WorldWideScience

Sample records for fast track lunar

  1. ''Fast track'' lunar NTR systems assessment for NASA's first lunar outpost and its evolvability to Mars

    International Nuclear Information System (INIS)

    Borowski, S.K.; Alexander, S.W.

    1993-01-01

    Integrated systems and missions studies are presented for an evolutionary lunar-to-Mars space transportion system (STS) based on nuclear thermal rocket (NTR) technology. A ''standardized'' set of engine and stage components are identified and used in a ''building block'' fashion to configure a variety of piloted and cargo, lunar and Mars vehicles. The reference NTR characteristics include a thrust of 50 thousand pounds force (klbf), specific impulse (I sp ) of 900 seconds, and an engine thrust-to-weight ratio of 4.3. For the National Aeronautics and Space Administration's (NASA) First Lunar Outpost (FLO) mission, an expendable NTR stage powered by two such engines can deliver ∼96 metric tonnes (t) to trans-lunar injection (TLI) conditions for an initial mass in low Earth orbit (IMLEO) of ∼198 t compared to 250 t for a cryogenic chemical system. The stage liquid hydrogen (LH 2 ) tank has a diameter, length, and capacity of 10 m, 14.5 m and 66 t, respectively. By extending the stage length and LH 2 capacity to ∼20 m and 96 t, a single launch Mars cargo vehicle could deliver to an elliptical Mars parking orbit a 63 t Mars excursion vehicle (MEV) with a 45 t surface payload. Three 50 klbf engines and the two standardized LH 2 tanks developed for the lunar and Mars cargo vehicles are used to configure the vehicles supporting piloted Mars missions as early as 2010. The ''modular'' NTR vehicle approach forms the basis for an efficient STS able to handle the needs of a wide spectrum of lunar and Mars missions

  2. Fast track-hoftealloplastik

    DEFF Research Database (Denmark)

    Hansen, Torben Bæk; Gromov, Kirill; Kristensen, Billy B

    2017-01-01

    Fast-track surgery implies a coordinated perioperative approach aimed at reducing surgical stress and facilitating post-operative recovery. The fast-track programme has reduced post-operative length of stay and has led to shorter convalescence with more rapid functional recovery and decreased...... morbidity and mortality in total hip arthroplasty. It should now be a standard total hip arthroplasty patient pathway, but fine tuning of the multiple factors in the fast-track pathway is still needed in patients with special needs or high comorbidity burden....

  3. 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.

  4. 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…

  5. 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.

  6. Percentage of Fast-Track Receipts

    Data.gov (United States)

    Social Security Administration — The dataset provides the percentage of fast-track receipts by state during the reporting fiscal year. Fast-tracked cases consist of those cases identified as Quick...

  7. 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...

  8. 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

  9. Fast-track totalknæalloplastik

    DEFF Research Database (Denmark)

    Gromov, Kirill; Kristensen, Billy B; Jørgensen, Christoffer Calov

    2017-01-01

    patients are eligible for fast-track TKA, and hence the fast-track concept should be standard at all joint replacement facilities. Future challenges of fast-track TKA include safe introduction of outpatient protocols, acute and chronic pain after surgery and optimal utilization of post......Fast-track total knee arthroplasty (TKA) is a well-established concept including optimized logistics and evidence-based treatment, focusing on minimizing surgical stress and improved post-operative recovery, thus leading to lower mortality and morbidity as well as high patient satisfaction. All...

  10. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

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

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery...

  11. Fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik

    2012-01-01

    Fast-track hip and knee arthroplasty aims at giving the patients the best available treatment at all times, being a dynamic entity. Fast-track combines evidence-based, clinical features with organizational optimization including a revision of traditions resulting in a streamlined pathway from...... on clinical and organizational aspects of fast-track hip and knee arthroplasty (I–IX). A detailed description of the fast-track set-up and its components is provided. Major results include identification of patient characteristics to predict length of stay and satisfaction with different aspects...... of the hospital stay (I); how to optimize analgesia by using a compression bandage in total knee arthroplasty (II); the clinical and organizational set-up facilitating or acting as barriers for early discharge (III); safety aspects following fast-track in the form of few readmissions in general (IV) and few...

  12. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

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

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery....... Methods 29 patients were operated with 30 revision arthroplasties. Median age was 67 (34-84) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction. Results Median LOS was 2 (1-4) days...

  13. 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

  14. 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

  15. 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…

  16. 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.

  17. Charged-particle track analysis, thermoluminescence and microcratering studies of lunar samples

    International Nuclear Information System (INIS)

    Durrani, S.A.

    1977-01-01

    Studies of lunar samples (from both Apollo and Luna missions) have been carried out, using track analysis and thermoluminescence (t.l.) techniques, with a view to shedding light on the radiation and temperature histories of the Moon. In addition, microcraters in lunar glasses have been studied in order to elucidate the cosmic-dust impact history of the lunar regolith. In tracks studies, the topics discussed include the stabilizing effect of the thermal annealing of fossil tracks due to the lunar temperature cycle; the 'radiation annealing' of fresh heavy-ion tracks by large doses of protons (to simulate the effect of lunar radiation-damage on track registration); and correction factors for the anisotropic etching of crystals which are required in reconstructing the exposure history of lunar grains. An abundance ratio of ca. (1.1 + 0.3) x 10 -3 has been obtained, by the differential annealing technique, for the nuclei beyond the iron group to those within that group in the cosmic rays incident on the Moon. The natural t.l. of lunar samples has been used to estimate their effective storage temperature and mean depth below the surface. The results of the study of natural and artificially produced microcraters have been studied. (author)

  18. 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.

  19. Electron content near the lunar surface using dual-frequency VLBI tracking data in a single lunar orbiter mission

    International Nuclear Information System (INIS)

    Wang, Zhen; Wang, Na; Ping, Jin-Song

    2015-01-01

    In VLBI observations of Vstar, a subsatellite of the Japanese lunar mission SELENE, there were opportunities for lunar grazing occultation when Vstar was very close to the limb of the Moon. This kind of chance made it possible to probe the thin plasma layer above the Moon's surface as a meaningful by-product of VLBI, by using the radio occultation method with coherent radio waves from the S/X bands. The dual-frequency measurements were carried out at Earth-based VLBI stations. In the line-of-sight direction between the satellite and the ground-based tracking station where VLBI measurements were made, the effects of the terrestrial ionosphere, interplanetary plasma and the thin lunar ionosphere mixed together in the combined observables of dual-frequency Doppler shift and phase shift. To separate the variation of the ionospheric total electron content (TEC) near the surface of the Moon from the mixed signal, the influences of the terrestrial ionosphere and interplanetary plasma have been removed by using an extrapolation method based on a short-term trend. The lunar TEC is estimated from the dual-frequency observation for Vstar from UT 22:18 to UT 22:20 on 2008 June 28 at several tracking stations. The TEC results obtained from VLBI sites are identical, however, they are not as remarkable as the result obtained at the Usuda deep space tracking station. (paper)

  20. Global Lunar Gravity Field Determination Using Historical and Recent Tracking Data in Preparation for SELENE

    Science.gov (United States)

    Goossens, S.; Matsumoto, K.; Namiki, N.; Hanada, H.; Iwata, T.; Tsuruta, S.; Kawano, N.; Sasaki, S.

    2006-12-01

    In the near future, a number of satellite missions are planned to be launched to the Moon. These missions include initiatives by China, India, the USA, as well as the Japanese SELENE mission. These missions will gather a wealth of lunar data which will improve the knowledge of the Moon. One of the main topics to be addressed will be the lunar gravity field. Especially SELENE will contribute to improving the knowledge of the gravity field, by applying 4-way Doppler tracking between the main satellite and a relay satellite, and by applying a separate differential VLBI experiment. These will improve the determination of the global gravity field, especially over the far side and at the lower degrees (mostly for degrees lower than 30), as is shown by extensive simulations of the SELENE mission. This work focuses on the determination of the global lunar gravity field from all available tracking data to this date. In preparation for the SELENE mission, analysis using Lunar Prospector tracking data, as well as Clementine data and historical data from the Apollo and Lunar Orbiter projects is being conducted at NAOJ. Some SMART-1 tracking data are also included. The goal is to combine the good-quality data from the existing lunar missions up to this date with the tracking data from SELENE in order to derive a new lunar gravity field model. The focus therefore currently lies on processing the available data and extracting lunar gravity field information from them. It is shown that the historical tracking data contribute especially to the lower degrees of the global lunar gravity field model. Due to the large gap in tracking data coverage over the far side for the historical data, the higher degrees are almost fully determined by the a priori information in the form of a Kaula rule. The combination with SELENE data is thus expected to improve the estimate for the lower degrees even further, including coverage of the far side. Since historical tracking data are from orbits with

  1. 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....

  2. A simulation of the Four-way lunar Lander-Orbiter tracking mode for the Chang'E-5 mission

    Science.gov (United States)

    Li, Fei; Ye, Mao; Yan, Jianguo; Hao, Weifeng; Barriot, Jean-Pierre

    2016-06-01

    The Chang'E-5 mission is the third phase of the Chinese Lunar Exploration Program and will collect and return lunar samples. After sampling, the Orbiter and the ascent vehicle will rendezvous and dock, and both spacecraft will require high precision orbit navigation. In this paper, we present a novel tracking mode-Four-way lunar Lander-Orbiter tracking that possibly can be employed during the Chang'E-5 mission. The mathematical formulas for the Four-way lunar Lander-Orbiter tracking mode are given and implemented in our newly-designed lunar spacecraft orbit determination and gravity field recovery software, the LUnar Gravity REcovery and Analysis Software/System (LUGREAS). The simulated observables permit analysis of the potential contribution Four-way lunar Lander-Orbiter tracking could make to precision orbit determination for the Orbiter. Our results show that the Four-way lunar Lander-Orbiter Range Rate has better geometric constraint on the orbit, and is more sensitive than the traditional two-way range rate that only tracks data between the Earth station and lunar Orbiter. After combining the Four-way lunar Lander-Orbiter Range Rate data with the traditional two-way range rate data and considering the Lander position error and lunar gravity field error, the accuracy of precision orbit determination for the Orbiter in the simulation was improved significantly, with the biggest improvement being one order of magnitude, and the Lander position could be constrained to sub-meter level. This new tracking mode could provide a reference for the Chang'E-5 mission and have enormous potential for the positioning of future lunar farside Lander due to its relay characteristic.

  3. 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...

  4. 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....

  5. 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...

  6. 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...

  7. [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.

  8. Development, Demonstration and Validation of the Deep Space Orbit Determination Software Using Lunar Prospector Tracking Data

    Directory of Open Access Journals (Sweden)

    Eunji Lee

    2017-09-01

    Full Text Available The deep space orbit determination software (DSODS is a part of a flight dynamic subsystem (FDS for the Korean Pathfinder Lunar Orbiter (KPLO, a lunar exploration mission expected to launch after 2018. The DSODS consists of several sub modules, of which the orbit determination (OD module employs a weighted least squares algorithm for estimating the parameters related to the motion and the tracking system of the spacecraft, and subroutines for performance improvement and detailed analysis of the orbit solution. In this research, DSODS is demonstrated and validated at lunar orbit at an altitude of 100 km using actual Lunar Prospector tracking data. A set of a priori states are generated, and the robustness of DSODS to the a priori error is confirmed by the NASA planetary data system (PDS orbit solutions. Furthermore, the accuracy of the orbit solutions is determined by solution comparison and overlap analysis as about tens of meters. Through these analyses, the ability of the DSODS to provide proper orbit solutions for the KPLO are proved.

  9. A 70th Degree Lunar Gravity Model (GLGM-2) from Clementine and other tracking data

    Science.gov (United States)

    Lemonie, Frank G. R.; Smith, David E.; Zuber, Maria T.; Neumann, Gregory A.

    1997-01-01

    A spherical harmonic model of the lunar gravity field complete to degree and order 70 has been developed from S band Doppler tracking data from the Clementine mission, as well as historical tracking data from Lunar Orbiters 1-5 and the Apollo 15 and 16 subsatellites. The model combines 361,000 Doppler observations from Clementine with 347,000 historical observations. The historical data consist of mostly 60-s Doppler with a noise of 0.25 to several mm/s. The Clementine data consist of mostly 10-s Doppler data, with a data noise of 0.25 mm/s for the observations from the Deep Space Network, and 2.5 mm/s for the data from a naval tracking station at Pomonkey, Maryland. Observations provided Clementine, provide the strongest satellite constraint on the Moon's low-degree field. In contrast the historical data, collected by spacecraft that had lower periapsis altitudes, provide distributed regions of high-resolution coverage within +/- 29 deg of the nearside lunar equator. To obtain the solution for a high-degree field in the absence of a uniform distribution of observations, we applied an a priori power law constraint of the form 15 x 10(exp -5)/sq l which had the effect of limiting the gravitational power and noise at short wavelengths. Coefficients through degree and order 18 are not significantly affected by the constraint, and so the model permits geophysical analysis of effects of the major basins at degrees 10-12. The GLGM-2 model confirms major features of the lunar gravity field shown in previous gravitational field models but also reveals significantly more detail, particularly at intermediate wavelengths (10(exp 3) km). Free-air gravity anomaly maps derived from the new model show the nearside and farside highlands to be gravitationally smooth, reflecting a state of isostatic compensation. Mascon basins (including Imbrium, Serenitatis, Crisium, Smythii, and Humorum) are denoted by gravity highs first recognized from Lunar Orbiter tracking. All of the major

  10. 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...

  11. The Danish Head and Neck Cancer fast-track program

    DEFF Research Database (Denmark)

    Roennegaard, Anders B.; Rosenberg, Tine; Bjørndal, Kristine

    2018-01-01

    -track clinical pathway solutions. Objectives: The objectives of this study were 1) to present the setup of the head and neck cancer (HNC) fast-track program at Odense University Hospital (OUH) as an example of the Danish model and 2) to present patient characteristics, diagnostic outcome, cancer detection rate...

  12. A blueprint for multidisciplinary fast track gastrointestinal oncology care

    NARCIS (Netherlands)

    Basta, Y.L.

    2017-01-01

    In this thesis, we have evaluated the implementation of two key concepts of the Gastro Intestinal oncology Center Amsterdam (GIOCA): multidisciplinary teams (MDT) and the fast delivery of care in fast track clinics (FTC). The first part of this thesis investigates the value of multidisciplinary

  13. 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.)

  14. 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.

  15. 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

  16. 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

  17. Effect of lunar gravity models on Chang'E-2 orbit determination using VLBI tracking data

    Directory of Open Access Journals (Sweden)

    Erhu Wei

    2016-11-01

    Full Text Available The precise orbit determination of Chang'E-2 is the most important issue for successful mission and scientific applications, while the lunar gravity field model with big uncertainties has large effect on Chang'E-2 orbit determination. Recently, several new gravity models have been produced using the latest lunar satellites tracking data, such as LP165P, SGM150J, GL0900D and GRGM900C. In this paper, the four gravity models mentioned above were evaluated through the power spectra analysis, admittance and coherence analysis. Effect of four lunar gravity models on Chang'E-2 orbit determination performance is investigated and assessed using Very Long Baseline Interferometry (VLBI tracking data. The overlap orbit analysis, the posteriori data residual, and the orbit prediction are used to evaluate the orbit precision between successive arcs. The LP165P model has better orbit overlap performance than the SGM150J model for Chang'E-2100 km × 100 km orbit and the SGM150J model performs better for Chang'E-2100 km × 15 km orbit, while GL0900D and GRGM900C have the best orbit overlap results for the two types of Chang'E-2 orbit. For the orbit prediction, GRGM900C has the best orbit prediction performance in the four models.

  18. Fast tracking in paediatric cardiac anaesthesia : an update.

    Directory of Open Access Journals (Sweden)

    Lake Carol

    2002-01-01

    Full Text Available A care plan in which cardiac surgical patients progress quickly through the perioperative course to hospital discharge is often referred to as a Fast Track. Such care plans have been used extensively in adult cardiac patients but are also applicable to paediatric patients. Although no randomised controlled trials are available to document a reduction in hospital costs and avoidance of iatrogenic complications with paediatric fast tracks, many healthcare administrators encourage their use. Fast Track clinical guidelines usually include same day surgery, use of short- acting anaesthetic drugs, early extubation, effective pain management, and reduced intensive care unit stays. These protocols are certainly appropriate for simple procedures such as repair of atrial or ventricular septal defects or ligation of a patent ductus arteriosus. However, many paediatric cardiac anaesthesiologists consider that all paediatric patients without significant pulmonary or residual cardiac pathology can be managed using expedited postoperative protocols. Essential components in a "fast track" protocol include use of minimally invasive surgical techniques, modified ultrafiltration during cardiopulmonary bypass, transoesophageal echocardiography to evaluate the cardiac repair, and postoperative pain control. Using such techniques, 80-90% of paediatric patients can be extubated in the operating room or within 2-4 hours postoperatively. Despite the opinions of recognised experts, an appropriately sized and powered multicentre, controlled, randomised, prospective study is still needed to conclusively document the efficiency and effectiveness of the Fast Track in paediatric cardiac patients.

  19. FAST-TRACK HIP AND KNEE ARTHROPLASTY (LITERATURE REVIEW

    Directory of Open Access Journals (Sweden)

    A. M. Ageenko

    2017-01-01

    Full Text Available In the present paper the authors discuss the history of fast-track formation, its development and current status. Fast-track advantages in comparison to other rehabilitation options are analyzed. The focus is placed on methods of accelerated rehabilitation after total hip and knee arthroplasty in the leading European and American clinics. Fast-track protocols of surgical centers of Denmark and Hospital for special surgery in the US are described, factors that determine time of hospital stay after total hip and knee arthroplasty are considered, predictors of hospital stay and patients satisfaction after the surgery are examined. The paper reflects the results of the comparison of frequency of thromboembolic and other complications as well as readmission rate after traditional rehabilitation and after fast-track. The paper considers fast-track in bilateral total knee replacement. The authors conclude that further research on acceleration of rehabilitation and reduction of hospital stay after total hip and knee arthroplasty needs to be focused on the optimization of pain relief, especially after discharge, blood preservation techniques, supplementation of fluids loss and strengthening of muscles. Literature analysis demonstrated that the implementation of the Protocol for accelerated recovery after joint arthroplasty in Russia is at an insufficient level. Data of foreign multicenter studies during recent years indicate a high efficacy and safety of this technique in different groups of patients.

  20. 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

  1. Fast-track surgery for breast cancer is possible

    DEFF Research Database (Denmark)

    Mertz, Birgitte G; Kroman, Niels; Williams, Helene

    2013-01-01

    INTRODUCTION: Breast cancer is common among Danish women with more than 4,100 new cases annually. In 2008 the concept of fast-track surgery was introduced at the Department of Breast Surgery at Rigshospitalet, Copenhagen. The aim of this study is to describe the new clinical pathway for breast...... to provide immediate advice and support. CONCLUSION: The results confirm that a short stay can be successfully carried out for breast cancer patients. Implementing the fast-track programme involved the introduction of a clear clinical pathway for the patients and more effective daily routines. Patients felt...... cancer patients after implementation of a fast-track surgery programme. MATERIAL AND METHODS: A clinical pathway of all involved disciplines was developed including anaesthetic, analgesics, nausea and vomiting, drain and wound management, discharge assessment and psychosocial support. RESULTS...

  2. 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...

  3. 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...

  4. 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)

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. Readmissions after fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Niels 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...

  10. 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...

  11. 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.

  12. 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...

  13. 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...

  14. 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.

  15. 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.

  16. Solar flare and galactic cosmic ray tracks in lunar samples and meteorites - What they tell us about the ancient sun

    International Nuclear Information System (INIS)

    Crozaz, G.

    1980-01-01

    Evidence regarding the past activity of the sun in the form of nuclear particle tracks in lunar samples and meteorites produced by heavy ions in galactic cosmic rays and solar flares is reviewed. Observations of track-rich grains found in deep lunar cores and meteorite interiors are discussed which demonstrate the presence of solar flare activity for at least the past 4 billion years, and the similarity of track density profiles from various lunar and meteoritic samples with those in a glass filter from Surveyor 3 exposed at the lunar surface for almost three years is presented as evidence of the relative constancy of the solar flare energy spectrum over the same period. Indications of a heavy ion enrichment in solar flares are considered which are confirmed by recent satellite measurements, although difficult to quantify in lunar soil grains. Finally, it is argued that, despite previous claims, there exists as yet no conclusive evidence for either a higher solar activity during the early history of the moon or a change in galactic cosmic ray intensity, average composition or spectrum over the last 50 million years

  17. 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)

  18. 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)....

  19. 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)

  20. 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...

  1. 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...

  2. 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.

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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...

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. GLGM-3: A Degree-ISO Lunar Gravity Model from the Historical Tracking Data of NASA Moon Orbiters

    Science.gov (United States)

    Mazarico, E.; Lemoine, F. G.; Han, Shin-Chan; Smith, D. E.

    2010-01-01

    In preparation for the radio science experiment of the Lunar Reconnaissance Orbiter (LRO) mission, we analyzed the available radio tracking data of previous NASA lunar orbiters. Our goal was to use these historical observations in combination with the new low-altitude data to be obtained by LRO. We performed Precision Orbit Determination on trajectory arcs from Lunar Orbiter 1 in 1966 to Lunar Prospector in 1998, using the GEODYN II program developed at NASA Goddard Space Flight Center. We then created a set of normal equations and solved for the coefficients of a spherical harmonics expansion of the lunar gravity potential up to degree and order 150. The GLGM-3 solution obtained with a global Kaula constraint (2.5 x 10(exp -4)/sq l) shows good agreement with model LP150Q from the Jet Propulsion Laboratory, especially over the nearside. The levels of data fit with both gravity models are very similar (Doppler RMS of approx.0.2 and approx. 1-2 mm/s in the nominal and extended phases, respectiVely). Orbit overlaps and uncertainties estimated from the covariance matrix also agree well. GLGM-3 shows better correlation with lunar topography and admittance over the nearside at high degrees of expansion (l > 100), particularly near the poles. We also present three companion solutions, obtained with the same data set but using alternate inversion strategies that modify the power law constraint and expectation of the individual spherical harmonics coefficients. We give a detailed discussion of the performance of this family of gravity field solutions in terms of observation fit, orbit quality, and geophysical consistency.

  13. 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

  14. 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...

  15. 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.)

  16. 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.

  17. 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...

  18. 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...

  19. 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.

  20. 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.

  1. "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…

  2. Care principles at four fast-track arthroplasty departments in Denmark

    DEFF Research Database (Denmark)

    Husted, Henrik; Solgaard, Søren; Hansen, Torben B

    2010-01-01

    The goal of this study was to describe the logistic and clinical set-up at four Danish arthroplasty departments offering fast-track surgery.......The goal of this study was to describe the logistic and clinical set-up at four Danish arthroplasty departments offering fast-track surgery....

  3. 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

  4. 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...

  5. 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)....

  6. Fast and Practical Head Tracking in Brain Imaging with Time-of-Flight Camera

    DEFF Research Database (Denmark)

    Wilm, Jakob; Olesen, Oline Vinter; Jensen, Rasmus Ramsbøl

    2013-01-01

    scanners. Particularly in MRI and PET, the newest generation of TOF cameras could become a method of tracking small and large scale patient movement in a fast and user friendly way required in clinical environments. We present a novel methodology for fast tracking from TOF point clouds without the need...

  7. Evidence Basis for Regional Anesthesia in Multidisciplinary Fast-Track Surgical Care Pathways

    DEFF Research Database (Denmark)

    Carli, Francesco; Kehlet, Henrik; Baldini, Gabriele

    2011-01-01

    Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type...... of surgeries. The aim of this article was to identify and discuss potential advantages offerred by regional anesthesia and analgesia techniques to fast-track programs. In the first section, the impact of regional anesthesia on the main elements of fast-track surgery is addressed. In the second section......, procedure-specific fast-track programs for colorectal, hernia, esophageal, cardiac, vascular, and orthopedic surgeries are presented. For each, regional anesthesia and analgesia techniques more frequently used are discussed. Furthermore, clinical studies, which included regional techniques as elements...

  8. 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

  9. Local Lunar Gravity Field Analysis over the South Pole-aitken Basin from SELENE Farside Tracking Data

    Science.gov (United States)

    Goossens, Sander Johannes; Ishihara, Yoshiaki; Matsumoto, Koji; Sasaki, Sho

    2012-01-01

    We present a method with which we determined the local lunar gravity field model over the South Pole-Aitken (SPA) basin on the farside of the Moon by estimating adjustments to a global lunar gravity field model using SELENE tracking data. Our adjustments are expressed in localized functions concentrated over the SPA region in a spherical cap with a radius of 45deg centered at (191.1 deg E, 53.2 deg S), and the resolution is equivalent to a 150th degree and order spherical harmonics expansion. The new solution over SPA was used in several applications of geophysical analysis. It shows an increased correlation with high-resolution lunar topography in the frequency band l = 40-70, and admittance values are slightly different and more leveled when compared to other, global gravity field models using the same data. The adjustments expressed in free-air anomalies and differences in Bouguer anomalies between the local solution and the a priori global solution correlate with topographic surface features. The Moho structure beneath the SPA basin is slightly modified in our solution, most notably at the southern rim of the Apollo basin and around the Zeeman crater

  10. 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

  11. Orchestrating care through the fast-track perspective: A qualitative content analysis of the provision of individualised nursing care in orthopaedic fast-track programmes.

    Science.gov (United States)

    Berthelsen, Connie Bøttcher; Frederiksen, Kirsten

    2017-02-01

    The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim and Lundman. The main theme of the overall interpretation was Orchestrating care through the fast-track perspective, accompanied by three sub-themes: Identifying and legitimising relevant individual care in the fast-track programme, Struggling to fit all patients in the fast-track programme and Justifying individualised care-related actions in the fast-track programme. The study concluded that, even though the nurses struggled to comply with the programme, they still found themselves compromising their nursing care and ethics to follow the standardised regime. There is a need to establish more specific inclusion criteria to maintain the effective elements in the programme and to facilitate nurses' opportunities to offer individual care, thereby ensuring that fragile patients have access to other possibilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. 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.

  13. Evidence Basis for Regional Anesthesia in Multidisciplinary Fast-Track Surgical Care Pathways

    DEFF Research Database (Denmark)

    Carli, Francesco; Kehlet, Henrik; Baldini, Gabriele

    2011-01-01

    Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type of surge......Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type...... of surgeries. The aim of this article was to identify and discuss potential advantages offerred by regional anesthesia and analgesia techniques to fast-track programs. In the first section, the impact of regional anesthesia on the main elements of fast-track surgery is addressed. In the second section......, procedure-specific fast-track programs for colorectal, hernia, esophageal, cardiac, vascular, and orthopedic surgeries are presented. For each, regional anesthesia and analgesia techniques more frequently used are discussed. Furthermore, clinical studies, which included regional techniques as elements...

  14. 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

  15. 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.

  16. 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...

  17. 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....

  18. 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...

  19. 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

  20. 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\\%.

  1. 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)

  2. 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...

  3. 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.

  4. 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

  5. Record of the solar corpuscular radiation in minerals from lunar soils - A comparative study of noble gases and tracks

    International Nuclear Information System (INIS)

    Wieler, R.; Etique, P.

    1980-01-01

    A comparative study is made of trapped light noble gases and solar flare tracks in mineral separates from lunar soils in an investigation aimed at detecting possible temporal variations of the ratio between solar flare and solar wind activity. He, Ne, Ar and solar flare tracks are measured on plagioclase separates of 12 surface soils and two Apollo 15 drill core samples, and track density histograms are compared with gas concentration distributions obtained from aliquot samples. Results show that solar wind Ar is probably well retained in all minerals. He, Ne, and Ar are not saturated macroscopically, and semi-microscopic or microscopic saturation is very rare for Ar, even in gas-rich plagioclase populations. All grains contain trapped noble gases, even in relatively gas-poor mineral populations, and for clean minerals in the size range of 150-200 microns, the time between the first and last surface exposure is in the order of 10 to the 7th to 10 to the 8th years

  6. 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...

  7. 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.

  8. Safety of fast track surgery in pancreaticoduodenectomy: a Meta-analysis

    Directory of Open Access Journals (Sweden)

    LI Weinan

    2017-01-01

    Full Text Available ObjectiveTo investigate the safety and clinical effect of fast track surgery in pancreaticoduodenectomy, one of the most complex surgeries in general surgery. MethodsThe Chinese and foreign databases were searched for articles on the application of fast tract surgery in pancreaticoduodenectomy published from January 1994 to April 2016. Two researchers evaluated the quality of the articles which met the inclusion criteria and extracted related data. Stata 12.0 software was used to analyze the overall incidence rate of complications and the incidence rates of pancreatic leakage and gastrointestinal emptying disorder, and the Begg rank correlation test and Egger linear regression method were used to investigate publication bias. ResultsThe fast track surgery group had a significantly lower overall incidence rate of complications than the conventional group (RR=0.748, 95%CI: 0.680-0.824, P<0.001. There was no significant difference in the incidence rate of pancreatic leakage between the two groups (RR=0.894, 95%CI:0.734-1.089, P=0.266. The fast track surgery group had a significantly lower incidence rate of gastrointestinal emptying disorder than the conventional group (RR=0.520, 95%CI:0.400-0.670, P<0.001. ConclusionFast track surgery is safe and effective in pancreaticoduodenectomy, but the application of some measures in fast track surgery still needs more medical evidence.

  9. 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.

  10. 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.

  11. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. 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)

  14. 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.

  15. Note: Fast neutron efficiency in CR-39 nuclear track detectors

    Energy Technology Data Exchange (ETDEWEB)

    Cavallaro, S. [Dipartimento di Fisica ed Astronomia,Università di Catania, Via S. Sofia 44, 95123 Catania, Italy and INFN-LNS, Via S. Sofia 42, 95123 Catania (Italy)

    2015-03-15

    CR-39 samples are commonly employed for fast neutron detection in fusion reactors and in inertial confinement fusion experiments. The literature reported efficiencies are strongly depending on experimental conditions and, in some cases, highly dispersed. The present note analyses the dependence of efficiency as a function of various parameters and experimental conditions in both the radiator-assisted and the stand-alone CR-39 configurations. Comparisons of literature experimental data with Monte Carlo calculations and optimized efficiency values are shown and discussed.

  16. 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...

  17. 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...

  18. 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...

  19. 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

  20. 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...

  1. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  3. 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

  4. 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.

  5. 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

  6. 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.

  7. 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...

  8. 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...

  9. 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....

  10. 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

  11. 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

  12. 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.)

  13. 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.

  14. 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...

  15. 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.

  16. Fast Flux Test Facility Asbestos Location Tracking Program

    International Nuclear Information System (INIS)

    REYNOLDS, J.A.

    1999-01-01

    Procedure Number HNF-PRO-408, revision 0, paragraph 1.0, ''Purpose,'' and paragraph 2.0, ''Requirements for Facility Management of Asbestos,'' relate building inspection and requirements for documentation of existing asbestos-containing building material (ACBM) per each building assessment. This documentation shall be available to all personnel (including contractor personnel) entering the facility at their request. Corrective action was required by 400 Area Integrated Annual Appraisal/Audit for Fiscal Year 1992 (IAA-92-0007) to provide this notification documentation. No formal method had been developed to communicate the location and nature of ACBM to maintenance personnel in the Fast Flux Test Facility (FFTF) 400 Area. The scope of this Data Package Document is to locate and evaluate any ACBM found at FFTF which constitutes a baseline. This includes all buildings within the protected area. These findings are compiled from earlier reports, numerous work packages and engineering evaluations of employee findings

  17. Decrease of the solar flare/solar wind flux ratio in the past several aeons from solar neon and tracks in lunar soil plagioclases

    International Nuclear Information System (INIS)

    Wieler, R.; Etique, Ph.; Signer, P.; Poupeau, G.

    1982-08-01

    The He, Ne, and Ar concentrations and isotopic compositions of mineral separates of six lunar subsurface samples and of two regolith breccias which were exposed to the sun as early as 2 - 3 billion years ago are determined. The results are compared with our noble gas data obtained previously on mineral separates of lunar surface soil samples most of which contain recently implanted solar gases. The mean solar flare track densities were determined on aliquots of several of the plagioclase separates analyzed for noble gases. Solar wind retentive mafic minerals and ilmenites show that a possible secular increase of the 20 Ne/ 22 Ne ratio in the solar wind during the last 2 - 3 Ga. is 20 Ne/ 22 Ne of approximately 11.3 - 11.8, reported for solar flare Ne retained in plagioclase separates from lunar soils. The solar flare track data and the Ne data independently show that plagioclases exposed to the sun over the last 10 8 years recorded a lower mean ratio of solar flare to solar wind intensities than samples exposed about 1 - 3 billion years ago. On the basis of track data these ratios are estimated to differ by a factor approximately 2. (Author) [pt

  18. Fast Neutron Dosimetry Using CR-39 Nuclear Track Detector

    International Nuclear Information System (INIS)

    ZAKI, M.; ABDEL-NABY, A.; MORSY, A.

    2010-01-01

    Measurement of the neutron dose in and around the neutron sources is important for the purpose of personnel and environmental neutron dosimetry. In the present study, a method for the measurement of neutron dose using the UV-Vis spectra of CR-39 plastic track detector was investigated. A set of CR-39 plastic detectors was exposed to 252 Cf neutron source, which had the yield of 0.68x10 8 /s, and neutron dose equivalent rate 1m apart from the source is equal to 3.8 mrem/h. The samples were etched for 10 h in 6.25 N NaOH at 70 o C. The absorbance of the etched samples was measured using UV-visible spectrophotometer as a function of neutron dose. It was observed that there was a linear relationship between the optical absorption of these detectors and neutron dose. This means that the exposure dose of neutron can be determined by knowing the optical absorption of the sample. These results were compared with previous study. It was found that there was a matching and good agreement with their investigations.

  19. 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…

  20. 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 ...

  1. 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

  2. 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.

  3. 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…

  4. 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...

  5. 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.)

  6. 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 ...

  7. "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…

  8. 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...

  9. 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...

  10. 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

  11. 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...

  12. 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...

  13. Fast-track protocols in devascularization for cirrhotic portal hypertension

    Directory of Open Access Journals (Sweden)

    Yang Fei

    2015-06-01

    Full Text Available Summary Introduction/objective: fast-tract surgery (FTS has been rapidly embraced by surgeons as a mechanism for improving patient care and driving down complications and costs. The aim of this study was to determine if any improvement in outcomes occurred after FTS protocol for selective double portazygous disconnection with preserving vagus (SDPDPV compared with non-FTS postoperative care. Methods: patients eligible for SDPDPV in the period January 2012-April 2014 were randomly selected for the FTS group or non-FTS group. A designed protocol was used in the FTS group with emphasis on an interdisciplinary approach. The non-FTS group was treated using previously established standard procedures. The number of postoperative complications, time of functional recovery and duration of hospital stay were recorded. Results: patients in the FTS group (n=59 and non-FTS group (n=57 did not differ in terms of preoperative data and operative details (p>0.05. The FTS procedure led to significantly better control and faster restoration of gastrointestinal functions, food tolerance, rehabilitation and hospital discharge (p<0.05. Postoperative complications, including nausea/vomiting, severe ascites, wound infection, urinary tract infection and pulmonary infection were all significantly lower in the FTS group (p<0.05. According to the postoperative morbidity classification used by Clavien, overall complications and grade I complications were both significantly lower in the FTS group compared with the non-FTS group (p<0.05. Conclusion: adopting the FTS protocol helped to recover gastrointestinal functions, to reduce frequency of postoperative complications and to reduce hospital stay. The FTS strategy is safe and effective in improving postoperative outcomes.

  14. 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...

  15. 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...

  16. 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 ...

  17. 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.

  18. 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.

  19. 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.

  20. 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)

  1. 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

  2. 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.

  3. 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.)

  4. 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....

  5. 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...

  6. 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.

  7. 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...

  8. 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.

  9. 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...

  10. 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.

  11. 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.

  12. 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...

  13. 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...

  14. 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.

  15. 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

  16. Fast-track rehabilitation in elective colorectal surgery patients: a prospective clinical and immunological single-centre study.

    Science.gov (United States)

    Wichmann, Matthias W; Eben, Ricarda; Angele, Martin K; Brandenburg, Franzis; Goetz, Alwin E; Jauch, Karl-Walter

    2007-07-01

    Recent clinical data indicate that fast-track surgery (multimodal rehabilitation) leads to shorter postoperative length of hospital stay, faster recovery of gastrointestinal function as well as reduced morbidity and mortality rates. To date, no study has focused on the effects of fast-track surgery on postoperative immune function. This study was initiated to determine whether fast-track rehabilitation results in improved clinical and immunological outcome of patients undergoing colorectal surgery. Forty patients underwent either conventional or fast-track rehabilitation after colorectal surgery. In addition to clinical parameters (return of gastrointestinal function, food intake, pain score, complication rates and postoperative length of stay), we determined parameters of perioperative immunity by flow cytometry (lymphocyte subgroups) and enzyme-linked immunosorbent assay (interleukin-6). Our findings indicate a better-preserved cell-mediated immune function (T cells, T-helper cells, natural killer cells) after fast-track rehabilitation, whereas the pro-inflammatory response (C-reactive protein, interleukin-6) was unchanged in both study groups. Furthermore, we detected a significantly faster return of gastrointestinal function (first bowel movement P<0.001, food intake P<0.05), significantly reduced pain scores in the postoperative course (P < 0.05) and a significantly shorter length of postoperative stay (P<0.001) in patients undergoing fast-track rehabilitation. Fast-track rehabilitation after colorectal surgery results in better-preserved cell-mediated immunity when compared with conventional postoperative care. Furthermore, patients undergoing fast-track rehabilitation suffer from less pain and have a faster return of gastrointestinal function in the postoperative course. In addition, postoperative length of hospital stay was significantly shorter in fast-track patients.

  17. 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.

  18. 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

  19. 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

  20. 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...

  1. Orchestrating care through the fast-track perspective: Orthopaedic nurses’ perceptions and experiences of providing individualised nursing care in older patients’ standardised fast-track programmes after total hip or knee replacement

    DEFF Research Database (Denmark)

    Bøttcher Berthelsen, Connie; Frederiksen, Kirsten

    2017-01-01

    The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised...... fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim...... and Lundman. The main theme of the overall interpretation was Orchestrating care through the fast-track perspective, accompanied by three sub-themes: Identifying and legitimising relevant individual care in the fast-track programme, Struggling to fit all patients in the fast-track programme and Justifying...

  2. 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.

  3. 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.

  4. 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

  5. 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...

  6. 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)

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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

  12. 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...

  13. 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)

  14. 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.

  15. 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

  16. 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

  17. 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

  18. 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...

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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...

  4. 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.

  5. 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.

  6. 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.

  7. Lunar CATALYST

    Data.gov (United States)

    National Aeronautics and Space Administration — Lunar Cargo Transportation and Landing by Soft Touchdown (Lunar CATALYST) is a NASA initiative to encourage the development of U.S. private-sector robotic lunar...

  8. A completely automatic operation type super-safe fast reactor, RAPID. Its application to dispersion source on lunar and earth surfaces

    International Nuclear Information System (INIS)

    Kanbe, Mitsuru; Tsunoda, Hirokazu; Mishima, Kaichiro; Kawasaki, Akira; Iwamura, Takamichi

    2002-01-01

    At a viewpoint of flexible measures to future electric power demands, expectation onto a small-scale reactor for dispersion source is increasing gradually. This is thought to increase its importance not only for a source at proximity of its market in advanced nations but also for the one in developing nations. A study on development of the completely automatic operation type super-safe fast reactor, RAPID (refueling by all pins integrated design) has been carried out as a part of the nuclear energy basic research promoting system under three years project since 1999 by a trust of the Japan Atomic Energy Research Institute to a group of the Central Research Institute of Electric Power Industry (CRIEPI) and so on. As the reactor is a lithium cooled fast reactor with 200 Kw of electric output supposing to use at lunar surface, it can be applied to a super-small scale nuclear reactor on the earth, and has feasibility to become a new option of future nuclear power generation. On the other hand, CRIEPI has investigated on various types of fast reactors (RAPID series) for fast reactor for dispersion source on the earth. Here was introduced on such super-safe fast reactors at a center of RAPID-L. (G.K.)

  9. 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

  10. 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...

  11. 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).

  12. [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

  13. [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.

  14. 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.

  15. 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...

  16. 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.

  17. 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

  18. 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...

  19. 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...

  20. 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.

  1. 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

  2. [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.

  3. 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

  4. 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.)

  5. 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.)

  6. 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.

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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

  14. 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...

  15. 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.

  16. 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.

  17. 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

  18. 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.

  19. 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...

  20. 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.

  1. 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.

  2. 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.

  3. 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...

  4. 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

  5. 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

  6. 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.

  7. 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

  8. 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)

  9. 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...

  10. 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.

  11. 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...

  12. 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....

  13. 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...

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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

  19. 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.

  20. 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...

  1. 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

  2. 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

  3. A Fast-Track Path to DEMO Enabled by ITER and FNSF-AT

    Energy Technology Data Exchange (ETDEWEB)

    Garofalo, A. M.; Choi, M.; Humphreys, D. A.; Kinsey, J. E.; Lao, L. L.; Snyder, P. B.; John, H. E.St.; Turnbull, A. D.; Taylor, T.S., E-mail: garofalo@fusion.gat.com [General Atomics, San Diego (United States); Chan, V. S.; Canik, J. M. [Oak Ridge National Laboratory, Oak Ridge (United States); Sawan, M. E. [University of Wisconsin, Madison (United States); Stangeby, P. C. [University of Toronto Institute for Aerospace Studies, Toronto (Canada)

    2012-09-15

    Full text: A Fusion Nuclear Science Facility based on the Advanced Tokamak concept (FNSF-AT) [1] is a key element of a fast track plan to a commercially attractive fusion DEMO. The next step forward on the path towards fusion commercialization must be a device that complements ITER in addressing the community identified science and technology gaps to DEMO, and that enables a DEMO construction decision triggered by the achievement of Q = 10 in ITER, presently scheduled for the year 2030. This paper elucidates the logic flow leading to the FNSF-AT approach for such a next step forward, and presents the results of recent analysis resolving key physics and engineering issues. A FNSF-AT will show fusion can make its own fuel, provide a materials irradiation facility, show fusion can produce high-grade process heat and electricity. In order to accomplish these goals, the FNSF has to operate steady-state with significant duty cycle and significant neutron fluence. In FNSF-AT, advanced tokamak physics enables steady-state burning plasmas with the high fluence required for FNSF's nuclear science development objective, in the compact size required to demonstrate Tritium fuel self-sufficiency using only a moderate quantity of the limited supply of Tritium. Physics based integrated modeling has found a steady-state baseline equilibrium with good stability and controllability properties. 2-D analysis assuming ITER heat and particle diffusion coefficients in the SOL predicts peak heat flux < 10 MW/m{sup 2} at the outer divertor targets. High fidelity and high-resolution 3D neutronics calculations have also been carried out, showing acceptable cumulative end-of-life organic insulator dose levels in all the device coils, and TBR > 1 for two blanket concepts considered. This FNSF-AT baseline plasma scenario has significant margin to meet the FNSF nuclear science mission. Moreover, the facility allows the development of more advanced scenarios to close the physics gaps to DEMO

  4. 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.)

  5. 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.

  6. 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)

  7. 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

  8. 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

  9. 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....

  10. 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...

  11. Particle tracking at 4K: The Fast Annihilation Cryogenic Tracking (FACT) detector for the AEgIS antimatter gravity experiment

    CERN Document Server

    Storey, J; Ahlén, O; Amsler, C; Ariga, A; Ariga, T; Belov, A.S; Bonomi, G; Bräunig, P; Bremer, J; Brusa, R.S; Burghart, G; Cabaret, L; Canali, C; Carante, M; Caravita, R; Castelli, F; Cerchiari, G; Cialdi, S; Comparat, D; Consolati, G; Dassa, L; Di Domizio, S; Di Noto, L; Doser, M; Dudarev, A; Ereditato, A; Ferragut, R; Fontana, A; Genova, P; Giammarchi, M; Gligorova, A; Gninenko, S.N; Haider, S; Hogan, S.D; Huse, T; Jordan, E; Jørgensen, L.V; Kaltenbacher, T; Kawada, J; Kellerbauer, A; Kimura, M; Knecht, A; Krasnický, D; Lagomarsino, V; Magnani, A; Mariazzi, S; Matveev, V.A; Merkt, F; Moia, F; Nebbia, G; Nédélec, P; Oberthaler, M.K; Pacifico, N; Petrácek, V; Pistillo, C; Prelz, F; Prevedelli, M; Regenfus, C; Riccardi, C; Røhne, O; Rotondi, A; Sandaker, H; Scampoli, P; Spacek, M; Subieta Vasquez, M.A; Testera, G; Trezzi, D; Vaccarone, R; Zavatarelli, S

    2013-01-01

    The AEgIS experiment is an international collaboration with the main goal of performing the fi rst direct measurement of the Earth ' s gravitational acceleration on antimatter. Critical to the success of AEgIS is the production of cold antihydrogen ( H) atoms. The FACT detector is used to measure the production and temperature of the H atoms and for establishing the formation of a H beam. The operating requirements for this detector are very challenging: it must be able to identify each of the thousand or so annihilations in the 1 ms period of pulsed H production, operate at 4 K inside a 1 T solenoidal fi eld and not produce more than 10 W of heat. The FACT detector consists of two concentric cylindrical layers of 400 scintillator fi bres with a 1 mm diameter and a 0.6 mm pitch. The scintillating fi bres are coupled to clear fi bres which transport the scintillation light to 800 silicon photomultipliers. Each silicon photomultiplier signal is connected to a linear ampli fi er and a fast discriminator, the out...

  12. Lunar horticulture.

    Science.gov (United States)

    Walkinshaw, C. H.

    1971-01-01

    Discussion of the role that lunar horticulture may fulfill in helping establish the life support system of an earth-independent lunar colony. Such a system is expected to be a hybrid between systems which depend on lunar horticulture and those which depend upon the chemical reclamation of metabolic waste and its resynthesis into nutrients and water. The feasibility of this approach has been established at several laboratories. Plants grow well under reduced pressures and with oxygen concentrations of less than 1% of the total pressure. The carbon dioxide collected from the lunar base personnel should provide sufficient gas pressure (approx. 100 mm Hg) for growing the plants.

  13. Simple and fast system for analysis of charged particle tracks in multiplane hodoscopes

    Energy Technology Data Exchange (ETDEWEB)

    Reuter, J P [Paris-11 Univ., 91 - Orsay (France). Inst. de Physique Nucleaire

    1977-01-15

    A digital-analog system is described, which performs in less than 400 ns the recognition of a linear relation between three 10-bit-coded digital coordinates, giving a 10/sup -3/ precision on track location.

  14. 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)

  15. 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.

  16. Particle tracking at 4 K: The Fast Annihilation Cryogenic Tracking (FACT) detector for the AEgIS antimatter gravity experiment

    Energy Technology Data Exchange (ETDEWEB)

    Storey, J., E-mail: james.storey@cern.ch [Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics, University of Bern, 3012 Bern (Switzerland); Canali, C. [University of Zurich, Physics Institute, Winterthurerstrasse 190, 8057 Zurich (Switzerland); Aghion, S. [Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano (Italy); Istituto Nazionale di Fisica Nucleare, Sez. di Milano, Via Celoria 16, 20133 Milano (Italy); Ahlén, O. [European Organisation for Nuclear Research, Physics Department, 1211 Geneva 23 (Switzerland); Amsler, C.; Ariga, A.; Ariga, T. [Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics, University of Bern, 3012 Bern (Switzerland); Belov, A.S. [Institute for Nuclear Research of the Russian Academy of Sciences, Moscow 117312 (Russian Federation); Bonomi, G. [University of Brescia, Department of Mechanical and Industrial Engineering, Via Branze 38, 25133 Brescia (Italy); Istituto Nazionale di Fisica Nucleare, Sez. di Pavia, Via Agostino Bassi 6, 27100 Pavia (Italy); Bräunig, P. [University of Heidelberg, Kirchhoff Institute for Physics, Im Neuenheimer Feld 227, 69120 Heidelberg (Germany); Bremer, J. [European Organisation for Nuclear Research, Physics Department, 1211 Geneva 23 (Switzerland); Brusa, R.S. [Dipartimento di Fisica, Università di Trento and INFN, Gruppo Collegato di Trento, Via Sommarive 14, 38050 Povo, Trento (Italy); Burghart, G. [European Organisation for Nuclear Research, Physics Department, 1211 Geneva 23 (Switzerland); Cabaret, L. [Laboratoire Aimé Cotton, CNRS, Université Paris Sud, ENS Cachan, Bâtiment 505, Campus d' Orsay, 91405 Orsay Cedex (France); Carante, M. [Istituto Nazionale di Fisica Nucleare, Sez. di Pavia, Via Agostino Bassi 6, 27100 Pavia (Italy); Caravita, R. [University of Milano, Department of Physics, Via Celoria 16, 20133 Milano (Italy); and others

    2013-12-21

    The AEgIS experiment is an international collaboration with the main goal of performing the first direct measurement of the Earth's gravitational acceleration on antimatter. Critical to the success of AEgIS is the production of cold antihydrogen (H{sup ¯}) atoms. The FACT detector is used to measure the production and temperature of the H{sup ¯} atoms and for establishing the formation of a H{sup ¯} beam. The operating requirements for this detector are very challenging: it must be able to identify each of the thousand or so annihilations in the 1 ms period of pulsed H{sup ¯} production, operate at 4 K inside a 1 T solenoidal field and not produce more than 10 W of heat. The FACT detector consists of two concentric cylindrical layers of 400 scintillator fibres with a 1 mm diameter and a 0.6 mm pitch. The scintillating fibres are coupled to clear fibres which transport the scintillation light to 800 silicon photomultipliers. Each silicon photomultiplier signal is connected to a linear amplifier and a fast discriminator, the outputs of which are sampled continuously by Field Programmable Gate Arrays (FPGAs). In the course of the developments for the FACT detector we have established the performance of scintillating fibres at 4 K by means of a cosmic-ray tracker operating in a liquid helium cryostat. The FACT detector was installed in the AEgIS apparatus in December 2012 and will be used to study the H{sup ¯} formation when the low energy antiproton physics programs resume at CERN in the Summer of 2014. This paper presents the design requirements and construction methods of the FACT detector and provides the first results of the detector commissioning.

  17. Particle tracking at 4 K: The Fast Annihilation Cryogenic Tracking (FACT) detector for the AEgIS antimatter gravity experiment

    International Nuclear Information System (INIS)

    Storey, J.; Canali, C.; Aghion, S.; Ahlén, O.; Amsler, C.; Ariga, A.; Ariga, T.; Belov, A.S.; Bonomi, G.; Bräunig, P.; Bremer, J.; Brusa, R.S.; Burghart, G.; Cabaret, L.; Carante, M.; Caravita, R.

    2013-01-01

    The AEgIS experiment is an international collaboration with the main goal of performing the first direct measurement of the Earth's gravitational acceleration on antimatter. Critical to the success of AEgIS is the production of cold antihydrogen (H ¯ ) atoms. The FACT detector is used to measure the production and temperature of the H ¯ atoms and for establishing the formation of a H ¯ beam. The operating requirements for this detector are very challenging: it must be able to identify each of the thousand or so annihilations in the 1 ms period of pulsed H ¯ production, operate at 4 K inside a 1 T solenoidal field and not produce more than 10 W of heat. The FACT detector consists of two concentric cylindrical layers of 400 scintillator fibres with a 1 mm diameter and a 0.6 mm pitch. The scintillating fibres are coupled to clear fibres which transport the scintillation light to 800 silicon photomultipliers. Each silicon photomultiplier signal is connected to a linear amplifier and a fast discriminator, the outputs of which are sampled continuously by Field Programmable Gate Arrays (FPGAs). In the course of the developments for the FACT detector we have established the performance of scintillating fibres at 4 K by means of a cosmic-ray tracker operating in a liquid helium cryostat. The FACT detector was installed in the AEgIS apparatus in December 2012 and will be used to study the H ¯ formation when the low energy antiproton physics programs resume at CERN in the Summer of 2014. This paper presents the design requirements and construction methods of the FACT detector and provides the first results of the detector commissioning

  18. 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.

  19. 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.

  20. Effect of fast track surgery on anxiety index and stress indices in patients undergoing laparoscopic cholecystectomy

    Directory of Open Access Journals (Sweden)

    LU Xia

    2017-02-01

    Full Text Available ObjectiveTo investigate the effect of fast track surgery (FTS on anxiety index and stress indices in patients undergoing laparoscopic cholecystectomy. MethodsThe patients who were hospitalized in Department of General Surgery, The Second People′s Hospital of Lanzhou, from March 2015 to July 2016 and underwent laparoscopic cholecystectomy were enrolled and randomly divided into FTS group and conventional treatment group, with 200 patients in each group. The patients in the FTS group were given FTS in the perioperative period, and those in the conventional treatment group were given conventional treatment. The C-reactive protein (CRP level, white blood cell count (WBC, and interleukin-6 (IL-6 level were measured on admission, at 1 hour before surgery, and at 24 and 48 hours after surgery, as well as the anxiety index in Hamilton anxiety scale (HAMA. 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. ResultsThere was no significant difference in anxiety index between the FTS group and the conventional treatment group on admission (P>0.05; at 1 hour before surgery and at 24 and 48 hours after surgery, there were significant differences in anxiety index between the two groups (χ2=12.73, 13.17, and 14.12, all P<0.05. On admission and at 1 hour before surgery, there were no significant differences in the CRP level, WBC, and IL-6 level between the FTS group and the conventional treatment group (all P>0.05; at 24 and 48 hours after surgery, there were significant differences in the CRP level, WBC, and IL-6 level between the two groups [CRP24h: 8.47±0.78 mg/L vs 17.56±1.31 mg/L, t=17.63, P<0.05; WBC24h: (8.3±3.4×109/L vs (10.2±3.8×109/L, t=21.62, P<0.05; IL-624h: 127.43±37.46 ng/L vs 146.25±42.56 ng/L, t=2632, P<0.05; CRP48h:(6.57±1.27 mg/L vs (10.76±1.25 mg/L,t=19.25,P<0.05;WBC48h:(7.1±2.3×109/L vs (9.3±2.4×109/L

  1. 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

  2. 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

  3. 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...

  4. 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.

  5. Nanostructured Material for Accurate and Fast Tracking of Cryogenic Temperatures, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The use of cryogenic propellants in next-generation launch vehicles and rockets relies to a great extent on the availability of rugged, high accuracy (0.2%), fast...

  6. Lunar Riometry

    Science.gov (United States)

    Lazio, J.; Jones, D. L.; MacDowall, R. J.; Burns, J. O.; Kasper, J. C.

    2011-12-01

    The lunar exosphere is the exemplar of a plasma near the surface of an airless body. Exposed to both the solar and interstellar radiation fields, the lunar exosphere is mostly ionized, and enduring questions regarding its properties include its density and vertical extent and its behavior over time, including modification by landers. Relative ionospheric measurements (riometry) are based on the simple physical principle that electromagnetic waves cannot propagate through a partially or fully ionized medium below the plasma frequency, and riometers have been deployed on the Earth in numerous remote and hostile environments. A multi-frequency riometer on the lunar surface would be able to monitor, in situ, the peak plasma density of the lunar exosphere over time. We describe a concept for a riometer implemented as a secondary science payload on future lunar landers, such as those recommended in the recent Planetary Sciences Decadal Survey report. While the prime mission of such a riometer would be probing the lunar exosphere, our concept would also be capable to measuring the properties of nanometer- to micron-scale dust. The LUNAR consortium is funded by the NASA Lunar Science Institute to investigate concepts for astrophysical observatories on the Moon. Part of this research was carried out at the Jet Propulsion Laboratory, California Institute of Technology, under a contract with NASA.

  7. Lunar cement

    Science.gov (United States)

    Agosto, William N.

    1992-01-01

    With the exception of water, the major oxide constituents of terrestrial cements are present at all nine lunar sites from which samples have been returned. However, with the exception of relatively rare cristobalite, the lunar oxides are not present as individual phases but are combined in silicates and in mixed oxides. Lime (CaO) is most abundant on the Moon in the plagioclase (CaAl2Si2O8) of highland anorthosites. It may be possible to enrich the lime content of anorthite to levels like those of Portland cement by pyrolyzing it with lunar-derived phosphate. The phosphate consumed in such a reaction can be regenerated by reacting the phosphorus product with lunar augite pyroxenes at elevated temperatures. Other possible sources of lunar phosphate and other oxides are discussed.

  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

  9. 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...

  10. 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.)

  11. 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...

  12. 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.

  13. '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.

  14. 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 tra...

  15. Energy loss and online directional track visualization of fast electrons with the pixel detector Timepix

    Czech Academy of Sciences Publication Activity Database

    Granja, C.; Krist, Pavel; Chvátil, David; Šolc, J.; Pospíšil, S.; Jakubek, J.; Opalka, L.

    2013-01-01

    Roč. 59, DEC (2013), s. 245-261 ISSN 1350-4487 Institutional support: RVO:61389005 Keywords : interaction of radiation with matter * dE/dx detectors * particle tracking detectors * hybrid pixel detectors * active nuclear emulsion * energy loss Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders Impact factor: 1.140, year: 2013

  16. Lunar Topography: Results from the Lunar Orbiter Laser Altimeter

    Science.gov (United States)

    Neumann, Gregory; Smith, David E.; Zuber, Maria T.; Mazarico, Erwan

    2012-01-01

    The Lunar Orbiter Laser Altimeter (LOLA) onboard the Lunar Reconnaissance Orbiter (LRO) has been operating nearly continuously since July 2009, accumulating over 6 billion measurements from more than 2 billion in-orbit laser shots. LRO's near-polar orbit results in very high data density in the immediate vicinity of the lunar poles, with full coverage at the equator from more than 12000 orbital tracks averaging less than 1 km in spacing at the equator. LRO has obtained a global geodetic model of the lunar topography with 50-meter horizontal and 1-m radial accuracy in a lunar center-of-mass coordinate system, with profiles of topography at 20-m horizontal resolution, and 0.1-m vertical precision. LOLA also provides measurements of reflectivity and surface roughness down to its 5-m laser spot size. With these data LOLA has measured the shape of all lunar craters 20 km and larger. In the proposed extended mission commencing late in 2012, LOLA will concentrate observations in the Southern Hemisphere, improving the density of the polar coverage to nearly 10-m pixel resolution and accuracy to better than 20 m total position error. Uses for these data include mission planning and targeting, illumination studies, geodetic control of images, as well as lunar geology and geophysics. Further improvements in geodetic accuracy are anticipated from the use of re ned gravity fields after the successful completion of the Gravity Recovery and Interior Laboratory (GRAIL) mission in 2012.

  17. 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.

  18. 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.

  19. 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.

  20. Lunar magnetism

    Science.gov (United States)

    Hood, L. L.; Sonett, C. P.; Srnka, L. J.

    1984-01-01

    Aspects of lunar paleomagnetic and electromagnetic sounding results which appear inconsistent with the hypothesis that an ancient core dynamo was the dominant source of the observed crustal magnetism are discussed. Evidence is summarized involving a correlation between observed magnetic anomalies and ejecta blankets from impact events which indicates the possible importance of local mechanisms involving meteoroid impact processes in generating strong magnetic fields at the lunar surface. A reply is given to the latter argument which also presents recent evidence of a lunar iron core.

  1. 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

  2. Lunar Plants

    Data.gov (United States)

    National Aeronautics and Space Administration — We present an open design for a first plant growth module on the Moon (LPX). The primary science goal of lunar habitat is to investigate germination and initial...

  3. Lunar Flashlight

    Data.gov (United States)

    National Aeronautics and Space Administration — Lunar Flashlight (LF) is an innovative cubesat mission sponsored by NASA’s Advanced Exploration Systems (AES) division to be launched on the Space Launch System...

  4. Fast leaf-fitting with generalized underdose/overdose constraints for real-time MLC tracking

    International Nuclear Information System (INIS)

    Moore, Douglas; Sawant, Amit; Ruan, Dan

    2016-01-01

    Purpose: Real-time multileaf collimator (MLC) tracking is a promising approach to the management of intrafractional tumor motion during thoracic and abdominal radiotherapy. MLC tracking is typically performed in two steps: transforming a planned MLC aperture in response to patient motion and refitting the leaves to the newly generated aperture. One of the challenges of this approach is the inability to faithfully reproduce the desired motion-adapted aperture. This work presents an optimization-based framework with which to solve this leaf-fitting problem in real-time. Methods: This optimization framework is designed to facilitate the determination of leaf positions in real-time while accounting for the trade-off between coverage of the PTV and avoidance of organs at risk (OARs). Derived within this framework, an algorithm is presented that can account for general linear transformations of the planned MLC aperture, particularly 3D translations and in-plane rotations. This algorithm, together with algorithms presented in Sawant et al. [“Management of three-dimensional intrafraction motion through real-time DMLC tracking,” Med. Phys. 35, 2050–2061 (2008)] and Ruan and Keall [Presented at the 2011 IEEE Power Engineering and Automation Conference (PEAM) (2011) (unpublished)], was applied to apertures derived from eight lung intensity modulated radiotherapy plans subjected to six-degree-of-freedom motion traces acquired from lung cancer patients using the kilovoltage intrafraction monitoring system developed at the University of Sydney. A quality-of-fit metric was defined, and each algorithm was evaluated in terms of quality-of-fit and computation time. Results: This algorithm is shown to perform leaf-fittings of apertures, each with 80 leaf pairs, in 0.226 ms on average as compared to 0.082 and 64.2 ms for the algorithms of Sawant et al., Ruan, and Keall, respectively. The algorithm shows approximately 12% improvement in quality-of-fit over the Sawant et al

  5. Fast track-finding trigger processor for the SLAC/LBL Mark II Detector

    International Nuclear Information System (INIS)

    Brafman, H.; Breidenbach, M.; Hettel, R.; Himel, T.; Horelick, D.

    1977-10-01

    The SLAC/LBL Mark II Magnetic Detector consists of various particle detectors arranged in cylindrical symmetry located in and around an axial magnetic field. A versatile, programmable secondary trigger processor was designed and built to find curved tracks in the detector. The system operates at a 10 MHz clock rate with a total processing time of 34 μsec and is used to ''trigger'' the data processing computer, thereby rejecting background and greatly improving the data acquisition aspects of the detector-computer combination

  6. Fast leaf-fitting with generalized underdose/overdose constraints for real-time MLC tracking

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Douglas, E-mail: douglas.moore@utsouthwestern.edu; Sawant, Amit [Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas 75390 (United States); Ruan, Dan [Department of Radiation Oncology, University of California, Los Angeles, California 90095 (United States)

    2016-01-15

    Purpose: Real-time multileaf collimator (MLC) tracking is a promising approach to the management of intrafractional tumor motion during thoracic and abdominal radiotherapy. MLC tracking is typically performed in two steps: transforming a planned MLC aperture in response to patient motion and refitting the leaves to the newly generated aperture. One of the challenges of this approach is the inability to faithfully reproduce the desired motion-adapted aperture. This work presents an optimization-based framework with which to solve this leaf-fitting problem in real-time. Methods: This optimization framework is designed to facilitate the determination of leaf positions in real-time while accounting for the trade-off between coverage of the PTV and avoidance of organs at risk (OARs). Derived within this framework, an algorithm is presented that can account for general linear transformations of the planned MLC aperture, particularly 3D translations and in-plane rotations. This algorithm, together with algorithms presented in Sawant et al. [“Management of three-dimensional intrafraction motion through real-time DMLC tracking,” Med. Phys. 35, 2050–2061 (2008)] and Ruan and Keall [Presented at the 2011 IEEE Power Engineering and Automation Conference (PEAM) (2011) (unpublished)], was applied to apertures derived from eight lung intensity modulated radiotherapy plans subjected to six-degree-of-freedom motion traces acquired from lung cancer patients using the kilovoltage intrafraction monitoring system developed at the University of Sydney. A quality-of-fit metric was defined, and each algorithm was evaluated in terms of quality-of-fit and computation time. Results: This algorithm is shown to perform leaf-fittings of apertures, each with 80 leaf pairs, in 0.226 ms on average as compared to 0.082 and 64.2 ms for the algorithms of Sawant et al., Ruan, and Keall, respectively. The algorithm shows approximately 12% improvement in quality-of-fit over the Sawant et al

  7. 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.

  8. 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.

  9. IODA - a fast, automated and flexible system for ion track analysis on film detectors

    International Nuclear Information System (INIS)

    Guth, H.; Hellmann, A.

    1995-02-01

    The IODA System (Ion Density Analysis) is used to analyse detector films, resulting from experiments at the pulse power generator KALIF (Karlsruhe Light Ion Facility). The system consists of evaluation software and a microcomputer, which controls a microscope, a video interface, and a multiprocessor subsystem. The segmentation of ion tracks is done automatically by means of digital image processing and pattern recognition. After defining an evaluation range and selecting a suitable analysis method, the film is scanned by the microscope for counting the impacts of the underlying image. According to the appearance of the ion tracks on the film, different methods can be selected. The evaluation results representing the ion density are stored in a matrix. The time needed for an evaluation at a high resolution can be shortened by shipping time consuming pattern recognition calculations to the multiprocessor subsystem. The bottlenecks of the system are the data transfer and the speed of the microscope stage. Simple handling of the system even on alphanumeric terminals had been an important design issue. This was implemented by a logically structured menue system including online help features. This report can be used a s a manual to support the user with system operation. (orig.) [de

  10. Fast front-end electronics for semiconductor tracking detectors: Trends and perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Rivetti, Angelo

    2014-11-21

    In the past few years, extensive research efforts pursued by both the industry and the academia have lead to major improvements in the performance of Analog to Digital Converters (ADCs) and Time to Digital Converters (TDCs). ADCs achieving 8–10 bit resolution, 50–100 MHz conversion frequency and less than 1 mW power consumption are the today's standard, while TDCs have reached sub-picosecond time resolution. These results have been made possible by architectural upgrades combined with the use of ultra deep submicron CMOS technologies with minimum feature size of 130 nm or smaller. Front-end ASICs in which a prompt digitization is followed by signal conditioning in the digital domain can now be envisaged also within the tight power budget typically available in high density tracking systems. Furthermore, tracking detectors embedding high resolution timing capabilities are gaining interest. In the paper, ADC's and TDC's developments which are of particular relevance for the design front-end electronics for semiconductor trackers are discussed along with the benefits and challenges of exploiting such high performance building blocks in implementing the next generation of ASICs for high granularity particle detectors.

  11. 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.

  12. 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....

  13. 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.

  14. 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 ...

  15. 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.

  16. 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

  17. 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...

  18. Beam dynamics analysis of dielectric laser acceleration using a fast 6D tracking scheme

    Directory of Open Access Journals (Sweden)

    Uwe Niedermayer

    2017-11-01

    Full Text Available A six-dimensional symplectic tracking approach exploiting the periodicity properties of dielectric laser acceleration (DLA gratings is presented. The longitudinal kick is obtained from the spatial Fourier harmonics of the laser field within the structure, and the transverse kicks are obtained using the Panofsky-Wenzel theorem. Additionally to the usual, strictly longitudinally periodic gratings, our approach is also applicable to periodicity chirped (subrelativistic and tilted (deflection gratings. In the limit of small kicks and short periods we obtain the 6D Hamiltonian, which allows, for example, to obtain matched beam distributions in DLAs. The scheme is applied to beam and grating parameters similar to recently performed experiments. The paper concludes with an outlook to laser based focusing schemes, which are promising to overcome fundamental interaction length limitations, in order to build an entire microchip-sized laser driven accelerator.

  19. 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)

  20. Open LED Illuminator: A Simple and Inexpensive LED Illuminator for Fast Multicolor Particle Tracking in Neurons

    Science.gov (United States)

    Bosse, Jens B.; Tanneti, Nikhila S.; Hogue, Ian B.; Enquist, Lynn W.

    2015-01-01

    Dual-color live cell fluorescence microscopy of fast intracellular trafficking processes, such as axonal transport, requires rapid switching of illumination channels. Typical broad-spectrum sources necessitate the use of mechanical filter switching, which introduces delays between acquisition of different fluorescence channels, impeding the interpretation and quantification of highly dynamic processes. Light Emitting Diodes (LEDs), however, allow modulation of excitation light in microseconds. Here we provide a step-by-step protocol to enable any scientist to build a research-grade LED illuminator for live cell microscopy, even without prior experience with electronics or optics. We quantify and compare components, discuss our design considerations, and demonstrate the performance of our LED illuminator by imaging axonal transport of herpes virus particles with high temporal resolution. PMID:26600461

  1. Open LED Illuminator: A Simple and Inexpensive LED Illuminator for Fast Multicolor Particle Tracking in Neurons.

    Directory of Open Access Journals (Sweden)

    Jens B Bosse

    Full Text Available Dual-color live cell fluorescence microscopy of fast intracellular trafficking processes, such as axonal transport, requires rapid switching of illumination channels. Typical broad-spectrum sources necessitate the use of mechanical filter switching, which introduces delays between acquisition of different fluorescence channels, impeding the interpretation and quantification of highly dynamic processes. Light Emitting Diodes (LEDs, however, allow modulation of excitation light in microseconds. Here we provide a step-by-step protocol to enable any scientist to build a research-grade LED illuminator for live cell microscopy, even without prior experience with electronics or optics. We quantify and compare components, discuss our design considerations, and demonstrate the performance of our LED illuminator by imaging axonal transport of herpes virus particles with high temporal resolution.

  2. Design and DSP implementation of star image acquisition and star point fast acquiring and tracking

    Science.gov (United States)

    Zhou, Guohui; Wang, Xiaodong; Hao, Zhihang

    2006-02-01

    Star sensor is a special high accuracy photoelectric sensor. Attitude acquisition time is an important function index of star sensor. In this paper, the design target is to acquire 10 samples per second dynamic performance. On the basis of analyzing CCD signals timing and star image processing, a new design and a special parallel architecture for improving star image processing are presented in this paper. In the design, the operation moving the data in expanded windows including the star to the on-chip memory of DSP is arranged in the invalid period of CCD frame signal. During the CCD saving the star image to memory, DSP processes the data in the on-chip memory. This parallelism greatly improves the efficiency of processing. The scheme proposed here results in enormous savings of memory normally required. In the scheme, DSP HOLD mode and CPLD technology are used to make a shared memory between CCD and DSP. The efficiency of processing is discussed in numerical tests. Only in 3.5ms is acquired the five lightest stars in the star acquisition stage. In 43us, the data in five expanded windows including stars are moved into the internal memory of DSP, and in 1.6ms, five star coordinates are achieved in the star tracking stage.

  3. The design of a fast Level-1 track trigger for the high luminosity upgrade of ATLAS.

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00413032; The ATLAS collaboration

    2016-01-01

    The high/luminosity upgrade of the LHC will increase the rate of the proton-proton collisions by approximately a factor of 5 with respect to the initial LHC-design. The ATLAS experiment will upgrade consequently, increasing its robustness and selectivity in the expected high radiation environment. In particular, the earliest, hardware based, ATLAS trigger stage ("Level 1") will require higher rejection power, still maintaining efficient selection on many various physics signatures. The key ingredient is the possibility of extracting tracking information from the brand new full-silicon detector and use it for the process. While fascinating, this solution poses a big challenge in the choice of the architecture, due to the reduced latency available at this trigger level (few tens of micro-seconds) and the high expected working rates (order of MHz). In this paper, we review the design possibilities of such a system in a potential new trigger and readout architecture, and present the performance resulting from a d...

  4.  MULTIMODAL ANALGESIA IN FAST TRACK HIP AND KNEE ARTHROPLASTY

    DEFF Research Database (Denmark)

    Holm, Bente; Bak, Mikkel; Kristensen, Billy Bjarne

    underwent the "Timed Up & Go" test, a test for functional mobility. Patients were discharged according to criteria mentioned above and were asked to evaluate the quality of the hospital stay. EVALUATION: LOS was decreased for the THA patients from an already accelerated track of 3.8 days to 3.1 days...... to 2.5 for THA, and for TKA from 5.0 to 3.6. Gait VAS mean score for THA was 2.8 at day one, reduced to 1.9 at discharge, and for TKA from 5.2 to 2.4. The TUG test for THA showed a mean value of 27.4 sec. at day two, reduced at discharge to 21.0 sec. For TKA from 31.3 to 22.0 sec. At discharge patients......-up after rehabilitation are needed. IMPLICATIONS: Due to the short LOS goals and guidelines for outpatients physiotherapy treatment including functional tests and outcome measurements are needed....

  5. Lunar Navigation Architecture Design Considerations

    Science.gov (United States)

    D'Souza, Christopher; Getchius, Joel; Holt, Greg; Moreau, Michael

    2009-01-01

    The NASA Constellation Program is aiming to establish a long-term presence on the lunar surface. The Constellation elements (Orion, Altair, Earth Departure Stage, and Ares launch vehicles) will require a lunar navigation architecture for navigation state updates during lunar-class missions. Orion in particular has baselined earth-based ground direct tracking as the primary source for much of its absolute navigation needs. However, due to the uncertainty in the lunar navigation architecture, the Orion program has had to make certain assumptions on the capabilities of such architectures in order to adequately scale the vehicle design trade space. The following paper outlines lunar navigation requirements, the Orion program assumptions, and the impacts of these assumptions to the lunar navigation architecture design. The selection of potential sites was based upon geometric baselines, logistical feasibility, redundancy, and abort support capability. Simulated navigation covariances mapped to entry interface flightpath- angle uncertainties were used to evaluate knowledge errors. A minimum ground station architecture was identified consisting of Goldstone, Madrid, Canberra, Santiago, Hartebeeshoek, Dongora, Hawaii, Guam, and Ascension Island (or the geometric equivalent).

  6. FAST

    DEFF Research Database (Denmark)

    Zuidmeer-Jongejan, Laurian; Fernandez-Rivas, Montserrat; Poulsen, Lars K.

    2012-01-01

    ABSTRACT: The FAST project (Food Allergy Specific Immunotherapy) aims at the development of safe and effective treatment of food allergies, targeting prevalent, persistent and severe allergy to fish and peach. Classical allergen-specific immunotherapy (SIT), using subcutaneous injections with aqu...

  7. 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...

  8. 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.

  9. Improvements in fast-response flood modeling: desktop parallel computing and domain tracking

    Energy Technology Data Exchange (ETDEWEB)

    Judi, David R [Los Alamos National Laboratory; Mcpherson, Timothy N [Los Alamos National Laboratory; Burian, Steven J [UNIV. OF UTAH

    2009-01-01

    It is becoming increasingly important to have the ability to accurately forecast flooding, as flooding accounts for the most losses due to natural disasters in the world and the United States. Flood inundation modeling has been dominated by one-dimensional approaches. These models are computationally efficient and are considered by many engineers to produce reasonably accurate water surface profiles. However, because the profiles estimated in these models must be superimposed on digital elevation data to create a two-dimensional map, the result may be sensitive to the ability of the elevation data to capture relevant features (e.g. dikes/levees, roads, walls, etc...). Moreover, one-dimensional models do not explicitly represent the complex flow processes present in floodplains and urban environments and because two-dimensional models based on the shallow water equations have significantly greater ability to determine flow velocity and direction, the National Research Council (NRC) has recommended that two-dimensional models be used over one-dimensional models for flood inundation studies. This paper has shown that two-dimensional flood modeling computational time can be greatly reduced through the use of Java multithreading on multi-core computers which effectively provides a means for parallel computing on a desktop computer. In addition, this paper has shown that when desktop parallel computing is coupled with a domain tracking algorithm, significant computation time can be eliminated when computations are completed only on inundated cells. The drastic reduction in computational time shown here enhances the ability of two-dimensional flood inundation models to be used as a near-real time flood forecasting tool, engineering, design tool, or planning tool. Perhaps even of greater significance, the reduction in computation time makes the incorporation of risk and uncertainty/ensemble forecasting more feasible for flood inundation modeling (NRC 2000; Sayers et al

  10. High rate particle tracking and ultra-fast timing with a thin hybrid silicon pixel detector

    Science.gov (United States)

    Fiorini, M.; Aglieri Rinella, G.; Carassiti, V.; Ceccucci, A.; Cortina Gil, E.; Cotta Ramusino, A.; Dellacasa, G.; Garbolino, S.; Jarron, P.; Kaplon, J.; Kluge, A.; Marchetto, F.; Mapelli, A.; Martin, E.; Mazza, G.; Morel, M.; Noy, M.; Nuessle, G.; Perktold, L.; Petagna, P.; Petrucci, F.; Poltorak, K.; Riedler, P.; Rivetti, A.; Statera, M.; Velghe, B.

    2013-08-01

    The Gigatracker (GTK) is a hybrid silicon pixel detector designed for the NA62 experiment at CERN. The beam spectrometer, made of three GTK stations, has to sustain high and non-uniform particle rate (∼ 1 GHz in total) and measure momentum and angles of each beam track with a combined time resolution of 150 ps. In order to reduce multiple scattering and hadronic interactions of beam particles, the material budget of a single GTK station has been fixed to 0.5% X0. The expected fluence for 100 days of running is 2 ×1014 1 MeV neq /cm2, comparable to the one foreseen in the inner trackers of LHC detectors during 10 years of operation. To comply with these requirements, an efficient and very low-mass (< 0.15 %X0) cooling system is being constructed, using a novel microchannel cooling silicon plate. Two complementary read-out architectures have been produced as small-scale prototypes: one is based on a Time-over-Threshold circuit followed by a TDC shared by a group of pixels, while the other makes use of a constant-fraction discriminator followed by an on-pixel TDC. The read-out ASICs are produced in 130 nm IBM CMOS technology and will be thinned down to 100 μm or less. An overview of the Gigatracker detector system will be presented. Experimental results from laboratory and beam tests of prototype bump-bonded assemblies will be described as well. These results show a time resolution of about 170 ps for single hits from minimum ionizing particles, using 200 μm thick silicon sensors.

  11. Measuring the radial density distribution of light emission around the track of fast ions in nitrogen

    International Nuclear Information System (INIS)

    Ibach, T.

    1983-01-01

    For analysing the emission and stopping of ionization electrons (σ-electrons) emitted by fast ions passing through a gas, the radial density distribution of the light emission of the (0,0) transition of two optical bands in nitrogen have been measured. The systems selected for the epxeriments are the 2nd positive system (2.PS) at 337.1 nm primarily excited by low-energy electrons of about 20 eV, and the first negative system (1.NS) at 391.4 nm excited by faster electrons and simultaneous ionization. The equipment developed for the experiments records the light emission with a telescope-type optical arrangement including interference filters, allowing high local resolution and dynamics of the measured range. The measurements have been carried out at pressures between 0.133 and 13.3 mbar, using photons of energies ranging from 270 keV to 2.8 MeV, helium 3 beams of 270 keV/u and 500 keV/u, and neon beams of 270 keV/u. Abel's inversion applied to the distance functions allows calculation of the spatial light emission density which is normalized for a gas density of 1 g/cm 3 . The profiles of the two bands indicate that the σ-electron spectrum gets harder in outward direction. Next to the beam the impact density decreases faster with increasing ion energy than the stopping power (increasing interaction range of the σ-electrons). With photon beams, about half of the whole light emission in the 1. NS, and of the ionization, is induced by primary interactions of the ion beam. This proportion decreases at constant energy per nucleon with increasing atomic number of the ions as compared with the σ-electrons. The primary σ-emission gets harder with higher atomic numbers. (orig./HP) [de

  12. Fast, automatic, and accurate catheter reconstruction in HDR brachytherapy using an electromagnetic 3D tracking system

    Energy Technology Data Exchange (ETDEWEB)

    Poulin, Eric; Racine, Emmanuel; Beaulieu, Luc, E-mail: Luc.Beaulieu@phy.ulaval.ca [Département de physique, de génie physique et d’optique et Centre de recherche sur le cancer de l’Université Laval, Université Laval, Québec, Québec G1V 0A6, Canada and Département de radio-oncologie et Axe Oncologie du Centre de recherche du CHU de Québec, CHU de Québec, 11 Côte du Palais, Québec, Québec G1R 2J6 (Canada); Binnekamp, Dirk [Integrated Clinical Solutions and Marketing, Philips Healthcare, Veenpluis 4-6, Best 5680 DA (Netherlands)

    2015-03-15

    Purpose: In high dose rate brachytherapy (HDR-B), current catheter reconstruction protocols are relatively slow and error prone. The purpose of this technical note is to evaluate the accuracy and the robustness of an electromagnetic (EM) tracking system for automated and real-time catheter reconstruction. Methods: For this preclinical study, a total of ten catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a 18G biopsy needle, used as an EM stylet and equipped with a miniaturized sensor, and the second generation Aurora{sup ®} Planar Field Generator from Northern Digital Inc. The Aurora EM system provides position and orientation value with precisions of 0.7 mm and 0.2°, respectively. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical computed tomography (CT) system with a spatial resolution of 89 μm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, five catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 s, leading to a total reconstruction time inferior to 3 min for a typical 17-catheter implant. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.66 ± 0.33 mm and 1.08 ± 0.72 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be more accurate. A maximum difference of less than 0.6 mm was found between successive EM reconstructions. Conclusions: The EM reconstruction was found to be more accurate and precise than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators.

  13. Fast, automatic, and accurate catheter reconstruction in HDR brachytherapy using an electromagnetic 3D tracking system

    International Nuclear Information System (INIS)

    Poulin, Eric; Racine, Emmanuel; Beaulieu, Luc; Binnekamp, Dirk

    2015-01-01

    Purpose: In high dose rate brachytherapy (HDR-B), current catheter reconstruction protocols are relatively slow and error prone. The purpose of this technical note is to evaluate the accuracy and the robustness of an electromagnetic (EM) tracking system for automated and real-time catheter reconstruction. Methods: For this preclinical study, a total of ten catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a 18G biopsy needle, used as an EM stylet and equipped with a miniaturized sensor, and the second generation Aurora ® Planar Field Generator from Northern Digital Inc. The Aurora EM system provides position and orientation value with precisions of 0.7 mm and 0.2°, respectively. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical computed tomography (CT) system with a spatial resolution of 89 μm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, five catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 s, leading to a total reconstruction time inferior to 3 min for a typical 17-catheter implant. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.66 ± 0.33 mm and 1.08 ± 0.72 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be more accurate. A maximum difference of less than 0.6 mm was found between successive EM reconstructions. Conclusions: The EM reconstruction was found to be more accurate and precise than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators

  14. A Fusion Nuclear Science Facility for a fast-track path to DEMO

    Energy Technology Data Exchange (ETDEWEB)

    Garofalo, A.M., E-mail: garofalo@fusion.gat.com [General Atomics, San Diego, CA (United States); Abdou, M.A. [University of California, Los Angeles, Los Angeles, CA (United States); Canik, J.M. [Oak Ridge National Laboratory, Oak Ridge, TN (United States); Chan, V.S.; Hyatt, A.W. [General Atomics, San Diego, CA (United States); Hill, D.N. [Lawrence Livermore National Laboratory, Livermore, CA (United States); Morley, N.B. [University of California, Los Angeles, Los Angeles, CA (United States); Navratil, G.A. [Columbia University, New York, NY (United States); Sawan, M.E. [University of Wisconsin Madison, Madison, WI (United States); Taylor, T.S.; Wong, C.P.C.; Wu, W. [General Atomics, San Diego, CA (United States); Ying, A. [University of California, Los Angeles, Los Angeles, CA (United States)

    2014-10-15

    Highlights: • A FNSF is needed to reduce the knowledge gaps to a fusion DEMO and accelerate progress toward fusion energy. • FNSF will test and qualify first-wall/blanket components and materials in a DEMO-relevant fusion environment. • The Advanced Tokamak approach enables reduced size and risks, and is on a direct path to an attractive target power plant. • Near term research focus on specific tasks can enable starting FNSF construction within the next ten years. - Abstract: An accelerated fusion energy development program, a “fast-track” approach, requires proceeding with a nuclear and materials testing program in parallel with research on burning plasmas, ITER. A Fusion Nuclear Science Facility (FNSF) would address many of the key issues that need to be addressed prior to DEMO, including breeding tritium and completing the fuel cycle, qualifying nuclear materials for high fluence, developing suitable materials for the plasma-boundary interface, and demonstrating power extraction. The Advanced Tokamak (AT) is a strong candidate for an FNSF as a consequence of its mature physics base, capability to address the key issues, and the direct relevance to an attractive target power plant. The standard aspect ratio provides space for a solenoid, assuring robust plasma current initiation, and for an inboard blanket, assuring robust tritium breeding ratio (TBR) >1 for FNSF tritium self-sufficiency and building of inventory needed to start up DEMO. An example design point gives a moderate sized Cu-coil device with R/a = 2.7 m/0.77 m, κ = 2.3, B{sub T} = 5.4 T, I{sub P} = 6.6 MA, β{sub N} = 2.75, P{sub fus} = 127 MW. The modest bootstrap fraction of ƒ{sub BS} = 0.55 provides an opportunity to develop steady state with sufficient current drive for adequate control. Proceeding with a FNSF in parallel with ITER provides a strong basis to begin construction of DEMO upon the achievement of Q ∼ 10 in ITER.

  15. 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.

  16. A fast-track preliminary thermo-mechanical design of oil export pipelines from P-56 platform

    Energy Technology Data Exchange (ETDEWEB)

    Solano, Rafael F.; Mendonca, Salete M. de [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil); Franco, Luciano D.; Walker, Alastair; El-Gebaly, Sherif H. [INTECSEA, Rio de Janeiro, RJ (Brazil)

    2009-12-19

    The oil export pipelines of Marlim Sul field Module 3, Campus Basin, offshore Brazil, will operate in high pressure and temperature conditions, and will be laid on seabed crossing ten previously laid pipelines along the routes. In terms of thermo-mechanical design, these conditions turn out to be great challenges. In order to obtain initial results and recommendations for detail design, a preliminary thermo-mechanical design of pipelines was carried out as a fast-track design before the bid. This way, PETROBRAS can assess and emphasize the susceptibility of these lines to lateral buckling and pipeline walking behavior. Therefore, PETROBRAS can present a preliminary mitigation strategy for lateral buckling showing solutions based on displacement controlled criteria and by introducing buckle initiation along the pipeline using distribution buoyancy. Besides that, axial displacements and loads at the pipeline ends can be furnished also in order to provide a basis for the detailed design. The work reported in this paper follows the SAFEBUCK JIP methodology and recommendation, which were used to determine the allowable strain and maximum allowable VAS (Virtual Anchor Spacing) considered in the buckling mitigation strategy. The paper presents also the formation of uncontrolled buckles on the seabed and the propensity for pipeline walking in its sections between buckles. The buckling mitigation strategy established in this preliminary design confirms that the oil pipeline specifications are adequate to maintain integrity during design life. (author)

  17. Application of fast-track surgery concept in perioperative patients with biliary calculi and liver cirrhosis: a prospective study

    Directory of Open Access Journals (Sweden)

    WANG Hua

    2014-11-01

    Full Text Available ObjectiveTo investigate the advantage and safety of the concept of fast-track surgery (FTS applied in perioperative patients with biliary calculi and liver cirrhosis. MethodsFifty-two patients undergoing operation for biliary calculi and liver cirrhosis from January 2011 to September 2013 were included in this study. These patients were randomly divided into FTS group (n = 30 and control group (n = 22. Patients in the FTS group received perioperative care measures guided by FTS concept, while patients in the control group received traditional perioperative management measures. The intraoperative situation of patients, time to postoperative recovery of intestinal function, length of postoperative hospital stay, total medical expenses during hospitalization, and postoperative complications were compared between the two groups. Continuous data and categorical data were compared by t-test and χ2 test, respectively. ResultsAs compared with the control group, the FTS group had significantly time to postoperative recovery of intestinal function (t = 2.239, P = 0.045, a significantly shortened length of postoperative stay (t = 4.246, P = 0.038, and significantly reduced total medical expenses during hospitalization (t = 3.045, P = 0.033. No significant difference in postoperative complications was observed between the two groups (P>0.05. ConclusionThe concept of FTS can be safely and effectively applied in perioperative patients with biliary calculi and liver cirrhosis, which can accelerate rehabilitation without increasing the risk of surgery.

  18. 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.

  19. 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...

  20. 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....

  1. 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.

  2. 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...

  3. Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience1

    Science.gov (United States)

    Bierman, Karen L.

    2012-01-01

    Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program. PMID:9338956

  4. Safety and efficacy of fast-track surgery in perioperative nursing for biliary calculi surgery: a meta-analysis

    Directory of Open Access Journals (Sweden)

    LI Qinan

    2015-10-01

    Full Text Available ObjectiveTo systematically review the efficacy and safety of fast-track surgery (FTS in perioperative nursing for biliary calculi surgery. MethodsOnline databases of PubMed, Cochrane Library, CBM, CNKI, VIP, and Wanfang Data were comprehensively searched for relevant randomized controlled trials (RCTs. Potential bias was evaluated by Cochrane tools and data were analyzed by RevMan 5.3. ResultsA total of 11 RCTs with 1455 patients were included (738 cases in FTS group and 717 cases in control group. The results of meta-analysis showed that FTS significantly reduced the length of postoperative hospital stay (MD=-4.10, 95% CI: -5.68 to -2.52, P<0.000 01 and hospital costs (MD=-0.47, 95%CI: -0.60 to -0.34, P<0.000 01; meanwhile, FTS shortened the time to gastrointestinal recovery (SMD=-2.05, 95%CI: -2.84 to -1.27, P<0.000 01, as well as the time to first defecation (SMD=-1.27, 95% CI: -2.08 to -0.46, P<0.000 01. As for safety, FTS significantly reduced the total complications of choledocholithiasis (RR=0.53, 95%CI: 0.43-0.65, P<0.000 01 and hepatolithiasis (RR=0.52, 95% CI: 0.35-0.77, P=0.001. ConclusionFTS is effective and safe in perioperative nursing for biliary calculi surgery. It can significantly reduce the length of postoperative hospital stay, enhance gastrointestinal recovery, shorten the time to first defecation, and reduce total complications.

  5. Beyond trend analysis: How a modified breakpoint analysis enhances knowledge of agricultural production after Zimbabwe's fast track land reform

    Science.gov (United States)

    Hentze, Konrad; Thonfeld, Frank; Menz, Gunter

    2017-10-01

    In the discourse on land reform assessments, a significant lack of spatial and time-series data has been identified, especially with respect to Zimbabwe's ;Fast-Track Land Reform Programme; (FTLRP). At the same time, interest persists among land use change scientists to evaluate causes of land use change and therefore to increase the explanatory power of remote sensing products. This study recognizes these demands and aims to provide input on both levels: Evaluating the potential of satellite remote sensing time-series to answer questions which evolved after intensive land redistribution efforts in Zimbabwe; and investigating how time-series analysis of Normalized Difference Vegetation Index (NDVI) can be enhanced to provide information on land reform induced land use change. To achieve this, two time-series methods are applied to MODIS NDVI data: Seasonal Trend Analysis (STA) and Breakpoint Analysis for Additive Season and Trend (BFAST). In our first analysis, a link of agricultural productivity trends to different land tenure regimes shows that regional clustering of trends is more dominant than a relationship between tenure and trend with a slightly negative slope for all regimes. We demonstrate that clusters of strong negative and positive productivity trends are results of changing irrigation patterns. To locate emerging and fallow irrigation schemes in semi-arid Zimbabwe, a new multi-method approach is developed which allows to map changes from bimodal seasonal phenological patterns to unimodal and vice versa. With an enhanced breakpoint analysis through the combination of STA and BFAST, we are able to provide a technique that can be applied on large scale to map status and development of highly productive cropping systems, which are key for food production, national export and local employment. We therefore conclude that the combination of existing and accessible time-series analysis methods: is able to achieve both: overcoming demonstrated limitations of

  6. 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

  7. 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...

  8. Remote removal of an obstruction from FFTF [Fast Flux Test Facility] in-service inspection camera track

    International Nuclear Information System (INIS)

    Gibbons, P.W.

    1990-11-01

    Remote techniques and special equipment were used to clear the path of a closed-circuit television camera system that travels on a monorail track around the reactor vessel support arm structure. A tangle of wire-wrapped instrumentation tubing had been inadvertently inserted through a dislocated guide-tube expansion joint and into the camera track area. An externally driven auger device, mounted on the track ahead of the camera to view the procedure, was used to retrieve the tubing. 6 figs

  9. Photometric Lunar Surface Reconstruction

    Science.gov (United States)

    Nefian, Ara V.; Alexandrov, Oleg; Morattlo, Zachary; Kim, Taemin; Beyer, Ross A.

    2013-01-01

    Accurate photometric reconstruction of the Lunar surface is important in the context of upcoming NASA robotic missions to the Moon and in giving a more accurate understanding of the Lunar soil composition. This paper describes a novel approach for joint estimation of Lunar albedo, camera exposure time, and photometric parameters that utilizes an accurate Lunar-Lambertian reflectance model and previously derived Lunar topography of the area visualized during the Apollo missions. The method introduced here is used in creating the largest Lunar albedo map (16% of the Lunar surface) at the resolution of 10 meters/pixel.

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

    NARCIS (Netherlands)

    Bouma, H.; Baan, J.; Landsmeer, S.; Kruszynski, K.J.; Antwerpen, G. van; Dijk, J.

    2013-01-01

    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

  11. Comparison of granisetron, metoclopramide and gastric decompression for prevention of postoperative nausea and vomiting after fast track cardiac anesthesia

    Directory of Open Access Journals (Sweden)

    Omid Aghadavoudi

    2008-08-01

    Full Text Available

    • BACKGROUND: Different methods have been suggested to prevent postoperative nausea and vomiting (PONV, but the efficacy of these methods has not been fully studied in fast track cardiac anesthesia (FTCA.
    • METHODS: In a randomized double blind clinical trial study, 120 patients aged 18-70 years with ASA II or III, undergoing elective cardiac surgery, were selected. They were divided randomly into four groups. In group M, group G and group P, intravenous (IV metoclopramide (0.1 mg/kg, granisetron (0.01 mg/kg, and normal saline were administered, respectively, about thirty minutes before extubation in the intensive care unit (ICU. In group N, a nasogastric (NG tube was inserted after tracheal intubation in the operating room and removed about thirty minutes before extubation in the ICU. The incidence and severity of nausea and the episodes of vomiting were recorded by a blinded investigator at the time of extubation and performed regularly for a maximum of 24 hours. Assessment of severity of nausea was scored using a visual analogue scale (VAS device. Data were analyzed by using ANOVA, chi-squared and Kruskal- Wallis and repeated measures tests.
    • RESULTS: Overall the 24-h incidence of PONV was significantly lower in the G and M groups than in the P and N groups (10% and 16.7% vs. 33.3% and 40%, respectively; P < 0.02. Postoperative rescue medication was significantly less required in the G and M groups compared to the other two groups (P < 0.01. Less satisfaction, according to PONV status, was observed in the P and N groups (P < 0.01.
    • CONCLUSIONS: According to this study, metoclopramide and granisetron, but not gastric decompression, are effective regimens for preventing PONV after FTCA. Given the economics and a considerable background incidence in patients exhibiting PONV, we suggest metoclopramide as a routine prophylactic antiemetic in FTCA

    • Measurement of the lunar neutron density profile

      International Nuclear Information System (INIS)

      Woolum, D.S.; Burnett, D.S.; Furst, M.; Weiss, J.R.

      1975-01-01

      An in situ measurement of the lunar neutron density from 20 to 400 g cm -2 depth below the lunar surface was made by the Apollo 17 Lunar Neutron Probe Experiment (LNPE) using particle tracks produced by the 10 B (n,α) 7 Li reaction. Both the absolute magnitude and the depth profile of the neutron density are in good agreement with theoretical calculations by Lingenfelter, Canfield, and Hampel. However, relatively small deviations between experiment and theory in the effect of Cd absorption on the neutron density and in the relative 149 Sm to 157 Gd capture rates reported previously (Russ et al., 1972) imply that the true lunar 157 Gd capture rate is about one half of that calculated theoretically. (Auth.)

    • 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

    • Lunar Flashlight and Other Lunar Cubesats

      Science.gov (United States)

      Cohen, Barbara

      2017-01-01

      Water is a human-exploitable resource. Lunar Flashlight is a Cubesat mission to detect and map lunar surface ice in permanently-shadowed regions of the lunar south pole. EM-1 will carry 13 Cubesat-class missions to further smallsat science and exploration capabilities; much room to infuse LEO cubesat methodology, models, and technology. Exploring the value of concurrent measurements to measure dynamical processes of water sources and sinks.

    • 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.

    • 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...

    • 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.

    • 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)

    • LADEE LUNAR DUST EXPERIMENT

      Data.gov (United States)

      National Aeronautics and Space Administration — This archive bundle includes data taken by the Lunar Dust Experiment (LDEX) instrument aboard the Lunar Atmosphere and Dust Environment Explorer (LADEE) spacecraft....

    • Endogenous Lunar Volatiles

      Science.gov (United States)

      McCubbin, F. M.; Liu, Y.; Barnes, J. J.; Anand, M.; Boyce, J. W.; Burney, D.; Day, J. M. D.; Elardo, S. M.; Hui, H.; Klima, R. L.; Magna, T.; Ni, P.; Steenstra, E.; Tartèse, R.; Vander Kaaden, K. E.

      2018-04-01

      This abstract discusses numerous outstanding questions on the topic of endogenous lunar volatiles that will need to be addressed in the coming years. Although substantial insights into endogenous lunar volatiles have been gained, more work remains.

  1. Critical Robotic Lunar Missions

    Science.gov (United States)

    Plescia, J. B.

    2018-04-01

    Perhaps the most critical missions to understanding lunar history are in situ dating and network missions. These would constrain the volcanic and thermal history and interior structure. These data would better constrain lunar evolution models.

  2. A prospective cohort study to investigate cost-minimisation, of Traditional open, open fAst track recovery and laParoscopic fASt track multimodal management, for surgical patients with colon carcinomas (TAPAS study).

    NARCIS (Netherlands)

    Reurings, J.C.; Spanjersberg, W.R.; Oostvogel, H.J.M.; Buskens, E.; Maring, J.; Kruijt, F.; Rosman, C.; Duivendijk, P. van; Dejong, C.H.; Laarhoven, C.J.H.M. van

    2010-01-01

    BACKGROUND: The present developments in colon surgery are characterized by two innovations: the introduction of the laparoscopic operation technique and fast recovery programs such as the Enhanced Recovery After Surgery (ERAS) recovery program. The Tapas-study was conceived to determine which of the

  3. Present status of fast neutron personnel dosimetry system based on CR-39 solid state nuclear track detectors

    International Nuclear Information System (INIS)

    Pal, Rupali; Sathian, Deepa; Jayalakshmi, V.; Bakshi, A.K.; Chougaonkar, M.P.; Mayya, Y.S.; Kumar, Valli; Babu, Rajesh; Kar, S.; Joshi, V.M.

    2011-08-01

    Neutron sources are of different types depending upon the method of production such as nuclear reactors, particle accelerators and laboratory sources. Neutron sources depending upon their energy, flux, size etc. are used for variety of applications in basic and applied sciences, neutron scattering experiments and in industry such as oil well - digging, coal mining and processing, ore processing etc. Personnel working in nuclear installations such as reactors, accelerators, spent fuel processing plants, nuclear fuel cycle operations and those working in various industries such as oil refining, oil well-digging, coal mining and processing, ore processing, etc. need to be monitored for neutron exposures, if any. Neutron monitoring is especially necessary in view of the fact that the radiation weighting factor for neutron is much higher than gamma rays and also it varies with energy. Radiological Physics and Advisory Division is involved in monitoring of personnel working in neutron fields. Around 2100 workers from 70 institutions (DAE and Non-DAE) are monitored on a quarterly basis. Neutron personnel monitoring, carried out in the country is based on Solid State Nuclear Track Detection (SSNTD) technique. In this technique, neutrons interact with hydrogen in CR-39 polymer to produce recoil protons. These protons create damages in the polymer, which are enlarged and appear as tracks when subjected to electrochemical etching (ECE). These tracks are counted in an optical system to evaluate the neutron dose. The neutron dosimetry system based on SSNTD has undergone a significant development, since it was started in 1990. The development includes upgradation of image analysis system for counting tracks, introduction of chemical etching (CE) at elevated temperatures for evaluation of dose equivalents above 10 mSv and use of carbon laser for cutting of CR-39 detectors. The entire dose evaluation process has been standardized, which includes calibration and performance tests

  4. Fast and high-energy neutron detection with nuclear track detectors: Results of the European joint experiments 1992/93

    Energy Technology Data Exchange (ETDEWEB)

    Schraube, H. [GSF - Forschungszentrum fuer Umwelt und Gesundheit Neuherberg GmbH, Oberschleissheim (Germany); Alberts, W.G. [Physikalisch-Technische Bundesanstalt, Braunschweig (Germany); Weeks, A.R. [comps.] [Nuclear Electric plc, Berkeley (United Kingdom). Berkeley Technology Centre

    1997-12-31

    Under the auspices of EURADOS, the European radiation dosimetry group, seventeen recognised laboratories engaged in the field of individual neutron dosimetry with passive track detectors participated in an international comparative experiment. A number of twenty-seven detector systems, predominantly etched track detectors with the material PADC (poly allyl diglycol carbonate), were employed by the participating laboratories. Quasi-monoenergetic neutrons were provided for irradiations free-in-air and on front of a PMMA phantom by the GSF (Forschungszentrum fuer Umwelt und Gesundheit, Neuherberg, Germany) and by the PTB (Physikalisch-Technische Bundesanstalt, Braunschweig, Germany). High energy irradiations were conducted by the PSI (Paul-Scherrer Institut, Villigen, Switzerland). The results of the on-phantom irradiations were used to derive energy and angular responses of the track detectors, those of the free-in-air irradiations to obtain data for the linearity characteristics of the response with dose. The report contains a short description and the original data of the participating laboratories, displays the irradiation and reference conditions, and provides an over-all evaluation. Emphasis is placed on the quantitative evaluation of the background characteristics and of the non-linearity observed with most of the systems employed which limits their useful dose-range of application. (orig.)

  5. Our Lunar Destiny: Creating a Lunar Economy

    Science.gov (United States)

    Rohwer, Christopher J.

    2000-01-01

    "Our Lunar Destiny: Creating a Lunar Economy" supports a vision of people moving freely and economically between the earth and the Moon in an expansive space and lunar economy. It makes the economic case for the creation of a lunar space economy and projects the business plan that will make the venture an economic success. In addition, this paper argues that this vision can be created and sustained only by private enterprise and the legal right of private property in space and on the Moon. Finally, this paper advocates the use of lunar land grants as the key to unleashing the needed capital and the economic power of private enterprise in the creation of a 21st century lunar space economy. It is clear that the history of our United States economic system proves the value of private property rights in the creation of any new economy. It also teaches us that the successful development of new frontiers-those that provide economic opportunity for freedom-loving people-are frontiers that encourage, respect and protect the possession of private property and the fruits of labor and industry. Any new 21st century space and lunar economy should therefore be founded on this same principle.

  6. Applications of solid-state nuclear track detectors (SSNTDs) for fast ion and fusion reaction product measurements in TEXTOR experiments

    Energy Technology Data Exchange (ETDEWEB)

    Szydlowski, A.; Malinowski, K.; Malinowska, A. [Association EURTOM-IPPLM Warsaw, The Andrzej Soltan Institute for Nuclear Studies, 05-400 Otwock-Swierk (Poland); Wassenhove, G. Van [EURATOM-Belgium State Association, LPP, ERM/KMS, Trilateral Euregio Cluster, B-1000 Brussels (Belgium); Schweer, B. [Association EURATOM-FZJ, Institutte of Plasma Physicx, Juelich (Germany)

    2011-07-01

    Full text of publication follows: The paper reports on measurements of fusion reaction protons which were performed on TEXTOR facility in January 2009. The basic experimental scheme was similar to that applied in the previous measurements [1, 2]. The main experimental tool equipment was a small ion pinhole camera which was equipped with a PM-355 detector sample and was attached to a water cooled manipulator. The camera was placed below the plasma ring in the direction of ion drifts, at a distance of 4.4 cm from LCFS. However, in the described experiment it was aligned at an angle to the mayor TEXTOR radius (contrary to previous experiments), so that the input pinhole was oriented first at {gamma} = 45 degrees (shots 108799 - 108818) and then {gamma} = 600 (shots 108832 - 108847). The discharges were executed with one neutral beam of the total power 0.6 - 1.0 MW. In the first series (Nos 108799 - 108818) the plasma was additionally heated by ICRH of frequency 38 MHz. The irradiated detector samples were subjected to the same interrupted etching procedure as the samples used in the CR-39/PM-355 detector calibration measurements [1, 2]. After that, track density distributions and track diameter histograms were measured under an optical microscope. By the use of the calibration curves, it was possible to distinguish craters produced by protons from other craters and to convert the obtained histograms into proton energy spectra. The craters induced by lower energy ions appeared to be concentrated in narrower areas, whereas higher energy ions were registered in a more diffused detector fields. The paper shows again that the CR-39/PM-355 detector is an useful diagnostic tool for tokamak experiments, for measurement of charged ions. References: [1] A. Szydlowski, A. Malinowska, M. Jaskola, A. Korman, M.J. Sadowski, G. Van Wassenhove, B. Schweer and the TEXTOR team, A. Galkowski, 'Application of Solid State Nuclear Track Detectors in TEXTOR Experiment for Measurements

  7. Erosive Wear Characterization of Materials for Lunar Construction

    Science.gov (United States)

    Mpagazehe, Jeremiah N.; Street, Kenneth W., Jr.; Delgado, Irebert R.; Higgs, C. Fred, III

    2012-01-01

    NASA s Apollo missions revealed that exhaust from the retrorockets of landing spacecraft may act to significantly accelerate lunar dust on the surface of the Moon. A recent study by Immer et al. (C. Immer, P.T. Metzger, P.E. Hintze, A. Nick, and R. Horan, Apollo 12 Lunar Module exhaust plume impingement on Lunar Surveyor III, Icarus, Vol. 211, pp. 1089-1102, 2011) investigated coupons returned to Earth from the Surveyor III lunar probe which were subjected to lunar dust impingement by the Apollo 12 Lunar Module landing. Their study revealed that even with indirect impingement, the spacecraft sustained erosive damage from the fast-moving lunar dust particles. In this work, results are presented from a series of erosive wear experiments performed on 6061 Aluminum using the JSC-1AF lunar dust simulant. Optical profilometry was used to investigate the surface after the erosion process. It was found that even short durations of lunar dust simulant impacting at low velocities produced substantial changes in the surface.

  8. Fast track segment finding in the Monitored Drift Tubes (MDT) of the ATLAS Muon Spectrometer using a Legendre transform algorithm

    CERN Document Server

    Ntekas, Konstantinos; The ATLAS collaboration

    2018-01-01

    Many of the physics goals of ATLAS in the High Luminosity LHC era, including precision studies of the Higgs boson, require an unprescaled single muon trigger with a 20 GeV threshold. The selectivity of the current ATLAS first-level muon trigger is limited by the moderate spatial resolution of the muon trigger chambers. By incorporating the precise tracking of the MDT, the muon transverse momentum can be measured with an accuracy close to that of the offline reconstruction at the trigger level, sharpening the trigger turn-on curves and reducing the single muon trigger rate. A novel algorithm is proposed which reconstructs segments from MDT hits in an FPGA and find tracks within the tight latency constraints of the ATLAS first-level muon trigger. The algorithm represents MDT drift circles as curves in the Legendre space and returns one or more segment lines tangent to the maximum possible number of drift circles.  This algorithm is implemented without the need of resource and time consuming hit position calcul...

  9. 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...

  10. 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...

  11. Orbital studies of lunar magnetism

    Science.gov (United States)

    Mcleod, M. G.; Coleman, P. J., Jr.

    1982-01-01

    Limitations of present lunar magnetic maps are considered. Optimal processing of satellite derived magnetic anomaly data is also considered. Studies of coastal and core geomagnetism are discussed. Lunar remanent and induced lunar magnetization are included.

  12. Detection of the lunar body tide by the Lunar Orbiter Laser Altimeter.

    Science.gov (United States)

    Mazarico, Erwan; Barker, Michael K; Neumann, Gregory A; Zuber, Maria T; Smith, David E

    2014-04-16

    The Lunar Orbiter Laser Altimeter instrument onboard the Lunar Reconnaissance Orbiter spacecraft collected more than 5 billion measurements in the nominal 50 km orbit over ∼10,000 orbits. The data precision, geodetic accuracy, and spatial distribution enable two-dimensional crossovers to be used to infer relative radial position corrections between tracks to better than ∼1 m. We use nearly 500,000 altimetric crossovers to separate remaining high-frequency spacecraft trajectory errors from the periodic radial surface tidal deformation. The unusual sampling of the lunar body tide from polar lunar orbit limits the size of the typical differential signal expected at ground track intersections to ∼10 cm. Nevertheless, we reliably detect the topographic tidal signal and estimate the associated Love number h 2 to be 0.0371 ± 0.0033, which is consistent with but lower than recent results from lunar laser ranging. Altimetric data are used to create radial constraints on the tidal deformationThe body tide amplitude is estimated from the crossover dataThe estimated Love number is consistent with previous estimates but more precise.

  13. Lunar resource base

    Science.gov (United States)

    Pulley, John; Wise, Todd K.; Roy, Claude; Richter, Phil

    A lunar base that exploits local resources to enhance the productivity of a total SEI scenario is discussed. The goals were to emphasize lunar science and to land men on Mars in 2016 using significant amounts of lunar resources. It was assumed that propulsion was chemical and the surface power was non-nuclear. Three phases of the base build-up are outlined, the robotic emplacement of the first elements is detailed and a discussion of future options is included.

  14. Lunar and interplanetary trajectories

    CERN Document Server

    Biesbroek, Robin

    2016-01-01

    This book provides readers with a clear description of the types of lunar and interplanetary trajectories, and how they influence satellite-system design. The description follows an engineering rather than a mathematical approach and includes many examples of lunar trajectories, based on real missions. It helps readers gain an understanding of the driving subsystems of interplanetary and lunar satellites. The tables and graphs showing features of trajectories make the book easy to understand. .

  15. The simulation of lunar gravity field recovery from D-VLBI of Chang’E-1 and SELENE lunar orbiters

    Science.gov (United States)

    Yan, Jianguo; Ping, Jingsong; Matsumoto, K.; Li, Fei

    2008-07-01

    The lunar gravity field is a foundation to study the lunar interior structure, and to recover the evolution history of the Moon. It is still an open and key topic for lunar science. For above mentioned reasons, it becomes one of the important scientific objectives of recent lunar missions, such as KAGUYA (SELENE) the Japanese lunar mission and Chang’E-1, the Chinese lunar mission. The Chang’E-1 and the SELENE were successfully launched in 2007. It is estimated that these two missions can fly around the Moon longer than 6 months simultaneously. In these two missions, the Chinese new VLBI (Very Long Baseline Interferometry) network will be applied for precise orbit determination (POD) by using a differential VLBI (D-VLBI) method during the mission period. The same-beam D-VLBI technique will contribute to recover the lunar gravity field together with other conventional observables, i.e. R&RR (Range and Range Rate) and multi-way Doppler. Taking VLBI tracking conditions into consideration and using the GEODYNII/SOVLE software of GSFC/NASA/USA [Rowlands, D.D., Marshall, J.A., Mccarthy, J., et al. GEODYN II System Description, vols. 1 5. Contractor Report, Hughes STX Corp. Greenbelt, MD, 1997; Ullman, R.E. SOLVE program: mathematical formulation and guide to user input, Hughes/STX Contractor Report, Contract NAS5-31760. NASA Goddard Space Flight Center, Greenbelt, Maryland, 1994], we simulated the lunar gravity field recovering ability with and without D-VLBI between the Chang’E-1 and SELENE main satellite. The cases of overlapped flying and tracking period of 30 days, 60 days and 90 days have been analyzed, respectively. The results show that D-VLBI tracking between two lunar satellites can improve the gravity field recovery remarkably. The results and methods introduced in this paper will benefit the actual missions.

  16. 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.

  17. Telecast of Astronauts Armstrong and Aldrin by the Lunar Module

    Science.gov (United States)

    1969-01-01

    Astronauts Neil A. Armstrong (in center) commander; and Edwin E. Aldrin Jr. (on right), lunar module pilot, are seen standing near their Lunar Module in this black and white reproduction taken from a telecast by the Apollo 11 lunar surface television camera during the Apollo 11 extravehicular activity. This picture was made from a televised image received at the Deep Space Network tracking station at Goldstone, California. President Richard M. Nixon had just spoken to the two astronauts by radio and Aldrin, a colonel in the U.S. Air Force, is saluting the president.

  18. Normalized knee-extension strength or leg-press power after fast-track total knee arthroplasty

    DEFF Research Database (Denmark)

    Aalund, Peter K; Larsen, Kristian; Hansen, Torben Bæk

    2013-01-01

    OBJECTIVE: (s): To investigate which of the two muscle-impairment measures for the operated leg, normalized knee extension strength or leg press power, is more closely associated to performance-based and self-reported measures of function shortly following total knee arthroplasty (TKA). DESIGN...... and dynamic leg presses to determine their body-mass normalized knee extension strength and leg press power, respectively. The 10-m fast speed walking and 30-s chair stand tests were used to determine performance-based function, while the Western Ontario McMaster University Osteoarthritis Index (WOMAC......) and Oxford Knee scores were used to determine self-reported function. RESULTS: Normalized leg press power was more closely associated to both performance-based (r=.82, P...

  19. Delirium after fast-track hip and knee arthroplasty – a cohort study of 6331 elderly patients

    DEFF Research Database (Denmark)

    Petersen, P. B.; Jørgensen, C. C.; Kehlet, H.

    2017-01-01

    without PD (P delirium symptoms contributing to LOS > 4 days in fast......Background: Postoperative delirium (PD) is a well-known complication among elderly surgical patients and associated with increased morbidity, mortality and length of stay (LOS). In elective orthopedic surgery, including hip and knee arthroplasty (THA/TKA), most studies report incidences between 5...... to November 2013. Results: We identified 43 (0.7%) cases of PD symptoms mentioned as a reason for LOS > 4 days among the 789 patients with LOS > 4 days (12.5% of all THA and TKA). PD patients had a mean age of 80.7 [[95% CI] 79.3–82.1] years, being 4.0 [[95% CI] 2.5–5.5] years older compared to patients...

  20. Lunar Reconnaissance Orbiter Lunar Workshops for Educators

    Science.gov (United States)

    Jones, A. P.; Hsu, B. C.; Hessen, K.; Bleacher, L.

    2012-12-01

    The Lunar Workshops for Educators (LWEs) are a series of weeklong professional development workshops, accompanied by quarterly follow-up sessions, designed to educate and inspire grade 6-12 science teachers, sponsored by the Lunar Reconnaissance Orbiter (LRO). Participants learn about lunar science and exploration, gain tools to help address common student misconceptions about the Moon, find out about the latest research results from LRO scientists, work with data from LRO and other lunar missions, and learn how to bring these data to their students using hands-on activities aligned with grade 6-12 National Science Education Standards and Benchmarks and through authentic research experiences. LWEs are held around the country, primarily in locations underserved with respect to NASA workshops. Where possible, workshops also include tours of science facilities or field trips intended to help participants better understand mission operations or geologic processes relevant to the Moon. Scientist and engineer involvement is a central tenant of the LWEs. LRO scientists and engineers, as well as scientists working on other lunar missions, present their research or activities to the workshop participants and answer questions about lunar science and exploration. This interaction with the scientists and engineers is consistently ranked by the LWE participants as one of the most interesting and inspiring components of the workshops. Evaluation results from the 2010 and 2011 workshops, as well as preliminary analysis of survey responses from 2012 participants, demonstrated an improved understanding of lunar science concepts among LWE participants in post-workshop assessments (as compared to identical pre-assessments) and a greater understanding of how to access and effectively share LRO data with students. Teachers reported increased confidence in helping students conduct research using lunar data, and learned about programs that would allow their students to make authentic

  1. A prospective cohort study to investigate cost-minimisation, of Traditional open, open fAst track recovery and laParoscopic fASt track multimodal management, for surgical patients with colon carcinomas (TAPAS study

    Directory of Open Access Journals (Sweden)

    van Duivendijk Peter

    2010-06-01

    Full Text Available Abstract Background The present developments in colon surgery are characterized by two innovations: the introduction of the laparoscopic operation technique and fast recovery programs such as the Enhanced Recovery After Surgery (ERAS recovery program. The Tapas-study was conceived to determine which of the three treatment programs: open conventional surgery, open 'ERAS' surgery or laparoscopic 'ERAS' surgery for patients with colon carcinomas is most cost minimizing? Method/design The Tapas-study is a three-arm multicenter prospective cohort study. All patients with colon carcinoma, eligible for surgical treatment within the study period in four general teaching hospitals and one university hospital will be included. This design produces three cohorts: Conventional open surgery is the control exposure (cohort 1. Open surgery with ERAS recovery (cohort 2 and laparoscopic surgery with ERAS recovery (cohort 3 are the alternative exposures. Three separate time periods are used in order to prevent attrition bias. Primary outcome parameters are the two main cost factors: direct medical costs (real cost price calculation and the indirect non medical costs (friction method. Secondary outcome parameters are mortality, complications, surgical-oncological resection margins, hospital stay, readmission rates, time back to work/recovery, health status and quality of life. Based on an estimated difference in direct medical costs (highest cost factor of 38% between open and laparoscopic surgery (alfa = 0.01, beta = 0.05, a group size of 3×40 = 120 patients is calculated. Discussion The Tapas-study is three-arm multicenter cohort study that will provide a cost evaluation of three treatment programs for patients with colon carcinoma, which may serve as a guideline for choice of treatment and investment strategies in hospitals. Trial registration ISRCTN44649165.

  2. The ALICE TPC, a large 3-dimensional tracking device with fast readout for ultra-high multiplicity events

    CERN Document Server

    INSPIRE-00249819; Appelshauser, H.; Bablok, S.; Bialas, N.; Bolgen, R.; Bonnes, U.; Bramm, R.; Braun-Munzinger, P.; Campagnolo, R.; Christiansen, P.; Dobrin, A.; Engster, C.; Fehlker, D.; Foka, Y.; Frankenfeld, U.; Gaardhoje, J.J.; Garabatos, C.; Glassel, P.; Gonzalez Gutierrez, C.; Gros, P.; Gustafsson, H.A.; Helstrup, H.; Hoch, M.; Ivanov, M.; Janik, R.; Junique, A.; Kalweit, A.; Keidel, R.; Kniege, S.; Kowalski, M.; Larsen, D.T.; Lesenechal, Y.; Lenoir, P.; Lindegaard, N.; Lippmann, C.; Mager, M.; Mast, M.; Matyja, A.; Munkejord, M.; Musa, L.; Nielsen, B.S.; Nikolic, V.; Oeschler, H.; Olsen, E.K.; Oskarsson, A.; Osterman, L.; Pikna, M.; Rehman, A.; Renault, G.; Renfordt, R.; Rossegger, S.; Rohrich, D.; Roed, K.; Richter, M.; Rueshmann, G.; Rybicki, A.; Sann, H.; Schmidt, H.R.; Siska, M.; Sitar, B.; Soegaard, C.; Soltveit, H.K.; Soyk, D.; Stachel, J.; Stelzer, H.; Stenlund, E.; Stock, R.; Strmen, P.; Szarka, I.; Ullaland, K.; Vranic, D.; Veenhof, R.; Westergaard, J.; Wiechula, J.; Windelband, B.

    2010-01-01

    The design, construction, and commissioning of the ALICE Time-Projection Chamber (TPC) is described. It is the main device for pattern recognition, tracking, and identification of charged particles in the ALICE experiment at the CERN LHC. The TPC is cylindrical in shape with a volume close to 90 m^3 and is operated in a 0.5 T solenoidal magnetic field parallel to its axis. In this paper we describe in detail the design considerations for this detector for operation in the extreme multiplicity environment of central Pb--Pb collisions at LHC energy. The implementation of the resulting requirements into hardware (field cage, read-out chambers, electronics), infrastructure (gas and cooling system, laser-calibration system), and software led to many technical innovations which are described along with a presentation of all the major components of the detector, as currently realized. We also report on the performance achieved after completion of the first round of stand-alone calibration runs and demonstrate result...

  3. Fast and accurate global multiphase arrival tracking: the irregular shortest-path method in a 3-D spherical earth model

    Science.gov (United States)

    Huang, Guo-Jiao; Bai, Chao-Ying; Greenhalgh, Stewart

    2013-09-01

    The traditional grid/cell-based wavefront expansion algorithms, such as the shortest path algorithm, can only find the first arrivals or multiply reflected (or mode converted) waves transmitted from subsurface interfaces, but cannot calculate the other later reflections/conversions having a minimax time path. In order to overcome the above limitations, we introduce the concept of a stationary minimax time path of Fermat's Principle into the multistage irregular shortest path method. Here we extend it from Cartesian coordinates for a flat earth model to global ray tracing of multiple phases in a 3-D complex spherical earth model. The ray tracing results for 49 different kinds of crustal, mantle and core phases show that the maximum absolute traveltime error is less than 0.12 s and the average absolute traveltime error is within 0.09 s when compared with the AK135 theoretical traveltime tables for a 1-D reference model. Numerical tests in terms of computational accuracy and CPU time consumption indicate that the new scheme is an accurate, efficient and a practical way to perform 3-D multiphase arrival tracking in regional or global traveltime tomography.

  4. Telecast of Astronauts Armstrong and Aldrin by the Lunar Module ladder

    Science.gov (United States)

    1969-01-01

    Astronauts Neil A. Armstrong (on left), commander; and Edwin E. Aldrin Jr., lunar module pilot, are seen standing by the Lunar Module ladder in this black and white reproduction taken from a telecast by the Apollo 11 lunar surface television camera during the Apollo 11 extravehicular activity. This picture was made from a televised image received at the Deep Space Network tracking station at Goldstone, California.

  5. Tracking the Iron Kα line and the Ultra Fast Outflow in NGC 2992 at different accretion states

    Science.gov (United States)

    Marinucci, A.; Bianchi, S.; Braito, V.; Matt, G.; Nardini, E.; Reeves, J.

    2018-06-01

    The Seyfert 2 galaxy NGC 2992 has been monitored eight times by XMM-Newton in 2010 and then observed again in 2013, while in 2015 it was simultaneously targeted by Swift and NuSTAR. XMM-Newton always caught the source in a faint state (2-10 keV fluxes ranging from 0.3 to 1.6× 10-11 erg cm-2 s-1) but NuSTAR showed an increase in the 2-10 keV flux up to 6× 10-11 erg cm-2 s-1. We find possible evidence of an Ultra Fast Outflow with velocity v1 = 0.21 ± 0.01c (detected at about 99% confidence level) in such a flux state. The UFO in NGC 2992 is consistent with being ejected at a few tens of gravitational radii only at accretion rates greater than 2% of the Eddington luminosity. The analysis of the low flux 2010/2013 XMM data allowed us to determine that the Iron Kα emission line complex in this object is likely the sum of three distinct components: a constant, narrow one due to reflection from cold, distant material (likely the molecular torus); a narrow, but variable one which is more intense in brighter observations and a broad relativistic one emitted in the innermost regions of the accretion disk, which has been detected only in the 2003 XMM observation.

  6. Lunar-A

    Indian Academy of Sciences (India)

    penetrators will be transmitted to the earth station via the Lunar-A mother spacecraft orbiting at an altitude of about .... to save the power consumption of the Lunar-A penetrator .... and an origin-time versus tidal-phases correlation. (Toksoz et al ...

  7. Lunar Lava Tube Sensing

    Science.gov (United States)

    York, Cheryl Lynn; Walden, Bryce; Billings, Thomas L.; Reeder, P. Douglas

    1992-01-01

    Large (greater than 300 m diameter) lava tube caverns appear to exist on the Moon and could provide substantial safety and cost benefits for lunar bases. Over 40 m of basalt and regolith constitute the lava tube roof and would protect both construction and operations. Constant temperatures of -20 C reduce thermal stress on structures and machines. Base designs need not incorporate heavy shielding, so lightweight materials can be used and construction can be expedited. Identification and characterization of lava tube caverns can be incorporated into current precursor lunar mission plans. Some searches can even be done from Earth. Specific recommendations for lunar lava tube search and exploration are (1) an Earth-based radar interferometer, (2) an Earth-penetrating radar (EPR) orbiter, (3) kinetic penetrators for lunar lava tube confirmation, (4) a 'Moon Bat' hovering rocket vehicle, and (5) the use of other proposed landers and orbiters to help find lunar lava tubes.

  8. 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

  9. Lunar neutron source function

    International Nuclear Information System (INIS)

    Kornblum, J.J.

    1974-01-01

    The search for a quantitative neutron source function for the lunar surface region is justified because it contributes to our understanding of the history of the lunar surface and of nuclear process occurring on the moon since its formation. A knowledge of the neutron source function and neutron flux distribution is important for the interpretation of many experimental measurements. This dissertation uses the available pertinent experimental measurements together with theoretical calculations to obtain an estimate of the lunar neutron source function below 15 MeV. Based upon reasonable assumptions a lunar neutron source function having adjustable parameters is assumed for neutrons below 15 MeV. The lunar neutron source function is composed of several components resulting from the action of cosmic rays with lunar material. A comparison with previous neutron calculations is made and significant differences are discussed. Application of the results to the problem of lunar soil histories is examined using the statistical model for soil development proposed by Fireman. The conclusion is drawn that the moon is losing mass

  10. Lunar Water Resource Demonstration

    Science.gov (United States)

    Muscatello, Anthony C.

    2008-01-01

    In cooperation with the Canadian Space Agency, the Northern Centre for Advanced Technology, Inc., the Carnegie-Mellon University, JPL, and NEPTEC, NASA has undertaken the In-Situ Resource Utilization (ISRU) project called RESOLVE. This project is a ground demonstration of a system that would be sent to explore permanently shadowed polar lunar craters, drill into the regolith, determine what volatiles are present, and quantify them in addition to recovering oxygen by hydrogen reduction. The Lunar Prospector has determined these craters contain enhanced hydrogen concentrations averaging about 0.1%. If the hydrogen is in the form of water, the water concentration would be around 1%, which would translate into billions of tons of water on the Moon, a tremendous resource. The Lunar Water Resource Demonstration (LWRD) is a part of RESOLVE designed to capture lunar water and hydrogen and quantify them as a backup to gas chromatography analysis. This presentation will briefly review the design of LWRD and some of the results of testing the subsystem. RESOLVE is to be integrated with the Scarab rover from CMIJ and the whole system demonstrated on Mauna Kea on Hawaii in November 2008. The implications of lunar water for Mars exploration are two-fold: 1) RESOLVE and LWRD could be used in a similar fashion on Mars to locate and quantify water resources, and 2) electrolysis of lunar water could provide large amounts of liquid oxygen in LEO, leading to lower costs for travel to Mars, in addition to being very useful at lunar outposts.

  11. Lunar transportation system

    Science.gov (United States)

    1993-07-01

    The University Space Research Association (USRA) requested the University of Minnesota Spacecraft Design Team to design a lunar transportation infrastructure. This task was a year long design effort culminating in a complete conceptual design and presentation at Johnson Space Center. The mission objective of the design group was to design a system of vehicles to bring a habitation module, cargo, and crew to the lunar surface from LEO and return either or both crew and cargo safely to LEO while emphasizing component commonality, reusability, and cost effectiveness. During the course of the design, the lunar transportation system (LTS) has taken on many forms. The final design of the system is composed of two vehicles, a lunar transfer vehicle (LTV) and a lunar excursion vehicle (LEV). The LTV serves as an efficient orbital transfer vehicle between the earth and the moon while the LEV carries crew and cargo to the lunar surface. Presented in the report are the mission analysis, systems layout, orbital mechanics, propulsion systems, structural and thermal analysis, and crew systems, avionics, and power systems for this lunar transportation concept.

  12. 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.

  13. A Fast-Track Referral System for Skin Lesions Suspicious of Melanoma: Population-Based Cross-Sectional Study from a Plastic Surgery Center

    Directory of Open Access Journals (Sweden)

    Reem Dina Jarjis

    2016-01-01

    Full Text Available Introduction. To minimize delay between presentation, diagnosis, and treatment of cutaneous melanoma (CM, a national fast-track referral system (FTRS was implemented in Denmark. The aim of this study was to analyze the referral patterns to our department of skin lesions suspicious of melanoma in the FTRS. Methods. Patients referred to the Department of Plastic Surgery and Breast Surgery in Zealand University Hospital were registered prospectively over a 1-year period in 2014. A cross-sectional study was performed analyzing referral patterns, including patient and tumor characteristics. Results. A total of 556 patients were registered as referred to the center in the FTRS for skin lesions suspicious of melanoma. Among these, a total of 312 patients (56.1% were diagnosed with CM. Additionally, 41 (7.4% of the referred patients were diagnosed with in situ melanoma. Conclusion. In total, 353 (63.5% patients had a malignant or premalignant melanocytic skin lesion. When only considering patients who where referred without a biopsy, the diagnostic accuracy for GPs and dermatologists was 29% and 45%, respectively. We suggest that efforts of adequate training for the referring physicians in diagnosing melanocytic skin lesions will increase diagnostic accuracy, leading to larger capacity in secondary care for the required treatment of malignant skin lesions.

  14. China's challenging fast track. Far more energy will have to be produced - and conserved - to power the expanding economy and protect the environment

    International Nuclear Information System (INIS)

    Wei Zhihong

    2004-01-01

    China's economy is on a fast track, with growth projected to quadruple in the first two decades of this century. A mix of clean and affordable energy sources will be needed to fuel and sustain development. Since China opened to outside markets in the 1980s, the national economy has expanded steadily, with an average annual growth rate of 9.6% in gross domestic product (GDP) from 1980 to 2000. Development has stayed strong in this century, and GDP grew 9.1% in 2003, the highest rate in the past six years. For the first time, per capita GDP topped $1000, reaching $1090 last year. How to best manage and sustain growth is driving energy decisions. Analyses show that China has entered a stage of manufacturing, chemical, and heavy industrial development that is energy intensive. At the same time, demands for energy at home and in businesses are growing among China's population of 1.3 billion people. As consumption grows, so do concerns about air, water, and land pollution in the context of sustainable energy development

  15. A stochastic frontier analysis of technical efficiency in smallholder maize production in Zimbabwe: The post-fast-track land reform outlook

    Directory of Open Access Journals (Sweden)

    Nelson Mango

    2015-12-01

    Full Text Available This article analyses the technical efficiency of maize production in Zimbabwe’s smallholder farming communities following the fast-track land reform of the year 2000 with a view of highlighting key entry points for policy. Using a randomly selected sample of 522 smallholder maize producers, a stochastic frontier production model was applied, using a linearised Cobb–Douglas production function to determine the production elasticity coefficients of inputs, technical efficiency and the determinants of efficiency. The study finds that maize output responds positively to increases in inorganic fertilisers, seed quantity, the use of labour and the area planted. The technical efficiency analysis suggests that about 90% of farmers in the sample are between 60 and 75% efficient, with an average efficiency in the sample of 65%. The significant determinants of technical efficiency were the gender of the household head, household size, frequency of extension visits, farm size and the farming region. The results imply that the average efficiency of maize production could be improved by 35% through better use of existing resources and technology. The results highlight the need for government and private sector assistance in improving efficiency by promoting access to productive resources and ensuring better and more reliable agricultural extension services.

  16. Reactions of atmospheric vapors with lunar soil

    International Nuclear Information System (INIS)

    Fuller, E.L. Jr.; Agron, P.A.

    1976-03-01

    Detailed experimental data have been acquired for the hydration of the surfaces of lunar fines. Inert vapor adsorption has been employed to measure the surface properties (surface energy, surface area, porosity, etc.) and changes wrought in the hydration-dehydration processes. Plausible mechanisms have been considered and the predominant process involves hydration of the metamict metallosilicate surfaces to form a hydrated laminar structure akin to terrestrial clays. Additional credence for this interpretation is obtained by comparison to existing geochemical literature concerning terrestrial weathering of primary metallosilicates. The surface properties of the hydrated lunar fines are compared favorably to those of terrestrial clay minerals. In addition, experimental results are given to show that fresh disordered surfaces of volcanic sand react with water vapor in a manner virtually identical to the majority of the lunar fines. The results show that ion track etching and/or grain boundary attack are minor contributions in the weathering of lunar fines in the realm of our microgravimetric experimental conditions. 14 references

  17. Lunar Map Catalog

    Data.gov (United States)

    National Aeronautics and Space Administration — The Lunar Map Catalog includes various maps of the moon's surface, including Apollo landing sites; earthside, farside, and polar charts; photography index maps; zone...

  18. Consolidated Lunar Atlas

    Data.gov (United States)

    National Aeronautics and Space Administration — The Consolidated Lunar Atlas is a collection of the best photographic images of the moon, including low-oblique photography, full-moon photography, and tabular and...

  19. The Lunar Dust Environment

    Science.gov (United States)

    Szalay, Jamey Robert

    Planetary bodies throughout the solar system are continually bombarded by dust particles, largely originating from cometary activities and asteroidal collisions. Surfaces of bodies with thick atmospheres, such as Venus, Earth, Mars and Titan are mostly protected from incoming dust impacts as these particles ablate in their atmospheres as 'shooting stars'. However, the majority of bodies in the solar system have no appreciable atmosphere and their surfaces are directly exposed to the flux of high speed dust grains. Impacts onto solid surfaces in space generate charged and neutral gas clouds, as well as solid secondary ejecta dust particles. Gravitationally bound ejecta clouds forming dust exospheres were recognized by in situ dust instruments around the icy moons of Jupiter and Saturn, and had not yet been observed near bodies with refractory regolith surfaces before NASA's Lunar Dust and Environment Explorer (LADEE) mission. In this thesis, we first present the measurements taken by the Lunar Dust Explorer (LDEX), aboard LADEE, which discovered a permanently present, asymmetric dust cloud surrounding the Moon. The global characteristics of the lunar dust cloud are discussed as a function of a variety of variables such as altitude, solar longitude, local time, and lunar phase. These results are compared with models for lunar dust cloud generation. Second, we present an analysis of the groupings of impacts measured by LDEX, which represent detections of dense ejecta plumes above the lunar surface. These measurements are put in the context of understanding the response of the lunar surface to meteoroid bombardment and how to use other airless bodies in the solar system as detectors for their local meteoroid environment. Third, we present the first in-situ dust measurements taken over the lunar sunrise terminator. Having found no excess of small grains in this region, we discuss its implications for the putative population of electrostatically lofted dust.

  20. Beneficiation of lunar ilmenite

    Science.gov (United States)

    Ruiz, Joaquin

    1991-01-01

    One of the most important commodities lacking in the moon is free oxygen which is required for life and used extensively for propellent. Free oxygen, however, can be obtained by liberating it from the oxides and silicates that form the lunar rocks and regolith. Ilmenite (FeTiO3) is considered one of the leading candidates for production of oxygen because it can be reduced with a reasonable amount of energy and it is an abundant mineral in the lunar regolith and many mare basalts. In order to obtain oxygen from ilmenite, a method must be developed to beneficiate ilmenite from lunar material. Two possible techniques are electrostatic or magnetic methods. Both methods have complications because lunar ilmenite completely lacks Fe(3+). Magnetic methods were tested on eucrite meteorites, which are a good chemical simulant for low Ti mare basalts. The ilmenite yields in the experiments were always very low and the eucrite had to be crushed to xxxx. These data suggest that magnetic separation of ilmenite from fine grain lunar basalts would not be cost effective. Presently, experiments are being performed with electrostatic separators, and lunar regolith is being waited for so that simulants do not have to be employed.

  1. Lunar Sample Compendium

    Science.gov (United States)

    Meyer, Charles

    2005-01-01

    The purpose of the Lunar Sample Compendium will be to inform scientists, astronauts and the public about the various lunar samples that have been returned from the Moon. This Compendium will be organized rock by rock in the manor of a catalog, but will not be as comprehensive, nor as complete, as the various lunar sample catalogs that are available. Likewise, this Compendium will not duplicate the various excellent books and reviews on the subject of lunar samples (Cadogen 1981, Heiken et al. 1991, Papike et al. 1998, Warren 2003, Eugster 2003). However, it is thought that an online Compendium, such as this, will prove useful to scientists proposing to study individual lunar samples and should help provide backup information for lunar sample displays. This Compendium will allow easy access to the scientific literature by briefly summarizing the significant findings of each rock along with the documentation of where the detailed scientific data are to be found. In general, discussion and interpretation of the results is left to the formal reviews found in the scientific literature. An advantage of this Compendium will be that it can be updated, expanded and corrected as need be.

  2. Closer look at lunar volcanism

    International Nuclear Information System (INIS)

    Vaniman, D.T.; Heiken, G.; Taylor, G.J.

    1984-01-01

    Although the American Apollo and Soviet Luna missions concentrated on mare basalt samples, major questions remain about lunar volcanism. Lunar field work will be indispensable for resolving the scientific questions about ages, compositions, and eruption processes of lunar volcanism. From a utilitarian standpoint, a better knowledge of lunar volcanism will also yield profitable returns in lunar base construction (e.g., exploitation of rille or lava-tube structures) and in access to materials such as volatile elements, pure glass, or ilmenite for lunar industry

  3. Relationship between self-reported pain sensitivity and pain after total knee arthroplasty: a prospective study of 71 patients 8 weeks after a standardized fast-track

    Directory of Open Access Journals (Sweden)

    Valeberg BT

    2016-09-01

    Full Text Available Berit T Valeberg,1 Lise H Høvik,2 Kari H Gjeilo3–6 1Faculty of Nursing, Oslo and Akershus University College of Applied Sciences, Oslo, 2Clinic of Anaesthesia and Intensive Care Medicine, St. Olavs Hospital, Trondheim University Hospital, 3Department of Cardiothoracic Surgery, 4Department of Cardiology, 5National Competence Centre for Complex Symptom Disorders, St. Olavs Hospital, Trondheim University Hospital, 6Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway Background and purpose: This was a prospective cohort study assessing data from 71 adult patients undergoing total knee arthroplasty (TKA following a standardized fast-track program between January and July 2013. The objective was to examine the relationship between self-rated pain sensitivity, as measured by the Pain Sensitivity Questionnaire (PSQ, and postoperative pain after TKA. Methods: The baseline questionnaires, PSQ and Brief Pain Inventory, were given to the patients for self-administration at the presurgical evaluation (1–2 weeks prior to surgery. The follow-up questionnaire, Brief Pain Inventory, was administered at the first follow-up, 8 weeks after surgery. Results: A statistically significant association was found between average preoperative pain and average pain 8 weeks after surgery (P=0.001. The PSQ-minor was statistically significantly associated with average pain only for patients younger than 70 years (P=0.03. Interpretation: This is the first study to examine the relationship between pain sensitivity measured by PSQ and postoperative pain in patients after TKA. We found that a lower score on the PSQ-minor was statistically significantly associated with patients’ pain 8 weeks after TKA surgery, but only for younger patients. Further research is needed to explore whether the PSQ could be a useful screening tool for patients’ pain sensitivity in clinical settings. Keywords

  4. Prehospital fast track care for patients with hip fracture: Impact on time to surgery, hospital stay, post-operative complications and mortality a randomised, controlled trial.

    Science.gov (United States)

    Larsson, Glenn; Strömberg, Rn Ulf; Rogmark, Cecilia; Nilsdotter, Anna

    2016-04-01

    Ambulance organisations in Sweden have introduced prehospital fast track care (PFTC) for patients with suspected hip fracture. This means that the ambulance nurse starts the pre-operative procedure otherwise implemented at the accident & emergency ward (A&E) and transports the patient directly to the radiology department instead of A&E. If the diagnosis is confirmed, the patient is transported directly to the orthopaedic ward. No previous randomised, controlled studies have analysed PFTC to describe its possible advantages. The aim of this study is to examine whether PFTC has any impact on outcomes such as time to surgery, length of stay, post-operative complications and mortality. The design of this study is a prehospital randomised, controlled study, powered to include 400 patients. The patients were randomised into PFTC or the traditional care pathway (A&E group). Time from arrival to start for X-ray was faster for PFTC (mean, 28 vs. 145 min; pstart of X-ray to start of surgery (mean 18.40 h in both groups). No significant differences between the groups were observed with regard to: time from arrival to start of surgery (p=0.07); proportion operated within 24h (79% PFTC, 75% A&E; p=0.34); length of stay (p=0.34); post-operative complications (p=0.75); and 4 month mortality (18% PFTC, 15% A&E p=0.58). PFTC improved time to X-ray and admission to a ward, as expected, but did not significantly affect time to start of surgery, length of stay, post-operative complications or mortality. These outcomes were probably affected by other factors at the hospital. Patients with either possible life-threatening conditions or life-threatening conditions prehospital were excluded. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Remanent magnetization stratigraphy of lunar cores

    Science.gov (United States)

    Banerjee, S. K.; Gingrich, D.; Marvin, J. A.

    1977-01-01

    Depth dependent fluctuations have been observed in the natural remanent magnetizations (NRM) of drive cores and drill strings from Apollo 16 and 17 missions. Partial demagnetization of unstable secondary magnetizations and identification of characteristic error signals from a core which is known to have been recently disturbed allow us to identify and isolate the stable NRM stratigraphy in double drive core 60010/60009 and drill strings 60002-60004. The observed magnetization fluctuations persist after normalization to take into account depth dependent variations in the carriers of stable NRM. We tentatively ascribe the stable NRM stratigraphy to instantaneous records of past magnetic fields at the lunar surface and suggest that the stable NRM stratigraphy technique could develop as a new relative time-stratigraphic tool, to be used with other physical measurements such as relative intensity of ferromagnetic resonance and charged particle track density to study the evolution of the lunar regolith.

  6. Lunar geophysics, geodesy, and dynamics

    Science.gov (United States)

    Williams, J. G.; Dickey, J. O.

    2002-01-01

    Experience with the dynamics and data analyses for earth and moon reveals both similarities and differences. Analysis of Lunar Laser Ranging (LLR) data provides information on the lunar orbit, rotation, solid-body tides, and retroreflector locations.

  7. The Future Lunar Flora Colony

    Science.gov (United States)

    Goel, E. G.; Guven, U. G.

    2017-10-01

    A constructional design for the primary establishment for a lunar colony using the micrometeorite rich soil is proposed. It highlights the potential of lunar regolith combined with Earth technology for water and oxygen for human outposts on the Moon.

  8. Lunar Prospecting With Chandra

    Science.gov (United States)

    2003-09-01

    Observations of the bright side of the Moon with NASA's Chandra X-ray Observatory have detected oxygen, magnesium, aluminum and silicon over a large area of the lunar surface. The abundance and distribution of those elements will help to determine how the Moon was formed. "We see X-rays from these elements directly, independent of assumptions about the mineralogy and other complications," said Jeremy Drake of the Harvard-Smithsonian Center for Astrophysics in Cambridge, Mass., at a press conference at the "Four Years with Chandra" symposium in Huntsville, Alabama. "We have Moon samples from the six widely-space Apollo landing sites, but remote sensing with Chandra can cover a much wider area," continued Drake. "It's the next best thing to being there, and it's very fast and cost-effective." The lunar X-rays are caused by fluorescence, a process similar to the way that light is produced in fluorescent lamps. Solar X-rays bombard the surface of the Moon, knock electrons out of the inner parts of the atoms, putting them in a highly unstable state. Almost immediately, other electrons rush to fill the gaps, and in the process convert their energy into the fluorescent X-rays seen by Chandra. According to the currently popular "giant impact" theory for the formation of the Moon, a body about the size of Mars collided with the Earth about 4.5 billion years ago. This impact flung molten debris from the mantle of both the Earth and the impactor into orbit around the Earth. Over the course of tens of millions of years, the debris stuck together to form the Moon. By measuring the amounts of aluminum and other elements over a wide area of the Moon and comparing them to the Earth's mantle, Drake and his colleagues plan to help test the giant impact hypothesis. "One early result," quipped Drake, "is that there is no evidence for large amounts of calcium, so cheese is not a major constituent of the Moon." Illustration of Earth's Geocorona Illustration of Earth's Geocorona The same

  9. Lunar and Vesta Web Portals

    Science.gov (United States)

    Law, E.; JPL Luna Mapping; Modeling Project Team

    2015-06-01

    The Lunar Mapping and Modeling Project offers Lunar Mapping and Modeling Portal (http://lmmp.nasa.gov) and Vesta Trek Portal (http://vestatrek.jpl.nasa.gov) providing interactive visualization and analysis tools to enable users to access mapped Lunar and Vesta data products.

  10. A lunar polar expedition

    Science.gov (United States)

    Dowling, Richard; Staehle, Robert L.; Svitek, Tomas

    1992-09-01

    Advanced exploration and development in harsh environments require mastery of basic human survival skill. Expeditions into the lethal climates of Earth's polar regions offer useful lessons for tommorrow's lunar pioneers. In Arctic and Antarctic exploration, 'wintering over' was a crucial milestone. The ability to establish a supply base and survive months of polar cold and darkness made extensive travel and exploration possible. Because of the possibility of near-constant solar illumination, the lunar polar regions, unlike Earth's may offer the most hospitable site for habitation. The World Space Foundation is examining a scenario for establishing a five-person expeditionary team on the lunar north pole for one year. This paper is a status report on a point design addressing site selection, transportation, power, and life support requirements.

  11. Endogenous Lunar Volatiles

    Science.gov (United States)

    McCubbin, F. M.; Liu, Y.; Barnes, J. J.; Boyce, J. W.; Day, J. M. D.; Elardo, S. M.; Hui, H.; Magna, T.; Ni, P.; Tartese, R.; hide

    2017-01-01

    The chapter will begin with an introduction that defines magmatic volatiles (e.g., H, F, Cl, S) versus geochemical volatiles (e.g., K, Rb, Zn). We will discuss our approach of understanding both types of volatiles in lunar samples and lay the ground work for how we will determine the overall volatile budget of the Moon. We will then discuss the importance of endogenous volatiles in shaping the "Newer Views of the Moon", specifically how endogenous volatiles feed forward into processes such as the origin of the Moon, magmatic differentiation, volcanism, and secondary processes during surface and crustal interactions. After the introduction, we will include a re-view/synthesis on the current state of 1) apatite compositions (volatile abundances and isotopic compositions); 2) nominally anhydrous mineral phases (moderately to highly volatile); 3) volatile (moderately to highly volatile) abundances in and isotopic compositions of lunar pyroclastic glass beads; 4) volatile (moderately to highly volatile) abundances in and isotopic compositions of lunar basalts; 5) volatile (moderately to highly volatile) abundances in and isotopic compositions of melt inclusions; and finally 6) experimental constraints on mineral-melt partitioning of moderately to highly volatile elements under lunar conditions. We anticipate that each section will summarize results since 2007 and focus on new results published since the 2015 Am Min review paper on lunar volatiles [9]. The next section will discuss how to use sample abundances of volatiles to understand the source region and potential caveats in estimating source abundances of volatiles. The following section will include our best estimates of volatile abundances and isotopic compositions (where permitted by available data) for each volatile element of interest in a number of important lunar reservoirs, including the crust, mantle, KREEP, and bulk Moon. The final section of the chapter will focus upon future work, outstanding questions

  12. Simulation of the Chang'E-5 mission contribution in lunar long wavelength gravity field improvement

    Science.gov (United States)

    Yan, Jianguo; Yang, Xuan; Ping, Jinsong; Ye, Mao; Liu, Shanhong; Jin, Weitong; Li, Fei; Barriot, Jean-Pierre

    2018-06-01

    The precision of lunar gravity field estimation has improved by means of three to five orders of magnitude since the successful GRAIL lunar mission. There are still discrepancies however, in the low degree coefficients and long wavelength components of the solutions developed by two space research centers (JPL and GSFC). These discrepancies hint at the possibilities for improving the accuracy in the long wavelength part of the lunar gravity field. In the near future, China will launch the Chang'E-5 lunar mission. In this sample-return mission, there will be a chance to do KBRR measurements between an ascending module and an orbiting module. These two modules will fly around lunar at an inclination of ˜49 degrees, with an orbital height of 100 km and an inter-satellite distance of 200 km. In our research, we simulated the contribution of the KBRR tracking mode for different GRAIL orbital geometries. This analysis indicated possible deficiencies in the low degree coefficient solutions for the polar satellite-to-satellite tracking mode at various orbital heights. We also investigated the potential contributions of the KBRR to the Chang'E-5 mission goal of lunar gravity field recovery, especially in the long wavelength component. Potential improvements were assessed using various power spectrums of the lunar gravity field models. In addition, we also investigated possible improvements in solving lunar tidal Love number K2. These results may assist the implementation of the Chang'E-5 mission.

  13. Development, effectiveness and cost-effectiveness of a new out-patient Breathlessness Support Service: study protocol of a phase III fast-track randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Bausewein Claudia

    2012-09-01

    Full Text Available Abstract Background Breathlessness is a common and distressing symptom affecting many patients with advanced disease both from malignant and non-malignant origin. A combination of pharmacological and non-pharmacological measures is necessary to treat this symptom successfully. Breathlessness services in various compositions aim to provide comprehensive care for patients and their carers by a multiprofessional team but their effectiveness and cost-effectiveness have not yet been proven. The Breathlessness Support Service (BSS is a newly created multiprofessional and interdisciplinary outpatient service at a large university hospital in South East London. The aim of this study is to develop and evaluate the effectiveness and cost effectiveness of this multidisciplinary out–patient BSS for the palliation of breathlessness, in advanced malignant and non-malignant disease. Methods The BSS was modelled based on the results of qualitative and quantitative studies, and systematic literature reviews. A randomised controlled fast track trial (RCT comprising two groups: 1 intervention (immediate access to BSS in addition to standard care; 2 control group (standard best practice and access to BSS after a waiting time of six weeks. Patients are included if suffering from breathlessness on exertion or at rest due to advanced disease such as cancer, chronic obstructive pulmonary disease (COPD, chronic heart failure (CHF, interstitial lung disease (ILD or motor neurone disease (MND that is refractory to maximal optimised medical management. Both quantitative and qualitative outcomes are assessed in face to-face interviews at baseline, after 6 and 12 weeks. The primary outcome is patients' improvement of mastery of breathlessness after six weeks assessed on the Chronic Respiratory Disease Questionnaire (CRQ. Secondary outcomes for patients include breathlessness severity, symptom burden, palliative care needs, service use, and respiratory measures (spirometry

  14. Advanced construction management for lunar base construction - Surface operations planner

    Science.gov (United States)

    Kehoe, Robert P.

    1992-01-01

    The study proposes a conceptual solution and lays the framework for developing a new, sophisticated and intelligent tool for a lunar base construction crew to use. This concept integrates expert systems for critical decision making, virtual reality for training, logistics and laydown optimization, automated productivity measurements, and an advanced scheduling tool to form a unique new planning tool. The concept features extensive use of computers and expert systems software to support the actual work, while allowing the crew to control the project from the lunar surface. Consideration is given to a logistics data base, laydown area management, flexible critical progress scheduler, video simulation of assembly tasks, and assembly information and tracking documentation.

  15. Lunar electrostatic effects and protection

    International Nuclear Information System (INIS)

    Sun, Yongwei; Yuan, Qingyun; Xiong, Jiuliang

    2013-01-01

    The space environment and features on the moon surface are factors in strong electrostatic electrification. Static electricity will be produced in upon friction between lunar soil and detectors or astronauts on the lunar surface. Lunar electrostatic environment effects from lunar exploration equipment are very harmful. Lunar dust with electrostatic charge may enter the equipment or even cover the instruments. It can affect the normal performance of moon detectors. Owing to the huge environmental differences between the moon and the earth, the electrostatic protection technology on the earth can not be applied. In this paper, we review the electrostatic characteristics of lunar dust, its effects on aerospace equipment and moon static elimination technologies. It was concluded that the effect of charged lunar dust on detectors and astronauts should be completely researched as soon as possible.

  16. The Sooner Lunar Schooner: Lunar engineering education

    Science.gov (United States)

    Miller, D. P.; Hougen, D. F.; Shirley, D.

    2003-06-01

    The Sooner Lunar Schooner is a multi-disciplinary ongoing project at the University of Oklahoma to plan, design, prototype, cost and (when funds become available) build/contract and fly a robotic mission to the Moon. The goal of the flight will be to explore a small section of the Moon; conduct a materials analysis of the materials left there by an Apollo mission thirty years earlier; and to perform a selenographic survey of areas that were too distant or considered too dangerous to be done by the Apollo crew. The goal of the Sooner Lunar Schooner Project is to improve the science and engineering educations of the hundreds of undergraduate and graduate students working on the project. The participants, while primarily from engineering and physics, will also include representatives from business, art, journalism, law and education. This project ties together numerous existing research programs at the University, and provides a framework for the creation of many new research proposals. The authors were excited and motivated by the Apollo missions to the Moon. When we asked what we could do to similarly motivate students we realized that nothing is as exciting as going to the Moon. The students seem to agree.

  17. Toxicity of lunar dust

    NARCIS (Netherlands)

    Linnarsson, D.; Carpenter, J.; Fubini, B.; Gerde, P.; Loftus, D.; Prisk, K.; Staufer, U.; Tranfield, E.; van Westrenen, W.

    2012-01-01

    The formation, composition and physical properties of lunar dust are incompletely characterised with regard to human health. While the physical and chemical determinants of dust toxicity for materials such as asbestos, quartz, volcanic ashes and urban particulate matter have been the focus of

  18. Lunar Phases Planisphere

    Science.gov (United States)

    Shawl, Stephen J.

    2010-01-01

    This paper describes a lunar phases planisphere with which a user can answer questions about the rising and setting times of the Moon as well as questions about where the Moon will be at a given phase and time. The article contains figures that can be photocopied to make the planisphere. (Contains 2 figures.)

  19. Lunar magma transport phenomena

    Science.gov (United States)

    Spera, Frank J.

    1992-01-01

    An outline of magma transport theory relevant to the evolution of a possible Lunar Magma Ocean and the origin and transport history of the later phase of mare basaltic volcanism is presented. A simple model is proposed to evaluate the extent of fractionation as magma traverses the cold lunar lithosphere. If Apollo green glasses are primitive and have not undergone significant fractionation en route to the surface, then mean ascent rates of 10 m/s and cracks of widths greater than 40 m are indicated. Lunar tephra and vesiculated basalts suggest that a volatile component plays a role in eruption dynamics. The predominant vapor species appear to be CO CO2, and COS. Near the lunar surface, the vapor fraction expands enormously and vapor internal energy is converted to mixture kinetic energy with the concomitant high-speed ejection of vapor and pyroclasts to form lunary fire fountain deposits such as the Apollo 17 orange and black glasses and Apollo 15 green glass.

  20. Indigenous lunar construction materials

    Science.gov (United States)

    Rogers, Wayne P.; Sture, Stein

    1991-01-01

    The utilization of local resources for the construction and operation of a lunar base can significantly reduce the cost of transporting materials and supplies from Earth. The feasibility of processing lunar regolith to form construction materials and structural components is investigated. A preliminary review of potential processing methods such as sintering, hot-pressing, liquification, and cast basalt techniques, was completed. The processing method proposed is a variation on the cast basalt technique. It involves liquification of the regolith at 1200-1300 C, casting the liquid into a form, and controlled cooling. While the process temperature is higher than that for sintering or hot-pressing (1000-1100 C), this method is expected to yield a true engineering material with low variability in properties, high strength, and the potential to form large structural components. A scenario for this processing method was integrated with a design for a representative lunar base structure and potential construction techniques. The lunar shelter design is for a modular, segmented, pressurized, hemispherical dome which could serve as habitation and laboratory space. Based on this design, estimates of requirements for power, processing equipment, and construction equipment were made. This proposed combination of material processing method, structural design, and support requirements will help to establish the feasibility of lunar base construction using indigenous materials. Future work will refine the steps of the processing method. Specific areas where more information is needed are: furnace characteristics in vacuum; heat transfer during liquification; viscosity, pouring and forming behavior of molten regolith; design of high temperature forms; heat transfer during cooling; recrystallization of basalt; and refinement of estimates of elastic moduli, compressive and tensile strength, thermal expansion coefficient, thermal conductivity, and heat capacity. The preliminary

  1. Topography of the Lunar Poles and Application to Geodesy with the Lunar Reconnaissance Orbiter

    Science.gov (United States)

    Mazarico, Erwan; Neumann, Gregory A.; Rowlands, David D.; Smith, David E.; Zuber, Maria T.

    2012-01-01

    The Lunar Orbiter Laser Altimeter (LOLA) [1] onboard the Lunar Reconnaissance Orbiter (LRO) [2] has been operating continuously since July 2009 [3], accumulating approx.5.4 billion measurements from 2 billion on-orbit laser shots. LRO s near-polar orbit results in very high data density in the immediate vicinity of the lunar poles, which are each sampled every 2h. With more than 10,000 orbits, high-resolution maps can be constructed [4] and studied [5]. However, this requires careful processing of the raw data, as subtle errors in the spacecraft position and pointing can lead to visible artifacts in the final map. In other locations on the Moon, ground tracks are subparallel and longitudinal separations are typically a few hundred meters. Near the poles, the track intersection angles can be large and the inter-track spacing is small (above 80 latitude, the effective resolution is better than 50m). Precision Orbit Determination (POD) of the LRO spacecraft [6] was performed to satisfy the LOLA and LRO mission requirements, which lead to a significant improvement in the orbit position knowledge over the short-release navigation products. However, with pixel resolutions of 10 to 25 meters, artifacts due to orbit reconstruction still exist. Here, we show how the complete LOLA dataset at both poles can be adjusted geometrically to produce a high-accuracy, high-resolution maps with minimal track artifacts. We also describe how those maps can then feedback to the POD work, by providing topographic base maps with which individual LOLA altimetric measurements can be contributing to orbit changes. These direct altimetry constraints improve accuracy and can be used more simply than the altimetric crossovers [6].

  2. The timeline of the lunar bombardment: Revisited

    Science.gov (United States)

    Morbidelli, A.; Nesvorny, D.; Laurenz, V.; Marchi, S.; Rubie, D. C.; Elkins-Tanton, L.; Wieczorek, M.; Jacobson, S.

    2018-05-01

    The timeline of the lunar bombardment in the first Gy of Solar System history remains unclear. Basin-forming impacts (e.g. Imbrium, Orientale), occurred 3.9-3.7 Gy ago, i.e. 600-800 My after the formation of the Moon itself. Many other basins formed before Imbrium, but their exact ages are not precisely known. There is an intense debate between two possible interpretations of the data: in the cataclysm scenario there was a surge in the impact rate approximately at the time of Imbrium formation, while in the accretion tail scenario the lunar bombardment declined since the era of planet formation and the latest basins formed in its tail-end. Here, we revisit the work of Morbidelli et al. (2012) that examined which scenario could be compatible with both the lunar crater record in the 3-4 Gy period and the abundance of highly siderophile elements (HSE) in the lunar mantle. We use updated numerical simulations of the fluxes of asteroids, comets and planetesimals leftover from the planet-formation process. Under the traditional assumption that the HSEs track the total amount of material accreted by the Moon since its formation, we conclude that only the cataclysm scenario can explain the data. The cataclysm should have started ∼ 3.95 Gy ago. However we also consider the possibility that HSEs are sequestered from the mantle of a planet during magma ocean crystallization, due to iron sulfide exsolution (O'Neil, 1991; Rubie et al., 2016). We show that this is likely true also for the Moon, if mantle overturn is taken into account. Based on the hypothesis that the lunar magma ocean crystallized about 100-150 My after Moon formation (Elkins-Tanton et al., 2011), and therefore that HSEs accumulated in the lunar mantle only after this timespan, we show that the bombardment in the 3-4 Gy period can be explained in the accretion tail scenario. This hypothesis would also explain why the Moon appears so depleted in HSEs relative to the Earth. We also extend our analysis of the

  3. Lunar Airborne Dust Toxicity Hazard Assessments (Invited)

    Science.gov (United States)

    Cooper, B. L.; McKay, D. S.; Taylor, L. A.; Wallace, W. T.; James, J.; Riofrio, L.; Gonzalez, C. P.

    2009-12-01

    was developed for this task. The dust separation system includes a fluidized bed, an elutriation flask, and a cyclone. The product dust is collected on a membrane filter with 0.45 micrometer pore size. Collection and separation efficiencies, and particle size distribution measurements of the material retained in the various components are tracked as development and tests proceed. Calculations show that respirable-sized particles, if released in a habitat, would remain suspended in the air for extended periods of time. Without active dust control, most of this fine dust would end up in the crew’s lungs. Dust exposure standards, similar to those established for quartz on Earth, will determine the design, mass, power, and cost of dust control systems incorporated into lunar habitats and pressurized rovers.

  4. The International Lunar Decade Declaration

    Science.gov (United States)

    Beldavs, V.; Foing, B.; Bland, D.; Crisafulli, J.

    2015-10-01

    The International Lunar Decade Declaration was discussed at the conference held November 9-13, 2014 in Hawaii "The Next Giant Leap: Leveraging Lunar Assets for Sustainable Pathways to Space" - http://2014giantleap.aerospacehawaii.info/ and accepted by a core group that forms the International Lunar Decade Working Group (ILDWG) that is seeking to make the proposed global event and decade long process a reality. The Declaration will be updated from time to time by members of the ILDWreflecting new knowledge and fresh perspectives that bear on building a global consortium with a mission to progress from lunar exploration to the transformation of the Moon into a wealth gene rating platform for the expansion of humankind into the solar system. When key organizations have endorsed the idea and joined the effort the text of the Declaration will be considered final. An earlier International Lunar Decade proposal was issued at the 8th ICEUM Conference in 2006 in Beijing together with 13 specific initiatives for lunar exploration[1,2,3]. These initiatives have been largely implemented with coordination among the different space agencies involved provided by the International Lunar Exploration Working Group[2,3]. The Second International Lunar Decade from 2015 reflects current trends towards increasing involvement of commercial firms in space, particularly seeking opportunities beyond low Earth orbit. The central vision of the International Lunar Decade is to build the foundations for a sustainable space economy through international collaboration concurrently addressing Lunar exploration and building a shared knowledge base;Policy development that enables collabo rative research and development leading to lunar mining and industrial and commercial development;Infrastructure on the Moon and in cislunar space (communications, transport, energy systems, way-stations, other) that reduces costs, lowers risks and speeds up the time to profitable operations;Enabling technologies

  5. Petrology of lunar rocks and implication to lunar evolution

    Science.gov (United States)

    Ridley, W. I.

    1976-01-01

    Recent advances in lunar petrology, based on studies of lunar rock samples available through the Apollo program, are reviewed. Samples of bedrock from both maria and terra have been collected where micrometeorite impact penetrated the regolith and brought bedrock to the surface, but no in situ cores have been taken. Lunar petrogenesis and lunar thermal history supported by studies of the rock sample are discussed and a tentative evolutionary scenario is constructed. Mare basalts, terra assemblages of breccias, soils, rocks, and regolith are subjected to elemental analysis, mineralogical analysis, trace content analysis, with studies of texture, ages and isotopic composition. Probable sources of mare basalts are indicated.

  6. Laser-powered lunar base

    International Nuclear Information System (INIS)

    Costen, R.; Humes, D.H.; Walker, G.H.; Williams, M.D.; Deyoung, R.J.

    1989-01-01

    The objective was to compare a nuclear reactor-driven Sterling engine lunar base power source to a laser-to-electric converter with orbiting laser power station, each providing 1 MW of electricity to the lunar base. The comparison was made on the basis of total mass required in low-Earth-orbit for each system. This total mass includes transportation mass required to place systems in low-lunar orbit or on the lunar surface. The nuclear reactor with Sterling engines is considered the reference mission for lunar base power and is described first. The details of the laser-to-electric converter and mass are discussed. The next two solar-driven high-power laser concepts, the diode array laser or the iodine laser system, are discussed with associated masses in low-lunar-orbit. Finally, the payoff for laser-power beaming is summarized

  7. Lunar ash flows - Isothermal approximation.

    Science.gov (United States)

    Pai, S. I.; Hsieh, T.; O'Keefe, J. A.

    1972-01-01

    Suggestion of the ash flow mechanism as one of the major processes required to account for some features of lunar soil. First the observational background and the gardening hypothesis are reviewed, and the shortcomings of the gardening hypothesis are shown. Then a general description of the lunar ash flow is given, and a simple mathematical model of the isothermal lunar ash flow is worked out with numerical examples to show the differences between the lunar and the terrestrial ash flow. The important parameters of the ash flow process are isolated and analyzed. It appears that the lunar surface layer in the maria is not a residual mantle rock (regolith) but a series of ash flows due, at least in part, to great meteorite impacts. The possibility of a volcanic contribution is not excluded. Some further analytic research on lunar ash flows is recommended.

  8. Image Processing in Optical Guidance for Autonomous Landing of Lunar Probe

    OpenAIRE

    Meng, Ding; Yun-feng, Cao; Qing-xian, Wu; Zhen, Zhang

    2008-01-01

    Because of the communication delay between earth and moon, the GNC technology of lunar probe is becoming more important than ever. Current navigation technology is not able to provide precise motion estimation for probe landing control system Computer vision offers a new approach to solve this problem. In this paper, author introduces an image process algorithm of computer vision navigation for autonomous landing of lunar probe. The purpose of the algorithm is to detect and track feature poin...

  9. Lunar Dust Mitigation Screens

    Science.gov (United States)

    Knutson, Shawn; Holloway, Nancy

    With plans for the United States to return to the moon, and establish a sustainable human presence on the lunar surface many issues must be successfully overcome. Lunar dust is one of a number of issues with the potential to create a myriad of problems if not adequately addressed. Samples of dust brought back from Apollo missions show it to be soft, yet sharp and abrasive. The dust consists of a variety of morphologies including spherical, angular blocks, shards, and a number of irregular shapes. One of the main issues with lunar dust is its attraction to stick to anything it comes in contact with (i.e. astronauts, equipment, habitats, etc.). Ionized radiation from the sun strikes the moon's surface and creates an electrostatic charge on the dust. Further, the dust harbors van der Waals forces making it especially difficult to separate once it sticks to a surface. During the Apollo missions, it was discovered that trying to brush the lunar dust from spacesuits was not effective, and rubbing it caused degradation of the suit material. Further, when entering the lunar module after moonwalks, the astronauts noted that the dust was so prolific inside the cabin that they inhaled and ingested it, causing at least one of them, Harrison "Jack" Schmidt, to report irritation of the throat and lungs. It is speculated that the dust could also harm an astronaut's nervous and cardiovascular systems, especially during an extended stay. In addition to health issues, the dust can also cause problems by scouring reflective coatings off of thermal blankets, and roughening surfaces of windows and optics. Further, panels on solar cells and photovoltaics can also be compromised due to dust sticking on the surfaces. Lunar dust has the capacity to penetrate seals, interfere with connectors, as well as mechanisms on digging machines, all of which can lead to problems and failure. To address lunar dust issues, development of electrostatic screens to mitigate dust on sur-faces is currently

  10. International Lunar Decade Status

    Science.gov (United States)

    Beldavs, VZ; Crisafulli, J.; Dunlop, D.; Foing, B.

    2017-09-01

    The International Lunar Decade is a global decadal event designed to provide a framework for strategically directed international cooperation for permanent return to the Moon. To be launched July 20, 2019, the 50th anniversary of the giant leap for mankind marked by Neil Armstrong's first step on the Moon, the ILD launch will include events around the world to celebrate space exploration, science, and the expansion of humanity into the Solar System. The ILD framework links lunar exploration and space sciences with the development of enabling technologies, infrastructure, means of financing, laws and policies aimed at lowering the costs and risks of venturing into space. Dramatically reduced costs will broaden the range of opportunities available in space and widen access to space for more states, companies and people worldwide. The ILD is intended to bring about the efflorescence of commercial business based on space resources from the Moon, asteroids, comets and other bodies in the Solar System.

  11. Lunar Core and Tides

    Science.gov (United States)

    Williams, J. G.; Boggs, D. H.; Ratcliff, J. T.

    2004-01-01

    Variations in rotation and orientation of the Moon are sensitive to solid-body tidal dissipation, dissipation due to relative motion at the fluid-core/solid-mantle boundary, and tidal Love number k2 [1,2]. There is weaker sensitivity to flattening of the core-mantle boundary (CMB) [2,3,4] and fluid core moment of inertia [1]. Accurate Lunar Laser Ranging (LLR) measurements of the distance from observatories on the Earth to four retroreflector arrays on the Moon are sensitive to lunar rotation and orientation variations and tidal displacements. Past solutions using the LLR data have given results for dissipation due to solid-body tides and fluid core [1] plus Love number [1-5]. Detection of CMB flattening, which in the past has been marginal but improving [3,4,5], now seems significant. Direct detection of the core moment has not yet been achieved.

  12. Lunar Health Monitor (LHM)

    Science.gov (United States)

    Lisy, Frederick J.

    2015-01-01

    Orbital Research, Inc., has developed a low-profile, wearable sensor suite for monitoring astronaut health in both intravehicular and extravehicular activities. The Lunar Health Monitor measures respiration, body temperature, electrocardiogram (EKG) heart rate, and other cardiac functions. Orbital Research's dry recording electrode is central to the innovation and can be incorporated into garments, eliminating the need for conductive pastes, adhesives, or gels. The patented dry recording electrode has been approved by the U.S. Food and Drug Administration. The LHM is easily worn under flight gear or with civilian clothing, making the system completely versatile for applications where continuous physiological monitoring is needed. During Phase II, Orbital Research developed a second-generation LHM that allows sensor customization for specific monitoring applications and anatomical constraints. Evaluations included graded exercise tests, lunar mission task simulations, functional battery tests, and resting measures. The LHM represents the successful integration of sensors into a wearable platform to capture long-duration and ambulatory physiological markers.

  13. The Lunar Sample Compendium

    Science.gov (United States)

    Meyer, Charles

    2009-01-01

    The Lunar Sample Compendium is a succinct summary of the data obtained from 40 years of study of Apollo and Luna samples of the Moon. Basic petrographic, chemical and age information is compiled, sample-by-sample, in the form of an advanced catalog in order to provide a basic description of each sample. The LSC can be found online using Google. The initial allocation of lunar samples was done sparingly, because it was realized that scientific techniques would improve over the years and new questions would be formulated. The LSC is important because it enables scientists to select samples within the context of the work that has already been done and facilitates better review of proposed allocations. It also provides back up material for public displays, captures information found only in abstracts, grey literature and curatorial databases and serves as a ready access to the now-vast scientific literature.

  14. 头部多角度人脸快速跟踪算法DSP实现%Fast face tracking algorithm of head multi-position based on DSP

    Institute of Scientific and Technical Information of China (English)

    姜俊金; 王增才; 朱淑亮

    2012-01-01

    针对传统驾驶员疲劳检测人脸跟踪算法复杂,DSP实现时实时性不强,不能有效地实现多角度人脸跟踪的问题,提出了一种快速人脸跟踪算法.该算法通过对YCbCr肤色模型进行图像预处理、肤色检测,提取人脸区域,通过对亮度信号Y进行统计运算,判断人脸边界,再进行相似度判断,从而实现人脸区域的跟踪.实验结果表明,该方法简单、鲁棒性强,能够快速地实现彩色图像人脸多角度跟踪.%In the field of real-time human face tracking for driver fatigue detection, the classic algorithms are so complex that the DSP system can not track the face in multi-angle state quickly and exactly, so a new face tracking algorithm is presented. In YCbCr human face color model, the image is preprocessed first, then the face region is extracted through the face color detec-tion. Through calculating the brightness signal Y, the face edge can be detected. Then a symmetry similarity measure is used to check the factuality of the face tracking. In this way, the face region can be tracked Experimental results indicate that this algo-rithm is so simple and can realize the tracking of face in multi-angle of color image.

  15. Lunar concrete for construction

    Science.gov (United States)

    Cullingford, Hatice S.; Keller, M. Dean

    1988-01-01

    Feasibility of using concrete for lunar-base construction has been discussed recently without relevant data for the effects of vacuum on concrete. Experimental studies performed earlier at Los Alamos have shown that concrete is stable in vacuum with no deterioration of its quality as measured by the compressive strength. Various considerations of using concrete successfully on the moon are provided in this paper along with specific conclusions from the existing data base.

  16. First lunar outpost

    Science.gov (United States)

    Andino, Aureo F.; Silva, Daniel; Ortiz, Nelson; Alvarez, Omar; Colon, Julio A.; Colon, Myrelle; Diaz, Alicia; Escobar, Xochiquetzal Y.; Garcia, Alberto; Gonzalez, Isabel C.

    1992-01-01

    Design and research efforts at the University of Puerto Rico have focused on the evaluation and refinement of the Habitability Criteria for a prolonged human presence in space during the last four years. Living quarters for a Mars mission and a third generation lunar base concept were proposed. This academic year, 1991-92, work on further refinement of the habitability criteria and design of partial gravity furniture was carried on. During the first semester, design alternatives for furniture necessary in a habitat design optimized for lunar and Martian environments were developed. Designs are based on recent research data from lunar and Mars gravity simulations, and current NASA standards. Artifacts will be submitted to NASA architects to be tested in KC-135 flights. Test findings will be submitted for incorporation in future updates to NASA habitat design standards. Second semester work was aimed at integrating these findings into the First Lunar Outpost (FLO), a mission scenario currently being considered by NASA. The mission consists of a manned return to the moon by crews of four astronauts for periods of 45 days. The major hardware components of the mission are as follows: (1) a Crew Module for the delivery of the crew and their supplies, and (2) the Habitat Module, which will arrive on the Moon unmanned. Our design efforts concentrated on this Habitat Module and on application of habitability criteria. Different geometries for the pressure vessel and their impact on the interior architecture were studied. Upon the selection of a geometry, a more detailed analysis of the interior design was performed, taking into consideration the reduced gravity, and the protection against radiation, micrometeorites, and the extreme temperature variation. A proposal for a FLO was submitted by the students, consisting essentially of a 24-feet (7.3 m.) by 35-feet (10.67 m) high vertical cylinder with work areas, crew quarters, galley, wardroom, leisure facilities, health

  17. Religion and Lunar Exploration

    Science.gov (United States)

    Pop, V.

    1969: The Eagle lands on the Moon. A moment that would not only mark the highest scientific achievement of all times, but would also have significant religious impli- cations. While the island of Bali lodges a protest at the United Nations against the US for desecrating a sacred place, Hopi Indians celebrate the fulfilment of an ancient prophecy that would reveal the "truth of the Sacred Ways". The plaque fastened to the Eagle - "We Came in Peace for All Mankind" would have contained the words "under God" as directed by the US president, if not for an assistant administrator at NASA that did not want to offend any religion. In the same time, Buzz Aldrin takes the Holy Communion on the Moon, and a Bible is left there by another Apollo mission - not long after the crew of Apollo 8 reads a passage from Genesis while circling the Moon. 1998: Navajo Indians lodge a protest with NASA for placing human ashes aboard the Lunar Prospector, as the Moon is a sacred place in their religion. Past, present and fu- ture exploration of the Moon has significant religious and spiritual implications that, while not widely known, are nonetheless important. Is lunar exploration a divine duty, or a sacrilege? This article will feature and thoroughly analyse the examples quoted above, as well as other facts, as for instance the plans of establishing lunar cemeteries - welcomed by some religions, and opposed by others.

  18. Lunar sample studies

    International Nuclear Information System (INIS)

    1977-01-01

    Lunar samples discussed and the nature of their analyses are: (1) an Apollo 15 breccia which is thoroughly analyzed as to the nature of the mature regolith from which it derived and the time and nature of the lithification process, (2) two Apollo 11 and one Apollo 12 basalts analyzed in terms of chemistry, Cross-Iddings-Pirsson-Washington norms, mineralogy, and petrography, (3) eight Apollo 17 mare basalts, also analyzed in terms of chemistry, Cross-Iddings-Pirsson-Washington norms, mineralogy, and petrography. The first seven are shown to be chemically similar although of two main textural groups; the eighth is seen to be distinct in both chemistry and mineralogy, (4) a troctolitic clast from a Fra Mauro breccia, analyzed and contrasted with other high-temperature lunar mineral assemblages. Two basaltic clasts from the same breccia are shown to have affinities with rock 14053, and (5) the uranium-thorium-lead systematics of three Apollo 16 samples are determined; serious terrestrial-lead contamination of the first two samples is attributed to bandsaw cutting in the lunar curatorial facility

  19. Modeling lunar volcanic eruptions

    Science.gov (United States)

    Housley, R. M.

    1978-01-01

    Simple physical arguments are used to show that basaltic volcanos on different planetary bodies would fountain to the same height if the mole fraction of gas in the magma scaled with the acceleration of gravity. It is suggested that the actual eruption velocities and fountain heights are controlled by the velocities of sound in the two phase gas/liquid flows. These velocities are in turn determined by the gas contents in the magma. Predicted characteristics of Hawaiian volcanos are in excellent accord with observations. Assuming that the only gas in lunar volcano is the CO which would be produced if the observed Fe metal in lunar basalts resulted from graphite reduction, lunar volcanos would fountain vigorously, but not as spectacularly as their terrestrial counterparts. The volatile trace metals, halogens, and sulfur released would be transported over the entire moon by the transient atmosphere. Orange and black glass type pyroclastic materials would be transported in sufficient amounts to produce the observed dark mantle deposits.

  20. NELIOTA: First temperature measurement of lunar impact flashes

    Science.gov (United States)

    Bonanos, A. Z.; Avdellidou, C.; Liakos, A.; Xilouris, E. M.; Dapergolas, A.; Koschny, D.; Bellas-Velidis, I.; Boumis, P.; Charmandaris, V.; Fytsilis, A.; Maroussis, A.

    2018-04-01

    We report the first scientific results from the NELIOTA (NEO Lunar Impacts and Optical TrAnsients) project, which has recently begun lunar monitoring observations with the 1.2-m Kryoneri telescope. NELIOTA aims to detect faint impact flashes produced by near-Earth meteoroids and asteroids and thereby help constrain the size-frequency distribution of near-Earth objects in the decimeter to meter range. The NELIOTA setup, consisting of two fast-frame cameras observing simultaneously in the R and I bands, enables - for the first time - direct analytical calculation of the flash temperatures. We present the first ten flashes detected, for which we find temperatures in the range 1600 to 3100 K, in agreement with theoretical values. Two of these flashes were detected on multiple frames in both filters and therefore yield the first measurements of the temperature drop for lunar flashes. In addition, we compute the impactor masses, which range between 100 g and 50 kg.

  1. Automated Real-Time Needle-Guide Tracking for Fast 3-T MR-guided Transrectal Prostate Biopsy: A Feasibility Study

    NARCIS (Netherlands)

    Zamecnik, P.; Schouten, M.G.; Krafft, A.J.; Maier, F.; Schlemmer, H.-P.; Barentsz, J.O.; Bock, M. de; Futterer, J.J.

    2014-01-01

    Purpose To assess the feasibility of automatic needle-guide tracking by using a real-time phase-only cross correlation (POCC) algorithm-based sequence for transrectal 3-T in-bore magnetic resonance (MR)-guided prostate biopsies. Materials and Methods This study was approved by the ethics review

  2. Lunar imaging and ionospheric calibration for the Lunar Cherenkov technique

    NARCIS (Netherlands)

    McFadden, R.; Scholten, O.; Mevius, M.

    2013-01-01

    The Lunar Cherenkov technique is a promising method for UHE neutrino and cosmic ray detection which aims to detect nanosecond radio pulses produced during particle interactions in the Lunar regolith. For low frequency experiments, such as NuMoon, the frequency dependent dispersive effect of the

  3. REE Partitioning in Lunar Minerals

    Science.gov (United States)

    Rapp, J. F.; Lapen, T. J.; Draper, D. S.

    2015-01-01

    Rare earth elements (REE) are an extremely useful tool in modeling lunar magmatic processes. Here we present the first experimentally derived plagioclase/melt partition coefficients in lunar compositions covering the entire suite of REE. Positive europium anomalies are ubiquitous in the plagioclase-rich rocks of the lunar highlands, and complementary negative Eu anomalies are found in most lunar basalts. These features are taken as evidence of a large-scale differentiation event, with crystallization of a global-scale lunar magma ocean (LMO) resulting in a plagioclase flotation crust and a mafic lunar interior from which mare basalts were subsequently derived. However, the extent of the Eu anomaly in lunar rocks is variable. Fagan and Neal [1] reported highly anorthitic plagioclase grains in lunar impact melt rock 60635,19 that displayed negative Eu anomalies as well as the more usual positive anomalies. Indeed some grains in the sample are reported to display both positive and negative anomalies. Judging from cathodoluminescence images, these anomalies do not appear to be associated with crystal overgrowths or zones.

  4. Chronology of early lunar crust

    International Nuclear Information System (INIS)

    Dasch, E.J.; Nyquist, L.E.; Ryder, G.

    1988-01-01

    The chronology of lunar rocks is summarized. The oldest pristine (i.e., lacking meteoritic contamination of admixed components) lunar rock, recently dated with Sm-Nd by Lugmair, is a ferroan anorthosite, with an age of 4.44 + 0.02 Ga. Ages of Mg-suite rocks (4.1 to 4.5 Ga) have large uncertainties, so that age differences between lunar plutonic rock suites cannot yet be resolved. Most mare basalts crystallized between 3.1 and 3.9 Ga. The vast bulk of the lunar crust, therefore, formed before the oldest preserved terrestrial rocks. If the Moon accreted at 4.56 Ga, then 120 Ma may have elapsed before lunar crust was formed

  5. Lunar Regolith Particle Shape Analysis

    Science.gov (United States)

    Kiekhaefer, Rebecca; Hardy, Sandra; Rickman, Douglas; Edmunson, Jennifer

    2013-01-01

    Future engineering of structures and equipment on the lunar surface requires significant understanding of particle characteristics of the lunar regolith. Nearly all sediment characteristics are influenced by particle shape; therefore a method of quantifying particle shape is useful both in lunar and terrestrial applications. We have created a method to quantify particle shape, specifically for lunar regolith, using image processing. Photomicrographs of thin sections of lunar core material were obtained under reflected light. Three photomicrographs were analyzed using ImageJ and MATLAB. From the image analysis measurements for area, perimeter, Feret diameter, orthogonal Feret diameter, Heywood factor, aspect ratio, sieve diameter, and sieve number were recorded. Probability distribution functions were created from the measurements of Heywood factor and aspect ratio.

  6. Lunar Circular Structure Classification from Chang 'e 2 High Resolution Lunar Images with Convolutional Neural Network

    Science.gov (United States)

    Zeng, X. G.; Liu, J. J.; Zuo, W.; Chen, W. L.; Liu, Y. X.

    2018-04-01

    Circular structures are widely distributed around the lunar surface. The most typical of them could be lunar impact crater, lunar dome, et.al. In this approach, we are trying to use the Convolutional Neural Network to classify the lunar circular structures from the lunar images.

  7. NASA Lunar Impact Monitoring

    Science.gov (United States)

    Suggs, Robert M.; Moser, D. E.

    2015-01-01

    The MSFC lunar impact monitoring program began in 2006 in support of environment definition for the Constellation (return to Moon) program. Work continued by the Meteoroid Environment Office after Constellation cancellation. Over 330 impacts have been recorded. A paper published in Icarus reported on the first 5 years of observations and 126 calibrated flashes. Icarus: http://www.sciencedirect.com/science/article/pii/S0019103514002243; ArXiv: http://arxiv.org/abs/1404.6458 A NASA Technical Memorandum on flash locations is in press

  8. Lunar architecture and urbanism

    Science.gov (United States)

    Sherwood, Brent

    1992-01-01

    Human civilization and architecture have defined each other for over 5000 years on Earth. Even in the novel environment of space, persistent issues of human urbanism will eclipse, within a historically short time, the technical challenges of space settlement that dominate our current view. By adding modern topics in space engineering, planetology, life support, human factors, material invention, and conservation to their already renaissance array of expertise, urban designers can responsibly apply ancient, proven standards to the exciting new opportunities afforded by space. Inescapable facts about the Moon set real boundaries within which tenable lunar urbanism and its component architecture must eventually develop.

  9. Hydrogen Distribution in the Lunar Polar Regions

    Science.gov (United States)

    Sanin, A. B.; Mitrofanov, I. G.; Litvak, M. L.; Bakhtin, B. N.; Bodnarik, J. G.; Boynton, W. V.; Chin, G.; Evans, L. G.; Harshmann, K.; Fedosov, F.; hide

    2016-01-01

    We present a method of conversion of the lunar neutron counting rate measured by the Lunar Reconnaissance Orbiter (LRO) Lunar Exploration Neutron Detector (LEND) instrument collimated neutron detectors, to water equivalent hydrogen (WEH) in the top approximately 1 m layer of lunar regolith. Polar maps of the Moon’s inferred hydrogen abundance are presented and discussed.

  10. Fasting guidelines for diabetic children and adolescents

    OpenAIRE

    Azad, Kiswhar; Mohsin, Fauzia; Zargar, Abdul Hamid; Zabeen, Bedowra; Ahmad, Jamal; Raza, Syed Abbas; Tayyeb, Samin; Bajaj, Sarita; Ishtiaq, Osama; Kalra, Sanjay

    2012-01-01

    Fasting during the month of Ramadan, the ninth month of Islamic lunar calendar, is obligatory for all healthy adult and adolescent Muslims from the age of 12 years. Fasting starts from early dawn (Sohur/Sehri) till sunset (Iftar). During this period one has to abstain from eating and drinking. Islam has allowed many categories of people to be exempted from fasting, for example, young children, travelers, the sick, the elderly, pregnant, and lactating women. According to expert opinion, patien...

  11. Distribution of iron and titanium on the lunar surface from lunar prospector gamma ray spectra

    International Nuclear Information System (INIS)

    Prettyman, T.H.; Feldman, W.C.; Lawrence, David J.; Elphic, R.C.; Gasnault, O.M.; Maurice, S.; Moore, K.R.; Binder, A.B.

    2001-01-01

    Gamma ray pulse height spectra acquired by the Lunar Prospector (LP) Gamma-Ray Spectrometer (GRS) contain information on the abundance of major elements in the lunar surface, including O, Si, Ti, Al, Fe, Mg, Ca, K, and Th. With the exception of Th and K, prompt gamma rays produced by cosmic ray interactions with surface materials are used to determine elemental abundance. Most of these gamma rays are produced by inelastic scattering of fast neutrons and by neutron capture. The production of neutron-induced gamma rays reaches a maximum deep below the surface (e.g. ∼140 g/cm 2 for inelastic scattering and ∼50 g/cm 2 for capture). Consequently, gamma rays sense the bulk composition of lunar materials, in contrast to optical methods (e.g. Clementine Spectral Reflectance (CSR)), which only sample the top few microns. Because most of the gamma rays are produced deep beneath the surface, few escape unscattered and the continuum of scattered gamma rays dominates the spectrum. In addition, due to the resolution of the spectrometer, there are few well-isolated peaks and peak fitting algorithms must be used to deconvolve the spectrum in order to determine the contribution of individual elements.

  12. Adverse health effects associated with Islamic fasting -A literature review

    OpenAIRE

    Nania Mohamed Pakkir Maideen; Aََََbdurazak Jumale; Rajkapoor Balasubramaniam

    2017-01-01

    Introduction: Millions of Muslims across the world observe Islamic fasting during the holy month of Ramadan, as well as the other specific dates in the lunar calendar year. While fasting during this month, Muslims refrain from eating or drinking from dawn to dusk. Islamic fasting is similar to alternate day fasting (ADF) since it incorporates an average of 12 hours of fasting and 12 hours of feasting periods. This present review study is aimed to find out the common adverse health effects ass...

  13. Effects of Ramadan Fasting on Lipid Profile: A Narrative Review

    OpenAIRE

    Mohsen Mazidi; Peyman Rezaie; Ehsan Karimi; Mohsen Nematy

    2014-01-01

    Ramadan Fasting during the month of Ramadan is a religious obligation, practiced by millions of people around the world. Ramadan fasting is essentially a fundamental change in lifestyle for one lunar month. This type of fasting may have significant effects on lipid profile. Although there is no scientific consensus about the effects of fasting on cardiovascular risks such as changes in lipid profile, some studies have revealed the positive effects of Ramadan fasting (and similar religious fas...

  14. Lunar and Planetary Geology

    Science.gov (United States)

    Basilevsky, Alexander T.

    2018-05-01

    Lunar and planetary geology can be described using examples such as the geology of Earth (as the reference case) and geologies of the Earth's satellite the Moon; the planets Mercury, Mars and Venus; the satellite of Saturn Enceladus; the small stony asteroid Eros; and the nucleus of the comet 67P Churyumov-Gerasimenko. Each body considered is illustrated by its global view, with information given as to its position in the solar system, size, surface, environment including gravity acceleration and properties of its atmosphere if it is present, typical landforms and processes forming them, materials composing these landforms, information on internal structure of the body, stages of its geologic evolution in the form of stratigraphic scale, and estimates of the absolute ages of the stratigraphic units. Information about one body may be applied to another body and this, in particular, has led to the discovery of the existence of heavy "meteoritic" bombardment in the early history of the solar system, which should also significantly affect Earth. It has been shown that volcanism and large-scale tectonics may have not only been an internal source of energy in the form of radiogenic decay of potassium, uranium and thorium, but also an external source in the form of gravity tugging caused by attractions of the neighboring bodies. The knowledge gained by lunar and planetary geology is important for planning and managing space missions and for the practical exploration of other bodies of the solar system and establishing manned outposts on them.

  15. Pressurized Lunar Rover (PLR)

    Science.gov (United States)

    Creel, Kenneth; Frampton, Jeffrey; Honaker, David; McClure, Kerry; Zeinali, Mazyar; Bhardwaj, Manoj; Bulsara, Vatsal; Kokan, David; Shariff, Shaun; Svarverud, Eric

    The objective of this project was to design a manned pressurized lunar rover (PLR) for long-range transportation and for exploration of the lunar surface. The vehicle must be capable of operating on a 14-day mission, traveling within a radius of 500 km during a lunar day or within a 50-km radius during a lunar night. The vehicle must accommodate a nominal crew of four, support two 28-hour EVA's, and in case of emergency, support a crew of six when near the lunar base. A nominal speed of ten km/hr and capability of towing a trailer with a mass of two mt are required. Two preliminary designs have been developed by two independent student teams. The PLR 1 design proposes a seven meter long cylindrical main vehicle and a trailer which houses the power and heat rejection systems. The main vehicle carries the astronauts, life support systems, navigation and communication systems, lighting, robotic arms, tools, and equipment for exploratory experiments. The rover uses a simple mobility system with six wheels on the main vehicle and two on the trailer. The nonpressurized trailer contains a modular radioisotope thermoelectric generator (RTG) supplying 6.5 kW continuous power. A secondary energy storage for short-term peak power needs is provided by a bank of lithium-sulfur dioxide batteries. The life support system is partly a regenerative system with air and hygiene water being recycled. A layer of water inside the composite shell surrounds the command center allowing the center to be used as a safe haven during solar flares. The PLR 1 has a total mass of 6197 kg. It has a top speed of 18 km/hr and is capable of towing three metric tons, in addition to the RTG trailer. The PLR 2 configuration consists of two four-meter diameter, cylindrical hulls which are passively connected by a flexible passageway, resulting in the overall vehicle length of 11 m. The vehicle is driven by eight independently suspended wheels. The dual-cylinder concept allows articulated as well as double

  16. Lunar Exploration Missions Since 2006

    Science.gov (United States)

    Lawrence, S. J. (Editor); Gaddis, L. R.; Joy, K. H.; Petro, N. E.

    2017-01-01

    The announcement of the Vision for Space Exploration in 2004 sparked a resurgence in lunar missions worldwide. Since the publication of the first "New Views of the Moon" volume, as of 2017 there have been 11 science-focused missions to the Moon. Each of these missions explored different aspects of the Moon's geology, environment, and resource potential. The results from this flotilla of missions have revolutionized lunar science, and resulted in a profoundly new emerging understanding of the Moon. The New Views of the Moon II initiative itself, which is designed to engage the large and vibrant lunar science community to integrate the results of these missions into new consensus viewpoints, is a direct outcome of this impressive array of missions. The "Lunar Exploration Missions Since 2006" chapter will "set the stage" for the rest of the volume, introducing the planetary community at large to the diverse array of missions that have explored the Moon in the last decade. Content: This chapter will encompass the following missions: Kaguya; ARTEMIS (Acceleration, Reconnection, Turbulence, and Electrodynamics of the Moon’s Interaction with the Sun); Chang’e-1; Chandrayaan-1; Moon Impact Probe; Lunar Reconnaissance Orbiter (LRO); Lunar Crater Observation Sensing Satellite (LCROSS); Chang’e-2; Gravity Recovery and Interior Laboratory (GRAIL); Lunar Atmosphere and Dust Environment Explorer (LADEE); Chang’e-3.

  17. Tests of the lunar hypothesis

    Science.gov (United States)

    Taylor, S. R.

    1984-01-01

    The concept that the Moon was fissioned from the Earth after core separation is the most readily testable hypothesis of lunar origin, since direct comparisons of lunar and terrestrial compositions can be made. Differences found in such comparisons introduce so many ad hoc adjustments to the fission hypothesis that it becomes untestable. Further constraints may be obtained from attempting to date the volatile-refractory element fractionation. The combination of chemical and isotopic problems suggests that the fission hypothesis is no longer viable, and separate terrestrial and lunar accretion from a population of fractionated precursor planetesimals provides a more reasonable explanation.

  18. Development of a lunar infrastructure

    Science.gov (United States)

    Burke, J. D.

    1988-01-01

    The problem of building an infrastructure on the moon is discussed, assuming that earth-to-moon and moon-to-earth transport will be available. The sequence of events which would occur in the process of building an infrastructure is examined. The human needs which must be met on a lunar base are discussed, including minimal life support, quality of life, and growth stages. The technology available to meet these needs is reviewed and further research in fields related to a lunar base, such as the study of the moon's polar regions and the limits of lunar agriculture, is recommended.

  19. Year 3 LUNAR Annual Report to the NASA Lunar Science Institute

    OpenAIRE

    Burns, Jack; Lazio, Joseph

    2012-01-01

    The Lunar University Network for Astrophysics Research (LUNAR) is a team of researchers and students at leading universities, NASA centers, and federal research laboratories undertaking investigations aimed at using the Moon as a platform for space science. LUNAR research includes Lunar Interior Physics & Gravitation using Lunar Laser Ranging (LLR), Low Frequency Cosmology and Astrophysics (LFCA), Planetary Science and the Lunar Ionosphere, Radio Heliophysics, and Exploration Science. The LUN...

  20. Lunar geodesy and cartography: a new era

    Science.gov (United States)

    Duxbury, Thomas; Smith, David; Robinson, Mark; Zuber, Maria T.; Neumann, Gregory; Danton, Jacob; Oberst, Juergen; Archinal, Brent; Glaeser, Philipp

    The Lunar Reconnaissance Orbiter (LRO) ushers in a new era in precision lunar geodesy and cartography. LRO was launched in June, 2009, completed its Commissioning Phase in Septem-ber 2009 and is now in its Primary Mission Phase on its way to collecting high precision, global topographic and imaging data. Aboard LRO are the Lunar Orbiter Laser Altimeter (LOLA -Smith, et al., 2009) and the Lunar Reconnaissance Orbiter Camera (LROC -Robinson, et al., ). LOLA is a derivative of the successful MOLA at Mars that produced the global reference surface being used for all precision cartographic products. LOLA produces 5 altimetry spots having footprints of 5 m at a frequency of 28 Hz, significantly bettering MOLA that produced 1 spot having a footprint of 150 m at a frequency of 10 Hz. LROC has twin narrow angle cameras having pixel resolutions of 0.5 meters from a 50 km orbit and a wide-angle camera having a pixel resolution of 75 m and in up to 7 color bands. One of the two NACs looks to the right of nadir and the other looks to the left with a few hundred pixel overlap in the nadir direction. LOLA is mounted on the LRO spacecraft to look nadir, in the overlap region of the NACs. The LRO spacecraft has the ability to look nadir and build up global coverage as well as looking off-nadir to provide stereo coverage and fill in data gaps. The LROC wide-angle camera builds up global stereo coverage naturally from its large field-of-view overlap from orbit to orbit during nadir viewing. To date, the LROC WAC has already produced global stereo coverage of the lunar surface. This report focuses on the registration of LOLA altimetry to the LROC NAC images. LOLA has a dynamic range of tens of km while producing elevation data at sub-meter precision. LOLA also has good return in off-nadir attitudes. Over the LRO mission, multiple LOLA tracks will be in each of the NAC images at the lunar equator and even more tracks in the NAC images nearer the poles. The registration of LOLA

  1. Surface chemistry of selected lunar regions

    International Nuclear Information System (INIS)

    Bielefeld, M.J.; Reedy, R.C.; Metzger, A.E.; Trombka, J.I.; Arnold, J.R.

    1976-01-01

    A completely new analysis has been carried out on the data from the Apollo 15 and 16 γ ray spectrometer experiments. The components of the continuum background have been estimated. The elements Th, K, Fe and Mg give useful results; results for Ti are significant only for a few high Ti regions. Errors are given, and the results are checked by other methods. Concentrations are reported for about sixty lunar regions; the ground track has been subdivided in various ways. The borders of the maria seem well-defined chemically, while the distribution of KREEP is broad. This wide distribution requires emplacement of KREEP before the era of mare formation. Its high concentration in western mare soils seems to require major vertical mixing

  2. On a lunar space elevator

    Science.gov (United States)

    Lemke, E. H.

    We consider a space elevator system for lunar surface access that consists of a space station in circumlunar orbit, a cable reaching down to some meters above the surface and a magnetically levitated vehicle driven by a linear motor. It accelerates the load to be lifted to the speed of the cable end. Loads to be delivered are either put on the vehicle and slowed down by it or they are slowed down by a sand braking technique in a mare terrain. It is technically possible to operate this transport system nearly without fuel supply from Earth. We calculate various steel cable dimensions for a static stress maximum of 1/5th of the tensile strength. The process of takeover is considered in detail. Five ways of eliminating the adverse large cable elongation due to the load are described. The touchdown process and behaviour of the cable after disconnection are analysed. The positive difference between the speed of the load at takeover and cable end can excite a large inplane swing motion. We propose to damp it by a dissipative pulley that hangs in a loop of wire leading to the ends of two beams mounted on the space station tangentially to the orbit, the pulley's core being connected with the load. Roll librations are damped by energy losses in the elastic beams; damping can be reinforced by viscous beam elements and/or controlled out-of-plane motions of the beams. We argue in favour of the possibility of fast deployment. The problems of vehicle vibrations and agglutination at sand braking blades are underlined and their combined experimental investigation is suggested.

  3. Workshop on past and present solar radiation: the record in meteoritic and lunar regolith material

    International Nuclear Information System (INIS)

    Pepin, R.O.; Mckay, D.S.

    1986-01-01

    The principal question addressed in the workshop was the extent to which asteroidal and lunar regoliths have collected and preserved, in meteoritic regolith breccias and in lunar soils and regolith breccias, a record of the flux, energy, and compositional history of the solar wind and solar flares. Six central discussion topics were identified. They are: (1)Trapped solar wind and flare gases, tracks, and micrometeorite pits in regolith components; (2)Comparison between lunar regolith breccias, meteoritic regolith breccias, and the lunar soil; (3)The special role of regolith breccias and the challenge of dating their times of compaction; (4)Implications of the data for the flux and compositional history of solar particle emission, composition, and physical mechanisms in the solar source regions, and the composition of the early nebula; (5)How and to what extent have records of incident radiation been altered in various types of grains; (6) Future research directions

  4. Lunar Reconnaissance Orbiter Lunar Workshops for Educators, Year 1 Report

    Science.gov (United States)

    Jones, A. P.; Hsu, B. C.; Bleacher, L.; Shaner, A. J.; Dalton, H.

    2011-12-01

    This past summer, the Lunar Reconnaissance Orbiter (LRO) sponsored a series of weeklong professional development workshops designed to educate and inspire grade 6-12 science teachers: the Lunar Workshops for Educators. Participants learned about lunar science and exploration, gained tools to help address common student misconceptions about the Moon, heard some of the latest research results from LRO scientists, worked with LRO data, and learned how to bring these data to their students using hands-on activities aligned with grade 6-12 National Science Education Standards and Benchmarks. Where possible, the workshops also included tours of science facilities or field trips intended to help the teachers better understand mission operations or geologic processes relevant to the Moon. The workshops were very successful. Participants demonstrated an improved understanding of lunar science concepts in post-workshop assessments (as compared to identical pre-assessments) and a greater understanding of how to access and productively share data from LRO with their students and provide them with authentic research experiences. Participant feedback on workshop surveys was also enthusiastically positive. 5 additional Lunar Workshops for Educators will be held around the country in the summer of 2012. For more information and to register, visit http://lunar.gsfc.nasa.gov/lwe/index.html.

  5. Early lunar magnetism

    Science.gov (United States)

    Banerjee, S. K.; Mellema, J. P.

    1976-01-01

    A new method (Shaw, 1974) for investigating paleointensity (the ancient magnetic field) was applied to three subsamples of a single, 1-m homogeneous clast from a recrystallized boulder of lunar breccia. Several dating methods established 4 billion years as the age of boulder assembly. Results indicate that the strength of the ambient magnetic field at the Taurus-Littrow region of the moon was about 0.4 oersted at 4 billion years ago. Values as high as 1.2 oersted have been reported (Collison et al., 1973). The required fields are approximately 10,000 times greater than present interplanetary or solar flare fields. It is suggested that this large field could have arisen from a pre-main sequence T-Tauri sun.

  6. Electrochemistry of lunar rocks

    Science.gov (United States)

    Lindstrom, D. J.; Haskin, L. A.

    1979-01-01

    Electrolysis of silicate melts has been shown to be an effective means of producing metals from common silicate materials. No fluxing agents need be added to the melts. From solution in melts of diopside (CaMgSi2O6) composition, the elements Si, Ti, Ni, and Fe have been reduced to their metallic states. Platinum is a satisfactory anode material, but other cathode materials are needed. Electrolysis of compositional analogs of lunar rocks initially produces iron metal at the cathode and oxygen gas at the anode. Utilizing mainly heat and electricity which are readily available from sunlight, direct electrolysis is capable of producing useful metals from common feedstocks without the need for expendable chemicals. This simple process and the products obtained from it deserve further study for use in materials processing in space.

  7. Google Moon Lunar Mapping Data

    Data.gov (United States)

    National Aeronautics and Space Administration — A collection of lunar maps and charts. This tool is an exciting new way to explore the story of the Apollo missions, still the only time mankind has set foot on...

  8. First oxygen from lunar basalt

    Science.gov (United States)

    Gibson, M. A.; Knudsen, C. W.; Brueneman, D. J.; Kanamori, H.; Ness, R. O.; Sharp, L. L.; Brekke, D. W.; Allen, C. C.; Morris, R. V.; Keller, L. P.

    1993-01-01

    The Carbotek/Shimizu process to produce oxygen from lunar soils has been successfully demonstrated on actual lunar samples in laboratory facilities at Carbotek with Shimizu funding and support. Apollo sample 70035 containing approximately 25 percent ilmenite (FeTiO3) was used in seven separate reactions with hydrogen varying temperature and pressure: FeTiO3 + H2 yields Fe + TiO2 + H2O. The experiments gave extremely encouraging results as all ilmenite was reduced in every experiment. The lunar ilmenite was found to be about twice as reactive as terrestrial ilmenite samples. Analytical techniques of the lunar and terrestrial ilmenite experiments performed by NASA Johnson Space Center include iron Mossbauer spectroscopy (FeMS), optical microscopy, SEM, TEM, and XRD. The Energy and Environmental Research Center at the University of North Dakota performed three SEM techniques (point count method, morphology determination, elemental mapping), XRD, and optical microscopy.

  9. Thermodynamics of lunar ilmenite reduction

    Science.gov (United States)

    Altenberg, B. H.; Franklin, H. A.; Jones, C. H.

    1993-01-01

    With the prospect of returning to the moon, the development of a lunar occupation would fulfill one of the goals of the Space Exploration Initiative (SEI) of the late 1980's. Processing lunar resources into useful products, such as liquid oxygen for fuel and life support, would be one of many aspects of an active lunar base. ilmenite (FeTiO3) is found on the lunar surface and can be used as a feed stock to produce oxygen. Understanding the various ilmenite-reduction reactions elucidates many processing options. Defining the thermodynamic chemical behavior at equilibrium under various conditions of temperature and pressures can be helpful in specifying optimal operating conditions. Differences between a previous theoretical analysis and experimentally determined results has sparked interest in trying to understand the effect of operating pressure on the hydrogen-reduction-of-ilmenite reaction. Various aspects of this reduction reaction are discussed.

  10. The enigma of lunar magnetism

    Science.gov (United States)

    Hood, L. L.

    1981-01-01

    Current understandings of the nature and probable origin of lunar magnetism are surveyed. Results of examinations of returned lunar samples are discussed which reveal the main carrier of the observed natural remanent magnetization to be iron, occasionally alloyed with nickel and cobalt, but do not distinguish between thermoremanent and shock remanent origins, and surface magnetometer data is presented, which indicates small-scale magnetic fields with a wide range of field intensities implying localized, near-surface sources. A detailed examination is presented of orbital magnetometer and charged particle data concerning the geologic nature and origin of magnetic anomaly sources and the directional properties of the magnetization, which exhibit a random distribution except for a depletion in the north-south direction. A lunar magnetization survey with global coverage provided by a polar orbiting satellite is suggested as a means of placing stronger constraints on the origin of lunar crustal magnetization.

  11. Lunar Health Monitor, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — During the Phase II Lunar Health Monitor program, Orbital Research will develop a second generation wearable sensor suite for astronaut physiologic monitoring. The...

  12. Prospective Ukrainian lunar orbiter mission

    Science.gov (United States)

    Shkuratov, Y.; Litvinenko, L.; Shulga, V.; Yatskiv, Y.; Kislyuk, V.

    Ukraine has launch vehicles that are able to deliver about 300 kg to the lunar orbit. Future Ukrainian lunar program may propose a polar orbiter. This orbiter should fill principal information gaps in our knowledge about the Moon after Clementine and Lunar Prospector missions and the future missions, like Smart-1, Lunar-A, and Selene. We consider that this can be provided by radar studies of the Moon with supporting optical polarimetric observations from lunar polar orbit. These experiments allow one to better understand global structure of the lunar surface in a wide range of scales, from microns to kilometers. We propose three instruments for the prospective lunar orbiter. They are: a synthetic aperture imaging radar (SAR), ground-penetrating radar (GPR), and imaging polarimeter (IP). The main purpose of SAR is to study with high resolution (50 m) the permanently shadowed sites in the lunar polar regions. These sites are cold traps for volatiles, and have a potential of resource utilization. Possible presence of water ice in the regolith in the sites makes them interesting for permanent manned bases on the Moon. Radar imaging and mapping of other interesting regions could be also planned. Multi-frequencies multi-polarization soun d ing of the lunar surface with GPR can provide information about internal structure of the lunar surface from meters to several hundred meters deep. GPR can be used for measuring the megaregolith layer properties, detection of cryptomaria, and studies of internal structure of the largest craters. IP will be a CCD camera with an additional suite of polarizers. Modest spatial resolution (100 m) should provide a total coverage or a large portion of the lunar surface in oblique viewing basically at large phase angles. Polarization degree at large (>90°) phase angles bears information about characteristic size of the regolith particles. Additional radiophysical experiments are considered with the use of the SAR system, e.g., bistatic radar

  13. Dielectric properties of lunar surface

    Science.gov (United States)

    Yushkova, O. V.; Kibardina, I. N.

    2017-03-01

    Measurements of the dielectric characteristics of lunar soil samples are analyzed in the context of dielectric theory. It has been shown that the real component of the dielectric permittivity and the loss tangent of rocks greatly depend on the frequency of the interacting electromagnetic field and the soil temperature. It follows from the analysis that one should take into account diurnal variations in the lunar surface temperature when interpreting the radar-sounding results, especially for the gigahertz radio range.

  14. Lunar Quest in Second Life, Lunar Exploration Island, Phase II

    Science.gov (United States)

    Ireton, F. M.; Day, B. H.; Mitchell, B.; Hsu, B. C.

    2010-12-01

    Linden Lab’s Second Life is a virtual 3D metaverse created by users. At any one time there may be 40,000-50,000 users on line. Users develop a persona and are seen on screen as a human figure or avatar. Avatars move through Second Life by walking, flying, or teleporting. Users form communities or groups of mutual interest such as music, computer graphics, and education. These groups communicate via e-mail, voice, and text within Second Life. Information on downloading the Second Life browser and joining can be found on the Second Life website: www.secondlife.com. This poster details Phase II in the development of Lunar Exploration Island (LEI) located in Second Life. Phase I LEI highlighted NASA’s LRO/LCROSS mission. Avatars enter LEI via teleportation arriving at a hall of flight housing interactive exhibits on the LRO/ LCROSS missions including full size models of the two spacecraft and launch vehicle. Storyboards with information about the missions interpret the exhibits while links to external websites provide further information on the mission, both spacecraft’s instrument suites, and related EPO. Other lunar related activities such as My Moon and NLSI EPO programs. A special exhibit was designed for International Observe the Moon Night activities with links to websites for further information. The sim includes several sites for meetings, a conference stage to host talks, and a screen for viewing NASATV coverage of mission and other televised events. In Phase II exhibits are updated to reflect on-going lunar exploration highlights, discoveries, and future missions. A new section of LEI has been developed to showcase NASA’s Lunar Quest program. A new exhibit hall with Lunar Quest information has been designed and is being populated with Lunar Quest information, spacecraft models (LADEE is in place) and kiosks. A two stage interactive demonstration illustrates lunar phases with static and 3-D stations. As NASA’s Lunar Quest program matures further

  15. Lunar Meteorites: A Global Geochemical Dataset

    Science.gov (United States)

    Zeigler, R. A.; Joy, K. H.; Arai, T.; Gross, J.; Korotev, R. L.; McCubbin, F. M.

    2017-01-01

    To date, the world's meteorite collections contain over 260 lunar meteorite stones representing at least 120 different lunar meteorites. Additionally, there are 20-30 as yet unnamed stones currently in the process of being classified. Collectively these lunar meteorites likely represent 40-50 distinct sampling locations from random locations on the Moon. Although the exact provenance of each individual lunar meteorite is unknown, collectively the lunar meteorites represent the best global average of the lunar crust. The Apollo sites are all within or near the Procellarum KREEP Terrane (PKT), thus lithologies from the PKT are overrepresented in the Apollo sample suite. Nearly all of the lithologies present in the Apollo sample suite are found within the lunar meteorites (high-Ti basalts are a notable exception), and the lunar meteorites contain several lithologies not present in the Apollo sample suite (e.g., magnesian anorthosite). This chapter will not be a sample-by-sample summary of each individual lunar meteorite. Rather, the chapter will summarize the different types of lunar meteorites and their relative abundances, comparing and contrasting the lunar meteorite sample suite with the Apollo sample suite. This chapter will act as one of the introductory chapters to the volume, introducing lunar samples in general and setting the stage for more detailed discussions in later more specialized chapters. The chapter will begin with a description of how lunar meteorites are ejected from the Moon, how deep samples are being excavated from, what the likely pairing relationships are among the lunar meteorite samples, and how the lunar meteorites can help to constrain the impactor flux in the inner solar system. There will be a discussion of the biases inherent to the lunar meteorite sample suite in terms of underrepresented lithologies or regions of the Moon, and an examination of the contamination and limitations of lunar meteorites due to terrestrial weathering. The

  16. Precision Lunar Laser Ranging For Lunar and Gravitational Science

    Science.gov (United States)

    Merkowitz, S. M.; Arnold, D.; Dabney, P. W.; Livas, J. C.; McGarry, J. F.; Neumann, G. A.; Zagwodzki, T. W.

    2008-01-01

    Laser ranging to retroreflector arrays placed on the lunar surface by the Apollo astronauts and the Soviet Lunar missions over the past 39 years have dramatically increased our understanding of gravitational physics along with Earth and Moon geophysics, geodesy, and dynamics. Significant advances in these areas will require placing modern retroreflectors and/or active laser ranging systems at new locations on the lunar surface. Ranging to new locations will enable better measurements of the lunar librations, aiding in our understanding of the interior structure of the moon. More precise range measurements will allow us to study effects that are too small to be observed by the current capabilities as well as enabling more stringent tests of Einstein's theory of General Relativity. Setting up retroreflectors was a key part of the Apollo missions so it is natural to ask if future lunar missions should include them as well. The Apollo retroreflectors are still being used today, and nearly 40 years of ranging data has been invaluable for scientific as well as other studies such as orbital dynamics. However, the available retroreflectors all lie within 26 degrees latitude of the equator, and the most useful ones within 24 degrees longitude of the sub-earth meridian. This clustering weakens their geometrical strength.

  17. Lunar Industry & Research Base Concept

    Science.gov (United States)

    Lysenko, J.; Kaliapin, M.; Osinovyy, G.

    2017-09-01

    Currently, all main space industry players, such as Europe, USA, Russia, China, etc., are looking back again at the idea of Moon exploration building there a manned lunar base. Alongside with other world spacefaring nations, Yuzhnoye State Design Office with its long-time development experience, technological and intellectual potential, organized its own conceptual work on development of the Lunar Industry & Research Base. In the frames of conceptual project "Lunar Industrial & Research Base" were formed its appearance, preliminary configuration and infrastructure at different stages of operation, trajectory and flight scheme to the Moon, as well as terms of the project's realization, and main technical characteristics of the systems under development, such as space transportation system for crew and cargo delivery to lunar surface and return to Earth, standardized designs of lunar modules, lunar surface vehicles, etc. The "Lunar Industrial & Research Base" project's preliminary risk assessment has shown a high value of its overall risk due to the lack of reliable information about the Moon, technical risks, long-term development of its elements, very high financial costs and dependence on state support. This points to the fact that it is reasonable to create such a global project in cooperation with other countries. International cooperation will expand the capabilities of any nation, reduce risks and increase the success probability of automated or manned space missions. It is necessary to create and bring into operation practical mechanisms for long-term space exploration on a global scale. One of the ways to do this is to create a multinational agency which would include both state enterprises and private companies.

  18. View of the Lunar Module 'Orion' and Lunar Roving Vehicle during first EVA

    Science.gov (United States)

    1972-01-01

    A view of the Lunar Module (LM) 'Orion' and Lunar Roving Vehicle (LRV), as photographed by Astronaut Charles M. Duke Jr., lunar module pilot, during the first Apollo 16 extravehicular activity (EVA-1) at the Descates landing site. Astronaut John W. Young, commander, can be seen directly behind the LRV. The lunar surface feature in the left background is Stone Mountain.

  19. WE-A-17A-10: Fast, Automatic and Accurate Catheter Reconstruction in HDR Brachytherapy Using An Electromagnetic 3D Tracking System

    Energy Technology Data Exchange (ETDEWEB)

    Poulin, E; Racine, E; Beaulieu, L [CHU de Quebec - Universite Laval, Quebec, Quebec (Canada); Binnekamp, D [Integrated Clinical Solutions and Marketing, Philips Healthcare, Best, DA (Netherlands)

    2014-06-15

    Purpose: In high dose rate brachytherapy (HDR-B), actual catheter reconstruction protocols are slow and errors prompt. The purpose of this study was to evaluate the accuracy and robustness of an electromagnetic (EM) tracking system for improved catheter reconstruction in HDR-B protocols. Methods: For this proof-of-principle, a total of 10 catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a Philips-design 18G biopsy needle (used as an EM stylet) and the second generation Aurora Planar Field Generator from Northern Digital Inc. The Aurora EM system exploits alternating current technology and generates 3D points at 40 Hz. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical CT system with a resolution of 0.089 mm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, 5 catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 seconds or less. This would imply that for a typical clinical implant of 17 catheters, the total reconstruction time would be less than 3 minutes. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.92 ± 0.37 mm and 1.74 ± 1.39 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be significantly more accurate (unpaired t-test, p < 0.05). A mean difference of less than 0.5 mm was found between successive EM reconstructions. Conclusion: The EM reconstruction was found to be faster, more accurate and more robust than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators. We would like to disclose that the equipments, used in this study, is coming from a collaboration with Philips Medical.

  20. WE-A-17A-10: Fast, Automatic and Accurate Catheter Reconstruction in HDR Brachytherapy Using An Electromagnetic 3D Tracking System

    International Nuclear Information System (INIS)

    Poulin, E; Racine, E; Beaulieu, L; Binnekamp, D

    2014-01-01

    Purpose: In high dose rate brachytherapy (HDR-B), actual catheter reconstruction protocols are slow and errors prompt. The purpose of this study was to evaluate the accuracy and robustness of an electromagnetic (EM) tracking system for improved catheter reconstruction in HDR-B protocols. Methods: For this proof-of-principle, a total of 10 catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a Philips-design 18G biopsy needle (used as an EM stylet) and the second generation Aurora Planar Field Generator from Northern Digital Inc. The Aurora EM system exploits alternating current technology and generates 3D points at 40 Hz. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical CT system with a resolution of 0.089 mm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, 5 catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 seconds or less. This would imply that for a typical clinical implant of 17 catheters, the total reconstruction time would be less than 3 minutes. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.92 ± 0.37 mm and 1.74 ± 1.39 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be significantly more accurate (unpaired t-test, p < 0.05). A mean difference of less than 0.5 mm was found between successive EM reconstructions. Conclusion: The EM reconstruction was found to be faster, more accurate and more robust than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators. We would like to disclose that the equipments, used in this study, is coming from a collaboration with Philips Medical

  1. Two lunar global asymmetries

    Science.gov (United States)

    Hartung, J. B.

    1984-01-01

    The Moon's center of mass is displaced from its center of figure about 2 km in a roughly earthward direction. Most maria are on the side of the Moon which faces the Earth. It is assumed that the Moon was initially spherically symmetric. The emplacement of mare basalts transfers mass which produces most of the observed center of mass displacement toward the Earth. The cause of the asymmetric distribution of lunar maria was examined. The Moon is in a spin orbit coupled relationship with the Earth and the effect of the Earth's gravity on the Moon is asymmetric. The earth-facing side of the Moon is a gravitational favored location for the extrusion of mare basalt magma in the same way that the topographically lower floor of a large impact basin is a gravitationally favored location. This asymmetric effect increases inversely with the fourth power of the Earth Moon distance. The history of the Earth-Moon system includes: formation of the Moon by accretion processes in a heliocentric orbit ner that of the Earth; a gravitational encounter with the Earth about 4 billion years ago resulting in capture of the Moon into a geocentric orbit and heating of the Moon through dissipation of energy related to tides raised during close approaches to the Earth(5) to produce mare basalt magma; and evolution of the Moon's orbit to its present position, slowly at first to accommodate more than 500 million years during which magmas were extruded.

  2. 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.

  3. Apollo Missions to the Lunar Surface

    Science.gov (United States)

    Graff, Paige V.

    2018-01-01

    Six Apollo missions to the Moon, from 1969-1972, enabled astronauts to collect and bring lunar rocks and materials from the lunar surface to Earth. Apollo lunar samples are curated by NASA Astromaterials at the NASA Johnson Space Center in Houston, TX. Samples continue to be studied and provide clues about our early Solar System. Learn more and view collected samples at: https://curator.jsc.nasa.gov/lunar.

  4. Lunar surface engineering properties experiment definition

    Science.gov (United States)

    Mitchell, J. K.; Goodman, R. E.; Hurlbut, F. C.; Houston, W. N.; Willis, D. R.; Witherspoon, P. A.; Hovland, H. J.

    1971-01-01

    Research on the mechanics of lunar soils and on developing probes to determine the properties of lunar surface materials is summarized. The areas of investigation include the following: soil simulation, soil property determination using an impact penetrometer, soil stabilization using urethane foam or phenolic resin, effects of rolling boulders down lunar slopes, design of borehole jack and its use in determining failure mechanisms and properties of rocks, and development of a permeability probe for measuring fluid flow through porous lunar surface materials.

  5. New Age for Lunar Exploration

    Science.gov (United States)

    Taylor, G. J.; Martel, L. M. V.

    2018-04-01

    Lunar-focused research and plans to return to the lunar surface for science and exploration have reemerged since the Space Policy Directive-1 of December 11, 2017 amended the National Space Policy to include the following, "Lead an innovative and sustainable program of exploration with commercial and international partners to enable human expansion across the solar system and to bring back to Earth new knowledge and opportunities. Beginning with missions beyond low-Earth orbit, the United States will lead the return of humans to the Moon for long-term exploration and utilization, followed by human missions to Mars and other destinations." In response to this revision, NASA proposes a Lunar Exploration and Discovery Program in the U.S. fiscal year 2019 Budget Request. It supports NASA's interests in commercial and international partnerships in Low-Earth Orbit (LEO), long-term exploration in Cislunar space beyond LEO, and research and exploration conducted on the Moon to inform future crewed missions, even to destinations beyond the Moon. (Cislunar refers to the volume of space between LEO and the Moon's orbital distance.) The lunar campaign strengthens the integration of human and robotic activities on the lunar surface with NASA's science, technology, and exploration goals.

  6. Lunar power systems. Final report

    International Nuclear Information System (INIS)

    1986-12-01

    The findings of a study on the feasibility of several methods of providing electrical power for a permanently manned lunar base are provided. Two fundamentally different methods for lunar electrical power generation are considered. One is the use of a small nuclear reactor and the other is the conversion of solar energy to electricity. The baseline goal was to initially provide 300 kW of power with growth capability to one megawatt and eventually to 10 megawatts. A detailed, day by day scenario for the establishment, build-up, and operational activity of the lunar base is presented. Also presented is a conceptual approach to a supporting transportation system which identifies the number, type, and deployment of transportation vehicles required to support the base. An approach to the use of solar cells in the lunar environment was developed. There are a number of heat engines which are applicable to solar/electric conversions, and these are examined. Several approaches to energy storage which were used by the electric power utilities were examined and those which could be used at a lunar base were identified

  7. Basic radio interferometry for future lunar missions

    NARCIS (Netherlands)

    Aminaei, Amin; Klein Wolt, Marc; Chen, Linjie; Bronzwaer, Thomas; Pourshaghaghi, Hamid Reza; Bentum, Marinus Jan; Falcke, Heino

    2014-01-01

    In light of presently considered lunar missions, we investigate the feasibility of the basic radio interferometry (RIF) for lunar missions. We discuss the deployment of two-element radio interferometer on the Moon surface. With the first antenna element is envisaged to be placed on the lunar lander,

  8. Status and Future of Lunar Geoscience.

    Science.gov (United States)

    1986

    A review of the status, progress, and future direction of lunar research is presented in this report from the lunar geoscience working group of the National Aeronautics and Space Administration. Information is synthesized and presented in four major sections. These include: (1) an introduction (stating the reasons for lunar study and identifying…

  9. Nanophase Fe0 in lunar soils

    Indian Academy of Sciences (India)

    globules that occur in the rinds of many soil grains and in the ... tinitic glass is a quenched product of silicate melts, also produced by micrometeorite impacts on lunar soils ..... stand impact processes and their products. ... cules at night; the earth's atmosphere by con- .... deep lunar interior from an inversion of lunar free oscil-.

  10. Reactive, Safe Navigation for Lunar and Planetary Robots

    Science.gov (United States)

    Utz, Hans; Ruland, Thomas

    2008-01-01

    When humans return to the moon, Astronauts will be accompanied by robotic helpers. Enabling robots to safely operate near astronauts on the lunar surface has the potential to significantly improve the efficiency of crew surface operations. Safely operating robots in close proximity to astronauts on the lunar surface requires reactive obstacle avoidance capabilities not available on existing planetary robots. In this paper we present work on safe, reactive navigation using a stereo based high-speed terrain analysis and obstacle avoidance system. Advances in the design of the algorithms allow it to run terrain analysis and obstacle avoidance algorithms at full frame rate (30Hz) on off the shelf hardware. The results of this analysis are fed into a fast, reactive path selection module, enforcing the safety of the chosen actions. The key components of the system are discussed and test results are presented.

  11. Ground Contact Analysis for Korea’s Fictitious Lunar Orbiter Mission

    Directory of Open Access Journals (Sweden)

    Young-Joo Song

    2013-12-01

    Full Text Available In this research, the ground contact opportunity for the fictitious low lunar orbiter is analyzed to prepare for a future Korean lunar orbiter mission. The ground contact opportunity is basically derived from geometrical relations between the typical ground stations at the Earth, the relative positions of the Earth and Moon, and finally, the lunar orbiter itself. Both the cut-off angle and the orbiter’s Line of Sight (LOS conditions (weather orbiter is located at near or far side of the Moon seen from the Earth are considered to determine the ground contact opportunities. Four KOMPSAT Ground Stations (KGSs are assumed to be Korea’s future Near Earth Networks (NENs to support lunar missions, and world-wide separated Deep Space Networks (DSNs are also included during the contact availability analysis. As a result, it is concluded that about 138 times of contact will be made between the orbiter and the Daejeon station during 27.3 days of prediction time span. If these contact times are converted into contact duration, the duration is found to be about 8.55 days, about 31.31% of 27.3 days. It is discovered that selected four KGSs cannot provide continuous tracking of the lunar orbiter, meaning that international collaboration is necessary to track Korea’s future lunar orbiter effectively. Possible combinations of world-wide separated DSNs are also suggested to compensate for the lack of contact availability with only four KGSs, as with primary and backup station concepts. The provided algorithm can be easily modified to support any type of orbit around the Moon, and therefore, the presented results could aid further progress in the design field of Korea’s lunar orbiter missions.

  12. Lunar Cube Transfer Trajectory Options

    Science.gov (United States)

    Folta, David; Dichmann, Donald James; Clark, Pamela E.; Haapala, Amanda; Howell, Kathleen

    2015-01-01

    Numerous Earth-Moon trajectory and lunar orbit options are available for Cubesat missions. Given the limited Cubesat injection infrastructure, transfer trajectories are contingent upon the modification of an initial condition of the injected or deployed orbit. Additionally, these transfers can be restricted by the selection or designs of Cubesat subsystems such as propulsion or communication. Nonetheless, many trajectory options can b e considered which have a wide range of transfer duration, fuel requirements, and final destinations. Our investigation of potential trajectories highlights several options including deployment from low Earth orbit (LEO) geostationary transfer orbits (GTO) and higher energy direct lunar transfer and the use of longer duration Earth-Moon dynamical systems. For missions with an intended lunar orbit, much of the design process is spent optimizing a ballistic capture while other science locations such as Sun-Earth libration or heliocentric orbits may simply require a reduced Delta-V imparted at a convenient location along the trajectory.

  13. Lunar Rotation, Orientation and Science

    Science.gov (United States)

    Williams, J. G.; Ratcliff, J. T.; Boggs, D. H.

    2004-12-01

    The Moon is the most familiar example of the many satellites that exhibit synchronous rotation. For the Moon there is Lunar Laser Ranging measurements of tides and three-dimensional rotation variations plus supporting theoretical understanding of both effects. Compared to uniform rotation and precession the lunar rotational variations are up to 1 km, while tidal variations are about 0.1 m. Analysis of the lunar variations in pole direction and rotation about the pole gives moment of inertia differences, third-degree gravity harmonics, tidal Love number k2, tidal dissipation Q vs. frequency, dissipation at the fluid-core/solid-mantle boundary, and emerging evidence for an oblate boundary. The last two indicate a fluid core, but a solid inner core is not ruled out. Four retroreflectors provide very accurate positions on the Moon. The experience with the Moon is a starting point for exploring the tides, rotation and orientation of the other synchronous bodies of the solar system.

  14. Lunar heat-flow experiment

    Science.gov (United States)

    Langseth, M. G.

    1977-01-01

    The principal components of the experiment were probes, each with twelve thermometers of exceptional accuracy and stability, that recorded temperature variations at the surface and in the regolith down to 2.5 m. The Apollo 15 experiment and the Apollo 17 probes recorded lunar surface and subsurface temperatures. These data provided a unique and valuable history of the interaction of solar energy with lunar surface and the effects of heat flowing from the deep interior out through the surface of the moon. The interpretation of these data resulted in a clearer definition of the thermal and mechanical properties of the upper two meters of lunar regolith, direct measurements of the gradient in mean temperature due to heat flow from the interior and a determination of the heat flow at the Apollo 15 and Apollo 17 sites.

  15. Lunar Base Heat Pump

    Science.gov (United States)

    Walker, D.; Fischbach, D.; Tetreault, R.

    1996-01-01

    The objective of this project was to investigate the feasibility of constructing a heat pump suitable for use as a heat rejection device in applications such as a lunar base. In this situation, direct heat rejection through the use of radiators is not possible at a temperature suitable for lde support systems. Initial analysis of a heat pump of this type called for a temperature lift of approximately 378 deg. K, which is considerably higher than is commonly called for in HVAC and refrigeration applications where heat pumps are most often employed. Also because of the variation of the rejection temperature (from 100 to 381 deg. K), extreme flexibility in the configuration and operation of the heat pump is required. A three-stage compression cycle using a refrigerant such as CFC-11 or HCFC-123 was formulated with operation possible with one, two or three stages of compression. Also, to meet the redundancy requirements, compression was divided up over multiple compressors in each stage. A control scheme was devised that allowed these multiple compressors to be operated as required so that the heat pump could perform with variable heat loads and rejection conditions. A prototype heat pump was designed and constructed to investigate the key elements of the high-lift heat pump concept. Control software was written and implemented in the prototype to allow fully automatic operation. The heat pump was capable of operation over a wide range of rejection temperatures and cooling loads, while maintaining cooling water temperature well within the required specification of 40 deg. C +/- 1.7 deg. C. This performance was verified through testing.

  16. Uses for lunar crawler transporters

    Science.gov (United States)

    Kaden, Richard A.

    This article discusses state-of-the-art crawler transporters and expresses the need for additional research and development for lunar crawlers. The thrust of the paper illustrates how the basic crawler technology has progressed to a point where extremely large modules can be shop fabricated and move to some distant location at a considerable savings. Also, extremely heavy loads may be lifted by large crawler cranes and placed in designed locations. The Transi-Lift Crawler crane with its traveling counterweight is an attractive concept for lunar construction.

  17. Building lunar roads - An overview

    Science.gov (United States)

    Rutledge, Bennett

    The problems involved in constructing lunar roads are explored. The main challenges are airlessness, low gravity, and solar effects, especially temperature extremes. Also involved are the expense of delivering equipment and material to the job site (especially for bridges and other structures), obtaining skilled labor, and providing maintenance. The lunar road will most likely be gravel, but with the size of the material closer to cobblestone to reduce scattering. They will probably be very winding, even on the flats, and feature numerous bridges and some cuts. This traffic will be mostly automatic or teleoperated cargo carriers with a handful of shirtsleeve-pressurized 'passenger cars' large enough to live in for several days.

  18. 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.

  19. Lunar phases and crisis center telephone calls.

    Science.gov (United States)

    Wilson, J E; Tobacyk, J J

    1990-02-01

    The lunar hypothesis, that is, the notion that lunar phases can directly affect human behavior, was tested by time-series analysis of 4,575 crisis center telephone calls (all calls recorded for a 6-month interval). As expected, the lunar hypothesis was not supported. The 28-day lunar cycle accounted for less than 1% of the variance of the frequency of crisis center calls. Also, as hypothesized from an attribution theory framework, crisis center workers reported significantly greater belief in lunar effects than a non-crisis-center-worker comparison group.

  20. What is a lunar standstill III?

    Directory of Open Access Journals (Sweden)

    Lionel Duke Sims

    2016-12-01

    Full Text Available Prehistoric monument alignments on lunar standstills are currently understood for horizon range, perturbation event, crossover event, eclipse prediction, solstice full Moon and the solarisation of the dark Moon. The first five models are found to fail the criteria of archaeoastronomy field methods. The final model of lunar-solar conflation draws upon all the observed components of lunar standstills – solarised reverse phased sidereal Moons culminating in solstice dark Moons in a roughly nine-year alternating cycle between major and minor standstills. This lunar-solar conflation model is a syncretic overlay upon an antecedent Palaeolithic template for lunar scheduled rituals and amenable to transformation.