRIJNS, HJGM; MANINTVELD, AJ; LIE, KI

    1994-01-01

    Objective-To review the importance of heart rate variability analysis in left ventricular dysfunction and heart failure and to assess the effects of drug treatment. In patients with left: ventricular dysfunction or heart failure, a low heart rate variability is a strong predictor of a low probabilit

  6. Failure analysis of jet engine turbine blade

    OpenAIRE

    MILAN T. JOVANOVIĆ; Vesna Maksimović; Ivana Cvijović-Alagić

    2016-01-01

    Jet engine turbine blade cast by investment precision casting of Ni-base superalloy, which failed during exploatation, was the subject of investigation. Failure analysis was executed applying optical microscopy (OM), transmission electron microscopy (TEM) using replica technique, scaning electron microscopy (SEM) and stress rupture life tests. On the ground of obtained results it was concluded that the failure occurred as a result of structural changes caused by turbine blade overheating abov...

  7. Failure analysis of jet engine turbine blade

    Directory of Open Access Journals (Sweden)

    Milan T. Jovanović

    2016-03-01

    Full Text Available Jet engine turbine blade cast by investment precision casting of Ni-base superalloy, which failed during exploatation, was the subject of investigation. Failure analysis was executed applying optical microscopy (OM, transmission electron microscopy (TEM using replica technique, scaning electron microscopy (SEM and stress rupture life tests. On the ground of obtained results it was concluded that the failure occurred as a result of structural changes caused by turbine blade overheating above the exploitation temperature.

  8. Crop failure rates in a geoengineered climate: impact of climate change and marine cloud brightening

    Science.gov (United States)

    Parkes, B.; Challinor, A.; Nicklin, K.

    2015-08-01

    The impact of geoengineering on crops has to date been studied by examining mean yields. We present the first work focusing on the rate of crop failures under a geoengineered climate. We investigate the impact of a future climate and a potential geoengineering scheme on the number of crop failures in two regions, Northeastern China and West Africa. Climate change associated with a doubling of atmospheric carbon dioxide increases the number of crop failures in Northeastern China while reducing the number of crop failures in West Africa. In both regions marine cloud brightening is likely to reduce the number crop failures, although it is more effective at reducing mild crop failure than severe crop failure. We find that water stress, rather than heat stress, is the main cause of crop failure in current, future and geoengineered climates. This demonstrates the importance of irrigation and breeding for tolerance to water stress as adaptation methods in all futures. Analysis of global rainfall under marine cloud brightening has the potential to significantly reduce the impact of climate change on global wheat and groundnut production.

  9. 手术室马丁无影灯损坏率调查及分析%Investigation and Analysis of Failure Rate of KLS Martin Operating Astral Lamp

    Institute of Scientific and Technical Information of China (English)

    杨宪章; 王晓民; 刘乃智; 辛泉军

    2012-01-01

    目的:解决手术室无影灯故障率高发问题.方法:统计记录手术室无影灯灯泡损坏率,进行数学分析,根据分析结果现场排除故障.结果:发现了无影灯灯泡寿命较短的多重原因,通过更换部件、调试直流供电终端电压的方法排除了故障.结论:在进口马丁无影灯初次安装后,一定要对其进行灯泡输入电压测试,避免因电压过高而降低灯泡使用寿命.%Objective To cut the high failure rate of the operating astral lamp. Methods The failure rate of the operating astral lamp was counted and analyzed, and the problem was solved according to mathematical analysis results. Results Multiple causes of the low lifetime of operating astral lamps were discovered. The Problems were conquered by replacing the components and debugging the DC voltage of power supply terminal. Conclusion It is necessary to test the input voltage to avoid reducing the lamp lifetime for higher voltage after installing operating astral lamps imported from KLS Martin.

  10. Metaiodobenzylguanidine and heart rate variability in heart failure

    Energy Technology Data Exchange (ETDEWEB)

    Kurata, Chinori; Shouda, Sakae; Mikami, Tadashi; Uehara, Akihiko; Ishikawa, Keiko [Hamamatsu Univ., Shizuoka (Japan). School of Medicine; Tawarahara, Kei; Nakano, Tomoyasu; Matoh, Fumitaka; Takeuchi, Kazuhiko

    1998-10-01

    It is assumed that the low-frequency power (LF) of heart rate variability (HRV) increases with progress of congestive heart failure (CHF), therefore positively correlating with cardiac {sup 123}I-metaiodobenzylguanidine (MIBG) washout. It is demonstrated here that HRV, including normalized LF, correlated inversely with MIBG washout and positively with the ratio of heart-to-mediastinum MIBG activity in controls and CHF patients, whereas these correlations were not observed within CHF patients. Thus MIBG washout may increase and HRV including normalized LF may decrease with CHF, although the HRV and MIBG measures may not similarly change in proportion to the severity of the cardiac autonomic dysfunction in CHF. (author)

  11. Modeling of failure mode in knee ligaments depending on the strain rate

    Directory of Open Access Journals (Sweden)

    Hyman William

    2002-01-01

    Full Text Available Abstract Background The failure mechanism of the knee ligament (bone-ligament-bone complex at different strain rates is an important subject in the biomechanics of the knee. This study reviews and summarizes the literature describing ligament injury as a function of stain rate, which has been published during the last 30 years. Methods Three modes of injury are presented as a function of strain rate, and they are used to analyze the published cases. The number of avulsions is larger than that of ligament tearing in mode I. There is no significant difference between the number of avulsions and ligament tearing in mode II. Ligament tearing happens more frequently than avulsion in mode III. Results When the strain rate increases, the order of mode is mode I, II, III, I, and II. Analytical models of ligament behavior as a function of strain rate are also presented and used to provide an integrated framework for describing all of the failure regimes. In addition, this study showed the failure mechanisms with different specimens, ages, and strain rates. Conclusion There have been several a numbers of studies of ligament failure under various conditions including widely varying strain rates. One issue in these studies is whether ligament failure occurs mid-ligament or at the bone attachment point, with assertions that this is a function of the strain rate. However, over the range of strain rates and other conditions reported, there has appeared to be discrepancies in the conclusions on the effect of strain rate. The analysis and model presented here provides a unifying assessment of the previous disparities, emphasizing the differential effect of strain rate on the relative strengths of the ligament and the attachment.

  12. System Availability in the Presence of Estimating Common-cause Time-varying Failure Rates

    Directory of Open Access Journals (Sweden)

    M. A. El-Damcese

    2005-01-01

    Full Text Available This study presents a method for calculating the availability of a system depicted by availability block diagram, with identically distributed components, in the presence of estimating common cause hazard, we use the Marshall and Olkin formulation of the multivariate exponential distribution. That is, the components are subject to failure by Poisson failure processes that govern simultaneous failure of a specific subset of the components. A model is proposed for the analysis of systems subject to common-cause failures that are not considered to have a constant rate but that are assumed to obey a uniqueness of maximum likelihood estimators of the 2-parameter Weibull distribution. The method for calculating the system availability requires that a procedure exists for determining the system availability from component availabilities, under the statistically independent component assumption. The study includes an example to illustrate the method.

  13. Launch Vehicle Failure Dynamics and Abort Triggering Analysis

    Science.gov (United States)

    Hanson, John M.; Hill, Ashely D.; Beard, Bernard B.

    2011-01-01

    Launch vehicle ascent is a time of high risk for an on-board crew. There are many types of failures that can kill the crew if the crew is still on-board when the failure becomes catastrophic. For some failure scenarios, there is plenty of time for the crew to be warned and to depart, whereas in some there is insufficient time for the crew to escape. There is a large fraction of possible failures for which time is of the essence and a successful abort is possible if the detection and action happens quickly enough. This paper focuses on abort determination based primarily on data already available from the GN&C system. This work is the result of failure analysis efforts performed during the Ares I launch vehicle development program. Derivation of attitude and attitude rate abort triggers to ensure that abort occurs as quickly as possible when needed, but that false positives are avoided, forms a major portion of the paper. Some of the potential failure modes requiring use of these triggers are described, along with analysis used to determine the success rate of getting the crew off prior to vehicle demise.

  14. Selected Component Failure Rate Values from Fusion Safety Assessment Tasks

    Energy Technology Data Exchange (ETDEWEB)

    Cadwallader, Lee Charles

    1998-09-01

    This report is a compilation of component failure rate and repair rate values that can be used in magnetic fusion safety assessment tasks. Several safety systems are examined, such as gas cleanup systems and plasma shutdown systems. Vacuum system component reliability values, including large vacuum chambers, have been reviewed. Values for water cooling system components have also been reported here. The report concludes with the examination of some equipment important to personnel safety, atmospheres, combustible gases, and airborne releases of radioactivity. These data should be useful to system designers to calculate scoping values for the availability and repair intervals for their systems, and for probabilistic safety or risk analysts to assess fusion systems for safety of the public and the workers.

  15. Selected component failure rate values from fusion safety assessment tasks

    Energy Technology Data Exchange (ETDEWEB)

    Cadwallader, L.C.

    1998-09-01

    This report is a compilation of component failure rate and repair rate values that can be used in magnetic fusion safety assessment tasks. Several safety systems are examined, such as gas cleanup systems and plasma shutdown systems. Vacuum system component reliability values, including large vacuum chambers, have been reviewed. Values for water cooling system components have also been reported here. The report concludes with the examination of some equipment important to personnel safety, atmospheres, combustible gases, and airborne releases of radioactivity. These data should be useful to system designers to calculate scoping values for the availability and repair intervals for their systems, and for probabilistic safety or risk analysts to assess fusion systems for safety of the public and the workers.

  16. A streamlined failure mode and effects analysis

    Energy Technology Data Exchange (ETDEWEB)

    Ford, Eric C., E-mail: eford@uw.edu; Smith, Koren; Terezakis, Stephanie; Croog, Victoria; Gollamudi, Smitha; Gage, Irene; Keck, Jordie; DeWeese, Theodore; Sibley, Greg [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, MD 21287 (United States)

    2014-06-15

    Purpose: Explore the feasibility and impact of a streamlined failure mode and effects analysis (FMEA) using a structured process that is designed to minimize staff effort. Methods: FMEA for the external beam process was conducted at an affiliate radiation oncology center that treats approximately 60 patients per day. A structured FMEA process was developed which included clearly defined roles and goals for each phase. A core group of seven people was identified and a facilitator was chosen to lead the effort. Failure modes were identified and scored according to the FMEA formalism. A risk priority number,RPN, was calculated and used to rank failure modes. Failure modes with RPN > 150 received safety improvement interventions. Staff effort was carefully tracked throughout the project. Results: Fifty-two failure modes were identified, 22 collected during meetings, and 30 from take-home worksheets. The four top-ranked failure modes were: delay in film check, missing pacemaker protocol/consent, critical structures not contoured, and pregnant patient simulated without the team's knowledge of the pregnancy. These four failure modes hadRPN > 150 and received safety interventions. The FMEA was completed in one month in four 1-h meetings. A total of 55 staff hours were required and, additionally, 20 h by the facilitator. Conclusions: Streamlined FMEA provides a means of accomplishing a relatively large-scale analysis with modest effort. One potential value of FMEA is that it potentially provides a means of measuring the impact of quality improvement efforts through a reduction in risk scores. Future study of this possibility is needed.

  17. Effect of yoga therapy on heart rate, blood pressure and cardiac autonomic function in heart failure.

    Science.gov (United States)

    Krishna, Bandi Hari; Pal, Pravati; G K, Pal; J, Balachander; E, Jayasettiaseelon; Y, Sreekanth; M G, Sridhar; G S, Gaur

    2014-01-01

    It is well known that a hall mark of heart failure is adverse changes in autonomic function. Elevated blood pressure is a powerful predictor of congestive heart failure and other Cardiovascular Disease (CVD) outcomes. In this study, we planned to examine the effects of a 12 week yoga therapy on blood pressure, heart rate, heart rate variability, and rate pressure product (RPP). Out of 130 heart failure patients recruited for the study, 65 patients were randomly selected to receive 12 week yoga therapy along with standard medical therapy (yoga group). Other patients (n=65) received only standard medical therapy (control group). Heart rate, blood pressure, cardiac autonomic function (by short-term heart-rate variability analysis) and myocardial oxygen consumption (by RPP) were assessed before and after 12 weeks. In the yoga group, 44 patients and in the control group, 48 patients completed the study. There was a significant decrease in heart rate, blood pressure and RPP in yoga group compared to control group. Also, LFnu and LF-HF ratio decreased significantly and HFnu increased significantly in yoga group compared to control group. Twelve-week yoga therapy significantly improved the parasympathetic activity and decreased the sympathetic activity in heart failure patients (NYHA I&II).

  18. FAILURE ANALYSIS: WASTEWATER DRUM BULGING

    Energy Technology Data Exchange (ETDEWEB)

    Vormelker, P

    2008-09-15

    A 55 gallon wastewater drum lid was found to be bulged during storage in a remote area. Drum samples were obtained for analysis. The interior surface of these samples revealed blistering and holes in the epoxy phenolic drum liner and corrosion of the carbon steel drum. It is suspected that osmotic pressure drove permeation of the water through the epoxy phenolic coating which was weakened from exposure to low pH water. The coating failed at locations throughout the drum interior. Subsequent corrosion of the carbon steel released hydrogen which pressurized the drum causing deformation of the drum lid. Additional samples from other wastewater drums on the same pallet were also evaluated and limited corrosion was visible on the interior surfaces. It is suspected that, with time, the corrosion would have advanced to cause pressurization of these sealed drums.

  19. Energy analysis for damage and catastrophic failure of rocks

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    The development history and current state of studies on the characteristics and mechanisms of deformation and failure of rock materials were briefly reviewed from the viewpoint of energy.The main scope and the achievable objectives of the energy-based research system were expatiated.It was validated by experiments that the damage process of rocks can be well described by the rock damage evolution equation established based on energy dissipation.It was found from the uniaxial compression and biaxial compression tests that only a small proportion of the total input energy in hard rocks is dissipated before peak load and a large proportion in soft rocks is dissipated before peak load.For both hard and soft rocks,the energy dissipated after peak load accounts for a greater proportion.More energy would be required for rock failure under equal biaxial compression than under unequal biaxial compression.The total absorbed energy is different for rock failure under high-rate loading and low-rate loading.More fragmented failure pattern usually corresponds to higher energy absorption.The mesoscopic analysis on the damage and failure of bedded salt rocks showed that the energy dissipation is prominent and the total absorbed energy for rock failure is low when cracks propagate in the weak mud interlayer while it is contrary when cracks propagate in the salt rock.The energy accumulation,transfer,dissipation and release during the failure process of tunnel with impending failure under disturbance were analyzed theoretically based on the elastoplastic mechanics theory.Furthermore,the spatial distribution of energy dissipation and energy release of fractured rocks under unloading was simulated numerically.It was demonstrated that energy is likely to be released from the weakest surface under compression,which triggers the global failure of rocks.

  20. Failure analysis of a polymer centrifugal impeller

    Directory of Open Access Journals (Sweden)

    Nikhil K. Kar

    2015-10-01

    Full Text Available A failure analysis investigation was performed on a fractured polymer impeller used in a respiratory blower. Light microscopy, scanning electron microscopy and finite element analysis techniques were utilized to characterize the mode(s of failure and fracture surfaces. A radial split down the impeller center was observed with symmetric fracture faces about the impeller bore. Fractographic analysis revealed brittle fracture features including Wallner lines, mirror, mist and hackle features stemming from the impeller bore, emanating radially outward. Crazed fibrils and faint fatigue striations suggest that intermittent load cycling led to initiation, and rapid propagation of multiple crack fronts originating along the impeller lip. Finite element analysis revealed a flexural condition induces localized stresses along the impeller lip. Significant wear features were also observed within the impeller bore, which may have contributed to premature failure of the impeller. The brittle fracture morphology and defects within the impeller bore suggest that premature failure occurred because of multiple interacting factors including: intermittently high centrifugal velocities, imbalance bore and shaft conditions, defects within the bore caused by machining, and stress concentrations along the circumference of the impeller lip.

  1. The Statistical Analysis of Failure Time Data

    CERN Document Server

    Kalbfleisch, John D

    2011-01-01

    Contains additional discussion and examples on left truncation as well as material on more general censoring and truncation patterns.Introduces the martingale and counting process formulation swil lbe in a new chapter.Develops multivariate failure time data in a separate chapter and extends the material on Markov and semi Markov formulations.Presents new examples and applications of data analysis.

  2. Continuous mixtures of exponentials and IFR gammas having bathtub-shaped failure rates

    OpenAIRE

    Block, Henry W.; Langberg, Naftali A.; Savits, Thomas H.; Wang, Jie

    2010-01-01

    It can be seen that a mixture of an exponential distribution and a gamma distribution with increasing failure rate for the right choice of parameters can yield a distribution with a bathtub-shaped failure rate. In this paper we consider a continuous mixture of exponentials and a continuous mixture of gammas with increasing failure rates and show that the resulting mixture has a bathtub-shaped failure rate.

  3. In-vessel ITER tubing failure rates for selected materials and coolants

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, T.D. [Rensselaer Polytechnic Institute, Troy, NY (United States); Cadwallader, L.C. [EG& G Idaho Inc., Idaho Falls, ID (United States)

    1994-03-01

    Several materials have been suggested for fabrication of ITER in-vessel coolant tubing: beryllium, copper, Inconel, niobium, stainless steel, titanium, and vanadium. This report generates failure rates for the materials to identify the best performer from an operational safety and availability perspective. Coolant types considered in this report are helium gas, liquid lithium, liquid sodium, and water. Failure rates for the materials are generated by including the influence of ITER`s operating environment and anticipated tubing failure mechanisms with industrial operating experience failure rates. The analyses define tubing failure mechanisms for ITER as: intergranular attack, flow erosion, helium induced swelling, hydrogen damage, neutron irradiation embrittlement, cyclic fatigue, and thermal cycling. K-factors, multipliers, are developed to model each failure mechanism and are applied to industrial operating experience failure rates to generate tubing failure rates for ITER. The generated failure rates identify the best performer by its expected reliability. With an average leakage failure rate of 3.1e-10(m-hr){sup {minus}1}and an average rupture failure rate of 3.1e-11(m-hr){sup {minus}1}, titanium proved to be the best performer of the tubing materials. The failure rates generated in this report are intended to serve as comparison references for design safety and optimization studies. Actual material testing and analyses are required to validate the failure rates.

  4. FUZZY METHOD FOR FAILURE CRITICALITY ANALYSIS

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The greatest benefit is realized from failure mode, effect and criticality analysis (FMECA) when it is done early in the design phase and tracks product changes as they evolve; design changes can then be made more economically than if the problems are discovered after the design has been completed. However, when the discovered design flaws must be prioritized for corrective actions, precise information on their probability of occurrence, the effect of the failure, and their detectability often are not availabe. To solve this problem, this paper described a new method, based on fuzzy sets, for prioritizing failures for corrective actions in a FMCEA. Its successful application to the container crane shows that the proposed method is both reasonable and practical.

  5. Failure analysis of a Francis turbine runner

    Energy Technology Data Exchange (ETDEWEB)

    Frunzaverde, D; Campian, V [Research Center in Hydraulics, Automation and Heat Transfer, ' Eftimie Murgu' University of Resita P-ta Traian Vuia 1-4, RO-320085, Resita (Romania); Muntean, S [Centre of Advanced Research in Engineering Sciences, Romanian Academy - Timisoara Branch Bv. Mihai Viteazu 24, RO-300223, Timisoara (Romania); Marginean, G [University of Applied Sciences Gelsenkirchen, Neidenburger Str. 10, 45877 Gelsenkirchen (Germany); Marsavina, L [Department of Strength, ' Politehnica' University of Timisoara, Bv. Mihai Viteazu 1, RO-300222, Timisoara (Romania); Terzi, R; Serban, V, E-mail: gabriela.marginean@fh-gelsenkirchen.d, E-mail: d.frunzaverde@uem.r [Ramnicu Valcea Subsidiary, S.C. Hidroelectrica S.A., Str. Decebal 11, RO-240255, Ramnicu Valcea (Romania)

    2010-08-15

    The variable demand on the energy market requires great flexibility in operating hydraulic turbines. Therefore, turbines are frequently operated over an extended range of regimes. Francis turbines operating at partial load present pressure fluctuations due to the vortex rope in the draft tube cone. This phenomenon generates strong vibrations and noise that may produce failures on the mechanical elements of the machine. This paper presents the failure analysis of a broken Francis turbine runner blade. The failure appeared some months after the welding repair work realized in situ on fatigue cracks initiated near to the trailing edge at the junction with the crown, where stress concentration occurs. In order to determine the causes that led to the fracture of the runner blade, the metallographic investigations on a sample obtained from the blade is carried out. The metallographic investigations included macroscopic and microscopic examinations, both performed with light and scanning electron microscopy, as well as EDX - analyses. These investigations led to the conclusion, that the cracking of the blade was caused by fatigue, initiated by the surface unevenness of the welding seam. The failure was accelerated by the hydrogen embrittlement of the filling material, which appeared as a consequence of improper welding conditions. In addition to the metallographic investigations, numerical computations with finite element analysis are performed in order to evaluate the deformation and stress distribution on blade.

  6. Flow and failure of an aluminium alloy from low to high temperature and strain rate

    Directory of Open Access Journals (Sweden)

    Sancho Rafael

    2015-01-01

    Full Text Available The mechanical behaviour of an aluminium alloy is presented in this paper. The study has been carried out to analyse the flow and failure of the aluminium alloy 7075-T73. An experimental study has been planned performing tests of un-notched and notched tensile specimens at low strain rates using a servo-hydraulic machine. High strain rate tests have been carried out using the same geometry in a Hopkinson Split Tensile Bar. The dynamic experiments at low temperature were performed using a cryogenic chamber, and the high temperature ones with a furnace, both incorporated to the Hopkinson bar. Testing temperatures ranged from − 50 ∘C to 100 ∘C and the strain rates from 10−4 s−1 to 600 s−1. The material behaviour was modelled using the Modified Johnson-Cook model and simulated using LS-DYNA. The results show that the Voce type of strain hardening is the most accurate for this material, while the traditional Johnson-Cook is not enough accurate to reproduce the necking of un-notched specimens. The failure criterion was obtained by means of the numerical simulations using the analysis of the stress triaxiality versus the strain to failure. The diameters at the failure time were measured using the images taken with an image camera, and the strain to failure was computed for un-notched and notched specimens. The numerical simulations show that the analysis of the evolution of the stress triaxiality is crucial to achieve accurate results. A material model using the Modified Johnson-Cook for flow and failure is proposed.

  7. 运用失效模式效应分析降低不合格检验标本的发生率%Reducing the happen rate of unquaHfied laboratory specimen by using Failure Mode Effect Analysis

    Institute of Scientific and Technical Information of China (English)

    黄忠琴

    2008-01-01

    Objective To perfact the procedure of specimen acquaring and transfering so as to reduce the happen rate of unqualified laboratory specimen.Methods The relative factors in the procedure of specimen acquaring and transfering were analysed by using Failure Mode Effect Analysis(FMEA)so that the preventative emphases could be based on the caculated Risk Priority Number(RPN)and rectifying measurements could be adopted according to the existing problems.Results The RPNs of unqualified laboratory specimen were reduced from 1 476 in the January of 2007 to 1 196 in the May of 2007,among them the prominent reducing RPN was 936in the March of 2007 and the happen rates of unqualified laboratory specimen were reduced accordingly.Conclusion FMEA is an effective rask management method by reducing the happen rate of unqualified laboratory specimen.%目的 完善检验标本采集和送检流程,降低不合格检验标本的发生率.方法 应用失效模式效应分析(Failure Mode Effect Analysis,FMEA)对标本采集及送检各个流程中的相关因数进行分析,计算出事件发生的RPN值(Risk Priority Number),并根据RPN值的大小确定预防的重点,针对存在的问题及时进行整改.结果 发生不合格检验标本的RPN值由2007年1月的1 476,降低到2007年5月的1 196,其中2007年3月达到936,为最低点,标本的不合格率相应降低.结论 使用FMEA有效地降低了送检标本的不合格率,是一种行之有效的风险管理方法.

  8. Failure rate and cosmesis of immediate tissue expander/implant breast reconstruction after postmastectomy irradiation.

    Science.gov (United States)

    Baschnagel, Andrew M; Shah, Chirag; Wilkinson, J Ben; Dekhne, Nayana; Arthur, Douglas W; Vicini, Frank A

    2012-12-01

    This study reports the rate of breast reconstruction failure and cosmetic outcomes after postmastectomy radiation therapy (PMRT) with temporary tissue expanders (TEs) or implants in place. Ninety-four patients underwent mastectomy (93 unilateral, 1 bilateral; 95 cases total) and immediate TE reconstruction followed by PMRT. Ninety TEs and 5 permanent implants were irradiated. All patients received a dose of 5400 cGy given in 180-cGy fractions to the reconstructed breast. Twenty-one patients (22%) received tangents alone and 74 patients (78%) were treated with tangents and a supraclavicular field using a monoisocentric technique. Bolus was used in 91 patients (96%). Eighty-eight patients (93%) received chemotherapy and 78 patients (82%) received endocrine therapy. With a median follow-up of 24.1 months, 19 patients (20%) experienced failure of reconstruction. The 1-, 2-, and 3-year actuarial rate of reconstruction failure was 9.7%, 19.3%, and 25.5%, respectively. Infection was the most common cause of failure. Of the 19 failures, 8 patients underwent salvage procedures with flap reconstruction. Univariate analysis was performed examining age, chemotherapy use, hormone therapy use, use of a supraclavicular field, smoking status, diabetes, hypertension, and menopausal status. No risk factors were found to be associated with reconstruction failure. In patients who did not experience reconstruction failure, good/excellent cosmesis was observed in 75% of patients. In the current series of women with a high risk of locoregional recurrence, PMRT with a TE/implant in place provides good cosmesis in the majority of women, with an acceptable risk of expander or implant loss. Copyright © 2012 Elsevier Inc. All rights reserved.

  9. Recognition and Analysis of Corrosion Failure Mechanisms

    Directory of Open Access Journals (Sweden)

    Steven Suess

    2006-02-01

    Full Text Available Corrosion has a vast impact on the global and domestic economy, and currently incurs losses of nearly $300 billion annually to the U.S. economy alone. Because of the huge impact of corrosion, it is imperative to have a systematic approach to recognizing and mitigating corrosion problems as soon as possible after they become apparent. A proper failure analysis includes collection of pertinent background data and service history, followed by visual inspection, photographic documentation, material evaluation, data review and conclusion procurement. In analyzing corrosion failures, one must recognize the wide range of common corrosion mechanisms. The features of any corrosion failure give strong clues as to the most likely cause of the corrosion. This article details a proven approach to properly determining the root cause of a failure, and includes pictographic illustrations of the most common corrosion mechanisms, including general corrosion, pitting, galvanic corrosion, dealloying, crevice corrosion, microbiologically-influenced corrosion (MIC, corrosion fatigue, stress corrosion cracking (SCC, intergranular corrosion, fretting, erosion corrosion and hydrogen damage.

  10. Recognition and Analysis of Corrosion Failure Mechanisms

    OpenAIRE

    Steven Suess

    2006-01-01

    Corrosion has a vast impact on the global and domestic economy, and currently incurs losses of nearly $300 billion annually to the U.S. economy alone. Because of the huge impact of corrosion, it is imperative to have a systematic approach to recognizing and mitigating corrosion problems as soon as possible after they become apparent. A proper failure analysis includes collection of pertinent background data and service history, followed by visual inspection, photographic documentation, materi...

  11. Recognition and Analysis of Corrosion Failure Mechanisms

    OpenAIRE

    Steven Suess

    2006-01-01

    Corrosion has a vast impact on the global and domestic economy, and currently incurs losses of nearly $300 billion annually to the U.S. economy alone. Because of the huge impact of corrosion, it is imperative to have a systematic approach to recognizing and mitigating corrosion problems as soon as possible after they become apparent. A proper failure analysis includes collection of pertinent background data and service history, followed by visual inspection, photographic documentation, materi...

  12. Effectivness Of The Failure Rate On Maintenance Costs Of The City Buses

    Directory of Open Access Journals (Sweden)

    Ignaciuk Piotr

    2015-11-01

    Full Text Available The purpose of this paper was to present a failure rate and maintenance cost comparison for two types of city transport buses. The paper presents in detail a case study of well known bus brands used at Municipal Transport Company in Lublin. A failure index of all functional and constructional systems of the vehicles and their technical availability with regards to calendar time was determined. The paper also presents analysis of the factors related to maintenance costs of buses, including costs of fluids, repair costs and maintenance service. It has been demonstrated, that both analyzed buses generate similar maintenance costs, while their failures and technical availability differ significantly in operational practice. These differences are particularly evident in relation to the cumulative costs of repairs.

  13. OH-58 helicopter transmission failure analysis

    Science.gov (United States)

    Townsend, D. P.; Coy, J. J.; Hatvani, B. R.

    1976-01-01

    The OH-58 main transmission gearbox was run at varying output torques, speeds, and oil cooling rates. The gearbox was subsequently run to destruction by draining the oil from the gearbox while operating at a speed of 6200 revs per minute and 36,000 inch-pounds output torque. Primary cause of gearbox failure was overheating and melting of the planet bearing aluminum cages. Complete failure of the gearbox occurred in 28 1/2 minutes after the oil pressure dropped to zero. The alternating and maximum stresses in the gearbox top case were approximately 10 percent of the endurance limit for the material. Deflection of the bevel gear at 67000 inch-pounds output torque indicate a marginal stiffness for the bevel gear supporting system.

  14. An interval-valued reliability model with bounded failure rates

    DEFF Research Database (Denmark)

    Kozine, Igor; Krymsky, Victor

    2012-01-01

    The approach to deriving interval-valued reliability measures described in this paper is distinctive from other imprecise reliability models in that it overcomes the issue of having to impose an upper bound on time to failure. It rests on the presupposition that a constant interval-valued failure...... function if only partial failure information is available. An example is provided. © 2012 Copyright Taylor and Francis Group, LLC....

  15. Heart-rate variability depression in porcine peritonitis-induced sepsis without organ failure.

    Science.gov (United States)

    Jarkovska, Dagmar; Valesova, Lenka; Chvojka, Jiri; Benes, Jan; Danihel, Vojtech; Sviglerova, Jitka; Nalos, Lukas; Matejovic, Martin; Stengl, Milan

    2017-05-01

    Depression of heart-rate variability (HRV) in conditions of systemic inflammation has been shown in both patients and experimental animal models and HRV has been suggested as an early indicator of sepsis. The sensitivity of HRV-derived parameters to the severity of sepsis, however, remains unclear. In this study we modified the clinically relevant porcine model of peritonitis-induced sepsis in order to avoid the development of organ failure and to test the sensitivity of HRV to such non-severe conditions. In 11 anesthetized, mechanically ventilated and instrumented domestic pigs of both sexes, sepsis was induced by fecal peritonitis. The dose of feces was adjusted and antibiotic therapy was administered to avoid multiorgan failure. Experimental subjects were screened for 40 h from the induction of sepsis. In all septic animals, sepsis with hyperdynamic circulation and increased plasma levels of inflammatory mediators developed within 12 h from the induction of peritonitis. The sepsis did not progress to multiorgan failure and there was no spontaneous death during the experiment despite a modest requirement for vasopressor therapy in most animals (9/11). A pronounced reduction of HRV and elevation of heart rate developed quickly (within 5 h, time constant of 1.97 ± 0.80 h for HRV parameter TINN) upon the induction of sepsis and were maintained throughout the experiment. The frequency domain analysis revealed a decrease in the high-frequency component. The reduction of HRV parameters and elevation of heart rate preceded sepsis-associated hemodynamic changes by several hours (time constant of 11.28 ± 2.07 h for systemic vascular resistance decline). A pronounced and fast reduction of HRV occurred in the setting of a moderate experimental porcine sepsis without organ failure. Inhibition of parasympathetic cardiac signaling probably represents the main mechanism of HRV reduction in sepsis. The sensitivity of HRV to systemic inflammation may allow

  16. Failure-Modes-And-Effects Analysis Of Software Logic

    Science.gov (United States)

    Garcia, Danny; Hartline, Thomas; Minor, Terry; Statum, David; Vice, David

    1996-01-01

    Rigorous analysis applied early in design effort. Method of identifying potential inadequacies and modes and effects of failures caused by inadequacies (failure-modes-and-effects analysis or "FMEA" for short) devised for application to software logic.

  17. Prediction of Spring Rate and Initial Failure Load due to Material Properties of Composite Leaf Spring

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Sung Ha [Maxoft Inc., Seongnam (Korea, Republic of); Choi, Bok Lok [Gangneung-Wonju National University, Gangneung (Korea, Republic of)

    2014-12-15

    This paper presented analysis methods for adapting E-glass fiber/epoxy composite (GFRP) materials to an automotive leaf spring. It focused on the static behaviors of the leaf spring due to the material composition and its fiber orientation. The material properties of the GFRP composite were directly measured based on the ASTM standard test. A reverse implementation was performed to obtain the complete set of in-situ fiber and matrix properties from the ply test results. Next, the spring rates of the composite leaf spring were examined according to the variation of material parameters such as the fiber angles and resin contents of the composite material. Finally, progressive failure analysis was conducted to identify the initial failure load by means of an elastic stress analysis and specific damage criteria. As a result, it was found that damage first occurred along the edge of the leaf spring owing to the shear stresses.

  18. Short-term reconsultation, hospitalisation, and death rates after discharge from the emergency department in patients with acute heart failure and analysis of the associated factors. The ALTUR-ICA Study.

    Science.gov (United States)

    Miró, Òscar; Gil, Víctor; Martín-Sánchez, Francisco Javier; Herrero, Pablo; Jacob, Javier; Sánchez, Carolina; Xipell, Carolina; Aguiló, Sira; Llorens, Pere

    2017-07-20

    The aim of this study was to define the following in patients with acute heart failure (AHF) discharged directly from accident and emergency (A&E): rates of reconsultation to A&E and hospitalisation for AHF, and all-cause death at 30 days, rate of combined event at 7 days and the factors associated with these rates. The study included patients consecutively diagnosed with AHF during 2 months in 27 Spanish A&E departments who were discharged from A&E without hospitalisation. We collected 43 independent variables, monitored patients for 30 days and evaluated predictive factors for adverse events using Cox regression analysis. We evaluated 785 patients (78±9) years, 54.7% women). The rates of reconsultation, hospitalisation, and death at 30 days and the combined event at 7 days were: 26.1, 15.7, 1.7 and 10.6%, respectively. The independent factors associated with reconsultation were no endovenous diuretics administered in A&E (HR 2.86; 95% CI 2.01-4.04), glomerular filtration rate (GFR)<60ml/min/m(2) (1.94; 1.37-2.76) and previous AHF episodes (1.48; 1.02-2.13); for hospitalisation these factors were no endovenous diuretics in A&E (2.97; 1.96-4.48), having heart valve disease (1.61; 1.04-2.48), blood oxygen saturation at arrival to A&E<95% (1.60; 1.06-2.42); and for the combined event no endovenous diuretics in A&E (3.65; 2.19-6.10), GFR<60ml/min/m(2) (2.22; 1.31-3.25), previous AHF episodes (1.95; 1.04-3.25), and use of endovenous nitrates (0.13; 0.02-0.99). This is the first study in Spain to describe the rates of adverse events in patients with AHF discharged directly from A&E and define the associated factors. These data should help establish the most adequate approaches to managing these patients. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  19. Losartan improves heart rate variability and heart rate turbulence in heart failure due to ischemic cardiomyopathy.

    Science.gov (United States)

    Ozdemir, Murat; Arslan, Uğur; Türkoğlu, Sedat; Balcioğlu, Serhat; Cengel, Atiye

    2007-12-01

    Heart rate variability (HRV) and heart rate turbulence are known to be disturbed and associated with excess mortality in heart failure. The aim of this study was to investigate whether losartan, when added on top of beta-blocker and angiotensin-converting enzyme inhibitor (ACEI) therapy, could improve these indices in patients with systolic heart failure. Seventy-seven patients (mean age 60.4 +/- 8.0, 80.5% male) with ischemic cardiomyopathy (mean ejection fraction 34.5 +/- 4.4%) and New York Heart Association Class II-III heart failure symptoms, already receiving a beta-blocker and an ACEI, were randomly assigned to either open-label losartan (losartan group) or no additional drug (control group) in a 2:1 ratio and the patients were followed for 12 weeks. The HRV and heart rate turbulence indices were calculated from 24-hour Holter recordings both at the beginning and at the end of follow-up. The baseline clinical characteristics, HRV, and heart rate turbulence indices were similar in the 2 groups. At 12 weeks of follow-up, all HRV parameters except pNN50 increased (SDNN: 113.2 +/- 34.2 versus 127.8 +/- 24.1, P = .001; SDANN: 101.5 +/- 31.7 versus 115.2 +/- 22.0, P = .001; triangular index: 29.9 +/- 11.1 versus 34.2 +/- 7.9, P = .008; RMSSD: 29.1 +/- 20.2 versus 34.3 +/- 23.0, P = .009; NN50: 5015.3 +/- 5554.9 versus 6446.7 +/- 6101.1, P = .024; NN50: 5.65 +/- 6.41 versus 7.24 +/- 6.99, P = .089; SDNNi: 45.1 +/- 13.3 versus 50.3 +/- 14.5, P = .004), turbulence onset decreased (-0. 61 +/- 1.70 versus -1.24 +/- 1.31, P = .003) and turbulence slope increased (4.107 +/- 3.881 versus 5.940 +/- 4.281, P = .004) significantly in the losartan group as compared with controls. A 12-week-long losartan therapy significantly improved HRV and heart rate turbulence in patients with Class II-III heart failure and ischemic cardiomyopathy already on beta-blockers and ACEI.

  20. Limited value of cystatin-C over estimated glomerular filtration rate for heart failure risk stratification.

    Directory of Open Access Journals (Sweden)

    Elisabet Zamora

    Full Text Available BACKGROUND: To compare the prognostic value of estimated glomerular filtration rate, cystatin-C, an alternative renal biomarker, and their combination, in an outpatient population with heart failure. Estimated glomerular filtration rate is routinely used to assess renal function in heart failure patients. We recently demonstrated that the Cockroft-Gault formula is the best among the most commonly used estimated glomerular filtration rate formulas for predicting heart failure prognosis. METHODOLOGY/PRINCIPAL FINDINGS: A total of 879 consecutive patients (72% men, age 70.4 years [P(25-75 60.5-77.2] were studied. The etiology of heart failure was mainly ischemic heart disease (52.7%. The left ventricular ejection fraction was 34% (P(25-75 26-43%. Most patients were New York Heart Association class II (65.8% or III (25.9%. During a median follow-up of 3.46 years (P(25-75 1.85-5.05, 312 deaths were recorded. In an adjusted model, estimated glomerular filtration rate and cystatin-C showed similar prognostic value according to the area under the curve (0.763 and 0.765, respectively. In Cox regression, the multivariable analysis hazard ratios were 0.99 (95% CI: 0.98-1, P = 0.006 and 1.14 (95% CI: 1.02-1.28, P = 0.02 for estimated glomerular filtration rate and cystatin-C, respectively. Reclassification, assessed by the integration discrimination improvement and the net reclassification improvement indices, was poorer with cystatin-C (-0.5 [-1.0;-0.1], P = 0.024 and -4.9 [-8.8;-1.0], P = 0.013, respectively. The value of cystatin-C over estimated glomerular filtration rate for risk-stratification only emerged in patients with moderate renal dysfunction (eGFR 30-60 ml/min/1.73 m(2, chi-square 12.9, P<0.001. CONCLUSIONS/SIGNIFICANCE: Taken together, the results indicate that estimated glomerular filtration rate and cystatin-C have similar long-term predictive values in a real-life ambulatory heart failure population. Cystatin-C seems to

  1. Timing analysis of PWR fuel pin failures

    Energy Technology Data Exchange (ETDEWEB)

    Jones, K.R.; Wade, N.L.; Katsma, K.R.; Siefken, L.J. (EG and G Idaho, Inc., Idaho Falls, ID (United States)); Straka, M. (Halliburton NUS, Idaho Falls, ID (United States))

    1992-09-01

    Research has been conducted to develop and demonstrate a methodology for calculation of the time interval between receipt of the containment isolation signals and the first fuel pin failure for loss-of-coolant accidents (LOCAs). Demonstration calculations were performed for a Babcock and Wilcox (B W) design (Oconee) and a Westinghouse (W) four-loop design (Seabrook). Sensitivity studies were performed to assess the impacts of fuel pin bumup, axial peaking factor, break size, emergency core cooling system availability, and main coolant pump trip on these times. The analysis was performed using the following codes: FRAPCON-2, for the calculation of steady-state fuel behavior; SCDAP/RELAP5/MOD3 and TRACPF1/MOD1, for the calculation of the transient thermal-hydraulic conditions in the reactor system; and FRAP-T6, for the calculation of transient fuel behavior. In addition to the calculation of fuel pin failure timing, this analysis provides a comparison of the predicted results of SCDAP/RELAP5/MOD3 and TRAC-PFL/MOD1 for large-break LOCA analysis. Using SCDAP/RELAP5/MOD3 thermal-hydraulic data, the shortest time intervals calculated between initiation of containment isolation and fuel pin failure are 10.4 seconds and 19.1 seconds for the B W and W plants, respectively. Using data generated by TRAC-PF1/MOD1, the shortest intervals are 10.3 seconds and 29.1 seconds for the B W and W plants, respectively. These intervals are for a double-ended, offset-shear, cold leg break, using the technical specification maximum peaking factor and applied to fuel with maximum design bumup. Using peaking factors commensurate widi actual bumups would result in longer intervals for both reactor designs. This document also contains appendices A through J of this report.

  2. 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

  3. BUSINESS FAILURE PREDICTION FOR ROMANIAN SMES USING MULTIVARIATE DISCRIMINANT ANALYSIS

    OpenAIRE

    2012-01-01

    Business failure prediction is one of special importance for small and medium sized enterprises (SMEs) due to their increased vulnerability. Consequently, the purpose of this paper is to investigate the utility of financial ratios and other non-financial variables to predict business failure using a sample of Romanian SMEs and applying multiple discriminant analysis. The process that leads to failure is analyzed on a three year time horizon prior to failure and the results showed that failure...

  4. Relationship between sponsorship and failure rate of dental implants: a systematic approach.

    Directory of Open Access Journals (Sweden)

    Antoine Popelut

    Full Text Available BACKGROUND: The number of dental implant treatments increases annually. Dental implants are manufactured by competing companies. Systematic reviews and meta-analysis have shown a clear association between pharmaceutical industry funding of clinical trials and pro-industry results. So far, the impact of industry sponsorship on the outcomes and conclusions of dental implant clinical trials has never been explored. The aim of the present study was to examine financial sponsorship of dental implant trials, and to evaluate whether research funding sources may affect the annual failure rate. METHODS AND FINDINGS: A systematic approach was used to identify systematic reviews published between January 1993 and December 2008 that specifically deal with the length of survival of dental implants. Primary articles were extracted from these reviews. The failure rate of the dental implants included in the trials was calculated. Data on publication year, Impact Factor, prosthetic design, periodontal status reporting, number of dental implants included in the trials, methodological quality of the studies, presence of a statistical advisor, and financial sponsorship were extracted by two independent reviewers (kappa = 0.90; CI(95% [0.77-1.00]. Univariate quasi-Poisson regression models and multivariate analysis were used to identify variables that were significantly associated with failure rates. Five systematic reviews were identified from which 41 analyzable trials were extracted. The mean annual failure rate estimate was 1.09%.(CI(95% [0.84-1.42]. The funding source was not reported in 63% of the trials (26/41. Sixty-six percent of the trials were considered as having a risk of bias (27/41. Given study age, both industry associated (OR = 0.21; CI(95% [0.12-0.38] and unknown funding source trials (OR = 0.33; (CI(95% [0.21-0.51] had a lower annual failure rates compared with non-industry associated trials. A conflict of interest statement was disclosed in 2

  5. The study of Influencing Maintenance Factors on Failures of Two gypsum Kilns by Failure Modes and Effects Analysis (FMEA

    Directory of Open Access Journals (Sweden)

    Iraj Alimohammadi

    2014-06-01

    Full Text Available Developing technology and using equipment in Iranian industries caused that maintenance system would be more important to use. Using proper management techniques not only increase the performance of production system but also reduce the failures and costs. The aim of this study was to determine the quality of maintenance system and the effects of its components on failures of kilns in two gypsum production companies using Failure Modes and Effects Analysis (FMEA. Furthermore the costs of failures were studied. After the study of gypsum production steps in the factories, FMEA was conducted by the determination of analysis insight, information gathering, making list of kilns’ component and filling up the FMEA’s tables. The effects of failures on production, how to fail, failure rate, failure severity, and control measures were studied. The evaluation of maintenance system was studied by a check list including questions related to system components. The costs of failures were determined by refer in accounting notebooks and interview with the head of accounting department. It was found the total qualities of maintenance system in NO.1 was more than NO.2 but because of lower quality of NO.1’s kiln design, number of failures and their costs were more. In addition it was determined that repair costs in NO.2’s kiln were about one third of NO.1’s. The low severity failures caused the most costs in comparison to the moderate and low ones. The technical characteristics of kilns were appeared to be the most important factors in reducing of failures and costs.

  6. 14 CFR 417.224 - Probability of failure analysis.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Probability of failure analysis. 417.224..., DEPARTMENT OF TRANSPORTATION LICENSING LAUNCH SAFETY Flight Safety Analysis § 417.224 Probability of failure..., must account for launch vehicle failure probability in a consistent manner. A launch vehicle...

  7. System failure analysis based on DEMATEL-ISM and FMECA

    Institute of Scientific and Technical Information of China (English)

    申桂香; 孙曙光; 张英芝; 王志琼; 陈炳锟; 马闯

    2014-01-01

    A new method of system failure analysis was proposed. First, considering the relationships between the failure subsystems, the decision making trial and evaluation laboratory (DEMATEL) method was used to calculate the degree of correlation between the failure subsystems, analyze the combined effect of related failures, and obtain the degree of correlation by using the directed graph and matrix operations. Then, the interpretative structural modeling (ISM) method was combined to intuitively show the logical relationship of many failure subsystems and their influences on each other by using multilevel hierarchical structure model and obtaining the critical subsystems. Finally, failure mode effects and criticality analysis (FMECA) was used to perform a qualitative hazard analysis of critical subsystems, determine the critical failure mode, and clarify the direction of reliability improvement. Through an example, the result demonstrates that the proposed method can be efficiently applied to system failure analysis problems.

  8. Contraceptive failure rates of etonogestrel subdermal implants in overweight and obese women.

    Science.gov (United States)

    Xu, Hanna; Wade, Jennifer A; Peipert, Jeffrey F; Zhao, Qiuhong; Madden, Tessa; Secura, Gina M

    2012-07-01

    To estimate the contraceptive failure rates of the etonogestrel subdermal contraceptive implant in overweight and obese women and compare failure rates with women of normal weight and women using intrauterine devices (IUDs). The Contraceptive CHOICE Project is a large prospective cohort study designed to promote the use of long-acting reversible contraceptive methods to reduce unintended pregnancies in the St Louis region. Participants are provided reversible contraception of their choice at no cost. We collected baseline height and weight of each participant. During each survey, participants were asked about missed menses and possible pregnancies. Any participant who suspected a pregnancy was asked to come in for urine pregnancy testing. Analysis includes the first 8,445 participants enrolled in CHOICE of which 1,168 chose the implant and 4,200 chose the IUD. Student's t test, χ test, and Kaplan-Meier survival curves were used to perform statistical analyses to estimate failure rates in overweight and obese women using the implant and IUDs. Of the women choosing the implant, 28% were overweight and 35% were obese. Of the women who chose an IUD, 27% were overweight and 35% were obese. The 3-year cumulative failure rates for implant and IUD users were less than one per 100 women-years and did not vary by body mass index. We found no decrease in the effectiveness of the implant in overweight or obese women. The implant may be offered as a first-line contraceptive method to any woman seeking a reversible and reliable birth control method.

  9. Oxygen analyzers: failure rates and life spans of galvanic cells.

    Science.gov (United States)

    Meyer, R M

    1990-07-01

    Competing technologies exist for measuring oxygen concentrations in breathing circuits. Over a 4-year period, two types of oxygen analyzers were studied prospectively in routine clinical use to determine the incidence and nature of malfunctions. Newer AC-powered galvanic analyzers (North American Dräger O2med) were compared with older, battery-powered polarographic analyzers (Ohmeda 201) by recording all failures and necessary repairs. The AC-powered galvanic analyzer had a significantly lower incidence of failures (0.12 +/- 0.04 failures per machine-month) than the battery-powered polarographic analyzer (4.0 +/- 0.3 failures per machine-month). Disposable capsules containing the active galvanic cells lasted 12 +/- 7 months. Although the galvanic analyzers tended to remain out of service longer, awaiting the arrival of costly parts, the polarographic analyzers were more expensive to keep operating when calculations included the cost of time spent on repairs. Stocking galvanic capsules would have decreased the amount of time the galvanic analyzers were out of service, while increasing costs. In conclusion, galvanic oxygen analyzers appear capable of delivering more reliable service at a lower overall cost. By keeping the galvanic capsules exposed to room air during periods of storage, it should be possible to prolong their life span, further decreasing the cost of using them. In addition, recognizing the aberrations in their performance that warn of the exhaustion of the galvanic cells should permit timely recording and minimize downtime.

  10. Medium-distance GPS ambiguity resolution with controlled failure rate

    NARCIS (Netherlands)

    Odijk, D.; Verhagen, S.; Teunissen, P.J.G.

    2009-01-01

    The goal of Network RTK is to provide users with precise ionospheric corrections in order to conduct fast GPS ambiguity resolution and to get cm-level positioning results over medium-distance baselines. In this paper it is shown that a Network RTK user should apply the ratio test with fixed failure

  11. The operating mode of the two-cascade thermoelectric cooling device providing the minimum failure rate

    Directory of Open Access Journals (Sweden)

    Socheslav D. P.

    2011-04-01

    Full Text Available The model of interrelation of reliability indicators and the basic significant parameters of the two-cascade thermoelectric cooling device (TED with consecutive electric connection of cascades is considered. The relations are received allowing to estimate reliability indicators, namely failure rate at construction two-cascade ТED working in current mode, providing the minimum failure rate in a wide range of temperature drops taking into account thermal loading.Possibility of use of this mode when the prevailing requirement is maintenance of the minimum failure rate and the maximum probability of non-failure operation cascade TED is shown.

  12. An implicit algorithm for a rate-dependent ductile failure model

    Science.gov (United States)

    Zuo, Q. H.; Rice, Jeremy R.

    2008-10-01

    An implicit numerical algorithm has been developed for a rate-dependent model for damage and failure of ductile materials under high-rate dynamic loading [F. L. Addessio and J. N. Johnson, J. Appl. Phys. 74, 1640 (1993)]. Over each time step, the algorithm first implicitly determines the equilibrium state on a Gurson surface, and then calculates the final state by solving viscous relaxation equations, also implicitly. Numerical examples are given to demonstrate the key features of the algorithm. Compared to the explicit algorithm used previously, the current algorithm allows significantly larger time steps that can be used in the analysis. As the viscosity of the material vanishes, the results of the rate-dependent model are shown here to converge to that of the corresponding rate-independent model, a result not achieved with the explicit algorithm.

  13. High Strain-Rate and Quasi-Static Ductile Failure Mechanisms in Porous Materials

    Science.gov (United States)

    2007-11-02

    detailed understanding of the interrelated physical mechanisms that can result in ductile material failure in rate-dependent porous crystalline materials subjected...strains and slip-rates, and hydrostatic stresses on failure paths and ligament damage in face centered cubic (f.c.c.) crystalline materials have been

  14. Analysis on Failure Mode Severity of Machining Center Spindle System

    Institute of Scientific and Technical Information of China (English)

    Guixiang Shen; Shuguang Sun; Yingzhi Zhang; Xiaoyan Qi; Bingkun Chen

    2015-01-01

    According to the subjectivity and fuzziness of analysis on failure mode severity about spindle system of machining center, an analysis model of the failure mode severity of such a system is proposed based on the new fault severity index system, improved analytic hierarchy process ( IAHP ) and entropy⁃based fuzzy comprehensive evaluation. IAHP and entropy methods are adopted to determine the comprehensive failure severity index weight. The evaluation result is obtained after the factor set, comment set, weight set, and other parameters are determined, and then the level of risk degree and numerical value order of every spindle system failure mode is given. By taking an example, we verify that the proposed method can quantify the qualitative problem comprehensively, obtain more accurate analysis results, and provide the theoretical reference for mechanization and sequencing of failure mode effect analysis in reliability analysis. The calculation results can also serve as the basis of failure mode, effects, and criticality analysis in the subsequent step.

  15. Is there a relationship between obesity, heart rate variability and inflammatory parameters in heart failure?

    Science.gov (United States)

    Taçoy, Gülten; Açikgöz, Kadri; Kocaman, Sinan Altan; Ozdemir, Murat; Cengel, Atiye

    2010-02-01

    To investigate the effect of body mass index (BMI) on heart rate variability (HRV) and inflammatory parameters in patients with heart failure. We analyzed 55 consecutive patients (mean age, 63.5 +/- 12.8 years; male/female, 39/16) with symptomatic left ventricular systolic (ejection fraction or= 30 kg/m2). The cause of heart failure was mainly ischemic heart disease (75%) with mean ejection fraction 30 +/- 7%. Plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) and C-reactive protein levels were measured, and time-domain HRV indices were determined on Holter electrocardiogram. The relationship between HRV indices and laboratory, inflammatory and echocardiographic parameters was investigated with correlation analysis. Age, sex, clinical characteristics (hypertension, diabetes mellitus, dyslipidemia, family history, smoking) were similar between groups. BMI was inversely correlated with NT-pro BNP levels (P = 0.001). HRV indices did not differ between groups. Correlation analysis demonstrated the relationship between HRV indices and fasting blood glucose (SDNN, SDANN, SDNNI, root mean square successive differences, VTI), C-reactive protein (SDANN, SDNNI, VTI), pulmonary artery pressure (SDNN, SDANN, VTI) levels. In systolic heart failure patients a higher BMI is associated with decreased NT-proBNP levels. Although HRV indices were not different between groups, inflammatory parameters, fasting blood glucose and pulmonary artery pressure were correlated with them.

  16. Preliminary Failure Modes and Effects Analysis of the US Massive Gas Injection Disruption Mitigation System Design

    Energy Technology Data Exchange (ETDEWEB)

    Lee C. Cadwallader

    2013-10-01

    This report presents the results of a preliminary failure modes and effects analysis (FMEA) of a candidate design for the ITER Disruption Mitigation System. This candidate is the Massive Gas Injection System that provides machine protection in a plasma disruption event. The FMEA was quantified with “generic” component failure rate data as well as some data calculated from operating facilities, and the failure events were ranked for their criticality to system operation.

  17. Preliminary Failure Modes and Effects Analysis of the US DCLL Test Blanket Module

    Energy Technology Data Exchange (ETDEWEB)

    Lee C. Cadwallader

    2007-08-01

    This report presents the results of a preliminary failure modes and effects analysis (FMEA) of a small tritium-breeding test blanket module design for the International Thermonuclear Experimental Reactor. The FMEA was quantified with “generic” component failure rate data, and the failure events are binned into postulated initiating event families and frequency categories for safety assessment. An appendix to this report contains repair time data to support an occupational radiation exposure assessment for test blanket module maintenance.

  18. Preliminary Failure Modes and Effects Analysis of the US DCLL Test Blanket Module

    Energy Technology Data Exchange (ETDEWEB)

    Lee C. Cadwallader

    2010-06-01

    This report presents the results of a preliminary failure modes and effects analysis (FMEA) of a small tritium-breeding test blanket module design for the International Thermonuclear Experimental Reactor. The FMEA was quantified with “generic” component failure rate data, and the failure events are binned into postulated initiating event families and frequency categories for safety assessment. An appendix to this report contains repair time data to support an occupational radiation exposure assessment for test blanket module maintenance.

  19. Failure Analysis of Aviation Torsional Springs

    Institute of Scientific and Technical Information of China (English)

    HOU Weiguo; ZHANG Weifang; LIU Xiao; WANG Zongren; DING Meili

    2011-01-01

    Cracks and fractures occur during the assembly process to a type of torsional springs used in the aviation mechanism.Besides visual examination,other experimental techniques used for the investigation are:1) fracture characteristics,damage morphology and ffactography by scanning electron microscopy(SEM),2) spectrum analysis of covering,3) metallographic observation of cracks and 4) hydrogen content testing.The results are obtained through the analysis of manufacture process and experimental data.Since no changes of microstructure are found,failures are irrelevant to the material.The cracks and fractures initiate on the inner surface,cracks initiate before the cadmium plating and after the winding.No obvious stress corrosion cracks are found near the crack source region.The opening direction of cracks is consistent with the residual tensile stress of the spring inner surface,and the springs are easy to contact hydrogen media between the spring winding and the cadmium plating.The cracks are caused by hydrogen-induced delayed cracking under the action of the residual tensile stress and hydrogen.

  20. Increasing body mass index predicts increasing difficulty, failure rate, and time to discovery of failure of epidural anesthesia in laboring patients.

    Science.gov (United States)

    Kula, Ayse O; Riess, Matthias L; Ellinas, Elizabeth H

    2017-02-01

    Obese parturients both greatly benefit from neuraxial techniques, and may represent a technical challenge to obstetric anesthesiologists. Several studies address the topic of obesity and neuraxial analgesia in general, but few offer well described definitions or rates of "difficulty" and "failure" of labor epidural analgesia. Providing those definitions, we hypothesized that increasing body mass index (BMI) is associated with negative outcomes in both categories and increased time needed for epidural placement. Single center retrospective chart review. Labor and Delivery Unit of an inner city academic teaching hospital. 2485 parturients, ASA status 2 to 4, receiving labor epidural analgesia for anticipated vaginal delivery. None. We reviewed quality assurance and anesthesia records over a 12-month period. "Failure" was defined as either inadequate analgesia or a positive test dose, requiring replacement, and/or when the anesthesia record stated they failed. "Difficulty" was defined as six or more needle redirections or a note indicating difficulty in the anesthesia record. Overall epidural failure and difficulty rates were 4.3% and 3.0%, respectively. Patients with a BMI of 30kg/m(2) or higher had a higher chance of both failure and difficulty with two and almost three fold increases, respectively. Regression analysis indicated that failure was best predicted by BMI and less provider training while difficulty was best predicted by BMI. Additionally, increased BMI was associated with increased time of discovery of epidural catheter failure. Obesity is associated with increasing technical difficulty and failure of neuraxial analgesia for labor. Practitioners should consider allotting extra time for obese parturients in order to manage potential problems. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Constructing Ontology for Knowledge Sharing of Materials Failure Analysis

    Directory of Open Access Journals (Sweden)

    Peng Shi

    2014-01-01

    Full Text Available Materials failure indicates the fault with materials or components during their performance. To avoid the reoccurrence of similar failures, materials failure analysis is executed to investigate the reasons for the failure and to propose improved strategies. The whole procedure needs sufficient domain knowledge and also produces valuable new knowledge. However, the information about the materials failure analysis is usually retained by the domain expert, and its sharing is technically difficult. This phenomenon may seriously reduce the efficiency and decrease the veracity of the failure analysis. To solve this problem, this paper adopts ontology, a novel technology from the Semantic Web, as a tool for knowledge representation and sharing and describes the construction of the ontology to obtain information concerning the failure analysis, application area, materials, and failure cases. The ontology represented information is machine-understandable and can be easily shared through the Internet. At the same time, failure case intelligent retrieval, advanced statistics, and even automatic reasoning can be accomplished based on ontology represented knowledge. Obviously this can promote the knowledge sharing of materials service safety and improve the efficiency of failure analysis. The case of a nuclear power plant area is presented to show the details and benefits of this method.

  2. Failure Rate of Single Dose Methotrexate in Managment of Ectopic Pregnancy

    OpenAIRE

    Feras Sendy; Eman AlShehri; Amani AlAjmi; Elham Bamanie; Surekha Appani; Taghreed Shams

    2015-01-01

    Background. One of the treatment modalities for ectopic pregnancy is methotrexate. The purpose of this study is to identify the failure rate of methotrexate in treating patients with ectopic pregnancy as well as the risk factors leading to treatment failure. Methods. A retrospective chart review of 225 patients who received methotrexate as a primary management option for ectopic pregnancy. Failure of single dose of methotrexate was defined as drop of BHCG level less than or equal to 14% in th...

  3. Small Business Failure Rates: Choice of Definition and the Size Effect

    OpenAIRE

    1996-01-01

    Results of many previous studies on the rate of small business failure suggest an inverse relationship between size of business and propensity to fail. However, it has been suggested that this inverse relationship, between firm size and the rate of discontinuance, may more accurately be characterized as an inverse relationship between age of business and the rate of discontinuance. While some studies have confirmed the positive association between failure and age, they have generally found th...

  4. Effect of Yoga Therapy on Heart Rate, Blood Pressure and Cardiac Autonomic Function in Heart Failure

    OpenAIRE

    Krishna, Bandi Hari; Pal, Pravati; G.K., Pal; J, Balachander; E., Jayasettiaseelon; Y, Sreekanth; M.G., Sridhar; G.S., Gaur

    2014-01-01

    Background and Objective: It is well known that a hall mark of heart failure is adverse changes in autonomic function. Elevated blood pressure is a powerful predictor of congestive heart failure and other Cardiovascular Disease (CVD) outcomes. In this study, we planned to examine the effects of a 12 week yoga therapy on blood pressure, heart rate, heart rate variability, and rate pressure product (RPP).

  5. Microcircuit failure analysis using the SEM. [Scanning Electron Microscopes

    Science.gov (United States)

    Nicolas, D. P.

    1974-01-01

    The scanning electron microscope adds a new dimension to the knowledge that can be obtained from a failed microcircuit. When used with conventional techniques, SEM assists and clarifies the analysis, but it does not replace light microscopy. The most advantageous features for microcircuit analysis are long working distances and great depth of field. Manufacturer related failure modes of microcircuits are metallization defects, poor bonding, surface and particle contamination, and design and fabrication faults. User related failure modes are caused by abuse, such as overstress. The Physics of Failure Procedure followed by the Astrionics Laboratory in failure analysis is described, which is designed to obtain maximum information available from each step.

  6. Mod 1 wind turbine generator failure modes and effects analysis

    Science.gov (United States)

    1979-01-01

    A failure modes and effects analysis (FMEA) was directed primarily at identifying those critical failure modes that would be hazardous to life or would result in major damage to the system. Each subsystem was approached from the top down, and broken down to successive lower levels where it appeared that the criticality of the failure mode warranted more detail analysis. The results were reviewed by specialists from outside the Mod 1 program, and corrective action taken wherever recommended.

  7. Trimetazidine on Heart Rate Variability in Patients with Chronic Heart Failure:a meta-analysis%曲美他嗪对慢性心力衰竭患者心率变异性影响的meta分析

    Institute of Scientific and Technical Information of China (English)

    刘万里; 黄鹤; 王磊; 梅阳; 李君

    2014-01-01

    目的:客观评价曲美他嗪( Trimetazidine, TMZ)对慢性心力衰竭( chronic heart failure, CHF)患者心率变异性( heart rate variability, HRV)的改善效果。方法计算机并手工检索2005年1月—2013年12月Cochrane图书馆临床对照试验库、PubMed、EMbase、万方数据库、中国知网( CNKI)、中国生物医学文献数据库( CBM)、维普数据库收录的关于TMZ对CHF患者HRV影响的随机对照试验(RCT)研究文献,应用RevMan 5.0软件对数据进行meta分析。结果本研究共纳入RCT文献10篇CHF共991例,其中常规联合TMZ治疗500例(试验组),单纯常规治疗491例(对照组),文献质量均为中等。 meta分析结果显示,与对照组比较,试验组治疗后左室射血分数( LVEF)明显增加,差异有统计学意义(P<0.00001);HRV指标中,试验组治疗后正常R-R间期标准差(SDNN)、5 min正常R-R间期均值标准差(SDANN)、连续5 min R-R间期差值均方根(rMSSD)、R-R间期差值大于50 ms的百分比(PNN50)均明显增加或升高,与对照组比较差异均有统计学意义(P均<0.00001)。上述各指标漏斗图基本对称,存在发表偏倚可能性小。结论 TMZ联合常规抗心衰治疗CHF效果确切,可显著提高LVEF、HRV,改善患者预后。%Objective To evaluate the efficacy of the improvement with trimetazidine on heart rate variability ( HRV) in patients with chronic heart failure ( CHF) . Methods The related Randomized Controlled Trial literature of TMZ influence on HRV in patients with CHF were searched by computer from Cochrane Central Register of Controlled Trials databases, PubMed, EMbase, WanFangDATA, Chinese academic journal full-text detabase ( CNKI) , Chinese Biomedical Literature Da-tabase (CBM), VIP database (VIP) and by hand during January 2005 and December 2013. All the data were processed by Meta-analysis using RevMan 5. 0. Results A total of 10 literatures, 991 patients ,including experimental group (convention-al therapy combined

  8. A hybrid approach to calculate the Shielding Failure-Caused Trip-out Rate

    Directory of Open Access Journals (Sweden)

    Zhou Liang

    2016-01-01

    Full Text Available Lightning has become a big threat to the safe operation of the main transmission line. Reasonable and accurate calculation of shielding failure rate plays important role in transmission line and tower design. This paper proposes a hybrid approach to calculate the shielding failure-caused trip-out rate, based on the typical electro-geometric model and the regulation method. The case study prove the validity and correctness of this approach, by comparing with the actual operation shielding failure rate.

  9. Study on failure analysis of array chip components in IRFPA

    Science.gov (United States)

    Zhang, Xiaonan; He, Yingjie; Li, Jinping

    2016-10-01

    Infrared focal plane array detector has advantages of strong anti-interference ability and high sensitivity. Its size, weight and power dissipation has been noticeably decreased compared to the conventional infrared imaging system. With the development of the detector manufacture technology and the cost reduction, IRFPA detector has been widely used in the military and commercial fields. Due to the restricting of array chip manufacturing process and material defects, the fault phenomenon such as cracking, bad pixel and abnormal output was showed during the test, which restricts the performance of the infrared detector imaging system, and these effects are gradually intensified with the expanding of the focal plane array size and the shrinking of the pixel size. Based on the analysis of the test results for the infrared detector array chip components, the fault phenomenon was classified. The main cause of the chip component failure is chip cracking, bad pixel and abnormal output. The reason of the failure has been analyzed deeply. According to analyze the mechanism of the failure, a series of measures which contain filtrating materials and optimizing the manufacturing process of array chip components were used to improve the performance of the chip components and the test pass rate, which is used to meet the needs of the detector performance.

  10. Software Architecture Reliability Analysis using Failure Scenarios

    NARCIS (Netherlands)

    Tekinerdogan, B.; Sözer, Hasan; Aksit, Mehmet

    With the increasing size and complexity of software in embedded systems, software has now become a primary threat for the reliability. Several mature conventional reliability engineering techniques exist in literature but traditionally these have primarily addressed failures in hardware components

  11. Failure analysis of high performance ballistic fibers

    OpenAIRE

    Spatola, Jennifer S

    2015-01-01

    High performance fibers have a high tensile strength and modulus, good wear resistance, and a low density, making them ideal for applications in ballistic impact resistance, such as body armor. However, the observed ballistic performance of these fibers is much lower than the predicted values. Since the predictions assume only tensile stress failure, it is safe to assume that the stress state is affecting fiber performance. The purpose of this research was to determine if there are failure mo...

  12. Failure analysis of high performance ballistic fibers

    OpenAIRE

    Spatola, Jennifer S

    2015-01-01

    High performance fibers have a high tensile strength and modulus, good wear resistance, and a low density, making them ideal for applications in ballistic impact resistance, such as body armor. However, the observed ballistic performance of these fibers is much lower than the predicted values. Since the predictions assume only tensile stress failure, it is safe to assume that the stress state is affecting fiber performance. The purpose of this research was to determine if there are failure mo...

  13. Micromechanics-Based Progressive Failure Analysis of Composite Laminates Using Different Constituent Failure Theories

    Science.gov (United States)

    Moncada, Albert M.; Chattopadhyay, Aditi; Bednarcyk, Brett A.; Arnold, Steven M.

    2008-01-01

    Predicting failure in a composite can be done with ply level mechanisms and/or micro level mechanisms. This paper uses the Generalized Method of Cells and High-Fidelity Generalized Method of Cells micromechanics theories, coupled with classical lamination theory, as implemented within NASA's Micromechanics Analysis Code with Generalized Method of Cells. The code is able to implement different failure theories on the level of both the fiber and the matrix constituents within a laminate. A comparison is made among maximum stress, maximum strain, Tsai-Hill, and Tsai-Wu failure theories. To verify the failure theories the Worldwide Failure Exercise (WWFE) experiments have been used. The WWFE is a comprehensive study that covers a wide range of polymer matrix composite laminates. The numerical results indicate good correlation with the experimental results for most of the composite layups, but also point to the need for more accurate resin damage progression models.

  14. Rate Dependent Deformation and Strength Analysis of Polymer Matrix Composites

    Science.gov (United States)

    Goldberg, Robert K.; Stouffer, Donald C.

    1999-01-01

    A research program is being undertaken to develop rate dependent deformation and failure models for the analysis of polymer matrix composite materials. In previous work in this program, strain-rate dependent inelastic constitutive equations used to analyze polymers have been implemented into a mechanics of materials based composite micromechanics method. In the current work, modifications to the micromechanics model have been implemented to improve the calculation of the effective inelastic strain. Additionally, modifications to the polymer constitutive model are discussed in which pressure dependence is incorporated into the equations in order to improve the calculation of constituent and composite shear stresses. The Hashin failure criterion is implemented into the analysis method to allow for the calculation of ply level failure stresses. The deformation response and failure stresses for two representative uniaxial polymer matrix composites, IM7/977-2 and AS4-PEEK, are predicted for varying strain rates and fiber orientations. The predicted results compare favorably to experimentally obtained values.

  15. The research on aging failure rate and optimization estimation of protective relay under haze conditions

    Science.gov (United States)

    Wang, Ying-kang; Zhou, Meng-ran; Yang, Jie; Zhou, Pei-qiang; Xie, Ying

    2017-01-01

    In the fog and haze, the air contains large amounts of H2S, SO2, SO3 and other acids, air conductivity is greatly improved, the relative humidity is also greatly increased, Power transmission lines and electrical equipment in such an environment will increase in the long-running failure ratedecrease the sensitivity of the detection equipment, impact protection device reliability. Weibull distribution is widely used in component failure distribution fitting. It proposes a protection device aging failure rate estimation method based on the least squares method and the iterative method,.Combined with a regional power grid statistics, computing protective equipment failure rate function. Binding characteristics of electrical equipment operation status under haze conditions, optimization methods, get more in line with aging protection equipment failure under conditions of haze characteristics.

  16. Failure Analysis towards Reliable Performance of Aero-Engines

    Directory of Open Access Journals (Sweden)

    T. Jayakumar

    1999-10-01

    Full Text Available Aero-engines are critical components whose reliable performance decides the primary safety of anaircrafthelicopter. This is met by rigorous maintenance schedule with periodic inspection/nondestructive testingof various engine components. In spite of these measures, failure of areo-engines do occur rather frequentlyin comparison to failure of other components. Systematic failure analysis helps one to identify root causeof the failure, thus enabling remedial measures to prevent recurrence of such failures. Turbine blades madeof nickel or cobalt-based alloys are used in aero-engines. These blades are subjected to complex loadingconditions at elevated temperatures. The main causes of failure of blades are attributed to creep, thermalfatigue and hot corrosion. Premature failure of blades in the combustion zone was reported in one of theaero-engines. The engine had both the compressor and the free-turbine in a common shaft. Detailedfailure analysis revealed the presence of creep voids in the blades that failed. Failure of turbine bladeswas also detected in another aero-engine operating in a coastal environment. In this failure, the protectivecoating on the blades was cracked at many locations. Grain boundary spikes were observed on these locations.The primary cause of this failure was the hot corrosion followed by creep damage

  17. Heart rate awareness in patients with chronic stable heart failure. A multi-center observational study.

    LENUS (Irish Health Repository)

    Moran, D

    2014-08-23

    We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70bpm) in patients with chronic stable heart failure. We also investigated the percent of patients on target doses of rate controlling drugs.

  18. BANK RATING. A COMPARATIVE ANALYSIS

    Directory of Open Access Journals (Sweden)

    Batrancea Ioan

    2015-07-01

    Full Text Available Banks in Romania offers its customers a wide range of products but which involves both risk taking. Therefore researchers seek to build rating models to help managers of banks to risk of non-recovery of loans and interest. In the following we highlight rating Raiffeisen Bank, BCR-ERSTE Bank and Transilvania Bank, based on the models CAAMPL and Stickney making a comparative analysis of the two rating models.

  19. Reducing the failure rate in introductory physics classes

    Science.gov (United States)

    Saul, Jeff; Coulombe, Patrick; Lindell, Rebecca

    2017-01-01

    Calculus-based introductory physics courses are often among the most difficult at many colleges and universities. With the national movement to increase STEM majors, the introductory calculus-based courses need to be less of a weed-out course and more of a course that propels students forward into successful majors. This talk discusses two approaches to reduce DFW rates and improve student retention: studio courses and parachute courses. Studio courses integrate lecture/laboratory into one course where the primary mode of instruction is small group activities. Typically, any students enrolled in the college or university can enroll in a studio version of the course. Parachute courses on the other hand, focus on the poor performing students. Designed so that students not doing well in an introductory physics course can switch into the parachute class mid-semester without harm to their GPA. In addition, the parachute course focuses on helping students build the knowledge and skills necessary for success when retaking the calculus-based Physics course. The studio course format has been found to reduce DFW rates at several universities by 40-60% compared with separate lecture and laboratory format versions of the same courses, while parachutes courses were less successful. At one university, the parachute course succeeded in helping 80% of students maintain their GPA, but only helped 20% successfully pass the calculus-based physics course.

  20. Tool Failure Analysis in High Speed Milling of Titanium Alloys

    Institute of Scientific and Technical Information of China (English)

    ZHAO Xiuxu; MEYER Kevin; HE Rui; YU Cindy; NI Jun

    2006-01-01

    In high speed milling of titanium alloys the high rate of tool failure is the main reason for its high manufacturing cost. In this study, fractured tools which were used in a titanium alloys 5-axis milling process have been observed both in the macro scale using a PG-1000 light microscope and in the micro scale using a Scanning Electron Microscope (SEM) respectively. These observations indicate that most of these tool fractures are the result of tool chipping. Further analysis of each chipping event has shown that beachmarks emanate from points on the cutting edge. This visual evidence indicates that the cutting edge is failing in fatigue due to cyclical mechanical and/or thermal stresses. Initial analyses explaining some of the outlying conditions for this phenomenon are discussed. Future analysis regarding determining the underlying causes of the fatigue phenomenon is then outlined.

  1. X-framework: Space system failure analysis framework

    Science.gov (United States)

    Newman, John Steven

    Space program and space systems failures result in financial losses in the multi-hundred million dollar range every year. In addition to financial loss, space system failures may also represent the loss of opportunity, loss of critical scientific, commercial and/or national defense capabilities, as well as loss of public confidence. The need exists to improve learning and expand the scope of lessons documented and offered to the space industry project team. One of the barriers to incorporating lessons learned include the way in which space system failures are documented. Multiple classes of space system failure information are identified, ranging from "sound bite" summaries in space insurance compendia, to articles in journals, lengthy data-oriented (what happened) reports, and in some rare cases, reports that treat not only the what, but also the why. In addition there are periodically published "corporate crisis" reports, typically issued after multiple or highly visible failures that explore management roles in the failure, often within a politically oriented context. Given the general lack of consistency, it is clear that a good multi-level space system/program failure framework with analytical and predictive capability is needed. This research effort set out to develop such a model. The X-Framework (x-fw) is proposed as an innovative forensic failure analysis approach, providing a multi-level understanding of the space system failure event beginning with the proximate cause, extending to the directly related work or operational processes and upward through successive management layers. The x-fw focus is on capability and control at the process level and examines: (1) management accountability and control, (2) resource and requirement allocation, and (3) planning, analysis, and risk management at each level of management. The x-fw model provides an innovative failure analysis approach for acquiring a multi-level perspective, direct and indirect causation of

  2. Correlation failure analysis of an uncertain hysteretic vibration system

    Institute of Scientific and Technical Information of China (English)

    Zhang Xufang; Zhang Yimin; Hao Qiuju

    2008-01-01

    In this paper, a numerical method for correlation sensitivity analysis of a nonlinear random vibration system is presented. Based on the first passage failure model, the probability perturbation method is employed to determine the statistical characteristics of failure modes and the correlation between them. The sensitivity of correlation between failure modes with respect to random parameters characterizing the uncertainty of the hysteretic loop is discussed. In a numerical example, a two-DOF shear structure with uncertain hysteretic restoring force is considered. The statistical characteristics of response, failure modes and the sensitivity of random hysteretic loop parameters are provided, and also compared with a Monte Carlo simulation.

  3. Association between atrial fibrillatory rate and heart rate variability in patients with atrial fibrillation and congestive heart failure.

    Science.gov (United States)

    Corino, Valentina D A; Cygankiewicz, Iwona; Mainardi, Luca T; Stridh, Martin; Vasquez, Rafael; Bayes de Luna, Antonio; Holmqvist, Fredrik; Zareba, Wojciech; Platonov, Pyotr G

    2013-01-01

    Even if atrial fibrillatory rate (AFR) has been related to clinical outcome in patients with atrial fibrillation (AF), its relation with ventricular response has not been deeply studied. The aim of this study was to investigate the relation between AFR and RR series variability in patients with AF. Twenty-minute electrocardiograms in orthogonal leads were processed to extract AFR, using spatiotemporal QRST cancellation and time frequency analysis, and RR series in 127 patients (age 69 ± 11 years) with congestive heart failure (NYHA II-III) enrolled in the MUSIC study (MUerte Subita en Insufficiencia Cardiaca). Heart rate variability and irregularity were assessed by time domain parameters and entropy-based indices, respectively and their correlation with AFR investigated. Variability measures seem not to be related to AFR, while irregularity measures do. A significant correlation between AFR and variability parameters of heart rate variability during AF was found only in patients not treated with antiarrhythmics drugs (correlation = 0.56 P < 0.05 for pNN50), while this correlation was lost in patients taking rate- or rhythm-control drugs. A significant positive correlation between AFR and indices of RR irregularity was found, showing that a higher AFR is related to a less organized RR series (correlation = 0.33 P < 0.05 for regularity index for all patients, correlation increased in subgroups of patients treated with the same drug). These results suggest that a higher AFR is associated with a higher degree of irregularity of ventricular response that is observed regardless of the use of rate-controlling drugs. ©2012, Wiley Periodicals, Inc.

  4. A quantitative method for Failure Mode and Effects Analysis

    NARCIS (Netherlands)

    Braaksma, A.J.J.; Meesters, A.J.; Klingenberg, W.; Hicks, C.

    2012-01-01

    Failure Mode and Effects Analysis (FMEA) is commonly used for designing maintenance routines by analysing potential failures, predicting their effect and facilitating preventive action. It is used to make decisions on operational and capital expenditure. The literature has reported that despite its

  5. SPECTRAL ANALYSIS OF EXCHANGE RATES

    Directory of Open Access Journals (Sweden)

    ALEŠA LOTRIČ DOLINAR

    2013-06-01

    Full Text Available Using spectral analysis is very common in technical areas but rather unusual in economics and finance, where ARIMA and GARCH modeling are much more in use. To show that spectral analysis can be useful in determining hidden periodic components for high-frequency finance data as well, we use the example of foreign exchange rates

  6. Software architecture reliability analysis using failure scenarios

    NARCIS (Netherlands)

    Tekinerdogan, Bedir; Sozer, Hasan; Aksit, Mehmet

    2008-01-01

    With the increasing size and complexity of software in embedded systems, software has now become a primary threat for the reliability. Several mature conventional reliability engineering techniques exist in literature but traditionally these have primarily addressed failures in hardware components a

  7. Failure Analysis of Storage Data Magnetic Systems

    Directory of Open Access Journals (Sweden)

    Ortiz–Prado A.

    2010-10-01

    Full Text Available This paper shows the conclusions about the corrosion mechanics in storage data magnetic systems (hard disk. It was done from the inspection of 198 units that were in service in nine different climatic regions characteristic for Mexico. The results allow to define trends about the failure forms and the factors that affect them. In turn, this study has analyzed the causes that led to mechanical failure and those due to deterioration by atmospheric corrosion. On the basis of the results obtained from the field sampling, demonstrates that the hard disk failure is fundamentally by mechanical effects. The deterioration by environmental effects were found in read-write heads, integrated circuits, printed circuit boards and in some of the electronic components of the controller card of the device, but not in magnetic storage surfaces. There fore, you can discard corrosion on the surface of the disk as the main kind of failure due to environmental deterioration. To avoid any inconvenience in the magnetic data storage system it is necessary to ensure sealing of the system.

  8. Analysis of Field Data on Computer Failures

    Institute of Scientific and Technical Information of China (English)

    RavishankarK.Iyer; Mei-ChenHsueh

    1990-01-01

    This paper emphasizes the importance of making field measurements for effective and realistic dependability evaluatians.Two examples are given,both based on real data from IBM mainframes.The first evaluates the imnact of the operating environment on system failure characteristics and the second shows how an accurate model depicting this interaction can be extracted from real data.

  9. Analysis of causes of construction failure of road embankments

    Directory of Open Access Journals (Sweden)

    Ryszard Chmielewski

    2016-07-01

    Full Text Available The paper proposes a methodology for conducting the analysis of causes of con-struction failure of road embankments. First of all, it is focused on damaged road embankments, which represent a substantial percentage of this type of failure. At the beginning, current norms, regulations and rules of building art are presented, compliance with which should ensure a proper quality of construction, and thus should also reduce the risk of failure. In the next part, the paper is focused on the juxtaposition of the causes of construction failure of road at various stages of carrying out the investment projects. It is proposed a methodology for evaluating the causes of the construction failure of road and the methodology followed in the event of their occurrence. In the final part, practical applications of analytical results for the selected examples are presented. Keywords: earthworks, road embankments, slopes and embankments, trenches, failure

  10. Analysis of Failure to Finish a Race in a Cohort of Thoroughbred Racehorses in New Zealand.

    Science.gov (United States)

    Tanner, Jasmine; Rogers, Chris; Bolwell, Charlotte; Cogger, Naomi; Gee, Erica; Mcllwraith, Wayne

    2016-05-25

    The objective was to describe the incidence of failure to finish a race in flat-racing Thoroughbreds in New Zealand as these are summary indicators of falls, injuries and poor performance. Retrospective data on six complete flat racing seasons (n = 188,615 race starts) of all Thoroughbred flat race starts from 1 August 2005 to 31 July 2011 were obtained. The incidence of failure to finish events and binomial exact 95% confidence intervals were calculated per 1000 horse starts. The association between horse-, rider- and race-level variables with the outcomes failure to finish, pulled-up/fell and lost rider were examined with a mixed effects Poisson regression model. A total of 544 horses failed to finish in 188,615 race starts with an overall incidence of 2.88 per 1000 horse starts (95% CI 2.64-3.12). The incidence of failure to finish horses across each race year showed little variability. In the univariable analysis race distance, larger field size, season, and ratings bands showed association with failing to finish a race. The overall failure to finish outcome was associated with season, race distance and ratings bands (horse experience and success ranking criteria). In the multivariable analysis, race distance and ratings bands were associated with horses that pulled-up/fell; season, apprentice allowances and ratings bands were associated with the outcome lost rider. The failure to finish rate was lower than international figures for race day catastrophic injury. Racing and environmental variables were associated with failure to finish a race highlighting the multifactorial nature of race-day events. Further investigation of risk factors for failure to finish is required to better understand the reasons for a low failure to finish rate in Thoroughbred flat races in New Zealand.

  11. Analysis of Failure to Finish a Race in a Cohort of Thoroughbred Racehorses in New Zealand

    Directory of Open Access Journals (Sweden)

    Jasmine Tanner

    2016-05-01

    Full Text Available The objective was to describe the incidence of failure to finish a race in flat-racing Thoroughbreds in New Zealand as these are summary indicators of falls, injuries and poor performance. Retrospective data on six complete flat racing seasons (n = 188,615 race starts of all Thoroughbred flat race starts from 1 August 2005 to 31 July 2011 were obtained. The incidence of failure to finish events and binomial exact 95% confidence intervals were calculated per 1000 horse starts. The association between horse-, rider- and race-level variables with the outcomes failure to finish, pulled-up/fell and lost rider were examined with a mixed effects Poisson regression model. A total of 544 horses failed to finish in 188,615 race starts with an overall incidence of 2.88 per 1000 horse starts (95% CI 2.64–3.12. The incidence of failure to finish horses across each race year showed little variability. In the univariable analysis race distance, larger field size, season, and ratings bands showed association with failing to finish a race. The overall failure to finish outcome was associated with season, race distance and ratings bands (horse experience and success ranking criteria. In the multivariable analysis, race distance and ratings bands were associated with horses that pulled-up/fell; season, apprentice allowances and ratings bands were associated with the outcome lost rider. The failure to finish rate was lower than international figures for race day catastrophic injury. Racing and environmental variables were associated with failure to finish a race highlighting the multifactorial nature of race-day events. Further investigation of risk factors for failure to finish is required to better understand the reasons for a low failure to finish rate in Thoroughbred flat races in New Zealand.

  12. Heart rate modulation by sympathetic nerves in dogs with heart failure.

    Science.gov (United States)

    Uechi, Masami; Shimizu, Akira; Mizuno, Masashi

    2002-11-01

    To clarify heart rate modulation by the sympathetic nervous system, dogs with naturally acquired and experimentally induced heart failure were examined. Heart rate and plasma catecholamine concentrations were measured in clinically healthy dogs (control dogs) and dogs with mitral regurgitation (MR) during a resting period, a standing period, a period of standing in a medical examination room (to which the dogs were unaccustomed), a running period, and a period of recovery after running. The heart rate and plasma catecholamine concentration increased in control dogs during the standing period and the medical examination room period, relative to the resting period. However, dogs with MR did not exhibit any clear increase in heart rate or catecholamine concentration under these light stress conditions. Running stress increased plasma catecholamine levels in control dogs; however, dogs with MR did not exhibit any significant changes. Thirty-two dogs with naturally acquired heart disease were classified as grades I to III on the ISACHC scale. The degree of increase in heart rate and plasma catecholamine levels in dogs with naturally acquired heart failure depended on their degree of heart failure. In conclusion, an increased heart rate and an activated sympathetic nervous system were observed, even in mild heart failure. This chronically activated sympathetic activity is expected to increase myocardial oxygen consumption, myocardial hypertrophy, and fibrosis, and to portend a poorer prognosis in heart failure.

  13. Rate-dependent activation failure in isolated cardiac cells and tissue due to Na+ channel block.

    Science.gov (United States)

    Varghese, Anthony; Spindler, Anthony J; Paterson, David; Noble, Denis

    2015-11-15

    While it is well established that class-I antiarrhythmics block cardiac sodium channels, the mechanism of action of therapeutic levels of these drugs is not well understood. Using a combination of mathematical modeling and in vitro experiments, we studied the failure of activation of action potentials in single ventricular cells and in tissue caused by Na(+) channel block. Our computations of block and unblock of sodium channels by a theoretical class-Ib antiarrhythmic agent predict differences in the concentrations required to cause activation failure in single cells as opposed to multicellular preparations. We tested and confirmed these in silico predictions with in vitro experiments on isolated guinea-pig ventricular cells and papillary muscles stimulated at various rates (2-6.67 Hz) and exposed to various concentrations (5 × 10(-6) to 500 × 10(-6) mol/l) of lidocaine. The most salient result was that whereas large doses (5 × 10(-4) mol/l or higher) of lidocaine were required to inhibit action potentials temporarily in single cells, much lower doses (5 × 10(-6) mol/l), i.e., therapeutic levels, were sufficient to have the same effect in papillary muscles: a hundredfold difference. Our experimental results and mathematical analysis indicate that the syncytial nature of cardiac tissue explains the effects of clinically relevant doses of Na(+) channel blockers.

  14. An Efficient Implementation of Fixed Failure-Rate Ratio Test for GNSS Ambiguity Resolution

    Science.gov (United States)

    Hou, Yanqing; Verhagen, Sandra; Wu, Jie

    2016-01-01

    Ambiguity Resolution (AR) plays a vital role in precise GNSS positioning. Correctly-fixed integer ambiguities can significantly improve the positioning solution, while incorrectly-fixed integer ambiguities can bring large positioning errors and, therefore, should be avoided. The ratio test is an extensively used test to validate the fixed integer ambiguities. To choose proper critical values of the ratio test, the Fixed Failure-rate Ratio Test (FFRT) has been proposed, which generates critical values according to user-defined tolerable failure rates. This contribution provides easy-to-implement fitting functions to calculate the critical values. With a massive Monte Carlo simulation, the functions for many different tolerable failure rates are provided, which enriches the choices of critical values for users. Moreover, the fitting functions for the fix rate are also provided, which for the first time allows users to evaluate the conditional success rate, i.e., the success rate once the integer candidates are accepted by FFRT. The superiority of FFRT over the traditional ratio test regarding controlling the failure rate and preventing unnecessary false alarms is shown by a simulation and a real data experiment. In the real data experiment with a baseline of 182.7 km, FFRT achieved much higher fix rates (up to 30% higher) and the same level of positioning accuracy from fixed solutions as compared to the traditional critical value. PMID:27347949

  15. An Efficient Implementation of Fixed Failure-Rate Ratio Test for GNSS Ambiguity Resolution

    Directory of Open Access Journals (Sweden)

    Yanqing Hou

    2016-06-01

    Full Text Available Ambiguity Resolution (AR plays a vital role in precise GNSS positioning. Correctly-fixed integer ambiguities can significantly improve the positioning solution, while incorrectly-fixed integer ambiguities can bring large positioning errors and, therefore, should be avoided. The ratio test is an extensively used test to validate the fixed integer ambiguities. To choose proper critical values of the ratio test, the Fixed Failure-rate Ratio Test (FFRT has been proposed, which generates critical values according to user-defined tolerable failure rates. This contribution provides easy-to-implement fitting functions to calculate the critical values. With a massive Monte Carlo simulation, the functions for many different tolerable failure rates are provided, which enriches the choices of critical values for users. Moreover, the fitting functions for the fix rate are also provided, which for the first time allows users to evaluate the conditional success rate, i.e., the success rate once the integer candidates are accepted by FFRT. The superiority of FFRT over the traditional ratio test regarding controlling the failure rate and preventing unnecessary false alarms is shown by a simulation and a real data experiment. In the real data experiment with a baseline of 182.7 km, FFRT achieved much higher fix rates (up to 30% higher and the same level of positioning accuracy from fixed solutions as compared to the traditional critical value.

  16. An Efficient Implementation of Fixed Failure-Rate Ratio Test for GNSS Ambiguity Resolution.

    Science.gov (United States)

    Hou, Yanqing; Verhagen, Sandra; Wu, Jie

    2016-06-23

    Ambiguity Resolution (AR) plays a vital role in precise GNSS positioning. Correctly-fixed integer ambiguities can significantly improve the positioning solution, while incorrectly-fixed integer ambiguities can bring large positioning errors and, therefore, should be avoided. The ratio test is an extensively used test to validate the fixed integer ambiguities. To choose proper critical values of the ratio test, the Fixed Failure-rate Ratio Test (FFRT) has been proposed, which generates critical values according to user-defined tolerable failure rates. This contribution provides easy-to-implement fitting functions to calculate the critical values. With a massive Monte Carlo simulation, the functions for many different tolerable failure rates are provided, which enriches the choices of critical values for users. Moreover, the fitting functions for the fix rate are also provided, which for the first time allows users to evaluate the conditional success rate, i.e., the success rate once the integer candidates are accepted by FFRT. The superiority of FFRT over the traditional ratio test regarding controlling the failure rate and preventing unnecessary false alarms is shown by a simulation and a real data experiment. In the real data experiment with a baseline of 182.7 km, FFRT achieved much higher fix rates (up to 30% higher) and the same level of positioning accuracy from fixed solutions as compared to the traditional critical value.

  17. Noninvasive ventilation for acute hypercapnic respiratory failure: intubation rate in an experienced unit.

    Science.gov (United States)

    Contou, Damien; Fragnoli, Chiara; Córdoba-Izquierdo, Ana; Boissier, Florence; Brun-Buisson, Christian; Thille, Arnaud W

    2013-12-01

    Failure of noninvasive ventilation (NIV) is common in patients with COPD admitted to the ICU for acute hypercapnic respiratory failure (AHRF). We aimed to assess the rate of NIV failure and to identify early predictors of intubation under NIV in patients admitted for AHRF of all origins in an experienced unit. This was an observational cohort study using data prospectively collected over a 3-year period after the implementation of a nurse-driven NIV protocol in a 24-bed medical ICU of a French university hospital. Among 242 subjects receiving NIV for AHRF (P(aCO2) > 45 mm Hg), 67 had cardiogenic pulmonary edema (CPE), 146 had acute-on-chronic respiratory failure (AOCRF) (including 99 subjects with COPD and 47 with other chronic respiratory diseases), and 29 had non-AOCRF (mostly pneumonia). Overall, the rates of intubation and ICU mortality were respectively 15% and 5%. The intubation rates were 4% in CPE, 15% in AOCRF, and 38% in non-AOCRF (P intubation rate was reduced to 15% in patients receiving NIV for AHRF, with a mortality rate of only 5%. Whereas the risk of NIV failure is associated with hypoxemia and acidosis after initiation of NIV, it is also markedly influenced by the presence or absence of an underlying chronic respiratory disease.

  18. Failure Modes and Effects Analysis (FMEA): A Bibliography

    Science.gov (United States)

    2000-01-01

    Failure modes and effects analysis (FMEA) is a bottom-up analytical process that identifies process hazards, which helps managers understand vulnerabilities of systems, as well as assess and mitigate risk. It is one of several engineering tools and techniques available to program and project managers aimed at increasing the likelihood of safe and successful NASA programs and missions. This bibliography references 465 documents in the NASA STI Database that contain the major concepts, failure modes or failure analysis, in either the basic index of the major subject terms.

  19. Strength Reliability Analysis of Stiffened Cylindrical Shells Considering Failure Correlation

    Institute of Scientific and Technical Information of China (English)

    Xu Bai; Liping Sun; Wei Qin; Yongkun Lv

    2014-01-01

    The stiffened cylindrical shell is commonly used for the pressure hull of submersibles and the legs of offshore platforms. There are various failure modes because of uncertainty with the structural size and material properties, uncertainty of the calculation model and machining errors. Correlations among failure modes must be considered with the structural reliability of stiffened cylindrical shells. However, the traditional method cannot consider the correlations effectively. The aim of this study is to present a method of reliability analysis for stiffened cylindrical shells which considers the correlations among failure modes. Firstly, the joint failure probability calculation formula of two related failure modes is derived through use of the 2D joint probability density function. Secondly, the full probability formula of the tandem structural system is given with consideration to the correlations among failure modes. At last, the accuracy of the system reliability calculation is verified through use of the Monte Carlo simulation. Result of the analysis shows the failure probability of stiffened cylindrical shells can be gained through adding the failure probability of each mode.

  20. [The exercise training restores the heart rate variability in heart failure patients. A systematic review].

    Science.gov (United States)

    Segovia, Victoria; Manterola, Carlos; González, Marcelo; Rodríguez-Núñez, Iván

    2017-01-05

    Cardiovascular diseases are an important cause of morbidity and mortality in the general population. In this sense the autonomic imbalance is the cornerstone of the physiopathology underlying the development of these diseases. The aim of this study was to determine the efficacy of exercise training on heart rate variability (HRV) in adult patients with chronic heart failure. A systematic literature review was conducted on electronic databases. The considered studies were randomized clinical trials, quasi-experimental studies with non-randomized control group, quasi-experimental studies with analysis of pre and post intervention and crossover studies with randomly assigned training and detraining periods. The standardized mean differences were calculated between pre and post intervention in both control and experimental group. Intra-subject analysis of control group showed no statistical significance in the standardized mean differences of HRV. In the experimental group, the standardized mean differences were positive for the root mean square of successive difference (+0.468±0.215; P=.032), high frequency band (HF) (0.934±0.256; P<.001) and low frequency band (LF) (<0.415±0.096; P=.001). Moreover, the standardized mean difference was negative for LF/HF (-0.747±0.369, P=<.044). On the other hands, only 3 studies entered the meta-analysis of comparative studies. The effect of exercise training was favorable for experimental group in LF/HF (-2.21±95% CI: -3.83 to -0.60), HF and LF. The exercise training was effective in augmenting HRV and restores autonomic balance in patients with heart failure. Copyright © 2016 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

  1. Failure Analysis in Steam Generators: A Study Case

    Directory of Open Access Journals (Sweden)

    Alberto Eduardo Calvo González

    2016-04-01

    Full Text Available The use of crude oil as alternative to fuel steam power stations was justifi ed by economic reasons. Thischange of fuel required to modify the operational procedures, due fundamentally to its lower heating valueand its high density and viscosity. Nevertheless the changes made, the use of the crude oil caused aquick deterioration of the thermal exchange surfaces causing not planned forced outages. The statisticalanalysis of the steam generator forced outages went to reheater number two. Therefore the scope of thiswork is the study of the happened failures in reheater number two, of 433,536 kg/hr, 13,4 MPa, and 525 Ctemperature of superheated and reheated steam generator used to move 125 MW turbines. In the carriedout failure analysis, based on nondestructive evaluation methods, towered with metallographic test, waspossible to clarify the root cause, as well as establish the worsening growth rate that allowed establishingthe sequence of tests to avoid a possible not planned outage. In turn it was possible to choose the kind ofsteel should be used in that reheater to give the defi nitive solution of the problem. While steel substitutionis not carried out it sho uld stay the régime of tests and proposed assays. This experience can serve frombase to the design of a maintenance system based on the condition.

  2. Spatial Stratification of Order As Used in Failure Analysis

    Science.gov (United States)

    Leonard, Robert H.; Bachlechner, Martina E.

    2007-03-01

    Silicon nitride deposited on silicon substrates has application in dielectric layers for microelectronics as well as in photovoltaics. During production and operation of components involving silicon/silicon nitride interfaces, stresses and strains can build up at various temperatures resulting in component failure. Using molecular dynamics simulations the influence of temperature and rate of externally applied strain on silicon/silicon nitride interfaces has been analyzed. The primary purpose of this research is to understand the mechanisms leading to the failure of these films. Analyses involving bond lengths and angles have been developed to gain insight into these mechanisms. Methods for stratifying bond lengths and bond angles into unique sub-populations on the basis of spatial orientation have been developed, and have given much insight to how the material behaves, particularly with regards to the Poisson effect. Possible extensions of this stratification method to primitive rings will also be examined. In combination with experimental observations, this analysis will deepen our understanding of the structural properties of silicon/silicon nitride interfaces.

  3. Failure modes and effects analysis (RADL Item 2-23)

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-04-01

    The Pilot Plant is a central receiver design concept. It is comprised of five major subsystems as shown schematically, plus a set of equipment (Plant Support Subsystem) used to support total plant operation. The failure modes and effects analysis (FMEA) is a bottom-up analysis used to identify the failure characteristics of the system (total equipment used to produce electrical power), that is, the failure of a single component is assumed and the effect of that failure upon the system is determined. The FMEA is concerned with the plant from an operational standpoint (i.e., the production of electrical power). This analysis was performed to the component level. This was interpreted as a valve, computer, measurement sensor and its associated signal conditioning, an electronic black box, etc.

  4. Optimization of pharmacotherapy in chronic heart failure: is heart rate adequately addressed?

    Science.gov (United States)

    Franke, Jennifer; Wolter, Jan Sebastian; Meme, Lillian; Keppler, Jeannette; Tschierschke, Ramon; Katus, Hugo A; Zugck, Christian

    2013-01-01

    The aim of the study is to evaluate the use of beta-blockers in chronic heart failure (CHF) and the extent of heart rate reduction achieved in clinical practice and to determine differences in outcome of patients who fulfilled select inclusion criteria of the SHIFT study according to resting heart rate modulated by beta-blocker therapy. We evaluated an all-comer population of our dedicated CHF outpatient clinic between 2006 and 2010. For inclusion, individually optimized doses of guideline-recommended pharmacotherapy including beta-blockers had to be maintained for at least 3 months and routine follow-up performed at our outpatient CHF-clinic thereafter. Treatment dosages of beta-blockers, and demographic and clinical profiles including resting heart rate were assessed. The outcome of patients who fulfilled select inclusion criteria of the SHIFT study (left-ventricular ejection fraction (LVEF) ≤35 %, sinus rhythm, NYHA II-IV) and were followed-up for at least 1 year was stratified according to resting heart rates: ≥75 versus <75 bpm and ≥70 versus <70 bpm. The composite primary endpoint was defined as all-cause death or hospital admission for worsening heart failure during 12-month follow-up. In total, 3,181 patients were assessed in regard to treatment dosages of beta-blockers, and demographic and clinical profiles including resting heart rate. Of the overall studied population, 443 patients fulfilled all inclusion criteria and entered outcome analysis. Median observation time of survivors was 27.5 months with 1,039.7 observation-years in total. Up-titration to at least half the evidence-based target dose of beta-blockers was achieved in 69 % and full up-titration in 29 % of these patients. Patients with increased heart rates were younger, more often male, exhibited a higher NYHA functional class and lower LVEF. The primary endpoint occurred in 21 % of patients in the ≥70 bpm group versus 9 % of patients in the group with heart rates <70

  5. Improving the Estimates of International Space Station (ISS) Induced K-Factor Failure Rates for On-Orbit Replacement Unit (ORU) Supportability Analyses

    Science.gov (United States)

    Anderson, Leif F.; Harrington, Sean P.; Omeke, Ojei, II; Schwaab, Douglas G.

    2009-01-01

    This is a case study on revised estimates of induced failure for International Space Station (ISS) on-orbit replacement units (ORUs). We devise a heuristic to leverage operational experience data by aggregating ORU, associated function (vehicle sub -system), and vehicle effective' k-factors using actual failure experience. With this input, we determine a significant failure threshold and minimize the difference between the actual and predicted failure rates. We conclude with a discussion on both qualitative and quantitative improvements the heuristic methods and potential benefits to ISS supportability engineering analysis.

  6. [Failure rate and revision surgery in ossiculoplasty with Kurz titanium prosthesis].

    Science.gov (United States)

    Nguyen, D Q; Lavieille, J P; Schmerber, S

    2004-01-01

    Despite its excellent biocompatibility, failures and in particular extrusion of the prosthesis have been described in ossiculoplasty with titanium prosthesis. Report our experience with revision ossicular recontruction in ossiculoplasty with Kurz prosthesis. Identify causes of failure in ossiculoplasty using the titanium prosthesis. Retrospective chart reviews were performed for 110 patients who had undergone titanium ossicular implants between November 1998 and 2002. All patients had undergone ossiculoplasty using titanium middle ear implants. Patients were divided into 2 groups: in group 1 patients underwent revision ossiculoplasty; in group 2 patients had a successful surgery at first stage. Anatomic and functional results have been studied in these two groups. Causes of failures were analysed. The overall failure rate was 20% (22/110). Twenty patients underwent revision ossiculoplasty. Nine primary failures were attributable to a short implant. Two extrusions were observed. At long term billow-up, the functional gain between the primary and revision ossiculoplasty was comparable. Revision ossiculoplasty is worthwhile for those patients who have failure of the titanium prosthesis in ossiculoplasty. A large cartilage graft interposition is necessary to prevent extrusion. The overall luxation rate observed in our series was mainly due to a too short prosthesis and we recommend now a reconstruction with longer prosthesis.

  7. Failure analysis of air fan blades

    Institute of Scientific and Technical Information of China (English)

    WANG Yan-qing; JI Zhe; CUI Yong-li; CUI Chun-zhi; SUN Zhi

    2008-01-01

    The failure of all 12 blades of an air fan was investigated by metallurgical and mechanical experiments and an examina-tion of the fracture surface. The experimental results show that the cast aluminium-silicon alloy without any modification had a number of material defects, such as coarse grains, a loose structure, a large number of shrinkage holes, a long and thin bold-pin shaped silicon-phase, poor material strength and serious brittleness. In addition, installed on the spindle without elastic conjunction,blade No. 10 vibrated and inevitably.spun off due to the large centrifugal force. Therefore, blade No. 10 first cracked at the locking handle, then broke at the root, which caused all the other 11 blades to be broken by the crack of blade No.10.

  8. Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

    Science.gov (United States)

    Flores, Melissa D.; Malin, Jane T.; Fleming, Land D.

    2013-09-01

    An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component's functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

  9. PCA oversedation: application of Healthcare Failure Mode Effect (HFMEA) Analysis.

    Science.gov (United States)

    Cronrath, Pam; Lynch, Timothy W; Gilson, Linda J; Nishida, Carol; Sembar, M Colleen; Spencer, Patricia J; West, Daidre Foote

    2011-01-01

    Hospital systems utilize many varied problem-solving processes to address system improvements and ensure patient safety. The Healthcare Failure Mode Effect Analysis (HFMEA) model is one of these tools and uses a multidisciplinary team to look at processes, diagramming the steps involved to identify potential failure points. The application of the HFMEA model allowed one large health care system to address a complex process by prioritizing proactive change improvements in order to prevent postoperative patient-controlled anesthesia oversedation events. The changes implemented identified 16 failure points with a hazard score of 16 or greater. One year later, the established system HFMEA goal was met: oversedation events were reduced by 50%.

  10. Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

    Science.gov (United States)

    Flores, Melissa; Malin, Jane T.

    2013-01-01

    An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component s functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

  11. Relationship between diameter of split Hopkinson pressure bar and minimum loading rate under rock failure

    Institute of Scientific and Technical Information of China (English)

    LI Xi-bing; HONG Liang; YIN Tu-bing; ZHOU Zi-long; YE Zhou-yuan

    2008-01-01

    In order to investigate the relationship between bar diameter and loading rate of the split Hopkinson pressure bar(SHPB) setup under the failure of rock specimen and realize the medium strain rate loading of specimen, new SHPB setups with different elastic bar's diameters of 22, 36, 50 and 75 mm were constructed. The tests were carried out on these setups at different loading rates, and the specimens had the same diameter of elastic bars and same ratio of length to diameter. The test results show that the larger the elastic bar's diameter is, the less the loading rate is needed to cause specimen failure, they show good power relationship, and that under the same strain rate loading, specimens are broken more seriously with larger diameter SHPB setup than with smaller one.

  12. Advanced approaches to failure mode and effect analysis (FMEA applications

    Directory of Open Access Journals (Sweden)

    D. Vykydal

    2015-10-01

    Full Text Available The present paper explores advanced approaches to the FMEA method (Failure Mode and Effect Analysis which take into account the costs associated with occurrence of failures during the manufacture of a product. Different approaches are demonstrated using an example FMEA application to production of drawn wire. Their purpose is to determine risk levels, while taking account of the above-mentioned costs. Finally, the resulting priority levels are compared for developing actions mitigating the risks.

  13. Extending Failure Modes and Effects Analysis Approach for Reliability Analysis at the Software Architecture Design Level

    NARCIS (Netherlands)

    Sozer, Hasan; Tekinerdogan, Bedir; Aksit, Mehmet; Lemos, de Rogerio; Gacek, Cristina

    2007-01-01

    Several reliability engineering approaches have been proposed to identify and recover from failures. A well-known and mature approach is the Failure Mode and Effect Analysis (FMEA) method that is usually utilized together with Fault Tree Analysis (FTA) to analyze and diagnose the causes of failures.

  14. Analysis of Emergency Diesel Generators Failure Incidents in Nuclear Power Plants

    Science.gov (United States)

    Hunt, Ronderio LaDavis

    In early years of operation, emergency diesel generators have had a minimal rate of demand failures. Emergency diesel generators are designed to operate as a backup when the main source of electricity has been disrupted. As of late, EDGs (emergency diesel generators) have been failing at NPPs (nuclear power plants) around the United States causing either station blackouts or loss of onsite and offsite power. These failures occurred from a specific type called demand failures. This thesis evaluated the current problem that raised concern in the nuclear industry which was averaging 1 EDG demand failure/year in 1997 to having an excessive event of 4 EDG demand failure year which occurred in 2011. To determine the next occurrence of the extreme event and possible cause to an event of such happening, two analyses were conducted, the statistical and root cause analysis. Considering the statistical analysis in which an extreme event probability approach was applied to determine the next occurrence year of an excessive event as well as, the probability of that excessive event occurring. Using the root cause analysis in which the potential causes of the excessive event occurred by evaluating, the EDG manufacturers, aging, policy changes/ maintenance practices and failure components. The root cause analysis investigated the correlation between demand failure data and historical data. Final results from the statistical analysis showed expectations of an excessive event occurring in a fixed range of probability and a wider range of probability from the extreme event probability approach. The root-cause analysis of the demand failure data followed historical statistics for the EDG manufacturer, aging and policy changes/ maintenance practices but, indicated a possible cause regarding the excessive event with the failure components. Conclusions showed the next excessive demand failure year, prediction of the probability and the next occurrence year of such failures, with an

  15. Loss of lag-response curvilinearity of indices of heart rate variability in congestive heart failure

    Directory of Open Access Journals (Sweden)

    Smith Michael L

    2006-06-01

    Full Text Available Abstract Background Heart rate variability (HRV is known to be impaired in patients with congestive heart failure (CHF. Time-domain analysis of ECG signals traditionally relies heavily on linear indices of an essentially non-linear phenomenon. Poincaré plots are commonly used to study non-linear behavior of physiologic signals. Lagged Poincaré plots incorporate autocovariance information and analysis of Poincaré plots for various lags can provide interesting insights into the autonomic control of the heart. Methods Using Poincaré plot analysis, we assessed whether the relation of the lag between heart beats and HRV is altered in CHF. We studied the influence of lag on estimates of Poincaré plot indices for various lengths of beat sequence in a public domain data set (PhysioNet of 29 subjects with CHF and 54 subjects with normal sinus rhythm. Results A curvilinear association was observed between lag and Poincaré plot indices (SD1, SD2, SDLD and SD1/SD2 ratio in normal subjects even for a small sequence of 50 beats (p value for quadratic term 3 × 10-5, 0.002, 3.5 × 10-5 and 0.0003, respectively. This curvilinearity was lost in patients with CHF even after exploring sequences up to 50,000 beats (p values for quadratic term > 0.5. Conclusion Since lagged Poincaré plots incorporate autocovariance information, these analyses provide insights into the autonomic control of heart rate that is influenced by the non-linearity of the signal. The differences in lag-response in CHF patients and normal subjects exist even in the face of the treatment received by the CHF patients.

  16. STATISTICAL INFERENCE OF WEIBULL DISTRIBUTION FOR TAMPERED FAILURE RATE MODEL IN PROGRESSIVE STRESS ACCELERATED LIFE TESTING

    Institute of Scientific and Technical Information of China (English)

    WANG Ronghua; FEI Heliang

    2004-01-01

    In this note, the tampered failure rate model is generalized from the step-stress accelerated life testing setting to the progressive stress accelerated life testing for the first time. For the parametric setting where the scale parameter satisfying the equation of the inverse power law is Weibull, maximum likelihood estimation is investigated.

  17. A Comparison of Success and Failure Rates between Computer-Assisted and Traditional College Algebra Sections

    Science.gov (United States)

    Herron, Sherry; Gandy, Rex; Ye, Ningjun; Syed, Nasser

    2012-01-01

    A unique aspect of the implementation of a computer algebra system (CAS) at a comprehensive university in the U.S. allowed us to compare the student success and failure rates to the traditional method of teaching college algebra. Due to space limitations, the university offered sections of both CAS and traditional simultaneously and, upon…

  18. HEART RATE-LOWERING THERAPY IN THE TREATMENT OF CHRONIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    S. V. Shalaev

    2015-01-01

    Full Text Available Aspects of heart rate-lowering therapy in patients with chronic heart failure using If-channel blocker ivabradine are discussed. The evidence-based data on ivabradine use reveal its advantages, disadvantages and place in the treatment of cardiac patients.

  19. HEART RATE-LOWERING THERAPY IN THE TREATMENT OF CHRONIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    S. V. Shalaev

    2015-09-01

    Full Text Available Aspects of heart rate-lowering therapy in patients with chronic heart failure using If-channel blocker ivabradine are discussed. The evidence-based data on ivabradine use reveal its advantages, disadvantages and place in the treatment of cardiac patients.

  20. Failure Rate of Single Dose Methotrexate in Managment of Ectopic Pregnancy

    Directory of Open Access Journals (Sweden)

    Feras Sendy

    2015-01-01

    Full Text Available Background. One of the treatment modalities for ectopic pregnancy is methotrexate. The purpose of this study is to identify the failure rate of methotrexate in treating patients with ectopic pregnancy as well as the risk factors leading to treatment failure. Methods. A retrospective chart review of 225 patients who received methotrexate as a primary management option for ectopic pregnancy. Failure of single dose of methotrexate was defined as drop of BHCG level less than or equal to 14% in the seventh day after administration of methotrexate. Results. 225 patients had methotrexate. Most of the patients (151 (67% received methotrexate based on the following formula: f 50 mg X body surface area. Single dose of methotrexate was successful in 72% (162/225 of the patients. 28% (63/225 were labeled as failure of single dose of methotrexate because of suboptimal drop in BhCG. 63% (40/63 of failure received a second dose of methotrexate, and 37% (23/63 underwent surgical treatment. Among patient who received initial dose of methotrexate, 71% had moderate or severe pain, and 58% had ectopic mass size of more than 4 cm on ultrasound. Conclusion. Liberal use of medical treatment of ectopic pregnancy results in 71% success rate.

  1. Rate-weakening friction characterizes both slow sliding and catastrophic failure of landslides

    Science.gov (United States)

    Handwerger, Alexander L.; Rempel, Alan W.; Skarbek, Rob M.; Roering, Joshua J.; Hilley, George E.

    2016-09-01

    Catastrophic landslides cause billions of dollars in damages and claim thousands of lives annually, whereas slow-moving landslides with negligible inertia dominate sediment transport on many weathered hillslopes. Surprisingly, both failure modes are displayed by nearby landslides (and individual landslides in different years) subjected to almost identical environmental conditions. Such observations have motivated the search for mechanisms that can cause slow-moving landslides to transition via runaway acceleration to catastrophic failure. A similarly diverse range of sliding behavior, including earthquakes and slow-slip events, occurs along tectonic faults. Our understanding of these phenomena has benefitted from mechanical treatments that rely upon key ingredients that are notably absent from previous landslide descriptions. Here, we describe landslide motion using a rate- and state-dependent frictional model that incorporates a nonlocal stress balance to account for the elastic response to gradients in slip. Our idealized, one-dimensional model reproduces both the displacement patterns observed in slow-moving landslides and the acceleration toward failure exhibited by catastrophic events. Catastrophic failure occurs only when the slip surface is characterized by rate-weakening friction and its lateral dimensions exceed a critical nucleation length h*h* that is shorter for higher effective stresses. However, landslides that are extensive enough to fall within this regime can nevertheless slide slowly for months or years before catastrophic failure. Our results suggest that the diversity of slip behavior observed during landslides can be described with a single model adapted from standard fault mechanics treatments.

  2. Failure rate of single dose methotrexate in managment of ectopic pregnancy.

    Science.gov (United States)

    Sendy, Feras; AlShehri, Eman; AlAjmi, Amani; Bamanie, Elham; Appani, Surekha; Shams, Taghreed

    2015-01-01

    Background. One of the treatment modalities for ectopic pregnancy is methotrexate. The purpose of this study is to identify the failure rate of methotrexate in treating patients with ectopic pregnancy as well as the risk factors leading to treatment failure. Methods. A retrospective chart review of 225 patients who received methotrexate as a primary management option for ectopic pregnancy. Failure of single dose of methotrexate was defined as drop of BHCG level less than or equal to 14% in the seventh day after administration of methotrexate. Results. 225 patients had methotrexate. Most of the patients (151 (67%)) received methotrexate based on the following formula: f 50 mg X body surface area. Single dose of methotrexate was successful in 72% (162/225) of the patients. 28% (63/225) were labeled as failure of single dose of methotrexate because of suboptimal drop in BhCG. 63% (40/63) of failure received a second dose of methotrexate, and 37% (23/63) underwent surgical treatment. Among patient who received initial dose of methotrexate, 71% had moderate or severe pain, and 58% had ectopic mass size of more than 4 cm on ultrasound. Conclusion. Liberal use of medical treatment of ectopic pregnancy results in 71% success rate.

  3. Rate-weakening friction characterizes both slow sliding and catastrophic failure of landslides.

    Science.gov (United States)

    Handwerger, Alexander L; Rempel, Alan W; Skarbek, Rob M; Roering, Joshua J; Hilley, George E

    2016-09-13

    Catastrophic landslides cause billions of dollars in damages and claim thousands of lives annually, whereas slow-moving landslides with negligible inertia dominate sediment transport on many weathered hillslopes. Surprisingly, both failure modes are displayed by nearby landslides (and individual landslides in different years) subjected to almost identical environmental conditions. Such observations have motivated the search for mechanisms that can cause slow-moving landslides to transition via runaway acceleration to catastrophic failure. A similarly diverse range of sliding behavior, including earthquakes and slow-slip events, occurs along tectonic faults. Our understanding of these phenomena has benefitted from mechanical treatments that rely upon key ingredients that are notably absent from previous landslide descriptions. Here, we describe landslide motion using a rate- and state-dependent frictional model that incorporates a nonlocal stress balance to account for the elastic response to gradients in slip. Our idealized, one-dimensional model reproduces both the displacement patterns observed in slow-moving landslides and the acceleration toward failure exhibited by catastrophic events. Catastrophic failure occurs only when the slip surface is characterized by rate-weakening friction and its lateral dimensions exceed a critical nucleation length [Formula: see text] that is shorter for higher effective stresses. However, landslides that are extensive enough to fall within this regime can nevertheless slide slowly for months or years before catastrophic failure. Our results suggest that the diversity of slip behavior observed during landslides can be described with a single model adapted from standard fault mechanics treatments.

  4. Early failure of bioabsorbable anterior cervical fusion plates: case report and failure analysis.

    Science.gov (United States)

    Brkaric, Mario; Baker, Kevin C; Israel, Raj; Harding, Trevor; Montgomery, David M; Herkowitz, Harry N

    2007-05-01

    Case report with forensic failure analysis. To determine the failure modes of 3 explanted 70:30 PLDLA Mystique (Medtronic Sofamor Danek, Memphis, TN) graft containment plates retrieved from revision surgery for early device failure. To reduce the problems of stress-shielding and radiopacity associated with metallic systems, bioabsorbable polymers have been used in anterior cervical discectomy and fusion procedures. Degradation of mechanical properties in vivo is a major concern when using bioabsorbable systems. Three of 6 patients who underwent anterior cervical discectomy with instrumented fusion, using Mystique graft containment systems experienced early failure requiring revision to alternate hardware. Devices were retrieved after failure and analyzed by light microscopy and environmental scanning electron microscopy. Simulations were performed with an unused plating system to induce damage for comparison with the retrieved devices. A detailed case review was performed to identify possible sources of extraordinary loading or damage. One plating system failed at 6 weeks postimplantation due to fatigue fracture of the screws. Crack initiation sites were identified at the interface of the thread root and mold line of the screw. Another plating system failed at 16 weeks postimplantation due to the coalescence of radial microcracking between holes in the plate, leading to catastrophic failure of the plate. The final plating system failed during the implantation surgery, when the screw fractured in torsion. Stress concentrations at the screw head-shaft interface and thread-shaft interface reduce the fatigue performance of bioabsorbable screws. Hydrolysis of the polymer may also play a role in the reduction of resistance to crack initiation and propagation.

  5. Microelectronics Failure Analysis Techniques. A Procedural Guide

    Science.gov (United States)

    1980-01-01

    been the rule An occasional report of chronic poisoning dcscribcs an anemia and leucopenia , with biopsy showing a hone miarrow, h)poplasia These ZI...added to animal feeds. Also leucopenia and enlarged liver may be found in rate cases a dietary supplement food additive (Section 10) A common air

  6. Probabilistic Failure Analysis for Wound Composite Ceramic Cladding Assembly

    Energy Technology Data Exchange (ETDEWEB)

    Hemrick, James Gordon [ORNL; Lara-Curzio, Edgar [ORNL

    2013-01-01

    Advanced ceramic matrix composites based on silicon carbide (SiC) are being considered as candidate material systems for nuclear fuel cladding in light water reactors. The SiC composite structure is considered due to its assumed exceptional performance under accident scenarios, where its excellent high-temperature strength and slow reaction kinetics with steam and associated mitigated hydrogen production are desirable. The specific structures of interest consist of a monolithic SiC cylinder surrounded by interphase-coated SiC woven fibers in a tubular form and infiltrated with SiC. Additional SiC coatings on the outermost surface of the assembly are also being considered to prevent hydrothermal corrosion of the fibrous structure. The inner monolithic cylinder is expected to provide a hermetic seal to contain fission products under normal conditions. While this approach offers the promise of higher burn-up rates and safer behavior in the case of LOCA events, the reliability of such structures must be demonstrated in advance. Therefore, a probability failure analysis study was performed of such monolithic-composite hybrid structures to determine the feasibility of these design concepts. This analysis will be used to predict the future performance of candidate systems in an effort to determine the feasibility of these design concepts and to make future recommendations regarding materials selection.

  7. The quantitative failure of human reliability analysis

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, C.T.

    1995-07-01

    This philosophical treatise argues the merits of Human Reliability Analysis (HRA) in the context of the nuclear power industry. Actually, the author attacks historic and current HRA as having failed in informing policy makers who make decisions based on risk that humans contribute to systems performance. He argues for an HRA based on Bayesian (fact-based) inferential statistics, which advocates a systems analysis process that employs cogent heuristics when using opinion, and tempers itself with a rational debate over the weight given subjective and empirical probabilities.

  8. Robustness Analysis of Real Network Topologies Under Multiple Failure Scenarios

    DEFF Research Database (Denmark)

    Manzano, M.; Marzo, J. L.; Calle, E.

    2012-01-01

    on topological characteristics. Recently approaches also consider the services supported by such networks. In this paper we carry out a robustness analysis of five real backbone telecommunication networks under defined multiple failure scenarios, taking into account the consequences of the loss of established......Nowadays the ubiquity of telecommunication networks, which underpin and fulfill key aspects of modern day living, is taken for granted. Significant large-scale failures have occurred in the last years affecting telecommunication networks. Traditionally, network robustness analysis has been focused...

  9. Poor self-rated health predicts mortality in patients with stable chronic heart failure.

    Science.gov (United States)

    Inkrot, Simone; Lainscak, Mitja; Edelmann, Frank; Loncar, Goran; Stankovic, Ivan; Celic, Vera; Apostolovic, Svetlana; Tahirovic, Elvis; Trippel, Tobias; Herrmann-Lingen, Christoph; Gelbrich, Götz; Düngen, Hans-Dirk

    2016-12-01

    In heart failure, a holistic approach incorporating the patient's perspective is vital for prognosis and treatment. Self-rated health has strong associations with adverse events and short-term mortality risk, but long-term data are limited. We investigated the predictive value of two consecutive self-rated health assessments with regard to long-term mortality in a large, well characterised sample of elderly patients with stable chronic heart failure. We measured self-rated health by asking 'In general, would you say your health is: 1, excellent; 2, very good; 3, good; 4, fair; 5, poor?' twice: at baseline and the end of a 12-week beta-blocker up-titration period in the CIBIS-ELD trial. Mortality was assessed in an observational follow-up after 2-4 years. A total of 720 patients (mean left ventricular ejection fraction 45±12%, mean age 73±5 years, 36% women) rated their health at both time points. During long-term follow-up, 144 patients died (all-cause mortality 20%). Fair/poor self-rated health in at least one of the two reports was associated with increased mortality (hazard ratio 1.42 per level; 95% confidence interval 1.16-1.75; Ppro B-type natriuretic peptide (NTproBNP), heart rate and other risk prediction covariates. Self-rated health by one level worse was as predictive for mortality as a 1.9-fold increase in NTproBNP. Poor self-rated health predicts mortality in our long-term follow-up of patients with stable chronic heart failure, even after adjustment for established risk predictors. We encourage clinicians to capture patient-reported self-rated health routinely as an easy to assess, clinically meaningful measure and pay extra attention when self-rated health is poor. © The European Society of Cardiology 2015.

  10. Decreasing Congestive Heart Failure Readmission Rates Within 30 Days at the Tampa VA.

    Science.gov (United States)

    Messina, William

    2016-01-01

    High hospital readmission rates contribute to the problem of escalating costs and fragmented quality in the US health care system. This article describes the implementation of a home telehealth (HT) performance improvement project with subsequent cost-avoidance savings. The HT project was designed to potentiate communication between and among patients, clinicians, and administrative staff, in addition to reducing readmissions for patients with congestive heart failure at the James A. Haley Veterans Hospital in Tampa, Florida. Pre- and post-HT implementation comparisons were made of readmission rates, costs, and veteran satisfaction from the same 4-month periods in 2012 and 2013. The application of telehealth and phone care initiatives reduced the congestive heart failure hospital readmission rate by 5%, decreased costs, and improved veteran satisfaction with overall care experience.

  11. Failure Propagation Modeling and Analysis via System Interfaces

    Directory of Open Access Journals (Sweden)

    Lin Zhao

    2016-01-01

    Full Text Available Safety-critical systems must be shown to be acceptably safe to deploy and use in their operational environment. One of the key concerns of developing safety-critical systems is to understand how the system behaves in the presence of failures, regardless of whether that failure is triggered by the external environment or caused by internal errors. Safety assessment at the early stages of system development involves analysis of potential failures and their consequences. Increasingly, for complex systems, model-based safety assessment is becoming more widely used. In this paper we propose an approach for safety analysis based on system interface models. By extending interaction models on the system interface level with failure modes as well as relevant portions of the physical system to be controlled, automated support could be provided for much of the failure analysis. We focus on fault modeling and on how to compute minimal cut sets. Particularly, we explore state space reconstruction strategy and bounded searching technique to reduce the number of states that need to be analyzed, which remarkably improves the efficiency of cut sets searching algorithm.

  12. Radiographic failure and rates of re-operation after acromioclavicular joint reconstruction: a comparison of surgical techniques.

    Science.gov (United States)

    Spencer, H T; Hsu, L; Sodl, J; Arianjam, A; Yian, E H

    2016-04-01

    To compare radiographic failure and re-operation rates of anatomical coracoclavicular (CC) ligament reconstructional techniques with non-anatomical techniques after chronic high grade acromioclavicular (AC) joint injuries. We reviewed chronic AC joint reconstructions within a region-wide healthcare system to identify surgical technique, complications, radiographic failure and re-operations. Procedures fell into four categories: (1) modified Weaver-Dunn, (2) allograft fixed through coracoid and clavicular tunnels, (3) allograft loop coracoclavicular fixation, and (4) combined allograft loop and synthetic cortical button fixation. Among 167 patients (mean age 38.1 years, (standard deviation (sd) 14.7) treated at least a four week interval after injury, 154 had post-operative radiographs available for analysis. Radiographic failure occurred in 33/154 cases (21.4%), with the lowest rate in Technique 4 (2/42 4.8%, p = 0.001). Half the failures occurred by six weeks, and the Kaplan-Meier survivorship at 24 months was 94.4% (95% confidence interval (CI) 79.6 to 98.6) for Technique 4 and 69.9% (95% CI 59.4 to 78.3) for the other techniques when combined. In multivariable survival analysis, Technique 4 had better survival than other techniques (Hazard Ratio 0.162, 95% CI 0.039 to 0.068, p = 0.013). Among 155 patients with a minimum of six months post-operative insurance coverage, re-operation occurred in 9.7% (15 patients). However, in multivariable logistic regression, Technique 4 did not reach a statistically significant lower risk for re-operation (odds ratio 0.254, 95% CI 0.05 to 1.3, p = 0.11). In this retrospective series, anatomical CC ligament reconstruction using combined synthetic cortical button and allograft loop fixation had the lowest rate of radiographic failure. Anatomical coracoclavicular ligament reconstruction using combined synthetic cortical button and allograft loop fixation had the lowest rate of radiographic failure. ©2016 The British Editorial

  13. Failure modes and effects analysis of fusion magnet systems

    Energy Technology Data Exchange (ETDEWEB)

    Zimmermann, M; Kazimi, M S; Siu, N O; Thome, R J

    1988-12-01

    A failure modes and consequence analysis of fusion magnet system is an important contributor towards enhancing the design by improving the reliability and reducing the risk associated with the operation of magnet systems. In the first part of this study, a failure mode analysis of a superconducting magnet system is performed. Building on the functional breakdown and the fault tree analysis of the Toroidal Field (TF) coils of the Next European Torus (NET), several subsystem levels are added and an overview of potential sources of failures in a magnet system is provided. The failure analysis is extended to the Poloidal Field (PF) magnet system. Furthermore, an extensive analysis of interactions within the fusion device caused by the operation of the PF magnets is presented in the form of an Interaction Matrix. A number of these interactions may have significant consequences for the TF magnet system particularly interactions triggered by electrical failures in the PF magnet system. In the second part of this study, two basic categories of electrical failures in the PF magnet system are examined: short circuits between the terminals of external PF coils, and faults with a constant voltage applied at external PF coil terminals. An electromagnetic model of the Compact Ignition Tokamak (CIT) is used to examine the mechanical load conditions for the PF and the TF coils resulting from these fault scenarios. It is found that shorts do not pose large threats to the PF coils. Also, the type of plasma disruption has little impact on the net forces on the PF and the TF coils. 39 refs., 30 figs., 12 tabs.

  14. The analysis of repeated failures of pipelines in Kal'chinskoe oil field

    Science.gov (United States)

    Shavlov, E. N.; Brusnik, O. V.; Lukjanov, V. G.

    2016-09-01

    The paper presents the chemical analysis of oilfield water and hydraulic analysis of the liquid flow in Kal'chinskoe oil field pipeline that allow detecting the causes of the internal corrosion processes. The inhibitor protection is suggested to reduce the corrosion rate in the pipelines of Kal'chinskoe oil field. Based on the analysis of the pipeline failures, it is suggested to replace steel pipes by fiberglass pipes.

  15. Probabilistic exposure assessment model to estimate aseptic-UHT product failure rate.

    Science.gov (United States)

    Pujol, Laure; Albert, Isabelle; Magras, Catherine; Johnson, Nicholas Brian; Membré, Jeanne-Marie

    2015-01-02

    Aseptic-Ultra-High-Temperature (UHT) products are manufactured to be free of microorganisms capable of growing in the food at normal non-refrigerated conditions at which the food is likely to be held during manufacture, distribution and storage. Two important phases within the process are widely recognised as critical in controlling microbial contamination: the sterilisation steps and the following aseptic steps. Of the microbial hazards, the pathogen spore formers Clostridium botulinum and Bacillus cereus are deemed the most pertinent to be controlled. In addition, due to a relatively high thermal resistance, Geobacillus stearothermophilus spores are considered a concern for spoilage of low acid aseptic-UHT products. A probabilistic exposure assessment model has been developed in order to assess the aseptic-UHT product failure rate associated with these three bacteria. It was a Modular Process Risk Model, based on nine modules. They described: i) the microbial contamination introduced by the raw materials, either from the product (i.e. milk, cocoa and dextrose powders and water) or the packaging (i.e. bottle and sealing component), ii) the sterilisation processes, of either the product or the packaging material, iii) the possible recontamination during subsequent processing of both product and packaging. The Sterility Failure Rate (SFR) was defined as the sum of bottles contaminated for each batch, divided by the total number of bottles produced per process line run (10(6) batches simulated per process line). The SFR associated with the three bacteria was estimated at the last step of the process (i.e. after Module 9) but also after each module, allowing for the identification of modules, and responsible contamination pathways, with higher or lower intermediate SFR. The model contained 42 controlled settings associated with factory environment, process line or product formulation, and more than 55 probabilistic inputs corresponding to inputs with variability

  16. Statistical analysis of cascading failures in power grids

    Energy Technology Data Exchange (ETDEWEB)

    Chertkov, Michael [Los Alamos National Laboratory; Pfitzner, Rene [Los Alamos National Laboratory; Turitsyn, Konstantin [Los Alamos National Laboratory

    2010-12-01

    We introduce a new microscopic model of cascading failures in transmission power grids. This model accounts for automatic response of the grid to load fluctuations that take place on the scale of minutes, when optimum power flow adjustments and load shedding controls are unavailable. We describe extreme events, caused by load fluctuations, which cause cascading failures of loads, generators and lines. Our model is quasi-static in the causal, discrete time and sequential resolution of individual failures. The model, in its simplest realization based on the Directed Current description of the power flow problem, is tested on three standard IEEE systems consisting of 30, 39 and 118 buses. Our statistical analysis suggests a straightforward classification of cascading and islanding phases in terms of the ratios between average number of removed loads, generators and links. The analysis also demonstrates sensitivity to variations in line capacities. Future research challenges in modeling and control of cascading outages over real-world power networks are discussed.

  17. Female sterilization: a review of methods, morbidity, failure rates and medicolegal aspects.

    Science.gov (United States)

    Newton, J; Mccormack, J

    1990-09-01

    Introduced in England in 1967, laparoscopic sterilization has effected a radical change in female sterilization which 1st consisted of electrocoagulation of the Fallopian tubes. Mechanical methods have since basically replaced electrocoagulation, such as tubal rings and clips. In the mid 1970s, the Filshie clip emerged and has since become the most common form of laparoscopic technique. Research demonstrates that it has a low incidence of surgical difficulty, low morbidity, and low failure rates. Other means of accessing the tubes include minilaparotomy and culdotomy (common in India). Generally women undergo general anesthesia for sterilization. Overall morbidity and mortality (10/10,000) following female sterilization is low. Early morbidity may include surgical complications (bleeding during surgery or torn tubes), technical failure (.6-1% for various laparoscopic techniques), and hemorrhage. Few long term follow up studies have taken place, but possible long term adverse effects are abdominal pain, pain during sexual intercourse, changes in menstruation, and a need for gynecologic surgery. Failure rates vary depending on the method, surgical approach, surgeon skill, and type of patient. The highest failure rate of a laparoscopic or minilaparotomy approach lies with culdotomy (7-15/1000) and the lowest with thermal coagulation (1/1000). The laparotomy approach may be as high as 14/1000. Between 1970-1980, the number of litigations have increased because of sterilization failure. These cases have showed a consistent pattern: insufficient patient information, poor notes with no indications of any counseling, little written information for patients to support verbal counseling, and illegible and meager operation notes.

  18. Modular titanium alloy neck adapter failures in hip replacement - failure mode analysis and influence of implant material

    Directory of Open Access Journals (Sweden)

    Bloemer Wilhelm

    2010-01-01

    Full Text Available Abstract Background Modular neck adapters for hip arthroplasty stems allow the surgeon to modify CCD angle, offset and femoral anteversion intraoperatively. Fretting or crevice corrosion may lead to failure of such a modular device due to high loads or surface contamination inside the modular coupling. Unfortunately we have experienced such a failure of implants and now report our clinical experience with the failures in order to advance orthopaedic material research and joint replacement surgery. The failed neck adapters were implanted between August 2004 and November 2006 a total of about 5000 devices. After this period, the titanium neck adapters were replaced by adapters out of cobalt-chromium. Until the end of 2008 in total 1.4% (n = 68 of the implanted titanium alloy neck adapters failed with an average time of 2.0 years (0.7 to 4.0 years postoperatively. All, but one, patients were male, their average age being 57.4 years (36 to 75 years and the average weight 102.3 kg (75 to 130 kg. The failures of neck adapters were divided into 66% with small CCD of 130° and 60% with head lengths of L or larger. Assuming an average time to failure of 2.8 years, the cumulative failure rate was calculated with 2.4%. Methods A series of adapter failures of titanium alloy modular neck adapters in combination with a titanium alloy modular short hip stem was investigated. For patients having received this particular implant combination risk factors were identified which were associated with the occurence of implant failure. A Kaplan-Meier survival-failure-analysis was conducted. The retrieved implants were analysed using microscopic and chemical methods. Modes of failure were simulated in biomechanical tests. Comparative tests included modular neck adapters made of titanium alloy and cobalt chrome alloy material. Results Retrieval examinations and biomechanical simulation revealed that primary micromotions initiated fretting within the modular tapered neck

  19. Reliability test and failure analysis of high power LED packages*

    Institute of Scientific and Technical Information of China (English)

    Chen Zhaohui; Zhang Qin; Wang Kai; Luo Xiaobing; Liu Sheng

    2011-01-01

    A new type application specific light emitting diode (LED) package (ASLP) with freeform polycarbonate lens for street lighting is developed, whose manufacturing processes are compatible with a typical LED packaging process. The reliability test methods and failure criterions from different vendors are reviewed and compared. It is found that test methods and failure criterions are quite different. The rapid reliability assessment standards are urgently needed for the LED industry. 85 ℃/85 RH with 700 mA is used to test our LED modules with three other vendors for 1000 h, showing no visible degradation in optical performance for our modules, with two other vendors showing significant degradation. Some failure analysis methods such as C-SAM, Nano X-ray CT and optical microscope are used for LED packages. Some failure mechanisms such as delaminations and cracks are detected in the LED packages after the accelerated reliability testing. The finite element simulation method is helpful for the failure analysis and design of the reliability of the LED packaging. One example is used to show one currently used module in industry is vulnerable and may not easily pass the harsh thermal cycle testing.

  20. Reliability Analysis of Geotechnical Failure Modes for Vertical Wall Breakwaters

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Burcharth, H. F.

    2000-01-01

    Vertical wall breakwaters are usually designed as concrete caissons placed on the top of a rubble mound foundation or a rubble bedding layer. The purpose of the breakwater is usually to protect the area behind the breakwater from being flooded by large waves. The area protected can for example be...... that the accepted probability of failure also varies considerably which also can be observed from the actual observed failure rates....... be a harbour of small or large importance, an important industrial area or a heavily populated coast line. This implies that vertical wall breakwaters are used under quite different conditions and therefore the consequences of a complete or partial failure also are very different. This implies...

  1. Failure modes and effects criticality analysis and accelerated life testing of LEDs for medical applications

    Science.gov (United States)

    Sawant, M.; Christou, A.

    2012-12-01

    While use of LEDs in Fiber Optics and lighting applications is common, their use in medical diagnostic applications is not very extensive. Since the precise value of light intensity will be used to interpret patient results, understanding failure modes [1-4] is very important. We used the Failure Modes and Effects Criticality Analysis (FMECA) tool to identify the critical failure modes of the LEDs. FMECA involves identification of various failure modes, their effects on the system (LED optical output in this context), their frequency of occurrence, severity and the criticality of the failure modes. The competing failure modes/mechanisms were degradation of: active layer (where electron-hole recombination occurs to emit light), electrodes (provides electrical contact to the semiconductor chip), Indium Tin Oxide (ITO) surface layer (used to improve current spreading and light extraction), plastic encapsulation (protective polymer layer) and packaging failures (bond wires, heat sink separation). A FMECA table is constructed and the criticality is calculated by estimating the failure effect probability (β), failure mode ratio (α), failure rate (λ) and the operating time. Once the critical failure modes were identified, the next steps were generation of prior time to failure distribution and comparing with our accelerated life test data. To generate the prior distributions, data and results from previous investigations were utilized [5-33] where reliability test results of similar LEDs were reported. From the graphs or tabular data, we extracted the time required for the optical power output to reach 80% of its initial value. This is our failure criterion for the medical diagnostic application. Analysis of published data for different LED materials (AlGaInP, GaN, AlGaAs), the Semiconductor Structures (DH, MQW) and the mode of testing (DC, Pulsed) was carried out. The data was categorized according to the materials system and LED structure such as AlGaInP-DH-DC, Al

  2. Failure Analysis in Development & Manufacture for Customer

    Directory of Open Access Journals (Sweden)

    Darina Juhaszova

    2013-12-01

    Full Text Available Purpose of the article is to present partial results of research solutions in the doctoral thesis Risk Management of customer driven projects. Background is the data from the organization Johnson Controls Inc., s.r.o. – OZ Trencin, presented as a case study. The overall aim is to identify and reduce project risks which are considered as decisive steps in managing successful projects. The principle is based on mapping current literature on risk management as many of problems that currently exist with respect to various projects such as delay, framework changes and even cancellation or revocation of the project may be due to inefficient risk management. The solution is the FMEA method. In order to use this type of risk analysis, the values of severity, occurrence and detection are standard values of FMEA slightly modified according to the guidelines of the organization. The result is presented as a case study in the final section of the article.

  3. Sedation for pediatric radiological procedures: analysis of potential causes of sedation failure and paradoxical reactions

    Energy Technology Data Exchange (ETDEWEB)

    Karian, V.E.; Burrows, P.E.; Connor, L. [Dept. of Radiology, Children' s Hospital, Boston, MA (United States); Zurakowski, D. [Dept. of Biostatistics, Children' s Hospital, Boston, MA (United States); Mason, K.P. [Dept. of Anesthesiology, Children' s Hospital, Boston, MA (United States)

    1999-11-01

    Background. Sedation for diagnostic imaging and interventional radiologic procedures in pediatrics has greatly increased over the past decade. With appropriate patient selection and monitoring, serious adverse effects are infrequent, but failure to sedate and paradoxical reactions do occur. Objective. The purpose of this study was to determine, among patients undergoing sedation for radiologic procedures, the incidence of sedation failure and paradoxical reaction to pentobarbital and to identify potentially correctable causes. Materials and methods. Records of 1665 patients who were sedated in the radiology department from 1 November 1997 to 1 July 1998 were reviewed. Patients failing sedation or experiencing paradoxical reaction were compared with respect to sex, age group, diagnosis, scan type, time of day, NPO status, use of IV contrast and type of sedation agent using the Fisher exact test, Pearson chi-square, analysis of variance (ANOVA), the Student t-test, and logistic regression. Results. Data analysis revealed a sedation failure rate of 1 % and paradoxical reaction rate of 1.2 %. Stepwise multiple logistic regression revealed that the only significant independent multivariate predictor of failure was the need for the administration of a combination of pentobarbital, fentanyl, and midazolam IV. Conclusion. The low rate of sedation failure and paradoxical reactions to pentobarbital was near optimal and probably cannot be improved with the currently available sedatives. (orig.)

  4. Influence of initial reservoir level and gate failure in dam safety analysis. Stochastic approach

    Science.gov (United States)

    Gabriel-Martin, Ivan; Sordo-Ward, Alvaro; Garrote, Luis; Castillo, Luis G.

    2017-07-01

    This study proposes a stochastic methodology to assess the influence of considering variable reservoir levels prior to the arrival of floods in hydrological dam safety; introducing probability associated to gate failure scenarios. The methodology was applied to the Riaño dam (northern Spain) by analyzing the effects of incoming floods with return periods ranging from one to 10,000 years. We studied four scenarios with different gate failure rates and compared the results assuming initial reservoir level equal to the maximum level allowed in the reservoir under normal operation conditions with those considering variable initial reservoir levels. The ratio of the return periods associated to different reference levels reached in the reservoir considering variable over constant initial level ranged from 2.0 to 4.1. The ratio of the return periods obtained assuming gate failure and no failure for the same reference reservoir level ranged up to 93, 160 and 240 depending on the gate failure rate assigned. The ratio of the return periods associated to different maximum spillway discharges considering variable over constant initial reservoir level ranged from 2.5 to 6.1. However, the ratio of the return periods obtained assuming gate failure and no failure for the same discharge ranged from 0.7 to 1.1, showing no influence of gate failure. For the study case, our analysis highlighted the importance of considering the fluctuation of the initial reservoir levels and different gate failure scenarios, emphasizing that the return periods of maximum levels reached in the reservoir and maximum outflows are the variables that best represent dam and downstream hydrological safety.

  5. Hope in elderly adults with chronic heart failure. Concept analysis.

    Science.gov (United States)

    Caboral, Meriam F; Evangelista, Lorraine S; Whetsell, Martha V

    2012-01-01

    This topic review employed Walker and Avant's method of concept analysis to explore the construct of hope in elderly adults with chronic heart failure. The articles analyzed revealed that hope, as the belief of the occurrence of a positive result without any guarantee that it will be produced, is necessary for the survival and wellbeing of the elderly adults enduring this disease.

  6. Bank stability analysis for fluvial erosion and mass failure

    Science.gov (United States)

    The central objective of this study was to highlight the differences in magnitude between mechanical and fluvial streambank erosional strength with the purpose of developing a more comprehensive bank stability analysis. Mechanical erosion and ultimately failure signifies the general movement or coll...

  7. Rooting out causes in failure analysis; Risk analysis

    Energy Technology Data Exchange (ETDEWEB)

    Keith, Graeme

    2010-07-01

    The Deepwater Horizon disaster was a terrible reminder of the consequences of equipment failure on facilities operating in challenging environments. Thankfully catastrophes on the scale of the Deepwater Horizon are rare, but equipment failure is a daily occurrence on installations around the globe. The consequences range from short unexpected downtime, to a total stop on production. from a brief burst of flaring to lasting environmental damage and from the momentary discomfiture of a worker to incapability or death. (Author)

  8. Deformation and failure of OFHC copper under high strain rate shear compression

    Science.gov (United States)

    Ruggiero, Andrew; Testa, Gabriel; Bonora, Nicola; Iannitti, Gianluca; Persechino, Italo; Colliander, Magnus Hörnqvist

    2017-01-01

    Hat-shaped specimen geometries were developed to generate high strain, high-strain-rates deformation under prescribed conditions. These geometries offer also the possibility to investigate the occurrence of ductile rupture under low or negative stress triaxiality, where most failure models fail. In this work, three tophat geometries were designed, by means of extensive numerical simulation, to obtain desired stress triaxiality values within the shear region that develops across the ligament. Material failure was simulated using the Continuum Damage Model (CDM) formulation with a unilateral condition for damage accumulation and validated by comparing with quasi-static and high strain rate compression tests results on OFHC copper. Preliminary results seem to indicate that ductile tearing initiates at the specimen corner location where positive stress triaxiality occurs because of local rotation and eventually propagates along the ligament.

  9. Rate dependent response and failure of a ductile epoxy and carbon fiber reinforced epoxy composite

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Eric N [Los Alamos National Laboratory; Rae, Philip J [Los Alamos National Laboratory; Dattelbaum, Dana M [Los Alamos National Laboratory; Stahl, David B [Los Alamos National Laboratory

    2010-01-01

    An extensive characterization suite has been performed on the response and failure of a ductile epoxy 55A and uniaxial carbon fiber reinforced epoxy composite of IM7 fibers in 55A resin from the quasistatic to shock regime. The quasistatic and intermediate strain rate response, including elastic modulus, yield and failure have are characterized by quasistatic, SHPB, and DMA measurements as a function of fiber orientation and temperature. The high strain rate shock effect of fiber orientation in the composite and response of the pure resin are presented for plate impact experiments. It has previously been shown that at lower impact velocities the shock velocity is strongly dependent on fiber orientation but at higher impact velocity the in-plane and through thickness Hugoniots converge. The current results are compared with previous studies of the shock response of carbon fiber composites with more conventional brittle epoxy matrices. The spall response of the composite is measured and compared with quasistatic fracture toughness measurements.

  10. Cancer detection rates of different prostate biopsy regimens in patients with renal failure.

    Science.gov (United States)

    Hoşcan, Mustafa Burak; Özorak, Alper; Oksay, Taylan; Perk, Hakkı; Armağan, Abdullah; Soyupek, Sedat; Serel, Tekin Ahmet; Koşar, Alim

    2014-07-01

    We aimed to evaluate the cancer detection rates of 6-, 10-, 12-core biopsy regimens and the optimal biopsy protocol for prostate cancer diagnosis in patients with renal failure. A total of 122 consecutive patients with renal failure underwent biopsy with age-specific prostate-specific antigen (PSA) levels up to 20 ng/mL. The 12-core biopsy technique (sextant biopsy + lateral base, lateral mid-zone, lateral apex, bilaterally) performed to all patients. Pathology results were examined separately for each sextant, 10-core that exclude parasagittal mid-zones from 12-cores (10a), 10-core that exclude apex zones from 12-cores (10b) and 12-core biopsy regimens. Of 122 patients, 37 (30.3%) were positive for prostate cancer. The cancer detection rates for sextant, 10a, 10b and 12 cores were 17.2%, 29%, 23.7% and 30.7%, respectively. Biopsy techniques of 10a, 10b and 12 cores increased the cancer detection rates by 40%, 27.5% and 43.2% among the sextant technique, respectively. Biopsy techniques of 10a and 12 cores increased the cancer detection rates by 17.1% and 21.6% among 10b biopsy technique, respectively. There were no statistical differences between 12 core and 10a core about cancer detection rate. Adding lateral cores to sextant biopsy improves the cancer detection rates. In our study, 12-core biopsy technique increases the cancer detection rate by 5.4% among 10a core but that was not statistically different. On the other hand, 12-core biopsy technique includes all biopsy regimens. We therefore suggest 12-core biopsy or minimum 10-core strategy incorporating six peripheral biopsies with elevated age- specific PSA levels up to 20 ng/mL in patients with renal failure.

  11. Heart Rate at Hospital Discharge in Patients With Heart Failure Is Associated With Mortality and Rehospitalization

    Science.gov (United States)

    Laskey, Warren K.; Alomari, Ihab; Cox, Margueritte; Schulte, Phillip J.; Zhao, Xin; Hernandez, Adrian F.; Heidenreich, Paul A.; Eapen, Zubin J.; Yancy, Clyde; Bhatt, Deepak L.; Fonarow, Gregg C.

    2015-01-01

    Background Whether heart rate upon discharge following hospitalization for heart failure is associated with long‐term adverse outcomes and whether this association differs between patients with sinus rhythm (SR) and atrial fibrillation (AF) have not been well studied. Methods and Results We conducted a retrospective cohort study from clinical registry data linked to Medicare claims for 46 217 patients participating in Get With The Guidelines®–Heart Failure. Cox proportional‐hazards models were used to estimate the association between discharge heart rate and all‐cause mortality, all‐cause readmission, and the composite outcome of mortality/readmission through 1 year. For SR and AF patients with heart rate ≥75, the association between heart rate and mortality (expressed as hazard ratio [HR] per 10 beats‐per‐minute increment) was significant at 0 to 30 days (SR: HR 1.30, 95% CI 1.22 to 1.39; AF: HR 1.23, 95% CI 1.16 to 1.29) and 31 to 365 days (SR: HR 1.15, 95% CI 1.12 to 1.20; AF: HR 1.05, 95% CI 1.01 to 1.08). Similar associations between heart rate and all‐cause readmission and the composite outcome were obtained for SR and AF patients from 0 to 30 days but only in the composite outcome for SR patients over the longer term. The HR from 0 to 30 days exceeded that from 31 to 365 days for both SR and AF patients. At heart rates heart failure, higher discharge heart rate was associated with increased risks of death and rehospitalization, with higher risk in the first 30 days and for SR compared with AF. PMID:25904590

  12. Cardiac resynchronization therapy: implant rates, temporal trends and relationships with heart failure epidemiology.

    Science.gov (United States)

    Boriani, Giuseppe; Berti, Elena; Belotti, Laura Maria Beatrice; Biffi, Mauro; Carboni, Angelo; Bandini, Alberto; Casali, Edoardo; Tomasi, Corrado; Toselli, Tiziano; Baraldi, Paolo; Bottoni, Nicola; Barbato, Gaetano; Sassone, Biagio

    2014-02-01

    Consensus guidelines define indications for cardiac resynchronization therapy (CRT), but the variability in implant rates in 'real world' clinical practice, as well as the relationship with the epidemiology of heart failure are not defined. In Emilia-Romagna, an Italian region with around 4.4 million inhabitants, a registry was instituted to collect data on implanted devices for CRT, with (CRT-D) or without defibrillation (CRT-P) capabilities. Data from all consecutive patients resident in this region who underwent a first implant of a CRT device in years 2006-2010 were collected and standardized (considering each of the nine provinces of the region). The number of CRT implants increased progressively, with a 71% increase in 2010 compared to 2006. Between 84 and 90% of implants were with CRT-D devices. The variability in standardized implant rates among the provinces was substantial and the ratio between the provinces with the highest and the lowest implant rates was always greater than 2. Considering prevalent cases of heart failure in the period 2006-2010, the proportion of patients implanted with CRT per year ranged between 0.23 and 0.30%. The application in 'real world' clinical practice of CRT in heart failure is quite heterogeneous, with substantial variability even among areas belonging to the same region, with the need to make the access to this treatment more equitable. Despite the increased use of CRT, its overall rate of adoption is low, if a population of prevalent heart failure patients is selected on the basis of administrative data on hospitalizations.

  13. Catheterization during adrenal vein sampling for primary aldosteronism: failure to use (1-24) ACTH may increase apparent failure rate.

    Science.gov (United States)

    Kline, Gregory A; So, Benny; Dias, Valerian C; Harvey, Adrian; Pasieka, Janice L

    2013-07-01

    "Successful" adrenal vein catheterization in primary aldosteronism (PA) is often defined by a ratio of >3:1 of cortisol in the adrenal vein vs the inferior vena cava. Non-use of corticotropin (ACTH) during sampling may increase the apparent failure rate of adrenal vein catheterization due to lower cortisol levels. A retrospective study was performed on all patients with confirmed unilateral PA between June 2005 and August 2011. Adrenal vein sampling (AVS) included simultaneous bilateral baseline samples with repeat sampling 15 minutes after intravenous infusion of 250 μg of Cortrosyn (ACTH-S). Successful catheter placement was judged as adrenal cortisol:IVC cortisol of >3:1, applied to both baseline and ACTH-S samples and lateralization of aldosteronism was judged as normalized aldosterone/cortisol (A/C) ratio >3 times the contralateral A/C ratio. In ACTH-S samples, 94% of right-sided catheterizations were biochemically successful with 100% success on the left. Among baseline samples, only 47% of right- and 44% of left-sided samples met the 3:1 cortisol criteria. However, 95% of apparent "failed" baseline cortisol sets still showed lateralization of A/C ratios that matched the ultimate pathology. Non-ACTH-stimulated samples may be incorrectly judged as failed catheter placement when a 3:1 ratio is used. ACTH-stimulated sampling is the preferred means to confirm catheterization during AVS.

  14. TU-AB-BRD-02: Failure Modes and Effects Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Huq, M. [University of Pittsburgh Medical Center (United States)

    2015-06-15

    Current quality assurance and quality management guidelines provided by various professional organizations are prescriptive in nature, focusing principally on performance characteristics of planning and delivery devices. However, published analyses of events in radiation therapy show that most events are often caused by flaws in clinical processes rather than by device failures. This suggests the need for the development of a quality management program that is based on integrated approaches to process and equipment quality assurance. Industrial engineers have developed various risk assessment tools that are used to identify and eliminate potential failures from a system or a process before a failure impacts a customer. These tools include, but are not limited to, process mapping, failure modes and effects analysis, fault tree analysis. Task Group 100 of the American Association of Physicists in Medicine has developed these tools and used them to formulate an example risk-based quality management program for intensity-modulated radiotherapy. This is a prospective risk assessment approach that analyzes potential error pathways inherent in a clinical process and then ranks them according to relative risk, typically before implementation, followed by the design of a new process or modification of the existing process. Appropriate controls are then put in place to ensure that failures are less likely to occur and, if they do, they will more likely be detected before they propagate through the process, compromising treatment outcome and causing harm to the patient. Such a prospective approach forms the basis of the work of Task Group 100 that has recently been approved by the AAPM. This session will be devoted to a discussion of these tools and practical examples of how these tools can be used in a given radiotherapy clinic to develop a risk based quality management program. Learning Objectives: Learn how to design a process map for a radiotherapy process Learn how to

  15. 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.

  16. [Failure mode and effect analysis: application in chemotherapy].

    Science.gov (United States)

    Chuang, Ching-Hui; Chuang, Sheu-Wen

    2009-08-01

    Medical institutions are increasingly concerned about ensuring the safety of patients under their care. Failure mode and effect analysis (FMEA) is a qualitative approach based on a proactive process. Strongly promoted by the Joint Commission Accredited of Health Organization (JCAHO) since 2002, FMEA has since been adopted and widely practiced in healthcare organizations to assess and analyze clinical error events. FMEA has proven to be an effective method of minimizing errors in both manufacturing and healthcare industries. It predicts failure points in systems and allows an organization to address proactively the causes of problems and prioritize improvement strategies. The application of FMEA in chemotherapy at our department identified three main failure points: (1) inappropriate chemotherapy standard operating procedures (SOPs), (2) communication barriers, and (3) insufficient training of nurses. The application of FMEA in chemotherapy is expected to enhance the sensitivity and proactive abilities of healthcare practitioners during potentially risky situations as well as to improve levels of patient care safety.

  17. Augmenting health care failure modes and effects analysis with simulation

    DEFF Research Database (Denmark)

    Staub-Nielsen, Ditte Emilie; Dieckmann, Peter; Mohr, Marlene

    2014-01-01

    This study explores whether simulation plays a role in health care failure mode and effects analysis (HFMEA); it does this by evaluating whether additional data are found when a traditional HFMEA is augmented with simulation. Two multidisciplinary teams identified vulnerabilities in a process...... for deeper analysis. The study indicates that simulation has a role in HFMEA. Both ways of using simulation seemed feasible, and our results are not conclusive in selecting one over the other....

  18. Heart rate dynamics during a treadmill cardiopulmonary exercise test in optimized beta-blocked heart failure patients

    OpenAIRE

    Vitor Oliveira Carvalho; Guilherme Veiga Guimarães; Emmanuel Gomes Ciolac; Edimar Alcides Bocchi

    2008-01-01

    BACKGROUND: Calculating the maximum heart rate for age is one method to characterize the maximum effort of an individual. Although this method is commonly used, little is known about heart rate dynamics in optimized beta-blocked heart failure patients. AIM: The aim of this study was to evaluate heart rate dynamics (basal, peak and % heart rate increase) in optimized beta-blocked heart failure patients compared to sedentary, normal individuals (controls) during a treadmill cardiopulmonary exer...

  19. A new ambiguity acceptance test threshold determination method with controllable failure rate

    Science.gov (United States)

    Wang, Lei; Verhagen, Sandra

    2015-04-01

    The ambiguity acceptance test is an important quality control procedure in high precision GNSS data processing. Although the ambiguity acceptance test methods have been extensively investigated, its threshold determine method is still not well understood. Currently, the threshold is determined with the empirical approach or the fixed failure rate (FF-) approach. The empirical approach is simple but lacking in theoretical basis, while the FF-approach is theoretical rigorous but computationally demanding. Hence, the key of the threshold determination problem is how to efficiently determine the threshold in a reasonable way. In this study, a new threshold determination method named threshold function method is proposed to reduce the complexity of the FF-approach. The threshold function method simplifies the FF-approach by a modeling procedure and an approximation procedure. The modeling procedure uses a rational function model to describe the relationship between the FF-difference test threshold and the integer least-squares (ILS) success rate. The approximation procedure replaces the ILS success rate with the easy-to-calculate integer bootstrapping (IB) success rate. Corresponding modeling error and approximation error are analysed with simulation data to avoid nuisance biases and unrealistic stochastic model impact. The results indicate the proposed method can greatly simplify the FF-approach without introducing significant modeling error. The threshold function method makes the fixed failure rate threshold determination method feasible for real-time applications.

  20. Analysis of Machine Learning Techniques for Heart Failure Readmissions.

    Science.gov (United States)

    Mortazavi, Bobak J; Downing, Nicholas S; Bucholz, Emily M; Dharmarajan, Kumar; Manhapra, Ajay; Li, Shu-Xia; Negahban, Sahand N; Krumholz, Harlan M

    2016-11-01

    The current ability to predict readmissions in patients with heart failure is modest at best. It is unclear whether machine learning techniques that address higher dimensional, nonlinear relationships among variables would enhance prediction. We sought to compare the effectiveness of several machine learning algorithms for predicting readmissions. Using data from the Telemonitoring to Improve Heart Failure Outcomes trial, we compared the effectiveness of random forests, boosting, random forests combined hierarchically with support vector machines or logistic regression (LR), and Poisson regression against traditional LR to predict 30- and 180-day all-cause readmissions and readmissions because of heart failure. We randomly selected 50% of patients for a derivation set, and a validation set comprised the remaining patients, validated using 100 bootstrapped iterations. We compared C statistics for discrimination and distributions of observed outcomes in risk deciles for predictive range. In 30-day all-cause readmission prediction, the best performing machine learning model, random forests, provided a 17.8% improvement over LR (mean C statistics, 0.628 and 0.533, respectively). For readmissions because of heart failure, boosting improved the C statistic by 24.9% over LR (mean C statistic 0.678 and 0.543, respectively). For 30-day all-cause readmission, the observed readmission rates in the lowest and highest deciles of predicted risk with random forests (7.8% and 26.2%, respectively) showed a much wider separation than LR (14.2% and 16.4%, respectively). Machine learning methods improved the prediction of readmission after hospitalization for heart failure compared with LR and provided the greatest predictive range in observed readmission rates. © 2016 American Heart Association, Inc.

  1. Reliability analysis of retaining walls with multiple failure modes

    Institute of Scientific and Technical Information of China (English)

    张道兵; 孙志彬; 朱川曲

    2013-01-01

    In order to reduce the errors of the reliability of the retaining wall structure in the establishment of function, in the estimation of parameter and algorithm, firstly, two new reliability and stability models of anti-slipping and anti-overturning based on the upper-bound theory of limit analysis were established, and two kinds of failure modes were regarded as a series of systems with multiple correlated failure modes. Then, statistical characteristics of parameters of the retaining wall structure were inferred by maximal entropy principle. At last, the structural reliabilities of single failure mode and multiple failure modes were calculated by Monte Carlo method in MATLAB and the results were compared and analyzed on the sensitivity. It indicates that this method, with a high precision, is not only easy to program and quick in calculation, but also without the limit of nonlinear functions and non-normal random variables. And the results calculated by this method which applies both the limit analysis theory, maximal entropy principle and Monte Carlo method into analyzing the reliability of the retaining wall structures is more scientific, accurate and reliable, in comparison with those calculated by traditional method.

  2. Experimental and failure analysis of the prosthetic finger joint implants

    Science.gov (United States)

    Naidu, Sanjiv H.

    Small joint replacement arthroplasty of the hand is a well accepted surgical procedure to restore function and cosmesis in an individual with a crippled hand. Silicone elastomers have been used as prosthetic material in various small hand joints for well over three decades. Although the clinical science aspects of silicone elastomer failure are well known, the physical science aspects of prosthetic failure are scant and vague. In the following thesis, using both an animal model, and actual retrieved specimens which have failed in human service, experimental and failure analysis of silicone finger joints are presented. Fractured surfaces of retrieved silicone trapezial implants, and silicone finger joint implants were studied with both FESEM and SEM; the mode of failure for silicone trapezium is by wear polishing, whereas the finger joint implants failed either by fatigue fracture or tearing of the elastomer, or a combination of both. Thermal analysis revealed that the retrieved elastomer implants maintained its viscoelastic properties throughout the service period. In order to provide for a more functional and physiologic arthroplasty a novel finger joint (Rolamite prosthesis) is proposed using more recently developed thermoplastic polymers. The following thesis also addresses the outcome of the experimental studies of the Rolamite prosthesis in a rabbit animal model, in addition to the failure analysis of the thermoplastic polymers while in service in an in vivo synovial environment. Results of retrieved Rolamite specimens suggest that the use for thermoplastic elastomers such as block copolymer based elastomers in a synovial environment such as a mammalian joint may very well be limited.

  3. [Primary failure of eruption (PFE). Clinical and molecular genetics analysis].

    Science.gov (United States)

    Stellzig-Eisenhauer, Angelika; Decker, Eva; Meyer-Marcotty, Philipp; Rau, Christiane; Fiebig, Britta S; Kress, Wolfram; Saar, Kathrin; Rüschendorf, Franz; Hubner, Norbert; Grimm, Tiemo; Witt, Emil; Weber, Bernhard H F

    2013-09-01

    The term "primary failure of eruption" (PFE) refers to the complete or partial failure of a primary non-ankylosed tooth to erupt due to a disturbance of the eruption mechanism. Up to now, the molecular basis for this failure was unknown. Four families were studied in whom at least two members were affected by non-syndromic PFE as part of a clinical and molecular genetics study. Radiological diagnostics (OPTs) were carried out in all patients and their unaffected relatives (control group). The genetic analysis included a genomewide linkage analysis followed by direct DNA sequencing of positional candidate genes. Starting from the index patients, we were able to reconstruct pedigrees over two and/or three generations in the families that indicated an autosomal-dominant mode of inheritance of non-syndromic PFE. Fifteen patients were diagnosed with PFE. Gender distribution was nearly equal (7 female, 8 male). Molecular genetic analysis of the PTHR1 gene revealed three distinct heterozygous mutations (c.1050-3C>G; c.543 + 1G>A; c.463G>T). Unaffected persons exhibited no mutations. Knowledge of the genetic causes of non-syndromic PFE can now be used for the differential diagnosis of eruption failure. It permits affected family members to be identified early and may lead to new treatment possibilities in the long term. The genetically-verified diagnosis of "primary failure of eruption" can protect patients and orthodontists from years of futile treatment, because orthodontic treatment alone does not lead to success. Moreover, it has a negative influence on unaffected teeth and areas of the jaw. © EDP Sciences, SFODF, 2013.

  4. Comparison of compact bone failure under two different loadings rates: experimental and modelling approaches

    CERN Document Server

    Pithioux, M; Chabrand, P; Pithioux, Martine

    2004-01-01

    Understanding the mechanical behaviour of bones up to failure is necesary for diagnosis and prevention of accident and trauma. As far as we know, no authors have yet studied the tensile behaviour of compact bone including failure under dynamic loadings (1m/s). The originality of this study comes from not only the analysis of compact bone failure under dynamic loadings, the results of which are compared to those obtained under quasi static loadings but also the development of a statistical model. We developed a protocol using three different devices. Firstly, an X-ray scanner to analyse bone density, secondly, a common tensile device to perform quasi static experiments and thirdly, a special device based upon a hydraulic cylinder to perform dynamic tests. For all the tests, we used the same sample shape which took into account the brittleness of the compact bone. We first performed relaxation and hysteresis tests followed by tensile tests up to failure. Viscous and plastic effects were not relevant to the comp...

  5. Prognostic impact of heart rate in elderly with systolic heart failure and concomitant atrial fibrillation.

    Science.gov (United States)

    Barywani, Salim; Petzold, Max

    2017-08-01

    The present study aimed to investigate the impact of resting heart rate (HR) on 5-year all-cause mortality in patients ≥80 years with heart failure (HF) with reduced ejection fraction (HFrEF) and concomitant atrial fibrillation (AF) after optimal up-titration of beta-blockers (BBs). Patients (n = 185) aged ≥80 years with HF and left ventricular ejection fraction ≤40% were included between January 2000 and January 2008 from two university hospitals, Sahlgrenska and Östra and retrospectively studied from January 2 to May 30, 2013. Up-titrations of guideline recommended medications were performed at HF outpatient clinics. Of whole study population, 54% (n= 100) had AF. After optimal up-titration of BBs and angiotensin converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs), mean HR in patients with AF was 73 ± 15 beats/minute (bpm), 36% had resting HR ≤65 bpm. Five-year all-cause mortality among patients with AF was significantly lower in patients with HR ≤65 bpm (63%) compared to HR >65 (80%). Cox proportional-hazard regression analysis adjusted for clinically important baseline variables and doses of ACEIs/ARBs and BBs demonstrated resting HR ≤65 bpm as an independent predictor of improved survival compared to resting HR >65 bpm (HR 0.3, 95%CI 0.1-0.7, P 0.005). In octogenarians with HFrEF and concomitant AF, lowering resting HR to levels as low as HR ≤65 bpm was still associated with improved survival from all-cause mortality. Our data indicate that mortality in AF became comparable to SR when patients were on maximally up-titrated beta-blocker doses with HR as low as 75 bpm.

  6. Failure Modes and Effects Analysis (FMEA) of the Residual Heat Removal System. [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Eggleston, F T

    1976-01-01

    The Residual Heat Removal System (RHRS) transfer heat from the Reactor Coolant System (RCS) to the reactor plant Component Cooling System (CCS) to reduce the temperature of the RCS at a controlled rate during the second part of normal plant cooldown and maintains the desired temperature until the plant is restarted. By the use of an analytic tool, the Failure Modes and Effects Analysis, it is shown that the RHRS, because of its redundant two train design, is able to accommodate any credible component single failure with the only effect being an extension in the required cooldown time, thus demonstrating the reliability of the RHRS to perform its intended function.

  7. Assessment of surge arrester failure rate and application studies in Hellenic high voltage transmission lines

    Energy Technology Data Exchange (ETDEWEB)

    Christodoulou, C.A.; Fotis, G.P.; Gonos, I.F.; Stathopulos, I.A. [National Technical University of Athens, School of Electrical and Computer Engineering, High Voltage Laboratory, 9 Iroon Politechniou St., Zografou Campus, 157 80 Athens (Greece); Ekonomou, L. [A.S.PE.T.E. - School of Pedagogical and Technological Education, Department of Electrical Engineering Educators, N. Heraklion, 141 21 Athens (Greece)

    2010-02-15

    The use of transmission line surge arresters to improve the lightning performance of transmission lines is becoming more common. Especially in areas with high soil resistivity and ground flash density, surge arresters constitute the most effective protection mean. In this paper a methodology for assessing the surge arrester failure rate based on the electrogeometrical model is presented. Critical currents that exceed arresters rated energy stress were estimated by the use of a simulation tool. The methodology is applied on operating Hellenic transmission lines of 150 kV. Several case studies are analyzed by installing surge arresters on different intervals, in relation to the region's tower footing resistance and the ground flash density. The obtained results are compared with real records of outage rate showing the effectiveness of the surge arresters in the reduction of the recorded failure rate. The presented methodology can be proved valuable to the studies of electric power systems designers intending in a more effective lightning protection, reducing the operational costs and providing continuity of service. (author)

  8. Study of failures in a rabbit line selected for growth rate

    Directory of Open Access Journals (Sweden)

    C. Naturil-Alfonso

    2016-03-01

    Full Text Available Selection for growth rate is negatively related with reproductive fitness. The aim of this work was to analyse the causes of fertility failure in rabbit does selected for growth rate and characterised for reproductive deficiencies (line R. In the experiment, 82 does were divided into 2 groups: naturally mated (NM and artificially inseminated (AI, to relate luteinizing hormone (LH concentration with ovulation induction and pregnancy rate by laparoscopic determination. Additionally, in 38 of these females ovulation rate and metabolites determination (leptin, NEFA, BOHB and glucose were analysed and perirenal fat thickness measurement and live body weight (LBW determined. The results showed that all ovulated does (both NM and AI presented higher concentrations of LH than non-ovulated females. In addition, non-ovulated females showed high levels of leptin and BOHB, as well as LBW. Females from line R have an inherit reduced fertility due to ovulation failure as a consequence of a reduction in LH release, which could be explained by a heavier body weight and higher leptin concentrations.

  9. Root Cause Failure Analysis of Stator Winding Insulation failure on 6.2 MW hydropower generator

    Science.gov (United States)

    Adhi Nugroho, Agus; Widihastuti, Ida; Ary, As

    2017-04-01

    Insulation failure on generator winding insulation occurred in the Wonogiri Hydropower plant has caused stator damage since ase was short circuited to ground. The fault has made the generator stop to operate. Wonogiri Hydropower plant is one of the hydroelectric plants run by PT. Indonesia Power UBP Mrica with capacity 2 × 6.2 MW. To prevent damage to occur again on hydropower generators, an analysis is carried out using Root Cause Failure Analysis RCFA is a systematic approach to identify the root cause of the main orbasic root cause of a problem or a condition that is not wanted. There are several aspects to concerned such as: loading pattern and operations, protection systems, generator insulation resistance, vibration, the cleanliness of the air and the ambient air. Insulation damage caused by gradual inhomogeneous cooling at the surface of winding may lead in to partial discharge. In homogeneous cooling may present due to lattice hampered by dust and oil deposits. To avoid repetitive defects and unwanted condition above, it is necessary to perform major maintenance overhaul every 5000-6000 hours of operation.

  10. Failure characteristics analysis and fault diagnosis for liquid rocket engines

    CERN Document Server

    Zhang, Wei

    2016-01-01

    This book concentrates on the subject of health monitoring technology of Liquid Rocket Engine (LRE), including its failure analysis, fault diagnosis and fault prediction. Since no similar issue has been published, the failure pattern and mechanism analysis of the LRE from the system stage are of particular interest to the readers. Furthermore, application cases used to validate the efficacy of the fault diagnosis and prediction methods of the LRE are different from the others. The readers can learn the system stage modeling, analyzing and testing methods of the LRE system as well as corresponding fault diagnosis and prediction methods. This book will benefit researchers and students who are pursuing aerospace technology, fault detection, diagnostics and corresponding applications.

  11. Fault tree analysis of most common rolling bearing tribological failures

    Science.gov (United States)

    Vencl, Aleksandar; Gašić, Vlada; Stojanović, Blaža

    2017-02-01

    Wear as a tribological process has a major influence on the reliability and life of rolling bearings. Field examinations of bearing failures due to wear indicate possible causes and point to the necessary measurements for wear reduction or elimination. Wear itself is a very complex process initiated by the action of different mechanisms, and can be manifested by different wear types which are often related. However, the dominant type of wear can be approximately determined. The paper presents the classification of most common bearing damages according to the dominant wear type, i.e. abrasive wear, adhesive wear, surface fatigue wear, erosive wear, fretting wear and corrosive wear. The wear types are correlated with the terms used in ISO 15243 standard. Each wear type is illustrated with an appropriate photograph, and for each wear type, appropriate description of causes and manifestations is presented. Possible causes of rolling bearing failure are used for the fault tree analysis (FTA). It was performed to determine the root causes for bearing failures. The constructed fault tree diagram for rolling bearing failure can be useful tool for maintenance engineers.

  12. Measurement and Analysis of Failures in Computer Systems

    Science.gov (United States)

    Thakur, Anshuman

    1997-01-01

    This thesis presents a study of software failures spanning several different releases of Tandem's NonStop-UX operating system running on Tandem Integrity S2(TMR) systems. NonStop-UX is based on UNIX System V and is fully compliant with industry standards, such as the X/Open Portability Guide, the IEEE POSIX standards, and the System V Interface Definition (SVID) extensions. In addition to providing a general UNIX interface to the hardware, the operating system has built-in recovery mechanisms and audit routines that check the consistency of the kernel data structures. The analysis is based on data on software failures and repairs collected from Tandem's product report (TPR) logs for a period exceeding three years. A TPR log is created when a customer or an internal developer observes a failure in a Tandem Integrity system. This study concentrates primarily on those TPRs that report a UNIX panic that subsequently crashes the system. Approximately 200 of the TPRs fall into this category. Approximately 50% of the failures reported are from field systems, and the rest are from the testing and development sites. It has been observed by Tandem developers that fewer cases are encountered from the field than from the test centers. Thus, the data selection mechanism has introduced a slight skew.

  13. Failure mode and effects analysis: too little for too much?

    Science.gov (United States)

    Dean Franklin, Bryony; Shebl, Nada Atef; Barber, Nick

    2012-07-01

    Failure mode and effects analysis (FMEA) is a structured prospective risk assessment method that is widely used within healthcare. FMEA involves a multidisciplinary team mapping out a high-risk process of care, identifying the failures that can occur, and then characterising each of these in terms of probability of occurrence, severity of effects and detectability, to give a risk priority number used to identify failures most in need of attention. One might assume that such a widely used tool would have an established evidence base. This paper considers whether or not this is the case, examining the evidence for the reliability and validity of its outputs, the mathematical principles behind the calculation of a risk prioirty number, and variation in how it is used in practice. We also consider the likely advantages of this approach, together with the disadvantages in terms of the healthcare professionals' time involved. We conclude that although FMEA is popular and many published studies have reported its use within healthcare, there is little evidence to support its use for the quantitative prioritisation of process failures. It lacks both reliability and validity, and is very time consuming. We would not recommend its use as a quantitative technique to prioritise, promote or study patient safety interventions. However, the stage of FMEA involving multidisciplinary mapping process seems valuable and work is now needed to identify the best way of converting this into plans for action.

  14. Failure Mode and Effect Analysis of Subsea Multiphase Pump Equipment

    Directory of Open Access Journals (Sweden)

    Oluwatoyin Shobowale Kafayat

    2014-07-01

    Full Text Available Finding oil and gas reserves in deep/harsh environment with challenging reservoir and field conditions, subsea multiphase pumping benefits has found its way to provide solutions to these issues. Challenges such as failure issues that are still surging the industry and with the current practice of information hiding, this issues becomes even more difficult to tackle. Although, there are some joint industry projects which are only accessible to its members, still there is a need to have a clear understanding of these equipment groups so as to know which issues to focus attention on. A failure mode and effect analysis (FMEA is a potential first aid in understanding this equipment groups. A survey questionnaire/interview was conducted with the oil and gas operating company and equipment manufacturer based on the literature review. The results indicates that these equipment’s group are similar with its onshore counterpart, but the difference is the robustness built into the equipment internal subsystems for subsea applications. The results from the manufacturer perspectives indicates that Helico-axial multiphase pump have a mean time to failure of more than 10 years, twin-screw and electrical submersible pumps are still struggling with a mean time to failure of less than 5 years.

  15. Defining Human Failure Events for Petroleum Risk Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Ronald L. Boring; Knut Øien

    2014-06-01

    In this paper, an identification and description of barriers and human failure events (HFEs) for human reliability analysis (HRA) is performed. The barriers, called target systems, are identified from risk significant accident scenarios represented as defined situations of hazard and accident (DSHAs). This report serves as the foundation for further work to develop petroleum HFEs compatible with the SPAR-H method and intended for reuse in future HRAs.

  16. Failure Analysis Seminar: Techniques and Teams. Seminar Notes. Volume I.

    Science.gov (United States)

    1981-01-01

    and Progress - Evaluate 7* 6 *~ 0 6 9 9 S 9 FAILURE ANALYSIS STRATEGY1 Augustine E. Magistro *. Introduction A primary task of management and systems...by Augustine Magistro , Picatinny Arsenal and Lawrence R. Seggel, U. S. Army Missile Command. The report Is available from the National Technical...to emphasize techniques - Identification and improvement of your leadership styles 2I BIOGRAPHIC SKETCHES: A.E. "Gus" Magistro - Systems Evaluation

  17. Water Ingress Failure Analysis of Whistler II Unit

    Science.gov (United States)

    2014-08-01

    be addressed to reduce the risk of water ingress. 15. SUBJECT TERMS Failure Analysis, Water Ingress, Ingress Protection, Rain Test 16. SECURITY...conversion coated and should not have been subject to corrosion with exposure to ordinary rain water . The batteries were highly corroded, and some...steel/chromate conversion coated. Corrosion of the star washers was greater than would be expected by normal rain water at normal temperatures

  18. A Report on Simulation-Driven Reliability and Failure Analysis of Large-Scale Storage Systems

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Lipeng [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wang, Feiyi [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Oral, H. Sarp [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Vazhkudai, Sudharshan S. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Cao, Qing [Univ. of Tennessee, Knoxville, TN (United States)

    2014-11-01

    High-performance computing (HPC) storage systems provide data availability and reliability using various hardware and software fault tolerance techniques. Usually, reliability and availability are calculated at the subsystem or component level using limited metrics such as, mean time to failure (MTTF) or mean time to data loss (MTTDL). This often means settling on simple and disconnected failure models (such as exponential failure rate) to achieve tractable and close-formed solutions. However, such models have been shown to be insufficient in assessing end-to-end storage system reliability and availability. We propose a generic simulation framework aimed at analyzing the reliability and availability of storage systems at scale, and investigating what-if scenarios. The framework is designed for an end-to-end storage system, accommodating the various components and subsystems, their interconnections, failure patterns and propagation, and performs dependency analysis to capture a wide-range of failure cases. We evaluate the framework against a large-scale storage system that is in production and analyze its failure projections toward and beyond the end of lifecycle. We also examine the potential operational impact by studying how different types of components affect the overall system reliability and availability, and present the preliminary results

  19. Testosterone Deficiency Increases Hospital Readmission and Mortality Rates in Male Patients with Heart Failure

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Marcelo Rodrigues dos; Sayegh, Ana Luiza Carrari; Groehs, Raphaela Vilar Ramalho; Fonseca, Guilherme [Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo (Brazil); Trombetta, Ivani Credidio [Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo (Brazil); Universidade Nove de Julho (UNINOVE) (Brazil); Barretto, Antônio Carlos Pereira [Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo (Brazil); Arap, Marco Antônio [Faculdade de medicina da Universidade de São Paulo - Urologia (Brazil); Negrão, Carlos Eduardo [Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo (Brazil); Escola de Educação Física e Esporte da Universidade de São Paulo, São Paulo, SP (Brazil); Middlekauff, Holly R. [Division of Cardiology - David Geffen School of Medicine - University of California (United States); Alves, Maria-Janieire de Nazaré Nunes, E-mail: janieire.alves@incor.usp.br [Instituto do Coração (InCor) - Faculdade de Medicina da Universidade de São Paulo (Brazil)

    2015-09-15

    Testosterone deficiency in patients with heart failure (HF) is associated with decreased exercise capacity and mortality; however, its impact on hospital readmission rate is uncertain. Furthermore, the relationship between testosterone deficiency and sympathetic activation is unknown. We investigated the role of testosterone level on hospital readmission and mortality rates as well as sympathetic nerve activity in patients with HF. Total testosterone (TT) and free testosterone (FT) were measured in 110 hospitalized male patients with a left ventricular ejection fraction < 45% and New York Heart Association classification IV. The patients were placed into low testosterone (LT; n = 66) and normal testosterone (NT; n = 44) groups. Hypogonadism was defined as TT < 300 ng/dL and FT < 131 pmol/L. Muscle sympathetic nerve activity (MSNA) was recorded by microneurography in a subpopulation of 27 patients. Length of hospital stay was longer in the LT group compared to in the NT group (37 ± 4 vs. 25 ± 4 days; p = 0.008). Similarly, the cumulative hazard of readmission within 1 year was greater in the LT group compared to in the NT group (44% vs. 22%, p = 0.001). In the single-predictor analysis, TT (hazard ratio [HR], 2.77; 95% confidence interval [CI], 1.58–4.85; p = 0.02) predicted hospital readmission within 90 days. In addition, TT (HR, 4.65; 95% CI, 2.67–8.10; p = 0.009) and readmission within 90 days (HR, 3.27; 95% CI, 1.23–8.69; p = 0.02) predicted increased mortality. Neurohumoral activation, as estimated by MSNA, was significantly higher in the LT group compared to in the NT group (65 ± 3 vs. 51 ± 4 bursts/100 heart beats; p < 0.001). These results support the concept that LT is an independent risk factor for hospital readmission within 90 days and increased mortality in patients with HF. Furthermore, increased MSNA was observed in patients with LT.

  20. Testosterone Deficiency Increases Hospital Readmission and Mortality Rates in Male Patients with Heart Failure

    Directory of Open Access Journals (Sweden)

    Marcelo Rodrigues dos Santos

    2015-01-01

    Full Text Available Background: Testosterone deficiency in patients with heart failure (HF is associated with decreased exercise capacity and mortality; however, its impact on hospital readmission rate is uncertain. Furthermore, the relationship between testosterone deficiency and sympathetic activation is unknown. Objective: We investigated the role of testosterone level on hospital readmission and mortality rates as well as sympathetic nerve activity in patients with HF. Methods: Total testosterone (TT and free testosterone (FT were measured in 110 hospitalized male patients with a left ventricular ejection fraction < 45% and New York Heart Association classification IV. The patients were placed into low testosterone (LT; n = 66 and normal testosterone (NT; n = 44 groups. Hypogonadism was defined as TT < 300 ng/dL and FT < 131 pmol/L. Muscle sympathetic nerve activity (MSNA was recorded by microneurography in a subpopulation of 27 patients. Results: Length of hospital stay was longer in the LT group compared to in the NT group (37 ± 4 vs. 25 ± 4 days; p = 0.008. Similarly, the cumulative hazard of readmission within 1 year was greater in the LT group compared to in the NT group (44% vs. 22%, p = 0.001. In the single-predictor analysis, TT (hazard ratio [HR], 2.77; 95% confidence interval [CI], 1.58–4.85; p = 0.02 predicted hospital readmission within 90 days. In addition, TT (HR, 4.65; 95% CI, 2.67–8.10; p = 0.009 and readmission within 90 days (HR, 3.27; 95% CI, 1.23–8.69; p = 0.02 predicted increased mortality. Neurohumoral activation, as estimated by MSNA, was significantly higher in the LT group compared to in the NT group (65 ± 3 vs. 51 ± 4 bursts/100 heart beats; p < 0.001. Conclusion: These results support the concept that LT is an independent risk factor for hospital readmission within 90 days and increased mortality in patients with HF. Furthermore, increased MSNA was observed in patients with LT.

  1. Six-Year Survival and Early Failure Rate of 2918 Implants with Hydrophobic and Hydrophilic Enossal Surfaces

    Directory of Open Access Journals (Sweden)

    Olivier Le Gac

    2015-02-01

    Full Text Available The aim of this chart review was to obtain an objective, quantitative assessment of the clinical performance of an implant line used in an implantological office setting. Implants with hydrophilic (INICELL and hydrophobic (TST; both: Thommen Medical AG, Grenchen, Switzerland enossal surfaces were compared and the cumulative implant survival rate was calculated. The data of 1063 patients that received 2918 implants (1337 INICELL, 1581 TST was included. The average follow up time was 2.1 (1.1–5.4 years for INICELL and 4.5 (1.3–5.9 years for TST implants (Thommen Medical AG, Switzerland. In the reported period 7 implants with INICELL (0.5% and 23 TST implants (1.5% failed. This difference was statistically significant. The analysis of cases treated and followed up in a single implantological office for 6 years confirmed the very good clinical outcome that was achieved with both used implant lines. Within the limitations of this retrospective analysis, the overall early failure rate of the hydrophilic implants was significantly lower than that of hydrophobic implants. The use of hydrophilic implants allows the clinician to obtain less early failures, hence the interest of an up-to-date surface for the daily work of an implant practice.

  2. Patterns in Listings of Failure-Rate & MTTF Values and Listings of Other Data

    DEFF Research Database (Denmark)

    Becker, Peter W.

    1982-01-01

    It has been observed that the decimal parts of failure-rate and MTTF values as listed in tables tend to have a logarithmic distribution. A possible explanation for this phenomenon is given. When such tables have been generated they should be examined to see if the anticipated distribution...... is present; should that not be the case, a systematic error might well be present. Such testing is one practical application of the observation. The decimal-values from long lists of data quite often tend to have a logarithmic distribution as pointed out by Newcomb and Benford. The phenomenon may...

  3. Stochastic analysis of nucleation rates

    Science.gov (United States)

    Johansson, Jonas

    2016-02-01

    We show that approximating the Becker-Döring equations with a Langevin equation results in multiplicative noise, which in turn leads to a family of possible Fokker-Planck equations according to the Ito-Stratonovich dilemma. Using a simple and general model for the attachment and detachment rates, we find that the Ito choice approximates the nucleation rate best and also coincides with the Fokker-Planck equation resulting from the common way to Taylor expand the original set of rate equations.

  4. Effect of confining pressure on deformation and failure of rock at higher strain rate

    Institute of Scientific and Technical Information of China (English)

    WANG Xue-bin; PAN Yi-shan

    2005-01-01

    Influence of confining pressure from 0 to 28 MPa, which acts on the two lateral edges of rock specimen in plane strain compression, on the shear failure processes and patterns as well as on the macroscopically mechanical responses were numerically modeled by use of FLAC. A material imperfection with lower strength in comparison with the intact rock, which is close to the lower-left corner of the specimen, was prescribed. In elastic stage, the adopted constitutive relation of rock was linear elastic; in strain-softening stage, a composite Mohr-Coulomb criterion with tension cut-off and a post-peak linear constitutive relation were adopted. The numerical results show that with an increase of confining pressure the peak strength of axial stress-axial strain curve and the corresponding axial strain linearly increase; the residual strength and the stress drop from the peak strength to the residual strength increase; the failure modes of rock transform form the multiple shear bands close to the loading end of the specimen (confining pressure=0~0.1MPa), to the conjugate shear bands (0.5~2.0 MPa), and then to the single shear band (4~28 MPa). Once the tip of the band reaches the loading end of the specimen, the direction of the band changes so that the reflection of the band occurs. At higher confining pressure, the new-formed shear band does not intersect the imperfection, bringing extreme difficulties in prediction of the failure of rock structure, such as rock burst. The present results enhance the understanding of the shear failure processes and patterns of rock specimen in higher confining pressure and higher loading strain rate.

  5. Prognostic significance of early lactate clearance rate for severe acute respiratory failure patients on extracorporeal membrane oxygenation

    Institute of Scientific and Technical Information of China (English)

    臧芝栋

    2014-01-01

    Objective To investigate the prognostic significanceof early lactate clearance rate for severe acute respiratory failure patients on extracorporeal membrane oxygenation(ECMO).Methods Forty-three patients with severe acute respiratory failure supported by venous-venous(v-v)ECMO were enrolled from January 2007 to January 2013.Arterial blood lactate at pre-ECMO support(0 h)and at

  6. The Analysis of the Pragmatic Failure in Intercultural communication

    Institute of Scientific and Technical Information of China (English)

    郑彤

    2005-01-01

    pragmatic failure is one of the key reasons which result in intercultural communicative failure. There are two types of pragmatic failure: Pragma-linguistic failure and Socio-pragmatic failure. The solutions to the problem are to have an understanding of cultural differences and to strengthen the understanding and the sensitivity to the culture of target language.

  7. Failure mode and effects analysis outputs: are they valid?

    Directory of Open Access Journals (Sweden)

    Shebl Nada

    2012-06-01

    Full Text Available Abstract Background Failure Mode and Effects Analysis (FMEA is a prospective risk assessment tool that has been widely used within the aerospace and automotive industries and has been utilised within healthcare since the early 1990s. The aim of this study was to explore the validity of FMEA outputs within a hospital setting in the United Kingdom. Methods Two multidisciplinary teams each conducted an FMEA for the use of vancomycin and gentamicin. Four different validity tests were conducted: · Face validity: by comparing the FMEA participants’ mapped processes with observational work. · Content validity: by presenting the FMEA findings to other healthcare professionals. · Criterion validity: by comparing the FMEA findings with data reported on the trust’s incident report database. · Construct validity: by exploring the relevant mathematical theories involved in calculating the FMEA risk priority number. Results Face validity was positive as the researcher documented the same processes of care as mapped by the FMEA participants. However, other healthcare professionals identified potential failures missed by the FMEA teams. Furthermore, the FMEA groups failed to include failures related to omitted doses; yet these were the failures most commonly reported in the trust’s incident database. Calculating the RPN by multiplying severity, probability and detectability scores was deemed invalid because it is based on calculations that breach the mathematical properties of the scales used. Conclusion There are significant methodological challenges in validating FMEA. It is a useful tool to aid multidisciplinary groups in mapping and understanding a process of care; however, the results of our study cast doubt on its validity. FMEA teams are likely to need different sources of information, besides their personal experience and knowledge, to identify potential failures. As for FMEA’s methodology for scoring failures, there were discrepancies

  8. Bruxism and dental implant failures: a multilevel mixed effects parametric survival analysis approach.

    Science.gov (United States)

    Chrcanovic, B R; Kisch, J; Albrektsson, T; Wennerberg, A

    2016-11-01

    Recent studies have suggested that the insertion of dental implants in patients being diagnosed with bruxism negatively affected the implant failure rates. The aim of the present study was to investigate the association between the bruxism and the risk of dental implant failure. This retrospective study is based on 2670 patients who received 10 096 implants at one specialist clinic. Implant- and patient-related data were collected. Descriptive statistics were used to describe the patients and implants. Multilevel mixed effects parametric survival analysis was used to test the association between bruxism and risk of implant failure adjusting for several potential confounders. Criteria from a recent international consensus (Lobbezoo et al., J Oral Rehabil, 40, 2013, 2) and from the International Classification of Sleep Disorders (International classification of sleep disorders, revised: diagnostic and coding manual, American Academy of Sleep Medicine, Chicago, 2014) were used to define and diagnose the condition. The number of implants with information available for all variables totalled 3549, placed in 994 patients, with 179 implants reported as failures. The implant failure rates were 13·0% (24/185) for bruxers and 4·6% (155/3364) for non-bruxers (P < 0·001). The statistical model showed that bruxism was a statistically significantly risk factor to implant failure (HR 3·396; 95% CI 1·314, 8·777; P = 0·012), as well as implant length, implant diameter, implant surface, bone quantity D in relation to quantity A, bone quality 4 in relation to quality 1 (Lekholm and Zarb classification), smoking and the intake of proton pump inhibitors. It is suggested that the bruxism may be associated with an increased risk of dental implant failure.

  9. An improved method for risk evaluation in failure modes and effects analysis of CNC lathe

    Science.gov (United States)

    Rachieru, N.; Belu, N.; Anghel, D. C.

    2015-11-01

    Failure mode and effects analysis (FMEA) is one of the most popular reliability analysis tools for identifying, assessing and eliminating potential failure modes in a wide range of industries. In general, failure modes in FMEA are evaluated and ranked through the risk priority number (RPN), which is obtained by the multiplication of crisp values of the risk factors, such as the occurrence (O), severity (S), and detection (D) of each failure mode. However, the crisp RPN method has been criticized to have several deficiencies. In this paper, linguistic variables, expressed in Gaussian, trapezoidal or triangular fuzzy numbers, are used to assess the ratings and weights for the risk factors S, O and D. A new risk assessment system based on the fuzzy set theory and fuzzy rule base theory is to be applied to assess and rank risks associated to failure modes that could appear in the functioning of Turn 55 Lathe CNC. Two case studies have been shown to demonstrate the methodology thus developed. It is illustrated a parallel between the results obtained by the traditional method and fuzzy logic for determining the RPNs. The results show that the proposed approach can reduce duplicated RPN numbers and get a more accurate, reasonable risk assessment. As a result, the stability of product and process can be assured.

  10. A case study on engineering failure analysis of link chain.

    Science.gov (United States)

    Kim, Tae-Gu; Lee, Seong-Beom; Lee, Hong-Chul

    2010-09-01

    The objective of this study was to investigate the effect of chain installation condition on stress distribution that could eventually cause disastrous failure from sudden deformation and geometric rupture. Fractographic method used for the failed chain indicates that over-stress was considered as the root cause of failure. 3D modeling and finite element analysis for the chain, used in a crane hook, were performed with a three-dimensional interactive application program, CATIA, commercial finite element analysis and computational fluid dynamic software, ANSYS. The results showed that the state of stress was changed depending on the initial position of the chain that was installed in the hook. Especially, the magnitude of the stress was strongly affected by the bending forces, which are 2.5 times greater (under the simulation condition currently investigated) than that from the plain tensile load. Also, it was noted that the change of load state is strongly related to the failure of parts. The chain can hold an ultimate load of about 8 tons with only the tensile load acting on it. The conclusions of this research clearly showed that a reduction of the loss from similar incidents can be achieved when an operator properly handles the installation of the chain.

  11. Uncertainty Analysis via Failure Domain Characterization: Polynomial Requirement Functions

    Science.gov (United States)

    Crespo, Luis G.; Munoz, Cesar A.; Narkawicz, Anthony J.; Kenny, Sean P.; Giesy, Daniel P.

    2011-01-01

    This paper proposes an uncertainty analysis framework based on the characterization of the uncertain parameter space. This characterization enables the identification of worst-case uncertainty combinations and the approximation of the failure and safe domains with a high level of accuracy. Because these approximations are comprised of subsets of readily computable probability, they enable the calculation of arbitrarily tight upper and lower bounds to the failure probability. A Bernstein expansion approach is used to size hyper-rectangular subsets while a sum of squares programming approach is used to size quasi-ellipsoidal subsets. These methods are applicable to requirement functions whose functional dependency on the uncertainty is a known polynomial. Some of the most prominent features of the methodology are the substantial desensitization of the calculations from the uncertainty model assumed (i.e., the probability distribution describing the uncertainty) as well as the accommodation for changes in such a model with a practically insignificant amount of computational effort.

  12. Post-exercise heart rate recovery independently predicts mortality risk in patients with chronic heart failure.

    Science.gov (United States)

    Tang, Yi-Da; Dewland, Thomas A; Wencker, Detlef; Katz, Stuart D

    2009-12-01

    Post-exercise heart rate recovery (HRR) is an index of parasympathetic function associated with clinical outcomes in populations with and without documented coronary heart disease. Decreased parasympathetic activity is thought to be associated with disease progression in chronic heart failure (HF), but an independent association between post-exercise HRR and clinical outcomes among such patients has not been established. We measured HRR (calculated as the difference between heart rate at peak exercise and after 1 minute of recovery) in 202 HF subjects and recorded 17 mortality and 15 urgent transplantation outcome events over 624 days of follow-up. Reduced post-exercise HRR was independently associated with increased event risk after adjusting for other exercise-derived variables (peak oxygen uptake and change in minute ventilation per change in carbon dioxide production slope), for the Heart Failure Survival Score (adjusted HR 1.09 for 1 beat/min reduction, 95% CI 1.05-1.13, P Heart Failure Model score (adjusted HR 1.08 for one beat/min reduction, 95% CI 1.05-1.12, P exercise HRR (>or=30 beats/min) had low risk of events irrespective of the risk predicted by the survival scores. In a subgroup of 15 subjects, reduced post-exercise HRR was associated with increased serum markers of inflammation (interleukin-6, r = 0.58, P = .024; high-sensitivity C-reactive protein, r = 0.66, P = .007). Post-exercise HRR predicts mortality risk in patients with HF and provides prognostic information independent of previously described survival models. Pathophysiologic links between autonomic function and inflammation may be mediators of this association.

  13. Endochronic theory for inelasticity and failure analysis of concrete structures

    Energy Technology Data Exchange (ETDEWEB)

    Bazant, Z.P.; Bhat, P.D.; Shieh, C.L.

    1976-12-01

    A gradual accumulation of inelastic strain can be most conveniently described in terms of the so-called intrinsic time, whose increment depends on the time increment as well as the strain increments. This approach, which gives a particularly simple description of irreversibility of strain at unloading and cyclic loading, was previously developed for metals and is extended herein to concrete by introducing the hydrostatic pressure sensitivity of inelastic strain, the inelastic dilatancy produced by deviator strains, and the strain-softening tendency at high stress. Failure envelopes are obtained as a collection of the peaks of stress-strain diagrams. By comparison with experimental data from the literature, it is demonstrated that the proposed model predicts quite closely: stress-strain diagrams for concretes of different strength; uniaxial, biaxial and triaxial stress-strain diagrams and failure envelopes; failure envelopes for combined torsion and compression, lateral strains and volume expansion in uniaxial and biaxial tests; the behavior of spirally confined concrete; hysteresis loops or repeated high compression; cyclic creep up to 10/sup 6/ cycles; the strain rate effect; the decrease of long time strength; and the increase of short-time strength due to low stress creep.

  14. Experimental and Numerical Failure Analysis of Adhesive Composite Joints

    Directory of Open Access Journals (Sweden)

    Farhad Asgari Mehrabadi

    2012-01-01

    Full Text Available In the first section of this work, a suitable data reduction scheme is developed to measure the adhesive joints strain energy release rate under pure mode-I loading, and in the second section, three types of adhesive hybrid lap-joints, that is, Aluminum-GFRP (Glass Fiber Reinforced Plastic, GFRP-GFRP, and Steel-GFRP were employed in the determination of adhesive hybrid joints strengths and failures that occur at these assemblies under tension loading. To achieve the aims, Double Cantilever Beam (DCB was used to evaluate the fracture state under the mode-I loading (opening mode and also hybrid lap-joint was employed to investigate the failure load and strength of bonded joints. The finite-element study was carried out to understand the stress intensity factors in DCB test to account fracture toughness using J-integral method as a useful tool for predicting crack failures. In the case of hybrid lap-joint tests, a numerical modeling was also performed to determine the adhesive stress distribution and stress concentrations in the side of lap-joint. Results are discussed in terms of their relationship with adhesively bonded joints and thus can be used to develop appropriate approaches aimed at using adhesive bonding and extending the lives of adhesively bonded repairs for aerospace structures.

  15. Using Healthcare Failure Mode and Effect Analysis to Reduce Intravenous Chemotherapy Errors in Chinese Hospitalized Patients.

    Science.gov (United States)

    Li, Gui; Xu, Bo; He, Rui-Xian; Zhang, Shu-Xiang

    Intravenous chemotherapy administration is a high-risk process; attention must be paid to preventing errors that might occur during the administration of chemotherapy. The aim of this study is to investigate whether the healthcare failure mode and effect analysis (HFMEA) is a valid proactive method to apply to chemotherapy administration in the Chinese oncology inpatient setting. A multidisciplinary team created a flow diagram of the chemotherapy administration process and potential failure modes were identified and evaluated using a hazard-scoring matrix. Using a decision tree, failure mode recommendations were made. Chemotherapy error rates before and after the HFMEA were compared. A total of 5 failure modes were identified with high hazard scores, and 15 recommendations were made. After the intervention, the chemotherapy error rate decreased significantly from 2.05% to 0.17%. The complexity of intravenous chemotherapy makes it vulnerable to error, and with serious consequences. Multiple errors can occur during ordering, preparing, compounding, dispensing, and administering the chemotherapy. The process of HFMEA helped reduce the chemotherapy error rate in Chinese hospitalized patients. Clinicians in oncology can take effective measures to avoid chemotherapy errors using the HFMEA.

  16. Analysis of Service Recovery Failure: From Minority Perspective

    National Research Council Canada - National Science Library

    Yasemin Öcal Atınç

    2016-01-01

    .... Previous literature provided insights regarding the perception of service failures by minorities and the challenge of recovery due to racial implications driven from the failure, however lacked...

  17. A comparative clinical study of the failure rate of orthodontic brackets bonded with two adhesive systems: conventional and self-etching primer (SEP

    Directory of Open Access Journals (Sweden)

    Gladys Cristina Dominguez

    2013-04-01

    Full Text Available OBJECTIVE: This study compared the clinical performance of orthodontic brackets bonded with Transbond adhesive paste after two priming systems: a two-stage conventional system (acid etching + Transbond XT adhesive primer and a singlestage self-etching primer (SEP (Transbond Plus. METHODS: The sample comprised 480 metal brackets bonded to the teeth of 24 consecutive patients treated for 36 to 48 months. A split-mouth design was used for bonding, and both systems were used in each patient. Bracket failure rates for each system were analyzed; and failure causes as reported by the patients and the quadrant of teeth for which brackets failed were recorded. RESULTS: The conventional system group had a failure rate of 5.41%, whereas the rate for SEP was 4.58%. In this group, there were 5 failures (38.4% in the right maxillary quadrant, 2 (15.4% in the left maxillary quadrant, 4 (30.8% in the right mandibular quadrant, and 2 (15.4% in the left mandibular quadrant. In the SEP group, there were 4 (36.4% failures in the right maxillary quadrant, 1 (9% in the left maxillary quadrant, 3 (27.3% in the right mandibular quadrant, and 3 (27.3% in the left mandibular quadrant. Results of descriptive statistical analysis and odds ratio did not show any significant differences between rates (p = 0.67. CONCLUSION: The clinical efficiency of SEP was similar to that of the conventional system.

  18. The clinical significance of detection to heart rate deceleration capacity and heart rate variability in patients with chronic heart failure

    Directory of Open Access Journals (Sweden)

    Jiang-rong Zhou

    2015-01-01

    Full Text Available Objective: To study the change of heart rate deceleration capacity ( DC and heart rate variability in patients with chronic heart failure (CHF and its relationship with left ventricular ejection fraction (LVEF. Methods: DC, LVEF, time and frequency domain parameters of HRV were measured in 66 patients with CHF and 34 healthy adults (control group by using 24h Holter recordings and Echocardiography. The standard deviation of normal R-R intervals( SDNN, squares of differences between adjacent NN intervals ( RMSSD,low frequency power( LFn and high frequency power( HFn and the changes of LVEF were compared between  the two groups,the relationship between DC,LVEF and HRV were studied in patients with CHF. Results: The median value of DC in the patients with CHF was significantly lower than that in control group( 3.1 ± 2.4 ms vs 7.2 ± 1.3 ms,P <0.01.Incidence of abnormal DC in the CHF group was 57.5%,which was significantly higher than that in the control group (P <0.01.The HRV index, including SDNN、RMSSD、LFn、HFn, in the CHF group was significantly lower than that in normal control group (P < 0.01. Significant positive correlation between HRV index and LVEF were confirmed (P < 0.01. Conclusions: DC and HRV index are lower in patients with CHF and have a good correlation with the left ventricular ejection fraction.

  19. Effect of Selective Heart Rate Slowing in Heart Failure With Preserved Ejection Fraction.

    Science.gov (United States)

    Pal, Nikhil; Sivaswamy, Nadiya; Mahmod, Masliza; Yavari, Arash; Rudd, Amelia; Singh, Satnam; Dawson, Dana K; Francis, Jane M; Dwight, Jeremy S; Watkins, Hugh; Neubauer, Stefan; Frenneaux, Michael; Ashrafian, Houman

    2015-11-03

    Heart failure with preserved ejection fraction (HFpEF) is associated with significant morbidity and mortality but is currently refractory to therapy. Despite limited evidence, heart rate reduction has been advocated, on the basis of physiological considerations, as a therapeutic strategy in HFpEF. We tested the hypothesis that heart rate reduction improves exercise capacity in HFpEF. We conducted a randomized, crossover study comparing selective heart rate reduction with the If blocker ivabradine at 7.5 mg twice daily versus placebo for 2 weeks each in 22 symptomatic patients with HFpEF who had objective evidence of exercise limitation (peak oxygen consumption at maximal exercise [o2 peak] change in o2 peak. Secondary outcomes included tissue Doppler-derived E/e' at echocardiography, plasma brain natriuretic peptide, and quality-of-life scores. Ivabradine significantly reduced peak heart rate compared with placebo in the HFpEF (107 versus 129 bpm; Pchange in o2 peak in the HFpEF cohort (-2.1 versus 0.9 mL·kg(-1)·min(-1); P=0.003) and significantly reduced submaximal exercise capacity, as determined by the oxygen uptake efficiency slope. No significant effects on the secondary end points were discernable. Our observations bring into question the value of heart rate reduction with ivabradine for improving symptoms in a HFpEF population characterized by exercise limitation. URL: http://www.clinicaltrials.gov. Unique identifier: NCT02354573. © 2015 The Authors.

  20. Failure analysis of crush hammers based on damage fracture energy

    Institute of Scientific and Technical Information of China (English)

    HUANG Jun-ping; ZHOU Hong-yi; BAI Zhan-wei; YIN Yi-zhong

    2009-01-01

    To prolong the life-span of crush hammers in the pyrite concentrate workplace of Ganbazi Coal Preparation Plant of Chongqing Nantong Mining Ltd., we used a progressive damage constitutive model based on the ductile and shear damage fracture energy to analyze the hammer wear failure caused by the impact and abrasion on the hammer surface by pyrite, and carried out simulation analysis with the explicit algorithm on hammer leftovers from the plant during the process of coarser pyrite comminution. The simulation results are consistent with hammer wear failure caused by pyrite impact. Then we proposed corrective measures to prolong hammer life-span. Results of the production test in the Ganbazi Coal Preparation Plant showed that non-clearance hammers can avoid wear erosion, and adding steel bonded tungsten carbides F3002 prolonged the hammer life-span. The effect of austenitic manganese steel work-hardening was not prominent. Therefore, the hammer failure was mainly caused by superficial abrasion instead of fatigue cracks appearing when grains acted on the hardening layer.

  1. High parasitological failure rate of visceral leishmaniasis to sodium stibogluconate among HIV co-infected adults in Ethiopia.

    Directory of Open Access Journals (Sweden)

    Ermias Diro

    2014-05-01

    Full Text Available BACKGROUND: Antimonials are still being used for visceral leishmaniasis (VL treatment among HIV co-infected patients in East-Africa due to the shortage of alternative safer drugs like liposomal amphotericin B. Besides tolerability, emergence of resistance to antimonials is a major concern. OBJECTIVES: This study was aimed at assessing the clinical outcome of VL-HIV co-infected patients when treated with sodium stibogluconate (SSG. METHODS: Retrospective patient record analysis of VL-HIV co-infected patients treated at a clinical trial site in north-west Ethiopia was done. Patients with parasitologically confirmed VL and HIV co-infection treated with SSG were included. The dose of SSG used was 20 mg Sb5 (pentavalent antimony/kg and maximum of 850 mg Sb5 for 30 days. The clinical outcomes were defined based on the tissue aspiration results as cure or failure, and additionally the safety and mortality rates were computed. RESULTS: The study included 57 patients treated with SSG and by the end of treatment only 43.9% of patients were cured. The parasitological treatment failure and the case fatality rate were 31.6% and 14.0% respectively. SSG was discontinued temporarily or permanently for 12 (21.1% cases due to safety issues. High baseline parasite load (graded more than 4+ was significantly associated with treatment failure (odds ratio = 8.9, 95% confidence interval = .5-51.7. CONCLUSION: SSG is not only unsafe, but also has low effectiveness for VL-HIV patients. Safe and effective alternative medications are very urgently needed. Drug sensitivity surveillance should be introduced in the region.

  2. Failure analysis of resin composite bonded to ceramic.

    Science.gov (United States)

    Della Bona, Alvaro; Anusavice, Kenneth J; Mecholsky, John J

    2003-12-01

    To use fractographic principles to classify the mode of failure of resin composite bonded to ceramic specimens after microtensile testing. A leucite-based ceramic (IPS Empress)-E1) and a lithia disilicate-based ceramic (IPS Empress2)-E2) were selected for the study. Fifteen blocks of E1 and E2 were polished through 1 microm alumina abrasive. The following ceramic surface treatments were applied to three blocks of each ceramic: (1) 9.5% hydrofluoric acid (HF) for 2 min; (2) 4% acidulated phosphate fluoride (APF) for 2 min; (3) Silane coating (S); (4) HF+S; (5) APF+S. An adhesive resin and a resin composite were applied to all treated surfaces and light cured. Twenty bar specimens for each group were prepared from the composite-ceramic blocks and stored in 37 degrees C distilled water for 30 days before loading to failure under tension in an Instron testing machine. Fracture surfaces were examined using scanning electron microscopy and X-ray dot mapping. Statistical analysis was performed using one-way ANOVA, Duncan's multiple range test, and Weibull analyses. Similar surface treatments were associated with significantly different bond strengths and modes of failures for E1 and E2. All fractures occurred within the adhesion zone. The microstructural difference between etched E1 and E2 ceramics was a major controlling factor on adhesion. The quality of the bond should not be assessed based on bond strength data alone. Mode of failure and fractographic analyses should provide important information leading to predictions of clinical performance limits.

  3. Lithographic chip identification: meeting the failure analysis challenge

    Science.gov (United States)

    Perkins, Lynn; Riddell, Kevin G.; Flack, Warren W.

    1992-06-01

    This paper describes a novel method using stepper photolithography to uniquely identify individual chips for permanent traceability. A commercially available 1X stepper is used to mark chips with an identifier or `serial number' which can be encoded with relevant information for the integrated circuit manufacturer. The permanent identification of individual chips can improve current methods of quality control, failure analysis, and inventory control. The need for this technology is escalating as manufacturers seek to provide six sigma quality control for their products and trace fabrication problems to their source. This need is especially acute for parts that fail after packaging and are returned to the manufacturer for analysis. Using this novel approach, failure analysis data can be tied back to a particular batch, wafer, or even a position within a wafer. Process control can be enhanced by identifying the root cause of chip failures. Chip identification also addresses manufacturers concerns with increasing incidences of chip theft. Since chips currently carry no identification other than the manufacturer's name and part number, recovery efforts are hampered by the inability to determine the sales history of a specific packaged chip. A definitive identifier or serial number for each chip would address this concern. The results of chip identification (patent pending) are easily viewed through a low power microscope. Batch number, wafer number, exposure step, and chip location within the exposure step can be recorded, as can dates and other items of interest. An explanation of the chip identification procedure and processing requirements are described. Experimental testing and results are presented, and potential applications are discussed.

  4. 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.

  5. Finite element model analysis of thermal failure in connector

    Institute of Scientific and Technical Information of China (English)

    WANG Xin; XU Liang-jun

    2007-01-01

    Thermal analysis and thermal diagnose are important for small power connector especially in electronic devices since their structure is usually compact. In this paper thermal behavior of small power connector was investigated. It was found that the contact resistance increased due to the Joule heating, and that increased contact resistance produced more Joule heating; this mutual action causes the connector to lose efficiency. The thermal distribution in the connector was analyzed using finite element method (FEM). The failure mechanism is discussed. It provides basis for improving the structure. The conclusion was verified by experimental results.

  6. Analysis of corrosion failure of petrochemical pipe elbow

    Institute of Scientific and Technical Information of China (English)

    LI Xiao-yan; L(U) Tao

    2005-01-01

    Corrosive failure is frequently found in petrochemical pipelines which may lead to the leakage of the pipes and even the shutdown of the system. However, the corrosion mechanism is still not well understood due to the complex service environment, e.g. the corrosive fluids and the long term operation at higher temperature. The corrosion behaviour of a petrochemical pipe elbow was evaluated via visual examination and microanalysis with optical microscope and scanning electron microscope(SEM) together with energy dispersive analysis X-ray (EDAX). The corresponding corrosion mechanisms, the combination of grain boundary attach and the crevice attach together with the flow-accelerated corrosion, were proposed consequently.

  7. An institution-specific analysis of ACL reconstruction failure.

    Science.gov (United States)

    Frank, Rachel M; McGill, Kevin C; Cole, Brian J; Bush-Joseph, Charles A; Bach, Bernard R; Verma, Nikhil N; Slabaugh, Mark A

    2012-05-01

    The purpose of this study was to determine the most common causes of failed anterior cruciate ligament reconstruction (ACLR) using modern reconstructive techniques at a single, high-volume institution. In addition, the clinical outcomes of patients undergoing revision ACLR will be reported. The surgical logs of four senior knee surgeons were retrospectively reviewed for all patients who had undergone ACLR between 2002 and 2009. Patients were excluded if they did not have both the primary and revision surgery on the same knee with the same surgeon. Out of 1944 ACL reconstructions, 28 patients (56 reconstructions) were included in the study. Radiographic studies, operative reports, KT-1000 scores, and chart notes were used to identify all potential factors that may have led to failure. All patients were invited to return for a follow-up examination and survey. Of the 28 patients, the mean age at the index and revision procedure was 22 +/- 11 (range, 12 to 50) and 24 +/- 11 (range, 14 to 57), respectively. In 20 cases, the cause of failure was determined to be acute trauma (sports, work, or accident); in 1 case, the cause was biologic failure; while in 7 cases, the cause was technical error. During the study period the surgeons performed a combined total of 1944 procedures, for an overall failure rate of 1.8%. Twenty patients (71%) were available for follow-up at a mean 30.2 +/- 17.7 months. The overall postrevision outcomes were good to excellent for a majority of patients, with an average Lysholm score of 84 +/- 15.5 and International Knee Documentation Committee score of 77.2 +/- 13.8. The pre- and postoperative KT-1000 scores were 12.1 +/- 2.8 and 6.7 +/- 2.8, respectively. The results from this study suggest that traumatic re-injury, and not surgical/surgeon error, is the most common cause of ACLR failure using anatomic reconstructive principles and strong fixation. In addition, good to excellent outcomes following revision ACLR can be expected in the majority of

  8. Failure analysis of axle shaft of a fork lift

    Directory of Open Access Journals (Sweden)

    Souvik Das

    2015-04-01

    Full Text Available An axle shaft of fork lift failed at operation within 296 h of service. The shaft transmits torque from discrepancy to wheel through planetary gear arrangement. A section of fractured axle shaft made of induction-hardened steel was analyzed to determine the root cause of the failure. Optical microscopies as well as field emission gun scanning electron microscopy (FEG-SEM along with energy dispersive spectroscopy (EDS were carried out to characterize the microstructure. Hardness profile throughout the cross-section was evaluated by micro-hardness measurements. Chemical analysis indicated that the shaft was made of 42CrMo4 steel grade as per specification. Microstructural analysis and micro-hardness profile revealed that the shaft was improperly heat treated resulting in a brittle case, where crack was found to initiate from the case in a brittle mode in contrast to ductile mode within the core. This behaviour was related to differences in microstructure, which was observed to be martensitic within the case with a micro-hardness equivalent to 735 HV, and a mixture of non-homogeneous structure of pearlite and ferrite within the core with a hardness of 210 HV. The analysis suggests that the fracture initiated from the martensitic case as brittle mode due to improper heat treatment process (high hardness. Moreover the inclusions along the hot working direction i.e. in the longitudinal axis made the component more susceptible to failure.

  9. D-Zero Nitrogen Dewar Failure Mode and Effects Analysis and "What-If" Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rucisnki, R.A.; /Fermilab

    1990-12-05

    All components related to the nitrogen storage dewar were included. Pipe failures were excluded. Instrument air valves and components were excluded. See the 'What if' analysis for consequences from loss of instrument air.

  10. Exercise stroke volume and heart rate response differ in right and left heart failure.

    Science.gov (United States)

    Groepenhoff, Herman; Westerhof, Nico; Jacobs, Wouter; Boonstra, Anco; Postmus, Piet E; Vonk-Noordegraaf, Anton

    2010-07-01

    In pulmonary arterial hypertension (PAH), the exercise-induced increase in stroke volume (SV) is limited by the increase in pulmonary artery pressure. In left heart failure (LHF), systemic arterial pressure increases little during exercise, and the SV increase is limited by the left ventricle itself. These differences might be reflected by a dissimilar SV and heart rate (HR) response to exercise, which could have important therapeutic implications, for example in beta-blocker therapy. Therefore, we tested the hypothesis that SV and HR responses during exercise are different between PAH and LHF patients. We included 28 PAH and 18 LHF patients (recruited from the heart failure unit) matched on a maximal oxygen uptake of exercise test. Only patients who had not been exposed to beta-blockers were included. Pulmonary arterial hypertension and LHF patient groups had equally impaired exercise tolerance (about 42% of predicted) with a maximal oxygen uptake of 0.80 +/- 0.29 and 0.86 +/- 0.19 L/min. The peak SV response to exercise was significantly lower in PAH patients (-14 mL, P = 0.01); this was compensated by a steeper slope of HR relating to oxygen uptake (0.03 beats/mL, P = 0.001). We conclude that PAH patients have a smaller SV response, but a larger HR response than LHF patients.

  11. Potential radiological exposure rates resulting from hypothetical dome failure at Tank W-10

    Energy Technology Data Exchange (ETDEWEB)

    1994-07-01

    The main plant area at Oak Ridge National Laboratory (ORNL) contains 12 buried Gunite tanks that were used for the storage and transfer of liquid radioactive waste. Although the tanks are no longer in use, they are known to contain some residual contaminated sludges and liquids. In the event of an accidental tank dome failure, however unlikely, the liquids, sludges, and radioactive contaminants within the tank walls themselves could create radiation fields and result in above-background exposures to workers nearby. This Technical Memorandum documents a series of calculations to estimate potential radiological exposure rates and total exposures to workers in the event of a hypothetical collapse of a Gunite tank dome. Calculations were performed specifically for tank W-10 because it contains the largest radioactivity inventory (approximately half of the total activity) of all the Gunite tanks. These calculations focus only on external, direct gamma exposures for prescribed, hypothetical exposure scenarios and do not address other possible tank failure modes or routes of exposure. The calculations were performed with established, point-kernel gamma ray modeling codes.

  12. Heart rate turbulence predicts all-cause mortality and sudden death in congestive heart failure patients.

    Science.gov (United States)

    Cygankiewicz, Iwona; Zareba, Wojciech; Vazquez, Rafael; Vallverdu, Montserrat; Gonzalez-Juanatey, Jose R; Valdes, Mariano; Almendral, Jesus; Cinca, Juan; Caminal, Pere; de Luna, Antoni Bayes

    2008-08-01

    Abnormal heart rate turbulence (HRT) has been documented as a strong predictor of total mortality and sudden death in postinfarction patients, but data in patients with congestive heart failure (CHF) are limited. The aim of this study was to evaluate the prognostic significance of HRT for predicting mortality in CHF patients in New York Heart Association (NYHA) class II-III. In 651 CHF patients with sinus rhythm enrolled into the MUSIC (Muerte Subita en Insuficiencia Cardiaca) study, the standard HRT parameters turbulence onset (TO) and slope (TS), as well as HRT categories, were assessed for predicting total mortality and sudden death. HRT was analyzable in 607 patients, mean age 63 years (434 male), 50% of ischemic etiology. During a median follow up of 44 months, 129 patients died, 52 from sudden death. Abnormal TS and HRT category 2 (HRT2) were independently associated with increased all-cause mortality (HR: 2.10, CI: 1.41 to 3.12, P 120 ms. HRT is a potent risk predictor for both heart failure and arrhythmic death in patients with class II and III CHF.

  13. Catheter failure rates and time course with epidural versus combined spinal-epidural analgesia in labor.

    Science.gov (United States)

    Groden, J; Gonzalez-Fiol, A; Aaronson, J; Sachs, A; Smiley, R

    2016-05-01

    The combined spinal-epidural technique for labor analgesia has several advantages over the traditional epidural technique, including faster onset, greater maternal satisfaction, and decreased need for physician boluses. Proponents of the epidural technique criticize the combined spinal-epidural technique, arguing that the epidural catheter remains untested and thus may not be reliable if needed for surgical intervention. We compared failure rates and time of failure between techniques in our tertiary-care academic practice. Data regarding failed catheters were collected from October 2012 to September 2014 as part of our Quality Assurance program. Failed catheters were defined as any catheter replaced after it was considered to be properly placed and then determined to be intravascular, one sided or resulting in poor maternal analgesia or anesthesia. A total of 5487 analgesics were performed (3980 combined spinal-epidural; 1507 epidural). Eighty-five combined spinal-epidural catheters (2.1%) and 59 epidural catheters (3.9%) were replaced during labor (Plabor and that the time to detection of a failed catheter was significantly longer in the combined spinal-epidural group. Our findings validate the combined spinal-epidural technique as reliable for labor analgesia and tend to refute the theory of the untested catheter. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Interim report on the state-of-the-art of solid-state motor controllers. Part 4. Failure-rate and failure-mode data

    Energy Technology Data Exchange (ETDEWEB)

    Jaross, R.A.

    1983-09-01

    An assessment of the reliability of solid-state motor controllers for nuclear power plants is made. Available data on failure-rate and failure-mode data for solid-state motor controllers based on industrial operating experience is meager; the data are augmented by data on other solid-state power electronic devices that are shown to have components similar to those found in solid-state motor controllers. In addition to large nonnuclear solid-state adjustable-speed motor drives, the reliability of nuclear plant inverter systems and high-voltage solid-state dc transmission-line converters is assessed. Licensee Event Report analyses from several sources, the open literature, and personal communications are used to determine the realiability of solid-state devices typical of those expected to be used in nuclear power plants in terms of failures per hour.

  15. Vacuum Bellows, Vacuum Piping, Cryogenic Break, and Copper Joint Failure Rate Estimates for ITER Design Use

    Energy Technology Data Exchange (ETDEWEB)

    L. C. Cadwallader

    2010-06-01

    The ITER international project design teams are working to produce an engineering design in preparation for construction of the International Thermonuclear Experimental Reactor (ITER) tokamak. During the course of this work, questions have arisen in regard to safety barriers and equipment reliability as important facets of system design. The vacuum system designers have asked several questions about the reliability of vacuum bellows and vacuum piping. The vessel design team has asked about the reliability of electrical breaks and copper-copper joints used in cryogenic piping. Research into operating experiences of similar equipment has been performed to determine representative failure rates for these components. The following chapters give the research results and the findings for vacuum system bellows, power plant stainless steel piping (amended to represent vacuum system piping), cryogenic system electrical insulating breaks, and copper joints.

  16. In-Vessel Coil Material Failure Rate Estimates for ITER Design Use

    Energy Technology Data Exchange (ETDEWEB)

    L. C. Cadwallader

    2013-01-01

    The ITER international project design teams are working to produce an engineering design for construction of this large tokamak fusion experiment. One of the design issues is ensuring proper control of the fusion plasma. In-vessel magnet coils may be needed for plasma control, especially the control of edge localized modes (ELMs) and plasma vertical stabilization (VS). These coils will be lifetime components that reside inside the ITER vacuum vessel behind the blanket modules. As such, their reliability is an important design issue since access will be time consuming if any type of repair were necessary. The following chapters give the research results and estimates of failure rates for the coil conductor and jacket materials to be used for the in-vessel coils. Copper and CuCrZr conductors, and stainless steel and Inconel jackets are examined.

  17. Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems

    Energy Technology Data Exchange (ETDEWEB)

    Sawant, Amit; Dieterich, Sonja; Svatos, Michelle; Keall, Paul [Stanford University, Stanford, California 94394 (United States); Varian Medical Systems, Palo Alto, California 94304 (United States); Stanford University, Stanford, California 94394 (United States)

    2010-12-15

    Purpose: To develop and implement a failure mode and effect analysis (FMEA)-based commissioning and quality assurance framework for dynamic multileaf collimator (DMLC) tumor tracking systems. Methods: A systematic failure mode and effect analysis was performed for a prototype real-time tumor tracking system that uses implanted electromagnetic transponders for tumor position monitoring and a DMLC for real-time beam adaptation. A detailed process tree of DMLC tracking delivery was created and potential tracking-specific failure modes were identified. For each failure mode, a risk probability number (RPN) was calculated from the product of the probability of occurrence, the severity of effect, and the detectibility of the failure. Based on the insights obtained from the FMEA, commissioning and QA procedures were developed to check (i) the accuracy of coordinate system transformation, (ii) system latency, (iii) spatial and dosimetric delivery accuracy, (iv) delivery efficiency, and (v) accuracy and consistency of system response to error conditions. The frequency of testing for each failure mode was determined from the RPN value. Results: Failures modes with RPN{>=}125 were recommended to be tested monthly. Failure modes with RPN<125 were assigned to be tested during comprehensive evaluations, e.g., during commissioning, annual quality assurance, and after major software/hardware upgrades. System latency was determined to be {approx}193 ms. The system showed consistent and accurate response to erroneous conditions. Tracking accuracy was within 3%-3 mm gamma (100% pass rate) for sinusoidal as well as a wide variety of patient-derived respiratory motions. The total time taken for monthly QA was {approx}35 min, while that taken for comprehensive testing was {approx}3.5 h. Conclusions: FMEA proved to be a powerful and flexible tool to develop and implement a quality management (QM) framework for DMLC tracking. The authors conclude that the use of FMEA-based QM ensures

  18. Resting Heart Rate as Predictor for Left Ventricular Dysfunction and Heart Failure: The Multi-Ethnic Study of Atherosclerosis

    Science.gov (United States)

    Opdahl, Anders; Venkatesh, Bharath Ambale; Fernandes, Veronica R. S.; Wu, Colin O.; Nasir, Khurram; Choi, Eui-Young; Almeida, Andre L. C.; Rosen, Boaz; Carvalho, Benilton; Edvardsen, Thor; Bluemke, David A.; Lima, Joao A. C.

    2014-01-01

    OBJECTIVE To investigate the relationship between baseline resting heart rate and incidence of heart failure (HF) and global and regional left ventricular (LV) dysfunction. BACKGROUND The association of resting heart rate to HF and LV function is not well described in an asymptomatic multi-ethnic population. METHODS Participants in the Multi-Ethnic Study of Atherosclerosis had resting heart rate measured at inclusion. Incident HF was registered (n=176) during follow-up (median 7 years) in those who underwent cardiac MRI (n=5000). Changes in ejection fraction (ΔEF) and peak circumferential strain (Δεcc) were measured as markers of developing global and regional LV dysfunction in 1056 participants imaged at baseline and 5 years later. Time to HF (Cox model) and Δεcc and ΔEF (multiple linear regression models) were adjusted for demographics, traditional cardiovascular risk factors, calcium score, LV end-diastolic volume and mass in addition to resting heart rate. RESULTS Cox analysis demonstrated that for 1 bpm increase in resting heart rate there was a 4% greater adjusted relative risk for incident HF (Hazard Ratio: 1.04 (1.02, 1.06 (95% CI); Pheart rate was positively associated with deteriorating εcc and decrease in EF, even in analyses when all coronary heart disease events were excluded from the model. CONCLUSION Elevated resting heart rate is associated with increased risk for incident HF in asymptomatic participants in MESA. Higher heart rate is related to development of regional and global LV dysfunction independent of subclinical atherosclerosis and coronary heart disease. PMID:24412444

  19. Resting heart rate as predictor for left ventricular dysfunction and heart failure: MESA (Multi-Ethnic Study of Atherosclerosis).

    Science.gov (United States)

    Opdahl, Anders; Ambale Venkatesh, Bharath; Fernandes, Veronica R S; Wu, Colin O; Nasir, Khurram; Choi, Eui-Young; Almeida, Andre L C; Rosen, Boaz; Carvalho, Benilton; Edvardsen, Thor; Bluemke, David A; Lima, João A C

    2014-04-01

    The objective of this study was to investigate the relationship between baseline resting heart rate and incidence of heart failure (HF) and global and regional left ventricular (LV) dysfunction. The association of resting heart rate to HF and LV function has not been well described in an asymptomatic multi-ethnic population. Resting heart rate was measured in participants in the MESA (Multi-Ethnic Study of Atherosclerosis) trial at inclusion. Incident HF was registered (n = 176) during follow-up (median 7 years) in those who underwent cardiac magnetic resonance imaging (n = 5,000). Changes in ejection fraction (ΔEF) and peak circumferential strain (Δεcc) were measured as markers of developing global and regional LV dysfunction in 1,056 participants imaged at baseline and 5 years later. Time to HF (Cox model) and Δεcc and ΔEF (multiple linear regression models) were adjusted for demographics, traditional cardiovascular risk factors, calcium score, LV end-diastolic volume, and mass in addition to resting heart rate. Cox analysis demonstrated that for 1 beat/min increase in resting heart rate, there was a 4% greater adjusted relative risk for incident HF (hazard ratio: 1.04; 95% CI: 1.02 to 1.06; p heart rate was positively associated with deteriorating εcc and decrease in EF, even when all coronary heart disease events were excluded from the model. Elevated resting heart rate was associated with increased risk for incident HF in asymptomatic participants in the MESA trial. Higher heart rate was related to development of regional and global LV dysfunction independent of subclinical atherosclerosis and coronary heart disease. (Multi-Ethnic Study of Atherosclerosis [MESA]; NCT00005487). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  20. A failure modes, mechanisms, and effects analysis (FMMEA) of lithium-ion batteries

    Science.gov (United States)

    Hendricks, Christopher; Williard, Nick; Mathew, Sony; Pecht, Michael

    2015-11-01

    Lithium-ion batteries are popular energy storage devices for a wide variety of applications. As batteries have transitioned from being used in portable electronics to being used in longer lifetime and more safety-critical applications, such as electric vehicles (EVs) and aircraft, the cost of failure has become more significant both in terms of liability as well as the cost of replacement. Failure modes, mechanisms, and effects analysis (FMMEA) provides a rigorous framework to define the ways in which lithium-ion batteries can fail, how failures can be detected, what processes cause the failures, and how to model failures for failure prediction. This enables a physics-of-failure (PoF) approach to battery life prediction that takes into account life cycle conditions, multiple failure mechanisms, and their effects on battery health and safety. This paper presents an FMMEA of battery failure and describes how this process enables improved battery failure mitigation control strategies.

  1. Optimal Cardiac Resynchronization Therapy Pacing Rate in Non-Ischemic Heart Failure Patients

    DEFF Research Database (Denmark)

    Ghotbi, Adam Ali; Sander, Mikael; Køber, Lars

    2015-01-01

    by microneurography (MSNA), peak oxygen consumption (pVO2), N-terminal pro-brain natriuretic peptide (p-NT-proBNP), echocardiography and QoL. RESULTS: DDD-80 pacing for 3 months increased the mean heart rate from 77.3 to 86.1 (p = 0.001) and reduced sympathetic activity compared to DDD-60 (51±14 bursts/100 cardiac......BACKGROUND: The optimal pacing rate during cardiac resynchronization therapy (CRT) is unknown. Therefore, we investigated the impact of changing basal pacing frequencies on autonomic nerve function, cardiopulmonary exercise capacity and self-perceived quality of life (QoL). METHODS: Twelve CRT...... patients with non-ischemic heart failure (NYHA class II-III) were enrolled in a randomized, double-blind, crossover trial, in which the basal pacing rate was set at DDD-60 and DDD-80 for 3 months (DDD-R for 2 patients). At baseline, 3 months and 6 months, we assessed sympathetic nerve activity...

  2. Controllability Analysis for Multirotor Helicopter Rotor Degradation and Failure

    Science.gov (United States)

    Du, Guang-Xun; Quan, Quan; Yang, Binxian; Cai, Kai-Yuan

    2015-05-01

    This paper considers the controllability analysis problem for a class of multirotor systems subject to rotor failure/wear. It is shown that classical controllability theories of linear systems are not sufficient to test the controllability of the considered multirotors. Owing to this, an easy-to-use measurement index is introduced to assess the available control authority. Based on it, a new necessary and sufficient condition for the controllability of multirotors is derived. Furthermore, a controllability test procedure is approached. The proposed controllability test method is applied to a class of hexacopters with different rotor configurations and different rotor efficiency parameters to show its effectiveness. The analysis results show that hexacopters with different rotor configurations have different fault-tolerant capabilities. It is therefore necessary to test the controllability of the multirotors before any fault-tolerant control strategies are employed.

  3. Radiology failure mode and effect analysis: what is it?

    Science.gov (United States)

    Abujudeh, Hani H; Kaewlai, Rathachai

    2009-08-01

    Proactive prevention of medical errors is critical in medical practice. Root cause analysis (RCA) is a conventional method used to deal with errors that result in an adverse event. However, RCA has several limitations. An analytic method for health care risk management, health care failure mode and effect analysis (FMEA), has been introduced relatively recently. Health care FMEA combines several existing analytic approaches into one simple tool with which to analyze a particular health care process, determine the risks associated with it, and develop corrective actions and outcome measures. The authors provide a brief history of health care FMEA, describe its validation process, and relate their experience with its use in a radiology department.

  4. Heart rate variability (HRV) in kidney failure: measurement and consequences of reduced HRV.

    Science.gov (United States)

    Ranpuria, Reena; Hall, Martica; Chan, Chris T; Unruh, Mark

    2008-02-01

    A common cause of death in end-stage renal disease (ESRD) patients on dialysis is sudden cardiac death (SCD). Compared to the general population, the percentage of cardiovascular deaths that are attributed to SCD is higher in patients treated by dialysis. While coronary artery disease (CAD) is the predominant cause of SCD in dialysis patients, reduced heart rate variability (HRV) may play a role in the higher risk of SCD among other risk factors. HRV refers to beat-to-beat alterations in heart rate as measured by periodic variation in the R-R interval. HRV provides a non-invasive method for investigating autonomic input into the heart. It quantifies the amount by which the R-R interval or heart rate changes from one cardiac cycle to the next. The autonomic nervous system transmits impulses from the central nervous system to peripheral organs and is responsible for controlling the heart rate, blood pressure and respiratory activity. In normal individuals, without cardiac disease, the heart rate has a high degree of beat-to-beat variability. HRV fluctuates with respiration: it increases with inspiration and decreases with expiration and is primarily mediated by parasympathetic activity. HRV has been used to evaluate and quantify the cardiac risk associated with a variety of conditions including cardiac disorders, stroke, multiple sclerosis and diabetes. In this narrative review, we will examine the association between HRV and SCD. This report explains the measurement of HRV and the consequences of reduced HRV in the general population and dialysis patients. Lastly, this review will outline the possible use of HRV as a clinical predictor for SCD in the dialysis population. The current understanding of SCD based on HRV findings among the ESRD population support the use of more aggressive treatment of CAD; greater use of angiotensin converting enzyme inhibitor (ACE-i)/angiotensin receptor blockers (ARBs) and beta-blockers and more frequent and/or nocturnal haemodialysis

  5. Machinery failure analysis and troubleshooting practical machinery management for process plants

    CERN Document Server

    Bloch, Heinz P

    2012-01-01

    Solve the machinery failure problems costing you time and money with this classic, comprehensive guide to analysis and troubleshooting  Provides detailed, complete and accurate information on anticipating risk of component failure and avoiding equipment downtime Includes numerous photographs of failed parts to ensure you are familiar with the visual evidence you need to recognize Covers proven approaches to failure definition and offers failure identification and analysis methods that can be applied to virtually all problem situations Demonstr

  6. Postoperative Ambulatory Performance Status Significantly Affects Implant Failure Rate Among Surgical Treatment Strategies in Patients With Proximal Femur Metastasis.

    Science.gov (United States)

    Tsai, Shang-Wen; Wu, Po-Kuei; Chen, Cheng-Fong; Chang, Ming-Chau; Chen, Wei-Ming

    2016-11-08

    Surgical treatment strategies for proximal femur metastasis have been reported with mixed results. Little is known about risk factor for implant failure except for longer patient survival. Therefore, we determined whether implant survivorship differed among treatment strategies, as well as risk factors for implant failure. We retrospectively reviewed a consecutive 106 patients with proximal femur metastasis treated with prosthesis replacement (n = 38), intramedullary nail (n = 32), and dynamic hip screw (DHS) (n = 36). Eastern Cooperative Oncology Group (ECOG) scale and Karnofsky index were used to evaluate functional outcome. Patient characteristics and postoperative ambulatory performance status were assessed for their values in determining implant failure. Overall implant failure rate was 11.3% (12 of 106). Prosthesis replacement was related to better implant survivorship (P = 0.041), without mechanical failures. On the contrary, 7 of the 10 implant failures in the fixation group were considered mechanical failures. Better postoperative ambulatory status (ECOG ≤ 2) was a risk factor for implant failure (P = 0.03). Notably, for patients with poor ambulatory status (ECOG ≥ 3), implant survivorship was not different among choice of implants. In conclusion, prosthesis replacement would be a more durable option in the treatment of proximal femur metastasis. Postoperative ambulatory status could be an additional consideration. For patients with poor expected ambulatory performance status, fixation with intramedullary nail or DHS might be considered for a less technical demanding procedure.

  7. Secondary Containment System component failure data analysis from 1984 to 1991

    Energy Technology Data Exchange (ETDEWEB)

    Cadwallader, L.C. [EG and G Idaho, Inc., Idaho Falls, ID (United States); Sanchez, D.P. [Los Alamos National Lab., NM (United States)

    1992-08-01

    This report gives the failure rates for the major tritium containing glovebox systems that comprise the Secondary Containment System at the Tritium systems Test Assembly, which is a fusion research and technology facility at the Los Alamos National Laboratory. The component failure reports, the numbers of components, and operating times or demands are all given in this report, and sample calculations of the binomial demand failure rates and poisson hourly failure rates are given in the appendices. The failure rates for these components form a solid data point based on actual operating experience, where there is very little published information. The eight years of nearly continuous Secondary Containment System operations should result in steady state failure rate values. These data should be useful for future fusion reactor design work and safety assessment tasks.

  8. Standard guide for corrosion-related failure analysis

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2000-01-01

    1.1 This guide covers key issues to be considered when examining metallic failures when corrosion is suspected as either a major or minor causative factor. 1.2 Corrosion-related failures could include one or more of the following: change in surface appearance (for example, tarnish, rust, color change), pin hole leak, catastrophic structural failure (for example, collapse, explosive rupture, implosive rupture, cracking), weld failure, loss of electrical continuity, and loss of functionality (for example, seizure, galling, spalling, swelling). 1.3 Issues covered include overall failure site conditions, operating conditions at the time of failure, history of equipment and its operation, corrosion product sampling, environmental sampling, metallurgical and electrochemical factors, morphology (mode) or failure, and by considering the preceding, deducing the cause(s) of corrosion failure. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibili...

  9. Myocardial strain and strain rate in monitoring subclinical heart failure in asymptomatic long-term survivors of childhood cancer.

    NARCIS (Netherlands)

    Mavinkurve-Groothuis, A.M.C.; Groot-Loonen, J.J.; Marcus, K.A.; Bellersen, L.; Feuth, T.; Bokkerink, J.P.M.; Hoogerbrugge, P.M.; Korte, C.L. de; Kapusta, L.

    2010-01-01

    We studied the role of global myocardial strain and strain rate in monitoring subclinical heart failure in a large group of asymptomatic long-term survivors of childhood cancer. Global strain (rate) parameters of survivors were compared with those in healthy controls and were related to conventional

  10. Failure analysis of a kind of low power connector

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yi-lin; ZENG Ning; XU Liang-jun; J(O)RGENS Stefan

    2007-01-01

    A kind of low power connector used e.g. in household appliances was partly burned in routine experiment. The heat sources were four paralleled contacts constructed by springs (Sn/CuSn-alloy) in socket and a plug sheet (Ni/Steel) while mating. The contact interfaces were detected by scanning electronic microscope (SEM) and X-ray energy dispersive spectroscopy (XEDS), obvious wear tracks and various contaminants, including element Si, Al, Na, K, S, C1, O, etc., were found. The contamination degrees on the four paralleled contacts .were different, so that the ratio of average contact resistance on the four contacts was about 5:8:3:1. The maximum contact resistance on contacts of the plug sheet reached 28 Ω. The main failure reasons were fretting and contamination between the contact interfaces. Fretting simulation showed that connection resistance of connectors was raised up, even to ohms level. When the current increased to 5 A, the socket housing was heated and decomposed. By the thermal analysis, it was estimated that the connector would be burned under the lower current if the current was not evenly distributed on the four paralleled contacts caused by uneven contamination. Improvement methods for connector failure are also discussed.

  11. Deep breathing heart rate variability is associated with inspiratory muscle weakness in chronic heart failure.

    Science.gov (United States)

    Reis, Michel Silva; Arena, Ross; Archiza, Bruno; de Toledo, Carlos Fischer; Catai, Aparecida Maria; Borghi-Silva, Audrey

    2014-03-01

    There is a synchronism between the respiratory and cardiac cycles. However, the relationship of inspiratory muscle weakness in chronic heart failure (CHF) on cardiac autonomic modulation is unknown. The purpose of the present investigation was to evaluate the impact of inspiratory muscle strength on the magnitude of respiratory sinus arrhythmia. Ten CHF (62 ± 7 years--left ventricle eject fraction of 40 ± 5% and New York Heart Association class I-III) and nine matched-age healthy volunteers (64 ± 5 years) participated in this study. Heart rate variability (HRV) was obtained at rest and during deep breathing manoeuvre (DB-M) by electrocardiograph. CHF patients demonstrated impaired cardiac autonomic modulation at rest and during DB-M when compared with healthy subjects (p heart rate was associated with inspiratory muscle weakness in CHF. Based on this evidence, recommendations for future research applications of respiratory muscle training can bring to light a potentially valuable target for rehabilitation. Copyright © 2013 John Wiley & Sons, Ltd.

  12. Using Roadside Billboard Posters to Increase Admission Rates to Problem Gambling Services: Reflections on Failure.

    Science.gov (United States)

    Calderwood, Kimberly A; Wellington, William J

    2015-07-01

    Based on the stimulus-response model of advertising, this study sought to increase admission rates to a local problem gambling service (PGS) in Windsor, Ontario, Canada, by adding a series of locally based 10 foot by 20 foot roadside billboard posters to PGS's existing communications tools for a 24-week period. Using proof of performance reports, a pre-post survey of new callers to PGS, a website visit counter, and a media awareness survey, the findings showed that at least some individuals were influenced by billboard exposure, but admission rates continued to decline during the billboard campaign period. While one possible explanation for the communications failure was that the whole PGS communications campaign was below the minimal threshold for communications perception, another possible explanation is that the stimulus-response model of advertising used may not have been appropriate for such advertising that targets behavior change. Reflections on using an information-processing model instead of a stimulus-response model, and considerations of a two-step flow of communication, are provided. Recommendations are made regarding matching communications messages to stages of behavior change, use of online promotion, and strategies for future research. © 2015 Society for Public Health Education.

  13. Rates of Reconstruction Failure in Patients Undergoing Immediate Reconstruction With Tissue Expanders and/or Implants and Postmastectomy Radiation Therapy.

    Science.gov (United States)

    Fowble, Barbara; Park, Catherine; Wang, Frederick; Peled, Anne; Alvarado, Michael; Ewing, Cheryl; Esserman, Laura; Foster, Robert; Sbitany, Hani; Hanlon, Alex

    2015-07-01

    Mastectomy rates for breast cancer have increased, with a parallel increase in immediate reconstruction. For some women, tissue expander and implant (TE/I) reconstruction is the preferred or sole option. This retrospective study examined the rate of TE/I reconstruction failure (ie, removal of the TE or I with the inability to replace it resulting in no final reconstruction or autologous tissue reconstruction) in patients receiving postmastectomy radiation therapy (PMRT). Between 2004 and 2012, 99 women had skin-sparing mastectomies (SSM) or total nipple/areolar skin-sparing mastectomies (TSSM) with immediate TE/I reconstruction and PMRT for pathologic stage II to III breast cancer. Ninety-seven percent had chemotherapy (doxorubicin and taxane-based), 22% underwent targeted therapies, and 78% had endocrine therapy. Radiation consisted of 5000 cGy given in 180 to 200 cGy to the reconstructed breast with or without treatment to the supraclavicular nodes. Median follow-up was 3.8 years. Total TE/I failure was 18% (12% without final reconstruction, 6% converted to autologous reconstruction). In univariate analysis, the strongest predictor of reconstruction failure (RF) was absence of total TE/I coverage (acellular dermal matrix and/or serratus muscle) at the time of radiation. RF occurred in 32.5% of patients without total coverage compared to 9% with coverage (P=.0069). For women with total coverage, the location of the mastectomy scar in the inframammary fold region was associated with higher RF (19% vs 0%, P=.0189). In multivariate analysis, weight was a significant factor for RF, with lower weight associated with a higher RF. Weight appeared to be a surrogate for the interaction of total coverage, thin skin flaps, interval to exchange, and location of the mastectomy scar. RFs in patients receiving PMRT were lowered with total TE/I coverage at the time of radiation by avoiding inframammary fold incisions and with a preferred interval of 6 months to exchange

  14. 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.

  15. Model analysis of the link between interest rates and crashes

    Science.gov (United States)

    Broga, Kristijonas M.; Viegas, Eduardo; Jensen, Henrik Jeldtoft

    2016-09-01

    We analyse the effect of distinct levels of interest rates on the stability of the financial network under our modelling framework. We demonstrate that banking failures are likely to emerge early on under sustained high interest rates, and at much later stage-with higher probability-under a sustained low interest rate scenario. Moreover, we demonstrate that those bank failures are of a different nature: high interest rates tend to result in significantly more bankruptcies associated to credit losses whereas lack of liquidity tends to be the primary cause of failures under lower rates.

  16. Comprehensive failure analysis of leakage faults in bipolar transistors

    Science.gov (United States)

    Domengès, B.; Murray, H.; Schwindenhammer, P.; Imbert, G.

    2004-02-01

    The origin of a leakage current in several failed NPN bipolar transistors has been identified by complementary advanced failure analysis techniques. After precise localization of the failing area by photon emission microscopy and optical beam induced resistance change investigations, a focus ion beam technique was used to prepare thin lamellae adequate for transmission electron microscopy (TEM) study. Characterization of the related microstructure was performed by TEM and energy-dispersive spectrometry nanobeam analyses. It was identified as Ti-W containing trickle-like residue located at the surface of the spacers. Current-voltage measurements could be related to such structure defects and the involved conduction mechanism was identified as the Poole-Frenkel effect.

  17. Failure analysis of the fractured wires in sternal perichronal loops.

    Science.gov (United States)

    Chao, Jesús; Voces, Roberto; Peña, Carmen

    2011-10-01

    We report failure analysis of sternal wires in two cases in which a perichronal fixation technique was used to close the sternotomy. Various characteristics of the retrieved wires were compared to those of unused wires of the same grade and same manufacturer and with surgical wire specifications. In both cases, wire fracture was un-branched and transgranular and proceeded by a high cycle fatigue process, apparently in the absence of corrosion. However, stress anlysis indicates that the effective stress produced during strong coughing is lower than the yield strength. Our findings suggest that in order to reduce the risk for sternal dehiscence, the diameter of the wire used should be increased. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. Corrosion failure analysis of hearing aid battery-spring contacts

    DEFF Research Database (Denmark)

    Gudla, Visweswara Chakravarthy; Ambat, Rajan

    2017-01-01

    Reliability of low power electrical contacts such as those in hearing aid battery-spring systems is a very critical aspect for the overall performance of the device. These systems are exposed to certain harsh environments like high humidity and elevated temperatures, and often in combination...... with high levels of salt from human perspiration and environmental pollutants. In addition, the design aspects of such systems often call for multi-material combinations of substrate and coatings for catering to various requirements such as electrical conductivity and wear resistance, which in turn enhance...... the susceptibility of these systems to galvanic corrosion. In this study, traditional behind the ear (BTE) hearing aid systems, which failed during service were analysed. Failure analysis was performed on the dome type battery-spring contact systems. The morphology of the contact areas was observed using scanning...

  19. Analysis of Service Recovery Failure: From Minority Perspective

    Directory of Open Access Journals (Sweden)

    Yasemin Öcal Atınç

    2016-10-01

    Full Text Available We investigate the service failures towards diverse customer groups for the purpose to bring insightful proposals to the managers to recover from these failures. Previous literature provided insights regarding the perception of service failures by minorities and the challenge of recovery due to racial implications driven from the failure, however lacked to propose suggestions for the managers so that they can take either corrective steps toward service failure recovery or prevent service failure through an effective training program. In this conceptual paper, we propose that, when the service provider and the customer are from different races, and the customer experiences a service failure, without the understanding of the process, service recovery is very hard to achieve. Race is an important factor in intention to bring the customer back for repurchase. The main contribution of this research is adding the race factor and the understanding of the service process into the model.

  20. Oxygen Kinetics and Heart Rate Response during Early Recovery from Exercise in Patients with Heart Failure

    Directory of Open Access Journals (Sweden)

    Charalampos D. Kriatselis

    2012-01-01

    Full Text Available Background. The purpose of this study was to assess the post-exercise O2 uptake and heart rate response in patients with heart failure (HF in comparison to healthy individuals. Methods and Results. Exercise testing of all subjects was conducted according to the RITE-protocol. The study subjects were classified according to their peak oxygen uptake (peak VO2 in four groups: healthy individuals with a peak VO2 >22 mL/kg/min (group 1, : 50, and patients with HF and a peak VO2 of 18–22 mL/kg/min, (group 2, : 48, 14–18 mL/kg/min (group 3, : 57, and <14 mL/kg/min (group 4, : 31. Both peak VO2 and HR declined more slowly in the patients with HF than in the normal subjects. Recovery of VO2 and HR followed monoexponential kinetics in the early post-recovery phase. This enabled the determination of a time constant for both HR and VO2 (TC VO2 and TC HR. From group 1 to 4 there was a prolongation of the time constant for VO2 and HR: TC VO2 (group 1: 110±34, group 2: 197±43, group 3: 238±80, and group 4: 278±50 sec, and TC HR (group 1: 148±82, group 2: 290±65, group 3: 320±58, and group 4: 376±55 sec. Conclusion. The rate of decline of VO2 and HR in the early post-exercise phase is inversely related to the peak VO2. The time constant for oxygen uptake (TC VO2 and heart rate (TC HR might prove a useful parameter for more precise monitoring and grading of HF.

  1. Do antibiotics decrease implant failure and postoperative infections? A systematic review and meta-analysis.

    Science.gov (United States)

    Ata-Ali, J; Ata-Ali, F; Ata-Ali, F

    2014-01-01

    The purpose of this study was to systematically review and perform a comprehensive meta-analysis of the current literature to answer the following question: among patients receiving dental implants, does the use of antibiotics, when compared with a control group, reduce the frequency of implant failure and postoperative infection? A manual and electronic PubMed search of the literature was made to identify randomized controlled trials (RCTs) on the efficacy of antibiotics compared with a control group (not receiving antibiotics or receiving placebo). Four RCTs were included in the final review. These four RCTs grouped a total of 2063 implants and a total of 1002 patients. Antibiotic use significantly lowered the implant failure rate (P = 0.003), with an odds ratio of 0.331, implying that antibiotic treatment reduced the odds of failure by 66.9%. The number needed to treat (NNT) to prevent one patient from having an implant failure was 48 (95% confidence interval 31-109). In contrast, antibiotic use did not significantly reduce the incidence of postoperative infection (P = 0.754). Based on the results of this meta-analysis, and pending further research in the field, it can be concluded that there is evidence in favour of systematic antibiotic use in patients receiving dental implants, since such treatment significantly reduces implant failure. In contrast, antibiotic use does not exert a significant preventive effect against postoperative infection. Our recommendations for future research focus on the performance of large-scale RCTs to identify the best choice of antibiotic, timing of administration, and dose. Increased effort is also required to reach consensus and define the most effective antibiotic treatment protocol for patients who are allergic to beta-lactams and for those who are not.

  2. Evaluation of failure modes of computerized planning phase of interstitial implants with high dose rate brachytherapy using HFMEA; Avaliacao dos modos de falha do planejamento computadorizado em implantes intersticiais com braquiterapia de alta taxa de dose usando HFMEA

    Energy Technology Data Exchange (ETDEWEB)

    Biazotto, Bruna; Tokarski, Marcio, E-mail: bruna@ceb.unicamp.br [Universidade Estadual de Campinas (UNICAMP), SP (Brazil). Centro de Engenharia Biomedica

    2014-08-15

    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)

  3. Using Spatial Analysis to Investigate Geographic Variations in Heart Failure Hospitalizations among Medicare Beneficiaries in the Tennessee Catchment Area

    Science.gov (United States)

    Ogunniyi, Modele O.; Holt, James B.; Croft, Janet B.; Nwaise, Isaac A.; Okafor, Henry E.; Sawyer, Douglas B.; Giles, Wayne H.; Mensah, George A.

    2014-01-01

    Introduction Although differences in heart failure hospitalization rates by race and sex are well documented, little is known about geographic variations in hospitalization rates for heart failure among Medicare beneficiaries. Methods Using exploratory spatial data analysis techniques, we examined hospitalization rates for heart failure as the first-listed discharge diagnosis among Medicare beneficiaries in a 10-state Tennessee catchment area, based on the resident states reported by Tennessee hospitals from 2000 to 2004. Results The age-adjusted heart failure hospitalization rate (per 1,000) among Medicare beneficiaries was 23.3 (95% confidence interval [CI], 23.3–23.4) for the Tennessee catchment area, 21.4 (95% CI, 21.4 -21.5) for the non-catchment US area and 21.9 (95% CI, 21.9–22.0) for the overall US. The age-adjusted HF hospitalization rates were also significantly higher in the catchment area than the non catchment US area and the overall US, among men, women, and whites, whereas rates among the blacks were higher outside the catchment area. Beneficiaries in the catchment area also had higher age-specific HF hospitalization rates. Among states in the catchment area, the highest mean county-level rates were in Mississippi (30.6±7.6) and Kentucky (29.2±11.5), and the lowest were in North Carolina (21.7±5.7), closely and Virginia (21.8±6.6). Conclusions Knowledge of geographic differences in rates of hospitalization for heart failure can be useful in identifying needs of health care providers, allocating resources, developing comprehensive heart failure outreach programs, and formulating policies designed to reduce these differences. PMID:21804374

  4. Bayesian Analysis of Zero-failure Data Based on IFRA Distribution

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhi-hua; LIU Hai-tao

    2009-01-01

    For many products, distributions of their life mostly comply with increasing failure rates in average (IFRA). Aiming to these distributions, using properties of IFRA classification, this paper gives a non-parametric method for processing zero-failure data. Estimations of reliabilities in any time are first obtained, and based on a regression model of failure rates, estimations of reliability indexes are given. Finally, a practical example is processed with this method.

  5. The Reconstruction and Failure Analysis of The Space Shuttle Columbia

    Science.gov (United States)

    Russell, Richard W.

    2010-01-01

    This viewgraph presentation describes a very detailed reconstruction plan and failure analysis of The Space Shuttle Columbia accident. The contents include: 1) STS-107 Timeline; 2) Foam Impact; 3) Recovery; 4) Reconstruction; 5) Reconstruction Plan; 6) Reconstruction Hanger; 7) Pathfinders; 8) Aluminum Pathfinder; 9) Early Analysis - Left MLG Door Area; 10) Emphasis Switched to Left Hand Wing Leading Edge; 11) Wing Leading Edge Subsystem (LESS); 12) 3D Reconstruction of Left WLE; 13) Left Wing Tile Table; 14) LESS Observations; 15) Left Hand Wing Debris Points to RCC 8/9 - Slumped Tile; 16) Reconstructed View of LC/P 9 tile with I/B Tile; 17) Reconstructed View of Lower C/P 9 Tile; 18) Carrier Panel 8 - Upper; 19) Left Hand Wing Debris Points to RCC 8/9 - Erosion and RCC with attach hole intact; 20) Erosion on Panel 8 Upper Outboard Rib; 21) RCC Panels 8 & 9 Erosion Features; 22) Slumping Source for Carrier Panel 9 Tile was Revealed; 23) Debris Indicated Highest Probability Initiation Site; 24) Left Hand Wing Debris Points to RCC 8/9- Metallic Deposits; 25) Relative Metallic Deposition on L/H Wing Materials; 26) Metallic Deposit Example, LH RCC 8; 27) High Level Questions; 28) Analysis Plan Challenges; 29) Analysis Techniques; 30) Analysis Approach; 31) RCC Panel 8 Erosion Features; 32) Radiographic Features; 33) Radiography WLE LH Panel 8; 34) LH RCC 8 Upper Apex; 35) LH RCC 8 - Deposit Feature: Thick Tear Shaped; 36) LH RCC 8 - Deposit Feature: Thick Globules; 37) LH RCC 8 - Deposit Feature: Spheroids; 38) LH RCC 8 - Deposit Feature: Uniform Deposit; 39) Significant Findings - Sampling All Other panels; 40) Proposed Breach Location and Plasma Flow; 41) Corroborating Information - RCC Panel Debris Locations; 42) Corroborating Information - LH OMS Pod Analysis; 43) Corroborating Information - Impact Testing; and 44) Overall Forensic Conclusions.

  6. Poor quality evidence suggests that failure rates for atraumatic restorative treatment and conventional amalgam are similar.

    Science.gov (United States)

    Hurst, Dominic

    2012-06-01

    The Medline, Cochrane CENTRAL, Biomed Central, Database of Open Access Journals (DOAJ), OpenJ-Gate, Bibliografia Brasileira de Odontologia (BBO), LILACS, IndMed, Sabinet, Scielo, Scirus (Medicine), OpenSIGLE and Google Scholar databases were searched. Hand searching was performed for journals not indexed in the databases. References of included trials were checked. Prospective clinical trials with test and control groups with a follow up of at least one year were included. Data abstraction was conducted independently and clinical and methodologically homogeneous data were pooled using a fixed-effects model. Eighteen trials were included. From these 32 individual dichotomous datasets were extracted and analysed. The majority of the results show no differences between both types of intervention. A high risk of selection-, performance-, detection- and attrition bias was identified. Existing research gaps are mainly due to lack of trials and small sample size. The current evidence indicates that the failure rate of high-viscosity GIC/ART restorations is not higher than, but similar to that of conventional amalgam fillings after periods longer than one year. These results are in line with the conclusions drawn during the original systematic review. There is a high risk that these results are affected by bias, and thus confirmation by further trials with suitably high numbers of participants is needed.

  7. Physicochemical characterization and failure analysis of military coating systems

    Science.gov (United States)

    Keene, Lionel Thomas

    Modern military coating systems, as fielded by all branches of the U.S. military, generally consist of a diverse array of organic and inorganic components that can complicate their physicochemical analysis. These coating systems consist of VOC-solvent/waterborne automotive grade polyurethane matrix containing a variety of inorganic pigments and flattening agents. The research presented here was designed to overcome the practical difficulties regarding the study of such systems through the combined application of several cross-disciplinary techniques, including vibrational spectroscopy, electron microscopy, microtomy, ultra-fast laser ablation and optical interferometry. The goal of this research has been to determine the degree and spatial progression of weathering-induced alteration of military coating systems as a whole, as well as to determine the failure modes involved, and characterizing the impact of these failures on the physical barrier performance of the coatings. Transmission-mode Fourier Transform Infrared (FTIR) spectroscopy has been applied to cross-sections of both baseline and artificially weathered samples to elucidate weathering-induced spatial gradients to the baseline chemistry of the coatings. A large discrepancy in physical durability (as indicated by the spatial progression of these gradients) has been found between older and newer generation coatings. Data will be shown implicating silica fillers (previously considered inert) as the probable cause for this behavioral divergence. A case study is presented wherein the application of the aforementioned FTIR technique fails to predict the durability of the coating system as a whole. The exploitation of the ultra-fast optical phenomenon of femtosecond (10-15S) laser ablation is studied as a potential tool to facilitate spectroscopic depth profiling of composite materials. Finally, the interferometric technique of Phase Shifting was evaluated as a potential high-sensitivity technique applied to the

  8. Time-to-event analysis of individual variables associated with nursing students' academic failure: a longitudinal study.

    Science.gov (United States)

    Dante, Angelo; Fabris, Stefano; Palese, Alvisa

    2013-12-01

    Empirical studies and conceptual frameworks presented in the extant literature offer a static imagining of academic failure. Time-to-event analysis, which captures the dynamism of individual factors, as when they determine the failure to properly tailor timely strategies, impose longitudinal studies which are still lacking within the field. The aims of this longitudinal study were to investigate the time which elapses from a nursing student's admission to a Bachelor of Nursing program to their academic failure and to estimate the predictive power of individual variables on academic failure. Enrolled students (n = 170) in two Italian nursing degree programs during academic year 2008-2009, received at the beginning of each years a questionnaire which evaluated individual variables. Academic failure rate was 37.2 %. Time-to-event analysis has shown that academic failure occurred after an average of 664.52 days of course attendance ((95 %)CI = 623.2-705.8). Kaplan-Meier analyses demonstrated a high likelihood of failure among males (χ(2) 7.790, p 0.005) and among those who had obtained a final average grade in their secondary education ≤73/100 (χ(2)11.676, p 0.001). Cox regression analysis confirmed an increased likelihood of failure over time among males as compared to females (HR 1.931, (95 %)CI = 1.017-3.670), and among students living more than a 30 min commute from their place of study (HR 1.898, (95 %)CI = 1.015-3.547). The effect of these two factors on academic failure has been seen to manifest primarily toward the end of students' second academic year; students at risk might be supported by the appropriate university staff prior to this period.

  9. Association between Severity of Anemia and 30-Day Readmission Rate: Archival Data of 847 Patients with Acute Decompensated Heart Failure

    Directory of Open Access Journals (Sweden)

    Jorge C. Busse

    2014-01-01

    Full Text Available Hospitals today are facing adjustments to reimbursements from excessive readmission rates. One of the most common and expensive causes of readmissions is exacerbation of a heart failure condition. The objective of this paper was to determine if there was an association between the presence of anemia in patients with acute decompensated heart failure and their readmission rate. Using archival data of 4 hospitals in the Miami area, a sample of 847 inpatients with a diagnostic related group (DRG of HF at discharge was considered. There was a significant association between low hemoglobin values and a high rate of readmissions at 14 days and at 30 days in subjects with normal sodium and creatinine values. For subjects with low sodium and high creatinine values, a higher readmission rate was seen in men with low hemoglobin but not in women. These results support a prospective effort to measure the impact of anemia and its treatment on readmission rates.

  10. High rate of failure of allograft reconstruction of the extensor mechanism after total knee arthroplasty.

    Science.gov (United States)

    Leopold, S S; Greidanus, N; Paprosky, W G; Berger, R A; Rosenberg, A G

    1999-11-01

    Disruption of the extensor mechanism is an uncommon but devastating complication of total knee arthroplasty. Several techniques for reconstruction of the extensor mechanism after total knee arthroplasty have been reported, but we do not know of any study in which the results of one group's method were corroborated by a second group using the same technique. In the present series, we evaluated the results of reconstruction of the extensor mechanism with use of allograft according to the method described by Emerson et al. Seven reconstructions of the extensor mechanism with use of a bone-tendon-bone allograft were performed with the technique of Emerson et al. in six patients. The patients were evaluated before and after the operation. The knee score according to the system of The Hospital for Special Surgery, evidence of an extensor lag, use of walking aids, and the ambulatory status of each patient were recorded. The patients were also asked about, and the medical records were reviewed for, episodes of falling related to weakness of the quadriceps after the reconstruction. The mean duration of follow-up was thirty-nine months (range, six to 115 months). As these reconstructions often fail early, the minimum duration of follow-up was six months. All seven reconstructions were rated as clinical failures on the basis of a persistent or recurrent extensor lag of more than 30 degrees. All but one patient needed an assistive device full time for walking, and four patients (five knees) had at least one documented episode of falling that was due to giving-way of the affected knee. Four of the reconstructions were revised; one revision was performed with use of another extensor mechanism allograft and three were performed with use of a medial gastrocnemius rotation flap. The other three clinical failures had not been revised at the time of writing. At the time of the most recent follow-up (or at the time of revision of the extensor reconstruction), the mean extensor lag was

  11. [Failure mode and effects analysis on computerized drug prescriptions].

    Science.gov (United States)

    Paredes-Atenciano, J A; Roldán-Aviña, J P; González-García, Mercedes; Blanco-Sánchez, M C; Pinto-Melero, M A; Pérez-Ramírez, C; Calvo Rubio-Burgos, Miguel; Osuna-Navarro, F J; Jurado-Carmona, A M

    2015-01-01

    To identify and analyze errors in drug prescriptions of patients treated in a "high resolution" hospital by applying a Failure mode and effects analysis (FMEA).Material and methods A multidisciplinary group of medical specialties and nursing analyzed medical records where drug prescriptions were held in free text format. An FMEA was developed in which the risk priority index (RPI) was obtained from a cross-sectional observational study using an audit of the medical records, carried out in 2 phases: 1) Pre-intervention testing, and (2) evaluation of improvement actions after the first analysis. An audit sample size of 679 medical records from a total of 2,096 patients was calculated using stratified sampling and random selection of clinical events. Prescription errors decreased by 22.2% in the second phase. FMEA showed a greater RPI in "unspecified route of administration" and "dosage unspecified", with no significant decreases observed in the second phase, although it did detect, "incorrect dosing time", "contraindication due to drug allergy", "wrong patient" or "duplicate prescription", which resulted in the improvement of prescriptions. Drug prescription errors have been identified and analyzed by FMEA methodology, improving the clinical safety of these prescriptions. This tool allows updates of electronic prescribing to be monitored. To avoid such errors would require the mandatory completion of all sections of a prescription. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

  12. Women's Experiences With Flap Failure After Autologous Breast Reconstruction: A Qualitative Analysis.

    Science.gov (United States)

    Higgins, Kristen S; Gillis, Joshua; Williams, Jason G; LeBlanc, Martin; Bezuhly, Michael; Chorney, Jill M

    2016-10-06

    Clinical experience suggests that flap failure after autologous breast reconstruction can be a devastating experience for women. Previous research has examined women's experiences with autologous breast reconstruction with and without complications, and patients' experiences with suboptimal outcomes from other medical procedures. The authors aimed to examine the psychosocial experience of flap failure from the patient's perspective. Seven women who had experienced unilateral flap failure after deep inferior epigastric perforator flap surgery in the past 12 years completed semistructured interviews about their breast cancer treatments, their experiences with flap failure, the impact of flap failure on their lives, and the coping strategies they used. Interpretive phenomenological analysis, a type of qualitative analysis that provides an in-depth account of participant's experiences and their meanings, was used to analyze the interview data. From these data, patient-derived recommendations were developed for surgeons caring for women who have experienced flap failure. Three main themes (6 subthemes) emerged: coming to terms with flap failure (coping with emotions, body dissatisfaction); making meaning of flap failure experience (questioning, relationship with surgeon); and care providers acknowledging the emotional experience of flap failure (experience of being treated "mechanically," suggestions for improvement). In conclusion, flap failure in breast reconstruction is an emotionally difficult experience for women. Although there are similarities to other populations of patients experiencing suboptimal outcomes from medical procedures, there are also unique aspects of the flap failure experience. A better understanding of women's experiences with flap failure will assist in providing more appropriate supports.

  13. ANALYSIS OF FAILURE MECHANISM IN MULTIPLE DISC WET BRAKES

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    By the numberical calculation of dynamic lining pressure distributions,temperature fields and thermal stress fields of steel plates,a method using nonlinear finite element techniques to analyze failure mechanism of a multiple disc wet brake is detailed ,and some measures for combatting these failures are provided.

  14. Identifying failure mechanisms in LDMOS transistors by analytical stability analysis

    NARCIS (Netherlands)

    Ferrara, A.; Steeneken, P.G.; Boksteen, B.K.; Heringa, A.; Scholten, A.J.; Schmitz, J.; Hueting, R.J.E.

    2014-01-01

    In this work, analytical stability equations are derived and combined with a physics-based model of an LDMOS transistor in order to identify the primary cause of failure in different operating and bias conditions. It is found that there is a gradual boundary between an electrical failure region at h

  15. Metallized Film Capacitor Lifetime Evaluation and Failure Mode Analysis

    CERN Document Server

    Gallay, R

    2015-01-01

    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.

  16. Creatinine excretion rate, a marker of muscle mass, is related to clinical outcome in patients with chronic systolic heart failure

    NARCIS (Netherlands)

    ter Maaten, Jozine M.; Damman, Kevin; Hillege, Hans L.; Bakker, Stephan J.; Anker, Stefan D.; Navis, Gerjan; Voors, Adriaan A.

    2014-01-01

    Aims In chronic heart failure (CHF), low body mass as a reflection of low muscle mass has been associated with poor outcome. Urinary creatinine excretion rate (CER) is an established marker of muscle mass, but has not been investigated in CHF. This study aims to evaluate urinary CER as a marker of m

  17. Method to calculate failure rate of submarine flexible pipes; Metodo para calculo da taxa de falha de dutos flexiveis submarinos

    Energy Technology Data Exchange (ETDEWEB)

    Simoes Filho, Salvador [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil)

    2003-07-01

    This report presents calculation method for failure rate of submarine flexible pipes in PETROBRAS using the distribution of Weibull in comparison with the traditional method of PARLOC that uses the exponential distribution. PARLOC - Pipeline and Riser Loss of Containment Study - Pipeline Offshore Reliability Data - database of pipes of the North Sea. (author)

  18. Sperm DNA fragmentation index does not correlate with the sperm or embryo aneuploidy rate in recurrent miscarriage or implantation failure patients.

    Science.gov (United States)

    Bronet, F; Martínez, E; Gaytán, M; Liñán, A; Cernuda, D; Ariza, M; Nogales, M; Pacheco, A; San Celestino, M; Garcia-Velasco, J A

    2012-07-01

    The aneuploidy rate is higher in poor-quality sperm samples, which also have higher DNA fragmentation index values. The aim of this study was to assess the relationship between sperm DNA fragmentation in samples from infertile men belonging to couples with recurrent miscarriage or implantation failure and the aneuploidy rate in spermatozoa as well as in embryos from patients. This prospective study evaluated DNA damage and the aneuploidy rate in fresh and processed (density gradient centrifugation) ejaculated sperm as well as the aneuploidy rate in biopsied embryos from fertility cycles. Fluorescence in situ hybridization was used for the aneuploidy analysis. Results were compared using linear regression and analysis of variance. A total of 154 embryos were evaluated from 38 patients undergoing PGD cycles; 35.2% of the embryos were chromosomally normal. Analysis of the same sperm samples showed an increased DNA fragmentation after sperm preparation in 76% of the patients. There was no correlation between DNA fragmentation and the aneuploidy rate in embryos or in fresh or processed sperm samples. Sperm DNA fragmentation is not related to chromosomal anomalies in embryos from patients with recurrent miscarriage or implantation failure. However, we cannot rule out the possibility that a relationship between DNA fragmentation and aneuploidy exists for other causes of infertility. Furthermore, the different methods used to evaluate DNA fragmentation may produce different results.

  19. Cascading failure analysis and restoration strategy in an interdependent network

    Science.gov (United States)

    Hong, Sheng; Lv, Chuan; Zhao, Tingdi; Wang, Baoqing; Wang, Jianghui; Zhu, Juxing

    2016-05-01

    In modern society, many infrastructures are interdependent owing to functional and logical relations among components in different systems. These networked infrastructures can be modeled as interdependent networks. In the real world, different networks carry different traffic loads whose values are dynamic and stem from the load redistribution in the same network and disturbance from the interdependent network. Interdependency makes interdependent networks so fragile that even a slight initial disturbance may lead to a cascading failure of the entire systems. In this paper, interdependencies among networks are modeled and a failure cascade process is studied considering their effects on failure propagation. Meanwhile, an in-process restoration strategy after the initial failure is investigated. The restoration effects depend strongly on the trigger timing, restoration probability and priority of the restoration actions along with the additional disturbances. Our findings highlight the necessity to decrease the large-scale cascading failure by structuring and managing an interdependent network reasonably.

  20. Myocardial infarction and heart failure hospitalization rates in Maine, USA - variability along the urban-rural continuum.

    Science.gov (United States)

    Harris, D E; Aboueissa, A-M; Hartley, D

    2008-01-01

    Cardiovascular disease, including myocardial infarction (MI) and heart failure (HF), remains the leading cause of death in wealthy countries and is of increasing concern in low- and middle-income countries as risk factors such as smoking and obesity become more common around the globe. Within each country the health burden of MI and HF generally falls more heavily on those who live in rural areas and on those who live in communities with lower average socioeconomic status (SES). Hospitalization rates are an important measure of community health because high rates may indicate a high burden of poor health, while inappropriately low rates (low hospitalization rates absent evidence of average good health) may indicate underutilization of health services. The objective of this study was to determine the predictors of MI and HF hospitalization rates at town level in the State of Maine, USA. Maine has large variations in wealth and along the urban-rural continuum at town level. Because our results shed light on variations in health and health-seeking behavior for different Maine populations (such as those living closer vs further from hospitals) they may be of interest to providers of healthcare to people who live in areas remote from healthcare, and to people who face other barriers to good cardiovascular health. To determine predictors of HF and MI hospitalization in Maine, we constructed a geographic information system (GIS) for Maine's towns using publicly available electronic map layers, year 2000 census data, and electronic hospitalization records for all Maine hospitals. This GIS generated age-corrected MI and HF hospitalization rates for 1998-2002 as dependent variables and the following independent variables: poverty rate, unemployment rate, median income, educational attainment, rurality, physician density, and distance to the closest hospital. Univariable and multiple linear regression analysis were then performed to determine the significant predictors of MI

  1. Plerixafor as preemptive strategy results in high success rates in autologous stem cell mobilization failure.

    Science.gov (United States)

    Worel, Nina; Fritsch, Gerhard; Agis, Hermine; Böhm, Alexandra; Engelich, Georg; Leitner, Gerda C; Geissler, Klaus; Gleixner, Karoline; Kalhs, Peter; Buxhofer-Ausch, Veronika; Keil, Felix; Kopetzky, Gerhard; Mayr, Viktor; Rabitsch, Werner; Reisner, Regina; Rosskopf, Konrad; Ruckser, Reinhard; Zoghlami, Claudia; Zojer, Niklas; Greinix, Hildegard T

    2016-08-31

    Plerixafor in combination with granulocyte-colony stimulating factor (G-CSF) is approved for autologous stem cell mobilization in poor mobilizing patients with multiple myeloma or malignant lymphoma. The purpose of this study was to evaluate efficacy and safety of plerixafor in an immediate rescue approach, administrated subsequently to G-CSF alone or chemotherapy and G-CSF in patients at risk for mobilization failure. Eighty-five patients mobilized with G-CSF alone or chemotherapy were included. Primary endpoint was the efficacy of the immediate rescue approach of plerixafor to achieve ≥2.0 × 10(6) CD34(+) cells/kg for a single or ≥5 × 10(6) CD34(+) cells/kg for a double transplantation and potential differences between G-CSF and chemotherapy-based mobilization. Secondary objectives included comparison of stem cell graft composition including CD34(+) cell and lymphocyte subsets with regard to the mobilization regimen applied. No significant adverse events were recorded. A median 3.9-fold increase in CD34(+) cells following plerixafor was observed, resulting in 97% patients achieving at least ≥2 × 10(6) CD34+ cells/kg. Significantly more differentiated granulocyte and monocyte forming myeloid progenitors were collected after chemomobilization whereas more CD19(+) and natural killer cells were collected after G-CSF. Fifty-two patients underwent transplantation showing rapid and durable engraftment, irrespectively of the stem cell mobilization regimen used. The addition of plerixafor in an immediate rescue model is efficient and safe after both, G-CSF and chemomobilization and results in extremely high success rates. Whether the differences in graft composition have a clinical impact on engraftment kinetics, immunologic recovery, and graft durability have to be analysed in larger prospective studies.

  2. The effects of baseline heart rate recovery normality and exercise training protocol on heart rate recovery in patients with heart failure.

    Science.gov (United States)

    Yaylalı, Yalın Tolga; Fındıkoğlu, Gülin; Yurtdaş, Mustafa; Konukçu, Sibel; Şenol, Hande

    2015-09-01

    It is unclear which exercise training protocol yields superior heart rate recovery (HRR) improvement in heart failure (HF) patients. Whether baseline HRR normality plays a role in the improvement is unknown. We hypothesized that an exercise training protocol and baseline HRR normality would be factors in altering HRR in HF patients. In this prospective, randomized, controlled and 3 group parallel study, 41 stable HF patients were randomly assigned to 3-times-weekly training sessions for 12 weeks, consisting of i) 30 minutes of interval training (IT) (n=17, 63.7±8.8 years old) versus ii) 30 minutes of continuous training (CT) (n=13, 59.6±6.8 years old) versus iii) no training (CON) (n=11, 60.6±9.9 years old). Each patient had cardiopulmonary exercise testing before and after the training program. Maximum heart rates attained during the test and heart rates at 1 and 2 min (HRR1 and HRR2) during the recovery phase were recorded. Paired samples t-test or Wilcoxon signed-rank test was used for comparisons before and after training. One-way ANOVA or Kruskal-Wallis variance analysis was used for comparisons among groups. HRR1 was unchanged after training. HRR2 improved in the IT group after training, and post-training HRR2 values were significantly faster in the IT group than in controls. Both HRR1 and HRR2 was significantly faster, irrespective of exercise protocol in patients with abnormal baseline values after training. HRR1 did not improve after training. HRR2 improved only in the IT group. Both HRRs in patients with abnormal baseline values improved after both exercise protocols. IT might be superior to CT in improving HRR2. Baseline HRR might play a role in its response to exercise.

  3. Lifetime prediction and failure analysis of organic coatings by EIS

    Institute of Scientific and Technical Information of China (English)

    YAN Rui; WU Hang; MA Shi-ning; XU Bin-shi

    2004-01-01

    Organic coatings are widely used to control the corrosion of steel structure. The anticorrosive property of these coatings depends on their barrier properties, making a separation between the corrosive medium and the substrate. But unavoidable completely small pores, cracks and other defects in organic coatings may cause ions, water, gases, and other corrosive species penetrate and distribute in the coatings, causing accumulation and swelling of coatings, so leading to the degradation of coatings. In addition, water affects the permeation of oxygen and other corrosive medium, consequently the presence of such substances at coating-metal interface promotes corrosion of metal substrate. So the absorbability of the coatings to water may be one of the most important factors in undercoating corrosion. In recent years, electrochemical impedance spectroscopy (EIS) has been established and frequently used as a non-destructive testing method for assessing the performance of organic coatings, especially for the determination of the water content in organic coatings, since the capacitance of the coatings is sensitive to the penetration of water. So from EIS it can extract a wealth of information on the electrochemical corrosion of coated steels, especially, it can be utilized to assess organic coatings used under particular surroundings. The principle, methods and application of EIS on evaluating life-span and analyzing failure mechanism of organic coatings are also introduced briefly. Combining other analysis techniques such as XRD, SEM and FTIR with electrochemical technique, it will blaze a way in studying degradation mechanism of organic coatings and estimating their lifetime.

  4. Going South: Analysis of an Historic Project Engineering Failure

    Science.gov (United States)

    Scott, John H.

    2009-01-01

    NASA's successful conduct of the Apollo Program greatly enhanced the prestige of the United States and remains broadly accepted as America's gift to all Mankind. NASA's accomplishments continue to amaze the world. With the Vision for Space Exploration (VSE) Americans once again tasked NASA to carry out a project that is expected to provide inspiration and economic stimulus to the United States and to the world. In preparation NASA has thoroughly examined space program precedents. There is, however, another precedent which has not been examined in this context but whose scope and environment in many ways parallel the VSE. This project was initiated by a team that had, ten years before, successfully completed an effort that, at a cost of $173 billion (in 2008 dollars), had pushed the envelope of technology, brought economic growth, established their country as the world leader in engineering, and been broadly accepted as that country's gift to all Mankind. The new project was again inspired by popular desire to enhance national prestige and make yet another major contribution to Humanity. This effort was predicted to require eight years and $156 billion (2008 dollars). However, after nine years and expenditures of 96% beyond the baseline, the project collapsed amid bankruptcy, political scandal, and criminal prosecution. This paper applies current project management metrics, such as earned value analysis, to review the strategic decisions in this historic failure and describe its ultimate collapse. Key mistakes are identified, and lessons are drawn which may prove useful in guiding the VSE.

  5. ROMANIAN COUNTY RATING MEASUREMENT. A COMPARATIVE ANALYSIS

    Directory of Open Access Journals (Sweden)

    Ioan BĂTRÂNCEA

    2016-06-01

    Full Text Available In the second wave of financial crisis, namely the sovereign debt crisis, the country’s most affected by this phenomenon are Greece, Italy, Spain, Portugal, Ireland and last year Cyprus joined. Future more the crisis in Greece in 2015 requires local authorities to evaluate constantly their rating in order to prevent bankruptcy. In this paper we conducted a comparative analysis using Altman method and the Stickney method and correlate the scores with ratings agencies Standard & Poor's and Moody's.

  6. Probabilistic analysis of cascade failure dynamics in complex network

    Science.gov (United States)

    Zhang, Ding-Xue; Zhao, Dan; Guan, Zhi-Hong; Wu, Yonghong; Chi, Ming; Zheng, Gui-Lin

    2016-11-01

    The impact of initial load and tolerance parameter distribution on cascade failure is investigated. By using mean field theory, a probabilistic cascade failure model is established. Based on the model, the damage caused by certain attack size can be predicted, and the critical attack size is derived by the condition of cascade failure end, which ensures no collapse. The critical attack size is larger than the case of constant tolerance parameter for network of random distribution. Comparing three typical distributions, simulation results indicate that the network whose initial load and tolerance parameter both follow Weibull distribution performs better than others.

  7. Fractographic ceramic failure analysis using the replica technique

    Science.gov (United States)

    Scherrer, Susanne S.; Quinn, Janet B.; Quinn, George D.; Anselm Wiskott, H. W.

    2007-01-01

    Objectives To demonstrate the effectiveness of in vivo replicas of fractured ceramic surfaces for descriptive fractography as applied to the analysis of clinical failures. Methods The fracture surface topography of partially failed veneering ceramic of a Procera Alumina molar and an In Ceram Zirconia premolar were examined utilizing gold-coated epoxy poured replicas viewed using scanning electron microscopy. The replicas were inspected for fractographic features such as hackle, wake hackle, twist hackle, compression curl and arrest lines for determination of the direction of crack propagation and location of the origin. Results For both veneering ceramics, replicas provided an excellent reproduction of the fractured surfaces. Fine details including all characteristic fracture features produced by the interaction of the advancing crack with the material's microstructure could be recognized. The observed features are indicators of the local direction of crack propagation and were used to trace the crack's progression back to its initial starting zone (the origin). Drawbacks of replicas such as artifacts (air bubbles) or imperfections resulting from inadequate epoxy pouring were noted but not critical for the overall analysis of the fractured surfaces. Significance The replica technique proved to be easy to use and allowed an excellent reproduction of failed ceramic surfaces. It should be applied before attempting to remove any failed part remaining in situ as the fracture surface may be damaged during this procedure. These two case studies are intended as an introduction for the clinical researcher in using qualitative (descriptive) fractography as a tool for understanding fracture processes in brittle restorative materials and, secondarily, to draw conclusions as to possible design inadequacies in failed restorations. PMID:17270267

  8. Heart Rate and Rhythm and the Benefit of Beta-Blockers in Patients With Heart Failure.

    Science.gov (United States)

    Kotecha, Dipak; Flather, Marcus D; Altman, Douglas G; Holmes, Jane; Rosano, Giuseppe; Wikstrand, John; Packer, Milton; Coats, Andrew J S; Manzano, Luis; Böhm, Michael; van Veldhuisen, Dirk J; Andersson, Bert; Wedel, Hans; von Lueder, Thomas G; Rigby, Alan S; Hjalmarson, Åke; Kjekshus, John; Cleland, John G F

    2017-06-20

    The relationship between mortality and heart rate remains unclear for patients with heart failure with reduced ejection fraction in either sinus rhythm or atrial fibrillation (AF). This analysis explored the prognostic importance of heart rate in patients with heart failure with reduced ejection fraction in randomized controlled trials comparing beta-blockers and placebo. The Beta-Blockers in Heart Failure Collaborative Group performed a meta-analysis of harmonized individual patient data from 11 double-blind randomized controlled trials. The primary outcome was all-cause mortality, analyzed with Cox proportional hazard ratios (HR) modeling heart rate measured at baseline and approximately 6 months post-randomization. A higher heart rate at baseline was associated with greater all-cause mortality for patients in sinus rhythm (n = 14,166; adjusted HR: 1.11 per 10 beats/min; 95% confidence interval [CI]: 1.07 to 1.15; p rate by 12 beats/min in both sinus rhythm and AF. Mortality was lower for patients in sinus rhythm randomized to beta-blockers (HR: 0.73 vs. placebo; 95% CI: 0.67 to 0.79; p heart rate (interaction p = 0.35). Beta-blockers had no effect on mortality in patients with AF (HR: 0.96, 95% CI: 0.81 to 1.12; p = 0.58) at any heart rate (interaction p = 0.48). A lower achieved resting heart rate, irrespective of treatment, was associated with better prognosis only for patients in sinus rhythm (HR: 1.16 per 10 beats/min increase, 95% CI: 1.11 to 1.22; p heart rate, beta-blockers reduce mortality in patients with heart failure with reduced ejection fraction in sinus rhythm. Achieving a lower heart rate is associated with better prognosis, but only for those in sinus rhythm. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  9. Failure mode analysis of a post-tension anchored dam using linear finite element analysis

    Science.gov (United States)

    Corn, Aimee

    There are currently over 84,000 dams in the United States, and the average age of those dams is 52 years. Concrete gravity dams are the second most common dam type, with more than 3,000 in the United States. Current engineering technology and technical understanding of hydrologic and seismic events has resulted in significant increases to the required design loads for most dams; therefore, many older dams do not have adequate safety for extreme loading events. Concrete gravity dams designed and constructed in the early 20th century did not consider uplift pressures beneath the dam, which reduces the effective weight of the structure. One method that has been used to enhance the stability of older concrete gravity dams includes the post-tension anchor (PTA) system. Post-tensioning infers modifying cured concrete and using self-equilibrating elements to increase the weight of the section, which provides added stability. There is a lack of historical evidence regarding the potential failure mechanisms for PTA concrete gravity dams. Of particular interest, is how these systems behave during large seismic events. The objective of this thesis is to develop a method by which the potential failure modes during a seismic event for a PTA dam can be evaluated using the linear elastic finite element method of analysis. The most likely potential failure modes (PFM) for PTA designs are due to tensile failure and shear failure. A numerical model of a hypothetical project was developed to simulate PTAs in the dam. The model was subjected to acceleration time-history motions that simulated the seismic loads. The results were used to evaluate the likelihood of tendon failure due to both tension and shear. The results from the analysis indicated that the PTA load increased during the seismic event; however, the peak load in the tendons was less than the gross ultimate tensile strength (GUTS) and would not be expected to result in tensile failure at the assumed project. The analysis

  10. An Analysis of Pragmatic Failure in Intercultural Communication

    Institute of Scientific and Technical Information of China (English)

    赵要东

    2013-01-01

    With the globalization of the world economy, intercultural communication is becoming more and more important. In China, more and more people learn English,Even though they have little difficulty in understanding the literal meaning of utter⁃ances when confronted with authentic communication situations, they may not interpret the utterances correctly, or express themselves appropriately. The problem of pragmatic failure has been holding an important position in the study of intercultural communication. In this paper I will mainly analyze the phenomena of pragmatic failure in senior middle school students’daily conversations in intercultural communication, and discuss the nature and causes of pragmatic failure in intercultural communica⁃tion situations. After we gain a better understanding of the phenomena, recommendations will be made on how to avoid pragmat⁃ic failure, and to increase intercultural communicative competence in English.

  11. Forensic analysis of asphaltic pavement failures in Ghana: case histories

    CSIR Research Space (South Africa)

    Ampadu, SIK

    2015-08-01

    Full Text Available Many newly constructed asphaltic pavements in Ghana have suffered premature failures shortly after opening to traffic. In all cases, available records from the road agencies appeared to show that the roads were constructed in accordance...

  12. Sample Preservation - The Key to a Successful Failure Analysis

    Science.gov (United States)

    2008-09-01

    carburized tool steel. The outer surface rehardened, transforming into unstable, untempered martensite. The case below this layer was affected...Rehardening and retempering burn in a carburized tool steel subjected to abusive grinding. Litigation: High visibility failures leading to

  13. Failure Analysis of Heavy-Ion-Irradiated Schottky Diodes

    Science.gov (United States)

    Casey, Megan C.; Lauenstein, Jean-Marie; Wilcox, Edward P.; Topper, Alyson D.; Campola, Michael J.; Label, Kenneth A.

    2017-01-01

    In this work, we use high- and low-magnitude optical microscope images, infrared camera images, and scanning electron microscope images to identify and describe the failure locations in heavy-ion-irradiated Schottky diodes.

  14. Analysis of contaminated field failure data for repairable systems

    OpenAIRE

    Hansen, Christian Kornerup; Thyregod, Poul

    1991-01-01

    A simple model for electronic systems with repair, and a method for analyzing recorded field failure data for such systems are presented. The work performed has resulted in analytical results that may be used for assessing the product reliability. The method was originally developed for use under ideal circumstances, but it has been adapted for use with contaminated data (i.e., data where the failure times are observed embedded by noise). A simple model for the noise that enables an analytica...

  15. Enforsing a system approach to composite failure criteria for reliability analysis

    DEFF Research Database (Denmark)

    Dimitrov, Nikolay Krasimirov; Friis-Hansen, Peter; Berggreen, Christian

    2011-01-01

    parameters are random, multiple failure modes may be identified which will jeopardize the FORM analysis and a system approach should be applied to assure a correct analysis. Although crude Monte Carlo simulation automatically may account for such effects, time constraints limit its useability in problems...... challenges with the use of failure criteria, since composite materials are a discontinuous medium, which invoke multiple failure modes. Under deterministic conditions the material properties and the stress vector are constant and will result in a single dominating failure mode. When any of these input...... involving advanced FEM models. When applying more computationally efficient methods based on FORM/SORM it is important to carefully account for the multiple failure modes described by the failure criterion. The present paper discusses how to handle this problem and presents examples where reliability...

  16. Uncertainty Analysis for Photovoltaic Degradation Rates (Poster)

    Energy Technology Data Exchange (ETDEWEB)

    Jordan, D.; Kurtz, S.; Hansen, C.

    2014-04-01

    Dependable and predictable energy production is the key to the long-term success of the PV industry. PV systems show over the lifetime of their exposure a gradual decline that depends on many different factors such as module technology, module type, mounting configuration, climate etc. When degradation rates are determined from continuous data the statistical uncertainty is easily calculated from the regression coefficients. However, total uncertainty that includes measurement uncertainty and instrumentation drift is far more difficult to determine. A Monte Carlo simulation approach was chosen to investigate a comprehensive uncertainty analysis. The most important effect for degradation rates is to avoid instrumentation that changes over time in the field. For instance, a drifting irradiance sensor, which can be achieved through regular calibration, can lead to a substantially erroneous degradation rates. However, the accuracy of the irradiance sensor has negligible impact on degradation rate uncertainty emphasizing that precision (relative accuracy) is more important than absolute accuracy.

  17. Uncertainty Analysis for Photovoltaic Degradation Rates (Poster)

    Energy Technology Data Exchange (ETDEWEB)

    Jordan, D.; Kurtz, S.; Hansen, C.

    2014-04-01

    Dependable and predictable energy production is the key to the long-term success of the PV industry. PV systems show over the lifetime of their exposure a gradual decline that depends on many different factors such as module technology, module type, mounting configuration, climate etc. When degradation rates are determined from continuous data the statistical uncertainty is easily calculated from the regression coefficients. However, total uncertainty that includes measurement uncertainty and instrumentation drift is far more difficult to determine. A Monte Carlo simulation approach was chosen to investigate a comprehensive uncertainty analysis. The most important effect for degradation rates is to avoid instrumentation that changes over time in the field. For instance, a drifting irradiance sensor, which can be achieved through regular calibration, can lead to a substantially erroneous degradation rates. However, the accuracy of the irradiance sensor has negligible impact on degradation rate uncertainty emphasizing that precision (relative accuracy) is more important than absolute accuracy.

  18. RBANS embedded measures of suboptimal effort in dementia: effort scale has a lower failure rate than the effort index.

    Science.gov (United States)

    Burton, Rachel L; Enright, Joe; O'Connell, Megan E; Lanting, Shawnda; Morgan, Debra

    2015-02-01

    The importance of evaluating effort in neuropsychological assessments has been widely acknowledged, but measuring effort in the context of dementia remains challenging due to the impact of dementia severity on effort measure scores. Two embedded measures have been developed for the repeatable battery for the assessment of neuropsychological status (RBANS; Randolph, C., Tierney, M. C., Mohr, E., & Chase, T. N. (1998). The repeatable battery for the assessment of neuropsychological status (RBANS): Preliminary clinical validity. Journal of Clinical and Experimental Neuropsychology, 20 (3), 310-319): the Effort Index (EI; Silverberg, N. D., Wertheimer, J. C., & Fichtenberg, N. L. (2007). An effort index for the repeatable battery for the assessment of neuropsychological status (RBANS). Clinical Neuropsychologist, 21 (5), 841-854) and the Effort Scale (ES; Novitski, J., Steele, S., Karantzoulis, S., & Randolph, C. (2012). The repeatable battery for the assessment of neuropsychological status effort scale. Archives of Clinical Neuropsychology, 27 (2), 190-195). We explored failure rates on these effort measures in a non-litigating mixed dementia sample (N = 145). Failure rate on the EI was high (48%) and associated with dementia severity. In contrast, failure on the ES was 14% but differed based on type of dementia. ES failure was low (4%) when dementia was due to Alzheimer disease (AD), but high (31%) for non-AD dementias. These data raise concerns about use of the RBANS embedded effort measures in dementia evaluations.

  19. Computer-tomography and its use in failure analysis; Computertomographie und deren Anwendung in der Schadensanalytik

    Energy Technology Data Exchange (ETDEWEB)

    Panzenboeck, Michael; Freitag, Caroline [Montanuniv. Leoben (Austria). Dept. Metallkunde und Werkstoffpruefung; Borchert, Marlies [Materials Center Leoben (Austria)

    2017-04-15

    In the last fifteen years computer-tomography has proven to be a valuable aid in the fields of medicine, materials technology and forensics. Nowadays it is hard to image non-destructive testing being carried out without its use. This article serves to demonstrate the power of the technique within the field of failure analysis with reference to two chosen case studies. The first case concerns the failure of magnetic valves, the second case focusses on the failure of corrosion resistant screws.

  20. Risk Assessment Planning for Airborne Systems: An Information Assurance Failure Mode, Effects and Criticality Analysis Methodology

    Science.gov (United States)

    2012-06-01

    that a physical vehicle or system could fail, one of the earliest methodologies used was FMEA , failure mode and effects analysis (MIL-P-1629, 1949...marginal, and minor failures, and included both direct effects and 23 secondary effects. The early FMEA process was refined, and utilized in the space...systems (Goddard, Validating the Safety of Real-Time Control Systems Using FMEA , 1993) which moves into the realm of failure modes which are not

  1. Bathtub-Shaped Failure Rate of Sensors for Distributed Detection and Fusion

    Directory of Open Access Journals (Sweden)

    Junhai Luo

    2014-01-01

    Log-likelihood Ratio Test (ELRT rule is derived. Finally, the ROC curve for this model is presented. The simulation results show that the ELRT rule improves the robust performance of the system, compared with the traditional fusion rule without considering sensor failures.

  2. Effect of mibefradil on heart rate variability in patients with chronic heart failure

    NARCIS (Netherlands)

    Brouwer, J; de Kam, PJ; Haaksma, J; Crijns, HJGM; van Veldhuisen, DJ

    2000-01-01

    Background: Mibefradil was recently withdrawn from the market because of an unfavorable clinical profile in patients with chronic heart failure. Although drug interactions appear to play a role, other mechanisms such as proarrhythmia and autonomic deterioration could also be relevant. Chronic heart

  3. Effect of mibefradil on heart rate variability in patients with chronic heart failure

    NARCIS (Netherlands)

    Brouwer, J; de Kam, PJ; Haaksma, J; Crijns, HJGM; van Veldhuisen, DJ

    2000-01-01

    Background: Mibefradil was recently withdrawn from the market because of an unfavorable clinical profile in patients with chronic heart failure. Although drug interactions appear to play a role, other mechanisms such as proarrhythmia and autonomic deterioration could also be relevant. Chronic heart

  4. Inverse Correlation between Heart Rate Variability and Heart Rate Demonstrated by Linear and Nonlinear Analysis.

    Directory of Open Access Journals (Sweden)

    Syed Zaki Hassan Kazmi

    Full Text Available The dynamical fluctuations in the rhythms of biological systems provide valuable information about the underlying functioning of these systems. During the past few decades analysis of cardiac function based on the heart rate variability (HRV; variation in R wave to R wave intervals has attracted great attention, resulting in more than 17000-publications (PubMed list. However, it is still controversial about the underling mechanisms of HRV. In this study, we performed both linear (time domain and frequency domain and nonlinear analysis of HRV data acquired from humans and animals to identify the relationship between HRV and heart rate (HR. The HRV data consists of the following groups: (a human normal sinus rhythm (n = 72; (b human congestive heart failure (n = 44; (c rabbit sinoatrial node cells (SANC; n = 67; (d conscious rat (n = 11. In both human and animal data at variant pathological conditions, both linear and nonlinear analysis techniques showed an inverse correlation between HRV and HR, supporting the concept that HRV is dependent on HR, and therefore, HRV cannot be used in an ordinary manner to analyse autonomic nerve activity of a heart.

  5. Deformation tests and failure process analysis of an anchorage structure

    Institute of Scientific and Technical Information of China (English)

    Zhao Tongbin; Yin Yanchun; Tan Yunliang; Song Yimin

    2015-01-01

    In order to study the failure process of an anchorage structure and the evolution law of the body’s defor-mation field, anchor push-out tests were carried out based on digital speckle correlation methods (DSCM). The stress distribution of the anchorage interface was investigated using the particle flow numerical simulation method. The results indicate that there are three stages in the deformation and fail-ure process of an anchorage structure:elastic bonding stage, a de-bonding stage and a failure stage. The stress distribution in the interface controls the stability of the structure. In the elastic bonding stage, the shear stress peak point of the interface is close to the loading end, and the displacement field gradually develops into a ‘V’ shape. In the de-bonding stage, there is a shear stress plateau in the center of the anchorage section, and shear strain localization begins to form in the deformation field. In the failure stage, the bonding of the interface fails rapidly and the shear stress peak point moves to the anchorage free end. The anchorage structure moves integrally along the macro-crack. The de-bonding stage is a research focus in the deformation and failure process of an anchorage structure, and plays an important guiding role in roadway support design and prediction of the stability of the surrounding rock.

  6. Electrophysiological analyses of threshold conditions and rate-dependent failure of excitation in single myocytes from rabbit ventricle.

    Science.gov (United States)

    Firek, L; Giles, W R

    1997-11-01

    The changes in transmembrane ionic currents that underlie normal excitability and rate-dependent failure were studied in single cells from rabbit ventricle by using whole cell voltage clamp methods. When trains of brief (1 to 2 ms) stimuli are applied at strengths very close to the threshold for excitation, a number of different patterns of action potential entrainment and failure are observed. In an individual cell, a characteristic pattern of entrainment or failure can be maintained for a relatively long time, allowing both a detailed description and a quantitative investigation of the ionic basis for this phenomenon. Three hypotheses for rate-dependent failure of excitation in rabbit ventricle were examined. The first is that following relatively high rates of stimulation, the intracellular calcium ion concentration increases and, secondarily, a background inwardly rectifying potassium ion current (IK1) decreases, thereby lowering the excitation threshold. The second hypothesis is that residual activation of the delayed rectifier potassium ion current (IK) causes the stimulus to become subthreshold as the rate of stimulation increases. The third hypothesis is that small changes in the time and voltage dependence of the inactivation and reactivation of the sodium ion current (INa) result in less net inward ion current for a given waveform of depolarization, and the cell therefore becomes inexcitable (eg, to every second stimulus). The calcium ion hypothesis was tested by buffering changes in intracellular calcium ion concentrations with BAPTA. The results strongly suggest that changes in intracellular calcium ion concentrations do not contribute significantly to the observed patterns of failure of excitation. The delayed rectifier hypothesis was evaluated using the class III antiarrhythmic drug dofetilide, which selectively blocks a large fraction of the IK current in rabbit ventricle. Dofetilide slightly decreased the stimulus threshold, suggesting that residual

  7. Metabolic rates of ATP transfer through creatine kinase (CK Flux) predict clinical heart failure events and death.

    Science.gov (United States)

    Bottomley, Paul A; Panjrath, Gurusher S; Lai, Shenghan; Hirsch, Glenn A; Wu, Katherine; Najjar, Samer S; Steinberg, Angela; Gerstenblith, Gary; Weiss, Robert G

    2013-12-11

    Morbidity and mortality from heart failure (HF) are high, and current risk stratification approaches for predicting HF progression are imperfect. Adenosine triphosphate (ATP) is required for normal cardiac contraction, and abnormalities in creatine kinase (CK) energy metabolism, the primary myocardial energy reserve reaction, have been observed in experimental and clinical HF. However, the prognostic value of abnormalities in ATP production rates through CK in human HF has not been investigated. Fifty-eight HF patients with nonischemic cardiomyopathy underwent ³¹P magnetic resonance spectroscopy (MRS) to quantify cardiac high-energy phosphates and the rate of ATP synthesis through CK (CK flux) and were prospectively followed for a median of 4.7 years. Multiple-event analysis (MEA) was performed for HF-related events including all-cause and cardiac death, HF hospitalization, cardiac transplantation, and ventricular-assist device placement. Among baseline demographic, clinical, and metabolic parameters, MEA identified four independent predictors of HF events: New York Heart Association (NYHA) class, left ventricular ejection fraction (LVEF), African-American race, and CK flux. Reduced myocardial CK flux was a significant predictor of HF outcomes, even after correction for NYHA class, LVEF, and race. For each increase in CK flux of 1 μmol g⁻¹ s⁻¹, risk of HF-related composite outcomes decreased by 32 to 39%. These findings suggest that reduced CK flux may be a potential HF treatment target. Newer imaging strategies, including noninvasive ³¹P MRS that detect altered ATP kinetics, could thus complement risk stratification in HF and add value in conditions involving other tissues with high energy demands, including skeletal muscle and brain.

  8. Laboratory and 3-D-distinct element analysis of failure mechanism of slope under external surcharge

    Directory of Open Access Journals (Sweden)

    N. Li

    2014-09-01

    Full Text Available Landslide is a major disaster resulting in considerable loss of human lives and property damages in hilly terrain in Hong Kong, China and many other countries. The factor of safety and the critical slip surface for slope stabilization are the main considerations for slope stability analysis in the past, while the detailed post-failure conditions of the slopes have not been considered in sufficient details. There are however increasing interest on the consequences after the initiation of failure which includes the development and propagation of the failure surfaces, the amount of failed mass and runoff and the affected region. To assess the development of slope failure in more details and to consider the potential danger of slopes after failure has initiated, the slope stability problem under external surcharge is analyzed by the distinct element method (DEM and laboratory model test in the present research. A more refined study about the development of failure, microcosmic failure mechanism and the post-failure mechanism of slope will be carried out. The numerical modeling method and the various findings from the present work can provide an alternate method of analysis of slope failure which can give additional information not available from the classical methods of analysis.

  9. Failure analysis of dissimilar single-lap joints

    Directory of Open Access Journals (Sweden)

    F.A. Stuparu

    2016-03-01

    Full Text Available Single-lap joints made of aluminium and carbon fibre adherends of different thickness are tested to understand better the behaviour of such dissimilar joints. The overlap length and the thickness of the adhesive are kept constant. Local deformation fields are onitored by using the digital image correlation method. Peeling and shearing strains are investigated, emphasizing that peeling is important in the region where failure is initiated, towards an extremity of the overlap region. The use of only carbon fibre adherends is not recommended for a smaller thickness as an additional interface failure is produced and compromises the integrity of the lap joint. However, a dissimilar joint (aluminium-carbon with smaller thickness adherends succeeds to maintain the stiffness of the assembly, but its strength is diminished. The obtained results are suggesting that a complete monitoring of the failure processes in the overlap region can be fully understood only if local deformation measurements are possible.

  10. Multinational Assessment of Accuracy of Equations for Predicting Risk of Kidney Failure : A Meta-analysis

    NARCIS (Netherlands)

    Tangri, Navdeep; Grams, Morgan E; Levey, Andrew S; Coresh, Josef; Appel, Lawrence J; Astor, Brad C; Chodick, Gabriel; Collins, Allan J; Djurdjev, Ognjenka; Elley, C Raina; Evans, Marie; Garg, Amit X; Hallan, Stein I; Inker, Lesley A; Ito, Sadayoshi; Jee, Sun Ha; Kovesdy, Csaba P; Kronenberg, Florian; Heerspink, Hiddo J Lambers; Marks, Angharad; Nadkarni, Girish N; Navaneethan, Sankar D; Nelson, Robert G; Titze, Stephanie; Sarnak, Mark J; Stengel, Benedicte; Woodward, Mark; Iseki, Kunitoshi

    2016-01-01

    IMPORTANCE: Identifying patients at risk of chronic kidney disease (CKD) progression may facilitate more optimal nephrology care. Kidney failure risk equations, including such factors as age, sex, estimated glomerular filtration rate, and calcium and phosphate concentrations, were previously develop

  11. Chest wall thickness and decompression failure: A systematic review and meta-analysis comparing anatomic locations in needle thoracostomy.

    Science.gov (United States)

    Laan, Danuel V; Vu, Trang Diem N; Thiels, Cornelius A; Pandian, T K; Schiller, Henry J; Murad, M Hassan; Aho, Johnathon M

    2016-04-01

    Current Advanced Trauma Life Support guidelines recommend decompression for thoracic tension physiology using a 5-cm angiocatheter at the second intercostal space (ICS) on the midclavicular line (MCL). High failure rates occur. Through systematic review and meta-analysis, we aimed to determine the chest wall thickness (CWT) of the 2nd ICS-MCL, the 4th/5th ICS at the anterior axillary line (AAL), the 4th/5th ICS mid axillary line (MAL) and needle thoracostomy failure rates using the currently recommended 5-cm angiocatheter. A comprehensive search of several databases from their inception to July 24, 2014 was conducted. The search was limited to the English language, and all study populations were included. Studies were appraised by two independent reviewers according to a priori defined PRISMA inclusion and exclusion criteria. Continuous outcomes (CWT) were evaluated using weighted mean difference and binary outcomes (failure with 5-cm needle) were assessed using incidence rate. Outcomes were pooled using the random-effects model. The search resulted in 34,652 studies of which 15 were included for CWT analysis, 13 for NT effectiveness. Mean CWT was 42.79 mm (95% CI, 38.78-46.81) at 2nd ICS-MCL, 39.85 mm (95% CI, 28.70-51.00) at MAL, and 34.33 mm (95% CI, 28.20-40.47) at AAL (P=.08). Mean failure rate was 38% (95% CI, 24-54) at 2nd ICS-MCL, 31% (95% CI, 10-64) at MAL, and 13% (95% CI, 8-22) at AAL (P=.01). Evidence from observational studies suggests that the 4th/5th ICS-AAL has the lowest predicted failure rate of needle decompression in multiple populations. Level 3 SR/MA with up to two negative criteria. Therapeutic. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Embedded mechatronic systems 1 analysis of failures, predictive reliability

    CERN Document Server

    El Hami, Abdelkhalak

    2015-01-01

    In operation, mechatronics embedded systems are stressed by loads of different causes: climate (temperature, humidity), vibration, electrical and electromagnetic. These stresses in components which induce failure mechanisms should be identified and modeled for better control. AUDACE is a collaborative project of the cluster Mov'eo that address issues specific to mechatronic reliability embedded systems. AUDACE means analyzing the causes of failure of components of mechatronic systems onboard. The goal of the project is to optimize the design of mechatronic devices by reliability. The projec

  13. Comprehensive Reliability Allocation Method for CNC Lathes Based on Cubic Transformed Functions of Failure Mode and Effects Analysis

    Institute of Scientific and Technical Information of China (English)

    YANG Zhou; ZHU Yunpeng; REN Hongrui; ZHANG Yimin

    2015-01-01

    Reliability allocation of computerized numerical controlled(CNC) lathes is very important in industry. Traditional allocation methods only focus on high-failure rate components rather than moderate failure rate components, which is not applicable in some conditions. Aiming at solving the problem of CNC lathes reliability allocating, a comprehensive reliability allocation method based on cubic transformed functions of failure modes and effects analysis(FMEA) is presented. Firstly, conventional reliability allocation methods are introduced. Then the limitations of direct combination of comprehensive allocation method with the exponential transformed FMEA method are investigated. Subsequently, a cubic transformed function is established in order to overcome these limitations. Properties of the new transformed functions are discussed by considering the failure severity and the failure occurrence. Designers can choose appropriate transform amplitudes according to their requirements. Finally, a CNC lathe and a spindle system are used as an example to verify the new allocation method. Seven criteria are considered to compare the results of the new method with traditional methods. The allocation results indicate that the new method is more flexible than traditional methods. By employing the new cubic transformed function, the method covers a wider range of problems in CNC reliability allocation without losing the advantages of traditional methods.

  14. ANALYSIS OF FINANCIAL BALACE USING RATES

    Directory of Open Access Journals (Sweden)

    SUCIU GHEORGHE

    2013-08-01

    Full Text Available The analysis of the financial balance is based on the data from the balance sheet and is related to thecorrelation between financial resources and financing needs, the company’s liquidity and solvency, and also tothe rotation speed of assets and liabilities from the balance sheet. If the balance between financial resources andfinancing needs show a static balance, the analysis of rotation rates of fixed assets, stocks, receivables, longterm debts and short term debts signifies a dynamic balance and offers more relevant data than the static one.Consequently, an adequate financial diagnosis will refer to both forms of balance.

  15. Heart Rate Variability Analysis in General Medicine

    Directory of Open Access Journals (Sweden)

    Yi Gang

    2003-01-01

    Full Text Available Autonomic nervous system plays an integral role in homeostasis. Autonomic modulation can frequently be altered in patients with cardiac disorders as well as in patients with other critical illnesses or injuries. Assessment of heart rate variability is based on analysis of consecutive normal R-R intervals and may provide quantitative information on the modulation of cardiac vagal and sympathetic nerve input. The hypothesis that depressed heart rate variability may occur over a broad range of illness and injury, and may inversely correlated with disease severity and outcome has been tested in various clinical settings over the last decade. This article reviews recent literature concerning the potential clinical implications and limitations of heart rate variability assessment in general medicine.

  16. Failure analysis of energy storage spring in automobile composite brake chamber

    Science.gov (United States)

    Luo, Zai; Wei, Qing; Hu, Xiaofeng

    2015-02-01

    This paper set energy storage spring of parking brake cavity, part of automobile composite brake chamber, as the research object. And constructed the fault tree model of energy storage spring which caused parking brake failure based on the fault tree analysis method. Next, the parking brake failure model of energy storage spring was established by analyzing the working principle of composite brake chamber. Finally, the data of working load and the push rod stroke measured by comprehensive test-bed valve was used to validate the failure model above. The experimental result shows that the failure model can distinguish whether the energy storage spring is faulted.

  17. Failure analysis a practical guide for manufacturers of electronic components and systems

    CERN Document Server

    Bâzu, Marius

    2011-01-01

    Failure analysis is the preferred method to investigate product or process reliability and to ensure optimum performance of electrical components and systems. The physics-of-failure approach is the only internationally accepted solution for continuously improving the reliability of materials, devices and processes. The models have been developed from the physical and chemical phenomena that are responsible for degradation or failure of electronic components and materials and now replace popular distribution models for failure mechanisms such as Weibull or lognormal. Reliability engineers nee

  18. Does the United States economy affect heart failure readmissions? A single metropolitan center analysis.

    Science.gov (United States)

    Thompson, Keith A; Morrissey, Ryan P; Phan, Anita; Schwarz, Ernst R

    2012-08-01

    To determine the effects of the US economy on heart failure hospitalization rates. The recession was associated with worsening unemployment, loss of private insurance and prescription medication benefits, medication nonadherence, and ultimately increased rates of hospitalization for heart failure. We compared hospitalization rates at a large, single, academic medical center from July 1, 2006 to February 28, 2007, a time of economic stability, and July 1, 2008 to February 28, 2009, a time of economic recession in the United States. Significantly fewer patients had private medical insurance during the economic recession than during the control period (36.5% vs 46%; P = 0.04). Despite this, there were no differences in the heart failure hospitalization or readmission rates, length of hospitalization, need for admission to an intensive care unit, in-hospital mortality, or use of guideline-recommended heart failure medications between the 2 study periods. We conclude that despite significant effects on medical insurance coverage, rates of heart failure hospitalization at our institution were not significantly affected by the recession. Additional large-scale population-based research is needed to better understand the effects of fluctuations in the US economy on heart failure hospitalization rates. © 2012 Wiley Periodicals, Inc.

  19. Development of an Automated Technique for Failure Modes and Effect Analysis

    DEFF Research Database (Denmark)

    Blanke, M.; Borch, Ole; Allasia, G.;

    1999-01-01

    implementing an automated technique for Failure Modes and Effects Analysis (FMEA). This technique is based on the matrix formulation of FMEA for the investigation of failure propagation through a system. As main result, this technique will provide the design engineer with decision tables for fault handling...

  20. Development of an automated technique for failure modes and effect analysis

    DEFF Research Database (Denmark)

    Blanke, M.; Borch, Ole; Bagnoli, F.;

    implementing an automated technique for Failure Modes and Effects Analysis (FMEA). This technique is based on the matrix formulation of FMEA for the investigation of failure propagation through a system. As main result, this technique will provide the design engineer with decision tables for fault handling...

  1. Association between left ventricular dysfunction, anemia, and chronic renal failure. Analysis of the Heart Failure Prevalence and Predictors in Turkey (HAPPY) cohort.

    Science.gov (United States)

    Kepez, A; Mutlu, B; Degertekin, M; Erol, C

    2015-06-01

    Anemia and chronic renal failure (CRF) are frequent comorbidities in patients with heart failure (HF), and they have been reported to be associated with increased mortality and hospitalization rates. HF, anemia, and CRF have been reported to interact with each other forming a vicious cycle termed cardio-renal-anemia syndrome. The aim of the present study was to evaluate the association of HF, anemia, and CRF using data from the large-scale"Heart Failure Prevalence and Predictors in Turkey (HAPPY)" study. Among the HAPPY cohort, 3,369 subjects who had either left ventricular dysfunction (LVD) or normal left ventricular function on echocardiography or normal serum NT-proBNP levels were included in this analysis. The prevalence of anemia and CRF was significantly higher in patients with LVD compared with subjects with normal ventricular function (20.7 % vs. 4.0 % and 19.0 % vs. 3.7 %, respectively; p anemia, and CRF demonstrated that each one was an independent predictor for the presence of the others. These findings point to the presence of cardio-renal-anemia syndrome and the necessity of treating these comorbidities in patients with HF.

  2. Analysis of contaminated field failure data for repairable systems

    DEFF Research Database (Denmark)

    Hansen, Christian Kornerup; Thyregod, Poul

    1991-01-01

    A simple model for electronic systems with repair, and a method for analyzing recorded field failure data for such systems are presented. The work performed has resulted in analytical results that may be used for assessing the product reliability. The method was originally developed for use under...

  3. Failure Analysis of Wind Turbines by Probability Density Evolution Method

    DEFF Research Database (Denmark)

    Sichani, Mahdi Teimouri; Nielsen, Søren R.K.; Liu, W.F.

    2013-01-01

    The aim of this study is to present an efficient and accurate method for estimation of the failure probability of wind turbine structures which work under turbulent wind load. The classical method for this is to fit one of the extreme value probability distribution functions to the extracted maxima...

  4. Iron deficiency in chronic heart failure : An international pooled analysis

    NARCIS (Netherlands)

    Klip, IJsbrand T.; Comin-Colet, Josep; Voors, Adriaan A.; Ponikowski, Piotr; Enjuanes, Cristina; Banasiak, Waldemar; Lok, Dirk J.; Rosentryt, Piotr; Torrens, Ainhoa; Polonski, Lech; van Veldhuisen, Dirk J.; van der Meer, Peter; Jankowska, Ewa A.

    2013-01-01

    Background Iron deficiency (ID) is an emerging problem in patients with chronic heart failure (HF) and can be a potential therapeutic target. However, not much is known about the prevalence, predictors, and prognosis of ID in patients with chronic HF. Methods In an international pooled cohort compri

  5. Analysis of soft rock mineral components and roadway failure mechanism

    Institute of Scientific and Technical Information of China (English)

    CHEN Jie

    2001-01-01

    The mineral components and microstructure of soft rock sampled from ro adway floor in Xiagou pit are determined by X-ray diffraction and scanning elec t ron microscope. Combined with the test of expansion and water softening prop erty of the soft rock, the roadway failure mechanism is analyzed, and the reason able repair supporting principle of roadway is put forward.

  6. FMEAssist: A knowledge-based approach to Failure Modes and Effects Analysis

    Science.gov (United States)

    Carnes, James R.; Cutts, Dannie E.

    1987-01-01

    A Failure Modes and Effects Analysis workstation (FMESassist) was designed for use during the development of the space station. It assists engineers in the complex task of tracking failures and their effects on the system. Engineers experience increased productivity through reduced clerical loads, reduced data inconsistency, and significantly reduced analysis time. System developments benefit from a more thorough analysis than was available using previous methods.

  7. Failure analysis of bolted joints in foam-core sandwich composites

    DEFF Research Database (Denmark)

    Zabihpoor, M.; Moslemian, Ramin; Afshin, M.

    2008-01-01

    This study represents an effort to predict the bearing strength, failure modes, and failure load of bolted joints in foam-core sandwich composites. The studied joints have been used in a light full composite airplane. By using solid laminates, a new design for the joint zone is developed....... These solid laminates include a number of glass plies with total thickness equal to core thickness. The effect of solid laminate size and interface angle of foam -solid laminate in the bonding zone on the bearing strength, failure loads and type of modes are investigated. The numerical study is performed...... using 3D FEM in ANSYS commercial code. Tsai-Wu failure criterion is used in the failure analysis. The results indicate that the most important parameter in the proposed joint zone design is the foam -solid laminate interface angle which plays an important role on the value of failure criterion (damage...

  8. Slope stability analysis for Valles Marineris, Mars: a numerical analysis of controlling conditions and failure types

    Science.gov (United States)

    Crosta, G.; Castellanza, R.; De Blasio, F.; Utili, S.

    2012-04-01

    Valles Marineris (VM hereafter) in the equatorial area of Mars exhibits several gravitative failures often involving the whole 6-8 km thickness of the valley walls. The failures have resulted in a series of long-runout landslides up to several hundred cubic kilometres in volume (Quantin et al., 2004), and the formation of sub-circular alcoves perched on the top. Several questions arise as to forces at play in the stability of the walls of VM, the geometrical shape of the alcoves and the shape and long-runout of the landslides (see for example Lucas et al., 2011). In this work, we concentrate on the stability analysis of the walls of VM with two precise questions in mind starting from past studies (Bigot-Cormier and Montgomery, 2006; Neuffer and Schultz, 2006, Schultz, 2002). The first concerns the properties of the materials that give origin to instability. We performed several finite element and discrete element calculations tailored to slope stability analysis based on the genuine shape of the walls of VM taken from the MOLA topographic data. We considered stratified and differently altered/degraded materials to define the range of physical mechanical properties required for failure to occur and to explain the discrete distribution of failures along the VM valley flanks. A second question addressed in this work is the geometrical shape of the sub-circular alcoves. Normally, these shapes are commonplace for slopes made of uniform and isotropic properties, and are also observed in subaqueous environment. We performed calculations taking into consideration the progressive failure in the slope showing the final results in terms of surface failure geometry. Bigot-Cormier, F., Montgomery, D.R. (2007) Valles Marineris landslides: Evidence for a strength limit to Martian relief? Earth and Planetary Science Letters, 260, 1-2, 15, 179-186 Lucas, A., Mangeney, A., Mège, D., and Bouchut, F., 2011. Influence of the scar geometry on landslide dynamics and deposits

  9. Reduced Data Dualscale Entropy Analysis of HRV Signals for Improved Congestive Heart Failure Detection

    Science.gov (United States)

    Kuntamalla, Srinivas; Lekkala, Ram Gopal Reddy

    2014-10-01

    Heart rate variability (HRV) is an important dynamic variable of the cardiovascular system, which operates on multiple time scales. In this study, Multiscale entropy (MSE) analysis is applied to HRV signals taken from Physiobank to discriminate Congestive Heart Failure (CHF) patients from healthy young and elderly subjects. The discrimination power of the MSE method is decreased as the amount of the data reduces and the lowest amount of the data at which there is a clear discrimination between CHF and normal subjects is found to be 4000 samples. Further, this method failed to discriminate CHF from healthy elderly subjects. In view of this, the Reduced Data Dualscale Entropy Analysis method is proposed to reduce the data size required (as low as 500 samples) for clearly discriminating the CHF patients from young and elderly subjects with only two scales. Further, an easy to interpret index is derived using this new approach for the diagnosis of CHF. This index shows 100 % accuracy and correlates well with the pathophysiology of heart failure.

  10. Failure Mode Analysis Of Torsion Shaft In Garrett-5 Engine Using Two Test Pieces

    Directory of Open Access Journals (Sweden)

    Rio Melvin Aro. T

    2014-08-01

    Full Text Available This work deals with “Failure Analysis of Internal splines in Torsion Shaft” of “TPE 331-5-252D - GARRET ENGINE” which is used in Dornier aircraft. Garret Engine is a type of air breathing engine. It comes under the category of Turboprop engines of Gas turbine engine. As separate shafts are used for propeller and turbine, this aids them to rotate at different RPM. A torsion shaft is used to transmit the torque from main shaft to propeller shaft. Torsion shaft is used to give a deflection which is also used to measure the torque of the engine. This torsion shaft is internally connected with the main power transmission shaft and its other end is coupled to a coupler shaft with engagement of its internal splines to the external splines of coupler shaft. Further this coupler connects to the gearing system and transmits power to the propeller shaft. Due to Continues variable load over internal splines, it is subjected to high rate of wear and tear. This problem can be rectified by Failure Mode Analysis Method, in which heat treatment process of torsion shaft is being carried out. Two test pieces are heat treated separately at different temperatures of 5800C and 5400C at variable time durations. Tuffriding which is a Liquid nitriding process is done with this two test pieces and results are analyzed. The hardness of the material is increased to desired values and its life time is also increased which overcomes the problem.

  11. Incident learning and failure-mode-and-effects-analysis guided safety initiatives in radiation medicine

    Directory of Open Access Journals (Sweden)

    Ajay eKapur

    2013-12-01

    Full Text Available By combining incident learning and process failure-mode-and-effects-analysis in a structure-process-outcome framework we have created a risk profile for our radiation medicine practice and implemented evidence-based risk mitigation initiatives focused on patient safety. Based on reactive reviews of incidents reported in our departmental incident-reporting system and proactive failure-mode-and-effects-analysis, high safety-risk procedures in our paperless radiation medicine process and latent risk factors were identified. Six initiatives aimed at the mitigation of associated severity, likelihood of occurrence and detectability risks were implemented. These were the standardization of care pathways and toxicity grading, pre-treatment-planning peer review, a policy to thwart delay-rushed processes, an electronic whiteboard to enhance coordination and the use of six-sigma metrics to monitor operational efficiencies. The effectiveness of these initiatives over a three year period was assessed using process and outcome specific metrics within the framework of the department structure. There has been a 47% increase in incident reporting, with no increase in adverse events. Care pathways have been used with greater than 97% clinical compliance rate. The implementation of peer review prior to treatment planning and use of the whiteboard have provided opportunities for proactive detection and correction of errors. There has been a twofold drop in the occurrence of high-risk procedural delays. Patient treatment start delays are routinely enforced on cases that would have historically been rushed. Z-scores for high risk procedures have steadily improved from 1.78 to 2.35. The initiatives resulted in sustained reductions of failure-mode risks as measured by a set of evidence-based metrics over a three year period. These augment or incorporate many of the published recommendations for patient safety in radiation medicine by translating them to clinical

  12. Reprioritization of failures in a system failure mode and effects analysis by decision making trial and evaluation laboratory technique

    Energy Technology Data Exchange (ETDEWEB)

    Seyed-Hosseini, S.M. [Industrial Engineering Department, Iran University of Science and Technology, Narmak, Tehran, 16844 (Iran, Islamic Republic of)]. E-mail: seyedhoseini@yahoo.com; Safaei, N. [Industrial Engineering Department, Iran University of Science and Technology, Narmak, Tehran, 16844 (Iran, Islamic Republic of)]. E-mail: nimasafaei@iust.ac.ir; Asgharpour, M.J. [Industrial Engineering Department, Iran University of Science and Technology, Narmak, Tehran, 16844 (Iran, Islamic Republic of)]. E-mail: asgharpour@iust.ac.ir

    2006-08-15

    In this paper an effective methodology related to decision making field has been developed for reprioritization of failure modes in a system Failure Mode and Effects Analysis (FMEA) for corrective actions. The proposed methodology can cover some of inherently shortcomings of conventional Risk Priority Number (RPN) method and like. The current prioritization methods have two main deficiencies as: they have not considered indirect relations between components and are deficient for systems with many subsystems or components. The proposed method called Decision Making Trial and Evaluation Laboratory (DEMATEL) is an effective approach for analyzing relation between components of a system in respect to its type (direct/indirect) and severity. The main advantages of DEMATEL are involving indirect relations in analyze, allocating as possible as unique ranks to alternatives and clustering alternatives in large systems. The demonstrated results have shown that DEMATEL method can be an efficient, complementary and confident approach for reprioritization of failure modes in a FMEA. For verification of proposed methodology, two illustrative practical examples are solved and obtained outcomes are reported.

  13. 50% Failure Rate in Final Year Medical Exams – Whose Fault is it?

    Directory of Open Access Journals (Sweden)

    Omran Bakoush

    2007-01-01

    Full Text Available To The Editor: Having read Dr Benamer’s views on medical teaching, we remembered our days as medical students [1]. We share Dr Benamer’s and other’s views that teaching in Libyan medical schools should shift from being subject focused to being learning focused [1,2].We remember one incident when our professor showed us an ECG and asked about the diagnosis. He was so furious when none of us was able to make the diagnosis to the extent that he left the lecture room without completing the teaching session. This is just one example among many that illustrates the lack of teaching skills so common in our medical institutions and the poor state of the Teacher-Student relationship.Therefore, it is not surprising that many students prefer not to attend lectures. In our view and from our experience, the formats of the lectures were organised around information designed for students to be memorised rather than learnt (spoon feeding Which is one of the reasons why many students have found the teaching sessions simply boring and useless.In their attempts to overcome this problem, students tried to find ways to learn; acquiring knowledge through the organisation of discussion groups and seeking the help of senior students when necessary. These discussion groups mimic what has been recently introduced as Problem Based Learning (PBL [3]. Even though these discussion groups may have lacked direction, they were perceived to be an important factor in the success of many students.Given the poor attendance rates to the lectures, the teachers failed to investigate the reasons behind this and take proactive steps to correct the problem. Because of the lack of teacher analysis and reflection it comes as no surprise that the format and quality of teaching has continued along the same traditional lines with the same problems being continually encountered.The point here is that many of these students went on to become highly successful physicians and surgeons in

  14. Process Measurement Deviation Analysis for Flow Rate due to Miscalibration

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Eunsuk; Kim, Byung Rae; Jeong, Seog Hwan; Choi, Ji Hye; Shin, Yong Chul; Yun, Jae Hee [KEPCO Engineering and Construction Co., Deajeon (Korea, Republic of)

    2016-10-15

    An analysis was initiated to identify the root cause, and the exemption of high static line pressure correction to differential pressure (DP) transmitters was one of the major deviation factors. Also the miscalibrated DP transmitter range was identified as another major deviation factor. This paper presents considerations to be incorporated in the process flow measurement instrumentation calibration and the analysis results identified that the DP flow transmitter electrical output decreased by 3%. Thereafter, flow rate indication decreased by 1.9% resulting from the high static line pressure correction exemption and measurement range miscalibration. After re-calibration, the flow rate indication increased by 1.9%, which is consistent with the analysis result. This paper presents the brief calibration procedures for Rosemount DP flow transmitter, and analyzes possible three cases of measurement deviation including error and cause. Generally, the DP transmitter is required to be calibrated with precise process input range according to the calibration procedure provided for specific DP transmitter. Especially, in case of the DP transmitter installed in high static line pressure, it is important to correct the high static line pressure effect to avoid the inherent systematic error for Rosemount DP transmitter. Otherwise, failure to notice the correction may lead to indicating deviation from actual value.

  15. Engineering Mathematical Analysis Method for Productivity Rate in Linear Arrangement Serial Structure Automated Flow Assembly Line

    Directory of Open Access Journals (Sweden)

    Tan Chan Sin

    2015-01-01

    Full Text Available Productivity rate (Q or production rate is one of the important indicator criteria for industrial engineer to improve the system and finish good output in production or assembly line. Mathematical and statistical analysis method is required to be applied for productivity rate in industry visual overviews of the failure factors and further improvement within the production line especially for automated flow line since it is complicated. Mathematical model of productivity rate in linear arrangement serial structure automated flow line with different failure rate and bottleneck machining time parameters becomes the basic model for this productivity analysis. This paper presents the engineering mathematical analysis method which is applied in an automotive company which possesses automated flow assembly line in final assembly line to produce motorcycle in Malaysia. DCAS engineering and mathematical analysis method that consists of four stages known as data collection, calculation and comparison, analysis, and sustainable improvement is used to analyze productivity in automated flow assembly line based on particular mathematical model. Variety of failure rate that causes loss of productivity and bottleneck machining time is shown specifically in mathematic figure and presents the sustainable solution for productivity improvement for this final assembly automated flow line.

  16. Multivariate analysis of longitudinal rates of change.

    Science.gov (United States)

    Bryan, Matthew; Heagerty, Patrick J

    2016-12-10

    Longitudinal data allow direct comparison of the change in patient outcomes associated with treatment or exposure. Frequently, several longitudinal measures are collected that either reflect a common underlying health status, or characterize processes that are influenced in a similar way by covariates such as exposure or demographic characteristics. Statistical methods that can combine multivariate response variables into common measures of covariate effects have been proposed in the literature. Current methods for characterizing the relationship between covariates and the rate of change in multivariate outcomes are limited to select models. For example, 'accelerated time' methods have been developed which assume that covariates rescale time in longitudinal models for disease progression. In this manuscript, we detail an alternative multivariate model formulation that directly structures longitudinal rates of change and that permits a common covariate effect across multiple outcomes. We detail maximum likelihood estimation for a multivariate longitudinal mixed model. We show via asymptotic calculations the potential gain in power that may be achieved with a common analysis of multiple outcomes. We apply the proposed methods to the analysis of a trivariate outcome for infant growth and compare rates of change for HIV infected and uninfected infants. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  17. Failure Analysis of a Water Supply Pumping Pipeline System

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    Oscar Pozos-Estrada

    2016-09-01

    Full Text Available This paper describes the most important results of a theoretical, experimental and in situ investigation developed in connection with a water supply pumping pipeline failure. This incident occurred after power failure of the pumping system that caused the burst of a prestressed concrete cylinder pipe (PCCP. Subsequently, numerous hydraulic transient simulations for different scenarios and various air pockets combinations were carried out in order to fully validate the diagnostic. As a result, it was determined that small air pocket volumes located along the pipeline profile were recognized as the direct cause of the PCCP rupture. Further, a detail survey of the pipeline was performed using a combination of non-destructive technologies in order to determine if immediate intervention was required to replace PCC pipes. In addition, a hydraulic model was employed to analyze the behavior of air pockets located at high points of the pipeline.

  18. Summary of failure analysis activities at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Cowgill, M.G.; Czajkowski, C.J.; Franz, E.M.

    1996-10-01

    Brookhaven National Laboratory has for many years conducted examinations related to the failures of nuclear materials and components. These examinations included the confirmation of root cause analyses, the determination of the causes of failure, identification of the species that accelerate corrosion, and comparison of the results of nondestructive examinations with those obtained by destructive examination. The results of those examinations, which had previously appeared in various formats (formal and informal reports, journal articles, etc.), have been collected together and summarized in the present report. The report is divided into sections according to the general subject matter (for example, corrosion, fatigue, etc.). Each section presents summaries of the information contained in specific reports and publications, all of which are fully identified as to title, authors, report number or journal reference, date of publication, and FIN number under which the work was performed.

  19. Failure Analysis and Design Changes of Oxygen Pump Inducers

    Institute of Scientific and Technical Information of China (English)

    梁恒力; 陈佐一

    2001-01-01

    The failure of an oxygen pump inducer during a test run was found to be the result of flow induced vibration. Oscillating fluid mechanics theory was used to determine the oscillating flow field around the inducer for various external oscillating perturbation fretuencies. Enormous pressures can occur at some frequencies, which are sufficient to break the inducer. Some design changes were analyzed to improve the flow induced vibration characteristics.

  20. Failure Mode and Effects Analysis (FMEA) Introductory Overview

    Science.gov (United States)

    2012-06-14

    effects based on how severe they are, how often they might occur, and how easily we can find them. 3. Effects: the consequences of failure. The...Actions ! 0 l!1 .. requirE-ments ~ l=ailure 1-’rP.vP.ntion .., llP.tP.c::tion Completion Dato Action• Taken P. il "’ ; · .. "’ = 0 i;r= ~ ~ " S pnrg

  1. Success rate and risk factors of failure of the induced membrane technique in children: a systematic review.

    Science.gov (United States)

    Aurégan, Jean-Charles; Bégué, Thierry; Rigoulot, Guillaume; Glorion, Christophe; Pannier, Stéphanie

    2016-12-01

    The induced membrane technique was designed by Masquelet et al. to address segmental bone defects of critical size in adults. It has been used after bone defects of traumatic, infectious and tumoral origin with satisfactory results. Recently, it has been used in children but, after an initial enthusiasm, several cases of failure have been reported. The purpose of this study was to assess the success rate and the risk factors of failure of the induced membrane for children. We conducted a systematic review of all the studies reporting the results of the induced membrane technique to address bone defects of critical size in children. Our primary outcome was the success rate of the technique defined as a bone union before any iterative surgery. Our secondary outcomes were the complications and the risk factors of failure. We searched Medline via Pubmed, EMBASE and the Cochrane Library. Twelve studies, including 69 patients, met the inclusion criteria. There were 41 boys and 28 girls. Mean age at surgery was 10 years. Mean size of resection was 12.38 cm and the mean time between the two stages was 5.86 months. Mean rate of bone union after the two stages of the induced membrane technique was 58% (40/69) but this rate increased to 87% after revision surgeries (60/69). Main complications were non-unions (19/69), lysis of the graft (6/69) and fractures of the bone graft (6/69). Only 1/69 deep infection was reported. Other non specific complications were regularly reported such limb length discrepancies, joint stiffness and protruding wires. Risk factor of failure that could be suspected comprised the resection of a malignant tumour, a bone defect located at the femur, a wide resection, a long time between the two stages, an unstable osteosynthesis and a bone graft associating autograft to other graft materials. The induced membrane technique is suitable for bone defects of critical size in children. It is a reliable technique with no need of micro vascular surgery

  2. Fractographic analysis of tensile failures of aerospace grade composites

    Directory of Open Access Journals (Sweden)

    Masa Suresh Kumar

    2012-12-01

    Full Text Available This paper describes fractographic features observed in aerospace composites failed under tensile loads. Unidirectional Carbon Fibre Reinforced Plastic (UD CFRP and Unidirectional Glass Fibre Reinforced Plastic (UD GFRP composite specimens were fabricated and tested in tension. The morphology of fractured surfaces was studied at various locations to identify failure mechanism and characteristic fractographic features. CFRP composites displayed transverse crack propagation and the fracture surface showed three distinct regions, viz., crack origin, propagation and final failure. Significant variations in the fractographic features were noticed in crack propagation and final failure regions. Crack propagation region exhibited brittle fracture with chevron lines emanating from the crack origin. The entire crack propagation region exhibited radial marks on the individual fibre broken ends. On the other hand, the final fracture region revealed longitudinal matrix splitting and radial marks in majority of locations, and chop marks at some locations. The change in fracture mode in the final fracture was attributed to superimposition of bending loads. GFRP composites exhibited broom like fracture with extensive longitudinal splitting with radial marks present on individual fibre broken ends. Transverse fracture was observed at a few locations. These fracture features were analyzed and correlated with the loading conditions.

  3. Global Bi-ventricular endocardial distribution of activation rate during long duration ventricular fibrillation in normal and heart failure canines.

    Science.gov (United States)

    Luo, Qingzhi; Jin, Qi; Zhang, Ning; Han, Yanxin; Wang, Yilong; Huang, Shangwei; Lin, Changjian; Ling, Tianyou; Chen, Kang; Pan, Wenqi; Wu, Liqun

    2017-04-13

    The objective of this study was to detect differences in the distribution of the left and right ventricle (LV & RV) activation rate (AR) during short-duration ventricular fibrillation (SDVF, 1 min) in normal and heart failure (HF) canine hearts. Ventricular fibrillation (VF) was electrically induced in six healthy dogs (control group) and six dogs with right ventricular pacing-induced congestive HF (HF group). Two 64-electrode basket catheters deployed in the LV and RV were used for global endocardium electrical mapping. The AR of VF was estimated by fast Fourier transform analysis from each electrode. In the control group, the LV was activated faster than the RV in the first 20 s, after which there was no detectable difference in the AR between them. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the posterior LV was activated fastest, while the anterior was slowest. In the HF group, a detectable AR gradient existed between the two ventricles within 3 min of VF, with the LV activating more quickly than the RV. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the septum of the LV was activated fastest, while the anterior was activated slowest. A global bi-ventricular endocardial AR gradient existed within the first 20 s of VF but disappeared in the LDVF in healthy hearts. However, the AR gradient was always observed in both SDVF and LDVF in HF hearts. The findings of this study suggest that LDVF in HF hearts can be maintained differently from normal hearts, which accordingly should lead to the development of different management strategies for LDVF resuscitation.

  4. High non-anatomic tunnel position rates in ACL reconstruction failure using both transtibial and anteromedial tunnel drilling techniques.

    Science.gov (United States)

    Jaecker, Vera; Zapf, Tabea; Naendrup, Jan-Hendrik; Pfeiffer, Thomas; Kanakamedala, Ajay C; Wafaisade, Arasch; Shafizadeh, Sven

    2017-07-18

    Although it is well known from cadaveric and biomechanical studies that transtibial femoral tunnel (TT) positioning techniques are associated with non-anatomic tunnel positions, controversial data exist as so far no clinical differences could have been found, comparing transtibial with anteromedial techniques (AM). The purpose of the study was to analyze if graft failure following TT ACL reconstruction was more commonly associated with non-anatomic tunnel position in comparison with the AM technique. We hypothesized that, compared to AM techniques, non-anatomic tunnel positions correlate with TT tunnel positioning techniques. A total of 147 cases of ACL revision surgery were analyzed retrospectively. Primary ACL reconstructions were analyzed regarding the femoral tunnel drilling technique. Femoral and tibial tunnel positions were determined on CT scans using validated radiographic measurement methods. Correlation analysis was performed to determine differences between TT and AM techniques. A total of 101 cases were included, of whom 64 (63.4%) underwent the TT technique and 37 (36.6%) the AM technique for primary ACL reconstruction. Non-anatomic femoral tunnel positions were found in 77.2% and non-anatomical tibial tunnel positions in 40.1%. No correlations were found comparing tunnel positions in TT and AM techniques, revealing non-anatomic femoral tunnel positions in 79.7 and 73% and non-anatomic tibial tunnel positions in 43.7 and 35.1%, respectively (p > 0.05). Considerable rates of non-anatomic femoral and tibial tunnel positions were found in ACL revisions with both transtibial and anteromedial femoral drilling techniques. Despite the potential of placing tunnels more anatomically using an additional AM portal, this technique does not ensure anatomic tunnel positioning. Consequently, the data highlight the importance of anatomic tunnel positioning in primary ACL reconstruction, regardless of the applied drilling technique.

  5. Quality risk analysis in a cGMP environment: multiple models for comprehensive failure mode identification during the computer system lifecycle.

    Science.gov (United States)

    Gervais, Brian; D'Arcy, Deirdre M

    2014-01-01

    Pharmaceutical quality systems use various inputs to ensure product quality and prevent failures that might have patient consequences. These inputs are generally data from failures that have already occurred, for example process deviations or customer complaints. Risk analysis techniques are well-established in certain other industries and have become of interest to pharmaceutical manufacturers because they allow potential quality failures to be predicted and mitigating action taken in advance of their occurring. Failure mode and effects analysis (FMEA) is one such technique, and in this study it was applied to implement a computerized manufacturing execution system in a pharmaceutical manufacturing environment. After introduction, the system was monitored to detect failures that did occur and these were analyzed to determine why the risk analysis method failed to predict them. Application of FMEA in other industries has identified weaknesses in predicting certain error types, specifically its dependence on other techniques to model risk situations and its poor analysis of non-hardware risks, such as human error, and this was confirmed in this study. Hierarchical holographic modeling (HHM), a technique for identifying risk scenarios in wide-scope analyses, was applied subsequently and identified additional potential failure modes. The technique for human error rate prediction (THERP) has previously been used for the quantitative analysis of human error risk and the event tree from this technique was adapted and identified further human error scenarios. These were input to the FMEA for prioritization and mitigation, thereby strengthening the risk analysis in terms of failure modes considered.

  6. Ductile failure of steel HY80 under high strain rates and triaxial stress states, experimental results and damage description

    Science.gov (United States)

    Abdel-Malek, S.; Halle, Th.; Meyer, L. W.

    2003-09-01

    Ductile fracture investigations are an important part in current research. The simulation of fracture by means of numerical codes needs precise material data that may be reached from accurate mechanical testing. In order to predict failure processes, the stress state history as a function of strain development has to be known. In this work tensile tests on HY80 steel were performed under quasistatic and high strain rate loading conditions at room temperature using smooth and notched specimens. The force-time and displacement-time behaviour was measured during testing. Additionally, scanning electron microscopy was used to investigate the fractured surfaces. Furthermore, different models were applied to describe the failure process. FE-calculations were used to receive the stress state in the material in the region of the notch as a function of strain development.

  7. Coupled Mechanical-Electrochemical-Thermal Analysis of Failure Propagation in Lithium-ion Batteries

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Chao; Santhanagopalan, Shriram; Pesaran, Ahmad

    2016-07-28

    This is a presentation given at the 12th World Congress for Computational Mechanics on coupled mechanical-electrochemical-thermal analysis of failure propagation in lithium-ion batteries for electric vehicles.

  8. Failure Analysis of CCD Image Sensors Using SQUID and GMR Magnetic Current Imaging

    Science.gov (United States)

    Felt, Frederick S.

    2005-01-01

    During electrical testing of a Full Field CCD Image Senor, electrical shorts were detected on three of six devices. These failures occurred after the parts were soldered to the PCB. Failure analysis was performed to determine the cause and locations of these failures on the devices. After removing the fiber optic faceplate, optical inspection was performed on the CCDs to understand the design and package layout. Optical inspection revealed that the device had a light shield ringing the CCD array. This structure complicated the failure analysis. Alternate methods of analysis were considered, including liquid crystal, light and thermal emission, LT/A, TT/A SQUID, and MP. Of these, SQUID and MP techniques were pursued for further analysis. Also magnetoresistive current imaging technology is discussed and compared to SQUID.

  9. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

    Science.gov (United States)

    Steelman, Victoria M; Cullen, Joseph J

    2011-08-01

    A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe perioperative processes to prevent retained sponges after elective abdominal surgery; to identify potential failures; and to rate the causes, probability, and severity of these failures. A total of 57 potential failures were identified, associated with room preparation, the initial count, adding sponges, removing sponges, the first closing count, and the final closing count. The most frequently identified causes of failures included distraction, multitasking, not following procedure, and time pressure. Most of the failures are not likely to be affected by an educational intervention, so additional technological controls should be considered in efforts to improve safety.

  10. Does sequential embryo transfer improve pregnancy rate in patients with repeated implantation failure? A randomized control study

    Directory of Open Access Journals (Sweden)

    Wael A. Ismail Madkour

    2015-12-01

    Full Text Available Background: Repeated failure of in vitro fertilization treatment is frustrating to the patients and their clinicians. Various treatment plans and a change of protocol have been suggested for “low responders”; however, patients who fail treatment repeatedly inspite of good quality embryos pose a special therapeutic challenge. Additional challenge would be imposed on that particular group when the local IVF regulating low does not permit surplus embryo freezing. Objective: To examine whether sequential transfer of embryos on day 3 and on day 5 after ovum pick-up improves IVF/ET success rates in patients with repeated consecutive IVF failures (⩾ 3 trials compared to day 3 alone, with the background that local regulation prohibits embryo freezing. Study design: Randomized controlled study. Women scheduled for IVF/ET with repeated consecutive IVF failures (⩾ 3 trials were randomized to either sequential transfer of embryos on day 3 and on day 5 after ovum pick-up (Group I = 74 or conventional day 3 transfer (Group II = 73 as a control. The primary outcome measures were clinical pregnancy rate and implantation rate. The secondary outcome measures were ongoing pregnancy rate and early pregnancy loss. Results: Baseline and cycle characteristics were comparable in both groups. Clinical pregnancy rate (per embryo transfer was significantly higher in sequential ET group (37. 8% compared to that in day 3 group (21.9% (P value <0.05. Also, implantation rate (per embryos transferred was significantly higher in sequential ET group (17.1% compared to that in control group (10.5% (P value <0.01. Similarly, ongoing pregnancy (per embryo transfer was significantly higher in sequential ET group (33. 8% compared to that in day 3 group (19.2% (P value <0.05. Conclusions: Patients with repeated implantation failures, treatment with the sequential embryo transfer approach had significantly improved pregnancy outcomes compared to regular day 3 transfers

  11. Process-Oriented Development of Failure Reporting, Analysis, and Corrective Action System

    OpenAIRE

    Jae Hoon Lee; SungIl Chan; Joong Soon Jang

    2010-01-01

    Although failure reporting, analysis, and corrective action system (FRACAS) has two management perspectives, its tasks and related information, the previous researches and applications mainly have focused on the data management. This study is to develop a process-oriented FRACAS which supports the operation of the failure-related activities. The development procedures are (1) to define the reporting and analysis tasks, (2) to define the information to be used at each task, and (3) to design ...

  12. Individual Patient Data Meta-Analysis of Organ Failure in Acute Pancreatitis: Protocol of the PANCREA II Study

    Directory of Open Access Journals (Sweden)

    Stephanie LM Das

    2013-09-01

    Full Text Available Context Organ failure is a major determinant of mortality in patients with acute pancreatitis. These patients usually requireadmission to high dependency or intensive care units and consume considerable health care resources. Given a low incidence rate of organ failure and a lack of large non-interventional studies in the field of acute pancreatitis, the characteristics of organ failure that influence outcomes of patients with acute pancreatitis remain largely unknown. Therefore, the Pancreatitis Across Nations Clinical Research and Education Alliance (PANCREA aims to conduct a meta-analysis of individual patient data from prospective non-interventional studies to determine the influence of timing, duration, sequence, and combination of different organ failures on mortality in patients with acute pancreatitis. Methods Pancreatologists currently active with acute pancreatitis clinical research will be invited to contribute. To be eligible for inclusion patients will have to meet the criteria of acute pancreatitis, develop at least one organ failure during the first week of hospitalization, and not be enrolled into an intervention study. Raw data will then be collated and checked. Individual patient data analysis based on a logistic regression model with adjustment for confounding variables will be done. For all analyses, corresponding 95% confidence intervals and P values will be reported. Conclusion This collaborative individual patient data meta-analysis will answer important clinical questions regarding patients with acute pancreatitis that develop organ failure. Information derived from this study will be used to optimize routine clinical management and improve care strategies. It can also help validate outcome definitions, allow comparability of results and form a more accurate basis for patient allocation in further clinical studies.

  13. Effectiveness and cost of failure mode and effects analysis methodology to reduce neurosurgical site infections.

    Science.gov (United States)

    Hover, Alexander R; Sistrunk, William W; Cavagnol, Robert M; Scarrow, Alan; Finley, Phillip J; Kroencke, Audrey D; Walker, Judith L

    2014-01-01

    Mercy Hospital Springfield is a tertiary care facility with 32 000 discharges and 15 000 inpatient surgeries in 2011. From June 2009 through January 2011, a stable inpatient elective neurosurgery infection rate of 2.15% was observed. The failure mode and effects analysis (FMEA) methodology to reduce inpatient neurosurgery infections was utilized. Following FMEA implementation, overall elective neurosurgery infection rates were reduced to 1.51% and sustained through May 2012. Compared with baseline, the post-FMEA deep-space and organ infection rate was reduced by 41% (P = .052). Overall hospital inpatient clean surgery infection rates for the same time frame did not decrease to the same extent, suggesting a specific effect of the FMEA. The study team believes that the FMEA interventions resulted in 14 fewer expected infections, $270 270 in savings, a 168-day reduction in expected length of stay, and 22 fewer readmissions. Given the serious morbidity and cost of health care-associated infections, the study team concludes that FMEA implementation was clinically cost-effective.

  14. Digital image analysis of ASB-assisted failure of impacted structural materials

    Directory of Open Access Journals (Sweden)

    Longère Patrice

    2015-01-01

    Full Text Available Experimental analysis of fracture mechanisms is a key point to understand and further reproduce physical phenomena involved in structural material failure. Actually, crack propagation under high loading rate is a strongly coupled thermo-mechanical problem involving large deformation, high strain rate and (quasi adiabatic conditions. The work presented herein aims at analyzing the successive steps of the dynamic deterioration of a high strength structural material, namely the ARMOX500T armor steel, leading to the ultimate fracture. The Kalthoff and Winkler impact test, consisting in impacting the edge of a double notched plate, was retained for that purpose. Images are captured at high frame rate (1M frame/s during the impact loading then analyzed according to a line tracking method. Three stages are accordingly observed: first the progressive development of a weak localization of the deformation within a wide zone behind the notch tips, second the propagation of a narrow band of strong localization, and finally the propagation of a crack. The propagation of the white band is associated to the development of an adiabatic shear band (ASB, as a precursor of the crack. Corresponding displacement fields are identified thanks to the adopted line tracking method, allowing for determining the evolution of mechanical quantities, including notably notch tip shear displacement and velocity, ASB-related white band velocity, global and local shear strain and shear strain rate magnitudes, in view of being implemented into numerical models.

  15. Analysis on the factors associated with treatment failure of using anesthetics in refractory status epilepticus

    Directory of Open Access Journals (Sweden)

    Ying-ying SU

    2015-11-01

    Full Text Available Objective To analyze the related factors associated with immediate treatment failure of using anesthetics in refractory status epilepticus (RSE.  Methods Thirty patients derived from Neurocritical Care Unit of Xuanwu Hospital from January 2004 to December 2013 were divided into 2 groups (acute treatment failure group and acute treatment success group based on the treatment outcome 6 h after intravenous injection of anesthetics. Univariate and multivariate forward Logistic regression analyses were used to analyze and screen the risk factors associated with immediate treatment failure, and calculate the failure rate of final outcome.  Results According to the results of univariate and multivariate Logistic regression analyses, among influencing factors such as sex, age, etiology, Acute Physiology and Chronic Health EvaluationⅡ (APACHEⅡ, type of status epilepticus (SE, type of antiepileptic drugs (AEDs, total duration of primary treatment, duration of prehospital primary treatment, duration of posthospital primary treatment, type of RSE and primary choice of anesthetics, only total duration of primary treatment was the independent risk factor for immediate treatment failure (OR = 1.007, 95%CI: 1.000-1.014; P = 0.047. The rate of immediate treatment failure of RSE by using anesthetics was 50% (15/30, and the rate of final treatment failure was 43.33% (13/30. The ratio of final treatment failure was much higher in acute treatment failure group than that in acute treatment success group (10/15 vs 3/15, P = 0.025.  Conclusions The acute treatment result of RSE depends on the total duration of primary treatment, and determinates the final result of treatment. On the basis of treating primary disease, the therapy to terminate SE or RSE should be started as early as possible. DOI: 10.3969/j.issn.1672-6731.2015.11.008

  16. Using the failure mode and effects analysis model to improve parathyroid hormone and adrenocorticotropic hormone testing

    Directory of Open Access Journals (Sweden)

    Magnezi R

    2016-12-01

    Full Text Available Racheli Magnezi,1 Asaf Hemi,1 Rina Hemi2 1Department of Management, Public Health and Health Systems Management Program, Bar Ilan University, Ramat Gan, 2Endocrine Service Unit, Sheba Medical Center, Tel Aviv, Israel Background: Risk management in health care systems applies to all hospital employees and directors as they deal with human life and emergency routines. There is a constant need to decrease risk and increase patient safety in the hospital environment. The purpose of this article is to review the laboratory testing procedures for parathyroid hormone and adrenocorticotropic hormone (which are characterized by short half-lives and to track failure modes and risks, and offer solutions to prevent them. During a routine quality improvement review at the Endocrine Laboratory in Tel Hashomer Hospital, we discovered these tests are frequently repeated unnecessarily due to multiple failures. The repetition of the tests inconveniences patients and leads to extra work for the laboratory and logistics personnel as well as the nurses and doctors who have to perform many tasks with limited resources.Methods: A team of eight staff members accompanied by the Head of the Endocrine Laboratory formed the team for analysis. The failure mode and effects analysis model (FMEA was used to analyze the laboratory testing procedure and was designed to simplify the process steps and indicate and rank possible failures.Results: A total of 23 failure modes were found within the process, 19 of which were ranked by level of severity. The FMEA model prioritizes failures by their risk priority number (RPN. For example, the most serious failure was the delay after the samples were collected from the department (RPN =226.1.Conclusion: This model helped us to visualize the process in a simple way. After analyzing the information, solutions were proposed to prevent failures, and a method to completely avoid the top four problems was also developed. Keywords: failure mode

  17. Preliminary failure modes and effects analysis on Korean HCCR TBS to be tested in ITER

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Mu-Young, E-mail: myahn74@nfri.re.kr [National Fusion Research Institute, Daejeon (Korea, Republic of); Cho, Seungyon [National Fusion Research Institute, Daejeon (Korea, Republic of); Jin, Hyung Gon; Lee, Dong Won [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Park, Yi-Hyun; Lee, Youngmin [National Fusion Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    Highlights: • Postulated initiating events are identified through failure modes and effects analysis on the current HCCR TBS design. • A set of postulated initiating events are selected for consideration of deterministic analysis. • Accident evolutions on the selected postualted initiating events are qualitatively described for deterministic analysis. - Abstract: Korean Helium cooled ceramic reflector (HCCR) Test blanket system (TBS), which comprises Test blanket module (TBM) and ancillary systems in various locations of ITER building, is operated at high temperature and pressure with decay heat. Therefore, safety is utmost concern in design process and it is required to demonstrate that the HCCR TBS is designed to comply with the safety requirements and guidelines of ITER. Due to complexity of the system with many interfaces with ITER, a systematic approach is necessary for safety analysis. This paper presents preliminary failure modes and effects analysis (FMEA) study performed for the HCCR TBS. FMEA is a systematic methodology in which failure modes for components in the system and their consequences are studied from the bottom-up. Over eighty failure modes have been investigated on the HCCR TBS. The failure modes that have similar consequences are grouped as postulated initiating events (PIEs) and total seven reference accident scenarios are derived from FMEA study for deterministic accident analysis. Failure modes not covered here due to evolving design of the HCCR TBS and uncertainty in maintenance procedures will be studied further in near future.

  18. Failure-mode and effects analysis in improving a drug distribution system.

    Science.gov (United States)

    McNally, K M; Page, M A; Sunderland, V B

    1997-01-15

    The medication error rate in an existing ward stock drug distribution system and in an alternative system developed after failure-mode and effects analysis (FMEA) was applied to the ward stock system was studied. In the ward stock system of a large teaching hospital in Western Australia, bulk drug packs were stored in cupboards on the wards, and drug products were transferred to drug trolleys before dose administration by nurses. A pharmacist used the disguised-observer technique to determine the error rate in the ward stock system for a medical ward and a surgical ward. The errors and each step in the system were studied by FMEA. A unit supply individual-patient dispensing (USIPD) system was formulated to respond to the failure modes identified. In this system, a five-day supply of medication was dispensed for each patient from a satellite pharmacy close to the ward. Medication charts were reviewed by a pharmacist, and drugs were dispensed in labeled vials that were placed in a locked drawer at the patient's bedside. The error rate under the USIPD system was determined. Problem areas in the ward stock system identified by FMEA included drug availability, review of orders, drug selection, patient-related issues, and use of nurses' time. The percentage of opportunities during which any error occurred was significantly lower under the USIPD system on both wards. FMEA was used to identify deficiencies in the ward stock system that led to medication errors in an Australian hospital. An alternative drug distribution system designed to address the problems identified was associated with fewer errors.

  19. Performance and reliability analysis of water distribution systems under cascading failures and the identification of crucial pipes.

    Science.gov (United States)

    Shuang, Qing; Zhang, Mingyuan; Yuan, Yongbo

    2014-01-01

    As a mean of supplying water, Water distribution system (WDS) is one of the most important complex infrastructures. The stability and reliability are critical for urban activities. WDSs can be characterized by networks of multiple nodes (e.g. reservoirs and junctions) and interconnected by physical links (e.g. pipes). Instead of analyzing highest failure rate or highest betweenness, reliability of WDS is evaluated by introducing hydraulic analysis and cascading failures (conductive failure pattern) from complex network. The crucial pipes are identified eventually. The proposed methodology is illustrated by an example. The results show that the demand multiplier has a great influence on the peak of reliability and the persistent time of the cascading failures in its propagation in WDS. The time period when the system has the highest reliability is when the demand multiplier is less than 1. There is a threshold of tolerance parameter exists. When the tolerance parameter is less than the threshold, the time period with the highest system reliability does not meet minimum value of demand multiplier. The results indicate that the system reliability should be evaluated with the properties of WDS and the characteristics of cascading failures, so as to improve its ability of resisting disasters.

  20. Relationship between angina pectoris and outcomes in patients with heart failure and reduced ejection fraction : an analysis of the Controlled Rosuvastatin Multinational Trial in Heart Failure (CORONA)

    NARCIS (Netherlands)

    Badar, Athar A.; Perez-Moreno, Ana Cristina; Jhund, Pardeep S.; Wong, Chih M.; Hawkins, Nathaniel M.; Cleland, John G. F.; van Veldhuisen, Dirk J.; Wikstrand, John; Kjekshus, John; Wedel, Hans; Watkins, Stuart; Gardner, Roy S.; Petrie, Mark C.; McMurray, John J. V.

    2014-01-01

    Aim Angina pectoris is common in patients with heart failure and reduced ejection fraction (HF-REF) but its relationship with outcomes has not been well defined. This relationship was investigated further in a retrospective analysis of the Controlled Rosuvastatin Multinational Trial in Heart Failure

  1. Mutation rate analysis at 19 autosomal microsatellites.

    Science.gov (United States)

    Qian, Xiao-Qin; Yin, Cai-Yong; Ji, Qiang; Li, Kai; Fan, Han-Ting; Yu, Yan-Fang; Bu, Fan-Li; Hu, Ling-Li; Wang, Jian-Wen; Mu, Hao-Fang; Haigh, Steven; Chen, Feng

    2015-07-01

    Previous studies have demonstrated that a large sample size is needed to reliably estimate population- and locus-specific microsatellite mutation rates. Therefore, we conducted a long-term collaboration study and performed a comprehensive analysis on the mutation characteristics of 19 autosomal short tandem repeat (STR) loci. The STR loci located on 15 of 22 autosomal chromosomes were analyzed in a total of 21,106 samples (11,468 parent-child meioses) in a Chinese population. This provided 217,892 allele transfers at 19 STR loci. An overall mutation rate of 1.20 × 10(-3) (95% CI, 1.06-1.36 × 10(-3) ) was observed in the populations across 18 of 19 STR loci, except for the TH01 locus with no mutation found. Most STR mutations (97.7%) were single-step mutations, and only a few mutations (2.30%) comprised two and multiple steps. Interestingly, approximately 93% of mutation events occur in the male germline. The mutation ratios increased with the paternal age at child birth (r = 0.99, ptesting, kinship analysis, and population genetics.

  2. Strain rate dependent deformation and failure behavior of laser welded DP780 steel joint under dynamic tensile loading

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Yang, E-mail: liuyang@mail.neu.edu.cn [Key Laboratory for Anisotropy and Texture of Materials, Ministry of Education, Northeastern University, Shenyang 110819 (China); Dong, Danyang, E-mail: dongdanyang@mail.neu.edu.cn [College of Science, Northeastern University, Shenyang 110819 (China); Wang, Lei, E-mail: wanglei@mail.neu.edu.cn [Key Laboratory for Anisotropy and Texture of Materials, Ministry of Education, Northeastern University, Shenyang 110819 (China); Chu, Xi, E-mail: chuxi.ok@163.com [College of Science, Northeastern University, Shenyang 110819 (China); Wang, Pengfei, E-mail: wpf1963871400@163.com [College of Science, Northeastern University, Shenyang 110819 (China); Jin, Mengmeng, E-mail: 24401878@163.com [College of Science, Northeastern University, Shenyang 110819 (China)

    2015-03-11

    Laser welded DP steel joints are used widely in the automotive industry for weight reduction. Understanding the deformation and fracture behavior of the base metal (BM) and its welded joint (WJ), especially at high strain rates, is critical for the design of vehicle structures. This paper is concerned with the effects of strain rate on the tensile properties, deformation and fracture behavior of the laser welded DP780 steel joint. Quasi-static and dynamic tensile tests were performed on the WJ and BM of the DP780 steel using an electromechanical universal testing machine and a high-speed tensile testing machine over a wide range of strain rate (0.0001–1142 s{sup −1}). The microstructure change and microhardness distribution of the DP780 steel after laser welding were examined. Digital image correlation (DIC) and high-speed photography were employed for the strain measurement of the DP780 WJ during dynamic tensile tests. The DP780 WJ is a heterogeneous structure with hardening in fusion zone (FZ) and inner heat-affected zone (HAZ), and softening in outer HAZ. The DP780 BM and WJ exhibit positive strain rate dependence on the YS and UTS, which is smaller at lower strain rates and becomes larger with increasing strain rate, while ductility in terms of total elongation (TE) tends to increase under dynamic loading. Laser welding leads to an overall reduction in the ductility of the DP780 steel. However, the WJ exhibits a similar changing trend of the ductility to that of the BM with respect to the strain rate over the whole strain rate range. As for the DP780 WJ, the distance of tensile failure location from the weld centerline decreases with increasing strain rate. The typical ductile failure characteristics of the DP780 BM and WJ do not change with increasing strain rate. DIC measurements reveal that the strain localization starts even before the maximum load is attained in the DP780 WJ and gradual transition from uniform strains to severely localized strains

  3. 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.

  4. Prediction of Basic Math Course Failure Rate in the Physics, Meteorology, Mathematics, Actuarial Sciences and Pharmacy Degree Programs

    Directory of Open Access Journals (Sweden)

    Luis Rojas-Torres

    2014-09-01

    Full Text Available This paper summarizes a study conducted in 2013 with the purpose of predicting the failure rate of math courses taken by Pharmacy, Mathematics, Actuarial Science, Physics and Meteorology students at Universidad de Costa Rica (UCR. Using the Logistics Regression statistical techniques applied to the 2010 cohort, failure rates were predicted of students in the aforementioned programs in one of their Math introductory courses (Calculus 101 for Physics and Meteorology, Math Principles for Mathematics and Actuarial Science and Applied Differential Equations for Pharmacy. For these models, the UCR admission average, the student’s genre, and the average correct answers in the Quantitative Skills Test were used as predictor variables. The most important variable for all models was the Quantitative Skills Test, and the model with the highest correct classification rate was the Logistics Regression. For the estimated Physics-Meteorology, Pharmacy and Mathematics-Actuarial Science models, correct classifications were 89.8%, 73.6%, and 93.9%, respectively.

  5. CLINICAL ANALYSIS OF OBSTRUCTIVE SLEEP APNEASYNDROME WITH ACUTE RESPIRATORY FAILURE

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To study the clinical characteristics of obstructive sleep apnea syndrome (OSAS) induced acute respiratory failure. Methods The clinical and laboratory characteristics of 9 patients were reviewed. Results 9 patients (8 females, 1 male) presented with obesity and mental disturbance, with a BMI being 44.97 kg /m2, (45.25 kg/m2 in the fe male). The mean age of the group was 67.89 years (61~74 years). All had respiratory acidosis (mean pH 7.17), hypercapni a (mean PaCO2 94.10mmHg) (63.97~143.18mmHg), and hypoxemia (mean PaO2 39mmHg) (29.03~44.03mmHg). During periods of clinical stability all but 2 had awaken hypercapnia (mean PaCO2 46.73mmHg) (38.25~54.68mmHg). Four of the 9 patients had pulmonary function test showing FEV1>70%. Conclusion OSAS induced acute respiratory fail ure has a sudden onset and various presentations and can be reversed with early and proper treatment. The severity of abnormal pulmonary function was less than what would be expected to cause respiratory failure.

  6. Can We Rely on Predicted Basal Metabolic Rate in Patients With Intestinal Failure on Home Parenteral Nutrition?

    DEFF Research Database (Denmark)

    Andersen, Anders Skallerup; Pedersen, Louis Nygaard; Olesen, Søren Schou

    2017-01-01

    evaluated the accuracy of predicted BMR in clinically stable patients with IF dependent on home parenteral nutrition (HPN). METHODS: In total, 103 patients with IF were included. We used indirect calorimetry for assessment of BMR and calculated predicted BMR using different equations based on anthropometric......BACKGROUND AND AIMS: Intestinal failure (IF) is a serious and common complication of short bowel syndrome with patients depending on parental nutrition (PN) support. Effective nutrition management requires an accurate estimation of the patient's basal metabolic rate (BMR) to avoid underfeeding...

  7. Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Daiana C. Bündchen

    2014-10-01

    Full Text Available Background: Patients with heart failure (HF usually develop exercise intolerance. In this context, noninvasive ventilation (NIV can help to increase physical performance. Objective: To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF. Method: Search Strategy: Articles were searched in the following databases: Physiotherapy Evidence Database (PEDro, Scientific Electronic Library Online (SciELO, and MEDLINE. Selection Criteria: This review included only randomized controlled trials involving patients with HF undergoing NIV, with or without other therapies, that used exercise tolerance as an outcome, verified by the distance travelled in the six-minute walk test (6MWT, VO2peak in the cardiopulmonary test, time spent in testing, and dyspnea. Data Collection and Analysis: The methodological quality of the studies was rated according to the PEDro scale. Data were pooled in fixed-effect meta-analysis whenever possible. Results: Four studies were selected. A meta-analysis including 18 participants showed that the use of NIV prior to the 6MWT promoted increased distance, [mean difference 65.29 m (95% CI 38.80 to 91.78]. Conclusions: The use of NIV prior to the 6MWT in patients with HF may promote increased distance. However, the limited number of studies may have compromised a more definitive conclusion on the subject.

  8. Predictive factors for liver dysfunction and failure after hepatectomy: Analysis of 467 patients with hepatocellular carcinoma

    Institute of Scientific and Technical Information of China (English)

    Guangjin Du; Liqun Wu; Chengzhan Zhu; Rong Ye; Xin Yi

    2012-01-01

    Objective: The aim of our study was to analyze hepatic dysfunction and failure after hepatocellular carcinoma (HCC) resection and relationship of clinical and pathological factors.Methods: Clinical and pathological data of 467 HCC patients was retrospectively reviewed, who underwent liver resection from January 2002 to December 2008 in the Affiliated Hospital of Medical College, Qingdao University, and the post-resectional liver dysfunction and failure risk factors were analyzed by univariate and multivariate analysis.Results: The morbidity of post-resectional liver dysfunction and failure was 1.7% and 2.1%.The post-resectional liver dysfunction and failure after HCC hepatectomy into the statistical analysis: univariate analysis revealed preoperative platelet level ( 64 U/L), Child-Pugh classification (B), MELD score (≥ 9), intraoperative bleeding (≥ 1000 mL), blood transfusion were positive factors, multivariate analysis (Logistic) revealed that preoperative platelet level (0.983, 95% CI = 0.971-0.995) and intraoperative blood transfusion (3.145, 95% CI = 1.027-12.028) were independent risk factors for post-resectional liver dysfunction and failure.Conclusion: Prevented liver failure and liver dysfunction occurring after liver resection, it is the key to accurate preoperative assessment of liver function and the patient's reserved liver functional, precise hepatectomy and reasonable blockage of hepatic inflow.

  9. Progressive failure analysis of slope with strain-softening behaviour based on strength reduction method

    Institute of Scientific and Technical Information of China (English)

    Ke ZHANG; Ping CAO; Rui BAO

    2013-01-01

    Based on the strength reduction method and strain-softening model,a method for progressive failure analysis of strain-softening slopes was presented in this paper.The mutation is more pronounced in strain-softening analysis,and the mutation of displacement at slope crest was taken as critical failure criterion.An engineering example was provided to demonstrate the validity of the present method.This method was applied to a cut slope in an industry site.The results are as follows: (1) The factor of safety and the critical slip surface obtained by the present method are between those by peak and residual strength.The analysis with peak strength would lead to non-conservative results,but that with residual strength tends to be overly conservative.(2) The thickness of the shear zone considering strain-softening behaviour is narrower than that with non-softening analysis.(3) The failure of slope is the process of the initiation,propagation and connection of potential failure surface.The strength parameters are mobilized to a non-uniform degree while progressive failure occurs in the slope.(4) The factor of safety increases with the increase of residual shear strain threshold and elastic modulus.The failure mode of slope changes from shallow slip to deep slip.Poisson's ratio and dilation angle have little effect on the results.

  10. Failure analysis of blistered organic coatings on gray iron castings

    Science.gov (United States)

    Tianen, Matthew N.

    This study investigates the blistering failure of a two part coating consisting of talc-filled polyester resin and polyurethane primer on large gray iron castings. Surface metallography was performed and failed coating was characterized by scanning electron microscopy. Corrosion products were found inside of coating blisters. The proposed blistering mechanism is osmosis as a result of soluble species produced by the corrosion. It was believed that excessively thin primer layers resulted in a poor barrier to permeation of water, leading to blisters, and that a basecoat containing a corrosion inhibitor like zinc phosphate would reduce blistering. These hypotheses were tested with designed experiments using environmental testing in humidity and submersion environments. Thicker primer layers resulted in significant reductions in blistering and prolonged the time required before blister formation. A basecoat containing zinc phosphate was not found to be effective at reducing blistering in this coating system.

  11. Failure Analysis of Wind Turbines by Probability Density Evolution Method

    DEFF Research Database (Denmark)

    Sichani, Mahdi Teimouri; Nielsen, Søren R.K.; Liu, W.F.

    2013-01-01

    The aim of this study is to present an efficient and accurate method for estimation of the failure probability of wind turbine structures which work under turbulent wind load. The classical method for this is to fit one of the extreme value probability distribution functions to the extracted maxima....... This is not practical due to its excessive computational load. This problem can alternatively be tackled if the evolution of the probability density function (PDF) of the response process can be realized. The evolutionary PDF can then be integrated on the boundaries of the problem. For this reason we propose to use...... the Probability Density Evolution Method (PDEM). PDEM can alternatively be used to obtain the distribution of the extreme values of the response process by simulation. This approach requires less computational effort than integrating the evolution of the PDF; but may be less accurate. In this paper we present...

  12. IMPACT STRENGTH AND FAILURE ANALYSIS OF WELDED DAMASCUS STEEL

    Directory of Open Access Journals (Sweden)

    Rastislav Mintách

    2012-01-01

    Full Text Available The aim of this work was the experimental research of damascus steel from point of view of the structural analyze, impact strength and failure analyzes. The damascus steel was produced by method of forged welding from STN 41 4260 spring steel and STN 41 9312 tool steel. The damascus steel consisted of both 84 and 168 layers. The impact strength was experimentally determined for original steels and damascus steels after heat treatment in dependence on temperature in the range from -60 to 160 °C. It has been found that the impact strength of experimental steels decreased with decreasing temperature behind with correlated change of damage mode. In the case of experimental tests performed at high temperature ductile fracture was revealed and with decreasing temperature proportion of cleavage facets increased. Only the STN 41 9312 steel did not show considerable difference in values of the impact strength with changing temperature.

  13. 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.

  14. Worsening Heart Failure Following Admission for Acute Heart Failure A Pooled Analysis of the PROTECT and RELAX-AHF Studies

    NARCIS (Netherlands)

    Davison, Beth A.; Metra, Marco; Cotter, Gad; Massie, Barry M.; Cleland, John G. F.; Dittrich, Howard C.; Edwards, Christopher; Filippatos, Gerasimos; Givertz, Michael M.; Greenberg, Barry; Ponikowski, Piotr; Voors, Adriaan A.; O'Connor, Christopher M.; Teerlink, John R.

    2015-01-01

    OBJECTIVES These studies conducted analyses to examine patient characteristics and outcomes associated with worsening heart failure (WHF). BACKGROUND WHF during an admission for acute heart failure (AHF) represents treatment failure and is a potential therapeutic target for clinical trials of AHF. M

  15. Random safety auditing, root cause analysis, failure mode and effects analysis.

    Science.gov (United States)

    Ursprung, Robert; Gray, James

    2010-03-01

    Improving quality and safety in health care is a major concern for health care providers, the general public, and policy makers. Errors and quality issues are leading causes of morbidity and mortality across the health care industry. There is evidence that patients in the neonatal intensive care unit (NICU) are at high risk for serious medical errors. To facilitate compliance with safe practices, many institutions have established quality-assurance monitoring procedures. Three techniques that have been found useful in the health care setting are failure mode and effects analysis, root cause analysis, and random safety auditing. When used together, these techniques are effective tools for system analysis and redesign focused on providing safe delivery of care in the complex NICU system.

  16. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures.

    Science.gov (United States)

    Bornstein, Michael M; Halbritter, Sandro; Harnisch, Hendrik; Weber, Hans-Peter; Buser, Daniel

    2008-01-01

    This retrospective study analyzed the pool of patients referred for treatment with dental implants over a 3-year period in a referral specialty clinic. All patients receiving dental implants between 2002 and 2004 in the Department of Oral Surgery and Stomatology, University of Bern, were included in this retrospective study. Patients were analyzed according to age, gender, indications for implant therapy, location of implants, and type and length of implants placed. A cumulative logistic regression analysis was performed to identify and analyze potential risk factors for complications or failures. A total of 1,206 patients received 1,817 dental implants. The group comprised 573 men and 633 women with a mean age of 55.2 years. Almost 60% of patients were age 50 or older. The most frequent indication for implant therapy was single-tooth replacement in the maxilla (522 implants or 28.7%). A total of 726 implants (40%) were inserted in the esthetically demanding region of the anterior maxilla. For 939 implants (51.7%), additional bone-augmentation procedures were required. Of these, ridge augmentation with guided bone regeneration was performed more frequently than sinus grafting. Thirteen complications leading to early failures were recorded, resulting in an early failure rate of 0.7%. The regression analysis failed to identify statistically significant failure etiologies for the variables assessed. From this study it can be concluded that patients referred to a specialty clinic for implant placement were more likely to be partially edentulous and over 50 years old. Single-tooth replacement was the most frequent indication (> 50%). Similarly, additional bone augmentation was indicated in more than 50% of cases. Adhering to strict patient selection criteria and a standardized surgical protocol, an early failure rate of 0.7% was experienced in this study population.

  17. Asymptotics on Semiparametric Analysis of Multivariate Failure Time Data Under the Additive Hazards Model

    Institute of Scientific and Technical Information of China (English)

    Huan-bin Liu; Liu-quan Sun; Li-xing Zhu

    2005-01-01

    Many survival studies record the times to two or more distinct failures on each subject. The failures may be events of different natures or may be repetitions of the same kind of event. In this article, we consider the regression analysis of such multivariate failure time data under the additive hazards model. Simple weighted estimating functions for the regression parameters are proposed, and asymptotic distribution theory of the resulting estimators are derived. In addition, a class of generalized Wald and generalized score statistics for hypothesis testing and model selection are presented, and the asymptotic properties of these statistics are examined.

  18. Mathematical Modeling and Analysis of Network Service Failure in DataCentre

    Directory of Open Access Journals (Sweden)

    FaizaAyub Syed

    2014-06-01

    Full Text Available World has become a global village. With the advent of technology, the concept of Cloud Computing has evolved a lot. Cloud computing offers various benefits in terms of storage, computation, cost and flexibility. It focuses on delivering combination of technological components such as applications, platforms, infrastructure, security and web hosted services over the internet. One of the major elements of Cloud Computing infrastructure is Data centre. Companies host there applications and services online through Data centres, whose probability of downtime is expected to be very low. Since, data centre consists of number of servers; the rate of service failure is usually high. In this paper we have analysed service failure rate of a conventional data centre. The Fault Trend of network failure by assuming there occurrence as a Poisson Process was made. The accurate prediction of fault rate helps in managing the up gradation, replacement and other administrative issues of data centre components.

  19. Failure analysis of multiple delaminated composite plates due to bending and impact

    Indian Academy of Sciences (India)

    P K Parhi; S K Bhattacharyya; P K Sinha

    2001-04-01

    The present work aims at the first ply failure analysis of laminated composite plates with arbitrarily located multiple delaminations subjected to transverse static load as well as impact. The theoretical formulation is based on a simple multiple delamination model. Conventional first order shear deformation is assumed using eight-noded isoparametric quadratic elements to develop the finite element analysis procedure. Composite plates are assumed to contain both single and multiple delaminations. For the case of impact, Newmark time integration algorithm is employed for solving the time dependent multiple equations of the plate and the impactor. Tsai-Wu failure criterion is used to check for failure of the laminate for both the cases. To investigate the first ply failure, parametric studies are made for different cases by varying the size and number of delaminations as well as the stacking sequences and boundary conditions.

  20. Real-time automated failure analysis for on-orbit operations

    Science.gov (United States)

    Kirby, Sarah; Lauritsen, Janet; Pack, Ginger; Ha, Anhhoang; Jowers, Steven; Mcnenny, Robert; Truong, The; Dell, James

    1993-01-01

    A system which is to provide real-time failure analysis support to controllers at the NASA Johnson Space Center Control Center Complex (CCC) for both Space Station and Space Shuttle on-orbit operations is described. The system employs monitored systems' models of failure behavior and model evaluation algorithms which are domain-independent. These failure models are viewed as a stepping stone to more robust algorithms operating over models of intended function. The described system is designed to meet two sets of requirements. It must provide a useful failure analysis capability enhancement to the mission controller. It must satisfy CCC operational environment constraints such as cost, computer resource requirements, verification, and validation. The underlying technology and how it may be used to support operations is also discussed.

  1. Instructional Changes Adopted for an Engineering Course: Cluster Analysis on Academic Failure

    Science.gov (United States)

    Álvarez-Bermejo, José A.; Belmonte-Ureña, Luis J.; Martos-Martínez, África; Barragán-Martín, Ana B.; Simón-Márquez, María M.

    2016-01-01

    As first year students come from diverse backgrounds, basic skills should be accessible to everyone as soon as possible. Transferring such skills to these students is challenging, especially in highly technical courses. Ensuring that essential knowledge is acquired quickly promotes the student’s self-esteem and may positively influence failure rates. Metaphors can help do this. Metaphors are used to understand the unknown. This paper shows how we made a turn in student learning at the University of Almeria. Our hypothesis assumed that metaphors accelerate the acquisition of basic knowledge so that other skills built on that foundation are easily learned. With these goals in mind, we changed the way we teach by using metaphors and abstract concepts in a computer organization course, a technical course in the first year of an information technology engineering degree. Cluster analysis of the data on collective student performance after this methodological change clearly identified two distinct groups. These two groups perfectly matched the “before and after” scenarios of the use of metaphors. The study was conducted during 11 academic years (2002/2003 to 2012/2013). The 475 observations made during this period illustrate the usefulness of this change in teaching and learning, shifting from a propositional teaching/learning model to a more dynamic model based on metaphors and abstractions. Data covering the whole period showed favorable evolution of student achievement and reduced failure rates, not only in this course, but also in many of the following more advanced courses. The paper is structured in five sections. The first gives an introduction, the second describes the methodology. The third section describes the sample and the study carried out. The fourth section presents the results and, finally, the fifth section discusses the main conclusions. PMID:27895611

  2. Instructional changes adopted for an engineering course: cluster analysis on academic failure.

    Directory of Open Access Journals (Sweden)

    Jose Antonio Alvarez Bermejo

    2016-11-01

    Full Text Available As first-year students come from diverse backgrounds, basic skills should be accessible to everyone as soon as possible. Transferring such skills to these students is challenging, especially in highly technical courses. Ensuring that essential knowledge is acquired quickly promotes the student’s self-esteem and may positively influence failure rates. Metaphors can help do this. Metaphors are used to understand the unknown. This paper shows how we made a turn in student learning at the University of Almeria. Our hypothesis assumed that metaphors accelerate the acquisition of basic knowledge so that other skills built on that foundation are easily learned. With these goals in mind, we changed the way we teach by using metaphors and abstract concepts in a computer organisation course, a technical course in the first year of an information technology engineering degree. Cluster analysis of the data on collective student performance after this methodological change clearly identified two distinct groups. These two groups perfectly matched the before and after scenarios of the use of metaphors. The study was conducted during 11 academic years (2002/2003 to 2012/2013. The 475 observations made during this period illustrate the usefulness of this change in teaching and learning, shifting from a propositional teaching/learning model to a more dynamic model based on metaphors and abstractions. Data covering the whole period showed favourable evolution of student achievement and reduced failure rates, not only in this course, but also in many of the following more advanced courses.The paper is structured in five sections. The first gives an introduction, the second describes the methodology. The third section describes the sample and the study carried out. The fourth section presents the results and, finally, the fifth section discusses the main conclusions.

  3. Probabilistic Analysis of Failures Mechanisms of Large Dams

    NARCIS (Netherlands)

    Shams Ghahfarokhi, G.

    2014-01-01

    Risk and reliability analysis is presently being performed in almost all fields of engineering depending upon the specific field and its particular area. Probabilistic risk analysis (PRA), also called quantitative risk analysis (QRA) is a central feature of hydraulic engineering structural design.

  4. Particulate Air Pollution and the Rate of Hospitalization for Congestive Heart Failure among Medicare Beneficiaries in Pittsburgh, Pennsylvania.

    Science.gov (United States)

    Wellenius, Gregory A.; Bateson, Thomas F.; Mittleman, Murray A.; Schwartz., Joel

    2006-01-01

    We used a case-crossover approach to evaluate the association between ambient air pollution and the rate of hospitalization for congestive heart failure (CHF) among Medicare recipients (age ≥ 65) residing in Allegheny County (Pittsburgh area), PA, during 1987–1999. We also explored effect modification by age, gender, and specific secondary diagnoses. During follow-up, there were 55,019 admissions with a primary diagnosis of CHF. We found that particulate matter with aerodynamic diameter ≤ 10 μm (PM10), carbon monoxide (CO), nitrogen dioxide (NO2), and sulfur dioxide – but not ozone – were positively and significantly associated with the rate of admission on the same day in single-pollutant models. The strongest associations were observed with CO, NO2 and PM10. The associations with CO and NO2 were the most robust in two-pollutant models, remaining statistically significant even after adjusting for other pollutants. Patients with a recent myocardial infarction were at greater risk of particulate-related admission, but there was otherwise no significant effect modification by age, gender, or other secondary diagnoses. These results suggest that short-term elevations in air pollution from traffic-related sources may trigger acute cardiac decompensation of heart failure patients and that those with certain comorbid conditions may be more susceptible to these effects. PMID:15901623

  5. Benefits of Heart Rate Slowing With Ivabradine in Patients With Systolic Heart Failure and Coronary Artery Disease.

    Science.gov (United States)

    Borer, Jeffrey S; Deedwania, Prakash C; Kim, Jae B; Böhm, Michael

    2016-12-15

    Heart rate (HR) is a risk factor in patients with chronic systolic heart failure (HF) that, when reduced, provides outcome benefits. It is also a target for angina pectoris prevention and a risk marker in chronic coronary artery disease without HF. HR can be reduced by drugs; however, among those used clinically, only ivabradine reduces HR directly in the sinoatrial nodal cells without other known effects on the cardiovascular system. This review provides current information regarding the safety and efficacy of HR reduction with ivabradine in clinical studies involving >36,000 patients with chronic stable coronary artery disease and >6,500 patients with systolic HF. The largest trials, Morbidity-Mortality Evaluation of the If Inhibitor Ivabradine in Patients With Coronary Disease and Left Ventricular Dysfunction and Study Assessing the Morbidity-Mortality Benefits of the If Inhibitor Ivabradine in Patients With Coronary Artery Disease, showed no effect on outcomes. The Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial, a randomized controlled trial in >6,500 patients with HF, revealed marked and significant HR-mediated reduction in cardiovascular mortality or HF hospitalizations while improving quality of life and left ventricular mechanical function after treatment with ivabradine. The adverse effects of ivabradine predominantly included bradycardia and atrial fibrillation (both uncommon) and ocular flashing scotomata (phosphenes) but otherwise were similar to placebo. In conclusion, ivabradine improves outcomes in patients with systolic HF; rates of overall adverse events are similar to placebo.

  6. Multiscale Modeling Methods for Analysis of Failure Modes in Foldcore Sandwich Panels

    Science.gov (United States)

    Sturm, R.; Schatrow, P.; Klett, Y.

    2015-12-01

    The paper presents an homogenised core model suitable for use in the analysis of fuselage sandwich panels with folded composite cores under combined loading conditions. Within a multiscale numerical design process a failure criterion was derived for describing the macroscopic behaviour of folded cores under combined loading using a detailed foldcore micromodel. The multiscale modelling method was validated by simulation of combined compression/bending failure of foldcore sandwich panels.

  7. Photogrammetric analysis of slope failures feeding the head of the Illgraben debris flow channel

    Science.gov (United States)

    Bennett, G. L.; Molnar, P.; Eisenbeiss, H.; McArdell, B. W.

    2012-04-01

    Our understanding of slope failure is restricted by a lack of inventories of sufficient size and directly measured volumes. We used digital photogrammetry to produce a multi-temporal record of erosion of a rock slope in the Illgraben. From this we extracted an inventory of ~2500 slope failures for 3 epochs of 6/7 years between 1986 and 2005 ranging over 6 orders of magnitude in volume. Through analysis of their magnitude-frequency, volume-area and depth-slope gradient relations we aimed to understand the characteristics of slope failure at the head of this active alpine debris-flow catchment. The slope failure volumes follow a characteristic magnitude-frequency distribution with a roll-over at 50m3 and a power-law tail between ~200m3 and 1.6x106m3 with an exponent of 1.65. We compared different methods to estimate the power law scaling exponent and found the maximum likelihood estimator to be the most accurate. Conversely, least squares regression on the probability density function consistently underestimated the exponent. Slope failure volume scales with failure area as a power law with an exponent of 1.1. This exponent is low for the bedrock nature of the slope in comparison with worldwide studies of bedrock and soil landslides and likely results from the highly fractured and incohesive nature of the quartzitic bedrock of the study slope. Comparing the results for different epochs we find that the magnitude-frequency and volume-area relationships are reasonably time-invariant demonstrating their general nature for the setting. We interpret the magnitude-frequency distribution of slope failure volumes as the result of two separate slope failure processes. Type (1) failures are frequent, small slides and slumps within the weathered layer of highly fractured rock and loose sediment. These make up the roll-over of the distribution. Type (2) failures are less frequent rockslides and rockfalls within the internal bedded and fractured slope along pre

  8. Identification of hidden failures in process control systems through function-oriented system analysis

    Energy Technology Data Exchange (ETDEWEB)

    Jalashgar, A.

    1997-05-01

    The main subject of this thesis is to identify hidden failures in process control systems by developing and using a function-oriented system analysis method. Qualitative failure analysis and the characteristics of the classical failure analysis methods and function-oriented modelling methods are covered. The general limitations of the methods in connection with the identification and representation of hidden failures are discussed. The discussion has led to the justification of developing and using a function-oriented system analysis method to identify and represent the capabilities of the system components, which realize different sets of functions in connection with different sets of goals that the system must achieve. A terminology is introduced to define the basic aspects of technical systems including goals, functions, capabilities and physical structure. A function-oriented system analysis method using this terminology and a tailored combination of the two function-oriented modelling approaches, is also introduced. It is then explained how the method can be applied in the identification and representation of hidden failures. The building blocks of a knowledge-oriented system to perform the diagnosis on the basis of the developed method are equally described. A prototype of the knowledge-based system is developed to demonstrate the applicability of the function-oriented system analysis method and the knowledge-based system. The prototype is implemented within the object-oriented software environment G2. (au) 65 ills., 32 refs.

  9. Characteristics, outcome and predictors of one year mortality rate in patients with acute heart failure

    Directory of Open Access Journals (Sweden)

    Banović Marko

    2011-01-01

    Full Text Available Background/Aim. Acute heart failure (AHF is one of the most common diseases in emergency medicine, associated with poor prognosis and high in-hospital and longterm mortality. The aim of this study was to investigate characteristics, outcomes and one year mortality of patients with AHF in the local population. Methods. This prospective study consisted of 64 consecutive unselected patients treated in the Coronary Care Unit of the Emergency Centre (Clinical Center of Serbia, Belgrade and were followed for one year after the discharge. Results. Mean age of the patients was 63.6 ± 12.6 years and 59.4% were males. Acute congestion (43.8% and pulmonary edema (39.1% were the most common presentations of AHF. Mean left ventricular ejection fraction (LVEF was 39.7% ± 9.25%, while 44.4% of the patients had LVEF ≥ 50%. At discharge, 55.9% of the patients received therapy with β-blockers, 94.9% diuretics, out of which 47.7% spironolactone, 94.9% patients were given ACE-inhibitors or angiotensin receptor blokcers (ARB. The 12-month all-cause mortality was 26.5%. Independent predictors of one year mortality were previous hospitalization due to heart disease, reduced LVEF, reduced fraction of shortening (FS and a higher tricuspid velocity. Conclusion. One year mortality of our patients with AHF was high, similar to the known European studies. Independent predictors of one year mortality were previous hospitalization due to heart disease, reduced LVEF and LVFS and a higher tricuspid velocity.

  10. RELATION BETWEEN SEVERITY OF DISEASE AND IMPAIRMENT OF HEART-RATE-VARIABILITY PARAMETERS IN PATIENTS WITH CHRONIC CONGESTIVE-HEART-FAILURE SECONDARY TO CORONARY-ARTERY DISEASE

    NARCIS (Netherlands)

    SZABO, BM; VANVELDHUISEN, DJ; BROUWER, J; HAAKSMA, J; LIE, KI

    1995-01-01

    Correlations between New York Heart Association functional class, left ventricular ejection fraction, and peak oxygen consumption were compared to heart rate variability and analyzed in 79 heart failure patients with left ventricular ejection fraction

  11. Cognitive Impairment and Heart Failure: Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Cannon, Jane A; Moffitt, Peter; Perez-Moreno, Ana Cristina; Walters, Matthew R; Broomfield, Niall M; McMurray, John J V; Quinn, Terence J

    2017-06-01

    Cognitive impairment and dementia are associated with a range of cardiovascular conditions, including hypertension, coronary artery disease, and atrial fibrillation. We aimed to describe the association with heart failure, summarizing published data to give estimates of prevalence, incidence, and relative risk of cognitive impairment/dementia in heart failure. We searched multidisciplinary databases including MEDLINE (OVID), EMBASE (OVID), CINAHL (EBSCO), PsychINFO (EBSCO), Web of Science (Thomson Reuters), and CENTRAL (Cochrane Library) from inception until May 31, 2015. All relevant studies looking at cognitive impairment/dementia in heart failure were included. Studies were selected by 2 independent reviewers using prespecified inclusion/exclusion criteria. Where data allowed, we performed meta-analysis and pooled results using random effects models. From 18,000 titles, 37 studies were eligible (n = 8411 participants). Data from 4 prospective cohorts (n = 2513 participants) suggest greater cognitive decline in heart failure compared with non-heart failure over the longer term. These data were not suitable for meta-analysis. In case control studies describing those with and without heart failure (n = 4 papers, 1414 participants) the odds ratio for cognitive impairment in the heart failure population was 1.67 (95% confidence interval 1.15-2.42). Prevalence of cognitive impairment in heart failure cohorts (n = 26 studies, 4176 participants) was 43% (95% confidence interval 30-55). This review suggests a substantial proportion of patients with heart failure have concomitant cognitive problems. This has implications for planning treatment and services. These data do not allow us to comment on causation, and further work is needed to describe the underlying pathophysiology. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Security Analysis of Selected AMI Failure Scenarios Using Agent Based Game Theoretic Simulation

    Energy Technology Data Exchange (ETDEWEB)

    Abercrombie, Robert K [ORNL; Schlicher, Bob G [ORNL; Sheldon, Frederick T [ORNL

    2014-01-01

    Information security analysis can be performed using game theory implemented in dynamic Agent Based Game Theoretic (ABGT) simulations. Such simulations can be verified with the results from game theory analysis and further used to explore larger scale, real world scenarios involving multiple attackers, defenders, and information assets. We concentrated our analysis on the Advanced Metering Infrastructure (AMI) functional domain which the National Electric Sector Cyber security Organization Resource (NESCOR) working group has currently documented 29 failure scenarios. The strategy for the game was developed by analyzing five electric sector representative failure scenarios contained in the AMI functional domain. From these five selected scenarios, we characterize them into three specific threat categories affecting confidentiality, integrity and availability (CIA). The analysis using our ABGT simulation demonstrates how to model the AMI functional domain using a set of rationalized game theoretic rules decomposed from the failure scenarios in terms of how those scenarios might impact the AMI network with respect to CIA.

  13. The statistical analysis of failure of a MEVATRON77 DX67 linear accelerator over a ten year period

    CERN Document Server

    Aoyama, H; Tahara, S; Uno, H; Kadohisa, S; Azuma, Y; Nakagiri, Y; Hiraki, Y

    2003-01-01

    A linear accelerator (linac) takes a leading role in radiation therapy. A linac consists of complicated main parts and systems and it is required that highly accurate operational procedures should be maintained. Operational failure occurs for various reasons. In this report, the failure occurrences of one linac over a ten year period were recorded and analyzed. The subject model was a MEVATRON77 DX67 (Siemens, Inc). The failure rate for each system, the form classification of the contents of failure, the operation situation at the time of failure, and the average performance life of the main parts were totaled. Moreover, the relation between the number of therapies that patients received (operating efficiency) and the failure rate within that number and the relation between environment (temperature and humidity) and the failure rate attributed to other systems were analyzed. In this report, irradiation interruption was also included with situations where treatment was unable to begin in total for the number o...

  14. The Analysis of Anemia in Chronic Heart Failure

    Institute of Scientific and Technical Information of China (English)

    Yuan Guiyi; Wu Wei; Luo Yilong; Li Yiqing; Zhou Shuxian; Fang Chang

    2006-01-01

    objectives To demonstrate the phenomena and explore the causes of anemia in patients with chronic heart failure (CHF). Methods To observe the phenomena of anemia in patients with CHF, a total of 276 patients with CHF were included in this retrospective study. The clinical characteristics of the patients are: mean age 69.2±11.0 years; male 151,female 125; NYHA Ⅲ and Ⅳ 115 (41.7%). Results ①Among the 276 patients with CHF, 81 (29.4%)had anemia (Mean hemoglobulin concentration 101.5±13.0g/L). ② Patients with Anemia were more likely to be female and to have greater NYHA (Ⅲ or Ⅳ) (P<0.05), higher serum creatinine, as well as lower serum albumin and low-density lipoprotein levels (P<0.01).③ A weak negative correlation was also noted between the level of NYHA and hemoglobulin. ④ There was no significant difference in age, the primary cardiac etiology of the CHF, the history of diabetes, left ventricular end diastolic diameter, and left ventricular ejection fraction between CHF patient with and without anemia. Conclusions The prevalence of anemia is high among patients with CHF. The anemia patients with CHF tend to be female, have greater cardiac and renal functional impairment, but with lower serum albumin and LDL that suggests some degree of malnutrition.

  15. Determination of crack morphology parameters from service failures for leak-rate analyses

    Energy Technology Data Exchange (ETDEWEB)

    Wilkowski, G.; Ghadiali, N.; Paul, D. [Battelle Memorial Institute, Columbus, OH (United States)] [and others

    1997-04-01

    In leak-rate analyses described in the literature, the crack morphology parameters are typically not well agreed upon by different investigators. This paper presents results on a review of crack morphology parameters determined from examination of service induced cracks. Service induced cracks were found to have a much more tortuous flow path than laboratory induced cracks due to crack branching associated with the service induced cracks. Several new parameters such as local and global surface roughnesses, as well as local and global number of turns were identified. The effect of each of these parameters are dependent on the crack-opening displacement. Additionally, the crack path is typically assumed to be straight through the pipe thickness, but the service data show that the flow path can be longer due to the crack following a fusion line, and/or the number of turns, where the number of turns in the past were included as a pressure drop term due to the turns, but not the longer flow path length. These parameters were statistically evaluated for fatigue cracks in air, corrosion-fatigue, IGSCC, and thermal fatigue cracks. A refined version of the SQUIRT leak-rate code was developed to account for these variables. Sample calculations are provided in this paper that show how the crack size can vary for a given leak rate and the statistical variation of the crack morphology parameters.

  16. Finite Element Creep-Fatigue Analysis of a Welded Furnace Roll for Identifying Failure Root Cause

    Science.gov (United States)

    Yang, Y. P.; Mohr, W. C.

    2015-11-01

    Creep-fatigue induced failures are often observed in engineering components operating under high temperature and cyclic loading. Understanding the creep-fatigue damage process and identifying failure root cause are very important for preventing such failures and improving the lifetime of engineering components. Finite element analyses including a heat transfer analysis and a creep-fatigue analysis were conducted to model the cyclic thermal and mechanical process of a furnace roll in a continuous hot-dip coating line. Typically, the roll has a short life, heat transfer analysis was conducted to predict the temperature history of the roll by modeling heat convection from hot air inside the furnace. The creep-fatigue analysis was performed by inputting the predicted temperature history and applying mechanical loads. The analysis results showed that the failure was resulted from a creep-fatigue mechanism rather than a creep mechanism. The difference of material properties between the filler metal and the base metal is the root cause for the roll failure, which induces higher creep strain and stress in the interface between the weld and the HAZ.

  17. Analysis of risk factors for cluster behavior of dental implant failures.

    Science.gov (United States)

    Chrcanovic, Bruno Ramos; Kisch, Jenö; Albrektsson, Tomas; Wennerberg, Ann

    2017-08-01

    Some studies indicated that implant failures are commonly concentrated in few patients. To identify and analyze cluster behavior of dental implant failures among subjects of a retrospective study. This retrospective study included patients receiving at least three implants only. Patients presenting at least three implant failures were classified as presenting a cluster behavior. Univariate and multivariate logistic regression models and generalized estimating equations analysis evaluated the effect of explanatory variables on the cluster behavior. There were 1406 patients with three or more implants (8337 implants, 592 failures). Sixty-seven (4.77%) patients presented cluster behavior, with 56.8% of all implant failures. The intake of antidepressants and bruxism were identified as potential negative factors exerting a statistically significant influence on a cluster behavior at the patient-level. The negative factors at the implant-level were turned implants, short implants, poor bone quality, age of the patient, the intake of medicaments to reduce the acid gastric production, smoking, and bruxism. A cluster pattern among patients with implant failure is highly probable. Factors of interest as predictors for implant failures could be a number of systemic and local factors, although a direct causal relationship cannot be ascertained. © 2017 Wiley Periodicals, Inc.

  18. Electromechanical actuators affected by multiple failures: Prognostic method based on spectral analysis techniques

    Science.gov (United States)

    Belmonte, D.; Vedova, M. D. L. Dalla; Ferro, C.; Maggiore, P.

    2017-06-01

    The proposal of prognostic algorithms able to identify precursors of incipient failures of primary flight command electromechanical actuators (EMA) is beneficial for the anticipation of the incoming failure: an early and correct interpretation of the failure degradation pattern, in fact, can trig an early alert of the maintenance crew, who can properly schedule the servomechanism replacement. An innovative prognostic model-based approach, able to recognize the EMA progressive degradations before his anomalous behaviors become critical, is proposed: the Fault Detection and Identification (FDI) of the considered incipient failures is performed analyzing proper system operational parameters, able to put in evidence the corresponding degradation path, by means of a numerical algorithm based on spectral analysis techniques. Subsequently, these operational parameters will be correlated with the actual EMA health condition by means of failure maps created by a reference monitoring model-based algorithm. In this work, the proposed method has been tested in case of EMA affected by combined progressive failures: in particular, partial stator single phase turn to turn short-circuit and rotor static eccentricity are considered. In order to evaluate the prognostic method, a numerical test-bench has been conceived. Results show that the method exhibit adequate robustness and a high degree of confidence in the ability to early identify an eventual malfunctioning, minimizing the risk of fake alarms or unannounced failures.

  19. Prevalence of vaccination rates in systolic heart failure: a prospective study of 549 patients by age, race, ethnicity, and sex in a heart failure disease management program.

    Science.gov (United States)

    Hebert, Kathy; Marzouka, George; Arcement, Lee; Julian, Elyse; Cortazar, Frank; Dias, Andre; Tamariz, Leonardo

    2010-01-01

    Healthy People 2010 aims at immunizing 60% of high-risk adults annually against influenza and once against pneumococcal disease. The aim of this study was to evaluate the use of a standardized approach to improve vaccination rates in patients with heart failure (HF); to determine whether disparities exist based on age, race, ethnicity, or sex at baseline and follow-up; and to evaluate the impact of clinical variables on the odds of being vaccinated. A prospective study of 549 indigent patients enrolled in a systolic HF disease management program (HFDMP) began enrollment from August 2007 to January 2009 at Jackson Memorial Hospital. Patients were interviewed at their initial visit for immunization status; those without vaccinations were offered the vaccines. Prevalence of vaccination (POV) for influenza and pneumococcal disease was obtained at baseline and at follow-up. The odds ratio for being vaccinated was calculated using logistic regression. The study population comprised mostly Hispanic (56%), black (37%), and male (70%) patients, with a mean age of 56 ± 12 years and a mean ejection fraction of 25% ± 10%. The initial POV for both was 22% at baseline. At follow-up, POV improved to 60.5%. Of those not vaccinated at baseline, 17.5% refused vaccination. Odds ratios at baseline for age, race/ethnicity, and sex were 0.99 (P=.99), 0.63 (P=.08), and 0.62 (P=.14), respectively. These did not change significantly at follow-up. Prevalence of vaccination in our cohort was low. Enrollment into the HFDMP improved immunization prevalence without creating age, race, ethnicity, or sex disparities. © 2010 Wiley Periodicals, Inc.

  20. A pilot rating scale for evaluating failure transients in electronic flight control systems

    Science.gov (United States)

    Hindson, William S.; Schroeder, Jeffery A.; Eshow, Michelle M.

    1990-01-01

    A pilot rating scale was developed to describe the effects of transients in helicopter flight-control systems on safety-of-flight and on pilot recovery action. The scale was applied to the evaluation of hardovers that could potentially occur in the digital flight-control system being designed for a variable-stability UH-60A research helicopter. Tests were conducted in a large moving-base simulator and in flight. The results of the investigation were combined with existing airworthiness criteria to determine quantitative reliability design goals for the control system.

  1. Epilepsy surgery failure in children: a quantitative and qualitative analysis

    Science.gov (United States)

    Englot, Dario J.; Han, Seunggu J.; Rolston, John D.; Ivan, Michael E.; Kuperman, Rachel A.; Chang, Edward F.; Gupta, Nalin; Sullivan, Joseph E.; Auguste, Kurtis I.

    2015-01-01

    Object Resection is a safe and effective treatment option for children with pharmacoresistant focal epilepsy, but some patients continue experience seizures after surgery. While most studies of pediatric epilepsy surgery focus on predictors of postoperative seizure outcome, these factors are often not modifiable, and the reasons for surgical failure may remain unclear. Methods The authors performed a retrospective cohort study of children and adolescents who received focal resective surgery for pharmacoresistant epilepsy. Both quantitative and qualitative analyses of factors associated with persistent postoperative seizures were conducted. Results Records were reviewed from 110 patients, ranging in age from 6 months to 19 years at the time of surgery, who underwent a total of 115 resections. At a mean 3.1-year follow-up, 76% of patients were free of disabling seizures (Engel Class I outcome). Seizure freedom was predicted by temporal lobe surgery compared with extra-temporal resection, tumor or mesial temporal sclerosis compared with cortical dysplasia or other pathologies, and by a lower preoperative seizure frequency. Factors associated with persistent seizures (Engel Class II–IV outcome) included residual epileptogenic tissue adjacent to the resection cavity (40%), an additional epileptogenic zone distant from the resection cavity (32%), and the presence of a hemispheric epilepsy syndrome (28%). Conclusions While seizure outcomes in pediatric epilepsy surgery may be improved by the use of high-resolution neuroimaging and invasive electrographic studies, a more aggressive resection should be considered in certain patients, including hemispherectomy if a hemispheric epilepsy syndrome is suspected. Family counseling regarding treatment expectations is critical, and reoperation may be warranted in select cases. PMID:25127098

  2. Dependency Analysis Guidance Nordic/German Working Group on Common Cause Failure analysis. Phase 2, Development of Harmonized Approach and Applications for Common Cause Failure Quantification

    Energy Technology Data Exchange (ETDEWEB)

    Becker, Guenter; Johanson, Gunnar; Lindberg, Sandra; Vaurio, Jussi

    2009-03-15

    The Regulatory Code SSMFS 2008:1 of Swedish Radiation Safety Authority (SSM) includes requirements regarding the performance of probabilistic safety assessments (PSA), as well as PSA activities in general. Therefore, the follow-up of these activities is part of the inspection tasks of SSM. According to the SSMFS 2008:1, the safety analyses shall be based on a systematic identification and evaluation of such events, event sequences and other conditions which may lead to a radiological accident. The research report Nordic/German Working Group on Common cause Failure analysis. Phase 2 project report: Development of Harmonized Approach and Applications for Common Cause Failure Quantification has been developed under a contract with the Nordic PSA Group (NPSAG) and its German counterpart VGB, with the aim to create a common experience base for defence and analysis of dependent failures i.e. Common Cause Failures CCF. Phase 2 in this project if a deepened data analyses of CCF events and a demonstration on how the so called impact vectors can be constructed and on how CCF parameters are estimated. The word Guidance in the report title is used in order to indicate a common methodological guidance accepted by the NPSAG, based on current state of the art concerning the analysis of dependent failures and adapted to conditions relevant for Nordic sites. This will make it possible for the utilities to perform cost effective improvements and analyses. The report presents a common attempt by the authorities and the utilities to create a methodology and experience base for defence and analysis of dependent failures. The performed benchmark application has shown how important the interpretation of base data is to obtain robust CCF data and data analyses results. Good features were found in all benchmark approaches. The obtained experiences and approaches should now be used in harmonised procedures. A next step could be to develop and agree on event and formula driven impact vector

  3. Liberal versus restricted fluid administration in heart failure patients. A systematic review and meta-analysis of randomized trials.

    Science.gov (United States)

    Li, Yang; Fu, Biao; Qian, Xiaoxian

    2015-01-01

    Restrictive fluid intake is recommended, in addition to standard pharmacologic treatment, in the treatment of patients with chronic heart failure (CHF). However, this recommendation lacks firm scientific evidence. We conducted a systematic review and meta-analysis of published randomized controlled trials to estimate the effect of fluid restriction in patients with heart failure.Randomized controlled trials were identified in the MEDLINE, EMBASE, and Cochrane databases using the search-keywords "fluid" and "heart failure". Outcomes were compared in heart failure patients with liberal and restricted fluid intake. Pooled risk ratios (RR) and weighted mean differences (WMD) were calculated using random effects models. Studies focusing on decompensated heart failure were analyzed separately.Six small randomized trials comparing liberal and restricted fluid intake met the inclusion criteria. Significant heterogeneity was noted in the reported studies for several outcomes. There were no differences in readmission rate (5 studies, pooled RR = 1.32; 95% CI: 0.86 to 2.01; P = 0.2), mortality rate (5 studies, pooled RR = 1.50; 95% CI: 0.87 to 2.57; P = 0.14), perceived thirst (4 studies, WMD = -0.7; 95% CI: -2.58 to 1.17; P = 0.46), duration of intravenous diuretics (2 studies, WMD = 0.17; 95% CI: -1.26 to 1.6; P = 0.81) or serum sodium levels (WMD = -1.61; 95% CI: -3.28 to 0.07; P = 0.06) between the liberal fluid intake group and the restrictive fluid intake group. Mean serum creatinine and BNP levels were significantly higher in the liberal fluid group: WMD 0.20 (95% CI: 0.15 to 0.25; P fluid intake. Larger studies are needed to confirm our findings.

  4. Application of failure mode and effect analysis in a radiology department.

    Science.gov (United States)

    Thornton, Eavan; Brook, Olga R; Mendiratta-Lala, Mishal; Hallett, Donna T; Kruskal, Jonathan B

    2011-01-01

    With increasing deployment, complexity, and sophistication of equipment and related processes within the clinical imaging environment, system failures are more likely to occur. These failures may have varying effects on the patient, ranging from no harm to devastating harm. Failure mode and effect analysis (FMEA) is a tool that permits the proactive identification of possible failures in complex processes and provides a basis for continuous improvement. This overview of the basic principles and methodology of FMEA provides an explanation of how FMEA can be applied to clinical operations in a radiology department to reduce, predict, or prevent errors. The six sequential steps in the FMEA process are explained, and clinical magnetic resonance imaging services are used as an example for which FMEA is particularly applicable. A modified version of traditional FMEA called Healthcare Failure Mode and Effect Analysis, which was introduced by the U.S. Department of Veterans Affairs National Center for Patient Safety, is briefly reviewed. In conclusion, FMEA is an effective and reliable method to proactively examine complex processes in the radiology department. FMEA can be used to highlight the high-risk subprocesses and allows these to be targeted to minimize the future occurrence of failures, thus improving patient safety and streamlining the efficiency of the radiology department.

  5. Application of failure mode and effect analysis in an assisted reproduction technology laboratory.

    Science.gov (United States)

    Intra, Giulia; Alteri, Alessandra; Corti, Laura; Rabellotti, Elisa; Papaleo, Enrico; Restelli, Liliana; Biondo, Stefania; Garancini, Maria Paola; Candiani, Massimo; Viganò, Paola

    2016-08-01

    Assisted reproduction technology laboratories have a very high degree of complexity. Mismatches of gametes or embryos can occur, with catastrophic consequences for patients. To minimize the risk of error, a multi-institutional working group applied failure mode and effects analysis (FMEA) to each critical activity/step as a method of risk assessment. This analysis led to the identification of the potential failure modes, together with their causes and effects, using the risk priority number (RPN) scoring system. In total, 11 individual steps and 68 different potential failure modes were identified. The highest ranked failure modes, with an RPN score of 25, encompassed 17 failures and pertained to "patient mismatch" and "biological sample mismatch". The maximum reduction in risk, with RPN reduced from 25 to 5, was mostly related to the introduction of witnessing. The critical failure modes in sample processing were improved by 50% in the RPN by focusing on staff training. Three indicators of FMEA success, based on technical skill, competence and traceability, have been evaluated after FMEA implementation. Witnessing by a second human operator should be introduced in the laboratory to avoid sample mix-ups. These findings confirm that FMEA can effectively reduce errors in assisted reproduction technology laboratories.

  6. Molecular analysis of the relationship between specific vaginal bacteria and bacterial vaginosis metronidazole therapy failure.

    Science.gov (United States)

    Wang, B; Xiao, B B; Shang, C G; Wang, K; Na, R S; Nu, X X; Liao, Q

    2014-10-01

    Bacterial vaginosis frequently persists, even after treatment. The role of some strains of bacteria associated with bacterial vaginosis treatment failure remains poorly defined. The aim of our study was to define the risk of bacterial vaginosis treatment failure, including pre-treatment detection of specific vaginal bacteria. Bacterial vaginosis is present when the Nugent score is ≥7 and the modified Amsel criteria is positive. Women with bacterial vaginosis were treated with intravaginal metronidazole gel nightly for 5 nights. The 454 pyrosequencing method was used to detect bacteria in vaginal fluid. By univariate analysis, a history of bacterial vaginosis, intrauterine device use and the presence of Facklamia, Corynebacterium and Veillonella were significantly associated with bacterial vaginosis treatment failure. Lactobacillus crispatus, Lactobacillus pentosus and Megasphaera were significantly associated with curing bacterial vaginosis. After logistic regression analysis and detection of these bacteria for test-of-cure, we found that women who had a history of bacterial vaginosis had a higher incidence of bacterial vaginosis treatment failure, whereas women with L. crispatus had a lower incidence of treatment failure. Post-treatment sexual activity was not associated with the treatment effect. Our data suggested that treatment failure may be not caused by drug resistance. Rather, it has a closer relationship with the failed restoration of lactobacilli.

  7. WE-G-BRA-08: Failure Modes and Effects Analysis (FMEA) for Gamma Knife Radiosurgery

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Y; Bhatnagar, J; Bednarz, G; Flickinger, J; Arai, Y; Huq, M Saiful [Department of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA (United States); Vacsulka, J; Monaco, E; Niranjan, A; Lunsford, L Dade [Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (United States); Feng, W [Dept of Radiation Oncology, New York Presbyterian Hospital/Columbia Univ Medical Center, New York, NY (United States)

    2015-06-15

    Purpose: To perform a failure modes and effects analysis (FMEA) study for Gamma Knife (GK) radiosurgery processes at our institution based on our experience with the treatment of more than 13,000 patients. Methods: A team consisting of medical physicists, nurses, radiation oncologists, neurosurgeons at the University of Pittsburgh Medical Center and an external physicist expert was formed for the FMEA study. A process tree and a failure mode table were created for the GK procedures using the Leksell GK Perfexion and 4C units. Three scores for the probability of occurrence (O), the severity (S), and the probability of no detection (D) for failure modes were assigned to each failure mode by each professional on a scale from 1 to 10. The risk priority number (RPN) for each failure mode was then calculated (RPN = OxSxD) as the average scores from all data sets collected. Results: The established process tree for GK radiosurgery consists of 10 sub-processes and 53 steps, including a sub-process for frame placement and 11 steps that are directly related to the frame-based nature of the GK radiosurgery. Out of the 86 failure modes identified, 40 failure modes are GK specific, caused by the potential for inappropriate use of the radiosurgery head frame, the imaging fiducial boxes, the GK helmets and plugs, and the GammaPlan treatment planning system. The other 46 failure modes are associated with the registration, imaging, image transfer, contouring processes that are common for all radiation therapy techniques. The failure modes with the highest hazard scores are related to imperfect frame adaptor attachment, bad fiducial box assembly, overlooked target areas, inaccurate previous treatment information and excessive patient movement during MRI scan. Conclusion: The implementation of the FMEA approach for Gamma Knife radiosurgery enabled deeper understanding of the overall process among all professionals involved in the care of the patient and helped identify potential

  8. Numerical Analysis on Failure Modes and Mechanisms of Mine Pillars under Shear Loading

    Directory of Open Access Journals (Sweden)

    Tianhui Ma

    2016-01-01

    Full Text Available Severe damage occurs frequently in mine pillars subjected to shear stresses. The empirical design charts or formulas for mine pillars are not applicable to orebodies under shear. In this paper, the failure process of pillars under shear stresses was investigated by numerical simulations using the rock failure process analysis (RFPA 2D software. The numerical simulation results indicate that the strength of mine pillars and the corresponding failure mode vary with different width-to-height ratios and dip angles. With increasing dip angle, stress concentration first occurs at the intersection between the pillar and the roof, leading to formation of microcracks. Damage gradually develops from the surface to the core of the pillar. The damage process is tracked with acoustic emission monitoring. The study in this paper can provide an effective means for understanding the failure mechanism, planning, and design of mine pillars.

  9. Plasma Etching for Failure Analysis of Integrated Circuit Packages

    NARCIS (Netherlands)

    Tang, J.; Schelen, J.B.J.; Beenakker, C.I.M.

    2011-01-01

    Plastic integrated circuit packages with copper wire bonds are decapsulated by a Microwave Induced Plasma system. Improvements on microwave coupling of the system are achieved by frequency tuning and antenna modification. Plasmas with a mixture of O2 and CF4 showed a high etching rate around 2 mm3/m

  10. Plasma Etching for Failure Analysis of Integrated Circuit Packages

    NARCIS (Netherlands)

    Tang, J.; Schelen, J.B.J.; Beenakker, C.I.M.

    2011-01-01

    Plastic integrated circuit packages with copper wire bonds are decapsulated by a Microwave Induced Plasma system. Improvements on microwave coupling of the system are achieved by frequency tuning and antenna modification. Plasmas with a mixture of O2 and CF4 showed a high etching rate around 2

  11. failure analysis of a uav flight control system using markov analysis

    African Journals Online (AJOL)

    eobe

    2016-01-01

    Jan 1, 2016 ... model system with varied failure scenario such as those described above [1]. ... Active Transport Molecular Communication (ATMC) ... Figure 2 Research flowchart. Figure 3 ... operational failure of the entire FCS. The servo ...

  12. Probabilistic Nonlinear Analysis of Reinforced Concrete Bubbler Tower Structure Failure

    Directory of Open Access Journals (Sweden)

    Králik Juraj

    2014-06-01

    Full Text Available This paper describes the reliability analysis of concrete bubbler tower structure of nuclear power plant with the reactor WWER 440 under high internal overpressure. There is showed summary of calculation models and calculation methods for the probability analysis of the structural integrity considering degradation effects and high internal overpressure. The uncertainties of the resistance and the calculation model were taking in the account in the RSM method.

  13. Smoking, radiotherapy, diabetes and osteoporosis as risk factors for dental implant failure: a meta-analysis.

    Directory of Open Access Journals (Sweden)

    Hui Chen

    Full Text Available BACKGROUND: There are conflicting reports as to the association between smoking, radiotherapy, diabetes and osteoporosis and the risk of dental implant failure. We undertook a meta-analysis to evaluate the association between smoking, radiotherapy, diabetes and osteoporosis and the risk of dental implant failure. METHODS: A comprehensive research on MEDLINE and EMBASE, up to January 2013, was conducted to identify potential studies. References of relevant studies were also searched. Screening, data extraction and quality assessment were conducted independently and in duplicate. A random-effects meta-analysis was used to pool estimates of relative risks (RRs with 95% confidence intervals (CIs. RESULTS: A total of 51 studies were identified in this meta-analysis, with more than 40,000 dental implants placed under risk-threatening conditions. The pooled RRs showed a direct association between smoking (n = 33; RR = 1.92; 95% CI, 1.67-2.21 and radiotherapy (n = 16; RR = 2.28; 95% CI, 1.49-3.51 and the risk of dental implant failure, whereas no inverse impact of diabetes (n = 5; RR = 0.90; 95% CI, 0.62-1.32 on the risk of dental implant failure was found. The influence of osteoporosis on the risk of dental implant failure was direct but not significant (n = 4; RR = 1.09; 95% CI, 0.79-1.52. The subgroup analysis indicated no influence of study design, geographical location, length of follow-up, sample size, or mean age of recruited patients. CONCLUSIONS: Smoking and radiotherapy were associated with an increased risk of dental implant failure. The relationship between diabetes and osteoporosis and the risk of implant failure warrant further study.

  14. An application of failure mode and effect analysis (FMEA to assess risks in petrochemical industry in Iran

    Directory of Open Access Journals (Sweden)

    Mehdi Kangavari

    2015-06-01

    Full Text Available Petrochemical industries have a high rate of accidents. Failure mode and effect analysis (FMEA is a systematic method and thus is capable of analyzing the risks of systems from concept phase to system disposal, detecting the failures in design stage, and determining the control measures and corrective actions for failures to reduce their impacts. The objectives of this research were to perform FMEA to identify risks in an Iranian petrochemical industry and determine the decrease of the risk priority number (RPN after implementation of intervention programs. This interventional study was performed at one petrochemical plant in Tehran, Iran in 2014. Relevant information about job categories and plant process was gathered using brainstorming techniques, fishbone diagram, and group decision making. The data were collected through interviews, observation, and documents investigations and was recorded in FMEA worksheets. The necessary corrective measures were performed on the basis of the results of initial FMEA. Forty eight failures were identified in welding unit by application of FMEA to assess risks. Welding processes especially working at height got the highest RPN. Obtained RPN for working at height before performing the corrective actions was 120 and the score was reduced to 96 after performing corrective measures. Calculated RPN for all processes was significantly reduced (p≤0.001 by implementing the corrective actions. Scores of RPN in all studied processes effectively decreased after performing corrective actions in a petrochemical industry. FMEA method is a useful tool for identifying risk intervention priorities and effectiveness in a studied petrochemical industry.

  15. AODV routing overhead analysis based on link failure probability in MANET

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qin-juan; WU Mu-qing; ZHEN Yan; SHANG Cui-li

    2010-01-01

    This article puts forward an Ad-hoc on-demand distance vector routing(AODV)routing overhead analysis method in mobile Ad-hoc network(MANET).Although multiple routing protocols have been proposed to improve the performance,scarcely any paper analyzed the routing overhead caused by routing setup and maintenance processes in mathematical way.Routing overhead consumes part of network resources and limits the supported traffic in the network.For on-demand routing protocols like AODV,the routing overhead depends on the link failure probability to a great extent.This article analyzes the collision probability caused by hidden-node problem and the impact on link failure probability.In chain and rectangle scenarios,it presents a mathematical analysis of the theoretical routing overhead of AODV protocol based on link failure probability.Simulations on OPNET 14.5platform match well with the theoretical derivation which confirms the effectiveness of the analysis method.

  16. Upper bound analysis for deep tunnel face with joined failure mechanism of translation and rotation

    Institute of Scientific and Technical Information of China (English)

    许敬叔; 杜佃春; 杨子汉

    2015-01-01

    A joined failure mechanism of translation and rotation was proposed for the stability analysis of deep tunnel face, and the upper bound solution of supporting force of deep tunnel was calculated under pore water pressure. The calculations were based on limit analysis method of upper bound theory, with the employment of non-associated Mohr-Coulomb flow rule. Nonlinear failure criterion was adopted. Optimized analysis was conducted for the effects of the tunnel depth, pore water pressure coefficient, the initial cohesive force and nonlinear coefficient on supporting force. The upper bound solutions are obtained by optimum method. Results are listed and compared with the previously published solutions for the verification of correctness and effectiveness. The failure shapes are presented, and results are discussed for different pore water pressure coefficients and nonlinear coefficients of tunnel face.

  17. Patency rates of the arteriovenous fistula for hemodialysis: a systematic review and meta-analysis.

    Science.gov (United States)

    Al-Jaishi, Ahmed A; Oliver, Matthew J; Thomas, Sonia M; Lok, Charmaine E; Zhang, Joyce C; Garg, Amit X; Kosa, Sarah D; Quinn, Robert R; Moist, Louise M

    2014-03-01

    Advantages of the arteriovenous fistula (AVF), including long patency and few complications, were ascertained more than 2 decades ago and may not apply to the contemporary dialysis population. Systematic review and meta-analysis. Estimates were pooled using a random-effects model and sources of heterogeneity were explored using metaregression. Patients treated with long-term hemodialysis using an AVF. English-language studies indexed in MEDLINE between 2000 and 2012 using prospectively collected data on 100 or more AVFs. Age, AVF location, and study location. Outcomes of interest were primary AVF failure and primary and secondary patency at 1 and 2 years. 7,011 citations were screened and 46 articles met eligibility criteria (62 unique cohorts; n = 12,383). The rate of primary failure was 23% (95% CI, 18%-28%; 37 cohorts; 7,393 AVFs). When primary failures were included, the primary patency rate was 60% (95% CI, 56%-64%; 13 studies; 21 cohorts; 4,111 AVFs) at 1 year and 51% (95% CI, 44%-58%; 7 studies; 12 cohorts; 2,694 AVFs) at 2 years. The secondary patency rate was 71% (95% CI, 64%-78%; 10 studies; 11 cohorts; 3,558 AVFs) at 1 year and 64% (95% CI, 56%-73%; 6 studies; 11 cohorts; 1,939 AVFs) at 2 years. In metaregression, there was a significant decrease in primary patency rate in studies that started recruitment in more recent years. Low quality of studies, variable clinical settings, and variable definitions of primary AVF failure. In recent years, AVFs had a high rate of primary failure and low to moderate primary and secondary patency rates. Consideration of these outcomes is required when choosing a patient's preferred access type. Copyright © 2014 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  18. 慢性肾功能衰竭与心率变异性时域分析的相关性研究%Study on the interrelationship between time domain analysis of heart rate variab ility and chronic renal failure

    Institute of Scientific and Technical Information of China (English)

    唐可; 吴宗贵; 陈琴珍

    2001-01-01

    目的:评价慢性肾功能衰竭患者 自主神经损伤及其相关因素。方法:选择肾内科住院患者及健康体检 人员共40例,按肾功能水平分为正常对照组、肾功能正常组、氮质血症组和尿毒症组,分别 检测患者心率变异性(HRV)时域指标并同步监测患者动态血压,进行显著性差异检验。结果:(1) 尿毒症组HRV时域指标中主要观察指标显著低于其余各组( P<0.01或P<0.05),而其余各组间HRV时域指标均无显著性差异;(2) 尿毒症肾性高 血压患者HRV时域指标显著低于尿毒症正常血压患者(P<0.05)。结论:(1) 随着慢性肾功能衰竭病程进展,患者逐步出现心脏自主神经系统损害及功能失调 ;(2) 慢性肾功能衰竭患者心脏自主神经系统损害与肾功能水平呈正相关;尿毒症本身即为 心脏自主神经系统损害的独立因素。(3) 尿毒症肾性高血压将加重患者心脏自主神经系统损 害。%Objective: To assess the autonomic nervous impairm ent in chronic renal failure and its related factors. Methods: F orty adults were randomly selected including in-patients in the nephrology ward and healthy subjects for routine medical examination. The subjects were classifi ed into 4 groups: normal subjects(NS),normal renal function,nitremia, uremic patients. The time domain measurements of heart rate variability(HRV) and ambula tory blood pressure were analyzed simultaneously . Results: (1) There were significant differences as compared with normal subjects in the time domain measurements of HRV in uremic group. It decreased significantly when the patient was defined as end stage chronic renal failure. There were no significan t differences between NS,normal renal function group and nitremic group. (2) Ti me domain measurements of HRV was significantly lower(P<0.05) in uremia with renal hypertension than in uremia with normal blood pressure. Conclusio n: (1) Patients

  19. A Meta-Analysis of the Therapeutic Effects of Glucagon-Like Peptide-1 Agonist in Heart Failure

    Directory of Open Access Journals (Sweden)

    Mohammed Munaf

    2012-01-01

    Full Text Available We conducted a meta-analysis of the existing literature of the therapeutic effects of using GLP-1 agonists to improve the metabolism of the failing heart. Animal studies showed significant improvement in markers of cardiac function, such as left ventricular ejection fraction (LVEF, with regular GLP-1 agonist infusions. In clinical trials, the potential effects of GLP-1 agonists in improving cardiac function were modest: LVEF improved by 4.4% compared to placebo (95% C.I 1.36–7.44, =0.005. However, BNP levels were not significantly altered by GLP-1 agonists in heart failure. In two trials, a modest increase in heart rate by up to 7 beats per minute was noted, but meta-analysis demonstrated this was not significant statistically. The small number of studies plus variation in the concentration and length of the regime between the trials would limit our conclusions, even though statistically, heterogeneity chi-squared tests did not reveal any significant heterogeneity in the endpoints tested. Moreover, studies in non-diabetics with heart failure yielded conflicting results. In conclusion, the use of GLP-1 agonists has at best a modest effect on ejection fraction improvement in heart failure, but there was no significant improvement in BNP levels in the meta-analysis.

  20. A Costing Analysis for Decision Making Grid Model in Failure-Based Maintenance

    Directory of Open Access Journals (Sweden)

    Burhanuddin M. A.

    2011-01-01

    Full Text Available Background. In current economic downturn, industries have to set good control on production cost, to maintain their profit margin. Maintenance department as an imperative unit in industries should attain all maintenance data, process information instantaneously, and subsequently transform it into a useful decision. Then act on the alternative to reduce production cost. Decision Making Grid model is used to identify strategies for maintenance decision. However, the model has limitation as it consider two factors only, that is, downtime and frequency of failures. We consider third factor, cost, in this study for failure-based maintenance. The objective of this paper is to introduce the formulae to estimate maintenance cost. Methods. Fish bone analysis conducted with Ishikawa model and Decision Making Grid methods are used in this study to reveal some underlying risk factors that delay failure-based maintenance. The goal of the study is to estimate the risk factor that is, repair cost to fit in the Decision Making Grid model. Decision Making grid model consider two variables, frequency of failure and downtime in the analysis. This paper introduces third variable, repair cost for Decision Making Grid model. This approaches give better result to categorize the machines, reduce cost, and boost the earning for the manufacturing plant. Results. We collected data from one of the food processing factories in Malaysia. From our empirical result, Machine C, Machine D, Machine F, and Machine I must be in the Decision Making Grid model even though their frequency of failures and downtime are less than Machine B and Machine N, based on the costing analysis. The case study and experimental results show that the cost analysis in Decision Making Grid model gives more promising strategies in failure-based maintenance. Conclusions. The improvement of Decision Making Grid model for decision analysis with costing analysis is our contribution in this paper for

  1. Importance of competing risks in the analysis of anti-epileptic drug failure

    Directory of Open Access Journals (Sweden)

    Sander Josemir W

    2007-03-01

    Full Text Available Abstract Background Retention time (time to treatment failure is a commonly used outcome in antiepileptic drug (AED studies. Methods Two datasets are used to demonstrate the issues in a competing risks analysis of AEDs. First, data collection and follow-up considerations are discussed with reference to information from 15 monotherapy trials. Recommendations for improved data collection and cumulative incidence analysis are then illustrated using the SANAD trial dataset. The results are compared to the more common approach using standard survival analysis methods. Results A non-significant difference in overall treatment failure time between gabapentin and topiramate (logrank test statistic = 0.01, 1 degree of freedom, p-value = 0.91 masked highly significant differences in opposite directions with gabapentin resulting in fewer withdrawals due to side effects (Gray's test statistic = 11.60, 1 degree of freedom, p = 0.0007 but more due to poor seizure control (Gray's test statistic = 14.47, 1 degree of freedom, p-value = 0.0001. The significant difference in overall treatment failure time between lamotrigine and carbamazepine (logrank test statistic = 5.6, 1 degree of freedom, p-value = 0.018 was due entirely to a significant benefit of lamotrigine in terms of side effects (Gray's test statistic = 10.27, 1 degree of freedom, p = 0.001. Conclusion Treatment failure time can be measured reliably but care is needed to collect sufficient information on reasons for drug withdrawal to allow a competing risks analysis. Important differences between the profiles of AEDs may be missed unless appropriate statistical methods are used to fully investigate treatment failure time. Cumulative incidence analysis allows comparison of the probability of failure between two AEDs and is likely to be a more powerful approach than logrank analysis for most comparisons of standard and new anti-epileptic drugs.

  2. Failure mode analysis of silicon-based intracortical microelectrode arrays in non-human primates

    Science.gov (United States)

    Barrese, James C.; Rao, Naveen; Paroo, Kaivon; Triebwasser, Corey; Vargas-Irwin, Carlos; Franquemont, Lachlan; Donoghue, John P.

    2013-12-01

    Objective. Brain-computer interfaces (BCIs) using chronically implanted intracortical microelectrode arrays (MEAs) have the potential to restore lost function to people with disabilities if they work reliably for years. Current sensors fail to provide reliably useful signals over extended periods of time for reasons that are not clear. This study reports a comprehensive retrospective analysis from a large set of implants of a single type of intracortical MEA in a single species, with a common set of measures in order to evaluate failure modes. Approach. Since 1996, 78 silicon MEAs were implanted in 27 monkeys (Macaca mulatta). We used two approaches to find reasons for sensor failure. First, we classified the time course leading up to complete recording failure as acute (abrupt) or chronic (progressive). Second, we evaluated the quality of electrode recordings over time based on signal features and electrode impedance. Failure modes were divided into four categories: biological, material, mechanical, and unknown. Main results. Recording duration ranged from 0 to 2104 days (5.75 years), with a mean of 387 days and a median of 182 days (n = 78). Sixty-two arrays failed completely with a mean time to failure of 332 days (median = 133 days) while nine array experiments were electively terminated for experimental reasons (mean = 486 days). Seven remained active at the close of this study (mean = 753 days). Most failures (56%) occurred within a year of implantation, with acute mechanical failures the most common class (48%), largely because of connector issues (83%). Among grossly observable biological failures (24%), a progressive meningeal reaction that separated the array from the parenchyma was most prevalent (14.5%). In the absence of acute interruptions, electrode recordings showed a slow progressive decline in spike amplitude, noise amplitude, and number of viable channels that predicts complete signal loss by about eight years. Impedance measurements showed

  3. Being on sick leave due to heart failure: self-rated health, encounters with healthcare professionals and social insurance officers and self-estimated ability to return to work.

    Science.gov (United States)

    Nordgren, Lena; Söderlund, Anne

    2015-01-01

    Younger people with heart failure often experience poor self-rated health. Furthermore, poor self-rated health is associated with long-term sick leave and disability pension. Socio-demographic factors affect the ability to return to work. However, little is known about people on sick leave due to heart failure. The aim of this study was to investigate associations between self-rated health, mood, socio-demographic factors, sick leave compensation, encounters with healthcare professionals and social insurance officers and self-estimated ability to return to work, for people on sick leave due to heart failure. This population-based investigation had a cross-sectional design. Data were collected in Sweden in 2012 from two official registries and from a postal questionnaire. In total, 590 subjects, aged 23-67, responded (response rate 45.8%). Descriptive statistics, correlation analyses (Spearman bivariate analysis) and logistic regression analyses were used to investigate associations. Poor self-rated health was strongly associated with full sick leave compensation (OR = 4.1, p work (OR = 3.3, p work imposes reduced quality of life. Positive encounters with healthcare professionals and social insurance officers can be supportive when people with heart failure struggle to remain in working life.

  4. What is Scanning Probe Microscopy? And How Can It Be Used In Failure Analysis?

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, A.; Tangyunyong, P.

    1999-03-26

    Scanning probe microscopy (SPM) techniques are not suitable as global defect-localization tools. They can, however, pinpoint the exact location of the defects once the approximate locations of the defects have been identified by other failure analysis techniques. SPM techniques also provide information such as 3-D topology, current, surface potential, and 2-D dopant profile that may not be readily obtainable with other techniques. This information, coupled with the unparalleled spatial resolution and high detection sensitivity can be used by failure analysts for root cause analysis.

  5. Model-OA wind turbine generator - Failure modes and effects analysis

    Science.gov (United States)

    Klein, William E.; Lali, Vincent R.

    1990-01-01

    The results failure modes and effects analysis (FMEA) conducted for wind-turbine generators are presented. The FMEA was performed for the functional modes of each system, subsystem, or component. The single-point failures were eliminated for most of the systems. The blade system was the only exception. The qualitative probability of a blade separating was estimated at level D-remote. Many changes were made to the hardware as a result of this analysis. The most significant change was the addition of the safety system. Operational experience and need to improve machine availability have resulted in subsequent changes to the various systems, which are also reflected in this FMEA.

  6. Applying healthcare failure mode and effect analysis to patient pain management in the anesthesia recovery period

    Institute of Scientific and Technical Information of China (English)

    Zhao-Ping Xue; Hong-Yan Li; Rui-Tong Guan; Si Chen

    2016-01-01

    Objective: To standardize pain management in the anesthesia recovery period and improve the effects of analgesia on acute postoperative pain. Methods: Using healthcare failure mode and effect analysis (HFMEA), we analyzed the primary cause of patients' pain and subsequently determined the process and risk priority number (RPN). Results: Actions were taken to improve patients' pain. After using HFMEA, the experimental group's visual analog scale (VAS) scores were lower than those of the control group at 1 h and at discharge from the post-anesthetic intensive care unit (PAICU). The differences were statistically significant (P Conclusions: The application of failure mode and effect analysis can relieve pain and improve the quality of nursing.

  7. A Cost-Based Adaptive Handover Hysteresis Scheme to Minimize the Handover Failure Rate in 3GPP LTE System

    Directory of Open Access Journals (Sweden)

    Gil Gye-Tae

    2010-01-01

    Full Text Available We deal with a cost-based adaptive handover hysteresis scheme for the horizontal handover decision strategies, as one of the self-optimization techniques that can minimize the handover failure rate (HFR in the 3rd generation partnership project (3GPP long-term evolution (LTE system based on the network-controlled hard handover. Especially, for real-time operation, we propose an adaptive hysteresis scheme with a simplified cost function considering some dominant factors closely related to HFR performance such as the load difference between the target and serving cells, the velocity of user equipment (UE, and the service type. With the proposed scheme, a proper hysteresis value based on the dominant factors is easily obtained, so that the handover parameter optimization for minimizing the HFR can be effectively achieved. Simulation results show that the proposed scheme can support better HFR performance than the conventional schemes.

  8. Analysis of failures of waterproofing cladding layers of terracotta tiles

    Directory of Open Access Journals (Sweden)

    Koláčný Milan

    2017-01-01

    Full Text Available The article is focused on one of the most important roof cladding layers – the waterproofing cladding layer of terracotta tiles. Its detailed analysis covers the main waterproofing cladding layers in terms of their material characteristics and installation methods. The article concludes by formulating principles for the correct design of the main waterproofing layer/construction.

  9. Adverse events and treatment failure leading to discontinuation of recently approved antipsychotic drugs in schizophrenia: A network meta-analysis.

    Science.gov (United States)

    Tonin, Fernanda S; Piazza, Thais; Wiens, Astrid; Fernandez-Llimos, Fernando; Pontarolo, Roberto

    2015-12-01

    Objective:We aimed to gather evidence of the discontinuation rates owing to adverse events or treatment failure for four recently approved antipsychotics (asenapine, blonanserin, iloperidone, and lurasidone).Methods: A systematic review followed by pairwise meta-analysis and mixed treatment comparison meta analysis(MTC) was performed, including randomized controlled trials (RCTs) that compared the use of the above-mentioned drugs versus placebo in patients with schizophrenia. An electronic search was conducted in PubMed, Scopus, Science Direct, Scielo, the Cochrane Library, and International Pharmaceutical Abstracts(January 2015). The included trials were at least single blinded. The main outcome measures extracted were discontinuation owing to adverse events and discontinuation owing to treatment failure.Results: Fifteen RCTs were identified (n = 5400 participants) and 13 of them were amenable for use in our meta-analyses. No significant differences were observed between any of the four drugs and placebo as regards discontinuation owing to adverse events, whether in pairwise meta-analysis or in MTC. All drugs presented a better profile than placebo on discontinuation owing to treatment failure, both in pairwise meta-analysis and MTC. Asenapine was found to be the best therapy in terms of tolerability owing to failure,while lurasidone was the worst treatment in terms of adverse events. The evidence around blonanserin is weak.Conclusion: MTCs allowed the creation of two different rank orders of these four antipsychotic drugs in two outcome measures. This evidence-generating method allows direct and indirect comparisons, supporting approval and pricing decisions when lacking sufficient, direct, head-to-head trials.

  10. A novel approach of testability modeling and analysis for PHM systems based on failure evolution mechanism

    Institute of Scientific and Technical Information of China (English)

    Tan Xiaodong; Qiu Jing; Liu Guanjun; Lv Kehong; Yang Shuming; Wang Chao

    2013-01-01

    Prognostics and health management (PHM) significantly improves system availability and reliability,and reduces the cost of system operations.Design for testability (DFT) developed concurrently with system design is an important way to improve PHM capability.Testability modeling and analysis are the foundation of DFT.This paper proposes a novel approach of testability modeling and analysis based on failure evolution mechanisms.At the component level,the fault progression-related information of each unit under test (UUT) in a system is obtained by means of failure modes,evolution mechanisms,effects and criticality analysis (FMEMECA),and then the failure-symptom dependency can be generated.At the system level,the dynamic attributes of UUTs are assigned by using the bond graph methodology,and then the symptom-test dependency can be obtained by means of the functional flow method.Based on the failure-symptom and symptom-test dependencies,testability analysis for PHM systems can be realized.A shunt motor is used to verify the application of the approach proposed in this paper.Experimental results show that this approach is able to be applied to testability modeling and analysis for PHM systems very well,and the analysis results can provide a guide for engineers to design for testability in order to improve PHM performance.

  11. [Failure modes and effects analysis in the prescription, validation and dispensing process].

    Science.gov (United States)

    Delgado Silveira, E; Alvarez Díaz, A; Pérez Menéndez-Conde, C; Serna Pérez, J; Rodríguez Sagrado, M A; Bermejo Vicedo, T

    2012-01-01

    To apply a failure modes and effects analysis to the prescription, validation and dispensing process for hospitalised patients. A work group analysed all of the stages included in the process from prescription to dispensing, identifying the most critical errors and establishing potential failure modes which could produce a mistake. The possible causes, their potential effects, and the existing control systems were analysed to try and stop them from developing. The Hazard Score was calculated, choosing those that were ≥ 8, and a Severity Index = 4 was selected independently of the hazard Score value. Corrective measures and an implementation plan were proposed. A flow diagram that describes the whole process was obtained. A risk analysis was conducted of the chosen critical points, indicating: failure mode, cause, effect, severity, probability, Hazard Score, suggested preventative measure and strategy to achieve so. Failure modes chosen: Prescription on the nurse's form; progress or treatment order (paper); Prescription to incorrect patient; Transcription error by nursing staff and pharmacist; Error preparing the trolley. By applying a failure modes and effects analysis to the prescription, validation and dispensing process, we have been able to identify critical aspects, the stages in which errors may occur and the causes. It has allowed us to analyse the effects on the safety of the process, and establish measures to prevent or reduce them. Copyright © 2010 SEFH. Published by Elsevier Espana. All rights reserved.

  12. Pooled analysis of the reports of pomalidomide after failure of lenalidomide and (or) bortezomib for multiple myeloma.

    Science.gov (United States)

    Sheng, Zhixin; Liu, Guangyu

    2016-06-01

    The use of pomalidomide after lenalidomide and (or) bortezomib failure in patients with multiple myeloma is not clearly clarified in clinical practice. We sought to compile the available clinical reports to better understand the effectiveness of pomalidomide after failure of lenalidomide and (or) bortezomib. We searched published reports including pomalidomide, lenalidomide and (or) bortezomib. Seven reports were identified. Pomalidomide-based regimen was pomalidomide plus low-dose dexamethasone (POM + LoDEX). Six randomized controlled trials enrolling a total of 641 patients that evaluated the treatment effects of pomalidomide after lenalidomide and (or) bortezomib failure in patients with multiple myeloma were included. Pooled results showed that the overall response rate (ORR) was 31% in the POM + LoDEX group. Analysis of heterogeneity showed very little (p = 0.997, I(2)  = 0%), suggesting that response rates of POM + LoDEX therapy were consistent across those included trials. Stable disease was achieved in 40% of 603 patients (heterogeneity: p = 0.980, I(2)  = 0%). In those >65 years, overall response was achieved in 32% of 71 patients (heterogeneity: p = 0.77, I(2)  = 0%). POM + LoDEX showed promising activity in the 95 patients with high-risk cytogenetic abnormalities: ORR was 27% (heterogeneity: p = 0.97, I(2)  = 0%). In the pooled analysis, toxicity consisted primarily of myelosuppression: Grade 3 or 4 neutropenia was seen in 53% (heterogeneity: p = 0.857, I(2)  = 0%). Pomalidomide may produce clinical benefits in patients who had shown refractory on prior lenalidomide and (or) bortezomib therapy. Moreover, elder patients and high-risk cytogenetic abnormalities were not negative predictors for pomalidomide response after lenalidomide and (or) bortezomib failure. Copyright © 2015 John Wiley & Sons, Ltd.

  13. A Modeling Technique and Representation of Failure in the Analysis of Triaxial Braided Carbon Fiber Composites

    Science.gov (United States)

    Littell, Justin D.; Binienda, Wieslaw K.; Goldberg, Robert K.; Roberts, Gary D.

    2008-01-01

    Quasi-static tests have been performed on triaxially braided carbon fiber composite materials with large unit cell sizes. The effects of different fibers and matrix materials on the failure mode were investigated. Simulations of the tests have been performed using the transient dynamic finite element code, LS-DYNA. However, the wide range of failure modes observed for the triaxial braided carbon fiber composites during tests could not be simulated using composite material models currently available within LS-DYNA. A macroscopic approach has been developed that provides better simulation of the material response in these materials. This approach uses full-field optical measurement techniques to measure local failures during quasi-static testing. Information from these experiments is then used along with the current material models available in LS-DYNA to simulate the influence of the braided architecture on the failure process. This method uses two-dimensional shell elements with integration points through the thickness of the elements to represent the different layers of braid along with a new analytical method for the import of material stiffness and failure data directly. The present method is being used to examine the effect of material properties on the failure process. The experimental approaches used to obtain the required data will be described, and preliminary results of the numerical analysis will be presented.

  14. Risk Factors Leading to Free Flap Failure: Analysis From the National Surgical Quality Improvement Program Database.

    Science.gov (United States)

    Sanati-Mehrizy, Paymon; Massenburg, Benjamin B; Rozehnal, John M; Ingargiola, Michael J; Hernandez Rosa, Jonatan; Taub, Peter J

    2016-11-01

    The objective of this study was to identify risk factors for free flap failure among various anatomically based free flap subgroups. The 2005 to 2012 American College of Surgeons National Surgical Quality Improvement Program database was queried for patients undergoing microvascular free tissue transfer based on current procedural terminology codes. Univariate analysis was performed to identify any association between flap failure and the following factors: age, gender, race, body mass index (BMI), diabetes, smoking, alcohol use, hypertension, intraoperative transfusion, functional health status, American Society of Anesthesiologists class, operative time, and flap location. Factors yielding a significance of P free flap reconstruction met inclusion criteria. Multivariate logistic regression identified BMI (adjusted odds ratio [AOR] = 1.07, P = 0.004) and male gender (AOR = 2.16, P = 0.033) as independent risk factors for flap failure. Among the "breast flaps" subgroup, BMI (AOR = 1.075, P = 0.012) and smoking (AOR = 3.35, P = 0.02) were independent variables associated with flap failure. In "head and neck flaps," operative time (AOR = 1.003, P = 0.018) was an independent risk factor for flap failure. No independent risk factors were identified for the "extremity flaps" or "trunk flaps" subtypes. BMI, smoking, and operative time were identified as independent risk factors for free flap failure among all flaps or within flap subsets.

  15. Heart rate reduction and exercise performance in recent onset heart failure with reduced ejection fraction: arguments for beta-blocker hypo-response.

    Science.gov (United States)

    Verbrugge, Frederik H; Vrijsen, Jeroen; Vercammen, Jan; Grieten, Lars; Dupont, Matthias; Mullens, Wilfried

    2015-10-01

    Beta blockers reduce all-cause mortality and readmissions in heart failure with reduced ejection fraction (HFrEF), which may be explained by their effect on heart rate (HR). This study assessed the impact of HR reduction with beta blockers on exercise capacity in recent onset HFrEF. Fifty consecutive patients with recent onset HFrEF (exercise protocol with respiratory gas analysis at baseline as well as after 6 and 12 months. Patients participated in a quality of care programme aiming to achieve guideline-recommended target doses for beta-blocker therapy. At baseline, 6 and 12 months, 36%, 70% and 62% of patients, respectively, had a resting HRexercise performance was better when resting HR was controlled <70 bpm with beta-blocker therapy. However, despite aggressive dose uptitration, many patients did not achieve this target as they had little HR reduction with beta-blocker therapy.

  16. ROC Analysis and a Realistic Model of Heart Rate Variability

    CERN Document Server

    Thurner, S; Teich, M C; Thurner, Stefan; Feurstein, Markus C.; Teich, Malvin C.

    1998-01-01

    We have carried out a pilot study on a standard collection of electrocardiograms from patients who suffer from congestive heart failure, and subjects without cardiac pathology, using receiver-operating-characteristic (ROC) analysis. The scale-dependent wavelet-coefficient standard deviation superior to two commonly used measures of cardiac dysfunction when the two classes of patients cannot be completely separated. A jittered integrate-and-fire model with a fractal Gaussian-noise kernel provides a realistic simulation of heartbeat sequences for both heart-failure patients and normal subjects.

  17. Progressive failure analysis of composite structure based on micro- and macro-mechanics models

    Institute of Scientific and Technical Information of China (English)

    孙志刚; 阮绍明; 陈磊; 宋迎东

    2015-01-01

    Based on parameter design language, a program of progressive failure analysis in composite structures is proposed. In this program, the relationship between macro- and micro-mechanics is established and the macro stress distribution of the composite structure is calculated by commercial finite element software. According to the macro-stress, the damaged point is found and the micro-stress distribution of representative volume element is calculated by finite-volume direct averaging micromechanics (FVDAM). Compared with the results calculated by failure criterion based on macro-stress field (the maximum stress criteria and Hashin criteria) and micro-stress field (Huang model), it is proven that the failure analysis based on macro- and micro-mechanics model is feasible and efficient.

  18. A Fuzzy Approach of the Optimal Analysis Based of Failure States in Manufacturing Systems

    Directory of Open Access Journals (Sweden)

    E. Minca

    2012-12-01

    Full Text Available This article proposes an algorithm for prognosis in optimal analysis of manufacturing systems. Uncertain knowledge of such task requires for specific reasoning and adaptive model base of fuzzy logic analyzes. The proposed method performs the interfaces between the results provided by the fuzzy supervision model and the algorithm witch identify the real state of the monitored system. The supervisory system sends failure signals described in a fuzzy approach. These ones represent inputs values in the system of failure optimal analysis which identifies the current degradation states by recurrent identification cycle. The proposed algorithm has also predictive component capable to determine the possible evolution of the system state towards a critical state of failure.

  19. Fretting and Corrosion Between a Metal Shell and Metal Liner May Explain the High Rate of Failure of R3 Modular Metal-on-Metal Hips.

    Science.gov (United States)

    Ilo, Kevin C; Derby, Emma J; Whittaker, Robert K; Blunn, Gordon W; Skinner, John A; Hart, Alister J

    2017-05-01

    The R3 acetabular system used with its metal liner has higher revision rates when compared to its ceramic and polyethylene liner. In June 2012, the medical and healthcare products regulatory agency issued an alert regarding the metal liner of the R3 acetabular system. Six retrieved R3 acetabular systems with metal liners underwent detailed visual analysis using macroscopic and microscopic techniques. Visual analysis discovered corrosion on the backside of the metal liners. There was a distinct border to the areas of corrosion that conformed to antirotation tab insertions on the inner surface of the acetabular shell, which are for the polyethylene liner. Scanning electron microscopy indicated evidence of crevice corrosion, and energy-dispersive X-ray analysis confirmed corrosion debris rich in titanium. The high failure rate of the metal liner option of the R3 acetabular system may be attributed to corrosion on the backside of the liner which appear to result from geometry and design characteristics of the acetabular shell. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Health scorecard of spacecraft platforms: Track record of on-orbit anomalies and failures and preliminary comparative analysis

    Science.gov (United States)

    Wise, Marcie A.; Saleh, Joseph H.; Haga, Rachel A.

    2011-01-01

    Choosing the "right" satellite platform for a given market and mission requirements is a major investment decision for a satellite operator. With a variety of platforms available on the market from different manufacturers, and multiple offerings from the same manufacturer, the down-selection process can be quite involved. In addition, because data for on-obit failures and anomalies per platform is unavailable, incomplete, or fragmented, it is difficult to compare options and make an informed choice with respect to the critical attribute of field reliability of different platforms. In this work, we first survey a large number of geosynchronous satellite platforms by the major satellite manufacturers, and we provide a brief overview of their technical characteristics, timeline of introduction, and number of units launched. We then analyze an extensive database of satellite failures and anomalies, and develop for each platform a "health scorecard" that includes all the minor and major anomalies, and complete failures—that is failure events of different severities—observed on-orbit for each platform. We identify the subsystems that drive these failure events and how much each subsystem contributes to these events for each platform. In addition, we provide the percentage of units in each platform which have experienced failure events, and, after calculating the total number of years logged on-orbit by each platform, we compute its corresponding average failure and anomaly rate. We conclude this work with a preliminary comparative analysis of the health scorecards of different platforms. The concept of a "health scorecard" here introduced provides a useful snapshot of the failure and anomaly track record of a spacecraft platform on orbit. As such, it constitutes a useful and transparent benchmark that can be used by satellite operators to inform their acquisition choices ("inform" not "base" as other considerations are factored in when comparing different spacecraft

  1. Failure Analysis of Main Flame Deflector Nelson Studs

    Science.gov (United States)

    Long, Victoria

    2009-01-01

    NASA Structures engineers submitted two Nelson refractory studs from the main flame deflector at Launch Complex (LC) 39 A for analysis when they were observed to be missing a significant amount of material after launch. The damaged stud and an unused comparative stud were analyzed by macroscopic and microscopic examination along with metallographic evaluation of the microstructure. The stud lost material due to a combination of erosion and corrosion. Plain carbon steel readily forms an oxide layer in the coastal launch environment at Kennedy Space Center. The blast during a launch removes this brittle oxide layer, which then forms again post-launch, thereby further removing material. No indications of melting were observed.

  2. Failure analysis on China power grid based on power law

    Institute of Scientific and Technical Information of China (English)

    Xiaofeng WENG; Yiguang HONG; Ancheng XUE; Shengwei MEI

    2006-01-01

    This paper is concerned with the mechanism of blackouts in China power system from the viewpoint of self-organized criticality. By using two estimation algorithms of scaled window variance (SWV) and rescaled rangestatistics (R/S), this paper studies the blackout data in China power system during 1988-1997. The result of analysis shows that the blackout data of 1994-1997 coincides well with the autocorrelation. Furthermore, it is found that the function of blackout probability vs. blackout size exhibits power law distribution.

  3. VARIATION ANALYSIS ON NATIONAL STANDARD INTEREST RATE

    Directory of Open Access Journals (Sweden)

    Michel Ferreira Cardia Haddad

    2012-06-01

    Full Text Available This study’s main objective is to analyse an econometric model for forecasting purposes concerning the interest rate which is adopted as standard reference within the Brazilian economy, namely, the Actual-Selic rate, so as to verify the feasibility of performing short term predictions as to its variations. Thus the major variables that impact the Actual-Selic rate, such as price variations of agricultural and power commodities, national industrial production level, exchange rate and public sector net debt, are detailed. The modern macroeconomic approach describes the relevance of the Central Bank upon achievement of its goals so as to maintain the economic stability, amongst which lies the convergence of verified interest rates with the Selic rate target, as set forth by the Monetary Policy Committee (COPOM. Furthermore, this study poses to explain the relevance in forecasting, with a reasonable level of accuracy, the benchmark interest rate of Brazilian economy. The proposed model may be used to support decision making concerning investment strategies and as an additional tool for the monitoring of the achievement of macroeconomic policy objectives.

  4. Analysis of Moderator System Failure Accidents by Using New Method for Wolsong-1 CANDU 6 Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Dongsik; Kim, Jonghyun; Cho, Cheonhwey [Atomic Creative Technology Co., Ltd., Daejeon (Korea, Republic of); Kim, Sungmin [Korea Hydro and Nuclear Power Co., Ltd., Daejeon (Korea, Republic of)

    2013-05-15

    To reconfirm the safety of moderator system failure accidents, the safety analysis by using the reactor physics code, RFSP-IST, coupled with the thermal hydraulics code, CATHENA is performed additionally. In the present paper, the newly developed analysis method is briefly described and the results obtained from the moderator system failure accident simulations for Wolsong-1 CANDU 6 reactor by using the new method are summarized. The safety analysis of the moderator system failure accidents for Wolsong-1 CANDU 6 reactor was carried out by using the new code system, i. e., CATHENA and RFSP-IST, instead of the non-IST old codes, namely, SMOKIN G-2 and MODSTBOIL. The analysis results by using the new method revealed as same with the results by using the old method that the fuel integrity is warranted because the localized power peak remained well below the limits and, most importantly, the reactor operation enters into the self-shutdown mode due to the substantial loss of moderator D{sub 2}O inventory from the moderator system. In the analysis results obtained by using the old method, it was predicted that the ROP trip conditions occurred for the transient cases which are also studied in the present paper. But, in the new method, it was found that the ROP trip conditions did not occur. Consequently, in the safety analysis performed additionally by using the new method, the safety of moderator system failure accidents was reassured. In the future, the new analysis method by using the IST codes instead of the non-IST old codes for the moderator system failure accidents is strongly recommended.

  5. Learning from Trending, Precursor Analysis, and System Failures

    Energy Technology Data Exchange (ETDEWEB)

    Youngblood, R. W. [Idaho National Laboratory, Idaho Falls, ID (United States); Duffey, R. B. [Idaho National Laboratory, Idaho Falls, ID (United States)

    2015-11-01

    Models of reliability growth relate current system unreliability to currently accumulated experience. But “experience” comes in different forms. Looking back after a major accident, one is sometimes able to identify previous events or measurable performance trends that were, in some sense, signaling the potential for that major accident: potential that could have been recognized and acted upon, but was not recognized until the accident occurred. This could be a previously unrecognized cause of accidents, or underestimation of the likelihood that a recognized potential cause would actually operate. Despite improvements in the state of practice of modeling of risk and reliability, operational experience still has a great deal to teach us, and work has been going on in several industries to try to do a better job of learning from experience before major accidents occur. It is not enough to say that we should review operating experience; there is too much “experience” for such general advice to be considered practical. The paper discusses the following: 1. The challenge of deciding what to focus on in analysis of operating experience. 2. Comparing what different models of learning and reliability growth imply about trending and precursor analysis.

  6. ANALYSIS OF A TWO UNIT STANDBY SYSTEM WITH CORRELATED FAILURE AND REPAIR AND RANDOM APPEARANCE AND DISAPPEARANCE OF REPAIRMAN

    Directory of Open Access Journals (Sweden)

    Rakesh Gupta

    2010-01-01

    Full Text Available The paper deals with the stochastic analysis of a two non-identical unit standbysystem model. The one unit is considered as priority (p unit and the other as ordinary (o unit.The p-unit gets priority in operation. A single repair facility appears in and disappears from thesystem randomly with constant rates. The repair discipline of units is FCFS. The joint distributionof failure and repair times for each unit is taken to be bivariate exponential. Using regenerativepoint technique various measures of system effectiveness useful to industrial managers areobtained.

  7. Safety Management in an Oil Company through Failure Mode Effects and Critical Analysis

    Directory of Open Access Journals (Sweden)

    Benedictus Rahardjo

    2016-06-01

    Full Text Available This study attempts to apply Failure Mode Effects and Criticality Analysis (FMECA to improve the safety of a production system, specifically the production process of an oil company. Since food processing is a worldwide issue and self-management of a food company is more important than relying on government regulations, therefore this study focused on that matter. The initial step of this study is to identify and analyze the criticality of the potential failure modes of the production process. Furthermore, take corrective action to minimize the probability of repeating the same failure mode, followed by a re-analysis of its criticality. The results of corrective actions were compared with those before improvement conditions by testing the significance of the difference using two sample t-test. The final measured result is the Criticality Priority Number (CPN, which refers to the severity category of the failure mode and the probability of occurrence of the same failure mode. The recommended actions proposed by the FMECA significantly reduce the CPN compared with the value before improvement, with increases of 38.46% for the palm olein case study.

  8. Advances on the Failure Analysis of the Dam—Foundation Interface of Concrete Dams

    Directory of Open Access Journals (Sweden)

    Luis Altarejos-García

    2015-12-01

    Full Text Available Failure analysis of the dam-foundation interface in concrete dams is characterized by complexity, uncertainties on models and parameters, and a strong non-linear softening behavior. In practice, these uncertainties are dealt with a well-structured mixture of experience, best practices and prudent, conservative design approaches based on the safety factor concept. Yet, a sound, deep knowledge of some aspects of this failure mode remain unveiled, as they have been offset in practical applications by the use of this conservative approach. In this paper we show a strategy to analyse this failure mode under a reliability-based approach. The proposed methodology of analysis integrates epistemic uncertainty on spatial variability of strength parameters and data from dam monitoring. The purpose is to produce meaningful and useful information regarding the probability of occurrence of this failure mode that can be incorporated in risk-informed dam safety reviews. In addition, relationships between probability of failure and factors of safety are obtained. This research is supported by a more than a decade of intensive professional practice on real world cases and its final purpose is to bring some clarity, guidance and to contribute to the improvement of current knowledge and best practices on such an important dam safety concern.

  9. A Procedure for Modeling Structural Component/Attachment Failure Using Transient Finite Element Analysis

    Science.gov (United States)

    Lovejoy, Andrew E.; Jegley, Dawn C. (Technical Monitor)

    2007-01-01

    Structures often comprise smaller substructures that are connected to each other or attached to the ground by a set of finite connections. Under static loading one or more of these connections may exceed allowable limits and be deemed to fail. Of particular interest is the structural response when a connection is severed (failed) while the structure is under static load. A transient failure analysis procedure was developed by which it is possible to examine the dynamic effects that result from introducing a discrete failure while a structure is under static load. The failure is introduced by replacing a connection load history by a time-dependent load set that removes the connection load at the time of failure. The subsequent transient response is examined to determine the importance of the dynamic effects by comparing the structural response with the appropriate allowables. Additionally, this procedure utilizes a standard finite element transient analysis that is readily available in most commercial software, permitting the study of dynamic failures without the need to purchase software specifically for this purpose. The procedure is developed and explained, demonstrated on a simple cantilever box example, and finally demonstrated on a real-world example, the American Airlines Flight 587 (AA587) vertical tail plane (VTP).

  10. Failure analysis of parameter-induced simulation crashes in climate models

    Directory of Open Access Journals (Sweden)

    D. D. Lucas

    2013-01-01

    Full Text Available Simulations using IPCC-class climate models are subject to fail or crash for a variety of reasons. Quantitative analysis of the failures can yield useful insights to better understand and improve the models. During the course of uncertainty quantification (UQ ensemble simulations to assess the effects of ocean model parameter uncertainties on climate simulations, we experienced a series of simulation crashes within the Parallel Ocean Program (POP2 component of the Community Climate System Model (CCSM4. About 8.5% of our CCSM4 simulations failed for numerical reasons at combinations of POP2 parameter values. We apply support vector machine (SVM classification from machine learning to quantify and predict the probability of failure as a function of the values of 18 POP2 parameters. A committee of SVM classifiers readily predicts model failures in an independent validation ensemble, as assessed by the area under the receiver operating characteristic (ROC curve metric (AUC > 0.96. The causes of the simulation failures are determined through a global sensitivity analysis. Combinations of 8 parameters related to ocean mixing and viscosity from three different POP2 parameterizations are the major sources of the failures. This information can be used to improve POP2 and CCSM4 by incorporating correlations across the relevant parameters. Our method can also be used to quantify, predict, and understand simulation crashes in other complex geoscientific models.

  11. Failure mode and effects analysis of witnessing protocols for ensuring traceability during IVF.

    Science.gov (United States)

    Rienzi, Laura; Bariani, Fiorenza; Dalla Zorza, Michela; Romano, Stefania; Scarica, Catello; Maggiulli, Roberta; Nanni Costa, Alessandro; Ubaldi, Filippo Maria

    2015-10-01

    Traceability of cells during IVF is a fundamental aspect of treatment, and involves witnessing protocols. Failure mode and effects analysis (FMEA) is a method of identifying real or potential breakdowns in processes, and allows strategies to mitigate risks to be developed. To examine the risks associated with witnessing protocols, an FMEA was carried out in a busy IVF centre, before and after implementation of an electronic witnessing system (EWS). A multidisciplinary team was formed and moderated by human factors specialists. Possible causes of failures, and their potential effects, were identified and risk priority number (RPN) for each failure calculated. A second FMEA analysis was carried out after implementation of an EWS. The IVF team identified seven main process phases, 19 associated process steps and 32 possible failure modes. The highest RPN was 30, confirming the relatively low risk that mismatches may occur in IVF when a manual witnessing system is used. The introduction of the EWS allowed a reduction in the moderate-risk failure mode by two-thirds (highest RPN = 10). In our experience, FMEA is effective in supporting multidisciplinary IVF groups to understand the witnessing process, identifying critical steps and planning changes in practice to enable safety to be enhanced.

  12. Failure analysis of parameter-induced simulation crashes in climate models

    Directory of Open Access Journals (Sweden)

    D. D. Lucas

    2013-08-01

    Full Text Available Simulations using IPCC (Intergovernmental Panel on Climate Change-class climate models are subject to fail or crash for a variety of reasons. Quantitative analysis of the failures can yield useful insights to better understand and improve the models. During the course of uncertainty quantification (UQ ensemble simulations to assess the effects of ocean model parameter uncertainties on climate simulations, we experienced a series of simulation crashes within the Parallel Ocean Program (POP2 component of the Community Climate System Model (CCSM4. About 8.5% of our CCSM4 simulations failed for numerical reasons at combinations of POP2 parameter values. We applied support vector machine (SVM classification from machine learning to quantify and predict the probability of failure as a function of the values of 18 POP2 parameters. A committee of SVM classifiers readily predicted model failures in an independent validation ensemble, as assessed by the area under the receiver operating characteristic (ROC curve metric (AUC > 0.96. The causes of the simulation failures were determined through a global sensitivity analysis. Combinations of 8 parameters related to ocean mixing and viscosity from three different POP2 parameterizations were the major sources of the failures. This information can be used to improve POP2 and CCSM4 by incorporating correlations across the relevant parameters. Our method can also be used to quantify, predict, and understand simulation crashes in other complex geoscientific models.

  13. Oscillatory behaviour of ventricular action potential duration in heart failure patients at respiratory rate and low frequency

    Directory of Open Access Journals (Sweden)

    Ben eHanson

    2014-10-01

    Full Text Available Oscillations of arterial pressure occur spontaneously at a frequency of approx. 0.1Hz coupled with synchronous oscillations of sympathetic nerve activity (Mayer waves. This study investigated the extent to which corresponding oscillations may occur in ventricular action potential duration (APD.14 ambulatory (outpatient heart failure patients with biventricular pacing devices were studied while seated upright watching movie clips to maintain arousal. Activation recovery intervals (ARI as a measure of ventricular APD were obtained from unipolar electrograms recorded from the LV epicardial pacing lead during steady state RV pacing from the device. Arterial blood pressure was measured non-invasively (Finapress and respiration monitored. Oscillations were quantified using time frequency and coherence analysis.Oscillatory behaviour of ARI at the respiratory frequency was observed in all subjects. The magnitude of the ARI variation ranged from 2.2 ms to 6.9 ms (mean 5.0 ms. Coherence analysis showed a correlation with respiratory oscillation for an average of 43% of the recording time at a significance level of p < 0.05. Oscillations in systolic blood pressure in the Mayer wave frequency range were observed in all subjects for whom blood pressure was recorded (n=13. ARI oscillation in the Mayer wave frequency range was observed in 6/13 subjects (46% over a range of 2.9ms to 9.2ms. Coherence with Mayer waves at the p < 0.05 significance level was present for an average of 29 % of the recording time. In ambulatory patients with heart failure during enhanced mental arousal, left ventricular epicardial APD (ARI oscillated at the respiratory frequency (approx. 0.25Hz. In 6 patients (46% APD oscillated at the slower Mayer wave frequency (approx. 0.1 Hz. These findings may be important in understanding sympathetic activity-related arrhythmogenesis.

  14. Risk Analysis of the Space Shuttle: Pre-Challenger Bayeisan Prediction of Failure

    Energy Technology Data Exchange (ETDEWEB)

    Dana L. Kelly

    2008-02-01

    Dalal et al performed a statistical analysis of field and nozzle O-ring data collected prior to the ill-fated launch of the Challenger in January 1986. The purpose of their analysis was to show how statistical analysis could be used to provide information to decisionmakers prior to the launch, information that could have been expected to lead to a decision to abort the launch due to the low temperatures (~30o F.) present at the launch pad on the morning of the scheduled launch. Dalal et al. performed a frequentist analysis of the O-ring data, and found that a logistic regression model provided a relatively good fit to the past data. In the second portion of their paper, Dalal et al. propagated parameter uncertainties through the fitted logistic regression model in order to estimate the probability of shuttle failure due to O-ring failure at the estimated launch temperature of ~30o F. Because their analysis was frequentist in nature, probability distributions representing epistemic uncertainty in the input parameters were not available, and the authors had to resort to an approximate approach based on bootstrap confidence intervals. In this paper, we will re-evaluate the analyses of Dalal et al. from a Bayesian perspective. Markov chain Monte Carlo (MCMC) sampling will be used to sample from the joint posterior distribution of the model parameters, and to sample from the posterior predictive distributions at the estimated launch temperature, a temperature that had not been observed in prior launches of the space shuttle. Uncertainties, which are represented by probability distributions in the Bayesian approach, are propagated through the model to obtain a probability distribution for O-ring failure, and subsequently for shuttle failure as a result of O-ring failure. No approximations are required in the Bayesian approach and the resulting distributions can be input to a decision analysis to obtain expected utility for the decision to launch.

  15. Failure mode and effect analysis in asset maintenance : a multiple case study in the process industry

    NARCIS (Netherlands)

    Braaksma, Jan; Klingenberg, W.; Veldman, J.

    2013-01-01

    Failure mode and effect analysis (FMEA) is an important method for designing and prioritising preventive maintenance activities and is often used as the basis for preventive maintenance planning. Although FMEA was studied extensively, most of the published work so far covers FMEA concept design. Lit

  16. Failure mode and effect analysis in asset maintenance: a multiple case study in the process industry

    NARCIS (Netherlands)

    Braaksma, A.J.J.; Klingenberg, W.; Veldman, J.

    2013-01-01

    Failure mode and effect analysis (FMEA) is an important method for designing and prioritising preventive maintenance activities and is often used as the basis for preventive maintenance planning. Although FMEA was studied extensively, most of the published work so far covers FMEA concept design. Lit

  17. Root cause analysis of pump valve failures of three membrane pump systems

    NARCIS (Netherlands)

    Buijs, L.J.; Eijk, A.; Hooft, L. van

    2014-01-01

    This paper will present the root cause analysis and the solution of fatigue failures of the pump valves of three membrane pump systems installed on a chemical plant of Momentive in Pernis, the Netherlands. The membrane pumps were installed approximately 30 years ago. Each system has encountered fati

  18. Correction factor determination on failure rate equation of MacLaurin series for low and high mode application

    Directory of Open Access Journals (Sweden)

    Totok R. Biyanto

    2016-06-01

    Full Text Available Safety Instrumented Function (SIF is implemented on the system to prevent hazard in process industry. In general, most of SIF implementation in process industry works in low demand condition. Safety valuation of SIF that works in low demand can be solved by using quantitative method. The quantitative method is a simplified exponential equation form of MacLaurin series, which can be called simplified equation. Simplified equation used in high demand condition will generate a higher Safety Integrity Level (SIL and it will affect the higher safety cost. Therefore, the value of low or high demand rate limit should be determined to prevent it. The result of this research is a first order equation that can fix the error of SIL, which arises from the usage of simplified equation, without looking the demand rate limit for low and high demand. This equation is applied for SIL determination on SIF with 1oo1 vote. The new equation from this research is λ = 0.9428 λMC + 1.062E−04 H/P, with 5% average of error, where λMC is a value of λ from the simplified equation, Hazardous event frequency (H is a probabilistic frequency of hazard event and P is Probability of Failure on Demand (PFD in Independent Protection Layers (IPLs. The equation generated from this research could correct SIL of SIF in various H and P. Therefore, SIL design problem could be solved and it provides an appropriate SIL.

  19. Thermomechanical cohesive zone models for analysis of composites failure under thermal gradients and transients

    Science.gov (United States)

    Hattiangadi, Ashwin A.

    conduction across bridged delamination crack. Crack tip energy release rate and crack heat flux are computed to characterize the loading of the structure. Specimen geometries that lead to crack opening through bending deformation and buckling delamination are presented. The influence of critical mechanical and thermal parameters of the bridging zone on the thermomechanical delamination behavior is discussed. The TM-CZM allows the assessment of the effectiveness of the individual physical mechanisms contributing to the thermomechanical failure embedded into the structural analysis.

  20. Rate-dependent force, intracellular calcium, and action potential voltage alternans are modulated by sarcomere length and heart failure induced-remodeling of thin filament regulation in human heart failure: A myocyte modeling study.

    Science.gov (United States)

    Zile, Melanie A; Trayanova, Natalia A

    2016-01-01

    Microvolt T-wave alternans (MTWA) testing identifies heart failure patients at risk for lethal ventricular arrhythmias at near-resting heart rates (voltage alternans (APV-ALT), the cellular driver of MTWA. Our goal was to uncover the mechanisms linking APV-ALT and FORCE-ALT in failing human myocytes and to investigate how the link between those alternans was affected by pacing rate and by physiological conditions such as sarcomere length and heart failure induced-remodeling of mechanical parameters. To achieve this, a mechanically-based, strongly coupled human electromechanical myocyte model was constructed. Reducing the sarcoplasmic reticulum calcium uptake current (Iup) to 27% was incorporated to simulate abnormal calcium handling in human heart failure. Mechanical remodeling was incorporated to simulate altered thin filament activation and crossbridge (XB) cycling rates. A dynamical pacing protocol was used to investigate the development of intracellular calcium concentration ([Ca]i), voltage, and active force alternans at different pacing rates. FORCE-ALT only occurred in simulations incorporating reduced Iup, demonstrating that alternans in the intracellular calcium concentration (CA-ALT) induced FORCE-ALT. The magnitude of FORCE-ALT was found to be largest at clinically relevant pacing rates (<110 bpm), where APV-ALT was smallest. We found that the magnitudes of FORCE-ALT, CA-ALT and APV-ALT were altered by heart failure induced-remodeling of mechanical parameters and sarcomere length due to the presence of myofilament feedback. These findings provide important insight into the relationship between heart-failure-induced electrical and mechanical alternans and how they are altered by physiological conditions at near-resting heart rates.