Supply of equipment and components, materials of dedicated commercial grade, other services

International Nuclear Information System (INIS)

Perdices, D.; Perez Medina, E.

2014-01-01

The following article describes the course of action of Tecnatom as Procurement Agent and Manufacturing Manager for the supply materials, equipment and components for the Spanish Nuclear Power Plants. We have devoted a special mention to the supply of dedicated commercial grade items (CGI), bringing together the services of Manufacturing Manager, Engineering service and testing facilities, simplifying the control of the supply chain with total warranty. (Author)

Hospital Supply Expenses: An Important Ingredient in Health Services Research.

Science.gov (United States)

Abdulsalam, Yousef; Schneller, Eugene

2017-07-01

The purpose of this article is to shed light on hospital supply expenses, which form the second largest expense category after payroll and hold more promise for improving cost-efficiency compared to payroll. However, limited research has rigorously scrutinized this cost category, and it is rarely given specific consideration across cost-focused studies in health services publications. After reviewing previously cited estimates, we examine and independently validate supply expense data (collected by the American Hospital Association) for over 3,500 U.S. hospitals. We find supply expenses to make up 15% of total hospital expenses, on average, but as high as 30% or 40% in hospitals with a high case-mix index, such as surgery-intensive hospitals. Future research can use supply expense data to better understand hospital strategies that aim to manage costs, such as systemization, physician-hospital arrangements, and value-based purchasing.

Equipment for measuring pulsed supply of the 400 GeV CERN accelerator

CERN Document Server

Aubry, G; De Vries, J

1977-01-01

Describes the energy measuring equipment for metering the pulsed supply to the CERN proton synchrotron which is under design and development by Landis and Gyr in association with Electricity' de France. The design will take into account the shape of the load curve and the tariff structure of the supply company. It will include solid state metering, a mini-computer and telemetering equipment. (2 refs).

44 CFR 208.37 - Reimbursement for equipment and supply costs incurred during Activation.

Science.gov (United States)

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Reimbursement for equipment... SEARCH AND RESCUE RESPONSE SYSTEM Response Cooperative Agreements § 208.37 Reimbursement for equipment and supply costs incurred during Activation. (a) Allowable costs. DHS will reimburse costs incurred...

Water supply facility damage and water resource operation at disaster base hospitals in miyagi prefecture in the wake of the Great East Japan Earthquake.

Science.gov (United States)

Matsumura, Takashi; Osaki, Shizuka; Kudo, Daisuke; Furukawa, Hajime; Nakagawa, Atsuhiro; Abe, Yoshiko; Yamanouchi, Satoshi; Egawa, Shinichi; Tominaga, Teiji; Kushimoto, Shigeki

2015-04-01

The aim of this study was to shed light on damage to water supply facilities and the state of water resource operation at disaster base hospitals in Miyagi Prefecture (Japan) in the wake of the Great East Japan Earthquake (2011), in order to identify issues concerning the operational continuity of hospitals in the event of a disaster. In addition to interview and written questionnaire surveys to 14 disaster base hospitals in Miyagi Prefecture, a number of key elements relating to the damage done to water supply facilities and the operation of water resources were identified from the chronological record of events following the Great East Japan Earthquake. Nine of the 14 hospitals experienced cuts to their water supplies, with a median value of three days (range=one to 20 days) for service recovery time. The hospitals that could utilize well water during the time that water supply was interrupted were able to obtain water in quantities similar to their normal volumes. Hospitals that could not use well water during the period of interruption, and hospitals whose water supply facilities were damaged, experienced significant disruption to dialysis, sterilization equipment, meal services, sanitation, and outpatient care services, though the extent of disruption varied considerably among hospitals. None of the hospitals had determined the amount of water used for different purposes during normal service or formulated a plan for allocation of limited water in the event of a disaster. The present survey showed that it is possible to minimize the disruption and reduction of hospital functions in the event of a disaster by proper maintenance of water supply facilities and by ensuring alternative water resources, such as well water. It is also clear that it is desirable to conclude water supply agreements and formulate strategic water allocation plans in preparation for the eventuality of a long-term interruption to water services.

21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cell and tissue culture supplies and equipment. 864.2240 Section 864.2240 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products...

[Drug supply chain safety in hospitals: current data and experience of the Grenoble university hospital].

Science.gov (United States)

Bedouch, P; Baudrant, M; Detavernier, M; Rey, C; Brudieu, E; Foroni, L; Allenet, B; Calop, J

2009-01-01

Drug supply chain safety has become a priority for public health which implies a collective process. This process associates all health professionals including the pharmacist who plays a major role. The objective of this present paper is to describe the several approaches proven effective in the reduction of drug-related problem in hospital, illustrated by the Grenoble University Hospital experience. The pharmacist gets involved first in the general strategy of hospital drug supply chain, second by his direct implication in clinical activities. The general strategy of drug supply chain combines risk management, coordination of the Pharmacy and Therapeutics Committee, selection and purchase of drugs and organisation of drug supply chain. Computer management of drug supply chain is a major evolution. Nominative drug delivering has to be a prior objective and its implementation modalities have to be defined: centralized or decentralized in wards, manual or automated. Also, new technologies allow the automation of overall drug distribution from central pharmacy and the implementation of automated drug dispensing systems into wards. The development of centralised drug preparation allows a safe compounding of high risk drugs, like cytotoxic drugs. The pharmacist should develop his clinical activities with patients and other health care professionals in order to optimise clinical decisions (medication review, drug order analysis) and patients follow-up (therapeutic monitoring, patient education, discharge consultation).

Impact of supply problems of preservative-free glaucoma medications on patients and hospital staff.

Science.gov (United States)

Shah, Shima; Theodossiades, Julia; Chapman, Kristin; Murdoch, Ian

2015-03-01

Glaucoma is a chronic ocular disease, which is usually managed with long-term daily medical therapy, in the form of eye drops. Patients who are intolerant to preservatives in topical medicines require preservative-free versions. From early 2011 patients attending Moorfields Eye Hospital, London, UK, started to report recurring problems with the supply of the following preservative-free glaucoma medications: Timolol 0.25% (Timoptol 0.25%, MSD UK); Dorzolamide (Trusopt, MSD UK); Dorzolamide and Timolol 0.5% (Cosopt, MSD UK). This study investigates the impact of the supply problems of these medications at Moorfields Eye Hospital from a patient, administrative and clinical perspective. Information was sought by interviewing both patients and hospital staff, and by a retrospective case note review between April 2010 and May 2013. Many hospital roles, both administrative and clinical, were involved in attempting to resolve the impact of the supply problems. All staff reported a considerable increase in their workload. At the peak of the problem, the glaucoma secretaries received about 150 enquiries per week. A review of 83 sets of patient notes, retrieved from a random sample of 125 patients, showed that 22% encountered a supply problem. Of these, more than one-third attended Moorfields Eye Hospital Accident & Emergency (A&E) for repeat supplies and 89% eventually had their medication changed. In telephone interviews with 39 of a random sample of 50 patients (a subset of the 83 notes retrieved), 59% of the interviewees reported a supply problem. Of these, one-third attended Moorfields Eye Hospital A&E for repeat supplies and half eventually required an alternative medication. Some patients reported going to considerable lengths to obtain ongoing supplies in the community. This study shows that medication supply problems can have a major impact on patients and hospital services. Supply problems occur across many fields of medicine and with increasing frequency. The

Financing of power supply systems and pollution control equipment. Models, dimensions, developments

Energy Technology Data Exchange (ETDEWEB)

Radtke, G; Raabe, G

1988-11-01

The authors explain the bankers' point of view of the financial and economic aspects of developments in the energy sector, discussing the financing of natural gas pipelines (Muro, Megal, etc.), of nuclear power plant construction, of projects in the oil supply sector, and of pollution abatement measures and equipment for the power industry and other industries. The different financial situations of small firms or large firms supplying pollution control equipment are discussed referring to the financing schemes to be set up, explaining among other things the profitability assessment taking into account long-term development or delays in return on capital investment from borrowed funds as induced, e.g., by delays in the licensing procedure. Future demand for borrowed capital for pollution control or nuclear power plant development is difficult to assess by the banking circles. (orig./RST).

The Supply of Charity Services by Nonprofit Hospitals: Motives and Market Structure

OpenAIRE

Richard G. Frank; David S. Salkever

1991-01-01

This article studies provision of charity care by private, nonprofit hospitals. We demonstrate that in the absence of large positive income effects on charity care supply, convex preferences for the nonprofit hospital imply crowding out by other private or government hospitals. Extending our model to include impure altruism (rivalry) provides a possible explanation for the previously reported empirical result that both crowding out and income effects on indigent care supply are often weak or ...

Braille Literacy: Resources for Instruction, Writing Equipment, and Supplies. NLS Reference Circulars

Science.gov (United States)

Peaco, Freddie L., Comp.

2004-01-01

This reference circular lists instructional materials, supplies, and equipment currently available for learning braille, and cites sources about braille literacy. The resources given are intended to assist sighted individuals who are interested in learning braille or want to transcribe print materials into braille; instructors who teach braille;…

The effects of competitive electricity supply in the UK on metering equipment

International Nuclear Information System (INIS)

Dick, A.

1996-01-01

Requirements for metering of competitive supply, following privatisation of the UK Electricity Industry in 1989, have driven the design of metering equipment in a way which was not foreseen at that time. Metering equipment used for implementing the competitive market so far has been designed to new uniform national specifications and has used commercially available communications systems to automatically collect data. In order to implement full competition down to the domestic level as from 1998, a new approach is thought to be necessary. The major influences on meter design, equipment now being used, are described, future equipment and communications options, are considered. (author)

44 CFR 206.6 - Donation or loan of Federal equipment and supplies.

Science.gov (United States)

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Donation or loan of Federal... Donation or loan of Federal equipment and supplies. (a) In any major disaster or emergency, the... governments for use and distribution by them for the purposes of the Stafford Act. (b) A donation or loan may...

Uninterruptible power supply model of independent voltage inverter of NPP electrical equipment

International Nuclear Information System (INIS)

Rozhkov, V.V.; Ajdaralieva, V.Eh.

2010-01-01

A package of main transforming units models of advanced uninterruptible power supply systems of NPP electrical equipment was developed. The package of models allows investigating the basic modes of uninterruptible power supply systems operation by computer modeling. Simulation results were presented. Recommendations on choice of parameters of power circuit elements as well as on diagnostics and adjustment of regulators of converters control systems were given [ru

[Production chain supply management for public hospitals: a logistical approach to healthcare].

Science.gov (United States)

Infante, Maria; dos Santos, Maria Angélica Borges

2007-01-01

Despite their importance for hospital operations, discussions of healthcare organization logistics and supply and materials management are notably lacking in Brazilian literature. This paper describes a methodology for organizing the supply of medical materials in public hospitals, based on an action-research approach. Interventions were based on the assumption that a significant portion of problems in Brazil's National Health System (SUS) facilities derive from the fact that their clinical and administrative departments do not see themselves as belonging to the same production chain - neither the hospital nor the supply department is aware of what the other produces. The development of the methodology and its main steps are presented and discussed, against a background of recent literature and total quality and supply chain management concepts.

Non-structural Components influencing Hospital Disaster Preparedness in Malaysia

Science.gov (United States)

Samsuddin, N. M.; Takim, R.; Nawawi, A. H.; Rosman, M. R.; SyedAlwee, S. N. A.

2018-04-01

Hospital disaster preparedness refers to measures taken by the hospital’s stakeholders to prepare, reduce the effects of disaster and ensure effective coordination during incident response. Among the measures, non-structural components (i.e., medical laboratory equipment & supplies; architectural; critical lifeline; external; updated building document; and equipment & furnishing) are critical towards hospital disaster preparedness. Nevertheless, over the past few years these components are badly affected due to various types of disasters. Hence, the objective of this paper is to investigate the non-structural components influencing hospital’s disaster preparedness. Cross-sectional survey was conducted among thirty-one (31) Malaysian hospital’s employees. A total of 6 main constructs with 107 non-structural components were analysed and ranked by using SPSS and Relative Importance Index (RII). The results revealed that 6 main constructs (i.e. medical laboratory equipment & supplies; architectural; critical lifeline; external; updated building document; and equipment & furnishing) are rated as ‘very critical’ by the respondents. Among others, availability of medical laboratory equipment and supplies for diagnostic and equipment was ranked first. The results could serve as indicators for the public hospitals to improve its disaster preparedness in terms of planning, organising, knowledge training, equipment, exercising, evaluating and corrective actions through non-structural components.

[Impact of Increased Supply of Newly Licensed Nurses on Hospital Nurse Staffing and Policy Implications].

Science.gov (United States)

Kim, Yunmi; You, Sunju; Kim, Jinhyun

2017-12-01

This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffing grades for the period of 2009~2014. Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in 1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in 1,042 hospitals using GEE logistic regression. An increase of one newly licensed nurse per 100 beds in general units had significantly lower odds of improving staffing grades (grades 6~0 vs. 7) (odds ratio=0.95, p=.005). The supply of newly licensed nurses increased by 32% from 2009 to 2014, and proportion of hospitals whose staffing grade had improved, not changed, and worsened was 19.1%, 70.1%, and 10.8% respectively. Compared to 2009, the supply variation of newly licensed nurses in 2014 was not significantly related to the increased odds of improving staffing grades in the region (OR=1.02, p=.870). To achieve a balance in the regional supply and demand for hospital nurses, compliance with nurse staffing legislation and revisions in the nursing fee differentiation policy are needed. Rather than relying on increasing nurse supply, retention policies for new graduate nurses are required to build and sustain competent nurse workforce in the future. © 2017 Korean Society of Nursing Science

Quality of care and investment in property, plant, and equipment in hospitals.

OpenAIRE

Levitt, S W

1994-01-01

OBJECTIVE. This study explores the relationship between quality of care and investment in property, plant, and equipment (PPE) in hospitals. DATA SOURCES. Hospitals' investment in PPE was derived from audited financial statements for the fiscal years 1984-1989. Peer Review Organization (PRO) Generic Quality Screen (GQS) reviews and confirmed failures between April 1989 and September 1990 were obtained from the Massachusetts PRO. STUDY DESIGN. Weighted least squares regression models used PRO ...

Combined prediction model for supply risk in nuclear power equipment manufacturing industry based on support vector machine and decision tree

International Nuclear Information System (INIS)

Shi Chunsheng; Meng Dapeng

2011-01-01

The prediction index for supply risk is developed based on the factor identifying of nuclear equipment manufacturing industry. The supply risk prediction model is established with the method of support vector machine and decision tree, based on the investigation on 3 important nuclear power equipment manufacturing enterprises and 60 suppliers. Final case study demonstrates that the combination model is better than the single prediction model, and demonstrates the feasibility and reliability of this model, which provides a method to evaluate the suppliers and measure the supply risk. (authors)

Sustainable Federal Fleets: Deploying Electric Vehicles and Electric Vehicle Supply Equipment

Energy Technology Data Exchange (ETDEWEB)

2017-01-01

The U.S. Department of Energy (DOE) Federal Energy Management Program (FEMP) helps federal agencies reduce petroleum consumption and increase alternative fuel use through its resources for Sustainable Federal Fleets. To assist agencies with the transition to plug-in electric vehicles (PEVs), including battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), FEMP offers technical guidance on electric vehicle supply equipment (EVSE) installations and site-specific planning through partnerships with the National Renewable Energy Laboratory's (NREL's) EVSE Tiger Teams.

36 CFR 1210.35 - Supplies and other expendable property.

Science.gov (United States)

2010-07-01

... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property... exceeding $5,000 in total aggregate value upon termination or completion of the project or program and the... equipment. (b) The recipient shall not use supplies acquired with NHPRC funds to provide services to non...

Guide to Effective Business Practices in Buying School Supplies, Instructional Materials, Equipment and Services.

Science.gov (United States)

Association of School Business Officials International, Reston, VA.

This guide to effective business practices is intended to assist schools in establishing general policies and procedures for buying supplies, instructional materials, equipment, and services. Federal, state, and local laws must be considered in addition to the recommendations made in this report. Practical guidelines are given for selecting…

Medicare program; replacement of reasonable charge methodology by fee schedules for parenteral and enteral nutrients, equipment, and supplies. Final rule.

Science.gov (United States)

2001-08-28

This final rule implements fee schedules for payment of parenteral and enteral nutrition (PEN) items and services furnished under the prosthetic device benefit, defined in section 1861(s)(8) of the Social Security Act. The authority for establishing these fee schedules is provided by the Balanced Budget Act of 1997, which amended the Social Security Act at section 1842(s). Section 1842(s) of the Social Security Act specifies that statewide or other area wide fee schedules may be implemented for the following items and services still subject to the reasonable charge payment methodology: medical supplies; home dialysis supplies and equipment; therapeutic shoes; parenteral and enteral nutrients, equipment, and supplies; electromyogram devices; salivation devices; blood products; and transfusion medicine. This final rule describes changes made to the proposed fee schedule payment methodology for these items and services and provides that the fee schedules for PEN items and services are effective for all covered items and services furnished on or after January 1, 2002. Fee schedules will not be implemented for electromyogram devices and salivation devices at this time since these items are not covered by Medicare. In addition, fee schedules will not be implemented for medical supplies, home dialysis supplies and equipment, therapeutic shoes, blood products, and transfusion medicine at this time since the data required to establish these fee schedules are inadequate.

UV-treatment in dermatology. Equipment and methods in Norwegian university hospitals

International Nuclear Information System (INIS)

Christensen, T.; Johnsen, B.; Johnsson, M.; Nordal, E.; Thune, P.; Kjeldstad, B.; Reitan, J.B.

1994-12-01

The use of phototherapy and the phototherapy-equipment were studied in five Norwegian university hospitals. The indications and the methods used were relatively similar, as well as the equipment used for dosimetry. The spectra and irradiance from the phototherapy lamps were measured and the variations in these parameters were evaluated. It is discussed whether there is a need for closer control and standardization of these parameters. The UVA-irradiance that could be experienced by the persons employed in the departments was found to be lower than the recommended limits. 12 refs., 7 figs., 6 tabs

Proposal to negotiate the renewal of two blanket purchase contracts for the supply of automation systems and fieldbus equipment

CERN Document Server

2005-01-01

This document concerns the renewal of two blanket purchase contracts for the supply of automation systems and fieldbus equipment for the CERN accelerators, technical services and experiments. The Finance Committee is invited to agree to the negotiation of the renewal of two blanket purchase contracts with SCHNEIDER ELECTRIC (FR) and SIEMENS SUISSE (CH) for the supply of automation systems and fieldbus equipment for a period of three years. The total annual amount covering both contracts will not exceed 3 000 000 Swiss francs, subject to revision for inflation.

Quality of care and investment in property, plant, and equipment in hospitals.

Science.gov (United States)

Levitt, S W

1994-02-01

This study explores the relationship between quality of care and investment in property, plant, and equipment (PPE) in hospitals. Hospitals' investment in PPE was derived from audited financial statements for the fiscal years 1984-1989. Peer Review Organization (PRO) Generic Quality Screen (GQS) reviews and confirmed failures between April 1989 and September 1990 were obtained from the Massachusetts PRO. Weighted least squares regression models used PRO GQS confirmed failure rates as the dependent variable, and investment in PPE as the key explanatory variable. Investment in PPE was standardized, summed by the hospital over the six years, and divided by the hospital's average number of beds in that period. The number of PRO reviewed cases with one or more GQS confirmed failures was divided by the total number of cases reviewed to create confirmed failure rates. Investment in PPE in Massachusetts hospitals is correlated with GQS confirmed failure rates. A financial variable, investment in PPE, predicts certain dimensions of quality of care in hospitals.

Regional cost differences of hospital supply in Germany

Directory of Open Access Journals (Sweden)

Lauterbach, Karl W.

2005-04-01

Full Text Available The intended adoption of a global reimbursement system for inpatient care in Germany envisions identical payments for identical treatments at different hospitals. This may lead to losses in some hospitals and may cause problems for the supply with health care facilities in the long run if there a important regional cost differences. Cost and performance data of 1112 hospitals in Germany have been analysed for regional differences in 2001: As regional categorizations we used official classification schemes based on centrality. The investigation does not support the postulation of additional payments for selected regions in Germany accounting for level cost-differences between hospitals. Confounding influence factors like ownership and hospital size seem to be more important. We recommend further investigations to evaluate regional cost-differences on the level of medical wards and using more risk-adjusted data. The examination of the individual case is necessary.

[Basic research on digital logistic management of hospital].

Science.gov (United States)

Cao, Hui

2010-05-01

This paper analyzes and explores the possibilities of digital information-based management realized by equipment department, general services department, supply room and other material flow departments in different hospitals in order to optimize the procedures of information-based asset management. There are various analytical methods of medical supplies business models, providing analytical data for correct decisions made by departments and leaders of hospital and the governing authorities.

Performance of on-site Medical waste disinfection equipment in hospitals of Tabriz, Iran

Directory of Open Access Journals (Sweden)

Hassan Taghipour

2016-10-01

Full Text Available Background: The number of studies available on the performance of on-site medical waste treatment facilities is rare, to date. The aim of this study was to evaluate the performance of onsite medical waste treatment equipment in hospitals of Tabriz, Iran. Methods: A various range of the on-site medical waste disinfection equipment (autoclave, chemical disinfection, hydroclave, and dry thermal treatment was considered to select 10 out of 22 hospitals in Tabriz to be included in the survey. The apparatus were monitored mechanically, chemically, and biologically for a six months period in all of the selected hospitals. Results: The results of the chemical monitoring (Bowie-Dick tests indicated that 38.9% of the inspected autoclaves had operational problems in pre-vacuum, air leaks, inadequate steam penetration into the waste, and/or vacuum pump. The biological indicators revealed that about 55.55% of the samples were positive. The most of applied devices were not suitable for treating anatomical, pharmaceutical, cytotoxic, and chemical waste. Conclusion: Although on-site medical waste treating facilities have been installed in all the hospitals, the most of infectious-hazardous medical waste generated in the hospitals were deposited into a municipal solid waste landfill, without enough disinfection. The responsible authorities should stringently inspect and evaluate the operation of on-site medical waste treating equipment. An advanced off-site central facility with multi-treatment and disinfection equipment and enough capacity is recommended as an alternative.

Quality of care and investment in property, plant, and equipment in hospitals.

Science.gov (United States)

Levitt, S W

1994-01-01

OBJECTIVE. This study explores the relationship between quality of care and investment in property, plant, and equipment (PPE) in hospitals. DATA SOURCES. Hospitals' investment in PPE was derived from audited financial statements for the fiscal years 1984-1989. Peer Review Organization (PRO) Generic Quality Screen (GQS) reviews and confirmed failures between April 1989 and September 1990 were obtained from the Massachusetts PRO. STUDY DESIGN. Weighted least squares regression models used PRO GQS confirmed failure rates as the dependent variable, and investment in PPE as the key explanatory variable. DATA EXTRACTION. Investment in PPE was standardized, summed by the hospital over the six years, and divided by the hospital's average number of beds in that period. The number of PRO reviewed cases with one or more GQS confirmed failures was divided by the total number of cases reviewed to create confirmed failure rates. PRINCIPAL FINDINGS. Investment in PPE in Massachusetts hospitals is correlated with GQS confirmed failure rates. CONCLUSIONS. A financial variable, investment in PPE, predicts certain dimensions of quality of care in hospitals. PMID:8113054

Altruism, Rivalry and Crowding-Out in the Nonprofit Firm's Supply of Charity Services: The Case of Hospitals

OpenAIRE

Richard G. Frank; David S. Salkever

1988-01-01

This paper extends previous research on Individuals' supply of charitable donations to the behavior of nonprofit firms. Specifically, we study provision of charity care by private, nonprofit hospitals. We demonstrate that In the absence of large positive income effects on charity care supply, convex preferences for the nonprofit hospital imply crowding out by other private or government hospitals. Extending our model to include patient heterogeneity and impure altruism (rivalry) provides a po...

Assessment of technical equipment supply in healthcare institutions: example of Almaty

Directory of Open Access Journals (Sweden)

Kuralbai K Kurakbayev

2014-01-01

Full Text Available Background: The share of healthcare-related expenditure in the Gross Domestic Product of Kazakhstan is relatively small, and it is strategically important to restructure budgetary expenses in favor of healthcare with simultaneous redistribution of resources in accordance with changing demands and prioritization of high-quality medical care. The aim of this study was to analyze resource provision to healthcare organizations in Kazakhstan and its structure and level assessment. Materials and Methods: The study is based on a comparative assessment of technical and technological equipment of medical institutions in Almaty, Kazakhstan. We analyzed the scope and structure of the financial component of the resource base in Almaty. We carried out information processing and analysis methods, content analysis, mathematical treatment, as well as conducted case studies. Also, we held opinion poll among medical staff (specialists, managerial staff (n = 300 P for trend < 0.001 and patients (n = 210 P for trend < 0.001. Results: About 18.8% of patients do not receive medical care because of defects of the equipment, whereas 19.9% of patients claim that the reason of refusal of the provision of medical services is an equipment overload. Conclusion: Most of the respondents referred to on poor technical equipment, mismatch with the world standards of performance and competitiveness. Lack of advanced medical technology, inadequate financing, insufficient supply of domestic medical equipment, and inadequate procurement by tender were also noted. The obtained data point to the need for optimization and upgrading medical equipment at various levels of healthcare.

A Brief Discussion of Improving Quality Management and Prevention of Infection in Disinfection Supply Department of Local Hospital

Directory of Open Access Journals (Sweden)

Hua-lin HU

2014-10-01

Full Text Available Objective: In order to improve the quality management of supply department in our hospital, develop the quality of our nursing work, control hospital infection. Methods: Make scientific and standard working procedures, pay attention to training of staff in supply department, make strict rules and regulations, attach importance to process management, improve the quality of nursing work, reinforce the protection of our staff. Results: We improved the method of management, developed the level of management. Conclusion: Supply Department up to standards, scientific and standardized level through a series of management measures, plays an important role in controlling Infection of hospital.

The evolving role of supply chain management technology in healthcare.

Science.gov (United States)

Langabeer, Jim

2005-01-01

The healthcare supply chain is a vast, disintegrated network of products and players, loosely held together by manual and people-intensive processes. Managing the flow of information, supplies, equipment, and services from manufacturers to distributors to providers of care is especially difficult in clinical supply chains, compared with more technology-intense industries like consumer goods or industrial manufacturing. As supplies move downstream towards hospitals and clinics, the quality and robustness of accompanying management and information systems used to manage these products deteriorates significantly. Technology that provides advanced planning, synchronization, and collaboration upstream at the large supply manufacturers and distributors rarely is used at even the world's larger and more sophisticated hospitals. This article outlines the current state of healthcare supply chain management technologies, addresses potential reasons for the lack of adoption of technologies and provides a roadmap for the evolution of technology for the future. This piece is based on both quantitative and qualitative research assessments of the healthcare supply chain conducted during the last two years.

Deploying Electric Vehicles and Electric Vehicle Supply Equipment: Tiger Teams Offer Project Assistance for Federal Fleets

Energy Technology Data Exchange (ETDEWEB)

None

2017-01-02

To assist federal agencies with the transition to plug-in electric vehicles (PEVs), including battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), FEMP offers technical guidance on electric vehicle supply equipment (EVSE) installations and site-specific planning through partnerships with the National Renewable Energy Laboratory’s EVSE Tiger Teams.

Personal Protective Equipment Supply Chain: Lessons Learned from Recent Public Health Emergency Responses.

Science.gov (United States)

Patel, Anita; D'Alessandro, Maryann M; Ireland, Karen J; Burel, W Greg; Wencil, Elaine B; Rasmussen, Sonja A

Personal protective equipment (PPE) that protects healthcare workers from infection is a critical component of infection control strategies in healthcare settings. During a public health emergency response, protecting healthcare workers from infectious disease is essential, given that they provide clinical care to those who fall ill, have a high risk of exposure, and need to be assured of occupational safety. Like most goods in the United States, the PPE market supply is based on demand. The US PPE supply chain has minimal ability to rapidly surge production, resulting in challenges to meeting large unexpected increases in demand that might occur during a public health emergency. Additionally, a significant proportion of the supply chain is produced off-shore and might not be available to the US market during an emergency because of export restrictions or nationalization of manufacturing facilities. Efforts to increase supplies during previous public health emergencies have been challenging. During the 2009 H1N1 influenza pandemic and the 2014 Ebola virus epidemic, the commercial supply chain of pharmaceutical and healthcare products quickly became critical response components. This article reviews lessons learned from these responses from a PPE supply chain and systems perspective and examines ways to improve PPE readiness for future responses.

Supply and usage of hemodynamic services in the state of Rio de Janeiro, Brazil

Directory of Open Access Journals (Sweden)

Maria de Fatima Siliansky de Andreazzi

Full Text Available Objective: The paper analyzes the supply and the utilization of hemodynamic services in Rio de Janeiro, Brazil.Methods: It's an exploratory study that uses data obtained from Brazilian official databases. The period of supply analysis was from 1999 to 2009, and of utilization was from 2008 to October 2012.Results: Since 1999 there is a growth of hemodynamic equipment purchase. The private sector concentrates most of the supply, but it has been reducing its availability to SUS. The rate between population and equipment in Brazil exceeds the ones of some rich countries. In the sense of supply, there are in 2009, a supply rate of 1,4 equipments for 1 million inhabitants in RJ state, larger than brazilian rate, of 3,4 but the rates are similar for public customers.Conclusion: Interventional cardiology procedures have improved in the state, but in a different way. And this is because the public hospitals at Rio de Janeiro have mostly reduced their production, while the private ones have increased their production. The observed result is the SUS users performing their procedures at great distances.

Out-of-hospital noninvasive ventilation: epidemiology, technology and equipment

Directory of Open Access Journals (Sweden)

John Scott Baird

2012-04-01

Full Text Available Noninvasive ventilation has been utilized successfully in the pre- and out-of-hospital settings for a variety of disorders, including respiratory distress syndrome in neonates, neurologic and pulmonary diseases in infants and children, and heart failure as well as chronic obstructive pulmonary disease in adults. A variety of interfaces as well as mechanical positive pressure devices have been used: simple continuous positive airway pressure devices are available which do not require sophisticated equipment, while a broad spectrum of ventilators have been used to provide bilevel positive airway pressure. Extensive training of transport teams may be important, particularly when utilizing bilevel positive airway pressure in infants and children.

Wireless Power Supply via Coupled Magnetic Resonance for on-line Monitoring Wireless Sensor of High-voltage Electrical Equipment

DEFF Research Database (Denmark)

Xingkui, Mao; Qisheng, Huang; Yudi, Xiao

2016-01-01

On-line monitoring of high-voltage electrical equipment (HV-EE) aiming to detect faults effectively has become crucial to avoid serious accidents. Moreover, highly reliable power supplies are the key component for the wireless sensors equipped in such on-line monitoring systems. Therefore......, in this paper, the wireless power supply via coupled magnetic resonance (MR-WPS) is proposed for powering the wireless sensor and the associated wireless sensor solution is also proposed. The key specifications of the MR-WPS working in switchgear cabinet with a harsh operation environment are analyzed...... power is able to be delivered to the wireless sensor through the designed MR-WPS, and therefore the theoretical analysis and design is verified....

Partners in qualified equipment supply

International Nuclear Information System (INIS)

Rygg, D.E.; O'Hare, G.J.

1993-01-01

Industry initiatives have been taken to improve procurement practices and commercial dedication programs, formation of procurement engineering groups, emphasis on product quality, and increased engineering involvement in procurement and maintenance of qualified equipment. This poses new challenges for many licensees in terms of resources, product knowledge, and access to information normally held proprietary by equipment suppliers. Alternative approaches to future licensee/Westinghouse relationships which will allow licensees to adapt to the changing environment are discussed. 2 figs

30 CFR 77.906 - Trailing cables supplying power to low-voltage mobile equipment; ground wires and ground check...

Science.gov (United States)

2010-07-01

... portable or mobile equipment from low-voltage three-phase resistance grounded power systems shall contain... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Trailing cables supplying power to low-voltage... STANDARDS, SURFACE COAL MINES AND SURFACE WORK AREAS OF UNDERGROUND COAL MINES Low- and Medium-Voltage...

Mass casualty drill in a local hospital | Ardill | Nigerian Journal of ...

African Journals Online (AJOL)

The stated goals of the mass casualty drill were as follows: evaluate the performance of the hospital staff at every cadre, the communication systems, the adequacy of hospital supplies and equipment and provide immediate feedback to the staff for their educational benefit and improved future performance. The Consultant ...

Supply chain management with cost-containment & financial-sustainability in a tertiary care hospital.

Science.gov (United States)

Chandra, Hem; Rinkoo, Arvind Vashishta; Verma, Jitendra Kumar; Verma, Shuchita; Kapoor, Rakesh; Sharma, R K

2013-01-01

Financial crunch in the present recession results in the non-availability of the right materials at the right time in large hospitals. However due to insufficient impetus towards systems development, situation remains dismal even when funds are galore. Cost incurred on materials account for approximately one-third of the total recurring expenditures in hospitals. Systems development for effective and efficient materials management is thus tantamount to cost-containment and sustainability. This scientific paper describes an innovative model, Hospital Revolving Fund (HRF), developed at a tertiary care research institute in Asia. The main idea behind inception of HRF was to ensure availability of all supplies in the hospital so that the quality of healthcare delivery was not affected. The model was conceptualized in the background of non-availability of consumables in the hospital leading to patient as well as staff dissatisfaction. Hospital supplies have been divided into two parts, approximately 3250 unit items and 1750 miscellaneous items. This division is based on cost, relative-utility and case-specific utilization. 0.1 Million USD, separated from non-planned budget, was initially used as seed money in 1998. HRF procures supplies from reputed firms on concessional rates (8-25%) and make them available to patients at much lesser rates vis-à-vis market rates, levying minimal maintenance charges. In 2009-10, total annual purchases of 14 Million USD were made. The balance sheet reflected 1.4 Million USD as fixed deposit investment. The minimal maintenance charges levied on the patients along with the interest income were sufficient to pay for all recurring expenses related to HRF. Even after these expenses, HRF boosted of 0.2 Million USD as cash-in-hand in financial year 2009-10. In-depth analysis of 'balance sheet' and 'Income and Expenditure' statement of the fund for last five financial years affirms that HRF is a self-sustainable and viable supply chain

Performance indicators for quality in surgical and laboratory services at Muhimbili National Hospital (MNH) in Tanzania.

Science.gov (United States)

Mbembati, Naboth A; Mwangu, Mugwira; Muhondwa, Eustace P Y; Leshabari, Melkizedek M

2008-04-01

Muhimbili National Hospital (MNH), a teaching and national referral hospital, is undergoing major reforms to improve the quality of health care. We performed a retrospective descriptive study using a set of performance indicators for the surgical and laboratory services of MNH in years 2001 and 2002, to help monitor and evaluate the impact of reforms on the quality of health care during and after the reform process. Hospital records were reviewed and information recorded for planned and postponed operations, laboratory equipment, reagents, laboratory tests and quality assurance programmes. In the year 2001 a total of 4332 non-emergency operations were planned, 3313 operations were performed and 1019 (23.5%) operations were postponed. In the year 2002, 4301 non-emergency operations were planned, 3046 were performed and 1255 (29%) were postponed. The most common reasons for operation postponement were "time-barred", interference by emergency operations, no show of patients and inoperable anaesthetic machines. Equipment problems and supply and staff shortages together accounted for one quarter of postponements. In the laboratory, a lack of equipment prevented some tests, but quality assurance was performed for most tests. Current surgical services at MNH are inadequate; operating theatres require modern, functioning equipment and adequate supplies of consumables to provide satisfactory care.

Distribution of variable vs fixed costs of hospital care.

Science.gov (United States)

Roberts, R R; Frutos, P W; Ciavarella, G G; Gussow, L M; Mensah, E K; Kampe, L M; Straus, H E; Joseph, G; Rydman, R J

1999-02-17

Most strategies proposed to control the rising cost of health care are aimed at reducing medical resource consumption rates. These approaches may be limited in effectiveness because of the relatively low variable cost of medical care. Variable costs (for medication and supplies) are saved if a facility does not provide a service while fixed costs (for salaried labor, buildings, and equipment) are not saved over the short term when a health care facility reduces service. To determine the relative variable and fixed costs of inpatient and outpatient care for a large urban public teaching hospital. Cost analysis. A large urban public teaching hospital. All expenditures for the institution during 1993 and for each service were categorized as either variable or fixed. Fixed costs included capital expenditures, employee salaries and benefits, building maintenance, and utilities. Variable costs included health care worker supplies, patient care supplies, diagnostic and therapeutic supplies, and medications. In 1993, the hospital had nearly 114000 emergency department visits, 40000 hospital admissions, 240000 inpatient days, and more than 500000 outpatient clinic visits. The total budget for 1993 was $429.2 million, of which $360.3 million (84%) was fixed and $68.8 million (16%) was variable. Overall, 31.5% of total costs were for support expenses such as utilities, employee benefits, and housekeeping salaries, and 52.4% included direct costs of salary for service center personnel who provide services to individual patients. The majority of cost in providing hospital service is related to buildings, equipment, salaried labor, and overhead, which are fixed over the short term. The high fixed costs emphasize the importance of adjusting fixed costs to patient consumption to maintain efficiency.

Designing a power supply for Nim-bin formatted equipment; Diseno de una fuente de alimentacion para equipos con formato Nim-bin

Energy Technology Data Exchange (ETDEWEB)

Banuelos G, L. E.; Hernandez D, V. M.; Vega C, H. R., E-mail: lebluis2012@hotmail.com [Universidad Autonoma de Zacatecas, Unidad Academica de Estudios Nucleares, Cipres No. 10, Fracc. La Penuela, 98060 Zacatecas, Zac. (Mexico)

2016-09-15

From an old Nuclear Chicago power supply that was practically in the trash, was able to recover the 19 inches casing, rear connectors and the housing where the circuits were. From here all mechanical parts were cleaned and the electronic design was started to replace the original voltage and current functions of this equipment. The cards for the ±6, ±12 and ±24 voltages were designed, simulated and tested with circuitry that does not rely on specialized components or that is sold only by the equipment manufacturer. In the handling of the current by each voltage to operate, was possible to tie with the specifications of the manufacturers like Ortec or Canberra where a model of power supply gives a power of 160 Watts. Basic tests were performed to show that the behavior is very similar to commercial equipment; such as the full load regulation index and the noise level in the supply voltages. So our Nim-bin voltage source is viable for use in our institution laboratories. (Author)

The effects of pay and job satisfaction on the labour supply of hospital consultants.

Science.gov (United States)

Ikenwilo, Divine; Scott, Anthony

2007-12-01

There is little evidence about the responsiveness of doctors' labour supply to changes in pay. Given substantial increases in NHS expenditure, new national contracts for hospital doctors and general practitioners that involve increases in pay, and the gradual imposition of a ceiling on hours worked through the European Working Time Directive, knowledge of the size of labour supply elasticities is crucial in examining the effects of these major changes. This paper estimates a modified labour supply model for hospital consultants, using data from a survey of consultants in Scotland. Rigidities in wage setting within the NHS mean that the usual specification of the labour supply model is extended by the inclusion of job quality (job satisfaction) in the equation explaining the optimal number of hours worked. Generalised Method of Moments estimation is used to account for the endogeneity of both earnings and job quality. Our results confirm the importance of pay and non-pay factors on the supply of labour by consultants. The results are sensitive to the exclusion of job quality and show a slight underestimation of the uncompensated earnings elasticity (of 0.09) without controlling for the effect of job quality, and 0.12 when we controlled for job quality. Pay increases in the new contract for consultants will only result in small increases in hours worked. Small and non-significant elasticity estimates at higher quantiles in the distribution of hours suggest that any increases in hours worked are more likely for consultants who work part time. Those currently working above the median number of hours are much less responsive to changes in earnings. Copyright (c) 2007 John Wiley & Sons, Ltd.

Supply of equipment and components, materials of dedicated commercial grade, other services; Suministro de equipos y respuestos. Materiales de grado comercial dedicados. Otros servicios

Energy Technology Data Exchange (ETDEWEB)

Perdices, D.; Perez Medina, E.

2014-10-01

The following article describes the course of action of Tecnatom as Procurement Agent and Manufacturing Manager for the supply materials, equipment and components for the Spanish Nuclear Power Plants. We have devoted a special mention to the supply of dedicated commercial grade items (CGI), bringing together the services of Manufacturing Manager, Engineering service and testing facilities, simplifying the control of the supply chain with total warranty. (Author)

Mobile technologies and supply chain management - lessons for the hospitality industry

OpenAIRE

Car, Tomislav; Pilepić, Ljubica; Šimunić, Mislav

2014-01-01

Purpose – The purpose of this paper is to define preconditions and integration capabilities of the mobile business in supply chain management (SCM) in the hospitality industry via mobile devices and mobile applications. The aims of this paper are to reflect on what mobile technology has to offer and to draw attention to the role of mobile applications and their use in the SCM. Although mobile technologies are present in almost all areas, they are not used to their full potential. Design – The...

Questionnaire-based evaluation of mobile phone interference with medical-electrical equipment in Swedish hospitals.

Science.gov (United States)

Wiinberg, Stig; Samuelsson, Göran; Larsson, Stefan; Nilsson, Barbro; Jönsson, Patrik X; Ivarsson, Bodil; Olofsson, Per-Åke

2017-08-09

National recommendations in Sweden recommend a safety distance of 3 meter (m) between mobile phones and medical-electrical (ME) equipment in hospitals. A questionnaire was used to investigate how often mobile phones were reported to interfere with ME products in clinical practice across Sweden. The results confirmed that ME equipment can be affected by mobile phone use but, the risk of the patient's outcome being affected were minimal; no cases were identified which led to injury or death. In conclusion, the results support recommendations for a general safety distance of 0.5 m between mobile phones and ME equipment in care environments.

Rule Based Expert System for Monitoring Real Time Drug Supply in Hospital Using Radio Frequency Identification Technology

Science.gov (United States)

Driandanu, Galih; Surarso, Bayu; Suryono

2018-02-01

A radio frequency identification (RFID) has obtained increasing attention with the emergence of various applications. This study aims to examine the implementation of rule based expert system supported by RFID technology into a monitoring information system of drug supply in a hospital. This research facilitates in monitoring the real time drug supply by using data sample from the hospital pharmacy. This system able to identify and count the number of drug and provide warning and report in real time. the conclusion is the rule based expert system and RFID technology can facilitate the performance in monitoring the drug supply quickly and precisely.

Implementation and adoption of mechanical patient lift equipment in the hospital setting: The importance of organizational and cultural factors.

Science.gov (United States)

Schoenfisch, Ashley L; Myers, Douglas J; Pompeii, Lisa A; Lipscomb, Hester J

2011-12-01

Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation measures. Data from focus groups with health care workers were used to describe barriers and promoters of the adoption of patient lift equipment and a shift to a "minimal-manual lift environment" at two affiliated hospitals. Several factors influencing the adoption of the lift equipment and patient-handling policy were noted: time, knowledge/ability, staffing, patient characteristics, and organizational and cultural aspects of work. The adoption process was complex, and considerable variability by hospital and across units was observed. The use of qualitative data can enhance the understanding of factors that influence implementation and adoption of interventions designed to prevent patient-handling injuries among health care workers. Copyright © 2011 Wiley Periodicals, Inc.

Uncovering high rates of unsafe injection equipment reuse in rural Cameroon: validation of a survey instrument that probes for specific misconceptions

Directory of Open Access Journals (Sweden)

Reid Savanna R

2011-02-01

Full Text Available Abstract Background Unsafe reuse of injection equipment in hospitals is an on-going threat to patient safety in many parts of Africa. The extent of this problem is difficult to measure. Standard WHO injection safety assessment protocols used in the 2003 national injection safety assessment in Cameroon are problematic because health workers often behave differently under the observation of visitors. The main objective of this study is to assess the extent of unsafe injection equipment reuse and potential for blood-borne virus transmission in Cameroon. This can be done by probing for misconceptions about injection safety that explain reuse without sterilization. These misconceptions concern useless precautions against cross-contamination, i.e. "indirect reuse" of injection equipment. To investigate whether a shortage of supply explains unsafe reuse, we compared our survey data against records of purchases. Methods All health workers at public hospitals in two health districts in the Northwest Province of Cameroon were interviewed about their own injection practices. Injection equipment supply purchase records documented for January to December 2009 were compared with self-reported rates of syringe reuse. The number of HIV, HBV and HCV infections that result from unsafe medical injections in these health districts is estimated from the frequency of unsafe reuse, the number of injections performed, the probability that reused injection equipment had just been used on an infected patient, the size of the susceptible population, and the transmission efficiency of each virus in an injection. Results Injection equipment reuse occurs commonly in the Northwest Province of Cameroon, practiced by 44% of health workers at public hospitals. Self-reported rates of syringe reuse only partly explained by records on injection equipment supplied to these hospitals, showing a shortage of syringes where syringes are reused. Injection safety interventions could

Determining the total cost of reverse supply chain operations for original equipment manufacturers

DEFF Research Database (Denmark)

Larsen, Samuel Brüning; Jacobsen, Peter

2014-01-01

When original equipment manufacturers (OEM) examine whether or not to invest in a reverse supply chain (RSC), managers need insight into not only the cost savings and new revenue streams the RSC enables, but also the total cost of the RSC itself. Using case study research the study examines what...... cost parameters constitute the total cost (TC) of the RSC. The specific RSC that the study seeks the TC for consists of 1) end-product refurbishing, 2) component refurbishing, and 3) sales of used materials back to original suppliers or independent recyclers for materials recycling....

Metagenomic Analysis of Showerhead Biofilms from a Hospital in Ohio

Science.gov (United States)

Background: The National Institute of Health estimated that 80% of human microbial infections are associated with biofilms. Although water supplies and hospital equipments are constantly treated with disinfectants, the presence of biofilms in these areas has been frequently obser...

[The Jewish Hospital in Budapest under the Nazi occupation (1944-1945)].

Science.gov (United States)

Weisskopf, Varda

2008-01-01

On March 19, 1944 the German army invaded and occupied Hungary. The Waffen-SS soldiers captured the buildings of the Jewish community in Budapest, including the famous and important Jewish hospital on Szabolcs Street, founded in 1802. The Jewish hospital moved into a school belonging to the Jewish community on 44 Wesselényi Street. The hospital personnel managed to smuggle out medical equipment, and operating rooms were transferred into this central, temporary medical location. Other hospitals were founded, some inside the ghetto, others outside. The Judenrat supplied these hospitals with medical equipment obtained through contributions from Jews. The temporary hospitals admitted sick patients and a great number of those injured as a result of the war in Budapest. These hospitals operated with poor equipment. Surgeries were sometimes performed on kitchen tables, and medical equipment was sterilized by burning the synagogue's benches and library books. As of December 1944, there was no electricity in the hospitals. Thus doctors were forced to operate by the light of candles and flashlights. Nevertheless, they managed to save numerous lives. In spite of the terrible conditions under which the medical staff worked, they were committed to their mission, and their courage deserves appreciation. Ghetto Budapest was liberated by the Red army on 18th January, 1945. Thousands of Jews were released from the temporary hospitals.

Management of radiodiagnostic equipment: Implementation of self-maintenance project of the conventional x-ray equipment of Hospital Universitario Clementino Fraga Filho - HUCFF-UFRJ

International Nuclear Information System (INIS)

Couto, N.F. do; Azevedo, A.C.P.; Koch, H.A.

2001-01-01

The project aims the implantation of a management program, for the maintenance of the conventional X-ray equipment at HUCFF. It has been implemented through the training of the electronic technicians who work at the Hospital. Essential courses were organized such as: Basics of Radioprotection, Radiographs Techniques, and Maintenance of equipment of X-Rays. Equipment: a library with the schemes of the equipment is being assembled in collaboration with UNICAMP. In order to manage the process, a software was created using the tools of the total quality for control of the maintenance. Preliminary tests: the equipment and their working conditions were evaluated, as well as the level of the employees' satisfaction with their use. The creation of a new routine for maintenance seeks to assist the demands of the new legislation in Brazil 5, and also reduce the costs to improve the quality of the images in the Radiodiagnostic Service. (author)

Graduate Management Project: The Capital Equipment Acquisition Process at The Johns Hopkins Hospital Evaluating Acquisition Strategies Through Financial Analysis

National Research Council Canada - National Science Library

McGowan, Colleen

1999-01-01

.... The purpose of this paper is to first develop an equipment evaluation process at The Johns Hopkins Hospital which considers both clinical and financial factors when allocating capital dollars to acquire equipment...

Proposal for the award of a blanket contract for the supply and installation of automatic fire-detection and emergency-evacuation equipment

CERN Document Server

2003-01-01

This document concerns the award of a blanket contract for the supply and installation of automatic fire-detection and emergency-evacuation equipment. Following a market survey carried out among 54 firms in ten Member States, a call for tenders (IT-3090/ST) was sent on 29 August 2003 to one firm and four consortia in five Member States. By the closing date, CERN had received four tenders from four consortia in four Member States. The Finance Committee is invited to agree to the negotiation of a blanket contract with the consortium HEKATRON (DE) - SOTEB (FR), the lowest bidder, for the supply and installation of automatic fire-detection and emergency-evacuation equipment for a total amount not exceeding 1 900 000 euros (2 946 650 Swiss francs), subject to revision for inflation from 1 January 2007. The rate of exchange used is that stipulated in the tender. The firm has indicated the following distribution by country of the contract value covered by this adjudication proposal: DE - 70%; FR - 30%.

Regional supply of outreach service and length of stay in psychiatric hospital among patients with schizophrenia: National case mix data analysis in Japan.

Science.gov (United States)

Niimura, Junko; Nakanishi, Miharu; Yamasaki, Syudo; Nishida, Atsushi

2017-12-01

Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals. Copyright © 2017 Elsevier B.V. All rights reserved.

Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital in Belo Horizonte / Minas Gerais

OpenAIRE

Estevão Maria Campolina de Oliveira; Eloísa Helena Rodrigues Guimaraes; Ester Eliane Jeunon

2017-01-01

This study aimed to identify and analyze the factors that contribute to the effectiveness of the management of medical-care equipment at the Hospital of Federal University of Minas Gerais (HC-UFMG) in Belo Horizonte, Minas Gerais. To achieve this goal, a case study was performed along with a field research at HC-UFMG, through interviews using a semi-structured questionnaire to professionals who handle and operate medical-care equipment; professionals who provide maintenance on equipment, and ...

Physicians’ engagement in dual practices and the effects on labor supply in public hospitals: results from a register-based study

Science.gov (United States)

2014-01-01

Background Physician dual practice, a combination of public and private practice, has attracted attention due to fear of reduced work supply and a lack of key personnel in the public system, increase in low priority treatments, and conflicts of interest for physicians who may be competing for their own patients when working for private suppliers. In this article, we analyze both choice of dual practice among hospital physicians and the dual practices’ effect on work supply in public hospitals. Methods The sample consisted of 12,399 Norwegian hospital physicians working in public hospitals between 2001 and 2009. We linked hospital registry data on salaries and hospital working hours with data from national income and other registries covering non-hospital income, including income from dual work, cohabiting status, childbirths and socioeconomic characteristics. Our dataset also included hospital variables describing i.e. workload. We estimated odds ratio for choosing dual practice and the effects of dual practice on public working hours using different versions of mixed models. Results The percentage of physicians engaged in dual practice fell from 35.1% for men and 17.6% for women in 2001 to 25.0% and 14.2%, respectively, in 2009. For both genders, financial debt and interest payments were positively correlated and having a newborn baby was negatively correlated with engaging in dual practice. Larger family size and being cohabitating increased the odds ratio of dual practice among men but reduced it for women. The most significant internal hospital factor for choosing dual practice was high wages for extended working hours, which significantly reduced the odds ratio for dual practice. The total working hours in public hospitals were similar for both those who did and did not engage in dual practice; however, dual practice reduced public working hours in some specialties. Conclusion Economic factors followed by family variables are significant elements influencing

Medication supply chain management through implementation of a hospital pharmacy computerized inventory program in Haiti

Directory of Open Access Journals (Sweden)

Michelle R. Holm

2015-01-01

Full Text Available Background: In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain. Objective: We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP would optimize medication availability and decrease medication shortages. Design: We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs. Results: The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of ‘real-time’ medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055, respectively, and the mean logins per day increased from 24.3 to 31.5, p<0.0001, respectively. The PCIP allows the hospital staff to identify and order medications with a critically low supply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization. Conclusions: An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.

46 CFR 197.314 - First aid and treatment equipment.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false First aid and treatment equipment. 197.314 Section 197... HEALTH STANDARDS GENERAL PROVISIONS Commercial Diving Operations Equipment § 197.314 First aid and... consists of— (i) Basic first aid supplies; and (ii) Any additional supplies necessary to treat minor trauma...

Effects of changes in micro- and macro-environmental factors on the supply of hospitals services.

Science.gov (United States)

Kassaye, W W; Tseng, K C

1990-01-01

The failures, marketing difficulties and financial hardships hospitals have experienced raises a question as to whether they have been responsive to the changes in the micro and macro-environmental factors. To determine how responsive hospitals have been to these changes, we investigate the impact of a number of selected factors on the supply of hospital services during 1972 through 1978. The findings indicate that despite the fact that the economy went through recessionary periods, and the demographic distribution exhibited both a shift and a change in the aging and birth rates of the nation, the changes in hospitals' responsiveness have been less than satisfactory. It appears that hospitals readily respond to the changes in the micro-environment than to the changes in macro-environment. Their response to the changes in the macro-environment. Their response to the changes in the macro-environment may be characterized as an effort to create a higher level of production whose goal is to create a still higher level of needs and wants.

Respiratory and protective equipment at a large nuclear facility

International Nuclear Information System (INIS)

Zippler, D.B.

1975-12-01

A variety of personal protective equipment is used in a large nuclear facility to protect employees against both nuclear and ordinary industrial materials. Equipment requirements are based on risk evaluation and may range from a minimum of shoe covers to whole body protection by air-supplied plastic suits. Types of equipment are listed and one-year costs are given. Criteria for evaluating and compartmentalizing risks are discussed. Air-supplied suits and hoods are discussed in detail

Assessment of Microbial Contamination of Surfaces and Medical Equipment in Wards of the Panjom Azar Hospital of Gorgan in 2014

Directory of Open Access Journals (Sweden)

Roghaye Noroozi

2014-06-01

Full Text Available Methods: In this cross-sectional study, different wards of panjom Azar educational hospital including ICU, dialysis and surgery room were investigated. Samples were collected randomly, for three months from July to September 2014, from beds, oxygen masks, oxygen manometer, patient table, covers of the patient's medical records, nurse's desk, border walls and water tap.  Samples were then cultured on blood agar and EMB agar. In order to determine the bacteria type, specific culture media with specific biochemical tests and diagnostic disks were used. Results: Results showed that from 216 samples collected from the levels, the 190 cases (88% had microbial contamination. Most of the recognized bacteria were Staphylococcus saprophyticus, Staphylococcus epidermidis, Staphylococcus aureus, Bacillus subtilis, Pseudomonas aeruginosa, Escherichia coli, Enterobacter and klebsiela. Results of microbial culture of equipments and levels were positive in case of bacterial contamination and maximum contamination was observed in the dialysis ward of the hospital. Conclusion: Due to the relatively high detected contamination, contamination control of levels and patient care equipments could considered as an effective action in reducing nosocomial infections. Thus, using appropriate disinfectant equipment, monitoring the disinfectants preparation, continuous monitoring and detection of common microorganisms are the most important ways for infection control in hospitals.

An economic-mathematical model for optimization of the electrical equipment maintenance parameters of the Bobov Dol mine power supply system

International Nuclear Information System (INIS)

Shishov, S.

1990-01-01

The model proposed helps to ground the quantitative evaluation of the maintenance parameters of the electrical equipment of the coal mine. In the process of simulation an assumption is made that no additional capital investments are needed - only the existing situation of the electric supply system is considered and the effect of the measures taken to increase its reliability. The model takes into account the annual operating expenses, the downtime costs, the power not supplied to the user due to breakdowns, the average total outage duration; the breakdowns intensity, the average time for serviceability restoration. The model is based on the statistical data from the equipment operation for a period of 3 years, as well as on the economical standards acting in this mine. The outage expenses calculations of two units of the Bobov Dol mine are presented as an illustrative example of the model testing. The model is realized as a software product written on PL-1. It can also simulate the effect of the personnel number as well as the annual reserves of spare parts of various equipment's makes. 2 tabs, 6 refs

Maintenance management of emergency power supply equipment (uninterruptible power supply) in Tokai reprocessing plant

International Nuclear Information System (INIS)

Nishida, Kyosuke; Hiyama, Hisao; Shibata, Satomi; Iwasaki, Shogo; Inami, Shinichi

2009-01-01

Uninterruptible power supply systems are installed in the Tokai reprocessing plant in preparation for the emergency case that the commercial power supply is stopped by an accidental or intentional interruption in the supply of electricity. The uninterruptible power supply system particularly provides a temporary power source to the important devices for the radiation control of nuclear critical monitoring in the plant. Thus, the system is potentially important and essential for nuclear plants. The paper reports the current activities such as regular inspections, replacement of parts and system update, to maintain the function of uninterruptible power supply systems. (author)

Supporting management of medical equipment for inpatient service in public hospitals: a case study.

Science.gov (United States)

Figueroa, Rosa L; Vallejos, Guido E

2013-01-01

This work presents a study of medical equipment availability in the short and long term. The work is divided in two parts. The first part is an analysis of the medical equipment inventory for the institution of study. We consider the replacement, maintenance, and reinforcement of the available medical equipment by considering local guidelines and surveying clinical personnel appreciation. The resulting recommendation is to upgrade the current equipment inventory if necessary. The second part considered a demand analysis in the short and medium term. We predicted the future demand with a 5-year horizon using Holt-Winters models. Inventory analysis showed that 27% of the medical equipment in stock was not functional. Due to this poor performance result we suggested that the hospital gradually addresses this situation by replacing 29 non-functional equipment items, reinforcing stock with 40 new items, and adding 11 items not available in the inventory but suggested by the national guidelines. The results suggest that general medicine inpatient demand has a tendency to increase within the time e.g. for general medicine inpatient service the highest increment is obtained by respiratory (12%, RMSE=8%) and genitourinary diseases (20%, RMSE=9%). This increment did not involve any further upgrading of the proposed inventory.

[Have Case Loads of Radical Surgery for Prostate Cancer Been Concentrated in Hospitals with Robotic Equipment ?--Analyses with Questionnaire Survey and Diagnostic Procedure Combination (DPC) Data].

Science.gov (United States)

Tsukamoto, Taiji; Tanaka, Shigeru

2016-04-01

We investigated whether installation of robot-assisted surgical equipment in hospitals resulted in concentration of the case loads of radical prostatectomy. We selected 11 areas with populations of around 1 million or more where there were one or more hospitals with robotic equipment and 4 or more without it. In addition, annual changes of case loads for prostatectomy over 4 years from 2010 to 2013 were clearly determined in these areas. The case loads were determined based on the results of a questionnaire survey for the hospitals with robots and on the Diagnostic Procedures Combination data provided by the Ministry of Health, Labor and Wealth for those without such equipment. The concentration of the case loads was principally defined as when hospitals with robots had more predominant proportion of cases than those without them in the comparison between case loads prior to instillation of robots (or in the initial year of the study) and those in the final years. The 11 selected areas included 44 hospitals with robots and 156 without them. Concentration of case loads was found in 5 areas. In 4 areas, installation of robots did not have a specific relation to the distribution pattern s of case loads in hospitals with or without the equipment. The remaining 2 areas tended to have a weak but not definite concentration of case loads. In the areas in which installation did not influence case loads the further analysis revealed that their case loads had already been concentrated in the initial year (2010) of the study. Although the current results were found in a single department of the hospital, robotic installation may result in concentration of prostatectomy case loads for such hospitals in some areas. The current results are intriguing when we consider the future roles of acute care hospitals and beds in our country where the number of aged patients having chronic diseases will increase. In conclusion, installation of robotic equipment may result in concentration

Problems Existing in the Local Hospital Foreign Equipment Management and the Innovative Strategy%基层医院外来器械管理存在的问题及创新对策

Institute of Scientific and Technical Information of China (English)

赵爱新; 陈丽

2015-01-01

目的了解基层医院外来器械管理存在的问题，规范外来器械的管理流程，找出基层医院院感工作中的薄弱环节，降低医院感染，确保医疗护理质量安全。方法结合基层医院的实际情况，针对外来器械管理存在的问题，制定出新对策和动态的管理流程，包括准入、接受、清洗、包装、灭菌、追溯的流程，以确保外来器械的灭菌效果。结果规范了我院外来器械的管理。结论基层医院外来器械的管理不规范，存在医院感染隐患。主管部门应加大监管、指导力度，指令外来器械必须由消毒供应中心统一清洗、包装、灭菌，使其在使用过程达到零风险。%Objective To understand the problems existing in the basic-level hospitals foreign equipment management, regulate foreign equipment management process, point out the weak links in local hospital infection work, reduce hospital infections, to ensure the quality of medical care security. Methods Combined with the actual situation of grassroots hospitals, aiming at the existing problem of foreign equipment management, develop new countermeasure and the dynamic management process, including access, accept, cleaning, packaging, sterilization, tracing process, in order to ensure that foreign instrument sterilization ef ect. Results Our hospital foreign equipment management specification has been standardized. Conclusion Management of local hospitals exotic instruments are not standardized, there is a risk of nosocomial infection. Authorities should strengthen supervision, and guidance, instruction external devices must be unified by the central sterile supply cleaning, packaging, sterilization, so that in the course of reaching zero risk.

Effectiveness of the credit-line approach for support of CD4 equipment functionality in northern Uganda

Directory of Open Access Journals (Sweden)

Michael L. Kasusse

2015-11-01

Full Text Available Background: Improving laboratory service delivery requires a functioning logistics and supply system. Uganda’s Ministry of Health uses the credit-line approach to provide laboratory supplies including commodities for CD4 test equipment. Objectives: We examined the effectiveness of the credit-line approach in improving laboratoryservice delivery by using the functionality of CD4 test equipment as a proxy indicator. Method: A cross-sectional survey was conducted at 7 level-three health centres (HC IIIs, 18 level-four health centres (HC IVs, and 10 hospitals in 15 districts of mid-northern Uganda, including the Lango (17 facilities and Acholi sub-regions (18 facilities, between July 2013 and August 2013. Functionality, was determined through self- and interviewer-administered questionnaires. The chi-squared test was used to assess differences in functionality by subregion, facility type, and equipment type. Results: A total of 38 CD4 test analysers were assessed. Of these, 26 (68% were functional. In hospitals, 85% of CD4 analysers were functional, in HC IVs, 67% were functional and in HCIIIs, 43% were functional. The differences did not reach statistical significance. In the Langosub-region, 72% of analysers were functional; in the Acholi sub-region, 65% were functional. Non-functionality was mainly due to lack of reagents and cartridges, as well as low staffing levels of laboratory technicians with the skills necessary to operate the equipment. Conclusion: The credit-line approach supported the functionality of CD4 equipment in the surveyed facilities. However, there is a need to address issues of staffing and availability of reagents to enhance the functionality of CD4 equipment and improve patient care, especiallyat HC IIIs.

Maintenance and fabrication of nuclear electronic equipment

International Nuclear Information System (INIS)

Hong, Seok Boong; Chung, Chong Eun; Hwang, In Koo; Koo, In Soo; Park, Bum; Kim, Soo Hee; Lee, Seong Joo; Kim, Min Seok; Choi, Wha Lim

2011-12-01

- process equipment at PIEF, Chemical Analysis Team and RWFTF have been calibrated. - The electronic equipment and radiation equipment at RWTF and PIEF have been prepared. - Development and installation of integrated RMS software for Hanaro Cold Neutron Laboratory Building(CNLB) RMS, and development and performance upgrade of a portal monitor for CNLB. - Performance test of the Hardware/Software of digital unit controller has been performed, and functional upgrade of the Hardware/Software of stimulator for SMART MMIS performance test facility has also been performed. - A controller of high voltage power supply for a small electron beam generator and a controller for razer pinning and a remote monitoring apparatus of cathode power supply for a 0.2 Mev. small electron beam generator have been designed and fabricated. - Database construction for effective maintenance for the process equipment and radiation instruments are designed and constructed

Frederick National Lab Aids Liberian Hospitals Through Project C.U.R.E. | FNLCR Staging

Science.gov (United States)

When Project C.U.R.E.'s much-needed medical supplies and equipment arrive in Liberia, the Frederick National Lab’s Kathryn Kynvin is there to receive and distribute the donations to hospitals who continue to treat survivors of the most recent Ebola

Functional Safety Status in Isfahan Private Hospitals in Response to Disasters in 2015

Directory of Open Access Journals (Sweden)

Nahid Tavakoli

2017-04-01

Conclusion: The present study showed that the current status of functional safety in Isfahan private hospitals is not completely satisfactory and the provincial health managers, especially Isfahan University of Medical Sciences, are expected to regularly monitor planning and decision-making about the risks threatening these hospitals, especially in the areas of contingency plans of medical operations and access to medicines as well as equipment and supplies needed in an emergency situation.

Purchasing Supplies, Equipment and Services Under EPA Grants

Science.gov (United States)

EPA developed this guidance to help ensure you meet EPA requirements when making such necessary purchases. With very few exceptions, you must follow a competitive process when you use EPA grant funds to acquire equipment and professional services.

Hospital Impact After a Chemical Spill That Compromised the Potable Water Supply: West Virginia, January 2014.

Science.gov (United States)

Hsu, Joy; Del Rosario, Maria C; Thomasson, Erica; Bixler, Danae; Haddy, Loretta; Duncan, Mary Anne

2017-10-01

In January 2014, a chemical spill of 4-methylcyclohexanemethanol and propylene glycol phenyl ethers contaminated the potable water supply of approximately 300,000 West Virginia residents. To understand the spill's impact on hospital operations, we surveyed representatives from 10 hospitals in the affected area during January 2014. We found that the spill-related loss of potable water affected many aspects of hospital patient care (eg, surgery, endoscopy, hemodialysis, and infection control of Clostridium difficile). Hospital emergency preparedness planning could be enhanced by specifying alternative sources of potable water sufficient for hemodialysis, C. difficile infection control, and hospital processing and cleaning needs (in addition to drinking water). (Disaster Med Public Health Preparedness. 2017;11:621-624).

Anesthetic equipment, facilities and services available for pediatric ...

African Journals Online (AJOL)

Background: Facilities and equipment are known to contribute to improved patient care and outcome. Hospitals for sub‑specialized pediatric anesthetic service are routinely available worldwide. In Nigeria, such hospitals now exist. It is therefore relevant to study the facilities and equipment available for pediatric anesthetic ...

The proton therapy system for MGH's NPTC: equipment description and progress report

International Nuclear Information System (INIS)

Jongen, Y.; Beeckman, W.; Cohilis, P.

1996-01-01

At the beginning of 1994, the Massachusetts General Hospital (MGH) of the Harvard Medical School in Boston (MA, USA) a pioneer in proton therapy since 1959, selected a team led by Ion Beam Applications SA (IBA) to supply the proton therapy equipment of its new Northeast Proton Therapy Centre (NPTC),. The IBA integrated system includes a compact 235 MeV isochronous cyclotron, a short energy selection transforming the fixed energy beam extracted form the cyclotron into a variable energy beam, one or more isocentric gantries fitted with a nozzle, a system consisting of one or more horizontal beam lines, a global control system including an accelerator control unit and several independent but networked therapy control stations, a global safety management system, and a robotic patient positioning system. The present paper presents the equipment being built for the NPTC. (author)

Ion beam stabilization in ion implantation equipment

International Nuclear Information System (INIS)

Pina, L.

1973-01-01

The results are presented of experimental efforts aimed at ion beam current stabilization in an equipment for ion implantation in solids. The related problems of power supplies are discussed. Measured characteristics of laboratory equipment served the determination of the parameters to be required of the supplies as well as the design and the construction of the supplies. The respective wiring diagram is presented. (J.K.)

Specific properties of the electrical equipment in the nuclear steam supply system; Specificnosti elektricne opreme u primarnom djelu nuklearne elektrane

Energy Technology Data Exchange (ETDEWEB)

Smiljanic, D [Rade Koncar Institut, Zagreb (Yugoslavia)

1979-07-01

The paper presents description of reactor coolant pump motor in the primary coolant loop. The motor is treated as a representative of all electrical equipment in the nuclear steam supply system that has to meet all the requirements concerning reliability, minimum maintenance, radiation, seismic etc. (author)

[Improving a hospital's supply chain through lean management].

Science.gov (United States)

Aguilar-Escobar, V G; Garrido-Vega, P; Godino-Gallego, N

2013-01-01

Supply management is an area where hospitals have significant opportunities for improvement. The main objective of this paper has been to analyze how the application of Lean principles can improve logistics costs and user satisfaction. In connection with satisfaction, it also aimed to examine which aspects of the service define it and check for differences between different groups of users. The results of an experience to reorganize the hospital logistic system based on some Lean principles have been studied. This is therefore a case study, which combine different methods of data collection. The logistics cost calculation was carried out using the full costing method. To measure satisfaction of healthcare personnel, the internal logistics service users, an anonymous survey was conducted. Processing of the data obtained from the survey have included exploratory analysis, factor analysis and ANOVAs. The data have showed an improvement in logistics management after the implementation of Lean principles. Logistics costs were reduced and the satisfaction level of the internal users with the new logistics system was increased. Some differences in the degree of satisfaction by different groups of users were also detected, although they did not seem to distinguish between different aspects of logistic service. The analyzed experience shows the applicability and suitability of Lean principles to improve logistics operational costs and increase user satisfaction. Copyright © 2012 SECA. Published by Elsevier Espana. All rights reserved.

An unusual outbreak of nontuberculous mycobacteria in hospital respiratory wards: Association with nontuberculous mycobacterial colonization of hospital water supply network

Directory of Open Access Journals (Sweden)

Salvatore D′Antonio

2016-01-01

Full Text Available The incidence and prevalence of pulmonary nontuberculous mycobacterial (NTM infection is increasing worldwide arousing concerns that NTM infection may become a serious health challenge. We recently observed a significant increase of NTM-positive sputa samples from patients referred to respiratory disease wards of a large tertiary hospital in Rome. A survey to identify possible NTM contamination revealed a massive presence of NTM in the hospital water supply network. After decontamination procedures, NTM presence dropped both in water pipelines and sputa samples. We believe that this observation should encourage water network surveys for NTM contamination and prompt decontamination procedures should be considered to reduce this potential source of infection.

Results from Operational Testing of the Siemens Smart Grid-Capable Electric Vehicle Supply Equipment

Energy Technology Data Exchange (ETDEWEB)

Bennett, Brion [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2015-05-01

The Idaho National Laboratory conducted testing and analysis of the Siemens smart grid capable electric vehicle supply equipment (EVSE), which was a deliverable from Siemens for the U.S. Department of Energy FOA-554. The Idaho National Laboratory has extensive knowledge and experience in testing advanced conductive and wireless charging systems though INL’s support of the U.S. Department of Energy’s Advanced Vehicle Testing Activity. This document details the findings from the EVSE operational testing conducted at the Idaho National Laboratory on the Siemens smart grid capable EVSE. The testing conducted on the EVSE included energy efficiency testing, SAE J1772 functionality testing, abnormal conditions testing, and charging of a plug-in vehicle.

[Importance of material logistics in the interface management of operation departments: is the supply of sterile equipment a new business area of operation room organization?].

Science.gov (United States)

Schmeck, J; Schmeck, S B; Kohnen, W; Werner, C; Schäfer, M; Gervais, H

2008-08-01

The implementation of diagnosis-related groups (DRGs) sharply increased economic pressure on hospitals. Hence, process optimization was focussed on cost-intensive areas, namely the operation room (OR) departments. Work-flow in the OR is characterized by a mandatory interlocking of the job functions of many different occupational groups and the availability of a variety of different materials. Alternatives for staff assignment optimization have been published in numerous publications dealing with the importance of OR management. In this connection the issue of material logistics in the context of OR management has not been frequently addressed. In order to perform a surgical procedure according to plan, one depends on personnel and on timely availability of the materials needed. Supply of sterilized materials is of utmost importance, because in most hospitals sterilized surgical devices constitute a critical resource. In order to coordinate the OR process with the production flow of sterilized materials, an organizational connection to the OR management makes sense. Hence, in a German university hospital the Department of Hospital Sterile Supplies was integrated into the OR management of the Department of Anesthesiology. This led to a close coordination of work-flow processes, and concomitantly a significant reduction of production costs of sterile supplies could be achieved by direct interaction with the OR. Thus, hospital sterile supplies can reasonably be integrated into an OR management representing a new interesting business area for OR organization.

Mapping of iso exposure curves generated by conventional mobile radiodiagnostic equipment and dose in hospitalized patients

International Nuclear Information System (INIS)

Hoff, Gabriela; Fischer, Andreia Caroline Fischer da Silveira; Accurso, Andre; Andrade, Jose Rodrigo Mendes; Bacelar, Alexandre

2011-01-01

This paper intended to measure iso expositions curves in areas of mobile equipment use. It was selected: a Shimadzu mobile equipment and two Siemens equipment, being used a non-anthropomorphic scatterer. The exposure measurements in mesh of 4.20 x 4.20 cubic centimeters, at a half-height of the simulator and steps of 30 cm, were used by using the radiographic techniques: 100 k Vp and 63 m As (Shimadzu) and 96 k Vp and 40 m As (Siemens). For estimation of environmental equivalent dose, during 12 months, were considered: 3.55 m As/examination and 44.5 procedures/month (adults): and 3.16 m As/examination and 20.1 procedures/month (pediatrics). It was observed that only the values in the distance of 60 cm presented over the maximum limit of environment equivalent dose defined for Free Area (0.5 mSv/year). The points collected at 2.1 m from the primary beam center, have shown to be always 12% of referred limit, shown to be a safe distance for the hospitalized patients

7 CFR 3015.172 - Federal share of real property, equipment, and supplies.

Science.gov (United States)

2010-01-01

... equipment. To calculate the Federal share of replacement equipment the following procedures shall be...: Determine the percentage of the replacement equipment's costs that was covered by the amount received for... the step 2 percentage. (4) Step 4: If an additional outlay for the replacement equipment was charged...

Introducing DRG-based financing in Hungary : a study into the relationship between supply of hospital beds and use of these beds under changing institutional circumstances

NARCIS (Netherlands)

Kroneman, Madelon W.; Nagy, Júlia

2001-01-01

Most hospital reforms carried out in Europe over the past few decades concern the supply of hospital beds and hospital financing systems. In Hungary, financing was not tied to hospital input or output until a Diagnosis-Related-Group system was introduced. This change provided an opportunity to study

A way for reducing drug supply chain cost for a hospital district: A case study

Energy Technology Data Exchange (ETDEWEB)

Postacchini, L.; Ciarapica, F.E.; Bevilacqua, M.; Mazzuto, G.; Paciarotti, C.

2016-07-01

This work aims at providing insights to optimise healthcare logistic of the drug management, in order to deal with the healthcare expenditure cut. In this paper the effects of different drug supply chain configurations, on the resulting average stock, service level and Bullwhip effect, of the studied supply chain, is quantitatively assessed. A case study of an Italian district has been studied, taking into account three echelons: suppliers, central stock, and hospitals. A model of the various supply chain configurations has been created with the use of the simulation. Specifically, 24 supply chain configurations have been examined, stemming from the combination of several supply chain design parameters, namely: transshipment policies (Emergency Lateral Transshipment or Total Inventory Equalization); re-order and inventory management policies (Economic Order Quantity or Economic Order Interval); required service levels (90% or 95%); the number of available vans (one or two). For each configuration, hospital average stock, service level and a “Bullwhip effect” analysis are computed. To know which input variables are statistically significant, a DoE (Design of Experiments) analysis has been executed. The output of this paper provides useful insights and suggestions to optimize the healthcare logistic and drug supply chain. According to the developed DoE analysis, it can be stated that the introduction of transshipment policies provides important improvement in terms of service and stock levels. To reduce the Bullwhip effect, which results in a service level decreasing, and in a managing stock costs increasing, it is worth to adopt an EOQ re-order policy. This research gives practical recommendations to the studied system, in order to reduce costs and maintain a very satisfactory service level. This paper fulfils an identified need to study which combination of transshipment policies, re-order/inventory management policies and required service levels, can be the

A way for reducing drug supply chain cost for a hospital district: A case study

Directory of Open Access Journals (Sweden)

Leonardo Postacchini

2016-03-01

Full Text Available Purpose: This work aims at providing insights to optimise healthcare logistic of the drug management, in order to deal with the healthcare expenditure cut. In this paper the effects of different drug supply chain configurations, on the resulting average stock, service level and Bullwhip effect, of the studied supply chain, is quantitatively assessed. Design/methodology/approach: A case study of an Italian district has been studied, taking into account three echelons: suppliers, central stock, and hospitals. A model of the various supply chain configurations has been created with the use of the simulation. Specifically, 24 supply chain configurations have been examined, stemming from the combination of several supply chain design parameters, namely: transshipment policies (Emergency Lateral Transshipment or Total Inventory Equalization; re-order and inventory management policies (Economic Order Quantity or Economic Order Interval; required service levels (90% or 95%; the number of available vans (one or two. For each configuration, hospital average stock, service level and a “Bullwhip effect” analysis are computed. To know which input variables are statistically significant, a DoE (Design of Experiments analysis has been executed. Findings: The output of this paper provides useful insights and suggestions to optimize the healthcare logistic and drug supply chain. According to the developed DoE analysis, it can be stated that the introduction of transshipment policies provides important improvement in terms of service and stock levels. To reduce the Bullwhip effect, which results in a service level decreasing, and in a managing stock costs increasing, it is worth to adopt an EOQ re-order policy. Practical implications: This research gives practical recommendations to the studied system, in order to reduce costs and maintain a very satisfactory service level. Originality/value: This paper fulfils an identified need to study which combination of

Controlled power supply for isotopes separator

International Nuclear Information System (INIS)

Lavaitte, A.; Pottier, J.

1953-01-01

This equipment is destined to equip the separator of isotopes who is the subject of the CEA report n 138. It includes: - a controlled power supply in voltage. - a controlled power supply in current. The spectra of fluctuations of these assembly is different in the two cases. (authors) [fr

Emergency water supply facility for nuclear reactor

International Nuclear Information System (INIS)

Karasawa, Toru

1998-01-01

Water is stored previously in an equipment storage pit disposed on an operator floor of a reactor building instead of a condensate storage vessel. Upon occurrence of an emergency, water is supplied from the equipment storage pit by way of a sucking pipeline to a pump of a high pressure reactor core water injection circuit and a pump of a reactor-isolation cooling circuit to supply water to a reactor. The equipment storage pit is arranged in a building so that the depth thereof is determined to keep the required amount of water by storing water at a level lower than the lower end of a pool gate during normal operation. Water is also supplied from the equipment storage pit by way of a supply pipeline to a spent fuel storage pool on the operation floor of the reactor building. Namely, water is supplied to the spent fuel storage pool by a pump of a fuel pool cooling and cleaning circuit. This can eliminate a suppression pool cleaning circuit. (I.N.)

Nuclear power equipment procurement management under EPC mode

International Nuclear Information System (INIS)

Shuai Yuezhi

2014-01-01

Nuclear power equipment procurement is one of the major constraints and management difficulties in the process of domestic nuclear power project construction for a long time. The construction of Hainan Changjiang Project can not meet the milestones due to the major equipment supply delay. Through the introduction to the organization and features of Changjiang project equipment procurement under EPC mode, and the main problems in the procurement process and its reason analysis, the purpose of this paper is to put forward ideas and suggestions of these items, i.e. selection of equipment suppliers, equipment localization, mass material design and procurement, complete system equipment supply, spare parts delivery and storage, owner process management, providing reference for follow-up projects. (author)

Compliance testing of medical diagnostic x-ray equipment: three years experience of a public hospital in western Australia

International Nuclear Information System (INIS)

Tuchyna, T.; Jacob, C.S.

2000-01-01

Full text: A formal compliance testing program which began on 1 January 1997 called for all medical and diagnostic x-ray equipment to be tested according to protocols established by the Western Australian Radiological Council. This work describes the impact of the legislation three years post implementation on a major teaching Hospital with 45 x-ray tubes located throughout 37 rooms. Testing is performed prior to scheduled service by licensed compliance testers according to test methods specified in the Western Australian Compliance Testing Workbook, 1997. A dedicated non-invasive x-ray beam analyser is instrumental in accurately determining radiation output parameters of the generator and x-ray tube. Assessment of compliance is determined by a Qualified Expert. Repair and re-testing of non-compliant items is coordinated with service personnel. Notices of non-compliance were received for approximately 60% of the equipment in the Hospital following the equipment' first annual test. Reasons and seriousness of failure varied according to equipment category, test category, equipment use and age. The majority of non-compliance issues were resolved within 90 days. At the end of the third year of testing, approximately 75% of the x-ray units tested met the compliance criteria. The main reasons for non-compliance were found to be design limitations associated with old technology and the current radiation legislation that makes it difficult for older equipment to meet the stringent criteria. The number and categories of failure did not significantly decrease in the second or third years of testing. Exemptions from compliance criteria have been sought for two units on the basis of age and design. Units unable to meet the criteria following several repair attempts or where the cost of repair was deemed not justified, were decommissioned. Formal testing of medical x-ray equipment has demonstrated various non-compliance issues that did not significantly improve during the

Radiologic Equipment and Technicians according to the Distribution of the Population

International Nuclear Information System (INIS)

Yoon, Chul Ho; Choi, Jun Gu

2009-01-01

The purpose of this paper is to provide basic data in order to systematize the management of demand and supply of radiologic technicians, to pursue a fair regional distribution of educational institutions, and furthermore to keep reasonable medical treatment and fee. This research was carried out through the investigation of radiologic equipment and technicians according to the distribution of the population. We compared and analyzed the correlation between regional population, the number of clinics and hospitals, the number of medical imaging devices, and the number of radiologists and radiologic technicians in 5 cities without 'Gu' administrative units in 2008. 27,317 radiologic technicians have been produced since the administration of the national qualifying exam for radiologic technicians. About 18,000 radiologic technicians are currently working. There are 39 colleges or universities with Departments of Radiology and the admission quota is 2,120 students excluding one college. The ratio of radiologic equipment to radiologic technicians is 2.6 to 1. There is a dilemma in which some radiologic technicians fail to find appropriate jobs while some clinics or hospitals are in need of radiologic technicians. This dilemma is due to unreasonable regional discrepancies in pay system and welfare situation, and excessive profit-oriented recruiting system of clinics and hospitals. The increase of students of Radiologic Departments and approval of additional departments will end up with producing superfluous high academic degree holders, which is on the contrary to the government policy to produce more job opportunities. So the policy of increasing Radiologic Departments should be reconsidered.

Medication supply chain management through implementation of a hospital pharmacy computerized inventory program in Haiti.

Science.gov (United States)

Holm, Michelle R; Rudis, Maria I; Wilson, John W

2015-01-01

In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain. We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP) would optimize medication availability and decrease medication shortages. We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs. The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of 'real-time' medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055), respectively, and the mean logins per day increased from 24.3 to 31.5, psupply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization. An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.

Results from the Operational Testing of the Eaton Smart Grid Capable Electric Vehicle Supply Equipment

Energy Technology Data Exchange (ETDEWEB)

Bennett, Brion [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2014-10-01

The Idaho National Laboratory conducted testing and analysis of the Eaton smart grid capable electric vehicle supply equipment (EVSE), which was a deliverable from Eaton for the U.S. Department of Energy FOA-554. The Idaho National Laboratory has extensive knowledge and experience in testing advanced conductive and wireless charging systems though INL’s support of the U.S. Department of Energy’s Advanced Vehicle Testing Activity. This document details the findings from the EVSE operational testing conducted at the Idaho National Laboratory on the Eaton smart grid capable EVSE. The testing conducted on the EVSE included energy efficiency testing, SAE J1772 functionality testing, abnormal conditions testing, and charging of a plug-in vehicle.

Frederick National Lab Aids Liberian Hospitals Through Project C.U.R.E. | Frederick National Laboratory for Cancer Research

Science.gov (United States)

When Project C.U.R.E.'s much-needed medical supplies and equipment arrive in Liberia, the Frederick National Lab’s Kathryn Kynvin is there to receive and distribute the donations to hospitals who continue to treat survivors of the most recent Ebola

Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital in Belo Horizonte / Minas Gerais

Directory of Open Access Journals (Sweden)

Estevão Maria Campolina de Oliveira

2017-03-01

Full Text Available This study aimed to identify and analyze the factors that contribute to the effectiveness of the management of medical-care equipment at the Hospital of Federal University of Minas Gerais (HC-UFMG in Belo Horizonte, Minas Gerais. To achieve this goal, a case study was performed along with a field research at HC-UFMG, through interviews using a semi-structured questionnaire to professionals who handle and operate medical-care equipment; professionals who provide maintenance on equipment, and professionals who manage the operation and maintenance of equipment. As a strategy for discussion of the results, the Collective Subject Discourse (CSD was used supported by the analysis of the Central Idea (CI of each question or question groups. According to the CSD results, it was possible to identify factors that contribute to the effectiveness of the management of medical-care equipment, such as: professional qualification; practical knowledge; work professionalization; supervision focused on evaluation, development, results and continuous improvement; professional updating and technical support; individual accountability; adequate infrastructure; and implementation of equipment management planning. These factors indicate, to the institutions, opportunities of culture change and organizational growth.

Depletion of blood supply and cost due to indeterminate donations at the Guillermo Almenara Irigoyen National Hospital

Directory of Open Access Journals (Sweden)

Jeel Moya-Salazar

2017-06-01

Full Text Available Objective: To evaluate the depletion of blood supply and the cost due to indeterminate donations at Hospital Nacional Guillermo Almenara Irigoyen during 2014. Materials and methods: A retrospective cross-sectional study and a cost-utility analysis were conducted in donations showing results in the gray zone (sample value/cutoff value between >0.85 and <1 after a serological screening of seven infectious markers (HIV, HBsAg, HBcAb, HCV, HTLV-1/2, syphilis and Chagas disease and the simultaneous determination of the HIV Ag/Ab combo by means of a fourth generation ELISA. Data was encoded and tabulated using the e-Delphyn® system. The cost-utility analysis was performed considering the current exchange rate. Results: Out of 9,560 donations, 20.7% (1977 donations showed results in the gray zone which caused a loss of 863.9 liters of blood and USD 92,640. The highest and lowest rate of seroprevalence were observed in HBcAb with 10.18% (973 indeterminate test results and anti-HIV with 0.39% (47 indeterminate test results, respectively (p<0.05. No significant differences were found between the anti-HIV y HIV Ag/Ab combo screening methods (p=0.776. Conclusions: It was demonstrated that more than 800 liters of discarded blood generated a more than USD 90,000 cost due to indeterminate donations causing economic damages to the hospital budget and a depletion of blood supply available for patients at Hospital Nacional Guillermo Almenara Irigoyen.

Evidence-based approach to the maintenance of laboratory and medical equipment in resource-poor settings.

Science.gov (United States)

Malkin, Robert; Keane, Allison

2010-07-01

Much of the laboratory and medical equipment in resource-poor settings is out-of-service. The most commonly cited reasons are (1) a lack of spare parts and (2) a lack of highly trained technicians. However, there is little data to support these hypotheses, or to generate evidence-based solutions to the problem. We studied 2,849 equipment-repair requests (of which 2,529 were out-of-service medical equipment) from 60 resource-poor hospitals located in 11 nations in Africa, Europe, Asia, and Central America. Each piece of equipment was analyzed by an engineer or an engineering student and a repair was attempted using only locally available materials. If the piece was placed back into service, we assumed that the engineer's problem analysis was correct. A total of 1,821 pieces of medical equipment were placed back into service, or 72%, without requiring the use of imported spare parts. Of those pieces repaired, 1,704 were sufficiently documented to determine what knowledge was required to place the equipment back into service. We found that six domains of knowledge were required to accomplish 99% of the repairs: electrical (18%), mechanical (18%), power supply (14%), plumbing (19%), motors (5%), and installation or user training (25%). A further analysis of the domains shows that 66% of the out-of-service equipment was placed back into service using only 107 skills covering basic knowledge in each domain; far less knowledge than that required of a biomedical engineer or biomedical engineering technician. We conclude that a great majority of laboratory and medical equipment can be put back into service without importing spare parts and using only basic knowledge. Capacity building in resource-poor settings should first focus on a limited set of knowledge; a body of knowledge that we call the biomedical technician's assistant (BTA). This data set suggests that a supported BTA could place 66% of the out-of-service laboratory and medical equipment in their hospital back

How the reverse supply chain impacts the financial performance of original equipment manufacturers

DEFF Research Database (Denmark)

Larsen, Samuel

This thesis examines the financial impact of a firm’s reverse supply chain (RSC). Specifically, the thesis examines the two questions of how the RSC can contribute to the financial performance of the firm and which factors are decisive for the RSC’s financial contribution. The thesis focuses...... on original equipment manufacturers. The thesis results show that the RSC can contribute to the financial performance of the firm in more than 20 different ways, which the thesis defines as functions of the RSC. Examples of RSC-functions are 1) resale of recovered end-products to price-focused market segments...... in the firm’s primary markets, 2) resale to customers in new markets (in e.g. emerging economies), and 3) sale of used materials back the firm’s original material suppliers. The firm’ RSC can conduct several RSC-functions simultaneously and the financial benefits from operating these RSC-functions differ...

Remote handling equipment for CANDU retubing

International Nuclear Information System (INIS)

Crawford, G.S.; Lowe, H.

1993-01-01

Numet Engineering Ltd. has designed and supplied remote handling equipment for Ontario Hydro's retubing operation of its CANDU reactors at the Bruce Nuclear Generating Station. This equipment consists of ''Retubing Tool Carriers'' an'' Worktables'' which operate remotely or manually at the reactor face. Together they function to transport tooling to and from the reactor face, to position and support tooling during retubing operations, and to deliver and retrieve fuel channels and channel components. This paper presents the fundamentals of the process and discusses the equipment supplied in terms of its design, manufacturing, components and controls, to meet the functional and quality requirements of Ontario Hydro's retubing process. (author)

Performance management in the internal supply chain of an industry of equipment for refrigeration

Directory of Open Access Journals (Sweden)

Emílio Della Bruna Junior

2013-05-01

Full Text Available Supply chains are complex, conflicting and uncertain management environments, where the best alternatives are usually not previously know, they need to be built based on the managers objectives. For this reason, its decision-makers have been looking for management tools that expand their understanding in order to identify which objectives best represent their values regarding the decision context. With this in mind, this paper aims to develop a Performance Evaluation Model for the operations of the internal supply chain of an organization of the refrigeration equipment sector. The study adopts a mixture of qualitative and quantitative approaches and applies them through a case study. The data collection was conducted through unstructured interviews with the decision-maker as well as specialists appointed by him and supplemented by documentary research. The applied intervention instrument is the Multricriteria Decision Aid – Constructivist (MCDA-C due to its capacity of expanding the knowledge in the decision-maker about the consequences of his decisions on the criteria that he deems critical to the success of the company. One of the results of this research was the identification of the objectives that, according to the decision-maker perception, should drive the alternative definition process, as well as their organization, ordinal and cardinal measurement and integration. In addition, it can be highlighted the current situation diagnosis and elaboration of improvement actions, where the implementation effects of the Lean Philosophy and an Advanced Planning System are evaluated. The main contributions made by the article resides in the proposal of solutions for fulfilling gaps identified within the Supply Chain Performance Evaluation area and in the application of the MCDA-C to a real case.

The one million volt X-ray therapy equipment at St Bartholomew's Hospital, 1936-1960

International Nuclear Information System (INIS)

Innes, G.S.

1988-01-01

St Bartholomew's Hospital in 1934 placed a contract with Messrs Metropolitan Vickers, of Manchester, for an X-ray therapy equipment to operate at 600 kV, 2mA d.c., but with the proviso that every effort would be made to attain an operating condition of 1000 kV, 4mA. The X-ray tube and rectifiers were to be continuously evacuated and demountable. This meant that components such as filaments, anodes and the target could be easily replaced, so providing cheap maintenance and continuous availability of the plant. No specification exists today, but one was assembled from the minutes of the Cancer Committee of the hospital and the contract pricing. A brief outline historical review is also presented, particularly of the personalities involved, and the War years 1939-1945. (author)

46 CFR Sec. 12 - Disposition of removed equipment and scrap.

Science.gov (United States)

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Disposition of removed equipment and scrap. Sec. 12... CONTRACT-NSA-LUMPSUMREP Sec. 12 Disposition of removed equipment and scrap. (a) Article 8 of the NSA-LUMPSUMREP Contract provides that any ship equipment, fuel, lube oil, supplies, stores, furniture, fixtures...

Have Case Loads of Radical Surgery for Prostate Cancer Been Concentrated in Hospitals with Robotic Equipment ?―Analyses with Questionnaire Survey and Diagnostic Procedure Combination (DPC) Data―

OpenAIRE

塚本, 泰司; 田中, 滋

2016-01-01

We investigated whether installation of robot-assisted surgical equipment in hospitals resulted in concentration of the case loads of radical prostatectomy. We selected 11 areas with populations of around 1 million or more where there were one or more hospitals with robotic equipment and 4 or more without it. In addition, annual changes of case loads for prostatectomy over 4 years from 2010 to 2013 were clearly determined in these areas. The case loads were determined based on the results of ...

29 CFR 1926.951 - Tools and protective equipment.

Science.gov (United States)

2010-07-01

... falling objects, electric shock, or burns. (b) Personal climbing equipment. (1) Body belts with straps or...) Be equipped with three-wire cord having the ground wire permanently connected to the tool frame and... “Double Insulated”; or (iii) Be connected to the power supply by means of an isolating transformer, or...

Development of a Consensus Standard for School Equipment: NSF/NSSEA 380

Science.gov (United States)

Breitner, Ashlee

2011-01-01

For many years, the school supplies and equipment industry has investigated methods to ensure product safety and compliance across all its product categories. In early 2010, NSF International and the National School Supply and Equipment Association (NSSEA) came together to develop quality standards for products and equipment designed for use in…

Liderança e trabalho em equipe: um estudo de caso da equipe de enfermagem de um hospital geral de Belo Horizonte

Directory of Open Access Journals (Sweden)

Karla Rona Silva

2011-12-01

Full Text Available O trabalho em equipe é considerado um importante pressuposto para a reorganização do processo de trabalho. Essa modalidade visa uma abordagem mais integral, resolutiva e efetiva frente às atividades coletivas e interdisciplinares. Para a equipe de enfermagem este tipo de trabalho é de fundamental importância e depende de uma liderança capaz de gerenciar os conflitos e anseios que por ventura surgirem. Tal liderança, muitas vezes, eleita pelo próprio grupo, envolve a capacidade de influenciar pessoas. Assim, esse estudo tem por objetivo analisar o papel das lideranças e sua efetividade para o trabalho no interior de uma equipe assistencial de enfermagem. Os sujeitos da pesquisa em questão são quatro técnicos de enfermagem do setor de atendimento de urgência e emergência de um hospital geral de grande porte, localizado em Belo Horizonte. Uma vez que a questão da liderança apresenta-se, na maioria das vezes, de forma subjetiva, não sendo possível analisá-la em sua plenitude em questionários fechados, optou-se pela utilização da observação participante como principal ferramenta metodológica para coleta dos dados da pesquisa. Com o estudo, pode-se observar que a equipe, de uma forma geral, possui um bom entrosamento e uma postura ético-profissional pertinente ao desenvolvimento da assistência e do cuidado frente ao paciente. No entanto, a observação participante nos revelou a existência de uma liderança autoritária exercida por um dos membros da equipe. Apesar da insatisfação gerada nos demais membros da equipe, essa postura não prejudica o desenvolvimento do trabalho.

Equipment for x- and gamma ray radiography

International Nuclear Information System (INIS)

Abd Nasir Ibrahim; Azali Muhammad; Ab Razak Hamzah; Abd Aziz Mohamed; Mohammad Pauzi Ismail

2004-01-01

The following topics related to the equipment for x - and gamma ray radiography are discussed in this chapter. The topics are x-ray source for Industrial Radiography: properties of x-ray, generation of x-ray, mechanism of x-ray production, x-ray equipment, power supply, distribution of x-ray intensity along the tube: gamma ray source for Industrial Radiography: properties of gamma rays, gamma ray sources, gamma ray projectors on cameras, source changing. Care of Radiographic Equipments: Merits and Demerits of x and Gamma Rays

7 CFR 550.40 - Supplies and other expendable property.

Science.gov (United States)

2010-01-01

... is a residual inventory of unused supplies exceeding $5,000 in total aggregate value upon termination... 7 Agriculture 6 2010-01-01 2010-01-01 false Supplies and other expendable property. 550.40 Section... Management of Agreements Equipment/property Standards § 550.40 Supplies and other expendable property. (a...

Rotatividade da equipe de enfermagem: estudo em hospital-escola Rotación del equipo de enfermería: estudio en un hospital universitario Nursing staff turnover: a study at a school-hospital

Directory of Open Access Journals (Sweden)

Felícia Hiromi Nomura

2005-10-01

Full Text Available Este estudo é do tipo exploratório-descritivo de caráter retrospectivo, e teve o objetivo de mensurar e comparar as taxas de rotatividade da equipe de enfermagem do Hospital Universitário da Universidade de São Paulo. A população constituiu-se de 255 trabalhadores de enfermagem - 78 enfermeiras, 20 técnicos e 156 auxiliares que se desligaram do hospital no período de 1997 a 2000. Para mensurar a rotatividade foram utilizados indicadores globais, taxa de admissão e desligamento, taxa líquida de substituição e taxa de variação do número das posições de trabalho. A análise quantitativa dos dados permitiu concluir que a equipe de enfermagem, nesse hospital, apresenta baixa rotatividade.Este estudio es de tipo exploratorio-descriptivo de carácter retrospectivo y tuvo como objetivo medir y comparar las tasas de rotación del equipo de enfermería del Hospital Universitario de la Universidad de São Paulo. La población se constituyó de 255 trabajadores de enfermería - 78 enfermeras, 20 técnicos y 156 auxiliares que salieron del hospital en el período de 1997 a 2000. Para la mensuración de la rotación se utilizó indicadores globales, tasa de admisión y renuncia, tasa líquida de substitución y tasa de variación. El desarrollo de esta investigación permitió concluir que el equipo de enfermería en ese hospital presenta baja rotación.The goal of this exploratory-descriptive study was to measure and compare nursing staff turnover levels at the University Hospital of São Paulo University. The population consisted of 255 nursing workers - 78 nurses, 20 technicians and 156 auxiliaries - who resigned from the hospital between 1997 and 2000. Turnover levels were measured by means of global indicators, admission and resignation, net replacement on the job and variation rates. Quantitative data analysis indicated a low nursing staff turnover rate at this hospital.

Prophylactic and thermovision measurements of electric machines and equipment

International Nuclear Information System (INIS)

Jedlicka, R.; Brestovansky, L.

1996-01-01

High-voltage measurements of generators, unit and service transformers and some significant motor drives used at a nuclear power plant are described in this paper. Thermovision measurements of electric machines and distribution systems are dealt with in the second part of the paper. Power electric equipment represent one of the most significant components of a nuclear power plant. Turbine mechanical energy is converted into the electrical energy within these equipment. Power generated by generators is transformed by transformers so that it can achieve appropriate parameters for both the transmission over the distribution system and the power plant service power supply. The service power supply switchboards and cables provide supply to motors and other consumers necessary for the nuclear power plant technological process. The whole complex of equipment has to be maintained in good technical conditions. It is necessary to make thermovision and prophylactic measurements to identify and verify the electric equipment technical condition. The mentioned measurements warn the operation staff in advance against both gradual deterioration of power connection contact resistances, i.e. power connections overheating, and the machine insulation systems condition deterioration. The operation staff try to prevent the electric equipment operation accidents by early removing the detected failures, thus, improving the nuclear safety. In order to provide the above-mentioned activities a special prophylactic measurement group was established at the NPP Bohunice in 1983. The group specialists make following types of measurements. 1. Prophylactic measurements of electric machines. Prophylactics of 220 MW generators and 6 MW service power generators; Prophylactics of both unit and service transformers and VHV bushings; Prophylactics of major 6 kV motor drives. 2. Thermovision measurements of current connections. Measurements enumarated in paragraph 1 are made on disconnected electric

Pricing hospital care: Global budgets and marginal pricing strategies.

Science.gov (United States)

Sutherland, Jason M

2015-08-01

The Canadian province of British Columbia (BC) is adding financial incentives to increase the volume of surgeries provided by hospitals using a marginal pricing approach. The objective of this study is to calculate marginal costs of surgeries based on assumptions regarding hospitals' availability of labor and equipment. This study is based on observational clinical, administrative and financial data generated by hospitals. Hospital inpatient and outpatient discharge summaries from the province are linked with detailed activity-based costing information, stratified by assigned case mix categorizations. To reflect a range of operating constraints governing hospitals' ability to increase their volume of surgeries, a number of scenarios are proposed. Under these scenarios, estimated marginal costs are calculated and compared to prices being offered as incentives to hospitals. Existing data can be used to support alternative strategies for pricing hospital care. Prices for inpatient surgeries do not generate positive margins under a range of operating scenarios. Hip and knee surgeries generate surpluses for hospitals even under the most costly labor conditions and are expected to generate additional volume. In health systems that wish to fine-tune financial incentives, setting prices that create incentives for additional volume should reflect knowledge of hospitals' underlying cost structures. Possible implications of mis-pricing include no response to the incentives or uneven increases in supply. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Policy design in closed-loop supply chains for the integrated management of component recycling and spare parts supply in the electronics industry

Science.gov (United States)

Schroeter, Marcus; Spengler, Thomas

2004-02-01

The strategy to recover components from discarded electrical and electronic equipment to obtain spare parts is promising, especially during the final service phase. In that phase, the original product is no longer produced and the sources of new parts are often limited. Controlling those closed-loop supply chains is challenging. Decision makers have to choose when to acquire discarded equipment, when to recover used parts, and when to produce new parts. We developed a generic system dynamics model that provides a test for various proposed policies to control closed-loop supply chains with parts recovery and spare-parts supply.

47 CFR 76.1621 - Equipment compatibility offer.

Science.gov (United States)

2010-10-01

... 47 Telecommunication 4 2010-10-01 2010-10-01 false Equipment compatibility offer. 76.1621 Section... MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Notices § 76.1621 Equipment compatibility offer. Cable system... offer to supply each subscriber with special equipment that will enable the simultaneous reception of...

Prophylactic and thermovision measurements of electric machines and equipment

Energy Technology Data Exchange (ETDEWEB)

Jedlicka, R; Brestovansky, L [Atomova Elektraren Bohunice, Jaslovske Bohunice (Slovakia)

1997-12-31

High-voltage measurements of generators, unit and service transformers and some significant motor drives used at a nuclear power plant are described in this paper. Thermovision measurements of electric machines and distribution systems are dealt with in the second part of the paper. Power electric equipment represent one of the most significant components of a nuclear power plant. Turbine mechanical energy is converted into the electrical energy within these equipment. Power generated by generators is transformed by transformers so that it can achieve appropriate parameters for both the transmission over the distribution system and the power plant service power supply. The service power supply switchboards and cables provide supply to motors and other consumers necessary for the nuclear power plant technological process. The whole complex of equipment has to be maintained in good technical conditions. It is necessary to make thermovision and prophylactic measurements to identify and verify the electric equipment technical condition. The mentioned measurements warn the operation staff in advance against both gradual deterioration of power connection contact resistances, i.e. power connections overheating, and the machine insulation systems condition deterioration. The operation staff try to prevent the electric equipment operation accidents by early removing the detected failures, thus, improving the nuclear safety. In order to provide the above-mentioned activities a special prophylactic measurement group was established at the NPP Bohunice in 1983. The group specialists make following types of measurements. 1. Prophylactic measurements of electric machines. Prophylactics of 220 MW generators and 6 MW service power generators; Prophylactics of both unit and service transformers and VHV bushings; Prophylactics of major 6 kV motor drives. 2. Thermovision measurements of current connections. (Abstract Truncated)

CV equipment responsibilities

CERN Document Server

Pirollet, B

2008-01-01

This document describes the limits of the responsibilities of the TS/CV for fire fighting equipment at the LHC. The various interfaces, providers and users of the water supply systems and clean water raising systems are described.

22 CFR 226.35 - Supplies and other expendable equipment.

Science.gov (United States)

2010-04-01

... Section 226.35 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies...-Federal outside organizations for a fee that is less than private companies charge for equivalent services...

Analysis of hospital logistics and costs of the Clinical Engineering Sector in a Philanthropic Hospital

Directory of Open Access Journals (Sweden)

Antônio Artur de Souza

2014-12-01

Full Text Available Hospitals are considered complex organizations mainly due to the high cost of the health care structure employed for care. Reducing operating costs is a challenge for hospital managers. Particularly in the clinical engineering sector, adequate hospital logistics can reduce costs. In this context, the aim of the research was to analyze the activities of hospital logistics of the Clinical Engineering department at a charity hospital, focusing on cost reduction. The paper presents a case study in a large charity hospital located in the metropolitan region of Belo Horizonte, MG. The analysis focuses on the activities of hospital logistics at this hospital clinical engineering sector. The work in this sector is concentrated in the realization and implementation of equipment maintenance, to the detriment of efforts to reduce costs and increase safety for all streams managed by the sector. It was also found that there are risks of increased costs with inadequate routines: (i acquisition of new and large equipment; (ii maintenance and release schedule for use; and (iii the theft of equipment.

46 CFR 76.25-15 - Pumps and water supply.

Science.gov (United States)

2010-10-01

... 46 Shipping 3 2010-10-01 2010-10-01 false Pumps and water supply. 76.25-15 Section 76.25-15... EQUIPMENT Automatic Sprinkling System, Details § 76.25-15 Pumps and water supply. (a) An automatically controlled pump shall be provided to supply the sprinkling system and shall be used for no other purpose. The...

Fornecimento de hortifrutigranjeiros para unidades de alimentação e nutrição hospitalares The supply of fruits and vegetables for food and nutrition hospitals units

Directory of Open Access Journals (Sweden)

Aline Petter Schneider

2006-06-01

Full Text Available O fornecimento de hortifrutigranjeiros para o setor hospitalar é um importante segmento dentro da cadeia de suprimento agroalimentar. Este fornecimento demanda altos padrões de qualidade, incluindo o cumprimento de normas higiênico-sanitárias, padrão do tamanho, da forma, da procedência, da isenção de resíduos e agrotóxicos, entre outros. O objetivo deste estudo foi analisar o processo atual de fornecimento de hortifrutigranjeiros e identificar as necessidades e exigências das unidades hospitalares. A metodologia empregada foi a de estudo de múltiplos casos. Foram analisados os hospitais do município de Porto Alegre (Rio Grande do Sul, Brasil e a Central de Abastecimento e Distribuição de Hortifrutigranjeiros e seus distribuidores. Os resultados obtidos demonstram, por parte dos hospitais, grande preocupação quanto ao atual método de fornecimento, bem como a necessidade de um fornecimento especializado. No que se refere aos fornecedores, verificou-se o descumprimento de fatores considerados indispensáveis pelos hospitais, entre os quais o controle na utilização de agrotóxicos, as condições higiênico-sanitárias, a procedência e as condições de transporte. Como conclusão, verificou-se que o fornecimento atual não é eficiente e se dá de maneira inadequada, não atendendo a maioria dos requisitos hospitalares de fornecimento. Sugere-se a implementação da metodologia de Análise dos Perigos e Pontos Críticos de Controle, das Boas Práticas de Fabricação, do Gerenciamento da Cadeia de Suprimentos e do Cooperativismo, como propostas para a otimização do fornecimento.The food and vegetables supply to hospitals is an important part of food supply channel. This supply demands, among others, high patterns of quality, including size, shape, origin, low levels of residuals and pesticides, as well as the accomplishment of hygiene and sanitary rules. The aim of this study was to evaluate the current process of food and

Investments for medical equipment in a mother and child health hospital: correlation with level of services/departments.

Science.gov (United States)

Trevisanuto, Daniele; Raggi, Roberto; Bavuusuren, Bayasgalantai; Tudevdorj, Erkhembaatar; Doglioni, Nicoletta; Zanardo, Vincenzo

2011-02-01

To assess whether investments for medical equipments assigned by a team of experts to a mother and child health hospital located in Mongolia were correlated with structural, organizational, and educational level of its services/departments. A score was used for evaluating the level of each service/department. It was based on a 'structural area' and an 'organizational and educational area'. Destination of funds was determined by a team of experts in collaboration with the head of the service/department. Thirty-three of 36 services/departments (91.6%) were evaluated. A total sum of 4,432,140 Euros to invest in medical equipment was estimated. Assigned investments were inversely correlated with the total (structural plus organizational and educational area) score (n = 33; r =  -0.59; p = 0.0002), and the specific scores for structural area (n = 33; r = -0.46; p = 0.005) and organizational and educational area (n = 33; r =  -0.56; p = 0.0006). A large part of the funds for medical equipment was destined to services/departments with low organizational and educational conditions, limiting the potential effect of the aid meanwhile supporting the most in need departments. Educational efforts and monitoring of specific long-term indicators are mandatory.

Novel bed integrated ventilation method for hospital patient rooms

DEFF Research Database (Denmark)

Bivolarova, Mariya Petrova; Melikov, Arsen Krikor; Kokora, Monika

2014-01-01

This study presents a novel method for advanced ventilation of hospital wards leading to improved air quality at reduced ventilation rate. The idea is to evacuate the bio-effluents generated from patients’ body by local exhaustion before being spread in the room. This concept was realized by using...... a mattress having a suction opening from which bio-effluents generated from human body are exhausted. Experiments were conducted in a full-scale two-bed hospital room mock-up, 4.7 x 5.3 x 2.6 m3 (W x L x H). Only one of the patients’ beds was equipped with the ventilated mattress. The room was air...... conditioned via mixing total volume ventilation system supplying air through a ceiling mounted diffuser. All experiments were performed at room air temperature of 23ºC. A thermal manikin was used to simulate a polluting patient on the bed equipped with the ventilated mattress. Two heated dummies were used...

Production planning and control of closed-loop supply chains

NARCIS (Netherlands)

K. Inderfurth (Karl); R.H. Teunter (Ruud)

2001-01-01

textabstractMore and more supply chains emerge that include a return flow of materials. Many original equipment manufacturers are nowadays engaged in the remanufacturing business. In many process industries, production defectives and by-products are reworked. These closed-loop supply chains deserve

Non-invasive system for monitoring of the manufacturing equipment

Science.gov (United States)

Mazăre, A. G.; Belu, N.; Ionescu, L. M.; Rachieru, N.; Misztal, A.

2017-08-01

The automotive industry is one of the most important industries in the world that concerns the economy and the world culture. High demand has resulted in increasing of the pressure on the production lines. In conclusion, it is required more careful in monitoring of the production equipment not only for maintenance but also for staff safety and to increase the quality of production. In this paper, we propose a solution for non-invasive monitoring of the industrial equipment operation by measuring the current consumption on energy supply lines. Thus, it is determined the utilization schedule of the equipment and operation mode. Based on these measurements, it’s built an activity report for that equipment, available to the quality management and maintenance team. The solution consists of the current measuring equipment, with self-harvesting capabilities and radio transceiver, and an embedded system which run a server. The current measuring equipment will transmit data about consumption of each energy supply network line where is placed the industrial equipment. So, we have an internal measuring radio network. The embedded system will collect data for the equipment and put in a local data base and it will provide via an intranet application. The entire system not requires any supplementary energy supply and interventions in the factory infrastructure. It is experimented in a company from the automotive industries.

System for routine testing of self-contained and airline breathing equipment

Energy Technology Data Exchange (ETDEWEB)

McDermott, H.J.; Hermens, G.A.

1980-07-01

A system for routine testing of self-contained and airline breathing equipment, developed by Shell Oil Co., for testing breathing equipment at one of its refineries, consists of an 80 psig air supply for airline respirators; a 500-2100 psig air supply for self-contained units; a regulator test system which uses a mannequin head that simulates human inhalation and which tests the ability of the regulator to keep the mask interior at the correct positive pressure; and an exhalation valve test system which identifies a leaky or sticking valve. The testing system has been in use for about 30 mo and has led to increased acceptance of respiratory protective equipment by workers.

Vehicle to Electric Vehicle Supply Equipment Smart Grid Communications Interface Research and Testing Report

Energy Technology Data Exchange (ETDEWEB)

Kevin Morrow; Dimitri Hochard; Jeff Wishart

2011-09-01

Plug-in electric vehicles (PEVs), including battery electric, plug-in hybrid electric, and extended range electric vehicles, are under evaluation by the U.S. Department of Energy's Advanced Vehicle Testing Activity (AVTA) and other various stakeholders to better understand their capability and potential petroleum reduction benefits. PEVs could allow users to significantly improve fuel economy over a standard hybrid electric vehicles, and in some cases, depending on daily driving requirements and vehicle design, PEVs may have the ability to eliminate petroleum consumption entirely for daily vehicle trips. The AVTA is working jointly with the Society of Automotive Engineers (SAE) to assist in the further development of standards necessary for the advancement of PEVs. This report analyzes different methods and available hardware for advanced communications between the electric vehicle supply equipment (EVSE) and the PEV; particularly Power Line Devices and their physical layer. Results of this study are not conclusive, but add to the collective knowledge base in this area to help define further testing that will be necessary for the development of the final recommended SAE communications standard. The Idaho National Laboratory and the Electric Transportation Applications conduct the AVTA for the United States Department of Energy's Vehicle Technologies Program.

Equipment Obsolescence Management Program

Energy Technology Data Exchange (ETDEWEB)

Redmond, J.

2014-07-01

Nuclear Power Plant (NPP) Operators are challenged with securing reliable supply channels for safety related equipment due to equipment obsolescence. Many Original Equipment Manufacturers (OEMs) have terminated production of spare parts and product life-cycle support. The average component life cycles are much shorter than the NPP design life, which means that replacement components and parts for the original NPP systems are not available for the complete design life of the NPPs. The lack or scarcity of replacement parts adversely affects plant reliability and ultimately the profitability of the affected NPPs. This problem is further compounded when NPPs pursue license renewal and approval for plant-life extension. A reliable and predictable supply of replacement co components is necessary for NPPs to remain economically competitive and meet regulatory requirements and guidelines. Electrical and I and C components, in particular, have short product life cycles and obsolescence issues must be managed pro actively and not reactively in order to mitigate the risk to the NPP to ensure reliable and economic NPP operation. (Author)

[The hospital at Hillersleben Germany, April 1945].

Science.gov (United States)

Weisskopf, Varda

2014-01-01

On 6th April 1945, nine days before the liberation of the Bergen Belsen Concentration Camp, about 2,500 Jewish prisoners were ordered to prepare to leave the camp on the next day. On 7th April, the prisoners left through the gates of the camp and began to walk about 10 kilometers to the train station near the city of Celle. There they were ordered to board a train that would take them to the Theresienstadt Concentration Camp. After six days of travel, the train stopped near the village of Farsleben, Germany, where it was liberated by the 743rd Tank Battalion of the 30th Infantry Division, of the U.S. 9th Army, on 13th April 1945. The 105th Medical Battalion of the same Division was the primary care provider for the survivors, who were then taken in vehicles available from the 30th Infantry Division, and organized into a convoy by the Division's Liaison Officer, Lt. Frank W. Towers, to the town of Hillersleben. A former German Air Force Base was located at Hillersleben with a small hospital that could not provide medical attention to all the survivors. On 21st April, Company C of the 95th Medical Battalion, received an order to go to Hillersleben. Colonel Dr. William W. Hurteau, the Commanding Officer of this Battalion, determined that the biggest task given to the Battalion during World War II, was establishing another hospital in the town of Hillersleben and providing additional beds in the existing hospital, which was a structure that had served as a boarding school. Furthermore, they needed to acquire hospital equipment which was obtained from German equipment and supplies that had been captured by the U.S. MiLitary. Also, they took care of obtaining food supplies from German warehouses, and meat and milk from local dairy farms. The lives of the prisoners on this train were saved by the heroism and dedicated work of those brave soldiers of the 30th Infantry Division and the 95th Medical Battalion.

[The development of a portable life support device for transporting pre-hospital critically ill patients].

Science.gov (United States)

Song, Zhen-xing; Wu, Tai-hu; Meng, Xing-ju; Lu, Heng-zhi; Zheng, Jie-wen; Wang, Hai-tao

2012-06-01

To describe a portable life support device for transportation of pre-hospital patients with critical illness. The characteristics and requirements for urgent management during transportation of critically ill patients to a hospital were analyzed. With adoption of the original equipment, with the aid of staple of the art soft ware, the overall structure, its installation, fixation, freedom from interference, operational function were studied, and the whole system of life support and resuscitation was designed. The system was composed by different modules, including mechanical ventilation, transfusion, aspiration, critical care, oxygen supply and power supply parts. The system could be fastened quickly to a stretcher to form portable intensive care unit (ICU), and it could be carried by different size vehicles to provide nonstop treatment by using power supply of the vehicle, thus raising the efficiency of urgent care. With characteristics of its small size, lightweight and portable, the device is particularly suitable for narrow space and extreme environment.

Ninth international conference on metering and tariffs for energy supply. Proceedings

International Nuclear Information System (INIS)

1999-01-01

Contributions to the ninth international conference on Metering and Tariffs for Energy Supply are presented. Topics reviewed include legal metrology, regulation and the commercial framework (3 papers); metering in a competitive supply (7 papers); interactive papers (13 papers); standardisation (5 papers); equipment design (5 papers); equipment manufacture and testing (5 papers); data collection and processing (6 papers); securing and enhancing revenue (5 papers); prepayment systems (5 papers); and metering as a business (4 papers). (UK)

Adapting the neurology area of the Gustavo Fricke Hospital

Science.gov (United States)

Ankelen, A.; González, S.; Aguirre, L.

2007-11-01

Within the framework of the subject Clinical Engineering taught at Hospital Dr. Gustavo Fricke of Viña del Mar Chile, we were assigned to undertake a detailed study on the quality of the electrical power main supply of the Neurology Department, on account of reported malfunctioning of some equipment used in this unit. The study results indicated that the problems occurred only in a device for auditory evoked potentials device and, contrary to what was expected, the problem was unrelated to the quality of the electrical main supply. It was also found that the cause for the problem was electromagnetic interference (EMI) emitted from the system's very own components. To solve the problem, we built a Faraday Cage for the signal-processing unit and increased the separating distance among the various system components. This approach enhanced system performance and significantly improved the recorded signals of patients. The solution adopted from this experience was suggested to others health care centers of our country that had been experiencing similar difficulties with the same type of medical equipment.

Mo-99 supply issues: Status report and lessons learned

International Nuclear Information System (INIS)

Ponsard, B.

2010-01-01

The worldwide supply of 99 Mo relies on a limited number of research reactors and processing facilities. Its production is essential for the nuclear medicine as 99m Tc, obtained from 99 Mo/ 99m Tc generators, is used in about 80% of the diagnostic nuclear imaging procedures. These applications represent yearly approximately 30 million examinations worldwide. The short half-life's of 99 Mo (66 hours) and its daughter 99m Tc (6 hours) require a regular supply of 99 Mo/ 99m Tc generators to hospitals or central radiopharmacies. Currently, there are only five nuclear reactors involved in the production of 99 Mo on industrial scale: NRU (Canada), HFR (Netherlands), BR2 (Belgium), OSIRIS (France) and SAFARI (South Africa). They irradiate highly enriched uranium targets for the production of about 95% of the available 99 Mo by four processing facilities: AECL/MDS NORDION (Canada), COVIDIEN (Netherlands), IRE (Belgium) and NTP (South Africa). However, these ageing reactors are subject to unscheduled shutdowns and longer maintenance periods making the 99 Mo supply chain vulnerable and unreliable. Several severe disruptions have been experienced since the fall 2005 due to the occurrence of problems at different stages of the supply chain: reactor outages, release of activity from processing facilities, recall of 99 Mo/ 99m Tc generators by the manufacturers, ... It is not expected that the situation will improve significantly in the near future. Therefore, several workshops have been organized in 2009 by the OECD Nuclear Energy Agency (NEA), the International Atomic Energy Agency (IAEA) and the Association of Imaging Producers and Equipment Suppliers (AIPES) to define measures that should be taken to secure the 99 Mo supply in the short, medium and long term. This paper summarizes the current status of the 99 Mo supply, discusses the ongoing plans for additional 99 Mo production capacity and outlines the issues for a reliable global supply chain. (author)

Results from the Operational Testing of the General Electric Smart Grid Capable Electric Vehicle Supply Equipment (EVSE)

Energy Technology Data Exchange (ETDEWEB)

Carlson, Richard Barney [Idaho National Lab. (INL), Idaho Falls, ID (United States); Scoffield, Don [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bennett, Brion [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2013-12-01

The Idaho National Laboratory conducted testing and analysis of the General Electric (GE) smart grid capable electric vehicle supply equipment (EVSE), which was a deliverable from GE for the U.S. Department of Energy FOA-554. The Idaho National Laboratory has extensive knowledge and experience in testing advanced conductive and wireless charging systems though INL’s support of the U.S. Department of Energy’s Advanced Vehicle Testing Activity. This document details the findings from the EVSE operational testing conducted at the Idaho National Laboratory on the GE smart grid capable EVSE. The testing conducted on the EVSE included energy efficiency testing, SAE J1772 functionality testing, abnormal conditions testing, and charging of a plug-in vehicle.

DME Prosthetics Orthotics, and Supplies Fee Schedule

Data.gov (United States)

U.S. Department of Health & Human Services — Durable Medical Equipment, Prosthetics-Orthotics, and Supplies Fee Schedule. The list contains the fee schedule amounts, floors, and ceilings for all procedure codes...

46 CFR 197.340 - Breathing gas supply.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Breathing gas supply. 197.340 Section 197.340 Shipping... GENERAL PROVISIONS Commercial Diving Operations Equipment § 197.340 Breathing gas supply. (a) A primary breathing gas supply for surface-supplied diving must be sufficient to support the following for the...

Anesthesia Capacity in Ghana: A Teaching Hospital's Resources, and the National Workforce and Education.

Science.gov (United States)

Brouillette, Mark A; Aidoo, Alfred J; Hondras, Maria A; Boateng, Nana A; Antwi-Kusi, Akwasi; Addison, William; Hermanson, Alec R

2017-12-01

Quality anesthetic care is lacking in low- and middle-income countries (LMICs). Global health leaders call for perioperative capacity reports in limited-resource settings to guide improved health care initiatives. We describe a teaching hospital's resources and the national workforce and education in this LMIC capacity report. A prospective observational study was conducted at Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana, during 4 weeks in August 2016. Teaching hospital data were generated from observations of hospital facilities and patient care, review of archival records, and interviews with KATH personnel. National data were obtained from interviews with KATH personnel, correspondence with Ghana's anesthesia society, and review of public records. The practice of anesthesia at KATH incorporated preanesthesia clinics, intraoperative management, and critical care. However, there were not enough physicians to consistently supervise care, especially in postanesthesia care units (PACUs) and the critical care unit (CCU). Clean water and electricity were usually reliable in all 16 operating rooms (ORs) and throughout the hospital. Equipment and drugs were inventoried in detail. While much basic infrastructure, equipment, and medications were present in ORs, patient safety was hindered by hospital-wide oxygen supply failures and shortage of vital signs monitors and working ventilators in PACUs and the CCU. In 2015, there were 10,319 anesthetics administered, with obstetric and gynecologic, general, and orthopedic procedures comprising 62% of surgeries. From 2011 to 2015, all-cause perioperative mortality rate in ORs and PACUs was 0.65% or 1 death per 154 anesthetics, with 99% of deaths occurring in PACUs. Workforce and education data at KATH revealed 10 anesthesia attending physicians, 61 nurse anesthetists (NAs), and 7 anesthesia resident physicians in training. At the national level, 70 anesthesia attending physicians and 565 NAs cared for Ghana's population

Environmental cleaning resources and activities in Canadian acute care hospitals.

Science.gov (United States)

Zoutman, Dick E; Ford, B Douglas; Sopha, Keith

2014-05-01

Environmental cleaning interventions have increased cleaning effectiveness and reduced antibiotic-resistant organisms in hospitals. This study examined cleaning in Canadian acute care hospitals with the goal of developing strategies to improve cleaning and reduce antibiotic-resistant organism rates. Managers most responsible for environmental services (EVS) completed an extensive online survey that assessed EVS resources and cleaning practices. The response rate was 50.5%; 96 surveys were completed, representing 103 of 204 hospitals. Whereas 86.3% (82/95) of managers responsible for EVS reported their staff was adequately trained and 76.0% (73/96) that supplies and equipment budgets were sufficient, only 46.9% (45/96) reported that EVS had enough personnel to satisfactorily clean their hospital. A substantial minority (36.8%, 35/95) of EVS departments did not audit the cleaning of medical surgical patient rooms on at least a monthly basis. Cleaning audits of medical surgical patient rooms frequently included environmental marking methods in only one third (33.3%, 31/93) of hospitals and frequently included the measurement of residual bioburden in only 13.8% (13/94). There was a general need for increased and improved auditing of environmental cleaning in Canadian hospitals, and there were perceived EVS staffing deficits in the majority of hospitals. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

14 CFR 121.337 - Protective breathing equipment.

Science.gov (United States)

2010-01-01

... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Instrument and Equipment Requirements § 121.337... systems other than chemical oxygen generators, there must be a means to allow the crew to readily... fully charged. (iv) For each chemical oxygen generator, the supply system equipment must meet the...

Drinking water quality assessment and corrosion mitigation in the hospital water supply system of Chacas Village (Peru

Directory of Open Access Journals (Sweden)

Riccardo Bigoni

2014-07-01

Full Text Available Rural hospitals in developing countries often lack appropriate water treatments to assure their water needs. In these facilities, due to water different uses and its use with medical equipment, water quality problems can cause very hazardous situations. In particular, corrosion of water distribution systems is a common issue that can cause unwanted changes in water quality and failures of the distribution system’s pipes. These considerations suggest that a complete monitoring program and water treatments to control and guarantee the water quality would be required in each health-care facility. This study assessed the quality of the water at the rural hospital of Chacas (Peru as measured via specific physical-chemical and microbiological parameters. The results show that the chemical and microbiological qualities of the water generally worsen from catchment to the hospital’s taps. Moreover, this work investigated the effects of a dolomite limestone filter installed to adjust the quality of the water distributed at the hospital and thereby mitigate the water’s corrosiveness. Corrosion indices were calculated to provide useful information on the water’s corrosiveness and positive results were obtained in reducing corrosiveness after the installation of the dolomite filter.

30 CFR 75.811 - High-voltage underground equipment; grounding.

Science.gov (United States)

2010-07-01

...-voltage equipment supplying power to such equipment receiving power from resistance grounded systems shall... 30 Mineral Resources 1 2010-07-01 2010-07-01 false High-voltage underground equipment; grounding... COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Underground High-Voltage...

Orphee reactor experimental equipment

International Nuclear Information System (INIS)

1987-01-01

Experimental equipment around the ORPHEE reactor is presented. The neutron source; and the spectrometers and sample environment (inelastic and quasi-elastic scattering, elastic scattering, spread scattering, small angle scattering) are described. An experiment proposal and reports guide is supplied [fr

Integration of transport and handling equipment at CERN criteria to satisfy operational needs and safety aspects

CERN Document Server

Bertone, C; CERN. Geneva. TS Department

2004-01-01

Within the last 4 years TS-IC-HM (former ST-HM group) integrated about 150 transport and handling supplies including 29 cranes, 20 fork lift trucks, 60 tunnel vehicles. Most of these are standardised supplies, but very often special functionality has been implemented and the complexity of the equipment has been increased. With the Rocla cryo-dipol transporters even prototype equipment was integrated that had been specially designed for CERN. This paper discusses the differences regarding the actions that have to be performed when the different kind of equipment have to be integrated.

Improvements in electric power supply in coal mines

Energy Technology Data Exchange (ETDEWEB)

Minovskii, Yu.P.; Nabokov, Eh.P.; Savel' ev, G.P.

1985-01-01

Reviews measures taken by major coal producing countries to increase output levels. Discusses research carried out into advance design of equipment in FRG, UK, USA and France and proposes establishment of central automatic control of electric power supply system in Soviet mines, improvement in underground power supply equipment, increase in reliability, stabilization of standby capacity in low voltage circuits, maintenance-free electrical equipment, and efficient spare part storage in underground workings. States that introduction of the proposed system (details are given) will ensure that Soviet mines will eventually reach the development level of foreign mines. 2 refs.

eServices for Hospital Equipment

NARCIS (Netherlands)

De Jonge, M.; Van der Linden, W.P.M.; Willems, H.X.

2007-01-01

In this paper we explore the idea that by combining different sources of information in a hospital environment, valuable e-services canbe developed that may help in reducing cost and improving quality of service. Companies, like Philips Medical Systems, may have a compe-titive advantage, because

Enhancing reactor availability factor by diagnostic monitoring and data acquisition of electrical equipments

International Nuclear Information System (INIS)

Singh, G.

2006-01-01

Electrical energy has made significant contribution to rapid growth of industrial activity in the country. Development and improvement of energy conversion devices or electrical apparatus have supported the growth. Reliability is probably the most important factor in electrical supply system, not only to give uninterrupted service but to provide an economic supply. Regular diagnostic testing of electrical equipments will make a significant contribution to the reliability of electrical supply. The purpose of diagnostic monitoring is to recognize the development of faults at an early stage, which consequently allows greater freedom to schedule the outages resulting in lower downtime and lower capitalized losses. The insulation constitutes the heart of any electrical/power equipment. The insulation in power equipment in normal condition undergoes certain changes in the physical, chemical, electrical and mechanical properties. The change with respect to time in the presence of an influencing factor, more often a stress (electrical) is referred to as ageing. The deterioration of insulating material plays an important role in the assessing the condition of electrical equipments. The systematic diagnostic tests are also part of the maintenance program to ensure the continued serviceability of electrical equipments, by replacing or repairing the components likely to fail, as revealed by the test. Diagnostic tests are carried out on various electrical equipments for detection of incipient fault, location and judging their severity. (author)

Present and Future Supply of Registered Nurses.

Science.gov (United States)

Altman, Stuart H.

During the 1960's, nursing education shifted dramatically away from hospital-operated diploma schools toward associate degree and baccalaureate programs. This report examines the nature of this shift in training and its anticipated impact on future supply. Other important factors affecting the future supply of nurses are analyzed, including the…

10 CFR 600.135 - Supplies and other expendable property.

Science.gov (United States)

2010-01-01

... acquisition. If there is a residual inventory of unused supplies exceeding $5000 in total aggregate value upon... 10 Energy 4 2010-01-01 2010-01-01 false Supplies and other expendable property. 600.135 Section... Education, Hospitals, and Other Nonprofit Organizations Post-Award Requirements § 600.135 Supplies and other...

Charging equipment. Ladegeraet

Energy Technology Data Exchange (ETDEWEB)

Neumann, E

1981-09-17

The invention refers to a charging equipment, particularly on board charging equipment for charging traction batteries of an electric vehicle from the AC mains supply, consisting of a DC converter, which contains a controlled power transistor, a switching off unloading circuit and a power transmitter, where the secondary winding is connected in series with a rectifier diode, and a smoothing capacitor is connected in parallel with this series circuit. A converter module is provided, which consists of two DC voltage converters, whose power transistors are controlled by a control circuit in opposition with a phase displacement of 180/sup 0/.

Effectiveness of disinfectant wipes for decontamination of bacteria on patients' environmental and medical equipment surfaces at Siriraj Hospital.

Science.gov (United States)

Seenama, Chakkraphong; Tachasirinugune, Peenithi; Jintanothaitavorn, Duangporn; Kachintorn, Kanchana; Thamlikitkul, Visanu

2013-02-01

To determine the effectiveness of Virusolve+ disinfectant wipes and PAL disinfectant wipes for decontamination of inoculated bacteria on patients' environmental and medical equipment surfaces at Siriraj Hospital. Tryptic soy broths containing MRSA and XDR A. baumannii were painted onto the surfaces of patient's stainless steel bed rail, patient's fiber footboard, control panel of infusion pump machine and control panel of respirator. The contaminated surfaces were cleaned by either tap water, tap water containing detergent, Virusolve+ disinfectant wipes or PAL disinfectant wipes. The surfaces without any cleaning procedures served as the control surface. The contaminated surfaces cleaned with the aforementioned procedures and control surfaces were swabbed with cotton swabs. The swabs were streaked on agar plates to determine the presence of MRSA and XDR A. baumannii. MRSA and XDR A. baumannii were recovered from all control surfaces. All surfaces cleaned with tap water or tap water containing detergent revealed presence of both MRSA and XDR A. baumannii. However the amounts of bacteria on the surfaces cleaned with tap water containing detergent were less than those cleaned with tap water alone. All surfaces cleaned with PAL disinfectant wipes also revealed presence of both MRSA and XDR A. baumannii. However the amounts of bacteria on the surfaces cleaned with PAL disinfectant wipes were less than those cleaned with tap water containing detergent. No bacteria were recovered from all surfaces cleaned with Virusolve+ disinfectant wipes. Virusolve+ disinfectant wipes were more effective than tap water; tap water containing detergent and PAL disinfectant wipes for decontamination of bacteria inoculated on patients environmental and medical equipment surfaces at Siriraj Hospital.

46 CFR 113.10-9 - Power supply.

Science.gov (United States)

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.10-9 Section 113.10-9 Shipping COAST... SYSTEMS AND EQUIPMENT Fire and Smoke Detecting and Alarm Systems § 113.10-9 Power supply. (a) General... battery, the charger must be supplied from the final emergency power source. Upon loss of power to the...

The anti-hepatitis drug use effect and inventory management optimization from the perspective of hospital drug supply chain.

Science.gov (United States)

Liu, Zhanyu

2017-09-01

By analyzing the current hospital anti hepatitis drug use, dosage, indications and drug resistance, this article studied the drug inventory management and cost optimization. The author used drug utilization evaluation method, analyzed the amount and kind distribution of anti hepatitis drugs and made dynamic monitoring of inventory. At the same time, the author puts forward an effective scheme of drug classification management, uses the ABC classification method to classify the drugs according to the average daily dose of drugs, and implements the automatic replenishment plan. The design of pharmaceutical services supply chain includes drug procurement platform, warehouse management system and connect to the hospital system through data exchange. Through the statistical analysis of drug inventory, we put forward the countermeasures of drug logistics optimization. The results showed that drug replenishment plan can effectively improve drugs inventory efficiency.

21 CFR 866.4500 - Immunoelectrophoresis equipment.

Science.gov (United States)

2010-04-01

... (CONTINUED) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Immunology Laboratory Equipment and Reagents... clinical use with its electrical power supply is a device used for separating protein molecules...

46 CFR 113.43-5 - Power supply.

Science.gov (United States)

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.43-5 Section 113.43-5 Shipping COAST... SYSTEMS AND EQUIPMENT Steering Failure Alarm Systems § 113.43-5 Power supply. Each steering failure alarm system must be supplied by a circuit that: (a) Is independent of other steering gear system and steering...

Development of Supervisory Control and Data Acquisition (SCADA) Electrical Supply in Malaysian Nuclear Agency

International Nuclear Information System (INIS)

Zainudin Jaafar; Mohd Ashhar Khalid; Mohd Hanafiah Chik

2015-01-01

Nuclear Power supplies in Malaysia supplied from the power utility company Tenaga Nasional Berhad through several substations before reaching the building and equipment. The power supply is received and passed down through the 11000 V high voltage switch gears to 415 V 3-phase or 1-phase 240 V. The equipment used in this process is dangerous and monitoring hardware operating remotely (remote) is the best as only guard machinery may engage in business operations. Similarly, the supply of electrical parameters should be monitored to ensure safe and continuous supply of and according to the appropriate voltage for record and analysis when needed. This paper discusses the monitoring and data acquisition is performed using the system 'Supervisory Control And Data Acquisition (SCADA) was developed. (author)

Round table on the Supply Chain for NPPs construction: Localization - Daya Bay Experience; REEL Handling and Lifting Systems, More than 60 years expertise in lifting and handling equipment in production process

International Nuclear Information System (INIS)

Frantz, Philippe; Lachaise, Marc; Lau, Steven

2014-01-01

The second day afternoon began with the round table on the Supply Chain for NPPs construction with Philippe Frantz, President of REEL, Marc Lachaise, Head of procurement of NNB at EDF Energy, and Steven Lau, First Deputy General Manager of DNMC. Philippe Frantz started to present the activities and the contribution of REEL in the construction of NPPs as a main supplier of handling system. Then, Marc Lachaise took the lead to present Hinkley Point C Project, the Values of NNB and the key role of the supply chain in this Project. Steven Lau went on to describe the link of the supply chain with the operating of NPPs and explained the cooperation between EDF and CGNPC in order to secure the supply of equipment. Following their presentation, they started the open discussion with the audience by explaining their strategy to make or to buy and the link of this strategy to their core business. They also highlighted the new relations and the new partnership between supplier and customer. They insisted on the necessity to invest on supply chain and to have a strong Nuclear Safety Culture in the supply chain

46 CFR 197.312 - Breathing supply hoses.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Breathing supply hoses. 197.312 Section 197.312 Shipping... GENERAL PROVISIONS Commercial Diving Operations Equipment § 197.312 Breathing supply hoses. (a) Each breathing supply hose must— (1) Have a maximum working pressure that is equal to or exceeds— (i) The maximum...

Integrated reliability condition monitoring and maintenance of equipment

CERN Document Server

Osarenren, John

2015-01-01

Consider a Viable and Cost-Effective Platform for the Industries of the Future (IOF) Benefit from improved safety, performance, and product deliveries to your customers. Achieve a higher rate of equipment availability, performance, product quality, and reliability. Integrated Reliability: Condition Monitoring and Maintenance of Equipment incorporates reliable engineering and mathematical modeling to help you move toward sustainable development in reliability condition monitoring and maintenance. This text introduces a cost-effective integrated reliability growth monitor, integrated reliability degradation monitor, technological inheritance coefficient sensors, and a maintenance tool that supplies real-time information for predicting and preventing potential failures of manufacturing processes and equipment. The author highlights five key elements that are essential to any improvement program: improving overall equipment and part effectiveness, quality, and reliability; improving process performance with maint...

Nuclear electronics equipment for control and monitoring panel

International Nuclear Information System (INIS)

Roquefort, Henri

1980-09-01

The purpose of this document is to fix what terminology should be used, to define the main specifications of supplies and to specify the test methods recommended to check these specifications. This document applies to low and high voltage supply sub-units fed by AC or DC mains supply and delivering direct current under stabilised DC voltage. These sub-units are used in nuclear electronics equipment and especially for reactor monitoring. Following the definition of some terms, current notations and a bibliography, the characteristics section and the corresponding test methods section are developed. Each section deals in particular with: input and output characteristics, linearity and display errors, fluctuations, influence and operation errors, variations, drift (stability), variations with the main influence quantities: mains, temperature, load, transient variations, insulation, shielding, microbreakdowns, emergency supply, electromagnetic perturbation sensitivity, reliability, maintainability and characteristics specific to certain supplies used for the polarisation of radiation detectors [fr

The Mexican market for electrical equipment and services

International Nuclear Information System (INIS)

Robinson, J.

1994-05-01

Most of Mexico's electric power needs are supplied by the Comision Federal de Electricidad (CFE). Total installed capacity is ca 33,000 MW, of which ca 42% comes from oil-fired generation and 26% hydroelectric. Electricity consumption is expected to grow at ca 6%/y between 1993 and 2000; to meet this demand, CFE plans to build nearly 14,000 MW of additional generating capacity to cost ca $34 billion. A new law governing the electric power sector recently privatized electrical project construction and provided for private financing. Construction of all larger generation and transmission projects has been privatized, thereby deregulating and simplifying the bidding process for Canadian firms wishing to bid, subcontract, or supply equipment or materials. The most notable opportunities for Canadian firms are in transmission projects. The Mexican electrical manufacturing industry comprises ca 2,000 firms employing 150,000 people. Branch plants of global firms plus domestic companies supply over 70% of market demand. Production of equipment and materials for the electrical sector is well integrated with suppliers and customers, and manufacturers are seeking imports to replace abandoned product lines as the industry rationalizes. These, along with more sophisticated equipment not made in Mexico, provide opportunities for Canadian suppliers. The North American Free Trade Agreement gives preference to Canadians over offshore competitors, and eliminates many barriers to exports. Canada's Export Development Corporation provides financing with a line of credit for the electrical sector. Marketing in Mexico is best done through personal visits and capable local representation. A directory of Mexican electrical manufacturers who import is appended. 1 tab

33 CFR 157.170 - COW equipment: Removal.

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false COW equipment: Removal. 157.170... Crude Oil Washing (COW) System on Tank Vessels Cow Operations § 157.170 COW equipment: Removal. (a) Whenever a deck mounted COW machine is removed from the tank, the master shall ensure that: (1) The supply...

Optimal placement of switching equipment in reconfigurable distribution systems

Directory of Open Access Journals (Sweden)

Mijailović Vladica

2011-01-01

Full Text Available This paper presents a comparative analysis of some measures that can improve the reliability of medium-voltage (MV distribution feeder. Strictly speaking, the impact of certain types of switching equipment installed on the feeder and possibilities of backup supply from the adjacent feeders were analyzed. For each analyzed case, equations for the calculation of System Average Interruption Duration Index and energy not delivered to the customers are given. The effects of certain measures are calculated for one real MV-feeder for radial supply to customers and in cases of possible backup supply to the customers. Installation locations of certain types of switching equipment for the given concept of energy supply are determined according to the criterion of minimum value of System Average Interruption Duration Index and according to the criterion of minimum value of energy not delivered to the customers.

An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh

Directory of Open Access Journals (Sweden)

Hoque Dewan ME

2012-12-01

Full Text Available Abstract Background Quality hospital care is important in ensuring that the needs of severely ill children are met to avert child mortality. However, the quality of hospital care for children in developing countries has often been found poor. As the first step of a country road map for improving hospital care for children, we assessed the baseline situation with respect to the quality of care provided to children under-five years age in district and sub-district level hospitals in Bangladesh. Methods Using adapted World Health Organization (WHO hospital assessment tools and standards, an assessment of 18 randomly selected district (n=6 and sub-district (n=12 hospitals was undertaken. Teams of trained assessors used direct case observation, record review, interviews, and Management Information System (MIS data to assess the quality of clinical case management and monitoring; infrastructure, processes and hospital administration; essential hospital and laboratory supports, drugs and equipment. Results Findings demonstrate that the overall quality of care provided in these hospitals was poor. No hospital had a functioning triage system to prioritise those children most in need of immediate care. Laboratory supports and essential equipment were deficient. Only one hospital had all of the essential drugs for paediatric care. Less than a third of hospitals had a back-up power supply, and just under half had functioning arrangements for safe-drinking water. Clinical case management was found to be sub-optimal for prevalent illnesses, as was the quality of neonatal care. Conclusion Action is needed to improve the quality of paediatric care in hospital settings in Bangladesh, with a particular need to invest in improving newborn care.

Maintenance and fabrication of electronic equipment

International Nuclear Information System (INIS)

Chung, Chong Eun; Moon, Byung Soo; Hong, Suk Boong; Kim, Yong Keun; Kim, Jung Bok

2003-12-01

Development of radiation monitoring equipment could be the base of domestic development of RMS. And the technique could be adapted to development of other radiation equipment of KAERI as well as hospitals and nuclear power plants. The RMS technology could be adapted to the development of precision instruments related to nuclear radiation and be the base of fundamental technology such as protein structure analysis of bio technology, development of nano advanced material and aircraft material. The technology of multi-channel readout ASIC for nuclear radiation detector, which has been imported from abroad, could be adapted to development of radiation equipment for image processing, position of detection, NDT etc., and also the technique will be expected to contribute to increase the use of radiation technology to industrial applications

Changes in distribution of bone densitometry equipment from 1996 to 2006 in Japan.

Science.gov (United States)

Yamauchi, Hirose; Fukunaga, Masao; Nishikawa, Akira; Orimo, Hajime

2010-01-01

Many types of bone densitometry equipment are available in Japan, but the numbers of such machines and the numbers of institutions that offer bone densitometry have not been clarified. We analyzed the data from annual surveys conducted by the Japan Osteoporosis Foundation from 1996 to 2006, and we obtained the following results on the use of densitometry equipment: (1) In 1996 there were 6,687 units of bone densitometry equipment in 6,483 institutions in Japan; in 2006 there were 16,371 units in 15,020 institutions. (2) In 2006, of the types of institutions with bone densitometry equipment, the number of clinics was the highest, followed in order by general hospitals, other types of institutions, screening institutions and university hospitals. Rates of increase in the installation of equipment in clinics and other types of institutions were high during the 11-year period from 1996. (3) From 1996 to 2006 the region of interest most frequently used for bone densitometry was the radius. However, during the 11-year period, the proportion of radial densitometry equipment in all institutions with bone densitometry equipment decreased, whereas the proportion of calcaneal densitometry equipment increased. (4) The number of dual-energy X-ray absorptiometry (DXA) units was the highest from 1996 to 2006. However, the proportion of DXA machines in all institutions with bone densitometry equipment decreased over the 11-year period, whereas the proportion of quantitative ultrasound (QUS) machines increased. (5) In 2006, bone densitometry equipment was available in 118 institutions per million Japanese people. Central DXA (spine/hip) equipment was available in 15 per million, radial DXA equipment in 63 per million, and calcaneal QUS equipment in 44 per million. (6) In 2006, among those places with bone densitometry equipment, 46% of university hospitals, 14% of general hospitals, 12% of screening institutions, 5% of clinics, and 6% of other types of institutions possessed more

Integrating hospitals into community emergency preparedness planning.

Science.gov (United States)

Braun, Barbara I; Wineman, Nicole V; Finn, Nicole L; Barbera, Joseph A; Schmaltz, Stephen P; Loeb, Jerod M

2006-06-06

Strong community linkages are essential to a health care organization's overall preparedness for emergencies. To assess community emergency preparedness linkages among hospitals, public health officials, and first responders and to investigate the influence of community hazards, previous preparation for an event requiring national security oversight, and experience responding to actual disasters. With expert advice from an advisory panel, a mailed questionnaire was used to assess linkage issues related to training and drills, equipment, surveillance, laboratory testing, surge capacity, incident management, and communication. A simple random sample of 1750 U.S. medical-surgical hospitals. Of 678 hospital representatives that agreed to participate, 575 (33%) completed the questionnaire in early 2004. Respondents were hospital personnel responsible for environmental safety, emergency management, infection control, administration, emergency services, and security. Prevalence and breadth of participation in community-wide planning; examination of 17 basic elements in a weighted analysis. In a weighted analysis, most hospitals (88.2% [95% CI, 84.1% to 92.3%]) engaged in community-wide drills and exercises, and most (82.2% [CI, 77.8% to 86.5%]) conducted a collaborative threat and vulnerability analysis with community responders. Of all respondents, 57.3% (CI, 52.1% to 62.5%) reported that their community plans addressed the hospital's need for additional supplies and equipment, and 73.0% (CI, 68.1% to 77.9%) reported that decontamination capacity needs were addressed. Fewer reported a direct link to the Health Alert Network (54.4% [CI, 49.3% to 59.5%]) and around-the-clock access to a live voice from a public health department (40.0% [CI, 35.0% to 45.0%]). Performance on many of 17 basic elements was better in large and urban hospitals and was associated with a high number of perceived hazards, previous national security event preparation, and experience in actual

Knowledge, perceptions and practices of healthcare workers regarding the use of respiratory protection equipment at Iran hospitals.

Science.gov (United States)

Honarbakhsh, Marzieh; Jahangiri, Mehdi; Ghaem, Haleh

2018-01-01

Using appropriate respiratory protection equipment (RPE) is very important to protect healthcare workers (HCWs) against respiratory hazards. The aim of this study was to identify the level of knowledge, perceptions and practices of HCWs on using RPE. This cross-sectional study was conducted with 284 employees of educational hospitals affiliated to Shiraz University of Medical Sciences. The study's instrument was a self-made questionnaire that comprised four components: demographic inquiries and questions designed to assess the knowledge, perceptions and practice of HCWs regarding RPE. Collected data were analysed using SPSS software version 21. Average scores of knowledge, perceptions and practice of HCWs on using RPE were 66.50% ± 11.93%, 80.32% ± 10.05% and 70.12% ± 20.51%, respectively. A significant association was observed between knowledge and age, job experience, history of using respirator, marital status and risk of respiratory hazards in the workplace and perceptions with age and education and practice with education. Studied HCWs had positive perceptions and moderate level of knowledge and practice about the use of RPE. Full implementation of respiratory protection program in the hospitals would be helpful to improve the knowledge, perceptions and practices of HCWs regarding RPE.

15 CFR 740.12 - Gift parcels and humanitarian donations (GFT).

Science.gov (United States)

2010-01-01

... (including vitamins); medicines, medical supplies and devices (including hospital supplies and equipment and... short wave publicly available frequency bands, and batteries for such equipment; clothing; personal... economic growth, such as dams and hydroelectric plants; or (iii) Exports to Cuba of medical items excluded...

Status of the maintenance for the KEK 12GEV-PS main ring and power supply

International Nuclear Information System (INIS)

Sato, Hikaru; Igarashi, Susumu; Marutsuka, Katsumi; Mikawa, Katsuhiko; Shirakata, Masashi; Sueno, Tsuyoshi; Tokuda, Noboru

2004-01-01

More than 30 years passed since the KEK 12GeV-PS construction, some of accelerator equipments are highly radiated, especially the injection and the extraction equipments. In recent years, the higher intensity beam has been required for such as the long baseline neutrino oscillation experiment and rare decay experiments. Then, the circumference of the maintenance work has become severe. Further, almost equipments of main ring and power supply have deteriorated. Status of the Maintenance for the KEK 12GeV-PS main ring and power supply are presented. (author)

Instrumentation qualification. Seismic qualification of C-E instrumentation equipment. Part One

International Nuclear Information System (INIS)

1977-05-01

A summary of the C-E seismic qualification program utilized to demonstrate the seismic design adequacy of the instrumentation and control equipment used in C-E supplied Nuclear Steam Supply Systems (NSSS) is presented. The report is divided into two parts. Part One includes the equipment seismic requirements and a description of the qualification methods. Part Two lists the specific equipment by nuclear station in which it is used and the equipment test results are summarized in a standard data sheet format to facilitate review. The seismic requirements are based on individual contract commitments with C-E customers and the NRC Standard Review Plan, Section 3.10 ''Seismic Qualification of Category I Instrumentation and Electrical Equipment.'' Equipment is qualified for use in a seismic environment where damage potential to the equipment is less than or equal to that simulated seismic environment to which it has been qualified. The anticipated Safe Shutdown Earthquake (SSE) environment at the inservice location of equipment should be confirmed by each applicant as not exceeding that to which it is qualified

New Equipping Strategies for Combat Support Hospitals

Science.gov (United States)

2010-01-01

Combat and Doctrine Development and COL Timothy Lamb , supported by MAJ Gary Cooper, included members of our team in visits to Sierra Army Depot and...aspect of improving materiel stew - ardship is improving the quality of data related to the procurement, maintenance, and upgrading of equipment

Power supplies and equipment for military field research: lessons from the British Service Dhaulagiri Research Expedition 2016.

Science.gov (United States)

Howard, Matt; Bakker-Dyos, J; Gallagher, L; O'Hara, J P; Woods, D; Mellor, A

2018-02-01

The British Service Dhaulagiri Research Expedition (BSDMRE) took place from 27 March to 31 May 2016. The expedition involved 129 personnel, with voluntary participation in nine different study protocols. Studies were conducted in three research camps established at 3600, 4600 and 5140 m and involved taking and storing blood samples, cardiac echocardiography and investigations involving a balance plate. Research in this remote environment requires careful planning in order to provide a robust and resilient power plan. In this paper we aim to report the rationale for the choices we made in terms of power supply, the equipment used and potential military applicability. This is a descriptive account from the expedition members involved in planning and conducting the medical research. Power calculations were used to determine estimates of requirement prior to the expedition. The primary sources used to generate power were internal combustion engine (via petrol fuelled electric generators) and solar panels. Having been generated, power was stored using lithium-ion batteries. Special consideration was given to the storage of samples taken in the field, for which electric freezers and dry shippers were used. All equipment used functioned well during the expedition, with the challenges of altitude, temperature and transport all overcome due to extensive prior planning. Power was successfully generated, stored and delivered during the BSDMRE, allowing extensive medical research to be undertaken. The challenges faced and overcome are directly applicable to delivering military medical care in austere environments, and lessons learnt can help with the planning and delivery of future operations, training exercises or expeditions. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

STATE OF WATER SUPPLY INFRASTRUCTURE IN THE SUBCARPATHIAN CITIES

Directory of Open Access Journals (Sweden)

Katarzyna PIETRUCHA-URBANIK

Full Text Available The characteristics of equipping the Subcarpathian province cities with water supply infrastructure was made on the basis of data collected from the Provincial Office, Statistical Office, reports submitted by water companies regarding the functioning of water supply infrastructure and literature data. The indicators characterizing water supply infrastructure were determined for the years 1995-2014. In the paper the indicators of equipping cities with water supply systems were presented. Also water consumption and changes in the length of the water supply network in the cities of the Subcarpathian Province were examined. The analysis shows that the water consumption for the years 1995-2014 decreased by almost 6 m3∙year-1 per capita. The reason for such situation was the increasing price of water and the ecological awareness of the inhabitants of the Subcarpathian region. In the last year of the analysis the water supply system in urban areas of the Subcarpathian province was used by 95% of the population and, for comparison, in rural areas by 77% of the population. In the paper also changes in prices for water in the Subcarpathian region were shown, on the basis of data from the water tariffs in individual water companies. The important element of urban development is the technical infrastructure which reduces the investment costs. The determined indicators of equipping cities with water supply systems show an upward trend in the development of technical infrastructure. Based on the operational data from the water companies the failure rates in selected water supply networks were determined.

46 CFR 113.25-6 - Power supply.

Science.gov (United States)

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.25-6 Section 113.25-6 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) ELECTRICAL ENGINEERING COMMUNICATION AND ALARM SYSTEMS AND EQUIPMENT General Emergency Alarm Systems § 113.25-6 Power supply. The emergency power source...

Remotely operated replaceable process equipment

International Nuclear Information System (INIS)

Westendorf, H.

1987-01-01

The coupling process of pneumatic and electrical auxiliary lines of a pneumatic control pressure line in a large cell of the reprocessing plant is carried out, together with the coupling process of the connecting flange of the process equipment. The coupling places of the auxiliary lines, such as control or supply lines, are laid in the flange parts of the flanges to be connected. The pipe flange on the frame side remains flush with the connecting flange of the process equipment. (DG) [de

30 CFR 77.1707 - First aid equipment; location; minimum requirements.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false First aid equipment; location; minimum... OF UNDERGROUND COAL MINES Miscellaneous § 77.1707 First aid equipment; location; minimum requirements. (a) Each operator of a surface coal mine shall maintain a supply of the first aid equipment set forth...

A Policy study on stabilization of heating oil supply and demand

Energy Technology Data Exchange (ETDEWEB)

Lee, Bok Jae [Korea Energy Economics Institute, Euiwang (Korea)

1999-03-01

As a principal heating fuel for household and commercial sector, and a heat source fuel for industry, the heating oil shows its great demand intensively during a specific period (wintertime) due to its characteristics. It represents that the fluctuation of heating oil demand throughout the year is very extreme. Therefore, the stable supply of heating oil has been rising as an important task. It is desirable to develop and supply a new type of heating oil compounded of kerosene and gasoline with appropriate ratio for short- and mid-term to have a stable supply and demand of heating oil. For long-term prospect, it is desirable to supply petroleum products mixing gasoline and B-C oil as heating oil when it is equipped with combustion technology of boiler and distribution system. In this case, it is required to have investment on infrastructure for the supply of new heating oil (mixture of gasoline and B-C oil) and a proper preparatory period for the conversion of equipment (such as a boiler). The vitalization of storing oil is essential to stabilize the supply and demand of heating oil. In order to vitalize it, the price of heating oil should be determined by a market function reflecting the seasonal supply and demand circumstances. (author). 101 refs., 5 figs., 83 tabs.

Geothermal heat-pump systems of heat supply

International Nuclear Information System (INIS)

Vasil'ev, G.P.

2004-01-01

The data on the multilayer operation of the objects, located in the climatic conditions of the central area of Russia and equipped with the geothermal heat-pumping systems of the heat supply are presented. The results of the analytical studies on evaluating the geothermal heat-pumping systems of the heat supply integration efficiency into the structure of the energy supply system, prevailing in the country, are presented [ru

Analysis of Medical Equipment Management in Relation to the Mandatory Medical Equipment Safety Manager (MESM in Japan

Directory of Open Access Journals (Sweden)

Kai Ishida

2014-01-01

Full Text Available Half a decade has passed since the fifth revision of the medical law and mandatory appointment of a medical equipment safety manager (MESM in hospitals in Japan. During this period, circumstances have changed regarding maintenance of medical equipment (ME. We conducted a survey to examine these changes and the current situation in ME management. Maintenance of ME and related work were found to have increased in many hospitals, but the number of clinical engineering technologists (CETs has only slightly increased. The appointed MESM was a CET or physician in most hospitals. In hospitals where physicians were appointed as the MESM, 81% had operation managers. Many respondents commented that it was difficult for one person to cover all the tasks required by the MESM, due to a lack of knowledge, too much work, or other reasons. This suggests the importance of an operation manager for ME to work under the MESM.

Protective and control relays as coal-mine power-supply ACS subsystem

Science.gov (United States)

Kostin, V. N.; Minakova, T. E.

2017-10-01

The paper presents instantaneous selective short-circuit protection for the cabling of the underground part of a coal mine and central control algorithms as a Coal-Mine Power-Supply ACS Subsystem. In order to improve the reliability of electricity supply and reduce the mining equipment down-time, a dual channel relay protection and central control system is proposed as a subsystem of the coal-mine power-supply automated control system (PS ACS).

Estimating Supplies Program (ESP), Version 1.00, User's Guide

National Research Council Canada - National Science Library

Tropeano, Anne

2000-01-01

The Estimating Supplies Program (ESP) is an easy to use Windows(TM)-based software program for military medical providers, planners, and trainers that calculates the amount of supplies and equipment required to treat a patient stream...

RFID solution benefits Cambridge hospital.

Science.gov (United States)

James, Andrew

2013-10-01

Keeping track of thousands of pieces of equipment in a busy hospital environment is a considerable challenge, but, according to RFID tagging and asset tracking specialist, Harland Simon, RFID technology can make the task considerably simpler. Here Andrew James, the company's RFID sales manager, describes the positive benefits the technology has brought the Medical Equipment Library (MEL) at Addenbrooke's Hospital, one of the world's most famous teaching hospitals.

Quantitative techniques for medical equipment maintenance management

NARCIS (Netherlands)

Ben Houria, Zeineb; Masmoudi, Malek; Al Hanbali, Ahmad; Khatrouch, Ikram; Masmoudi, Faouzi

2016-01-01

The maintenance department in a hospital is responsible for ensuring the safety of medical equipment and their availability while keeping the operation costs minimal. The selection of the best maintenance strategy is a key decision to reduce the equipment downtime, increase the availability, and

42 CFR 410.38 - Durable medical equipment: Scope and conditions.

Science.gov (United States)

2010-10-01

... or purchase of durable medical equipment, including iron lungs, oxygen tents, hospital beds, and wheelchairs, if the equipment is used in the patient's home or in an institution that is used as a home. (b... vehicle whose steering is operated by an electronic device or a joystick to control direction and turning...

FEATURES OF SCIENTIFIC INVESTIGATIONS CONDUCTED IN THE LABORATORIES OF THE DEPARTMENT OF WATER SUPPLY OF MGSU

OpenAIRE

Nikitina Irina Nikolaevna; Eremeev Aleksandr Vladimirovich

2016-01-01

The article focuses on the work of the laboratories of the Department of Water Supply of MGSU. The laboratory of pipe-lines, pumping equipment and sanitary equipment operates in MGSU affiliated to the department of water supply. A hydraulic stand for testing and defining the the hydraulic characteristics of pressure and free-flow pipelines of water supply and sewerage systems is installed there. There are also stands for investigating the sanitary equipment of the buildings, the fire and hot ...

Development of equipment qualification requirements for NPP instrumentation and control systems

International Nuclear Information System (INIS)

Siora, A. A.; Reshetitskij, S. V.; Harybin, A. V.

2012-01-01

The main stages of equipment qualification are presented. The aim of the work is to ensure compatibility between Ukrainian and international requirements. A comparison with US NRC requirements has been done. The approach in equipment qualification is presented for the resistance to: irradiation; dust; seismic motion, vibrations and mechanical impact; environmental impact (temperature, humidity, pressure); power supply parameters etc., as well as the technological testing

If I were a band-aid, where would I be? Researching the use and location of supplies on two patient units.

Science.gov (United States)

Bazuin, Doug; Martinez, Jessica; Harper, Kathy; Okland, Kathy; Bergquist, Patricia; Kumar, Shilpi

2015-01-01

The purpose of this study was to gain insight into the use and storage of supplies in the neonatal intensive care and women's health units of Parkland Hospital in Dallas, Texas. Construction of a new Parkland Hospital is underway, with completion of the 862-bed, 2.5-million square feet hospital in 2014. Leaders from the hospital and representatives from one of its major vendors collaborated on a research study to evaluate the hospital's current supply management system and develop criteria to create an improved system to be implemented at the new hospital. Approach includes qualitative and quantitative methods, that is, written survey, researcher observations, focus groups, and evaluation of hospital supply reports. Approaching the ideal location of supplies can be best approached by defining a nurse's activity at the point of care. Determining an optimal supply management system must be approached by understanding the "what" of caregivers' activities and then determining the "where" of the supplies that support those activities. An ideal supply management system locates supplies as close as possible to the point of use, is organized by activity, and is standardized within and across units. © The Author(s) 2015.

Metering apparatus and tariffs for electricity supply

International Nuclear Information System (INIS)

1990-01-01

Conference papers presented cover system economies and tariff structure with papers on pricing of electricity and new metering technologies. Other topics reviewed include metering apparatus design, electronic metering apparatus and solid phase metering technology. Meter data retrieval, bulk supply metering, test equipment and maintenance, and legal requirements and standards are discussed. (author)

Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

Science.gov (United States)

Perry, Lora; Malkin, Robert

2011-07-01

It is often said that most of the medical equipment in the developing world is broken with estimates ranging up to 96% out of service. But there is little documented evidence to support these statements. We wanted to quantify the amount of medical equipment that was out of service in resource poor health settings and identify possible causes. Inventory reports were analyzed from 1986 to 2010, from hospitals in sixteen countries across four continents. The UN Human Development Index was used to determine which countries should be considered developing nations. Non-medical hospital equipment was excluded. This study examined 112,040 pieces of equipment. An average of 38.3% (42,925, range across countries: 0.83-47%) in developing countries was out of service. The three main causes were lack of training, health technology management, and infrastructure. We hope that the findings will help biomedical engineers with their efforts toward effective designs for the developing world and NGO's with efforts to design effective healthcare interventions.

Efficient power supply using Power over Ethernet; Effiziente Stromversorgung mittels Power over Ethernet (PoE)

Energy Technology Data Exchange (ETDEWEB)

Huser, A.

2005-07-01

This final report for the Swiss Federal Office of Energy (SFOE) takes a look at methods of supplying small equipment such as Internet telephones, web cams, hubs, hard discs, audio equipment, point-of-sale terminals, game consoles etc. with power via their Ethernet connections. A short comparison is presented between Power over Ethernet (PoE) and other methods of supplying power along with data, including Universal Serial Bus (USB), FireWire and Powerline systems. The advantages of PoE over the use of separate power supply units are discussed and recommendations are made to the manufacturers and users of small peripheral equipment regarding the dimensioning and loading of such power supply systems.

Maintenence and fabrication of Electronic Equipment

International Nuclear Information System (INIS)

Chung, Chong Eun; Moon, Byung Soo; Hong, Suk Boong; Kim, Young Keun; Kim, Jung Bok; Lee, Sang Suk

2004-12-01

Development of the SPND Monitor could be the base of development of small signal processing circuits and the technique could be used to develop other precision equipment. The repair technology for high purity germanium(HPGe) detector system could be adapted to other areas where high purity detectors are used such as hospitals, universities etc. The technology of multi-channel ASIC for nuclear radiation detector, which has been imported from abroad, could be adapted to development of radiation equipment for image processing, position of detection, NDT etc., and also the technique will be expected to contribute to increase the use of radiation technology to industrial applications

Controlled power supply for isotopes separator; Alimentations regulees pour separateur d'isotopes

Energy Technology Data Exchange (ETDEWEB)

Lavaitte, A; Pottier, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1953-07-01

This equipment is destined to equip the separator of isotopes who is the subject of the CEA report n 138. It includes: - a controlled power supply in voltage. - a controlled power supply in current. The spectra of fluctuations of these assembly is different in the two cases. (authors) [French] Cet equipement est destine a equiper le separateur d'isotopes qui fait l'objet du rapport C.E.A. n 138. Il comprend: - une alimentation regulee en tension. - une alimentation regulee en courant. Le spectre de fluctuations de ces ensembles est different dans les deux cas. (auteurs)

Simulation to Assist in the Selection Process of New Airway Equipment in a Children's Hospital.

Science.gov (United States)

Roberts, Joan; Sawyer, Taylor; Foubare, Donald; Reid, Jennifer; Stone, Kimberly; Stephanian, Don; Thompson, Douglas

2015-09-24

To provide an informed choice of equipment purchase, we sought to use simulation to allow medical providers an opportunity to evaluate two potential laryngoscopes. The study followed a prospective, blinded comparison design. Participants were blinded to the laryngoscope brands by using alphabetic labels on the handles ("A" and "B"). Participants included a convenience sample of healthcare providers who perform intubation. Participants were allowed to perform intubation with the two laryngoscope brands on neonatal, child, and adolescent/adult airway simulators. After practicing with each of the two different laryngoscopes, participants completed an evaluation indicating their preference for one laryngoscope versus the other for each patient age group. Thirty-four healthcare providers participated in the study, including attendings, fellows, nurse practitioners, and transport team members from Neonatology, Pediatric Intensive Care, Anesthesiology, Emergency Medicine, Cardiac Intensive Care, and Otolaryngology. Participants overwhelmingly preferred brand 'A' (89%) over brand 'B' (11%). Providers overwhelmingly chose one laryngoscope over the other. Data from this evaluation were used to determine which of the two laryngoscope brands was purchased. Based on our experience, we feel other hospitals should consider the use of simulation to allow providers to examine, compare, and rate medical equipment prior to making purchasing decisions.

How to Secure UPS Operation And Supply of Safety Critical Load During Abnormal Conditions in Upstream Supply

International Nuclear Information System (INIS)

Andersen, Gert; Kissling, Silvan; Laaser, Joerg

2015-01-01

UPS system design margins are usually given by manufacturer, but the events in Forsmark showed that these margins are not sufficient to protect UPS equipment and secure supply to critical loads. To withstand such events, it is not enough just to define margins for particular equipment. The overall plant design including environmental influences must be taken into consideration. For extreme environmental conditions, a UPS must include protection which design is matching to the upstream plant equipment. Immunity against abnormal conditions can not be finally guaranteed by higher margins. A limitation that excludes such influences must be implemented into the design. This presentation discusses possibilities to specify design margins, for rectifiers and inverters based on GUTOR thyristor and IGBT technology. It shows protection features to resist and solutions to limit overvoltages. (authors)

The Indian Automotive Industry and the ASEAN Supply Chain Relations

OpenAIRE

Tristan Leo Dallo AGUSTIN; Martin SCHRODER

2015-01-01

The topic of automotive supply chains has been increasingly studied as it raises questions of economic development, especially from the perspectives of simultaneous globalisation and regionalisation, and trade. While ASEAN is a prime example of intraregional production networks, supply chains that connect ASEAN and India have not been studied indepth. Therefore, this paper investigates the Indian automotive industry, which is composed of automobile original equipment manufacturers (OEMs) and ...

Equipment standards for interventional cardiology

International Nuclear Information System (INIS)

Dowling, A.; Gallagher, A.; Walsh, C.; Malone, J.

2005-01-01

Interventional radiology has seen rapid growth in cardiology and represents an alternative to hazardous surgery. Recently there has been a substantial growth in the number of procedures being performed and interventional cardiology (IC) procedures are the most common interventional procedures in Europe. Advances in imaging technology have facilitated the development of increasingly complex radiological IC equipment. Currently, the technology is developing at a rate ahead of supporting research, equipment standards and a regulatory framework. International standards play a key role in the design, manufacture and performance of radiological IC equipment. A survey of 12 IC systems (15 imaging chains) was conducted in Irish hospitals. The aim of the study was to assess the imbalance between rapidly advancing technology and existing standards and to propose recommendations for new IC equipment standards. The results demonstrate the need for definitive equipment requirements and standardisation in the design, manufacture, acceptance and maintenance of IC equipment. (authors)

Lifetime of Mechanical Equipment

Energy Technology Data Exchange (ETDEWEB)

Leland, K.

1999-07-01

The gas plant at Kaarstoe was built as part of the Statpipe gas transport system and went on stream in 1985. In 1993 another line was routed from the Sleipner field to carry condensate, and the plant was extended accordingly. Today heavy additional supply- and export lines are under construction, and the plant is extended more than ever. The main role of the factory is to separate the raw gas into commercial products and to pump or ship it to the markets. The site covers a large number of well-known mechanical equipment. This presentation deals with piping, mechanical and structural disciplines. The lifetime of mechanical equipment is often difficult to predict as it depends on many factors, and the subject is complex. Mechanical equipment has been kept in-house, which provides detailed knowledge of the stages from a new to a 14 years old plant. The production regularity has always been very high, as required. The standard of the equipment is well kept, support systems are efficient, and human improvisation is extremely valuable.

Catalog of physical protection equipment. Book 1: Volume I. Barriers and structural components

International Nuclear Information System (INIS)

Haberman, W.

1977-06-01

A catalog of commercially available physical protection equipment has been prepared for use by the U.S. Nuclear Regulatory Commission (NRC). Included is information on barrier structures and equipment, interior and exterior intrusion detection sensors, entry (access) control devices, surveillance and alarm assessment equipment, contraband detection sensors, automated response equipment, general purpose displays and general purpose communications, with one volume devoted to each of these eight areas. For each item of equipment the information included consists of performance, physical, cost and supply/logistics data. The entire catalog is contained in three notebooks for ease in its use by licensing and inspection staff at NRC

Tying supply chain costs to patient care.

Science.gov (United States)

Parkinson, Rosalind C

2014-05-01

In September 2014, the FDA will establish a unique device identification (UDI) system to aid hospitals in better tracking and managing medical devices and analyzing their effectiveness. When these identifiers become part of patient medical records, the UDI system will provide a much-needed link between supply cost and patient outcomes. Hospitals should invest in technology and processes that can enable them to trace supply usage patterns directly to patients and analyze how these usage patterns affect cost and quality.

30 CFR 75.1713-7 - First-aid equipment; location; minimum requirements.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false First-aid equipment; location; minimum... § 75.1713-7 First-aid equipment; location; minimum requirements. (a) Each operator of an underground coal mine shall maintain a supply of the first-aid equipment set forth in paragraph (b) of this § 75...

FEATURES OF SCIENTIFIC INVESTIGATIONS CONDUCTED IN THE LABORATORIES OF THE DEPARTMENT OF WATER SUPPLY OF MGSU

Directory of Open Access Journals (Sweden)

Nikitina Irina Nikolaevna

2016-03-01

Full Text Available The article focuses on the work of the laboratories of the Department of Water Supply of MGSU. The laboratory of pipe-lines, pumping equipment and sanitary equipment operates in MGSU affiliated to the department of water supply. A hydraulic stand for testing and defining the the hydraulic characteristics of pressure and free-flow pipelines of water supply and sewerage systems is installed there. There are also stands for investigating the sanitary equipment of the buildings, the fire and hot water supply systems. The main research directions of the department of water supply are diverse: hydraulics of water supply systems, recon-struction of pipelines using trenchless technologies, reliable water supply and distribution systems, purification of natural water for drinking and industrial water supply, post-treatment of natural water for domestic water supply, resource conservation in domes-tic water supply systems, etc. The laboratory also has a computer lab, able to simultane-ously hold up to 30 students. In collaboration with the laboratory there operates a scien-tific circle for students and Master students, which provides a lot of interesting and useful information on the latest developments.

[Equipment design for magnetic therapy and "Polus" devices].

Science.gov (United States)

Viktorov, V A; Malkov, Iu V

1994-01-01

Low-frequency magnetotherapy is among the most original therapeutical techniques since it is effective in treating most diseases and has practically no contraindications. Due to atraumaticity of a low-frequency electromagnetic field, the application of magnetotherapy is indicated in geriatric care, in particular. The VNIIMP-VITA Joint-Stock Company has developed a family of the Polyus system equipment for magnetotherapy, whereby all the well-known therapeutical procedures of low-frequency magnetotherapy can be performed. The magnetotherapeutic room equipped with Polyus-2D, Polyus-3, and Polyus-4 ensures a complete set of magneto-therapeutical exposure. The rooms are supplied by the VNIIMP-VITA Joint-Stock Company.

Electromagnetic compatibility for the control and command equipments in nuclear power plants

International Nuclear Information System (INIS)

Buisson, J.

1985-06-01

Different kinds of electrical interference produce some disturbance on electronic sub-assemblies used to assume the control and the command of nuclear reactors. Following interferences are described: power supply lines perturbations, potential difference between grounding connections, electromagnetic fields. A method is described for testing the EMC of different equipments. The advantages of this method are: no destructive method, usable for testing equipment ''in situ'' in operating conditions on nuclear power plant, usable for testing equipment before operating conditions (acceptance test), level of the testing signals similar to the electrical interference level induced by the electromagnetic environment in normal operating conditions, no particular equipment and installation for test are required [fr

[Application of supply chain integration management of medical consumables].

Science.gov (United States)

Zhang, Jian

2013-07-01

This paper introduces the background, the content, the information management system of material supply chain integration management and the consumables management process. The system helps to expand the selection of hospital supplies varieties, to reduce consumables management costs, to improve the efficiency of supplies, to ensure supplies safety, reliability and traceability.

Feedstock and Conversion Supply System Design and Analysis

Energy Technology Data Exchange (ETDEWEB)

Jacobson, J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Mohammad, R. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Cafferty, K. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kenney, K. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Searcy, E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hansen, J. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2014-09-01

The success of the earlier logistic pathway designs (Biochemical and Thermochemical) from a feedstock perspective was that it demonstrated that through proper equipment selection and best management practices, conventional supply systems (referred to in this report as “conventional designs,” or specifically the 2012 Conventional Design) can be successfully implemented to address dry matter loss, quality issues, and enable feedstock cost reductions that help to reduce feedstock risk of variable supply and quality and enable industry to commercialize biomass feedstock supply chains. The caveat of this success is that conventional designs depend on high density, low-cost biomass with no disruption from incremental weather. In this respect, the success of conventional designs is tied to specific, highly productive regions such as the southeastern U.S. which has traditionally supported numerous pulp and paper industries or the Midwest U.S for corn stover.

An RFID middleware for supply chain management

Directory of Open Access Journals (Sweden)

Artur Pinto Carneiro

2011-12-01

Full Text Available RFID (Radio Frequency Identification systems for identification and tracking of products and equipments have been progressively adopted as an essential tool for supply chain management, a production environment where the members usually share with each other their own logistic and management systems. Therefore, the development of supply chain RFID systems can be strongly simplified through the inclusion of an intermediate software layer – the middleware – responsible for the creation of interfaces to integrate all the heterogeneous software components. In this article we present a case study developed at IPT (Instituto de Pesquisas Tecnológicas do Estado de São Paulo which gave rise to a middleware prototype able to implement the required software integration on the supply chain of an electric power distribution company. The developed middleware is used to manage the interactions with a heterogeneous group of mobile devices  cell phones, handhelds and data colectors,  operated by different supply chain agents that grab data associated to various processes executed by a given electric power distribution equipment during its life cycle and transfer those data to a central database in order to share them with all the logistic and management corporation systems.

Squaring the circle of healthcare supplies.

Science.gov (United States)

Böhme, Tillmann; Williams, Sharon; Childerhouse, Paul; Deakins, Eric; Towill, Denis

2014-01-01

The purpose of this paper is to use a systems lens to assess the comparative performance of healthcare supply chains and provide guidance for their improvement. A well-established and rigorous multi-method audit methodology, based on the uncertainty circle model, yields an objective assessment of value stream performance in eight Australasian public sector hospitals. Cause-effect analysis identifies the major barriers to achieving smooth, seamless flows. Potentially high-leverage remedial actions identified using systems thinking are examined with the aid of an exemplar case. The majority of the healthcare value streams studied are underperforming compared with those in the European automotive industry. Every public hospital appears to be caught in the grip of vicious circles of system uncertainty, in large part being caused by problems of their own making. The single exception is making good progress towards seamless functional integration, which has been achieved by elevating supply chain management to a core competence; having a clearly articulated supply chain vision; adopting a systems approach; and, managing supplies with accurate information. The small number of cases limits the generalisability of the findings at this time. Hospital supply chain managers endeavouring to achieve smooth and seamless supply flows should attempt to elevate the status of supplies management within their organisation to that of a core competence, and should use accurate information to manage their value streams holistically as a set of interwoven processes. A four-level prism model is proposed as a useful framework for thus improving healthcare supply delivery systems. Material flow concepts originally developed to provide objective assessments of value stream performance in commercial settings are adapted for use in a healthcare setting. The ability to identify exemplar organisations via a context-free uncertainty measure, and to use systems thinking to identify high

29 CFR 1926.406 - Specific purpose equipment and installations.

Science.gov (United States)

2010-07-01

...—disconnecting means—(1) Motor-generator, AC transformer, and DC rectifier arc welders. A disconnecting means shall be provided in the supply circuit for each motor-generator arc welder, and for each AC transformer and DC rectifier arc welder which is not equipped with a disconnect mounted as an integral part of the...

Survey on quality control measurements for nuclear medicine imaging equipment in Finland in 2006

International Nuclear Information System (INIS)

Korpela, Helinae; Niemelae, Jarkko

2008-01-01

Routine quality control (QC) is an essential requirement in nuclear medicine (NM) in order to ensure optimal functioning of equipment. To harmonise the routine QC of NM imaging equipment in Finnish hospital s (planar gamma cameras, SPECT, coincidence gamma cameras, PET), the Radiation and Nuclear Safety Authority (STUK) will publish guidelines on QC in collaboration with several hospital physicists. Recommendations will be provided on routine QC measurements and on the frequency of testing. It is also planned to provide recommendations for the acceptance criteria when assessing different performance parameters for NM imaging equipment. In order to determine what performance parameters of NM equipment are currently measured in hospitals, how frequently they are measured and what acceptance criteria are used, a survey was carried out on the QC of NM equipment in Finland during 2006. (author)

Medical Supplies Shortages and Burnout among Greek Health Care Workers during Economic Crisis: a Pilot Study

Science.gov (United States)

Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K.; Dounias, George; Hadjichristodoulou, Christos

2014-01-01

Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country. PMID:24688306

Supply chain management of health commodities for reducing global disease burden.

Science.gov (United States)

Chukwu, Otuto Amarauche; Ezeanochikwa, Valentine Nnaemeka; Eya, Benedict Ejikeme

Reducing global disease burden requires improving access to medicines, thus the need for efficient and effective supply chain management for medicines. The Nigerian government came up with new policies on Mega Drug Distribution Centres and National Drug Distribution Guidelines to improve access to quality medicines with pharmacists having a key role to play. However, pharmacists in Nigeria seem not to be aware and adequately equipped to handle the medicines supply chain. This article aimed at assessing the awareness and readiness of Nigerian pharmacists on supply chain management practices for improving access to medicines. Pharmacists in Nigeria's Capital were randomly sampled. Semi-structured questionnaires were administered. Descriptive statistics was used in data analysis. P values less than 0.05 were considered to be significant. 29.3%, 20.7% and 53.7% were not aware of supply chain management, National Drug Distribution Guidelines and Mega Drug Distribution Centres, respectively. 85.46% do not have a copy of the National Drug Distribution Guidelines. 78% were not aware that Mega Drug Distribution Centres are already operational. 35.4% have never been involved in any supply chain management practice. 69.5% often experience stock out of vital and essential medicines, of which 85.2% were in hospitals. 15.9% were successful in managing their facility's supply chains. 84.1% opined that pharmacists in Nigeria are not yet ready to handle the medicines supply chain. Findings showed limited awareness and readiness on supply chain management of medicines. This may be due to inadequate supply chain management skills and infrastructure, poor financing, lack of accountability and poor management. Tackling these as well as pharmacists showing more interest in the country's health policies and obtaining necessary postgraduate certifications will lead to improvements. This will improve access to quality medicines and thus help in the fight to reduce disease burden both

Remote handling equipment design for the HEDL fuel supply program

International Nuclear Information System (INIS)

Metcalf, I.L.

1984-09-01

A process line is currently being developed for fabrication of high exposure mixed uranium-plutonium core assemblies. This paper describes the design philosophy, process flow, equipment, and the handling and radiation shielding techniques used for inspection of Fast Flux Test Facility (FFTF) fuel pins and assembly of Driver Fuel Assemblies (DFAs) 6 figures

18 CFR 367.3930 - Account 393, Stores equipment.

Science.gov (United States)

2010-04-01

... ACT Service Company Property Chart of Accounts § 367.3930 Account 393, Stores equipment. (a) This... materials and supplies. (b) This account must include the following items: (1) Chain falls. (2) Counters. (3...

Hydropower recovery in water supply systems: Models and case study

International Nuclear Information System (INIS)

Vilanova, Mateus Ricardo Nogueira; Balestieri, José Antônio Perrella

2014-01-01

Highlights: • We present hydropower recovery models for water supply systems. • Hydropower recovery potential in water supply systems is highly variable. • The case studied could make the supply systems self-sufficient in terms of energy. • Hydropower recovery can reduce GHGs emissions and generate carbon credits. - Abstract: The energy efficiency of water supply systems can be increased through the recovery of hydraulic energy implicit to the volumes of water transported in various stages of the supply process, which can be converted into electricity through hydroelectric recovery systems. Such a process allows the use of a clean energy source that is usually neglected in water supplies, reducing its dependence on energy from the local network and the system’s operation costs. This article evaluates the possibilities and benefits of the use of water supply facilities, structures and equipment for hydraulic energy recovery, addressing several applicable hydroelectric models. A real case study was developed in Brazil to illustrate the technical, economic and environmental aspects of hydropower recovery in water supply systems

Apollo experience report: Development flight instrumentation. [telemetry equipment for space flight test program

Science.gov (United States)

Farmer, N. B.

1974-01-01

Development flight instrumentation was delivered for 25 Apollo vehicles as Government-furnished equipment. The problems and philosophies of an activity that was concerned with supplying telemetry equipment to a space-flight test program are discussed. Equipment delivery dates, system-design details, and flight-performance information for each mission also are included.

Problems and solutions of reliability issues for external power supply in the coal mines

Directory of Open Access Journals (Sweden)

И. Ю. Семыкина

2017-08-01

Full Text Available Restructuring of the energy sector  and liberalization of the electricity market resulted in separation of a single industry into a multitude of generating companies, federal and interregional distribution utilities, regional power providers and energy suppliers. For a number of reasons, related to the process of managing separate companies, faults in the laws and regulations, and unsatisfactory technical state of the energy equipment both on the part of distributors and consumers, reliability of energy supply faces increasing negative trends, which potentially can lead to big problems. Up to this day the energy sector does not have a developed database on the state of equipment and results of its maintenance, nor has it defined criteria to actually assess technical conditions of the equipment. The authors propose to develop and implement a mechanism aimed at technical auditing and monitoring of the engineering state of external power supply system, whose results can help in the development of more efficient and economically sound measures to improve reliability of energy supply. In recent years, a lot of attention has been paid to the issues of enhanced security of industrial power supply. However, specific characteristics of underground coal mining and enormous work load of the production process limit the applicability of developed methods and algorithms. Existing research does not address economic issues of reliable energy supply, either direct (economic damage from power interruptions, contractual security of supply, tariff regulation or indirect (charges for utility connection with a required level of reliability. There is no explicit definition for the term «autonomous energy source», nor is there a list of power receivers falling into the first and «special» categories according to their reliability. The paper contains a range of urgent problems and solutions that will increase reliability of external power supply in the coal mines.

Finding gold in the supply chain.

Science.gov (United States)

Caudle, Allen

2009-12-01

To optimize supply chain performance and achieve savings that enhance the bottom line, hospitals should: Generate purchase orders for every item purchased. Ensure the organization is protected from undue vendor influence. Keep track of where supply chain dollars are going. Review contracts regularly to ensure competitiveness. Have a contract for each product category. Buy only what the organization is sure to use. Get rid of excess inventory. Develop a strategic plan for continued supply chain savings.

Soviet equipment flies in

CERN Multimedia

CERN PhotoLab

1978-01-01

End of February 1977 a Soviet Ilyushin-76 heavy freight aircraft landed at Cointrin airport having on board fifty large wire proprtional chambers and associated apparatus, together weighing 10 tons, supplied by the Joint Institute for Nuclear Research, Dubna, USSR. The equipment was for the CERN- Dubna-Munich-Saclay experiment NA4 on deep inelastic muon scattering being set up in the North Area of SPS. See Weekly Bulletin 11/78.

Proposed replacement and operation of the anhydrous hydrogen fluoride supply and fluidized-bed chemical processing systems at Building 9212, Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1995-09-01

The US Department of Energy (DOE) proposes to replace the existing anhydrous hydrogen fluoride (AHF) supply and fluidized-bed reactor systems for the Weapons Grade Highly Enriched Uranium Chemical Recovery and Recycle Facility, Building 9212, which is located within the Y-12 Plant on DOE's Oak Ridge Reservation in Oak Ridge, Tennessee. The proposed replacement system would be based upon modern design criteria and safety analyses. The replacement AHF supply and distribution system equipment would be located on the existing Dock 8/8A at Building 9212. Utilities would be extended to the dock to service the process equipment. The following process equipment modules would be prefabricated for installation at the modified dock: an AHF cylinder enclosure, an AHF supply manifold and vaporizer module, an AHF sump tank and transfer skid, and an AHF supply off-gas scrubber assembly module. The fluidized-bed reactor system would be constructed in an area adjacent to the existing system in Building 9212. The replacement equipment would consist of a new reduction fluidized-bed reactor, a hydrofluorination fluidized-bed reactor, and associated air emission control equipment. The no-action alternative, which is the continued operation of the existing AHF supply and fluidized-bed reactor systems, was also evaluated

14 CFR 25.1445 - Equipment standards for the oxygen distributing system.

Science.gov (United States)

2010-01-01

... distributing system. 25.1445 Section 25.1445 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Miscellaneous Equipment § 25.1445 Equipment standards for the oxygen distributing system. (a) When oxygen is supplied to both crew and passengers, the distribution system must be designed for either— (1) A source of...

Energy efficiency criteria in uninterruptible power supply selection

International Nuclear Information System (INIS)

Moreno-Munoz, A.; Rosa, Juan Jose Gonzalez de la; Flores-Arias, J.M.; Bellido-Outerino, F.J.; Gil-de-Castro, A.

2011-01-01

With the generalized use of microelectronic devices, server computers and other susceptible equipment, the subject related to power quality (PQ) and its relationship to vulnerability of high performance plants are becoming an increasing concern to the industry. This paper addresses how uninterruptible power supply (UPS), particularly when configured in distributed DC mode, can become an energy efficient (EE) solution in high-tech buildings, especially when integrated with complimentary PQ measures. The paper is based on PQ audits conducted at different high-tech industries over the last years. It was found that the main problems for the equipment installed were voltage sags (or dips). Among all categories of electrical disturbances, voltage sags and momentary interruptions are the nemeses of the automated industrial process. The paper analyzes the capabilities of modern electronic power supplies and the convenience of embedded solution. Finally it is addresses the role of the Standards on the protection of electronic equipment and the implications for the final costumer.

Report of the electric Equipment Service - Annex E

International Nuclear Information System (INIS)

Sanovic, V.

1990-01-01

This report describes organisational structure of the Service dealing with control and maintenance of electrical supply system and equipment. It includes detailed data about electric power consumption, power cuts and failures during the past period [sr

Report of the electric Equipment Service - Annex E

International Nuclear Information System (INIS)

Sanovic, V.

1987-01-01

This report describes organisational structure of the Service dealing with control and maintenance of electrical supply system and equipment. It includes detailed data about electric power consumption, power cuts and failures during the past period [sr

Report of the electric Equipment Service - Annex E

International Nuclear Information System (INIS)

Sanovic, V.

1988-01-01

This report describes organisational structure of the Service dealing with control and maintenance of electrical supply system and equipment. It includes detailed data about electric power consumption, power cuts and failures during the past period [sr

Report of the electric Equipment Service - Annex E

International Nuclear Information System (INIS)

Tanaskovic, M.

1995-01-01

This report describes organisational structure of the Service dealing with control and maintenance of electrical supply system and equipment. It includes detailed data about electric power consumption, power cuts and failures during the past period [sr

42 CFR 493.1252 - Standard: Test systems, equipment, instruments, reagents, materials, and supplies.

Science.gov (United States)

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Test systems, equipment, instruments... SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY... storage of reagents and specimens, accurate and reliable test system operation, and test result reporting...

Specifications and test procedures for airline-type supplied-air suits

International Nuclear Information System (INIS)

Revoir, W.H.; Pritchard, J.A.; Davis, T.O.; Richards, C.P.; Wheat, L.D.

1975-05-01

Procedures and requirements have been established to permit airline-type supplied-air suits needed by contractors of the Energy Research and Development Administration to be tested for performance by the Respirator Research and Development Section, Industrial Hygiene Group, of the Los Alamos Scientific Laboratory, and to have the adequacy of the performance of these devices evaluated by the Los Alamos Scientific Laboratory Respirator Advisory Committee. Test equipment, test methods, and performance criteria for airline-type supplied-air suits are prescribed. (U.S.)

Experience in testing and inspection and maintenance of material handling equipments

International Nuclear Information System (INIS)

Sharma, M.L.

2009-01-01

All the Industries, Power Projects/Stations, Organizations engaged in the field of process of manufacturing, power generation, transportation, design, layout, manufacturing, and supply have to utilize material handling equipment, machinery tools tackles, lifting gears for performing their tasks/activities. The major role of the material handling equipments play an important role and a component of 40% of the total activities of the system/process to achieve targeted output with the reliability and quality is performed by material handling equipment and machineries. The material handling equipment shall have to be chosen/selected to suit the process requirement at times to be specifically designed inspected and tested to meet the specific requirement. These equipment/machineries/lifting gears have to undergo for the periodical inspection and testing to qualify for further use in a specified period. All those equipment and machinery to be used for material handling if not found satisfactory during inspection and testing or otherwise also shall be dismantled/stripped to the extent of inspection requirement of the components/sub components and maintenance repair shall have to be done to make them worthy for reuse after testing and inspection duly witnessed by competent authority

Bedding, not boarding. Psychiatric patients boarded in hospital EDs create crisis for patient care and hospital finances.

Science.gov (United States)

Kutscher, Beth

2013-11-18

As the supply of psychiatric beds dwindles, hospitals are devising innovative ways handle psych patients who come through the emergency department. Some collaborate with other hospitals, use separate pysch EDs or refer patients to residential treatment centers.

Improving paediatric and neonatal care in rural district hospitals in the highlands of Papua New Guinea: a quality improvement approach.

Science.gov (United States)

Sa'avu, Martin; Duke, Trevor; Matai, Sens

2014-05-01

In developing countries such as Papua New Guinea (PNG), district hospitals play a vital role in clinical care, training health-care workers, implementing immunization and other public health programmes and providing necessary data on disease burdens and outcomes. Pneumonia and neonatal conditions are a major cause of child admission and death in hospitals throughout PNG. Oxygen therapy is an essential component of the management of pneumonia and neonatal conditions, but facilities for oxygen and care of the sick newborn are often inadequate, especially in district hospitals. Improving this area may be a vehicle for improving overall quality of care. A qualitative study of five rural district hospitals in the highlands provinces of Papua New Guinea was undertaken. A structured survey instrument was used by a paediatrician and a biomedical technician to assess the quality of paediatric care, the case-mix and outcomes, resources for delivery of good-quality care for children with pneumonia and neonatal illnesses, existing oxygen systems and equipment, drugs and consumables, infection-control facilities and the reliability of the electricity supply to each hospital. A floor plan was drawn up for the installation of the oxygen concentrators and a plan for improving care of sick neonates, and a process of addressing other priorities was begun. In remote parts of PNG, many district hospitals are run by under-resourced non-government organizations. Most hospitals had general wards in which both adults and children were managed together. Paediatric case-loads ranged between 232 and 840 patients per year with overall case-fatality rates (CFR) of 3-6% and up to 15% among sick neonates. Pneumonia accounts for 28-37% of admissions with a CFR of up to 8%. There were no supervisory visits by paediatricians, and little or no continuing professional development of staff. Essential drugs were mostly available, but basic equipment for the care of sick neonates was often absent or

41 CFR 101-26.507 - Security equipment.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Security equipment. 101-26.507 Section 101-26.507 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND...

24 CFR 84.34 - Equipment.

Science.gov (United States)

2010-04-01

... ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER... the physical inspection and those shown in the accounting records shall be investigated to determine... requirement for the equipment exists in other Federal agencies. HUD shall issue instructions to the recipient...

Infrastructure and contamination of the physical environment in three Bangladeshi hospitals: putting infection control into context.

Science.gov (United States)

Rimi, Nadia Ali; Sultana, Rebeca; Luby, Stephen P; Islam, Mohammed Saiful; Uddin, Main; Hossain, Mohammad Jahangir; Zaman, Rashid Uz; Nahar, Nazmun; Gurley, Emily S

2014-01-01

This paper describes the physical structure and environmental contamination in selected hospital wards in three government hospitals in Bangladesh. The qualitative research team conducted 48 hours of observation in six wards from three Bangladeshi tertiary hospitals in 2007. They recorded environmental contamination with body secretions and excretions and medical waste and observed ward occupant handwashing and use of personal protective equipment. They recorded number of persons, number of open doors and windows, and use of fans. They measured the ward area and informally observed waste disposal outside the wards. They conducted nine focus group discussions with doctors, nurses and support staff. A median of 3.7 persons were present per 10 m(2) of floor space in the wards. A median of 4.9 uncovered coughs or sneezes were recorded per 10 m(2) per hour per ward. Floors in the wards were soiled with saliva, spit, mucous, vomitus, feces and blood 125 times in 48 hours. Only two of the 12 patient handwashing stations had running water and none had soap. No disinfection was observed before or after using medical instruments. Used medical supplies were often discarded in open containers under the beds. Handwashing with soap was observed in only 32 of 3,373 handwashing opportunities noted during 48 hours. Mosquitoes and feral cats were commonly observed in the wards. The physical structure and environment of our study hospitals are conducive to the spread of infection to people in the wards. Low-cost interventions on hand hygiene and cleaning procedures for rooms and medical equipment should be developed and evaluated for their practicality and effectiveness.

Infrastructure and contamination of the physical environment in three Bangladeshi hospitals: putting infection control into context.

Directory of Open Access Journals (Sweden)

Nadia Ali Rimi

Full Text Available OBJECTIVE: This paper describes the physical structure and environmental contamination in selected hospital wards in three government hospitals in Bangladesh. METHODS: The qualitative research team conducted 48 hours of observation in six wards from three Bangladeshi tertiary hospitals in 2007. They recorded environmental contamination with body secretions and excretions and medical waste and observed ward occupant handwashing and use of personal protective equipment. They recorded number of persons, number of open doors and windows, and use of fans. They measured the ward area and informally observed waste disposal outside the wards. They conducted nine focus group discussions with doctors, nurses and support staff. RESULTS: A median of 3.7 persons were present per 10 m(2 of floor space in the wards. A median of 4.9 uncovered coughs or sneezes were recorded per 10 m(2 per hour per ward. Floors in the wards were soiled with saliva, spit, mucous, vomitus, feces and blood 125 times in 48 hours. Only two of the 12 patient handwashing stations had running water and none had soap. No disinfection was observed before or after using medical instruments. Used medical supplies were often discarded in open containers under the beds. Handwashing with soap was observed in only 32 of 3,373 handwashing opportunities noted during 48 hours. Mosquitoes and feral cats were commonly observed in the wards. CONCLUSIONS: The physical structure and environment of our study hospitals are conducive to the spread of infection to people in the wards. Low-cost interventions on hand hygiene and cleaning procedures for rooms and medical equipment should be developed and evaluated for their practicality and effectiveness.

Performance of X-ray equipment used for conventional radiographic examinations of children

International Nuclear Information System (INIS)

Lacerda, Marco A.S.; Silva, Teogenes A. da; Khoury, Helen J.

2009-01-01

The performance of X-ray equipment that are used for conventional X-ray examinations of children in four hospitals of Belo Horizonte, Brazil, was evaluated. The methodology proposed by the Brazilian authority for radiation protection in diagnostic radiology was adopted. The performance tests were carried out in six X-ray machines and they consisted of measurements and determination of the X-ray tube output, linearity and constancy of radiation output, accuracy and reproducibility of the exposure time and tube potential, half-value layer (HVL), light field / X-ray field alignment and accuracy of the X-ray field indicator. It was observed that only one hospital had the suitable equipment for X-ray examinations of children. Results showed that all six equipment of the four hospitals presented unsatisfactory performance in some quality control tests. Only for some combinations of the exposure parameters, generally employed in pediatric X-ray examinations, some equipment complied with the authority requirements. (author)

7 CFR 3019.34 - Equipment.

Science.gov (United States)

2010-01-01

... EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 3019... accounting records shall be investigated to determine the causes of the difference. The recipient shall, in... requirement for the equipment exists in other Federal agencies. The Federal awarding agency shall issue...

High-voltage power supply of ND6 portable dose rate meter

International Nuclear Information System (INIS)

Wang Shaling

2001-01-01

Portable dose rate meter needs to be equipped with a set of high-voltage power supply which is supplied by batteries and has characteristic of high quality, low energy expense and small size. The author introduces application conditions and performance guide line

Design for the power-supply controller base on embedded operating system

International Nuclear Information System (INIS)

Guo Yuhui; Chinese Academy of Sciences, Beijing; Wang Yanyu; Qiao Weimin; Huang Jijiang; Lin Feiyu

2008-01-01

In order to realize the power-supply equipment long-distance monitor, adopts embedded RTOS (NutOS) and the TCP/1P protocol power-supply controller. Independently designs partially the software and hardware, through socket programming system long-distance control is realized. (authors)

[Robot-Assisted Laparoscopic Radical Prostatectomy for Patients with Prostatic Cancer and Factors Promoting Installation of the Robotic Surgical Equipment-Questionnaire Survey].

Science.gov (United States)

Tsukamoto, Taiji; Tanaka, Shigeru

2015-08-01

We conducted a questionnaire survey of hospitals with robot-assisted surgical equipment to study changes of the surgical case loads after its installation and the managerial strategies for its purchase. The study included 154 hospitals (as of April 2014) that were queried about their radical prostatectomy case loads from January 2009 to December 2013, strategies for installation of the equipment in their hospitals, and other topics related to the study purpose. The overall response rate of hospitals was 63%, though it marginally varied according to type and area. The annual case load was determined based on the results of the questionnaire and other modalities. It increased from 3,518 in 2009 to 6,425 in 2013. The case load seemed to be concentrated in hospitals with robot equipment since the increase of their number was very minimal over the 5 years. The hospitals with the robot treated a larger number of newly diagnosed patients with the disease than before. Most of the patients were those having localized cancer that was indicated for radical surgery, suggesting again the concentration of the surgical case loads in the hospitals with robots. While most hospitals believed that installation of a robot was necessary as an option for treatment procedures, the future strategy of the hospital, and other reasons, the action of the hospital to gain prestige may be involved in the process of purchasing the equipment. In conclusion, robot-assisted laparoscopic radical prostatectomy has become popular as a surgical procedure for prostate cancer in our society. This may lead to a concentration of the surgical case load in a limited number of hospitals with robots. We also discuss the typical action of an acute-care hospital when it purchases expensive clinical medical equipment.

Supply chain solutions to improve the distribution of antiretroviral ...

African Journals Online (AJOL)

Mamolise Mokheseng

Received 8 September 2015. Accepted 4 ... the hospital; as well as poor inventory management and poor overall communication. ..... This ensure the smooth running of supply chain operations. ...... Supply chain logistics management (4th ed.).

Specific features of auxiliary water supply at underground NPPs

International Nuclear Information System (INIS)

Pergamenshchik, B.K.; Pavlov, A.S.

1991-01-01

Specific features of auxiliary water supply systems for underground NPPs related to peculiarities of NPP basis equipment arrangement, are considered. Circulation water supply scheme, in which water cooling storage basin (cooling towers) with operational area corresponding to NPP power is on the surface and has traditional design, is proposed. Sufficiently high efficiency of the arrangement proposed is proved

Entropy-Based Algorithm for Supply-Chain Complexity Assessment

Directory of Open Access Journals (Sweden)

Boris Kriheli

2018-03-01

Full Text Available This paper considers a graph model of hierarchical supply chains. The goal is to measure the complexity of links between different components of the chain, for instance, between the principal equipment manufacturer (a root node and its suppliers (preceding supply nodes. The information entropy is used to serve as a measure of knowledge about the complexity of shortages and pitfalls in relationship between the supply chain components under uncertainty. The concept of conditional (relative entropy is introduced which is a generalization of the conventional (non-relative entropy. An entropy-based algorithm providing efficient assessment of the supply chain complexity as a function of the SC size is developed.

49 CFR 583.11 - Allied suppliers of passenger motor vehicle equipment.

Science.gov (United States)

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Allied suppliers of passenger motor vehicle... CONTENT LABELING § 583.11 Allied suppliers of passenger motor vehicle equipment. (a) For each unique type of passenger motor vehicle equipment which an allied supplier supplies to the manufacturer with which...

Design of supply chains: Unrealistic expectations on collaboration

Indian Academy of Sciences (India)

two dominant models of supply chain organization have been found. Research .... original equipment manufacturers (OEM) and vendors who cooperatively perform the tasks ... In data dimension, data structure, data exchange, data base.

Nuclear Fuel Supply Arrangements through the IAEA

International Nuclear Information System (INIS)

Phuong, Ha-Vinh

1981-10-01

By virtue of its statutory functions, the International Atomic Energy Agency may be the depositary and also the supplier of nuclear materials made available to it by Member States, and these may then be stored in facilities it has acquired or which it has established under its control. However, this possibility did not materialize, mainly because the supplying states -few in number- do not want an international organization to become directly involved in bilateral transactions in that field. This paper analyses in particular the provisions of supply agreements concluded with the United Kingdom, the USA and the USSR. The Annex contains a Table of Agreements on supply of nuclear fuel and equipment concluded between supplying and consumer states through the IAEA. (NEA) [fr

Survey of exposure of physiotherapist operators to emissions from microwave and short wave diathermy equipment

International Nuclear Information System (INIS)

Coppell, R.B.

1987-01-01

An extensive survey of levels of electromagnetic fields in the vicinity of microwave and short wave diathermy equipment is presented and occupational exposure of physiotherapist operators is assessed. There was a good response to mailed questionnaires to 18 hospital boards, 21 private hospitals, and 148 private physiotherapy practices in Christchruch and centres of the north island of New Zealand. Within 34 public hospitals and 57 private practice of those so contacted, who also volunteered to participate, measurements were made in numerous positions about operating equipment. For practical reasons, manufactured phantom sections were substituted for real patients. Levels of microwave power flux density were found to vary according to position and to orientation of equipment and patient phantom. Provided, microwave diathermy equipment is used with reasonable care, excessive exposure of the physiotherapist operator is considered very unlikely. Levels of electric and magnetic field strength squared in the vicinity of simulated body sections under short wave diathermy treatment were found to be highly localised and strongly dependent upon the type of applicator used and the proximity of connecting leads. Operating procedures, including distances of separation, are recommended to protect operators from excessive exposure. (author). 30 refs., 8 tabs., 4 figs., ills

Exploratory Analysis of Supply Chains in the Defense Industrial Base

Science.gov (United States)

2012-04-01

hp) 2- and 4- stroke RC/modeler engines are O.S. Engine (Japan), Thunder Tiger (Taiwan), and Saito (Japan). E. Global Nature of the Supply Chain...Mexico). • The 115-HP 4- stroke Rotax 914 class engine (Austria/Germany) found in the Predator (MQ-1B) is also found in many other systems, including...Equipment 43 Pumps and Compressors 44 Furnace/Steam Plant/Drying Equipment, Nuclear Reactors 45 Plumbing, Heating , and Sanitation Equipment 49

Design and fabrication of equipment and devices for a Radiotherapy department

International Nuclear Information System (INIS)

Picon, C.L.; Zaharia B, M.

1998-01-01

The objective of this work is to present the possibility to design and construct utilizing local technology, a series of equipment and devices necessaries for a routine in a Radiotherapy Department with typical budget in the Latin-American hospitals. (Author)

Exposure parameters in fluoroscopy equipment. Quality control

International Nuclear Information System (INIS)

Alonso, M.; Castaneda, M.J.; Matorras, P.; Diaz-Caneja, N.; Gutierrez, I.

1992-01-01

Within the quality control program in Diagnostic Radiology currently being undertaken at the 'Marques de Valdecilla' University Hospital, the corresponding specification and procedure prototypes for the control of conventional radioscopy equipment have been elaborated and applied. This paper presents the values proposed in the specifications and those obtained for the following radioscopy equipment parameters: reference kerma, and its reproducibility, kerma linearity, maximum kerma at the skin, and total filtration. The results obtained indicate that the equipment studied could comply with specified requirements if a Maintenance Program were to be implemented in coordination with the Quality Control Program. (author)

Oak Ridge Isotope Products and Services - Current and Expected Supply and Demand

International Nuclear Information System (INIS)

Aaron, W.S.; Alexander, C.W.; Cline, R.L.; Collins, E.D.; Klein, J.A.; Knauer, J.B. Jr.; Mirzadeh, S.

1999-01-01

Oak Ridge National Laboratory (ORNL) has been a major center of isotope production research, development, and distribution for over 50 years. Currently, the major isotope production activities include (1) the production of transuranium element radioisotopes, including 252 Cf; (2) the production of medical and industrial radioisotopes; (3) maintenance and expansion of the capabilities for production of enriched stable isotopes; and, (4) preparation of a wide range of custom-order chemical and physical forms of isotope products, particularly in accelerator physics research. The recent supply of and demand for isotope products and services in these areas, research and development (R ampersand D), and the capabilities for future supply are described in more detail below. The keys to continuing the supply of these important products and services are the maintenance, improvement, and potential expansion of specialized facilities, including (1) the High Flux Isotope Reactor (HFIR), (2) the Radiochemical Engineering Development Center (REDC) and Radiochemical Development Laboratory (RDL) hot cell facilities, (3) the electromagnetic calutron mass separators and the plasma separation process equipment for isotope enrichment, and (4) the Isotope Research Materials Laboratory (IRML) equipment for preparation of specialized chemical and physical forms of isotope products. The status and plans for these ORNL isotope production facilities are also described below

Guidelines on hospital emergency plans for the management of minor radiation accidents

International Nuclear Information System (INIS)

1992-12-01

This document provides guidance on the organizational structure, personnel, facilities, equipment, supplies and treatment principles required for the initial care of injured persons who have been accidentally exposed to ionizing radiation and who may be contaminated with radioisotopes. The first part of the document, directed at hospital administrators, provides guidance on the principles of planning and preparedness for handling a radiation incident. The second part is directed at hospital emergency personnel responsible for treating patients who may be contaminated with radioactive materials. Three types of victims are considered. The first has been accidentally irradiated with X-rays or gamma rays over the entire body or in localized areas. There is no radioactive residue on or about the body. The second type of victim has known or suspected radioactive contamination within a wound, within the body or on the skin. A third type of victim believes he or she has been exposed and contaminated, but has not been. These guidelines apply in particular to smaller community hospitals. (L.L.) 27 refs., 3 figs

Report of the electric Equipment Service - Annex E

International Nuclear Information System (INIS)

Karic, Z.

2002-01-01

This report describes organisational structure of the Service dealing with control and maintenance of electrical supply system and equipment. It includes detailed data about electric power consumption, power cuts and failures during the past period. Activity plan for year 2002 is included [sr

Going to the Hospital

Science.gov (United States)

... and therapists will show you how to use pieces of equipment, like crutches, if you need them. Some hospitals have child life specialists. Their job is to make sure kids in the hospital understand what's going on around them and help them feel more ...

Targets for Marine Corps Purchasing and Supply Management Initiatives: Spend Analysis Findings

Science.gov (United States)

2011-01-01

Corps Purchasing and Supply Management Initiatives: Spend Analysis Findings source contracts with providers in them. We also examine contract “ churn ...repair, and rebuilding of equipment; general purpose ADP equipment; ADP and telecommunication ser- vices—are also shown in the previous chart for top...to $469 million in FY 2004. The spend for other ADP and telecommunication services, $264 million in FY 2004, was not even in the top ten in FY 2003

Remotely operated replaceable process equipment. Fernbedient austauschbare Prozessapparatur

Energy Technology Data Exchange (ETDEWEB)

Westendorf, H.

1987-07-23

The coupling process of pneumatic and electrical auxiliary lines of a pneumatic control pressure line in a large cell of the reprocessing plant is carried out, together with the coupling process of the connecting flange of the process equipment. The coupling places of the auxiliary lines, such as control or supply lines, are laid in the flange parts of the flanges to be connected. The pipe flange on the frame side remains flush with the connecting flange of the process equipment.

Safety of nursing staff and determinants of adherence to personal protective equipment.

Science.gov (United States)

Neves, Heliny Carneiro Cunha; Souza, Adenícia Custódia Silva e; Medeiros, Marcelo; Munari, Denize Bouttelet; Ribeiro, Luana Cássia Miranda; Tipple, Anaclara Ferreira Veiga

2011-01-01

A qualitative study conducted in a teaching hospital with 15 nursing professionals. Attempted to analyze the reasons, attitudes and beliefs of nursing staff regarding adherence to personal protective equipment. Data were collected through focus groups, analyzed by the method of interpretation of meanings, considering Rosenstock's model of health beliefs as a reference framework. Data revealed two themes: Occupational safety and Interpersonal Relationship. We identified several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects. Adherence to personal protective equipment is determined by the context experienced in the workplace, as well as by individual values and beliefs, but the decision to use the personal protective equipment is individual.

30 CFR 75.1107-7 - Water spray devices; capacity; water supply; minimum requirements.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Water spray devices; capacity; water supply... Water spray devices; capacity; water supply; minimum requirements. (a) Where water spray devices are... square foot over the top surface area of the equipment and the supply of water shall be adequate to...

41 CFR 109-26.501-54 - Communications equipment.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Communications equipment. 109-26.501-54 Section 109-26.501-54 Public Contracts and Property Management Federal Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT REGULATIONS SUPPLY AND...

Equipment Obsolescence Analysis and Management Software

Energy Technology Data Exchange (ETDEWEB)

Redmond, J.; Carret, L.; Shaon, S.; Schultz, C.

2015-07-01

The procurement engineering resources at Nuclear Power Plants (NPPs) are experiencing increasing backlog for procurement items primarily due to the inability to order the original replacement parts. The level of effort and time required to prepare procurement packages is increasing since the number of obsolete parts are increasing exponentially. Procurement packages for obsolete components and parts are much more complex and take more time to prepare because of the need to perform equivalency evaluations, testing requirements and test acceptance criteria development, commercial grade dedication or equipment qualification, and increasing efforts to verify that no fraudulent or counterfeit parts are procured. This problem will be further compounded when NPPs pursue license renewal and approval for plant-life extension. Advanced planning and advanced knowledge of equipment obsolescence is required to allow for sufficient time to properly procure replacement parts for obsolete items. The uncertain supply chain capability due to obsolescence is a real problem and can cause a risk to reliable plant operations due to the potential for a lack of available spare parts and replacement components to support outages and unplanned component failures. Advanced notification of obsolescence is increasingly more important to ensure that adequate time and planning is scheduled to procure the proper replacement parts. A thorough analysis of Original Equipment Manufacturer (OEM) availability and inventory as well as an analysis of failure rates and usage rates is required to predict critical part needs to allow for early identification of obsolescence issues so that a planned and controlled strategy to qualify replacement equipment can be implemented. (Author)

Spent fuel storage process equipment development

International Nuclear Information System (INIS)

Park, Hyun Soo; Lee, Jae Sol; Yoo, Jae Hyung

1990-02-01

Nuclear energy which is a major energy source of national energy supply entails spent fuels. Spent fuels which are high level radioactive meterials, are tricky to manage and need high technology. The objectives of this study are to establish and develop key elements of spent fuel management technologies: handling equipment and maintenance, process automation technology, colling system, and cleanup system. (author)

Equipment system for advanced nuclear fuel development

International Nuclear Information System (INIS)

Kwon, Hyuk Il; Ji, C. G.; Bae, S. O.

2002-11-01

The purpose of the settlement of equipment system for nuclear Fuel Technology Development Facility(FTDF) is to build a seismic designed facility that can accommodate handling of nuclear materials including <20% enriched Uranium and produce HANARO fuel commercially, and also to establish the advanced common research equipment essential for the research on advanced fuel development. For this purpose, this research works were performed for the settlement of radiation protection system and facility special equipment for the FTDF, and the advanced common research equipment for the fuel fabrication and research. As a result, 11 kinds of radiation protection systems such as criticality detection and alarm system, 5 kinds of facility special equipment such as environmental pollution protection system and 5 kinds of common research equipment such as electron-beam welding machine were established. By the settlement of exclusive domestic facility for the research of advanced fuel, the fabrication and supply of HANARO fuel is possible and also can export KAERI-invented centrifugal dispersion fuel materials and its technology to the nations having research reactors in operation. For the future, the utilization of the facility will be expanded to universities, industries and other research institutes

Resistance welding equipment manufacturing capability for exports

Energy Technology Data Exchange (ETDEWEB)

Sastry, V.S.; Raju, Y.S.; Somani, A.K.; Setty, D.S.; Rameswara Raw, A.; Hermantha Rao, G.V.S.; Jayaraj, R.N. [Nuclear Fuel Complex, Dept. of Atomic Energy, Hyderbad (India)

2010-07-01

Indian Pressurised Heavy Water Reactor (PHWR) fuel bundle is fully welded and is unique in its design. Appendage welding, end closure welding, and end plate welding is carried out using resistance welding technique. Out of many joining processes available, resistance-welding process is reliable, environment friendly and best suitable for mass production applications. Nuclear Fuel Complex (NFC), an industrial unit is established in Hyderabad, under the aegis of the Dept of Atomic Energy to manufacture fuel for Pressurised Heavy Water Reactors. From inception, NFC has given importance for self-reliance and indigenization with respect to manufacturing process and equipment. Sintering furnaces, centreless grinders, appendage-welding machines, end-closure welding equipment and end-plate welding equipments, which were initially imported, are either indigenized or designed and manufactured in house. NFC has designed, manufactured a new appendage-welding machine for manufacturing 37 element fuel bundles. Recently NFC has bagged an order from IAEA through international bidding for design, manufacture, supply, erection and commissioning of end-closure welding equipment. The paper gives in detail the salient features of these welding equipment. (author)

Teleradiology service for mission hospitals: initial experiences in Ethiopia and Kenya

Directory of Open Access Journals (Sweden)

Matthew Larrison

2016-01-01

Full Text Available Throughout their history, mission hospitals have provided high quality and lifesaving medical care to regions of the world where medical care is sparse. These hospitals are generally built and equipped through a combination of governmental and non-governmental sources. As advances in diagnostic medical imaging have progressed and become mainstream in the developed world, mission hospitals have adopted advanced imaging modalities. These modalities provide early diagnosis and treatment options for their patients. In addition to the installation and operation of advanced imaging equipment, the need for professional expert interpretation of these studies remains a challenge for mission hospitals. Historically these hospitals have used either voluntary services on site or paid for interpretations from local radiologists; however, with the introduction of high speed internet, teleradiology has become a possibility. This article describes the teleradiology experience of two mission hospitals in rural Africa.

New control system: the commands of the settings equipments

International Nuclear Information System (INIS)

David, L.; Maugeais, C.

1992-01-01

The equipments allowing the setting of the GANIL beam (motors, probes, supplies...) may be operated by three distinct ways: by dial (pseudo potentiometer), by menu or by slider. These processes are described. (A.B.)

Accidents, injuries and the use of personal protective equipment ...

African Journals Online (AJOL)

They are often neglected and their health and safety are generally overlooked. This study ... respondents had an accident at the workplace while 4% had injury, 60% had burns/scald injury while 72% had falls. In all, 6(54.5%) who ... Key words: Hospital cleaners, personal protective equipment, accidents, injuries, workplace.

A hybrid approach based on ANP, ELECTRE and SIMANP metaheuristic method for outsourcing manufacturing procedures according to supply chain risks - Case study: A medical equipment manufacturer company in Iran

Directory of Open Access Journals (Sweden)

Hiwa Farughi

2017-01-01

Full Text Available Nowadays enterprises should consider seeking to reduce the supply chain risks as a crucial part of their activities in order to improve their competitiveness in the international context. Choosing the suitable strategy in connection with assigning some parts of the production process to outside the organization is a complex multi-criteria decision making problem and it gets more complicated when supply chain risk factors as the factors to select the strategy as well as dependence and the close ties between these criteria also be considered. In this paper, after the identification of risks in the supply chain of a medical equipment manufacturer company, dependence and ties between criteria in line with choosing the best strategy among existing alternatives has been examined in the form of a combined ANP-ELECTRE method. This combined model is of high performance to give a solution to the problem considered in this paper. But given the complex and time consuming nature of the AHP and ELECTRE, in this study a meta-heuristic algorithm is developed called SIMANP that despite the simplicity of computing and high-speed, is good in the terms of precision and efficiency. The results of comparing SIMANP algorithm and the proposed ANP - ELECTRE method are presented at the end.

Analysis of bacterial contamination on surface of general radiography equipment and CT equipment in emergency room of radiology

Energy Technology Data Exchange (ETDEWEB)

Hong, Dong Hee; KIm, Hyeong Gyun [Dept. of Radiological Science, Far East University, Eumseong (Korea, Republic of)

2016-09-15

We aim to offer basic materials about infection management through conducting bacterial contamination test about general radiography equipment and CT equipment installed in ER of three general hospitals with 100 sickbeds or more located in Gyeongsangbuk-do Province, and suggest management plan. It had been conducted from 1st December 2015 to 31st December, and objects were general radiography equipment and CT equipment of emergency room located in Gyeongsangbuk-do Province. For general radiography equipment, sources were collected from 4 places such as upper side of control box which employees use most, upper side of exposure button, whole upper side of table which is touching part of patient's skin, upper side of stand bucky's grid, and where patients put their jaws on. For CT equipment, sources were collected from 3 places such as upper side of control box which radiography room employees use most, X-ray exposure button, whole upper side of table which is touching part of patient's skin, and gantry inner. Surface contamination strain found at general radiography equipment in emergency room of radiology are Providencia stuartii(25%), Stenotrophomonas maltophilia(18%), Enterobacter cloacae(8%), Pseudomonas species(8%), Staphylococcus epidermidis(8%), Gram negative bacilli(8%), and ungrown bacteria at incubator after 48 hours of incubation (67%) which is the biggest. Most bacteria were found at upper side of stand bucky-grid and stand bucky of radiology's general radiography equipment, and most sources of CT equipment were focused at patient table, which means it is contaminated by patients who have various diseases, and patients who have strains with decreased immunity may get severe diseases. Thus infection prevention should be made through 70% alcohol disinfection at both before test and after test.

Analysis of bacterial contamination on surface of general radiography equipment and CT equipment in emergency room of radiology

International Nuclear Information System (INIS)

Hong, Dong Hee; KIm, Hyeong Gyun

2016-01-01

We aim to offer basic materials about infection management through conducting bacterial contamination test about general radiography equipment and CT equipment installed in ER of three general hospitals with 100 sickbeds or more located in Gyeongsangbuk-do Province, and suggest management plan. It had been conducted from 1st December 2015 to 31st December, and objects were general radiography equipment and CT equipment of emergency room located in Gyeongsangbuk-do Province. For general radiography equipment, sources were collected from 4 places such as upper side of control box which employees use most, upper side of exposure button, whole upper side of table which is touching part of patient's skin, upper side of stand bucky's grid, and where patients put their jaws on. For CT equipment, sources were collected from 3 places such as upper side of control box which radiography room employees use most, X-ray exposure button, whole upper side of table which is touching part of patient's skin, and gantry inner. Surface contamination strain found at general radiography equipment in emergency room of radiology are Providencia stuartii(25%), Stenotrophomonas maltophilia(18%), Enterobacter cloacae(8%), Pseudomonas species(8%), Staphylococcus epidermidis(8%), Gram negative bacilli(8%), and ungrown bacteria at incubator after 48 hours of incubation (67%) which is the biggest. Most bacteria were found at upper side of stand bucky-grid and stand bucky of radiology's general radiography equipment, and most sources of CT equipment were focused at patient table, which means it is contaminated by patients who have various diseases, and patients who have strains with decreased immunity may get severe diseases. Thus infection prevention should be made through 70% alcohol disinfection at both before test and after test

Assessing the costs of disposable and reusable supplies wasted during surgeries.

Science.gov (United States)

Chasseigne, V; Leguelinel-Blache, G; Nguyen, T L; de Tayrac, R; Prudhomme, M; Kinowski, J M; Costa, P

2018-05-01

The management of disposable and reusable supplies might have an impact on the cost efficiency of the Operating Room (OR). This study aimed to evaluate the cost and reasons for wasted supplies in the OR during surgical procedures. We conducted an observational and prospective study in a French university hospital. We assessed the cost of wasted supplies in the OR (defined by opened unused devices), the reasons for the wastage, and the circulator retrievals. At the end, we assessed the perception of surgeons and nurses relative to the supply wastage. Fifty routine procedures and five non-scheduled procedures were observed in digestive (n = 20), urologic (n = 20) and gynecologic surgery (n = 15). The median cost [IQR] of open unused devices was €4.1 [0.5; 10.5] per procedure. Wasted supplies represented up to 20.1% of the total cost allocated to surgical supplies. Considering the 8000 surgical procedures performed in these three surgery departments, the potential annual cost savings were 100 000€. The most common reason of wastage was an anticipation of the surgeon's needs. The circulating nurse spent up to 26.3% of operative time outside of the OR, mainly attending to an additional demand from the surgeon (30%). Most of the survey respondents (68%) agreed that knowing supply prices would change their behavior. This study showed the OR is a major source of wasted hospital expenditure and an area wherein an intervention would have a significant impact. Reducing wasted supplies could improve the cost efficiency of the OR and also decrease its ecological impact. Copyright © 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

INVESTIGATION OF LEGIONELLA SPECIES IN TEHRAN’S HOSPITAL WATER SUPPLIES

Directory of Open Access Journals (Sweden)

MOHAMMAD RAFIEE

2015-03-01

Full Text Available The present work was performed to investigate the presence of Legionella spp. and its common species in hospital water supplies. Considering the drawback of culture method, polymerase chain reaction (PCR assays were developed to detect the gene 16S rRNA regardless of the bacterial serotype. Four well-established DNA extraction protocols (freeze & thaw and phenol-chloroform as two manual protocols and two commercial kits were examined and critiqued to release DNA from bacterial cells. A total of 45 samples were collected from seven distinct hospitals’ sites during a period of 10 months. The PCR assay was exploited to amplify a 654-bp fragment of the 16S rRNA gene. Legionella were detected in 13 samples (28.9% by all of the methods applied for DNA extraction. Considerable differences were noted in the yield of extracted nucleic acids. Legionella were not detected in any of the samples when DNA extraction by freeze & thaw was used. Omitting this method and comparing manual protocol with commercial kits, Kappa coefficient was calculated as 0.619 with p < 0.05. Although no meaningful differences were found between the kits, DNA extraction with Bioneer kit displayed a higher sensitivity than classical Qiagen. Showerheads and cold-water taps were the most and least contaminated sources with 55.5 and 9 percent positive samples, respectively. Moreover two positive samples were identified for species by DNA sequencing and submitted to the Gene Bank database with accession Nos. FJ480932 and FJ480933.

Reliability analysis of the automatic control and power supply of reactor equipment

International Nuclear Information System (INIS)

Monori, Pal; Nagy, J.A.; Meszaros, Zoltan; Konkoly, Laszlo; Szabo, Antal; Nagy, Laszlo

1988-01-01

Based on reliability analysis the shortcomings of nuclear facilities are discovered. Fault tree types constructed for the technology of automatic control and for power supply serve as input data of the ORCHARD 2 computer code. In order to charaterize the reliability of the system, availability, failure rates and time intervals between failures are calculated. The results of the reliability analysis of the feedwater system of the Paks Nuclear Power Plant showed that the system consisted of elements of similar reliabilities. (V.N.) 8 figs.; 3 tabs

Pseudomonas aeruginosa from hospital environment

Directory of Open Access Journals (Sweden)

Milind Davane

2014-03-01

Full Text Available Hospital acquired infection is an additional affliction to the patient admitted to the hospital for some serious illness and is caused by pathogens which are prevalent in hospital environment. In the hospital, microbes are ubiquitous; and can reach the sick patient through various sources, such as air, water, food, contaminated equipments, linen, catheters, scopes, ventilators, contaminated disinfectants and other preparations used for treatment, visitors, infected patients, etc.

Lists A and B of X-ray equipment. As of July 1, 1984

International Nuclear Information System (INIS)

1984-01-01

The lists A and B of X-ray equipment present the guidelines for X-ray device, as of December 10, 1983, that are defined in the guidelines for radiology and nuclear medicine of the Federal Association of Panel Doctors. In list A, the equipment categories of up-to-date, commercially available X-ray device are given, whereas list B classifies older equipment, both types available from manufacturers who are members of the ZVEI association. Since the categories of application II and III have been made, specifiying the equipment still in use and applicable within a given transitional period in existing medical establishments, but which may not be applied in new establishments. The list of manufacturers gives the addresses of the firms supplying the equipment described in Lists A and B, which have been compiled according to the requirements set by the Federal Association of Panel Doctors. (orig.) [de

Comparison between the indocyanine green fluorescence and blue dye methods for sentinel lymph node biopsy using novel fluorescence image-guided resection equipment in different types of hospitals.

Science.gov (United States)

He, Kunshan; Chi, Chongwei; Kou, Deqiang; Huang, Wenhe; Wu, Jundong; Wang, Yabing; He, Lifang; Ye, Jinzuo; Mao, Yamin; Zhang, Guo-Jun; Wang, Jiandong; Tian, Jie

2016-12-01

Sentinel lymph node biopsy (SLNB) has become a standard of care to detect axillary lymph metastasis in early-stage breast cancer patients with clinically negative axillary lymph nodes. Current SLNB detection modalities comprising a blue dye, a radioactive tracer, or a combination of both have advantages as well as disadvantages. Thus, near-infrared fluorescence imaging using indocyanine green (ICG) has recently been regarded as a novel method that has generated interest for SLNB around the world. However, the lack of appropriate fluorescence imaging systems has hindered further research and wide application of this method. Therefore, we developed novel fluorescence image-guided resection equipment (FIRE) to detect sentinel lymph nodes (SLNs). Moreover, to compare the ICG fluorescence imaging method with the blue dye method and to explore the universal feasibility of the former, a different type of hospital study was conducted. Ninety-nine eligible patients participated in the study at 3 different types of hospitals. After subcutaneous ICG allergy testing, all the patients were subcutaneously injected with methylene blue and ICG into the subareolar area. Consequently, 276 SLNs (range 1-7) were identified in 98 subjects (detection rate: 99%) by using the ICG fluorescence imaging method. In contrast, the blue dye method only identified 202 SLNs (range 1-7) in 91 subjects (detection rate: 91.92%). Besides, the results of the fluorescence imaging method were similar in the 3 hospitals. Our findings indicate the universal feasibility of the ICG fluorescence imaging method for SLNB using the fluorescence image-guided resection equipment in early breast cancer detection. Copyright © 2016 Elsevier Inc. All rights reserved.

Studies on failure kind analysis of the radiologic medical equipment in general hospital

International Nuclear Information System (INIS)

Lee, Woo Cheul; Kim, Jeong Lae

1999-01-01

This paper included a data analysis of the unit of medical devices using maintenance recording card that had medical devices of unit failure mode, hospital of failure mode and MTBF. The results of the analysis were as follows : 1. Medical devices of unit failure mode was the highest in QC/PM such A hospital as 33.9%, B hospital 30.9%, C hospital 30.3%, second degree was the Electrical and Electronic failure such A hospital as 23.5%, B hospital 25.3%, C hospital 28%, third degree was mechanical failure such A hospital as 19.6%, B hospital 22.5%, C hospital 25.4%. 2. Hospital of failure mode was the highest in Mobile X-ray device(A hospital 62.5%, B hospital 69.5%, C hospital 37.4%), and was the lowest in Sono devices(A hospital 16.76%, B hospital 8.4%, C hospital 7%). 3. Mean time between failures(MTBT) was the highest in SONO devices and was the lowest in Mobile X-ray devices which have 200 - 400 failure hours. 4. Average failure ratio was the highest in Mobile X-ray devices(A hospital 31.3%, B hospital 34.8%, C hospital 18.7%), and was the lowest in Sono(Ultrasound) devices (A hospital 8.4%, B hospital 4.2%, C hospital 3.5%). 5. Failure ratio results of medical devices according to QC/PM part of unit failure mode were as follows ; A hospital was the highest part of QC/PM (50%) in Mamo X-ray device and was the lowest part of QC/PM(26.4%) in Gastro X-ray. B hospital was the highest part of QC/PM(56%) in Mobile X-ray device, and the lowest part of QC/PM(12%) in Gastro X-ray. C hospital was the highest part of QC/PM(60%) in R/F X-ray device, and the lowest a part of QC/PM(21%) in Universal X-ray. It was found that the units responsible for most failure decreased by systematic management. We made the preventive maintenance schedule focusing on adjustment of operating and dust removal

Simulation of dynamics behaviors for shipping equipment support with system dynamics analysis approach

Directory of Open Access Journals (Sweden)

Yang Song

2015-05-01

Full Text Available Purpose: The exactly and precisely supply of carrying spare parts has a crucial impact on support and could improve the performance of equipment. Spare parts support is the crux work which will be limited by spare parts allocation and support cost input. Reasonable support strategy can help in making good use of available resources and support the equipment in normal operational status. The purpose of this paper is to propose a dynamics model of spare parts support process based on considering the interaction of multiple factors, and explores the regulation of dynamics behavior in the system. In order to achieve the optimization strategy to improve the effect of support so that will enhance the relevant support parameters of equipment. Design/methodology/approach: Meditate the feedback relationship among some important factors of support that involve support cost, support time and maintenance ability. System dynamics theory is adopted to propose a dynamics model of spare parts support process, on the analysis of multiple factors and casual relationship to find some major ones which have crucial impact on spare parts support. Spare parts support cost and availability was regarded as the control objective, moreover, adjust the control paramours and improve the effect of cannibalization and lateral supply scheduling strategy for spares support. Findings: The factors of spare parts supply, demand and maintenance have relationship of control feedback, and adjust the value of some crucial factors can reduce the support cost and improve the availability value. The main finding is that adopting cannibalization strategy under condition of available materials can relieve the mission and operational availability decline caused by shortage of spare parts. Combining the lateral supply and cannibalization strategy can reduce the inventory of warship carrying spare parts. Practical implications: By controlling the value of key factors regarding aspect of spare

Hospital marketing: characterization of marketing actions in private hospitals in the city of São Paulo - Brazil.

Science.gov (United States)

Leiderman, Eduardo Blay; Padovan, Jorge Luis; Zucchi, Paola

2010-01-01

Characterize the marketing actions in private hospitals in the city of São Paulo, the organizational structure of the marketing area, the target public of marketing actions and the media used. Exploratory cross-sectional study, carried out by a survey made with hospital administrators. The hospitals studied were clearly divided in two groups whose differentials are statistically significant: 1. good infrastructure and equipment, with a well-defined investment policy in marketing; 2. worse infrastructure and less equipment, with lower proportional investment in marketing. 1. The actions most used are the evaluation of patients/caregivers satisfaction, web site and dissemination of the hospital services. 2. The hospital administrators attribute a level of significant importance to the application of hospital marketing concepts. 3. There is a marketing structure in most of the hospitals studied. 4. The hospitals consider as extremely or very important publics: patients and relatives, doctors, collaborators, health plans and community. 5. The media most used are the most simple and of lower cost. 6. There is a statistically significant correlation between the higher investment in marketing and the best infrastructure. 7. The studied hospitals apply the concept of marketing in a restricted way.

Availability and Expiry of Essential Medicines and Supplies During the

African Journals Online (AJOL)

Erah

Pharmacotherapy Group,. Faculty of Pharmacy, University of Benin,. Benin City, 300001 Nigeria. All rights reserved. Available online at http://www.tjpr.org. Research Article. Availability and Expiry of Essential Medicines and. Supplies During the 'Pull' and 'Push' Drug Acquisition. Systems in a Rural Ugandan Hospital.

Analysing biomass torrefaction supply chain costs.

Science.gov (United States)

Svanberg, Martin; Olofsson, Ingemar; Flodén, Jonas; Nordin, Anders

2013-08-01

The objective of the present work was to develop a techno-economic system model to evaluate how logistics and production parameters affect the torrefaction supply chain costs under Swedish conditions. The model consists of four sub-models: (1) supply system, (2) a complete energy and mass balance of drying, torrefaction and densification, (3) investment and operating costs of a green field, stand-alone torrefaction pellet plant, and (4) distribution system to the gate of an end user. The results show that the torrefaction supply chain reaps significant economies of scale up to a plant size of about 150-200 kiloton dry substance per year (ktonDS/year), for which the total supply chain costs accounts to 31.8 euro per megawatt hour based on lower heating value (€/MWhLHV). Important parameters affecting total cost are amount of available biomass, biomass premium, logistics equipment, biomass moisture content, drying technology, torrefaction mass yield and torrefaction plant capital expenditures (CAPEX). Copyright © 2013 Elsevier Ltd. All rights reserved.

Power supply projects a collection of innovative and practical design projects

CERN Document Server

Maplin

1996-01-01

Using circuit diagrams, PCB layouts, parts lists and clear construction and installation details, this book provides everything someone with a basic knowledge of electronics needs to know in order to put that knowledge into practice.This latest collection of Maplin projects are a variety of power supply projects, the necessary components for which are readily available from the Maplin catalogue or any of their high street shops. Projects include, laboratory power supply projects for which there are a wide range of applications for the hobbyist, from servicing portable audio and video equipment

Economic aspects of radiation safety in hospitals

International Nuclear Information System (INIS)

Subrahmanian, G.; Venkataraman, G.

1977-01-01

Radiation protection procedures to be adhered to while using radiological equipment in hospitals both for the patients and the medical personnel are described in detail. The hazards resulting from careless handling of equipment and the need for adequately trained staff to handle the equipment is stressed. (A.K.)

Remote-automated inspection and maintenance of nuclear power plant equipment

Energy Technology Data Exchange (ETDEWEB)

Sasaki, Masayoshi; Nakano, Yoshiyuki

1984-12-01

Employing remote-control inspection and maintenance equipment in nuclear power plants increases the plant availability by decreasing the annual shutdown time (outage), as well as radiation exposure and man-power. This paper presents an outline of the latest designs for an automatic refueling machine, a control rod drive handling machine, a fuel preparation machine, and a main steam line plug, which were supplied to the Fukushima Dai-Ni No. 2 Plant of the Tokyo Electric Power Co., Inc. (Fukushima 2-2). Also, the up-to-date developments of other new automatic machines, such as a CRD disassembly and cleaning system, spent fuel channel box volume reduction equipment, and robotics for nuclear plant use are presented.

[Hydrotherapy equipment].

Science.gov (United States)

Tsibikov, V B; Ragozin, S I; Mikheeva, L V

1985-01-01

A flow-chart is developed demonstrating the relation between medical and prophylactic institutions within the organizational structure of the rehabilitation system and main types of rehabilitation procedures. In order to ascertain the priority in equipping rehabilitation services with adequate hardware the special priority criterion is introduced. The highest priority is assigned to balneotherapeutic and fangotherapeutic services. Based on the operation-by-operation analysis of clinical processes related to service and performance of balneologic procedures the preliminary set of clinical devices designed for baths, basins and showers in hospitals and rehabilitation departments is defined in a generalized form.

The improvement of maintenance service for traction networks equipment on the base of process approach

Directory of Open Access Journals (Sweden)

D. V. Mironov

2014-12-01

Full Text Available Purpose. The new methods development for improving the maintenance service for equipment of traction networks in order to increase its efficiency and quality. Methodology. In world practice of solving problems related to the quality of products and services is usually achieved by introducing quality management system in to the enterprises. The provisions of quality management system were used for solving the problem. The technologies of process engineering were used for describing the main stages of maintenance service. Findings. The development of high-speed movement and growth of its intensity, the use of electric rolling stock of a new generation require the introduction of new methods diagnostics of equipment technical state and improvement of the existing maintenance system and repair of power supply. Developing a model of business-processes, their optimization with using techniques of process engineering and system management is needed for the transition to the management system based on the process approach. From the standpoint of the process approach and in accordance with the requirements of the quality management system (ISO 9001-2009, the operation of the E (Department of electrification and power supply infrastructure sector is represented as a scheme of business-processes in which the guaranteed supply with electricity of railway and third-party consumers is defined as the main business-process of management. Each of the sub-process of power supply for consumers is described in details. The use methods and main stages of process approach for sample management system reorganization were investigated. The methodology and the application method of PDCA (Plan-Do-Check-Act closed loop to the equipment maintenance system were described. The monitoring process of traction networks maintenance using the process approach was divided into components after investigations. The technical documentation of maintenance service was investigated in

NASA Ames Research Center 60 MW Power Supply Modernization

Science.gov (United States)

Choy, Yuen Ching; Ilinets, Boris V.; Miller, Ted; Nagel, Kirsten (Technical Monitor)

2001-01-01

The NASA Ames Research Center 60 MW DC Power Supply was built in 1974 to provide controlled DC power for the Thermophysics Facility Arc Jet Laboratory. The Power Supply has gradually losing reliability due to outdated technology and component life limitation. NASA has decided to upgrade the existing rectifier modules with contemporary high-power electronics and control equipment. NASA plans to complete this project in 2001. This project includes a complete replacement of obsolete thyristor stacks in all six rectifier modules and rectifier bridge control system. High power water-cooled thyristors and freewheeling diodes will be used. The rating of each of the six modules will be 4000 A at 5500 V. The control firing angle signal will be sent from the Facility Control System to six modules via fiberoptic cable. The Power Supply control and monitoring system will include a Master PLC in the Facility building and a Slave PLC in each rectifier module. This system will also monitor each thyristor level in each stack and the auxiliary equipment.

Hospital-based expert model for health technology procurement planning in hospitals.

Science.gov (United States)

Miniati, R; Cecconi, G; Frosini, F; Dori, F; Regolini, J; Iadanza, E; Biffi Gentili, G

2014-01-01

Although in the last years technology innovation in healthcare brought big improvements in care level and patient quality of life, hospital complexity and management cost became higher. For this reason, necessity of planning for medical equipment procurement within hospitals is getting more and more important in order to sustainable provide appropriate technology for both routine activity and innovative procedures. In order to support hospital decision makers for technology procurement planning, an expert model was designed as reported in the following paper. It combines the most widely used approaches for technology evaluation by taking into consideration Health Technology Assessment (HTA) and Medical Equipment Replacement Model (MERM). The designing phases include a first definition of prioritization algorithms, then the weighting process through experts' interviews and a final step for the model validation that included both statistical testing and comparison with real decisions. In conclusion, the designed model was able to provide a semi-automated tool that through the use of multidisciplinary information is able to prioritize different requests of technology acquisition in hospitals. Validation outcomes improved the model accuracy and created different "user profiles" according to the specific needs of decision makers.

Collection effort and reverse channel choices in a closed-loop supply chain

DEFF Research Database (Denmark)

Govindan, Kannan; Liu, Liwen; Wang, Zongjun

2017-01-01

We investigate the pricing and reverse channel choice decision issues in a closed-loop supply chain, within which the original equipment manufacturer (OEM) sells the new and remanufactured products through a retailer, while collects used products (cores) via dual recycling channels. We consider...

The equipment supply industry to sugar mills, ethanol and energy in Brazil: an analysis based in leading companies and key-organizations of sector and of LPA of Sertãozinho

Directory of Open Access Journals (Sweden)

Michelle Castro Carrijo

2015-12-01

Full Text Available This study aims to analyze the profile, organization, efficiency and innovation in the supply industry equipment for sugar mills, ethanol and energy in Brazil, contributing to an important discussion on the competitiveness of this industry. Therefore, the study was based on analysis of information obtained from two surveys: the first held with representative organizations and two industry-leading companies located in the cities of Sertãozinho and Piracicaba; and the second, through interviews with companies in the Local Productive Arrangement (LPA of Sertãozinho, known as the Silicon Valley Ethanol. The results suggest that the increasing modernization of the sector will require greater efforts from equipment industry to provide plants with the necessary technological innovations and potential efficiency gains and that the constituent companies of this industry, few invest in technology and professional training, in other words, are lacking in management training, which leads to loss of valuable opportunities, international market share is tiny, most companies turn to private sources of financing, and companies seem unaware of the real benefits of cooperation, although they appear in most companies in this industry.

Use of ice storage equipment in the food industry

Energy Technology Data Exchange (ETDEWEB)

Vries, H. de

1984-01-01

The manufacture of foods in its widest sense demands a 'balanced supply of cooling'. Whenever 'cold requirement' occurs in different ways during production, the ice storage equipment in particular for 'cooling supplies'. The cooling performance (amount of cold from horizontal tubes and slabs or from horizontal pipes given off to the water flowing past) that can be expected from modern ice storage equipment, is made clear numerically. The way the storage vessel is constructed and its design have particular influence on the energy-saving quality (stirring mechanism with high performance at low pump capacity). Optimisation results for a plate evaporator design combined with a heat exchange system are presented. These include running cost savings of up to 18% in a yoghurt factory, a maltery and an ice cream factory. By means of this heat pump compound, environmental energy can be used in cold storage.

Managing the Service Supply Chain in the Department of Defense: Opportunities and Challenges

National Research Council Canada - National Science Library

Apte, Uday; Ferrer, Geraldo; Lewis, Ira; Rendon, Rene

2006-01-01

...% of total DoD procurement dollars) on services. In recent years, the DoD has spent more on services than on supplies, equipment and goods, even considering the high value of weapon systems and large military items...

Stop the supply chain insanity. Retail as a model for hospitals.

Science.gov (United States)

Belkoski, David A

2008-04-01

The healthcare supply chain has yet to embrace any single industrywide source for synchronized product data. A synchronized product data system is a keystone in other multibillion-dollar markets. University Health Care System (UHCS), Augusta, Ga., developed a pilot program that demonstrates the benefits of data standardization and synchronization and enabled the system to recognize productivity gains in the supply chain.

47 CFR 15.101 - Equipment authorization of unintentional radiators.

Science.gov (United States)

2010-10-01

... radiators. 15.101 Section 15.101 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL RADIO FREQUENCY... initiation of marketing, as follows: Type of device Equipment authorization required TV broadcast receiver... external switching power supplies Verification. Other Class B digital devices & peripherals Verification...

Japanese hospitals--culture and competition: a study of ten hospitals.

Science.gov (United States)

Anbäcken, O

1994-01-01

Japanese health care is characterized by a pluralistic system with a high degree of private producers. Central government regulates the prices and the financing system. All citizens are covered by a mandatory employment-based health insurance operating on a non-profit basis. The consumer has a free choice of physician and hospital. A comparison between Japan, Sweden and some other countries shows significant dissimilarities in the length of stay, number of treatments per hospital bed and year and the staffing of hospitals. About 80 per cent of the hospitals and 94 per cent of the clinics are privately owned. The typical private hospital owned by a physician has less than 100 beds. In this paper, data collected (1992/93) in an empirical study of Japanese hospitals and their leadership is presented. Also discussed are the hospitals' style of management, tools and strategies for competition and competences--personal and formal skills required of the leadership in the hospital. There follows a study of ten hospitals, among which hospital directors and chief physicians were interviewed. Interviews are also made with key persons in the Ministry of Health and Welfare and other organizations in the health care field. The result is also analysed from a cultural perspective--'what kind of impact does the Japanese culture have on the health care organization?' and/or 'what kind of sub-culture is developed in the Japanese hospitals'. Some comparisons are made with Sweden, USA, Canada and Germany. The different roles of the professions in the hospital are included in the study as well as the incentives for different kinds of strategies--specialization, growing in size, investments in new equipment, different kind of ownership and hospitals. Another issue discussed is the attempt to uncover whether there is an implicit distribution of specialties--silent agreements between hospitals, etc.

Robot-Assisted Laparoscopic Radical Prostatectomy for Patients with Prostatic Cancer and Factors Promoting Installation of the Robotic Surgical Equipment-Questionnaire Survey

OpenAIRE

塚本, 泰司; 田中, 滋

2015-01-01

We conducted a questionnaire survey of hospitals with robot-assisted surgical equipment to study changes of the surgical case loads after its installation and the managerial strategies for its purchase. The study included 154 hospitals (as of April 2014) that were queried about their radical prostatectomy case loads from January 2009 to December 2013, strategies for installation of the equipment in their hospitals, and other topics related to the study purpose. The overall response rate of ho...

Supply Chain and Blade Manufacturing Considerations in the Global Wind Industry (Presentation)

Energy Technology Data Exchange (ETDEWEB)

James, Ted [National Renewable Energy Lab. (NREL), Golden, CO (United States); Goodrich, Alan [National Renewable Energy Lab. (NREL), Golden, CO (United States)

2013-12-12

This briefing provides an overview of supply chain developments in the global wind industry and a detailed assessment of blade manufacturing considerations for U.S. end-markets. The report discusses the international trade flows of wind power equipment, blade manufacturing and logistical costs, and qualitative issues that often influence factory location decisions. To help guide policy and research and development strategy decisions, this report offers a comprehensive perspective of both quantitative and qualitative factors that affect selected supply chain developments in the growing wind power industry.

Disaster Risk Assessment in Educational Hospitals of Qazvin Based on WHO Pattern in 2015.

Science.gov (United States)

Asefzadeh, Saeed; Varyani, Ali Safari; Gholami, Soheyla

2016-01-01

In addition to damaging communities and infrastructures, unexpected disasters affect service provider centers as well. Structural, non-structural, and functional components of hospitals could be affected when hazards or disasters occur, and they may be unable to admit casualties, have their own personnel and patients killed or injured, have their property destroyed. In such as case, they would increase the burden of death resulting from the disaster. Therefore, in this study, hospital safety was reviewed in two hospitals in Qazvin in 2015. This cross-sectional descriptive study was conducted on two of the Rajaee and Velayat Hospitals in Qazvin. The tools used to assess for the hospitals' risk of experiencing a disaster were observation, interviews, and a checklist of hospital disaster risk assessment provided by the World Health Organization (WHO), including 5 sections and 145 indices for the safety assessment of hospitals. To determine the general weight, three main parts of the questionnaire, i.e., functional safety, non-structural safety, and structural safety, were given weights of 0.2, 0.3, and 0.5, respectively, according to the original version of the indices. Each index was scored as 0, 1, and 2 based on the low, medium, and high scores. The safety scores that were obtained were categorized in three groups, i.e., low safety (≤ 34%), medium safety (34-66%), and high safety (> 66%). The data were analyzed using Excel 2007 software. Functional, structural, and non-structural safety scores were evaluated as 60.20% (medium safety), 67.61% (high safety), and 76.16% (high safety), respectively. General preparedness of the hospitals we studied were 71.90%, a high safety level. This high preparedness was related to the indices of availability of medicines, equipment, water supply, and other resources required in emergency conditions (85%), and the lowest preparedness was related to contingency plans of medical operations (19%). The preparedness of the two

Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?

Science.gov (United States)

Than, Thet Mon; Saw, Yu Mon; Khaing, Moe; Win, Ei Mon; Cho, Su Myat; Kariya, Tetsuyoshi; Yamamoto, Eiko; Hamajima, Nobuyuki

2017-09-19

Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. The study also analyzed the cost structure of the hospitals to allocate and manage the budgets appropriately. A hospital-based cross-sectional study was conducted at 200-bed Magway Teaching Hospital (MTH) and Pyinmanar General Hospital (PMN GH), in Myanmar, for the financial year 2015-2016. The step-down costing method was applied to calculate unit cost per inpatient day and per outpatient visit. The costs were calculated by using Microsoft Excel 2010. The unit costs per inpatient day varied largely from unit to unit in both hospitals. At PMN GH, unit cost per inpatient day was 28,374 Kyats (27.60 USD) for pediatric unit and 1,961,806 Kyats (1908.37 USD) for ear, nose, and throat unit. At MTH, the unit costs per inpatient day were 19,704 Kyats (19.17 USD) for medicine unit and 168,835 Kyats (164.24 USD) for eye unit. The unit cost of outpatient visit was 14,882 Kyats (14.48 USD) at PMN GH, while 23,059 Kyats (22.43 USD) at MTH. Regarding cost structure, medicines and medical supplies was the largest component at MTH, and the equipment was the largest component at PMN GH. The surgery unit of MTH and the eye unit of PMN GH consumed most of the total cost of the hospitals. The unit costs were influenced by the utilization of hospital services by the patients, the efficiency of available resources, type of medical services provided, and medical practice of the physicians. The cost structures variation was also found between MTH and PMN GH. The findings provided the basic information regarding the healthcare cost of public hospitals which can apply the efficient utilization of the

Health information as an aid to effective hospital management.

Science.gov (United States)

Mogli, G D

2003-03-01

No institution can be efficiently organized and managed unless one makes a critical analysis of organizational needs and takes appropriate action to develop the way one wishes it to be. It is, in fact, more true with hospital organization, usually the new hospital starts as a simple and small organization and with-in the space of few years, however, it evolves into a complex body governed by precise laws and regulations, especially as regards finances, facilities and organizations. In order to maintain any organization especially the hospital administration efficiently it is necessary to develop management tools that would reflect the true operation of the hospital and enable resources (personnel, equipment and buildings) to be fully utilized and adapted to the needs of the population serviced. These indicators of true hospital operation would then serve as a basis for determining hospital activity at any given time, in relation to the number and characteristics of the patients, as well as for evaluation hospital activity in terms of progress made towards good utilization of resources. A record of activities, related to the individual patient, would provide a valid basis for establishing a relationship with the morbidity observed in the hospital and would be a first step towards an evaluation of the services "rendered" by the hospital, or its impact on the demand for care in its own particular area. Thus, in its aims of establishing a hospital to adjusting supply to demand in the field of health care. The author had stressed too much emphasis on health information collection and interpretation because of valid reasons. Correct and timely administrative and clinical information which is a barometer of hospital efficiency could indicate whether the quality is balanced with expenditure or whether leading into financial crisis. So, whatever may be the motive behind establishing a hospital whether for profit making, or public-service, it is necessary the investors

Regional variation in hospital admission rates in the Netherlands, Belgium, Northern France and Nordrhein-Westfalen.

NARCIS (Netherlands)

Noordt, M. van; Zee, J. van der; Groenewegen, P.P.

1992-01-01

For the analysis of regional variations in hospital admission rates a model was set up, including both supply and demand indicators. Data were gathered for regions in four health care systems (the Dutch, Belgian, French and German), for 1982, 1979, 1974 (France 1982 only). Hospital bed supply proved

Catalog of physical protection equipment. Book 3: Volume VII. General purpose display components

International Nuclear Information System (INIS)

1977-06-01

A catalog of commercially available physical protection equipment has been prepared under MITRE contract AT(49-24)-0376 for use by the U. S. Nuclear Regulatory Commission (NRC). Included is information on barrier structures and equipment, interior and exterior intrusion detection sensors, entry (access) control devices, surveillance and alarm assessment equipment, contraband detection sensors, automated response equipment, general purpose displays and general purpose communications, with one volume devoted to each of these eight areas. For each item of equipment the information included consists of performance, physical, cost and supply/logistics data. The entire catalog is contained in three notebooks for ease in its use by licensing and inspection staff at NRC

DIII-D power supply, design, and development

International Nuclear Information System (INIS)

Nerem, A.

1995-02-01

An overview of the DIII-D power supply system with information details concerning the configuration, power ratings, acquisition costs, and cost scaling relevant to the design of ITER and other tokamaks is presented. The power supplies for the DIII-D tokamak were installed and commissioned during the late 1970's and the beginning of the 1980's. Several upgrades have been implemented during the last two years to solve increasing reliability problems encountered as the equipment aged, to provide enhanced operational flexibilities, and to enable operation at the higher power levels needed to provide experimental data relevant to the ITER and TPX design activities. These upgrades ranged from redesign of the power supply control systems to the replacement of vacuum circuit breakers which had become unreliable in service. A new interlock and protection system has also been implemented using the latest programmable logic controllers (PLC) and computer technology. These upgrades have been highly successful and are described to provide insight to many issues in the specification of high power converters. Power supply models used in the design of the DIII-D Plasma Control System are also described along with model verification test data. These models are being used in the development of a new advanced plasma control system for the DIII-D tokamak. Recent operational experience and results are presented

Radiological equipment analyzed by specific developed phantoms and software

International Nuclear Information System (INIS)

Soto, M.; Campayo, J. M.; Mayo, P.; Verdu, G.; Rodenas, F.

2010-10-01

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be computerized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In case of film-screen equipment s this analysis could be applied digitalising the image in a professional scanner. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment s. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment s and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques... etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (m As). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (Author)

Radiological equipment analyzed by specific developed phantoms and software

Energy Technology Data Exchange (ETDEWEB)

Soto, M.; Campayo, J. M. [Logistica y Acondicionamientos Industriales SAU, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Mayo, P. [TITANIA Servicios Tecnologicos SL, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Verdu, G.; Rodenas, F., E-mail: m.soto@lainsa.co [ISIRYIM Universidad Politecnica de Valencia, Camino de Vera s/n, Valencia (Spain)

2010-10-15

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be computerized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In case of film-screen equipment s this analysis could be applied digitalising the image in a professional scanner. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment s. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment s and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques... etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (m As). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (Author)

Reliability performance of standby equipment with periodic testing

International Nuclear Information System (INIS)

Sim, S.H.

1985-11-01

In this report, the reliability performance of standby equipment subjected to periodic testing is studied. analytical expressions have been derived for reliability measures, such as the man accumulated operating time to failure, the expected number of tests between two consecutive failures, the mean time to failure following an emergency start-up and the probability of failing to complete an emergency mission of a specified duration. These results are useful for the reliability assessment of standby equipment such as combustion turbine units of the emergency power supply system, and of the Class III power system at a nuclear generating station

LEAN HEALTHCARE SUPPLY CHAIN MANAGEMENT: MINIMIZING WASTE AND COSTS

Directory of Open Access Journals (Sweden)

Catia M L Machado

2014-12-01

Full Text Available The purpose of this research is to investigate the management models applied in the supply chain providing services in healthcare organizations, considering the lenses of lean. The aim of this is to develop a model of supply chain management focusing on the identification and minimization of waste, assisting in decision making and contributing to the quality of services and as a consequence the reduction of the costs involved in healthcare supply chain. The philosophies of continuous improvement and lean techniques have a role to play in helping healthcare to provide quality service and support to reduce costs in the current budget constraints. In the supply chain of hospitals the financial costs can be around 40% of its budget (MASOUMI et al. 2012; SOUZA et al., 2013. This article sheds light on the improvement in decision making and the effect of reducing costs in the healthcare supply chain. In this sense, the research intend to expand knowledge related to supply chain management in the area of ​​provision of healthcare services through the use of the philosophy of continuous improvement and lean principles, helping healthcare to provide quality service within their current budget constraints.

Public health officials and MECs should be held liable for harm caused to patients through incompetence, indifference, maladministration or negligence regarding the availability of hospital equipment.

Science.gov (United States)

McQuoid-Mason, David Jan

2016-06-17

There have been several reports of state hospitals not having functional equipment such as radiological equipment. Where these are due to incompetence, Indifference, maladministration or negligence by the public officials concerned, they may be held personally liable for the resulting harm to patients. However, the courts have often observed that where the State has been sued vicariously for the wrongs of public officials, it has not obtained reimbursement from the offending official. It has therefore been suggested that irresponsible public servants should be sued in their personal capacity (in addition to the State), to prevent taxpayers always having to pay for their misdeeds. If an individual public official cannot afford to pay all the damages awarded, the injured party can recover the balance from the State by citing it as a vicarious joint wrongdoer.

Competitive and Cooperative Degree in Supply Chain: Supplier Selection between Competitors and Third-Party Suppliers

OpenAIRE

Xie, Bo; Wang, Xianjia; Zhou, Chuan

2014-01-01

Part 5: Modelling and Simulation; International audience; This work explores the firm’s supplier selection question that the competitor firm and the third-party supplier can supply the substitutable component. We consider a supply chain with two competing original equipment manufacturers (OEMs) and two third-party suppliers. The two OEMs produce the competing products which are comprised by two main components. Each OEM only can produce one component in-house and each third-party supplier onl...

Evidence for the safety assurance of the radiation associated equipments for stat-up check

International Nuclear Information System (INIS)

Takahashi, Yasuyuki; Igarashi, Hiroshi; Saito, Kyoko; Kawaharada, Yasuhiro; Hirano, Kunihiro; Murase, Kenya; Mochizuki, Teruhito

2008-01-01

Based on the new amendment of the Medical Service Law and the Pharmaceutical Affairs Law, the safety control for the medical equipments and devices was strengthened; and a radiological technologist should be stipulated as a safety control manager for the medical equipments and devices. Although it is thought that Start-up check is important for the safety assurance, the enforcement situation is not clear until now. In this report, on the occasion of the start-up of the new Law, questionnaire about the start up check (time and a check items) were investigated from 56 hospitals applying the visit interview. Modality by modality check up time was obtained from 261 institutions by the descriptive study paper type. Start-up check and arming up were applied for almost all modalities about 30 minutes before start of the clinical tests. The check up items for the medical equipments and devices depended on each hospital. Therefore, safety assurance should be established, cooperating with the medical equipment distributors, the hospital sharing the checked results for the patients' safety. (author)

Conceptual study on HTGR-IS hydrogen supply system using organic hydrides

International Nuclear Information System (INIS)

Terada, Atsuhiko; Noguchi, Hiroki; Takegami, Hiroaki; Kamiji, Yu; Inagaki, Yoshiyuki

2012-02-01

We have proposed a hydrogen supply-chain system, which is a storage/supply system of large amount of hydrogen produced by HTGR-IS hydrogen production system. The organic chemical hydride method is one of the candidate techniques in the system for hydrogen storage and transportation. In this study, properties of organic hydrides and conventional hydrogen storage/supply system were surveyed to make use of the conceptual design of the hydrogen supply system using an organic hydrides method with VHTR-IS hydrogen production process (hydrogen production: 85,400 Nm 3 /h). Conceptual specifications of the main equipments were designed for the hydrogen supply system consisting of hydrogenation and dehydrogenation process. It was also clarified the problems of hydrogen supply system, such as energy efficiency and system optimization. (author)

Present situation and necessity of computer programmed X-ray equipment

International Nuclear Information System (INIS)

Shiraishi, Junji; Hatagawa, Masakatsu

1989-01-01

In order to take radiographic photos, it is necessary to know a great deal of information. For example, mA, kV, exposure time, screen, grid, phototimer, etc. In this study, we examined 4 widely-used types computer-programmed X-ray equipment. These computer-assisted processes are designed to look at the data and make programmed individual decisions. The purpose is to reduce the differences in radiographic quality and the risk of retaking caused by the differences in experience among technicians. We concluded that none of them has ideal functions but each can be used as a source supply information, if a little remodeling is done, and we confirm that computer-programmed X-ray equipment is, and will continue to go be, necessary. (author)

Compliance with the national palestinian infection prevention and control protocol at governmental paediatric hospitals in gaza governorates.

Science.gov (United States)

Eljedi, Ashraf; Dalo, Shareef

2014-08-01

Nosocomial infections are a significant burden for both patients and the healthcare system. For this reason, infection prevention and control (IPC) practices are extremely important. The Palestinian Ministry of Health adopted the national IPC Protocol in 2004. This study aimed to assess the compliance of healthcare providers (HCPs) with the Protocol in three governmental paediatric hospitals in Gaza governorates. This descriptive cross-sectional study was conducted from February to November 2010. Data were collected from a sample of doctors, nurses and physiotherapists (N = 334) using a self-administered questionnaire and observation checklists to record HCP practices and assess the hospital environment. The response rate was 92%. The most important reasons for non-compliance with the IPC Protocol were the absence of an education programme (61.5%), lack of knowledge (52.4%) and the scarcity of required supplies (46.9%). Only 2.3% of respondents had a copy of the IPC Protocol, while 65.8% did not know of its existence. Only 16.9% had participated in training sessions regarding general IPC practices. The observation checklist regarding HCP practices revealed low levels of compliance in hand washing (45.9%), wearing gloves (40.7%) and using antiseptics/disinfectants (49.16%). The health facilities checklist indicated that there was a lack of certain essential equipment and materials, such as covered waste containers and heavy-duty gloves. Due to the lack of HPC knowledge, the authors recommend that the IPC Protocol be made available in all hospitals. In addition, a qualified team should implement intensive IPC education and training programmes and facilities should provide the required equipment and materials.

Regulated-current dc power supply for gaseous-discharge lamps

Science.gov (United States)

Freeman, W.; Huguenin, D.

1970-01-01

Controlled current source having a high output resistance feeds continuous-flow hydrogen lamps in vacuum-ultraviolet photometric equipment. The power supply, also used with low-pressure sealed lamps, has a short recovery time and smooth regulation without overshoot.

Systems approach to design of power supply to mines

Energy Technology Data Exchange (ETDEWEB)