Cardiac surgery fast-track treatment in a postanesthetic care unit: six-month results of the Leipzig fast-track concept.

Science.gov (United States)

Ender, Joerg; Borger, Michael Andrew; Scholz, Markus; Funkat, Anne-Kathrin; Anwar, Nadeem; Sommer, Marcus; Mohr, Friedrich Wilhelm; Fassl, Jens

2008-07-01

The authors compared the safety and efficacy of a newly developed fast-track concept at their center, including implementation of a direct admission postanesthetic care unit, to standard perioperative management. All fast-track patients treated within the first 6 months of implementation of our direct admission postanesthetic care unit were matched via propensity scores and compared with a historical control group of patients who underwent cardiac surgery prior to fast-track implementation. A total of 421 fast-track patients were matched successfully to 421 control patients. The two groups of patients had a similar age (64 +/- 13 vs. 64 +/- 12 yr for fast-track vs. control, P = 0.45) and European System for Cardiac Operative Risk Evaluation-predicted risk of mortality (4.8 +/- 6.1% vs. 4.6 +/- 5.1%, P = 0.97). Fast-track patients had significantly shorter times to extubation (75 min [45-110] vs. 900 min [600-1140]), as well as shorter lengths of stay in the postanesthetic or intensive care unit (4 h [3.0-5] vs. 20 h [16-25]), intermediate care unit (21 h [17-39] vs. 26 h [19-49]), and hospital (10 days [8-12] vs. 11 days [9-14]) (expressed as median and interquartile range, all P operations.

Fast Track Open Partial Nephrectomy: Reduced Postoperative Length of Stay with a Goal-Directed Pathway Does Not Compromise Outcome

Directory of Open Access Journals (Sweden)

Bilal Chughtai

2008-01-01

Full Text Available Introduction. The aim of this study is to examine the feasibility of reducing postoperative hospital stay following open partial nephrectomy through the implementation of a goal directed clinical management pathway. Materials and Methods. A fast track clinical pathway for open partial nephrectomy was introduced in July 2006 at our institution. The pathway has daily goals and targets discharge for all patients on the 3rd postoperative day (POD. Defined goals are (1 ambulation and liquid diet on the evening of the operative day; (2 out of bed (OOB at least 4 times on POD 1; (3 removal of Foley catheter on the morning of POD 2; (4 removal of Jackson Pratt drain on the afternoon of POD 2; (4 discharge to home on POD 3. Patients and family are instructed in the fast track protocol preoperatively. Demographic data, tumor size, length of stay, and complications were captured in a prospective database, and compared to a control group managed consecutively immediately preceding the institution of the fast track clinical pathway. Results. Data on 33 consecutive patients managed on the fast track clinical pathway was compared to that of 25 control patients. Twenty two (61% out of 36 fast track patients and 4 (16% out of 25 control patients achieved discharge on POD 3. Overall, fast track patients had a shorter hospital stay than controls (median, 3 versus 4 days; P = .012. Age (median, 55 versus 57 years, tumor size (median, 2.5 versus 2.5 cm, readmission within 30 days (5.5% versus 5.1%, and complications (10.2% versus 13.8% were similar in the fast track patients and control, respectively. Conclusions. In the present series, a fast track clinical pathway after open partial nephrectomy reduced the postoperative length of hospital stay and did not appear to increase the postoperative complication rate.

Why still in hospital after fast-track hip and knee arthroplasty?

DEFF Research Database (Denmark)

Husted, Henrik; Lunn, Troels H; Troelsen, Anders

2011-01-01

Background and purpose Length of stay (LOS) following total hip and knee arthroplasty (THA and TKA) has been reduced to about 3 days in fast-track setups with functional discharge criteria. Earlier studies have identified patient characteristics predicting LOS, but little is known about specific...... reasons for being hospitalized following fast-track THA and TKA. Patients and methods To determine clinical and logistical factors that keep patients in hospital for the first postoperative 24-72 hours, we performed a cohort study of consecutive, unselected patients undergoing unilateral primary THA (n...

ATLAS FTK: Fast Track Trigger

CERN Document Server

Volpi, Guido; The ATLAS collaboration

2015-01-01

An overview of the ATLAS Fast Tracker processor is presented, reporting the design of the system, its expected performance, and the integration status. The next LHC runs, with a significant increase in instantaneous luminosity, will provide a big challenge to the trigger and data acquisition systems of all the experiments. An intensive use of the tracking information at the trigger level will be important to keep high efficiency in interesting events, despite the increase in multiple p-p collisions per bunch crossing (pile-up). In order to increase the use of tracks within the High Level Trigger (HLT), the ATLAS experiment planned the installation of an hardware processor dedicated to tracking: the Fast TracKer (FTK) processor. The FTK is designed to perform full scan track reconstruction at every Level-1 accept. To achieve this goal, the FTK uses a fully parallel architecture, with algorithms designed to exploit the computing power of custom VLSI chips, the Associative Memory, as well as modern FPGAs. The FT...

Fast-track video-assisted thoracoscopic surgery

DEFF Research Database (Denmark)

Holbek, Bo Laksafoss; Petersen, René Horsleben; Kehlet, Henrik

2016-01-01

Objectives To provide a short overview of fast-track video-assisted thoracoscopic surgery (VATS) and to identify areas requiring further research. Design A literature search was made using key words including: fast-track, enhanced recovery, video-assisted thoracoscopic surgery, robot......-assisted thoracoscopic surgery (RATS), robotic, thoracotomy, single-incision, uniportal, natural orifice transluminal endoscopic surgery (NOTES), chest tube, air-leak, digital drainage, pain management, analgesia, perioperative management, anaesthesia and non-intubated. References from articles were screened for further...

Organizing and implementing a multidisciplinary fast track oncology clinic.

Science.gov (United States)

Basta, Y L; Tytgat, K M A J; Greuter, H H; Klinkenbijl, J H G; Fockens, P; Strikwerda, J

2017-11-01

Patients with gastrointestinal malignancies often need multiple appointments with different medical specialists, causing waiting times to accrue. In our hospital, care is organized in a sequential manner, causing long waiting times. To reduce this, a fast track outpatient clinic (FTC) was implemented. The FTC was organized within the hospital's existing structure. Patient centered care was achieved by ensuring that the medical specialists visit the patient, implementing nurse coordinators and considering patient wishes and co-morbidities when formulating a treatment plan. A mandate from the board (Top-down), ensured cooperation between different medical departments and a change in resource allocation (i.e. medical staff); a horizontal clinic across a vertical departmental structure. Brainstorm sessions between the departments led by two physicians who were going to work at the FTC (Bottom-up), assured a swift implementation of the FTC. Since implementation in 2009, patient influx has tripled. Waiting time for an appointment and start of treatment was reduced from 2-4 weeks to 6 working days and from 12-14 weeks to 17 working days, respectively. This was achieved by re-allocating recourses, but without increasing existing resources. The combination of a top-down and bottom-up strategy ensured participation from all involved departments, a strong foundation and a shared vision on patient centered care. The FTC facilitates sharing information between different medical specialists through both proximity and a shared electronic patient record. The implementation of the FTC comprises a change in organization, but not a change in structure. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

[Fast-track treatment--second revolution of colorectal surgery].

Science.gov (United States)

Kellokumpu, Ilmo

2012-01-01

The fast-track treatment model can be regarded as the second revolution of colorectal surgery after the introduction of laparoscopic surgery. In the gastro-surgical unit of the Central Hospital of Central Finland, results equivalent to international studies in colorectal surgery have been achieved by using fast-track model. In a study setting, this treatment model has resulted in significant decrease of total treatment costs and speeded up discharge of the patients from the hospital. The fast-track treatment model requires both a motivated, trained medical team and a motivated patient.

Standardising fast-track surgical nursing care in Denmark

DEFF Research Database (Denmark)

Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik

2014-01-01

guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN...

Delirium in fast-track colonic surgery

DEFF Research Database (Denmark)

Kurbegovic, Sorel; Andersen, Jens; Krenk, Lene

2015-01-01

BACKGROUND: Postoperative delirium (PD) is a common but serious problem after major surgery with a multifactorial pathogenesis including age, pain, opioid use, sleep disturbances and the surgical stress response. These factors have been minimised by the "fast-track methodology" previously...... demonstrated to enhance recovery and reduce morbidity. METHODS: Clinical symptoms of PD were routinely collected three times daily from preoperatively until discharge in a well-defined enhanced recovery program after colonic surgery in 247 consecutive patients. RESULTS: Total median length of hospital stay...... postoperative recovery program may decrease the risk and duration of PD after colonic surgery....

Delirium after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Krenk, Lene; Rasmussen, L S; Hansen, T B

2012-01-01

hospital stay and medical morbidity. No data on PD are available in fast-track surgery. The aim of this study was to evaluate the incidence of PD after fast-track hip (THA) and knee arthroplasty (TKA) with anticipated length of stay (LOS) of In a prospective multicentre study to evaluate postoperative...

Fast-Track Teacher Recruitment.

Science.gov (United States)

Grant, Franklin Dean

2001-01-01

Schools need a Renaissance human-resources director to implement strategic staffing and fast-track teacher-recruitment plans. The HR director must attend to customer satisfaction, candidate supply, web-based recruitment possibilities, stabilization of newly hired staff, retention of veteran staff, utilization of retired employees, and latest…

Fast track pathway for perforated appendicitis.

Science.gov (United States)

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

2017-04-01

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

Readmissions after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Husted, Henrik; Otte, Kristian Stahl; Kristensen, Billy B

2010-01-01

With the implementation of fast-track surgery with optimization of both logistical and clinical features, the postoperative convalescence has been reduced as functional milestones have been achieved earlier and consequently length of stay (LOS) in hospital has been reduced. However, it has been s...... speculated that a decrease in LOS may be associated with an increase in readmissions in general, including risk of dislocation after total hip arthroplasty (THA) or manipulation after total knee arthroplasty (TKA)....

Fast-Track Management of Patients Undergoing Proximal Pancreatic Resection

Science.gov (United States)

French, JJ; Mansfield, SD; Jaques, K; Jaques, BC; Manas, DM; Charnley, RM

2009-01-01

INTRODUCTION To avoid the risk of complications of biliary drainage, a feasibility study was carried out to determine whether it might be possible to fast-track surgical treatment, with resection before biliary drainage, in jaundiced patients with proximal pancreatic/peri-ampullary malignancy. PATIENTS AND METHODS Over an 18-month period, based on their presenting bilirubin levels and other logistical factors, all jaundiced patients who might be suitable for fast-track management were identified. Data on complications and hospital stay were compared with those patients in whom a conventional pathway (with biliary drainage) was used during the same time period. Data were also compared with a group of patients from the preceding 6 months. RESULTS Nine patients were fast-tracked and 49 patients treated in the conventional pathway. Fast-track patients mean (SD) serum bilirubin level was 265 μmol/l (81.6) at the time of the operation compared to 43 μmol/l (51.3; P ≥ 0.0001) in conventional patients. Mean (SD) of time from referral to operation, 14 days (9) versus 59 days (36.9), was significantly shorter in fast-track patients than conventional patients (P ≤ 0.0001). Length of hospital stay mean (SD) at 17 (6) days versus 22 days (19.6; P = 0.2114), surgical complications and mortality in fast-track patients were similar to conventional patients. Prior to surgery, the 49 conventional patients underwent a total of 73 biliary drainage procedures resulting in seven major complications. Comparison with the group of patients from the previous 6 months indicated that the conventional group were not disadvantaged. CONCLUSIONS Fast-track management by resection without biliary drainage of selected patients with distal biliary strictures is safe and has the potential to reduce the waiting time to surgery, overall numbers of biliary drainage procedures and the complications thereof. PMID:19220943

Laparoscopic surgery contributes more to nutritional and immunologic recovery than fast-track care in colorectal cancer.

Science.gov (United States)

Xu, Dong; Li, Jun; Song, Yongmao; Zhou, Jiaojiao; Sun, Fangfang; Wang, Jianwei; Duan, Yin; Hu, Yeting; Liu, Yue; Wang, Xiaochen; Sun, Lifeng; Wu, Linshan; Ding, Kefeng

2015-02-04

Many clinical trials had repeatedly shown that fast-track perioperative care and laparoscopic surgery are both preferred in the treatment of colorectal cancer. But few studies were designed to explore the diverse biochemical impacts of the two counterparts on human immunologic and nutritional status. Ninety-two cases of colorectal cancer patients meeting the inclusion criteria were randomized to four groups: laparoscopy with fast-track treatment (LAFT); open surgery with fast-track treatment (OSFT); laparoscopy with conventional treatment (LAC); open surgery with conventional treatment (OSC). Peripheral blood tests including nutritional factors (albumin, prealbumin, and transferrin), humoral immunologic factors (IgG, IgM, and IgA), and cellular immunologic factors (T and NK cells) were evaluated. Blood samples were collected preoperatively (baseline) and 12 and 96 h after surgery (indicated as POH12 and POH96, respectively). Albumin, transferrin, prealbumin, and IgG levels were the highest in the LAFT group for both POH12 and POH96 time intervals. Repeated measures (two-way ANOVA) indicated that the difference of albumin, transferrin, and IgG level were attributed to surgery type (P  0.05). Only in the laparoscopy-included groups, the relative albumin and IgG levels of POH96 were obviously higher than that of POH12. Laparoscopic surgery accelerated postoperative nutrition and immune levels rising again while fast-track treatment retarded the drop of postoperative nutrition and immune levels. Laparoscopic surgery might play a more important role than fast-track treatment in the earlier postoperative recovery of nutritional and immunologic status. Combined laparoscopic surgery with fast-track treatment provided best postoperative recovery of nutrition and immune status. These results should be further compared with the clinical outcomes of our FTMDT trial (clinicaltrials.gov: NCT01080547).

Sufentanil Vs Fentanyl for Fast-Track Cardiac Anaesthesia

Directory of Open Access Journals (Sweden)

C M Deshpande

2009-01-01

Full Text Available A perioperative anaesthetic management that aims to facilitate tracheal extubation of patients within 1-6 hrs after cardiac surgery is called "fast-track′. Main advantage of ′fast-track" method is better usage of medical resources and lowering hospital costs without increasing morbidity and mortality of the patients. Standard fast-track protocols contain short acting anaesthetic agents, smaller incisions and decreased pump times without hypothermia. In this study we compared two short acting opioid drugs, fentanyl versus Sufentanil when used as a part of the balanced anaesthesia technique for fast track in cardiac surgery patients& evaluated the time taken for extubation, haemodynamic stability, analgesia requirements& incidence of awareness. The results from the study show thatboth agents provide good haemodynamic stability and postoperative analgesia. Although Sufentanil provides earlier extuba-tion, both agents reduce the ICU stay equally. In conclusion both agents can be used effectively for fasttrack cardiac anaesthesia.

FTK: a Fast Track Trigger for ATLAS

International Nuclear Information System (INIS)

Anderson, J; Auerbach, B; Blair, R; Andreani, A; Andreazza, A; Citterio, M; Annovi, A; Beretta, M; Castegnaro, A; Atkinson, M; Cavaliere, V; Chang, P; Bevacqua, V; Crescioli, F; Blazey, G; Bogdan, M; Boveia, A; Canelli, F; Cheng, Y; Cervigni, F

2012-01-01

We describe the design and expected performance of a the Fast Tracker Trigger (FTK) system for the ATLAS detector at the Large Hadron Collider. The FTK is a highly parallel hardware system designed to operate at the Level 1 trigger output rate. It is designed to provide global tracks reconstructed in the inner detector with resolution comparable to the full offline reconstruction as input of the Level 2 trigger processing. The hardware system is based on associative memories for pattern recognition and fast FPGAs for track reconstruction. The FTK is expected to dramatically improve the performance of track based isolation and b-tagging with little to no dependencies of pile-up interactions.

Delirium in the fast-track surgery setting

DEFF Research Database (Denmark)

Krenk, Lene; Rasmussen, Lars S; Kehlet, Henrik

2012-01-01

Postoperative delirium (PD) and postoperative cognitive dysfunction (POCD) are two separate syndromes of cognitive decline after major surgery, especially in the elderly. Pathogenesis is multifactorial with some common risk factors, and to reduce the risk, a multimodal approach is necessary. The ....... In conclusion, the fast-track methodology may reduce the incidence of postoperative cognitive decline after surgery........ The fast-track methodology is becoming a well-established perioperative care regime with possible preventive effects for postoperative cognitive decline, including reduced pain and use of opioids, and early mobilisation with early discharge (≤3 days) to preoperative environment after total hip....../knee arthroplasty (THA/TKA). The fast-track set-up seems to be associated with a lower frequency of PD and early POCD after THA/TKA. Thus, in a series of 225 patients ≥60 years, no cases of PD were seen and the incidence of POCD was reduced by more than 50% at 1 week postoperatively compared to previous studies...

Fast-track knee arthroplasty – status and future challenges

DEFF Research Database (Denmark)

Kehlet, Henrik; Thienpont, Emmanuel

2013-01-01

Fast-track programs have been developed for different surgical procedures leading to higher patient satisfaction and lower morbidity. This concept has been extended to knee arthroplasty in recent years. The purpose of this narrative review was to discuss the different aspects of fast-track knee...... arthroplasty....

Fast-track surgery: Toward comprehensive peri-operative care.

Science.gov (United States)

Nanavati, Aditya J; Prabhakar, S

2014-01-01

Fast-track surgery is a multimodal approach to patient care using a combination of several evidence-based peri-operative interventions to expedite recovery after surgery. It is an extension of the critical pathway that integrates modalities in surgery, anesthesia, and nutrition, enforces early mobilization and feeding, and emphasizes reduction of the surgical stress response. It entails a great partnership between a surgeon and an anesthesiologist with several other specialists to form a multi-disciplinary team, which may then engage in patient care. The practice of fast-track surgery has yielded excellent results and there has been a significant reduction in hospital stay without a rise in complications or re-admissions. The effective implementation begins with the formulation of a protocol, carrying out each intervention and gathering outcome data. The care of a patient is divided into three phases: Before, during, and after surgery. Each stage needs active participation of few or all the members of the multi-disciplinary team. Other than surgical technique, anesthetic drugs, and techniques form the cornerstone in the ability of the surgeon to carry out a fast-track surgery safely. It is also the role of this team to keep abreast with the latest development in fast-track methodology and make appropriate changes to policy. In the Indian healthcare system, there is a huge benefit that may be achieved by the successful implementation of a fast-track surgery program at an institutional level. The lack of awareness regarding this concept, fear and apprehension regarding its implementation are the main barriers that need to be overcome.

Short Hospital Stay after Laparoscopic Colorectal Surgery without Fast Track

DEFF Research Database (Denmark)

Burgdorf, Stefan K; Rosenberg, Jacob

2012-01-01

Purpose. Short hospital stay and equal or reduced complication rates have been demonstrated after fast track open colonic surgery. However, fast track principles of perioperative care can be difficult to implement and often require increased nursing staff because of more concentrated nursing tasks...... care, that is, without implementing fast track principles, on length of stay after colorectal resection for cancer. Methods. Records of all patients operated for colorectal cancer from November 2004 to December 2008 in our department were reviewed. No specific patients were selected for laparoscopic...... in our department resulted in shorter hospital stay without using fast track principles for peri- and postoperative care in patients not receiving a stoma during the operation. Consequently, we aimed to reduce hospitalisation without increasing cost in nursing staff per hospital bed. Length of stay...

Fast-track Orthognathic Surgery: An Evidence-based Review

Science.gov (United States)

Otero, Joel Joshi; Detriche, Olivier; Mommaerts, Maurice Yves

2017-01-01

The aim of this study was to establish a fast-track protocol for bimaxillary orthognathic surgery (OGS). Fast-track surgery (FTS) is a multidisciplinary approach where the pre-, intra-, and postoperative management is focusing maximally on a quick patient recovery and early discharge. To enable this, the patients’ presurgical stress and postsurgical discomfort should be maximally reduced. Both referral patterns and expenses within the health-care system are positively influenced by FTS. University hospital-literature review through Medline, Embase, and the Cochrane Library (January 2000–July 2016) using the following words – “fast track, enhanced recovery, multimodal, and perioperative care” – to define a protocol evidence based for OGS, as well as evidenced-based medicine search of every term added to the protocol during the same period. The process has resulted in an OGS protocol that may improve the outcome of the patient through several nonoperative and operative measures such as preoperative patient education and intra/postoperative measures that should improve overall patient satisfaction, decrease morbidity such as postoperative nausea, headache, dizziness, pain, and intubation discomfort, and shorten hospital stay. A literature review allowed us to fine-tune a fast-track protocol for uncomplicated OGS that can be prospectively studied against currently applied ones. PMID:29264281

Bilateral simultaneous total hip arthroplasty in a fast track setting

DEFF Research Database (Denmark)

Otte, Kristian S; Husted, Henrik; Ørsnes, Thue

2011-01-01

and low complication rates when performed in a fast-track setting. We believed it would be useful to assess hip arthroplasty in this context, and we report 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures. The median length of stay was 4 days. Mortality within 90 days was 4......% and 8% required a further operative procedure. The overall complication rate was 22%. 55% of the complications were considered to be caused by failures in surgical technique and 45% by other factors. Bilateral simultaneous hip arthroplasty may have a high complication rate in a fast-track setting...

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

Science.gov (United States)

Castorina, Sergio; Guglielmino, Claudia; Castrogiovanni, Paola; Szychlinska, Marta Anna; Ioppolo, Francesco; Massimino, Paolo; Leonardi, Pietro; Maci, Christian; Iannuzzi, Maurizio; Di Giunta, Angelo; Musumeci, Giuseppe

2017-01-01

Summary Background During the last years, programs to enhance postoperative recovery and decrease morbidity after total knee arthroplasty, have been developed across a variety of surgical procedures and referred to as “Fast-Track Surgery”. In this study we aimed to find some answers in the management of osteoarthritic patients subjected to total knee arthroplasty, by using the Fast-Track methodology. To this purpose we evaluated parameters such as early mobilization of patients, better pain management, bleeding, possible complications, reduced hospitalization time, an overall improved recovery and patient satisfaction. Methods 132 patients were selected, of which, 95 treated with “Fast Track” method and 37 treated with traditional method (control group). All the patients were hospitalized and underwent the same rehabilitation program for the first three days after surgery. Results In both groups, the parameters of pain and deformity demonstrated the most rapid improvement, while those of function and movement were normalized as gradual and progressive improvement over the next 2 months. The different functional test used (Barthel, MRC, VAS) showed that the mean values were significantly greater in Fast Track group when compared to the control. Conclusion The results of the study confirm that the application of the Fast Track protocol in orthopaedics after total knee replacement results in rapid post-surgery recovery. Level of evidence IV. Case series, low-quality cohort or case-control studies. PMID:29387645

ATLAS FTK Fast Track Trigger

CERN Document Server

Iizawa, T; The ATLAS collaboration

2014-01-01

The Fast TracKer (FTK) will perform global track reconstruction after each Level-1 trigger accept signal to enable the software-based higher level trigger to have early access to tracking information. FTK is a dedicated processor based on a mixture of advanced technologies. Modern, powerful Field Programmable Gate Arrays (FPGAs) form an important part of the system architecture, and the large level of computing power required for pattern recognition is provided by incorporating standard-cell ASICs named Associative Memory (AM). Motivation and the architecture of the FTK system will be presented, and the status of hardware and simulation will be following.

Nursing care in fast-track surgery strategy

Directory of Open Access Journals (Sweden)

Dorota Kozieł

2015-10-01

Full Text Available In recent years, many study results have been published confirming an improvement in the outcomes of treatment related with management of patients within the fast-track surgery programme. Early postoperative rehabilitation is possible provided there is engagement of a multi-disciplinary team, including well-educated nurses. Today, a diversion can be observed from traditional nursing on behalf of a coordinated, holistic approach, while more attention is paid to the, thus far marginalised, psychosocial aspects of care. The objective of the study is to discuss the basic assumptions of fast track surgery with respect to nursing care, with particular emphasis placed on the educational function. Modern nursing within the short-track surgery programme should focus on the provision of patients with care consisting of preliminary information concerning the perioperative period, social and psychological support, counselling in the area of home convalescence, and procedures in the case of complications.

Fast track diagnosis as a means of reducing diagnostic delay in cancer

DEFF Research Database (Denmark)

Larsen, Mette Bach; Vedsted, Peter; Olesen, Frede

of cancer and expanded services to the general practitioners. Objective: To investigate the diagnostic delay of cancer, patient and provider satisfaction and health economic aspects in two Danish regions with special emphasis on the possible benefits of fast track diagnosis. Methods: The study......Background: Denmark has the highest morbidity and mortality from cancer in Western Europe, and studies suggest that Danish cancer patients are diagnosed at a later stage than patients in the other Nordic countries. To address this issue a Danish hospital has introduced fast track diagnosis...... will be designed as a cross-sectional study with the construction of a clinical database of all incident cancers in two Danish regions within a year (12,000 patients). Data will be collected from general practitioners, patients and national registers. In the first part of the analysis the general variation...

Which fast track elements predict early recovery after colon cancer surgery?

NARCIS (Netherlands)

Vlug, M. S.; Bartels, S. A. L.; Wind, J.; Ubbink, D. T.; Hollmann, M. W.; Bemelman, W. A.; Sprangers, Mirjam; Preckel, Benedikt; Bossuyt, Patrick; Gouma, Dirk; van Berge Henegouwen, Mark; Fuhring, Jan; Lenthe, Ineke Picard-van; Bakker, Chris; King-Kalimanis, Bellinda; Hofland, Jan; Dejong, Cornelis; van Dam, Ronald; Cuesta, Miguel; van der Peet, Donald; van Zalingen, Edith; Noordhuis, Astrid; de Jong, Dick; Engel, Alexander; Goei, T. Hauwy; de Stoppelaar, Erica; van den Dongen, Marjon; van Wagensveld, Bart; van Tets, Willem; van den Elsen, Maarten; Swart, Annemiek; Gerhards, Michael; de Wit, Laurens; Siepel, Muriel; Molly, Glaresa; Gasthuis, Onze Lieve Vrouwe; van Geloven, Anna; Juttmann, Jan; Clevers, Wilfred; Bieleman, Andrea; van der Zaag, Edwin; Coenen, Ludo; Bonekamp, Elly; Cense, Huib; van Abeelen, Jacobus; van Iterson-de Jong, Diana; Krombeen, Margriet

2012-01-01

Aim It is questioned whether all separate fast track elements are essential for enhanced postoperative recovery. We aimed to determine which baseline characteristics and which fast track elements are independent predictors of faster postoperative recovery in patients undergoing resection for colon

[Laparoscopic "fast-track" sigmoidectomy for diverticulitis disease in Germany. Results of a prospective quality assurance program].

Science.gov (United States)

Tsilimparis, N; Haase, O; Wendling, P; Kipfmüller, K; Schmid, M; Engemann, R; Schwenk, W

2010-09-01

The natural course of sigmoid colon diverticulitis during conservative therapy and the assessment of the perioperative morbidity after sigmoid colon resection are differently evaluated by surgeons and gastroenterologists. The "fast-track" rehabilitation accelerates the reconvalescence and reduces the rate of postoperative general complications after colorectal surgery. The results of the laparoscopic "Fast-track" sigmoidectomy should be examined within a quality assurance program to better evaluate the perioperative risks following surgical management of diverticulitis. A prospective data collection within the voluntary quality assurance program "fast-track" Kolon II was performed. All participating clinics agreed on a multimodal, evidence-based standard perioperative treatment in terms of a "fast-track" rehabilitation for elective operations for sigmoid diverticulitis. Data from 846 patients undergoing laparoscopic "fast-track" sigmoid colon resection in 23 surgical departments in Germany were collected and evaluated. The mean age of the patients was 63 years (range 23 - 91). 203 patients (24 %) had severe co-morbidities (ASA classification III - IV). A conversion to conventional open surgery was necessary in 51 cases (6 %). Complications occurred in 93 patients (11 %). 76 patients suffered a surgical complication (8.9 %) and 32 patients (3.8 %) a general complication. Two patients died postoperatively due to multi-organ failure following anastomotic leaks. The patients took solid food in median on day 1 after surgery (range, 0 - 5) and passed stool on day 2 (range, 0 - 22). Predefined discharge criteria (free of pain on oral medication, normal oral feeding, stool) were met on day 4 (range, 1 - 58) and the patients were discharged on day 7 (range, 3 - 72). The 30-day re-admission rate was 3.9 %. Patients undergoing laparoscopic "fast-track" sigmoidectomy had a low rate of general complications and had a rapid reconvalescence with a short postoperative in

An artificial retina for fast track finding

International Nuclear Information System (INIS)

Ristori, Luciano

2000-01-01

A new approach is proposed for fast track finding in position-sensitive detectors. The basic working principle is modeled on what is widely believed to be the low-level mechanism used by the eye to recognize straight edges. A number of receptors are tuned such that each one responds to a different range of track orientations, each track actually fires several receptors and an estimate of the orientation is obtained through interpolation. The feasibility of a practical device based on this principle and its possible implementation using currently available digital logic is discussed

PREDICTING A FAST-TRACK MARITIME CAREER: CHARACTERISTICS OF SUCCESSFUL OFFICERS DURING TEENAGE YEARS

Directory of Open Access Journals (Sweden)

Manuel Joaquín Fernández González

2017-12-01

Full Text Available Fast-track maritime career is a topical question worldwide due to the shortage of seafarers in maritime industry. Assuming that the fast-track career officers’ relevant common characteristics in adolescence could predict future maritime career speed, the research questions of this research are: What were the common characteristics of fast-track career officers when they were 16-18? Were there any statistically significant differences between the fast-track career groups and the officers with a slower career at that age? A questionnaire survey involving 175 maritime officers was conducted in Latvia in January – October 2016, regarding officers’ family context, school achievement, involvement in sports, and personality traits when they were 16-18. Fast-track career officers perceived themselves as more conscientious, calm and more leadership oriented than the whole group in adolescence. Statistically significant differences among career-speed groups were found regarding family socioeconomic status, family atmosphere and family career support at that age. Based on those communalities among maritime officers with a fast-track carrier when they were 16-18, maritime education and training institutions could better find and give appropriate career guidance to prospective maritime officers. Even if maritime career speed is a very individualized phenomenon, family characteristics could be studied further as a potential good predictor of fast-track maritime career.

Variation in 'fast-track' referrals for suspected cancer by patient characteristic and cancer diagnosis: evidence from 670 000 patients with cancers of 35 different sites.

Science.gov (United States)

Zhou, Y; Mendonca, S C; Abel, G A; Hamilton, W; Walter, F M; Johnson, S; Shelton, J; Elliss-Brookes, L; McPhail, S; Lyratzopoulos, G

2018-01-01

In England, 'fast-track' (also known as 'two-week wait') general practitioner referrals for suspected cancer in symptomatic patients are used to shorten diagnostic intervals and are supported by clinical guidelines. However, the use of the fast-track pathway may vary for different patient groups. We examined data from 669 220 patients with 35 cancers diagnosed in 2006-2010 following either fast-track or 'routine' primary-to-secondary care referrals using 'Routes to Diagnosis' data. We estimated the proportion of fast-track referrals by sociodemographic characteristic and cancer site and used logistic regression to estimate respective crude and adjusted odds ratios. We additionally explored whether sociodemographic associations varied by cancer. There were large variations in the odds of fast-track referral by cancer (P<0.001). Patients with testicular and breast cancer were most likely to have been diagnosed after a fast-track referral (adjusted odds ratios 2.73 and 2.35, respectively, using rectal cancer as reference); whereas patients with brain cancer and leukaemias least likely (adjusted odds ratios 0.05 and 0.09, respectively, for brain cancer and acute myeloid leukaemia). There were sex, age and deprivation differences in the odds of fast-track referral (P<0.013) that varied in their size and direction for patients with different cancers (P<0.001). For example, fast-track referrals were least likely in younger women with endometrial cancer and in older men with testicular cancer. Fast-track referrals are less likely for cancers characterised by nonspecific presenting symptoms and patients belonging to low cancer incidence demographic groups. Interventions beyond clinical guidelines for 'alarm' symptoms are needed to improve diagnostic timeliness.

[Shortened hospital stay for elective cesarean section after initiation of a fast-track program and midwifery home-care].

Science.gov (United States)

Gunnarsdottir, Johanna; Bjornsdottir, Thorbjörg Edda; Halldorsson, Thorhallur Ingi; Halldorsdottir, Gudrun; Geirsson, Reynir Tomas

2011-07-01

To audit whether hospital stay shortened without increasing readmissions after implementation of fast-track methodology for elective cesarean section and characterize what influences length of stay. A fast-track program was initiated in November 2008, with a one year clinical audit and satisfaction survey. Discharge criteria were predefined and midwife home visits included if discharge was within 48 hours. Hospital stay by parity for women with elective section for singleton pregnancy between 1.11. 2008 - 31.10. 2009 (n=213, fast-track 182) was compared to 2003 (n=199) and 2007 (n=183). Readmissions and outpatient visits 2007 and 2008-9 were counted. Reasons for longer stay were recorded in fast-track, and body mass index. Median hospital stay decreased significantly from 81 to 52 hours between 2007 and 2008-9. Readmissions were four in each period and outpatient visit rates similar. In 2008-9, 66% of all women were discharged within 48 hours. Women in the fast-track program were satisfied with early discharge. Hospital stay for parous women was shorter in 2007 compared to 2003, but unchanged for nulliparas. Parity had a minimal influence on length of stay in 2008-9, although nulliparous women ≤ 25 years were more likely to stay >48 hours. Body mass index did not correlate with length of stay. Pain was rarely the reason for a longer stay in the fast-track program and 90% were satisfied with pain-medication after discharge. Most healthy women can be discharged early after singleton birth by elective cesarean, without increasing readmissions.

An Improved Fast Compressive Tracking Algorithm Based on Online Random Forest Classifier

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Xiong Jintao

2016-01-01

Full Text Available The fast compressive tracking (FCT algorithm is a simple and efficient algorithm, which is proposed in recent years. But, it is difficult to deal with the factors such as occlusion, appearance changes, pose variation, etc in processing. The reasons are that, Firstly, even if the naive Bayes classifier is fast in training, it is not robust concerning the noise. Secondly, the parameters are required to vary with the unique environment for accurate tracking. In this paper, we propose an improved fast compressive tracking algorithm based on online random forest (FCT-ORF for robust visual tracking. Firstly, we combine ideas with the adaptive compressive sensing theory regarding the weighted random projection to exploit both local and discriminative information of the object. The second reason is the online random forest classifier for online tracking which is demonstrated with more robust to the noise adaptively and high computational efficiency. The experimental results show that the algorithm we have proposed has a better performance in the field of occlusion, appearance changes, and pose variation than the fast compressive tracking algorithm’s contribution.

"Fast Track" and "Traditional Path" Coaches: Affordances, Agency and Social Capital

Science.gov (United States)

Rynne, Steven

2014-01-01

A recent development in large-scale coach accreditation (certification) structures has been the "fast tracking" of former elite athletes. Former elite athletes are often exempted from entry-level qualifications and are generally granted access to fast track courses that are shortened versions of the accreditation courses undertaken by…

Fast-track surgery-an update on physiological care principles to enhance recovery

DEFF Research Database (Denmark)

Kehlet, Henrik

2011-01-01

INTRODUCTION: The concept of fast-track surgery (enhanced recovery programs) has been evolved and been documented to be successful by decreasing length of stay, morbidity and convalescence across procedures. FUTURE STRATEGIES: However, there are several possibilities for further improvement of mo...... of the components of fast-track surgery, where surgical stress, fluid and pain management are key factors. There is an urgent need for better design of studies, especially in minimal invasive surgery to achieve maximal outcome effects when integrated into the fast-track methodology....

Postoperative morbidity after fast-track laparoscopic resection of rectal cancer

DEFF Research Database (Denmark)

Stottmeier, S; Harling, H; Wille-Jørgensen, Peer Anders

2012-01-01

Aim: Analysis was carried out of the nature and chronological order of early complications after fast-track laparoscopic rectal surgery with a view to optimize the short-time outcome of rectal cancer surgery. Method: 102 consecutive patients who underwent elective fast-track laparoscopic rectal......: Postoperative morbidity remains a significant problem even in the fast-track era, even in experienced surgical hands. Our results suggest that besides improvement of surgical technique further improvement of outcome lies in early recognition and proper treatment of complications and the perioperative...... cancer surgery were analysed prospectively from the Danish Colorectal Cancer Database supplemented by data from the medical records. We studied in detail the nature and chronological order of postoperative morbidity and reason for prolonged stay (>5 days). Results: Twenty-five patients (25 per cent) had...

Faster recovery of gastrointestinal transit after laparoscopy and fast-track care in patients undergoing colonic surgery

NARCIS (Netherlands)

van Bree, Sjoerd; Vlug, Malaika; Bemelman, Willem; Hollmann, Markus; Ubbink, Dirk; Zwinderman, Koos; de Jonge, Wouter; Snoek, Susanne; Bolhuis, Karen; van der Zanden, Esmerij; The, Frans; Bennink, Roel; Boeckxstaens, Guy

2011-01-01

Postoperative ileus is characterized by delayed gastrointestinal (GI) transit and is a major determinant of recovery after colorectal surgery. Both laparoscopic surgery and fast-track multimodal perioperative care have been reported to improve clinical recovery. However, objective measures

Fast track multi-discipline treatment (FTMDT trial versus conventional treatment in colorectal cancer--the design of a prospective randomized controlled study

Directory of Open Access Journals (Sweden)

Zhou Jiao-Jiao

2011-11-01

Full Text Available Abstract Background Laparoscopy-assisted surgery, fast-track perioperative treatment are both increasingly used in colorectal cancer treatment, for their short-time benefits of enhanced recovery and short hospital stays. However, the benefits of the integration of the Laparoscopy-assisted surgery, fast-track perioperative treatment, and even with the Xelox chemotherapy, are still unknown. In this study, the three treatments integration is defined as "Fast Track Multi-Discipline Treatment Model" for colorectal cancer and this model extends the benefits to the whole treatment process of colorectal cancer. The main purpose of the study is to explore the feasibility of "Fast Track Multi-Discipline Treatment" model in treatment of colorectal cancer. Methods The trial is a prospective randomized controlled study with 2 × 2 balanced factorial design. Patients eligible for the study will be randomized to 4 groups: (I Laparoscopic surgery with fast track perioperative treatment and Xelox chemotherapy; (II Open surgery with fast track perioperative treatment and Xelox chemotherapy; (III Laparoscopic surgery with conventional perioperative treatment and mFolfox6 chemotherapy; (IV Open surgery with conventional perioperative treatment and mFolfox6 chemotherapy. The primary endpoint of this study is the hospital stays. The secondary endpoints are the quality of life, chemotherapy related adverse events, surgical complications and hospitalization costs. Totally, 340 patients will be enrolled with 85 patients in each group. Conclusions The study initiates a new treatment model "Fast Track Multi-Discipline Treatment" for colorectal cancer, and will provide feasibility evidence on the new model "Fast Track Multi-Discipline Treatment" for patients with colorectal cancer. Trial registration ClinicalTrials.gov: NCT01080547

[Effects of a nutritional intervention in a fast-track program for a colorectal cancer surgery: systematic review].

Science.gov (United States)

Wanden-Berghe, Carmina; Sanz-Valero, Javier; Arroyo-Sebastián, Antonio; Cheikh-Moussa, Kamila; Moya-Forcen, Pedro

2016-07-19

Introducción: Preoperative nutritional status (NS) has consequences on postoperative (POSTOP) recovery. Our aim was to systematically review the nutritional interventions (NI) in Fast-Track protocols for colorectal cancer surgery and assess morbidity-mortality and patient´s recovery. Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature. MeSH Descriptors: "Colorectal Surgery", "Fast-Track", "Perioperative Care", "Nutrition Therapy" and "Enhanced recovery programme". Filters: "Humans", Adult (19+ years) and "Clinical Trial". Variables POSTOP outcomes: bowel recovery (BR), hospital stay (HS), complications and death. Selected studies, 27, had good or excellent methodological quality. From 25 to 597 patients were included. Aged between 16-94 years, men were predominant in 66.6%. NS was evaluated in 13 studies; 7 by Body Mass Index while one by Subjective Global Assessment. One presented POSTOP data. Fast-Track groups had solids, liquids or supplements (SS) in prior 2-8 hours. SS were high in carbohydrates, immune-nutrients and non-residue. Free liquids, solids and SS intake was allowed in POSTOP. Half traditional groups fasted between 3-12 hours and resumed POSTOP food intake progressively. Fast-Track groups had early BR (p Nutritional status must be assessed for a higher acknowledgement of NI impact.

TRACKING TESTS FOR THE SNS FAST INJECTION BUMP POWER SUPPLY

International Nuclear Information System (INIS)

ENG, W.; CUTLER, R.; DEWAN, S.

2004-01-01

The tracking requirement of the SNS Fast Injection Bump power supplies is described. In addition to the usual tracking between the load current and the input reference of a power supply, these power supplies must also track between pairs of units under slightly different loads. This paper describes the use of a current-null test to measure tracking performances. For the actual tests, a single dummy magnet load was used to measure the tracking between the first two production units at the manufacturer's facility. Using the Yokogawa WE7000 waveform. PC-based measurement instrument, input and output waveforms are digitized and stored in data files. A program written for this application is then used to extract data from these files to construct, analyze the waveforms and characterize the power supply performance. Results of the measurements of two SNS Fast Injection Bump power supplies will be presented in this paper

Effect of an Emergency Department Fast Track on Press-Ganey Patient Satisfaction Scores

Directory of Open Access Journals (Sweden)

Hwang, Calvin E.

2014-12-01

Full Text Available Introduction: Mandated patient surveys have become an integral part of Medicare remuneration, putting hundreds of millions of dollars in funding at risk. The Centers for Medicare & Medicaid Services (CMS recently announced a patient experience survey for the emergency department (ED. Development of an ED Fast Track, where lower acuity patients are rapidly seen, has been shown to improve many of the metrics that CMS examines. This is the first study examining if ED Fast Track implementation affects Press-Ganey scores of patient satisfaction. Methods: We analyzed returned Press-Ganey questionnaires from all ESI 4 and 5 patients seen 11AM - 11PM, August-December 2011 (pre-fast track, and during the identical hours of fast track, August-December 2012. Raw ordinal scores were converted to continuous scores for paired student t-test analysis. We calculated an odds ratio with 100% satisfaction considered a positive response. Results: An academic ED with 52,000 annual visits had 140 pre-fast track and 85 fast track respondents. Implementation of a fast track significantly increased patient satisfaction with the following: wait times (68% satisfaction to 88%, OR 4.13, 95% CI [2.32-7.33], doctor courtesy (90% to 95%, OR 1.97, 95% CI [1.04-3.73], nurse courtesy (87% to 95%, OR 2.75, 95% CI [1.46-5.15], pain control (79% to 87%, OR 2.13, 95% CI [1.16-3.92], likelihood to recommend (81% to 90%, OR 2.62, 95% CI [1.42-4.83], staff caring (82% to 91%, OR 2.82, 95% CI [1.54-5.19], and staying informed about delays (66% to 83%, OR 3.00, 95% CI [1.65-5.44]. Conclusion: Implementation of an ED Fast Track more than doubled the odds of significant improvements in Press-Ganey patient satisfaction metrics and may play an important role in improving ED performance on CMS benchmarks. [West J Emerg Med. 2015;16(1:34–38.

Evidence-based surgical care and the evolution of fast-track surgery

DEFF Research Database (Denmark)

Kehlet, H.; Wilmore, D.W.

2008-01-01

, randomized studies, and meta-analyses, the concept of the "fast-track methodology" has uniformly provided a major enhancement in recovery leading to decreased hospital stay and with an apparent reduction in medical morbidity but unaltered "surgery-specific" morbidity in a variety of procedures. However......BACKGROUND: Optimization of postoperative outcome requires the application of evidence-based principles of care carefully integrated into a multimodal rehabilitation program. OBJECTIVE: To assess, synthesize, and discuss implementation of "fast-track" recovery programs. DATA SOURCES: Medline MBASE...... (January 1966-May 2007) and the Cochrane library (January 1966-May 2007) were searched using the following keywords: fast-track, enhanced recovery, accelerated rehabilitation, and multimodal and perioperative care. In addition, the synthesis on the many specific interventions and organizational...

Second Generation of a Fast-track Liver Resection Programme

DEFF Research Database (Denmark)

Schultz, Nicolai A; Larsen, Peter N; Klarskov, B

2018-01-01

was given to all patients before surgery, catheters and drains were systematically removed early, and patients were mobilized and started eating and drinking from the day of surgery. An opioid-sparing multimodal pain treatment was given for the first week. The discharge criteria were (1) pain sufficiently....... The readmission rate was 6% and the 30-day mortality zero. The LOS decreased compared to our first-generation fast-track programme with LOS 5 days. CONCLUSIONS: Fast-track principles for perioperative care and early discharge are safe even after major liver resection. The introduction of high-dose steroids...

Implementing large scale fast track diagnostics in a comprehensive cancer center, pre- and post-measurement data.

Science.gov (United States)

van Harten, W H; Goedbloed, N; Boekhout, A H; Heintzbergen, S

2018-02-07

In general, patients with a cancer suspicion visit the hospital multiple times before diagnosis is completed. Using various "operations management" techniques a few fast track diagnostic services were implemented in the Netherlands Cancer Institute (NKI) in 2006. Growing patient numbers and increasing process complexity, led to diminished service levels. To decrease the amount of patient visits and to extend these services beyond the (obvious) breast cancer services, fast track diagnostics is now implemented for all 18 cancer types that present with a frequency of minimally one per week. The throughput time (first visit to diagnosis conversation) was measured before, and after implementation of fast track diagnostics. The process was redesigned closely involving the multidisciplinary teams. In an eclectic approach elements from lean management, theory of constraints and mathematical analysis were used to organize slots per tumor type for MRI, CT, PET and echography. A post measurement was performed after 3 and 6 months. In pre measurement access time was calculated to be 10 to 15 workdays, mean throughput time was 6.0 workdays. It proved possible to design the process of 18 tumors as a fast track, of which 7 as "one stop shop" (diagnosis completed in one visit). Involvement of clinical- and board leadership, massive communication efforts and commitment of physicians to reschedule their work proved decisive. After 3 and 6 months of implementation, the mean access time was 8.2 and 8.7 workdays respectively and mean throughput time was 3.4 and 3.3 workdays respectively. Throughput- and access time were considerably shortened after implementation of fast track diagnostics for 18 cancer types. The involvement of physicians in reorganizing their work and rapid responding to their needs during the implementation phase were a crucial success factor.

Pathogenesis of morbidity after fast-track laparoscopic colonic cancer surgery

DEFF Research Database (Denmark)

Stottmeier, S; Harling, H; Wille-Jørgensen, P

2011-01-01

AIM: Analysis of the nature and time course of early complications after laparoscopic colonic surgery is required to allow rational strategies for their prevention and management. METHOD: One hundred and four consecutive patients who underwent elective fast-track laparoscopic colonic cancer surgery...... occurred in 14 patients, of which four were preceded by medical complications. Three patients had only medical complications. Median length of stay was 3 days (range 1-44). CONCLUSION: Further improvement of outcomes after fast-track laparoscopic colonic surgery might be obtained by improved surgical...

The role of pain for early rehabilitation in fast track total knee arthroplasty

DEFF Research Database (Denmark)

Holm, Bente; Kristensen, Morten Tange; Myhrmann, Lis

2010-01-01

To investigate the relationship between early functional mobility and pain intensity in a fast track program after total knee arthroplasty (TKA).......To investigate the relationship between early functional mobility and pain intensity in a fast track program after total knee arthroplasty (TKA)....

Restoring integrity—A grounded theory of coping with a fast track surgery programme

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Lene Bastrup Jørgensen

2016-01-01

Full Text Available Aims and objectives: The aim of this study was to generate a theory conceptualizing and explaining behavioural processes involved in coping in order to identify the predominant coping types and coping type-specific features. Background: Patients undergoing fast track procedures do not experience a higher risk of complications, readmission, or mortality. However, such programmes presuppose an increasing degree of patient involvement, placing high educational, physical, and mental demands on the patients. There is a lack of knowledge about how patients understand and cope with fast track programmes. Design: The study design used classical grounded theory. Methods: The study used a multimodal approach with qualitative and quantitative data sets from 14 patients. Results: Four predominant types of coping, with distinct physiological, cognitive, affective, and psychosocial features, existed among patients going through a fast track total hip replacement programme. These patients’ main concern was to restore their physical and psychosocial integrity, which had been compromised by reduced function and mobility in daily life. To restore integrity they economized their mental resources, while striving to fulfil the expectations of the fast track programme. This goal was achieved by being mentally proactive and physically active. Three out of the four predominant types of coping matched the expectations expressed in the fast track programme. The non-matching behaviour was seen among the most nervous patients, who claimed the right to diverge from the programme. Conclusion: In theory, four predominant types of coping with distinct physiological, cognitive, affective, and psychosocial features occur among patients going through a fast track total hip arthroplasty programme.

Restoring integrity--A grounded theory of coping with a fast track surgery programme.

Science.gov (United States)

Jørgensen, Lene Bastrup; Fridlund, Bengt

2016-01-01

The aim of this study was to generate a theory conceptualizing and explaining behavioural processes involved in coping in order to identify the predominant coping types and coping type-specific features. Patients undergoing fast track procedures do not experience a higher risk of complications, readmission, or mortality. However, such programmes presuppose an increasing degree of patient involvement, placing high educational, physical, and mental demands on the patients. There is a lack of knowledge about how patients understand and cope with fast track programmes. The study design used classical grounded theory. The study used a multimodal approach with qualitative and quantitative data sets from 14 patients. Four predominant types of coping, with distinct physiological, cognitive, affective, and psychosocial features, existed among patients going through a fast track total hip replacement programme. These patients' main concern was to restore their physical and psychosocial integrity, which had been compromised by reduced function and mobility in daily life. To restore integrity they economized their mental resources, while striving to fulfil the expectations of the fast track programme. This goal was achieved by being mentally proactive and physically active. Three out of the four predominant types of coping matched the expectations expressed in the fast track programme. The non-matching behaviour was seen among the most nervous patients, who claimed the right to diverge from the programme. In theory, four predominant types of coping with distinct physiological, cognitive, affective, and psychosocial features occur among patients going through a fast track total hip arthroplasty programme.

Restoring integrity—A grounded theory of coping with a fast track surgery programme

Science.gov (United States)

Jørgensen, Lene Bastrup; Fridlund, Bengt

2016-01-01

Aims and objectives The aim of this study was to generate a theory conceptualizing and explaining behavioural processes involved in coping in order to identify the predominant coping types and coping type-specific features. Background Patients undergoing fast track procedures do not experience a higher risk of complications, readmission, or mortality. However, such programmes presuppose an increasing degree of patient involvement, placing high educational, physical, and mental demands on the patients. There is a lack of knowledge about how patients understand and cope with fast track programmes. Design The study design used classical grounded theory. Methods The study used a multimodal approach with qualitative and quantitative data sets from 14 patients. Results Four predominant types of coping, with distinct physiological, cognitive, affective, and psychosocial features, existed among patients going through a fast track total hip replacement programme. These patients’ main concern was to restore their physical and psychosocial integrity, which had been compromised by reduced function and mobility in daily life. To restore integrity they economized their mental resources, while striving to fulfil the expectations of the fast track programme. This goal was achieved by being mentally proactive and physically active. Three out of the four predominant types of coping matched the expectations expressed in the fast track programme. The non-matching behaviour was seen among the most nervous patients, who claimed the right to diverge from the programme. Conclusion In theory, four predominant types of coping with distinct physiological, cognitive, affective, and psychosocial features occur among patients going through a fast track total hip arthroplasty programme. PMID:26751199

Fast emulation of track reconstruction in the CMS simulation

CERN Document Server

Komm, Matthias

2017-01-01

Simulated samples of various physics processes are a key ingredient within analyses to unlock the physics behind LHC collision data. Samples with more and more statistics are required to keep up with the increasing amounts of recorded data. During sample generation, significant computing time is spent on the reconstruction of charged particle tracks from energy deposits which additionally scales with the pileup conditions. In CMS, the FastSimulation package is developed for providing a fast alternative to the standard simulation and reconstruction workflow. It employs various techniques to emulate track reconstruction effects in particle collision events. Several analysis groups in CMS are utilizing the package, in particular those requiring many samples to scan the parameter space of physics models (e.g. SUSY) or for the purpose of estimating systematic uncertainties. The strategies for and recent developments in this emulation are presented, including a novel, flexible implementation of tracking emulation w...

Accelerated Leadership Development: Fast Tracking School Leaders

Science.gov (United States)

Earley, Peter; Jones, Jeff

2010-01-01

"Accelerated Leadership Development" captures and communicates the lessons learned from successful fast-track leadership programmes in the private and public sector, and provides a model which schools can follow and customize as they plan their own leadership development strategies. As large numbers of headteachers and other senior staff…

Fast-track program vs traditional care in surgery for gastric cancer.

Science.gov (United States)

Chen, Zhi-Xing; Liu, Ae-Huey Jennifer; Cen, Ying

2014-01-14

To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer. PubMed, Embase and the Cochrane library databases were electronically searched for published studies between January 1995 and April 2013, and only randomized trials were included. The references of relevant studies were manually searched for further studies that may have been missed. Search terms included "gastric cancer", "fast track" and "enhanced recovery". Five outcome variables were considered most suitable for analysis: postoperative hospital stay, medical cost, duration to first flatus, C-reactive protein (CRP) level and complications. Postoperative hospital stay was calculated from the date of operation to the date of discharge. Fixed effects model was used for meta-analysis. Compared with traditional care, fast-track program could significantly decrease the postoperative hospital stay [weighted mean difference (WMD) = -1.19, 95%CI: -1.79--0.60, P = 0.0001, fixed model], duration to first flatus (WMD = -6.82, 95%CI: -11.51--2.13, P = 0.004), medical costs (WMD = -2590, 95%CI: -4054--1126, P = 0.001), and the level of CRP (WMD = -17.78, 95%CI: -32.22--3.35, P = 0.0001) in laparoscopic surgery for gastric cancer. In open surgery for gastric cancer, fast-track program could also significantly decrease the postoperative hospital stay (WMD = -1.99, 95%CI: -2.09--1.89, P = 0.0001), duration to first flatus (WMD = -12.0, 95%CI: -18.89--5.11, P = 0.001), medical cost (WMD = -3674, 95%CI: -5025--2323, P = 0.0001), and the level of CRP (WMD = -27.34, 95%CI: -35.42--19.26, P = 0.0001). Furthermore, fast-track program did not significantly increase the incidence of complication (RR = 1.39, 95%CI: 0.77-2.51, P = 0.27, for laparoscopic surgery; and RR = 1.52, 95%CI: 0.90-2.56, P = 0.12, for open surgery). Our overall results suggested that compared with traditional care, fast-track program could result in shorter

Successful integration of fast track projects into turnarounds

Energy Technology Data Exchange (ETDEWEB)

Williams, J. Patrick; Loureiro, Ramon C. [KBC Advanced Technologies, Surrey (United Kingdom)

2012-07-01

Fast track projects can provide quick wins and competitive advantage. However, in most cases the implementation of these projects requires a shutdown for installing the necessary tie-ins or integration into an upcoming turnaround (TA). Depending on the nature of the project and complexity of the TA, the integration can be seamless or result in cost or duration overruns and safety incidents. The risk of such overruns and safety incidents increases with the amount of project work to be integrated into the operations, maintenance and inspection schedules to be executed during the TA. The risk further increases with TA size and other factors. If not planned and scheduled properly and in a timely fashion, capital projects, in particular fast track projects trying to take advantage of an upcoming TA, can severely impact both TA performance, and the safety and reliability of the facility until the next opportunity for eliminating the defects introduced during the TA. Successful TAs are those delivered in a safe, on time, on budget manner, and with the quality standards needed for a leak-free start-up and a safe and reliable operation over the next run cycle. This paper discusses the key elements that are required to minimize the TA risks derived from the inclusion of fast track projects and how to establish the cut off criteria to either cancel or defer the project, or delay the TA in order to balance TA scope freeze and the case for compelling economics.(author)

Serious renal and urological complications in fast-track primary total hip and knee arthroplasty

DEFF Research Database (Denmark)

Bjerregaard, Lars S; Jorgensen, Christoffer C; Kehlet, Henrik

2016-01-01

of stay > 4 days or 30-day readmissions after fast-track THA and TKA, we conducted a detailed observational study based upon prospectively collected pre-operative data and a complete 30-day follow-up on complications and re-admissions in a unselected cohort of 8,804 consecutive fast-track THAs and TKAs......BACKGROUND: Overall medical complications have been reduced after fast-track total hip (THA) and knee arthroplasty (TKA), but data on specific renal and urological (RU) complications are limited. METHODS: To describe the incidence and consequences of serious RU complications resulting in length...

Comparison of remifentanil and low-dose fentanyl for fast-track cardiac anesthesia

DEFF Research Database (Denmark)

Khanykin, Boris; Siddiqi, Rizwan; Jensen, Per F

2013-01-01

BACKGROUND: Different anesthetic techniques have been used for fast tracking in cardiac anesthesia. Remifentanil, with its unique pharmacokinetic profile, could be an ideal drug for fast tracking. Possible limitations of remifentanil are rapid onset of postoperative pain after discontinuation...... of the drug infusion, which may increase the risk of an ischemic event. We conducted this randomized study to compare the efficacy of remifentanil versus low doses of fentanyl in fast-track cardiac anesthesia. It has been hypothesized that remifentanil would provide a safe anesthesia with no impact...... anesthesia. The study was designed as a prospective randomized study. The primary outcomes were changes in the cardiac index and creatine kinase MB fraction (CKMB), extubation times, mobilization times, and lengths of stay in the intensive care unit (ICU) and the hospital. Frequency of myocardial infarction...

PUC fast track nips returns

International Nuclear Information System (INIS)

Anon.

1990-01-01

In the first of what it says will be annual cost-of-capital proceedings to set returns on equity and rates of return on rate base for electric utilities, the California Public Utilities Commission (PUC) lowered from 1989 levels the 1990 returns on common equity (ROE) and rates of return (ROR) for the state's four major investor-owned electric utilities. Under this fast-track procedure, by May 8 of every year, utilities will have to file an application for rate adjustments that reflect their projected costs of capital for the following year

Trevino Project: a fast-track approach for a small construction project

International Nuclear Information System (INIS)

Schick, C.J.; Lynn, N.S.

1982-01-01

The approach to a construction project can vary according to the size, location, and degree of difficulty associated with the project. This paper deals with one approach that can be taken to a small construction project, the fast-track approach. A small construction project can be defined as a project having less than $20 million capital cost or a project with a low degree of difficulty. This approach is very applicable to in-situ leaching uranium projects, small precious metal operations, etc. The approach to the small project is that of fast-tracking the project in order to minimize the time over which capital expenditure occurs and also to reduce the indirect costs of field expense, construction supplies, construction equipment, etc. In order to fast-track a project it is necessary to do a very precise job on the preliminary phases of the project such as preliminary engineering, plant site location, environmental permits, etc. 2 figures, 2 tables

The risk of manipulation under anesthesia due to unsatisfactory knee flexion after fast-track total knee arthroplasty

DEFF Research Database (Denmark)

Wied, Christian; Thomsen, Morten G; Kallemose, Thomas

2015-01-01

BACKGROUND: Fast-track TKA has significantly shortened the time available for physiotherapists to optimize knee ROM before discharge. Safety aspects concerning knee stiffness and the need for manipulation in a fast-track setting need to be illuminated. The study aims were to analyze if fast-track...

Time-driven Activity-based Cost of Fast-Track Total Hip and Knee Arthroplasty

DEFF Research Database (Denmark)

Andreasen, Signe E; Holm, Henriette B; Jørgensen, Mira

2017-01-01

this between 2 departments with different logistical set-ups. METHODS: Prospective data collection was analyzed using the time-driven activity-based costing method (TDABC) on time consumed by different staff members involved in patient treatment in the perioperative period of fast-track THA and TKA in 2 Danish...... orthopedic departments with standardized fast-track settings, but different logistical set-ups. RESULTS: Length of stay was median 2 days in both departments. TDABC revealed minor differences in the perioperative settings between departments, but the total cost excluding the prosthesis was similar at USD......-track methodology, the result could be a more cost-effective pathway altogether. As THA and TKA are potentially costly procedures and the numbers are increasing in an economical limited environment, the aim of this study is to present baseline detailed economical calculations of fast-track THA and TKA and compare...

Fast-Track Cleanup at Closing DoD Installations

Science.gov (United States)

The Fast-Track Cleanup program strives to make parcels available for reuse as quickly as possible by the transfer of uncontaminated or remediated parcels, the lease of contaminated parcels where cleanup is underway, or the 'early transfer' of contaminated property undergoing cleanup.

Patient-reported outcome after fast-track knee arthroplasty

DEFF Research Database (Denmark)

Larsen, Kristian; Hansen, Torben B; Søballe, Kjeld

2012-01-01

PURPOSE: The purpose of this study was to describe patient-related functional outcomes after fast-track total knee arthroplasty and unicompartmental knee arthroplasty. Furthermore, we wanted to assess physical areas where an additional need for rehabilitation could be identified, and finally, we...

Design of a Hardware Track Finder (Fast Tracker) for the ATLAS Trigger

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00010976; Albicocco, P.; Alison, J.; Ancu, L.S.; Anderson, J.; Andari, N.; Andreani, A.; Andreazza, A.; Annovi, A.; Antonelli, M.; Asbah, N.; Atkinson, M.; Baines, J.; Barberio, E.; Beccherle, R.; Beretta, M.; Bertolucci, F.; Biesuz, N.V.; Blair, R.; Bogdan, M.; Boveia, A.; Britzger, D.; Bryant, P.; Burghgrave, B.; Calderini, G.; Camplani, A.; Cavasinni, V.; Chakraborty, D.; Chang, P.; Cheng, Y.; Citraro, S.; Citterio, M.; Crescioli, F.; Dawe, N.; Dell'Orso, M.; Donati, S.; Dondero, P.; Drake, G.; Gadomski, S.; Gatta, M.; Gentsos, C.; Giannetti, P.; Gkaitatzis, S.; Gramling, J.; Howarth, J.W.; Iizawa, T.; Ilic, N.; Jiang, Z.; Kaji, T.; Kasten, M.; Kawaguchi, Y.; Kim, Y.K.; Kimura, N.; Klimkovich, T.; Kolb, M.; Kordas, K.; Krizka, K.; Kubota, T.; Lanza, A.; Li, H.L.; Liberali, V.; Lisovyi, M.; Liu, L.; Love, J.; Luciano, P.; Luongo, C.; Magalotti, D.; Maznas, I.; Meroni, C.; Mitani, T.; Nasimi, H.; Negri, A.; Neroutsos, P.; Neubauer, M.; Nikolaidis, S.; Okumura, Y.; Pandini, C.; Petridou, C.; Piendibene, M.; Proudfoot, J.; Rados, P.; Roda, C.; Rossi, E.; Sakurai, Y.; Sampsonidis, D.; Saxon, J.; Schmitt, S.; Schoening, A.; Shochet, M.; Shojaii, S.; Soltveit, H.; Sotiropoulou, C.L.; Stabile, A.; Swiatlowski, M.; Tang, F.; Taylor, P.T.; Testa, M.; Tompkins, L.; Vercesi, V.; Volpi, G.; Wang, R.; Watari, R.; Webster, J.; Wu, X.; Yorita, K.; Yurkewicz, A.; Zeng, J.C.; Zhang, J.; Zou, R.

2016-01-01

The use of tracking information at the trigger level in the LHC Run II period is crucial for the trigger an data acquisition (TDAQ) system and will be even more so as contemporary collisions that occur at every bunch crossing will increase in Run III. The Fast TracKer (FTK) is part of the ATLAS trigger upgrade project; it is a hardware processor that will provide every Level-1 accepted event (100 kHz) and within 100$\\mu$s, full tracking information for tracks with momentum as low as 1 GeV. Providing fast, extensive access to tracking information, with resolution comparable to the offline reconstruction, FTK will help in precise detection of the primary and secondary vertices to ensure robust selections and improve the trigger performance.

Convalescence after colonic resection with fast-track versus conventional care

DEFF Research Database (Denmark)

Hjort Jakobsen, D; Sonne, E; Basse, L

2004-01-01

BACKGROUND: Multi-modal rehabilitation programmes may improve early postoperative body composition, pulmonary function, exercise capacity, and reduce hospital stay. So far, no data are available on convalescence after discharge. AIM: The objectives were to compare convalescence data (fatigue, sleep...... vs. 8 days in the fast-track vs. conventional care group, respectively (p sleep were increased in the conventional care group when compared with the fast-track group (p ... results in earlier resumption of normal activities with reduced fatigue and need for sleep postoperatively compared to conventional care, and without increased need for nursing care or visits to general practitioners. However, readmissions may occur more frequently....

An innovative strategy to increase a professional workforce: the fast track initiative for health visitors in England.

Science.gov (United States)

Sayer, Lynn; Barriball, K Louise; Bliss, Julie; Bakhshi, Savita; While, Alison E

2016-04-01

Fast tracking is one strategy that organizations use to ameliorate workforce shortfalls by attracting new recruits, and accelerating their skills development and experience. In response to the Government's target of rapidly expanding the number of health visitors in England's National Health Service, the fast track initiative was launched to recruit newly qualified (fast track) as well as experienced (standard entry) nurses and midwives onto health visiting programmes. This paper evaluates the fast track initiative, from the perspective of fast track and standard entry students, practice teachers and health visitor managers. A mixed methods design was used comprising a questionnaire survey (n = 71 students), semi-structured interviews (n = 37 students), telephone interviews (n = 13 managers) and six focus groups (n = 24 practice teachers). Data were collected between April 2012 and July 2013. Descriptive statistics, t-tests and the Pearson Chi-square test were used to analyse the quantitative data. The qualitative data were analysed thematically. Motivations for health visiting as a career choice were similar for fast track and standard entry students, with career progression and interest in health promotion being key motivators. There was consensus that personal qualities and characteristics were more important than experience or qualifications. However, fast track students were significantly less confident about their public health competencies in leadership and management (p communication (p  0.5). Fast tracking offers a useful recruitment strategy in order to expand the health visitor workforce, but longitudinal research is needed to confirm benefits such as retention and career trajectories. © The Author(s) 2015.

Controlling type I error rate for fast track drug development programmes.

Science.gov (United States)

Shih, Weichung J; Ouyang, Peter; Quan, Hui; Lin, Yong; Michiels, Bart; Bijnens, Luc

2003-03-15

The U.S. Food and Drug Administration (FDA) Modernization Act of 1997 has a Section (No. 112) entitled 'Expediting Study and Approval of Fast Track Drugs' (the Act). In 1998, the FDA issued a 'Guidance for Industry: the Fast Track Drug Development Programs' (the FTDD programmes) to meet the requirement of the Act. The purpose of FTDD programmes is to 'facilitate the development and expedite the review of new drugs that are intended to treat serious or life-threatening conditions and that demonstrate the potential to address unmet medical needs'. Since then many health products have reached patients who suffered from AIDS, cancer, osteoporosis, and many other diseases, sooner by utilizing the Fast Track Act and the FTDD programmes. In the meantime several scientific issues have also surfaced when following the FTDD programmes. In this paper we will discuss the concept of two kinds of type I errors, namely, the 'conditional approval' and the 'final approval' type I errors, and propose statistical methods for controlling them in a new drug submission process. Copyright 2003 John Wiley & Sons, Ltd.

Fast tracking in adult cardiac surgery at Pakistan Institute of Medical Sciences

International Nuclear Information System (INIS)

Ahmed, N.; Khan, F.; Zahoor, M.; Rafique, M.; Faisal, M.

2010-01-01

Background: Early extubation after cardiac operation is an important aspect of fast-track cardiac anaesthesia. The length of stay in ICU limits utilisation of operation theatre in cardiac surgery. Increasing cost, limited resources, and newer surgical strategies have stimulated effectiveness of all routines in cardiac surgery, anaesthesia, and intensive care. Aim of this study was to determine the feasibility of fast-tracking in adult cardiac surgery and its effects on post operative recovery in our setup. Methods: This descriptive study was conducted over 14 months between Jul 16, 2007 to Sep 16, 2008. All the open heart cases were included unless absolute contraindications were there. We applied the rapid recovery protocol adopted from Oslo Hospital Norway in an attempt to achieve fast-tracking in our setup. Results: Two-hundred-seventy-four consecutive cases out of 400 operated cases were included in this study. Mean age was 47.69 +- 15.11 years, 27.7% were females, 5.8% were emergency cases, 5.1% were COPD, 11.1% were atrial fibrillation, and 6.9% were NYHA class-III cases. CABG was done in 66.1% cases and mean CPB-time was 75.92 +- 16.20 min. Mean Ventilation-time was 4.47+-4.48 hrs., 86% patients were fast-tracked to be extubated within 6 hours, and 85.4% patients remained free of post-op complications. Six (2.2%) re-intubatIions, 2.6% arrhythmias, 6.6% pleural effusions and 2.2% consolidation were observed post-operatively. Mean ICU stay was 2.49 +- 0.95 days and in-hospital mortality was 2.2%. Conclusion: Fast-tracking with extubation within 6 hours is feasible approach which minimises the post-operative complications significantly in adult cardiac surgical patients. (author)

A fast neutron detector with IP by track measurement

International Nuclear Information System (INIS)

Miao Zhengqiang; Yang Jun; Zhang Qiang; Zhao Xiangfeng; Wang Daohua

2004-01-01

Imaging Plate(IP) is very sensitive to electric particles, especially to heavy ions. As we know, the recoiling protons are produced while fast neutrons scattered in light material containing hydrogen. When the recoiling proton enters in the sensitive layer of IP, a track will be recorded by IP. In this paper, a fast neutron detector based on IP and (n, p) reaction is described in detail, the detector's efficiency is studied also. (authors)

Fast track trigger processor for the OPAL detector at LEP

Energy Technology Data Exchange (ETDEWEB)

Carter, A A; Carter, J R; Ward, D R; Heuer, R D; Jaroslawski, S; Wagner, A

1986-09-20

A fast hardware track trigger processor being built for the OPAL experiment is described. The processor will analyse data from the central drift chambers of OPAL to determine whether any tracks come from the interaction region, and thereby eliminate background events. The processor will find tracks over a large angular range, vertical strokecos thetavertical stroke < or approx. 0.95. The design of the processor is described, together with a brief account of its hardware implementation for OPAL. The results of feasibility studies are also presented.

The ATLAS Fast Tracker Processing Units - track finding and fitting

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00384270; The ATLAS collaboration; Alison, John; Ancu, Lucian Stefan; Andreani, Alessandro; Annovi, Alberto; Beccherle, Roberto; Beretta, Matteo; Biesuz, Nicolo Vladi; Bogdan, Mircea Arghir; Bryant, Patrick; Calabro, Domenico; Citraro, Saverio; Crescioli, Francesco; Dell'Orso, Mauro; Donati, Simone; Gentsos, Christos; Giannetti, Paola; Gkaitatzis, Stamatios; Gramling, Johanna; Greco, Virginia; Horyn, Lesya Anna; Iovene, Alessandro; Kalaitzidis, Panagiotis; Kim, Young-Kee; Kimura, Naoki; Kordas, Kostantinos; Kubota, Takashi; Lanza, Agostino; Liberali, Valentino; Luciano, Pierluigi; Magnin, Betty; Sakellariou, Andreas; Sampsonidis, Dimitrios; Saxon, James; Shojaii, Seyed Ruhollah; Sotiropoulou, Calliope Louisa; Stabile, Alberto; Swiatlowski, Maximilian; Volpi, Guido; Zou, Rui; Shochet, Mel

2016-01-01

The Fast Tracker is a hardware upgrade to the ATLAS trigger and data-acquisition system, with the goal of providing global track reconstruction by the start of the High Level Trigger starts. The Fast Tracker can process incoming data from the whole inner detector at full first level trigger rate, up to 100 kHz, using custom electronic boards. At the core of the system is a Processing Unit installed in a VMEbus crate, formed by two sets of boards: the Associative Memory Board and a powerful rear transition module called the Auxiliary card, while the second set is the Second Stage board. The associative memories perform the pattern matching looking for correlations within the incoming data, compatible with track candidates at coarse resolution. The pattern matching task is performed using custom application specific integrated circuits, called associative memory chips. The auxiliary card prepares the input and reject bad track candidates obtained from from the Associative Memory Board using the full precision a...

A fast fiducial marker tracking model for fully automatic alignment in electron tomography

KAUST Repository

Han, Renmin; Zhang, Fa; Gao, Xin

2017-01-01

Automatic alignment, especially fiducial marker-based alignment, has become increasingly important due to the high demand of subtomogram averaging and the rapid development of large-field electron microscopy. Among the alignment steps, fiducial marker tracking is a crucial one that determines the quality of the final alignment. Yet, it is still a challenging problem to track the fiducial markers accurately and effectively in a fully automatic manner.In this paper, we propose a robust and efficient scheme for fiducial marker tracking. Firstly, we theoretically prove the upper bound of the transformation deviation of aligning the positions of fiducial markers on two micrographs by affine transformation. Secondly, we design an automatic algorithm based on the Gaussian mixture model to accelerate the procedure of fiducial marker tracking. Thirdly, we propose a divide-and-conquer strategy against lens distortions to ensure the reliability of our scheme. To our knowledge, this is the first attempt that theoretically relates the projection model with the tracking model. The real-world experimental results further support our theoretical bound and demonstrate the effectiveness of our algorithm. This work facilitates the fully automatic tracking for datasets with a massive number of fiducial markers.The C/C ++ source code that implements the fast fiducial marker tracking is available at https://github.com/icthrm/gmm-marker-tracking. Markerauto 1.6 version or later (also integrated in the AuTom platform at http://ear.ict.ac.cn/) offers a complete implementation for fast alignment, in which fast fiducial marker tracking is available by the

A fast fiducial marker tracking model for fully automatic alignment in electron tomography

KAUST Repository

Han, Renmin

2017-10-20

Automatic alignment, especially fiducial marker-based alignment, has become increasingly important due to the high demand of subtomogram averaging and the rapid development of large-field electron microscopy. Among the alignment steps, fiducial marker tracking is a crucial one that determines the quality of the final alignment. Yet, it is still a challenging problem to track the fiducial markers accurately and effectively in a fully automatic manner.In this paper, we propose a robust and efficient scheme for fiducial marker tracking. Firstly, we theoretically prove the upper bound of the transformation deviation of aligning the positions of fiducial markers on two micrographs by affine transformation. Secondly, we design an automatic algorithm based on the Gaussian mixture model to accelerate the procedure of fiducial marker tracking. Thirdly, we propose a divide-and-conquer strategy against lens distortions to ensure the reliability of our scheme. To our knowledge, this is the first attempt that theoretically relates the projection model with the tracking model. The real-world experimental results further support our theoretical bound and demonstrate the effectiveness of our algorithm. This work facilitates the fully automatic tracking for datasets with a massive number of fiducial markers.The C/C ++ source code that implements the fast fiducial marker tracking is available at https://github.com/icthrm/gmm-marker-tracking. Markerauto 1.6 version or later (also integrated in the AuTom platform at http://ear.ict.ac.cn/) offers a complete implementation for fast alignment, in which fast fiducial marker tracking is available by the

Implementation of the scientific evidence into daily practice - example from fast-track colonic cancer surgery

DEFF Research Database (Denmark)

Hammer, J.; Harling, H.; Wille-Jorgensen, P.

2008-01-01

Objective To report the implementation and results of fast-track surgery for colonic cancer in the daily routine. Method A total of 131 consecutive patients scheduled for elective colonic cancer resections entered a fast-track perioperative course after thorough information. The regimen contained...

ATLAS Fast Tracker Status and Tracking at High luminosity LHC

CERN Document Server

Ilic, Nikolina; The ATLAS collaboration

2018-01-01

The LHC’s increase in centre of mass energy and luminosity in 2015 makes controlling trigger rates with high efficiency challenging. The ATLAS Fast TracKer (FTK) is a hardware processor built to reconstruct tracks at a rate of up to 100 kHz and provide them to the high level trigger. The FTK reconstructs tracks by matching incoming detector hits with pre-defined track patterns stored in associative memory on custom ASICs. Inner detector hits are fit to these track patterns using modern FPGAs. This talk describes the electronics system used for the FTK’s massive parallelization. The installation, commissioning and running of the system is happening in 2016, and is detailed in this talk. Tracking at High luminosity LHC is also presented.

L0 Confirmation with fast, Tsa based tracking in the T-stations

CERN Document Server

Albrecht, J; Terrier, H

2007-01-01

A fast tracking algorithm to confirm the high $p_T$ L0 trigger objects with tracks from the T-stations is presented. The L0 trigger candidate is used to define a search window to a potential track. Using this, a seeded track search is performed. The track finding algorithm is based on the \\textit{TsaSeeding} algorithm~\\cite{bib:Tsa}. The efficiency to confirm a true L0 trigger signal is around 96\\%, the momentum can be measured up to $\\Delta p/p$=3\\%.

Low manipulation prevalence following fast-track total knee arthroplasty

DEFF Research Database (Denmark)

Husted, Henrik; Jørgensen, Christoffer C.; Gromov, Kirill

2015-01-01

BACKGROUND AND PURPOSE: Postoperative joint stiffness following total knee arthroplasty (TKA) may compromise the outcome and necessitate manipulation. Previous studies have not been in a fast-track setting with optimized pain treatment, early mobilization, and short length of stay (LOS), which ma...

After colonic surgery: The lived experience of participating in a fast-track programme

DEFF Research Database (Denmark)

Norlyk, Annelise; Harder, Ingegerd

2009-01-01

Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of partici......Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience...

A modified fast-track program for pancreatic surgery: a prospective single-center experience.

Science.gov (United States)

di Sebastiano, Pierluigi; Festa, Leonardina; De Bonis, Antonio; Ciuffreda, Andrea; Valvano, Maria Rosa; Andriulli, Angelo; di Mola, F Francesco

2011-03-01

The objective of this study is to evaluate the impact of a fast-track protocol in a high-volume center for patients with pancreatic disorders. The concept of fast-track surgery allowing accelerated postoperative recovery is accepted in colorectal surgery, but efficacy data are only preliminary for patients undergoing major pancreatic surgery. We aimed to evaluate the impact of a modified fast-track protocol in a high-volume center for patients with pancreatic disorders. Between February 2005 and January 2010, 145 subjects had resective pancreatic surgery and were enrolled in the program. Essential features of the program were no preanaesthetic medication, upper and lower air-warming device, avoidance of excessive i.v. fluids perioperatively, effective control of pain, early reinstitution of oral feeding, and immediate mobilization and restoration of bowel function following surgery. Outcome measures were postoperative complications such as pancreatic fistula, delayed gastric emptying, biliary leak, intra-abdominal abscess, post-pancreatectomy hemorrhage, acute pancreatitis, wound infection, 30-day mortality, postoperative hospital stay, and readmission rates. On average, patients were discharged on postoperative day 10 (range 6-69), with a 30-day readmission rate of 6.2%. Percentage of patients with at least one complication was 38.6%. Pancreatic anastomotic leakage occurred in seven of 101 pancreatico-jejunostomies, and biliary leak in three of 109 biliary jejunostomies. Postoperative hemorrhage occurred in ten (6.9%) patients and wound infection in nine (6.2%) cases. In-hospital mortality was 2.7%. Fast-track parameters, such as normal food and first stool, correlated significantly with early discharge (jaundice, and resumption of normal diet by the 5th postoperative day were independent factors of early discharge. Fast-track programs are feasible, easy, and also applicable for patients undergoing a major surgery such as pancreatic resection.

Environmental Impact Assessment of Kathmandu Terai Fast-Track

Directory of Open Access Journals (Sweden)

Padam Kanta Dahal

2014-12-01

Full Text Available  Road transport is dominant necessity for the overall economic development of any nation. In case of Nepal, an easy access between the Capital City and Terai, the store-house of the country and is very necessary. To facilitate this promotion of an improved core road network, Government of Nepal has launched the Kathmandu Terai Fast Track Project. Many concerned personalities and sectors had considered this project to be number one in the list of seventeen projects of national pride declared by the government. The main objective of this study was to identify the impacts of proposed project implementation on physical, biological, socio-economic and cultural environment of the project area and propose mitigation measures to avoid or mitigate such impacts. Primary information collection and secondary data review was the source of data with cross sectional descriptive study design. Data was taken purposively in the project affected area. Length of 72.6 km fast track from Kathmandu – Lalitpur – Makawanpur and up to Nijgadh in Bara district to link with the East West Highway will be of four lanes with 50 m on each side. The project was proposed to have 96 bridges big or small; 1.6 km long tunnel will be built in Thingan of Makawanpur on public-private partnership. It had projected costs of more than NRs 250 million. The impacts on land use will be on about 30km of agricultural land, 43km of forests and about 3km of other land uses, bridges etc. in the main alignment. The impacts on human life will mainly be in villages near the alignment. There are 38 villages within about 50m of the main alignment. The project can be continued with minimum of environmental degradation by applying the mitigation measures. Nation has been investing a lot of resources. Upon the completion of the fast track, the distance and time to reach the capital city from Terai will come down to only 1.5 hours and will transform the capital, eastern Terai and the country as a

Orthostatic intolerance during early mobilization after fast-track hip arthroplasty

DEFF Research Database (Denmark)

Jans, O; Bundgaard-Nielsen, M; Solgaard, S

2012-01-01

has not been established after THA. This study evaluated the cardiovascular response and tissue oxygenation to mobilization before and after surgery in relation to OI in fast-track THA patients. METHODS: /st>OI and the cardiovascular response to standing were evaluated with a standardized mobilization......BACKGROUND: /st>Early postoperative mobilization is a cornerstone in fast-track total hip arthroplasty (THA), but postoperative orthostatic intolerance (OI) may delay early recovery or lead to fainting, falls, and prosthesis dislocation or fracture. However, the prevalence and pathophysiology of OI...... protocol, before, 6, and 24 h after surgery in 26 patients undergoing THA with spinal anaesthesia and an opioid-sparing analgesic regime. Haemoglobin, fluid balance, and opioid use were recorded. Systolic (SAP) and diastolic (DAP) arterial pressure, heart rate (HR), stroke volume (SV), cardiac output (CO...

Fast pattern recognition with the ATLAS L1Track trigger for HL-LHC

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00530554; The ATLAS collaboration

2017-01-01

A fast hardware based track trigger is being developed in ATLAS for the High Luminosity upgrade of the Large Hadron Collider. The goal is to achieve trigger levels in the high pile-up conditions of the High Luminosity Large Hadron Collider that are similar or better than those achieved at low pile-up conditions by adding tracking information to the ATLAS hardware trigger. A method for fast pattern recognition using the Hough transform is investigated. In this method, detector hits are mapped onto a 2D parameter space with one parameter related to the transverse momentum and one to the initial track direction. The performance of the Hough transform is studied at different pile-up values. It is also compared, using full event simulation of events with average pile-up of 200, with a method based on matching detector hits to pattern banks of simulated tracks stored in a custom made Associative Memory ASICs. The pattern recognition is followed by a track fitting step which calculates the track parameters. The spee...

Hardware-based tracking at trigger level for ATLAS: The Fast Tracker (FTK) Project

CERN Document Server

Gramling, Johanna; The ATLAS collaboration

2015-01-01

Physics collisions at 13 TeV are expected at the LHC with an average of 40-50 proton-proton collisions per bunch crossing. Tracking at trigger level is an essential tool to control the rate in high-pileup conditions while maintaining a good efficiency for relevant physics processes. The Fast TracKer (FTK) is an integral part of the trigger upgrade for the ATLAS detector. For every event passing the Level 1 trigger (at a maximum rate of 100 kHz) the FTK receives data from the 80 million channels of the silicon detectors, providing tracking information to the High Level Trigger in order to ensure a selection robust against pile-up. The FTK performs a hardware-based track reconstruction, using associative memory (AM) that is based on the use of a custom chip, designed to perform pattern matching at very high speed. It finds track candidates at low resolution (roads) that seed a full-resolution track fitting done by FPGAs. Narrow roads permit a fast track fitting but need many patterns stored in the AM to ensure ...

Fast-track, ambulatory ultrasound-guided Tru-Cut liver biopsy is feasible and cost-efficient

DEFF Research Database (Denmark)

Huang, Chenxi; Lorentzen, Torben; Skjoldbye, Bjørn

2015-01-01

INTRODUCTION: Most institutions perform percutaneous liver biopsy with a post-biopsy patient observation period lasting up to eight hours, which is resource-demanding. This study aimed to evaluate the safety of liver biopsy performed in a fast-track set-up with an only one-hour post......-biopsy observation time. METHODS: Patients referred to our institution underwent fast-track ultrasound-guided 18-gauge Tru-Cut liver biopsy procedures. Each single biopsy procedure was followed by a post-procedure observational period of one hour and an additional focused assessment with sonography for trauma before...... safely discharged from our institution. No fatality or long-term complications were found during this study. CONCLUSION: The fast-track approach reported herein is a feasible option when adequate patient information is given. Besides the obvious, positive effect on patient logistics and departmental...

Fast pattern recognition with the ATLAS L1 track trigger for the HL-LHC

CERN Document Server

Martensson, Mikael; The ATLAS collaboration

2016-01-01

A fast hardware based track trigger for high luminosity upgrade of the Large Hadron Collider (HL- LHC) is being developed in ATLAS. The goal is to achieve trigger levels in high pileup collisions that are similar or even better than those achieved at low pile-up running of LHC by adding tracking information to the ATLAS hardware trigger which is currently based on information from calorimeters and muon trigger chambers only. Two methods for fast pattern recognition are investigated. The first is based on matching tracker hits to pattern banks of simulated high momentum tracks which are stored in a custom made Associative Memory (AM) ASIC. The second is based on the Hough transform where detector hits are transformed into 2D Hough space with one variable related to track pt and one to track direction. Hits found by pattern recognition will be sent to a track fitting step which calculates the track parameters . The speed and precision of the track fitting depends on the quality of the hits selected by the patte...

Comparison of fast neutron-induced tracks in plastics using the electrochemical etching method

International Nuclear Information System (INIS)

Cotter, S.J.; Gammage, R.B.; Thorngate, J.H.; Ziemer, P.L.

1979-01-01

Four plastics were examined by the electrochemical etching method for their suitability in registering fast neutron-induced recoil particle tracks. The plastics were cellulose acetate, cellulose triacetate, cellulose acetobutyrate and polycarbonate. Cellulose acetate and triacetate displayed high levels of water absorptivity during etching while the acetobutyrate foils cracked due to electromechanical stresses at high frequencies (>500 Hz). The clarity of the etched track was superior in the polycarbonate foils, suggesting the latter as the generally preferred dosimeter for fast neutrons. (author)

A fast track trigger processor for the OPAL detector at LEP

International Nuclear Information System (INIS)

Carter, A.A.; Jaroslawski, S.; Wagner, A.

1986-01-01

A fast hardware track trigger processor being built for the OPAL experiment is described. The processor will analyse data from the central drift chambers of OPAL to determine whether any tracks come from the interaction region, and thereby eliminate background events. The processor will find tracks over a large angular range, vertical strokecos thetavertical stroke < or approx. 0.95. The design of the processor is described, together with a brief account of its hardware implementation for OPAL. The results of feasibility studies are also presented. (orig.)

The use of a break-even analysis: financial analysis of a fast-track program.

Science.gov (United States)

Saywell, R M; Cordell, W H; Nyhuis, A W; Giles, B K; Culler, S D; Woods, J R; Chu, D K; McKinzie, J P; Rodman, G H

1995-08-01

To calculate the financial break-even point and illustrate how changes in third-party reimbursement and eligibility could affect a program's fiscal standing. Demographic, clinical, and financial data were collected retrospectively for 446 patients treated in a fast-track program during June 1993. The fast-track program is located within the confines of the emergency medicine and trauma center at a 1,050-bed tertiary care Midwestern teaching hospital and provides urgent treatment to minimally ill patients. A financial break-even analysis was performed to determine the point where the program generated enough revenue to cover its total variable and fixed costs, both direct and indirect. Given the relatively low average collection rate (62%) and high percentage of uninsured patients (31%), the analysis showed that the program's revenues covered its direct costs but not all of the indirect costs. Examining collection rates or payer class mix without examining both costs and revenues may lead to an erroneous conclusion about a program's fiscal viability. Sensitivity analysis also shows that relatively small changes in third-party coverage or eligibility (income) requirements can have a large impact on the program's financial solvency and break-even volumes.

Fast simulation of the forward tracking detector of HPLUS

International Nuclear Information System (INIS)

Zhang Yapeng; Fan Ruirui; Fu Fen; Yue Ke; Yuan Xiaohua; Xu Huagen; Chinese Academy of Sciences, Beijing; Yao Nan; Xu Hushan; Jin Genming; Liang Jinjie; Chen Ruofu; Sun Zhiyu; Duan Limin; Xiao Zhigang; Tsinghua Univ., Beijing

2008-01-01

The necessity of installing a forward tracking detector stack is discussed for the Hadron Physics Lanzhou Spectrometer(HPLUS). A local tracker is developed to solve the multi-track finding problem. The track candidates are searched iteratively via Hough Transform. The fake tracks are removed by a least square fitting process. With this tracker we have studied the feasibility of pp→pp+φ(→K + K - ), a typical physical channel proposed on HPLUS. The single track momentum resolution due to the uncertainty of the positioning in FTD is 1.3%. The multiple scattering effect contributes about 20% to the momentum resolution in the FTD coverage. The width and the signal-to-background ratio of the reconstructed φ are 1.51 MeV and 4.36, respectively, taking into account the direct Kaon channel pp→pp+K + K - as background. The geometry coverage of FTD for qb events is about 85.4%. Based on the current fast simulation and estimation, the geometrical configuration of FTD meets the physical requirement of HPLUS under the current luminosity and multiplicity conditions. The tracker is applicable in the full simulation coming next and is extendable to other tracking component of HPLUS. (authors)

Fast neural-net based fake track rejection in the LHCb reconstruction

CERN Document Server

De Cian, Michel; Seyfert, Paul; Stahl, Sascha

2017-01-01

A neural-network based algorithm to identify fake tracks in the LHCb pattern recognition is presented. This algorithm, called ghost probability, retains more than 99 % of well reconstructed tracks while reducing the number of fake tracks by 60 %. It is fast enough to fit into the CPU time budget of the software trigger farm and thus reduces the combinatorics of the decay reconstructions, as well as the number of tracks that need to be processed by the particle identification algorithms. As a result, it strongly contributes to the achievement of having the same reconstruction online and offline in the LHCb experiment in Run II of the LHC.

The yield of colorectal cancer among fast track patients with normocytic and microcytic anaemia.

Science.gov (United States)

Panagiotopoulou, I G; Fitzrol, D; Parker, R A; Kuzhively, J; Luscombe, N; Wells, A D; Menon, M; Bajwa, F M; Watson, M A

2014-05-01

We receive fast track referrals on the basis of iron deficiency anaemia (IDA) for patients with normocytic anaemia or for patients with no iron studies. This study examined the yield of colorectal cancer (CRC) among fast track patients to ascertain whether awaiting confirmation of IDA is necessary prior to performing bowel investigations. A review was undertaken of 321 and 930 consecutive fast track referrals from Centre A and Centre B respectively. Contingency tables were analysed using Fisher's exact test. Logistic regression analyses were performed to investigate significant predictors of CRC. Overall, 229 patients were included from Centre A and 689 from Centre B. The odds ratio for microcytic anaemia versus normocytic anaemia in the outcome of CRC was 1.3 (95% confidence interval [CI]: 0.5-3.9) for Centre A and 1.6 (95% CI: 0.8-3.3) for Centre B. In a logistic regression analysis (Centre B only), no significant difference in CRC rates was seen between microcytic and normocytic anaemia (adjusted odds ratio: 1.9, 95% CI: 0.9-3.9). There was no statistically significant difference in the yield of CRC between microcytic and normocytic anaemia (p=0.515, Fisher's exact test) in patients with anaemia only and no colorectal symptoms. Finally, CRC cases were seen in both microcytic and normocytic groups with or without low ferritin. There is no significant difference in the yield of CRC between fast track patients with microcytic and normocytic anaemia. This study provides insufficient evidence to support awaiting confirmation of IDA in fast track patients with normocytic anaemia prior to requesting bowel investigations.

The ATLAS Fast Tracker and Tracking at the High-Luminosity LHC

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00236423; The ATLAS collaboration

2016-01-01

The LHC’s increase in centre of mass energy and luminosity in 2015 makes controlling trigger rates with high efficiency challenging. The ATLAS Fast TracKer (FTK) is a hardware processor built to reconstruct tracks at a rate of up to 100 kHz and provide them to the high level trigger. The FTK reconstructs tracks by matching incoming detector hits with pre-defined track patterns stored in associative memory on custom ASICs. Inner detector hits are fit to these track patterns using modern FPGAs. These procedings describe the electronics system used for the FTK’s massive parallelization. An overview of the installation, commissioning and running of the system is given. The ATLAS upgrades planned to enable tracking at the High Luminosity LHC are also discussed.

Short Hospital Stay after Laparoscopic Colorectal Surgery without Fast Track

Directory of Open Access Journals (Sweden)

Stefan K. Burgdorf

2012-01-01

Full Text Available Purpose. Short hospital stay and equal or reduced complication rates have been demonstrated after fast track open colonic surgery. However, fast track principles of perioperative care can be difficult to implement and often require increased nursing staff because of more concentrated nursing tasks during the shorter hospital stay. Specific data on nursing requirements after laparoscopic surgery are lacking. The purpose of the study was to evaluate the effect of operative technique (open versus laparoscopic operation, but without changing nurse staffing or principles for peri- or postoperative care, that is, without implementing fast track principles, on length of stay after colorectal resection for cancer. Methods. Records of all patients operated for colorectal cancer from November 2004 to December 2008 in our department were reviewed. No specific patients were selected for laparoscopic repair, which was solely dependent on the presence of two specific surgeons at the same time. Thus, the patients were not selected for laparoscopic repair based on patient-related factors, but only on the simultaneous presence of two specific surgeons on the day of the operation. Results. Of a total of 540 included patients, 213 (39% were operated by a laparoscopic approach. The median hospital stay for patients with a primary anastomosis was significantly shorter after laparoscopic than after conventional open surgery (5 versus 8 days, while there was no difference in patients receiving a stoma (10 versus 10 days, ns, with no changes in the perioperative care regimens. Furthermore there were significant lower blood loss (50 versus 200 mL, and lower complication rate (21% versus 32%, in the laparoscopic group. Conclusion. Implementing laparoscopic colorectal surgery in our department resulted in shorter hospital stay without using fast track principles for peri- and postoperative care in patients not receiving a stoma during the operation. Consequently, we

Hardware-based Tracking at Trigger Level for ATLAS: The Fast TracKer (FTK) Project

CERN Document Server

Gramling, Johanna; The ATLAS collaboration

2015-01-01

Physics collisions at 13 TeV are expected at the LHC with an average of 40-50 proton-proton collisions per bunch crossing. Tracking at trigger level is an essential tool to control the rate in high-pileup conditions while maintaining a good efficiency for relevant physics processes. The Fast TracKer (FTK) is an integral part of the trigger upgrade for the ATLAS detector. For every event passing the Level 1 trigger (at a maximum rate of 100 kHz) the FTK receives data from the 80 million channels of the silicon detectors, providing tracking information to the High Level Trigger in order to ensure a selection robust against pile-up. The FTK performs a hardware- based track reconstruction, using associative memory (AM) that is based on the use of a custom chip, designed to perform pattern matching at very high speed. It finds track candidates at low resolution (roads) that seed a full-resolution track fitting done by FPGAs. Narrow roads permit a fast track fitting but need many patterns stored in the AM to ensure...

Research on Precision Tracking on Fast Steering Mirror and Control Strategy

Science.gov (United States)

Di, Lin; Yi-ming, Wu; Fan, Zhu

2018-01-01

Fast steering mirror is a device used for controlling the beam direction precisely. Due to the short travel of the push-pull FSM, a compound fast steering mirror system driven by both limited-angle voice coil motor and push-pull FSM together is proposed. In the compound FSM system, limited-angle voice coil motor quickly swings at wide angle, while the push-pull FSM do high frequency movement in a small range, which provides the system with the high bandwidth and long travel. In the control strategy, the method of combining feed-forward control in Kalman filtering with auto-disturbance rejection control is used to improve trajectory tracking accuracy. The simulation result shows that tracking accuracy measured by the compound method can be improved by more than 5 times than that of the conventional PID.

Patient-reported outcome after fast-track hip arthroplasty: a prospective cohort study

Directory of Open Access Journals (Sweden)

Hansen Torben B

2010-11-01

Full Text Available Abstract Background A fast-track intervention with a short preoperative optimization period and short postoperative hospitalization has a potential for reduced convalescence and thereby a reduced need for postoperative rehabilitation. The purpose of this study was to describe patient-related outcomes, the need for additional rehabilitation after a fast-track total hip arthroplasty (THA, and the association between generic and disease specific outcomes. Methods The study consisted of 196 consecutive patients of which none received additional rehabilitation beyond an instructional exercise plan at discharge, which was adjusted at one in-patient visit. The patients filled in 3 questionnaires to measure health-related quality-of-life (HRQOL and hip specific function (EQ-5 D, SF36, and Harris Hip Score (HHS at 2 time points pre- and 2 time points postoperatively. The observed results were compared to normative population data for EQ-5 D, SF36, and HHS. Results 3-months postoperatively patients had reached a HRQOL level of 0.84 (SD, 0.14, which was similar to the population norm (P = 0.33, whereas they exceeded the population norm at 12 months postoperatively (P P P = 0.35. For HHS, patients never reached the population norm within 12 months postoperatively. Generic and disease specific outcomes were strongly associated. Conclusions If HRQOL is considered the primary outcome after THA, the need for additional postoperative rehabilitation for all THA patients following a fast-track intervention is questionable. However, a pre- or early postoperative physical intervention seems relevant if the PF of the population norm should be reached at 3 months. If disease specific outcome is considered the primary outcome after fast-track THA, clear goals for the rehabilitation must be established before patient selection, intervention type and timing of intervention can be made.

FAST: A fully asynchronous and status-tracking pattern for geoprocessing services orchestration

Science.gov (United States)

Wu, Huayi; You, Lan; Gui, Zhipeng; Gao, Shuang; Li, Zhenqiang; Yu, Jingmin

2014-09-01

Geoprocessing service orchestration (GSO) provides a unified and flexible way to implement cross-application, long-lived, and multi-step geoprocessing service workflows by coordinating geoprocessing services collaboratively. Usually, geoprocessing services and geoprocessing service workflows are data and/or computing intensive. The intensity feature may make the execution process of a workflow time-consuming. Since it initials an execution request without blocking other interactions on the client side, an asynchronous mechanism is especially appropriate for GSO workflows. Many critical problems remain to be solved in existing asynchronous patterns for GSO including difficulties in improving performance, status tracking, and clarifying the workflow structure. These problems are a challenge when orchestrating performance efficiency, making statuses instantly available, and constructing clearly structured GSO workflows. A Fully Asynchronous and Status-Tracking (FAST) pattern that adopts asynchronous interactions throughout the whole communication tier of a workflow is proposed for GSO. The proposed FAST pattern includes a mechanism that actively pushes the latest status to clients instantly and economically. An independent proxy was designed to isolate the status tracking logic from the geoprocessing business logic, which assists the formation of a clear GSO workflow structure. A workflow was implemented in the FAST pattern to simulate the flooding process in the Poyang Lake region. Experimental results show that the proposed FAST pattern can efficiently tackle data/computing intensive geoprocessing tasks. The performance of all collaborative partners was improved due to the asynchronous mechanism throughout communication tier. A status-tracking mechanism helps users retrieve the latest running status of a GSO workflow in an efficient and instant way. The clear structure of the GSO workflow lowers the barriers for geospatial domain experts and model designers to

Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial

Directory of Open Access Journals (Sweden)

Swart Annemiek

2006-11-01

Full Text Available Abstract Background Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay. The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst track multimodal management versus standard care was conceived to determine whether laparoscopic surgery, fast track perioperative care or a combination of both is to be preferred over open surgery with standard care in patients having segmental colectomy for malignant disease. Methods/design The LAFA-trial is a double blinded, multicenter trial with a 2 × 2 balanced factorial design. Patients eligible for segmental colectomy for malignant colorectal disease i.e. right and left colectomy and anterior resection will be randomized to either open or laparoscopic colectomy, and to either standard care or the fast track program. This factorial design produces four treatment groups; open colectomy with standard care (a, open colectomy with fast track program (b, laparoscopic colectomy with standard care (c, and laparoscopic surgery with fast track program (d. Primary outcome parameter is postoperative hospital length of stay including readmission within 30 days. Secondary outcome parameters are quality of life two and four weeks after surgery, overall hospital costs, morbidity, patient satisfaction and readmission rate. Based on a mean postoperative hospital stay of 9 +/- 2.5 days a group size of 400 patients (100 each arm can reliably detect a minimum difference of 1 day between the four arms (alfa = 0.95, beta = 0.8. With 100 patients in each arm a difference of 10% in subscales of the Short Form 36 (SF-36 questionnaire and social functioning can be detected. Discussion The LAFA-trial is a randomized controlled multicenter trial that will provide evidence on the merits of fast track perioperative care and laparoscopic colorectal surgery in

Fast neutron dosimetry using CR-39 track detectors with polyethylene as radiator

International Nuclear Information System (INIS)

Castillo, F.; Espinosa, G.; Golzarri, J.I.; Osorio, D.; Rangel, J.; Reyes, P.G.; Herrera, J.J.E.

2013-01-01

The chemical etching parameters (etching time, temperature, normality of etchant, etc.) for the use of CR-39 (allyl diglycol carbonate – Lantrack ® ) as a fast neutron dosimeter have been optimized. The CR-39 chips, placed under a 1.5 mm polyethylene radiator, were exposed for calibration to an 241 Am-Be source at different time intervals for a given neutron fluence. After several chemical etching processes of the detectors with different conditions, the optimum characteristics for the chemical etching were found at 6N KOH solution, 60 ± 1 °C, for 12 h. An accurate relationship between the dose and fluence calculations was obtained as a function of the track density. - Highlights: ► Optimum etching time for fast neutron irradiated CR-39 track detectors is found. ► Relationship between dose and fluence obtained as a function of the track density. ► Results are consistent with those reported elsewhere, and extend the dose range

Avoiding ICU Admission by Using a Fast-Track Protocol Is Safe in Selected Adult-to-Adult Live Donor Liver Transplant Recipients

Directory of Open Access Journals (Sweden)

Juan Echeverri, MD

2017-10-01

Full Text Available Background. We evaluated patient characteristics of live donor liver transplant (LDLT recipients undergoing a fast-track protocol without intensive care unit (ICU admission versus LDLT patients receiving posttransplant ICU care. Methods. Of the 153 LDLT recipients, 46 patients were included in our fast-track protocol without ICU admission. Both, fast-tracked patients and ICU-admitted patients were compared regarding donor and patient characteristics, perioperative characteristics, and postoperative outcomes and complications. In a subgroup analysis, we compared fast-tracked patients with patients who were admitted in the ICU for less than 24 hours. Results. Fast-tracked versus ICU patients had a lower model for end-stage liver disease score (13 ± 4 vs 18 ± 7; P < 0.0001, lower preoperative bilirubin levels (51 ± 50 μmol/L vs 119.4 ± 137.3 μmol/L; P < 0.001, required fewer units of packed red blood cells (1.7 ± 1.78 vs 4.4 ± 4; P < 0.0001, and less fresh-frozen plasma (2.7 ± 2 vs 5.8 ± 5; P < 0.0001 during transplantation. Regarding postoperative outcomes, fast-tracked patients presented fewer bacterial infections within 30 days (6.5% [3] vs 29% [28]; P = 0.002, no episodes of pneumonia (0% vs 11.3% [11]; P = 0.02, and less biliary complications within the first year (6% [3] vs 26% [25]; P = 0.001. Also, fast-tracked patients had a shorter posttransplant hospital stay (10.8 ± 5 vs 21.3 ± 29; P = 0.002. In the subgroup analysis, fast-tracked vs ICU patients admitted for less than 24 hours had lower requirements of packed red blood cells (1.7 ± 1.78 vs 3.9 ± 4; P = 0.001 and fresh-frozen plasma (2.7 ± 2 vs 5.8 ± 4.5; P = 0.0001. Conclusions. Fast-track of selected patients after LDLT is safe and feasible. An objective score to perioperatively select LDLT recipients amenable to fast track is yet to be determined.

Improving the quality of pretreatment staging in patients with esophageal carcinoma - a fast track study

Energy Technology Data Exchange (ETDEWEB)

Didden, Paul; Spaander, Manon C. W.; Kuipers, Ernst J.; Bruno, Marco J. (Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam (Netherlands)), E-mail: v.spaander@erasmusmc.nl; Wijnhoven, Bas P. L. (Department of Surgery, Erasmus University Medical Center, Rotterdam (Netherlands))

2012-03-15

Background: Current guidelines for esophageal cancer recommend series of diagnostic investigations to determine pretreatment TNM stage. When investigations are done sequentially, diagnostic work-up time may be prolonged considerably. Aim of the study was to determine the feasibility and efficacy of a fast track staging strategy within five days after the first consultation. Material and methods: Between 2007 and 2010 all patients presenting with esophageal cancer at the Department of Gastroenterology in a tertiary referral center were prospectively analyzed. At Day 1 all patients underwent computed tomography (CT), endoscopic ultrasound (EUS) and ultrasonography of the neck (United States). Results and treatment implications were discussed within a multidisciplinary meeting. This fast track strategy was considered completed successfully if pre-treatment TNM classification was achieved and therapy was proposed to the patient at the outpatient clinic at Day five. In those cases where staging period time was prolonged, the number and type of additional tests were documented including the ensuing time delay. Results: In 111 patients CT, EUS and US were performed in 100%, 88.3% and 97.3% respectively. A final TNM stage and treatment proposal was reached at Day 5 in 60% of the patients. Additional tests were diverse and mainly used to prove local irresectability or presence of distant metastasis. Multivariate analysis identified presence of lymphadenopathy (HR 0.25 p 0.03) and metastasis (HR 0.27 p = 0.03) as significant predictors of not completing the staging period within five days. In 18% of patients overuse of at least one test occurred, most commonly because CT already revealed distant metastasis. Conclusion: Employment of a fast track five day staging strategy in patients with esophageal carcinoma is feasible. Definite TNM stage and treatment proposal can be achieved in 60% of cases, but comes at the expense of test overuse in about one fifth of patients

Subacute pain and function after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Andersen, Lasse Østergaard; Gaarn-Larsen, L; Kristensen, B B

2009-01-01

In a well-defined fast-track setup for total hip and knee arthroplasty, with a multimodal analgesic regimen consisting of intra-operative local anaesthetic infiltration and oral celecoxib, gabapentin and paracetamol for 6 days postoperatively, we conducted a prospective, consecutive, observationa...

Evaluation of a fast-track programme for patients undergoing liver resection

DEFF Research Database (Denmark)

Schultz, Nicolai A.; Larsen, Peter Nørgaard; Klarskov, Birthe Michaelsen

2013-01-01

BACKGROUND: Recent developments in perioperative pathophysiology and care have documented evidence-based, multimodal rehabilitation (fast-track) to hasten recovery and to decrease morbidity and hospital stay for several major surgical procedures. The aim of this study was to investigate the effect...

Fast Track Finding in the ILC's Silicon Detector, SiD01

International Nuclear Information System (INIS)

Baker, David E.

2007-01-01

A fast track finder is presented which, unlike its more efficient, more computationally costly O(n3) time counterparts, tracks particles in O(n) time (for n being the number of hits). Developed as a tool for processing data from the ILC's proposed SiD detector, development of this fast track finder began with that proposed by Pablo Yepes in 1996 and adjusted to accommodate the changes in geometry of the SiD detector. First, space within the detector is voxellated, with hits assigned to voxels according to their r, φ, and η coordinates. A hit on the outermost layer is selected, and a 'sample space' is built from the hits in the selected hit's surrounding voxels. The hit in the sample space with the smallest distance to the first is then selected, and the sample space recalculated for this hit. This process continues until the list of hits becomes large enough, at which point the helical circle in the x, y plane is conformally mapped to a line in the x', y' plane, and hits are chosen from the sample spaces of the previous fit by selecting the hits which fit a line to the previously selected points with the smallest χ 2 . Track finding terminates when the innermost layer has been reached or no hit in the sample space fits those previously selected to an acceptable χ 2 . Again, a hit on the outermost layer is selected and the process repeats until no assignable hits remain. The algorithm proved to be very efficient on artificial diagnostic events, such as one hundred muons scattered at momenta of 1 GeV/c to 10 GeV/c. Unfortunately, when tracking simulated events corresponding to actual physics, the track finder's efficiency decreased drastically (mostly due to signal noise), though future data cleaning programs could noticeably increase its efficiency on these events

Maintaining Unity - relatives in older patients' fast-track treatment programmes. A grounded theory study.

Science.gov (United States)

Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

2014-12-01

To generate a substantive grounded theory of relatives' pattern of behaviour in older patients' fast-track treatment programmes during total hip or knee replacement. Fast-track treatment programmes are designed to make total hip and knee replacements more efficient through recovery improvements. The support of relatives during older patients' trajectory is important. However, knowledge is needed on the relatives' pattern of behaviour to strengthen their involvement in fast-track treatment programmes. We used a Glaserian grounded theory approach based on a systematic generation of theory from data to explain the latent pattern of behaviour of relatives. Data were collected from 2010-2011 in orthopaedic wards at two Danish university hospitals and consisted of 14 non-participant observations, 14 postobservational interviews and five interviews. Seven relatives of patients over 70 years of age participated. The constant comparative method was the guiding principle for simultaneous data collection, data analysis and coding, while theoretically sampling and writing memos. Maintaining Unity emerged as the relatives' pattern of behaviour through which they resolved their main concern: preventing the patients from feeling alone. The relatives resolved their main concern through three interchangeable behavioural modes: Protecting Mode, by providing loving and respectful support; Substituting Mode, with practical and cognitive support; and an Adapting Mode, by trying to fit in with the patients' and health professionals' requirements. The substantive theory of Maintaining Unity offers knowledge of relatives' strong desire to provide compassionate and loving support for the older patients during fast-track treatment programmes. © 2014 John Wiley & Sons Ltd.

Serious renal and urological complications in fast-track primary total hip and knee arthroplasty; a detailed observational cohort study

DEFF Research Database (Denmark)

Bjerregaard, Lars S; Jorgensen, Christoffer C; Kehlet, Henrik

2016-01-01

of stay > 4 days or 30-day readmissions after fast-track THA and TKA, we conducted a detailed observational study based upon prospectively collected pre-operative data and a complete 30-day follow-up on complications and re-admissions in a unselected cohort of 8,804 consecutive fast-track THAs and TKAs......BACKGROUND: Overall medical complications have been reduced after fast-track total hip (THA) and knee arthroplasty (TKA), but data on specific renal and urological (RU) complications are limited. METHODS: To describe the incidence and consequences of serious RU complications resulting in length...

When is it optimal to delegate: the theory of fast-track authority

Czech Academy of Sciences Publication Activity Database

Celik, Levent; Karabay, B.; McLaren, J.

2015-01-01

Roč. 7, č. 3 (2015), s. 347-389 ISSN 1945-7669 Institutional support: RVO:67985998 Keywords : fast-track authority * free trade * protectionist rents Subject RIV: AH - Economics Impact factor: 1.359, year: 2015

Role of patient characteristics for fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Jørgensen, C.; Jacobsen, M; Søballe, Kjeld

2013-01-01

BACKGROUND: /st>Patient age and comorbidity have been found to increase the length of hospital stay (LOS), readmissions, and mortality after surgery, including in elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Whether the same applies in fast-track THA and TKA...

Scholarly productivity for nursing clinical track faculty.

Science.gov (United States)

Tschannen, Dana; Anderson, Christine; Strobbe, Stephen; Bay, Esther; Bigelow, April; Dahlem, Chin Hwa Gina Y; Gosselin, Ann K; Pollard, Jennifer; Seng, Julia S

2014-01-01

Recent years have yielded substantial advancement by clinical track faculty in cohort expansion and collective contributions to the discipline of nursing. As a result, standards for progression and promotion for clinical faculty need to be more fully developed, articulated, and disseminated. Our school formed a task force to examine benchmarks for the progression and promotion of clinical faculty across schools of nursing, with the goal of guiding faculty, reviewers, and decision makers about what constitutes excellence in scholarly productivity. Results from analyses of curriculum vitae of clinical professors or associate professors at six universities with high research activity revealed a variety of productivity among clinical track members, which included notable diversity in the types of scholarly products. Findings from this project help quantify types of scholarship for clinical faculty at the time of promotion. This work provides a springboard for greater understanding of the contributions of clinical track faculty to nursing practice. Copyright © 2014 Elsevier Inc. All rights reserved.

Concept of fast-track surgery and its application in perioperative period of hepatectomy for liver cancer

Directory of Open Access Journals (Sweden)

HAN Wei

2016-10-01

Full Text Available Fast-track surgery (FTS is widely used in the field of hepatopancreatobiliary surgery and has achieved a great success in the perioperative period of liver cancer. It has been recognized by clinical doctors and patients. This article introduces the concept of FTS, reviews its development, summarizes the detailed measures of FTS in the perioperative period of liver cancer and long-term application experience of FTS, and analyzes the current status of its clinical application. It is pointed out that when applied in the perioperative period of hepatectomy for liver cancer, FTS can reduce stress, lower the incidence of postoperative complications, shorten the length of hospital stay, and bring true benefits to patients.

Fast track surgery at the University Teaching Hospital of Kigali: a ...

African Journals Online (AJOL)

Background: Fast Track Surgery is synonymous with Enhanced Recovery after Surgery. It was started in the 1990's initially for colorectal surgery, but later became applicable to other aspects of surgery. Its core elements include epidural or regional anaesthesia, perioperative fluid management, minimally invasive surgical ...

Fast Compressive Tracking.

Science.gov (United States)

Zhang, Kaihua; Zhang, Lei; Yang, Ming-Hsuan

2014-10-01

It is a challenging task to develop effective and efficient appearance models for robust object tracking due to factors such as pose variation, illumination change, occlusion, and motion blur. Existing online tracking algorithms often update models with samples from observations in recent frames. Despite much success has been demonstrated, numerous issues remain to be addressed. First, while these adaptive appearance models are data-dependent, there does not exist sufficient amount of data for online algorithms to learn at the outset. Second, online tracking algorithms often encounter the drift problems. As a result of self-taught learning, misaligned samples are likely to be added and degrade the appearance models. In this paper, we propose a simple yet effective and efficient tracking algorithm with an appearance model based on features extracted from a multiscale image feature space with data-independent basis. The proposed appearance model employs non-adaptive random projections that preserve the structure of the image feature space of objects. A very sparse measurement matrix is constructed to efficiently extract the features for the appearance model. We compress sample images of the foreground target and the background using the same sparse measurement matrix. The tracking task is formulated as a binary classification via a naive Bayes classifier with online update in the compressed domain. A coarse-to-fine search strategy is adopted to further reduce the computational complexity in the detection procedure. The proposed compressive tracking algorithm runs in real-time and performs favorably against state-of-the-art methods on challenging sequences in terms of efficiency, accuracy and robustness.

LiTrack A Fast longitudinal phase space tracking code with graphical user interface

CERN Document Server

Emma, Paul

2005-01-01

Many linear accelerators, such as linac-based light sources and linear colliders, apply longitudinal phase space manipulations in their design, including electron bunch compression and wakefield-induced energy spread control. Several computer codes handle such issues, but most require detailed information on the transverse focusing lattice. In fact, in most linear accelerators, the transverse distributions do not significantly affect the longitudinal, and can be ignored initially. This allows the use of a fast 2D code to study longitudinal aspects without time-consuming considerations of the transverse focusing. LiTrack is based on a 15-year old code (same name) originally written by one of us (KB), which is now a MATLAB-based code with additional features, such as a graphical user interface and output plotting. The single-bunch tracking includes RF acceleration, bunch compression to 3rd order, geometric and resistive wakefields, aperture limits, synchrotron radiation, and flexible output plotting. The code w...

Fast Track Extubation In Adult Patients On Pump Open Heart Surgery At A Tertiary Care Hospital.

Science.gov (United States)

Akhtar, Mohammad Irfan; Sharif, Hasanat; Hamid, Mohammad; Samad, Khalid; Khan, Fazal Hameed

2016-01-01

Fast-track cardiac surgery programs have been established as the standard of cardiac surgical care. Studies have shown that early extubation in elective cardiac surgery patients, including coronary and non-coronary open-heart surgery patients does not increase perioperative morbidity and mortality. The objective of this observational study was to determine the success and failure profile of fast track extubation (FTE) practice in adult open-heart surgical patients. The study was conducted at cardiac operating room and Cardiac Intensive Care Unit (CICU) of a tertiary care hospital for a period of nine months, i.e., from Oct 2014 to June-2015. All on pump elective adult cardiac surgery patients including isolated CABG, isolated Valve replacements, combined procedures and aortic root replacements were enrolled in the study. Standardized anesthetic technique was adopted. Surgical and bypass techniques were tailored according to the procedure. Success of Fast track extubation was defined as extubation within 6 hours of arrival in CICU. A total of 290 patients were recruited. The average age of the patients was 56.3±10.5 years. There were 77.6% male and 22.4% female patients. Overall success rate was 51.9% and failure rate was 48.1%. The peri-operative renal insufficiency, cross clamp time and CICU stay (hours) were significantly lower in success group. Re-intubation rate was 0.74%. The perioperative parameters were significantly better in success group and the safety was also demonstrated in the patients who were fast tracked successfully. To implement the practice in its full capacity and benefit, a fast track protocol needs to be devised to standardize the current practices and to disseminate the strategy among junior anaesthesiologists, perfusionists and nursing staff.

Effect of fast-track cardiac anesthesia on myocardial oxidative damage, inflammation and nerve related peptides of patients undergoing cardiac operation

Directory of Open Access Journals (Sweden)

Xing-Tao Cai

2016-01-01

Full Text Available Objective: To study the effect of fast-track cardiac anesthesia on myocardial oxidative damage, inflammation and nerve related peptides of patients undergoing cardiac operation. Methods: Sixty patients with rheumatic heart disease undergoing heart valve surgery were randomly divided into the fast track group (n=30 and conventional group (n=30. Then myocardial injury indicators, mitochondrial oxidative stress indicators, inflammation indicators and nerverelated peptides of both groups were analyzed. Results: cTnI contents at T2-T4 points in time of both groups showed an increasing trend and the increasing trend of fast track group was weaker than that of conventional group; SOD contents as well as mitochondrial tristate respiratory function, respiratory control ratios and phosphorus oxygen ratios in myocardial tissue of fast track group were higher than those of conventional group, and MDA contents was lower than those of conventional group; plasma TNF-α, IL-6, IL-8, NSE, S100β and Aβ contents of fast track group were lower than those of conventional group. Conclusions: Fasttrack cardiac anesthesia can protect myocardial cells, reduce mitochondrial oxidative stress, relieve inflammation and improve nerve function; it is an ideal anesthesia method for cardiac operation.

Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study)

NARCIS (Netherlands)

Vlug, Malaika S.; Wind, Jan; Hollmann, Markus W.; Ubbink, Dirk T.; Cense, Huib A.; Engel, Alexander F.; Gerhards, Michael F.; van Wagensveld, Bart A.; van der Zaag, Edwin S.; van Geloven, Anna A. W.; Sprangers, Mirjam A. G.; Cuesta, Miguel A.; Bemelman, Willem A.; Preckel, Benedikt; Bossuyt, Patrick; Gouma, Dirk; van Berge Henegouwen, Mark; Fuhring, Jan; van Lenthe, Ineke Picard; Bakker, Chris; King-Kalimanis, Bellinda; Hofland, Jan; Dejong, Cornelis; van Dam, Ronald; van der Peet, Donald; van Zalingen, Edith; Noordhuis, Astrid; de Jong, Dick; Goei, T. Hauwy; de Stoppelaar, Erica; van den Dongen, Marjon; van Tets, Willem; van den Elsen, Maarten; Swart, Annemiek; deWit, Laurens; Siepel, Muriel; Molly, Glaresa; Juttmann, Jan; Clevers, Wilfred; Bieleman, Andrea; Coenen, Ludo; Bonekamp, Elly; van Abeelen, Jacobus; van Iterson-de Jong, Diana; Krombeen, Margriet

2011-01-01

To investigate which perioperative treatment, ie, laparoscopic or open surgery combined with fast track (FT) or standard care, is the optimal approach for patients undergoing segmental resection for colon cancer. Important developments in elective colorectal surgery are the introduction of

Thigh and knee circumference, knee-extension strength, and functional performance after fast-track total hip arthroplasty

DEFF Research Database (Denmark)

Holm, Bente; Kristensen, Morten Tange; Husted, Henrik

2011-01-01

OBJECTIVE: To (1) quantify changes in knee-extension strength and functional-performance at discharge after fast-track total hip arthroplasty (THA) and (2) investigate whether these changes correlate to changes in thigh and knee circumference (ie, swelling) or pain. DESIGN: A prospective, descrip......OBJECTIVE: To (1) quantify changes in knee-extension strength and functional-performance at discharge after fast-track total hip arthroplasty (THA) and (2) investigate whether these changes correlate to changes in thigh and knee circumference (ie, swelling) or pain. DESIGN: A prospective......, descriptive, hypothesis-generating study. SETTING: A special unit for fast-track hip and knee arthroplasty operations at a university hospital. PARTICIPANTS: Twenty-four patients (20 women and 4 men; ages 69 ± 6.1 years) scheduled for primary unilateral THA. METHODS: All patients were evaluated before surgery......, except for hip pain. The average loss in knee-extension strength after surgery (32%, P = .01) did not correlate with increased thigh circumference (6%, P

Anesthetic and adjunctive drugs for fast-track surgery.

Science.gov (United States)

Baldini, G; Carli, F

2009-08-01

With the changes in health care dictated by economic pressure, there has been a realization that hospital stay could be shortened without compromising quality of care. Advances in surgical technology and anesthetic drugs have made an impact in the way perioperative care is delivered with some emphasis on multidisciplinary approach. From the expansion of ambulatory care, lessons were learnt how to apply same concepts to major surgery with the understanding that interventions to attenuate the surgical stress would facilitate the return to "baseline". Beside minimal invasive approach to surgery, anesthesia interventions are arranged with the intent to decrease the negative effects of surgical stress and pain, to minimize the side effects of drugs and at the same time to facilitate the recuperation which follows after surgery. Fast-track or accelerated care encompasses many aspects of anesthesia care, not only preoperative preparation and prehabilitation, but intraoperative attenuation of surgical stress and postoperative rehabilitation. The anesthesiologist is part of this team with the specific mission to use medications and techniques which have the least side effects on organ functions, provide analgesia which in turn facilitates the intake of food and mobilization out of bed. This chapter has been conceived with the intention to direct the clinician towards procedure-specific protocols where the choice of medications and techniques is based on published evidence. The success of implementing fast-track depends more on dynamic harmony amongst the various participants (surgeons, anesthesiologists, nurses, nutrtionists, physiotherapists) than on reaching an optimum level of excellence at each separate organization level.

Fast motion-including dose error reconstruction for VMAT with and without MLC tracking

DEFF Research Database (Denmark)

Ravkilde, Thomas; Keall, Paul J.; Grau, Cai

2014-01-01

of the algorithm for reconstruction of dose and motion-induced dose errors throughout the tracking and non-tracking beam deliveries was quantified. Doses were reconstructed with a mean dose difference relative to the measurements of -0.5% (5.5% standard deviation) for cumulative dose. More importantly, the root...... validate a simple model for fast motion-including dose error reconstruction applicable to intrafractional QA of MLC tracking treatments of moving targets. MLC tracking experiments were performed on a standard linear accelerator with prototype MLC tracking software guided by an electromagnetic transponder......-mean-square deviation between reconstructed and measured motion-induced 3%/3 mm γ failure rates (dose error) was 2.6%. The mean computation time for each calculation of dose and dose error was 295 ms. The motion-including dose reconstruction allows accurate temporal and spatial pinpointing of errors in absorbed dose...

Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery

DEFF Research Database (Denmark)

Andersen, Jens; Hjort-Jakobsen, Dorthe; Christiansen, P. S.

2007-01-01

BACKGROUND: Initial programmes of fast-track open colonic surgery with a planned 2-day postoperative hospital stay have had a high readmission rate (about 20 per cent). The aim of this large, consecutive series was to compare readmission rates after a fast-track open colonic surgery programme....... There was no difference in type and incidence of morbidity between the two periods. CONCLUSION: Readmission after fast-track open colonic resection was reduced by planning discharge 3 instead of 2 days after surgery, with the same discharge criteria. Copyright (c) 2007 British Journal of Surgery Society Ltd. Published...... from August 2004. All patients were examined 8 and 30 days after surgery. RESULTS: Readmission rates fell from 20.1 per cent in 408 patients with a planned 2-day hospital stay (period 1) to 11.3 per cent in 133 patients with a planned 3-day hospital stay (period 2) (P

Families' Divided: The place of the Family in Zimbabwe's Fast Track ...

African Journals Online (AJOL)

The political history and the political economy continue to mould the quality of life for most families in significant ways. Human beings have always lived in families from the beginning of time. The family is a pillar of society as it influences the way society is structured, organized and functions, yet the Fast Track Land Reform ...

When is it optimal to delegate: the theory of fast-track authority

Czech Academy of Sciences Publication Activity Database

Celik, Levent; Karabay, Bilgehan; McLaren, J.

2015-01-01

Roč. 7, č. 3 (2015), s. 347-389 ISSN 1945-7669 R&D Projects: GA ČR(CZ) GAP402/12/0666 Institutional support: PRVOUK-P23 Keywords : fast-track authority * free trade * protectionist rents Subject RIV: AH - Economics Impact factor: 1.359, year: 2015

How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

Science.gov (United States)

Sorensen, Lucy C; Dodge, Kenneth A

2016-01-01

Numerous studies have shown that childhood interventions can foster improved outcomes in adulthood. Less well understood is precisely how-that is, through which developmental pathways-these interventions work. This study assesses mechanisms by which the Fast Track project (n = 891), a randomized intervention in the early 1990s for high-risk children in four communities (Durham, NC; Nashville, TN; rural PA; and Seattle, WA), reduced delinquency, arrests, and general and mental health service utilization in adolescence through young adulthood (ages 12-20). A decomposition of treatment effects indicates that about a third of Fast Track's impact on later crime outcomes can be accounted for by improvements in social and self-regulation skills during childhood (ages 6-11), such as prosocial behavior, emotion regulation, and problem solving. These skills proved less valuable for the prevention of general and mental health problems. © 2015 The Authors. Child Development © 2015 Society for Research in Child Development, Inc.

A new approach for the screening of carotid lesions: a 'fast-track' method with the use of new generation hand-held ultrasound devices.

Science.gov (United States)

Aboyans, V; Lacroix, P; Jeannicot, A; Guilloux, J; Bertin, F; Laskar, M

2004-09-01

We assessed the usefulness of fast-track neck sonography with a new-generation hand-held ultrasound scanner in the detection of > or =60% carotid stenosis. Patients with a past history of atherosclerotic disease or presence of risk factors were enrolled. All had fast-track carotid screening with a hand-held ultrasound scanner. Initial assessment was performed with our quick imaging protocol. A second examiner performed a conventional complete carotid duplex as gold-standard. We enrolled 197 consecutive patients with a mean age of 67 years (range 35-94). A carotid stenosis >60% was detected in 13 cases (6%). The sensitivity, specificity, positive and negative predictive value of fast-track sonography was 100%, 64%, 17% and 100%, respectively. Concomitant power Doppler imaging during the fast-track method did not improve accuracy. The use of a fast-track method with a hand-held ultrasound device can reduce the number of unnecessary carotid Duplex and enhance the screening efficiency without missing significant carotid stenoses.

Influencing Factor of Postoperation Fast-track Recovery and in Hospital Cost after Lobctomy for Lung Cancer

Directory of Open Access Journals (Sweden)

Jianhua SU

2014-07-01

Full Text Available Background and objective It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the influencing factor of postoperative fast-track recovery and in hospital cost after undergoing lobectomy for lung cancer. Methods We retrospectively reviewed the medical records of all patients (n=176 who underwent lobectomy for lung cancer between January 2010 and November 2011 by a thoracic surgeon. Results The hospital costs of video-assisted thoracic surgery (VATS lobectomy (47,308.21 ¥ is significantly higher than open lobectomy (45,664.31 ¥(P=0.007. The hospital costs of body mass index (BMI ≥ 24 kg/m2 (51,186.99 ¥ is significantly higher than BMI < 24 kg/m2 (41,701.64 ¥(P=0.032. The hospital stay of VATS lobectomy (5.70 d is significantly less than open lobectomy (7.10 d(P<0.001. Conclusion These findings indicate that preoperative pulmonary rehabilitation and VATS lobectomy is contributed to fast-track recovery for patients who undergo lobectomy, but increase the hospital costs.

Indirect Effects of the Fast Track Intervention on Conduct Disorder Symptoms and Callous-Unemotional Traits: Distinct Pathways Involving Discipline and Warmth.

Science.gov (United States)

Pasalich, Dave S; Witkiewitz, Katie; McMahon, Robert J; Pinderhughes, Ellen E

2016-04-01

Little is known about intervening processes that explain how prevention programs improve particular youth antisocial outcomes. We examined whether parental harsh discipline and warmth in childhood differentially account for Fast Track intervention effects on conduct disorder (CD) symptoms and callous-unemotional (CU) traits in early adolescence. Participants included 891 high-risk kindergarteners (69% male; 51% African American) from urban and rural United States communities who were randomized into either the Fast Track intervention (n = 445) or non-intervention control (n = 446) groups. The 10-year intervention included parent management training and other services (e.g., social skills training, universal classroom curriculum) targeting various risk factors for the development of conduct problems. Harsh discipline (Grades 1 to 3) and warmth (Grades 1 and 2) were measured using parent responses to vignettes and direct observations of parent-child interaction, respectively. Parents reported on children's CD symptoms in Grade 6 and CU traits in Grade 7. Results demonstrated indirect effects of the Fast Track intervention on reducing risk for youth antisocial outcomes. That is, Fast Track was associated with lower scores on harsh discipline, which in turn predicted decreased levels of CD symptoms. In addition, Fast Track was associated with higher scores on warmth, which in turn predicted reduced levels of CU traits. Our findings inform developmental and intervention models of youth antisocial behavior by providing evidence for the differential role of harsh discipline and warmth in accounting for indirect effects of Fast Track on CD symptoms versus CU traits, respectively.

Cognitive dysfunction after fast-track hip and knee replacement.

Science.gov (United States)

Krenk, Lene; Kehlet, Henrik; Bæk Hansen, Torben; Solgaard, Søren; Soballe, Kjeld; Rasmussen, Lars Simon

2014-05-01

Postoperative cognitive dysfunction (POCD) is reported to occur after major surgery in as many as 20% of patients, elderly patients may especially experience problems in the weeks and months after surgery. Recent studies vary greatly in methods of evaluation and diagnosis of POCD, and the pathogenic mechanisms are still unclear. We evaluated a large uniform cohort of elderly patients in a standardized approach, after major joint replacement surgery (total hip and knee replacement). Patients were in an optimized perioperative approach (fast track) with multimodal opioid-sparing analgesia, early mobilization, and short length of stay (LOS ≤3 days) and discharged to home. In a prospective multicenter study, we included 225 patients aged ≥60 years undergoing well-defined fast-track total hip or total knee replacement. Patients had neuropsychological testing preoperatively and 1 to 2 weeks and 3 months postoperatively. LOS, pain, opioid use, inflammatory response, and sleep quality were recorded. The practice effect of repeated cognitive testing was gauged using data from a healthy community-dwelling control group (n = 161). Median LOS was 2 days (interquartile range 2-3). The incidence of POCD at 1 to 2 weeks was 9.1% (95% confidence interval [CI], 5.4%-13.1%) and 8.0% (95% CI, 4.5%-12.0%) at 3 months. There was no statistically significant difference between patients with and without early POCD, regarding pain, opioid use, sleep quality, or C-reactive protein response, although the CIs were wide. Patients with early POCD had a higher Mini Mental State Examination score preoperatively (difference in medians 0.5 [95% CI, -1.0% to 0.0%]; P = 0.034). If there was an association between early POCD and late POCD, the sample size was unfortunately too small to verify this (23.6% of patients with early POCD had late onset vs 6.7% in non-POCD group; risk difference 16.9 (95% CI, -2.1% to 41.1%; P = 0.089). The incidence of POCD early after total hip and knee replacement

Interactive and automated systems for nuclear track measurements with applications to fast neutron dosimetry

International Nuclear Information System (INIS)

Roberts, J.H.; Gold, R.; McNeece, J.P.; Preston, C.C.; Ruddy, F.H.

1983-12-01

Interactive and automatic track measuring systems have been developed primarily for fast neutron dosimetry in and around reactors. The interactive system is used for proton recoil measurements in nuclear research emulsions and the automatic systems for counting fission fragment tracks in Muscovite mica. The status of these systems, along with illustrative applications, are presented, particularly with regard to their relationship to neutron personnel dosimetry. 16 references, 12 figures

Fast Poisson Solvers for Self-Consistent Beam-Beam and Space-Charge Field Computation in Multiparticle Tracking Simulations

CERN Document Server

Florio, Adrien; Pieloni, Tatiana; CERN. Geneva. ATS Department

2015-01-01

We present two different approaches to solve the 2-dimensional electrostatic problem with open boundary conditions to be used in fast tracking codes for beam-beam and space charge simulations in high energy accelerators. We compare a fast multipoles method with a hybrid Poisson solver based on the fast Fourier transform and finite differences in polar coordinates. We show that the latter outperforms the first in terms of execution time and precision, allowing for a reduction of the noise in the tracking simulation. Furthermore the new algorithm is shown to scale linearly on parallel architectures with shared memory. We conclude by effectively replacing the HFMM by the new Poisson solver in the COMBI code.

Fast regional readout CMOS Image Sensor for dynamic MLC tracking

Science.gov (United States)

Zin, H.; Harris, E.; Osmond, J.; Evans, P.

2014-03-01

Advanced radiotherapy techniques such as volumetric modulated arc therapy (VMAT) require verification of the complex beam delivery including tracking of multileaf collimators (MLC) and monitoring the dose rate. This work explores the feasibility of a prototype Complementary metal-oxide semiconductor Image Sensor (CIS) for tracking these complex treatments by utilising fast, region of interest (ROI) read out functionality. An automatic edge tracking algorithm was used to locate the MLC leaves edges moving at various speeds (from a moving triangle field shape) and imaged with various sensor frame rates. The CIS demonstrates successful edge detection of the dynamic MLC motion within accuracy of 1.0 mm. This demonstrates the feasibility of the sensor to verify treatment delivery involving dynamic MLC up to ~400 frames per second (equivalent to the linac pulse rate), which is superior to any current techniques such as using electronic portal imaging devices (EPID). CIS provides the basis to an essential real-time verification tool, useful in accessing accurate delivery of complex high energy radiation to the tumour and ultimately to achieve better cure rates for cancer patients.

Fast regional readout CMOS image sensor for dynamic MLC tracking

International Nuclear Information System (INIS)

Zin, H; Harris, E; Osmond, J; Evans, P

2014-01-01

Advanced radiotherapy techniques such as volumetric modulated arc therapy (VMAT) require verification of the complex beam delivery including tracking of multileaf collimators (MLC) and monitoring the dose rate. This work explores the feasibility of a prototype Complementary metal-oxide semiconductor Image Sensor (CIS) for tracking these complex treatments by utilising fast, region of interest (ROI) read out functionality. An automatic edge tracking algorithm was used to locate the MLC leaves edges moving at various speeds (from a moving triangle field shape) and imaged with various sensor frame rates. The CIS demonstrates successful edge detection of the dynamic MLC motion within accuracy of 1.0 mm. This demonstrates the feasibility of the sensor to verify treatment delivery involving dynamic MLC up to ∼400 frames per second (equivalent to the linac pulse rate), which is superior to any current techniques such as using electronic portal imaging devices (EPID). CIS provides the basis to an essential real-time verification tool, useful in accessing accurate delivery of complex high energy radiation to the tumour and ultimately to achieve better cure rates for cancer patients.

Postoperative Urinary Catheterization Thresholds of 500 versus 800 ml after Fast-track Total Hip and Knee Arthroplasty

DEFF Research Database (Denmark)

Bjerregaard, Lars Stryhn; Hornum, Ulla Marianne; Troldborg, C.

2016-01-01

arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: This was a randomized, controlled, open-label trial that included patients greater than or equal to 18 yr who underwent THA or TKA in three Danish, fast-track, orthopedic departments. Consenting patients were eligible if they were cooperative......BACKGROUND: No evidence-based threshold exists for postoperative urinary bladder catheterization. The authors hypothesized that a catheterization threshold of 800 ml was superior to 500 ml in reducing postoperative urinary catheterization and urological complications after fast-track total hip...

A Midsize Tokamak As Fast Track To Burning Plasmas

International Nuclear Information System (INIS)

Mazzucato, E.

2010-01-01

This paper presents a midsize tokamak as a fast track to the investigation of burning plasmas. It is shown that it could reach large values of energy gain ((ge) 10) with only a modest improvement in confinement over the scaling that was used for designing the International Thermonuclear Experimental Reactor (ITER). This could be achieved by operating in a low plasma recycling regime that experiments indicate can lead to improved plasma confinement. The possibility of reaching the necessary conditions of low recycling using a more efficient magnetic divertor than those of present tokamaks is discussed.

FAST TRACK SURGERY IN TOTAL KNEE ARTHROPLASTY - A REVIEW.

Directory of Open Access Journals (Sweden)

Pencho Kosev

2015-08-01

Full Text Available The number of orthopedic surgeons who are convinced in the need for significant changes in planned total knee arthroplasty (TKA is increasing slowly and steadily. A new approach to pain control has been developed over the past 10-15 years, and the introduction of techniques to reduce perioperative stress, and the use of minimally invasive surgical techniques can help limit postoperative complications and shorten recovery time. This type of optimization is regarded as Fast-track Care program, where improved healing process is particularly useful to comorbid patients.

Most patients regain prefracture basic mobility after hip fracture surgery in a fast-track programme

DEFF Research Database (Denmark)

Kristensen, Morten Tange; Kehlet, Henrik

2012-01-01

Treatment of patients with hip fracture has improved over the past decade. Still, some patients do not regain independent mobility within their primary hospital stay even if they follow a multimodal fast-track surgical programme. The aim of the present article was to examine the validity of the p......Treatment of patients with hip fracture has improved over the past decade. Still, some patients do not regain independent mobility within their primary hospital stay even if they follow a multimodal fast-track surgical programme. The aim of the present article was to examine the validity...... of the preliminary prefracture New Mobility Score (NMS), age and fracture type as independent predictors of in-hospital outcome after hip fracture surgery....

LiTrack: A Fast Longitudinal Phase Space Tracking Code with Graphical User Interface

International Nuclear Information System (INIS)

Bane, K.L.F.

2005-01-01

Linac-based light sources and linear colliders typically apply longitudinal phase space manipulations in their design, including electron bunch compression and wakefield-induced energy spread control. Several computer codes handle such issues, but most also require detailed information on the transverse focusing lattice. In fact, in most linear accelerators, the transverse distributions do not significantly affect the longitudinal, and can be ignored initially. This allows the use of a fast 2D code to study longitudinal aspects without time-consuming considerations of the transverse focusing. LiTrack is based on a 15-year old code (same name) originally written by one of us (KB), which is now a Matlab [1] code with additional features, such as graphical user interface, prompt output plotting, and functional call within a script. This single-bunch tracking code includes RF acceleration, bunch compression to 3rd order, geometric and resistive short-range wakefields, aperture limits, synchrotron radiation, and flexible output plotting. The code was used to design both the LCLS [2] and the SPPS [3] projects at SLAC and typically runs 10 5 particles in < 1 minute. We describe the features, show some examples, and provide free access to the code

Safeguarding Self-Governance: A Grounded Theory of Older Patients’ Pattern of Behavior in Relation to their Relatives in Fast-track Programs

DEFF Research Database (Denmark)

Berthelsen, Connie B.; Frederiksen, Kirsten; Lindhardt Damsgaard, Tove

2014-01-01

Abstract The aim of this study was to generate a grounded theory of older patients’ pattern of behavior in relation to their relatives’ involvement in fast-track programs during total joint replacement. Sixteen patients were recruited in orthopedic wards. Data collection included 11 interviews......, shielding, distancing, and masking. Keywords: Fast-track program, grounded theory, older patients, relatives, total joint replacement.......-governance emerged in the analysis as the core category of our theory and pattern of behavior of the older patients in relation to their relatives. The older patients’ main concern was to complete the fast-track program while maintaining autonomy, which they resolved through four strategies of actions: embracing...

Surgical Stress Response and Postoperative Immune Function After Laparoscopy or Open Surgery With Fast Track or Standard Perioperative Care A Randomized Trial

NARCIS (Netherlands)

Veenhof, A. A. F. A.; Vlug, M. S.; van der Pas, M. H. G. M.; Sietses, C.; van der Peet, D. L.; de Lange-de Klerk, E. S. M.; Bonjer, H. J.; Bemelman, W. A.; Cuesta, M. A.

2012-01-01

Objective: To evaluate the effect of laparoscopic or open colectomy with fast track or standard perioperative care on patient's immune status and stress response after surgery. Methods: Patients with nonmetastasized colon cancer were randomized to laparoscopic or open colectomy with fast track or

Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial).

NARCIS (Netherlands)

Wind, J.; Hofland, J.; Preckel, B.; Hollman, M.W.; Bossuyt, P.M.M.; Gouma, D.J.; Berge Henegouwen, M.I.; Fuhring, J.W.; Dejong, C.H.C.; Dam, R.M. van; Cuesta, M.A.; Noordhuis, A.; Jong, D. de; Zalingen, E. van; Engel, A.F.; Goei, T.H.; Stoppelaar, I.E. de; Tets, W.F. van; Wagensveld, B.A. van; Swart, A.; Elsen, M.J.L.J. van den; Gerhards, M.F.; Wit, L.Th. De; Siepel, M.A.M.; Geloven, A.A.W. van; Juttmann, J.-W.; Clevers, J.C.; Bemelman, W.A.

2006-01-01

BACKGROUND: Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay.The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst

Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial)

NARCIS (Netherlands)

Wind, Jan; Hofland, Jan; Preckel, Benedikt; Hollmann, Markus W.; Bossuyt, Patrick M. M.; Gouma, Dirk J.; van Berge Henegouwen, Mark I.; Fuhring, Jan Willem; Dejong, Cornelis H. C.; van Dam, Ronald M.; Cuesta, Miguel A.; Noordhuis, Astrid; de Jong, Dick; van Zalingen, Edith; Engel, Alexander F.; Goei, T. Hauwy; de Stoppelaar, I. Erica; van Tets, Willem F.; van Wagensveld, Bart A.; Swart, Annemiek; van den Elsen, Maarten J. L. J.; Gerhards, Michael F.; de Wit, Laurens Th; Siepel, Muriel A. M.; van Geloven, Anna A. W.; Juttmann, Jan-Willem; Clevers, Wilfred; Bemelman, Willem A.

2006-01-01

BACKGROUND: Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay.The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst

Fast-track program in laparoscopic liver surgery: Theory or fact?

Science.gov (United States)

Sánchez-Pérez, Belinda; Aranda-Narváez, José Manuel; Suárez-Muñoz, Miguel Angel; Eladel-Delfresno, Moises; Fernández-Aguilar, José Luis; Pérez-Daga, Jose Antonio; Pulido-Roa, Ysabel; Santoyo-Santoyo, Julio

2012-11-27

To analyze our results after the introduction of a fast-track (FT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic Unit. All patients (43) undergoing laparoscopic liver surgery between March 2004 and March 2010 were included and divided into two consecutive groups: Control group (CG) from March 2004 until December 2006 with traditional perioperative cares (17 patients) and fast-track group (FTG) from January 2007 until March 2010 with FT program cares (26 patients). Primary endpoint was the influence of the program on the postoperative stay, the amount of re-admissions, morbidity and mortality. Secondarily we considered duration of surgery, use of drains, conversion to open surgery, intensive cares needs and transfusion. Both groups were homogeneous in age and sex. No differences in technique, time of surgery or conversion to open surgery were found, but more malignant diseases were operated in the FTG, and then transfusions were higher in FTG. Readmissions and morbidity were similar in both groups, without mortality. Postoperative stay was similar, with a median of 3 for CG vs 2.5 for FTG. However, the 80.8% of patients from FTG left the hospital within the first 3 d after surgery (58.8% for CG). The introduction of a FT program after laparoscopic liver surgery improves the recovery of patients without increasing complications or re-admissions, which leads to a reduction of the stay and costs.

Design of a 300-Watt Isolated Power Supply for Ultra-Fast Tracking Converters

DEFF Research Database (Denmark)

Nguyen-Duy, Khiem; Ouyang, Ziwei; Petersen, Lars Press

2015-01-01

This paper presents the design of a medium-powerrating isolated power supply for ultra-fast tracking converters and MOS-gate driver circuits in medium and high voltage applications. The key feature of the design is its very low circuit input-to-output parasitic capacitance, which maximizes its...

High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement

DEFF Research Database (Denmark)

Specht, Kirsten; Kjaersgaard-Andersen, Per; Kehlet, Henrik

2015-01-01

BACKGROUND AND PURPOSE: Patient satisfaction is important in fast-track total hip and knee replacement (THR, TKR). We assessed: (1) how satisfied patients were with the treatment; (2) factors related to overall satisfaction; and (3) whether there was a difference between THR and TKR regarding...... length of stay (LOS) and patient satisfaction. PATIENTS AND METHODS: In this follow-up study, a consecutive series of 445 patients undergoing THR and TKR completed a questionnaire 2 weeks after discharge. LOS and short-term patient satisfaction with the fast-track management were measured. Patient...... satisfaction was measured using a numerical rating scale (NRS; 0-10). RESULTS: For THR, the median satisfaction score was 9-10 and for TKR it was 8.5-10 in all parameters. Older THR patients had higher overall satisfaction. No association was found between overall satisfaction following THR or TKR and sex...

Cognitive dysfunction after fast-track hip and knee replacement

DEFF Research Database (Denmark)

Krenk, Lene; Kehlet, Henrik; Bæk Hansen, Torben

2014-01-01

to 2 weeks and 3 months postoperatively. LOS, pain, opioid use, inflammatory response, and sleep quality were recorded. The practice effect of repeated cognitive testing was gauged using data from a healthy community-dwelling control group (n = 161). RESULTS: Median LOS was 2 days (interquartile range...... this (23.6% of patients with early POCD had late onset vs 6.7% in non-POCD group; risk difference 16.9 (95% CI, -2.1% to 41.1%; P = 0.089). CONCLUSIONS: The incidence of POCD early after total hip and knee replacement seems to be lower after a fast-track approach than rates previously reported...

Fast neutron dosimetry by means of different solid state nuclear track detectors

International Nuclear Information System (INIS)

Spurny, F.; Turek, K.

1977-01-01

The comparative study of three different types of fast neutron dosimeters based on solid state nuclear track detectors is presented; the dosimeters studied were: - microscopic soda glass in contact with 232 Th; - polycarbonate Makrofol E; and - cellulose nitrate Kodak LR 115. All detectors were evaluated by visual counting in a microscope. The authors have studied such properties as the background, angular as well as energetical dependences of detectors. The results obtained show that all studied detectors are suitable for fast neutron dosimetry; their application depends however on the concrete experimental conditions (neutron spectrum, fluence etc.). Both advantages and disadvantages of each of them are presented. (Auth.)

Electrochemical etching amplification of low-let recoil particle tracks in polymers for fast neutron dosimetry

International Nuclear Information System (INIS)

Sohrabi, M.; Morgan, K.Z.

1975-11-01

An electrochemical etching method for the amplification of fast-neutron-induced recoil particle tracks in polymers was investigated. The technique gave superior results over those obtained by conventional etching methods especially when polycarbonate foils were used for recoil particle track amplification. Electrochemical etching systems capable of multi-foil processing were designed and constructed to demonstrate the feasibility of the techniques for large-scale neutron dosimetry. Electrochemical etching parameters were studied including the nature or type of the polymer foil used, foil thickness and its effect on etching time, the applied voltage and its frequency, the chemical composition, concentration, and temperature of the etchant, distance and angle between the electrodes, and the type of particles such as recoil particles including protons. Recoil particle track density, mean track diameter, and optical density as functions of the mentioned parameters were determined. Each parameter was found to have a distinct effect on the etching results in terms of the measured responses. Several new characteristics of this fast neutron dosimetry method were studied especially for personnel dosimetry using various radiation sources such as nuclear reactors, medical cyclotrons, and isotopic neutron sources. The dose range, neutron energy dependence, directional response, fading characteristics, neutron threshold energy, etc. were investigated

Fast-track, ambulatory ultrasound-guided Tru-Cut liver biopsy is feasible and cost-efficient

DEFF Research Database (Denmark)

Huang, Chenxi; Lorentzen, Torben; Skjoldbye, Bjørn

2015-01-01

safely discharged from our institution. No fatality or long-term complications were found during this study. CONCLUSION: The fast-track approach reported herein is a feasible option when adequate patient information is given. Besides the obvious, positive effect on patient logistics and departmental...

Fast neutron detection by means of an organic solid state track detector

International Nuclear Information System (INIS)

Doerschel, B.; Streubel, G.

1980-01-01

Solid state track detectors consisting of cellulose triacetate foils are appropriate for measuring the fast neutron fluence without applying external radiators. Detector sensitivity has been determined as a function of neutron energy by performing irradiations with various neutron sources and monoenergetic neutrons of different energies. A comparison with theoretical results given in the literature for a simple model of track recording has shown sufficient agreement. The measuring errors and the influence of spectral changes in the neutron field on detector response are discussed for the studied method of fluence measurement. By means of these errors the measuring range has been determined for well defined irradiation conditions, taking into account spectral changes in the neutron field. (author)

Tracking clinical competencies on the web.

Science.gov (United States)

Hobbs, Dan L

2005-01-01

The American Registry of Radiologic Technologists (ARRT) has defined several core examinations that student radiographers must perform to demonstrate competency. Furthermore, the ARRT has left the method of tracking competency exams to educators. This article describes a Web-based system that can be used to track clinical competencies. The pedagogy employed in designing a meaningful and successful Web site to track competencies can be overwhelming. Considerations include selecting software, the design and implementation process, and providing security to protect confidential information. The Web-based system described in this article is innovative, sensible and relatively easy to adopt. This tracking method provides faculty members with instantaneous access and a quick review of the student's competency examinations. Students' competency information for the entire program is contained in 1 electronic file. With minor modification, the system can be used in a variety of educational and administrative settings.

Nopea toipuminen lihavuusleikkauksen jälkeen : Fast track- toimintamallin mukainen potilasohjausvihko lihavuusleikkauspotilaalle Oulun yliopistollisen sairaalan osastolle yhdeksän

OpenAIRE

Niskala, Jenni; Nevala, Elisa

2013-01-01

Oulun yliopistollisen sairaalan osastolla yhdeksän oli tarve saada Fast track -toimintamallin mukainen potilasohjausvihko lihavuusleikkauspotilaille. Opinnäytetyön tekijät valitsivat opinnäytetyön aiheen perioperatiivisen suuntautumisvaihtoehdon mukaan. Tämä opinnäytetyö toteutettiin projektityönä. Opinnäytetyön tarkoituksena oli tehdä Fast track- toimintamallin mukainen potilasohjausvihko Oulun Yliopistollisen sairaalan osasto yhdeksän käyttöön. Opinnäytetyön tavoitteena oli edesauttaa ...

Impact of fast-track concept elements in the classical pancreatic head resection (Kausch-Whipple procedure).

Science.gov (United States)

Gastinger, Ingo; Meyer, Frank; Lembcke, Thomas; Schmidt, Uwe; Ptok, Henry; Lippert, Hans

2012-08-01

The aim of the study was to determine statistically significant factors with an impact on the early postoperative surgical outcome. The influence of applied fast-track components on surgical results and early postoperative outcome in 143 consecutive Kausch-Whipple procedure patients was evaluated in a single-center retrospective analysis of a prospective collection of patient-associated pre-, peri- and postoperative data from 1997-2006. The in-hospital mortality rate was 2.8% (n=4). Fast-track measures were shown to have no effect on the morbidity rate in the multi-variate analysis. Over the study period, a decrease of intraoperative infusion volume from 14.2 mL/kg body weight/h in the first year to 10.7 mL/kg body weight/h in the last year was accompanied by an increase in patients requiring intraoperative catecholamines, up from 17% to 95%. The administration of ropivacain/sufentanil via thoracic peri-dural catheter injection initiated in 2000 and now considered the leading analgesic method, was used in 95% of the cases in 2006. Early extubation rate rose from 16.6% to 57.9%. Fast-track aspects in the perioperative management have become more important in several surgical procedure even in those with a greater invasiveness such as Kausch-Whipple. However, such techniques used in peri-operative management of Kausch-Whipple pancreatic-head resections had no impact on the morbidity rate. In addition, the low in-hospital mortality rate was particularly attributed to surgical competence.

SMEs in Energy: Are they the parallel fast track for electrification of Africa?

Energy Technology Data Exchange (ETDEWEB)

Abdel-Rahman, Mohamed

2010-09-15

The African continent is suffering from a chronic energy shortage that hiders its development. The conventional wisdom is to put the Mega projects under focus. However, a parallel fast track for the energy as an SME business may bring faster results to the continent. To that end, this paper presents proposed steps to promote the concept within the continent.

Fast Tracker: A Hardware Real Time Track Finder for the ATLAS Trigger System

CERN Document Server

Kimura, N; The ATLAS collaboration

2014-01-01

The Fast Tracker (FTK) is an integral part of the trigger upgrade program for the ATLAS detector at the Large Hadron Collider (LHC). As the LHC luminosity approaches its design level of 10^34cm^−2s^−1, the combinatorial problem posed by charged particle tracking becomes increasingly difficult due to the swelling of multiple interactions per bunch crossing (pile-up). The FTK is a highly-parallel hardware system intended to provide high-quality tracks with transverse momentum above 1 GeV/c in real time for online trigger system. The FTK system’s design, based on a mixture of advanced technologies, and expected physics performance will be presented.

"Joined up" Thinking? Unsupported "Fast-Track" Transitions in the Context of Parental Substance Use

Science.gov (United States)

Wilson, Sarah; Cunningham-Burley, Sarah; Bancroft, Angus; Backett-Milburn, Kathryn

2008-01-01

Recent policy responses to the risks entailed in "fast-track" school-work transitions have targeted careleavers and young people identified as "not in education, employment or training" (NEET). However, this approach has been criticised as diverting attention away from the fragile circumstances of others who may receive little…

Contrast agent bolus tracking with a fixed threshold or a manual fast start for coronary CT angiography

Energy Technology Data Exchange (ETDEWEB)

Stenzel, Fabian; Rief, Matthias; Zimmermann, Elke; Greupner, Johannes; Richter, Felicitas; Dewey, Marc [Charite - Universitaetsmedizin Berlin, Department of Radiology, Berlin (Germany)

2014-06-15

Comparison of bolus tracking with a fixed threshold versus a manual fast start for coronary CT angiography. We retrospectively analysed 320-row coronary CT angiography of 50 patients with suspected or known coronary artery disease. Twenty-five examinations were initiated by a bolus tracking method (group 1), 25 examinations with a manual fast surestart (group 2). Mean attenuation values in the ascending aorta were 519 ± 111 Hounsfield units (HU) in group 1 and 476 ± 65 HU in group 2 (p = 0.10). Assessable vessel lengths were 171 ± 44 mm vs 172 ± 29 mm for the right coronary artery (p = 0.91), 11 ± 4 mm vs 12 ± 4 mm for the left main (p = 0.9), 163 ± 28 mm vs 151 ± 26 mm for the left anterior descending coronary artery (p = 0.11) and 125 ± 41 mm vs 110 ± 37 mm for the left circumflex coronary artery (p = 0.18). Image quality for all coronary arteries was not significantly different between the groups (p > 0.41). The attenuation ratio between the left and right ventricle was 2.8 ± 0.7 vs 3.6 ± 1.0 (p = 0.003). Significantly less contrast agent was used in group 2 (64 ± 6 ml vs 80 ± 0 ml; p < 0.001). Bolus tracking with a fixed threshold and with a manual fast start are both suitable methods; the fast start allowed a reduction of contrast agent volumes. (orig.)

Fast-track remediation case study: Southern California refined fuel distributor

International Nuclear Information System (INIS)

Bubier, T.W.; Felix, P.R.

1993-01-01

Successful environmental remediation projects have three requirements in common: (1) an adequate data base that defines the extent and severity of the problem; (2) a detailed understanding of the actual performance of the remediation technologies being considered; and (3) good communication with the regulatory agencies to assure them that the health and safety of the community and workers will not be jeopardized. In a fast-track remediation project, these requirements are key issues in the critical path. The case study involves soil and groundwater remediation of a 16-acre bulk fuel storage and distribution facility. The facility was in operation for approximately 75 years and contained 20 large aboveground tanks with a total capacity in excess of 20 million gallons. Activities at the facility included receipt, storage, and distribution of refined fuel products, such as kerosene, gasoline, diesel, and bunker fuel. A harbor-widening project was undertaken to increase the level of safety for larger ships when passing through the port. Because of the critical need for harbor-widening, the environmental cleanup needed to be completed as quickly as possible. The following steps were taken during the fast-track remediation case study to meet the above-listed requirements: (1) New Data Quality Objectives (DQOs) were identified for the project; (2) Potentially applicable remedial technologies were evaluated and tested; and (3) An agency task force was developed to enhance communication with the regulatory agencies. This paper discusses these steps and presents examples of how each step was implemented during the remediation case study

Fast parallel tracking algorithm for the muon detector of the CBM experiment at FAIR

International Nuclear Information System (INIS)

Lebedev, A.; Hoehne, C.; Kisel', I.; Ososkov, G.

2010-01-01

Particle trajectory recognition is an important and challenging task in the Compressed Baryonic Matter (CBM) experiment at the future FAIR accelerator at Darmstadt. The tracking algorithms have to process terabytes of input data produced in particle collisions. Therefore, the speed of the tracking software is extremely important for data analysis. In this contribution, a fast parallel track reconstruction algorithm, which uses available features of modern processors is presented. These features comprise a SIMD instruction set (SSE) and multithreading. The first allows one to pack several data items into one register and to operate on all of them in parallel thus achieving more operations per cycle. The second feature enables the routines to exploit all available CPU cores and hardware threads. This parallel version of the tracking algorithm has been compared to the initial serial scalar version which uses a similar approach for tracking. A speed-upfactor of 487 was achieved (from 730 to 1.5 ms/event) for a computer with 2 x Intel Core 17 processors at 2.66 GHz

Hardware-based Tracking at Trigger Level for ATLAS the Fast TracKer (FTK) Project

CERN Document Server

INSPIRE-00245767

2015-01-01

Physics collisions at 13 TeV are expected at the LHC with an average of 40-50 proton-proton collisions per bunch crossing under nominal conditions. Tracking at trigger level is an essential tool to control the rate in high-pileup conditions while maintaining a good efficiency for relevant physics processes. The Fast TracKer is an integral part of the trigger upgrade for the ATLAS detector. For every event passing the Level-1 trigger (at a maximum rate of 100 kHz) the FTK receives data from all the channels of the silicon detectors, providing tracking information to the High Level Trigger in order to ensure a selection robust against pile-up. The FTK performs a hardware-based track reconstruction, using associative memory that is based on the use of a custom chip, designed to perform pattern matching at very high speed. It finds track candidates at low resolution (roads) that seed a full-resolution track fitting done by FPGAs. An overview of the FTK system with focus on the pattern matching procedure will be p...

A Fast Track towards the `Higgs' Spin and Parity

CERN Document Server

Ellis, John; Sanz, Veronica; You, Tevong

2012-01-01

The LHC experiments ATLAS and CMS have discovered a new boson that resembles the long-sought Higgs boson: it cannot have spin one, and has couplings to other particles that increase with their masses, but the spin and parity remain to be determined. We show here that the `Higgs' + gauge boson invariant-mass distribution in `Higgs'-strahlung events at the Tevatron or the LHC would be very different under the J^P = 0+, 0- and 2+ hypotheses, and could provide a fast-track indicator of the `Higgs' spin and parity. Our analysis is based on simulations of the experimental event selections and cuts using PYTHIA and Delphes, and incorporates statistical samples of `toy' experiments.

A midsize tokamak as a fast track to burning plasmas

Directory of Open Access Journals (Sweden)

E. Mazzucato

2011-03-01

Full Text Available This paper describes the conceptual design of a midsize tokamak as a fast track to the investigation of burning plasmas. It is shown that it could reach large values of energy gain (≥ 10 with only a modest improvement in confinement over the scaling that was used for designing the International Thermonuclear Experimental Reactor (ITER. This can be achieved by operating in a low plasma recycling regime that experiments indicate can lead to improved plasma confinement. The possibility of reaching the necessary conditions of low recycling using a different magnetic divertor from those currently employed in present experiments is discussed.

MODERN POSSIBILITIES OF SPECKLE TRACKING ECHOCARDIOGRAPHY IN CLINICAL PRACTICE

Directory of Open Access Journals (Sweden)

V. S. Nikiforov

2017-01-01

Full Text Available Speckle-tracking echocardiography is promising modern technique for evaluation of structural and functional changes in the myocardium. It evaluates the indicator of global longitudinal myocardial deformation, which is more sensitive than ejection fraction to early changes of left ventricular contractility. The diagnostic capabilities of speckle tracking echocardiography are reflected in clinical recommendations and consensus statements of European Society of Cardiology (ESC, European Association of Cardiovascular Imaging (EACVI and American Society of Echocardiography (ASE. The aim of this paper is describe basic principles of speckle tracking echocardiography and clinical applications of this new technology. Attention is paid to the use of speckle tracking echocardiography in such heart pathologies as heart failure, coronary heart disease and myocardial infarction, left ventricular hypertrophy in arterial hypertension, hypertrophic cardiomyopathy and amyloidosis of the heart, valvular heart disease, constrictive pericarditis and cancer therapy-induced cardiotoxicity.

A Comparative Study of Analog Voltage-mode Control Methods for Ultra-Fast Tracking Power Supplies

DEFF Research Database (Denmark)

Høyerby, Mikkel Christian Wendelboe; Andersen, Michael Andreas E.

2007-01-01

This paper presents a theoretical and experimental comparison of the standard PWM/PID voltage-mode control method for single-phase buck converters with two highperformance self-oscillating (a.k.a. sliding mode) control methods. The application considered is ultra-fast tracking power supplies...... (UFTPSs) for RF power amplifiers, where the switching converter needs to track a varying reference voltage precisely and quickly while maintaining low output impedance. The small-signal analyses performed on the different controllers show that the hysteretic-type controller can achieve the highest loop...

Surgery-induced changes and early recovery of hip-muscle strength, leg-press power, and functional performance after fast-track total hip arthroplasty

DEFF Research Database (Denmark)

Holm, Bente; Thorborg, Kristian; Husted, Henrik

2013-01-01

By measuring very early changes in muscle strength and functional performance after fast-track total hip arthroplasty (THA), post-operative rehabilitation, introduced soon after surgery, can be designed to specifically target identified deficits.......By measuring very early changes in muscle strength and functional performance after fast-track total hip arthroplasty (THA), post-operative rehabilitation, introduced soon after surgery, can be designed to specifically target identified deficits....

Opportune acquisition and tracking time for the fast-moving targets in a ground-based telescope

Science.gov (United States)

Chen, Juan; Wang, Jianli; Chen, Tao

2004-10-01

Acquisition is defined as identification for a fixed target in the related field of sight (FOS), while tracking means the sway of the telescope's axis of sight (AOS). The automatic acquisition and tracking is a process in which the operating way of the telescope should be switched from guiding to automatic tracking. There are some kinds of method to improve the acquisition and tracking ability for fast moving targets: to extend the acquisition and tracking FOS with memory and storage information of the sensor system; the multimode control to improve the dynamic property of the servo system; to choose an opportune time for acquisition and tracking; to select the control regulator parameter in every working states. If the processor of the CCD sensor can temporarily remember and save the information of the target before it moves out of the FOS, correspondingly, the FOS may be extended. The data forecast technology is used to store the target information. The automatic interception experiments are carried out to verify the control strategy.

Improving the ATLAS physics potential with the Fast Track Trigger System

CERN Document Server

Cavaliere, Viviana; The ATLAS collaboration

2015-01-01

The ATLAS Fast TracKer (FTK) is a custom electronics system that will operate at the full Level-1 accept rate, 100 kHz, to provide high quality tracks as input to the High-Level Trigger. The event reconstruction is performed in hardware, thanks to the massive parallelism of associative memories (AM) and FPGAs. We present the advantages for the physics goals of the ATLAS experiment and the recent results on the design, technological advancements and testing of some of the core components used in the processor.

Radiology film tracking in a distributed clinical network

International Nuclear Information System (INIS)

Marquette, D.D.; Arrildt, W.

1985-01-01

This paper describes a system for tracking radiology films designed and installed at the Johns Hopkins Hospital. The installation of database and network capabilities in a large hospital environment provide the opportunity to extend to all nursing units and clinics access to the hospital's film tracking system. Ethernet communication technology allows communication to remote libraries. The integration of film tracking with scheduling and order entry systems in radiology make it possible to attain a high level of automated database interface and film jacket label production

Fast-Acquisition/Weak-Signal-Tracking GPS Receiver for HEO

Science.gov (United States)

Wintemitz, Luke; Boegner, Greg; Sirotzky, Steve

2004-01-01

A report discusses the technical background and design of the Navigator Global Positioning System (GPS) receiver -- . a radiation-hardened receiver intended for use aboard spacecraft. Navigator is capable of weak signal acquisition and tracking as well as much faster acquisition of strong or weak signals with no a priori knowledge or external aiding. Weak-signal acquisition and tracking enables GPS use in high Earth orbits (HEO), and fast acquisition allows for the receiver to remain without power until needed in any orbit. Signal acquisition and signal tracking are, respectively, the processes of finding and demodulating a signal. Acquisition is the more computationally difficult process. Previous GPS receivers employ the method of sequentially searching the two-dimensional signal parameter space (code phase and Doppler). Navigator exploits properties of the Fourier transform in a massively parallel search for the GPS signal. This method results in far faster acquisition times [in the lab, 12 GPS satellites have been acquired with no a priori knowledge in a Low-Earth-Orbit (LEO) scenario in less than one second]. Modeling has shown that Navigator will be capable of acquiring signals down to 25 dB-Hz, appropriate for HEO missions. Navigator is built using the radiation-hardened ColdFire microprocessor and housing the most computationally intense functions in dedicated field-programmable gate arrays. The high performance of the algorithm and of the receiver as a whole are made possible by optimizing computational efficiency and carefully weighing tradeoffs among the sampling rate, data format, and data-path bit width.

A reengineering success story: process improvement in emergency department x-ray cycle time, leading to breakthrough performance in the ED ambulatory care (Fast Track) process.

Science.gov (United States)

Espinosa, J A; Treiber, P M; Kosnik, L

1997-01-01

This article describes the journey of a multidisciplinary reengineering team, which worked to reduce a critical, high-leverage process in an emergency department setting. The process selected was emergency department radiology services. This process was selected on a rational basis. The team knew tht 60 percent of our emergency department patients were truly ambulatory, and that most could be seen in a "fast track" process as part of our emergency department's core mission. However, we knew from customer satisfaction data, that patients would like to be "in and out" of emergency department Fast Track in less than an hour. Over half of our Fast Track patients require x-rays. For most, this was their sole reason for seeking emergency care. Our state, at the start of the project, included an average x-ray cycle time of over 60 minutes. The associated Fast-Track cycle time was over 90 minutes median. It was clear to the emergency department leadership, as well as to members of the Fast-Track management team, that a cycle time of 30 minutes or less for x-ray service was needed as a necessary condition to an hour or less Fast Track cycle time. It was also felt that a more rapid x-ray cycle time would allow for more rapid turn over of ED rooms, leading to a virtual greater capacity to the ED. It was hoped that this would lead to a reduction in the time from arrival to treatment by the emergency physician for all patients.

International collaborative project to compare and track the nutritional composition of fast foods

Directory of Open Access Journals (Sweden)

2012-07-01

Full Text Available Abstract Background Chronic diseases are the leading cause of premature death and disability in the world with over-nutrition a primary cause of diet-related ill health. Excess quantities of energy, saturated fat, sugar and salt derived from fast foods contribute importantly to this disease burden. Our objective is to collate and compare nutrient composition data for fast foods as a means of supporting improvements in product formulation. Methods/design Surveys of fast foods will be done in each participating country each year. Information on the nutrient composition for each product will be sought either through direct chemical analysis, from fast food companies, in-store materials or from company websites. Foods will be categorized into major groups for the primary analyses which will compare mean levels of saturated fat, sugar, sodium, energy and serving size at baseline and over time. Countries currently involved include Australia, New Zealand, France, UK, USA, India, Spain, China and Canada, with more anticipated to follow. Discussion This collaborative approach to the collation and sharing of data will enable low-cost tracking of fast food composition around the world. This project represents a significant step forward in the objective and transparent monitoring of industry and government commitments to improve the quality of fast foods.

International collaborative project to compare and track the nutritional composition of fast foods.

Science.gov (United States)

2012-07-27

Chronic diseases are the leading cause of premature death and disability in the world with over-nutrition a primary cause of diet-related ill health. Excess quantities of energy, saturated fat, sugar and salt derived from fast foods contribute importantly to this disease burden. Our objective is to collate and compare nutrient composition data for fast foods as a means of supporting improvements in product formulation. Surveys of fast foods will be done in each participating country each year. Information on the nutrient composition for each product will be sought either through direct chemical analysis, from fast food companies, in-store materials or from company websites. Foods will be categorized into major groups for the primary analyses which will compare mean levels of saturated fat, sugar, sodium, energy and serving size at baseline and over time. Countries currently involved include Australia, New Zealand, France, UK, USA, India, Spain, China and Canada, with more anticipated to follow. This collaborative approach to the collation and sharing of data will enable low-cost tracking of fast food composition around the world. This project represents a significant step forward in the objective and transparent monitoring of industry and government commitments to improve the quality of fast foods.

A fast-track anaemia clinic in the Emergency Department: cost-analysis of intravenous iron administration for treating iron-deficiency anaemia.

Science.gov (United States)

Quintana-Díaz, Manuel; Muñoz-Romo, Raúl; Gómez-Ramírez, Susana; Pavía, José; Borobia, Alberto M; García-Erce, José A; Muñoz, Manuel

2017-09-01

A fast-track anaemia clinic (FTAC) for the management of moderate-to-severe iron-deficiency anaemia (IDA) was established in our Emergency Department in 2010. In this FTAC, the replacement of packed red cell transfusion by ferric carboxymaltose administration was proven to be safe and effective. The aim of this study was a cost-analysis of IDA management in the FTAC, comparing this management with the previous standard care pathway consisting of packed red cell transfusion, if needed, and referral to outpatient specialised care. A cost study was performed for patients with IDA who were at risk of requiring transfusion (haemoglobin costs in the FTAC were compared to those theoretically incurred if these patients had been managed using the standard care pathway. In addition, a sensitivity analysis considering variations of up to ±30% in ferric carboxymaltose and packed red cell acquisition costs was performed (49 possible scenarios). Between 2012 and 2015, 238 IDA patients were treated in the FTAC. The average treatment cost was € 594±337/patient in the FTAC group and € 672±301/patient in the standard care pathway group, with a saving of € 78±28/patient (95% CI, 22-133; pcosts in the FTAC (€ 480-722/patient), compared with those of the standard care pathway (€ 550-794/patient), resulted in significant cost-savings for all studied scenarios (€ 51-104/patient; pcost-saving compared with the standard care pathway.

Does BMI influence hospital stay and morbidity after fast-track hip and knee arthroplasty?

DEFF Research Database (Denmark)

Husted, Henrik; Jørgensen, Christoffer C; Gromov, Kirill

2016-01-01

Background and purpose - Body mass index (BMI) outside the normal range possibly affects the perioperative morbidity and mortality following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in traditional care programs. We determined perioperative morbidity and mortality in such pat......Background and purpose - Body mass index (BMI) outside the normal range possibly affects the perioperative morbidity and mortality following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in traditional care programs. We determined perioperative morbidity and mortality...... in such patients who were operated with the fast-track methodology and compared the levels with those in patients with normal BMI. Patients and methods - This was a prospective observational study involving 13,730 procedures (7,194 THA and 6,536 TKA operations) performed in a standardized fast-track setting....... Complete 90-day follow-up was achieved using national registries and review of medical records. Patients were grouped according to BMI as being underweight, of normal weight, overweight, obese, very obese, and morbidly obese. Results - Median length of stay (LOS) was 2 (IQR: 2-3) days in all BMI groups. 30...

A process model for design team communication within fast-track building projects using project websites

NARCIS (Netherlands)

Otter, den A.F.H.J.; Reymen, I.M.M.J.

2008-01-01

The factor time within building projects is on high pressure because of the increasing need for faster delivery of buildings. Within fast track, complex building projects the design process is an important key. Through case analyses offart-hack design processes it became obvious that process and

Time course and reasons for 90-day mortality in fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Jørgensen, C C; Kehlet, H

2017-01-01

: Prospective observational study in 13,775 consecutive THA/TKAs with similar fast-track protocols and a median length of stay of 2 days. Complete 90-days follow-up through national registries, followed by review of medical records and death certificates. Relation between mortality and surgically induced organ...

Development of Ultra-Fast Silicon Detectors for 4D tracking

Science.gov (United States)

Staiano, A.; Arcidiacono, R.; Boscardin, M.; Dalla Betta, G. F.; Cartiglia, N.; Cenna, F.; Ferrero, M.; Ficorella, F.; Mandurrino, M.; Obertino, M.; Pancheri, L.; Paternoster, G.; Sola, V.

2017-12-01

In this contribution we review the progress towards the development of a novel type of silicon detectors suited for tracking with a picosecond timing resolution, the so called Ultra-Fast Silicon Detectors. The goal is to create a new family of particle detectors merging excellent position and timing resolution with GHz counting capabilities, very low material budget, radiation resistance, fine granularity, low power, insensitivity to magnetic field, and affordability. We aim to achieve concurrent precisions of ~ 10 ps and ~ 10 μm with a 50 μm thick sensor. Ultra-Fast Silicon Detectors are based on the concept of Low-Gain Avalanche Detectors, which are silicon detectors with an internal multiplication mechanism so that they generate a signal which is factor ~10 larger than standard silicon detectors. The basic design of UFSD consists of a thin silicon sensor with moderate internal gain and pixelated electrodes coupled to full custom VLSI chip. An overview of test beam data on time resolution and the impact on this measurement of radiation doses at the level of those expected at HL-LHC is presented. First I-V and C-V measurements on a new FBK sensor production of UFSD, 50 μm thick, with B and Ga, activated at two diffusion temperatures, with and without C co-implantation (in Low and High concentrations), and with different effective doping concentrations in the Gain layer, are shown. Perspectives on current use of UFSD in HEP experiments (UFSD detectors have been installed in the CMS-TOTEM Precision Protons Spectrometer for the forward physics tracking, and are currently taking data) and proposed applications for a MIP timing layer in the HL-LHC upgrade are briefly discussed.

Automatic detection of recoil-proton tracks and background rejection criteria in liquid scintillator-micro-capillary-array fast neutron spectrometer

Science.gov (United States)

Mor, Ilan; Vartsky, David; Dangendorf, Volker; Tittelmeier, Kai.; Weierganz, Mathias; Goldberg, Mark Benjamin; Bar, Doron; Brandis, Michal

2018-06-01

We describe an analysis procedure for automatic unambiguous detection of fast-neutron-induced recoil proton tracks in a micro-capillary array filled with organic liquid scintillator. The detector is viewed by an intensified CCD camera. This imaging neutron detector possesses the capability to perform high position-resolution (few tens of μm), energy-dispersive transmission-imaging using ns-pulsed beams. However, when operated with CW or DC beams, it also features medium-quality spectroscopic capabilities for incident neutrons in the energy range 2-20 MeV. In addition to the recoil proton events which display a continuous extended track structure, the raw images exhibit complex ion-tracks from nuclear interactions of fast-neutrons in the scintillator, capillaries quartz-matrix and CCD. Moreover, as expected, one also observes a multitude of isolated scintillation spots of varying intensity (henceforth denoted "blobs") that originate from several different sources, such as: fragmented proton tracks, gamma-rays, heavy-ion reactions as well as events and noise that occur in the image-intensifier and CCD. In order to identify the continuous-track recoil proton events and distinguish them from all these background events, a rapid, computerized and automatic track-recognition-procedure was developed. Based on an appropriately weighted analysis of track parameters such as: length, width, area and overall light intensity, the method is capable of distinguishing a single continuous-track recoil proton from typically surrounding several thousands of background events that are found in each CCD frame.

Spouses’ involvement in older patients’ fast-track programmes during total hip replacement using case management intervention. A study protocol of the SICAM-trial

DEFF Research Database (Denmark)

Berthelsen, Connie Bøttcher; Kristensson, Jimmie

2015-01-01

Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part in their tr......Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part...... in their treatment and rehabilitation. Spouses of older patients can often provide valued practical and emotional support, reducing stress, pain and length of stay – yet they are seldom invited to participate in a supporting role. Design A two-group quasi-experimental design with pre-test and repeated post...... and subsequently include the intervention group to avoid contamination of the control group. A case manager will be recruited to perform the case management intervention. Data will be collected from both groups at baseline, 2 weeks and 3 months after surgery. Outcome measures for patients include: functional...

New Medical-School Programs Put Students on a Fast Track to the White Coat

Science.gov (United States)

Mangan, Katherine

2009-01-01

California's lieutenant governor has proposed a fast-track medical school that would shave three years off the training needed to become a physician. It is not the first time such an idea has been offered. The proposal, for a hoped-for medical school at the University of California at Merced, struck some medical educators as both unrealistic and…

Implementation and Performance of FPGA based track fitting for the Atlas Fast TracKer

CERN Document Server

Zou, Rui; The ATLAS collaboration

2018-01-01

The Fast TracKer (FTK) within the ATLAS trigger system provides global track reconstruction for all events passing the ATLAS Level 1 trigger by dividing the detector into parallel processing pipelines that implement pattern matching in custom integrated circuits and data routing, reduction, and parameter extraction in FPGAs. In this presentation we will describe the implementation of a critical component of the system which does partial track fitting using a method based on a principal component analysis at a rate of greater than 1 fit per 10 ps, system-wide, to reduce the output of the pattern matching. Firmware design, timing performance and preliminary results will be discussed.

Real-time tracking and fast retrieval of persons in multiple surveillance cameras of a shopping mall

Science.gov (United States)

Bouma, Henri; Baan, Jan; Landsmeer, Sander; Kruszynski, Chris; van Antwerpen, Gert; Dijk, Judith

2013-05-01

The capability to track individuals in CCTV cameras is important for e.g. surveillance applications at large areas such as train stations, airports and shopping centers. However, it is laborious to track and trace people over multiple cameras. In this paper, we present a system for real-time tracking and fast interactive retrieval of persons in video streams from multiple static surveillance cameras. This system is demonstrated in a shopping mall, where the cameras are positioned without overlapping fields-of-view and have different lighting conditions. The results show that the system allows an operator to find the origin or destination of a person more efficiently. The misses are reduced with 37%, which is a significant improvement.

Fast neutron detection using solid state nuclear track detectors

International Nuclear Information System (INIS)

Vilela, E.C.

1990-01-01

CR-39 and Makrofol-E solid state nuclear track detectors were studied aiming their application to fast neutron detection. Optimum etching conditions of those two kinds of materials were determined the followings - the Makrofol-E detector is electrochemically etched in a PEW solution (15% KOH, 40% ethilic alcohol and 45% water) for 2 h., with an applied electric field strength of 30 kV/cm (r/m/s/) and frequency of 2 kHz, at room temperature; - the CR-39 detector is chemically pre-etched during 1 h in a 20% (w/v) NaOH solution at 70 sup(0)C, followed by 13 h electrochemical etch using the same solution at room temperature and an electric field strength of 30 kV/cm (r.m.s.) and frequency of 2 kHz.(E.G.)

Incidence of and risk factors for postoperative urinary retention in fast-track total hip and knee arthroplasty

DEFF Research Database (Denmark)

Bjerregaard, Lars; Bogø, Stina; Raaschou, Sofie

2015-01-01

BACKGROUND AND PURPOSE: Postoperative urinary retention (POUR) is a clinical challenge, but there is no scientific evidence for treatment principles. We describe the incidence of and predictive factors for POUR in fast-track total hip (THA) and knee arthroplasty (TKA). PATIENTS AND METHODS......, and preoperative international prostate symptom score (IPSS) were compared between catheterized and non-catheterized patients. RESULTS: The incidence of POUR was 40% (range between departments: 30-55%). Median bladder volume evacuated by catheterization was 0.6 (0.1-1.9) L. Spinal anesthesia increased the risk...... was 40%, with spinal anesthesia and increased IPSS in males as predictive factors. The large variation in perioperative bladder management and in bladder volumes evacuated by catheterization calls for randomized studies to define evidence-based principles for treatment of POUR in the future....

Preoperative prediction of potentially preventable morbidity after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Jørgensen, Christoffer C; Petersen, Morten Aa; Kehlet, Henrik

2016-01-01

. DESIGN: Prospective observational study. SETTING: Elective primary unilateral total hip and knee arthroplasty with prospectively collected preoperative patient characteristics; similar standardised fast-track protocols; evaluation of complications through discharge and medical records; and complete 90...... days follow-up through nationwide databases. PARTICIPANTS: 8373 consecutive unselected total hip arthroplasty (THA) and knee arthroplasty from January 2010 to November 2012. RESULTS: There were 557 procedures (6.4%) followed by potentially preventable complications resulting in hospitalisation >4 days...

A Fast Track approach to deal with the temporal dimension of crop water footprint

Science.gov (United States)

Tuninetti, Marta; Tamea, Stefania; Laio, Francesco; Ridolfi, Luca

2017-07-01

Population growth, socio-economic development and climate changes are placing increasing pressure on water resources. Crop water footprint is a key indicator in the quantification of such pressure. It is determined by crop evapotranspiration and crop yield, which can be highly variable in space and time. While the spatial variability of crop water footprint has been the objective of several investigations, the temporal variability remains poorly studied. In particular, some studies approached this issue by associating the time variability of crop water footprint only to yield changes, while considering evapotranspiration patterns as marginal. Validation of this Fast Track approach has yet to be provided. In this Letter we demonstrate its feasibility through a comprehensive validation, an assessment of its uncertainty, and an example of application. Our results show that the water footprint changes are mainly driven by yield trends, while evapotranspiration plays a minor role. The error due to considering constant evapotranspiration is three times smaller than the uncertainty of the model used to compute the crop water footprint. These results confirm the suitability of the Fast Track approach and enable a simple, yet appropriate, evaluation of time-varying crop water footprint.

Hardware realization of a fast neural network algorithm for real-time tracking in HEP experiments

International Nuclear Information System (INIS)

Leimgruber, F.R.; Pavlopoulos, P.; Steinacher, M.; Tauscher, L.; Vlachos, S.; Wendler, H.

1995-01-01

A fast pattern recognition system for HEP experiments, based on artificial neural network algorithms (ANN), has been realized with standard electronics. The multiplicity and location of tracks in an event are determined in less than 75 ns. Hardware modules of this first level trigger were extensively tested for performance and reliability with data from the CPLEAR experiment. (orig.)

Fast and Accurate Rat Head Motion Tracking With Point Sources for Awake Brain PET.

Science.gov (United States)

Miranda, Alan; Staelens, Steven; Stroobants, Sigrid; Verhaeghe, Jeroen

2017-07-01

To avoid the confounding effects of anesthesia and immobilization stress in rat brain positron emission tomography (PET), motion tracking-based unrestrained awake rat brain imaging is being developed. In this paper, we propose a fast and accurate rat headmotion tracking method based on small PET point sources. PET point sources (3-4) attached to the rat's head are tracked in image space using 15-32-ms time frames. Our point source tracking (PST) method was validated using a manually moved microDerenzo phantom that was simultaneously tracked with an optical tracker (OT) for comparison. The PST method was further validated in three awake [ 18 F]FDG rat brain scans. Compared with the OT, the PST-based correction at the same frame rate (31.2 Hz) reduced the reconstructed FWHM by 0.39-0.66 mm for the different tested rod sizes of the microDerenzo phantom. The FWHM could be further reduced by another 0.07-0.13 mm when increasing the PST frame rate (66.7 Hz). Regional brain [ 18 F]FDG uptake in the motion corrected scan was strongly correlated ( ) with that of the anesthetized reference scan for all three cases ( ). The proposed PST method allowed excellent and reproducible motion correction in awake in vivo experiments. In addition, there is no need of specialized tracking equipment or additional calibrations to be performed, the point sources are practically imperceptible to the rat, and PST is ideally suitable for small bore scanners, where optical tracking might be challenging.

The Effects of the Fast Track Preventive Intervention on the Development of Conduct Disorder across Childhood

Science.gov (United States)

Child Development, 2011

2011-01-01

The impact of the Fast Track intervention on externalizing disorders across childhood was examined. Eight hundred-ninety-one early-starting children (69% male; 51% African American) were randomly assigned by matched sets of schools to intervention or control conditions. The 10-year intervention addressed parent behavior-management, child social…

Relatives in older patients' fast-track treatment programme during total hip or knee replacement. A grounded theory study

DEFF Research Database (Denmark)

Berthelsen, Connie Bøttcher

and considerate support in concern for the patients; Substituting mode, with practical and cognitive support; and Adapting mode, by trying to fit in with the patients’ and health professionals’ requirements. Study II: 16 patients aged 70 to 94 were included and data was collected through 15 non......The aim of this Ph.D.-dissertation was to generate grounded theories of relatives, patients, and health professionals’ pattern of behaviour, respectively, in relation to the relatives of older patients’ fast-track treatment programmes during total hip or knee replacement. The dissertation includes...... to the older patients’ self-determination of being autonomous and how they adapt and are perceived in the health professionals’ environment. This may be useful to the health professionals in orthopaedic fast-track treatment programmes and their future collaboration with older patients and their relatives....

Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Jans, Øivind; Jørgensen, Christoffer; Kehlet, Henrik

2014-01-01

BACKGROUND: Preoperative anemia has been associated with increased risk of allogeneic blood transfusion and postoperative morbidity and mortality. The prevalence of preoperative anemia and its association with postoperative outcomes has not previously been reported in relation to fast......-track elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). We aimed to evaluate the prevalence of preoperative anemia in elective fast-track THA and TKA and its association with risk of perioperative transfusion, prolonged length of hospital stay (LOS), and postoperative readmission. STUDY...... national databases and patient charts. Adjusted risk estimates for transfusion, prolonged LOS, and all-cause readmission according to preoperative anemia status were obtained by multivariate logistic regression. RESULTS: A total of 5.165 THA or TKA procedures were included with a mean patient age of 67...

Nursing in fast-track total hip and knee arthroplasty

DEFF Research Database (Denmark)

Specht, Kirsten; Kjaersgaard-Andersen, Per; Kehlet, Henrik

2015-01-01

must still focus on the individual patient. Nurses need to have enough education to manage the complex tasks and increased responsibility. To prevent undesirable outcomes in the future, there is a need to pay attention to the nursing quality in balance with the nursing budget. It may, therefore......AIM: To describe the increased activity in total hip arthroplasty (THA) and total knee arthroplasty (TKA) from 2002 to 2012 in a single orthopaedic department, the organisation of fast-track and its consequences for nursing care. METHODS: Retrospective, descriptive design. Data collection; from...... gained tasks from surgeons and physiotherapists and thus gained more responsibility, for example, for pain management and mobilisation. Staffing levels in the ward in 2002 and 2012 were almost unchanged; 16.0 and 15.8 respectively. Nurses were undertaking more complicated tasks. CONCLUSION: Nursing care...

Sleep disturbances after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Krenk, L; Jennum, P; Kehlet, H

2012-01-01

BACKGROUND: /st>Major surgery is followed by pronounced sleep disturbances after traditional perioperative care potentially leading to prolonged recovery. The aim was to evaluate the rapid eye movement (REM) sleep duration and sleep architecture before and after fast-track hip and knee replacement......, and on the fourth postoperative night at home. Sleep staging was performed according to the American Academy of Sleep Medicine manual. Opioid use, pain, and inflammatory response (C-reactive protein) were also evaluated. RESULTS: /st>The mean LOS was 1.5 (1-2) days. The mean REM sleep time decreased from a mean...... on the fourth postoperative night. There was no association between opioid use, pain scores, and inflammatory response with a disturbed sleep pattern. CONCLUSIONS: /st>Despite ultra-short LOS and provision of spinal anaesthesia with multimodal opioid-sparing analgesia, REM sleep was almost eliminated...

First results of the silicon telescope using an 'artificial retina' for fast track finding

Energy Technology Data Exchange (ETDEWEB)

Neri, N. [Istituto Nazionale di Fisica Nucleare - INFN, Sezione di Milano, Milano (Italy); Abba, A.; Caponio, F.; Geraci, A.; Grizzuti, M.; Lusardi, N. [INFN Milano and Politecnico di Milano, Milano (Italy); Citterio, M.; Coelli, S.; Fu, J.; Monti, M.; Petruzzo, M. [INFN Milano, Milano (Italy); Bedeschi, F.; Ninci, D.; Piucci, A.; Spinella, F.; Walsh, J. [INFN Pisa, Pisa (Italy); Cenci, R.; Marino, P.; Morello, M. J.; Stracka, S. [INFN Pisa and Scuola Normale Superiore di Pisa, Pisa (Italy); Punzi, G. [INFN Pisa and Universita di Pisa, Pisa (Italy); Tonelli, D. [CERN, Geneva (Switzerland); Ristori, L. [INFN Pisa, Pisa (Italy); Fermilab, Batavia, Illinois (United States)

2015-07-01

We present the first results of the prototype of a silicon tracker with trigger capabilities based on a novel approach for fast track finding. The working principle of the 'artificial retina' is inspired by the processing of visual images by the brain and it is based on extensive parallelization of data distribution and pattern recognition. The algorithm has been implemented in commercial FPGAs in three main logic modules: a switch for the routing of the detector hits, a pool of engines for the digital processing of the hits, and a block for the calculation of the track parameters. The architecture is fully pipelined and allows the reconstruction of real-time tracks with a latency less then 100 clock cycles, corresponding to 0.25 microsecond at 400 MHz clock. The silicon telescope consists of 8 layers of single-sided silicon strip detectors with 512 strips each. The detector size is about 10 cm x 10 cm and the strip pitch is 183 μm. The detectors are read out by the Beetle chip, a custom ASICs developed for LHCb, which provides the measurement of the hit position and pulse height of 128 channels. The 'artificial retina' algorithm has been implemented on custom data acquisition boards based on FPGAs Xilinx Kintex 7 lx160. The parameters of the tracks detected are finally transferred to host PC via USB 3.0. The boards manage the read-out ASICs and the sampling of the analog channels. The read-out is performed at 40 MHz on 4 channels for each ASIC that corresponds to a decoding of the telescope information at 1.1 MHz. We report on the first results of the fast tracking device and compare with simulations. (authors)

Application of fast track surgery in elderly patients during perioperative period of laparoscopic cholecystectomy

Directory of Open Access Journals (Sweden)

ZHANG Yong

2014-12-01

Full Text Available ObjectiveTo investigate the safety and superiority of fast track surgery (FTS in elderly patients during the perioperative period of laparoscopic cholecystectomy (LC. MethodsThe clinical data of 124 elderly patients who underwent LC at the Department of General Surgery in our institution between January 2010 and March 2014 were assessed, with 62 cases assigned to FTS group and 62 cases to conventional method group. Anal exhaust time, feeding time, off-bed activity time, and length of hospital stay were compared between the two groups, and postoperative results and adverse reactions were recorded. Continuous data were analyzed using the independent-samples t test, and categorical data were compared using the chi-square test. Results Compared with the control method group, patients in the FTS group showed earlier postoperative anal exhaust, feeding, and off-bed activity, a shorter length of hospital stay, and a lower incidence of postoperative cardiovascular and cerebrovascular complications (P＜0.05. ConclusionFTS is an effective approach to accelerate rehabilitation in elderly patients after LC.

A "package solution" fast track program can reduce the diagnostic waiting time in head and neck cancer

DEFF Research Database (Denmark)

Sørensen, Jesper Roed; Johansen, Jørgen; Gano, Lars

2014-01-01

and Neck Surgery during three comparable time intervals 2006-2007, 2007-2008, and 2011-2012 (groups 1-3) were investigated. We recorded the time from patient referral, to first consultation and final diagnosis. The first interval was before initiation of the "package solution", the second just after......In 2007, a fast track program for patients with suspicion of head and neck cancer (HNC) was introduced in Denmark to reduce unnecessary waiting time. The program was based on so called "package solutions" including pre-booked slots for outpatient evaluation, imaging, and diagnostic surgical...... procedures. The purpose of this study is to present a model for fast track handling of patients suspicious of cancer in the head and neck region and to evaluate the effect of implementation on the diagnostic work up time. Patients with suspicion of HNC referred to the same university department of ENT Head...

Physiotherapy Exercise After Fast-Track Total Hip and Knee Arthroplasty: Time for Reconsideration?

DEFF Research Database (Denmark)

Bandholm, Thomas; Kehlet, Henrik

2012-01-01

Bandholm T, Kehlet H. Physiotherapy exercise after fast-track total hip and knee arthroplasty: time for reconsideration? Major surgery, including total hip arthroplasty (THA) and total knee arthroplasty (TKA), is followed by a convalescence period, during which the loss of muscle strength......-track methodology or enhanced recovery programs. It is the nature of this methodology to systematically and scientifically optimize all perioperative care components, with the overall goal of enhancing recovery. This is also the case for the care component "physiotherapy exercise" after THA and TKA. The 2 latest...... meta-analyses on the effectiveness of physiotherapy exercise after THA and TKA generally conclude that physiotherapy exercise after THA and TKA either does not work or is not very effective. The reason for this may be that the "pill" of physiotherapy exercise typically offered after THA and TKA does...

Fast Tracker (FTK): A Hardware Track Finder for the ATLAS Trigger

CERN Document Server

Mitani, Takashi; The ATLAS collaboration

2015-01-01

During the 2010-2012 run of Large Hadron Collider experiment, the ATLAS trigger system was successfully operated and it contributed to several important results such as observation of Higgs boson with a mass of about 125 GeV. From 2015, collision energy will increase to 13-14 TeV and its instantaneous luminosity will reach $1$-$2\\times10^{34}$cm$^{-2}$s$^{-1}$ with a 25 ns bunch crossing period. Due to the energy increase, the cross sections for SM processes are expected to get much larger. Additionally, the number of overlapping proton-proton interactions per bunch crossing, which is refereed to as pile-up, is expected to increase significantly up to about 80. Therefore it will be challenging to control trigger rates while keeping good efficiency for interesting physics events. This document summarizes the development of Fast Tracker and its tracking performance for the ATLAS experiment. The Fast Tracker is a custom electronics system that will operate at the full Level 1 accepted rate of 100 kHz and provide...

Ultra-Fast Tracking Power Supply with 4th order Output Filter and Fixed-Frequency Hysteretic Control

DEFF Research Database (Denmark)

Høyerby, Mikkel Christian Wendelboe; Andersen, Michael Andreas E.

2008-01-01

A practical solution is presented for the design of a non-isolated DC/DC power converter with very low output ripple voltage and very fast output voltage step response. The converter is intended for use as an envelope tracking power supply for an RFPA (Radio Frequency Power Amplifier) in a Tetra2...

Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients

DEFF Research Database (Denmark)

Husted, Henrik; Holm, Gitte; Jacobsen, Steffen

2008-01-01

BACKGROUND AND PURPOSE: Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR). The aim of this prospective study was to identify patient characteristics associated with LOS and patient satisfaction...... aids, pre- and postoperative hemoglobin levels, the need for blood transfusion, ASA score, and time between surgery and mobilization, were all found to influence postoperative outcome in general, and LOS and patient satisfaction in particular. INTERPRETATION: We identified several patient...... characteristics that influence postoperative outcome, LOS, and patient satisfaction in our series of consecutive fast-track joint replacement patients, enabling further attention to be paid to certain aspects of surgery and rehabilitation....

Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery

DEFF Research Database (Denmark)

Andersen, Jens; Hjort-Jakobsen, Dorthe; Christiansen, P. S.

2007-01-01

BACKGROUND: Initial programmes of fast-track open colonic surgery with a planned 2-day postoperative hospital stay have had a high readmission rate (about 20 per cent). The aim of this large, consecutive series was to compare readmission rates after a fast-track open colonic surgery programme...... from August 2004. All patients were examined 8 and 30 days after surgery. RESULTS: Readmission rates fell from 20.1 per cent in 408 patients with a planned 2-day hospital stay (period 1) to 11.3 per cent in 133 patients with a planned 3-day hospital stay (period 2) (P ... hospital stay was 2 and 3 days, median stay after readmission was 5 and 5.5 days, and median (mean) total stay was 3 (5.6) and 3 (5.7) days in periods 1 and 2 respectively. The readmission rate in period 2 was lower because there were fewer readmissions for short-term observation or social reasons...

Fast-track aquifer characterization and bioremediation of groundwater

International Nuclear Information System (INIS)

Owen, S.B.; Erskine, J.A.; Adkisson, C.

1995-01-01

A short duration step-drawdown pumping test has been used to characterize a highly permeable aquifer contaminated with petroleum hydrocarbons in support of an in situ, closed loop extraction and reinjection bioremediation system for groundwater. The short-term pumping test produces a manageable quantity of contaminated groundwater while yielding a range of values for transmissivity and specific yield parameters. This range of aquifer coefficients is used in an analytical model to estimate a range of groundwater extraction rates that provide a suitable radius of influence for the extraction and reinjection system. A multi-enzyme complex catalyzed bioremediation process has been used to aerobically degrade petroleum hydrocarbons. Enzymes, amino acids, and biosurfactants are supplied to the extracted groundwater to significantly speed up the degradation by naturally occurring bacteria. During the process, amino acids promote the rapid growth of the microbial population while enzymes and bacteria attach to hydrocarbons forming a transformation state complex that degrades to fatty acids, carbon dioxide, and water. This paper presents a case study of a fast-track bioremediation using pumping test data, analytical modeling, and an enzyme technology

Japanese experience with clinical trails of fast neutrons

International Nuclear Information System (INIS)

Tsunemoto, H.; Arai, T.; Morita, S.; Ishikawa, T.; Aoki, Y.; Takada, N.; Kamata, S.

1982-01-01

Between November, 1975 and November, 1981, 825 patients were treated with 30 MeV (d-Be) neutrons at the National Institute of Radiological Sciences, Chiba. At the Institute of Medical Science, Tokyo, 302 patients were referred to the Radiation Therapy department and were treated with 16 MeV (d-Be) neutrons. The emphasis of these clinical trials with fast neutrons was placed on the estimation of the effect of fast neutrons for locally advanced cancers or radioresistant cancers, and on evaluation of the rate of complication of normal tissues following irradiaton with fast neutrons. Results were evaluated for patients with previously untreated cancer; local control of the tumor was observed in 59.1%. Complications requiring medical care developed in only 32 patients. Patients who had received pre- or postoperative irradiation were excluded from this evaluation. Late reaction of soft tissue seemed to be more severe than that observed with photon beams. The results also suggest that for carcinoma of the larynx, esophagus, uterine cervix, Pancoasts's tumor of the lung and osteosarcoma, fast neutrons were considered to be effectively applied in this randomized clinical trial. For carcinoma of the larynx, a fast nuetron boost was effectively delivered, although an interstitial implant was necessarily combined with fast neutrons for carcinoma of the tongue. The cumulative survival rate of the patients with carcinoma of the esophagus treated with fast neutrons was 26% compared to the survival rate of 10.5% obtained using photons. This was supported by evidence from the pathological studies that showed that the tumor cells which had deeply invaded into the esophagus were effectively destroyed when fast neutrons were applied

Assessment of fast and thermal neutron ambient dose equivalents around the KFUPM neutron source storage area using nuclear track detectors

Energy Technology Data Exchange (ETDEWEB)

Fazal-ur-Rehman [Physics Department, King Fahd University of Petroleum and Minerals, Dhahran 31261 (Saudi Arabia)]. E-mail: fazalr@kfupm.edu.sa; Al-Jarallah, M.I. [Physics Department, King Fahd University of Petroleum and Minerals, Dhahran 31261 (Saudi Arabia); Abu-Jarad, F. [Radiation Protection Unit, Environmental Protection Department, Saudi Aramco, P. O. Box 13027, Dhahran 31311 (Saudi Arabia); Qureshi, M.A. [Center for Applied Physical Sciences, King Fahd University of Petroleum and Minerals, Dhahran 31261 (Saudi Arabia)

2005-11-15

A set of five {sup 241}Am-Be neutron sources are utilized in research and teaching at King Fahd University of Petroleum and Minerals (KFUPM). Three of these sources have an activity of 16Ci each and the other two are of 5Ci each. A well-shielded storage area was designed for these sources. The aim of the study is to check the effectiveness of shielding of the KFUPM neutron source storage area. Poly allyl diglycol carbonate (PADC) Nuclear track detectors (NTDs) based fast and thermal neutron area passive dosimeters have been utilized side by side for 33 days to assess accumulated low ambient dose equivalents of fast and thermal neutrons at 30 different locations around the source storage area and adjacent rooms. Fast neutron measurements have been carried out using bare NTDs, which register fast neutrons through recoils of protons, in the detector material. NTDs were mounted with lithium tetra borate (Li{sub 2}B{sub 4}O{sub 7}) converters on their surfaces for thermal neutron detection via B10(n,{alpha})Li6 and Li6(n,{alpha})H3 nuclear reactions. The calibration factors of NTD both for fast and thermal neutron area passive dosimeters were determined using thermoluminescent dosimeters (TLD) with and without a polyethylene moderator. The calibration factors for fast and thermal neutron area passive dosimeters were found to be 1.33 proton tracks cm{sup -2}{mu}Sv{sup -1} and 31.5 alpha tracks cm{sup -2}{mu}Sv{sup -1}, respectively. The results show variations of accumulated dose with the locations around the storage area. The fast neutron dose equivalents rates varied from as low as 182nSvh{sup -1} up to 10.4{mu}Svh{sup -1} whereas those for thermal neutron ranged from as low as 7nSvh{sup -1} up to 9.3{mu}Svh{sup -1}. The study indicates that the area passive neutron dosimeter was able to detect dose rates as low as 7 and 182nSvh{sup -1} from accumulated dose for thermal and fast neutrons, respectively, which were not possible to detect with the available active neutron

A fast track path improves access to palliative care for people with learning disabilities.

Science.gov (United States)

Whitington, Jane; Ma, Peng

People with learning disabilities often experience inequalities in accessing general health services. This group, their families and carers need access to effective palliative care when facing a life limiting illness. This article describes the development and implementation of a fast track referral pathway for people with learning disabilities at St Francis Hospice in Essex. Our aim is to share this pathway so others can replicate the collaborative working to improve access to palliative care services for this group.

Fall-related admissions after fast-track total hip and knee arthroplasty - cause of concern or consequence of success?

DEFF Research Database (Denmark)

Jørgensen, Christoffer Calov; Kehlet, Henrik; Hip, Lundbeck Foundation Centre for Fast-track

2013-01-01

Total hip (THA) and knee arthroplasty (TKA) are common procedures in elderly persons, who are at potential increased risk of postoperative fall due to loss of muscle strength and impaired balance. Fast-track surgery with early mobilization and opioid-sparing analgesia have improved outcomes after...

Japanese experience with clinical trials of fast neutrons

International Nuclear Information System (INIS)

Tsunemoto, H.; Arai, T.; Morita, S.; Ishikawa, T.; Aoki, Y.; Takada, N.; Kamata, S.

1982-01-01

Between November, 1975 and November, 1981, 825 patients were treated with 30 MeV (d-Be) neutrons at the National Institute of Radiological Sciences, Chiba. At the Institute of Medical Science, Tokyo, 302 patients were referred to the Radiation Therapy department and were treated with 16 MeV (d-Be) neutrons. The emphasis of these clinical trials with fast neutrons was placed on the estimation of the effect of fast neutrons for locally advanced cancers or radioresistant cancers, and on evaluation of the rate of complication of normal tissues following irradiation with fast neutrons. Results were evaluated for patients with previously untreated cancer; local control of the tumor was observed in 59.1%. Complications requiring medical care developed in only 32 patients. Late reaction of soft tissue seemed to be more severe than that observed with photon beams. The results also suggest that for carcinoma of the larynx, esophagus, uterine cervix, Pancoast's tumor of the lung and osteosarcoma, fast neutrons were considered to be effectively applied in this randomized clinical trial. For carcinoma of the larynx, a fast neutron boost was effectively delivered, although an interstitial implant was necessarily combined with fast neutrons for carcinoma of the tongue. The cumulative survival rate of the patients with carcinoma of the esophagus treated with fast neutrons of 26% compared to the survival rate of 10.5% obtained using photons. The results also indicate that local control and relief of the symptom related to Pancoast's tumor of the lung seemed to be better with neutrons than with photons. For patients suffering from osteosarcoma, the surgical procedures preserving the function of the leg and arm were studied according to the better local control rate of the tumor following fast neutron beam therapy

Fast track land reform, tenure security and investments in soil conservation: Micro-evidence from Mazowe district in Zimbabwe

NARCIS (Netherlands)

Zikhali, P.

2010-01-01

The government of Zimbabwe launched the Fast Track Land Reform Programme (FTLRP) in 2000 as part of its ongoing land reform and resettlement programme which aims to address a racially skewed land distribution. Its goal has been to accelerate both land acquisition and redistribution, targeting at

Variation in ‘fast-track’ referrals for suspected cancer by patient characteristic and cancer diagnosis: evidence from 670 000 patients with cancers of 35 different sites

Science.gov (United States)

Zhou, Y; Mendonca, S C; Abel, G A; Hamilton, W; Walter, F M; Johnson, S; Shelton, J; Elliss-Brookes, L; McPhail, S; Lyratzopoulos, G

2018-01-01

Background: In England, ‘fast-track’ (also known as ‘two-week wait’) general practitioner referrals for suspected cancer in symptomatic patients are used to shorten diagnostic intervals and are supported by clinical guidelines. However, the use of the fast-track pathway may vary for different patient groups. Methods: We examined data from 669 220 patients with 35 cancers diagnosed in 2006–2010 following either fast-track or ‘routine’ primary-to-secondary care referrals using ‘Routes to Diagnosis’ data. We estimated the proportion of fast-track referrals by sociodemographic characteristic and cancer site and used logistic regression to estimate respective crude and adjusted odds ratios. We additionally explored whether sociodemographic associations varied by cancer. Results: There were large variations in the odds of fast-track referral by cancer (P<0.001). Patients with testicular and breast cancer were most likely to have been diagnosed after a fast-track referral (adjusted odds ratios 2.73 and 2.35, respectively, using rectal cancer as reference); whereas patients with brain cancer and leukaemias least likely (adjusted odds ratios 0.05 and 0.09, respectively, for brain cancer and acute myeloid leukaemia). There were sex, age and deprivation differences in the odds of fast-track referral (P<0.013) that varied in their size and direction for patients with different cancers (P<0.001). For example, fast-track referrals were least likely in younger women with endometrial cancer and in older men with testicular cancer. Conclusions: Fast-track referrals are less likely for cancers characterised by nonspecific presenting symptoms and patients belonging to low cancer incidence demographic groups. Interventions beyond clinical guidelines for ‘alarm’ symptoms are needed to improve diagnostic timeliness. PMID:29182609

Application Effect of Fast Track Surgery for Patients with Lung Cancer: 
A Meta-analysis

Directory of Open Access Journals (Sweden)

Yan XIA

2016-12-01

Full Text Available Background and objective Fast track surgery (FTS can accelerate rehabilitation and reduce postoperative hospital stay. It has been effectively applied to several surgical diseases. However, the safety and effectiveness of FTS for patients with lung cancer in China is unclear. This meta-analysis aimed to evaluate the effect of FTS undergoing lung cancer surgery in China. Methods Using home and abroad databases to search all documents required. The deadline of retrieval was January 31, 2016. Then the studies were screened according to the inclusion and exclusion criteria. Data were analyzed by RevMan 5.3 software. Results 8 randomized controlled trials (RCTs and 5 clinical controlled trials (CCTs with 1,241 patients were eligible for analysis. Compared with control group, FTS group can significantly shorten postoperative hospital time (MD=-3.61, 95%CI: -5.05--2.16, P<0.000,01 and chest tube duration (MD=-2.62, 95%CI: -3.07-2.17, P<0.000,01, reduce incidence of postoperative complications (OR=0.30, 95%CI: 0.19-0.47, P<0.000,01 and hospitalization costs (MD=-0.92, 95%CI: -1.19--0.65, P<0.000,01. Conclusion FTS can safely and effectively accelerate the recovery of patients with lung cancer in China, it exhibits important clinical values.

Fast particle tracking with wake fields

Energy Technology Data Exchange (ETDEWEB)

Dohlus, M.; Floettmann, K.; Henning, C.

2012-01-15

Tracking calculations of charged particles in electromagnetic fields require in principle the simultaneous solution of the equation of motion and of Maxwell's equations. In many tracking codes a simpler and more efficient approach is used: external fields like that of the accelerating structures are provided as field maps, generated in separate computations and for the calculation of self fields the model of a particle bunch in uniform motion is used. We describe how an externally computed wake function can be approximated by a table of Taylor coefficients and how the wake field kick can be calculated for the particle distribution in a tracking calculation. The integrated kick, representing the effect of a distributed structure, is applied at a discrete time. As an example, we use our approach to calculate the emittance growth of a bunch in an undulator beam pipe due to resistive wall wake field effects. (orig.)

Multiple feature fusion via covariance matrix for visual tracking

Science.gov (United States)

Jin, Zefenfen; Hou, Zhiqiang; Yu, Wangsheng; Wang, Xin; Sun, Hui

2018-04-01

Aiming at the problem of complicated dynamic scenes in visual target tracking, a multi-feature fusion tracking algorithm based on covariance matrix is proposed to improve the robustness of the tracking algorithm. In the frame-work of quantum genetic algorithm, this paper uses the region covariance descriptor to fuse the color, edge and texture features. It also uses a fast covariance intersection algorithm to update the model. The low dimension of region covariance descriptor, the fast convergence speed and strong global optimization ability of quantum genetic algorithm, and the fast computation of fast covariance intersection algorithm are used to improve the computational efficiency of fusion, matching, and updating process, so that the algorithm achieves a fast and effective multi-feature fusion tracking. The experiments prove that the proposed algorithm can not only achieve fast and robust tracking but also effectively handle interference of occlusion, rotation, deformation, motion blur and so on.

Role of preoperative pain, muscle function, and activity level in discharge readiness after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Holm, Bente; Bandholm, Thomas; Lunn, Troels Haxholdt

2014-01-01

therefore investigated the role of preoperative pain and functional characteristics in discharge readiness and actual LOS in fast-track THA and TKA. METHODS: Before surgery, hip pain (THA) or knee pain (TKA), lower-extremity muscle power, functional performance, and physical activity were assessed...

Fast Track to the Cloud: Design Patterns for 12-Factor Earth Sciences Applications

Science.gov (United States)

Pawloski, Andrew; McLaughlin, Brett; Lynnes, Christopher

2016-01-01

As expanding service offerings and decreasing prices make the cloud increasingly attractive to Earth Science applications, there are nontrivial practical considerations which can hinder its meaningful use. In this talk, we will discuss architectural recommendations and lessons learned while working on EOSDIS' cloud efforts, particularly the NASA-compliant General Application Platform (NGAP) and its associated applications. Prominent in our findings is the importance of 12-factor design patterns and the powerful "wins" they enable in the cloud. We will share our strategies for "fast-tracking" applications to the cloud --whether they be legacy, planned for the future, or somewhere in between.

Early Progressive Strength Training to Enhance Recovery After Fast-Track Total Knee Arthroplasty

DEFF Research Database (Denmark)

Jakobsen, Thomas Linding; Kehlet, Henrik; Husted, Henrik

2014-01-01

different interventions: 7 weeks of supervised physical rehabilitation with PST (PST group) and without PST (CON group) commenced early after fast-track TKA. The primary outcome was the maximal distance walked in 6 minutes (6-minute walk test). Secondary outcomes were lower extremity strength and power......, knee joint effusion and range of motion, knee pain, and self-reported disability and quality of life. All outcome measures were assessed before TKA (baseline) and 4, 8, and 26 weeks after TKA. RESULTS: There was no statistically significant difference between the PST and CON groups in the change score...

Online track reconstruction at hadron colliders

International Nuclear Information System (INIS)

Amerio, Silvia; Bettini, Marco; Nicoletto, Marino; Crescioli, Francesco; Bucciantonio, Martina; DELL'ORSO, Mauro; Piendibene, Marco; VOLPI, Guido; Annovi, Alberto; Catastini, Pierluigi; Giannetti, Paola; Lucchesi, Donatella

2010-01-01

Real time event reconstruction plays a fundamental role in High Energy Physics experiments. Reducing the rate of data to be saved on tape from millions to hundreds per second is critical. In order to increase the purity of the collected samples, rate reduction has to be coupled with the capability to simultaneously perform a first selection of the most interesting events. A fast and efficient online track reconstruction is important to effectively trigger on leptons and/or displaced tracks from b-quark decays. This talk will be an overview of online tracking techniques in different HEP environments: we will show how H1 experiment at HERA faced the challenges of online track reconstruction implementing pattern matching and track linking algorithms on CAMs and FPGAs in the Fast Track Processor (FTT). The pattern recognition technique is also at the basis of the Silicon Vertex Trigger (SVT) at the CDF experiment at Tevatron: coupled to a very fast fitting phase, SVT allows to trigger on displaced tracks, thus greatly increasing the efficiency for the hadronic B decay modes. A recent upgrade of the SVT track fitter, the Giga-fitter, can perform more than 1 fit/ns and further improves the CDF online trigger capabilities at high luminosity. At SLHC, where luminosities will be 2 orders of magnitude greater than Tevatron, online tracking will be much more challenging: we will describe CMS future plans for a Level-1 track trigger and the Fast Tracker (FTK) processor at the ATLAS experiment, based on the Giga-fitter architecture and designed to provide high quality tracks reconstructed over the entire detector in time for a Level-2 trigger decision.luminosity. At SLHC, where luminosities will be 2 orders of magnitude greater than Tevatron, online tracking will be much more challenging: we will describe CMS future plans for a Level-1 track trigger and the Fast Tracker (FTK) processor at the Atlas experiment, based on the Giga-fitter architecture and designed to provide high

Nurse Practitioners' attitude to nutritional challenges dealing with the patients' nutritional needs and ability to care for themselves in a fast track program

DEFF Research Database (Denmark)

Graarup, Jytte; Pedersen, Preben Ulrich; Bjerrum, Merete

2014-01-01

Background: Nutrition plays an important role to the success of fast track programs, but under nutrition are still reported. Nutritional care seems to be a low priority among nurses even though it is well-known that insufficient nutrition has severe consequences for the patients. The aim is to re......Background: Nutrition plays an important role to the success of fast track programs, but under nutrition are still reported. Nutritional care seems to be a low priority among nurses even though it is well-known that insufficient nutrition has severe consequences for the patients. The aim...... is to report to what extent a training program has made Nutritional Nurse Practitioners aware of the nutritional care for short-term hospitalized patients, and how they deal with patients’ nutritional needs and ability to provide self-care in the context of a fast track program. Methods: Deductive content...... analysis was used to analyse data from four focus group interviews. Sixteen Nutritional Nurse Practitioners from either medical or surgery wards participated. The Nutritional Nurse Practitioners were interviewed twice. The interviews were recorded and verbally transcribed. Results: In the Nutritional Nurse...

Fast-track surgery: A new concept of perioperative management of surgical patients

Directory of Open Access Journals (Sweden)

Gabriel Rodrigues

2013-01-01

Full Text Available In the past few decades, surgery has advanced greatly because of an improved understanding of perioperative pathophysiology, development of minimally invasive operative techniques and advanced anaesthetic techniques. Fewer operations are requiring extended periods of hospital stay and a growing number of procedures are performed on an ambulatory basis. The pressure on medical systems is continuously growing as a result of economic constraints, increasing numbers of patients undergoing surgical procedures and greater patient autonomy. Patient awareness is steadily increasing along with their participation in their own care, leading to expectations of a higher standard of care. This has led to the development of a new concept of fast-track surgery.

Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients

DEFF Research Database (Denmark)

Husted, Henrik; Holm, Gitte; Jacobsen, Steffen

2008-01-01

BACKGROUND AND PURPOSE: Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR). The aim of this prospective study was to identify patient characteristics associated with LOS and patient satisfaction...... after total hip and knee replacement surgery. PATIENTS AND METHODS: Between September 2003 and December 2005, 712 consecutive, unselected patients (440 women) with a mean age of 69 (31-91) years were admitted for hip and knee replacement surgery at our specialized fast-track joint replacement unit....... Epidemiological, physical, and perioperative parameters were registered and correlated to LOS and patient satisfaction. RESULTS: 92% of the patients were discharged directly to their homes within 5 days, and 41% were discharged within 3 days. Age, sex, marital status, co-morbidity, preoperative use of walking...

The Effects of the Fast Track Preventive Intervention on the Development of Conduct Disorder Across Childhood

OpenAIRE

2011-01-01

The impact of the Fast Track intervention on externalizing disorders across childhood was examined. Eight hundred-ninety-one early-starting children (69% male; 51% African American) were randomly assigned by matched sets of schools to intervention or control conditions. The 10-year intervention addressed parent behavior-management, child social cognitive skills, reading, home visiting, mentoring, and classroom curricula. Outcomes included psychiatric diagnoses after grades 3, 6, 9, and 12 for...

Fast Tracker : A Hardware Real Time Track Finder for the ATLAS Trigger System

CERN Document Server

Kimura, N; The ATLAS collaboration

2013-01-01

The Large Hadron Collider (LHC) after the 2013-­‐2014 shutdown period is expected to improve the yet impressive performance obtained up to this year: collisions’ energy will increase to 14 TeV and instantaneous luminosity will reach and then overcome 10^34 cm‐2s‐1, with a bunch crossing period of 25 ns. The LHC experiments will need to adapt to the more crowded events, maintaining the physics output and the quality of the final results. The pileup higher than the LHC run 1, with peaks expected to reach 50 or more, will make more difficult to have efficient online selection of rare events based mostly on calorimeters and muon detectors as it is done now. A more extensive use of the information collected by the tracking detector will allow building more robust selections, limiting the degradation effects due to the high pileup. We report on the development of the Fast Tracker (FTK) processor for the ATLAS experiment, devoted to reconstruct tracks with transverse momentum above 1 GeV in the whole detect...

Can eye-tracking technology improve situational awareness in paramedic clinical education?

Science.gov (United States)

Williams, Brett; Quested, Andrew; Cooper, Simon

2013-01-01

Human factors play a significant part in clinical error. Situational awareness (SA) means being aware of one's surroundings, comprehending the present situation, and being able to predict outcomes. It is a key human skill that, when properly applied, is associated with reducing medical error: eye-tracking technology can be used to provide an objective and qualitative measure of the initial perception component of SA. Feedback from eye-tracking technology can be used to improve the understanding and teaching of SA in clinical contexts, and consequently, has potential for reducing clinician error and the concomitant adverse events.

Fast TPC Online Tracking on GPUs and Asynchronous Data Processing in the ALICE HLT to facilitate Online Calibration

International Nuclear Information System (INIS)

Rohr, David; Gorbunov, Sergey; Krzewicki, Mikolaj; Breitner, Timo; Kretz, Matthias; Lindenstruth, Volker

2015-01-01

ALICE (A Large Heavy Ion Experiment) is one of the four major experiments at the Large Hadron Collider (LHC) at CERN, which is today the most powerful particle accelerator worldwide. The High Level Trigger (HLT) is an online compute farm of about 200 nodes, which reconstructs events measured by the ALICE detector in real-time. The HLT uses a custom online data-transport framework to distribute data and workload among the compute nodes.ALICE employs several calibration-sensitive subdetectors, e.g. the TPC (Time Projection Chamber). For a precise reconstruction, the HLT has to perform the calibration online. Online- calibration can make certain Offline calibration steps obsolete and can thus speed up Offline analysis. Looking forward to ALICE Run III starting in 2020, online calibration becomes a necessity.The main detector used for track reconstruction is the TPC. Reconstructing the trajectories in the TPC is the most compute-intense step during event reconstruction. Therefore, a fast tracking implementation is of great importance. Reconstructed TPC tracks build the basis for the calibration making a fast online-tracking mandatory.We present several components developed for the ALICE High Level Trigger to perform fast event reconstruction and to provide features required for online calibration.As first topic, we present our TPC tracker, which employs GPUs to speed up the processing, and which bases on a Cellular Automaton and on the Kalman filter. Our TPC tracking algorithm has been successfully used in 2011 and 2012 in the lead-lead and the proton-lead runs. We have improved it to leverage features of newer GPUs and we have ported it to support OpenCL, CUDA, and CPUs with a single common source code. This makes us vendor independent.As second topic, we present framework extensions required for online calibration. The extensions, however, are generic and can be used for other purposes as well. We have extended the framework to support asynchronous compute chains

Study Protocol: Phase III single-blinded fast-track pragmatic randomised controlled trial of a complex intervention for breathlessness in advanced disease

Directory of Open Access Journals (Sweden)

Brafman-Kennedy Barbara

2011-05-01

Full Text Available Abstract Background Breathlessness in advanced disease causes significant distress to patients and carers and presents management challenges to health care professionals. The Breathlessness Intervention Service (BIS seeks to improve the care of breathless patients with advanced disease (regardless of cause through the use of evidence-based practice and working with other healthcare providers. BIS delivers a complex intervention (of non-pharmacological and pharmacological treatments via a multi-professional team. BIS is being continuously developed and its impact evaluated using the MRC's framework for complex interventions (PreClinical, Phase I and Phase II completed. This paper presents the protocol for Phase III. Methods/Design Phase III comprises a pragmatic, fast-track, single-blind randomised controlled trial of BIS versus standard care. Due to differing disease trajectories, the service uses two broad service models: one for patients with malignant disease (intervention delivered over two weeks and one for patients with non-malignant disease (intervention delivered over four weeks. The Phase III trial therefore consists of two sub-protocols: one for patients with malignant conditions (four week protocol and one for patients with non-malignant conditions (eight week protocol. Mixed method interviews are conducted with patients and their lay carers at three to five measurement points depending on randomisation and sub-protocol. Qualitative interviews are conducted with referring and non-referring health care professionals (malignant disease protocol only. The primary outcome measure is 'patient distress due to breathlessness' measured on a numerical rating scale (0-10. The trial includes economic evaluation. Analysis will be on an intention to treat basis. Discussion This is the first evaluation of a breathlessness intervention for advanced disease to have followed the MRC framework and one of the first palliative care trials to use fast

MANAJEMEN RISIKO PADA PROYEK KONSTRUKSI DENGAN METODE FAST TRACK STUDI KASUS PROYEK QUNCI VILLAS DAN PUTRI NAGA KOMODO

Directory of Open Access Journals (Sweden)

I Gusti Ketut Wirawan

2015-07-01

Full Text Available The rapid economic development such as now day, it need a construction method that may provide a facility faster and less cost. Therefore, fast track method has been widely applied in project management as happened in Qunci Villas Project at Lombok and Putri Naga Komodo Project at Loh Liang of Komodo Island. Fast track construction method has potential risks that can interfere the success of the project. This study aims to identify the risks, especially the mayor risk, to formulate the mitigation action, and to determine the risk ownership. This study was conducted using qualitative descriptive method by identifying the risks arising during the implementation of the fast track method on Qunci Villas and Putri Naga Komodo Projects through the study of literature, brainstorming, interview using questionnaires to those who knew or were involved in the project. So the frequency and magnitude of the consequences of each risk can be known. Then the risk assessment can be conducted to determine the mayor risk and the minor risk. Then determining mitigation action for the mayor risk to reduce the negative impact that may arise. Then allocating the risk ownership in other to the mitigation action can be handled properly. The risk identified totaled 25 risks consisting of : 1 risk (4% which was medium risk rating,  6 risks (24% which were high risk rating, and 18 risks (72% which were extreme risk rating. The mayor risk amounted to 24 risks (96%. The mayor risk which were high risk rating consisting of : 1 planning risk, 3 technical risks, 1 project risk and 1 criminal risk. While mayor risk which were extreme risk rating consisting of : 5 technical risks, 10 project risks, 2 financial risks, and 1 human risk. Mitigation action were handled by reducing likelihood and consequence. The most risks ownership were allocated to the contractor.

Outcomes in smokers and alcohol users after fast-track hip and knee arthroplasty

DEFF Research Database (Denmark)

Jørgensen, C C; Kehlet, Henrik; Hansen, Torben Bæk

2013-01-01

and knee arthroplasty. RESULTS: In 3041 consecutive patients, 458 reported smoking and 216 drinking > 2 drinks a day, of which 66 did both. Smokers/alcohol users were younger than non-users (mean age: 64.3 vs. 68.0 years, P  4 days and smoking (odds ratio [95% confidence interval], P) (1.34 [0.92-1.95], 0......BACKGROUND: Smoking and alcohol use impair post-operative outcomes. However, no studies include fast-track surgery, which is a multimodal-enhanced recovery programme demonstrated to improve outcome. We hypothesised that outcome is similar in smokers and alcohol users as in non-users after fast.......127) or alcohol use (0.59 [0.30-1.16], 0.127). Thirty- and ninety-day readmission rate was 6.6% (n = 201) and 9.4% (n = 285). Multiple logistic regression analysis showed an increased risk of readmissions in smokers at 30 (1.60 [1.05-2.44], 0.028) but not 90-day follow-up (1.17 [0.80-1.73], 0.419). No increased...

Health preemption behind closed doors: trade agreements and fast-track authority.

Science.gov (United States)

Crosbie, Eric; Gonzalez, Mariaelena; Glantz, Stanton A

2014-09-01

Noncommunicable diseases result from consuming unhealthy products, including tobacco, which are promoted by transnational corporations. The tobacco industry uses preemption to block or reverse tobacco control policies. Preemption removes authority from jurisdictions where tobacco companies' influence is weak and transfers it to jurisdictions where they have an advantage. International trade agreements relocate decisions about tobacco control policy to venues where there is little opportunity for public scrutiny, participation, and debate. Tobacco companies are using these agreements to preempt domestic authority over tobacco policy. Other transnational corporations that profit by promoting unhealthy foods could do the same. "Fast-track authority," in which Congress cedes ongoing oversight authority to the President, further distances the public from the debate. With international agreements binding governments to prioritize trade over health, transparency and public oversight of the trade negotiation process is necessary to safeguard public health interests.

Postoperative anemia and early functional outcomes after fast-track hip arthroplasty

DEFF Research Database (Denmark)

Jans, Øivind; Bandholm, Thomas; Kurbegovic, Sorel

2016-01-01

BACKGROUND: Postoperative anemia is prevalent in fast-track hip arthroplasty (THA) where patients are mobilized and discharged early, but whether anemia impairs functional recovery after discharge has not been adequately evaluated previously. This study aimed to evaluate whether postoperative...... anemia influenced recovery of mobility and quality of life (Qol) during the first 2 weeks after discharge from THA. STUDY DESIGN AND METHODS: This was a prospective observational study in 122 THA patients more than 65 years of age. Mobility and Qol were assessed pre- and postoperatively by the 6-minute...... walk test (6MWT; primary outcome), the timed up-and-go test, and the FACT-anemia subscale. Twenty-four-hour mobility at home was assessed by activity monitoring on Days 1 to 6 after discharge. Hemoglobin (Hb) at discharge (HbD) and the Hb decrease from preoperatively (ΔHb) were compared to mobility...

171. Funcionamiento y resultados del programa de fast-track en el tratamiento de la tetralogía de fallot

Directory of Open Access Journals (Sweden)

J. Orrit Palacios

2010-01-01

Conclusiones: La corrección completa de la tetralogía de Fallot con el programa de fast-track de anestesia disminuye la ventilación mecánica, la estancia en cuidados intensivos y el tiempo de hospitalización. Asimismo se reducen los costes económicos del tratamiento.

Analysis of etchants behavior on the electrochemical etching amplification of fast-neutron-induced recoil particle tracks in polycarbonate

International Nuclear Information System (INIS)

Masnadi Shirazi Nezhad, K.

1979-08-01

The composition, concentration, and temperature of etchant are important parameters controlling electrochemical etching (ECE) amplification of charged particle tracks in polymers. These parameters were further studied for sohralir polycarbonate neutron dosimeter (Sohrabi 1974), using potassium hydroxide (KOH) and sodium hydroxide (NaOH) solutions, and a mixture of potassium hydroxide, ethanol, and water (PEW solution), at different concentrations applying a field strength of 32KV/cm at 2KHz frequency using 250 μ thick polycarbonate exposed to fast neutrons. The recoal track density per rad of neutrons, in general, was found to increase by increasing the etchant concentration reaching a semi-platean after which it increases again. This increase is up to a concentration at which a track removing process occurs and no tracks have been amplified anymore. This track removing process occurred at about 11 normality in both KOH (50% by weight) and NaOH (30% by weight) solution at 25degC. The mean track diameter, in general, passed through a cyclic variation having a maximun and a minimum. For NaOH solution, the track removing process occurred at the minimum point. In the three regions of the track diameter curve the tracks appear in different shapes especially in KOH solution. The PEW solution at its optimum conditions was more effective in terms of both sensitivity, track diameter and a shorter period of etching. The chemical mechanism of etching process may be explained to be a ''saponification'' process. These studies further support the adequacy of Sohrabi dosimeter for routing health physics and radiation research applications. The above parameters are further discussed and the results as well as the advantages and disadvantages of the above etchants are given. (author)

A method for the measurement of fission rates in fast neutron fields using solid state track detectors

International Nuclear Information System (INIS)

Hansen, W.; Vogel, W.

1984-04-01

Solid state track detectors (SSTDs) are increasingly used for the registration of radiation in different fields of nuclear physics. Because of their small sizes and masses and the absence of any electronics during exposure SSTDs do not cause distortions in the system to be investigated and are useful for measurements at such places being difficult of access. The elaboration of a method is described for fission rate measurements in fast neutron fields applying SSTDs and different fissionable isotopes which were electrodeposited on stainless steel backings. Experiences of the electrodeposition and results of quality checks are presented. The evaluation of the etched tracks is performed with spark counter technique. The dependence of the counting result on essential influence parameters is discussed. (author)

Inhibiting Interference - a grounded theory of health professionals' pattern of behaviour related to the relatives of older patients in fast-track treatment programmes

DEFF Research Database (Denmark)

Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

2014-01-01

AIM: To generate a grounded theory explaining health professionals' pattern of behaviour and experience related to the relatives of older patients in fast-track treatment programmes during total joint replacement. BACKGROUND: Health professionals uphold standardised care for patients, and effect...... on quality is seen when relatives support patients during total joint replacement. Since health professionals often have problematic relationships with relatives, knowledge is needed of the health professionals' pattern of behaviour in relation to relatives of older patients in fast-track treatment programme....... DESIGN: Grounded theory according to Glaser's methodology was used to generate substantive theory of health professionals' pattern of behaviour. METHODS: Data were collected from 2010 to 2011 by 44 health professionals in orthopaedic wards at two Danish hospitals. Data from nonparticipant observations...

Cyclo-oxygenase 2 inhibitors and the risk of anastomotic leakage after fast-track colonic surgery

DEFF Research Database (Denmark)

Holte, K; Andersen, Jens; Jakobsen, D Hjort

2009-01-01

-oxygenase inhibitor for postoperative analgesia. METHODS: Patients with anastomotic leakage following a standard fast-track procotol between April 1997 and May 2006 were identified from a prospective, consecutive database. During this period there were two changes in perioperative management: cessation......BACKGROUND: Anastomotic leakage occurs after 3-6 per cent of colonic resections. The influence of analgesic agents is largely unknown. This study determined the rate of anastomotic leakage in a series of patients who had colonic surgery over a 9-year period with or without use of a cyclo...

Health Preemption Behind Closed Doors: Trade Agreements and Fast-Track Authority

Science.gov (United States)

Crosbie, Eric; Gonzalez, Mariaelena

2014-01-01

Noncommunicable diseases result from consuming unhealthy products, including tobacco, which are promoted by transnational corporations. The tobacco industry uses preemption to block or reverse tobacco control policies. Preemption removes authority from jurisdictions where tobacco companies’ influence is weak and transfers it to jurisdictions where they have an advantage. International trade agreements relocate decisions about tobacco control policy to venues where there is little opportunity for public scrutiny, participation, and debate. Tobacco companies are using these agreements to preempt domestic authority over tobacco policy. Other transnational corporations that profit by promoting unhealthy foods could do the same. “Fast-track authority,” in which Congress cedes ongoing oversight authority to the President, further distances the public from the debate. With international agreements binding governments to prioritize trade over health, transparency and public oversight of the trade negotiation process is necessary to safeguard public health interests. PMID:25033124

Measurements of fast deuterons from plasma accelerator by means of PM-355 track detectors

Energy Technology Data Exchange (ETDEWEB)

Skladnik-Sadowska, E. [Andrzej Soltan Institute for Nuclear Studies (IPJ), 05-400 Otwock-Swierk (Poland); Malinowski, K., E-mail: k.malinowski@ipj.gov.p [Andrzej Soltan Institute for Nuclear Studies (IPJ), 05-400 Otwock-Swierk (Poland); Sadowski, M.J.; Czaus, K. [Andrzej Soltan Institute for Nuclear Studies (IPJ), 05-400 Otwock-Swierk (Poland)

2009-10-15

This paper reports on studies of fast ions (mostly deuterons) emitted from an RPI (Rod-Plasma-Injector) plasma accelerator. The first aim was the verification of applicability of PM-355 track detectors for dosimetry of lower-energy (<200 KeV) deuterons. The second aim was information about energy spectra of deuterons from RPI-IBIS device in different operational modes. Mass- and energy spectra of ions were investigated with a Thomson-analyzer and PM-355 detectors. On the recorded deuteron-parabolas we chose points, and from numbers of tracks we determined the deuteron energy distribution. In the slow-mode the energy distribution peak was observed at about 40 keV, while the maximum energy amounted to about 150 keV. Those measurements confirmed an influence of the initial gas-conditions on energy distributions of the deuteron streams. The results are of importance for plasma-physics and applications. Another result was the confirmation that PM-355 detectors might be used for accurate measurements of low-energy (<200 keV) deuterons.

'Fast-track' colonic surgery in Austria and Germany--results from the survey on patterns in current perioperative practice.

Science.gov (United States)

Hasenberg, T; Keese, M; Längle, F; Reibenwein, B; Schindler, K; Herold, A; Beck, G; Post, S; Jauch, K W; Spies, C; Schwenk, W; Shang, E

2009-02-01

'Fast-track' rehabilitation has been shown to accelerate recovery, reduce general morbidity and decrease hospital stay after elective colonic surgery. Despite this evidence, there is no information on the acceptance and utilization of these concepts among the entirety of Austrian and German surgeons. In 2006, a questionnaire concerning perioperative routines in elective, open colonic resection was sent to the chief surgeons of 1270 German and 120 Austrian surgical centres. The response rate was 63% in Austria (76 centres) and 30% in Germany (385 centres). Mechanical bowel preparation is used by the majority (Austria, 91%; Germany, 94%); the vertical incision is the standard method of approach to the abdomen in Austria (79%) and Germany (83%), nasogastric decompression tubes are rarely used, one-third of the questioned surgeons in both countries use intra-abdominal drains. Half of the surgical centres allow the intake of clear fluids on the day of surgery and one-fifth offer solid food on that day. Epidural analgesia is used in three-fourths of the institutions. Although there is an evident benefit of fast-track management, the survey shows that they are not yet widely used as a routine in Austria and Germany.

The effect of direct referral for fast CT scan in early lung cancer detection in general practice. A clinical, cluster-randomised trial.

Science.gov (United States)

Guldbrandt, Louise Mahncke

2015-03-01

This PhD thesis is based on the project "The effect of direct referral for fast CT scan in early lung cancer detection in general practice. A clinical, cluster-randomised trial", performed in Denmark in 2010-2013. The thesis includes four papers and focuses on early lung cancer diagnostics in general practice. A total of 4200 new cases of lung cancer are diagnosed in Denmark annually. The stage of the disease is an important prognostic factor; thus, the opportunity for curative treatment declines with more advanced tumour stage. Lung cancer patients in Denmark (like in the UK) have a poorer prognosis than lung cancer patients in other European countries. One explanation could be delayed diagnosis. A fast-track pathway was therefore introduced in an attempt to expedite the diagnosis of cancer. However, it seems that not all patients can be diagnosed through this pathway. In order to ensure fast and early lung cancer diagnosis, it is crucial to examine the initial diagnostic process in general and the role general practice plays in lung cancer diagnostics in particular. The specific areas of investigation include the pathways to diagnosis, the characteristics of patients who are at special risk of delayed diagnosis and the level of prediagnostic activity in general practice. A chest radiograph is often the first choice in the investigation of lung cancer. Unfortunately, radiographs are less suitable for central and small tumours. Low-dose computer tomography (LDCT), however, has a high sensitivity for lung cancer which implies that it can be used to detect patients with localised, potentially curable disease. The aim of this thesis was to increase our knowledge of the initial stages of lung cancer diagnostics in general practice. The thesis also examined the effect of a direct referral from general practice to an additional diagnostic test, the LDCT. The aims of this thesis were: 1) To describe Danish patients' pathways to the diagnosis of lung cancer in general and

Technical experiences of implementing a wireless tracking and facial biometric verification system for a clinical environment

Science.gov (United States)

Liu, Brent; Lee, Jasper; Documet, Jorge; Guo, Bing; King, Nelson; Huang, H. K.

2006-03-01

By implementing a tracking and verification system, clinical facilities can effectively monitor workflow and heighten information security in today's growing demand towards digital imaging informatics. This paper presents the technical design and implementation experiences encountered during the development of a Location Tracking and Verification System (LTVS) for a clinical environment. LTVS integrates facial biometrics with wireless tracking so that administrators can manage and monitor patient and staff through a web-based application. Implementation challenges fall into three main areas: 1) Development and Integration, 2) Calibration and Optimization of Wi-Fi Tracking System, and 3) Clinical Implementation. An initial prototype LTVS has been implemented within USC's Healthcare Consultation Center II Outpatient Facility, which currently has a fully digital imaging department environment with integrated HIS/RIS/PACS/VR (Voice Recognition).

Fast algorithm of track detection

International Nuclear Information System (INIS)

Nehrguj, B.

1980-01-01

A fast algorithm of variable-slope histograms is proposed, which allows a considerable reduction of computer memory size and is quite simple to carry out. Corresponding FORTRAN subprograms given a triple speed gain have been included in spiral reader data handling software

Post-discharge symptoms following fast-track colonic cancer surgery: a phenomenological hermeneutic study

DEFF Research Database (Denmark)

Krogsgaard, Marianne; Dreyer, Pia; Egerod, Ingrid

2014-01-01

OBJECTIVE: To obtain knowledge of patients' experiences of postoperative symptoms during the initial two weeks following fast-track colonic cancer surgery. METHOD: Semi-structured in-depth interviews with seven colonic cancer patients two weeks post hospital discharge. Analysis was performed using...... a phenomenological hermeneutical approach. RESULTS: During the first two weeks after discharge the patients experienced unfamiliar symptoms that affected their everyday lives. Despite distressing symptoms, they applied a "wait-and-see" strategy, and only reacted when symptoms became intolerable. The patients failed...... to shorter hospitalisation and improved physical performance, post-colonic surgery patients experience various symptoms after discharge. Healthcare professionals need to address symptoms that might have immediate and long-term consequences on patients' everyday life. Follow-up studies are encouraged...

The fast tracker processor for hadron collider triggers

CERN Document Server

Annovi, A; Bardi, A; Carosi, R; Dell'Orso, Mauro; D'Onofrio, M; Giannetti, P; Iannaccone, G; Morsani, E; Pietri, M; Varotto, G

2001-01-01

Perspectives for precise and fast track reconstruction in future hadron collider experiments are addressed. We discuss the feasibility of a pipelined highly parallel processor dedicated to the implementation of a very fast tracking algorithm. The algorithm is based on the use of a large bank of pre-stored combinations of trajectory points, called patterns, for extremely complex tracking systems. The CMS experiment at LHC is used as a benchmark. Tracking data from the events selected by the level-1 trigger are sorted and filtered by the Fast Tracker processor at an input rate of 100 kHz. This data organization allows the level-2 trigger logic to reconstruct full resolution tracks with transverse momentum above a few GeV and search for secondary vertices within typical level-2 times. (15 refs).

Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

Directory of Open Access Journals (Sweden)

Sorrentino R

2016-11-01

Full Text Available Regina Sorrentino, Roberta Esposito, Enrica Pezzullo, Maurizio Galderisi Department of Advanced Biomedical Sciences, Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy Abstract: Three-dimensional speckle tracking echocardiography (3D STE is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging

Direct hospital costs of total laparoscopic hysterectomy compared with fast-track open hysterectomy at a tertiary hospital: a retrospective case-controlled study.

Science.gov (United States)

Rhou, Yoon J J; Pather, Selvan; Loadsman, John A; Campbell, Neil; Philp, Shannon; Carter, Jonathan

2015-12-01

To assess the direct intraoperative and postoperative costs in women undergoing total laparoscopic hysterectomy and fast-track open hysterectomy. A retrospective review of the direct hospital-related costs in a matched cohort of women undergoing total laparoscopic hysterectomy (TLH) and fast-track open hysterectomy (FTOH) at a tertiary hospital. All costs were calculated, including the cost of advanced high-energy laparoscopic devices. The effect of the learning curve on cost in laparoscopic hysterectomy was also assessed, as was the hospital case-weighted cost, which was compared with the actual cost. Fifty women were included in each arm of the study. TLH had a higher intraoperative cost, but a lower postoperative cost than FTOH (AUD$3877 vs AUD$2776 P funding model in our hospital is inaccurate when compared to directly calculated hospital costs. © 2013 The Authors ANZJOG © 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

Effects of Ramadan Fasting on Spirometric Values and Clinical Symptoms in Asthmatic Patients

Directory of Open Access Journals (Sweden)

Abdolreza Norouzy

2013-07-01

Full Text Available Introduction: Ramadan is the 9th Islamic lunar month during which Muslims avoid eating and drinking from sunrise to sunset. The effect of Ramadan intermittent fasting on asthma control is controversial. The aim of this study was to investigate the effects of Ramadan fasting on the spirometric variables and clinical symptoms on well-controlled asthmatic patients during Ramadan. Material and Methods: a cohort study was conducted in Mashhad, Khorasan Razavi, Iran. Twenty-nine (19 females and 10 males well-controlled asthmatic patients aged 47 (12 years completed the study. The average duration of fasting was 26.5 days. Assessment of spirometric variables (daily peak expiratory flow, peak expiratory flow variability, peak expiratory flow home monitoring as well as asthma clinical symptoms including dyspnea, cough, wheezing, and chest tightness were carried out. Results: No significant changes in clinical symptoms were reported in asthmatic patients at the end of Ramadan fasting. Among spirometric variables, only peak expiratory flow improved after Ramadan (p <0.05. There was a reduction in the mean peak expiratory flow variability from 13% at the first week of fasting to 10% at the fourth week (p <0.05. Conclusion: In well-controlled asthmatic patients, Ramadan fasting resulted in improvement in peak expiratory flow and peak expiratory flow variability.

Measured and calculated absorptance of tracks of fast heavy ions in Ilford G5 nuclear emulsion

International Nuclear Information System (INIS)

Jensen, M.; Mathiesen, O.

1975-04-01

A modified form of the delta-ray theory of track formation developed by Katz and coworkers has been used to calculate the absorptance of tracks of fast heavy ions in Ilford G5 nuclear emulsion. The theoretical data have been compared with results of different photometrical investigations reported in the literature. In most cases the theoretical predictions are found to be in good agreement with experiments. This suggests that the theory can be used in the planning and execution of future experiments, i.e. to optimize the geometry of the photometer and to obtain an absolute charge calibration of the detector. It is shown that the basic photometrical properties of an emulsion stack can be described by a single quantity which can be determined from measurements. Knowing this quantity it is possible to predict the response of the emulsion stack for different types of photometers. The practical limits of the use of the modified theory at high and low levels of energy dose are discussed. (Auth.)

Measured and calculated absorptance of tracks of fast heavy ions in Ilford G5 nuclear emulsion

International Nuclear Information System (INIS)

Jensen, M.; Mathiesen, O.

1976-01-01

A modified form of the delta-ray theory of track formation developed by Katz and coworkers has been used to calculate the absorptance of tracks of fast heavy ions in Ilford G5 nuclear emulsion. The theoretical data have been compared with results of different photometrical investigations reported in the literature. In most cases the theoretical predictions are found to be in good agreement with experiments. This suggests that the theory can be used in the planning and execution of future experiments, i.e. to optimize the geometry of the photometer and to obtain an absolute charge calibration of the detector. It is shown that the basic photometrical properties of an emulsion stack can be described by a single quantity which can be determined from measurements. Knowing this quantity it is possible to predict the response of the detector system, for different types of photometers. The practical limits of the use of the modified theory at high and low levels of energy dose are discussed. (Auth.)

Online tracking applications of the general purpose EDRO Board

CERN Document Server

Annovi, A; The ATLAS collaboration; Cervini, F; Crescioli, F; Fabbri, L; Franchini, M; Giannetti, P; Giannuzzi, F; Giorgi, F; Magalotti, D; Piendibene, M; Sbarra, C; Valentinetti, S; Mauro, V; Zoccoli, A

2012-01-01

The capability to perform extremely fast track reconstruction online is becoming more and more important for the LHC upgrade as well as the next generation of HEP experiments, where the expected instantaneous luminosities (in excess of 10^34 /cm2/s) and the very low signal/background ratio ask for fast and clean identification of the main characteristics of interesting events. The Slim5 R&D project studied different aspects of fast and high-precision tracking in dedicated hardware: data-push silicon sensors, high bandwidth DAQ systems and Associative Memories (AM) for fast track identification. The central element of the development system is a high traffic board, called EDRO, capable of collecting and processing digital data with an input rate of 16 Gbps. The input hits, suitably formatted or clusterized, are sent to an AM board sending back candidate tracks, which are identified at a rate of 40 MHz. The EDRO board is then able to deliver triggers and formatted events for further processing. The EDRO-AM ...

A self seeded first level track trigger for ATLAS

International Nuclear Information System (INIS)

Schöning, A

2012-01-01

For the planned high luminosity upgrade of the Large Hadron Collider, aiming to increase the instantaneous luminosity to 5 × 10 34 cm −2 s −1 , the implementation of a first level track trigger has been proposed. This trigger could be installed in the year ∼ 2021 along with the complete renewal of the ATLAS inner detector. The fast readout of the hit information from the Inner Detector is considered as the main challenge of such a track trigger. Different concepts for the implementation of a first level trigger are currently studied within the ATLAS collaboration. The so called 'Self Seeded' track trigger concept exploits fast frontend filtering algorithms based on cluster size reconstruction and fast vector tracking to select hits associated to high momentum tracks. Simulation studies have been performed and results on efficiencies, purities and trigger rates are presented for different layouts.

Mass tracking and material accounting in the integral fast reactor (IFR)

International Nuclear Information System (INIS)

Orechwa, Y.; Adams, C.H.; White, A.M.

1991-01-01

This paper reports on the Integral Fast Reactor (IFR) which is a generic advanced liquid metal cooled reactor concept being developed at Argonne National Laboratory. There are a number of technical features of the IFR which contribute to its potential as a next-generation reactor. These are associated with large safety margins with regard to off-normal events involving the heat transport system, and the use of metallic fuel which makes possible the utilization of innovative fuel cycle processes. The latter feature permits fuel cycle closure with compact, low-cost reprocessing facilities, collocated with the reactor plant. These primary features are being demonstrated in the facilities at ANL-West, utilizing Experimental Breeder Reactor II and the associated Fuel Cycle Facility (FCF) as an IFR prototype. The demonstration of this IFR prototype includes the design and implementation of the Mass-tracking System (MTG). In this system, data from the operations of the FCF, including weights and batch-process parameters, are collected and maintained by the MTG running on distributed workstations

The Mass Tracking System for the Integral Fast Reactor fuel cycle

International Nuclear Information System (INIS)

Adams, C.H.; Beitel, J.C.; Birgersson, G.; Bucher, R.G.; Carrico, C.B.; Daly, T.A.; Keyes, R.W.

1994-01-01

As part of the Fuel Cycle Facility (FCF) of Argonne National Laboratory's Integral Fast Reactor (IFR) demonstration, a computer-based Mass-Tracking (MTG) System has been developed. The MTG System collects, stores, retrieves and processes data on all operations which directly affect the flow of process material through FCF and supports such activities as process modeling, compliance with operating limits (e.g., criticality safety), material control and accountability and operational information services. Its architecture is client/server, with input and output connections to operator's equipment-control stations on the floor of FCF as well as to terminal sessions. Its heterogeneous database includes a relational-database manager as well as both binary and ASCII data files. The design of the database, and the software that supports it, is based on a model of discrete accountable items distributed in space and time and constitutes a complete historical record of the material processed in FCF. Although still under development, much of the MTG System has been qualified and is in production use

Effects of Ramadan fasting on spirometric values and clinical symptoms in asthmatic patients

Directory of Open Access Journals (Sweden)

Abdolreza Norouzy

2013-03-01

Full Text Available Introduction: Ramadan is the 9th  Islamic lunar month during which Muslims avoid eating and drinking from sunrise to sunset.  The effect of Ramadan intermittent fasting on asthma control is controversial.  The aim of this study was to investigate the effects of Ramadan fasting on the spirometric variables and clinical symptoms on well-controlled asthmatic patients during Ramadan. Material and Methods: a cohort study was conducted in Mashhad, Khorasan Razavi, Iran. Twenty-nine (19 females and 10 males well-controlled asthmatic patients aged 47 (12 years completed the study.  The average duration of fasting was 26.5 days. Assessment of spirometric variables (daily peak expiratory flow, peak expiratory flow variability, peak expiratory flow home monitoring as well as asthma clinical symptoms including dyspnea, cough, wheezing, and chest tightness were carried out. Results: No significant changes in clinical symptoms were reported in asthmatic patients at the end of Ramadan fasting.  Among spirometric variables, only peak expiratory flow improved after Ramadan (p

Clinical track faculty: merits and issues.

Science.gov (United States)

Lee, Won-Hee; Kim, Cho Ja; Roh, Young Sook; Shin, Hyunsook; Kim, Mi Ja

2007-01-01

Clinical track faculty (CTF) has been in operation for more than two decades in the United States, and 12 of the top 20 schools of nursing with the highest National Institutes of Health funding in the United States have CTF in place. Yet, only limited articles have been published regarding the merits and issues related to its operation. This article examines the advantages/merits of establishing CTF in schools of nursing, discusses the qualification criteria and types of appointment for CTF, and analyzes issues related to operating CTF in Korea. A questionnaire survey and two workshops were conducted involving faculty from a college of nursing and clinical nurse managers from university-affiliated medical centers and community agencies. Most of the respondents indicated that establishing CTF was advantageous. Merits included the following: increasing reality-based clinical education and training; decreasing the reality shock of students; increasing student satisfaction; and linking education, practice, and research more effectively. Major issues were as follows: getting the approval of medical centers/universities; developing an agreement on CTF operation between the college of nursing and clinical agencies; clarifying types and criteria of appointment and promotion; and developing a statement on role and compensation policies. Most issues are similar to what U.S. schools of nursing have faced, except for the first one. In conclusion, establishing CTF in Korea appears to be highly desirable. Merits outweigh issues/concerns, and Korean nursing schools may look for an opportune time for obtaining the approval of medical centers/universities. Nursing schools in other countries that face a similar challenge of providing clinical teaching with high research performance may consider instituting CTF.

SU-F-T-100: Development and Implementation of a Treatment Planning Tracking System Into the Radiation Oncology Clinic

International Nuclear Information System (INIS)

Kabat, C; Cline, K; Li, Y; Ha, C; Stathakis, S

2016-01-01

Purpose: With increasing numbers of cancer patients being diagnosed and the complexity of radiotherapy treatments rising it’s paramount that patient plan development continues to stay fluid within the clinic. In order to maintain a high standard of care and clinical efficiency the establishment of a tracking system for patient plan development allows healthcare providers to view real time plan progression and drive clinical workflow. In addition, it provides statistical datasets which can further identify inefficiencies within the clinic. Methods: An application was developed utilizing Microsoft’s ODBC SQL database engine to track patient plan status throughout the treatment planning process while also managing key factors pertaining to the patient’s treatment. Pertinent information is accessible to staff in many locations, including tracking monitors within dosimetry, the clinic network for both computers and handheld devices, and through email notifications. Plans are initiated with a CT and continually tracked through planning stages until final approval by staff. Patient’s status is dynamically updated by the physicians, dosimetrists, and medical physicists based on the stage of the patient’s plan. Results: Our application has been running over a six month period with all patients being processed through the system. Modifications have been made to allow for new features to be implemented along with additional tracking parameters. Based on in-house feedback, the application has been supportive in streamlining patient plans through the treatment planning process and data has been accumulating to further improve procedures within the clinic. Conclusion: Over time the clinic will continue to track data with this application. As data accumulates the clinic will be able to highlight inefficiencies within the workflow and adapt accordingly. We will add in new features to help support the treatment planning process in the future.

SU-F-T-100: Development and Implementation of a Treatment Planning Tracking System Into the Radiation Oncology Clinic

Energy Technology Data Exchange (ETDEWEB)

Kabat, C; Cline, K; Li, Y; Ha, C; Stathakis, S [University of Texas HSC SA, San Antonio, TX (United States)

2016-06-15

Purpose: With increasing numbers of cancer patients being diagnosed and the complexity of radiotherapy treatments rising it’s paramount that patient plan development continues to stay fluid within the clinic. In order to maintain a high standard of care and clinical efficiency the establishment of a tracking system for patient plan development allows healthcare providers to view real time plan progression and drive clinical workflow. In addition, it provides statistical datasets which can further identify inefficiencies within the clinic. Methods: An application was developed utilizing Microsoft’s ODBC SQL database engine to track patient plan status throughout the treatment planning process while also managing key factors pertaining to the patient’s treatment. Pertinent information is accessible to staff in many locations, including tracking monitors within dosimetry, the clinic network for both computers and handheld devices, and through email notifications. Plans are initiated with a CT and continually tracked through planning stages until final approval by staff. Patient’s status is dynamically updated by the physicians, dosimetrists, and medical physicists based on the stage of the patient’s plan. Results: Our application has been running over a six month period with all patients being processed through the system. Modifications have been made to allow for new features to be implemented along with additional tracking parameters. Based on in-house feedback, the application has been supportive in streamlining patient plans through the treatment planning process and data has been accumulating to further improve procedures within the clinic. Conclusion: Over time the clinic will continue to track data with this application. As data accumulates the clinic will be able to highlight inefficiencies within the workflow and adapt accordingly. We will add in new features to help support the treatment planning process in the future.

The performance of the γ-ray tracking array GRETINA for γ-ray spectroscopy with fast beams of rare isotopes

International Nuclear Information System (INIS)

Weisshaar, D.; Bazin, D.; Bender, P.C.; Campbell, C.M.; Recchia, F.; Bader, V.; Baugher, T.; Belarge, J.; Carpenter, M.P.; Crawford, H.L.; Cromaz, M.; Elman, B.; Fallon, P.; Forney, A.; Gade, A.

2017-01-01

The γ-ray tracking array GRETINA was coupled to the S800 magnetic spectrometer for spectroscopy with fast beams of rare isotopes at the National Superconducting Cyclotron Laboratory on the campus of Michigan State University. We describe the technical details of this powerful setup and report on GRETINA's performance achieved with source and in-beam measurements. The γ-ray multiplicity encountered in experiments with fast beams is usually low, allowing for a simplified and efficient treatment of the data in the γ-ray analysis in terms of Doppler reconstruction and spectral quality. The results reported in this work were obtained from GRETINA consisting of 8 detector modules hosting four high-purity germanium crystals each. Currently, GRETINA consists of 10 detector modules.

The performance of the γ-ray tracking array GRETINA for γ-ray spectroscopy with fast beams of rare isotopes

Energy Technology Data Exchange (ETDEWEB)

Weisshaar, D., E-mail: weisshaar@nscl.msu.edu [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Bazin, D. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); Bender, P.C. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Campbell, C.M. [Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Recchia, F. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Bader, V.; Baugher, T. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); Belarge, J. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Carpenter, M.P. [Argonne National Laboratory, Argonne, IL 60439 (United States); Crawford, H.L.; Cromaz, M. [Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Elman, B. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); Fallon, P. [Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Forney, A. [Department of Chemistry and Biochemistry, University of Maryland, College Park, MD 20742 (United States); Gade, A. [National Superconducting Cyclotron Laboratory, Michigan State University, East Lansing, MI 48824 (United States); Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 (United States); and others

2017-03-01

The γ-ray tracking array GRETINA was coupled to the S800 magnetic spectrometer for spectroscopy with fast beams of rare isotopes at the National Superconducting Cyclotron Laboratory on the campus of Michigan State University. We describe the technical details of this powerful setup and report on GRETINA's performance achieved with source and in-beam measurements. The γ-ray multiplicity encountered in experiments with fast beams is usually low, allowing for a simplified and efficient treatment of the data in the γ-ray analysis in terms of Doppler reconstruction and spectral quality. The results reported in this work were obtained from GRETINA consisting of 8 detector modules hosting four high-purity germanium crystals each. Currently, GRETINA consists of 10 detector modules.

Using location tracking data to assess efficiency in established clinical workflows.

Science.gov (United States)

Meyer, Mark; Fairbrother, Pamela; Egan, Marie; Chueh, Henry; Sandberg, Warren S

2006-01-01

Location tracking systems are becoming more prevalent in clinical settings yet applications still are not common. We have designed a system to aid in the assessment of clinical workflow efficiency. Location data is captured from active RFID tags and processed into usable data. These data are stored and presented visually with trending capability over time. The system allows quick assessments of the impact of process changes on workflow, and isolates areas for improvement.

Testbeam results of the first real-time embedded tracking system with artificial retina

Energy Technology Data Exchange (ETDEWEB)

Neri, N., E-mail: nicola.neri@mi.infn.it; Abba, A.; Caponio, F.; Citterio, M.; Coelli, S.; Fu, J.; Merli, A.; Monti, M.; Petruzzo, M.

2017-02-11

We present the testbeam results of the first real-time embedded tracking system based on artificial retina algorithm. The tracking system prototype is capable of fast track reconstruction with a latency of the response below 1 μs and track parameter resolutions that are comparable with the offline results. The artificial retina algorithm was implemented in hardware in a custom data acquisition board based on commercial FPGA. The system was tested successfully using a 180 GeV/c proton beam at the CERN SPS with a maximum track rate of about 280 kHz. Online track parameters were found in good agreement with offline results and with the simulated response. - Highlights: • First real-time tracking system based on artificial retina algorithm tested on beam. • Fast track reconstruction within one microsecond latency and offline like quality. • Fast tracking algorithm implemented in commercial FPGAs.

What Is Required to End the AIDS Epidemic as a Public Health Threat by 2030? The Cost and Impact of the Fast-Track Approach.

Directory of Open Access Journals (Sweden)

John Stover

Full Text Available In 2011 a new Investment Framework was proposed that described how the scale-up of key HIV interventions could dramatically reduce new HIV infections and AIDS-related deaths in low and middle income countries by 2015. This framework included ambitious coverage goals for prevention and treatment services for 2015, resulting in a reduction of new HIV infections by more than half, in line with the goals of the declaration of the UN High Level Meeting in June 2011. However, the approach suggested a leveling in the number of new infections at about 1 million annually-far from the UNAIDS goal of ending AIDS by 2030. In response, UNAIDS has developed the Fast-Track approach that is intended to provide a roadmap to the actions required to achieve this goal. The Fast-Track approach is predicated on a rapid scale-up of focused, effective prevention and treatment services over the next 5 years and then maintaining a high level of programme implementation until 2030. Fast-Track aims to reduce new infections and AIDS-related deaths by 90% from 2010 to 2030 and proposes a set of biomedical, behavioral and enabling intervention targets for 2020 and 2030 to achieve that goal, including the rapid scale-up initiative for antiretroviral treatment known as 90-90-90. Compared to a counterfactual scenario of constant coverage for all services at early-2015 levels, the Fast-Track approach would avert 18 million HIV infections and 11 million deaths from 2016 to 2030 globally. This paper describes the analysis that produced these targets and the estimated resources needed to achieve them in low- and middle-income countries. It indicates that it is possible to achieve these goals with a significant push to achieve rapid scale-up of key interventions between now and 2020. The annual resources required from all sources would rise to US$7.4Bn in low-income countries, US$8.2Bn in lower middle-income countries and US$10.5Bn in upper-middle-income-countries by 2020 before

On-demand calibration and evaluation for electromagnetically tracked laparoscope in augmented reality visualization.

Science.gov (United States)

Liu, Xinyang; Plishker, William; Zaki, George; Kang, Sukryool; Kane, Timothy D; Shekhar, Raj

2016-06-01

Common camera calibration methods employed in current laparoscopic augmented reality systems require the acquisition of multiple images of an entire checkerboard pattern from various poses. This lengthy procedure prevents performing laparoscope calibration in the operating room (OR). The purpose of this work was to develop a fast calibration method for electromagnetically (EM) tracked laparoscopes, such that the calibration can be performed in the OR on demand. We designed a mechanical tracking mount to uniquely and snugly position an EM sensor to an appropriate location on a conventional laparoscope. A tool named fCalib was developed to calibrate intrinsic camera parameters, distortion coefficients, and extrinsic parameters (transformation between the scope lens coordinate system and the EM sensor coordinate system) using a single image that shows an arbitrary portion of a special target pattern. For quick evaluation of calibration results in the OR, we integrated a tube phantom with fCalib prototype and overlaid a virtual representation of the tube on the live video scene. We compared spatial target registration error between the common OpenCV method and the fCalib method in a laboratory setting. In addition, we compared the calibration re-projection error between the EM tracking-based fCalib and the optical tracking-based fCalib in a clinical setting. Our results suggest that the proposed method is comparable to the OpenCV method. However, changing the environment, e.g., inserting or removing surgical tools, might affect re-projection accuracy for the EM tracking-based approach. Computational time of the fCalib method averaged 14.0 s (range 3.5 s-22.7 s). We developed and validated a prototype for fast calibration and evaluation of EM tracked conventional (forward viewing) laparoscopes. The calibration method achieved acceptable accuracy and was relatively fast and easy to be performed in the OR on demand.

Radiation-hardened fast acquisition/weak signal tracking system and method

Science.gov (United States)

Winternitz, Luke (Inventor); Boegner, Gregory J. (Inventor); Sirotzky, Steve (Inventor)

2009-01-01

A global positioning system (GPS) receiver and method of acquiring and tracking GPS signals comprises an antenna adapted to receive GPS signals; an analog radio frequency device operatively connected to the antenna and adapted to convert the GPS signals from an analog format to a digital format; a plurality of GPS signal tracking correlators operatively connected to the analog RF device; a GPS signal acquisition component operatively connected to the analog RF device and the plurality of GPS signal tracking correlators, wherein the GPS signal acquisition component is adapted to calculate a maximum vector on a databit correlation grid; and a microprocessor operatively connected to the plurality of GPS signal tracking correlators and the GPS signal acquisition component, wherein the microprocessor is adapted to compare the maximum vector with a predetermined correlation threshold to allow the GPS signal to be fully acquired and tracked.

A GPU implementation of a track-repeating algorithm for proton radiotherapy dose calculations

International Nuclear Information System (INIS)

Yepes, Pablo P; Mirkovic, Dragan; Taddei, Phillip J

2010-01-01

An essential component in proton radiotherapy is the algorithm to calculate the radiation dose to be delivered to the patient. The most common dose algorithms are fast but they are approximate analytical approaches. However their level of accuracy is not always satisfactory, especially for heterogeneous anatomical areas, like the thorax. Monte Carlo techniques provide superior accuracy; however, they often require large computation resources, which render them impractical for routine clinical use. Track-repeating algorithms, for example the fast dose calculator, have shown promise for achieving the accuracy of Monte Carlo simulations for proton radiotherapy dose calculations in a fraction of the computation time. We report on the implementation of the fast dose calculator for proton radiotherapy on a card equipped with graphics processor units (GPUs) rather than on a central processing unit architecture. This implementation reproduces the full Monte Carlo and CPU-based track-repeating dose calculations within 2%, while achieving a statistical uncertainty of 2% in less than 1 min utilizing one single GPU card, which should allow real-time accurate dose calculations.

A Hardware Fast Tracker for the ATLAS Trigger: The Fast TracKer (FTK) Project.

CERN Document Server

Asbah, Nedaa; The ATLAS collaboration

2015-01-01

The trigger system of the ATLAS experiment is designed to reduce the event rate from the LHC nominal bunch crossing at 40 MHz to about 1 kHz, at the design luminosity of 10^{34} cm^{-2} s{-1}. After a successful period of data taking from 2010 to early 2013, the LHC is restarting in 2015 with much higher instantaneous luminosity and this will increase the load on High Level Trigger system, the second stage of the selection based on software algorithms. More sophisticated algorithms will be needed to achieve higher background rejection while maintaining good efficiency for interesting physics signals. The Fast TracKer is part of the ATLAS trigger upgrade project; it is a hardware processor that will provide, at every level-1 accept (100 kHz) and within 100 microseconds, full tracking information for tracks with momentum as low as 1 GeV. Providing fast extensive access to tracking information, with resolution comparable to the offline reconstruction, the Fast Tracker will for example help the High Level Trigger...

Real-time non-rigid target tracking for ultrasound-guided clinical interventions

Science.gov (United States)

Zachiu, C.; Ries, M.; Ramaekers, P.; Guey, J.-L.; Moonen, C. T. W.; de Senneville, B. Denis

2017-10-01

Biological motion is a problem for non- or mini-invasive interventions when conducted in mobile/deformable organs due to the targeted pathology moving/deforming with the organ. This may lead to high miss rates and/or incomplete treatment of the pathology. Therefore, real-time tracking of the target anatomy during the intervention would be beneficial for such applications. Since the aforementioned interventions are often conducted under B-mode ultrasound (US) guidance, target tracking can be achieved via image registration, by comparing the acquired US images to a separate image established as positional reference. However, such US images are intrinsically altered by speckle noise, introducing incoherent gray-level intensity variations. This may prove problematic for existing intensity-based registration methods. In the current study we address US-based target tracking by employing the recently proposed EVolution registration algorithm. The method is, by construction, robust to transient gray-level intensities. Instead of directly matching image intensities, EVolution aligns similar contrast patterns in the images. Moreover, the displacement is computed by evaluating a matching criterion for image sub-regions rather than on a point-by-point basis, which typically provides more robust motion estimates. However, unlike similar previously published approaches, which assume rigid displacements in the image sub-regions, the EVolution algorithm integrates the matching criterion in a global functional, allowing the estimation of an elastic dense deformation. The approach was validated for soft tissue tracking under free-breathing conditions on the abdomen of seven healthy volunteers. Contact echography was performed on all volunteers, while three of the volunteers also underwent standoff echography. Each of the two modalities is predominantly specific to a particular type of non- or mini-invasive clinical intervention. The method demonstrated on average an accuracy of�

Fast Filter Central Drift Chamber Program. MAC Note 404

International Nuclear Information System (INIS)

Ford, W.T.

1979-01-01

A fast filter of the central detector tracking program was developed and tested. The search for tracks is conducted as in the full linking program - from the outermost layer hit to the next layer in. Any hit is accepted within a road centered which is large enough to allow for stero displacement and any curvature. With the fast filter, this is continued to the innermost layer, with five or more hits accepted as a track

Fast cine-magnetic resonance imaging point tracking for prostate cancer radiation therapy planning

International Nuclear Information System (INIS)

Dowling, J; Chandra, S; Dang, K; Fox, Chris D; Gill, Suki; Kron, T; Pham, D; Foroudi, F

2014-01-01

The analysis of intra-fraction organ motion is important for improving the precision of radiation therapy treatment delivery. One method to quantify this motion is for one or more observers to manually identify anatomic points of interest (POIs) on each slice of a cine-MRI sequence. However this is labour intensive and inter- and intra- observer variation can introduce uncertainty. In this paper a fast method for non-rigid registration based point tracking in cine-MRI sagittal and coronal series is described which identifies POIs in 0.98 seconds per sagittal slice and 1.35 seconds per coronal slice. The manual and automatic points were highly correlated (r>0.99, p<0.001) for all organs and the difference generally less than 1mm. For prostate planning peristalsis and rectal gas can result in unpredictable out of plane motion, suggesting the results may require manual verification.

The CDF II eXtremely fast tracker upgrade

Energy Technology Data Exchange (ETDEWEB)

Abulencia, A.; Azzurri, P.; Cochran, E.; Dittmann, J.; Donati, S.; Efron, J.; Erbacher, R.; Errede, D.; Fedorko, I.; Flanagan, G.; Forrest, R.; /Illinois U., Urbana

2006-09-01

The CDF II Extremely Fast Tracker is the trigger track processor which reconstructs charged particle tracks in the transverse plane of the CDF II central outer tracking chamber. The system is now being upgraded to perform a three dimensional track reconstruction. A review of the upgrade is presented here.

Study of hardware implementations of fast tracking algorithms

International Nuclear Information System (INIS)

Song, Z.; Huang, G.; Wang, D.; Lentdecker, G. De; Dong, J.; Léonard, A.; Robert, F.; Yang, Y.

2017-01-01

Real-time track reconstruction at high event rates is a major challenge for future experiments in high energy physics. To perform pattern-recognition and track fitting, artificial retina or Hough transformation methods have been introduced in the field which have to be implemented in FPGA firmware. In this note we report on a case study of a possible FPGA hardware implementation approach of the retina algorithm based on a Floating-Point core. Detailed measurements with this algorithm are investigated. Retina performance and capabilities of the FPGA are discussed along with perspectives for further optimization and applications.

Evaluation of the influence of pulmonary hypertension in ultra-fast-track anesthesia technique in adult patients undergoing cardiac surgery

Directory of Open Access Journals (Sweden)

Paulo Sérgio da Silva

2015-08-01

Full Text Available Abstract Objective: To evaluate the influence of pulmonary hypertension in the ultra-fast-track anesthesia technique in adult cardiac surgery. Methods: A retrospective study. They were included 40 patients divided into two groups: GI (without pulmonary hypertension and GII (with pulmonary hypertension. Based on data obtained by transthoracic echocardiography. We considered as the absence of pulmonary hypertension: a pulmonary artery systolic pressure (sPAP 40 mmHg associated with additional echocardiographic signs of PH. It was established as influence of pulmonary hypertension: the impossibility of extubation in the operating room, the increase in the time interval for extubation and reintubation the first 24 hours postoperatively. Univariate and multivariate analyzes were performed when necessary. Considered significant a P value <0.05. Results: The GI was composed of 21 patients and GII for 19. All patients (100% were extubated in the operating room in a medium time interval of 17.58±8.06 min with a median of 18 min in GII and 17 min in GI. PH did not increase the time interval for extubation (P=0.397. It required reintubation of 2 patients in GII (5% of the total, without statistically significant as compared to GI (P=0.488. Conclusion: In this study, pulmonary hypertension did not influence on ultra-fast-track anesthesia in adult cardiac surgery.

Fasting Ramadan in chronic kidney disease patients: Clinical and biochemical effects

Directory of Open Access Journals (Sweden)

Bernieh Bassam

2010-01-01

Full Text Available Fasting of the month of Ramadan is a pillar of Islam. Muslim patients with chronic kidney disease (CKD usually fast this month. To determine the effects of fasting on renal function in CKD patients, we prospectively studied 31 (19 males and mean age 54 ±14.2 years CKD patients during the month of Ramadan 1426 Hijra (4 th October - 4 th November 2005; 14 patients were in stage III CKD, 12 had stage IV and 5 had stage V. The mean estimated glomerular filtration rate (e-GFR was 29 ± 16.3 mL/min. Diabetes was the main cause of CKD (19 (61% patients, and hypertension was present in 22 (71% patients. Clinical assessment and renal function tests were performed one month prior to fasting then during and a month later. Medications were taken in two divided doses at sunset (time of breaking the fast and pre dawn (before starting the fast. All patients fasted the whole month of Ramadan with a good tolerance, tendency to weight reduction, and lower systolic and diastolic blood pressure. eGFR showed a significant improvement during the fast and the month after. The blood sugar was high during fasting with an increment in the Hb A1c. There was better lipid profile, reduction of the pro-teinuria and urinary sodium. We conclude that this study demonstrates a good tolerance and safety of fasting Ramadan in CKD patients.

Bellcord: a multilevel fast preprocessor for 1024 ECL channels

International Nuclear Information System (INIS)

Kerns, C.R.

1978-01-01

To provide a fast decision trigger on multiple tracks passing through multiwire proportional chambers, a high-speed (arriving at an answer in 60 ns) track counting system was developed at Fermilab. The circuit is capable of selecting the track multiplicities utilizing a coaxial cable ''Bus'' (the Bellcord) on which fast pulses are summed. Up to 16 Bellcord coax cables, each having 64 inputs, are fanned into a central ''Hub'' processor where the trigger level decision is made. 7 figures

ATLAS FTK: The Fast Tracker

CERN Document Server

T, Iizawa; The ATLAS collaboration

2014-01-01

The Fast TracKer (FTK) will perform global track reconstruction after each Level-1 trigger accept to enable the software-based High Level Trigger to have early access to tracking information. FTK is a dedicated processor based on a mixture of advanced technologies. Modern, powerful Field Programmable Gate Arrays (FPGAs) form an important part of the system architecture, and the large level of computing power required for pattern recognition is provided by incorporating standard-cell ASICs named Associative Memory (AM). FTK provides global track reconstruction in the full inner silicon detector in approximately 100 microseconds with resolution comparable to the offline algorithms. It allows a fast and precise detection of the primary and secondary vertex information. The track and vertex information is then used by the High Level Trigger algorithms, allowing highly improved trigger performance for the important signatures such as b-jets. In this paper, the architecture and the hardware development status of FT...

The fast tracker processor for hadronic collider triggers

CERN Document Server

Annovi, A; Bardi, A; Carosi, R; Dell'Orso, Mauro; D'Onofrio, M; Giannetti, P; Iannaccone, G; Morsani, F; Pietri, M; Varotto, G

2000-01-01

Perspective for precise and fast track reconstruction in future hadronic collider experiments are addressed. We discuss the feasibility of a pipelined highly parallelized processor dedicated to the implementation of a very fast algorithm. The algorithm is based on the use of a large bank of pre-stored combinations of trajectory points (patterns) for extremely complex tracking systems. The CMS experiment at LHC is used as a benchmark. Tracking data from the events selected by the level-1 trigger are sorted and filtered by the Fast Tracker processor at a rate of 100 kHz. This data organization allows the level-2 trigger logic to reconstruct full resolution traces with transverse momentum above few GeV and search secondary vertexes within typical level-2 times. 15 Refs.

Detection of a faint fast-moving near-Earth asteroid using the synthetic tracking technique

Energy Technology Data Exchange (ETDEWEB)

Zhai, Chengxing; Shao, Michael; Nemati, Bijan; Werne, Thomas; Zhou, Hanying; Turyshev, Slava G.; Sandhu, Jagmit [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109 (United States); Hallinan, Gregg; Harding, Leon K., E-mail: chengxing.zhai@jpl.nasa.gov [Department of Astronomy, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125 (United States)

2014-09-01

We report a detection of a faint near-Earth asteroid (NEA) using our synthetic tracking technique and the CHIMERA instrument on the Palomar 200 inch telescope. With an apparent magnitude of 23 (H = 29, assuming detection at 20 lunar distances), the asteroid was moving at 6.°32 day{sup –1} and was detected at a signal-to-noise ratio (S/N) of 15 using 30 s of data taken at a 16.7 Hz frame rate. The detection was confirmed by a second observation 77 minutes later at the same S/N. Because of its high proper motion, the NEA moved 7 arcsec over the 30 s of observation. Synthetic tracking avoided image degradation due to trailing loss that affects conventional techniques relying on 30 s exposures; the trailing loss would have degraded the surface brightness of the NEA image on the CCD down to an approximate magnitude of 25 making the object undetectable. This detection was a result of our 12 hr blind search conducted on the Palomar 200 inch telescope over two nights, scanning twice over six (5.°3 × 0.°046) fields. Detecting only one asteroid is consistent with Harris's estimates for the distribution of the asteroid population, which was used to predict a detection of 1.2 NEAs in the H-magnitude range 28-31 for the two nights. The experimental design, data analysis methods, and algorithms are presented. We also demonstrate milliarcsecond-level astrometry using observations of two known bright asteroids on the same system with synthetic tracking. We conclude by discussing strategies for scheduling observations to detect and characterize small and fast-moving NEAs using the new technique.

Getting on the fast track, or how to get an MLIS through distance education, with a specialization in medical librarianship.

Science.gov (United States)

Detlefsen, Ellen G

2004-01-01

The article describes an innovation in MLIS education for medical librarianship, with an introduction to the FastTrack, the distance education program at the University of Pittsburgh's library and information science school, together with an overview of a model program linking the biomedical library at Vanderbilt University with the School of Information Sciences in Pittsburgh. Admissions requirements and specific curriculum for the distance education master's degree are detailed in an FAQ format.

The design and simulated performance of a fast Level 1 track trigger for the ATLAS High Luminosity Upgrade

CERN Document Server

Martensson, Mikael; The ATLAS collaboration

2017-01-01

The ATLAS experiment at the High Luminosity LHC will face a fivefold increase in the number of interactions per bunch crossing relative to the ongoing Run 2. This will require a proportional improvement in rejection power at the earliest levels of the detector trigger system, while preserving good signal efficiency. One critical aspect of this improvement will be the implementation of precise track reconstruction, through which sharper trigger turn-on curves can be achieved, and b-tagging and tau-tagging techniques can in principle be implemented. The challenge of such a project comes in the development of a fast, custom electronic device integrated in the hardware based first trigger level of the experiment. This article will discuss the requirements, architecture and projected performance of the system in terms of tracking, timing and physics, based on detailed simulations. Studies are carried out using data from the strip subsystem only or both strip and pixel subsystems.

The design and simulated performance of a fast Level 1 track trigger for the ATLAS High Luminosity Upgrade

CERN Document Server

Martensson, Mikael; The ATLAS collaboration

2017-01-01

The ATLAS experiment at the high-luminosity LHC will face a five-fold increase in the number of interactions per collision relative to the ongoing Run 2. This will require a proportional improvement in rejection power at the earliest levels of the detector trigger system, while preserving good signal efficiency. One critical aspect of this improvement will be the implementation of precise track reconstruction, through which sharper trigger turn-on curves can be achieved, and b-tagging and tau-tagging techniques can in principle be implemented. The challenge of such a project comes in the development of a fast, custom electronic device integrated in the hardware-based first trigger level of the experiment, with repercussions propagating as far as the detector read-out philosophy. This talk will discuss the requirements, architecture and projected performance of the system in terms of tracking, timing and physics, based on detailed simulations. Studies are carried out comparing two detector geometries and using...

Decontaminate feature for tracking: adaptive tracking via evolutionary feature subset

Science.gov (United States)

Liu, Qiaoyuan; Wang, Yuru; Yin, Minghao; Ren, Jinchang; Li, Ruizhi

2017-11-01

Although various visual tracking algorithms have been proposed in the last 2-3 decades, it remains a challenging problem for effective tracking with fast motion, deformation, occlusion, etc. Under complex tracking conditions, most tracking models are not discriminative and adaptive enough. When the combined feature vectors are inputted to the visual models, this may lead to redundancy causing low efficiency and ambiguity causing poor performance. An effective tracking algorithm is proposed to decontaminate features for each video sequence adaptively, where the visual modeling is treated as an optimization problem from the perspective of evolution. Every feature vector is compared to a biological individual and then decontaminated via classical evolutionary algorithms. With the optimized subsets of features, the "curse of dimensionality" has been avoided while the accuracy of the visual model has been improved. The proposed algorithm has been tested on several publicly available datasets with various tracking challenges and benchmarked with a number of state-of-the-art approaches. The comprehensive experiments have demonstrated the efficacy of the proposed methodology.

4D tracking with ultra-fast silicon detectors

Science.gov (United States)

F-W Sadrozinski, Hartmut; Seiden, Abraham; Cartiglia, Nicolò

2018-02-01

The evolution of particle detectors has always pushed the technological limit in order to provide enabling technologies to researchers in all fields of science. One archetypal example is the evolution of silicon detectors, from a system with a few channels 30 years ago, to the tens of millions of independent pixels currently used to track charged particles in all major particle physics experiments. Nowadays, silicon detectors are ubiquitous not only in research laboratories but in almost every high-tech apparatus, from portable phones to hospitals. In this contribution, we present a new direction in the evolution of silicon detectors for charge particle tracking, namely the inclusion of very accurate timing information. This enhancement of the present silicon detector paradigm is enabled by the inclusion of controlled low gain in the detector response, therefore increasing the detector output signal sufficiently to make timing measurement possible. After providing a short overview of the advantage of this new technology, we present the necessary conditions that need to be met for both sensor and readout electronics in order to achieve 4D tracking. In the last section, we present the experimental results, demonstrating the validity of our research path.

Tracking by Machine Learning Methods

CERN Document Server

Jofrehei, Arash

2015-01-01

Current track reconstructing methods start with two points and then for each layer loop through all possible hits to find proper hits to add to that track. Another idea would be to use this large number of already reconstructed events and/or simulated data and train a machine on this data to find tracks given hit pixels. Training time could be long but real time tracking is really fast Simulation might not be as realistic as real data but tacking has been done for that with 100 percent efficiency while by using real data we would probably be limited to current efficiency.

Object Tracking via 2DPCA and l2-Regularization

Directory of Open Access Journals (Sweden)

Haijun Wang

2016-01-01

Full Text Available We present a fast and robust object tracking algorithm by using 2DPCA and l2-regularization in a Bayesian inference framework. Firstly, we model the challenging appearance of the tracked object using 2DPCA bases, which exploit the strength of subspace representation. Secondly, we adopt the l2-regularization to solve the proposed presentation model and remove the trivial templates from the sparse tracking method which can provide a more fast tracking performance. Finally, we present a novel likelihood function that considers the reconstruction error, which is concluded from the orthogonal left-projection matrix and the orthogonal right-projection matrix. Experimental results on several challenging image sequences demonstrate that the proposed method can achieve more favorable performance against state-of-the-art tracking algorithms.

Transforming clinical practice guidelines and clinical pathways into fast-and-frugal decision trees to improve clinical care strategies.

Science.gov (United States)

Djulbegovic, Benjamin; Hozo, Iztok; Dale, William

2018-02-27

Contemporary delivery of health care is inappropriate in many ways, largely due to suboptimal Q5 decision-making. A typical approach to improve practitioners' decision-making is to develop evidence-based clinical practice guidelines (CPG) by guidelines panels, who are instructed to use their judgments to derive practice recommendations. However, mechanisms for the formulation of guideline judgments remains a "black-box" operation-a process with defined inputs and outputs but without sufficient knowledge of its internal workings. Increased explicitness and transparency in the process can be achieved by implementing CPG as clinical pathways (CPs) (also known as clinical algorithms or flow-charts). However, clinical recommendations thus derived are typically ad hoc and developed by experts in a theory-free environment. As any recommendation can be right (true positive or negative), or wrong (false positive or negative), the lack of theoretical structure precludes the quantitative assessment of the management strategies recommended by CPGs/CPs. To realize the full potential of CPGs/CPs, they need to be placed on more solid theoretical grounds. We believe this potential can be best realized by converting CPGs/CPs within the heuristic theory of decision-making, often implemented as fast-and-frugal (FFT) decision trees. This is possible because FFT heuristic strategy of decision-making can be linked to signal detection theory, evidence accumulation theory, and a threshold model of decision-making, which, in turn, allows quantitative analysis of the accuracy of clinical management strategies. Fast-and-frugal provides a simple and transparent, yet solid and robust, methodological framework connecting decision science to clinical care, a sorely needed missing link between CPGs/CPs and patient outcomes. We therefore advocate that all guidelines panels express their recommendations as CPs, which in turn should be converted into FFTs to guide clinical care. © 2018 John Wiley

Overview of the ATLAS Fast Tracker Project

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00025195; The ATLAS collaboration

2016-01-01

The next LHC runs, with a significant increase in instantaneous luminosity, will provide a big challenge for the trigger and data acquisition systems of all the experiments. An intensive use of the tracking information at the trigger level will be important to keep high efficiency for interesting events despite the increase in multiple collisions per bunch crossing. In order to increase the use of tracks within the High Level Trigger, the ATLAS experiment planned the installation of a hardware processor dedicated to tracking: the Fast TracKer processor. The Fast Tracker is designed to perform full scan track reconstruction of every event accepted by the ATLAS first level hardware trigger. To achieve this goal the system uses a parallel architecture, with algorithms designed to exploit the computing power of custom Associative Memory chips, and modern field programmable gate arrays. The processor will provide computing power to reconstruct tracks with transverse momentum greater than 1 GeV in the whole trackin...

Object tracking on mobile devices using binary descriptors

Science.gov (United States)

Savakis, Andreas; Quraishi, Mohammad Faiz; Minnehan, Breton

2015-03-01

With the growing ubiquity of mobile devices, advanced applications are relying on computer vision techniques to provide novel experiences for users. Currently, few tracking approaches take into consideration the resource constraints on mobile devices. Designing efficient tracking algorithms and optimizing performance for mobile devices can result in better and more efficient tracking for applications, such as augmented reality. In this paper, we use binary descriptors, including Fast Retina Keypoint (FREAK), Oriented FAST and Rotated BRIEF (ORB), Binary Robust Independent Features (BRIEF), and Binary Robust Invariant Scalable Keypoints (BRISK) to obtain real time tracking performance on mobile devices. We consider both Google's Android and Apple's iOS operating systems to implement our tracking approach. The Android implementation is done using Android's Native Development Kit (NDK), which gives the performance benefits of using native code as well as access to legacy libraries. The iOS implementation was created using both the native Objective-C and the C++ programing languages. We also introduce simplified versions of the BRIEF and BRISK descriptors that improve processing speed without compromising tracking accuracy.

Pre-Hospital Fast Positive Cases Identified by DFB Ambulance Paramedics – Final Clinical Diagnosis

LENUS (Irish Health Repository)

Feeney, A

2016-04-01

Ischaemic stroke clinical outcomes are improved by earlier treatment with intravenous thrombolysis. An existing pathway at the Mater University Hospital for assessment of suspected acute stroke in the Emergency Department was updated, aiming to shorten ‘door to needle time’. This study examines the final clinical diagnosis of Dublin Fire Brigade Ambulance Paramedic identified Face Arm Speech Test (FAST) positive patients presenting to the Emergency Department over a 7 month period. A retrospective analysis was carried out of 177 consecutive FAST positive patients presenting between March and November 2014. The final clinical diagnosis was acute stroke in 57.1% (n=101) of patients. Of these, 76 were ischaemic strokes of whom 56.5% (n=43) were thrombolysed. In the pre-hospital setting Ambulance Paramedics can identify, with reasonable accuracy, acute stroke using the FAST test. Over half of the ischaemic stroke patients presenting via this pathway can be treated with intravenous thrombolysis

Fast algorithm of track reconstruction for the Delphy TPC

International Nuclear Information System (INIS)

Maillard, J.

1984-01-01

We describe a simple geometrical method (polar inversion) to reconstruct tracks. When the magnetic field is constant in magnitude and direction. This method uses geometrical properties of the trajectories. In the case of the DELPHI apparatus, the track reconstruction is done using TPC informations. After explaining the algorithm, we give results on ''GEANT'' simulated events using the ''Lund'' generator. Today we get a computer time of the order of 1.2 milliseconds on a CDC 7600 and an efficiency of 98% [fr

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy.

Science.gov (United States)

Khan, Sitara G; Klettas, Dimitris; Kapetanakis, Stam; Monaghan, Mark J

2016-03-01

Cardiac resynchronisation therapy (CRT) can profoundly improve outcome in selected patients with heart failure; however, response is difficult to predict and can be absent in up to one in three patients. There has been a substantial amount of interest in the echocardiographic assessment of left ventricular dyssynchrony, with the ultimate aim of reliably identifying patients who will respond to CRT. The measurement of myocardial deformation (strain) has conventionally been assessed using tissue Doppler imaging (TDI), which is limited by its angle dependence and ability to measure in a single plane. Two-dimensional speckle-tracking echocardiography is a technique that provides measurements of strain in three planes, by tracking patterns of ultrasound interference ('speckles') in the myocardial wall throughout the cardiac cycle. Since its initial use over 15 years ago, it has emerged as a tool that provides more robust, reproducible and sensitive markers of dyssynchrony than TDI. This article reviews the use of two-dimensional and three-dimensional speckle-tracking echocardiography in the assessment of dyssynchrony, including the identification of echocardiographic parameters that may hold predictive potential for the response to CRT. It also reviews the application of these techniques in guiding optimal LV lead placement pre-implant, with promising results in clinical improvement post-CRT. © 2016 The authors.

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy

Directory of Open Access Journals (Sweden)

Sitara G Khan

2016-05-01

Full Text Available Cardiac resynchronisation therapy (CRT can profoundly improve outcome in selected patients with heart failure; however, response is difficult to predict and can be absent in up to one in three patients. There has been a substantial amount of interest in the echocardiographic assessment of left ventricular dyssynchrony, with the ultimate aim of reliably identifying patients who will respond to CRT. The measurement of myocardial deformation (strain has conventionally been assessed using tissue Doppler imaging (TDI, which is limited by its angle dependence and ability to measure in a single plane. Two-dimensional speckle-tracking echocardiography is a technique that provides measurements of strain in three planes, by tracking patterns of ultrasound interference (‘speckles’ in the myocardial wall throughout the cardiac cycle. Since its initial use over 15 years ago, it has emerged as a tool that provides more robust, reproducible and sensitive markers of dyssynchrony than TDI. This article reviews the use of two-dimensional and three-dimensional speckle-tracking echocardiography in the assessment of dyssynchrony, including the identification of echocardiographic parameters that may hold predictive potential for the response to CRT. It also reviews the application of these techniques in guiding optimal LV lead placement pre-implant, with promising results in clinical improvement post-CRT.

The ATLAS fast tracker processor design

CERN Document Server

Volpi, Guido; Albicocco, Pietro; Alison, John; Ancu, Lucian Stefan; Anderson, James; Andari, Nansi; Andreani, Alessandro; Andreazza, Attilio; Annovi, Alberto; Antonelli, Mario; Asbah, Needa; Atkinson, Markus; Baines, J; Barberio, Elisabetta; Beccherle, Roberto; Beretta, Matteo; Biesuz, Nicolo Vladi; Blair, R E; Bogdan, Mircea; Boveia, Antonio; Britzger, Daniel; Bryant, Partick; Burghgrave, Blake; Calderini, Giovanni; Camplani, Alessandra; Cavaliere, Viviana; Cavasinni, Vincenzo; Chakraborty, Dhiman; Chang, Philip; Cheng, Yangyang; Citraro, Saverio; Citterio, Mauro; Crescioli, Francesco; Dawe, Noel; Dell'Orso, Mauro; Donati, Simone; Dondero, Paolo; Drake, G; Gadomski, Szymon; Gatta, Mauro; Gentsos, Christos; Giannetti, Paola; Gkaitatzis, Stamatios; Gramling, Johanna; Howarth, James William; Iizawa, Tomoya; Ilic, Nikolina; Jiang, Zihao; Kaji, Toshiaki; Kasten, Michael; Kawaguchi, Yoshimasa; Kim, Young Kee; Kimura, Naoki; Klimkovich, Tatsiana; Kolb, Mathis; Kordas, K; Krizka, Karol; Kubota, T; Lanza, Agostino; Li, Ho Ling; Liberali, Valentino; Lisovyi, Mykhailo; Liu, Lulu; Love, Jeremy; Luciano, Pierluigi; Luongo, Carmela; Magalotti, Daniel; Maznas, Ioannis; Meroni, Chiara; Mitani, Takashi; Nasimi, Hikmat; Negri, Andrea; Neroutsos, Panos; Neubauer, Mark; Nikolaidis, Spiridon; Okumura, Y; Pandini, Carlo; Petridou, Chariclia; Piendibene, Marco; Proudfoot, James; Rados, Petar Kevin; Roda, Chiara; Rossi, Enrico; Sakurai, Yuki; Sampsonidis, Dimitrios; Saxon, James; Schmitt, Stefan; Schoening, Andre; Shochet, Mel; Shoijaii, Jafar; Soltveit, Hans Kristian; Sotiropoulou, Calliope-Louisa; Stabile, Alberto; Swiatlowski, Maximilian J; Tang, Fukun; Taylor, Pierre Thor Elliot; Testa, Marianna; Tompkins, Lauren; Vercesi, V; Wang, Rui; Watari, Ryutaro; Zhang, Jianhong; Zeng, Jian Cong; Zou, Rui; Bertolucci, Federico

2015-01-01

The extended use of tracking information at the trigger level in the LHC is crucial for the trigger and data acquisition (TDAQ) system to fulfill its task. Precise and fast tracking is important to identify specific decay products of the Higgs boson or new phenomena, as well as to distinguish the contributions coming from the many collisions that occur at every bunch crossing. However, track reconstruction is among the most demanding tasks performed by the TDAQ computing farm; in fact, complete reconstruction at full Level-1 trigger accept rate (100 kHz) is not possible. In order to overcome this limitation, the ATLAS experiment is planning the installation of a dedicated processor, the Fast Tracker (FTK), which is aimed at achieving this goal. The FTK is a pipeline of high performance electronics, based on custom and commercial devices, which is expected to reconstruct, with high resolution, the trajectories of charged-particle tracks with a transverse momentum above 1 GeV, using the ATLAS inner tracker info...

L1Track: A fast Level 1 track trigger for the ATLAS high luminosity upgrade

International Nuclear Information System (INIS)

Cerri, Alessandro

2016-01-01

With the planned high-luminosity upgrade of the LHC (HL-LHC), the ATLAS detector will see its collision rate increase by approximately a factor of 5 with respect to the current LHC operation. The earliest hardware-based ATLAS trigger stage (“Level 1”) will have to provide a higher rejection factor in a more difficult environment: a new improved Level 1 trigger architecture is under study, which includes the possibility of extracting with low latency and high accuracy tracking information in time for the decision taking process. In this context, the feasibility of potential approaches aimed at providing low-latency high-quality tracking at Level 1 is discussed. - Highlights: • HL-LH requires highly performing event selection. • ATLAS is studying the implementation of tracking at the very first trigger level. • Low latency and high-quality seem to be achievable with dedicated hardware and adequate detector readout architecture.

The Fleet Application for Scheduling and Tracking (FAST) Management Website

Science.gov (United States)

Marrero-Perez, Radames J.

2014-01-01

The FAST application was designed to replace the paper and pen method of checking out and checking in GSA Vehicles at KSC. By innovating from a paper and pen based checkout system to a fully digital one, not only the resources wasted by printing the checkout forms have been reduced, but it also reduces significantly the time that users and fleet managers need to interact with the system as well as improving the record accuracy for each vehicle. The vehicle information is pulled from a centralized database server in the SPSDL. In an attempt to add a new feature to the FAST application, the author of this report (alongside the FAST developers) has been designing and developing the FAST Management Website. The GSA fleet managers had to rely on the FAST developers in order to add new vehicles, edit vehicles and previous transactions, or for generating vehicles reports. By providing an easy-to-use FAST Management Website portal, the GSA fleet managers are now able to easily move vehicles, edit records, and print reports.

Fast symplectic map tracking for the CERN Large Hadron Collider

Directory of Open Access Journals (Sweden)

Dan T. Abell

2003-06-01

Full Text Available Tracking simulations remain the essential tool for evaluating how multipolar imperfections in ring magnets restrict the domain of stable phase-space motion. In the Large Hadron Collider (LHC at CERN, particles circulate at the injection energy, when multipole errors are most significant, for more than 10^{7} turns, but systematic tracking studies are limited to a small fraction of this total time—even on modern computers. A considerable speedup is expected by replacing element-by-element tracking with the use of a symplectified one-turn map. We have applied this method to the realistic LHC lattice, version 6, and report here our results for various map orders, with special emphasis on precision and speed.

Dilute scintillators for large-volume tracking detectors

Energy Technology Data Exchange (ETDEWEB)

Reeder, R.A. (University of New Mexico, Albuquerque, NM (United States)); Dieterle, B.D. (University of New Mexico, Albuquerque, NM (United States)); Gregory, C. (University of New Mexico, Albuquerque, NM (United States)); Schaefer, F. (University of New Mexico, Albuquerque, NM (United States)); Schum, K. (University of New Mexico, Albuquerque, NM (United States)); Strossman, W. (University of California, Riverside, CA (United States)); Smith, D. (Embry-Riddle Aeronautical Univ., Prescott, AZ (United States)); Christofek, L. (Los Alamos National Lab., NM (United States)); Johnston, K. (Los Alamos National Lab., NM (United States)); Louis, W.C. (Los Alamos National Lab., NM (United States)); Schillaci, M. (Los Alamos National Lab., NM (United States)); Volta, M. (Los Alamos National Lab., NM (United States)); White, D.H. (Los Alamos National Lab., NM (United States)); Whitehouse, D. (Los Alamos National Lab., NM (United States)); Albert, M. (University of Pennsylvania, Phi

1993-10-01

Dilute scintillation mixtures emit isotropic light for both fast and slow particles, but retain the Cherenkov light cone from fast particles. Large volume detectors using photomultipliers to reconstruct relativistic tracks will also be sensitive to slow particles if they are filled with these mixtures. Our data show that 0.03 g/l of b-PBD in mineral oil has a 2.4:1 ratio (in the first 12 ns) of isotropic light to Cherenkov light for positron tracks. The light attenuation length is greater than 15 m for wavelength above 400 nm, and the scintillation decay time is about 2 ns for the fast component. There is also a slow isotropic light component that is larger (relative to the fast component) for protons than for electrons. This effect allows particle identification by a technique similar to pulse shape discrimination. These features will be utilized in LSND, a neutrino detector at LAMPF. (orig.)

The Fast Tracker Real Time Processor: high quality real-time tracking at ATLAS

CERN Document Server

Stabile, A; The ATLAS collaboration

2011-01-01

As the LHC luminosity is ramped up to the design level of 1x1034 cm−2 s−1 and beyond, the high rates, multiplicities, and energies of particles seen by the detectors will pose a unique challenge. Only a tiny fraction of the produced collisions can be stored on tape and immense real-time data reduction is needed. An effective trigger system must maintain high trigger efficiencies for the most important physics and at the same time suppress the enormous QCD backgrounds. This requires massive computing power to minimize the online execution time of complex algorithms. A multi-level trigger is an effective solution for an otherwise impossible problem. The Fast Tracker (FTK)[1], [2] is a proposed upgrade to the current ATLAS trigger system that will operate at full Level-1 output rates and provide high quality tracks reconstructed over the entire detector by the start of processing in Level-2. FTK is a dedicated Super Computer based on a mixture of advanced technologies. The architecture broadly employs powerf...

The impact of a fast track area on quality and effectiveness outcomes: a Middle Eastern emergency department perspective.

LENUS (Irish Health Repository)

Devkaran, Subashnie

2009-01-01

BACKGROUND: Emergency department (ED) overcrowding is a ubiquitous problem with serious public health implications. The fast track area is a novel method which aims to reduce waiting time, patient dissatisfaction and morbidity. |The study objective was to determine the impact of a fast track area (FTA) on both effectiveness measures (i.e. waiting times [WT] and length of stay [LOS]) and quality measures (i.e. LWBS rates and mortality rates) in non-urgent patients. The secondary objective was to assess if a FTA negatively impacted on urgent patients entering the ED. METHODS: The study took place in a 500 bed, urban, tertiary care hospital in Abu Dhabi, United Arab Emirates. This was a quasi-experimental, which examined the impact of a FTA on a pre-intervention control group (January 2005) (n = 4,779) versus a post-intervention study group (January 2006) (n = 5,706). RESULTS: Mean WTs of Canadian Triage Acuity Scale (CTAS) 4 patients decreased by 22 min (95% CI 21 min to 24 min, P < 0.001). Similarly, mean WTs of CTAS 5 patients decreased by 28 min (95% CI 19 min to 37 min, P < 0.001) post FTA. The mean WTs of urgent patients (CTAS 2\\/3) were also significantly reduced after the FTA was opened (P < 0.001). The LWBS rate was reduced from 4.7% to 0.7% (95% CI 3.37 to 4.64; P < 0.001). Opening a FTA had no significant impact on mortality rates (P = 0.88). CONCLUSION: The FTA improved ED effectiveness (WTs and LOS) and quality measures (LWBS rates) whereas mortality rate remained unchanged.

Overview of the ATLAS Fast Tracker Project

CERN Document Server

Ancu, Lucian Stefan; The ATLAS collaboration

2016-01-01

The next LHC runs, with a significant increase in instantaneous luminosity, will provide a big challenge for the trigger and data acquisition systems of all the experiments. An intensive use of the tracking information at the trigger level will be important to keep high efficiency for interesting events despite the increase in multiple collisions per bunch crossing. In order to increase the use of tracks within the High Level Trigger, the ATLAS experiment planned the installation of a hardware processor dedicated to tracking: the Fast TracKer processor. The Fast Tracker is designed to perform full scan track reconstruction of every event accepted by the ATLAS first level hardware trigger. To achieve this goal the system uses a parallel architecture, with algorithms designed to exploit the computing power of custom Associative Memory chips, and modern field programmable gate arrays. The processor will provide computing power to reconstruct tracks with transverse momentum greater than 1 GeV in the whol...

Fasting: Molecular Mechanisms and Clinical Applications

Science.gov (United States)

Longo, Valter D.; Mattson, Mark P.

2014-01-01

Fasting has been practiced for millennia, but only recently studies have shed light on its role in adaptive cellular responses that reduce oxidative damage and inflammation, optimize energy metabolism and bolster cellular protection. In lower eukaryotes, chronic fasting extends longevity in part by reprogramming metabolic and stress resistance pathways. In rodents intermittent or periodic fasting protects against diabetes, cancers, heart disease and neurodegeneration, while in humans it helps reduce obesity, hypertension, asthma and rheumatoid arthritis. Thus, fasting has the potential to delay aging and help prevent and treat diseases while minimizing the side effects caused by chronic dietary interventions. PMID:24440038

An energy and direction independent fast neutron dosemeter based on electrochemically etched CR-39 nuclear track detectors

International Nuclear Information System (INIS)

James, K.; Matiullah; Durrani, S.A.

1987-01-01

A computer-based model is presented, which simulates the dose equivalent response of electrochemically etched CR-39 to fast neutrons of various energies and angles of incidence. Most previous calculations of the response of CR-39 have neglected the production of recoiling oxygen and carbon nuclei as well as α particles in the CR-39. We calculate that these 'heavy recoils' and α particles are the major source of electrochemically etchable tracks in bare CR-39 at neutron energies above approx. 2 MeV under typical etching conditions. Our calculations have been extended to predict the response of CR-39 used in conjunction with various combinations of polymeric front radiators and we have determined the radiator stack configuration with produces the most energy independent response. Again, the heavy recoils and α particles cannot be neglected and, for energies above approx. 2 MeV, these produce typically about 20% of the total response of our optimum stack. This type of fast neutron dosemeter is, however, strongly direction dependent. We have integrated the response over all appropriate angles to predict the dose equivalent response for two representative neutron fields, and we suggest a method for minimising the angular dependence. (author)

Effects of intermittent fasting on body composition and clinical health markers in humans.

Science.gov (United States)

Tinsley, Grant M; La Bounty, Paul M

2015-10-01

Intermittent fasting is a broad term that encompasses a variety of programs that manipulate the timing of eating occasions by utilizing short-term fasts in order to improve body composition and overall health. This review examines studies conducted on intermittent fasting programs to determine if they are effective at improving body composition and clinical health markers associated with disease. Intermittent fasting protocols can be grouped into alternate-day fasting, whole-day fasting, and time-restricted feeding. Alternate-day fasting trials of 3 to 12 weeks in duration appear to be effective at reducing body weight (≈3%-7%), body fat (≈3-5.5 kg), total cholesterol (≈10%-21%), and triglycerides (≈14%-42%) in normal-weight, overweight, and obese humans. Whole-day fasting trials lasting 12 to 24 weeks also reduce body weight (≈3%-9%) and body fat, and favorably improve blood lipids (≈5%-20% reduction in total cholesterol and ≈17%-50% reduction in triglycerides). Research on time-restricted feeding is limited, and clear conclusions cannot be made at present. Future studies should examine long-term effects of intermittent fasting and the potential synergistic effects of combining intermittent fasting with exercise. © The Author(s) 2015. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Fasting: molecular mechanisms and clinical applications.

Science.gov (United States)

Longo, Valter D; Mattson, Mark P

2014-02-04

Fasting has been practiced for millennia, but, only recently, studies have shed light on its role in adaptive cellular responses that reduce oxidative damage and inflammation, optimize energy metabolism, and bolster cellular protection. In lower eukaryotes, chronic fasting extends longevity, in part, by reprogramming metabolic and stress resistance pathways. In rodents intermittent or periodic fasting protects against diabetes, cancers, heart disease, and neurodegeneration, while in humans it helps reduce obesity, hypertension, asthma, and rheumatoid arthritis. Thus, fasting has the potential to delay aging and help prevent and treat diseases while minimizing the side effects caused by chronic dietary interventions. Copyright © 2014 Elsevier Inc. All rights reserved.

Nuclear Track-Etched Pore Membrane Production Using OAEP's Research Reactor

International Nuclear Information System (INIS)

Chittrakarn, Thawat; Bhongsuwan, Tripob; Wanichapichart, Pikul; Nuanuin, Paiboon; Chongkum, Somporn; Khonduangkaew, Areerat; Bordeepong, Sunaree

2003-10-01

Result of this study shows that the OAEP's nuclear research reactor is a good source of both fast and thermal neutrons for pore piercing process on polycarbonate thin film. With our experimental design, the fast neutron provides better results in pore piercing comparing with thermal neutron bombardment. This can be explained that most of the latent tracks that occur by thermal neutron bombardment do not piercing through the thin film. Chemical etching process using NaOH solution with an appropriated time, concentration and temperature was employed to enlarge the latent tracks in the bombarded film by fast neutrons. Fast neutron bombardment with 5, 10 and 20 minutes bombarding time successfully produces the nuclear track membrane. Pore size and pore density of the produced membranes examined by SEM were 0.24-1.01 μm and 4.67 - 245 x 10 6 pore/cm 2 , respectively. Bubble point test showed the maximum pore diameter of the produced membrane ranged between 1.18 - 3.25 μm. Water permeability was studied and compared between the produced and commercial membranes

Fast tracking detector with fiber scintillators and a position sensitive photomultiplier

International Nuclear Information System (INIS)

Salomon, M.; Li, V.; Smith, G.; Wu, Y.S.

1988-11-01

We have studied the properties of a tracking detector composed of 32 fiber scintillators coupled to a multianode photomultiplier placed in a pion beam at TRIUMF. We measured the efficiency of the detector, as well as its tracking capabilities and double hit resolution

FATRAS - the ATLAS Fast Track Simulation project

NARCIS (Netherlands)

Mechnich, J.

2011-01-01

The Monte Carlo simulation of the detector response is an integral component of any analysis performed with data from the LHC experiments. As these simulated data sets must be both large and precise, their production is a CPU-intensive task. ATLAS has developed full and fast detector simulation

Diagnostic methods for fast-track identification of endometrial cancer in women with postmenopausal bleeding and endometrial thickness greater than 5 mm

DEFF Research Database (Denmark)

Dueholm, Margit; Marinowskij, Edvard; Hansen, Estrid Stæhr

2015-01-01

efficiency (area under the curve) for malignancy diagnosis (ES, 0.90; TVS, 0.88; GIS, 0.92; HYpattern, 0.91). When insufficient samples were incorporated, ES was less efficient than the other techniques. ES was not more efficient in the subgroup of women without localized lesions than in the subgroup...... of women with localized lesions. MRI and HYpattern added limited efficiency, whereas hysteroscopy with biopsy was most efficient. CONCLUSIONS: As a first-line technique, pattern recognition on TVS, GIS, and HYpattern correctly identifies 9 of 10 women with malignancy and is superior to pattern recognition...... on ES when insufficient samples are included. Endometrial pattern evaluated with TVS and GIS is a fast and efficient first-line diagnostic tool that outperforms ES in women with or without localized lesions. Malignant patterns on TVS/GIS should warrant fast-track evaluation, whereas women with benign...

Multiphase Interface Tracking with Fast Semi-Lagrangian Contouring.

Science.gov (United States)

Li, Xiaosheng; He, Xiaowei; Liu, Xuehui; Zhang, Jian J; Liu, Baoquan; Wu, Enhua

2016-08-01

We propose a semi-Lagrangian method for multiphase interface tracking. In contrast to previous methods, our method maintains an explicit polygonal mesh, which is reconstructed from an unsigned distance function and an indicator function, to track the interface of arbitrary number of phases. The surface mesh is reconstructed at each step using an efficient multiphase polygonization procedure with precomputed stencils while the distance and indicator function are updated with an accurate semi-Lagrangian path tracing from the meshes of the last step. Furthermore, we provide an adaptive data structure, multiphase distance tree, to accelerate the updating of both the distance function and the indicator function. In addition, the adaptive structure also enables us to contour the distance tree accurately with simple bisection techniques. The major advantage of our method is that it can easily handle topological changes without ambiguities and preserve both the sharp features and the volume well. We will evaluate its efficiency, accuracy and robustness in the results part with several examples.

Fasting: Molecular Mechanisms and Clinical Applications

OpenAIRE

Longo, Valter D.; Mattson, Mark P.

2014-01-01

Fasting has been practiced for millennia, but only recently studies have shed light on its role in adaptive cellular responses that reduce oxidative damage and inflammation, optimize energy metabolism and bolster cellular protection. In lower eukaryotes, chronic fasting extends longevity in part by reprogramming metabolic and stress resistance pathways. In rodents intermittent or periodic fasting protects against diabetes, cancers, heart disease and neurodegeneration, while in humans it helps...

Application of fast track surgery strategy in perioperative period of primary suture of laparoscopic choledocholithotomy

Directory of Open Access Journals (Sweden)

LIU Jinheng

2016-11-01

Full Text Available ObjectiveTo investigate the clinical application value of fast track surgery strategy (EARS in the perioperative period of primary suture of laparoscopy in the treatment of common bile duct stones. MethodsA total of 64 patients with gallstones complicated by common bile duct stones who were hospitalized in Department of Hepatobiliary Surgery in The Second People′s Hospital of Chengdu from October 2015 to February 2016 were enrolled, and according to the treatment in the perioperative period, the patients were divided into EARS group (32 patients and control group (32 patients. Clinical indices and complications were compared between the two groups. The t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsCompared with the control group, the ERAS group had significantly shortened time of extraction of drainage tube (1.6±0.9 d vs 2.7±1.0 d, t=-5.675, P＜0.01 and length of hospital stay (5.1±1.0 d vs 6.8±1.1 d, t=-5.910, P＜0.01, significantly shorter time to first ambulation (1.0±0.3 d vs 1.6±0.7 d, t=-4.313, P＜0.01 and time to intestinal functional recovery (1.1±0.4 d vs 1.8±0.6 d, t=-4.842, P＜0.01, a significantly shortened time to stopping infusion after surgery (3.8±1.0 d vs 4.9±1.2 d, t=-3.923, P＜0.01, significantly reduced total hospital costs (17 433.5±1411.3 ten thousand yuan vs 26 651.6±2945.8 ten thousand yuan, t=-15.942, P＜0.001, a significantly lower proportion of patients who experienced pain after surgery ［4 (12.5% vs 13 (40.6%, χ2=6.490, P=0.011］, and significantly lower levels of alanine aminotransferase (105.25±35.34 U/L vs 179.00±48.64 U/L, t=-5.973, P＜0.05 and total bilirubin (50.78±12.60 μmol/L vs 79.70±18.56 μmol/L, t=-7.090, P＜0.05 after surgery. ConclusionEARS is highly practical in the perioperative period of laparoscopic surgery and can promote patients′ rapid recovery. Therefore

Energy dependence of fast neutron dosimetry using electrochemical etching

International Nuclear Information System (INIS)

Su, S.J.; Morgan, K.Z.

1978-01-01

Registration of fast-neutron induced recoil tracks by the electrochemical etching technique as applied to sensitive Lexan polycarbonate foils provides a simple and inexpensive means of fast neutron personnel dosimetry. The sensitivity (tracks/neutron) of recoil particle registration is given as a function of neutron energy. Neutrons of 7 Li (p,n) 7 Be, 3 T (d,n) 4 He and 9 B, respectively. Results are compared with other studies using other neutron sources and conventional etching method

Registration of clinical volumes to beams-eye-view images for real-time tracking

Energy Technology Data Exchange (ETDEWEB)

Bryant, Jonathan H.; Rottmann, Joerg; Lewis, John H.; Mishra, Pankaj; Berbeco, Ross I., E-mail: rberbeco@lroc.harvard.edu [Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts 02115 (United States); Keall, Paul J. [Radiation Physics Laboratory, Sydney Medical School, University of Sydney, Sydney, New South Wales 2006 (Australia)

2014-12-15

Purpose: The authors combine the registration of 2D beam’s eye view (BEV) images and 3D planning computed tomography (CT) images, with relative, markerless tumor tracking to provide automatic absolute tracking of physician defined volumes such as the gross tumor volume (GTV). Methods: During treatment of lung SBRT cases, BEV images were continuously acquired with an electronic portal imaging device (EPID) operating in cine mode. For absolute registration of physician-defined volumes, an intensity based 2D/3D registration to the planning CT was performed using the end-of-exhale (EoE) phase of the four dimensional computed tomography (4DCT). The volume was converted from Hounsfield units into electron density by a calibration curve and digitally reconstructed radiographs (DRRs) were generated for each beam geometry. Using normalized cross correlation between the DRR and an EoE BEV image, the best in-plane rigid transformation was found. The transformation was applied to physician-defined contours in the planning CT, mapping them into the EPID image domain. A robust multiregion method of relative markerless lung tumor tracking quantified deviations from the EoE position. Results: The success of 2D/3D registration was demonstrated at the EoE breathing phase. By registering at this phase and then employing a separate technique for relative tracking, the authors are able to successfully track target volumes in the BEV images throughout the entire treatment delivery. Conclusions: Through the combination of EPID/4DCT registration and relative tracking, a necessary step toward the clinical implementation of BEV tracking has been completed. The knowledge of tumor volumes relative to the treatment field is important for future applications like real-time motion management, adaptive radiotherapy, and delivered dose calculations.

Analysis of the use of obfusctated web tracking

OpenAIRE

Fallace, Federico

2017-01-01

In the last years, web tracking has became a fast-growing phenomenon. Pro- filing users to provide targeted advertisement is a business that counts hundreds of companies and billions of dollars. On the other hand, communities, researchers and other companies are building countermeasures to prevent tracking practices, so the techniques are becoming more sophisticated and hidden. This work has the goal of uncovering the obfuscation that is becoming common in web tracking metho...

Single-photon sensitive fast ebCMOS camera system for multiple-target tracking of single fluorophores: application to nano-biophotonics

Science.gov (United States)

Cajgfinger, Thomas; Chabanat, Eric; Dominjon, Agnes; Doan, Quang T.; Guerin, Cyrille; Houles, Julien; Barbier, Remi

2011-03-01

Nano-biophotonics applications will benefit from new fluorescent microscopy methods based essentially on super-resolution techniques (beyond the diffraction limit) on large biological structures (membranes) with fast frame rate (1000 Hz). This trend tends to push the photon detectors to the single-photon counting regime and the camera acquisition system to real time dynamic multiple-target tracing. The LUSIPHER prototype presented in this paper aims to give a different approach than those of Electron Multiplied CCD (EMCCD) technology and try to answer to the stringent demands of the new nano-biophotonics imaging techniques. The electron bombarded CMOS (ebCMOS) device has the potential to respond to this challenge, thanks to the linear gain of the accelerating high voltage of the photo-cathode, to the possible ultra fast frame rate of CMOS sensors and to the single-photon sensitivity. We produced a camera system based on a 640 kPixels ebCMOS with its acquisition system. The proof of concept for single-photon based tracking for multiple single-emitters is the main result of this paper.

Experience with "Fast track" postoperative care after deep brain stimulation surgery.

Science.gov (United States)

Martín, Nuria; Valero, Ricard; Hurtado, Paola; Gracia, Isabel; Fernández, Carla; Rumià, Jordi; Valldeoriola, Francesc; Carrero, Enrique J; Tercero, Francisco Javier; de Riva, Nicolás; Fàbregas, Neus

A 24-h-stay in the post-anesthesia care unit (PACU) is a common postoperative procedure after deep brain stimulation surgery (DBS). We evaluated the impact of a fast-track (FT) postoperative care protocol. An analysis was performed on all patients who underwent DBS in 2 periods: 2006, overnight monitored care (OMC group), and 2007-2013, FT care (FT group). The study included 19 patients in OMC and 95 patients in FT. Intraoperative complications occurred in 26.3% patients in OMC vs. 35.8% in FT. Post-operatively, one patient in OMC developed hemiparesis, and agitation in 2 patients. In FT, two patients with intraoperative hemiparesis were transferred to the ICU. While on the ward, 3 patients from the FT developed hemiparesis, two of them 48h after the procedure. Thirty eight percent of FT had an MRI scan, while the remaining 62% and all patients of OMC had a CT-scan performed on their transfer to the ward. One patient in OMC had a subthalamic hematoma. Two patients in FT had a pallidal hematoma, and 3 a bleeding along the electrode. A FT discharge protocol is a safe postoperative care after DBS. There are a small percentage of complications after DBS, which mainly occur within the first 6h. Copyright © 2016 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

Mass tracking and material accounting in the Integral Fast Reactor (IFR)

International Nuclear Information System (INIS)

Orechwa, Y.; Adams, C.H.; White, A.M.

1991-01-01

The Integral Fast Reactor (IFR) is a generic advanced liquid metal cooled reactor concept being developed at Argonne National Laboratory (ANL). There are a number of technical features of the IFR which contribute to its potential as a next-generation reactor. These are associated with large safety margins with regard to off-normal events involving the heat transport system, and the use of metallic fuel which makes possible the utilization of innovative fuel cycle processes. The latter feature permits fuel cycle closure the compact, low-cost reprocessing facilities, collocated with the reactor plant. These primary features are being demonstrated in the facilities at ANL-West, utilizing Experimental Breeder Reactor 2 and the associated Fuel Cycle Facility (FCF) as an IFR prototype. The demonstration of this IFR prototype includes the design and implementation of the Mass-Tracking System (MTG). In this system, data from the operations of the FCF, including weights and batch-process parameters, are collected and maintained by the MTG running on distributed workstations. The components of the MTG System include: (1) an Oracle database manager with a Fortran interface, (2) a set of MTG ''Tasks'' which collect, manipulate and report data, (3) a set of MTG ''Terminal Sessions'' which provide some interactive control of the Tasks, and (4) a set of servers which manage the Tasks and which provide the communications link between the MTG System and Operator Control Stations, which control process equipment and monitoring devices within the FCF

Prototypdetektoren für das geplante Upgradeprojekt 'Muon Track Fast Tag' am CMS-Experiment

CERN Document Server

Weingarten, Simon; Stahl, Achim

Upgrading the muon system will be one of the major challenges for the CMS experiment atthe projected high luminosity LHC (HL-LHC) with an expected instantaneous luminosityof L = 1035 /(cm2 · s). Most importantly, the muon trigger rate has to be reduced inorder to keep the level 1 trigger rate inside the reserved bandwidth. Another concernthat has to be dealt with is the rising number of ambiguities in the muon chambers dueto simultaneously traversing muons, so-called ghost hits. With the Muon Track fast Tag(MTT), a new detector subsystem between the CMS solenoid and the first muon stationis proposed to solve these problems. An implementation of the MTT system based on fastplastic scintillators read out by silicon photomultipliers (SiPM) is under development atthe Physics Institute III of RWTH Aachen University.In this thesis, results of prototype detectors with 100 × 100 × 5 mm3 scintillator-tilesand dual SiPM-readout are presented. All studies have been done with cosmic muons andfocus on parameter optimi...

Review of clinical results of fast neutron therapy in the USA

International Nuclear Information System (INIS)

Peters, L.J.; Maor, M.H.; Laramore, G.E.; Griffin, T.W.; Hendrickson, F.R.

1986-01-01

Fast neutron radiotherapy in the United States is entering a new era in which dedicated hospital-based generators with isocentric beam capability are replacing treatment facilities based on fixed beams extracted from physics accelerators. All available clinical data, however, come from the older facilities. The majority of randomized trials conducted in the U.S. have used neutrons in a mixed schedule with photons, in which the aim was to deliver two-fifths of the total dose with neutrons; the neutron dose per fraction was set as the estimated equivalent of 2 Gy photons in terms of late normal tissue injury. Overall treatment time was held constant compared with the control photon therapy regimens (usually 6-8 weeks). Random studies of this type showed no evidence of a therapeutic gain in the treatment of advanced primary carcinomas of the head and neck, lung, uterine cervix, or pancreas. Based on a reassessment of all the available clinical and radiobiological data, and taking advantage of the greater technical flexibility offered by hospital-based facilities, the strategy of fast neutron therapy for future trials has been changed. In these trials neutrons are being used in a 12 fraction, 4 week regimen to treat gross disease, with elective therapy given wherever possible using low LET irradiation. Concomitantly, research is proceeding to define predictors of tumor response to high LET radiations in order to better select patients for fast neutron radiotherapy

A C++ object-oriented toolkit for track finding with k-dimensional hits

International Nuclear Information System (INIS)

Uiterwijk, J.W.E.; Panman, J.; Vyver, B. van de

2006-01-01

A library is described for the recognition of tracks in a set of hits. The hits are assumed to be k-dimensional points (k-d), with k>=1, of which a subset can be grouped into tracks by using short-range correlations. A connection graph between the hits is created by sorting the hits first in k-d space using one of the developed, fast, k-space containers. The track-finding algorithm considers any connection between two hits as a possible track seed and grows these seeds into longer track segments using a modified depth-first search of the connection graph. All hit-acceptance decisions are called via abstract methods of an acceptance criterion class which isolates the library from the application's hit and track model. An application is tuned for a particular tracking environment by creating a concrete implementation for the hit and track acceptance calculations. The implementer is free to trade tracking time for acceptance complexity (influencing efficiency) depending on the requirements of the particular application. Results for simulated data show that the track finding is both efficient and fast even for high noise environments

Measurement of accelerator-based neutron distributions using nuclear track detectors

International Nuclear Information System (INIS)

Al-Jarallah, M.I.; Abu-Jarad, F.; Rehman, Fazal-ur-; Khiari, F.Z.; Aksoy, A.; Nassar, R.

2000-01-01

Nuclear track detectors were used to measure the longitudinal and transverse distributions of slow neutrons in a moderated neutron field as well as the longitudinal and transverse distributions of fast neutrons produced on the 0 deg. beam line of the KFUPM 350 keV ion accelerator. The neutrons were first produced from the T(d,n) 4 He reaction with a neutron energy of approximately 14 MeV and were then moderated in a cylindrical polyethylene moderator placed at the end of the 0 deg. beam line. The optimal transverse slow neutron distribution was found to be uniform within ±4.5% at a 3 cm depth inside the moderator. The fast neutron distribution component along the moderator central axis exhibited an exponential-like drop in intensity with depth. Linearity checks of alpha and proton recoil track density with irradiation time for the nuclear track detectors were verified for both slow and fast neutrons

Measurement of accelerator-based neutron distributions using nuclear track detectors

Energy Technology Data Exchange (ETDEWEB)

Al-Jarallah, M.I. E-mail: mibrahim@kfupm.edu.sa; Abu-Jarad, F.; Rehman, Fazal-ur-; Khiari, F.Z.; Aksoy, A.; Nassar, R

2000-12-01

Nuclear track detectors were used to measure the longitudinal and transverse distributions of slow neutrons in a moderated neutron field as well as the longitudinal and transverse distributions of fast neutrons produced on the 0 deg. beam line of the KFUPM 350 keV ion accelerator. The neutrons were first produced from the T(d,n){sup 4}He reaction with a neutron energy of approximately 14 MeV and were then moderated in a cylindrical polyethylene moderator placed at the end of the 0 deg. beam line. The optimal transverse slow neutron distribution was found to be uniform within {+-}4.5% at a 3 cm depth inside the moderator. The fast neutron distribution component along the moderator central axis exhibited an exponential-like drop in intensity with depth. Linearity checks of alpha and proton recoil track density with irradiation time for the nuclear track detectors were verified for both slow and fast neutrons.

Chemical etching studies of a Brazilian polycarbonate to fast neutron detection

International Nuclear Information System (INIS)

Souto, E.B.; Campos, L.L.

2006-01-01

The Dosimetric Materials Laboratory (LMD) of the Radiation Metrology Center (CMR) is developing a personal dosimeter for fast neutrons using the technique of solid state nuclear track detectors (SSNTD). This technique is based on the recorded damage (tracks) in dielectric materials due to the impact of charged particles. The tracks are revealed and amplified for visualization in optic microscope through a technique known as chemical etching. The LMD is investigating a Brazilian commercial polycarbonate as a new passive fast neutron's detector in substitution to the traditional materials, as the cellulose nitrate LR-115 and the polycarbonates Makrofol and CR-39. The variation of the etching parameters (chemical solution, time and temperature) alters the response of the material; the best revelation conditions provide the best relationship among the amount of revealed tracks, their clearness and the time spent for this. The polycarbonate studied is a resin of same chemical monomer of Makrofol (C,6H,403). Samples of 3 x 1 cm 2 of the polycarbonate were irradiated with 5 mSv of fast neutrons ( 241 Am-Be) and revealed with the chemical solution PEW-40 (15% KOH, 45% H 2 O, 40% C 2 H 5 OH), commonly used for Makrofol. The studied etching parameters were time and temperature. Groups of four samples were revealed at temperatures of 50, 65, 75, 90 and 100 C with etching times varying from one to six hours. The used track's counting procedure was that referred in the literature. The best response to fast neutrons was obtained at 75 C; in spite of their similar answers, smaller temperatures join larger uncertainties in the track's counting and poorer clearness. At this temperature, the number of revealed tracks increases with the etching time approximately until a plateau at three hours. For etching times higher than four hours the polycarbonate presents overlap of tracks. If the temperature is adjusted to 75 C, the etching time should be in the plateau to avoid that small

Scalable Track Detection in SAR CCD Images

Energy Technology Data Exchange (ETDEWEB)

Chow, James G [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Quach, Tu-Thach [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-03-01

Existing methods to detect vehicle tracks in coherent change detection images, a product of combining two synthetic aperture radar images ta ken at different times of the same scene, rely on simple, fast models to label track pixels. These models, however, are often too simple to capture natural track features such as continuity and parallelism. We present a simple convolutional network architecture consisting of a series of 3-by-3 convolutions to detect tracks. The network is trained end-to-end to learn natural track features entirely from data. The network is computationally efficient and improves the F-score on a standard dataset to 0.988, up fr om 0.907 obtained by the current state-of-the-art method.

A fast and flexible reactor physics model for simulating neutron spectra and depletion in fast reactors - 202

International Nuclear Information System (INIS)

Recktenwald, G.D.; Bronk, L.A.; Deinert, M.R.

2010-01-01

Determining the time dependent concentration of isotopes within a nuclear reactor core is central to the analysis of nuclear fuel cycles. We present a fast, flexible tool for determining the time dependent neutron spectrum within fast reactors. The code (VBUDS: visualization, burnup, depletion and spectra) uses a two region, multigroup collision probability model to simulate the energy dependent neutron flux and tracks the buildup and burnout of 24 actinides, as well as fission products. While originally developed for LWR simulations, the model is shown to produce fast reactor spectra that show high degree of fidelity to available fast reactor benchmarks. (authors)

Characterization of plastic nuclear track detectors on solid state, CR-39 and LR-115 and its possibilities application on thermal and fast neutron dosimetry

International Nuclear Information System (INIS)

Vallejo Delgado, L.R.

1989-01-01

This work is an study about the use feasibility of plastic nuclear track detectors, LR 115, II-B (of Eastmann Kodak Co) and CR-39 (of American Acrylics and Plastics), for thermal and fast neutron dosimetry, respectively. The LR-115 with converter (n, alpha) was exposed to thermal neutrons with energy of 0,046 e V, proceeding from nuclear reactor RECH-1 of Nuclear Energy Chilean Commission. The irradiated films were submited to a chemical etching with NaOH, plus a washing and brushing. The CR-39 with polyethylene irradiator, was exposed to fast neutrons proceeding of calibrated sources of Am-Se. The irradiated plates were submited to a chemical pre-etching with KOH and a electrochemical post-etching. (author)

The FastTrack Real Time Processor and Its Impact on Muon Isolation, Tau and b-Jet Online Selections at ATLAS

CERN Document Server

Crescioli, F; The ATLAS collaboration; Zhang, J; Boveia, A; Bevacqua, V; Cheng, Y; Canelli, F; Bogdan, M; Dell'Orso, M; Bossini, E; Citterio, M; Dunford, M; Drake, G; Beretta, M; Genat, JF; Annovi, A; Kim, YK; Kimura, N; Andreazza, A; Kapliy, A; Kasten, M; Piendibene, M; Negri, A; Meroni, C; Giannetti, P; Melachrinos, C; Hoff, J; Liberali, V; McCarn, A; Neubauer, M; Tang, F; Shochet, M; Stabile, A; Sartori, L; Sabatini, F; Proudfoot, J; Riva, M; Liu, T; Punzi, G; Vercesi, V; Tuggle, J; Todri, A; Tripiccione, R; Lanza, A; Wu, J; Yorita, K; Volpi, G; Vitullo, R.A; Sacco, I

2010-01-01

As the LHC luminosity is ramped up to 31034 cm−2 s−1 and beyond, the high rates, multiplicities, and energies of particles seen by the detectors will pose a unique challenge. Only a tiny fraction of the produced collisions can be stored on tape and immense real-time data reduction is needed. An effective trigger system must maintain high trigger efficiencies for the physics we are most interested in, and at the same time suppress the enormous QCD backgrounds. This requires massive computing power to minimize the online execution time of complex algorithms. A multi-level trigger is an effective solution for an otherwise impossible problem. The Fast Tracker (FTK) is a proposed upgrade to the current ATLAS trigger system that will operate at full Level-1 output rates and provide high quality tracks reconstructed over the entire detector by the start of processing in Level-2. FTK solves the combinatorial challenge inherent to tracking by exploiting massive parallelism of associative memories that can compa...

Real-Time Tumor Tracking in the Lung Using an Electromagnetic Tracking System

Energy Technology Data Exchange (ETDEWEB)

Shah, Amish P., E-mail: Amish.Shah@orlandohealth.com [Department of Radiation Oncology, MD Anderson Cancer Center Orlando, Orlando, Florida (United States); Kupelian, Patrick A.; Waghorn, Benjamin J.; Willoughby, Twyla R.; Rineer, Justin M.; Mañon, Rafael R.; Vollenweider, Mark A.; Meeks, Sanford L. [Department of Radiation Oncology, MD Anderson Cancer Center Orlando, Orlando, Florida (United States)

2013-07-01

Purpose: To describe the first use of the commercially available Calypso 4D Localization System in the lung. Methods and Materials: Under an institutional review board-approved protocol and an investigational device exemption from the US Food and Drug Administration, the Calypso system was used with nonclinical methods to acquire real-time 4-dimensional lung tumor tracks for 7 lung cancer patients. The aims of the study were to investigate (1) the potential for bronchoscopic implantation; (2) the stability of smooth-surface beacon transponders (transponders) after implantation; and (3) the ability to acquire tracking information within the lung. Electromagnetic tracking was not used for any clinical decision making and could only be performed before any radiation delivery in a research setting. All motion tracks for each patient were reviewed, and values of the average displacement, amplitude of motion, period, and associated correlation to a sinusoidal model (R{sup 2}) were tabulated for all 42 tracks. Results: For all 7 patients at least 1 transponder was successfully implanted. To assist in securing the transponder at the tumor site, it was necessary to implant a secondary fiducial for most transponders owing to the transponder's smooth surface. For 3 patients, insertion into the lung proved difficult, with only 1 transponder remaining fixed during implantation. One patient developed a pneumothorax after implantation of the secondary fiducial. Once implanted, 13 of 14 transponders remained stable within the lung and were successfully tracked with the tracking system. Conclusions: Our initial experience with electromagnetic guidance within the lung demonstrates that transponder implantation and tracking is achievable though not clinically available. This research investigation proved that lung tumor motion exhibits large variations from fraction to fraction within a single patient and that improvements to both transponder and tracking system are still

The glenoid track: a review of the clinical relevance, method of calculation and current evidence behind this method

Energy Technology Data Exchange (ETDEWEB)

Younan, Yara; Wong, Philip K.; Umpierrez, Monica; Gonzalez, Felix; Singer, Adam Daniel [Emory University Hospital, Department of Radiology and Imaging Sciences, Section of Musculoskeletal Imaging, Atlanta, GA (United States); Karas, Spero [Emory University Hospital, Department of Orthopedic Surgery, Atlanta, GA (United States); Jose, Jean [University of Miami, Department of Radiology, Miami, FL (United States)

2017-12-15

In the setting of bipolar bone injury, orthopedic surgeons are currently making use of the glenoid track method to guide surgical management. Using preoperative CT or MR imaging, this method allows the identification of patients who are more likely to fail a primary capsuloligamentous Bankart repair. As the glenoid track method becomes increasingly used in preoperative planning, it is important for the radiologist to become familiar with its concept and method of calculation. This review article aims to concisely summarize the current literature and the clinical implications of the glenoid track method. (orig.)

Using track detectors in neutron dosimetry

International Nuclear Information System (INIS)

Spurny, F.; Turek, K.

1977-01-01

The usage of track detectors of charged particles provides a new possibility of neutron dosimetry. Presented is a comparison of the main dosimetric characteristics of three various types of track detectots of fast neutrons, i.e. glass in the contact with 232 Th; KODAK LR115 cellulose nitrate; MAKROFOL E polycarbonate. Results of studing energy dependences of detectors are presented. Results obtained using phantoms under radiation fields of various sources of complex gamma-neutron radiation are discussed [ru

Comparison of two modes of ventilation after fast-track cardiac surgery: Adaptive support ventilation versus synchronized intermittent mandatory ventilation

International Nuclear Information System (INIS)

Aghadavoudi, O.

2012-01-01

Objective: There is substantial debate regarding the appropriate protocol for ventilatory management in fast-track cardiac anesthesia (FTCA). This study was carried out to assess and compare the risks and benefits of respiratory weaning based on adaptive support ventilation (ASV) and synchronized intermittent mandatory ventilation (SIMV) after uncomplicated cardiac surgery. Methodology: In a randomized clinical trial, after receiving approval of the Department Research Committee and informed consent from study subjects, 100 patients undergoing elective coronary artery bypass graft (CABG) surgery with cardiopulmonary bypass (CPB) were enrolled during a 4-month period at a university-based hospital. After surgery and admission to the intensive care unit (ICU), patients were randomized to ASV and SIMV groups. Arterial blood gas (ABG) and hemodynamic variables, respiratory and ventilator characteristics including lung compliance, rapid shallow breathing index (RSBI), tidal volume (TV), respiratory rate (RR), peak inspiratory pressure (P peak), mean airway pressure (p mean), Pao2/FIo2, duration of mechanical ventilation and tracheal intubation, and length of ICU stay were recorded and compared between the two groups. The data were analyzed in 82 patients after considering the exclusion criteria. Results: There were no differences between ASV and SIMV groups in demographics and preoperative characteristics. The duration of tracheal intubation and the length of ICU stay were similar in both groups. There were no statistically and clinically relevant differences between the two groups in ABG, hemodynamic changes, and respiratory and ventilator characteristics during ICU stay. Conclusion: Although ASV may facilitate postoperative respiratory management in FTCA, both ASV and SIMV provide similarly safe and practicable respiratory weaning in the cardiac ICU. The evaluation of potential advantages in patient outcomes and resource utilization of respiratory weaning based on ASV

Research on Fast Track Surgery Application in Lung Cancer Surgery

Directory of Open Access Journals (Sweden)

Kaiyun YANG

2010-02-01

Full Text Available Background and objective Fast track surgery (FTS is a systematical method to accelerate the recovery of surgical patients by reducing the physical and mental trauma stress of them. The research is to investigate the feasibility of FTS application in lung cancer surgery. Methods A total of 80 cases of lung cancer patients with single leaf lobotomy resection were randomized into two groups. While the experimental group was treated with the conception of FTS, and the control group was treated with the traditional methods. The incident rate of post-operation pain degrees, telecasts, pleural effusion, the post-operation time stay in hospital time and the total cost during hospitalization in two groups were compared respectively. Results In FTS group: the VAS score of post-operation pain at 1 h, 6 h, 12 h, 24 h and 48 h all significantly decreased compared to the traditional therapy group. The incidence rate of telecast was 10.53%. The incidence rate of pleural effusion was 26.31%. The length of stay after operation was (4±1 d and the total cost was RMB 15 600±7 600. In the control group, the above values were 77.78%, 33.33%, 22.22%, (9±1 d, RMB 23 600±5 400, respectively. The post operation pain (VAS method of FTS group was remarkablely below the control group. There has significant difference of the incident rate of telecasts, stay time in hospital and the total cast in two groups (P < 0.05. No significant difference was observed in the incident rate of pleural effusion. Conclusion The new methods of FTS can apparently accelerates recovery after lung cancer resection, reduces complications, shorten timestay in hospital and cut down the total cost.

Real-time x-ray fluoroscopy-based catheter detection and tracking for cardiac electrophysiology interventions

Energy Technology Data Exchange (ETDEWEB)

Ma Yingliang; Housden, R. James; Razavi, Reza; Rhode, Kawal S. [Division of Imaging Sciences and Biomedical Engineering, King' s College London, London SE1 7EH (United Kingdom); Gogin, Nicolas; Cathier, Pascal [Medisys Research Group, Philips Healthcare, Paris 92156 (France); Gijsbers, Geert [Interventional X-ray, Philips Healthcare, Best 5680 DA (Netherlands); Cooklin, Michael; O' Neill, Mark; Gill, Jaswinder; Rinaldi, C. Aldo [Department of Cardiology, Guys and St. Thomas' Hospitals NHS Foundation Trust, London SE1 7EH (United Kingdom)

2013-07-15

Purpose: X-ray fluoroscopically guided cardiac electrophysiology (EP) procedures are commonly carried out to treat patients with arrhythmias. X-ray images have poor soft tissue contrast and, for this reason, overlay of a three-dimensional (3D) roadmap derived from preprocedural volumetric images can be used to add anatomical information. It is useful to know the position of the catheter electrodes relative to the cardiac anatomy, for example, to record ablation therapy locations during atrial fibrillation therapy. Also, the electrode positions of the coronary sinus (CS) catheter or lasso catheter can be used for road map motion correction.Methods: In this paper, the authors present a novel unified computational framework for image-based catheter detection and tracking without any user interaction. The proposed framework includes fast blob detection, shape-constrained searching and model-based detection. In addition, catheter tracking methods were designed based on the customized catheter models input from the detection method. Three real-time detection and tracking methods are derived from the computational framework to detect or track the three most common types of catheters in EP procedures: the ablation catheter, the CS catheter, and the lasso catheter. Since the proposed methods use the same blob detection method to extract key information from x-ray images, the ablation, CS, and lasso catheters can be detected and tracked simultaneously in real-time.Results: The catheter detection methods were tested on 105 different clinical fluoroscopy sequences taken from 31 clinical procedures. Two-dimensional (2D) detection errors of 0.50 {+-} 0.29, 0.92 {+-} 0.61, and 0.63 {+-} 0.45 mm as well as success rates of 99.4%, 97.2%, and 88.9% were achieved for the CS catheter, ablation catheter, and lasso catheter, respectively. With the tracking method, accuracies were increased to 0.45 {+-} 0.28, 0.64 {+-} 0.37, and 0.53 {+-} 0.38 mm and success rates increased to 100%, 99

The ATLAS Fast TracKer Processing Units

CERN Document Server

Krizka, Karol; The ATLAS collaboration

2016-01-01

The Fast Tracker is a hardware upgrade to the ATLAS trigger and data-acquisition system, with the goal of providing global track reconstruction by the start of the High Level Trigger starts. The Fast Tracker can process incoming data from the whole inner detector at full first level trigger rate, up to 100 kHz, using custom electronic boards. At the core of the system is a Processing Unit installed in a VMEbus crate, formed by two sets of boards: the Associative Memory Board and a powerful rear transition module called the Auxiliary card, while the second set is the Second Stage board. The associative memories perform the pattern matching looking for correlations within the incoming data, compatible with track candidates at coarse resolution. The pattern matching task is performed using custom application specific integrated circuits, called associative memory chips. The auxiliary card prepares the input and reject bad track candidates obtained from from the Associative Memory Board using the full precision a...

Finding very small near-Earth asteroids using synthetic tracking

International Nuclear Information System (INIS)

Shao, Michael; Nemati, Bijan; Zhai, Chengxing; Turyshev, Slava G.; Sandhu, Jagmit; Hallinan, Gregg; Harding, Leon K.

2014-01-01

We present an approach that significantly increases the sensitivity for finding and tracking small and fast near-Earth asteroids (NEAs). This approach relies on a combined use of a new generation of high-speed cameras which allow short, high frame-rate exposures of moving objects, effectively 'freezing' their motion, and a computationally enhanced implementation of the 'shift-and-add' data processing technique that helps to improve the signal-to-noise ratio (SNR) for detection of NEAs. The SNR of a single short exposure of a dim NEA is insufficient to detect it in one frame, but by computationally searching for an appropriate velocity vector, shifting successive frames relative to each other and then co-adding the shifted frames in post-processing, we synthetically create a long-exposure image as if the telescope were tracking the object. This approach, which we call 'synthetic tracking,' enhances the familiar shift-and-add technique with the ability to do a wide blind search, detect, and track dim and fast-moving NEAs in near real time. We discuss also how synthetic tracking improves the astrometry of fast-moving NEAs. We apply this technique to observations of two known asteroids conducted on the Palomar 200 inch telescope and demonstrate improved SNR and 10 fold improvement of astrometric precision over the traditional long-exposure approach. In the past 5 yr, about 150 NEAs with absolute magnitudes H = 28 (∼10 m in size) or fainter have been discovered. With an upgraded version of our camera and a field of view of (28 arcmin) 2 on the Palomar 200 inch telescope, synthetic tracking could allow detecting up to 180 such objects per night, including very small NEAs with sizes down to 7 m.

Finding very small near-Earth asteroids using synthetic tracking

Energy Technology Data Exchange (ETDEWEB)

Shao, Michael; Nemati, Bijan; Zhai, Chengxing; Turyshev, Slava G.; Sandhu, Jagmit [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109-0899 (United States); Hallinan, Gregg; Harding, Leon K. [California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125 (United States)

2014-02-10

We present an approach that significantly increases the sensitivity for finding and tracking small and fast near-Earth asteroids (NEAs). This approach relies on a combined use of a new generation of high-speed cameras which allow short, high frame-rate exposures of moving objects, effectively 'freezing' their motion, and a computationally enhanced implementation of the 'shift-and-add' data processing technique that helps to improve the signal-to-noise ratio (SNR) for detection of NEAs. The SNR of a single short exposure of a dim NEA is insufficient to detect it in one frame, but by computationally searching for an appropriate velocity vector, shifting successive frames relative to each other and then co-adding the shifted frames in post-processing, we synthetically create a long-exposure image as if the telescope were tracking the object. This approach, which we call 'synthetic tracking,' enhances the familiar shift-and-add technique with the ability to do a wide blind search, detect, and track dim and fast-moving NEAs in near real time. We discuss also how synthetic tracking improves the astrometry of fast-moving NEAs. We apply this technique to observations of two known asteroids conducted on the Palomar 200 inch telescope and demonstrate improved SNR and 10 fold improvement of astrometric precision over the traditional long-exposure approach. In the past 5 yr, about 150 NEAs with absolute magnitudes H = 28 (∼10 m in size) or fainter have been discovered. With an upgraded version of our camera and a field of view of (28 arcmin){sup 2} on the Palomar 200 inch telescope, synthetic tracking could allow detecting up to 180 such objects per night, including very small NEAs with sizes down to 7 m.

Fast-track surgery protocol in elderly patients undergoing laparoscopic radical gastrectomy for gastric cancer: a randomized controlled trial

Directory of Open Access Journals (Sweden)

Liu G

2016-06-01

Full Text Available Guozheng Liu,1 Fengguo Jian,2 Xiuqin Wang,2 Lin Chen1 1Department of General Surgery, Chinese PLA General Hospital, Beijing, People’s Republic of China; 2Second Department of General Surgery, Changyi People’s Hospital, Shandong, People’s Republic of China Aim: To study the efficacy of the fast-track surgery (FTS program combined with laparoscopic radical gastrectomy for elderly gastric cancer (GC patients.Methods: Eighty-four elderly patients diagnosed with GC between September 2014 and August 2015 were recruited to participate in this study and were divided into four groups randomly based on the random number table as follows: FTS + laparoscopic group (Group A, n=21, FTS + laparotomy group (Group B, n=21, conventional perioperative care (CC + laparoscopic group (Group C, n=21, and CC + laparotomy group (Group D, n=21. Observation indicators include intrasurgery indicators, postoperative recovery indicators, nutritional status indicators, and systemic stress response indicators.Results: Preoperative and intraoperative baseline characteristics showed no significant differences between patients in each group (P>0.05. There were no significant differences between each group in nausea and vomiting, intestinal obstruction, urinary retention, incision infection, pulmonary infection, and urinary tract infection after operation (P>0.05. Time of first flatus and postoperative hospital stay time of FTS Group A were the shortest, and total medical cost of this group was the lowest. For all groups, serum albumin, prealbumin, and transferrin significantly decreased, while CRP and interleukin 6 were significantly increased postoperative day 1. From postoperative day 4–7, all indicators of the four groups gradually recovered, but compared with other three groups, those of Group A recovered fastest.Conclusion: FTS combined with laparoscopic surgery can promote faster postoperative recovery, improve early postoperative nutritional status, and more

Initial assessment of tumor tracking with a gimbaled linac system in clinical circumstances: A patient simulation study

International Nuclear Information System (INIS)

Depuydt, Tom; Poels, Kenneth; Verellen, Dirk; Engels, Benedikt; Collen, Christine; Haverbeke, Chloe; Gevaert, Thierry; Buls, Nico; Van Gompel, Gert; Reynders, Truus; Duchateau, Michael; Tournel, Koen; Boussaer, Marlies; Steenbeke, Femke; Vandenbroucke, Frederik; De Ridder, Mark

2013-01-01

Purpose: To have an initial assessment of the Vero Dynamic Tracking workflow in clinical circumstances and quantify the performance of the tracking system, a simulation study was set up on 5 lung and liver patients. Methods and materials: The preparatory steps of a tumor tracking treatment, based on fiducial markers implanted in the tumor, were executed allowing pursuit of the tumor with the gimbaled linac and monitoring X-rays acquisition, however, without activating the 6 MV beam. Data were acquired on workflow time-efficiency, tracking accuracy and imaging exposure. Results: The average time between the patient entering the treatment room and the first treatment field was about 9 min. The time for building the correlation model was 3.2 min. Tracking errors of 0.55 and 0.95 mm (1σ) were observed in PAN/TILT direction and a 2D range of 3.08 mm. A skin dose was determined of 0.08 mGy/image, with a source-to-skin distance of 900 mm and kV exposure of 1 mAs. On average 1.8 mGy/min kV skin dose was observed for 1 Hz monitoring. Conclusion: The Vero tracking solution proved to be fully functional and showed performance comparable with other real-time tracking systems

The Fast TracKer

CERN Document Server

Potamianos, Karolos Jozef; The ATLAS collaboration

2018-01-01

The Fast Tracker (FTK) is a hardware upgrade to the ATLAS trigger and data acquisition system providing global track reconstruction to the High-Level Trigger (HLT) with the goal to improve pile-up rejection. The FTK processes incoming data from the Pixel and SCT detectors (part of the Inner Detector, ID) at up to 100 kHz using custom electronic boards. ID hits are matched to pre-defined track patterns stored in associative memory (AM) on custom ASICs and data routing, reduction and parameter extraction is achieved with processing on FPGAs. With 8000 AM chips and 2000 FPGAs, the FTK provides enough resources to reconstruct tracks with transverse momentum greater than 1 GeV/c in the whole tracking volume with an average latency below 100 microseconds at collisions intensities expected in Runs II and III of the LHC. The tracks will be available at the beginning of the trigger selection process, which allows development of pile-up resilient triggering strategies to identify b-quarks and tau-leptons, as well as pr...

Deformable Models for Eye Tracking

DEFF Research Database (Denmark)

Vester-Christensen, Martin; Leimberg, Denis; Ersbøll, Bjarne Kjær

2005-01-01

A deformable template method for eye tracking on full face images is presented. The strengths of the method are that it is fast and retains accuracy independently of the resolution. We compare the me\\$\\backslash\\$-thod with a state of the art active contour approach, showing that the heuristic...

Detecting fast, online reasoning processes in clinical decision making.

Science.gov (United States)

Flores, Amanda; Cobos, Pedro L; López, Francisco J; Godoy, Antonio

2014-06-01

In an experiment that used the inconsistency paradigm, experienced clinical psychologists and psychology students performed a reading task using clinical reports and a diagnostic judgment task. The clinical reports provided information about the symptoms of hypothetical clients who had been previously diagnosed with a specific mental disorder. Reading times of inconsistent target sentences were slower than those of control sentences, demonstrating an inconsistency effect. The results also showed that experienced clinicians gave different weights to different symptoms according to their relevance when fluently reading the clinical reports provided, despite the fact that all the symptoms were of equal diagnostic value according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000). The diagnostic judgment task yielded a similar pattern of results. In contrast to previous findings, the results of the reading task may be taken as direct evidence of the intervention of reasoning processes that occur very early, rapidly, and online. We suggest that these processes are based on the representation of mental disorders and that these representations are particularly suited to fast retrieval from memory and to making inferences. They may also be related to the clinicians' causal reasoning. The implications of these results for clinician training are also discussed.

Chemical etching studies of a Brazilian polycarbonate to fast neutron detection

Energy Technology Data Exchange (ETDEWEB)

Souto, E.B.; Campos, L.L. [Instituto de Pesquisas Energeticas e Nucleares, IPEN- CNEN/SP Radiation Metrology Center (CMR) Av. Prof. Lineu Prestes, 2242 CEP: 05508-000 Sao Paulo - SP (Brazil)]. e-mail: ebsouto@ipen.br

2006-07-01

The Dosimetric Materials Laboratory (LMD) of the Radiation Metrology Center (CMR) is developing a personal dosimeter for fast neutrons using the technique of solid state nuclear track detectors (SSNTD). This technique is based on the recorded damage (tracks) in dielectric materials due to the impact of charged particles. The tracks are revealed and amplified for visualization in optic microscope through a technique known as chemical etching. The LMD is investigating a Brazilian commercial polycarbonate as a new passive fast neutron's detector in substitution to the traditional materials, as the cellulose nitrate LR-115 and the polycarbonates Makrofol and CR-39. The variation of the etching parameters (chemical solution, time and temperature) alters the response of the material; the best revelation conditions provide the best relationship among the amount of revealed tracks, their clearness and the time spent for this. The polycarbonate studied is a resin of same chemical monomer of Makrofol (C,6H,403). Samples of 3 x 1 cm{sup 2} of the polycarbonate were irradiated with 5 mSv of fast neutrons ({sup 241}Am-Be) and revealed with the chemical solution PEW-40 (15% KOH, 45% H{sub 2}O, 40% C{sub 2}H{sub 5}OH), commonly used for Makrofol. The studied etching parameters were time and temperature. Groups of four samples were revealed at temperatures of 50, 65, 75, 90 and 100 C with etching times varying from one to six hours. The used track's counting procedure was that referred in the literature. The best response to fast neutrons was obtained at 75 C; in spite of their similar answers, smaller temperatures join larger uncertainties in the track's counting and poorer clearness. At this temperature, the number of revealed tracks increases with the etching time approximately until a plateau at three hours. For etching times higher than four hours the polycarbonate presents overlap of tracks. If the temperature is adjusted to 75 C, the etching time should be in

Comparative Evaluation of Pain, Stress, Neuropeptide Y, ACTH, and Cortisol Levels Between a Conventional Postoperative Care Protocol and a Fast-Track Recovery Program in Patients Undergoing Major Abdominal Surgery.

Science.gov (United States)

Kapritsou, Maria; Papathanassoglou, Elizabeth D; Bozas, Evangelos; Korkolis, Dimitrios P; Konstantinou, Evangelos A; Kaklamanos, Ioannis; Giannakopoulou, Margarita

2017-03-01

Fast-track (FT) postoperative protocol in oncological patients after major abdominal surgery reduces complications and length of postoperative stay compared to the conventional (CON) protocol. However, stress and pain responses have not been compared between the two protocols. To compare stress, pain, and related neuropeptidic responses (adrenocorticotropic hormone [ACTH], cortisol, and neuropeptide Y [NPY]) between FT and CON protocols. A clinical trial with repeated measurements was conducted (May 2012 to May 2014) with a sample of 63 hepatectomized or pancreatectomized patients randomized into two groups: FT ( n = 29) or CON ( n = 34). Demographic and clinical data were collected, and pain (Visual Analog Scale [VAS] and Behavioral Pain Scale [BPS]) and stress responses (3 self-report questions) assessed. NPY, ACTH, and cortisol plasma levels were measured at T1 = day of admission, T2 = day of surgery, and T3 = prior to discharge. ACTH T1 and ACTH T2 levels were positively correlated with self-reported stress levels (ρ = .43 and ρ = .45, respectively, p .05). Neuropeptidic levels were higher in the FT group. Future research should evaluate this association further, as these biomarkers might serve as objective indicators of postoperative pain and stress.

Archeological Echocardiography: Digitization and Speckle-Tracking Analysis of Archival Echocardiograms in the HyperGEN Study

Science.gov (United States)

Aguilar, Frank G.; Selvaraj, Senthil; Martinez, Eva E.; Katz, Daniel H.; Beussink, Lauren; Kim, Kwang-Youn A.; Ping, Jie; Rasmussen-Torvik, Laura; Goyal, Amita; Sha, Jin; Irvin, Marguerite R.; Arnett, Donna K.; Shah, Sanjiv J.

2015-01-01

Background Several large epidemiologic studies and clinical trials have included echocardiography, but images were stored in analog format and these studies predated tissue Doppler imaging (TDI) and speckle-tracking echocardiography (STE). We hypothesized that digitization of analog echocardiograms, with subsequent quantification of cardiac mechanics using STE, is feasible, reproducible, accurate, and produces clinically valid results. Methods In the NHLBI HyperGEN study (N=2234), archived analog echocardiograms were digitized and subsequently analyzed using STE to obtain tissue velocities/strain. Echocardiograms were assigned quality scores and inter/intraobserver agreement was calculated. Accuracy was evaluated in (1) a separate second study (N=50) comparing prospective digital strain vs. post-hoc analog-to-digital strain; and (2) in a third study (N=95) comparing prospectively-obtained TDI e′ velocities with post-hoc STE e′ velocities. Finally, we replicated previously known associations between tissue velocities/strain, conventional echocardiographic measurements, and clinical data. Results Of the 2234 HyperGEN echocardiograms, 2150 (96.2%) underwent successful digitization and STE analysis. Inter/intraobserver agreement was high for all STE parameters, especially longitudinal strain (LS). In accuracy studies, LS performed best when comparing post-hoc STE to prospective digital STE for strain analysis. STE-derived e′ velocities correlated with, but systematically underestimated, TDI e′ velocity. Several known associations between clinical variables and cardiac mechanics were replicated in HyperGEN. We also found a novel independent inverse association between fasting glucose and LS (adjusted β =−2.4 [95% CI −3.6,−1.2]% per 1-SD increase in fasting glucose; Pechocardiography, the digitization and speckle-tracking analysis of archival echocardiograms, is feasible and generates parameters of cardiac mechanics similar to contemporary studies. PMID

Archeological Echocardiography: Digitization and Speckle Tracking Analysis of Archival Echocardiograms in the HyperGEN Study.

Science.gov (United States)

Aguilar, Frank G; Selvaraj, Senthil; Martinez, Eva E; Katz, Daniel H; Beussink, Lauren; Kim, Kwang-Youn A; Ping, Jie; Rasmussen-Torvik, Laura; Goyal, Amita; Sha, Jin; Irvin, Marguerite R; Arnett, Donna K; Shah, Sanjiv J

2016-03-01

Several large epidemiologic studies and clinical trials have included echocardiography, but images were stored in analog format and these studies predated tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE). We hypothesized that digitization of analog echocardiograms, with subsequent quantification of cardiac mechanics using STE, is feasible, reproducible, accurate, and produces clinically valid results. In the NHLBI HyperGEN study (N = 2234), archived analog echocardiograms were digitized and subsequently analyzed using STE to obtain tissue velocities/strain. Echocardiograms were assigned quality scores and inter-/intra-observer agreement was calculated. Accuracy was evaluated in: (1) a separate second study (N = 50) comparing prospective digital strain versus post hoc analog-to-digital strain, and (2) in a third study (N = 95) comparing prospectively obtained TDI e' velocities with post hoc STE e' velocities. Finally, we replicated previously known associations between tissue velocities/strain, conventional echocardiographic measurements, and clinical data. Of the 2234 HyperGEN echocardiograms, 2150 (96.2%) underwent successful digitization and STE analysis. Inter/intra-observer agreement was high for all STE parameters, especially longitudinal strain (LS). In accuracy studies, LS performed best when comparing post hoc STE to prospective digital STE for strain analysis. STE-derived e' velocities correlated with, but systematically underestimated, TDI e' velocity. Several known associations between clinical variables and cardiac mechanics were replicated in HyperGEN. We also found a novel independent inverse association between fasting glucose and LS (adjusted β = -2.4 [95% CI -3.6, -1.2]% per 1-SD increase in fasting glucose; P echocardiography, the digitization and speckle tracking analysis of archival echocardiograms, is feasible and generates indices of cardiac mechanics similar to contemporary studies. © 2015, Wiley Periodicals, Inc.

The ATLAS Fast Tracker

CERN Document Server

Volpi, Guido; The ATLAS collaboration

2015-01-01

The use of tracking information at the trigger level in the LHC Run II period is crucial for the trigger an data acquisition (TDAQ) system. The tracking precision is in fact important to identify specific decay products of the Higgs boson or new phenomena, a well as to distinguish the contributions coming from many contemporary collisions that occur at every bunch crossing. However, the track reconstruction is among the most demanding tasks performed by the TDAQ computing farm; in fact, full reconstruction at full Level-1 trigger accept rate (100 KHz) is not possible. In order to overcome this limitation, the ATLAS experiment is planning the installation of a specific processor: the Fast Tracker (FTK), which is aimed at achieving this goal. The FTK is a pipeline of high performance electronic, based on custom and commercial devices, which is expected to reconstruct, with high resolution, the trajectories of charged tracks with a transverse momentum above 1 GeV, using the ATLAS inner tracker information. Patte...

The design and construction of the ZEUS central tracking detector

Energy Technology Data Exchange (ETDEWEB)

Foster, B.; Malos, J.; Saxon, D.H.; Clark, D.E.; Jamdagni, A.K.; Markou, C.; Miller, D.B.; Miller, D.G.; Toudup, L.W.; Auty, C.G.; Blair, G.A.; Brooks, C.B.; Cashmore, R.J.; Hanford, A.T.; Harnew, N.; Holmes, A.R.; Linford, W.; Martin, N.C.; McArthur, I.C.; Nash, J.; Nobbs, K.N.; Wastie, R.L.; Williams, M.T.; Wilson, F.F.; Wilson, R.D.; Hart, J.C.; Hatley, R.W.; Hiddleston, J.W.; Gibson, M.D.; McCubbin, N.A.; Middleton, A.; Morrissey, M.C.; Morrow, D.; O' Brien, P.; Payne, B.T.; Roberts, J.C.H.; Shaw, T.B.; Sinclair, C.K.; Wallis, E.W.G.; White, D.J.; Yeo, K.L.; Bullock, F.W.; Dumper, J.; Fraser, T.J.; Hayes, D.; Jones, T.W.; Strachan, D.E.; Vine, I.A. (H.H. Wills Physics Lab., Univ. of Bristol (United Kingdom) Dept. of Physics and Astronomy, Univ. of Glasgow (United Kingdom) Blackett Lab., Physics Dept., Imperial Coll., London (United Kingdom) Dept. of Physics, Nuclear Physics Lab., Univ. of Oxford (United Kingdom) Rutherford Appleton Lab., Chilton (United Kingdom) Dept. of Physics an

1994-01-15

The mechanical, electrical and electronic design and construction of the ZEUS central tracking detector are described, together with the chamber monitoring and environmental control. This cylindrical drift chamber is designed for track reconstruction, electron identification and fast event triggering in a high beam-crossing rate, high magnetic field application. (orig.)

The Fast Simulation Chain for ATLAS

CERN Document Server

Basalaev, Artem; The ATLAS collaboration

2016-01-01

In order to generate the huge number of Monte Carlo events that will be required by the ATLAS experiment over the next several runs, a very fast simulation is critical. Fast detector simulation alone, however, is insufficient: with very high numbers of simultaneous proton-proton collisions expected in Run 3 and beyond, the digitization (detector response emulation) and event reconstruction time quickly become comparable to the time required for detector simulation. The ATLAS Fast Chain simulation has been developed to solve this problem. Modules are implemented for fast simulation, fast digitization, and fast track reconstruction. The application is sufficiently fast -- several orders of magnitude faster than the standard simulation -- that the simultaneous proton-proton collisions can be generated during the simulation job, so Pythia8 also runs concurrently with the rest of the algorithms. The Fast Chain has been built to be extremely modular and flexible, so that each sample can be custom-tailored to match ...

Fast track segment finding in the Monitored Drift Tubes of the ATLAS Muon Spectrometer using a Legendre transform algorithm

CERN Document Server

Ntekas, Konstantinos; The ATLAS collaboration

2018-01-01

The upgrade of the ATLAS first-level muon trigger for High- Luminosity LHC foresees incorporating the precise tracking of the Monitored Drift Tubes in the current system based on Resistive Plate Chambers and Thin Gap Chambers to improve the accuracy in the transverse momentum measurement and control the single muon trigger rate by suppressing low quality fake triggers. The core of the MDT trigger algorithm is the segment identification and reconstruction which is performed per MDT chamber. The reconstructed segment positions and directions are then combined to extract the muon candidate’s transverse momentum. A fast pattern recognition segment finding algorithm, called the Legendre transform, is proposed to be used for the MDT trigger, implemented in a FPGA housed on a ATCA blade.

Global track finder for Belle II experiment

Energy Technology Data Exchange (ETDEWEB)

Trusov, Viktor; Feindt, Michael; Heck, Martin; Kuhr, Thomas; Goldenzweig, Pablo [Karlsruhe Institute of Technology, IEKP (Germany); Collaboration: Belle II-Collaboration

2015-07-01

We present an implementation of a method based on the Legendre transformation for reconstruction charged particle tracks in the central drift chamber of the Belle II experiment. The method is designed for fast track finding and restoring circular patterns of track hits in transverse plane. It is done by searching for common tangents to drift circles of hits in the conformal space. With known transverse trajectories longitudinal momentum estimation performed by assigning stereo hits followed by determination of the track parameters. The method includes algorithms responsible for track quality estimation and reduction of rate of fakes. The work is targeting at increasing the efficiency and reducing the execution time because the computing power available to the experiment is limited. The algorithm is developed within the Belle II software environment with using Monte-Carlo simulation for probing its efficiency.

Fast region-based object detection and tracking using correlation of features

CSIR Research Space (South Africa)

Senekal, F

2010-11-01

Full Text Available and track a target object (or objects) over a series of digital images. Visual target tracking can be accomplished by feature-based or region-based approaches. In feature-based approaches, interest points are calculated in a digital image, and a local...-time performance based on the computational power that is available on a specific platform. To further reduce the computational requirements, process- ing is restricted to the region of interest (ROI). The region of interest is provided as an input parameter...

Motion Tracking for Medical Imaging: A Non-Visible Structured Light Tracking Approach

DEFF Research Database (Denmark)

Olesen, Oline Vinter; Paulsen, Rasmus Reinhold; Højgaard, Liselotte

2012-01-01

We present a system for head motion tracking in 3D brain imaging. The system is based on facial surface reconstruction and tracking using a structured light (SL) scanning principle. The system is designed to fit into narrow 3D medical scanner geometries limiting the field of view. It is tested......, is that it is not necessary to place markers on the patient. This provides a simpler workflow and eliminates uncertainties related to marker attachment and stability. We show proof of concept of a marker less tracking system especially designed for clinical use with promising results....... in a clinical setting on the high resolution research tomograph (HRRT), Siemens PET scanner with a head phantom and volunteers. The SL system is compared to a commercial optical tracking system, the Polaris Vicra system, from NDI based on translatory and rotary ground truth motions of the head phantom...

The ATLAS Fast Tracker Processing Units - input and output data preparation

CERN Document Server

Bolz, Arthur; Adelman, Jahred; Anderson, John Thomas; Armbruster, Aaron James; Asbah, Nedaa; Blair, Robert; Brost, Elizabeth; Drake, Gary; Gkaitatzis, Stamatios; Iizawa, Tomoya; Ilic, Nikolina; Jiang, Zihao; Kawaguchi, Yoshimasa; Kimura, Naoki; Kordas, Kostantinos; Sotiropoulou, Calliope Louisa; Love, Jeremy; Mitani, Takashi; Nikolaidis, Spyridon; Okumura, Yasuyuki; Proudfoot, James; Thayil, Steffie Ann; Tompkins, Lauren; Wang, Rui; Watari, Ryutaro; Webster, Jordan S; Yorita, Kohei; Zhang, Jinlong

2017-01-01

The ATLAS Fast TracKer(FTK) is a custom hardware system for fast, associative memory based track reconstruction. It will provide tracking information within the full acceptance of the inner tracking detectors to the high level trigger at a rate of up to 100 kHz. %, thus allowing for a refined and more efficient event selection at the trigger level. At the first stage of the FTK the Data Formatter subsystem clusters inner detector hits and organizes them into 64 $\\eta$-$\\phi$ trigger regions. At the last stage, the FTK to Level-2 Interface Cards repackage track records and send them to the high level trigger computing farm. This report aims to give an overview over the functionality of the two systems, their hardware implementation in the Advanced Telecommunications Computing Architecture standard, and the status of their integration into ATLAS.

The ATLAS Fast Tracker Processing Units - input and output data preparation

CERN Document Server

Bolz, Arthur; Adelman, Jahred; Anderson, John Thomas; Armbruster, Aaron James; Asbah, Nedaa; Blair, Robert; Brost, Elizabeth; Drake, Gary; Gkaitatzis, Stamatios; Iizawa, Tomoya; Ilic, Nikolina; Jiang, Zihao; Kawaguchi, Yoshimasa; Kimura, Naoki; Kordas, Kostantinos; Sotiropoulou, Calliope Louisa; Love, Jeremy; Mitani, Takashi; Nikolaidis, Spyridon; Okumura, Yasuyuki; Proudfoot, James; Thayil, Steffie Ann; Tompkins, Lauren; Wang, Rui; Watari, Ryutaro; Webster, Jordan S; Yorita, Kohei; Zhang, Jinlong

2016-01-01

The ATLAS Fast TracKer(FTK) is a custom hardware system for fast, associative memory based track reconstruction. It will provide tracking information within the full acceptance of the inner tracking detectors to the high level trigger at a rate of up to 100 kHz. %, thus allowing for a refined and more efficient event selection at the trigger level. At the first stage of the FTK the Data Formatter subsystem clusters inner detector hits and organizes them into 64 $\\eta$-$\\phi$ trigger regions. At the last stage, the FTK to Level-2 Interface Cards repackage track records and send them to the high level trigger computing farm. This report aims to give an overview over the functionality of the two systems, their hardware implementation in the Advanced Telecommunications Computing Architecture standard, and the status of their integration into ATLAS.

Auger processes in tracks of fast multicharged ions

International Nuclear Information System (INIS)

Katin, V.V.; Martynenko, Yu.V.; Yavlinskij, Yu.N.

1992-01-01

The fast multicharged ion spends about 40% of energy losses on vacancy creation in the inner electron shells. This energy is transferred to the kinetic energy of electrons due to the cascade of Auger processes during ∼ 10 -14 s whereas the primary excited electrons receive the energy in ∼10 -16 s. (author)

Integrated quality status and inventory tracking system for FFTF driver fuel pins

International Nuclear Information System (INIS)

Gottschalk, G.P.

1979-11-01

An integrated system for quality status and inventory tracking of Fast Flux Test Facility (FFTF) driver fuel pins has been developed. Automated fuel pin identification systems, a distributed computer network, and a data base are used to implement the tracking system

Target tracking using DMLC for volumetric modulated arc therapy: A simulation study

Energy Technology Data Exchange (ETDEWEB)

Sun Baozhou; Rangaraj, Dharanipathy; Papiez, Lech; Oddiraju, Swetha; Yang Deshan; Li, H. Harold [Department of Radiation Oncology, School of Medicine, Washington University, 4921 Parkview Place, St. Louis, Missouri 63110 (United States); Department of Radiation Oncology, Southwestern Medical Center, University of Texas, Dallas, Texas 75390 (United States); Department of Radiation Oncology, School of Medicine, Washington University, 4921 Parkview Place, St. Louis, Missouri 63110 (United States)

2010-12-15

Purpose: Target tracking using dynamic multileaf collimator (DMLC) is a promising approach for intrafraction motion management in radiation therapy. The purpose of this work is to develop a DMLC tracking algorithm capable of delivering volumetric-modulated arc therapy (VMAT) to the targets that experience two-dimensional (2D) rigid motion in the beam's eye view. Methods: The problem of VMAT delivery to moving targets is formulated as a control problem with constraints. The relationships between gantry speed, gantry acceleration, MLC leaf-velocity, dose rate, and target motion are derived. An iterative search algorithm is developed to find numerical solutions for efficient delivery of a specific VMAT plan to the moving target using 2D DMLC tracking. The delivery of five VMAT lung plans is simulated. The planned and delivered fluence maps in the target-reference frame are calculated and compared. Results: The simulation demonstrates that the 2D tracking algorithm is capable of delivering the VMAT plan to a moving target fast and accurately without violating the machine constraints and the integrity of the treatment plan. The average delivery time is only 29 s longer than that of no-tracking delivery, 101 versus 72 s, respectively. The fluence maps are normalized to 200 MU and the average root-mean-square error between the desired and the delivered fluence is 2.1 MU, compared to 14.8 MU for no-tracking and 3.6 MU for one-dimensional tracking. Conclusions: A locally optimal MLC tracking algorithm for VMAT delivery is proposed, aiming at shortest delivery time while maintaining treatment plan invariant. The inconsequential increase of treatment time due to DMLC tracking is clinically desirable, which makes VMAT with DMLC tracking attractive in treating moving tumors.

Use of cellulose nitrate plastic track detectors in neutron personnel monitoring

International Nuclear Information System (INIS)

Venkataraman, G.; Marathe, P.K.; Joshi, R.V.

1975-01-01

Cellulose nitrate, which is a sensitive plastic material wherein even proton tracks could be recorded, was studied with a view to using it for personnel neutron monitoring work. It was found that among the commercially available plastics, the colourless transparent Daicel 6000 variety having a thickness of 0.6mm is satisfactory form the point of view of track recognition. The material was exposed to thermal neutrons, fission neutrons, neutrons from an Am-Be source and to 14 MeV neutrons. As is to be expected, there is no thermal neutron sensitivity. The sensitivity to fast neutrons is less by a factor of two as compared to that of the NTA nuclear track emulsion. It was observed that the background tracks found in the plastic correspond to nearly 100 mrem of fast neutron dose equivalent. It is felt that at present cellulose nitrate is useful for monitoring personnel involved in nuclear criticality accidents. (author)

Fast processor for dilepton triggers

International Nuclear Information System (INIS)

Katsanevas, S.; Kostarakis, P.; Baltrusaitis, R.

1983-01-01

We describe a fast trigger processor, developed for and used in Fermilab experiment E-537, for selecting high-mass dimuon events produced by negative pions and anti-protons. The processor finds candidate tracks by matching hit information received from drift chambers and scintillation counters, and determines their momenta. Invariant masses are calculated for all possible pairs of tracks and an event is accepted if any invariant mass is greater than some preselectable minimum mass. The whole process, accomplished within 5 to 10 microseconds, achieves up to a ten-fold reduction in trigger rate

The Fast Simulation Chain for ATLAS

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00399337; The ATLAS collaboration; Marshall, Zach

2017-01-01

In order to generate the huge number of Monte Carlo events that will be required by the ATLAS experiment over the next several runs, a very fast simulation is critical. Fast detector simulation alone, however, is insufficient: with very high numbers of simultaneous proton-proton collisions expected in Run 3 and beyond, the digitization (detector response emulation) and event reconstruction time quickly become comparable to the time required for detector simulation. The ATLAS Fast Chain simulation has been developed to solve this problem. Modules are implemented for fast simulation, fast digitization, and fast track reconstruction. The application is sufficiently fast—several orders of magnitude faster than the standard simulation—that the simultaneous proton-proton collisions can be generated during the simulation job, so Pythia8 also runs concurrently with the rest of the algorithms. The Fast Chain has been built to be extremely modular and flexible, so that each sample can be custom-tailored to match th...

Application of solid state nuclear track detectors in radiation protection

International Nuclear Information System (INIS)

Ramachandran, T.V.; Subba Ramu, M.C.; Mishra, U.C.

1989-01-01

This article reviews the current status of the application of nuclear track detectors with emphasis on recent developments in the field of radiation protection. Track etch detectors have been used for the measurements of low level radiation in the environment, fast neutron and radon daughter inhalation dose. Recent developments in the field of dosimetry seem to be promising. In fast neutron dosimetry, track etch detectors can be used without inclusion of fissile materials by using the electrochemical etching technique. These detectors can provide important information in the energy range upto 250 keV. Survey of this range of energy with TLD is difficult because they are extremely energy dependent and over-respond to low energy neutrons. Measurement of radon using track detectors can help to lower the cost of the radon dosimeters. Certain detectors are sensitive to alpha particles from radon and their progeny. Higher sensitivity permits their use in a passive type of personnel dosimeter, which does not require the troublesome aspects of air sampling for the collection of radon daughter samples. (author), 38 refs., 8 tabs., 12 figs

SU-G-JeP1-05: Clinical Impact of MLC Tracking for Lung SABR

Energy Technology Data Exchange (ETDEWEB)

Caillet, V; Colvill, E [Faculty of Medecine, The University of Sydney, Sydney, NSW (Australia); Royal North Shore Hospital, Sydney, NSW (Australia); Szymura, K; Stevens, M; Booth, J [Royal North Shore Hospital, Sydney, NSW (Australia); Keall, P [Faculty of Medecine, The University of Sydney, Sydney, NSW (Australia)

2016-06-15

Purpose: The objective of this study was to investigate the dosimetric benefits of multi-leaf collimator (MLC) tracking for lung SABR treatments in end-to-end clinically realistic planning and delivery scenarios. Methods: The clinical benefits of MLC tracking were assessed using previously delivered treatment plans and physical experiments. The 10 most recent single lesion lung SABR patients were re-planned following a 4D-GTV-based real-time adaptive protocol (PTV defined as the end-of-exhalation GTV plus 5.0 mm margins). The plans were delivered on a Trilogy Varian linac. Electromagnetic transponders (Calypso, Varian Medical Systems, USA) were embedded into a programmable moving phantom (HexaMotion platform) tracked with the Varian Calypso system. For each physical experiment, the MLC positions were collected and used as input for dose reconstruction. For both planned and physical experiments, the OAR dose metrics from the conventional and real-time adaptive SABR plans (Mean Lung Dose (MLD), V20 for lung, and near-maximum dose (D2%) for spine and heart) were statistically compared. The Wilcoxon test was used to compare plan and physical experiment dose metrics. Results: While maintaining target coverage, percentage reductions in dose metrics to the OARs were observed for both planned and physical experiments. Comparing the two plans showed MLD percentage reduction (MLDr) of 25.4% (absolute differences of 1.41 Gy) and 28.9% (1.29%) for the V20r. D2% percentage reduction for spine and heart were respectively 27.9% (0.3 Gy) and 20.2% (0.3 Gy). For the physical experiments, MLDr was 23.9% (1.3 Gy), and V20r 37.4% (1.6%). D2% reduction for spine and heart were respectively 27.3% (0.3 Gy) and 19.6% (0.3 Gy). For both plans and physical experiments, significant OAR dose differences (p<0.05) were found between the conventional SABR and real-time adaptive plans. Conclusion: Application of MLC tracking for lung SABR patients has the potential to reduce the dose to OARs

A nonrandomized controlled clinical pilot trial on 8 wk of intermittent fasting (24 h/wk).

Science.gov (United States)

Kessler, Christian S; Stange, Rainer; Schlenkermann, Maike; Jeitler, Michael; Michalsen, Andreas; Selle, Antonia; Raucci, Franca; Steckhan, Nico

2018-02-01

The aim of the study was to evaluate whether intermittent fasting (IF) is an effective preventive measure, and whether it is feasible for healthy volunteers under every day conditions. A nonrandomized controlled clinical trial on IF was performed with healthy volunteers over a period of 8 wk, and a subsequent 4-mo follow-up. Outcomes were assessed at baseline, after 8 wk, and after 6 mo. Volunteers who were not interested in fasting served as a control group. Participants in the fasting group were asked to continue their regular nutritional habits on the nonfasting days, whereas the control group maintained their habitual nutrition throughout the whole period. Outcomes included changes of metabolic parameters (insulin, glucose, insulin resistance, insulin-like growth factor-1, brain-derived neurotropic factor, lipids, liver enzymes, hemoglobin A1c) and coagulation markers; bioelectrical impedance analysis; body mass index; abdominal girth; blood pressure; general quality of life (five-item World Health Organization Well-Being Index [WHO-5] questionnaire), as well as mood and anxiety (Hospital Anxiety and Depression Scale [HADS], Profile of Mood States, Flourishing-Scale, visual analog scale, Likert scales). The intervention consisted of a fasting day, which was repeated every week for 8 wk, with abstinence from solid food between 00:00 and 23:59 at minimum and a maximum caloric intake of 300 kcal on each fasting day. A per-protocol analysis was performed. P < 0.05 was considered significant. Thirty-six volunteers were included; 22 allocated themselves to the fasting group, and 14 to the control group. Thirty-three data sets were included in the final analysis. Although significant in-group changes were observed in both groups for a number of outcomes after 8 wk and 6 mo, no significant between-group differences were observed for any outcome other than overall body fat mass after 8 wk as well as for the HADS total score and the WHO-5 total score after 6�

Development of fast neutron therapy worldwide. Radiobiological, clinical and technical aspects

International Nuclear Information System (INIS)

Wambersie, A.; Richard, F.; Breteau, N.

1994-01-01

Radiobiological data indicate that fast neutrons could bring a benefit in the treatment of some tumour types, and suggest mechanisms through which this benefit could be achieved. However, radiobiology also clearly indicates that there is a need for patient selection as well as for a high-physical selectivity. The main difficulty when interpreting the results of neutron therapy are the poor technical conditions in which the first treatments were applied. This explains why the value and the place of neutron therapy are not universally recognized, although more than 15000 patients have been treated so far worldwide. There are, however, clinical indications of fast neutrons bringing a benefit for the following tumour sites: salivary glands, paranasal sinuses, soft tissue sarcomas, prostatic adenocarcinomas, palliative treatment of melanoma and rectum. These tumours represent about 10-15% of all patients currently referred to the radiation therapy departments. (orig.)

Automated Measurement of Fast Mitochondrial Transport in Neurons

Directory of Open Access Journals (Sweden)

Kyle eMiller

2015-11-01

Full Text Available There is a growing recognition that fast mitochondrial transport in neurons is disrupted in multiple neurological diseases and psychiatric disorders. However a major constraint in identifying novel therapeutics based on mitochondrial transport is that the large-scale analysis of fast transport is time consuming. Here we describe methodologies for the automated analysis of fast mitochondrial transport from data acquired using a robotic microscope. We focused on addressing questions of measurement precision, speed, reliably, workflow ease, statistical processing and presentation. We used optical flow and particle tracking algorithms, implemented in ImageJ, to measure mitochondrial movement in primary cultured cortical and hippocampal neurons. With it, we are able to generate complete descriptions of movement profiles in an automated fashion of hundred of thousands of mitochondria with a processing time of approximately one hour. We describe the calibration of the parameters of the tracking algorithms and demonstrate that they are capable of measuring the fast transport of a single mitochondrion. We then show that the methods are capable of reliably measuring the inhibition of fast mitochondria transport induced by the disruption of microtubules with the drug nocodazole in both hippocampal and cortical neurons. This work lays the foundation for future large-scale screens designed to identify compounds that modulate mitochondrial motility.

Trigger and electronics issues for scintillating fiber tracking

International Nuclear Information System (INIS)

Baumbaugh, A.E.

1994-01-01

Scintillating Fiber technology has made great advances and has demonstrated great promise for high speed charged particle tracking and triggering. The small detector sizes and fast scintillation floors available, make them very promising for use at high luminosity experiments at today's and tomorrow's colliding and fixed target experiments where high rate capability is essential. This paper will discuss some of the system aspects which should be considered by anyone attempting to design a scintillating fiber tracking system and high speed tracking trigger. As the reader will see, seemingly simple decisions can have far reaching effects on overall system performance

Real-time x-ray fluoroscopy-based catheter detection and tracking for cardiac electrophysiology interventions

International Nuclear Information System (INIS)

Ma Yingliang; Housden, R. James; Razavi, Reza; Rhode, Kawal S.; Gogin, Nicolas; Cathier, Pascal; Gijsbers, Geert; Cooklin, Michael; O'Neill, Mark; Gill, Jaswinder; Rinaldi, C. Aldo

2013-01-01

Purpose: X-ray fluoroscopically guided cardiac electrophysiology (EP) procedures are commonly carried out to treat patients with arrhythmias. X-ray images have poor soft tissue contrast and, for this reason, overlay of a three-dimensional (3D) roadmap derived from preprocedural volumetric images can be used to add anatomical information. It is useful to know the position of the catheter electrodes relative to the cardiac anatomy, for example, to record ablation therapy locations during atrial fibrillation therapy. Also, the electrode positions of the coronary sinus (CS) catheter or lasso catheter can be used for road map motion correction.Methods: In this paper, the authors present a novel unified computational framework for image-based catheter detection and tracking without any user interaction. The proposed framework includes fast blob detection, shape-constrained searching and model-based detection. In addition, catheter tracking methods were designed based on the customized catheter models input from the detection method. Three real-time detection and tracking methods are derived from the computational framework to detect or track the three most common types of catheters in EP procedures: the ablation catheter, the CS catheter, and the lasso catheter. Since the proposed methods use the same blob detection method to extract key information from x-ray images, the ablation, CS, and lasso catheters can be detected and tracked simultaneously in real-time.Results: The catheter detection methods were tested on 105 different clinical fluoroscopy sequences taken from 31 clinical procedures. Two-dimensional (2D) detection errors of 0.50 ± 0.29, 0.92 ± 0.61, and 0.63 ± 0.45 mm as well as success rates of 99.4%, 97.2%, and 88.9% were achieved for the CS catheter, ablation catheter, and lasso catheter, respectively. With the tracking method, accuracies were increased to 0.45 ± 0.28, 0.64 ± 0.37, and 0.53 ± 0.38 mm and success rates increased to 100%, 99.2%, and 96

Studies on neutron detection with solid state nuclear track detectors

International Nuclear Information System (INIS)

Khouri, M.C.; Vilela, E.C.; Andrade, C. de.

1993-03-01

The detection of thermal and fast neutrons was studied. For thermal neutrons, alpha sensitive plastic was used in order to register the products of nuclear reactions taking place in boron and /or lithium converters. Fast neutrons produce recoil tracks within the detector. In the present case, CR-39 and Makrofol E were used. Chemical and electrochemical etching processes were used for thermal and fast neutron detectors, respectively. (F.E.). 6 refs, 4 figs, 6 tabs

Television imaging system for fast neutron radiography using baby cyclotron

International Nuclear Information System (INIS)

Yoshii, Koji; Miya, Kenzo; Katoh, Norihiko.

1993-01-01

A television imaging system for fast neutron radiography (FNR-TV) developed using the fast neutron source reactor YAYOI was applied to the baby-cyclotron based fast neutron source to get images of thick objects quickly. In the system the same technique as a current television imaging system of thermal neutron radiography was applied, while the luminescent converter was used to detect fast neutrons. Using the CR39 track etch method it took about 7 h to get an image, while the FNR-TV only 20 s enough for taking the same object. However the FNR-TV imaging result of the simulation model of a large explosive device for the space launch vehicle of H-2 type was not so good as the image taken with the CR39 track etch method. The reason was that the luminescence intensity of the FNR-TV converter was a quarter of that in the YAYOI. (author)

MONICA - an on-line track following microprocessor in high energy physics experiments

International Nuclear Information System (INIS)

Wermes, N.; Schildt, P.; Stuckenberg, H.J.

1980-02-01

In the storage ring experiments at the PETRA accelerator, large cylindrical detectors with thousands of channels are used. The maximum event rate is 500 000 per second, i.e. effective preprocessing is required. In the TASSO detector this is achieved in two steps: A fast trigger system is able to make within 1 microsecond a decision, whether it is a useful event or not. A positive decision starts an on-line track-following ECL computer together with fast associative memories and table look-up. It is a microprogrammed on-line track analyzer called MONICA, which follows up to 10 tracks within 1 millisecond and calculates the coordinates in the R,phi-plane. CAMAC equipment is used for the input of raw data and the output of the calculated track coordinates, speed of the system is ensured by the computer. An outline of the algorithm used and the features of MONICA are given. As far as we know MONICA is the first running on-line track following free programmable microporcessor used in storage ring experiments. (orig.)

An algorithm for symplectic implicit Taylor-map tracking

International Nuclear Information System (INIS)

Yan, Y.; Channell, P.; Syphers, M.

1992-10-01

An algorithm has been developed for converting an ''order-by-order symplectic'' Taylor map that is truncated to an arbitrary order (thus not exactly symplectic) into a Courant-Snyder matrix and a symplectic implicit Taylor map for symplectic tracking. This algorithm is implemented using differential algebras, and it is numerically stable and fast. Thus, lifetime charged-particle tracking for large hadron colliders, such as the Superconducting Super Collider, is now made possible

A-Track: Detecting Moving Objects in FITS images

Science.gov (United States)

Atay, T.; Kaplan, M.; Kilic, Y.; Karapinar, N.

2017-04-01

A-Track is a fast, open-source, cross-platform pipeline for detecting moving objects (asteroids and comets) in sequential telescope images in FITS format. The moving objects are detected using a modified line detection algorithm.

Development and Integration of the CT-PPS Fast Simulation in the CMS Software

CERN Document Server

Fonseca De Souza, Sandro

2017-01-01

CT-PPS (CMS-TOTEM Precision Proton Spectrometer) is a joint project of the CMS and TOTEM collaborations with the goal of studying central exclusive production (CEP) in proton-proton collisions. A simplified simulation and reconstruction code for CT-PPS has been implemented in the CMS fast simulation package FastSim. Protons scattered at very low polar angles are propagated along the LHC beamlines from the generated vertex to the detectors by means of the beam transport package Hector. The reconstructed proton tracks are obtained from the simulated hits in the tracking detectors and are used to determine the proton kinematics at the vertex. The timing information is added to the tracks.

Wearable Internet of Things - from human activity tracking to clinical integration.

Science.gov (United States)

Kumari, Poonam; Lopez-Benitez, Miguel; Gyu Myoung Lee; Tae-Seong Kim; Minhas, Atul S

2017-07-01

Wearable devices for human activity tracking have been emerging rapidly. Most of them are capable of sending health statistics to smartphones, smartwatches or smart bands. However, they only provide the data for individual analysis and their data is not integrated into clinical practice. Leveraging on the Internet of Things (IoT), edge and cloud computing technologies, we propose an architecture which is capable of providing cloud based clinical services using human activity data. Such services could supplement the shortage of staff in primary healthcare centers thereby reducing the burden on healthcare service providers. The enormous amount of data created from such services could also be utilized for planning future therapies by studying recovery cycles of existing patients. We provide a prototype based on our architecture and discuss its salient features. We also provide use cases of our system in personalized and home based healthcare services. We propose an International Telecommunication Union based standardization (ITU-T) for our design and discuss future directions in wearable IoT.

A highly parallel algorithm for track finding

International Nuclear Information System (INIS)

Dell'Orso, M.

1990-01-01

We describe a very fast algorithm for track finding, which is applicable to a whole class of detectors like drift chambers, silicon microstrip detectors, etc. The algorithm uses a pattern bank stored in a large memory and organized into a tree structure. (orig.)

Initial Report of the Fast Timing Working Group

CERN Document Server

CMS Collaboration

2016-01-01

A preliminary set of results highlighting the unique capabilities of fast-timing for resolving information from individual collisions at the High-Luminosity LHC (HL- LHC) is presented. These results explore the possibilities made available by using fast timing to enhance the reconstruction and physics capabilities of the CMS detector in terms of pileup mitigation and searches for new physics. Fast timing applications in calorimetry, for electromagnetic showers, and for MIPs, to time-tag tracks, are demonstrated as are first examples of what is possible with their combination.

Track recognition with an associative pattern memory

International Nuclear Information System (INIS)

Bok, H.W. den; Visschers, J.L.; Borgers, A.J.; Lourens, W.

1991-01-01

Using Programmable Gate Arrays (PGAs), a prototype for a fast Associative Pattern Memory module has been realized. The associative memory performs the recognition of tracks within the hadron detector data acquisition system at NIKHEF-K. The memory matches the detector state with a set of 24 predefined tracks to identify the particle tracks that occur during an event. This information enables the trigger hardware to classify and select or discriminate the event. Mounted on a standard size (6U) VME board, several PGAs together form an associative memory. The internal logic architecture of the Gate Array is used in such a way as to minimize signal propagation delay. The memory cells, containing a binary representation of the particle tracks, are dynamically loadable through a VME bus interface, providing a high level of flexibility. The hadron detector and its readout system are briefly described and our track representation method is presented. Results from measurements under experimental conditions are discussed. (orig.)

Three-dimensional particle tracking velocimetry using dynamic vision sensors

Science.gov (United States)

Borer, D.; Delbruck, T.; Rösgen, T.

2017-12-01

A fast-flow visualization method is presented based on tracking neutrally buoyant soap bubbles with a set of neuromorphic cameras. The "dynamic vision sensors" register only the changes in brightness with very low latency, capturing fast processes at a low data rate. The data consist of a stream of asynchronous events, each encoding the corresponding pixel position, the time instant of the event and the sign of the change in logarithmic intensity. The work uses three such synchronized cameras to perform 3D particle tracking in a medium sized wind tunnel. The data analysis relies on Kalman filters to associate the asynchronous events with individual tracers and to reconstruct the three-dimensional path and velocity based on calibrated sensor information.

FastSim: A Fast Simulation for the SuperB Detector

International Nuclear Information System (INIS)

Andreassen, R; Sokoloff, M; Arnaud, N; Burmistrov, L; Brown, D N; Carlson, J; Gaponenko, I; Suzuki, A; Cheng, C-h; Simone, A Di; Manoni, E; Perez, A; Walsh, J; Rama, M; Roberts, D; Rotondo, M; Simi, G

2011-01-01

We have developed a parameterized (fast) simulation for detector optimization and physics reach studies of the proposed SuperB Flavor Factory in Italy. Detector components are modeled as thin sections of planes, cylinders, disks or cones. Particle-material interactions are modeled using simplified cross-sections and formulas. Active detectors are modeled using parameterized response functions. Geometry and response parameters are configured using xml files with a custom-designed schema. Reconstruction algorithms adapted from BaBar are used to build tracks and clusters. Multiple sources of background signals can be merged with primary signals. Pattern recognition errors are modeled statistically by randomly misassigning nearby tracking hits. Standard BaBar analysis tuples are used as an event output. Hadronic B meson pair events can be simulated at roughly 10Hz.

FastSim: A Fast Simulation for the SuperB Detector

Science.gov (United States)

Andreassen, R.; Arnaud, N.; Brown, D. N.; Burmistrov, L.; Carlson, J.; Cheng, C.-h.; Di Simone, A.; Gaponenko, I.; Manoni, E.; Perez, A.; Rama, M.; Roberts, D.; Rotondo, M.; Simi, G.; Sokoloff, M.; Suzuki, A.; Walsh, J.

2011-12-01

We have developed a parameterized (fast) simulation for detector optimization and physics reach studies of the proposed SuperB Flavor Factory in Italy. Detector components are modeled as thin sections of planes, cylinders, disks or cones. Particle-material interactions are modeled using simplified cross-sections and formulas. Active detectors are modeled using parameterized response functions. Geometry and response parameters are configured using xml files with a custom-designed schema. Reconstruction algorithms adapted from BaBar are used to build tracks and clusters. Multiple sources of background signals can be merged with primary signals. Pattern recognition errors are modeled statistically by randomly misassigning nearby tracking hits. Standard BaBar analysis tuples are used as an event output. Hadronic B meson pair events can be simulated at roughly 10Hz.

Clinical Accuracy of the Respiratory Tumor Tracking System of the CyberKnife: Assessment by Analysis of Log Files

International Nuclear Information System (INIS)

Hoogeman, Mischa; Prevost, Jean-Briac; Nuyttens, Joost; Poell, Johan; Levendag, Peter; Heijmen, Ben

2009-01-01

Purpose: To quantify the clinical accuracy of the respiratory motion tracking system of the CyberKnife treatment device. Methods and Materials: Data in log files of 44 lung cancer patients treated with tumor tracking were analyzed. Errors in the correlation model, which relates the internal target motion with the external breathing motion, were quantified. The correlation model error was compared with the geometric error obtained when no respiratory tracking was used. Errors in the prediction method were calculated by subtracting the predicted position from the actual measured position after 192.5 ms (the time lag to prediction in our current system). The prediction error was also measured for a time lag of 115 ms and a new prediction method. Results: The mean correlation model errors were less than 0.3 mm. Standard deviations describing intrafraction variations around the whole-fraction mean error were 0.2 to 1.9 mm for cranio-caudal, 0.1 to 1.9 mm for left-right, and 0.2 to 2.5 mm for anterior-posterior directions. Without the use of respiratory tracking, these variations would have been 0.2 to 8.1 mm, 0.2 to 5.5 mm, and 0.2 to 4.4 mm. The overall mean prediction error was small (0.0 ± 0.0 mm) for all directions. The intrafraction standard deviation ranged from 0.0 to 2.9 mm for a time delay of 192.5 ms but was halved by using the new prediction method. Conclusions: Analyses of the log files of real clinical cases have shown that the geometric error caused by respiratory motion is substantially reduced by the application of respiratory motion tracking.

Design of a tracking device for on-line dose monitoring in hadrontherapy

Energy Technology Data Exchange (ETDEWEB)

Battistoni, G. [INFN Sezione di Milano, Milano (Italy); Collamati, F.; De Lucia, E. [Laboratori Nazionali di Frascati dell' INFN, Frascati (Italy); Faccini, R. [Dipartimento di Fisica, “La Sapienza” Università di Roma, Roma (Italy); INFN Sezione di Roma, Roma (Italy); Marafini, M. [INFN Sezione di Roma, Roma (Italy); Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Roma (Italy); Mattei, I. [INFN Sezione di Milano, Milano (Italy); Muraro, S., E-mail: silvia.muraro@mi.infn.it [INFN Sezione di Milano, Milano (Italy); Paramatti, R. [INFN Sezione di Roma, Roma (Italy); Patera, V. [INFN Sezione di Roma, Roma (Italy); Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Roma (Italy); Dipartimento di Scienze di Base e Applicate per Ingegneria, “La Sapienza” Università di Roma, Roma (Italy); Pinci, D. [INFN Sezione di Roma, Roma (Italy); Rucinski, A. [INFN Sezione di Roma, Roma (Italy); Dipartimento di Scienze di Base e Applicate per Ingegneria, “La Sapienza” Università di Roma, Roma (Italy); Russomando, A. [Dipartimento di Fisica, “La Sapienza” Università di Roma, Roma (Italy); INFN Sezione di Roma, Roma (Italy); Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Roma (Italy); and others

2017-02-11

Hadrontherapy is a technique for cancer treatment that exploits ion beams (mostly protons and carbons). A critical issue is the accuracy that is achievable when monitoring the dose released by the beam to the tumor and to the surrounding tissues. We present the design of a tracking device, developed in the framework of the INSIDE project , capable of monitoring in real time the longitudinal profile of the dose delivered in the patient. This is possible by detecting the secondary particles produced by the interaction of the beam in the tissues. The position of the Bragg peak can be correlated to the charged particles emission point distribution measurement. The tracking device will be able to provide a fast response on the dose pattern by tracking the secondary charged fragments. The tracks are detected using 6 planes of scintillating fibers, providing the 3D coordinates of the track intersection with each plane. The fibers planes are followed by a plastic scintillator and by a small calorimeter built with a pixelated Lutetium Fine Silicate (LFS) crystal. A complete detector simulation, followed by the event reconstruction, has been performed to determine the achievable monitoring spatial resolution. - Highlights: • On-line range monitoring in hadrontherapy. • New approach: detection of charged secondary particles escaping the patient. • Correlation of longitudinal emission profile of secondaries with the beam range. • New detector integrated in a multi-modal system to be tested in clinical operation.

Possibilities of fast track surgery principles in the treatment of congenital urological anomalies

Directory of Open Access Journals (Sweden)

Bižić Marta R.

2012-01-01

Full Text Available Introduction. Urogenital congenital anomalies are among the most common congenital anomalies and very frequent pathology in paediatric urology. Health care systems strive to shorten the duration and reduce the costs of hospitalization, while maintaining treatment effectiveness. Objective. To evaluate the duration of hospital stay of surgically treated patients with congenital urogenital anomalies and estimate the possibility of using fast track surgery principles in paediatric urology in the local settings of a developing country. Methods. Retrospective non-randomized study included 552 patients who had been surgically treated at the Urology Department of the University Children’s Hospital, during 2010. In line with their congenital anomalies, all patients were classified in one of four groups: I - upper urinary tract anomalies (252 patients; II - genital anomalies (164 patients; III - testicular anomalies (76 patients and IV - associated anomalies (60 patients. We analyzed the total duration of stay as well as preand post-operative stay in the hospital. Results. The average duration of hospitalization was 4.7±4.0 days. Patients with testicular anomalies stayed for the shortest period (2.3±1.9 days (p<0.01 and patients with associated anomalies stayed in the hospital the longest (6.5±4.7 days (p<0.01. Conclusion. Modern methods of surgical treatment allow reduction of hospitalization, financial savings to the healthcare system and greater comfort for patients. Our results showed that this is also possible to apply in our environment.

Transmission electron microscopy porometry of track membranes

International Nuclear Information System (INIS)

Reutov, V.F.; Dmitriev, S.N.; Sokhatskij, A.S.; Akap'ev, G.N.

1998-01-01

A fast method has been developed for the preparation of a sample appropriate for both SEM and TEM porometry of track membranes with pore channels of various geometric profiles and of size 10 nm and above. The method leads to the electrochemical deposition in the pore channels of a precipitate of monocrystalline copper directly on the surface of a copper foil disk bent into a spherical shape. The tight clamping of the track membrane on the disk surface is carried out by the creation of a vacuum in the space between them

Towards Fast Tracking of the Keyhole Geometry

Science.gov (United States)

Brock, C.; Hohenstein, R.; Schmidt, M.

We describe a sensor principle permitting the fast online measurement of the position of the optical process emissions in deep penetration laser welding. Experiments show a strong correlation between the position of the vapour plume and the keyhole geometry, demonstrated here by varying the penetration depth of the weld. In order to achieve an absolute position measurement, the sensor was calibrated using a light source with well defined characteristics. The setup for the calibration measurements and the corresponding data evaluation methods are discussed. The precision of the calibration with a green LED is 6 μm in lateral and 55 μm in axial direction, for a working distance of 200 mm.

A Hardware Fast Tracker for the ATLAS trigger

CERN Document Server

Asbah, Nedaa; The ATLAS collaboration

2015-01-01

The trigger system of the ATLAS experiment is designed to reduce the event rate from the LHC nominal bunch crossing at 40 MHz to about 1 kHz, at the design luminosity of 10^{34} cm^{-2}s^{-1}. After a successful period of data taking from 2010 to early 2013, the LHC restarted with much higher instantaneous luminosity. This will increase the load on High Level Trigger system, the second stage of the selection based on software algorithms. More sophisticated algorithms will be needed to achieve higher background rejection while maintaining good efficiency for interesting physics signals. The Fast TracKer (FTK) is part of the ATLAS trigger upgrade project; it is a hardware processor that will provide, at every level-1 accepted event (100 kHz) and within 100 microseconds, full tracking information for tracks with momentum as low as 1 GeV. Providing fast extensive access to tracking information, with resolution comparable to the offline reconstruction, FTK will help in precise detection of the primary and secondar...

Clinical Validation of the Glenoid Track Concept in Anterior Glenohumeral Instability.

Science.gov (United States)

Shaha, James S; Cook, Jay B; Rowles, Douglas J; Bottoni, Craig R; Shaha, Steven H; Tokish, John M

2016-11-16

Glenoid and humeral bone loss are well-described risk factors for failure of arthroscopic shoulder stabilization. Recently, consideration of the interactions of these types of bone loss (bipolar bone loss) has been used to determine if a lesion is "on-track" or "off-track." The purpose of this study was to study the relationship of the glenoid track to the outcomes of arthroscopic Bankart reconstructions. Over a 2-year period, 57 shoulders that were treated with an isolated, primary arthroscopic Bankart reconstruction performed at a single facility were included in this study. The mean patient age was 25.5 years (range, 20 to 42 years) at the time of the surgical procedure, and the mean follow-up was 48.3 months (range, 23 to 58 months). Preoperative magnetic resonance imaging was used to determine glenoid bone loss and Hill-Sachs lesion size and location and to measure the glenoid track to classify the shoulders as on-track or off-track. Outcomes were assessed according to shoulder stability on examination and subjective outcome. There were 10 recurrences (18%). Of the 49 on-track patients, 4 (8%) had treatment that failed compared with 6 (75%) of 8 off-track patients (p = 0.0001). Six (60%) of 10 patients with recurrence of instability were off-track compared with 2 (4%) of 47 patients in the stable group (p = 0.0001). The positive predictive value of an off-track measurement was 75% compared with 44% for the predictive value of glenoid bone loss of >20%. The application of the glenoid track concept to our cohort was superior to using glenoid bone loss alone with regard to predicting postoperative stability. This method of assessment is encouraged as a routine part of the preoperative evaluation of all patients under consideration for arthroscopic anterior stabilization. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated.

SU-E-T-183: Clinical Quality Assurance Workflow for Dynamic Tumor Tracking Radiation Dose Delivery

International Nuclear Information System (INIS)

Mamalui-Hunter, M; Su, Z; Li, Z

2015-01-01

Purpose: One of the most important aspects of implementation of new treatment modalities is an ‘end-to-end’ verification of the treatment process. Radiation treatment based on dynamic tracking of a tumor is highly patient-specific, therefore, special attention should be paid to quality assurance of the treatment delivery. Our goal was to design the clinical workflow that ensures accurate delivery of the planned dose using the Dynamic Target Tracking option of VeroTM (BrainLab,MHI) linac. Methods: A patient simulation is designed to include a pre-treatment session to verify whether the system can reliably track the motion of the implanted marker and build the 4D model of the target motion. The external surrogate and target motion patterns are recorded in the ExactracTM log files. In this work, a spectrum of custom marker and external surrogate motion trajectories closely resembling the patient specific motion patterns was used. 1mm thick/11mm long VisicoilTM marker was placed 15 and 20mm from the center of the spherical tissue equivalent target (centroid to centroid distance) in the 4D motion phantom (CIRSTM). 3D conformal (3 mm block margin) SBRT plans were delivered to 2 moving targets in the phantom: 1) 20mm diameter target that allows ion chamber dose measurement and 2) 25mm target that allows using film to measure CAX dose (GafchromicTM EBT3 used). The measured dose was compared to the iPlanTM TPS results using MonteCarlo algorithm (1% variance, Dose-to-water). Results: On average, film shows 98.9% pass using gamma criterion for 2% and 2mm DTA, 94.3% match for 2% and 1 mm DTA, 98% pass for 1% and 2 mm DTA however only 88% points passing for 1% and 1 mm DTA. Ion chamber measurements agreed with the calculation within 1.5%. Conclusion: The clinical QA workflow was designed for SBRT delivery using real-time tumor tracking on VeroTM linac

AUTOMATIC FAST VIDEO OBJECT DETECTION AND TRACKING ON VIDEO SURVEILLANCE SYSTEM

Directory of Open Access Journals (Sweden)

V. Arunachalam

2012-08-01

Full Text Available This paper describes the advance techniques for object detection and tracking in video. Most visual surveillance systems start with motion detection. Motion detection methods attempt to locate connected regions of pixels that represent the moving objects within the scene; different approaches include frame-to-frame difference, background subtraction and motion analysis. The motion detection can be achieved by Principle Component Analysis (PCA and then separate an objects from background using background subtraction. The detected object can be segmented. Segmentation consists of two schemes: one for spatial segmentation and the other for temporal segmentation. Tracking approach can be done in each frame of detected Object. Pixel label problem can be alleviated by the MAP (Maximum a Posteriori technique.

Anesthesia and fast-track in video-assisted thoracic surgery (VATS): from evidence to practice.

Science.gov (United States)

Umari, Marzia; Falini, Stefano; Segat, Matteo; Zuliani, Michele; Crisman, Marco; Comuzzi, Lucia; Pagos, Francesco; Lovadina, Stefano; Lucangelo, Umberto

2018-03-01

In thoracic surgery, the introduction of video-assisted thoracoscopic techniques has allowed the development of fast-track protocols, with shorter hospital lengths of stay and improved outcomes. The perioperative management needs to be optimized accordingly, with the goal of reducing postoperative complications and speeding recovery times. Premedication performed in the operative room should be wisely administered because often linked to late discharge from the post-anesthesia care unit (PACU). Inhalatory anesthesia, when possible, should be preferred based on protective effects on postoperative lung inflammation. Deep neuromuscular blockade should be pursued and carefully monitored, and an appropriate reversal administered before extubation. Management of one-lung ventilation (OLV) needs to be optimized to prevent not only intraoperative hypoxemia but also postoperative acute lung injury (ALI): protective ventilation strategies are therefore to be implemented. Locoregional techniques should be favored over intravenous analgesia: the thoracic epidural, the paravertebral block (PVB), the intercostal nerve block (ICNB), and the serratus anterior plane block (SAPB) are thoroughly reviewed and the most common dosages are reported. Fluid therapy needs to be administered critically, to avoid both overload and cardiovascular compromisation. All these practices are analyzed singularly with the aid of the most recent evidences aimed at the best patient care. Finally, a few notes on some of the latest trends in research are presented, such as non-intubated video-assisted thoracoscopic surgery (VATS) and intravenous lidocaine.

Proposed FPGA based tracking for a Level-1 track trigger at CMS for the HL-LHC

CERN Document Server

Pozzobon, Nicola

2014-01-01

The High Luminosity LHC (HL-LHC) is expected to deliver a luminosity in excess of $5\\times10^{34}$ cm$^{-2}$/s. The high event rate places stringent requirements on the trigger system. A key component of the CMS upgrade for the HL-LHC is a track trigger system which will identify tracks with transverse momenta above 2 GeV already at the first-level trigger within 5 $\\mu$s. This presentation will discuss a proposed track finding and fitting based on the tracklet based approach implemented on FPGAs. Tracklets are formed from pairs of hits in nearby layers in the detector and used in a road search. Summary Fast pattern recognition in Silicon trackers for triggering has often made use of Associative Memories for the pattern recognition step. We propose an alternative approach to solving the pattern recognition and track fitting problem for the upgraded CMS tracker for the HL-LHC operation. We make use of the trigger primitives,stubs, from the tracker. The stubs are formed from pairs of hits in sensors separated r...

An Optimal Control Modification to Model-Reference Adaptive Control for Fast Adaptation

Science.gov (United States)

Nguyen, Nhan T.; Krishnakumar, Kalmanje; Boskovic, Jovan

2008-01-01

This paper presents a method that can achieve fast adaptation for a class of model-reference adaptive control. It is well-known that standard model-reference adaptive control exhibits high-gain control behaviors when a large adaptive gain is used to achieve fast adaptation in order to reduce tracking error rapidly. High gain control creates high-frequency oscillations that can excite unmodeled dynamics and can lead to instability. The fast adaptation approach is based on the minimization of the squares of the tracking error, which is formulated as an optimal control problem. The necessary condition of optimality is used to derive an adaptive law using the gradient method. This adaptive law is shown to result in uniform boundedness of the tracking error by means of the Lyapunov s direct method. Furthermore, this adaptive law allows a large adaptive gain to be used without causing undesired high-gain control effects. The method is shown to be more robust than standard model-reference adaptive control. Simulations demonstrate the effectiveness of the proposed method.

FTK: the hardware Fast TracKer of the ATLAS experiment at CERN

CERN Document Server

Maznas, Ioannis; The ATLAS collaboration

2016-01-01

FTK: the hardware Fast TracKer of the ATLAS experiment at CERN In the ever increasing pile-up of the Large Hadron Collider environment, the trigger systems of the experiments have to be exceedingly sophisticated and fast at the same time, in order to select the relevant physics processes against the background processes. The Fast TracKer (FTK) is a track finding implementation at hardware level that is designed to deliver full-scan tracks with $p_{T}$ above 1 GeV to the ATLAS trigger system for every L1 accept (at a maximum rate of 100kHz). To accomplish this, FTK is a highly parallel system which is currently under installation in ATLAS. It will first provide the trigger system with tracks in the central region of the ATLAS detector, and next year it is expected to cover the whole detector. The system is based on pattern matching between hits coming from the silicon trackers of the ATLAS detector and 1 billion simulated patterns stored in specially designed ASIC chips (Associative memory – AM06). In a firs...

Positron emission zone plate holography for particle tracking

Energy Technology Data Exchange (ETDEWEB)

Gundogdu, O. [University of Birmingham, School of Physics and Astronomy, Birmingham B15 2TT (United Kingdom)]. E-mail: o.gundogdu@surrey.ac.uk

2006-01-15

Positron Emission Particle Tracking (PEPT) is a powerful non-invasive technique that has been used extensively for tracking a single particle. In this paper, we present a study of zone plate holography method in order to track multiple particles, mainly two particles. The main aim is to use as small number of events as possible in the order to make it possible to track particles in fast moving industrial systems. A zone plate with 100% focal efficiency is simulated and applied to the Positron Emission Tomography (PET) data for multiple particle tracking. A simple trajectory code was employed to explore the effects of the nature of the experimental trajectories. A computer holographic reconstruction code that simulates optical reconstruction was developed. The different aspects of the particle location, particle activity ratios for enabling tagging of particles and zone plate and hologram locations are investigated. The effect of the shot noise is investigated and the limitations of the zone plate holography are reported.

Positron emission zone plate holography for particle tracking

International Nuclear Information System (INIS)

Gundogdu, O.

2006-01-01

Positron Emission Particle Tracking (PEPT) is a powerful non-invasive technique that has been used extensively for tracking a single particle. In this paper, we present a study of zone plate holography method in order to track multiple particles, mainly two particles. The main aim is to use as small number of events as possible in the order to make it possible to track particles in fast moving industrial systems. A zone plate with 100% focal efficiency is simulated and applied to the Positron Emission Tomography (PET) data for multiple particle tracking. A simple trajectory code was employed to explore the effects of the nature of the experimental trajectories. A computer holographic reconstruction code that simulates optical reconstruction was developed. The different aspects of the particle location, particle activity ratios for enabling tagging of particles and zone plate and hologram locations are investigated. The effect of the shot noise is investigated and the limitations of the zone plate holography are reported

The CDF II eXtremely Fast Tracker Upgrade

CERN Document Server

Fedorko, I; Errede, D; Gerberich, H; Junk, T; Kasten, M; Levine, S; Mokos, R; Pitts, K; Rogers, E; Veramendi, G; Azzurri, P; Donati, S; Staveris-Polykalas, A; Cochran, E; Efron, J; Gartner, J; Hughes, R; Johnson, M; Kilminster, B; Lannon, K; McKim, J; Olivito, D; Parks, B; Slaunwhite, J; Winer, B; Dittmann, J; Hewamanage, S; Krumnack, N; Wilson, J S; Erbacher, R; Forrest, R; Ivanov, A; Soha, A; Flanagan, G; Jones, T; Holm, S; Klein, R; Schmidt, E E; Scott, L; Shaw, T; Wilson, P J

2008-01-01

The CDF II eXtremely Fast Tracker (XFT) is the trigger processor which reconstructs charged particle tracks in the transverse plane of the central tracking chamber. The XFT tracks are also extrapolated to the electromagnetic calorimeter and muon chambers to generate trigger electron and muon candidates. The XFT is crucial for the entire CDF II physics program: it detects high pT leptons from W/Z and heavy flavor decays and, in conjunction with the Level 2 processors, it identifies secondary vertices from beauty decays. The XFT has thus been crucial for the recent measurement of the oscilation and Σb discovery. The increase of the Tevatron instantaneous luminosity demanded an upgrade of the system to cope with the higher occupancy of the chamber. In the upgraded XFT, three dimensional tracking reduces the level of fake tracks and measures the longitudinal track parameters, which strongly reinforce the trigger selections. This allows to mantain the trigger perfectly efficient at the record luminosities 2–3·...

A Single Phase Doubly Grounded Semi-Z-Source Inverter for Photovoltaic (PV Systems with Maximum Power Point Tracking (MPPT

Directory of Open Access Journals (Sweden)

Tofael Ahmed

2014-06-01

Full Text Available In this paper, a single phase doubly grounded semi-Z-source inverter with maximum power point tracking (MPPT is proposed for photovoltaic (PV systems. This proposed system utilizes a single-ended primary inductor (SEPIC converter as DC-DC converter to implement the MPPT algorithm for tracking the maximum power from a PV array and a single phase semi-Z-source inverter for integrating the PV with AC power utilities. The MPPT controller utilizes a fast-converging algorithm to track the maximum power point (MPP and the semi-Z-source inverter utilizes a nonlinear SPWM to produce sinusoidal voltage at the output. The proposed system is able to track the MPP of PV arrays and produce an AC voltage at its output by utilizing only three switches. Experimental results show that the fast-converging MPPT algorithm has fast tracking response with appreciable MPP efficiency. In addition, the inverter shows the minimization of common mode leakage current with its ground sharing feature and reduction of the THD as well as DC current components at the output during DC-AC conversion.

Clinically viable magnetic poly(lactide-co-glycolide) (PLGA) particles for MRI-based cell tracking

Science.gov (United States)

Granot, Dorit; Nkansah, Michael K.; Bennewitz, Margaret F.; Tang, Kevin S.; Markakis, Eleni A.; Shapiro, Erik M.

2013-01-01

Purpose To design, fabricate, characterize and in vivo assay clinically viable magnetic particles for MRI-based cell tracking. Methods PLGA encapsulated magnetic nano- and microparticles were fabricated. Multiple biologically relevant experiments were performed to assess cell viability, cellular performance and stem cell differentiation. In vivo MRI experiments were performed to separately test cell transplantation and cell migration paradigms, as well as in vivo biodegradation. Results Highly magnetic nano- (~100 nm) and microparticles (~1–2 μm) were fabricated. Magnetic cell labeling in culture occurred rapidly achieving 3–50 pg Fe/cell at 3 hrs for different particles types, and >100 pg Fe/cell after 10 hours, without the requirement of a transfection agent, and with no effect on cell viability. The capability of magnetically labeled mesenchymal or neural stem cells to differentiate down multiple lineages, or for magnetically labeled immune cells to release cytokines following stimulation, was uncompromised. An in vivo biodegradation study revealed that NPs degraded ~80% over the course of 12 weeks. MRI detected as few as 10 magnetically labeled cells, transplanted into the brains of rats. Also, these particles enabled the in vivo monitoring of endogenous neural progenitor cell migration in rat brains over 2 weeks. Conclusion The robust MRI properties and benign safety profile of these particles make them promising candidates for clinical translation for MRI-based cell tracking. PMID:23568825

Fertility and the fast-track: Continued childbearing among professionals in Sweden, 1991-2009

Directory of Open Access Journals (Sweden)

Maria Stanfors

2014-08-01

Full Text Available Background: During recent decades women have made considerable advances in education and the labor market, even in fast-track professions such as law, medicine, and academia. While women have entered high-status professions, the career paths of some jobs have changed little and are still inflexible, which implies that professional gains may be offset by familial losses. Objective: We investigate continued childbearing, focusing on the relationship between occupation and second and third births, among highly educated men and women in three high-status professions. Methods: We analyze the determinants of having a second or a third birth using longitudinal data from population registers in Sweden, 1991-2009. We use descriptive statistics and logistic models. Results: Net of demographic and socioeconomic controls, medical doctors are more likely to continue childbearing than lawyers and academics, irrespective of parity and gender. The patterns that emerge are independent of income. Public sector work is conducive to continued childbearing, especially for women. Conclusions: Although there are more opportunities to combine career and family in Sweden than in many other countries, this does not hold equally for all. The results indicate that working conditions and career structures contribute to making it easier for some groups than others to combine a professional career and children. Patterns that emerge reflect that women and men are not equally sensitive to career structures that imply a tradeoff between career and children at an early stage of the career. This puts policies promoting work and family for all into perspective.

On Channel Estimation for OFDM/TDM Using MMSE-FDE in a Fast Fading Channel

Directory of Open Access Journals (Sweden)

Gacanin Haris

2009-01-01

Full Text Available Abstract MMSE-FDE can improve the transmission performance of OFDM combined with time division multiplexing (OFDM/TDM, but knowledge of the channel state information and the noise variance is required to compute the MMSE weight. In this paper, a performance evaluation of OFDM/TDM using MMSE-FDE with pilot-assisted channel estimation over a fast fading channel is presented. To improve the tracking ability against fast fading a robust pilot-assisted channel estimation is presented that uses time-domain filtering on a slot-by-slot basis and frequency-domain interpolation. We derive the mean square error (MSE of the channel estimator and then discuss a tradeoff between improving the tracking ability against fading and the noise reduction. The achievable bit error rate (BER performance is evaluated by computer simulation and compared with conventional OFDM. It is shown that the OFDM/TDM using MMSE-FDE achieves a lower BER and a better tracking ability against fast fading in comparison with conventional OFDM.

FTK status and track triggers in ATLAS at HL-LHC

CERN Document Server

ATLAS Collaboration; The ATLAS collaboration

2016-01-01

The expected instantaneous luminosities delivered by the Large Hadron Collider will place continually increasing burdens on the trigger systems of the ATLAS detector. The use of tracking information is key to maintaining a manageable trigger rate while keeping a high efficiency. At the same time, however, track finding is one of the more resource-intensive tasks in the software-based processing farms of the high level trigger system. To support the trigger, ATLAS is building and currently installing the Fast TracK Finder (FTK), a hardware-based system that uses massively parallel pattern recognition in Associative Memory to reconstruct tracks above transverse momenta of 1 GeV across the entire detector at 100 kHz with a latency of ~100 microseconds. In the first-stage of track finding, FTK compares hits in ATLAS silicon detectors against ~1 billion pre-computed track pattern candidates. Track parameters for these candidates, including goodness-of-fit tests, are calculated in FPGAs using a linear approximation...

Overview of PADC nuclear track readers. Recent trends and solutions

International Nuclear Information System (INIS)

Hulber, E.

2009-01-01

The development of automated track readers dates back to the first routine dosimetry applications of solid state nuclear track detectors. Many research-laboratory track readers and a few commercial systems were introduced in the past 25 years. The traditional application area for high-throughput track readers is radon testing in buildings and fast neutron dosimetry. The latter application, in particular, has considerably increased the need for efficient polyallyldiglycol carbonate (PADC) track reader systems with high throughput. The paper provides an overview of recent trends in the development of high-throughput PADC track readers and it gives a glimpse into the practice of designing this category of devices. A general overview is provided of the technical aspects relating to the optics, the hardware and the track recognition approaches. Ultimate theoretical limits in the performance as well as promising new approaches are addressed. Requirements and practical solutions are illustrated with reference to a commercially available system.

Fasting conditions: Influence of water intake on clinical chemistry analytes.

Science.gov (United States)

Benozzi, Silvia F; Unger, Gisela; Campion, Amparo; Pennacchiotti, Graciela L

2018-02-15

Currently available recommendations regarding fasting requirements before phlebotomy do not specify any maximum water intake volume permitted during the fasting period. The aim was to study the effects of 300 mL water intake 1 h before phlebotomy on specific analytes. Blood was collected from 20 women (median age (min-max): 24 (22 - 50) years) in basal state (T 0 ) and 1 h after 300 mL water intake (T 1 ). Glucose, total proteins (TP), urea, creatinine, cystatin C, total bilirubin (BT), total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides (Tg), uric acid (UA), high-sensitivity C-reactive protein, gamma-glutamyl transferase (GGT), aspartate-aminotransferase (AST), alanine-aminotransferase and lactate-dehydrogenase (LD) were studied. Results were analyzed using Wilcoxon test. Mean difference (%) was calculated for each analyte and was further compared with reference change value (RCV). Only mean differences (%) higher than RCV were considered clinically significant. Significant differences (median T 0 vs median T 1 , P) were observed for TP (73 vs 74 g/L, 0.001); urea (4.08 vs 4.16 mmol/L, 0.010); BT (12 vs 13 µmol/L, 0.021); total cholesterol (4.9 vs 4.9 mmol/L, 0.042); Tg (1.05 vs 1.06 mmol/L, 0.002); UA (260 vs 270 µmol/L, 0.006); GGT (12 vs 12 U/L, 0.046); AST (22 vs 24 U/L, 0.001); and LD (364 vs 386 U/L, 0.001). Although the differences observed were statistically significant, they were not indicative of clinically significant changes. A water intake of 300 mL 1 h prior to phlebotomy does not interfere with the analytes studied in the present work.

Fast track in total hip and knee arthroplasty--experiences from Hvidovre University Hospital, Denmark

DEFF Research Database (Denmark)

Husted, Henrik; Holm, Gitte

2006-01-01

This study investigated whether unselected patients operated on with total hip arthroplasty (THA) or total knee arthroplasty (TKA) could accomplish a self-developed accelerated track, ANORAK-HH, with a planned length of stay (LOS) of maximum 5 days and patient satisfaction at all parts of the track...... and a planned LOS of maximum 5 days. 22 patient characteristics and 11 satisfaction parameters were registered as well as readmissions within 3 months. 95% of patients had a LOS of maximum 5 days with a mean of 3.9 days. Median and mean values of satisfaction for the entire track were 10 and 9.4 out of 10...

Early Removal of Drainage Tube after Fast-Track Primary Total Knee Arthroplasty.

Science.gov (United States)

Zhang, Shaoyun; Xu, Bin; Huang, Qiang; Yao, Huan; Xie, Jinwei; Pei, Fuxing

2017-07-01

There is no consensus as to whether drainage tube should be used and how long it should remain in use after primary total knee arthroplasty (TKA). As fast-track (FT) program has been implemented in TKA, whether drainage tube could be removed early, and the ideal timing for removal after FT primary TKA has been a new topic. The purpose of this prospective cohort study was to evaluate the safety and feasibility of early removal of drainage tube when FT program was implemented in primary TKA. A total of 101 patients undergoing FT primary TKA were prospectively allocated into three groups. Patients in group A (31 patients) indwelled wound drainage tube for 6 hours after surgery while group B (34 patients) for 12 hours and group C (36 patients) for 18 hours. The knee circumference, resting and moving visual analogue score (VAS), hemoglobin (Hb), hematocrit, white blood count (WBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), interleukin-6 (IL-6), the volume of blood loss and drainage, and postoperative length of stay (LOS) among three groups were recorded and compared. There was no statistically significant difference in the volume of total and hidden blood loss among three groups ( p  > 0.05), but as the time of drainage prolonged, total volume of drainage and dominant blood loss increased gradually ( p   0.05), the decrease of Hb in the perioperative period and postoperative LOS as well. Early removal of wound drainage tube could drain the hematocele and reduce the risk of infection, and it doesn't increase the sense of pain, inflammatory reaction, limb swelling, and total blood loss. It's safe and feasible to remove the drainage tube within 6 to 12 hours after FT primary TKA. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dual linear structured support vector machine tracking method via scale correlation filter

Science.gov (United States)

Li, Weisheng; Chen, Yanquan; Xiao, Bin; Feng, Chen

2018-01-01

Adaptive tracking-by-detection methods based on structured support vector machine (SVM) performed well on recent visual tracking benchmarks. However, these methods did not adopt an effective strategy of object scale estimation, which limits the overall tracking performance. We present a tracking method based on a dual linear structured support vector machine (DLSSVM) with a discriminative scale correlation filter. The collaborative tracker comprised of a DLSSVM model and a scale correlation filter obtains good results in tracking target position and scale estimation. The fast Fourier transform is applied for detection. Extensive experiments show that our tracking approach outperforms many popular top-ranking trackers. On a benchmark including 100 challenging video sequences, the average precision of the proposed method is 82.8%.

Imaging of fast-neutron sources using solid-state track-recorder pinhole radiography

International Nuclear Information System (INIS)

Ruddy, F.H.; Gold, R.; Roberts, J.H.; Kaiser, B.J.; Preston, C.C.

1983-08-01

Pinhole imaging methods are being developed and tested for potential future use in imaging the intense neutron source of the Fusion Materials Irradiation Test (FMIT) Facility. Previously reported, extensive calibration measurements of the proton, neutron, and alpha particle response characteristics of CR-39 polymer solid state track recorders (SSTRs) are being used to interpret the results of imaging experiments using both charged particle and neutron pinhole collimators. High resolution, neutron pinhole images of a 252 Cf source have been obtained in the form of neutron induced proton recoil tracks in CR-39 polymer SSTR. These imaging experiments are described as well as their potential future applications to FMIT

Mathematical framework for fast and rigorous track fit for the ZEUS detector

Energy Technology Data Exchange (ETDEWEB)

Spiridonov, Alexander

2008-12-15

In this note we present a mathematical framework for a rigorous approach to a common track fit for trackers located in the inner region of the ZEUS detector. The approach makes use of the Kalman filter and offers a rigorous treatment of magnetic field inhomogeneity, multiple scattering and energy loss. We describe mathematical details of the implementation of the Kalman filter technique with a reduced amount of computations for a cylindrical drift chamber, barrel and forward silicon strip detectors and a forward straw drift chamber. Options with homogeneous and inhomogeneous field are discussed. The fitting of tracks in one ZEUS event takes about of 20ms on standard PC. (orig.)

ACTS: from ATLAS software towards a common track reconstruction software

CERN Document Server

AUTHOR|(INSPIRE)INSPIRE-00349786; The ATLAS collaboration; Salzburger, Andreas; Kiehn, Moritz; Hrdinka, Julia; Calace, Noemi

2017-01-01

Reconstruction of charged particles' trajectories is a crucial task for most particle physics experiments. The high instantaneous luminosity achieved at the LHC leads to a high number of proton-proton collisions per bunch crossing, which has put the track reconstruction software of the LHC experiments through a thorough test. Preserving track reconstruction performance under increasingly difficult experimental conditions, while keeping the usage of computational resources at a reasonable level, is an inherent problem for many HEP experiments. Exploiting concurrent algorithms and using multivariate techniques for track identification are the primary strategies to achieve that goal. Starting from current ATLAS software, the ACTS project aims to encapsulate track reconstruction software into a generic, framework- and experiment-independent software package. It provides a set of high-level algorithms and data structures for performing track reconstruction tasks as well as fast track simulation. The software is de...

Track Reconstruction and b-Jet Identification for the ATLAS Trigger System

CERN Document Server

Coccaro, A; The ATLAS collaboration

2011-01-01

A sophisticated trigger system, capable of real-time track reconstruction, is in place in the ATLAS experiment, to reject most of the events containing uninteresting background collisions while preserving as much as possible the interesting physics signals. The strategy adopted for fast reconstruction of charged tracks and in particular its application to the selection of jets from the hadronization of b-quarks is reviewed. Track reconstruction is routinely used for selection based on various physics objects while b-jet triggers are actively selecting events from the beginning of the 2011 LHC data-taking campaign.

Present status of fast neutron therapy survey of the clinical data and of the clinical research programmes

International Nuclear Information System (INIS)

Wambersie, A.; Richard, F.

1989-01-01

The clinical results reported from the different neutron therapy centres, in USA, Europe and Asia, are reviewed. Fast neutrons were proven to be superior to photons for locally extended inoperable salivary gland tumours. The reported overall local control rates are 67% and 24% respectively. Paranasal sinuses and some tumours of the head and neck area, especially extended tumours with large fixed lymph nodes, are also indications for neutrons. By contrast, the results obtained for brain tumours were, in general, disappointing. Neutrons were shown to bring a benefit in the treatment of well differentiated slowly growing soft tissue sarcomas. The reported overall local control rates were 53% and 38% after neutron and photon irradiation respectively. Better results, after neutron irradiation, were also reported for bone- and chondrosarcomas. The reported local control rates are 54% for osteosarcomas and 49% for chondrosarcomas after neutron irradiation; the corresponding values are 21% and 33% respectively after photon irradiation. For locally extended prostatic adenocarcinoma, the superiority of mixed schedule (neutrons + photons) was demonstrated by a RTOG randomized trial (local control rates 77% for mixed schedule compared to 31% for photons). Neutrons were also shown to be useful for palliative treatment of melanomas. Further studies are needed in order to definitively evaluate the benefit of fast neutrons for other localisations such as uterine cervix, bladder, and rectum. It can be concluded that fast neutrons are superior to photons for at least 10% to 20% of the radiotherapy patients. As far as the technical point of view is concerned, it is recognized that the first patient series were treated in ''suboptimal'' conditions. However, recently, important improvements were made. In particular, several high-energy hospital-based cyclotrons are now fully dedicated to neutron therapy. It is likely that these improved technical conditions will further extend the

U.S. masters track participation reveals a stable sex difference in competitiveness.

Science.gov (United States)

Deaner, Robert O; Addona, Vittorio; Mead, Michael P

2014-10-06

It is well established that men are more likely than women to engage in direct competition, but it is unclear if this reflects social structural conditions or evolved predispositions. These hypotheses can be addressed by quantifying competitiveness in sports and testing if the sex difference is decreasing over time in the U.S., a society where social roles have converged. Study 1 assessed participation and the occurrence of relatively fast performances by masters runners (40-74 years old) at recent road races and track meets. Fast performances occurred over 20 times more often at track meets than at road races. Women comprised 55% of finishers at roads races but only 15-28% of finishers at track meets. Thus, the sex difference in masters track participation can serve as a measure of the sex difference in competitiveness. Study 2 used data from national championship meets and yearly rankings lists to test whether the sex difference in masters track participation decreased from 1988-2012. The sex difference decreased overall, but there was no evidence of change since the late 1990s. Therefore, the sex difference in the willingness to engage in direct sports competition appears to reflect both social structural conditions and evolved predispositions.

A Method for Low-Delay Pitch Tracking and Smoothing

DEFF Research Database (Denmark)

Christensen, Mads Græsbøll

2012-01-01

. In the second step, a Kalman filter is used to smooth the estimates and separate the pitch into a slowly varying component and a rapidly varying component. The former represents the mean pitch while the latter represents vibrato, slides and other fast changes. The method is intended for use in applica- tions...... that require fast and sample-by-sample estimates, like tuners for musical instruments, transcription tasks requiring details like vi- brato, and real-time tracking of voiced speech....

A hardware fast tracker for the ATLAS trigger

Science.gov (United States)

Asbah, Nedaa

2016-09-01

The trigger system of the ATLAS experiment is designed to reduce the event rate from the LHC nominal bunch crossing at 40 MHz to about 1 kHz, at the design luminosity of 1034 cm-2 s-1. After a successful period of data taking from 2010 to early 2013, the LHC already started with much higher instantaneous luminosity. This will increase the load on High Level Trigger system, the second stage of the selection based on software algorithms. More sophisticated algorithms will be needed to achieve higher background rejection while maintaining good efficiency for interesting physics signals. The Fast TracKer (FTK) is part of the ATLAS trigger upgrade project. It is a hardware processor that will provide, at every Level-1 accepted event (100 kHz) and within 100 microseconds, full tracking information for tracks with momentum as low as 1 GeV. Providing fast, extensive access to tracking information, with resolution comparable to the offline reconstruction, FTK will help in precise detection of the primary and secondary vertices to ensure robust selections and improve the trigger performance. FTK exploits hardware technologies with massive parallelism, combining Associative Memory ASICs, FPGAs and high-speed communication links.

Track Simulation and Reconstruction in the ATLAS experiment

CERN Document Server

Salzburger, Andreas; Elsing, Markus

The reconstruction and simulation of particle trajectories is an inevitable part of the analysis strate- gies for data taken with the ATLAS detector. Many aspects and necessary parts of a high-quality track reconstruction will be presented and discussed in this work. At first, the technical realisation of the data model and the reconstruction geometry will be given; the reconstruction geometry is charac- terised by a newly developed navigation model and an automated procedure for the synchronisation of the detailed simulation geometry description with the simplified reconstruction geometry model, which allows a precise description of the tracker material in track reconstruction. Both components help the coherent and fast integration of material effects in a newly established track extrapolation package, that is discussed in the following. The extrapolation engine enables a highly precise trans- port of the track parameterisation and the associated covariances through the complex magnetic field and the detec...

Creating an effort tracking tool to improve therapeutic cancer clinical trials workload management and budgeting.

Science.gov (United States)

James, Pam; Bebee, Patty; Beekman, Linda; Browning, David; Innes, Mathew; Kain, Jeannie; Royce-Westcott, Theresa; Waldinger, Marcy

2011-11-01

Quantifying data management and regulatory workload for clinical research is a difficult task that would benefit from a robust tool to assess and allocate effort. As in most clinical research environments, The University of Michigan Comprehensive Cancer Center (UMCCC) Clinical Trials Office (CTO) struggled to effectively allocate data management and regulatory time with frequently inaccurate estimates of how much time was required to complete the specific tasks performed by each role. In a dynamic clinical research environment in which volume and intensity of work ebbs and flows, determining requisite effort to meet study objectives was challenging. In addition, a data-driven understanding of how much staff time was required to complete a clinical trial was desired to ensure accurate trial budget development and effective cost recovery. Accordingly, the UMCCC CTO developed and implemented a Web-based effort-tracking application with the goal of determining the true costs of data management and regulatory staff effort in clinical trials. This tool was developed, implemented, and refined over a 3-year period. This article describes the process improvement and subsequent leveling of workload within data management and regulatory that enhanced the efficiency of UMCCC's clinical trials operation.

CATS: a cellular automaton for tracking in silicon for the HERA-B vertex detector

International Nuclear Information System (INIS)

Abt, I.; Emeliyanov, D.; Kisel, I.; Masciocchi, S.

2002-01-01

The new track reconstruction program CATS developed for the Vertex Detector System of the HERA-B experiment at DESY is presented. It employs a cellular automaton for track searching and the Kalman filter for track fitting. This results in a very fast algorithm that combines highly efficient track recognition with accurate and reliable track parameter estimation. To reduce the computational cost of the fit an optimized numerical implementation of the Kalman filter is used. Alternative approaches to the track reconstruction in the VDS are also discussed. Since 1999, after extensive tests on simulated data, CATS has been employed to reconstruct experimental data collected in HERA-B. Results regarding tracking performance, the accuracy of track parameter estimates and CPU time consumption are presented

Hospital Medicine Resident Training Tracks: Developing the Hospital Medicine Pipeline.

Science.gov (United States)

Sweigart, Joseph R; Tad-Y, Darlene; Kneeland, Patrick; Williams, Mark V; Glasheen, Jeffrey J

2017-03-01

Hospital medicine (HM) is rapidly evolving into new clinical and nonclinical roles. Traditional internal medicine (IM) residency training likely does not optimally prepare residents for success in HM. Hospital medicine residency training tracks may offer a preferred method for specialized HM education. Internet searches and professional networks were used to identify HM training tracks. Information was gathered from program websites and discussions with track directors. The 11 HM tracks at academic medical centers across the United States focus mostly on senior residents. Track structure and curricular content are determined largely by the structure and curricula of the IM residency programs in which they exist. Almost all tracks feature experiential quality improvement projects. Content on healthcare economics and value is common, and numerous track leaders report this content is expanding from HM tracks into entire residency programs. Tracks also provide opportunities for scholarship and professional development, such as workshops on abstract creation and job procurement skills. Almost all tracks include HM preceptorships as well as rotations within various disciplines of HM. HM residency training tracks focus largely on quality improvement, health care economics, and professional development. The structures and curricula of these tracks are tightly linked to opportunities within IM residency programs. As HM continues to evolve, these tracks likely will expand to bridge clinical and extra-clinical gaps between traditional IM training and contemporary HM practice. Journal of Hospital Medicine 2017;12:173-176. © 2017 Society of Hospital Medicine

Hard Ware Implementation of Diamond Search Algorithm for Motion Estimation and Object Tracking

International Nuclear Information System (INIS)

Hashimaa, S.M.; Mahmoud, I.I.; Elazm, A.A.

2009-01-01

Object tracking is very important task in computer vision. Fast search algorithms emerged as important search technique to achieve real time tracking results. To enhance the performance of these algorithms, we advocate the hardware implementation of such algorithms. Diamond search block matching motion estimation has been proposed recently to reduce the complexity of motion estimation. In this paper we selected the diamond search algorithm (DS) for implementation using FPGA. This is due to its fundamental role in all fast search patterns. The proposed architecture is simulated and synthesized using Xilinix and modelsim soft wares. The results agree with the algorithm implementation in Matlab environment.

Health effects of intermittent fasting: hormesis or harm? A systematic review.

Science.gov (United States)

Horne, Benjamin D; Muhlestein, Joseph B; Anderson, Jeffrey L

2015-08-01

Intermittent fasting, alternate-day fasting, and other forms of periodic caloric desistance are gaining popularity in the lay press and among animal research scientists. Whether clinical evidence exists for or is strong enough to support the use of such dietary regimens as health interventions is unclear. This review sought to identify rigorous, clinically relevant research studies that provide high-quality evidence that therapeutic fasting regimens are clinically beneficial to humans. A systematic review of the published literature through January 2015 was performed by using sensitive search strategies to identify randomized controlled clinical trials that evaluated the effects of fasting on either clinically relevant surrogate outcomes (e.g., weight, cholesterol) or actual clinical event endpoints [e.g., diabetes, coronary artery disease (CAD)] and any other studies that evaluated the effects of fasting on clinical event outcomes. Three randomized controlled clinical trials of fasting in humans were identified, and the results were published in 5 articles, all of which evaluated the effects of fasting on surrogate outcomes. Improvements in weight and other risk-related outcomes were found in the 3 trials. Two observational clinical outcomes studies in humans were found in which fasting was associated with a lower prevalence of CAD or diabetes diagnosis. No randomized controlled trials of fasting for clinical outcomes were identified. Clinical research studies of fasting with robust designs and high levels of clinical evidence are sparse in the literature. Whereas the few randomized controlled trials and observational clinical outcomes studies support the existence of a health benefit from fasting, substantial further research in humans is needed before the use of fasting as a health intervention can be recommended. © 2015 American Society for Nutrition.

Super-resolution imaging applied to moving object tracking

Science.gov (United States)

Swalaganata, Galandaru; Ratna Sulistyaningrum, Dwi; Setiyono, Budi

2017-10-01

Moving object tracking in a video is a method used to detect and analyze changes that occur in an object that being observed. Visual quality and the precision of the tracked target are highly wished in modern tracking system. The fact that the tracked object does not always seem clear causes the tracking result less precise. The reasons are low quality video, system noise, small object, and other factors. In order to improve the precision of the tracked object especially for small object, we propose a two step solution that integrates a super-resolution technique into tracking approach. First step is super-resolution imaging applied into frame sequences. This step was done by cropping the frame in several frame or all of frame. Second step is tracking the result of super-resolution images. Super-resolution image is a technique to obtain high-resolution images from low-resolution images. In this research single frame super-resolution technique is proposed for tracking approach. Single frame super-resolution was a kind of super-resolution that it has the advantage of fast computation time. The method used for tracking is Camshift. The advantages of Camshift was simple calculation based on HSV color that use its histogram for some condition and color of the object varies. The computational complexity and large memory requirements required for the implementation of super-resolution and tracking were reduced and the precision of the tracked target was good. Experiment showed that integrate a super-resolution imaging into tracking technique can track the object precisely with various background, shape changes of the object, and in a good light conditions.

A fast track approach to commercializing the sodium cooled fast reactor

International Nuclear Information System (INIS)

Boardman, C.E.; Hui, Marvin; Carroll, Douglas

1999-01-01

As a result of more than 50 years of Liquid Metal Reactor design and development work the basic technology is well understood. However, commercialization of the Fast Breeder Reactor (FBR) has been delayed while various approaches to achieving competitive plant and fuel cycle costs are explored, developed, and demonstrated in prototype systems. Most designers have elected to take advantage of the economy of scale but are burdened by the cost and risk associated with the need for incremental scale up through the design, construction, and operation of multiple demonstration plants. An alternative commercialization path developed by GE would utilize a modular plant design to reduce the plant construction, R and D, and economic risk associated with the need to build multiple demonstration plants to reach a competitive size'. The key question is can a modular FBR compete with alternative electrical generation systems? Recently completed studies indicate that the answer to this question is yes if the modular plant designers keep the design simple by incorporating passive safety features and optimizing the manner in which supporting service systems are shared. (author)

Response of LR-115 type II and CR-39 plastic track detectors to Am-Be and 14.1-MeV neutrons

International Nuclear Information System (INIS)

Bradley, D.A.; Chong, C.S.; Saat, Ahmat; Sidik, A.G.; Ghose, A.M.

1987-01-01

The fast-neutron response of the plastic LR-115 type II and CR-39 track detectors have been compared, using a 14.1-MeV neutron generator and a radionuclide Am-Be neutron source (effective primary neutron energy 4.5-MeV). The distribution of track diameters for a range of etching times has been evaluated, taking into account track registration efficiency and the relevant fast neutron scattering cross-sections. The efficiency of etched-track formation in LR-115 type II due to neutron irradiation is approximately double that in CR-39. The 14.1-MeV neutrons also tend to produce tracks in both materials with somewhat greater efficiency than do the lower energy neutrons from the radionuclide source, for a given etching time. (author)

A new three-dimensional track fit with multiple scattering

International Nuclear Information System (INIS)

Berger, Niklaus; Kozlinskiy, Alexandr; Kiehn, Moritz; Schöning, André

2017-01-01

Modern semiconductor detectors allow for charged particle tracking with ever increasing position resolution. Due to the reduction of the spatial hit uncertainties, multiple Coulomb scattering in the detector layers becomes the dominant source for tracking uncertainties. In this case long distance effects can be ignored for the momentum measurement, and the track fit can consequently be formulated as a sum of independent fits to hit triplets. In this paper we present an analytical solution for a three-dimensional triplet(s) fit in a homogeneous magnetic field based on a multiple scattering model. Track fitting of hit triplets is performed using a linearization ansatz. The momentum resolution is discussed for a typical spectrometer setup. Furthermore the track fit is compared with other track fits for two different pixel detector geometries, namely the Mu3e experiment at PSI and a typical high-energy collider experiment. For a large momentum range the triplets fit provides a significantly better performance than a single helix fit. The triplets fit is fast and can easily be parallelized, which makes it ideal for the implementation on parallel computing architectures.

A new three-dimensional track fit with multiple scattering

Energy Technology Data Exchange (ETDEWEB)

Berger, Niklaus; Kozlinskiy, Alexandr [Physikalisches Institut, Heidelberg University, Heidelberg (Germany); Institut für Kernphysik and PRISMA cluster of excellence, Mainz University, Mainz (Germany); Kiehn, Moritz; Schöning, André [Physikalisches Institut, Heidelberg University, Heidelberg (Germany)

2017-02-01

Modern semiconductor detectors allow for charged particle tracking with ever increasing position resolution. Due to the reduction of the spatial hit uncertainties, multiple Coulomb scattering in the detector layers becomes the dominant source for tracking uncertainties. In this case long distance effects can be ignored for the momentum measurement, and the track fit can consequently be formulated as a sum of independent fits to hit triplets. In this paper we present an analytical solution for a three-dimensional triplet(s) fit in a homogeneous magnetic field based on a multiple scattering model. Track fitting of hit triplets is performed using a linearization ansatz. The momentum resolution is discussed for a typical spectrometer setup. Furthermore the track fit is compared with other track fits for two different pixel detector geometries, namely the Mu3e experiment at PSI and a typical high-energy collider experiment. For a large momentum range the triplets fit provides a significantly better performance than a single helix fit. The triplets fit is fast and can easily be parallelized, which makes it ideal for the implementation on parallel computing architectures.

Visual object tracking by correlation filters and online learning

Science.gov (United States)

Zhang, Xin; Xia, Gui-Song; Lu, Qikai; Shen, Weiming; Zhang, Liangpei

2018-06-01

Due to the complexity of background scenarios and the variation of target appearance, it is difficult to achieve high accuracy and fast speed for object tracking. Currently, correlation filters based trackers (CFTs) show promising performance in object tracking. The CFTs estimate the target's position by correlation filters with different kinds of features. However, most of CFTs can hardly re-detect the target in the case of long-term tracking drifts. In this paper, a feature integration object tracker named correlation filters and online learning (CFOL) is proposed. CFOL estimates the target's position and its corresponding correlation score using the same discriminative correlation filter with multi-features. To reduce tracking drifts, a new sampling and updating strategy for online learning is proposed. Experiments conducted on 51 image sequences demonstrate that the proposed algorithm is superior to the state-of-the-art approaches.

The ATLAS Fast Tracker Processing Units - input and output data preparation

CERN Document Server

Bolz, Arthur Eugen; The ATLAS collaboration

2016-01-01

The ATLAS Fast Tracker is a hardware processor built to reconstruct tracks at a rate of up to 100 kHz and provide them to the high level trigger system. The Fast Tracker will allow the trigger to utilize tracking information from the entire detector at an earlier event selection stage than ever before, allowing for more efficient event rejection. The connection of the system from to the detector read-outs and to the high level trigger computing farms are made through custom boards implementing Advanced Telecommunications Computing Technologies standard. The input is processed by the Input Mezzanines and Data Formatter boards, designed to receive and sort the data coming from the Pixel and Semi-conductor Tracker. The Fast Tracker to Level-2 Interface Card connects the system to the computing farm. The Input Mezzanines are 128 boards, performing clustering, placed on the 32 Data Formatter mother boards that sort the information into 64 logical regions required by the downstream processing units. This necessitat...

Maximum power point tracking for PV systems under partial shading conditions using current sweeping

International Nuclear Information System (INIS)

Tsang, K.M.; Chan, W.L.

2015-01-01

Highlights: • A novel approach for tracking the maximum power point of photovoltaic systems. • Able to handle both the uniform insolation and partial shading conditions. • Maximum power point tracking based on current sweeping. - Abstract: Partial shading on photovoltaic (PV) arrays causes multiple peaks on the output power–voltage characteristic curve and local searching technique such as perturb and observe (P&O) method could easily fail in searching for the global maximum. Moreover, existing global searching techniques are still not very satisfactory in terms of speed and implementation complexity. In this paper, a fast global maximum power point (MPPT) tracking method which is using current sweeping for photovoltaic arrays under partial shading conditions is proposed. Unlike conventional approach, the proposed method is current based rather than voltage based. The initial maximum power point will be derived based on a current sweeping test and the maximum power point can be enhanced by a finer local search. The speed of the global search is mainly governed by the apparent time constant of the PV array and the generation of a fast current sweeping test. The fast current sweeping test can easily be realized by a DC/DC boost converter with a very fast current control loop. Experimental results are included to demonstrate the effectiveness of the proposed global searching scheme

Uranium content of petroleum by Fission track technique

International Nuclear Information System (INIS)

Paschaa, A.S.; Mafra, O.Y.; Oliveira, C.A.N.; Pinto, L.R.

1982-01-01

This paper examines the feasibility of the fission track registration technique to investigate the natural uranium concentration in petroleum. The application is briefly described and the results obtained indicate the presence of uranium concentrations in samples of Brazilian petroleum which are over the detection limit of the fission track technique. The irradiations were performed by using fluxes with predominance of thermal neutrons, which have a fission cross-section for U 235 equal to 579 barns. Since the neutron fluxes were not comp sed exclusively of thermal neutrons, fissions from fast neutrons would also be taken into account for U 238 and Th 232

Automated three-dimensional tracking of the left ventricular myocardium in time-resolved and dose-modulated cardiac CT images using deformable image registration.

Science.gov (United States)

Gupta, Vikas; Lantz, Jonas; Henriksson, Lilian; Engvall, Jan; Karlsson, Matts; Persson, Anders; Ebbers, Tino

Assessment of myocardial deformation from time-resolved cardiac computed tomography (4D CT) would augment the already available functional information from such an examination without incurring any additional costs. A deformable image registration (DIR) based approach is proposed to allow fast and automatic myocardial tracking in clinical 4D CT images. Left ventricular myocardial tissue displacement through a cardiac cycle was tracked using a B-spline transformation based DIR. Gradient of such displacements allowed Lagrangian strain estimation with respect to end-diastole in clinical 4D CT data from ten subjects with suspected coronary artery disease. Dice similarity coefficient (DSC), point-to-curve error (PTC), and tracking error were used to assess the tracking accuracy. Wilcoxon signed rank test provided significance of tracking errors. Topology preservation was verified using Jacobian of the deformation. Reliability of estimated strains and torsion (normalized twist angle) was tested in subjects with normal function by comparing them with normal strain in the literature. Comparison with manual tracking showed high accuracy (DSC: 0.99±0.05; PTC: 0.56mm±0.47 mm) and resulted in determinant(Jacobian)>0 for all subjects, indicating preservation of topology. Average radial (0.13 mm), angular (0.64) and longitudinal (0.10 mm) tracking errors for the entire cohort were not significant (p > 0.9). For patients with normal function, average strain [circumferential, radial, longitudinal] and peak torsion estimates were: [-23.5%, 31.1%, -17.2%] and 7.22°, respectively. These estimates were in conformity with the reported normal ranges in the existing literature. Accurate wall deformation tracking and subsequent strain estimation are feasible with the proposed method using only routine time-resolved 3D cardiac CT. Copyright © 2018 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

Thromboembolic and major bleeding events in relation to perioperative bridging of vitamin K antagonists in 649 fast-track total hip and knee arthroplasties

DEFF Research Database (Denmark)

Jørgensen, Christoffer C.; Kehlet, Henrik; Husted, Henrik

2017-01-01

Background - The benefit of preoperative bridging in surgical patients with continuous anticoagulant therapy is debatable, and drawing of meaningful conclusions may have been limited by mixed procedures with different thromboembolic and bleeding risks in most published studies.  Patients and meth......Background - The benefit of preoperative bridging in surgical patients with continuous anticoagulant therapy is debatable, and drawing of meaningful conclusions may have been limited by mixed procedures with different thromboembolic and bleeding risks in most published studies.  Patients...... and methods - This was an observational cohort treatment study in consecutive primary unilateral total hip and knee arthroplasty patients between January 2010 and November 2013 in 8 Danish fast-track departments. Data were collected prospectively on preoperative comorbidity and anticoagulants in patients...

A Hardware Fast Tracker for the ATLAS trigger

International Nuclear Information System (INIS)

Asbah, N.

2016-01-01

The trigger system of the ATLAS experiment is designed to reduce the event rate from the LHC nominal bunch crossing at 40 MHz to about 1 kHz, at the design luminosity of 10 34 cm -2 · s -1 . After a successful period of data taking from 2010 to early 2013, the LHC already started with much higher instantaneous luminosity. This will increase the load on High Level Trigger system, the second stage of the selection based on software algorithms. More sophisticated algorithms will be needed to achieve higher background rejection while maintaining good efficiency for interesting physics signals. The Fast TracKer (FTK) is part of the ATLAS trigger upgrade project. It is a hardware processor that will provide, at every Level-1 accepted event (100 kHz) and within 100 μs, full tracking information for tracks with momentum as low as 1 GeV. Providing fast, extensive access to tracking information, with resolution comparable to the offline reconstruction, FTK will help in precise detection of the primary and secondary vertices to ensure robust selections and improve the trigger performance. FTK exploits hardware technologies with massive parallelism, combining Associative Memory ASICs, FPGAs and high-speed communication links.

Online track processor for the CDF upgrade

International Nuclear Information System (INIS)

Thomson, E. J.

2002-01-01

A trigger track processor, called the eXtremely Fast Tracker (XFT), has been designed for the CDF upgrade. This processor identifies high transverse momentum (> 1.5 GeV/c) charged particles in the new central outer tracking chamber for CDF II. The XFT design is highly parallel to handle the input rate of 183 Gbits/s and output rate of 44 Gbits/s. The processor is pipelined and reports the result for a new event every 132 ns. The processor uses three stages: hit classification, segment finding, and segment linking. The pattern recognition algorithms for the three stages are implemented in programmable logic devices (PLDs) which allow in-situ modification of the algorithm at any time. The PLDs reside on three different types of modules. The complete system has been installed and commissioned at CDF II. An overview of the track processor and performance in CDF Run II are presented

A national clinical quality program for Veterans Affairs catheterization laboratories (from the Veterans Affairs clinical assessment, reporting, and tracking program).

Science.gov (United States)

Maddox, Thomas M; Plomondon, Mary E; Petrich, Megan; Tsai, Thomas T; Gethoffer, Hans; Noonan, Gregory; Gillespie, Brian; Box, Tamara; Fihn, Stephen D; Jesse, Robert L; Rumsfeld, John S

2014-12-01

A "learning health care system", as outlined in a recent Institute of Medicine report, harnesses real-time clinical data to continuously measure and improve clinical care. However, most current efforts to understand and improve the quality of care rely on retrospective chart abstractions complied long after the provision of clinical care. To align more closely with the goals of a learning health care system, we present the novel design and initial results of the Veterans Affairs (VA) Clinical Assessment, Reporting, and Tracking (CART) program-a national clinical quality program for VA cardiac catheterization laboratories that harnesses real-time clinical data to support clinical care and quality-monitoring efforts. Integrated within the VA electronic health record, the CART program uses a specialized software platform to collect real-time patient and procedural data for all VA patients undergoing coronary procedures in VA catheterization laboratories. The program began in 2005 and currently contains data on 434,967 catheterization laboratory procedures, including 272,097 coronary angiograms and 86,481 percutaneous coronary interventions, performed by 801 clinicians on 246,967 patients. We present the initial data from the CART program and describe 3 quality-monitoring programs that use its unique characteristics-procedural and complications feedback to individual labs, coronary device surveillance, and major adverse event peer review. The VA CART program is a novel approach to electronic health record design that supports clinical care, quality, and safety in VA catheterization laboratories. Its approach holds promise in achieving the goals of a learning health care system. Published by Elsevier Inc.

Fast Fiber-Coupled Imaging Devices

Energy Technology Data Exchange (ETDEWEB)

Brockington, Samuel; Case, Andrew; Witherspoon, Franklin

2018-04-22

metal pillars in the path of the plasma jets were recorded in a single shot. This new fast imaging system is an attractive alternative to conventional fast framing cameras for applications and experiments where imaging events using existing techniques are inefficient or impossible. The development of HyperV's new diagnostic was split into two tracks: a next generation camera track, in which HyperV built, tested, and demonstrated a prototype 1024 channel camera at its own facility, and a second plasma community beta test track, where selected plasma physics programs received small systems of a few test pixels to evaluate the expected performance of a full scale camera on their experiments. These evaluations were performed as part of an unfunded collaboration with researchers at Los Alamos National Laboratory and the University of California at Davis. Results from the prototype 1024-pixel camera are discussed, as well as results from the collaborations with test pixel system deployment sites.

Tracking Clean Energy Progress 2013

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-06-01

Tracking Clean Energy Progress 2013 (TCEP 2013) examines progress in the development and deployment of key clean energy technologies. Each technology and sector is tracked against interim 2020 targets in the IEA Energy Technology Perspectives 2012 2°C scenario, which lays out pathways to a sustainable energy system in 2050. Stark message emerge: progress has not been fast enough; large market failures are preventing clean energy solutions from being taken up; considerable energy efficiency remains untapped; policies need to better address the energy system as a whole; and energy-related research, development and demonstration need to accelerate. Alongside these grim conclusions there is positive news. In 2012, hybrid-electric vehicle sales passed the 1 million mark. Solar photovoltaic systems were being installed at a record pace. The costs of most clean energy technologies fell more rapidly than anticipated.

Fast neutron irradiation effects on CR-39 nuclear track detector for dosimetric applications

International Nuclear Information System (INIS)

Kader, M.H.

2005-01-01

The effect of neutron irradiation on the dosimetric properties of CR-39 solid-state nuclear track detector have been investigated. CR-39 samples were irradiated with neutrons of energies follow a Maxwellian distribution centered about 2 MeV. These samples were irradiated with different doses in the range 0.1-1 Sv. The background and track density were measured as a function of etching time. In addition, the dependence of sensitivity of CR-39 detector on the neutrons dose has been investigated. The results show that the Sensitivity started to increase at 0.4 Sv neutrons dose, so this sample were chosen to be a subject for further study to investigate the effect of gamma dose on its properties. The sample irradiated with 0.4 Sv were exposed to different doses of gamma rays at levels between 10 and 80 kGy. The effect of gamma doses on the bulk etching rate VB, the track diameter and the sensitivity of the CR-39 samples was investigated. The results show that the dosimetric properties of CR-39 SSNTD are greatly affected by both neutron and gamma irradiation

Gas Cooled Fast Reactors: Recent advances and prospects

International Nuclear Information System (INIS)

Poette, C.; Guedeney, P.; Stainsby, R.; Mikityuk, K.; Knol, S.

2013-01-01

Gas Cooled Fast Reactors: Conclusion - GFR: an attractive longer term option allowing to combine Fast spectrum & Helium coolant benefits; • Innovative SiC fuel cladding solutions were found; • A first design confirming the encouraging potential of the reactor system Design improvements are nevertheless recommended and interesting tracks have been identified (core & system design, DHR system); • The GFR requires large R&D needs to confirm its potential (fuel & core materials, specific Helium technology); • ALLEGRO prototype studies are the first step and are drawing the R&D priorities

MO-FG-BRD-02: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: MV Tracking

Energy Technology Data Exchange (ETDEWEB)

Berbeco, R. [Brigham and Women’s Hospital and Dana-Farber Cancer Institute (United States)

2015-06-15

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow.

MO-FG-BRD-04: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: MR Tracking

Energy Technology Data Exchange (ETDEWEB)

Low, D. [University of California Los Angeles: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: MR Tracking (United States)

2015-06-15

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow.

MO-FG-BRD-03: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: EM Tracking

Energy Technology Data Exchange (ETDEWEB)

Keall, P. [University of Sydney (Australia)

2015-06-15

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow.

MO-FG-BRD-04: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: MR Tracking

International Nuclear Information System (INIS)

Low, D.

2015-01-01

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow

MO-FG-BRD-03: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: EM Tracking

International Nuclear Information System (INIS)

Keall, P.

2015-01-01

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow

MO-FG-BRD-02: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: MV Tracking

International Nuclear Information System (INIS)

Berbeco, R.

2015-01-01

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow

Tracking multiple objects is limited only by object spacing, not by speed, time, or capacity.

Science.gov (United States)

Franconeri, S L; Jonathan, S V; Scimeca, J M

2010-07-01

In dealing with a dynamic world, people have the ability to maintain selective attention on a subset of moving objects in the environment. Performance in such multiple-object tracking is limited by three primary factors-the number of objects that one can track, the speed at which one can track them, and how close together they can be. We argue that this last limit, of object spacing, is the root cause of all performance constraints in multiple-object tracking. In two experiments, we found that as long as the distribution of object spacing is held constant, tracking performance is unaffected by large changes in object speed and tracking time. These results suggest that barring object-spacing constraints, people could reliably track an unlimited number of objects as fast as they could track a single object.