WorldWideScience

Sample records for hospital sterilization facility

  1. Survey of sterile admixture practices in canadian hospital pharmacies: part 1. Methods and results.

    Science.gov (United States)

    Warner, Travis; Nishi, Cesilia; Checkowski, Ryan; Hall, Kevin W

    2009-03-01

    The 1996 Guidelines for Preparation of Sterile Products in Pharmacies of the Canadian Society of Hospital Pharmacists (CSHP) represent the current standard of practice for sterile compounding in Canada. However, these guidelines are practice recommendations, not enforceable standards. Previous surveys of sterile compounding practices have shown that actual practice deviates markedly from voluntary practice recommendations. In 2004, the United States Pharmacopeia (USP) published its "General Chapter Pharmaceutical Compounding-Sterile Preparations", which set a more rigorous and enforceable standard for sterile compounding in the United States. To assess sterile compounding practices in Canadian hospital pharmacies and to compare them with current CSHP recommendations and USP chapter standards. An online survey, based on previous studies of sterile compounding practices, the CSHP guidelines, and the chapter standards, was created and distributed to 193 Canadian hospital pharmacies. A total of 133 pharmacies completed at least part of the survey, for a response rate of 68.9%. All respondents reported the preparation of sterile products. Various degrees of deviation from the practice recommendations were noted for virtually all areas of the CSHP guidelines and the USP standards. Low levels of compliance were most notable in the areas of facilities and equipment, process validation, and product testing. Availability in the central pharmacy of a clean room facility meeting or exceeding the criteria of International Organization for Standardization (ISO) class 8 is a requirement of the chapter standards, but more than 40% of responding pharmacies reported that they did not have such a facility. Higher levels of compliance were noted for policies and procedures, garbing requirements, aseptic technique, and handling of hazardous products. Part 1 of this series reports the survey methods and results relating to policies, personnel, raw materials, storage and handling

  2. Auditing radiation sterilization facilities

    Science.gov (United States)

    Beck, Jeffrey A.

    The diversity of radiation sterilization systems available today places renewed emphasis on the need for thorough Quality Assurance audits of these facilities. Evaluating compliance with Good Manufacturing Practices is an obvious requirement, but an effective audit must also evaluate installation and performance qualification programs (validation_, and process control and monitoring procedures in detail. The present paper describes general standards that radiation sterilization operations should meet in each of these key areas, and provides basic guidance for conducting QA audits of these facilities.

  3. Survey of sterile admixture practices in canadian hospital pharmacies: part 2. More results and discussion.

    Science.gov (United States)

    Warner, Travis; Nishi, Cesilia; Checkowski, Ryan; Hall, Kevin W

    2009-05-01

    The 1996 Guidelines for Preparation of Sterile Products in Pharmacies of the Canadian Society of Hospital Pharmacists (CSHP) represent the current standard of practice for sterile compounding in Canada. However, these guidelines are practice recommendations, not enforceable standards. Previous surveys of sterile compounding practices have shown that actual practice deviates markedly from voluntary practice recommendations. In 2004, the United States Pharmacopeia (USP) published its "General Chapter Pharmaceutical Compounding-Sterile Preparations", which set a more rigorous and enforceable standard for sterile compounding in the United States. To assess sterile compounding practices in Canadian hospital pharmacies and to compare them with current CSHP recommendations and USP chapter standards. An online survey, based on previous studies of sterile compounding practices, the CSHP guidelines, and the chapter standards, was created and distributed to 193 Canadian hospital pharmacies. A total of 133 pharmacies completed at least part of the survey, for a response rate of 68.9%. All respondents reported the preparation of sterile products. Various degrees of deviation from the practice recommendations were noted for virtually all areas of the CSHP guidelines and the USP standards. Low levels of compliance were most notable in the areas of facilities and equipment, process validation, and product testing. Availability in the central pharmacy of a clean room facility meeting or exceeding the criteria of International Organization for Standardization (ISO) class 8 is a requirement of the chapter standards, but more than 40% of responding pharmacies reported that they did not have such a facility. Higher levels of compliance were noted for policies and procedures, garbing requirements, aseptic technique, and handling of hazardous products. The survey methods for this study and results relating to policies, personnel, raw materials, storage and handling, facilities and

  4. Audits of radiation sterilization facilities

    International Nuclear Information System (INIS)

    Kelkar, Prabhakar M.

    2001-01-01

    Johnson and Johnson is the world leader in sterilization science and technology. A special group of scientists and technologists are engaged in the development of new methods of sterilization, worldwide monitoring of sterilization processes, equipment and approvals for all types of sterilization processes. Kilmer Conference in the alternate year for the benefit of all those involved in improvement in sterilization science is held. Cobalt-60 gamma radiation for sterilization of medical products on commercial scale is used. This kind of mammoth task can only be achieved through systematic method of planning, auditing, expert review and approval of facilities

  5. Radiation sterilization facility for melon fly

    International Nuclear Information System (INIS)

    Danno, A.

    1985-01-01

    The melon fly (Dacus cucurbitae Coquillett) has been observed in Amami Island since l975. Kagoshima Prefecture has had a melon fly eradication project underway since 1979. A mass-fearing facility and a radiation sterilization facility were constructed in Naze in March of l98l. In the early stages of the project, sterile insects were produced at the rate of 4 x l0/sup 6/ pupae/week. In the later stages, the activity of the project was enlarged by tenfold. The conditions for design of the radiation sterilization facility, which has been developed with a central control system for automated irradiation, are examined from an engineering standpoint

  6. Trends in sterilization since the introduction of Essure hysteroscopic sterilization.

    Science.gov (United States)

    Shavell, Valerie I; Abdallah, Mazen E; Shade, George H; Diamond, Michael P; Berman, Jay M

    2009-01-01

    To investigate trends in sterilization in women at the Detroit Medical Center, Michigan (DMC), since the introduction of Essure hysteroscopic sterilization. Retrospective study (Canadian Task Force classification II-2). Outpatient surgery center and university teaching hospitals. Women who underwent interval sterilization procedures at the DMC (Hutzel Women's Hospital, Sinai-Grace Hospital, and the Berry Center) and postpartum sterilization procedures at Hutzel Women's Hospital between January 1, 2002, and December 31, 2007. Permanent sterilization procedures including minilaparotomy tubal ligation, laparoscopic sterilization, Essure hysteroscopic sterilization, and postpartum tubal ligation performed at the time of cesarean section or after vaginal delivery. In all, 5509 permanent sterilization procedures were performed in the 6 years between January 1, 2002, and December 31, 2007, at the DMC facilities analyzed: 2484 interval sterilization procedures at Hutzel Women's Hospital, Sinai-Grace Hospital, and the Berry Center, and 3025 postpartum tubal ligations at Hutzel Women's Hospital. From 2002 through 2007, the decrease in laparoscopic sterilizations from 97.9% to 48.5% of all interval sterilization procedures corresponded significantly with the increase in Essure hysteroscopic sterilizations from 0.0% to 51.3% (p Essure hysteroscopic sterilizations increased significantly from 0.0% to 51.3% of all procedures. Since the approval of Essure hysteroscopic sterilization in November 2002, this minimally invasive method of hysteroscopic sterilization has increased in popularity at the DMC.

  7. Light sterile neutrino sensitivity at the nuSTORM facility

    CERN Document Server

    Adey, D; Ankenbrandt, C.M.; Asfandiyarov, R.; Back, J.J.; Barker, G.; Baussan, E.; Bayes, R.; Bhadra, S.; Blackmore, V.; Blondel, A.; Bogacz, S.A.; Booth, C.; Boyd, S.B.; Bramsiepe, S.G.; Bravar, A.; Brice, S.J.; Bross, A.D.; Cadoux, F.; Cease, H.; Cervera, A.; Cobb, J.; Colling, D.; Coloma, P.; Coney, L.; Dobbs, A.; Dobson, J.; Donini, A.; Dornan, P.; Dracos, M.; Dufour, F.; Edgecock, R.; Geelhoed, M.; Uchida, M.A.; Ghosh, T.; Gomez-Cadenas, J.J.; de Gouvea, A.; Haesler, A.; Hanson, G.; Harrison, P.F.; Hartz, M.; Hernandez, P.; Hernando Morata, J.A.; Hodgson, P.; Huber, P.; Izmaylov, A.; Karadzhov, Y.; Kobilarcik, T.; Kopp, J.; Kormos, L.; Korzenev, A.; Kuno, Y.; Kurup, A.; Kyberd, P.; Lagrange, J.B.; Laing, A.; Liu, A.; Link, J.M.; Long, K.; Mahn, K.; Mariani, C.; Martin, C.; Martin, J.; McCauley, N.; McDonald, K.T.; Mena, O.; Mishra, S.R.; Mokhov, N.; Morfin, J.; Mori, Y.; Murray, W.; Neuffer, D.; Nichol, R.; Noah, E.; Palmer, M.A.; Parke, S.; Pascoli, S.; Pasternak, J.; Plunkett, R.; Popovic, M.; Ratoff, P.; Ravonel, M.; Rayner, M.; Ricciardi, S.; Rogers, C.; Rubinov, P.; Santos, E.; Sato, A.; Sen, T.; Scantamburlo, E.; Sedgbeer, J.K.; Smith, D.R.; Smith, P.J.; Sobczyk, J.T.; Sby, L.; Soler, F.J.P.; Sorel, M.; Snopok, P.; Stamoulis, P.; Stanco, L.; Striganov, S.; Tanaka, H.A.; Taylor, I.J.; Touramanis, C.; Tunnell, C.D.; Uchida, Y.; Vassilopoulos, N.; Wascko, M.O.; Weber, A.; Wilking, M.J.; Wildner, E.; Winter, W.

    2014-01-01

    A facility that can deliver beams of electron and muon neutrinos from the decay of a stored muon beam has the potential to unambiguously resolve the issue of the evidence for light sterile neutrinos that arises in short-baseline neutrino oscillation experiments and from estimates of the effective number of neutrino flavors from fits to cosmological data. In this paper, we show that the nuSTORM facility, with stored muons of 3.8 GeV/c $\\pm$ 10%, will be able to carry out a conclusive muon neutrino appearance search for sterile neutrinos and test the LSND and MiniBooNE experimental signals with 10$\\sigma$ sensitivity, even assuming conservative estimates for the systematic uncertainties. This experiment would add greatly to our knowledge of the contribution of light sterile neutrinos to the number of effective neutrino flavors from the abundance of primordial helium production and from constraints on neutrino energy density from the cosmic microwave background. The appearance search is complemented by a simulta...

  8. [Current status of disinfection and sterilization for dental handpieces in the hospitals].

    Science.gov (United States)

    Deng, Xiao-hong; Sun, Zheng; Su, Jing

    2004-11-01

    To understand current status of the uses of dental handpieces, methods of disinfection and sterilization and their effectiveness in dental-care hospitals and out-patient departments of stomatology in general hospitals. Ten dental-care hospitals and departments of stomatology in general hospitals at varied levels were randomly sampled during 2000 to 2001 to investigate the uses of dental handpieces and means of their disinfection and sterilization. One used dental handpiece from each hospital or department of stomatology in general hospital selected was detected for possible contamination of bacteria by aerobic bacterial count and Coliform bacterial examinations and hepatitis B surface antigen (HBsAg) on it, based on "The Technical Standards for Disinfection" set by the Ministry of Health of China, and the effectiveness of its disinfection and sterilization was evaluated as well. Anti-suction handpieces were used only in 5.9% of the hospitals or departments, 94.1% of them without anti-suction devices. Cleansing disinfection was applied for used dental handpieces in 62.9% of the dental-care hospitals and the departments of stomatology, with an effective rate of 26.17%, immersing disinfection in 10.0%, with an effective rate of 55.88%, and autoclave in 27.1%, with an effective rate of 80.43%. Used dental handpieces in the hospitals and departments of stomatology in general hospitals were all contaminated by bacteria and HBsAg could be detected in 1.67% of them. Dental handpieces without anti-suction should be replaced soon by those with it or comprehensive dental unit with anti-suction device should be used. Used dental handpieces must be sterilized effectively before next use. Awareness on prevention from cross-infection should be improved for dental-care professional staff and operation of sterilization should be standardized.

  9. Design of good manufacturing facility for sterile radioactive pharmaceuticals

    International Nuclear Information System (INIS)

    Shin, B.C.; Choung, W.M.; Park, S.H.; Lee, K.I.; Park, J.H.; Park, K.B.

    2002-01-01

    Based on the GMP codes for radiopharmaceuticals in U.K. and some advanced countries, suitable guidelines for the production facility have been established and followed them up. The facility designs were fairly modified to maintain cleanliness criteria for installation in the existing radioisotope production facilities which are installed only in radiation safety points of view. Detailed design brief was drawn up by the Hyundai Engineering staffs, on the basis of initial planning and conceptual design was carried out by authors. Hot cells were installed in preparation room for radioactive handling. As hot cells under negative air pressure are not properly airtight, the surrounding environment was designed to keep less than class 10,000. Hot cells were designed to maintain less than class 1 0,000 and partially less than class 1 00 for production of sterile products. Final products will be autoclaved for sterilization after filling. To avoid contamination by microorganisms and particles of surrounding area, air curtain with vertical laminar flow will be installed between anteroom and corridor. In a pharmaceutical environment, the main consideration is the protection of the product. Thus, work station is held above ambient pressure. However, when handling radioactive materials, air pressure for work station should be lower than in surrounding areas to protect the operators and the remainder of the facility from airborne radioactive contamination. As Radiopharmaceuticals are radioactive materials for medical use, changing room could be held higher pressure than any other zones. It is expected that the facility will be effectively used for both routine preparation and research for sterile radiopharmaceuticals. (Author)

  10. Comparison of Sterile and Clean Dressing Techniques in Post ...

    African Journals Online (AJOL)

    Comparison of Sterile and Clean Dressing Techniques in Post-operative Surgical Wound Infection in a Chinese Healthcare Facility. ... of sterile and clean dressing techniques on wound management in a Chinese hospital, and to compare their impact on wound healing and the cost of the dressing materials with respect to ...

  11. Model business plan for a sterile insect production facility

    International Nuclear Information System (INIS)

    2008-01-01

    For over 50 years the sterile insect technique (SIT) is a pest control strategy which has been used for eradication, and more recently for suppression, containment and prevention, of unwanted insect pest populations. Examples of successful applications of SIT, almost always applied in conjunction with other control methods in an area-wide integrated approach, are available from around the world. The development and application of SIT has relied overwhelmingly on public or donor initiative and funding throughout its history, although the private sector has always been involved as participants, cooperators or partners in funding. The demand for SIT, and therefore the market for sterile insects, has increased in recent years. This increase coincides with the introduction of new pests through the expansion of global trade and, at the same time, widespread pressure to find alternatives to pesticides. Recent improvements in the technology supporting SIT facilitate its application and suggest lower costs can be achieved. The conditions are therefore met for a greater commercialization of the technique to bring it in line with other pest control approaches that are fully integrated into a market approach. Several challenges arise, however, in pursuing sterile insect production as a commercial venture, ranging from intellectual property protection to pricing of the product. Routine insurance requirements, for instance, are complicated by the biological aspects of the business. This report is aimed at facilitating private sector involvement in the production of sterile insects for use in pest control. It provides guidelines and tools to support the development of specific business plans for a new SIT venture. By providing an international perspective on such issues as initial capital costs and recurring operational expenditures for a sterile insect facility, it may be used to evaluate the feasibility of proceeding with the construction or expansion of a sterile insect

  12. Light sterile neutrino sensitivity at the nuSTORM facility

    Energy Technology Data Exchange (ETDEWEB)

    Adey, D.; Agarwalla, S. K.; Ankenbrandt, C. M.; Asfandiyarov, R.; Back, J. J.; Barker, G.; Baussan, E.; Bayes, R.; Bhadra, S.; Blackmore, V.; Blondel, A.; Bogacz, S. A.; Booth, C.; Boyd, S. B.; Bramsiepe, S. G.; Bravar, A.; Brice, S. J.; Bross, A. D.; Cadoux, F.; Cease, H.; Cervera, A.; Cobb, J.; Colling, D.; Coloma, P.; Coney, L.; Dobbs, A.; Dobson, J.; Donini, A.; Dornan, P.; Dracos, M.; Dufour, F.; Edgecock, R.; Geelhoed, M.; Uchida, M. A.; Ghosh, T.; Gómez-Cadenas, J. J.; de Gouvêa, A.; Haesler, A.; Hanson, G.; Harrison, P. F.; Hartz, M.; Hernández, P.; Hernando Morata, J. A.; Hodgson, P.; Huber, P.; Izmaylov, A.; Karadzhov, Y.; Kobilarcik, T.; Kopp, J.; Kormos, L.; Korzenev, A.; Kuno, Y.; Kurup, A.; Kyberd, P.; Lagrange, J. B.; Laing, A.; Liu, A.; Link, J. M.; Long, K.; Mahn, K.; Mariani, C.; Martin, C.; Martin, J.; McCauley, N.; McDonald, K. T.; Mena, O.; Mishra, S. R.; Mokhov, N.; Morfín, J.; Mori, Y.; Murray, W.; Neuffer, D.; Nichol, R.; Noah, E.; Palmer, M. A.; Parke, S.; Pascoli, S.; Pasternak, J.; Plunkett, R.; Popovic, M.; Ratoff, P.; Ravonel, M.; Rayner, M.; Ricciardi, S.; Rogers, C.; Rubinov, P.; Santos, E.; Sato, A.; Sen, T.; Scantamburlo, E.; Sedgbeer, J. K.; Smith, D. R.; Smith, P. J.; Sobczyk, J. T.; Søby, L.; Soler, F. J. P.; Sorel, M.; Snopok, P.; Stamoulis, P.; Stanco, L.; Striganov, S.; Tanaka, H. A.; Taylor, I. J.; Touramanis, C.; Tunnell, C. D.; Uchida, Y.; Vassilopoulos, N.; Wascko, M. O.; Weber, A.; Wilking, M. J.; Wildner, E.; Winter, W.

    2014-04-01

    A facility that can deliver beams of electron and muon neutrinos from the decay of a stored muon beam has the potential to unambiguously resolve the issue of the evidence for light sterile neutrinos that arises in short-baseline neutrino oscillation experiments and from estimates of the effective number of neutrino flavors from fits to cosmological data. In this paper, we show that the nuSTORM facility, with stored muons of 3.8GeV/c±10%, will be able to carry out a conclusive muon neutrino appearance search for sterile neutrinos and test the LSND and MiniBooNE experimental signals with 10σ sensitivity, even assuming conservative estimates for the systematic uncertainties. This experiment would add greatly to our knowledge of the contribution of light sterile neutrinos to the number of effective neutrino flavors from the abundance of primordial helium production and from constraints on neutrino energy density from the cosmic microwave background. The appearance search is complemented by a simultaneous muon neutrino disappearance analysis that will facilitate tests of various sterile neutrino models.

  13. Proposed Philippine radiation-sterilization plant, and a survey of market potential

    International Nuclear Information System (INIS)

    Singson, C.C.; Ibe, L.D.

    1975-01-01

    The paper deals with a study to assess the market potential of radiation sterilization in the Philippines. A market survey conducted with the technical assistance of an IAEA expert from India shows that most of the pharmaceutical industries engaged in the manufacture of medical products unanimously agree that there is an urgent need for a centralized radiation sterilization plant to meet the demands of sterilization of most of their products and packaging materials. The authorities of the government and some of the private hospitals surveyed are also very keen for the establishment of a sterilization facility since most modern medical products and devices are made of heat-sensitive thermoplastics which cannot be heat or steam sterilized. Availability of sterile products will help improve the public health standards of the population. The scope of the utilization of a radiation-sterilization facility in Diliman Quezon City is also discussed. (author)

  14. Current systems of sterilization in the Philippines in both government and private hospitals

    International Nuclear Information System (INIS)

    Lim, L.E.

    1996-01-01

    In the Philippines, there are 1,700 registered hospitals, both private and government. There are 80,000 beds. The systems of sterilization are mainly using steam or to use ethylene oxide sterilization. Gamma ray sterilization is purely on experimental basis and very limited scale for industrial products. The author will trace the history of sterilization, practised since a century ago and trace back to the present system of sterilization. The principles applied, precautions and limitations or advantages of the different systems will be discussed particularly steam sterilization and ethylene oxide. Other forms of sterilization either chemical or physical will be discussed in passing. Experience in gamma ray sterilization in Japan and Australia will be presented when available data are obtained, to encourage local investors to engage in such venture. Philippines has been left behind by our neighbors. (author)

  15. APSIC guidelines for disinfection and sterilization of instruments in health care facilities

    Directory of Open Access Journals (Sweden)

    Moi Lin Ling

    2018-02-01

    Full Text Available Abstract Background The Asia Pacific Society of Infection Control launched its revised Guidelines for Disinfection and Sterilization of Instruments in Health Care Facilities in February 2017. This document describes the guidelines and recommendations for the reprocessing of instruments in healthcare setting. It aims to highlight practical recommendations in a concise format designed to assist healthcare facilities at Asia Pacific region in achieving high standards in sterilization and disinfection. Method The guidelines were revised by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published guidelines and recommendations relevant to each section. Results It recommends the centralization of reprocessing, training of all staff with annual competency assessment, verification of cleaning, continual monitoring of reprocessing procedures to ensure their quality and a corporate strategy for dealing with single-use and single-patient use medical equipment/devices. Detailed recommendations are also given with respect to reprocessing of endoscopes. Close working with the Infection Prevention & Control department is also recommended where decisions related to reprocessing medical equipment/devices are to be made. Conclusions Sterilization facilities should aim for excellence in practices as this is part of patient safety. The guidelines that come with a checklist help service providers identify gaps for improvement to reach this goal.

  16. Field dosimetry on sterilization area of medical-hospitable materials

    International Nuclear Information System (INIS)

    Mariano, C.S.T.P.; Campos, L.L.

    1992-01-01

    The calcium sulfate doped with dysprosium, used in high dose dosimetry by electron paramagnetic resonance (EPR), is studied on field dosimetry for medical-hospitable materials sterilization. The calibration curves of EPR signal in function of absorbed dose in air and the thermal decay of EPR signal at room temperature are also presented. (C.G.C)

  17. Modernization of safety system for the radiation facility for industrial sterilization

    International Nuclear Information System (INIS)

    Drndarevic, V.; Djuric, D.; Koturovic, A.; Arandjelovic, M.; Mikic, R.

    1995-01-01

    Modernization of the existing safety system of the radiation facility for industrial sterilization at the Vinca Institute of nuclear science is done. In order to improve radiation safety of the facility, the latest recommendations and requirements of IAEA have been implemented. Concept and design of the modernized system are presented. The new elements of the safety system are described and the improvements achieved by means of this modernization are pointed out. (author)

  18. Hospital waste sterilization: a technical and economic comparison between radiation and microwave treatments

    International Nuclear Information System (INIS)

    Tata, A.; Beone, F.

    1995-01-01

    Hospital waste (HW) disposal is becoming a problem of increasing importance in almost all industrially advanced countries. In Italy the yearly hospital waste production is about 250,000 tons and only 60,000 are treated by incineration at present time. As by a recent Italian law a meaningful percentage of HW (50 to 60%), corresponding to food residuals, plastic, paper, various organic materials, etc., could be landfilled as municipal refuses if preliminarily submitted to a suitable sterilization treatment. Under this perspective, sterilization/sanitation techniques represent now a technically and commercially viable alternative to HW thermal destruction that, besides more and more socially and politically less accepted. Electron Beam (EB) and Microwave (MW) treatments are two of the most interesting and emerging HW sterilization techniques, and, based on engineering real data, a technical and economic comparison is carried out, focusing vantages and limits of each process. (author)

  19. History of sterile compounding in U.S. hospitals: learning from the tragic lessons of the past.

    Science.gov (United States)

    Myers, Charles E

    2013-08-15

    The evolution of sterile compounding in the context of hospital patient care, the evolution of related technology, past incidents of morbidity and mortality associated with preparations compounded in various settings, and efforts over the years to improve compounding practices are reviewed. Tightened United States Pharmacopeial Convention standards (since 2004) for sterile compounding made it difficult for hospitals to achieve all of the sterile compounding necessary for patient care. Shortages of manufactured injections added to the need for compounding. Non-hospital-based compounding pharmacies increased sterile compounding to meet the needs. Gaps in federal and state laws and regulations about compounding pharmacies led to deficiencies in their regulation. Lapses in sterility led to injuries and deaths. Perspectives offered include potential actions, including changes in practitioner education, better surveillance of sterile compounding, regulatory reforms, reexamination of the causes of drug shortages, and the development of new technologies. Over the years, there have been numerous exhortations for voluntary better performance in sterile compounding. In addition, professional leadership has been vigorous and extensive in the form of guidance, publications, education, enforceable standards, and development of various associations and organizations dealing with safe compounding practices. Yet problems continue to occur. We must engage in diligent learning from the injuries and tragedies that have occurred. Assuming that we are already doing all we can to avoid problems would be an abdication of the professional mission of pharmacists. It would be wrong thinking to assume that the recent problems in large-scale compounding pharmacies are the only problems that warrant attention. It is time for a systematic assessment of the nature and the dimensions of the problems in every type of setting where sterile compounding occurs. It also is time for some innovative

  20. Validation of the sterile manufacture of the AAEC MARK III molybdenum-99/techtnetium-99m generator

    International Nuclear Information System (INIS)

    Saunders, M.T.; Drummond, C.M.; Harrison, M.A.

    1982-07-01

    The Mark II molybdenum-99/technetium-99m generator now supplied to hospitals by the Australian Atomic Energy Commission is a non-sterile elution system. The Mark III version will be supplied as a sterile elution system. A validation study has been undertaken to assess the capability of the new production facility, to evaluate up-to-date procedures for manufacturing sterile generators and to demonstrate that a sterile radionuclide generator can be made. Generator manufacturing procedures and a time study of the validation are described. Microbiological methods for monitoring in-process aspects of manufacture, disinfectant efficacy and generator sterility are defined

  1. Ethylene Oxide Emissions Standards for Sterilization Facilities: National Emission Standards for Hazardous Air Pollutants (NESHAP)

    Science.gov (United States)

    Learn about the NESHAP for ethylene oxide emissions for sterilization facilities. Find the rule history information, federal register citations, legal authority, and related rules as well as a rule summary.

  2. Laparoscopic sterilization in a community hospital with a two-year follow-up.

    Science.gov (United States)

    Tayloe, J

    1980-09-01

    This report comprises an analysis of the results of 201 laparoscopic sterilizations performed at Beaufort County Hospital for an 18-month period and the follow-up of these patients for 2 years. Patients ranged in age from 19-45 years (mean, 32.2). Average parity was 2.7, ranging from 0-14. Of the 201 patients, 173 were white and 28 black. 1% of the sterilization attempts failed (n=2 cases). 1 failure occurred in a woman with a previous appendectomy, due to adhesions, and the other patient failure had a history of abdominal gunshot wounds in which she sustained an omental laceration; both women underwent laparotomy and then were sucessfully sterilized via Pomeroy technique. During the 2-year follow-up, 144 of the original 201 were available. 2 of these subjects subsequently became pregnant. 17 gynecologic procedures were later performed on 15 patients. 6 patients had dilatation and curettage for menstrual irregularity, 2 of whom underwent hysterectomy. 6 other patients also had hysterectomy, making a total of 8 of 201 patients. Symptomatic pelvic relaxation (3), severe dysplasia of the cervix (1), a large ovarian cyst with dysmenorrhea and dyspareunia (1), and severe dysmenorrhea and menorrhagia (1) were the other indications for hysterectomy among these sterilization patients. The author points out that the rate of 8 hysterectomies per 201 cases in only 2 years points to an even higher rate of hysterectomy subsequent to laparoscopic sterilization than previously suspected.

  3. Analytical and subjective interpretation of thermal comfort in hospitals: A case study in two sterilization services.

    Science.gov (United States)

    Carvalhais, Carlos; Santos, Joana; Vieira da Silva, Manuela

    2016-01-01

    Hospital facilities are normally very complex, which combined with patient requirements promote conditions for potential development of uncomfortable working conditions. Thermal discomfort is one such example. This study aimed to determine levels of thermal comfort, sensations, and preferences, from a field investigation conducted in two sterilization services (SS) of two hospitals from Porto and Aveiro, Portugal. The analytical determination and interpretation of thermal comfort was based upon assumptions of ISO 7726:1998 and ISO 7730:2005. The predicted mean vote (PMV) and predicted percentage of dissatisfaction (PPD) indices were obtained by measurement and estimation of environmental and personal variables, respectively, and calculated according to ISO 7730 equations. The subjective variables were obtained from thermal sensation (subjective PMV) and affective assessment (subjective PPD), reported by a questionnaire based upon ISO 10551:1995. Both approaches confirmed thermal discomfort in both SS (codified as SS1 and SS2). For all areas, PMV and PPD exceeded in all periods of the day the recommended range of -0.5 to +0.5 and thermal discomfort. There were no significant differences between PMV and thermal sensations, as well as between PPD and affective assessment. The PMV/PPD model was found suitable to predict thermal sensations of occupants in hospital SS located in areas with a mild climate in Portugal.

  4. Prospects of radiation sterilization of medical devices

    International Nuclear Information System (INIS)

    Hosobuchi, Kazunari

    1992-01-01

    Since radiation sterilization was first introduced in the United States in 1956 in the field of disposable medical devices, it has become an indispensable technique for sterilization because of the following reasons: (1) introduction into dialyzers, (2) introduction in medical device makers, (3) development of disposable medical devices associated with developing both high molecular chemistry and cool sterilization, (4) rationality of sterilization process, and (5) problems of sterilization with ethylene oxide gas. To promote the further development of radiation sterilization, the following items are considered necessary: (1) an increase in the number of facilities for radiation sterilization, (2) recommendation of the international standardization of sterilization method, (3) decrease in radiation doses associated with sterilization, (4) development of electron accelerators and bremsstrahlung equipments for radiation sources, and (5) simplification of sterilization process management. Factors precluding the development of radiation sterilization are: (1) development of other methods than radiation sterilization, (2) development of technique for sterile products, (3) high facility cost, (4) high irradiation cost, (5) benefits and limits of sterilization markets, and (6) influences of materials. (N.K.)

  5. Indigenous technology development and standardization of the process for obtaining ready to use sterile sodium pertechnetate-Tc-99m solution from Geltech generator

    International Nuclear Information System (INIS)

    Sarkar, Sishir Kumar; Kothalkar, Chetan; Naskar, Prabhakar; Joshi, Sangeeta; Saraswathy, Padmanabhan; Dey, Arun Chandra; Vispute, Gunvant Leeladhar; Murhekar, Vishwas Vinayak; Pilkhwal, Neelam

    2013-01-01

    The indigenous design and technology development for processing large scale zirconium molybdate-Mo-99 (ZrMo-99) Geltech generator was successfully commissioned in Board of Radiation and Isotope Technology (BRIT), India, in 2006. The generator production facility comprises of four shielded plant facilities equipped with tongs and special process gadgets amenable for remote operations for radiochemical processing of ZrMo-99 gel. Over 2800 Geltech generators have been processed and supplied to user hospitals during the period 2006-2013. Geltech generator supplied by BRIT was initially not sterile. Simple elution of 99m Tc is performed by a sterile evacuated vial with sterile and pyrogen free 0.9% NaCl solution to obtain sodium ( 99m Tc) pertechnetate solution. A special type online 0.22 μm membrane filter has been identified and adapted in Geltech generator. The online filtration of 99m Tc from Geltech generator; thus, provided sterile 99m Tc sodium pertechnetate solution. Generators assembled with modified filter assembly were supplied to local hospital in Mumbai (Radiation Medicine Centre (RMC) and S.G.S. Medical College and KEM Hospital) and excellent performances were reported by users. (author)

  6. Indigenous technology development and standardization of the process for obtaining ready to use sterile sodium pertechnetate-Tc-99m solution from Geltech generator.

    Science.gov (United States)

    Sarkar, Sishir Kumar; Kothalkar, Chetan; Naskar, Prabhakar; Joshi, Sangeeta; Saraswathy, Padmanabhan; Dey, Arun Chandra; Vispute, Gunvant Leeladhar; Murhekar, Vishwas Vinayak; Pilkhwal, Neelam

    2013-04-01

    The indigenous design and technology development for processing large scale zirconium molybdate-Mo-99 (ZrMo-99) Geltech generator was successfully commissioned in Board of Radiation and Isotope Technology (BRIT), India, in 2006. The generator production facility comprises of four shielded plant facilities equipped with tongs and special process gadgets amenable for remote operations for radiochemical processing of ZrMo-99 gel. Over 2800 Geltech generators have been processed and supplied to user hospitals during the period 2006-2013. Geltech generator supplied by BRIT was initially not sterile. Simple elution of Tc-99m is performed by a sterile evacuated vial with sterile and pyrogen free 0.9% NaCl solution to obtain sodium (Tc-99m) pertechnetate solution. A special type online 0.22 μm membrane filter has been identified and adapted in Geltech generator. The online filtration of Tc-99m from Geltech generator; thus, provided sterile Tc-99m sodium pertechnetate solution. Generators assembled with modified filter assembly were supplied to local hospital in Mumbai Radiation Medicine Centre (RMC) and S.G.S. Medical College and KEM Hospital) and excellent performances were reported by users.

  7. Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

    Science.gov (United States)

    Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

    2017-05-01

    Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

  8. Steam sterilization does not require saturated steam

    NARCIS (Netherlands)

    van Doornmalen Gomez Hoyos, J. P.C.M.; Paunovic, A.; Kopinga, K.

    2017-01-01

    The most commonly applied method to sterilize re-usable medical devices in hospitals is steam sterilization. The essential conditions for steam sterilization are derived from sterilization in water. Microbiological experiments in aqueous solutions have been used to calculate various time–temperature

  9. [Anesthesia practice in Catalan hospitals and other health care facilities].

    Science.gov (United States)

    Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María

    2006-05-24

    The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident

  10. Analysis of adverse events with Essure hysteroscopic sterilization reported to the Manufacturer and User Facility Device Experience database.

    Science.gov (United States)

    Al-Safi, Zain A; Shavell, Valerie I; Hobson, Deslyn T G; Berman, Jay M; Diamond, Michael P

    2013-01-01

    The Manufacturer and User Facility Device Experience database may be useful for clinicians using a Food and Drug Administration-approved medical device to identify the occurrence of adverse events and complications. We sought to analyze and investigate reports associated with the Essure hysteroscopic sterilization system (Conceptus Inc., Mountain View, CA) using this database. Retrospective review of the Manufacturer and User Facility Device Experience database for events related to Essure hysteroscopic sterilization from November 2002 to February 2012 (Canadian Task Force Classification III). Online retrospective review. Online reports of patients who underwent Essure tubal sterilization. Essure tubal sterilization. Four hundred fifty-seven adverse events were reported in the study period. Pain was the most frequently reported event (217 events [47.5%]) followed by delivery catheter malfunction (121 events [26.4%]). Poststerilization pregnancy was reported in 61 events (13.3%), of which 29 were ectopic pregnancies. Other reported events included perforation (90 events [19.7%]), abnormal bleeding (44 events [9.6%]), and microinsert malposition (33 events [7.2%]). The evaluation and management of these events resulted in an additional surgical procedure in 270 cases (59.1%), of which 44 were hysterectomies. Sixty-one unintended poststerilization pregnancies were reported in the study period, of which 29 (47.5%) were ectopic gestations. Thus, ectopic pregnancy must be considered if a woman becomes pregnant after Essure hysteroscopic sterilization. Additionally, 44 women underwent hysterectomy after an adverse event reported to be associated with the use of the device. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

  11. Status of radiation sterilization of healthcare products in China

    International Nuclear Information System (INIS)

    Zhu Nankang; Wang Chunlei; Teng Weifang

    2004-01-01

    This paper describes the status of 60 Co radiation facilities both in service and under construction in China and examines the future market for radiation sterilization of healthcare products. Policies for developing the industry of radiation sterilization are also put forward; these include implementation of appropriate quality systems, scale-up and merging of existing radiation facilities, development of electron beam radiation for sterilization purposes and increasing awareness of the technology of radiation sterilization

  12. Sterile insect supply, emergence, and release

    International Nuclear Information System (INIS)

    Dowell, R.V.; Worley, J.; Gomes, P.J.

    2005-01-01

    Insect mass-rearing for a sterile insect technique (SIT) programme is designed to move beyond the large-scale rearing of insects in a laboratory to the industrial production of consistently high-quality insects for sterilization and release. Each facility reflects the unique biology of the insect reared within it, but there are some generalities for all rearing facilities. Rearing insects in self-contained modules offers flexibility, and increased safety from catastrophic occurrences, compared with using a single building which houses all facets of the rearing process. Although mechanizing certain aspects of the rearing steps helps provide a consistently high-quality insect, successful mass-rearing and delivery depends largely upon the human component. Besides production in centralized facilities, insects can be produced from purchased eggs, or nowadays, adult insects are often obtained from specialized satellite emergence/collection facilities. Interest in commercializing insect production and release is increasing. Shipping sterile insects, sometimes over long distances, is now common practice. Procedures for handling and chilling adult insects, and providing food and water prior to release, are continually being improved. Sterile insects are released via static-release receptacles, ground-release systems, or most commonly from the air. The aerial release of chilled sterile insects is the most efficient method of release, especially when aircraft flight paths are guided by a Global Positioning System (GPS) linked to a computer-controlled release mechanism. (author)

  13. Service quality for facilities management in hospitals

    CERN Document Server

    Sui Pheng, Low

    2016-01-01

    This book examines the Facilities Management (FM) of hospitals and healthcare facilities, which are among the most complex, costly and challenging kind of buildings to manage. It presents and evaluates the FM service quality standards in Singapore’s hospitals from the patient’s perspective, and provides recommendations on how to successfully improve FM service quality and achieve higher patient satisfaction. The book also features valuable supplementary materials, including a checklist of 32 key factors for successful facilities management and another checklist of 24 service attributes for hospitals to achieve desirable service quality in connection with facilities management. The book adopts a unique approach of combining service quality and quality theory to provide a more holistic view of how FM service quality can be achieved in hospitals. It also integrates three instruments, namely the SERVQUAL model, the Kano model and the QFD model to yield empirical results from surveys for implementation in hosp...

  14. Evaluation methods for hospital facilities

    DEFF Research Database (Denmark)

    Fronczek-Munter, Aneta

    2013-01-01

    according to focus areas and proposes which evaluation methods to use in different building phases of healthcare facilities. Hospital evaluations with experts and users are also considered; their subjective view on space, function, technology, usability and aesthetics. Results & solutions: This paper...... presents the different methods for evaluating buildings in use in a new model, the Evaluation Focus Flower, and proposes which evaluation methods are suitable for various aims and building phases, i.e. which is giving best input for the initial briefing process of new hospital facilities with ambition...... of creating buildings with enhanced usability. Additionally various evaluation methods used in hospital cases in Denmark and Norway are presented. Involvement of users is proposed, not just in defining requirements but also in co-creation/design and evaluation of solutions. The theories and preliminary...

  15. Cost-effectiveness analysis comparing the essure tubal sterilization procedure and laparoscopic tubal sterilization.

    Science.gov (United States)

    Thiel, John A; Carson, George D

    2008-07-01

    To analyze the financial implications of establishing a hysteroscopic sterilization program using the Essure micro-insert tubal sterilization system in an ambulatory clinic. A retrospective cohort study (Canadian Task Force classification Type II-2), in an ambulatory women's health clinic in a tertiary hospital, of 108 women undergoing Essure coil insertion between 2005 and 2006, and 104 women undergoing laparoscopic tubal sterilization for permanent sterilization between 2001 and 2004. The Essure procedures used a 4 mm single channel operative hysteroscope and conscious sedation (fentanyl and midazolam); the laparoscopic tubal sterilizations were completed under general anaesthesia with a 7 mm laparoscope and either bipolar cautery or Filshie clips. Costs associated with the procedure, follow-up, and management of any complications (including nursing, hospital charges, equipment, and disposables) were tabulated. The Essure coils were successfully placed on the first attempt in 103 of 108 women (95%). Three patients required a second attempt to complete placement and two patients required laparoscopic tubal sterilization after an unsuccessful Essure. All 104 laparoscopic tubals were completed on the first attempt with no complications reported. The total cost for the 108 Essure procedures, including follow-up evaluation, was $138,996 or $1287 per case. The total cost associated with the 104 laparoscopic tubal sterilization procedures was $148,227 or $1398 per case. The incremental cost-effectiveness ratio was $111. The Essure procedure in an ambulatory setting resulted in a statistically significant cost saving of $111 per sterilization procedure. Carrying out the Essure procedure in an ambulatory setting frees space in the operating room for other types of cases, improving access to care for more patients.

  16. The measurement, control, and validation of critical parameters in an electron beam sterilization facility

    International Nuclear Information System (INIS)

    Burns, P.; Drewell, N.H.; McKeown, J.

    1996-01-01

    The delivery and validation of a specified dose to a medical device are key concerns of operators of electron beam irradiation facilities. In an IMPELA-based irradiator, four of the parameters that directly influence the absorbed dose distribution in the product are controllable in real time - the electron energy, average beam current, scanned area, and the product exposure time. The 10 MeV accelerator operates at 50 kW with a stream of 200 μs wide, 100 mA pulses at a repetition rate of 250 Hz. The combination of short-term intra-pulse regulation with long-term pulse-to-pulse stability makes the IMPELA output attractive for the sterilization of medical products. The measurement and closed-loop control techniques used in the IMPELA design will be described with reference to facilitating compliance with medical sterilization standards. (orig.)

  17. Sterile diets for the immuno-compromised: Is there a need?

    Science.gov (United States)

    Butterweck, Joseph S.

    1995-02-01

    There is a general misunderstanding in the radiation processing industry about the use of sterile diets in the medical profession. Sterile diets are used on a limited basis in hospitals that specialize in cancer treatment and organ transplants. These patients are severely immuno-compromised. There are many other patients that are immuno-compromised that do not require sterile diets. These patients may require a diet that is pathogen-free and are aslo "low-microbial diets". Nosocomial infections have become a major issue in US hospitals. The "infection control committee" is the focus group responsible to assure nosocomial infections incidence are below the hospital goals. Application of ionizing radiation to sterilize diets has not been chosen because the product is not available at a reasonable total cost. This paper will discuss the hospitals views.

  18. Sterile diets for the immuno-comprised: is there a need?

    International Nuclear Information System (INIS)

    Butterweck, J.S.

    1995-01-01

    There is a general misunderstanding in the radiation processing industry about the use of sterile diets in the medical profession. Sterile diets are used on a limited basis in hospitals that specialize in cancer treatment and organ transplants. These patients are severely immuno-compromised. There are many other patients that are immuno-compromised that do not require sterile diets. These patients may require a diet that is pathogen-free and are also ''low-microbial diets''. Nosocomial infections have become a major issue in US hospitals. The ''infection control committee'' is the focus group responsible to assure nosocomial infections incidence are below the hospital goals. Application of ionizing radiation to sterilize diets has not been chosen because the product is not available at a reasonable total cost. This paper will discuss the hospitals views. (Author)

  19. Clustering of acute respiratory infection hospitalizations in childcare facilities

    DEFF Research Database (Denmark)

    Kamper-Jørgensen, Mads; Benn, Christine Stabell; Simonsen, Jacob

    2010-01-01

    To estimate how risk of acute respiratory infection (ARI) hospitalization in children attending childcare facilities with a recently (within 1 month) hospitalized child is affected by gender, age and other characteristics.......To estimate how risk of acute respiratory infection (ARI) hospitalization in children attending childcare facilities with a recently (within 1 month) hospitalized child is affected by gender, age and other characteristics....

  20. [The Contribution of GMP-grade Hospital Preparation to Translational Research].

    Science.gov (United States)

    Yonezawa, Atsushi; Kajiwara, Moto; Minami, Ikuko; Omura, Tomohiro; Nakagawa, Shunsaku; Matsubara, Kazuo

    2015-01-01

    Translational research is important for applying the outcomes of basic research studies to practical medical treatments. In exploratory early-phase clinical trials for an innovative therapy, researchers should generally manufacture investigational agents by themselves. To provide investigational agents with safety and high quality in clinical studies, appropriate production management and quality control are essential. In the Department of Pharmacy of Kyoto University Hospital, a manufacturing facility for sterile drugs was established, independent of existing manufacturing facilities. Manuals on production management and quality control were developed according to Good Manufacturing Practices (GMP) for Investigational New Drugs (INDs). Advanced clinical research has been carried out using investigational agents manufactured in our facility. These achievements contribute to both the safety of patients and the reliability of clinical studies. In addition, we are able to do licensing-out of our technique for the manufacture of investigational drugs. In this symposium, we will introduce our GMP grade manufacturing facility for sterile drugs and discuss the role of GMP grade hospital preparation in translational research.

  1. Methods of sterilization and monitoring of sterilization across selected dental practices in karachi, pakistan

    International Nuclear Information System (INIS)

    Ahmed, H.

    2015-01-01

    To assess methods of sterilization in dental practices in Karachi and secondly to investigate methods of monitoring sterilization in dental practices in Karachi, Pakistan. Study Design: Cross-sectional, descriptive study. Place and Duration of Study: Dental colleges, hospitals and private clinics of Karachi, Pakistan, from January to March 2013. Methodology: A total of 251 questionnaires were obtained. Descriptive statistics were computed and differences between groups were assessed through chi-square test using Statistical Package for the Social Sciences (SPSS) version 16.0. P-value < 0.05 was taken as statistically significant. Results: Autoclave, used by 155 (61.8%) dentists was the most common method of sterilization followed by more than one method, 65 (25.9%); dry heat, 24 (9.6%); and cold sterilization, 7 (2.8%). Majority of dentists, 126 (50.1%), never monitored sterilization and those who did monitored mostly monthly. Statistically significant difference was found amongst the three groups of dentists monitoring sterilization (p=0.09) and methods of sterilization (p < 0.01). Conclusion: Statistically significant difference was found in infection control practices of specialists, postgraduate trainees and general dentists regarding method of monitoring sterilization with majority of dentists never monitoring sterilization. (author)

  2. Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

    Science.gov (United States)

    Martínez-Pardo, M. E.; Ley-Chávez, E.; Reyes-Frías, M. L.; Rodríguez-Ferreyra, P.; Vázquez-Maya, L.; Salazar, M. A.

    2007-11-01

    Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is "Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation". At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican clinical experience with children and adult patients who underwent medical treatment with radiosterilized amnion and pig skin, used as biological wound dressings on burns and ocular surface disorders.

  3. Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Pardo, M.E. [Instituto Nacional de Investigaciones Nucleares, Apdo. postal 18-1027, Col. Escandon 11801 Mexico DF (Mexico)], E-mail: memp@nuclear.inin.mx; Ley-Chavez, E. [ISSEMYM Toluca, Mexico DF (Mexico); Reyes-Frias, M.L. [Instituto Nacional de Investigaciones Nucleares, Apdo. postal 18-1027, Col. Escandon 11801 Mexico DF (Mexico); Rodriguez-Ferreyra, P. [Hospital ' Dr. Nicolas San Juan' , Toluca, Mexico DF (Mexico); Vazquez-Maya, L.; Salazar, M.A. [Hospital General de Mexico, Mexico DF (Mexico)

    2007-11-15

    Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is 'Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation'. At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican clinical experience with children and adult patients who underwent medical treatment with radiosterilized amnion and pig skin, used as biological wound dressings on burns and ocular surface disorders.

  4. Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

    International Nuclear Information System (INIS)

    Martinez-Pardo, M.E.; Ley-Chavez, E.; Reyes-Frias, M.L.; Rodriguez-Ferreyra, P.; Vazquez-Maya, L.; Salazar, M.A.

    2007-01-01

    Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is 'Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation'. At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican clinical experience with children and adult patients who underwent medical treatment with radiosterilized amnion and pig skin, used as biological wound dressings on burns and ocular surface disorders

  5. 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.

  6. Guide for dosimetry for sterile insect release programs. 2. ed.

    International Nuclear Information System (INIS)

    2004-01-01

    This guide outlines dosimetric procedures to be followed for the radiation sterilization of live insects for use in pest management programs. The primary use of irradiated, reproductively sterile insects is in the Sterile Insect Technique, where large numbers of sterile insects are released into the field to mate with and thus control pest populations of the same species. A secondary use of sterile insects is as benign hosts for rearing insect parasitoids. The procedures outlined in this guide will help ensure that insects processed with ionizing radiation from gamma, electron, or X-ray sources receive absorbed doses within a predetermined range. Information on effective dose ranges for specific applications of insect sterilization, or on methodology for determining effective dose ranges, is not within the scope of this guide. Note: Dosimetry is only one component of a total quality control program to ensure that irradiated insects are adequately sterilized and sufficiently competitive or otherwise suitable for their intended purpose. This guide covers dosimetry in the irradiation of insects for these types of irradiators: self-contained dry-storage 137 Cs or 60 Co irradiators, large-scale gamma irradiators, and electron accelerators. Additional, detailed information on dosimetric procedures to be followed in installation qualification, operational qualification, performance qualification, and routine product processing can be found in ISO/ASTM Practices 51608 (X-ray [bremsstrahlung] facilities), 51649 (electron beam facilities), 51702 (large-scale gamma facilities), and ASTM Practice E 2116 (self-contained dry-storage gamma facilities). The absorbed dose for insect sterilization is typically within the range of 20 Gy to 600 Gy

  7. Sterilization validation for medical compresses at IRASM multipurpose irradiation facility

    International Nuclear Information System (INIS)

    Alexandru, Mioara; Ene, Mihaela

    2007-01-01

    In Romania, IRASM Radiation Processing Center is the unique supplier of radiation sterilization services-industrial scale (ISO 9001:2000 and ISO 13485:2003 certified). Its Laboratory of Microbiological Testing is the sole third party competent laboratory (GLPractice License, ISO 17025 certification in progress) for pharmaceutics and medical devices as well. We here refer to medical compresses as a distinct category of sterile products, made from different kind of hydrophilic materials (cotton, non-woven, polyurethane foam) with or without an impregnated ointment base (paraffin, plant extracts). These products are included in the class of medical devices, but for the sterilization validation, from microbiological point of view, there are important differences in testing method compared to the common medical devices (syringes, catheters, etc). In this paper, we present some results and practical solutions chosen to perform a sterilization validation, compliant with ISO 11137: 2006

  8. Sewage sterilization through gamma radiation

    International Nuclear Information System (INIS)

    Vieira, D.V.; Teixeira, W.M.S.; Silva, F.C.A. da

    2017-01-01

    Lack of sewage treatment and adequate sanitation conditions can contribute to the proliferation of numerous parasitic and infectious diseases in addition to water degradation. Approximately fifty types of infections can be transmitted from a sick to a healthy person through different pathways involving human excreta. Untreated sewage can contaminate water, food, hands, soil, etc. Epidemics of certain diseases such as typhoid, cholera, dysenteries, etc., and countless cases of worms are responsible for high mortality rates in third world countries. In the work the different techniques of sewage treatment by disinfestation and sterilization were analyzed, highlighting the use and the advantages of the gamma radiation as well as the aspects of the radiological protection involved. The technique of sewage sterilization using gamma radiation is a method of controlling bacteria and microorganisms. It is estimated that more than 200 large irradiators are in operation worldwide, of which 5 are in Brazil, for general sterilization use. These facilities use a large amount of radioactive material, in the order of millions of Becquerel, for sterilization with high doses of radiation, which can generate lethal doses in a few minutes. These industrial facilities use Cobalt-60, being classified by the International Atomic Energy Agency - IAEA as Category 1 of high risk, and must possess a high level of radiological protection to carry out the sterilization, standing out the defense in depth. Specific legislation on radiological protection should be drafted for safe work and avoid future radiation accidents

  9. Assessment of Non-Sterile Pharmaceutical Compounding Practices ...

    African Journals Online (AJOL)

    A descriptive cross-sectional survey was conducted to assess the practices of non-sterile pharmaceutical compounding in selected 42 community and 3 hospital pharmacies in Addis Ababa, Ethiopia from 01 April, 2016 to 15 May, 2016. The study revealed that the most commonly prescribed and compounded non-sterile ...

  10. Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study

    Science.gov (United States)

    Mao, Jialin; Pfeifer, Samantha; Schlegel, Peter

    2015-01-01

    Objective To compare the safety and efficacy of hysteroscopic sterilization with the “Essure” device with laparoscopic sterilization in a large, all-inclusive, state cohort. Design Population based cohort study. Settings Outpatient interventional setting in New York State. Participants Women undergoing interval sterilization procedure, including hysteroscopic sterilization with Essure device and laparoscopic surgery, between 2005 and 2013. Main outcomes measures Safety events within 30 days of procedures; unintended pregnancies and reoperations within one year of procedures. Mixed model accounting for hospital clustering was used to compare 30 day and 1 year outcomes, adjusting for patient characteristics and other confounders. Time to reoperation was evaluated using frailty model for time to event analysis. Results We identified 8048 patients undergoing hysteroscopic sterilization and 44 278 undergoing laparoscopic sterilization between 2005 and 2013 in New York State. There was a significant increase in the use of hysteroscopic procedures during this period, while use of laparoscopic sterilization decreased. Patients undergoing hysteroscopic sterilization were older than those undergoing laparoscopic sterilization and were more likely to have a history of pelvic inflammatory disease (10.3% v 7.2%, P<0.01), major abdominal surgery (9.4% v 7.9%, P<0.01), and cesarean section (23.2% v 15.4%, P<0.01). At one year after surgery, hysteroscopic sterilization was not associated with a higher risk of unintended pregnancy (odds ratio 0.84 (95% CI 0.63 to 1.12)) but was associated with a substantially increased risk of reoperation (odds ratio 10.16 (7.47 to 13.81)) compared with laparoscopic sterilization. Conclusions Patients undergoing hysteroscopic sterilization have a similar risk of unintended pregnancy but a more than 10-fold higher risk of undergoing reoperation compared with patients undergoing laparoscopic sterilization. Benefits and risks of both procedures

  11. Recommendations for the safety preparation of sterile medicines in medical wards

    Directory of Open Access Journals (Sweden)

    Ana M.ª Martín de Rosales Cabrera

    2014-01-01

    Full Text Available Objective: To develop a recommendations guide about the preparation of sterile medicines in medical wards, and to figure out the current situation of different Spanish hospitals, regarding the preparation of sterile medicines outside the pharmacy. Methods: The autors reviewed the available international guidelines in order to summarize the main quality recommendations. To know about the current situation in Spanish hospitals, a 30 questions survey was designed and spread to 500 different hospitals. Answers were analysed with Survey monkey® platform in the period February-July 2012. Results: Based on the literature review, the authors agreed a recommendations list for the safe preparation of sterile medicines in medical wards, which was structured in 8 sections. Regarding the survey results, 8.4% of the hospitals answered, showing a great variability among centres in the quality requirements for sterile compounding outside the pharmacy. It should be pointed out the lack of assigned areas for drug preparation in wards, the lack of protocols to discern which kind of medicines can be compounded in wards as well as the poor recommendations about garment and aseptic technique. Conclusions: The authors confirm the absence of qualified practice standards to be applied in the preparation of sterile medicines in medical wards, as well as the great variability of diary practice. The implementation of quality and safety recommendations in the preparation of sterile medicines in medical wards may contribute to improve patient safety.

  12. An integrated lean-methods approach to hospital facilities redesign.

    Science.gov (United States)

    Nicholas, John

    2012-01-01

    Lean production methods for eliminating waste and improving processes in manufacturing are now being applied in healthcare. As the author shows, the methods are appropriate for redesigning hospital facilities. When used in an integrated manner and employing teams of mostly clinicians, the methods produce facility designs that are custom-fit to patient needs and caregiver work processes, and reduce operational costs. The author reviews lean methods and an approach for integrating them in the redesign of hospital facilities. A case example of the redesign of an emergency department shows the feasibility and benefits of the approach.

  13. Ionizing radiation for sterilization of medical products and biological tissues

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, S K; Raghevendrarao, M K [Bhabha Atomic Research Centre, Bombay (India). Library and Technical Information Section

    1975-10-01

    The article reviews the deliberations of the International Symposium on Ionizing Radiation for Sterilization of Medical Products and Biological Tissues which was held during 9-13 December 1974 under the auspices of the IAEA at the Bhabha Atomic Research Centre, Bombay. 42 papers were presented in the following broad subject areas: (1) Microbiological Control aspects of radiation sterilization, (2) Dosimetry aspects of radiation sterilization practices, (3) Effects of sterilizing radiation dose on the constituents of medical products, (4) Application of radiation sterilization of medical products of biological origin, (5) Technological aspects of radiation sterilization facilities, (6) Radiation sterilization of pharmaceutical substances, (7) Reports on current status of radiation sterilization of medical products in IAEA member states and (8) Working group discussion on the revision of the IAEA recommended code of practice for radiation sterilization of medical products.

  14. Genetic basis of the sterile insect technique

    International Nuclear Information System (INIS)

    Robinson, A.S.

    2014-01-01

    The use of the sterile insect technique for insect control relies on the introduction of sterility in the females of the wild population. This sterility is produced following the mating of these females with released males carrying, in their sperm, dominant lethal mutations that have been induced by ionizing radiation. As well as radiation-induced sterility, natural mechanisms can be recruited, especially the use of hybrid sterility. Radiation is usually one of the last procedures that insects undergo before leaving mass-rearing facilities for release in the field. It is essential that the dosimetry of the radiation source be checked to ensure that all the insects receive the required minimum dose. A dose should be chosen that maximizes the level of introduced sterility in the wild females in the field. Irradiation in nitrogen can provide protection against the detrimental somatic effects of radiation. Currently, the development of molecular methods to sterilize pest insects in the field, by the release of fertile insects carrying trans genes, is very much in vogue. It is concluded that using a physical process, such as radiation, will always have significant advantages over genetic and other methods of sterilization for the large-scale application of the sterile insect technique. (author)

  15. Plasma Sterilization: New Epoch in Medical Textiles

    Science.gov (United States)

    Senthilkumar, P.; Arun, N.; Vigneswaran, C.

    2015-04-01

    Clothing is perceived to be second skin to the human body since it is in close contact with the human skin most of the times. In hospitals, use of textile materials in different forms and sterilization of these materials is an essential requirement for preventing spread of germs. The need for appropriate disinfection and sterilization techniques is of paramount importance. There has been a continuous demand for novel sterilization techniques appropriate for use on various textile materials as the existing sterilization techniques suffer from various technical and economical drawbacks. Plasma sterilization is the alternative method, which is friendlier and more effective on the wide spectrum of prokaryotic and eukaryotic microorganisms. Basically, the main inactivation factors for cells exposed to plasma are heat, UV radiation and various reactive species. Plasma exposure can kill micro-organisms on a surface in addition to removing adsorbed monolayer of surface contaminants. Advantages of plasma surface treatment are removal of contaminants from the surface, change in the surface energy and sterilization of the surface. Plasma sterilization aims to kill and/or remove all micro-organisms which may cause infection of humans or animals, or which can cause spoilage of foods or other goods. This review paper emphasizes necessity for sterilization, essentials of sterilization, mechanism of plasma sterilization and the parameters influencing it.

  16. The context and limitations of female sterilization services in Pakistan.

    Science.gov (United States)

    Khan, Adnan Ahmad; Khan, Ayesha; Abbas, Khadija; Tirmizi, Syed Farhan Ali; ul Islam, Zia

    2013-04-01

    Female sterilization has long been the most popular method of family planning (FP) in Pakistan, and yet most public health experts feel it contributes little to controlling family size or to population welfare. We used Pakistan Demographic Health Survey (PDHS) data to understand the role female sterilization plays in the overall context of FP in Pakistan. We performed a secondary analysis of data from the PDHS 1990-1 and 2006-7 to study factors that lead to sterilization and trends in the use of the procedure. In addition, census data were multiplied by proportions from PDHS data to estimate the number of women availing sterilization services. Around 1.9 million women in Pakistan are currently sterilized--up from 0.55 million in 1990-1, and around 173,867 undergo the procedure, annually. Women usually receive sterilization after 30 years of age (mean = 39) and after six children. The probability of sterilization increases with age, family size, and urban residence, and is unaffected by poverty, province of residence, or the woman or her husband's education. Most sterilizationis conducted in public sector facilities. Sterilization in Pakistan may be common, but occurs too late to have any significant effect on family size or benefit public health. Future avenues to make this option more useful to women and society would be to improve the repertoire and access and quality of FP services that are available, and to address governance issues that limit the performance and utility of government facilities.

  17. Observations on female sterilization in Chile.

    Science.gov (United States)

    Menanteau-Horta, D

    1982-01-01

    Prior to 1976, voluntary female sterilization was 1 of the regular family planning services offered in Chile. After that the Ministry of Public Health declared that it could not be considered a fertility regulation activity and could thus be performed only for health reasons. Between 1971-75, there was almost a 6-fold increase in the number of sterilizations performed at the Valdivia Regional Hospital, with a rise to 2400 procedures. Such an unprecedented increase in voluntary sterilization prompted this study. The results are based on a 1976 survey of women sterilized between 1971-75 at the Valdivia Regional Hospital. Personal interviews were conducted. The number of voluntary sterilizations there during the aforementioned period showed a sustained upward trend; the number of births increased only moderately during that time. The data on sterilization in the Valdivia area is compared to that collected by the Santiago study. Age, marital status, place of origin or residence, education, and religion were compared. Socioeconomic and occupational data were also examined. 9 of 10 women in Valdivia were from low-income families. This agrees closely with the Santiago data. About 1/4 of the women in both samples were employed outside the home. Also in both samples, about 1/2 of the spouses of sterilized women were blue collar workers; only 1/5 or less were white collar, and very few were professionals. About 52% in Valdivia and 45% in Santiago had borne 7 or more viable offspring. The average number of spontaneous abortions was also similar. A significantly higher percentage (P0.01) of Valdivia women used contraceptives. There are some general trends apparent in both groups as to the reasons for sterilization; most were prompted by difficult socioeconomic conditions. 37.9% of the Santiago women felt their families were complete and 27.3% of the other group cited the same reason. Other reasons were medical, failure of contraception, problems with spouse, and other. Medical

  18. [Proposal of a costing method for the provision of sterilization in a public hospital].

    Science.gov (United States)

    Bauler, S; Combe, C; Piallat, M; Laurencin, C; Hida, H

    2011-07-01

    To refine the billing to institutions whose operations of sterilization are outsourced, a sterilization cost approach was developed. The aim of the study is to determine the value of a sterilization unit (one point "S") evolving according to investments, quantities processed, types of instrumentation or packaging. The time of preparation has been selected from all sub-processes of sterilization to determine the value of one point S. The time of preparation of sterilized large and small containers and pouches were raised. The reference time corresponds to one bag (equal to one point S). Simultaneously, the annual operating cost of sterilization was defined and divided into several areas of expenditure: employees, equipments and building depreciation, supplies, and maintenance. A total of 136 crossing times of containers were measured. Time to prepare a pouch has been estimated at one minute (one S). A small container represents four S and a large container represents 10S. By dividing the operating cost of sterilization by the total number of points of sterilization over a given period, the cost of one S can be determined. This method differs from traditional costing method in sterilizing services, considering each item of expenditure. This point S will be the base for billing of subcontracts to other institutions. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  19. Prospects for radiation sterilization of medical products in Egypt

    International Nuclear Information System (INIS)

    Roushdy, H.M.

    1975-01-01

    The pharmaceutical industry in Egypt is continually expanding its activity and each year marks new accomplishments and additions which enable the companies to apply the most modern scientific means in the production of pharmaceutical preparations and consequently to improve their market potentialities. The certainty of expansion and the possibility of increasing exports of sterilized medical products, particularly to Arab and African countries, indicate a need for a gamma-sterilization plant. This technology permits the introduction of the latest practices with regard to used disposables, thus greatly reducing the chances of cross-contamination which usually results in serious complications enhanced by local environmental conditions. This paper reviews the current state and future prospects for radiation sterilization of medical products and biological tissues in connection with other related industrial radiation processings. Moreover, the paper reviews the Egyptian scientific and technical experience with irradiation facilities and the parameters underlying the choice of Egypt's first industrial gamma and electron-beam irradiators designed for more than a single-purpose use, with hygienic measures taken to avoid biological contamination of sterilized medical packages throughout the sterilization process. In addition, the paper deals with the policy set up for establishing the Egyptian National Centre for Radiation Technology with a view to introducing irradiation techniques in the sterilization of medical products, and to improving the properties and increasing the competitiveness of Egyptian fabrics. Apart from medical sterilization, certain industrial processes have been mentioned to show how a multi-purpose irradiation facility may be utilized in a developing country to justify significantly the large investment required. (author)

  20. Mass-rearing for sterile insect release

    International Nuclear Information System (INIS)

    Parker, A.G.

    2005-01-01

    As the sterile insect technique (SIT) relies upon released sterile male insects efficiently competing with wild males to mate with wild females, it follows that mass-rearing of insects is one of the principal steps in the process. Mass-rearing for the SIT presents both problems and opportunities due to the increased scale involved compared with rearing insects for most other purposes. This chapter discusses facility design, environmental concerns, strain management, quality control, automation, diet, sex separation, marking, and storage in relation to rearing for the SIT. (author)

  1. Radiation sterilization of skin allograft

    International Nuclear Information System (INIS)

    Kairiyama, E.; Horak, C.; Spinosa, M.; Pachado, J.; Schwint, O.

    2009-01-01

    In the treatment of burns or accidental loss of skin, cadaveric skin allografts provide an alternative to temporarily cover a wounded area. The skin bank facility is indispensable for burn care. The first human skin bank was established in Argentina in 1989; later, 3 more banks were established. A careful donor selection is carried out according to the national regulation in order to prevent transmissible diseases. As cadaveric human skin is naturally highly contaminated, a final sterilization is necessary to reach a sterility assurance level (SAL) of 10 -6 . The sterilization dose for 106 batches of processed human skin was determined on the basis of the Code of Practice for the Radiation Sterilization of Tissue Allografts: Requirements for Validation and Routine Control (2004) and ISO 11137-2 (2006). They ranged from 17.6 to 33.4 kGy for bioburdens of >10-162.700 CFU/100 cm 2 . The presence of Gram negative bacteria was checked for each produced batch. From the analysis of the experimental results, it was observed that the bioburden range was very wide and consequently the estimated sterilization doses too. If this is the case, the determination of a tissue-specific dose per production batch is necessary to achieve a specified requirement of SAL. Otherwise if the dose of 25 kGy is preselected, a standardized method for substantiation of this dose should be done to confirm the radiation sterilization process.

  2. Radiation sterilization of skin allograft

    Science.gov (United States)

    Kairiyama, E.; Horak, C.; Spinosa, M.; Pachado, J.; Schwint, O.

    2009-07-01

    In the treatment of burns or accidental loss of skin, cadaveric skin allografts provide an alternative to temporarily cover a wounded area. The skin bank facility is indispensable for burn care. The first human skin bank was established in Argentina in 1989; later, 3 more banks were established. A careful donor selection is carried out according to the national regulation in order to prevent transmissible diseases. As cadaveric human skin is naturally highly contaminated, a final sterilization is necessary to reach a sterility assurance level (SAL) of 10 -6. The sterilization dose for 106 batches of processed human skin was determined on the basis of the Code of Practice for the Radiation Sterilization of Tissue Allografts: Requirements for Validation and Routine Control (2004) and ISO 11137-2 (2006). They ranged from 17.6 to 33.4 kGy for bioburdens of >10-162.700 CFU/100 cm 2. The presence of Gram negative bacteria was checked for each produced batch. From the analysis of the experimental results, it was observed that the bioburden range was very wide and consequently the estimated sterilization doses too. If this is the case, the determination of a tissue-specific dose per production batch is necessary to achieve a specified requirement of SAL. Otherwise if the dose of 25 kGy is preselected, a standardized method for substantiation of this dose should be done to confirm the radiation sterilization process.

  3. Eugenics, sterilization, and historical memory in the United States

    Directory of Open Access Journals (Sweden)

    Alexandra Minna Stern

    Full Text Available Abstract From the 1920s to the 1950s, California sterilized approximately 20,000 people in state homes and hospitals based on a eugenic law that authorized medical superintendents to perform reproductive surgeries on patients deemed unfit and “suffering from a mental affliction likely to be inherited.” Working with a unique resource – a dataset created from 19,000 sterilization recommendations – my team and I have reconstructed patterns and experiences of institutionalization of sterilizations. This article presents several of our important initial findings related to ethnic and gender bias in sterilization policies, and reflects on the relevance of the history for contemporary issues in genomics and social justice.

  4. 77 FR 3787 - Notice of Submission of Proposed Information Collection to OMB; Office of Hospital Facilities...

    Science.gov (United States)

    2012-01-25

    ... administration and initial/final endorsement of projects undertaken by Office of Hospital Facilities. DATES... Proposed Information Collection to OMB; Office of Hospital Facilities Transactional Forms for FHA Programs... Lists the Following Information Title of Proposal: Office of Hospital Facilities Transactional Forms for...

  5. Why are rates of sterilization in decline? A pilot study designed to explore reasons for declining female sterilization in Scotland.

    Science.gov (United States)

    Chen, Zhong E; Glasier, Anna; Warner, Pamela

    2008-10-01

    In the last decade, female sterilization had been in decline throughout the UK. It is not clear whether fewer women are requesting sterilization or whether the universal enthusiasm for long-acting reversible methods is leading health professionals to discourage women from being sterilized. Since correct and consistent use of alternative, reversible contraceptive methods depends somewhat on their acceptability, it is important to determine whether women are being refused sterilization or whether they are freely choosing other methods. This study aims to explore whether female sterilization is being widely considered as a contraceptive method, the reasons for choosing or rejecting it, and whether women are being discouraged by health professionals from being sterilized. A self-completed questionnaire survey among 205 women aged 30 to 50 years who felt that their family was complete attending a family planning clinic in Scotland. Of the 203 women included in the study, 151 (74.4%) had heard of female sterilization, 90 had discussed it with someone (60%) and 87 (58%) had considered it as a contraceptive option. Of the 56 women who consulted their family doctor about sterilization, almost half (27; 48%) were not referred to a hospital and fewer than one (17, 30.4%) in three of them was eventually sterilized or had arrangements in place to get it done. Free-text comments from the women revealed a variety of reasons for not choosing female sterilization and suggested that some women are being deterred from sterilization. The study suggests that some women are being actively encouraged by health professionals to use long-acting reversible contraceptive methods and discouraged from choosing sterilization. However, other women recognize for themselves the wisdom of keeping their fertility options open.

  6. The PET / cyclotron facility at Putrajaya Hospital - an update

    International Nuclear Information System (INIS)

    Siti Najila Mohd Janib; Suzilawati Muhd Sarowi; Munira Shaikh Nasir; Zulkifli Mohamed Hashim

    2006-01-01

    Malaysia desire to have a cyclotron for nuclear medical use came into realisation recently with the establishment of a PET/Cyclotron Facility at Putrajaya Hospital. The testing and commissioning of the cyclotron, hot cells, QC equipment and PET/CT started on March 27, culminating in the first patient to be injected on May 10 2006. Three other patients were to be followed on May 15. The patients from both the Kuala Lumpur and Putrajaya Hospital were pre-selected by physicians from these hospitals. The 18 MeV cyclotron is capable of generating 16.4 MeV protons and 8.4 MeV deuterons. The cyclotron at Putrajaya has three targets (2 liquid and 1 gas) and is capable of producing 18 F-FDG and 18 F-DOPA. To complement this, the facility has 2 modules for FDG synthesis, 1 for F-DOPA and 1 for nucleophilic synthesis. The facility will be GMP compliant. For the first production for human use, the water-18 target was irradiated for 50 minutes at 20 mA to produce 1.3 Ci of F-18. At the end of synthesis, the activity of the FDG obtained was 600 mCi. The product was then injected to a 26-year-old female, with a suspected adenocarcinoma. (Author)

  7. Postpartum Sterilization

    Science.gov (United States)

    f AQ FREQUENTLY ASKED QUESTIONS FAQ052 CONTRACEPTION Postpartum Sterilization • What is sterilization? • What is postpartum sterilization? • How is postpartum sterilization performed? • What kind of anesthesia is used for postpartum sterilization? • How ...

  8. Thermal comfort in hospital and healthcare facilities : a literature review

    NARCIS (Netherlands)

    Sadrizadeh, S.; Loomans, M.G.L.C.

    2016-01-01

    Hospital and healthcare facilities need to provide a variety of indoor environments due to the diverse comfort and health needs of their patients and staff. Thermal comfort is an essential part of indoor environmental quality in the hospital work environment that affects both the patient’s own

  9. Intraoperative complications of outpatient interval tubal sterilization at a teaching hospital in Turkey

    International Nuclear Information System (INIS)

    Dilbaz, B.; Akdag, D.; Cengiz, H.; Akyunak, A.; Dilbaz, S.; Haberal, A.

    2008-01-01

    Objective was to evaluate the intra-operative complications of outpatient interval tubal sterilization at a teaching hospital. The data of 461 patients who underwent interval tubal ligation ITL at the Family Planning Clinic of Ankara Etlik Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey between January 2002 and December 2005 were reviewed from a computerized database. The demographic characteristics, operative technique and intra- and early postoperative complications of patients were evaluated. Only 11 patients had minilaparotomy for ITL. Laparoscopic ITL was performed using bipolar cautery. The cases who were hospitalized or had a complication and/or an unplanned laparotomy were analyzed. The mean age of patients was 35.1 range: 21-51, gravidity was 4.6 range: 2-9, parity was 3.2 range: 2-7 and number of living children was 3.1 range 2-6. Out of 461 patients, only 20.4% had complications related with general anesthesia. Two cases 0.4% had bleeding from the port-site, 3 cases 0.6% had meso-salpingeal and meso-ovarian bleeding, one had omental bleeding 0.2% from vagina wall. There was only one 0.2% intestinal burn that required a laparotomy and segmental resection followed by end-to-end anastomosis. The mortality was nil, whilst the morbidity was found to be 2.1% and all the complications were encountered in patients who had laparoscopic surgery. Outpatient tubal ligation is a convenient and safe procedure and implementing endoscopic surgical techniques is necessary for correction of the complications. (author)

  10. Comparison of postoperative surgical site infection after preoperative marking done with non-sterile stationary grade markers versus sterile surgical markers

    International Nuclear Information System (INIS)

    Mir, Z.A.

    2015-01-01

    Objectives: To compare the frequencies of post- operative surgical site infection after preoperative marking done with non-sterile stationary. grade markers versus sterile surgical markers in the same patient. Design: Randomized control trial. Place and Duration of Study: The department of Plastic surgery, Mayo hospital, Lahore from August 2013 to August 2014. Methods: This study was conducted after taking approval from the departmental ethical committee. Forty consecutive patients were included. A sterile surgical marker was used to mark one incision site while an alcohol based stationary grade marker was used to mark another incision site on the same patient. A standard preoperative, intraoperative and postoperative protocol was followed. Cultures were performed on swabs taken from the incision sites and surgical site infection was assessed for 30 days. Results: The study included 40 patients; 17 males and 23 females. The mean age of subjects was 25.32 ± 19.69 years with the minimum age being 2 years and the maximum being 63 years. No growth was seen in cultures taken from all the incision sites after skin preparation in the non sterile stationary grade marker group as well as the sterile surgical grade marker group. Also no surgical site infection appeared during the 30 day postoperative observation period in the non sterile stationary grade marker group as well as the sterile surgical grade marker group. (author)

  11. Hysteroscopic Sterilization

    Science.gov (United States)

    ... sterilization? Sterilization is a permanent form of birth control. What is tubal sterilization? Sterilization procedures for women are ... is quicker than from other types of sterilization. What are the risks of ... on for birth control. • There is a risk of injury to the ...

  12. Economical aspects of radiation sterilization with electron beam

    International Nuclear Information System (INIS)

    Zimek, Z.; Kaluska, I.

    1998-01-01

    Radiation sterilization has been introduced in Poland in the early seventies. Since then continuous progress is observed in quantity of sterilized products. The commercial irradiation facility was built in 1993 to fulfill growing demands for radiation service. The real costs of running this plant were shown. The share of the cost of investment and the cost of maintenance and spare parts in accelerator exploitation, as well as the cost of one hour accelerator exploitation against time of one year accelerator exploitation were taken into account

  13. Processing laboratory of radio sterilized biological tissues

    International Nuclear Information System (INIS)

    Aguirre H, Paulina; Zarate S, Herman; Silva R, Samy; Hitschfeld, Mario

    2005-01-01

    The nuclear development applications have also reached those areas related to health. The risk of getting contagious illnesses through applying biological tissues has been one of the paramount worries to be solved since infectious illnesses might be provoked by virus, fungis or bacterias coming from donors or whether they have been introduced by means of intermediate stages before the use of these tissues. Therefore it has been concluded that the tissue allografts must be sterilized. The sterilization of medical products has been one of the main applications of the ionizing radiations and that it is why the International Organization of Atomic Energy began in the 70s promoting works related to the biological tissue sterilization and pharmaceutical products. The development of different tissue preservation methods has made possible the creation of tissue banks in different countries, to deal with long-term preservation. In our country, a project was launched in 1998, 'Establishment of a Tissue Bank in Latino america', this project was supported by the OIEA through the project INT/ 6/ 049, and was the starting of the actual Processing Laboratory of Radioesterilized Biological Tissues (LPTR), leaded by the Chilean Nuclear Energy Commission (CCHEN). This first organization is part of a number of entities compounding the Tissue Bank in Chile, organizations such as the Transplantation Promotion Corporation hospitals and the LPTR. The working system is carried out by means of the interaction between the hospitals and the laboratory. The medical professionals perform the procuring of tissues in the hospitals, then send them to the LPTR where they are processed and sterilized with ionizing radiation. The cycle ends up with the tissues return released to the hospitals, where they are used, and then the result information is sent to the LPTR as a form of feedback. Up to now, human skin has been processed (64 donors), amniotic membranes (35 donors) and pig skin (175 portions

  14. Sterilization and disinfection: the prevailing indifference

    International Nuclear Information System (INIS)

    Mirza, I.

    2007-01-01

    To evaluate the knowledge and attitude of health care professionals towards the process of sterilization and disinfection, and to check the adequacy of the reading material accessible to them. The study comprised of three components. In the first part, sections devoted to this subject in the popular books read by the students of operation theatre assistant course and students of diploma in general nursing were examined for adequacy and authenticity of information. In the second part, standard operating procedures were examined regarding sterilization of textile, rubber tubes of suction units and diathermy hand pieces of 20 operation theatres of three teaching hospital attached to undergraduate medical college of Punjab. In the third part of the study, working knowledge of 64 practicing operation theatre assistants and 57 practicing nurses was assessed through a questionnaire. It was found that popular books either did not contain the required information or the information provided was misleading or incorrect. Standard operating procedures for sterilization of selected items of all the operation theatres studied fell much below the standard of practice desired in the light of current knowledge and contemporary practices. Finally the working knowledge of the professionals studied was much below the bare minimum expected by the profession. There is a dire need for upgrading the knowledge and attitude of health care professionals regarding sterilization, besides improving the operation theatres sterilization procedures. (author)

  15. Radiation: A means of sterilization

    Energy Technology Data Exchange (ETDEWEB)

    Mukherjee, R N [International Atomic Energy Agency, Division of Life Sciences, Radiation Biology Section, Vienna (Austria)

    1975-12-15

    The sterilization of medical products by ionizing radiation is a well-established industrial process in a number of technologically advanced countries. It is indeed encouraging to note the rate of growth experienced during the past fifteen years. Starting with the first commercial plant in the early sixties in the USA there are to date more than sixty large facilities of this kind located in USA, Canada, Australia and the countries of Europe including USSR. The geographical distribution of these sterilization plants is rather unbalanced. In this respect Europe is far ahead of the other continents of the world, with about 65% of all sterilization plants, followed by North and South America with 17%, Asia with 8%, Australia and New Zealand with 9% and Africa with only 1%. During the last 10 years the IAEA has actively contributed to the development of radiation sterilization practices and technology in the Member States, with particular emphasis on the developing countries. Such promotional efforts have been made by (a) supporting co-ordinated research to accumulate relevant technical information, (b) organizing scientific meetings and training courses, (c) providing technical expertise in the form of fellowships and expert services, (d) providing technical assistance to conduct market surveys and economic feasibility assessment, (e) scientific publications, including technical manuals and proceedings reports, and (f) assistance in the formulation of an international 'Code of Practice' for standardization of the manufacturing practices for radiation sterilized medical products to meet the specified requirements of the various national Pharmacopoeias and of the international consumer market.

  16. Hospital-acquired infections in a Nigerian tertiary health facility: An ...

    African Journals Online (AJOL)

    Hospital-acquired infections in a Nigerian tertiary health facility: An audit of surveillance reports. ... This study evaluated the occurrence of HAI in a foremost tertiary health facility over a 5-year period for the purpose of reinforcing control efforts. Materials and Methods: A retrospective survey of records from the infection control ...

  17. Strategic interaction among hospitals and nursing facilities: the efficiency effects of payment systems and vertical integration.

    Science.gov (United States)

    Banks, D; Parker, E; Wendel, J

    2001-03-01

    Rising post-acute care expenditures for Medicare transfer patients and increasing vertical integration between hospitals and nursing facilities raise questions about the links between payment system structure, the incentive for vertical integration and the impact on efficiency. In the United States, policy-makers are responding to these concerns by initiating prospective payments to nursing facilities, and are exploring the bundling of payments to hospitals. This paper develops a static profit-maximization model of the strategic interaction between the transferring hospital and a receiving nursing facility. This model suggests that the post-1984 system of prospective payment for hospital care, coupled with nursing facility payments that reimburse for services performed, induces inefficient under-provision of hospital services and encourages vertical integration. It further indicates that the extension of prospective payment to nursing facilities will not eliminate the incentive to vertically integrate, and will not result in efficient production unless such integration takes place. Bundling prospective payments for hospitals and nursing facilities will neither remove the incentive for vertical integration nor induce production efficiency without such vertical integration. However, bundled payment will induce efficient production, with or without vertical integration, if nursing facilities are reimbursed for services performed. Copyright 2001 John Wiley & Sons, Ltd.

  18. What do you mean you can't sterilize it? The reusable medical device matrix.

    Science.gov (United States)

    Stephens, Anne; Assang, AnnMarie

    2010-12-01

    begins with proper cleaning and processing of the surgical instruments. Surgical site infections can increase the length of stay and the cost of the patients' hospitalization, as well as increased risk, morbidity and even mortality. 1 Today's patients are far more informed than they were in the past. They can gather information from the internet as well as from television, radio, and print media. This knowledge empowers the patient to expect that their healthcare providers are practicing due diligence. It is the ethical duty and responsibility of nurses to provide safe, competent care while protecting the rights of the patient and being accountable to the professional governing bodies. In other words, we are advocates for both our patients and the healthcare system.2 Using both new and innovative instruments in the OR was, in the past, as simple as a surgeon requesting an instrument, the perioperative nurse ordering the instrument and CPD processing it for use in the OR. That is no longer the case. With a wide range of more complex instrumentation and an increasing focus on sterilization strategies, healthcare facilities have had to adopt a more rigorous approach. There are many challenges in the world of sterile processing. A common one, faced on a regular basis, is the provision of vague, inaccurate reprocessing recommendations from the medical device manufacturer. Canadian centres are not able to meet European standards for reprocessing. European cycles, often referred to as "Fractionated Steam Cycles", are different than the pre-vacuum steam cycles run in Canada.

  19. Efficacy of Essure hysteroscopic sterilization--5 years follow up of 1200 women.

    Science.gov (United States)

    Ríos-Castillo, José E; Velasco, Esther; Arjona-Berral, José E; Monserrat Jordán, José A; Povedano-Cañizares, Balbino; Castelo-Branco, Camil

    2013-06-01

    To assess the efficacy of the Essure hysteroscopic birth control device after 5 years follow up. Retrospective analysis of case series. Outpatient hysteroscopy facility in a large teaching hospital. One-thousand three-hundred and twenty-one women who underwent hysteroscopic sterilization with Essure device (Conceptus, Inc., Mountain View, CA) between January 2003 and May 2005. Hysteroscopic tubal sterilization using Essure system. Efficacy/effectiveness, failure rate. Satisfactory insertion was accomplished in the first attempt in 1166 women (97.16%). After the second attempt, successful insertion rate rise to 98.6%. (n = 31, 2.6%). Three pregnancies had been reported after 5 years follow up, which implies an overall absolute rate of 0.25%. This represents a Pearl index of 0.05 after 72,000 months of surveillance. All of them occurred in the first year of use of the microinsert. There has been no unintended pregnancy in the next 4 years. Essure has the lowest Pearl index never published being the most effective permanent birth control system to date. Unintended pregnancies tend to occur in the first year after the insertion, and can be avoided encouraging women to accomplish the protocol.

  20. Sterile neutrinos as the origin of dark and baryonic matter.

    Science.gov (United States)

    Canetti, Laurent; Drewes, Marco; Shaposhnikov, Mikhail

    2013-02-08

    We demonstrate for the first time that three sterile neutrinos alone can simultaneously explain neutrino oscillations, the observed dark matter, and the baryon asymmetry of the Universe without new physics above the Fermi scale. The key new point of our analysis is leptogenesis after sphaleron freeze-out, which leads to resonant dark matter production, evading thus the constraints on sterile neutrino dark matter from structure formation and x-ray searches. We identify the range of sterile neutrino properties that is consistent with all known constraints. We find a domain of parameters where the new particles can be found with present day experimental techniques, using upgrades to existing experimental facilities.

  1. Study on a New Ultraviolet Sterilizer to the Surface Disinfection of the Ultrasound Probe.

    Science.gov (United States)

    Chen, Gui Qiu; Chen, Yu Hao; Yi, Liang; Yin, Jin; Gao, Qiong; Song, Jiang Nan; Li, Shi Kang; Chen, Pei Hou; Guo, Gui Ping

    2018-02-01

    We studied the disinfection effect of a new ultraviolet (UV) sterilizer and its utilization on ultrasound probe surfaces. Carrier quantitative germicidal tests, simulated on-the-spot trials, and organic substance influence tests were used to carry out experimental observation. Artificially infected probes were disinfected using the sterilizer or a germicidal lamp for comparison. The total number and types of bacteria were determined and identified. Our results demonstrated the sterilizer had the best disinfection effect among three different disinfection methods in hospital. The sterilizer has been used in a hospital setting for 2 years with no notable damage to the ultrasound probe instrument. It has the advantages of fast disinfection, high disinfection effect, and good compatibility with the ultrasound instrument, worthy of being a promoted application in medical institutions. Copyright © 2018 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

  2. Non-unitarity, sterile neutrinos, and non-standard neutrino interactions

    Energy Technology Data Exchange (ETDEWEB)

    Blennow, Mattias [Department of Theoretical Physics, School of Engineering Sciences, KTH Royal Institute of Technology, Albanova University Center, 106 91 Stockholm (Sweden); Coloma, Pilar [Theoretical Physics Department, Fermi National Accelerator Laboratory, P.O. Box 500, Batavia, IL 60510 (United States); Fernandez-Martinez, Enrique; Hernandez-Garcia, Josu [Departamento de Física Teórica, Universidad Autónoma de Madrid, Cantoblanco E-28049 Madrid (Spain); Instituto de Física Teórica UAM/CSIC, Calle Nicolás Cabrera 13-15, Cantoblanco E-28049 Madrid (Spain); Lopez-Pavon, Jacobo [INFN, Sezione di Genova, via Dodecaneso 33, 16146 Genova (Italy); CERN, Theoretical Physics Department, Geneva (Switzerland)

    2017-04-27

    The simplest Standard Model extension to explain neutrino masses involves the addition of right-handed neutrinos. At some level, this extension will impact neutrino oscillation searches. In this work we explore the differences and similarities between the case in which these neutrinos are kinematically accessible (sterile neutrinos) or not (mixing matrix non-unitarity). We clarify apparent inconsistencies in the present literature when using different parametrizations to describe these effects and recast both limits in the popular neutrino non-standard interaction (NSI) formalism. We find that, in the limit in which sterile oscillations are averaged out at the near detector, their effects at the far detector coincide with non-unitarity at leading order, even in presence of a matter potential. We also summarize the present bounds existing in both limits and compare them with the expected sensitivities of near-future facilities taking the DUNE proposal as a benchmark. We conclude that non-unitarity effects are too constrained to impact present or near future neutrino oscillation facilities but that sterile neutrinos can play an important role at long baseline experiments. The role of the near detector is also discussed in detail.

  3. Readiness of health facilities to deliver safe male circumcision services in Tanzania: a descriptive study

    Directory of Open Access Journals (Sweden)

    Frank Felix Mosha

    2013-03-01

    Full Text Available Assessing the readiness of health facilities to deliver safe male circumcision services is more important in sub-Saharan Africa because of the inadequacy state of health facilities in many ways. The World Health Organization recommends that only facilities equipped with available trained staff, capable to perform at least minor surgery, able to offer minimum MC package and appropriate equipment for resuscitation, and compliant with requirements for sterilization and infection control should be allowed to deliver safe circumcision services. A cross-sectional study using quantitative data collection technique was conducted to assess the readiness of the health facilities to deliver safe circumcision services in selected districts of Tanzania. All hospitals, health centres and 30% of all dispensaries in these districts were selected to participate in the study. Face-toface questionnaires were administered to the heads of the health facilities and to health practitioners. Overall, 49/69 (59% of the facilities visited provided circumcision services and only 46/203 (24% of the health practitioners performed circumcision procedures. These were mainly assistant medical officers and clinical officers. The vast majority – 190/203 (95% – of the health practitioners require additional training prior to providing circumcision services. Most facilities – 63/69 (91% – had all basic supplies (gloves, basin, chlorine and waste disposal necessary for infection prevention, 44/69 (65% provided condoms, HIV counselling and testing, and sexuallytransmitted infections services, while 62/69 (90% had the capability to perform at least minor surgery. However, only 25/69 (36% and 15/69 (22% of the facilities had functioning sterilization equipment and appropriate resuscitation equipment, respectively. There is readiness for roll out of circumcision services; however, more practitioners need to be trained on circumcision procedures, demand forecasting

  4. 78 FR 59366 - Multifamily, Healthcare Facilities, and Hospital Mortgage Insurance Premiums for Fiscal Year (FY...

    Science.gov (United States)

    2013-09-26

    ... Facilities, and Hospital Mortgage Insurance Premiums for Fiscal Year (FY) 2014 AGENCY: Office of the... with HUD regulations, this Notice announces the mortgage insurance premiums (MIPs) for Federal Housing Administration (FHA) Multifamily, Healthcare Facilities, and Hospital mortgage insurance programs that have...

  5. Study of the compatibility and competitiveness of sterile males in the framework of the struggle by the sterile insect technique against the Ceratitis

    International Nuclear Information System (INIS)

    Azzabi, Jihene

    2007-01-01

    We evaluated under semi-natural field-cage conditions sexual compatibility and competitivity of laboratory strain (Genetic Sexing Strain GSS) ''Vienna 8''. The GSS strain is produced under mass (rearing conditions at the facility of production of sterile males at Sidi Thabat. Wild flies were obtained from infested Sommer oranges. Twenty-five wild males, 25 wild females and 25 GSS were released into cage and mating pairs collected. The determination of indices such as the Isolation Index (ISI), the Male Relative Index (MRPI), the Stalker Index (I) and the Relative Sterile Index (RSI) shows that there is no compatibility and competitiveness between the two strains with a tendency to behaviour of sexual isolation. Sterile male tests dissection irradiated at the dose of (0 Gy, 110 Gy, 120 Gy, 130 Gy and 145 Gy) and correspondent female spermatic show the important damage of the irradiation on the cells but decrease the quality of the sterile male (mating duration, sperm transfer.). (Author)

  6. Intracavitary deposits on Essure® hysteroscopic sterilization devices : A case report

    OpenAIRE

    Maassen, L. W.; van Gastel, Maatje D A; Lentjes, E. G.W.M.; Bongers, M. Y.; Veersema, S.

    2017-01-01

    Objective: To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. Design: Case report. Setting: Reproductive Medicine and Gynecology department of a University Hospital. Patient(s): A 39 years old patient presenting with a request for surgical removal of Essure® sterilization devices. Diagnostic hysteroscopy showed a crystal like white deposit attached to one of the devices. Intervention: Diagnostic hysteroscopy and surgical removal of E...

  7. Association Between Hospital Admission Risk Profile Score and Skilled Nursing or Acute Rehabilitation Facility Discharges in Hospitalized Older Adults.

    Science.gov (United States)

    Liu, Stephen K; Montgomery, Justin; Yan, Yu; Mecchella, John N; Bartels, Stephen J; Masutani, Rebecca; Batsis, John A

    2016-10-01

    To evaluate whether the Hospital Admission Risk Profile (HARP) score is associated with skilled nursing or acute rehabilitation facility discharge after an acute hospitalization. Retrospective cohort study. Inpatient unit of a rural academic medical center. Hospitalized individuals aged 70 and older from October 1, 2013 to June 1, 2014. Participant age at the time of admission, modified Folstein Mini-Mental State Examination score, and self-reported instrumental activities of daily living 2 weeks before admission were used to calculate HARP score. The primary predictor was HARP score, and the primary outcome was discharge disposition (home, facility, deceased). Multivariate analysis was used to evaluate the association between HARP score and discharge disposition, adjusting for age, sex, comorbidities, and length of stay. Four hundred twenty-eight individuals admitted from home were screened and their HARP scores were categorized as low (n = 162, 37.8%), intermediate (n = 157, 36.7%), or high (n = 109, 25.5%). Participants with high HARP scores were significantly more likely to be discharged to a facility (55%) than those with low HARP scores (20%) (P risk of skilled nursing or acute rehabilitation facility discharge. Early identification for potential facility discharges may allow for targeted interventions to prevent functional decline, improve informed shared decision-making about post-acute care needs, and expedite discharge planning. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  8. Hospitality and Facility Care Services. Ohio's Competency Analysis Profile.

    Science.gov (United States)

    Ohio State Univ., Columbus. Vocational Instructional Materials Lab.

    Developed through a modified DACUM (Developing a Curriculum) process involving business, industry, labor, and community agency representatives in Ohio, this document is a comprehensive and verified employer competency profile for hospitality and facility care occupations. The list contains units (with and without subunits), competencies, and…

  9. Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement.

    Science.gov (United States)

    Jones, Christine D; Cumbler, Ethan; Honigman, Benjamin; Burke, Robert E; Boxer, Rebecca S; Levy, Cari; Coleman, Eric A; Wald, Heidi L

    2017-01-01

    Information exchange is critical to high-quality care transitions from hospitals to post-acute care (PAC) facilities. We conducted a survey to evaluate the completeness and timeliness of information transfer and communication between a tertiary-care academic hospital and its related PAC facilities. This was a cross-sectional Web-based 36-question survey of 110 PAC clinicians and staff representing 31 PAC facilities conducted between October and December 2013. We received responses from 71 of 110 individuals representing 29 of 31 facilities (65% and 94% response rates). We collapsed 4-point Likert responses into dichotomous variables to reflect completeness (sufficient vs insufficient) and timeliness (timely vs not timely) for information transfer and communication. Among respondents, 32% reported insufficient information about discharge medical conditions and management plan, and 83% reported at least occasionally encountering problems directly related to inadequate information from the hospital. Hospital clinician contact information was the most common insufficient domain. With respect to timeliness, 86% of respondents desired receipt of a discharge summary on or before the day of discharge, but only 58% reported receiving the summary within this time frame. Through free-text responses, several participants expressed the need for paper prescriptions for controlled pain medications to be sent with patients at the time of transfer. Staff and clinicians at PAC facilities perceive substantial deficits in content and timeliness of information exchange between the hospital and facilities. Such deficits are particularly relevant in the context of the increasing prevalence of bundled payments for care across settings as well as forthcoming readmissions penalties for PAC facilities. Targets identified for quality improvement include structuring discharge summary information to include information identified as deficient by respondents, completion of discharge summaries

  10. Radiation sterilization: an industrial process

    International Nuclear Information System (INIS)

    Ley, F.J.

    1975-01-01

    A new dimension has been added to the use of radiation in the medical field with the introduction of radiation as a sterilizing agent. Its use in diagnosis through radioactive tracers or X-rays and in therapy administered with the most sophisticated of electrical machines or radioisotope units, is familiar in the hospital world, being well established therein. In contrast, the application of radiation sterilization is in industry where the installation of large radiation sources is already commonplace in many countries. The beginnings in the early 1950's centered on the Van de Graaff machine and linear accelerators and the pioneering efforts of Ethicon Inc. here in the United States must be recognized. However, although sterilization with electron beams is still current practice in a number of plants, the use of gamma rays from cobalt-60 is preferred. The first steps in this direction were taken by the U.K.A.E.A. which, in common with similar organizations elsewhere, was attempting to exploit the tremendous potential for cobalt-60 production arising through the rapid construction of nuclear reactors. The first full-scale commercial gamma plant was commissioned in the U.K. in 1960. It reached a loading of 500,000 curies before its demolition after twelve years of operation. The process gained rapid acceptance within industry and approval by health authorities because it provided a ''cold'' sterilization method combining the property of lethal effect with penetration. Its immediate impact occurred in the introduction of disposable products making it possible, for example, to use heat-labile plastics and new packaging materials and package designs. Certainly, the technique has proved complementary to sterilization methods based on heat and to the use of chemical agents, in particular ethylene oxide gas

  11. Standard Operating Procedures for Preparing and Handling Sterile Male Tsetse flies for Release

    International Nuclear Information System (INIS)

    Argiles-Herrero, Rafa; Leak, Stephen G.A.

    2016-01-01

    The purpose of this SOP is to describe the procedures involved in preparing tsetse flies reared in a breeding facility for release in the field for the sterile insect technique (SIT) as a component of Area-Wide Insect pest Management (AW-IPM). Following the procedures which are outlined will help to ensure that the released sterile male tsetse flies are of optimal quality.

  12. Pink bollworm integrated management using sterile insects under field trial conditions, Imperial Valley, California

    International Nuclear Information System (INIS)

    Walters, M.L.; Staten, R.T.; Roberson, R.C.

    2000-01-01

    The pink bollworm moth (Pectinophora gossypiella Saunders) feeds almost exclusively on cotton (Gossypium spp.) and causes economic loss (Pfadt 1978). The pink bollworm (PBW) is often the key pest of cotton in Arizona, southern California, and northwestern Mexico. The larvae (immature stages) bore into the developing cotton fruit, where they feed on the cotton lint and seeds, causing significant damage and dramatically reducing the yield of cotton lint (Pfadt 1978). The PBW is difficult to control with conventional means (insecticides) because it spends the destructive larval phase inside the cotton boll where it is well protected from control measures. Cultural controls, such as a short growing season, have successfully decreased the population in the Imperial Valley (Chu et al. 1992) to the point where eradication may be possible using sterile insects and genetically engineered cotton. Because the PBW is an introduced insect, with few plant hosts other than cultivated cotton, its eradication from continental USA is a desirable and economically attractive alternative to the continued use of pesticides and/or further loss to the pest. Mass releases of sterile insects began in earnest in 1970 in the San Joaquin Valley, California, in order to inhibit normal reproduction and to eradicate the pest in an environmentally responsible manner. Sterile release involves mass production and sexual sterilisation using irradiation (20 krad for PBW adults). This was accomplished by building a rearing facility in Phoenix, AZ. The facility has 6,410 square metres of permanent laboratories, rearing and irradiation chambers and insect packing rooms. The facility operates the year round but with a variable production rate, that is, maximal during the cotton growing season (May through September). Sterile insect technology is based on the monitoring of the native and sterile populations in the field and the subsequent release of appropriate numbers of sterile insects in order to

  13. Gamma radiation sterilized amnion: use in ophthalmology

    Energy Technology Data Exchange (ETDEWEB)

    Martinez P, M. E. [ININ, Carretera Mexico-Toluca s/n, Ocoyoacac 52750, Estado de Mexico (Mexico); Leon T, Y. [Hospital General Regional 220, IMSS, Paseo Tollocan No. 620, Col. Vertice, Toluca 50150, Estado de Mexico (Mexico); Vazquez M, L., E-mail: esther.martinez@inin.gob.m [Hospital General de Mexico, Dr. Balmis 148, Col. Doctores, 06720 Mexico D. F. (Mexico)

    2010-10-15

    Amnion processed at the Radio sterilized Tissue Bank at the National Institute of Nuclear Research, sterilized with {sup 60}Co gamma radiation, have been used in Mexico since 2005 either as a graft to replace the damaged ocular surface, or as a patch to prevent unwanted inflammatory reactions. Patients from the Hospital General de Mexico (HGM) and Instituto Mexicano del Seguro Social (IMSS), suffering diverse pathologies such as keratoconjunctivitis; recurrent pterygium associated with symblepharon; corneal neuro trophic ulcers, chemical and thermal burns, and corneal thinning s, had been successfully treated with irradiated amnion. In the HGM, a clinical prospective study on lesions of the ocular surface of 17 eyes from 15 patients, affected with the above mentioned pathologies, was successful in 88.2%. The results have proven to be excellent as much for cosmetic purposes as for functional ones. Without the treatment, the patients could have suffered a healing after-effect or loss of sight. At IMSS, a controlled clinical randomized trial with 108 eyes from 100 patients, affected with primary nasal pterygium, was performed in 2009. These eyes were treated with radio sterilized amnion and intraoperative mitomycin C to prevent recurrence after excision of the primary pterygium. The preliminary results do not shown adverse reaction, inflammation and pain were significantly reduced radio sterilized amnion also offer security because they do no express antigens HLA-A, B or Dr and the sterile irradiated tissue do not provoke rejection or transmit an infective disease. (Author)

  14. Gamma radiation sterilized amnion: use in ophthalmology

    International Nuclear Information System (INIS)

    Martinez P, M. E.; Leon T, Y.; Vazquez M, L.

    2010-10-01

    Amnion processed at the Radio sterilized Tissue Bank at the National Institute of Nuclear Research, sterilized with 60 Co gamma radiation, have been used in Mexico since 2005 either as a graft to replace the damaged ocular surface, or as a patch to prevent unwanted inflammatory reactions. Patients from the Hospital General de Mexico (HGM) and Instituto Mexicano del Seguro Social (IMSS), suffering diverse pathologies such as keratoconjunctivitis; recurrent pterygium associated with symblepharon; corneal neuro trophic ulcers, chemical and thermal burns, and corneal thinning s, had been successfully treated with irradiated amnion. In the HGM, a clinical prospective study on lesions of the ocular surface of 17 eyes from 15 patients, affected with the above mentioned pathologies, was successful in 88.2%. The results have proven to be excellent as much for cosmetic purposes as for functional ones. Without the treatment, the patients could have suffered a healing after-effect or loss of sight. At IMSS, a controlled clinical randomized trial with 108 eyes from 100 patients, affected with primary nasal pterygium, was performed in 2009. These eyes were treated with radio sterilized amnion and intraoperative mitomycin C to prevent recurrence after excision of the primary pterygium. The preliminary results do not shown adverse reaction, inflammation and pain were significantly reduced radio sterilized amnion also offer security because they do no express antigens HLA-A, B or Dr and the sterile irradiated tissue do not provoke rejection or transmit an infective disease. (Author)

  15. Radiation sterilization

    International Nuclear Information System (INIS)

    Jacobs, G.P.

    1989-01-01

    In view of the application of ionizing radiation to sterilize pharmaceutical products, and the particular advantages of using this mode of sterilization for powders for injection, which cannot be sterilized by more conventional methods, it is important to recognise the possibility of modification of radiation response of bacteria when in close contact with various drug powders. For this study, bacterial spores, which lend themselves to dessication, and which can be dried onto an inert powder matrix, were chosen as the test system. The results of this work indicate that the additives tested have a modest protective effect on the spores. However, when considering a bacterial inactivation for sterilization purposes of between six and ten orders of magnitude, that is, a desired sterility assurance level of an expected maximum probability of a product item being non-sterile of 10 -6 , then the slight protective effect observed in this study approaches insignificance

  16. Decommissioning of a brachytherapy facility at the Oncology Hospital in Havana

    International Nuclear Information System (INIS)

    Benitez, J.C.; Salgado, M.; Madrazo, S.; Castillo, R.; Marcos, J.; Flores, J.

    2001-01-01

    In the past the National Institute of Oncology and Radiobiology (INOR) used 226 Ra sealed sources for brachytherapy service. For technical obsolescence and safety considerations the brachytherapy facility was shutdown. Most 226 Ra sources were collected from the hospital in 1996, but for different reasons, not all radium sources could be evacuated by this time. Some of them were leaking which caused contamination of the place. In May 1997 the Direction of the Hospital requested the Center for Radiation Protection and Hygiene (CPHR) to evaluate the radiological situation in the contaminated areas and to carry out the decontamination of the rooms and the decommissioning of the brachytherapy facility for unrestricted use. Contamination surveys conducted during this year confirmed the contamination of the facility. Once all necessary conditions were in place the decontamination of rooms and the decommissioning of this facility took place as in June 1999. In order to perform such a work the Hospital received the authorization from the National Centre for Nuclear Safety (Cuban's Regulatory Body) as a License for Decommissioning. The decommissioning process greatly benefited from early planning. This included an assessment of available documentation and operational history of the brachytherapy facility, the definition of responsibilities for each activity, technical seminars with personnel from the hospital and specialist from CPHR in charge of the decommissioning activities, safety assessment of the radiological and non-radiological hazards, the evaluation of available waste management provisions, the availability of financial resources as well as the review of lessons learned from previous projects. The characterization of the facility was a very important task in the selection of decommissioning alternative. During decommissioning operations, radiation monitoring of workers was carried out. In order to evaluate the radiological situation in the contaminated rooms

  17. Hospitality Healthscapes: The New Standard for Making Hospitals More Hospitable

    Directory of Open Access Journals (Sweden)

    Courtney Suess Raeisinafchi

    2017-06-01

    Full Text Available What comes to mind when you think of a hospital room? Stark. Sterile. Bare. Clinical. What might it mean for patients if the association with the environment shifted to something like: Comforting. Bright. Elegant. Personal?

  18. Surgical sterilization of the African giant pouched rats | Werema ...

    African Journals Online (AJOL)

    ... to all principles of surgery. This study has demonstrated the three surgical procedures for African Giant pouched rats as being useful to veterinarians in public/private practice and/or in biomedical research facilities. Keywords: Surgical sterilization, ovariectomy, ovariohysterectomy, orchidectomy, African giant pouched rats ...

  19. Animal-assisted interventions: A national survey of health and safety policies in hospitals, eldercare facilities, and therapy animal organizations.

    Science.gov (United States)

    Linder, Deborah E; Siebens, Hannah C; Mueller, Megan K; Gibbs, Debra M; Freeman, Lisa M

    2017-08-01

    Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans. Our study objective was to survey hospitals, eldercare facilities, and therapy animal organizations on their AAI policies and procedures. A survey of United States hospitals, eldercare facilities, and therapy animal organizations was administered to assess existing health and safety policies related to AAI programs. Forty-five eldercare facilities, 45 hospitals, and 27 therapy animal organizations were surveyed. Health and safety policies varied widely and potentially compromised human and animal safety. For example, 70% of therapy animal organizations potentially put patients at risk by allowing therapy animals eating raw meat diets to visit facilities. In general, hospitals had stricter requirements than eldercare facilities. This information suggests that there are gaps between the policies of facilities and therapy animal organizations compared with recent guidelines for animal visitation in hospitals. Facilities with AAI programs need to review their policies to address recent AAI guidelines to ensure the safety of animals and humans involved. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  20. Sterile neutrino

    International Nuclear Information System (INIS)

    Anon.

    2007-01-01

    Paper deals with the information on the occurrence of the fields of the sterile neutrinos (the righthanded ones) mixed with the normal neutrinos (the lefthanded ones). Both the Max Plank Radioastronomy Institute and the Los Angeles University assumes that the occurrence of the keV mass sterile neutrinos may explain the dark matter nature, the fast rotation of the observed pulsars and the reionization processes. The issues associated with the possibility to record the sterile neutrinos were analyzed in the course of the Sterile Neutrinos in Astrophysics and Cosmology Workshop (Crans Montana, March 2006 [ru

  1. Gamma-sterilization

    International Nuclear Information System (INIS)

    Lindgren, E.

    1974-01-01

    The author makes a survey of his experience in sterilization and sterility control of medical products. At present three different methods are used, steamsterilization, gassterilizing and gammasterilizing. The investments and costs for gamma radiation is presented and a comparison of the costs for gamma- and gassterilization including sterility control is made. (M.S.)

  2. Lack of insurance and parity influence choice between long-acting reversible contraception and sterilization in women postpregnancy.

    Science.gov (United States)

    Baldwin, Maureen K; Rodriguez, Maria I; Edelman, Alison B

    2012-07-01

    Disparities in postpregnancy contraception utilization exist, with low-income women disproportionately undergoing sterilization. We assessed the impact of increased intrauterine device (IUD) availability on rates of female sterilization. Hospital billing records were used to identify women with an IUD placement or sterilization within 1 year of a pregnancy at a university hospital between Oct 2005 and Jun 2007. Demographic data were compared between women receiving either an IUD or sterilization. There were 365 sterilizations and 223 IUD placements during the study period. IUD placements doubled over the study period from 6% to 12% of all deliveries, while sterilizations remained stable at 11% (pwomen with either public or private insurance who had financial access to both sterilization (n=253) and IUD (n=223). Women receiving sterilization were slightly older (mean age 31 years versus 30 years, p=.03), of higher parity (median three versus two, pwomen who received IUD. Approximately 45% of women delivering in Oregon in 2007 were publicly insured (2010 Maternal and Child Health Update: States Make Progress Towards Improving Systems of Care. National Governor's Association, Table 6. Available at http://www.nga.org/files/live/sites/NGA/files/pdf/MCHUPDATE2010.PDF, accessed Nov 2011). After adjusting for age, parity and type of delivery, women choosing sterilization were more likely to have public insurance than women choosing IUD (odds ratio 8.4, 95% confidence interval 4.7-14.9, pWomen choosing sterilization are more likely to have public insurance than women choosing IUD and may represent a continued trend toward nonreversible contraception among women of lower socioeconomic status despite available long-acting reversible methods. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. ISO radiation sterilization standards

    International Nuclear Information System (INIS)

    Lambert, Byron J.; Hansen, Joyce M.

    1998-01-01

    This presentation provides an overview of the current status of the ISO radiation sterilization standards. The ISO standards are voluntary standards which detail both the validation and routine control of the sterilization process. ISO 11137 was approved in 1994 and published in 1995. When reviewing the standard you will note that less than 20% of the standard is devoted to requirements and the remainder is guidance on how to comply with the requirements. Future standards developments in radiation sterilization are being focused on providing additional guidance. The guidance that is currently provided in informative annexes of ISO 11137 includes: device/packaging materials, dose setting methods, and dosimeters and dose measurement, currently, there are four Technical Reports being developed to provide additional guidance: 1. AAMI Draft TIR, 'Radiation Sterilization Material Qualification' 2. ISO TR 13409-1996, 'Sterilization of health care products - Radiation sterilization - Substantiation of 25 kGy as a sterilization dose for small or infrequent production batches' 3. ISO Draft TR, 'Sterilization of health care products - Radiation sterilization Selection of a sterilization dose for a single production batch' 4. ISO Draft TR, 'Sterilization of health care products - Radiation sterilization-Product Families, Plans for Sampling and Frequency of Dose Audits'

  4. Standard Guide for Absorbed-Dose Mapping in Radiation Processing Facilities

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2003-01-01

    1.1 This document provides guidance in determining absorbed-dose distributions in products, materials or substances irradiated in gamma, X-ray (bremsstrahlung) and electron beam facilities. Note 1—For irradiation of food and the radiation sterilization of health care products, other specific ISO and ISO/ASTM standards containing dose mapping requirements exist. For food irradiation, see ISO/ASTM 51204, Practice for Dosimetry in Gamma Irradiation Facilities for Food Processing and ISO/ASTM 51431, Practice for Dosimetry in Electron and Bremsstrahlung Irradiation Facilities for Food Processing. For the radiation sterilization of health care products, see ISO 11137: 1995, Sterilization of Health Care Products Requirements for Validation and Routine Control Radiation Sterilization. In those areas covered by ISO 11137, that standard takes precedence. ISO/ASTM Practice 51608, ISO/ASTM Practice 51649, and ISO/ASTM Practice 51702 also contain dose mapping requirements. 1.2 Methods of analyzing the dose map data ar...

  5. Radiation sterilization of some pharmaceutical preparations and medical products

    International Nuclear Information System (INIS)

    Tashmetov, M.Yu.; Makhkamov, Sh.M.; Urinov, Sh.S.; Turaev, A.S.; Sultanov, M.S.; Inagomov, Kh.S.

    2006-01-01

    sterilization; a low power spectrum of radiation (1.25 MeV); radiating activity is completely excluded; low temperature at radiating processing; medical properties, quality and functional purpose of a preparation and a product are kept. Mechanical and structural infringements of processed production are excluded, high accuracy of the control of a phase of irradiation, adaptability to manufacture and profitability of the method of processing are provided. By present time the technology of radiation sterilization of many kinds of pharmaceutical preparations and medical products is developed, however the sterilizing doze for each material - product in various different countries. It is connected with quality of materials and components from which pharmaceutical preparations and medical products are prepared, technologies of their manufacture, packing materials, and climatic conditions in each country. Experimental works on development of technology of sterilization of pharmaceutical preparations and medical products is carried out in the two research channels gamma facility of the INP AS RU, designed for radiating processing of various products, substances and production. As experimental objects for radiation sterilization: injection syringes for unitary application; surgical threads (catgut); hygienic packages, tampons, surgical cotton wool; the medical product 'Glipil' are chosen. Various dose and temperature regimes for sterilization of single use syringes, made in Uzbekistan are studied, and certain optimal doze of sterilization is reached providing the highest degree of sterility, as well as functionalities and initial optical parameters. By the radiating of surgical threads (catgut, silk) in two gamma channels with various capacities at temperatures up to 25 deg C a certain optimal doze of sterilization with preservation of their initial durability qualities was determined. Medical product 'Glipil' which demanding the special conditions of sterilization, connected not only

  6. Radio-sterilization effects on adult males of Glossina tachinoides ...

    African Journals Online (AJOL)

    Induced sterility of adult males of Glossina tachiniodes irradiated with gamma doses of 130, 150 and 160 Gy, respectively, in air was investigated. The flies were irradiated at horizontal distances of 50 cm and 70 cm, respectively from the Gamma Facility. The mean percentage insemination of spermathecae ranged between ...

  7. Comparison of Sterile and Clean Dressing Techniques in Post ...

    African Journals Online (AJOL)

    Pharmacotherapy Group, Faculty of Pharmacy, University of Benin, Benin City, ... Chinese hospital, and to compare their impact on wound healing and the cost of the ... up to the time of their discharge. Results: Twelve (18.5 %) patients out of those who received sterile or clean .... identified using automated means [13,14].

  8. Facility to disinfect medical wastes by 10 MeV electron beam

    International Nuclear Information System (INIS)

    Kerluke, D.R.

    1998-01-01

    As regulations related to the disposal of infectious hospital and other medical waste are become increasingly stringent, hospitals and governments worldwide are looking to develop more effective and economical means to disinfect such waste materials prior to them being ultimately landfilled, incinerated or recycled. With the advent of reliable high-energy, high-power industrial electron accelerators, the prospect now exists to centralize collection of much of the infectious medical waste for major metropolitan areas at a single facility, and render it harmless using irradiation. Using much of the same or similar methodologies already developed for single-use medical device sterilization and for bioburden reduction in other goods, high energy electron beam treatment offers unique process advantages which become increasingly attractive with the economies of scale available at higher power. This paper will explore some of the key issues related to the safe disposition of infectious hospital and other medical waste, related irradiation research projects, and the design and economic factors related to an electron beam facility dedicated to this application. This will be presented in the context of the Rhodotron family of electron beam accelerators manufactured by Ion Beam Applications s.a. (author)

  9. Dosimetry intercomparisons in European medical device sterilization plants

    DEFF Research Database (Denmark)

    Miller, A.; Sharpe, P.H.G.

    2000-01-01

    Dosimetry intercomparisons have been carried out involving two-thirds of all European radiation sterilization facilities. Dosimeters for the intercomparisons were supplied by two accredited calibration laboratories. The results show good agreement, and indicate overall dosimetry accuracy of the o...... of the order of +/-5% (1 sigma) for both Co-60 and electron beam plants. (C) 2000 Elsevier Science Ltd. All rights reserved....

  10. Challenges in validating radiation sterilization with low energy electron irradiation

    International Nuclear Information System (INIS)

    Miller, A.; Helt-Hansen, J.

    2011-01-01

    Complete text of publication follows. Low energy electron irradiation (80-300 keV) is used increasingly for sterilization or decontamination in connection with isolators for aseptic filling lines in the pharmaceutical industry. It is not defined how validation for this process shall be carried out. A method can be derived from the medical device standard for radiation sterilization, ISO 11137, because the principles described in this standard can be applied to almost any industrial irradiation process. The validations elements are: Process definition, concerning specification of the dose required for the process and the maximum acceptable dose for the product. Installation qualification, concerning acceptance the irradiation facility. Operational qualification, concerning characterization of the facility. Performance qualification, concerning setting up the process. Process control, concerning routine monitoring. The limited penetration of the low energy electrons leads to problems with respect to executing these validation steps. This paper discusses these problems, and shows with examples how they can be solved.

  11. [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.

  12. Quinacrine non-surgical female sterilization in Bangladesh.

    Science.gov (United States)

    Bhuiyan, S N; Begum, R

    2001-11-01

    This study was undertaken to evaluate the efficacy, safety, and acceptability of transcervical applications of quinacrine along with other adjuvants, such as ampicillin and ibuprofen, for sterilization. The cohort consisted of 750 normal women who requested sterilization and volunteered for this method at the family planning clinic of a tertiary hospital and community clinics in Chittagong, Bangladesh. Several different protocols were followed from October 1989 to April 1999. Each woman received one or two insertions of 180 mg or 252 mg quinacrine with or without adjuvants including 55.5 mg ibuprofen or 125 mg ampicillin. Supplementary contraception was given in the form of combined oral contraceptive pills, barrier methods, or injection of depot medroxyprogesterone acetate for 3 months. Details of each protocol are described in the text. The gross pregnancy failure rate for insertion of 180 mg in 590 women was 3.9% compared to 1.9% for the 160 who received 252 mg. There were no serious complications, and side effects were transient. We conclude that quinacrine non-surgical sterilization is a safe, acceptably effective method when two insertions of 252 mg quinacrine with medroxyprogesterone injection as a supplement is used.

  13. Microbicidal effectiveness of X-rays used for sterilization purposes

    DEFF Research Database (Denmark)

    Tallentire, Alan; Miller, Arne

    2015-01-01

    The radiation response of spores of Bacillus pumilus was examined for irradiation with 5–7 MeV X-ray at commercial sterilization facilities. The response was found to be the same as that for irradiation with cobalt 60 photons, 10 MeV electrons and low energy electrons at 100 and 80 keV....

  14. Radiation sterilization of medical products in the Philippines

    Science.gov (United States)

    Singson, C.; Carmona, C.; de Guzman, Z.; Barrun, W.; Lanuza, L.

    This paper presents the results of a comprehensive investigation of the biological, microbiological, physico-chemical, and dosimetry aspects of using gamma irradiation for the sterilization of locally manufactured medical products and pharmaceuticals. The objective of this study is to determine the technological feasibility of radiation sterilization for the said products in the Philippines. Hence, the materials used were directly obtained from local manufacturers. They are polyvinyl chloride or polyethylene based medical plastic disposables namely: absorbent cotton, surgical gauze, bandage, visceral packs, and some antibiotics and opthalmic ointments. The gamma facility of the Philippine Atomic Energy Commission was used for the irradiation. Result of biological studies indicate no signs of toxicity on experimental mice injected with extracts from irradiated samples. The contaminants are identified as Pseudomonas Sp. Staphyloccocus Aureus and Bacillus Subtilis. The D 10 values of survivors of higher doses ranged below 0.235 Megarad suggesting that these contaminants can be eliminated by the generally used sterilizing dose of 2.5 Mrads. The physico-chemical tests did not indicate any significant degradation of the irradiated products. Opthalmic and topical antibiotic ointments showed no marked decrease in potency. Fading tests on dosimeters used showed that red perspex is a more efficient dosimeter than clear perspex when irradiation time is prolonged. These studies indicated that radiation sterilization is technically feasible for locally manufactured medical products.

  15. [Study on the situation regarding endoscope cleaning and disinfection in the department of otolaryngology in Hunan hospitals].

    Science.gov (United States)

    Wang, Fang; Li, Wei; Li, Rong; Tan, Guolin; Luo, Dan

    2016-05-01

    To investigate the situation regarding the cleaning and sterilization of endonasal endoscopes in department of otolaryngology in Hunan Province, and to provide strategy for improving the level of sterilization and management of endonasal endoscopes.
 A total of 100 medical institutions were investigated by spot assessment, check and sampling. Data was analyzed by multivariate analysis.
 The qualified rate of rules and regulations for endoscopy was 28.8% in the second-class hospitals and 45% in the top-class hospitals. The qualified rate of environment for endoscopy cleaning and sterilization was 36.3% in the second-class hospitals and 85% in the top-class hospitals. The main problems include lack of independent disinfection room, the space not large enough, and/or lack of ventilation system. The qualified rate of bacterial detection for post-sterilized endoscopes and biopsy forceps was 93.8% in the second-class hospitals and 95.0% in the top-class hospitals, and the main pathogenic bacteria was gram-positive cocci and gram-negative bacilli. The multivariate analysis showed that the influencial factors for endoscope cleaning and disinfection are as follows: staffs responsible for the cleaning and sterilization of otolaryngology endoscopes, the standard for cleaning and disinfection process, and the frequency of endoscope use.
 The present situation of cleaning and sterilization for otolaryngology endoscopes is better in the top-class hospitals than that in the second-class hospitals. The sterilization and management of otolaryngology endoscopy are needed to be improved, and the staff training is needed, especially in the primary hospitals.

  16. Declining rates of sterilization procedures in Western Australian women from 1990 to 2008: the relationship with age, hospital type, and government policy changes.

    Science.gov (United States)

    Jama-Alol, Khadra A; Bremner, Alexandra P; Stewart, Louise M; Kemp-Casey, Anna; Malacova, Eva; Moorin, Rachael; Shirangi, Adeleh; Preen, David B

    2016-09-01

    To describe trends in age-specific incidence rates of female sterilization (FS) procedures in Western Australia and to evaluate the effects of the introduction of government-subsidized contraceptive methods and the implementation of the Australian government's baby bonus policy on FS rates. Population-based retrospective descriptive study. Not applicable. All women ages 15-49 undergoing an FS procedure during the period January 1, 1990, to December 31, 2008 (n = 47,360 procedures). Records from statutory statewide data collections of hospitals separations and births were extracted and linked. Trends in FS procedures and the influence on these trends of the introduction of government policies: subsidization of long-acting reversible contraceptives (Implanon and Mirena) and the Australian baby bonus initiative. The annual incidence rate of FS procedures declined from 756.9 per 100,000 women in 1990 to 155.2 per 100,000 women in 2008. Compared with the period 1990-1994, women ages 30-39 years were 47% less likely (rate ratio [RR] = 0.53; 95% confidence interval [CI], 0.39-0.72) to undergo sterilization during the period 2005-2008. Adjusting for overall trend, there were significant decreases in FS rates after government subsidization of Implanon (RR = 0.89; 95% CI, 0.82-0.97) and Mirena (RR = 0.81; 95% CI, 0.73-0.91) and the introduction of the baby bonus (RR = 0.70; 95% CI, 0.61-0.81). Rates of female sterilization procedures in Western Australia have declined substantially across all age groups in the last two decades. Women's decisions to undergo sterilization procedures may be influenced by government interventions that increase access to long-term reversible contraceptives or encourage childbirth. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  17. Radiation sterilization of livestock feeds

    International Nuclear Information System (INIS)

    Kawashima, Koji

    1984-01-01

    The radiation sterilization of livestock feeds is not much used presently because the process is not known well, and the cost is relatively high. However, its effect of sterilization is absolute, the radiation-sterilized feeds are safe in both nutrition and toxicity, and do not affect the appetite of livestocks, and the radiation energy required is small. In the future, as in the sterilization of medical supplies, feed radiation sterilization plants should be established, to stabilize livestock industry and to contribute to the health control of experimental animals. The following matters are described: radiation, comparison between radiation sterilization and other sterilization methods, the practice of feed radiation sterilization, the adverse effects of radiation sterilization, economic aspect, and the situation of feed radiation sterilization in various countries. (Mori, K.)

  18. Provision of female sterilization in Ribeirão Preto, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Vieira Elisabeth Meloni

    2004-01-01

    Full Text Available Forty percent of Brazilian married women from 15 to 49 years of age have undergone surgical sterilization. The 1988 Brazilian Constitution states that all scientifically proven contraceptive methods should be available to all citizens, but it was only in 1997 that specific family planning legislation was approved. This study examines physicians' perceptions and attitudes towards the current provision of female sterilization and its legal implications, as well as women's experience with obtaining and undergoing sterilization. The study design included: (1 an investigation of the hospitals and health professionals and (2 a survey of women sterilized in combination with cesarean delivery in 1998. The survey showed they had a median of 3 living children, 60.0% had been sterilized between 30 and 39 years of age, and 61.0% had paid for the procedure. Many women reported previous method failure and adverse effects with hormonal contraceptives. Women with less schooling and lower socioeconomic status had more children and had begun childbearing and had been sterilized at younger ages than women with more schooling and higher socioeconomic status. Inequalities related to reproduction were strongly associated with teenage pregnancy and inadequate knowledge about contraceptives.

  19. Provision of female sterilization in Ribeirão Preto, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Elisabeth Meloni Vieira

    2004-10-01

    Full Text Available Forty percent of Brazilian married women from 15 to 49 years of age have undergone surgical sterilization. The 1988 Brazilian Constitution states that all scientifically proven contraceptive methods should be available to all citizens, but it was only in 1997 that specific family planning legislation was approved. This study examines physicians' perceptions and attitudes towards the current provision of female sterilization and its legal implications, as well as women's experience with obtaining and undergoing sterilization. The study design included: (1 an investigation of the hospitals and health professionals and (2 a survey of women sterilized in combination with cesarean delivery in 1998. The survey showed they had a median of 3 living children, 60.0% had been sterilized between 30 and 39 years of age, and 61.0% had paid for the procedure. Many women reported previous method failure and adverse effects with hormonal contraceptives. Women with less schooling and lower socioeconomic status had more children and had begun childbearing and had been sterilized at younger ages than women with more schooling and higher socioeconomic status. Inequalities related to reproduction were strongly associated with teenage pregnancy and inadequate knowledge about contraceptives.

  20. Waiving the three-day rule: admissions and length-of-stay at hospitals and skilled nursing facilities did not increase.

    Science.gov (United States)

    Grebla, Regina C; Keohane, Laura; Lee, Yoojin; Lipsitz, Lewis A; Rahman, Momotazur; Trivedi, Amal N

    2015-08-01

    The traditional Medicare program requires an enrollee to have a hospital stay of at least three consecutive calendar days to qualify for coverage of subsequent postacute care in a skilled nursing facility. This long-standing policy, implemented to discourage premature discharges from hospitals, might now be inappropriately lengthening hospital stays for patients who could be transferred sooner. To assess the implications of eliminating the three-day qualifying stay requirement, we compared hospital and postacute skilled nursing facility utilization among Medicare Advantage enrollees in matched plans that did or did not eliminate that requirement in 2006-10. Among hospitalized enrollees with a skilled nursing facility admission, the mean hospital length-of-stay declined from 6.9 days to 6.7 days for those no longer subject to the qualifying stay but increased from 6.1 to 6.6 days among those still subject to it, for a net decline of 0.7 day when the three-day stay requirement was eliminated. The elimination was not associated with more hospital or skilled nursing facility admissions or with longer lengths-of-stay in a skilled nursing facility. These findings suggest that eliminating the three-day stay requirement conferred savings on Medicare Advantage plans and that study of the requirement in traditional Medicare plans is warranted. Project HOPE—The People-to-People Health Foundation, Inc.

  1. Inherited sterility in insects

    International Nuclear Information System (INIS)

    Carpenter, J.E.; Marec, F.; Bloem, S.

    2005-01-01

    The unique genetic phenomena responsible for inherited sterility (IS) in Lepidoptera and some other arthropods, as compared with full sterility, provide advantages for pest control. Lepidopteran females are usually more sensitive to radiation than males of the same species. This allows the radiation dose to be adjusted to suit programme requirements. When partially sterile males mate with wild females, the radiation-induced deleterious effects are inherited by the F 1 generation. As a result, egg hatch is reduced and the resulting offspring are both highly sterile and predominately male. Compared with the high radiation required to achieve full sterility in Lepidoptera, the lower dose of radiation used to induce F 1 sterility increases the quality and competitiveness of the released insects as measured by improved dispersal after release, increased mating ability, and superior sperm competition. F 1 sterile progeny produced in the field enhance the efficacy of released partially sterile males, and improve compatibility with other pest control strategies. In addition, F 1 sterile progeny can be used to increase the production of natural enemies, and to study the potential host and geographical ranges of exotic lepidopteran pests. (author)

  2. Intracavitary deposits on Essure® hysteroscopic sterilization devices : A case report

    NARCIS (Netherlands)

    Maassen, L. W.; van Gastel, Maatje D A; Lentjes, E. G.W.M.; Bongers, M. Y.; Veersema, S.

    2017-01-01

    Objective To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. Design Case report. Setting Reproductive Medicine and Gynecology department of a University Hospital. Patient(s) A 39 years old patient presenting with a request for surgical removal of

  3. Field evaluations of the VDmax approach for substantiation of a 25 kGy sterilization dose and its application to other preselected doses

    International Nuclear Information System (INIS)

    Kowalski, John B.; Herring, Craig; Baryschpolec, Lisa; Reger, John; Patel, Jay; Feeney, Mary; Tallentire, Alan

    2002-01-01

    The International and European standards for radiation sterilization require evidence of the effectiveness of a minimum sterilization dose of 25 kGy but do not provide detailed guidance on how this evidence can be generated. An approach, designated VD max , has recently been described and computer evaluated to provide safe and unambiguous substantiation of a 25 kGy sterilization dose. The approach has been further developed into a practical method, which has been subjected to field evaluations at three manufacturing facilities which produce different types of medical devices. The three facilities each used a different overall evaluation strategy: Facility A used VD max for quarterly dose audits; Facility B compared VD max and Method 1 in side-by-side parallel experiments; and Facility C, a new facility at start-up, used VD max for initial substantiation of 25 kGy and subsequent quarterly dose audits. A common element at all three facilities was the use of 10 product units for irradiation in the verification dose experiment. The field evaluations of the VD max method were successful at all three facilities; they included many different types of medical devices/product families with a wide range of average bioburden and sample item portion values used in the verification dose experiments. Overall, around 500 verification dose experiments were performed and no failures were observed. In the side-by-side parallel experiments, the outcomes of the VD max experiments were consistent with the outcomes observed with Method 1. The VD max approach has been extended to sterilization doses >25 and max method for doses other than 25 kGy must await controlled field evaluations and the development of appropriate specifications/standards

  4. [Essure--a novel method of sterilization].

    Science.gov (United States)

    Revel, Ariel; Nadjary, Michel; Shushan, Asher

    2008-02-01

    Essure hysteroscopic sterilization is a minimally invasive, outpatient approach to female sterilization, which avoids the possible complications of laparoscopic sterilization. This procedure has been available since 2003 in both Europe and North America. We present our experience of the first 12 cases of the procedure performed in Israel. Women who have completed their family planning were offered to consider Essure as their permanent contraception. The procedure was performed without anesthesia by the vaginoscopic technique at the hospital's outpatient clinic. Patients completed a questionnaire and were discharged immediately following the procedure. A follow-up checkup was completed after three months including three dimensional sonography, abdominal X-ray and occasional hysterosalpingogram. Twelve patients participated in the pilot group at Hadassah. The average age was 40 years (34-45) and the average number of children was 5 (4-8). The average time for the procedure was under 8 minutes. Periostial adhesions required adhesiolysis prior to insertion of the device in one patient. All patients resumed their normal activity on the same day. Our patient satisfaction survey revealed that the procedure was associated with high satisfaction levels. Sonographic and radiographic studies confirmed the good placement of the device. The Essure procedure was well tolerated by patients. The limitation is probably going to be the price of Essure, as this procedure is not covered by the 'health basket' in Israel.

  5. [Sterilization and eugenics].

    Science.gov (United States)

    Shasha, Shaul M

    2011-04-01

    The term "eugenics" was coined by Francis Galton in 1883 and was defined as the science of the improvement of the human race by better breeding. "Positive eugenics" referred to methods of encouraging the "most fit" to reproduce more often, while "negative eugenics" was related to ways of discouraging or preventing the "less fit" from reproducing by birth control and sterilization. Many western countries adopted eugenics programs including Britain, Canada, Norway, Australia, Switzerland and others. In Sweden more then 62,000 "unfits" were forcibly sterilized. Many states in the U.S.A. had adopted marriage laws with eugenics criteria including forced sterilization. Approximately 64,000 individuals were sterilized. Eugenics considerations also lay behind the adoption of the Immigration Restriction Act of 1924. The Largest plan on eugenics was adopted by the Nazi regime in Germany. Hundreds of thousands of people, who were viewed as being "unfit", were forcibly sterilized by different methods: Surgical sterilization or castration with severe complications and high mortality rates. X-ray irradiation. The method was suggested by Brack, and tested by Schuman using prisoners in Block No. 10 in Auschwitz and Birkenau. Experiments were also performed by Brack on prisoners using the "window method". "Klauberg method"--injection of irritating materials into the uterus. Experiments were conducted using the plant Caladium Seguinum which was believed to have sterilization and castration properties.

  6. Tissue banking and clinical research on radiation and ethylene oxide sterilization of tissue grafts

    International Nuclear Information System (INIS)

    Pe Khin

    1987-06-01

    The research works carried out in Rangoon, Burma under the Agency supported project RC4420/RB have dealt with an elucidation of the radiation interaction(s) with the species of biomolecules such as proteins, lipids, collagens, connective tissues present in the cleaned and freeze-dried non-viable tissue grafts. Radiation as a cool process furthermore effectively helps to destroy the microbial bioburden as the undesirable contaminants which may associate the tissue grafts. Radiation also concomitantly helps to suppress the tissue-specific immunogenicity. All these attributes of radiation induced effects have proved successful towards the development of a sterilization process. A series of non-viable tissue grafts, such as bone, nerve, fascia, dura, cartilage, chorion-amnion (as dressings in burn wounds) and tympanic membrane have been successfully attempted in Burma and many more possibilities seem to still remain unexplored. Radiation sterilization modality has proved as a blessing for the promotion of clinical surgical applications of tissue allografts in the corrective/reconstructive surgery on the disability cases due to diseases which accompany tissue losses. The investigator in Burma has reported on the case histories where freeze dried radiation sterilized tissue allografts have been successfully used in the osteogenic inductions (bone grafts); midear tympanoplasty; partial recovery of nerve sensation throught nerve allografts; rapid healing of high degree burn wounds through the use of amnion dressings. Besides, there have been a widespread surgical use of radiation sterilized dura and fascia as allografts. A national tissue banking facility has been established in Burma surrounding the processing and clinical utilization of tissue allografts which has involved over ten hospital centres throughout the country. Radiation induced effects on the biomolecules of clinical significance in the tissue grafts have been researched to help gain insight into a better

  7. Reducing Hospital Readmissions Through Preferred Networks Of Skilled Nursing Facilities.

    Science.gov (United States)

    McHugh, John P; Foster, Andrew; Mor, Vincent; Shield, Renée R; Trivedi, Amal N; Wetle, Terrie; Zinn, Jacqueline S; Tyler, Denise A

    2017-09-01

    Establishing preferred provider networks of skilled nursing facilities (SNFs) is one approach hospital administrators are using to reduce excess thirty-day readmissions and avoid Medicare penalties or to reduce beneficiaries' costs as part of value-based payment models. However, hospitals are also required to provide patients at discharge with a list of Medicare-eligible providers and cannot explicitly restrict patient choice. This requirement complicates the development of a SNF network. Furthermore, there is little evidence about the effectiveness of network development in reducing readmission rates. We used a concurrent mixed-methods approach, combining Medicare claims data for the period 2009-13 with qualitative data gathered from interviews during site visits to hospitals in eight US markets in March-October 2015, to examine changes in rehospitalization rates and differences in practices between hospitals that did and did not develop formal SNF networks. Four hospitals had developed formal SNF networks as part of their care management efforts. These hospitals saw a relative reduction from 2009 to 2013 in readmission rates for patients discharged to SNFs that was 4.5 percentage points greater than the reduction for hospitals without formal networks. Interviews revealed that those with networks expanded existing relationships with SNFs, effectively managed patient data, and exercised a looser interpretation of patient choice. Project HOPE—The People-to-People Health Foundation, Inc.

  8. Reversibility of female sterilization.

    Science.gov (United States)

    Siegler, A M; Hulka, J; Peretz, A

    1985-04-01

    The discussion considers the current status of reversibility of sterilization in the US and describes clinical and experimental efforts for developing techniques designed for reversibility. It focuses on regret following sterilization, reversal potential of current sterilization techniques, patient selection, current reversal techniques, results of sterilization procedures, experimental approaches to reversal of current techniques of sterilization, and sterilization procedures devised for reversibility, in humans and in animals. Request is the 1st stage of reversal, but a request for sterilization reversal (SR) does not always mean regret for a decision made at the time. Frequently it is a wish to restore fertility because life circumstances have changed after a sterilization that was ppropriate at the time it was performed. Schwyhart and Kutner reviewed 22 studies published between 1949-69 in which they found that the percentage of patients regretting the procedure ranged from 1.3-15%. Requests for reversal remain low in most countries, but if sterilization becomes a more popular method of contraception, requests will also increase. The ideal operation considered as a reversaible method of sterilization should include an easy, reliable outpatient method of tubal occlusion with miniml risk or patient discomfort that subsequently could be reversed without the need for a major surgical intervention. Endoscopic methods have progressed toward the 1st objective. A recent search of the literature uncovered few series of SR of more than 50 cases. The 767 operations found were analyzed with regard to pregnancy outcome. The precent of live births varied from 74-78.8%, and the occurance of tubal pregnancies ranged from 1.7-6.5%. All of the confounding variables in patient selection and small numbers of reported procedures preclude any conclusion about the different techniques or the number of operations that give a surgeon a level of expertise. Few authors classify their

  9. Radiation sterilization of medical products

    International Nuclear Information System (INIS)

    Khurshid, S.J.; Hussain, A.M.

    1989-01-01

    Radiation sterilization is the best method of sterilization, essentially for single use medical and surgical products. Pakistan has established a commercial gamma irradiation plant for this purpose. This article overviews the advantages and benefits of radiation sterilization to stimulate the interest of industrialists and the users in this technology. This technology can give a better medical care in the country and the growing demand can only be met by bulk sterilization. The radiation sterilized medical products can also compete well with the products sterilized by other methods in the international market, gamma sterilization is accepted internationally and if adopted it can boost our export of medical products. (author)

  10. The use of irradiated food for immunosuppressed hospital patients in the United Kingdom

    International Nuclear Information System (INIS)

    Pryke, D.C.; Taylor, R.R.

    1995-01-01

    Irradiation has been recommended as a method for preparing foods for hospital patients requiring sterile diets as a result of intensive therapy or disease that has resulted in suppression of the immune system. It has a number of advantages over other methods and in recognition of this, in the United Kingdom, the use of irradiated foods for hospital patients has been specifically exempted from regulatory control. Due to a number of factors there is a move away from keeping patients in a sterile environment; however, irradiation may still have a role to play for vulnerable and high-risk patients. This paper summarizes the use of radiation-sterilized foods in hospitals in the United Kingdom and discusses the future potential for both radiation-sterilized and ‘radiation-pasturized’ foods

  11. Radiosterilization and gas sterilization

    International Nuclear Information System (INIS)

    Schultz, H.A.; Gruenewald, T.

    1987-01-01

    The book presents a survey of the principles of cold sterilization by radiation or gas, and also of the problems involved. The reader who has to do with sterilization of some kind or other, as e.g. sterilization of medicaments, medical supplies, medical device, drugs, grafts, or food, will find comprehensive information on the various available methods and their effects, as well as on monitoring procedures and techniques, together with proposals for efficient documentation and validation of partial sterilization processes. The introduction summarizes the potentials of sterilization by radiation, and the subsequent by radiation, and the subsequent chapters explain the specific applicabilities of radiosterilization along with the most important criteria for evaluating the sterilizing efficiency. The information on the legal situation and requirements takes into account the second amendment of the Medical Preparations Act. With 38 figs., 14 tabs [de

  12. Sterilization of health care products - Radiation. Part 2: Establishing the sterilization dose

    International Nuclear Information System (INIS)

    2006-01-01

    This part of ISO 11137 describes methods that may be used to establish the sterilization dose in accordance with one of the two approaches specified in 8.2 of ISO 11137-1:2006. The methods used in these approaches are: a) dose setting to obtain a product-specific dose; b) dose substantiation to verify a preselected dose of 25 kGy or 15 kGy. The basis of the dose setting methods described in this part of ISO 11137 (Methods 1 and 2) owe much to the ideas first propounded by Tallentire (Tallentire, 1973 [17]; Tallentire, Dwyer and Ley, 1971 [18]; Tallentire and Khan, 1978 [19]). Subsequently, standardized protocols were developed (Davis et al., 1981 [8]; Davis, Strawderman and Whitby, 1984 [9]) which formed the basis of the dose setting methods detailed in the AAMI Recommended Practice for Sterilization by Gamma Radiation (AAMI 1984, 1991 [4], [6]). Methods 1 and 2 and the associated sterilization dose audit procedures use data derived from the inactivation of the microbial population in its natural state on product. The methods are based on a probability model for the inactivation of microbial populations. The probability model, as applied to bioburden made up of a mixture of various microbial species, assumes that each such species has its own unique D 10 value. In the model, the probability that an item will possess a surviving microorganism after exposure to a given dose of radiation is defined in terms of the initial number of microorganisms on the item prior to irradiation and the D 10 values of the microorganisms. The methods involve performance of tests of sterility on product items that have received doses of radiation lower than the sterilization dose. The outcome of these tests is used to predict the dose needed to achieve a predetermined sterility assurance level, SAL. Methods 1 and 2 may also be used to substantiate 25 kGy if, on performing a dose setting exercise, the derived sterilization dose for an SAL of 10 -6 is u ≤25 kGy. The basis of the method

  13. Difference between Japanese Secondary and Tertiary Medical Facilities Regarding Changes in the Hospitalization of Children for Pneumonia after the Introduction of the Pneumococcal Conjugate Vaccine.

    Science.gov (United States)

    Haro, Kaoru; Ogawa, Masato; Hoshina, Takayuki; Kojiro, Masumi; Kusuhara, Koichi

    2017-05-24

    This study aimed to compare hospitalization of children for pneumonia between secondary and tertiary medical facilities, which hospitalize many children without and with underlying diseases, respectively, after the introduction of the pneumococcal conjugate vaccine (PCV). Our retrospective study included children admitted to the Department of Pediatrics at Kitakyushu General Hospital, a secondary medical facility, and the Hospital of the University of Occupational and Environment Health, Japan, a tertiary medical facility, from 2009 to 2013 for pneumonia. We compared the change in the rate of hospitalization for pneumonia after the introduction of the 7-valent PCV between the secondary and tertiary medical facilities. Hospitalization of patients with pneumonia declined by 28.8% in our secondary medical facility. In particular, hospitalization for pneumonia other than confirmed mycoplasmal or viral pneumonia was significantly reduced by 49.2%. In contrast, hospitalization of patients with pneumonia did not decline in our tertiary medical facility. After the introduction of PCV, hospitalization of children for pneumonia was not reduced at the tertiary medical facility. Various other pathogens besides pneumococcus may be associated with the development of pneumonia in children with underlying diseases.

  14. Performance evaluation of non-incineration treatment facilities for disinfection of medical infectious and sharps wastes in educational hospitals of Shahid Beheshti University of Medical Sciences in 2013

    Directory of Open Access Journals (Sweden)

    Anooshiravan Mohseni Band-pay

    2015-06-01

    Full Text Available Background: In 2007, a rule prohibiting the use of incinerators was ratified by the Iranian Islamic Parliament. Based on this rule, the Ministry of Health emphasized the sterilization of infectious waste at its production source by means of non-incineration equipment and methods. This research examined the performance of non-incineration technologies in treating medical infectious and sharps wastes at educational hospitals affiliated with Shahid Beheshti University of Medical Sciences. Methods: This cross-sectional descriptive study was conducted in 12 educational hospitals of Shahid Beheshti University of Medical Sciences. First, a questionnaire was designed and its validity approved. Then the required data was gathered during visits to participating hospitals. Finally, the collected data were analyzed using Microsoft Excel and SPSS version 16. Results: Findings showed that the daily production of infectious and sharps wastes in the studied hospitals generally equaled 3387 kg. All hospitals were equipped with non-incineration systems; however, only 83.3% of them were active. Some infectious waste was disposed of along with urban wastes without being sterilized. Monthly biological assessments of treatment equipment were implemented for only 41.7% of the equipment. Conclusion: The failures of the non-incineration systems demand that appropriate investigations be conducted prior to the purchase of these devices. Monthly biological assessments are essential to ensure the accuracy of the systems’ performance in hospitals.

  15. Retrospective cost analysis comparing Essure hysteroscopic sterilization and laparoscopic bilateral tubal coagulation.

    Science.gov (United States)

    Hopkins, Matthew R; Creedon, Douglas J; Wagie, Amy E; Williams, Arthur R; Famuyide, Abimbola O

    2007-01-01

    To compare the institutional cost of permanent female sterilization by Essure hysteroscopic sterilization and laparoscopic bilateral coagulation. Retrospective cohort study (Canadian Task Force classification II-2). Midwestern academic medical center. Women of reproductive age who elected for permanent contraception by the Essure method (n = 43) or by laparoscopic tubal coagulation (n = 44) during the time frame studied. Placement of the Essure inserts according to the manufacturer's instructions or laparoscopic tubal sterilization using bipolar forceps according to standard techniques of open or closed laparoscopy. Cost-center data for the institutional cost of the procedure was abstracted for each patient included in the study. In addition, demographic data and procedural information were obtained and compared for the patient populations. The Essure system of hysteroscopic sterilization had a significantly decreased cost compared with laparoscopic tubal sterilization when both procedures were performed in an operating room setting. The decrease per patient in institutional cost was 180 dollars (p = .038). This included the cost of the confirmatory hysterosalpingogram 3 months after Essure placement and the cost of laparoscopic tubal occlusion by Filshie clip if the Essure micro-inserts could not be placed. The majority of the cost was related to hospital costs as opposed to physician costs. The Essure procedure had higher costs for disposable equipment (p Essure hysteroscopic sterilization had significant cost savings compared with laparoscopic tubal sterilization (p = .038). We believe that our data represent the minimum of potential savings using this approach, and future developments will only increase the cost difference found in our study.

  16. Male and female sterility in Zambia

    Directory of Open Access Journals (Sweden)

    Athena Pantazis

    2014-02-01

    Full Text Available Background: Population measures of sterility are traditionally constructed for women, despite fertility and sterility being conditions of the couple. Estimates of male sterility provide insight into population-level sterility, and complement estimates based solely on women. Objective: This study seeks to estimate male sterility for the Gwembe Tonga of Zambia using male birth histories collected by the Gwembe Tonga Research Project from 1957 to 1995, while providing context by estimating female sterility for the Gwembe Tonga, as well as female sterility in all of Zambia, from Zambian DHS data (1992, 1997, 2001-02, and 2007. Methods: Sterility is measured using the Larson-Menken subsequently infertile indicator. Estimates are produced using discrete time event history analysis. Results: The odds of sterility were higher for women than men, though women's odds of sterility were only 1.5 times that of men's in the middle reproductive years. The odds of sterility increased steadily with age for both men and women, and across all datasets. However, women's sterility increased much more sharply with age than men's did, and women's odds of sterility were higher than men's at all reproductive ages.

  17. The Sterile Insect Technique:Current and Future Prospects

    International Nuclear Information System (INIS)

    ALRubeai, H.F.

    2004-01-01

    Considering the importance of the Key insect pests and their potential for economic and environmental impact, such species are the targets for area-wide approaches including in some cases the use of SIT. At the heart of the SIT is genetic sterility that is introduced into the target population by releasing large numbers of sterile insects . The development of an SIT package for a Key pest, involving mass rearing and aerial dispersion, as well as field monitoring and a suppression system. Losses caused by insect pests throughout the developing world will continue to be unacceptably high in the foreseeable future. Therefore, the economic feasibility of non-chemical pest control tools, including biologically -based methods such as SIT, will become increasingly apparent . This study include an overview of the basic scientific principles of SIT , is successful applications and related mass rearing and irradiation facilities over the world. (author)

  18. Radiation sterilization of medical products in the Philippines

    International Nuclear Information System (INIS)

    Singson, C.; Carmona, C.; Guzman, Z. de; Barrun, W.; Lanuza, L.

    1983-01-01

    This paper presents the results of a comprehensive investigation of the biological, microbiological, physico-chemical, and dosimetry aspects of using gamma irradiation for the sterilization of locally manufactured medical products and pharmaceuticals. The objective of this study is to determine the technological feasibility of radiation sterilization for the said products in the Philippines. They are polyvinyl chloride or polyethylene based medical plastic disposables namely: absorbent cotton, surgical gauze, bandage, visceral packs, and some antibiotics and opthalmic ointments. The gamma facility of the Philippine Atomic Energy Commission was used for the irradiation. Result of biological studies indicate no signs of toxicity on experimental mice injected with extracts from irradiated samples. The contaminants are identified as Pseudomonas Sp. Staphyloccocus Aureus and Bacillus Subtilis. The D 10 values of survivors of higher doses ranged below 0.235 Megarad suggesting that these contaminants can be eliminated by the generally used sterilizing dose of 2.5 Mrads. The physico-chemical tests did not indicate any significant degradation of the irradiated products. Opthalmic and topical antibiotic ointments showed no marked decrease in potency. Fading tests on dosimeters used showed that red perspex is a more efficient dosimeter than clear perspex when irradiation time is prolonged. (author)

  19. Radiation sterilization of medical products in the Philippines

    Energy Technology Data Exchange (ETDEWEB)

    Singson, C; Carmona, C; Guzman, Z de; Barrun, W; Lanuza, L [Philippine Atomic Energy Commission, Diliman, Quezon City

    1983-01-01

    This paper presents the results of a comprehensive investigation of the biological, microbiological, physico-chemical, and dosimetry aspects of using gamma irradiation for the sterilization of locally manufactured medical products and pharmaceuticals. The objective of this study is to determine the technological feasibility of radiation sterilization for the said products in the Philippines. They are polyvinyl chloride or polyethylene based medical plastic disposables namely: absorbent cotton, surgical gauze, bandage, visceral packs, and some antibiotics and opthalmic ointments. The gamma facility of the Philippine Atomic Energy Commission was used for the irradiation. Result of biological studies indicate no signs of toxicity on experimental mice injected with extracts from irradiated samples. The contaminants are identified as Pseudomonas Sp. Staphyloccocus Aureus and Bacillus Subtilis. The D/sub 10/ values of survivors of higher doses ranged below 0.235 Megarad suggesting that these contaminants can be eliminated by the generally used sterilizing dose of 2.5 Mrads. The physico-chemical tests did not indicate any significant degradation of the irradiated products. Opthalmic and topical antibiotic ointments showed no marked decrease in potency. Fading tests on dosimeters used showed that red perspex is a more efficient dosimeter than clear perspex when irradiation time is prolonged.

  20. [Cost management: the implementation of the activity-based costing method in sterile processing department].

    Science.gov (United States)

    Jericó, Marli de Carvalho; Castilho, Valéria

    2010-09-01

    This exploratory case study was performed aiming at implementing the Activity-based Costing (ABC) method in a sterile processing department (SPD) of a major teaching hospital. Data collection was performed throughout 2006. Documentary research techniques and non participant closed observation were used. The ABC implementation allowed for learning the activity-based costing of both the chemical and physical disinfection cycle/load: (dollar 9.95) and (dollar 12.63), respectively; as well as the cost for sterilization by steam under pressure (autoclave) (dollar 31.37) and low temperature steam and gaseous formaldehyde sterilization (LTSF) (dollar 255.28). The information provided by the ABC method has optimized the overall understanding of the cost driver process and provided the foundation for assessing performance and improvement in the SPD processes.

  1. Radiation sterilization of medical devices

    International Nuclear Information System (INIS)

    Kaluska, I.; Stuglik, Z.

    1996-01-01

    Overview of sterilization methods of medical devices has been given, with the special stress put on radiation sterilization. A typical validation program for radiation sterilization has been shown and also a comparison of European and ISO standards concerning radiation sterilization has been discussed. (author). 13 refs, 1 fig., 2 tabs

  2. Early puerperal laparoscopic sterilization--a new technique.

    Directory of Open Access Journals (Sweden)

    Parulekar S

    1985-07-01

    Full Text Available This paper describes the results of 23 cases of puerperal laparoscopic sterilization performed within 72 hours of delivery. A new method was employed to avoid injury to the uterine fundus and to make the tubes more accessible. Before insertion of the Veress needle, the anterior and posterior lips of the cervix were held with forceps and Hulka′s uterine manipulator was introduced into the uterine cavity. The uterus was pulled down toward the introitus by applying traction to the sponge-holding forceps. Pneumoperitoneum of 3-4 liters was induced through use of a Veress needle, followed by introduction of a Storz single puncture operative laparoscope through an incision in the lower umbilical fold. Tubal occlusion was achieved with silastic bands. The average time required for sterilization from induction of general anesthesia was 6 minutes. There was no instance of injury to the uterine fundus, nor were there any cases of uterine perforation, injury to other pelvic structures, laceration of the cervix, or puerperal sepsis. At the time of follow-up 15 days after the procedure, all patients were in satisfactory condition. It is concluded that this method can enhance postpartum family planning programs. Since it can be carried out within the 1st 48 hours after delivery, the routine hospital stay of 3 days does not have to be prolonged as a result of sterilization.

  3. Application of rapid read-out cleaning indicators for improved process control in hospital sterile services departments.

    Science.gov (United States)

    Nugent, P G; Modi, T; McLeod, N; Bock, L J; Smith, C; Poolman, T M; Warburton, R; Meighan, P; Wells, P; Sutton, J M

    2013-05-01

    Heightened awareness of the importance of cleaning has led to an emphasis on automated systems for the decontamination of re-usable medical devices. The authors have previously described an enzymatic indicator system, based on thermostable adenylate kinases (tAK), for quantitative monitoring of automated cleaning processes within hospital sterile services departments (SSDs). To evaluate tAK indicators for routine process monitoring across a range of SSDs with different cleaning chemistries and different automated washer disinfectors (AWDs). tAK indicator devices and alternative industry test indicators were included in five independent cleaning cycles in each of eight different AWDs. Residual tAK post wash was determined by a coupled luciferase assay using a modified hygiene monitoring system. In all cases, with the exception of a single test, the alternative indicators showed that cleaning had been adequate. They were not able to discriminate between the performance of different processes. In contrast, the tAK indicators were able to resolve differences in the performance of processes across the different SSDs. Where the tAK indicators identified cleaning to the limits of detection of the assay, this demonstrated a log10 enzyme removal factor of >5.69. The results suggest that tAK indicators are suitable for providing improved process control for automated cleaning processes, being able to distinguish between wash performance in different hospital settings and between individual process runs. This technology is believed to be a useful addition to routine AWD performance qualification when used as a daily or weekly test. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  4. [Paper on sterilization in the family planning programs of Colombia: a national debate].

    Science.gov (United States)

    Rizo, A; Roper, L

    1986-01-01

    During 1984, family planning became the object of heated public debate in Colombia. In particular, considerable controversy surrounded the practice of sterilization. In Colombia in 1980, 49% of married women were practicing family planning. The main protagonist has been Profamilia, an IPPF affliate, which runs clinics and advisory services throughout Colombia. Sterilization is performed quite extensively on men of at least 28 years and women of 25 with 3 living children. Further activities of Profamilia include community distribution and social marketing programs. Many of the health facilities used are those of the Ministry of Public Health. The Minister of Health responded to criticism levelled by the Catholic church and others by instituting an investigation into alleged practices of mass sterilization. Profamilia declared publicy that sterilization was performed only under certain conditions, after waiting periods, and under no circumstances with coersion. Various groups including medical associations publicy supported Profamilia. Although recognizing the need for families to be limited in size, religious and other commentators suggested that sterilization was often presented as a solution to family ills, and that it represented foreign involvement in Colombian social policy. The opposing opinions were that church-supported natural family planning was not an effective enough strategy. The ministry has resolved to invoke more stringent screening of women desiring sterilization to include natural family planning in its programs, and to deal with international organizations only on the ministry level. The number of sterilizations has diminished. The controversy helped to expose political weaknesses of Profamilia's programs (e.g. the use of monetary incentives; lack of supervision).

  5. Future growth in the gamma sterilization of disposable medical products (DMPs)

    International Nuclear Information System (INIS)

    Brinston, R.M.

    1990-01-01

    An estimated 361 million cubic feet (10 million cubic meters) of disposable medical products and related health care items are currently being sterilized around the world. Ethylene oxide gas is used to treat approximately 252 million cubic feet (7.1 million cubic meters), gamma radiation is used to sterilize approximately 99 million cubic feet (2.8 million cubic meters), and electron beam is used on approximately 10 million cubic feet (0.3 million cubic meters) of disposable medical products (DMPs). Market share for each of these terminal cold sterilization processes are 70%, 27%, and 3% respectively. There are a number of factors which are affecting the overall growth of the market. The most important factors are summarized. Balancing all of these factors, the pre-sterilized disposable products market is forecasted to grow on average of 5% per year. Gamma radiation is experiencing growth from both general market growth and the introduction of new products, as well as the conversion of product from ethylene oxide (EtO) to cobalt-60 sterilization. Electron beam usage while experiencing good growth in the early 1980s, is predicted to have a flat growth curve during the late 1980s, and then start to experience renewed growth in the mid to late 1990s as two or three new electron beam facilities are built. In the late 1990s other potentially competing technologies are expected to have an impact on the market place. (author)

  6. The design of diagnostic imaging and nuclear medicine facilities in a major new teaching hospital

    International Nuclear Information System (INIS)

    Causer, D.A.

    2010-01-01

    Full text: The design of the layout and radiation shielding for diagnostic imaging and nuclear medicine facilities in a modern teaching hospital requires the collaboration of persons from a number of professions including architects, engineers, radiologists, nuclear medicine physi cians, medical imaging technologists and medical physicists. This paper discusses the design of such facilities, including PET/CT and T-131 ablation therapy suites for a major new tertiary hospital in Perth. The importance of involving physicists on the planning team from the earliest stages of the design process is stressed, design plans presented, and some of the problems which may present themselves and their solutions are illustrated.

  7. Occurrence of pharmaceuticals in Taiwan's surface waters: impact of waste streams from hospitals and pharmaceutical production facilities.

    Science.gov (United States)

    Lin, Angela Yu-Chen; Tsai, Yu-Ting

    2009-06-01

    We investigated the occurrence and distribution of pharmaceuticals (including antibiotics, estrogens, non-steroidal anti-inflammatory drugs (NSAIDs), beta-blockers, and lipid regulators) in three rivers and in the waste streams of six hospitals and four pharmaceutical production facilities in Taiwan. The most frequently detected pharmaceuticals were acetaminophen, erythromycin-H(2)O, sulfamethoxazole, and gemfibrozil. NSAIDs were the next most-often detected compounds, with a detection frequency >60%. The other analytes were not detected or were seen in only a few samples at trace concentrations. The present study demonstrates a significant discharge of human medications from hospital and drug production facilities into surface waters in the Taipei district. The high concentrations of pharmaceuticals found in the Sindian and Dahan rivers demonstrate the alarming degree to which they have been impacted by urban drainage (waste effluents from hospitals, households, and pharmaceutical production facilities). The ubiquitous occurrence at extremely high concentrations of acetaminophen and erythromycin-H(2)O in both rivers (up to 15.7 and 75.5 microg/L) and in wastewater from hospitals and pharmaceutical production facilities (up to 417.5 and 7.84 microg/L) was unique. This finding, in combination with acetaminophen's status as the drug most often prescribed by Taiwan's dominant clinical institute, suggests the potential use of acetaminophen as a molecular indicator of contamination of Taiwan's aqueous environments with untreated urban drainage.

  8. Thermal sterilization of heat-sensitive products using high-temperature short-time sterilization.

    Science.gov (United States)

    Mann, A; Kiefer, M; Leuenberger, H

    2001-03-01

    High-temperature short-time (HTST) sterilization with a continuous-flow sterilizer, developed for this study, was evaluated. The evaluation was performed with respect to (a) the chemical degradation of two heat-sensitive drugs in HTST range (140-160 degrees C) and (b) the microbiological effect of HTST sterilization. Degradation kinetics of two heat-sensitive drugs showed that a high peak temperature sterilization process resulted in less chemical degradation for the same microbiological effect than a low peak temperature process. Both drugs investigated could be sterilized with acceptable degradation at HTST conditions. For the evaluation of the microbiological effect, Bacillus stearothermophilus ATCC 7953 spores were used as indicator bacteria. Indicator spore kinetics (D(T), z value, k, and E(a)), were determined in the HTST range. A comparison between the Bigelow model (z value concept) and the Arrhenius model, used to describe the temperature coefficient of the microbial inactivation, demonstrated that the Bigelow model is more accurate in prediction of D(T) values in the HTST range. The temperature coefficient decreased with increasing temperature. The influence of Ca(2+) ions and pH value on the heat resistance of the indicator spores, which is known under typical sterilization conditions, did not change under HTST conditions.

  9. Factors associated with sterilization use among women leaving a U.S. jail: a mixed methods study.

    Science.gov (United States)

    Ramaswamy, Megha; Kelly, Patricia J

    2014-07-31

    Despite the high rates of reported sterilization use among women who have spent time in correctional facilities, little is known about the context in which women in this population choose this option. The objective of our study was to use both quantitative and qualitative methods to understand factors associated with sterilization use among women leaving a U.S. jail. We administered a cross-sectional survey with 102 jailed women who were participating in a study about contraceptive use after release from jail, and then conducted semi-structured interviews with 29 of those women after their release from jail. We used logistic regression and analytic induction to assess factors associated with self-reported sterilization use. In our cross-sectional survey, one-third of our sample reported a history of sterilization use. Controlling for age and past pregnancies, the only factor associated with sterilization use was physical abuse history before age 16. In semi-structured interviews, we found that women's primary motivation for sterilization was the desire to limit childbearing permanently, in some cases where other contraceptive methods had failed them. The decision for sterilization was generally supported by family, partners, and providers. Many women who opted for sterilization expressed financial concern about supporting children and/or reported family histories of sterilization. The decision to use the permanent method of sterilization as a contraceptive method is a complex one. Results from this study suggest that while explicit coercion may not be a factor in women's choice for sterilization, interpersonal relationship histories, negative experiences with contraceptives, and structural constraints, such as financial concerns and ongoing criminal justice involvement, seem to influence sterilization use among the vulnerable group of women with criminal justice histories. Public health programs that connect women to reproductive health services should acknowledge

  10. Sterilization in Finland: from eugenics to contraception.

    Science.gov (United States)

    Hemminki, E; Rasimus, A; Forssas, E

    1997-12-01

    The purpose of this paper was to describe the transition of sterilization in Finland from an eugenic tool to a contraceptive. Historical data were drawn from earlier reports in Finnish. Numbers of and reasons for sterilizations since 1950 were collected from nationwide sterilization statistics. Prevalence, characteristics of sterilized women, and women's satisfaction with sterilizations were studied from a 1994 nationwide survey (74% response rate). Logistic regression was used for adjustments. In the first half of the 20th century, eugenic ideology had influence in Finland as in other parts of Europe, and the 1935 and 1950 sterilization laws had an eugenic spirit. Regardless of this, the numbers of eugenic sterilizations remained low, and in practice, family planning was the main reason for sterilization. Nonetheless, prior to 1970 not all sterilizations were freely chosen, because sterilizations were sometimes used as a precondition for abortion. Female sterilizations showed remarkable fluctuation over time. Male sterilizations have been rare. The reasons stipulated by the law did not explain the numbers of sterilizations. In a 1994 survey, 9% of Finnish women reported they were using sterilization as their current contraceptive method (n = 189). Compared to women using other contraceptive methods, sterilized women were older, had had more births and pregnancies, and came from lower social classes. Sterilized women were satisfied with their sterilization, but there were women (8.5%) who regretted it. In conclusion, sterilizations have been and are likely to continue to be an important family planning method in Finland. The extreme gender ratio suggests a need for promoting male sterilizations, and women's expressed regrets suggest consideration of a higher age limit.

  11. Sterilization of Helicoverpa armigera (hubner) moth (lepidoptera; Noctudae) by using Gamma rays radiation

    International Nuclear Information System (INIS)

    Subiyakto; Wari D Astati; Sunarto Dwi A

    1998-01-01

    This experiment was conducted at the Radiation Facility, National Atomic Energy, Jakarta and Entomology Laboratory of the Research Institute for Tobacco and Crops Malang in 1991. Sterilization of moth by radiating insect on pupae stage. The dosage were 0 (unradiated), 1,3,5,7,9,11,13,and 15 krad. The treatments were arranged in complete randomized design with three replications. Each treatments were made variation of copulation (1) two females radiated with a make unradiated (2) two females unradiated with a male radiated, and (3) two females radiated with a male radiated. The results showed that sub sterile dosage (LD 50 ) for male was 0.94 krad and 7.02 krad for female. The sterile dosage (LD 95 ) for male was 10.85 krad and 14.35 krad for female. Research of the competition for copulation between the male radiated and unradiated is needed. (author)

  12. Sterilization of space hardware.

    Science.gov (United States)

    Pflug, I. J.

    1971-01-01

    Discussion of various techniques of sterilization of space flight hardware using either destructive heating or the action of chemicals. Factors considered in the dry-heat destruction of microorganisms include the effects of microbial water content, temperature, the physicochemical properties of the microorganism and adjacent support, and nature of the surrounding gas atmosphere. Dry-heat destruction rates of microorganisms on the surface, between mated surface areas, or buried in the solid material of space vehicle hardware are reviewed, along with alternative dry-heat sterilization cycles, thermodynamic considerations, and considerations of final sterilization-process design. Discussed sterilization chemicals include ethylene oxide, formaldehyde, methyl bromide, dimethyl sulfoxide, peracetic acid, and beta-propiolactone.

  13. Regret following female sterilization in Slovenia.

    Science.gov (United States)

    Becner, Anja; Turkanović, Anela Bečić; But, Igor

    2015-07-01

    To estimate the regret rate and risk factors for regret among women who have undergone sterilization. A retrospective study was conducted among all women who underwent a sterilization procedure at the University Medical Center Maribor, Maribor, Slovenia, in 2008-2012. Identified women were contacted and asked to complete an online questionnaire assessing regret and symptoms associated with depression. Among 714 identified women, 308 (43.1%) completed the questionnaire. Four (1.3%) participants reported regret, and 9 (2.9%) reported that they would not opt for sterilization again, all of whom had post-sterilization problems. Such problems were significantly associated with participants reporting that they would not opt for sterilization again (P=0.003). Additionally, women who would not choose sterilization again had significantly higher scores on the depressive scale used than did those who would undergo sterilization again (P=0.028). Few women report regret after tubal sterilization in Slovenia. However, an additional consultation on post-sterilization problems and depressive disorder before sterilization might minimize the risk of regret. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  14. Evolution of the Radio-sterilized Tissues Bank of the Instituto Nacional de Investigaciones Nucleares

    International Nuclear Information System (INIS)

    Martinez P, M. E.; Reyes F, M. L.; Luna Z, D.

    2013-10-01

    The Radio-sterilized Tissues Bank (RTB) of the Instituto Nacional de Investigaciones Nucleares (ININ) was established in 1997, as national project supported by the IAEA, who provided equipment, training and expert missions. In July of 1999, the Secretaria de Salud (Mexico) granted the sanitary license to the RTB. The first radio-sterilized tissue was the amnion. Later on, the process of frozen and lyophilized pig skin was development. Both tissue types are used as biological dressings in patient with burns, ulcers or on injuries difficult to heal, the amnion is also used for the damage treatment in the ocular surface. In 2003, the ININ improved the facilities of the RTB and in August of that same year the certification of the Quality Administration System was obtained under the standard ISO 9001:2000, at the present time ISO 9001:2008. The support of the IAEA granted to Mexico was of 1997-2004 and 2009-2012, by means of regional and inter regional projects where was obtained equipment and training mainly, for personal of the ININ and other institutions. With the last project supported by the IAEA, two very important documents were generated for the tissues bank of Argentina, Brazil, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Mexico, Peru, Uruguay and Venezuela, strengthening the interaction among these countries. To offer more radio-sterilized tissues to the medical community, in June of 2007 the RTB signed and agreement with the Secretaria de Salud of the Mexico State by means of the Centro Estatal de Transplantes del Estado de Mexico, for the process of muscle-skeletal tissue, skin and amnion. At present, besides amnion and pig skin, in the RTB there is in existence powdered and chips bone; concluding the validation stage the human skin process is. As a social function of the ININ, the RTB has contributed to the health improvement of patients of more than 50 hospital institutions, mainly those that assist to patient of low resources in different cities of

  15. Production of a sterile species via active-sterile mixing: An exactly solvable model

    Science.gov (United States)

    Boyanovsky, D.

    2007-11-01

    The production of a sterile species via active-sterile mixing in a thermal medium is studied in an exactly solvable model. The exact time evolution of the sterile distribution function is determined by the dispersion relations and damping rates Γ1,2 for the quasiparticle modes. These depend on γ˜=Γaa/2ΔE, with Γaa the interaction rate of the active species in absence of mixing and ΔE the oscillation frequency in the medium without damping. γ˜≪1, γ˜≫1 describe the weak and strong damping limits, respectively. For γ˜≪1, Γ1=Γaacos⁡2θm; Γ2=Γaasin⁡2θm where θm is the mixing angle in the medium and the sterile distribution function does not obey a simple rate equation. For γ˜≫1, Γ1=Γaa and Γ2=Γaasin⁡22θm/4γ˜2, is the sterile production rate. In this regime sterile production is suppressed and the oscillation frequency vanishes at an Mikheyev-Smirnov-Wolfenstein (MSW) resonance, with a breakdown of adiabaticity. These are consequences of quantum Zeno suppression. For active neutrinos with standard model interactions the strong damping limit is only available near an MSW resonance if sin⁡2θ≪αw with θ the vacuum mixing angle. The full set of quantum kinetic equations for sterile production for arbitrary γ˜ are obtained from the quantum master equation. Cosmological resonant sterile neutrino production is quantum Zeno suppressed relieving potential uncertainties associated with the QCD phase transition.

  16. A systematic review of transmission dynamic studies of methicillin-resistant Staphylococcus aureus in non-hospital residential facilities.

    Science.gov (United States)

    Kwok, Kin On; Read, Jonathan M; Tang, Arthur; Chen, Hong; Riley, Steven; Kam, Kai Man

    2018-04-18

    Non-hospital residential facilities are important reservoirs for MRSA transmission. However, conclusions and public health implications drawn from the many mathematical models depicting nosocomial MRSA transmission may not be applicable to these settings. Therefore, we reviewed the MRSA transmission dynamics studies in defined non-hospital residential facilities to: (1) provide an overview of basic epidemiology which has been addressed; (2) identify future research direction; and (3) improve future model implementation. A review was conducted by searching related keywords in PUBMED without time restriction as well as internet searches via Google search engine. We included only articles describing the epidemiological transmission pathways of MRSA/community-associated MRSA within and between defined non-hospital residential settings. Among the 10 included articles, nursing homes (NHs) and correctional facilities (CFs) were two settings considered most frequently. Importation of colonized residents was a plausible reason for MRSA outbreaks in NHs, where MRSA was endemic without strict infection control interventions. The importance of NHs over hospitals in increasing nosocomial MRSA prevalence was highlighted. Suggested interventions in NHs included: appropriate staffing level, screening and decolonizing, and hand hygiene. On the other hand, the small population amongst inmates in CFs has no effect on MRSA community transmission. Included models ranged from system-level compartmental models to agent-based models. There was no consensus over the course of disease progression in these models, which were mainly featured with NH residents /CF inmates/ hospital patients as transmission pathways. Some parameters used by these models were outdated or unfit. Importance of NHs has been highlighted from these current studies addressing scattered aspects of MRSA epidemiology. However, the wide variety of non-hospital residential settings suggest that more work is needed before

  17. Accredited dose measurements for validation of radiation sterilized products

    DEFF Research Database (Denmark)

    Miller, A.

    1993-01-01

    for control of radiation sterilization. The accredited services include: 1. 1. Irradiation of dosimeters and test samples with cobalt-60 gamma rays. 2. 2. Irradiation of dosimeters and test samples with 10 MeV electrons. 3. 3. Issue of and measurement with calibrated dosimeters. 4. 4. Measurement...... of the dosimetric parameters of an irradiation facility. 5. 5. Measurement of absorbed dose distribution in irradiated products. The paper describes these services and the procedures necessary for their execution....

  18. Investigating Public Facility Characteristics from a Spatial Interaction Perspective: A Case Study of Beijing Hospitals Using Taxi Data

    Directory of Open Access Journals (Sweden)

    Xiaoqing Kong

    2017-02-01

    Full Text Available Services provided by public facilities are essential to people’s lives and are closely associated with human mobility. Traditionally, public facility access characteristics, such as accessibility, equity issues and service areas, are investigated mainly based on static data (census data, travel surveys and particular records, such as medical records. Currently, the advent of big data offers an unprecedented opportunity to obtain large-scale human mobility data, which can be used to study the characteristics of public facilities from the spatial interaction perspective. Intuitively, spatial interaction characteristics and service areas of different types and sizes of public facilities are different, but how different remains an open question, so we, in turn, examine this question. Based on spatial interaction, we classify public facilities and explore the differences in facilities. In the research, based on spatial interaction extracted from taxi data, we introduce an unsupervised classification method to classify 78 hospitals in 6 districts of Beijing, and the results better reflect the type of hospital. The findings are of great significance for optimizing the spatial configuration of medical facilities or other types of public facilities, allocating public resources reasonably and relieving traffic pressure.

  19. Sterilizing insects with ionizing radiation

    International Nuclear Information System (INIS)

    Bakri, A.; Mehta, K.; Lance, D.R.

    2005-01-01

    Exposure to ionizing radiation is currently the method of choice for rendering insects reproductively sterile for area-wide integrated pest management (AW-IPM) programmes that integrate the sterile insect technique (SIT). Gamma radiation from isotopic sources (cobalt-60 or caesium-137) is most often used, but high-energy electrons and X-rays are other practical options. Insect irradiation is safe and reliable when established safety and quality-assurance guidelines are followed. The key processing parameter is absorbed dose, which must be tightly controlled to ensure that treated insects are sufficiently sterile in their reproductive cells and yet able to compete for mates with wild insects. To that end, accurate dosimetry (measurement of absorbed dose) is critical. Irradiation data generated since the 1950s, covering over 300 arthropod species, indicate that the dose needed for sterilization of arthropods varies from less than 5 Gy for blaberid cockroaches to 300 Gy or more for some arctiid and pyralid moths. Factors such as oxygen level, and insect age and stage during irradiation, and many others, influence both the absorbed dose required for sterilization and the viability of irradiated insects. Consideration of these factors in the design of irradiation protocols can help to find a balance between the sterility and competitiveness of insects produced for programmes that release sterile insects. Many programmes apply 'precautionary' radiation doses to increase the security margin of sterilization, but this overdosing often lowers competitiveness to the point where the overall induced sterility in the wild population is reduced significantly. (author)

  20. Eugenics and Involuntary Sterilization: 1907-2015.

    Science.gov (United States)

    Reilly, Philip R

    2015-01-01

    In England during the late nineteenth century, intellectuals, especially Francis Galton, called for a variety of eugenic policies aimed at ensuring the health of the human species. In the United States, members of the Progressive movement embraced eugenic ideas, especially immigration restriction and sterilization. Indiana enacted the first eugenic sterilization law in 1907, and the US Supreme Court upheld such laws in 1927. State programs targeted institutionalized, mentally disabled women. Beginning in the late 1930s, proponents rationalized involuntary sterilization as protecting vulnerable women from unwanted pregnancy. By World War II, programs in the United States had sterilized approximately 60,000 persons. After the horrific revelations concerning Nazi eugenics (German Hereditary Health Courts approved at least 400,000 sterilization operations in less than a decade), eugenic sterilization programs in the United States declined rapidly. Simplistic eugenic thinking has faded, but coerced sterilization remains widespread, especially in China and India. In many parts of the world, involuntary sterilization is still intermittently used against minority groups.

  1. Dog and cat management through sterilization: Implications for population dynamics and veterinary public policies.

    Science.gov (United States)

    Dias, Ricardo Augusto; Baquero, Oswaldo Santos; Guilloux, Aline Gil Alves; Moretti, Caio Figueiredo; de Lucca, Tosca; Rodrigues, Ricardo Conde Alves; Castagna, Cláudio Luiz; Presotto, Douglas; Kronitzky, Yury Cezar; Grisi-Filho, José Henrique Hildebrand; Ferreira, Fernando; Amaku, Marcos

    2015-11-01

    The present study aimed to compare different sterilization scenarios allowing the adoption of the most adequate strategy to control owned dog and cat population sizes as the official veterinary public policy for animal control in an urban area of Campinas municipality, Brazil. To achieve this goal, the vital parameters of the owned pet population were measured in a neighborhood of Campinas called Jardim Vila Olimpia through questionnaires used in two census studies performed in February 2012 and June 2013. Different hypothetical sterilization scenarios were compared with the scenario of a single sterilization campaign performed in the study area between the census studies. Using a deterministic mathematical model, population dynamics were simulated for these different scenarios. We have observed that for both owned dogs and cats, the impact on the population size achieved by a single sterilization campaign would be diluted over the years, equating to the impact achieved by the usual sterilization rate practiced before the sterilization campaign yearly. Moreover, using local and global sensitivity analyses, we assessed the relative influence on animal population evolution of each vital parameter used in the mathematical models. The more influential parameters for both species were the carrying capacity of the environment and sterilization rates of males and females (for both species). We observed that even with sterilizing 100% of the intact animals annually, it would not be possible to obtain proportions greater than 86% and 88% of sterilized dogs and cats, respectively, after 20 years due to the high introduction of new intact animals. There is no public dog and cat sterilization service in place in the city, and sporadic and local sterilization campaigns are performed with a prior communication to the owners to bring their animals to be sterilized in a selected veterinary facility. If a sterilization campaign was performed annually in the study area, it would

  2. The proposed irradiation facility and applications

    International Nuclear Information System (INIS)

    Singson, C.C.; Navarro, Q.O.

    As early as 1972, the Philippine Atomic Energy Commission proposed the setting up of a radiation facility for the sterilization of medical products. A result of a market survey with the assistance of an IAEA expert was conducted to determine the market potential for such venture. With the Food Terminal, Inc. (FTI) a government agro-industrial fair which explored the economic benefits of project, encouraging results have been obtained with finances from FAO and IAEA. The proposed pilot plant will serve as a multi purpose facility for the sterilization of medical and laboratory products, irradiation of food and agricultural produce and manufacture of wood plastic compositions for the textile and furniture industries. With the benefits derived from the said project, it is hoped that its early installation be pushed through. (author)

  3. Salang Hospital: Lack of Water and Power Severely Limits Hospital Services, and Major Construction Deficiencies Raise Safety Concerns

    Science.gov (United States)

    2014-01-01

    hospital needed to provide scrubable surfaces in high-risk sterile areas like the surgery room to facilitate disinfection . To correct these...of a well house, and establishment of a process to ensure that hospital water lines were disinfected . However, we found that the water well was not...Special Inspector General for Afghanistan Reconstruction SIGAR 14-31 Inspection Report SALANG HOSPITAL : LACK OF

  4. Non-Unitarity, sterile neutrinos, and Non-Standard neutrino Interactions

    CERN Document Server

    Blennow, Mattias; Fernandez-Martinez, Enrique; Hernandez-Garcia, Josu; Lopez-Pavon, Jacobo

    2017-04-27

    The simplest Standard Model extension to explain neutrino masses involves the addition of right-handed neutrinos. At some level, this extension will impact neutrino oscillation searches. In this work we explore the differences and similarities between the case in which these neutrinos are kinematically accessible (sterile neutrinos) or not (mixing matrix non-unitarity). We clarify apparent inconsistencies in the present literature when using different parametrizations to describe these effects and recast both limits in the popular neutrino non-standard interaction (NSI) formal- ism. We find that, in the limit in which sterile oscillations are averaged out at the near detector, their effects at the far detector coincide with non-unitarity at leading order, even in presence of a matter potential. We also summarize the present bounds existing in both limits and compare them with the expected sensitivities of near-future facilities taking the DUNE proposal as a bench- mark. We conclude that non-unitarity effects ...

  5. Sterile insect technique: A model for dose optimisation for improved sterile insect quality

    International Nuclear Information System (INIS)

    Parker, A.; Mehta, K.

    2007-01-01

    The sterile insect technique (SIT) is an environment-friendly pest control technique with application in the area-wide integrated control of key pests, including the suppression or elimination of introduced populations and the exclusion of new introductions. Reproductive sterility is normally induced by ionizing radiation, a convenient and consistent method that maintains a reasonable degree of competitiveness in the released insects. The cost and effectiveness of a control program integrating the SIT depend on the balance between sterility and competitiveness, but it appears that current operational programs with an SIT component are not achieving an appropriate balance. In this paper we discuss optimization of the sterilization process and present a simple model and procedure for determining the optimum dose. (author) [es

  6. Pain Associated With Hysteroscopic Sterilization

    Science.gov (United States)

    Levy, Jenna; Childers, Meredith E.

    2007-01-01

    Background and Objectives: The safety and efficacy of female hysteroscopic sterilization using the Essure system has been well documented. Given the marked differences in the execution of hysteroscopic and laparoscopic sterilization, the objective of this study was to assess the experience of pain postprocedure between the 2. Secondary end-points included postoperative pain medication, time to return to normal activities, postprocedure bleeding, and patient satisfaction. Methods: Twenty cases each of laparoscopic sterilization (LS) and hysteroscopic sterilization (HS) were performed. Patients were surveyed regarding their experience of pain immediately postoperatively, 1 week, and 4 weeks post-procedure. Results: The average pain score immediately postprocedure was significantly lower among HS patients than among LS patients (t=−8.17, P<.0001). One-week post-procedure, none of the patients in the HS group reported any pain, while the average pain score among the LS patients was 2.65 (t =−9.67, P<.0001). Four weeks post-procedure, women in the HS group continued to report no pain, 35% of the LS group continued to report some pain (t=−3.04, P=.004). Conclusions: Hysteroscopic sterilization offers a minimally invasive, less painful, equally efficacious modality for sterilization than laparoscopic sterilization and should be available to all women seeking permanent birth control. PMID:17651558

  7. Women plan condom use after sterilization.

    Science.gov (United States)

    1998-12-01

    Sexual sterilization is highly effective in preventing pregnancy, but it does not protect against sexually transmitted diseases (STDs). People who accept sterilization as their method of family planning therefore need to be encouraged to protect themselves against HIV/AIDS and STDs even after they have been sterilized. Since women return less often to family planning providers following their sterilization procedure, they need to be advised to protect themselves against HIV and STDs before the sterilization is performed. 42% of the 2782 women who underwent tubal sterilizations at the Baylor College of Medicine in Houston during 1991-96 indicated their intention in a cross-sectional study to use condoms after sterilization. 20% of all respondents, aged 18-51 years, had a known risk factor for HIV, and almost 25% reported regular condom use for contraception or disease protection during the 3 months before sterilization. Planned condom use increased from 32% in 1991 to 51% in 1996, irrespective of age, marital status, or ethnic background. Of the 646 women who used condoms before being sterilized, almost half indicated no plans to do so after the procedure. The following factors were associated with condom use: relatively younger age, black ethnicity, unmarried status, history of previous STD, no steady partner, having a higher number of previous sex partners, past use of condoms to prevent disease transmission, and lack of partner involvement in the decision to undergo sterilization.

  8. Sterilization by gamma irradiation

    International Nuclear Information System (INIS)

    Reyes Frias, L.

    1992-01-01

    Since 1980 the National Institute of Nuclear Research counts with an Industrial Gamma Irradiator, for the sterilization of raw materials and finished products. Through several means has been promoted the use of this technology as alternative to conventional methods of sterilization as well as steam treatment and ethylene oxide. As a result of the made promotion this irradiator has come to its saturation limit being the sterilization irradiation one of the main services that National Institute of Nuclear Research offers to producer enterprises of disposable materials of medical use also of raw materials for the elaboration of cosmetic products and pharmaceuticals as well as dehydrated foods. It is presented the trend to the sterilization service by irradiation showed by the compilation data in a survey made by potential customers. (Author)

  9. NF EN ISO 11137-1, July 2006. Sterilization of health care products - Irradiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices

    International Nuclear Information System (INIS)

    2006-01-01

    This part of the ISO 11137 standard specifies requirements for the development, validation and routine control of a radiation sterilization process for medical devices. Although the scope of this part of the ISO 11137 standard is limited to medical devices, it specifies requirements and provides guidance that may be applicable to other products and equipment. This part of the international standard covers radiation processes employing irradiators using the radionuclide 60 Co or 137 Cs, a beam from an electron generator or a beam from an X-ray generator. This part of the international standard does not: - specify requirements for development, validation and routine control of a process for inactivating the causative agents of spongiform encephalopathies such as scrapie, bovine spongiform encephalopathy and Creutzfeldt-Jakob disease; - detail specified requirements for designating a medical device as sterile; - specify a quality management system for the control of all stages of production of medical devices; - specify requirements for occupational safety associated with the design and operation of irradiation facilities; - specify requirements for the sterilization of used or reprocessed devices

  10. Male gametophytic sterility. 1 - Gametic sterilities and deletions in petunia

    Energy Technology Data Exchange (ETDEWEB)

    Cornu, A.; Maizonnier, D. (Station d' Amelioration des Plantes de l' I.N.R.A., Dijon (France))

    1982-01-01

    Terminal deletions induced by ionizing radiations in Petunia are not sexually transmitted. Cytogenetic study of plants with a heterozygous deletion and their progenies shows that this lack of transmission is accompanied by a gametic semi-sterility due to the fact that gametes carrying the deleted chromosome are not viable. The interest of such a male sterility with a gametophytic determinism for the study of sporophyte-gametophyte relationships is underlined.

  11. Sewage sterilization through gamma radiation; Esterilização de esgoto através da radiação gama

    Energy Technology Data Exchange (ETDEWEB)

    Vieira, D.V.; Teixeira, W.M.S. [Faculdade Casa Branca, SP (Brazil). Pós-Graduação de Proteção Radiológica em Aplicações Médicas, Industriais e Nucleares; Lima, C.M.A. [MAXIM Cursos, Rio de Janeiro-RJ (Brazil); Silva, F.C.A. da, E-mail: franciscodasilva13uk@gmail.com [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Riode Janeiro, RJ (Brazil)

    2017-07-01

    Lack of sewage treatment and adequate sanitation conditions can contribute to the proliferation of numerous parasitic and infectious diseases in addition to water degradation. Approximately fifty types of infections can be transmitted from a sick to a healthy person through different pathways involving human excreta. Untreated sewage can contaminate water, food, hands, soil, etc. Epidemics of certain diseases such as typhoid, cholera, dysenteries, etc., and countless cases of worms are responsible for high mortality rates in third world countries. In the work the different techniques of sewage treatment by disinfestation and sterilization were analyzed, highlighting the use and the advantages of the gamma radiation as well as the aspects of the radiological protection involved. The technique of sewage sterilization using gamma radiation is a method of controlling bacteria and microorganisms. It is estimated that more than 200 large irradiators are in operation worldwide, of which 5 are in Brazil, for general sterilization use. These facilities use a large amount of radioactive material, in the order of millions of Becquerel, for sterilization with high doses of radiation, which can generate lethal doses in a few minutes. These industrial facilities use Cobalt-60, being classified by the International Atomic Energy Agency - IAEA as Category 1 of high risk, and must possess a high level of radiological protection to carry out the sterilization, standing out the defense in depth. Specific legislation on radiological protection should be drafted for safe work and avoid future radiation accidents.

  12. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  13. Gamma-ray irradiation, autoclave and ethylene oxide sterilization to thermosetting polyurethane: sterilization to polyurethane

    International Nuclear Information System (INIS)

    Hirata, Noriko; Matsumoto, Ken-Ichi; Inishita, Takashi; Takenaka, Yoshinori; Suma, Yasunori; Shintani, Hideharu; National Inst. of Health Sciences, Tokyo

    1995-01-01

    Thermosetting polyurethane (PU) is widely used in a large variety of medical devices. 4,4'-methylenedianiline (MDA) was produced from PU by sterilization and it was studied for the relationship between urethane components or polymer characteristics and formation of MDA upon sterilization, using the commercially available dialyzers fabricated with different combination of isocyanate and polyol. We confirmed that the molecular-weight of polyol influenced the production of MDA upon sterilization. (author)

  14. Genetic technologies to enhance the Sterile Insect Technique (SIT)

    International Nuclear Information System (INIS)

    Alphey, Luke; Baker, Pam; Condon, George C.; Condon, Kirsty C.; Dafa'alla, Tarig H.; Fu, Guoliang; Jin, Li; Labbe, Genevieve; Morrison, Neil M.; Nimmo, Derric D.; O'Connell, Sinead; Phillips, Caroline E.; Plackett, Andrew; Scaife, Sarah; Woods, Alexander; Burton, Rosemary S.; Epton, Matthew J.; Gong, Peng

    2006-01-01

    The Sterile Insect Technique (SIT) has been used very successfully against range of pest insects, including various tephritid fruit flies, several moths and a small number of livestock pests. However, modern genetics could potentially provide several improvements that would increase the cost-effectiveness of SIT, and extend the range of suitable species. These include improved identification of released individuals by incorporation of a stable, heritable, genetic marker; built-in sex separation (genetic sexing); reduction of the hazard posed by non-irradiated accidental releases from mass-rearing facility (fail-safe); elimination of the need for sterilization by irradiation (genetic sterilization). We discuss applications of these methods and the state of the art, at the time of this meeting, in developing suitable strains. We have demonstrated, in several key pest species, that the required strains can be constructed by introducing a repressible dominant lethal genetic system, a method known as RIDL(trade mark). Based on field experience with Medfly, incorporation of a genetic sexing system into SIT programs for other tephritids could potentially provide a very significant improvement in cost-effectiveness. We have now been able to make efficient female-lethal strains for Medfly. One advantage of our approach is that it should be possible rapidly to extend this technology to other fruit fly species; indeed we have recently been able also to make genetic sexing strains of Medfly (Anastrepha ludens). (author)

  15. Genetic technologies to enhance the Sterile Insect Technique (SIT)

    Energy Technology Data Exchange (ETDEWEB)

    Alphey, Luke; Baker, Pam; Condon, George C; Condon, Kirsty C; Dafa' alla, Tarig H; Fu, Guoliang; Jin, Li; Labbe, Genevieve; Morrison, Neil M; Nimmo, Derric D; O' Connell, Sinead; Phillips, Caroline E; Plackett, Andrew; Scaife, Sarah; Woods, Alexander [Oxitec Ltd., Oxford (United Kingdom); Burton, Rosemary S; Epton, Matthew J; Gong, Peng [University of Oxford (United Kingdom). Dept. of Zoology

    2006-07-01

    The Sterile Insect Technique (SIT) has been used very successfully against range of pest insects, including various tephritid fruit flies, several moths and a small number of livestock pests. However, modern genetics could potentially provide several improvements that would increase the cost-effectiveness of SIT, and extend the range of suitable species. These include improved identification of released individuals by incorporation of a stable, heritable, genetic marker; built-in sex separation (genetic sexing); reduction of the hazard posed by non-irradiated accidental releases from mass-rearing facility (fail-safe); elimination of the need for sterilization by irradiation (genetic sterilization). We discuss applications of these methods and the state of the art, at the time of this meeting, in developing suitable strains. We have demonstrated, in several key pest species, that the required strains can be constructed by introducing a repressible dominant lethal genetic system, a method known as RIDL(trade mark). Based on field experience with Medfly, incorporation of a genetic sexing system into SIT programs for other tephritids could potentially provide a very significant improvement in cost-effectiveness. We have now been able to make efficient female-lethal strains for Medfly. One advantage of our approach is that it should be possible rapidly to extend this technology to other fruit fly species; indeed we have recently been able also to make genetic sexing strains of Medfly (Anastrepha ludens). (author)

  16. Phenology, sterility and inheritance of two environment genic male sterile (EGMS) lines for hybrid rice.

    Science.gov (United States)

    El-Namaky, R; van Oort, P A J

    2017-12-01

    There is still limited quantitative understanding of how environmental factors affect sterility of Environment-conditioned genic male sterility (EGMS) lines. A model was developed for this purpose and tested based on experimental data from Ndiaye (Senegal) in 2013-2015. For the two EGMS lines tested here, it was not clear if one or more recessive gene(s) were causing male sterility. This was tested by studying sterility segregation of the F2 populations. Daylength (photoperiod) and minimum temperatures during the period from panicle initiation to flowering had significant effects on male sterility. Results clearly showed that only one recessive gene was involved in causing male sterility. The model was applied to determine the set of sowing dates of two different EGMS lines such that both would flower at the same time the pollen would be completely sterile. In the same time the local popular variety (Sahel 108, the male pollen donor) being sufficiently fertile to produce the hybrid seeds. The model was applied to investigate the viability of the two line breeding system in the same location with climate change (+2oC) and in two other potential locations: in M'Be in Ivory Coast and in the Nile delta in Egypt. Apart from giving new insights in the relation between environment and EGMS, this study shows that these insights can be used to assess safe sowing windows and assess the suitability of sterility and fertility period of different environments for a two line hybrid rice production system.

  17. Materials Surfaces and sterility

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, R.

    2001-04-01

    A question of great interest in sterile and clean room technology is how can we devise a standard for the guarantee of sterility? Sterility is of widespread importance: it gives the life-time of our daily milk or yogurt, dominates the nature of food packing, and determines the feasibility of the miniaturization of biotechnology plants. All these phenomena are based on the principle of bioadhesion. Bioadhesion is also the basis of the biomimetic material technologies, like the attachment of selected protein layers that can be used for nanomasking. (orig.)

  18. Geriatric Syndromes in Hospitalized Older Adults Discharged to Skilled Nursing Facilities

    Science.gov (United States)

    Bell, Susan P.; Vasilevskis, Eduard E.; Saraf, Avantika A.; Jacobsen, J. Mary Lou; Kripalani, Sunil; Mixon, Amanda S.; Schnelle, John F.; Simmons, Sandra F.

    2016-01-01

    Background Geriatric syndromes are common in older adults and associated with adverse outcomes. The prevalence, recognition, co-occurrence and recent onset of geriatric syndromes in patients transferred from hospital to skilled nursing facilities (SNFs) are largely unknown. Design Quality improvement project. Setting Acute care academic medical center and 23 regional partner SNFs. Participants 686 Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs. Measurements Nine geriatric syndromes were measured by project staff -- weight loss, decreased appetite, incontinence and pain (standardized interview), depression (Geriatric Depression Scale), delirium (Brief-Confusion Assessment Method), cognitive impairment (Brief Interview for Mental Status), falls and pressure ulcers (hospital medical record utilizing hospital-implemented screening tools). Estimated prevalence, new-onset prevalence and common coexisting clusters were determined. The extent that syndromes were commonly recognized by treating physicians and communicated to SNFs in hospital discharge documentation was evaluated. Results Geriatric syndromes were prevalent in more than 90% of hospitalized adults referred to SNFs; 55% met criteria for 3 or more co-existing syndromes. Overall the most prevalent syndromes were falls (39%), incontinence (39%), decreased appetite (37%) and weight loss (33%). Of individuals that met criteria for 3 or more syndromes, the most common triad clusters included nutritional syndromes (weight loss, loss of appetite), incontinence and depression. Treating hospital physicians commonly did not recognize and document geriatric syndromes in discharge summaries, missing 33–95% of syndromes present as assessed by research personnel. Conclusion Geriatric syndromes in hospitalized older adults transferred to SNF are prevalent and commonly co-exist with the most frequent clusters including nutritional syndromes, depression and incontinence. Despite

  19. Thermalizing Sterile Neutrino Dark Matter.

    Science.gov (United States)

    Hansen, Rasmus S L; Vogl, Stefan

    2017-12-22

    Sterile neutrinos produced through oscillations are a well motivated dark matter candidate, but recent constraints from observations have ruled out most of the parameter space. We analyze the impact of new interactions on the evolution of keV sterile neutrino dark matter in the early Universe. Based on general considerations we find a mechanism which thermalizes the sterile neutrinos after an initial production by oscillations. The thermalization of sterile neutrinos is accompanied by dark entropy production which increases the yield of dark matter and leads to a lower characteristic momentum. This resolves the growing tensions with structure formation and x-ray observations and even revives simple nonresonant production as a viable way to produce sterile neutrino dark matter. We investigate the parameters required for the realization of the thermalization mechanism in a representative model and find that a simple estimate based on energy and entropy conservation describes the mechanism well.

  20. Thermalizing Sterile Neutrino Dark Matter

    Science.gov (United States)

    Hansen, Rasmus S. L.; Vogl, Stefan

    2017-12-01

    Sterile neutrinos produced through oscillations are a well motivated dark matter candidate, but recent constraints from observations have ruled out most of the parameter space. We analyze the impact of new interactions on the evolution of keV sterile neutrino dark matter in the early Universe. Based on general considerations we find a mechanism which thermalizes the sterile neutrinos after an initial production by oscillations. The thermalization of sterile neutrinos is accompanied by dark entropy production which increases the yield of dark matter and leads to a lower characteristic momentum. This resolves the growing tensions with structure formation and x-ray observations and even revives simple nonresonant production as a viable way to produce sterile neutrino dark matter. We investigate the parameters required for the realization of the thermalization mechanism in a representative model and find that a simple estimate based on energy and entropy conservation describes the mechanism well.

  1. Committee Opinion No. 726: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care.

    Science.gov (United States)

    2017-12-01

    Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births, and low-birth-weight infants among pregnant women. The potential surge in maternal and neonatal patient volume due to mass-casualty events, transfer of high-acuity patients, or redirection of patients because of geographic barriers presents unique challenges for obstetric care facilities. These circumstances require that facilities plan for additional increases in necessary resources and staffing. Although emergencies may be unexpected, hospitals and obstetric delivery units can prepare to implement plans that will best serve maternal and pediatric care needs when disasters occur. Clear designation of levels of maternal and neonatal care facilities, along with establishment of a regional network incorporating hospitals that provide maternity services and those that do not, will enable rapid transport of obstetric patients to the appropriate facilities, ensuring the right care at the right time. Using common terminology for triage and transfer and advanced knowledge of regionalization and levels of care will facilitate disaster preparedness.

  2. Effect of Radioactivity of Technetium-99m on the Autosterilization Process of non-sterile Tetrofosmin Kits

    Directory of Open Access Journals (Sweden)

    Widyastuti Widyastuti

    2017-03-01

    Full Text Available Technetium-99m labeled radiopharmaceutical is commonly used in nuclear medicines as a diagnostic agent, by mixing the sterile kit with Tc-99m. Manufacturing of kits requires an aseptic facility which need to be well designed and maintained according to cGMP, since mostly kits can not be terminally sterilized. Radiopharmaceuticals as pharmaceuticals containing radionuclide is assumed to have an autosterilization property, but correlation between radioactivity and capability of killing microorganisms has to be studied so far. The aim of this study is to investigate the effect of radioactivity on the autosterilization process of radiopharmaceuticals. The study was carried out by adding Tc-99m of various radioactivity into non-sterile tetrofosmin kits, then the samples were tested for sterility. Sterile tetrofosmin kit and non-sterile kit with no Tc-99m added will be used as a negative control and positive control respectively. The sterility was tested using standard direct inoculation method, by inoculating samples in culture media for both bacteria and fungi and observing qualitatively within 14 days. The results showed that the samples with radioactivity of 1, 3 and 5 mCi changed the clarity of the media to turbid, conformed with the performance of positive controls but samples with radioactivity of 10 mCi and 20 mCi did not change the clarity of the media, conformed with the performance of negative control, indicating neither growth of bacteria nor fungi. It is concluded that Tc-99m behaves as an autosterilizing agent at certain radioactivity. Therefore the preparation of Tc-99m radiopharmaceutical can be considered as terminal sterilization rather than aseptic preparation.

  3. New arrangements, new scrutiny. The IRS reconsiders hospital-physician relationships at tax-exempt facilities.

    Science.gov (United States)

    Sullivan, T J

    1992-01-01

    The pressure to maintain adequate operating margins has forced many not-for-profit hospitals to adopt more overtly competitive behavior than they have in the past. However, in struggling to remain economically viable, these facilities should carefully avoid actions that would threaten their tax-exempt status. Not-for-profit facilities should be particularly careful that their arrangements with physicians, which often appear designed to increase referrals, do not violate the criteria according to which the Internal Revenue Code extends tax exemption to charitable organizations. Section 501(c)(3) of the code exempts organizations "no part of the net earnings of which inures to the benefit of any private shareholder or individual." According to this provision, "insiders" (i.e., those with a personal interest in or opportunity to influence organization activities from the inside) are entitled to no more than reasonable payment for their goods or services. The Internal Revenue Service (IRS) takes the position that, as employees or individuals having a close professional working relationship with a hospital, physicians are insiders. Thus a hospital that pays physicians what the IRS judges to be more than fair market value for services (or charges physicians less than fair market value for office rental) may find its exemption in jeopardy. If not-for-profit hospitals want to maintain their tax-exempt status, they must be certain the arrangements they enter into with physicians truly further their exempt purpose: to promote the health of the community.

  4. Where do the rural poor deliver when high coverage of health facility delivery is achieved? Findings from a community and hospital survey in Tanzania.

    Directory of Open Access Journals (Sweden)

    Manuela Straneo

    Full Text Available As part of maternal mortality reducing strategies, coverage of delivery care among sub-Saharan African rural poor will improve, with a range of facilities providing services. Whether high coverage will benefit all socio-economic groups is unknown. Iringa rural District, Southern Tanzania, with high facility delivery coverage, offers a paradigm to address this question. Delivery services are available in first-line facilities (dispensaries, health centres and one hospital. We assessed whether all socio-economic groups access the only comprehensive emergency obstetric care facility equally, and surveyed existing delivery services.District population characteristics were obtained from a household community survey (n = 463. A Hospital survey collected data on women who delivered in this facility (n = 1072. Principal component analysis on household assets was used to assess socio-economic status. Hospital population socio-demographic characteristics were compared to District population using multivariable logistic regression. Deliveries' distribution in District facilities and staffing were analysed using routine data.Women from the hospital compared to the District population were more likely to be wealthier. Adjusted odds ratio of hospital delivery increased progressively across socio-economic groups, from 1.73 for the poorer (p = 0.0031 to 4.53 (p<0.0001 for the richest. Remarkable dispersion of deliveries and poor staffing were found. In 2012, 5505/7645 (72% institutional deliveries took place in 68 first-line facilities, the remaining in the hospital. 56/68 (67.6% first-line facilities reported ≤100 deliveries/year, attending 33% of deliveries. Insufficient numbers of skilled birth attendants were found in 42.9% of facilities.Poorer women remain disadvantaged in high coverage, as they access lower level facilities and are under-represented where life-saving transfusions and caesarean sections are available. Tackling the challenges

  5. Radiation sterilization of tissue allografts: Requirements for validation and routine control. A code of practice

    International Nuclear Information System (INIS)

    2007-12-01

    These recommendations for the radiation sterilization of tissue allografts adopt the principles that the International Organization for Standardization (ISO) applies to the radiation sterilization of health care products. The approach has been adapted to take into account the special features associated with human tissues and the features that distinguish them from industrially produced sterile health care products. The approach as described here is not applicable if viral contamination is identified. Thus it is emphasized that the human donors of the tissues must be medically and serologically screened. To further support this screening it is recommended that autopsy reports be reviewed if available. This adaptation of established ISO methods can thus only be applied to sterilization of tissue allografts if the radiation sterilization described here is the terminal stage of a careful, detailed, documented sequence of procedures involving: donor selection; tissue retrieval; tissue banking general procedures; specific processing procedures; labelling; and distribution. The methods proposed here for the establishment of a sterilization dose are based on statistical approaches used for the sterilization of health care products and modified appropriately for the low numbers of tissue allograft samples typically available. This code of practice will be useful to tissue banking staff, surgeons using tissues for transplantation, regulators who oversee the safety of transplantation and radiation sterilization procedures, members of tissue banking associations, health service personnel in hospitals in which tissue transplantations are performed and inter-governmental organizations involved in transplantation issues, for example the World Health Organization. This publication was discussed extensively at an international meeting in Wrexham in the United Kingdom and was approved by the Technical Advisory Committee of the relevant IAEA project, which included the Chairpersons

  6. Sterile Endophthalmitis after Intravitreal Injections

    Directory of Open Access Journals (Sweden)

    Joaquín Marticorena

    2012-01-01

    Full Text Available Sterile endophthalmitis appears as an infrequent complication of intravitreal injections and seems to develop mainly in the context of the off-label use of drugs that have not been conceived for intravitreous administration. The aetiology of sterile endophthalmitis, independently of the administered drug, remains uncertain and a multifactorial origin cannot be discarded. Sterile inflammation secondary both to intravitreal triamcinolone acetonide and to intravitreal bevacizumab share many characteristics such as the acute and painless vision loss present in the big majority of the cases. Dense vitreous opacity is a common factor, while anterior segment inflammation appears to be mild to moderate. In eyes with sterile endophthalmitis, visual acuity improves progressively as the intraocular inflammation reduces without any specific treatment. If by any chance the ophthalmologist is not convinced by the sterile origin of the inflammation, this complication must be treated as an acute endophthalmitis because of the devastating visual prognosis of this intraocular infection in the absence of therapy.

  7. Utilization of Total Joint Arthroplasty in Physician-Owned Specialty Hospitals vs Acute Care Facilities.

    Science.gov (United States)

    Chen, Antonia F; Pflug, Emily; O'Brien, Daniel; Maltenfort, Mitchell G; Parvizi, Javad

    2017-07-01

    The recent emergence of physician-owned specialty hospitals has sparked controversy about overutilization. Thus, the purpose of this study was to compare utilization patterns of total joint arthroplasty (TJA) between physician-specialty hospitals (PSHs) and acute care hospitals (ACHs). A retrospective study was conducted from January 2010 to August 2014 comparing primary TJA patients between a PSH and an ACH; 103 PSH patients were matched to 103 ACH patients by age, gender, BMI, and ASA classification with similar case distribution between facilities. All surgeons in the study operated at both hospitals and were shareholders of the PSH. Information on nonoperative treatments, and timing to the initial appointment, consent, and surgery were analyzed using univariate analysis. Nonoperative treatments before surgery were similar between hospitals (P = 1.00). The time from the initial appointment to consent was longer for PSH (P = .0001). However, the time from consent to the date of surgery (P = .04) and the timing from symptoms to initial appointment (P = .006) was shorter for PSH. The time from initial appointment to the day of surgery was similar between groups (P = .20). Patients were more likely to be consented for surgery on their first clinic visit when undergoing surgery at ACH (87 of 103, 84.4%) compared to PSH (61 of 103; 59.2%; P total knee arthroplasty (P = .001) and total hip arthroplasty patients (P = .001) at PSH. Facility ownership in PSH resulted in similar conservative treatment before TJA. The time to surgical consent after the initial appointment was longer PSH, whereas the time from consent to the date of surgery was shorter at the PSH. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Small bowel obstruction subsequent to Essure microinsert sterilization: a case report.

    Science.gov (United States)

    Belotte, Jimmy; Shavell, Valerie I; Awonuga, Awoniyi O; Diamond, Michael P; Berman, Jay M; Yancy, Amanda F

    2011-07-01

    To report a case of small bowel obstruction (SBO) subsequent to Essure microinsert sterilization. Case report. University teaching hospital. A 38-year-old woman, gravida 1, para 1, with a history of pelvic pain, vaginal spotting, nausea, vomiting, and constipation 1 month after Essure hysteroscopic sterilization. Radiologic investigation, including a computed tomography scan of the abdomen and pelvis, followed by operative laparoscopy. Alleviation of the SBO. Radiologic investigation suggested a distal SBO, with the left Essure microinsert noted in the left lower pelvis. These findings, including an inflamed appendix, were confirmed at operative laparoscopy. Lysis of adhesions, removal of the Essure microinsert, appendectomy, and left salpingectomy were performed. This case is reported to increase awareness that SBO is a potential complication of Essure microinsert placement. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  9. 21 CFR 522.1862 - Sterile pralidoxime chloride.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Sterile pralidoxime chloride. 522.1862 Section 522....1862 Sterile pralidoxime chloride. (a) Chemical name. 2-Formyl-1-methylpyridinium chloride oxime. (b) Specifications. Sterile pralidoxime chloride is packaged in vials. Each vial contains 1 gram of sterile...

  10. Food packaging and radiation sterilization

    International Nuclear Information System (INIS)

    Kawamura, Yoko

    1998-01-01

    Radiation sterilization has several merits that it is a positively effective sterilization method, it can be used to sterilize low heat-resistant containers and high gas barrier films, and there is no possibility of residual chemicals being left in the packages. It has been commercially used in 'Bag in a Box' and some food containers. The γ ray and an electron beam are commonly used in radiation sterilization. The γ ray can sterilize large size containers and containers with complex shapes or sealed containers due to its strong transmission capability. However, since the equipment tends to be large and expensive, it is generally used in off production lines. On the other hand, it is possible to install and electron beam system on food production lines since the food can be processed in a short time due to its high beam coefficient and its ease of maintenance, even though an electron beam has limited usage such as sterilizing relatively thin materials and surface sterilization due to the weak transmission. A typical sterilization dose is approximately 10-30 kGy. Direct effects impacting packaging materials, particularly plastics, include scission of polymer links, cross-linkage between polymers, and generating radiolysis products such as hydrogen, methane, aliphatic hydrocarbons, etc. Furthermore, under the existence of oxygen, the oxygen radicals generated by the radiation will oxidize and peroxidize polymer chains and will generate alcohol and carbonyl groups, which shear polymer links, and generate oxygen containing low molecular compounds. As a result, degradation of physical strength such as elongation and seal strength, generating foreign odor, and an increase in global migration values shown in an elution test are sometimes evident. The food packages have different shapes, materials, additives, number of microorganisms and purpose. Therefor the effects of radiation, the optimum dose and so on must be investigated on the individual package. (J.P.N.)

  11. Seeking sterile neutrinos in Finslerian cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Deng [Nankai University, Theoretical Physics Division, Chern Institute of Mathematics, Tianjin (China); Meng, Xin-He [Nankai University, Department of Physics, Tianjin (China)

    2017-11-15

    For the first time, to search for sterile neutrinos in the framework of Finler geometry, we constrain four cosmological models using the most stringent constraint we can provide so far. We find that the Finslerian massless sterile neutrino model can, respectively, give a better cosmological fit to data and alleviate the current H{sub 0} tension more effectively than the other three models. For the Finslerian massless sterile neutrino model, we obtain the constraint N{sub eff} = 3.237{sup +0.092}{sub -0.185}, which is consistent with ΔN{sub eff} > 0 at the 1.03σ confidence level (CL). This gives a very weak hint of massless sterile neutrinos and may imply the non-existence of massless sterile neutrinos in the Finslerian cosmological setting. For the Finslerian massive sterile neutrino model, we obtain the constraints N{sub eff} = 3.143{sup +0.064}{sub -0.066}, which favors ΔN{sub eff} > 0 at the 1.47σ CL, and m{sub ν,sterile}{sup eff} < 0.121 eV at the 2σ CL which is much tighter than the Planck results. This very tight restriction appears to indicate the massive sterile neutrinos are also non-existent in the Finslerian scenarios. Consequently, one may conclude that the sterile neutrinos are possibly non-existent in the Finslerian universe. Our results are compatible with the recent results of the neutrino oscillation experiments implemented by the Daya Bay and MINOS collaborations and the cosmic ray one carried out by the IceCube collaboration. (orig.)

  12. Eradication of melon flies (Dacus cucurbitae) of the Kume Island using sterile males under field conditions

    International Nuclear Information System (INIS)

    Iwahashi, Osamu

    1984-01-01

    On the assumption that there were approximately 250,000 normal melon flies (Dacus cucurbitae) in the Kume Island as of February 1975, sterile flies have been released into the field. A previous experiment undertaken in the Kudaka Island revealed that the number of sterile pupae (with 7 kR of irradiation) should be ten times larger than that of normal flies for obtaining satisfactory results. 2,500,000 or more pupae per week were required for the purpose of eradication in the Kume Island. Satisfactory results were not obtained because of the limited production of sterile flies (1,000,000 per week). Since a mass-production facility was established in Autumn 1975, the weekly release of 1,500,000 - 2,000,000 flies became possible. Since May 1976, 3,500,000 - 4,000,000 sterile flies began to be released weekly. As a result, the rate of hatchability of eggs decreased with increasing the proportion of sterile flies to normal flies. The number of female flies caught in monitor traps also suggested that there were few normal male flies. The incidence of injuried fruits of Melothria japonica Maxim. Okinawa began to decrease remarkably from May 1976. None of 156,000 fruits were injuried between October 1976 and September 1977. (Namekawa, K.)

  13. Documentation requirements for radiation sterilization

    DEFF Research Database (Denmark)

    Miller, A.

    1995-01-01

    Several standards are recently approved or are under development by the standard organizations ISO and CEN in the field of radiation sterilization. Particularly in Europe these standards define new requirements on some issues and on other issues they emphasize the necessary documentation for appr......Several standards are recently approved or are under development by the standard organizations ISO and CEN in the field of radiation sterilization. Particularly in Europe these standards define new requirements on some issues and on other issues they emphasize the necessary documentation...... for approval of radiation sterilized products. The impact of these standards on the radiation sterilization is discussed, with special attention given to a few special issues, mainly traceability and uncertainty of measurement results....

  14. Sterilization can change properties of bioceramics

    International Nuclear Information System (INIS)

    Willmann, G.

    2003-01-01

    Bioceramics made of bioinert alumina or zirconia and bioactive hydroxyapatite are well established implant materials. Implants have to be cleaned and sterilized. When sterilized some bioceramics change their color. This may effect their properties. No decrease of mechanical strength is observed when sterilizing alumina and the novel ceramic biocomposite AMC (Alumina Matrix Composite) with steam or Co 60 Gamma irradiation. When sterilizing Y-TZP zirconia with steam a decrease of strength is observed. (Abstract Copyright [2003], Wiley Periodicals, Inc.) [de

  15. International Standards for Radiation Sterilization of Medical Devices

    International Nuclear Information System (INIS)

    Miller, A.

    2007-01-01

    For a terminally sterilized medical device to be designated '' STERILE '', probability of finding the viable micro-organisms in the device shall be equal to or less than 1 x 10 -6 (EN 556-1:2001: Sterilization of medical devices - Requirements for medical devices to be designated '' STERILE '' - Part 1: Requirements for terminally sterilized medical devices). Author presents the main legal aspects of the international standards for radiation sterilization of medical devices

  16. Birth planning and sterilization in China.

    Science.gov (United States)

    Short, S E; Linmao, M; Wentao, Y

    2000-11-01

    Sterilization is the most prevalent method of contraception in China. Approximately half of all women of reproductive age report that they or their husbands are sterilized. Using data from the China Health and Nutrition Survey we describe patterns of sterilization in eight Chinese provinces. With a discrete-time event history model we investigate the link between characteristics of local birth planning policy and the risk of sterilization. After controlling for parity, the risk of sterilization is highest in communities where birth planning policy is least strong as measured by exceptions to the one-child policy. These results suggest that couples with more flexibility in family building may have less control over contraceptive method use. Other factors affecting the risk of sterilization are a woman's age, parity, and whether or not she has a son. Our results emphasize the importance of taking into account multiple dimensions of reproductive behaviour when assessing one-child policy changes.

  17. Construction of a male sterility system for hybrid rice breeding and seed production using a nuclear male sterility gene

    OpenAIRE

    Chang, Zhenyi; Chen, Zhufeng; Wang, Na; Xie, Gang; Lu, Jiawei; Yan, Wei; Zhou, Junli; Tang, Xiaoyan; Deng, Xing Wang

    2016-01-01

    Nuclear male sterility is common in flowering plants, but its application in hybrid breeding and seed production is limited because of the inability to propagate a pure male sterile line for commercial hybrid seed production. Here, we characterized a rice nuclear gene essential for sporophytic male fertility and constructed a male sterility system that can propagate the pure male sterile seeds on a large scale. This system is fundamentally advantageous over the current cytoplasmic male steril...

  18. Validation of radiation sterilization process

    International Nuclear Information System (INIS)

    Kaluska, I.

    2007-01-01

    The standards for quality management systems recognize that, for certain processes used in manufacturing, the effectiveness of the process cannot be fully verified by subsequent inspection and testing of the product. Sterilization is an example of such a process. For this reason, sterilization processes are validated for use, the performance of sterilization process is monitored routinely and the equipment is maintained according to ISO 13 485. Different aspects of this norm are presented

  19. The male gametophytic sterility. 1 - Gametic sterilities and deletions in petunia

    International Nuclear Information System (INIS)

    Cornu, A.; Maizonnier, D.

    1982-01-01

    Terminal deletions induced by ionizing radiations in Petunia are not sexually transmitted. Cytogenetic study of plants with a heterozygous deletion and their progenies shows that this lack of transmission is accompanied by a gametic semi-sterility due to the fact that gametes carrying the deleted chromosome are not viable. The interest of such a male sterility with a gametophytic determinism for the study of sporophyte-gametophyte relationships is underlined [fr

  20. Sterilization of dry beverages and condiments for hospital patients by gamma irradiation

    International Nuclear Information System (INIS)

    Maha, Munsiah

    1995-01-01

    This study was done to determine the suitable irradiation conditions for sterilyzing several kinds of dry beverages and condiments, i.e. tea, coffee, milk powder, cacao powder, nutrisari, tropicana slim, pepper, salt, sugar and soy sauce. Each sample was vacuum-packed in nylon laminate pouches, then irradiated up to 30 kGy at liquid nitrogen and room temperatures, and stored at room temperature. The odour, flavor, and colour of the samples were evaluated subjectively immediately after irradiation and after storage. Radiation-sterilization dose for each sample was determined using the method BI set out by the AAMI based on bioburden information. The effect of dissolving in boiling water on the bioburden of the samples was also determined. The results showed that dissolving in boiling water could eliminate only a small portion of the bioburden. Irradiation caused significant changes on the colour, flavour and odour of the samples, especially when irradiation was done at room temperature. In general, irradiation conducted at liquid nitrogen temperature could reduce the negative changes to acceptable levels. Sterilization doses for SAL of 10 -3 were found to be 23.1 kGy for sea, 18.1 kGy for coffee (Kapal api), 19.9 kGy for milk powder (Dancow), 15.8 kGy for cacao powder (van Houten), 26.2 kGy for pepper, 19.7 kGy for sugar, 12.8 kGy for coffee (Torabica Duo), 11.7 kGy for nutrisari, 12.2 kGy for soy sauce and 11.2 kGy for Tropicana Slim. (author) 8 refs, 7 tabs

  1. Radiosterilization or sterilization by steam. Procedures for sterilization of spices

    International Nuclear Information System (INIS)

    Warmbold, J.

    1994-01-01

    The article compares two different methods for the sterilization of spices, namely radiosterilization and sterilization with steam. The first method applies ionizing radiation which can alter the chemical composition of the products. Tests have shown, however, that radiation doses up to 10 kGy will not induce the formation of carcinogenic agents in the foodstuffs, or of toxic substances, and thus are a wholesome method of preservation. Any modifications of taste, color or smell, or loss of vitamins, can be avoided by proper dose control and standard irradiation conditions. Sterilization by steam is a method achieving substantial suppression of the formation of germs, aerobic spores, yeasts, mould, and gramnegative germs, while preserving in most cases the essential oils. It may result in sensoric alterations, i.e affect the color, smell or taste, but in general the spices thus treated preserved their characteristic properties. The method is a good alternative to radiosterilization. The article adds some concluding information on mandatory labelling of irradiated food imported from third countries

  2. Risk assessment of cooking utensils role of the bacterial contamination in the hospital kitchen

    Directory of Open Access Journals (Sweden)

    Monireh Majlesi Nasr

    2014-08-01

    Full Text Available Background: Food contact surfaces are a major concern for food services facilities in controlling the spread of food borne pathogens. This study was aimed to investigate roles of food utensils in transmission of the most important bacteria associated with nosocomial infections and hospital food borne diseases in one hospital in Tehran. Materials and methods: During the three independent sampling processes, samples of common used utensils were analyzed for bacterial contamination. Through a sterile swab the samples were collected in sterile tubes and after transferring, were immediately subjected to culture on gram negative specific and general media for bacteria. Total bacterial counts of each sample were determined and their characterizations were performed by biochemical diagnostic tests according to standards methods. Results: Among the studied cooking utensils’ and food samples, the most contaminated samples were determined as samples from board and blender as 38% and 35%, respectively. The most bacteria isolated from these samples were related to species of Enterobacteriaceae, Staphylococcus aureus, Klebsiella pneumoniae and Bacillus species that were similar to the isolates from studied food samples. Conclusion: Results of this study, in addition to high contamination rates of medical foods and utensils in their contact showed that there are significant weaknesses in proper cooking and utensils hygiene conditions in preparation and distribution of medical food in the studied hospital’s samples.

  3. [Legal statutes on sterilization].

    Science.gov (United States)

    Zupancic, K

    1980-01-01

    Sterilization in Yugoslavia is no population policy measure. Decision about the birth of children is free, a private problem of any individual, a basic right guaranteed by the Constitution. However, according to certain laws in Slovenia and Croatia, sterilization is allowed as a family planning method in persons over 35 year old. Only exceptionally can sterilization be applied in persons younger than 35 years: according to the Slovenian law, in cases when a person lacks the capacity of reasoning and also when there are medical indications, and according to the Croatian law, when there are medical and eugenic reasons (if the child is supposed to be born with negative congenital properties).

  4. Electron sterilization validation techniques using the controlled depth of sterilization process

    International Nuclear Information System (INIS)

    Cleghorn, D.A.; Nablo, S.V.

    1990-01-01

    Many pharmaceutical products, especially parenteral drugs, cannot be sterilized with gamma rays or high energy electrons due to the concomitant product degradation. In view of the well-controlled electron energy spectrum available in modern electron processors, it is practical to deliver sterilizing doses over depths considerably less than those defining the thickness of blister-pack constructions or pharmaceutical containers. Because bremsstrahlung and X-ray production are minimized at these low electron energies and in these low Z materials, very high electron: penetrating X-ray dose ratios are possible for the application of the technique. Thin film dosimetric techniques have been developed utilizing radiochromic film in the 10-60 g/m 2 range for determining the surface dose distribution in occluded surface areas where direct electron illumination is not possible. Procedures for validation of the process using dried spore inoculum on the product as well as in good geometry are employed to determine the process lethality and its dependence on product surface geometry. Applications of the process to labile pharmaceuticals in glass and polystyrene syringes are reviewed. It has been applied to the sterilization of commercial sterile products since 1987, and the advantages and the natural limitations of the technique are discussed. (author)

  5. [Comprehensive study on the prevention of food poisoning through the investigation of an affected hospital food service facility].

    Science.gov (United States)

    Kubota, Satoshi; Kawai, Hiromi

    2015-01-01

    In Japan, more than 20,000 people suffer from various types of food poisoning annually. In this paper, we discuss the prevention of food poisoning in hospital food service facilities from the perspective of hygiene management and organizational behavior. We inspected the kitchen environment and the meal preparation process in a hospital food service facility in Japan that had been the site of a food poisoning incident. To clarify the present state of hygiene management, interviews were conducted with both the head of the nutrition and food service section and the administrative manager. In addition, questionnaires were distributed to the food service staff to assess their level of satisfaction with the working environment. The facility had been built about 10 years previously and was well maintained. Meal preparations were performed according to the operation manual, and education and training for the food service staff were carried out daily. No problems were evident regarding hygiene management. However, concerning organizational behavior, the satisfaction level of the staff was found to be relatively low, which may have led to a reduction in their organizational commitment and a decrease in their performance. To aid in the prevention of food poisoning incidents in hospital food service facilities, it is essential not only to conduct standard hygiene management and training, but also to consider the organizational behavior of the food service staff.

  6. [STRATEGY OF USE AND MAINTENANCE OF CLINICAL HOSPITAL CENTER RIJEKA IN ACCORDANCE WITH KEY PERFORMANCE INDICATORS FOR STRATEGIC HEALTHCARE FACILITIES MAINTENANCE].

    Science.gov (United States)

    Sjekavica, Mariela; Haller, Herman; Cerić, Anita

    2015-01-01

    Building usage is the phase in the building life cycle that is most time-consuming, most functional, most significant due to building purpose and often systematically ignored. Maintenance is the set of activities that ensure the planned duration of facility exploitation phase in accordance with the requirements for quality maintenance of a large number of important building features as well as other elements immanent to the nature of facilities' life. The aim of the study is to show the analysis of the current state of organized, planned and comprehensive managerial approach in hospital utilization and maintenance in the Republic of Croatia, given on the case study of Clinical hospital center in Rijeka. The methodology used consists of relevant literature section of theory of facility utilization, maintenance and management in general, hospital buildings especially, display of practice on case study, and comparison of key performance indicators values obtained through interview with those that author Igal M. Shohet defined in his study by field surveys and statistical analyses. Despite many positive indicators of Clinical hospital center Rijeka maintenance, an additional research is needed in order to define a more complete national hospital maintenance strategy.

  7. Male sterility in chestnuts

    International Nuclear Information System (INIS)

    Omura, Mitsuo; Akihama, Tomoya

    1982-01-01

    A tentative plan was proposed for chestnuts based on their pollination system, male sterility and restoration. The studies on the male sterility of 1,063 cultivars and clones suggested that there were three types of male sterility. The first type (S-1) was characterized by antherless florets. In the second type (S-2), the catkins fell before anthesis, and the third type (S-3) appeared to develop normally in gross floral morphology, but the pollen grains were abnormal in shape and did not have germinating power. In an interspecific hybrid clone CS which belonged to S-1, fertility was restored in an open pollinated progeny. The use of CS and CSO-3 with its restored fertility, permitted the planning of breeding the chestnut hybrid cultivars propagated by seeds. The inbred clones with either male sterility or restorer genes are first bred mainly by back crossing with parents with favorable pollen. The clones are selected individually for early bearing, wasp and disease resistance, and restoration. Then, the hybrid seedling lines between male sterile and restorer inbreds are evaluated for homogenity in nut characters and tree habits. Next, the hybrid seedling lines selected will be examined for crop yield, vigor and cross compatibility. The superior seedling lines are finally selected, and the parental inbreds are grafted to be propagated for seed production orchards. (Kaihara, S.)

  8. Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties.

    Science.gov (United States)

    Marres, Geertruid; Bemelman, Michael; van der Eijk, John; Leenen, Luke

    2009-06-01

    Preparation is essential to cope with the challenge of providing optimal care when there is a sudden, unexpected surge of casualties due to a disaster or major incident. By definition, the requirements of such cases exceed the standard care facilities of hospitals in qualitative or quantitative respects and interfere with the care of regular patients. To meet the growing demands to be prepared for disasters, a permanent facility to provide structured, prepared relief in such situations was developed. A permanent but reserved Major Incident Hospital (MIH) has been developed through cooperation between a large academic medical institution, a trauma center, a military hospital, and the National Poison Information Centre (NVIC). The infrastructure, organization, support systems, training and systematic working methods of the MIH are designed to create order in a chaotic, unexpected situation and to optimize care and logistics in any possible scenario. Focus points are: patient flow and triage, registration, communication, evaluation and training. Research and the literature are used to identify characteristic pitfalls due to the chaos associated with and the unexpected nature of disasters, and to adapt our organization. At the MIH, the exceptional has become the core business, and preparation for disaster and large-scale emergency care is a daily occupation. An Emergency Response Protocol enables admittance to the normally dormant hospital of up to 100 (in exceptional cases even 300) patients after a start-up time of only 15 min. The Patient Barcode Registration System (PBR) with EAN codes guarantees quick and adequate registration of patient data in order to facilitate good medical coordination and follow-up during a major incident. The fact that the hospital is strictly reserved for this type of care guarantees availability and minimizes impact on normal care. When it is not being used during a major incident, there is time to address training and research

  9. Gamma sterilization of disposable medical products (DMP's)

    International Nuclear Information System (INIS)

    Brinston, R.M.

    1990-01-01

    Ten million cubic meters (361 million cubic feet) of disposable medical products (DMP) and related health care items are estimated to be sterilized in the world. In this paper, current conditions and perspectives of gamma sterilization is discussed in comparison with ethylene oxide gas and electron beams. Of the total sterilization estimates for DMP, 2.8 million cubic meters (99 million cubic feet) are sterilized with gamma radiation, with a market share of 27%. Gamma radiation is becoming increased from both general market growth and the introduction of new products, as well as the conversion of product from ethylene oxide gas to cobalt-60. Regulatory pressures, legal considerations, and increasing publicity surrounding ethylene oxide usage are encouraging manufactures to switch to gamma radiation. Gamma's performance features include: no temperature change during the sterilization, high penetration, even through hermetically sealed packages, no residues, and no post-sterilization treatment or quarantine period. Gamma sterilization is economically beneficial in large volumes of product. Cost saving to the end user of gamma sterilization has meant lower minimum dose levels than 25 KGy. Despite of an increasingly accepted gamma radiation, there are still four factors to be considered, including cobalt-60 availability, price, transportation, and disposal. The price of cobalt-60 is based on neutron cost. In the future, cobalt-60 price is expected to be flat and enables gamma processing to become even more competitive with other sterilization methods. Gamma radiation using cobalt-60 has been proven as a safe, effective, and cost-competitive sterilization method for treating DMP and related health care items. It's wide use and many processing advantages will continue to make it a preferred sterilization method. (N.K.)

  10. Probabilistic model for sterilization of food

    International Nuclear Information System (INIS)

    Chepurko, V.V.; Malinovskij, O.V.

    1986-01-01

    The probabilistic model for radiation sterilization is proposed based on the followng suppositions: (1) initial contamination of a volume unit of the sterilized product m is described by the distribution of the probabilities q(m), (2) inactivation of the population from m of microorganisms is approximated by Bernoulli test scheme, and (3) contamination of unit of the sterilized product is independent. The possibility of approximation q(m) by Poisson distribution is demonstrated. The diagrams are presented permitting to evaluate the dose which provides the defined reliability of sterilization of food for chicken-gnotobionts

  11. Inactivation of animal and human prions by hydrogen peroxide gas plasma sterilization.

    Science.gov (United States)

    Rogez-Kreuz, C; Yousfi, R; Soufflet, C; Quadrio, I; Yan, Z-X; Huyot, V; Aubenque, C; Destrez, P; Roth, K; Roberts, C; Favero, M; Clayette, P

    2009-08-01

    Prions cause various transmissible spongiform encephalopathies. They are highly resistant to the chemical and physical decontamination and sterilization procedures routinely used in healthcare facilities. The decontamination procedures recommended for the inactivation of prions are often incompatible with the materials used in medical devices. In this study, we evaluated the use of low-temperature hydrogen peroxide gas plasma sterilization systems and other instrument-processing procedures for inactivating human and animal prions. We provide new data concerning the efficacy of hydrogen peroxide against prions from in vitro or in vivo tests, focusing on the following: the efficiency of hydrogen peroxide sterilization and possible interactions with enzymatic or alkaline detergents, differences in the efficiency of this treatment against different prion strains, and the influence of contaminating lipids. We found that gaseous hydrogen peroxide decreased the infectivity of prions and/or the level of the protease-resistant form of the prion protein on different surface materials. However, the efficiency of this treatment depended strongly on the concentration of hydrogen peroxide and the delivery system used in medical devices, because these effects were more pronounced for the new generation of Sterrad technology. The Sterrad NX sterilizer is 100% efficient (0% transmission and no protease-resistant form of the prion protein signal detected on the surface of the material for the mouse-adapted bovine spongiform encephalopathy 6PB1 strain and a variant Creutzfeldt-Jakob disease strain). Thus, gaseous or vaporized hydrogen peroxide efficiently inactivates prions on the surfaces of medical devices.

  12. Voluntary sterilization in Serbia: Unmet need?

    Directory of Open Access Journals (Sweden)

    Rašević Mirjana M.

    2002-01-01

    Full Text Available Is voluntary sterilization as a birth control method accepted in Serbia? This is certainly a question that is being imposed for research, regardless of the fact that voluntary sterilization is neither accessible nor promoted. Most importantly because there is no understanding in the social nor political sphere for legalization of voluntary sterilization as a form of birth control, apart from the clear necessity for this, first, step. They are: the recognition that voluntary sterilization is an efficient and safe birth control method, respectability of basic human as well as sexual and reproductive rights, spreading of sterilization as a form of birth control among population of both developed and developing countries and an epidemic diffusion of repeated induced abortions in Serbia. Thus individual recognition of the advantages of relying on voluntary sterilization, in a non-encouraging atmosphere, certainly represents one more argument to enable couples to prevent conception by sterilization. Since it was impossible to carry out a representative research among the population of men and women who are at risk for conception, an attempt was made to obtain a reply to the set question among women who decided to induce abortion. It was done out of at least two reasons. The first being that women with induced abortion in their reproductive history were the target group for voluntary sterilization. The second reason was based on the assumption that bringing a decision on induced abortion is preceded by the reconsideration of an earlier adopted strategy regarding children, giving birth and contraception and thus its rational component is revealed more and therefore more easily measurable. The research was carried out in the University Clinic of Obstetrics and Gynecology 'Narodni front' in Belgrade from January 21st o March 1st 2002, and included 296 women. By comparing the social and demographic characteristics of the female respondents, as well as

  13. Forced sterilization of women as discrimination.

    Science.gov (United States)

    Patel, Priti

    2017-01-01

    There has been a long history of subjecting marginalized women to forced and coerced sterilization. In recent years, the practice has been documented in countries in North and South America, Europe, Asia, and Africa. It has targeted women who are ethnic and racial minorities, women with disabilities, women living with HIV, and poor women. A handful of courts have issued decisions on the recent forced sterilization of marginalized women finding that such actions violate the women's rights. However, they have all failed to address the women's claims of discrimination. The failure to acknowledge that forced sterilization is at its core a violation of the prohibition of discrimination undermines efforts to eradicate the practice. It further fails to recognize that coerced and forced sterilization fundamentally seeks to deny women deemed as "unworthy" the ability to procreate. Four key principles outlined in the human rights in patient care framework highlight the importance of a finding that the prohibition of discrimination was violated in cases of forced sterilization: the need to highlight the vulnerability of marginalized populations to discrimination in health care settings; the importance of the rights of medical providers; the role of the state in addressing systemic human rights violations in health care settings; and the application of human rights to patient care. Based on these principles, it is clear that finding a violation of the prohibition of discrimination in forced sterilization cases is critical in addressing the systemic nature of the practice, acknowledging the marginalization of specific groups and effectively ending forced sterilization through addressing the underlying purpose of the practice. If litigators, non-governmental organizations and judicial officers are mindful of these principles when dealing with cases of forced sterilization, it is likely that they will be better able to eradicate forced sterilization.

  14. RAF-5074: Enhancing Capacity for Detection, Surveillance and Suppression of Exotic and Established Fruit Fly Species through Integration of Sterile Insect Technique with Other Suppression Methods

    International Nuclear Information System (INIS)

    Musyoki, M.; Kasina, M.

    2017-01-01

    Fruit flies (Family Tephritidae) is one of the most destructive and economically challenging pest insect of fruits and vegetables. It is responsible for loss of export markets and poor farm gate prices of fruits and vegetables. Fruit flies are insects (Diptera) and undergoes complete metamorphosis: eggs- larva- pupa- adult. Only larva (maggots) are extremely damaging and the Adults in addition cause economic injury through stippling. The purpose of this project is to build capacity of African countries in the management of fruit flies using area wide approach and incorporating sterile insect technique (SIT ). sterile insect technique is a method that uses sterile insects (males) to flood them in the wild, and by so doing they mate with wild fertile individuals, resulting to no progeny. KALRO looking forward to develop mass rearing facility for fruit flies and SIT facility

  15. Sterility induction in tsetse

    Energy Technology Data Exchange (ETDEWEB)

    Curtis, C F [London School of Hygiene and Tropical Medicine (UK); Langley, P A [Bristol Univ. (UK)

    1982-01-01

    The first laboratory and field experiments on genetic control were with tsetse flies, and they made use of the sterility in crosses and hybrids between closely related species of the Glossina morsitans complex. Backcrosses indicate that there are two separate sterility mechanisms involved: (a) genetic incompatibility between a mother and the products of alien genes in the embryo or larva in the uterus; (b) inability of hybrid males to inseminate due to incompatibility of their X-chromosomes with an alien Y or autosomes. The two largest sterile male release programmes have been in Tanzania and Upper Volta, and have used irradiation at the pupal or adult stage, respectively, for the production of sterility. Male tsetse are remarkably resistant to radiosterilization and, with the doses required to induce dominant lethals in more than 95% of sperms, premature senescence and lethargic behaviour of the males tends to result. With G. morsitans irradiated at the puparial stage these effects can be alleviated by the use of a nitrogen atmosphere during irradiation. If the puparia are then transferred to air at 11/sup 0/C for transport to the release site, immediate emergence occurs on re-warming after arrival. This advantageous procedure was used for the releases in Tanzania. In addition to dominant lethals, irradiation also produces chromosome translocations which cause inherited partial sterility. A homozygous translocation line was selected but this example did not have sufficient fitness to be used in a mass rearing programme. Chemosterilants can be applied by pupal dipping, adult contact with deposits or in aerosols. Studies are now in progress on their use in association with odour-baited traps or pheromone-baited decoys as a means of sterilizing the wild population and thus avoiding the costly and difficult process of mass rearing tsetse.

  16. Modular ionizing sterilizer (MIS)

    International Nuclear Information System (INIS)

    Freijo, Jose L.

    1999-01-01

    A transportable device designed to sterilize medical material and wastes by gamma irradiation is described. The sterilizer is formed by three modules: one of the modules contains the gamma source and can be removed to transport and transfer the source, the other modules are designed to introduce and draw out the materials to be irradiated

  17. The Aged Residential Care Healthcare Utilization Study (ARCHUS): a multidisciplinary, cluster randomized controlled trial designed to reduce acute avoidable hospitalizations from long-term care facilities.

    Science.gov (United States)

    Connolly, Martin J; Boyd, Michal; Broad, Joanna B; Kerse, Ngaire; Lumley, Thomas; Whitehead, Noeline; Foster, Susan

    2015-01-01

    To assess effect of a complex, multidisciplinary intervention aimed at reducing avoidable acute hospitalization of residents of residential aged care (RAC) facilities. Cluster randomized controlled trial. RAC facilities with higher than expected hospitalizations in Auckland, New Zealand, were recruited and randomized to intervention or control. A total of 1998 residents of 18 intervention facilities and 18 control facilities. A facility-based complex intervention of 9 months' duration. The intervention comprised gerontology nurse specialist (GNS)-led staff education, facility bench-marking, GNS resident review, and multidisciplinary (geriatrician, primary-care physician, pharmacist, GNS, and facility nurse) discussion of residents selected using standard criteria. Primary end point was avoidable hospitalizations. Secondary end points were all acute admissions, mortality, and acute bed-days. Follow-up was for a total of 14 months. The intervention did not affect main study end points: number of acute avoidable hospital admissions (RR 1.07; 95% CI 0.85-1.36; P = .59) or mortality (RR 1.11; 95% CI 0.76-1.61; P = .62). This multidisciplinary intervention, packaging selected case review, and staff education had no overall impact on acute hospital admissions or mortality. This may have considerable implications for resourcing in the acute and RAC sectors in the face of population aging. Australian and New Zealand Clinical Trials Registry (ACTRN12611000187943). Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  18. Sterile mutant of Verbena hybrida induced by heavy ion beam irradiation and wild species V. peruviana exhibit self-incompatible phenotype

    International Nuclear Information System (INIS)

    Saito, H.; Hayashi, Y.; Abe, T.; Kanaya, T.; Suzuki, K.

    2005-01-01

    Full text: Garden verbenas (Verbena hybrida) belonging to the Verbenaceae family are originated from interspecific hybridization among several species, many cultivars frequently produce seeds. Recently, a sterile mutant has been isolated in the verbena cultivar 'Coral Pink' of Temari series (Suntory Flowers Ltd., Tokyo, Japan) by mutation induction using heavy-ion beams at RIKEN Accelarator Research Facility (RARF, Saitama, Japan). We investigated pollen and ovule fertility assessed by acetocarmin staining, seed-set following controlled-pollination tests and behavior of pollen tubes in pistils with the sterile mutant of 'Coral Pink' (SC) and its original fertile one (FC). As the results, although SC has functional male and female gametes, few self-pollinated flowers carry out seed-set, leading to sterile phenotype. Additionally, the sterile mechanism of SC was compared with the wild species V. peruviana (VP) which is one of origin of Temari series and exhibits sterility. Interestingly, similar phenotype was observed in PV. We further investigated, therefore, whether there are differences on self-incompatible reaction between SC and VP. (author)

  19. Sterile mutant of Verbena hybrida induced by heavy ion beam irradiation and wild species V. peruviana exhibit self-incompatible phenotype

    Energy Technology Data Exchange (ETDEWEB)

    Saito, H; Hayashi, Y; Abe, T [RIKEN, Wako (Japan); Kanaya, T; Suzuki, K [Suntory Flowers Ltd., Higashiomi (Japan)

    2005-07-01

    Full text: Garden verbenas (Verbena hybrida) belonging to the Verbenaceae family are originated from interspecific hybridization among several species, many cultivars frequently produce seeds. Recently, a sterile mutant has been isolated in the verbena cultivar 'Coral Pink' of Temari series (Suntory Flowers Ltd., Tokyo, Japan) by mutation induction using heavy-ion beams at RIKEN Accelarator Research Facility (RARF, Saitama, Japan). We investigated pollen and ovule fertility assessed by acetocarmin staining, seed-set following controlled-pollination tests and behavior of pollen tubes in pistils with the sterile mutant of 'Coral Pink' (SC) and its original fertile one (FC). As the results, although SC has functional male and female gametes, few self-pollinated flowers carry out seed-set, leading to sterile phenotype. Additionally, the sterile mechanism of SC was compared with the wild species V. peruviana (VP) which is one of origin of Temari series and exhibits sterility. Interestingly, similar phenotype was observed in PV. We further investigated, therefore, whether there are differences on self-incompatible reaction between SC and VP. (author)

  20. Proton Radiation Therapy in the Hospital Environment: Conception, Development, and Operation of the Initial Hospital-Based Facility

    Science.gov (United States)

    Slater, James M.; Slater, Jerry D.; Wroe, Andrew J.

    The world's first hospital-based proton treatment center opened at Loma Linda University Medical Center in 1990, following two decades of development. Patients' needs were the driving force behind its conception, development, and execution; the primary needs were delivery of effective conformal doses of ionizing radiation and avoidance of normal tissue to the maximum extent possible. The facility includes a proton synchrotron and delivery system developed in collaboration with physicists and engineers at Fermi National Accelerator Laboratory and from other high-energy-physics laboratories worldwide. The system, operated and maintained by Loma Linda personnel, was designed to be safe, reliable, flexible in utilization, efficient in use, and upgradeable to meet demands of changing patient needs and advances in technology. Since the facility opened, nearly 14,000 adults and children have been treated for a wide range of cancers and other diseases. Ongoing research is expanding the applications of proton therapy, while reducing costs.

  1. Hysteroscopic sterilization using a virtual reality simulator: assessment of learning curve.

    Science.gov (United States)

    Janse, Juliënne A; Goedegebuure, Ruben S A; Veersema, Sebastiaan; Broekmans, Frank J M; Schreuder, Henk W R

    2013-01-01

    To assess the learning curve using a virtual reality simulator for hysteroscopic sterilization with the Essure method. Prospective multicenter study (Canadian Task Force classification II-2). University and teaching hospital in the Netherlands. Thirty novices (medical students) and five experts (gynecologists who had performed >150 Essure sterilization procedures). All participants performed nine repetitions of bilateral Essure placement on the simulator. Novices returned after 2 weeks and performed a second series of five repetitions to assess retention of skills. Structured observations on performance using the Global Rating Scale and parameters derived from the simulator provided measurements for analysis. The learning curve is represented by improvement per procedure. Two-way repeated-measures analysis of variance was used to analyze learning curves. Effect size (ES) was calculated to express the practical significance of the results (ES ≥ 0.50 indicates a large learning effect). For all parameters, significant improvements were found in novice performance within nine repetitions. Large learning effects were established for six of eight parameters (p learning curve established in this study endorses future implementation of the simulator in curricula on hysteroscopic skill acquisition for clinicians who are interested in learning this sterilization technique. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

  2. Dynamic sterilization of titanium implants with ultraviolet light

    International Nuclear Information System (INIS)

    Singh, S.; Schaaf, N.G.

    1989-01-01

    All implantable devices must be sterile. However, autoclaves produce poor surface properties that jeopardize the integration process. The application of a modified ultraviolet light source has proven to enhance bioreactivity by controlling surface properties, but it lacks validation of its sterilization capabilities. Forty-eight titanium implants were contaminated with spores of the biological indicator Bacillus stearothermophilus and subjected to dynamic sterilization by ultraviolet light. Forty-seven of the implants were successfully sterilized, as indicated by not producing turbidity in a suitable growth medium. This sterilization technique only requires a 20-second exposure to achieve sterility

  3. Sterile neutrino dark matter with supersymmetry

    Science.gov (United States)

    Shakya, Bibhushan; Wells, James D.

    2017-08-01

    Sterile neutrino dark matter, a popular alternative to the WIMP paradigm, has generally been studied in non-supersymmetric setups. If the underlying theory is supersymmetric, we find that several interesting and novel dark matter features can arise. In particular, in scenarios of freeze-in production of sterile neutrino dark matter, its superpartner, the sterile sneutrino, can play a crucial role in early Universe cosmology as the dominant source of cold, warm, or hot dark matter, or of a subdominant relativistic population of sterile neutrinos that can contribute to the effective number of relativistic degrees of freedom Neff during big bang nucleosynthesis.

  4. Unexplained Variation for Hospitals' Use of Inpatient Rehabilitation and Skilled Nursing Facilities After an Acute Ischemic Stroke.

    Science.gov (United States)

    Xian, Ying; Thomas, Laine; Liang, Li; Federspiel, Jerome J; Webb, Laura E; Bushnell, Cheryl D; Duncan, Pamela W; Schwamm, Lee H; Stein, Joel; Fonarow, Gregg C; Hoenig, Helen; Montalvo, Cris; George, Mary G; Lutz, Barbara J; Peterson, Eric D; Bettger, Janet Prvu

    2017-10-01

    Rehabilitation is recommended after a stroke to enhance recovery and improve outcomes, but hospital's use of inpatient rehabilitation facilities (IRFs) or skilled nursing facility (SNF) and the factors associated with referral are unknown. We analyzed clinical registry and claims data for 31 775 Medicare beneficiaries presenting with acute ischemic stroke from 918 Get With The Guidelines-Stroke hospitals who were discharged to either IRF or SNF between 2006 and 2008. Using a multilevel logistic regression model, we evaluated patient and hospital characteristics, as well as geographic availability, in relation to discharge to either IRF or SNF. After accounting for observed factors, the median odds ratio was reported to quantify hospital-level variation in the use of IRF versus SNF. Of 31 775 patients, 17 662 (55.6%) were discharged to IRF and 14 113 (44.4%) were discharged to SNF. Compared with SNF patients, IRF patients were younger, more were men, had less health-service use 6 months prestroke, and had fewer comorbid conditions and in-hospital complications. Use of IRF or SNF varied significantly across hospitals (median IRF use, 55.8%; interquartile range, 34.8%-75.0%; unadjusted median odds ratio, 2.59; 95% confidence interval, 2.44-2.77). Hospital-level variation in discharge rates to IRF or SNF persisted after adjustment for patient, clinical, and geographic variables (adjusted median odds ratio, 2.87; 95% confidence interval, 2.68-3.11). There is marked unexplained variation among hospitals in their use of IRF versus SNF poststroke even after accounting for clinical characteristics and geographic availability. URL: https://clinicaltrials.gov. Unique identifier: NCT02284165. © 2017 American Heart Association, Inc.

  5. Genetic complexity underlying hybrid male sterility in Drosophila.

    Science.gov (United States)

    Sawamura, Kyoichi; Roote, John; Wu, Chung-I; Yamamoto, Masa-Toshi

    2004-02-01

    Recent genetic analyses of closely related species of Drosophila have indicated that hybrid male sterility is the consequence of highly complex synergistic effects among multiple genes, both conspecific and heterospecific. On the contrary, much evidence suggests the presence of major genes causing hybrid female sterility and inviability in the less-related species, D. melanogaster and D. simulans. Does this contrast reflect the genetic distance between species? Or, generally, is the genetic basis of hybrid male sterility more complex than that of hybrid female sterility and inviability? To clarify this point, the D. simulans introgression of the cytological region 34D-36A to the D. melanogaster genome, which causes recessive male sterility, was dissected by recombination, deficiency, and complementation mapping. The 450-kb region between two genes, Suppressor of Hairless and snail, exhibited a strong effect on the sterility. Males are (semi-)sterile if this region of the introgression is made homozygous or hemizygous. But no genes in the region singly cause the sterility; this region has at least two genes, which in combination result in male sterility. Further, the males are less fertile when heterozygous with a larger introgression, which suggests that dominant modifiers enhance the effects of recessive genes of male sterility. Such an epistatic view, even in the less-related species, suggests that the genetic complexity is special to hybrid male sterility.

  6. Inheritance of sterility in Dysdercus koenigii F. (Hemiptera: Pyrrhocoridae)

    International Nuclear Information System (INIS)

    Harwalkar, M.R.; Rahalkar, G.W.

    1979-01-01

    It has been suggested that for the control of Lepidopterous populations, release of fully competitive partially sterile males would be more advantageous than the release of completely sterile males. This suggestion is based on the fact, elucidated in many studies, that partially sterilized males mated to normal females produce totally sterile or partially sterile progeny. In Hemiptera too, F 1 progeny of partially sterile males has been shown to inherit sterility. Individual impact of sterility inherited by either sex of the F 1 progeny on population growth has been studied in an hemipteran insect Dysdercus koenigii. A dose of 7 krad induces near-complete sterility in males. When males irradiated with substerilizing doses of 1,2 and 3 krad were crossed with normal females, F 1 progeny of both sexes was partially sterile : the female being more sterile than the males. When the F 1 progeny was intercrossed, there was enhanced reduction in progeny production. (auth.)

  7. Committee Opinion No. 726 Summary: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care.

    Science.gov (United States)

    2017-12-01

    Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births, and low-birth-weight infants among pregnant women. The potential surge in maternal and neonatal patient volume due to mass-casualty events, transfer of high-acuity patients, or redirection of patients because of geographic barriers presents unique challenges for obstetric care facilities. These circumstances require that facilities plan for additional increases in necessary resources and staffing. Although emergencies may be unexpected, hospitals and obstetric delivery units can prepare to implement plans that will best serve maternal and pediatric care needs when disasters occur. Clear designation of levels of maternal and neonatal care facilities, along with establishment of a regional network incorporating hospitals that provide maternity services and those that do not, will enable rapid transport of obstetric patients to the appropriate facilities, ensuring the right care at the right time. Using common terminology for triage and transfer and advanced knowledge of regionalization and levels of care will facilitate disaster preparedness.

  8. Electrolytic silver ion cell sterilizes water supply

    Science.gov (United States)

    Albright, C. F.; Gillerman, J. B.

    1968-01-01

    Electrolytic water sterilizer controls microbial contamination in manned spacecraft. Individual sterilizer cells are self-contained and require no external power or control. The sterilizer generates silver ions which do not impart an unpleasant taste to water.

  9. Evaluation of Influencing Factors on Tubal Sterilization Regret: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Shahideh Jahanian Sadatmahalleh

    2018-06-01

    Full Text Available Background The aim of this study is to evaluate the menstrual pattern, sexual function, and anxiety, and depression in women with poststerilization regret, and potential influencing factors for regret following tubal ligation (TL in Iranian women. Materials and Methods In this cross-sectional study, 166 women with TL were subdivided into two groups including women with poststerilization regret (n=41 and women without poststerilization regret (n=125. They were selected from a health care center in Guilan province (Iran during 2015-2016. Menstrual blood loss was measured using the Pictorial Blood Loss Assessment Chart (PBLAC and through a self-administered questionnaire. In addition, sexual function was assessed by the Female Sexual Function Index (FSFI, and psychological distress was measured by employing the Hospital Anxiety and Depression Scale (HADS. Student’s t test and Chi-square test were used to reveal the statistical differences between the two groups. We used logistic regression to determine the influencing factors associated with regretting sterilization. Results Women with poststerilization regret had more menorrhagia (78 vs. 57.6%, P=0.03 than those who did not regret sterilization. A significant difference was found in sexual dysfunction in orgasm (P=0.02, satisfaction (P=0.004, pain (P=0.02, and total FSFI scores (P=0.007 between the two groups. Also, there was a significant difference between the two groups in anxiety, depression and total scores HADS (P=0.01. In the logistic regression model, age of sterilization [odds ratio (OR=2.67, confidence interval (CI: 1.03-7.81, P=0.04], pre-sterilization counseling (OR=19.92, CI: 6.61-59.99, P<0.001, score of PBLAC (OR=1.01, CI: 1.004-1.01, P=0.001, the number of days of bleeding (OR=1.37, CI: 1.01-1.99, P=0.04, and the length of menstrual cycles (OR=0.91, CI: 0.84-0.99, P=0.03 were significantly associated with regretting sterilization. Conclusion Complications due to sterilization are

  10. Development of quality control procedures for mass produced and released Bactrocera Philippinensis (Diptera: Tephritidae) for sterile insect technique programs

    International Nuclear Information System (INIS)

    Resilva, S.; Obra, G.; Zamora, N.; Gaitan, E.

    2007-01-01

    Quality control procedures for Bactrocera philippinensis Drew and Hancock 1994 (Diptera: Tephritidae) used in sterile insect technique (SIT) programs were established in the mass rearing facility at the Philippine Nuclear Research Institute. Basic studies on pupal irradiation, holding/packaging systems, shipping procedures, longevity, sterility studies, and pupal eye color determination in relation to physiological development at different temperature regimes were investigated. These studies will provide baseline data for the development of quality control protocols for an expansion of B. philippinensis field programs with an SIT component in the future. (author) [es

  11. Genomic networks of hybrid sterility.

    Science.gov (United States)

    Turner, Leslie M; White, Michael A; Tautz, Diethard; Payseur, Bret A

    2014-02-01

    Hybrid dysfunction, a common feature of reproductive barriers between species, is often caused by negative epistasis between loci ("Dobzhansky-Muller incompatibilities"). The nature and complexity of hybrid incompatibilities remain poorly understood because identifying interacting loci that affect complex phenotypes is difficult. With subspecies in the early stages of speciation, an array of genetic tools, and detailed knowledge of reproductive biology, house mice (Mus musculus) provide a model system for dissecting hybrid incompatibilities. Male hybrids between M. musculus subspecies often show reduced fertility. Previous studies identified loci and several X chromosome-autosome interactions that contribute to sterility. To characterize the genetic basis of hybrid sterility in detail, we used a systems genetics approach, integrating mapping of gene expression traits with sterility phenotypes and QTL. We measured genome-wide testis expression in 305 male F2s from a cross between wild-derived inbred strains of M. musculus musculus and M. m. domesticus. We identified several thousand cis- and trans-acting QTL contributing to expression variation (eQTL). Many trans eQTL cluster into eleven 'hotspots,' seven of which co-localize with QTL for sterility phenotypes identified in the cross. The number and clustering of trans eQTL-but not cis eQTL-were substantially lower when mapping was restricted to a 'fertile' subset of mice, providing evidence that trans eQTL hotspots are related to sterility. Functional annotation of transcripts with eQTL provides insights into the biological processes disrupted by sterility loci and guides prioritization of candidate genes. Using a conditional mapping approach, we identified eQTL dependent on interactions between loci, revealing a complex system of epistasis. Our results illuminate established patterns, including the role of the X chromosome in hybrid sterility. The integrated mapping approach we employed is applicable in a broad

  12. Planning of Eka Hospital Pekanbaru wastewater recycling facility

    Science.gov (United States)

    Jecky, A.; Andrio, D.; Sasmita, A.

    2018-04-01

    The Ministry of Public Works No. 06 2011 required the large scale of water to conserve the water resource, Eka Hospital Pekanbaru have to improve the sewage treatment plant through the wastewater recycling. The effluent from the plant can be used to landscape gardening and non-potable activities. The wastewater recycling design was done by analyzing the existing condition of thesewage treatment plant, determine the effluent quality standards for wastewater recycling, selected of alternative technology and processing, design the treatment unit and analyze the economic aspects. The design of recycling facility by using of combination cartridge filters processing, ultrafiltration membranes, and desinfection by chlorination. The wastewater recycling capacity approximately of 75 m3/day or 75% of the STP effluent. The estimated costs for installation of wastewater recycling and operation and maintenance per month are Rp 111,708,000 and Rp 2,498,000 respectively.

  13. A clinical trial on the treatment of burns in children at the University Teaching Hospital using amniotic membrane sterilized by gamma radiation (July to December 1994)

    International Nuclear Information System (INIS)

    Katebe, K.R.C.

    1995-01-01

    About six hundred patients are admitted to the University Teaching Hospital every year. Most of the burns are from water and fire with a high mortality rate in children. This study was centred on the feasibility of using amniotic membrane for wound dressing. The method of Gamma radiation was employed to sterilize this biological tissue before utilising it on patients. The results of the study show more superior healing rate compared with other methods. There was lack of hypersensitivity reactions and reduced wound infection and good quality wound healing. The method is easy to use and has been accepted by the patients and nursing staff. (n.m.). 20 refs., tabs., 6 graphs

  14. Pharmaceuticals removal and microbial community assessment in a continuous fungal treatment of non-sterile real hospital wastewater after a coagulation-flocculation pretreatment.

    Science.gov (United States)

    Mir-Tutusaus, J A; Parladé, E; Llorca, M; Villagrasa, M; Barceló, D; Rodriguez-Mozaz, S; Martinez-Alonso, M; Gaju, N; Caminal, G; Sarrà, M

    2017-06-01

    Hospital wastewaters are a main source of pharmaceutical active compounds, which are usually highly recalcitrant and can accumulate in surface and groundwater bodies. Fungal treatments can remove these contaminants prior to discharge, but real wastewater poses a problem to fungal survival due to bacterial competition. This study successfully treated real non-spiked, non-sterile wastewater in a continuous fungal fluidized bed bioreactor coupled to a coagulation-flocculation pretreatment for 56 days. A control bioreactor without the fungus was also operated and the results were compared. A denaturing gradient gel electrophoresis (DGGE) and sequencing approach was used to study the microbial community arisen in both reactors and as a result some bacterial degraders are proposed. The fungal operation successfully removed analgesics and anti-inflammatories, and even the most recalcitrant pharmaceutical families such as antibiotics and psychiatric drugs. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Operational and safety requirement of radiation facility

    International Nuclear Information System (INIS)

    Zulkafli Ghazali

    2007-01-01

    Gamma and electron irradiation facilities are the most common industrial sources of ionizing radiation. They have been used for medical, industrial and research purposes since the 1950s. Currently there are more than 160 gamma irradiation facilities and over 600 electron beam facilities in operation worldwide. These facilities are either used for the sterilization of medical and pharmaceutical products, the preservation of foodstuffs, polymer synthesis and modification, or the eradication of insect infestation. Irradiation with electron beam, gamma ray or ultra violet light can also destroy complex organic contaminants in both liquid and gaseous waste. EB systems are replacing traditional chemical sterilization methods in the medical supply industry. The ultra-violet curing facility, however, has found more industrial application in printing and furniture industries. Gamma and electron beam facilities produce very high dose rates during irradiation, and thus there is a potential of accidental exposure in the irradiation chamber which can be lethal within minutes. Although, the safety record of this industry has been relatively very good, there have been fatalities recorded in Italy (1975), Norway (1982), El Salvador (1989) and Israel (1990). Precautions against uncontrolled entry into irradiation chamber must therefore be taken. This is especially so in the case of gamma irradiation facilities those contain large amounts of radioactivity. If the mechanism for retracting the source is damaged, the source may remain exposed. This paper will, to certain extent, describe safety procedure and system being installed at ALURTRON, Nuclear Malaysia to eliminate accidental exposure of electron beam irradiation. (author)

  16. Sterilization of instruments in solar ovens

    Energy Technology Data Exchange (ETDEWEB)

    Fjendbo Joergensen, A. [Odense Univ. Hospital, Dept. of Infectious Diseases, Odense (Denmark); Noehr, K. [Odense Technical College, Dept. of Metal, Odense (Denmark); Boisen, F. [The Danish Veterinary and Food Administration Funen, Dept. of Microbiology, Odense (Denmark)

    2000-07-01

    The sterilization of instruments in rural health clinics in less developed countries is an increasing problem because chemical methods can no longer be recommended and wood fuel is becoming more and more scarce. Thus, it seemed obvious to try to utilize solar energy for sterilization purposes. A solar oven was designed and manufactured using local materials and simple tools. The solar oven was tested by physical, chemical, and microbiological methods. A mathematical model for the sterilization effect was developed and programmed into a microprocessor that was connected to a thermocouple. The microprocessor switches on a green light when the sterilization is completed. After successful testing, the oven was built into the west-facing wall of a rural health clinic and used daily for sterilization. The oven was able to generate temperatures above 180 deg. C. On all days with direct sunlight the oven fulfilled the international recommendations for hot air sterilization because no growth could be detected from any of the test bacteria spores. The chemical indicators Brownes tubes types 3 and 5 also changed colours. The solar oven was easy to use for the clinic staff, but during the seasons with low sun position (in Tanzania, December and June) it was difficult to achieve a high enough temperature for sterilization. Therefore, if the method is to be used throughout the year the oven must be moved to collect the sun's rays from several directions, or the clinic must have more than one solar oven facing in different directions. We conclude that the solar oven is a realistic method for sterilization of instruments. (au)

  17. 1 1/2 years of experience with a 10 MeV self-shielded on-line e-beam sterilization system

    International Nuclear Information System (INIS)

    Lambert, Byron; Tang, Fuh-Wei; Riggs, Brian; Allen, Thomas; Williams, C.B.

    2000-01-01

    The Vascular Intervening Group of the Guidant Corporation (Guidant IV) has been operating a self-shielded, 10 MeV 4 kW, electron beam sterilization system since July of 1988. The system was designed, built and installed in a 70 square meter area in an existing Guidant manufacturing facility by Titan Scan Corporation and performance of the system was validated in conformance with 1S0-11137 standards. The goal of this on-site e-beam system was 'just in time' JIT, sterilization, i.e. the ability to manufacture, sterilize and ship, high intrinsic value medical devices in less than 24 hours. The benefits of moving from a long gas sterilization cycle of greater than one week to a JIT process were envisioned to be a) speed to market with innovated new products b) rapid response to customer requirements c) reduced inventory carrying costs and finally manufacturing and quality system efficiency. The ability of Guidant to realize these benefits depended upon the ability of the Guidant VI business units to adapt to the new sterilization modality and functionality and on the overall system reliability. This paper reviews the operating experience to date and the overall system reliability. (author)

  18. Long distance transport of irradiated male Glossina palpalis gambiensis pupae and its impact on sterile male yield

    International Nuclear Information System (INIS)

    Pagabeleguem, Soumaila; Seck, Momar Talla; Sall, Baba

    2015-01-01

    The application of the sterile insect technique (SIT) requires mass-production of sterile males of good biological quality. The size of the project area will in most cases determine whether it is more cost effective to produce the sterile flies locally (and invest in a mass-rearing facility) or import the sterile flies from a mass-rearing facility that is located in another country. This study aimed at assessing the effect of long distance transport of sterile male Glossina palpalis gambiensis pupae on adult male fly yield. The male pupae were produced at the Centre International de Recherche-Developpement sur l'Elevage en zone Subhumide (CIRDES), Bobo-Dioulasso, Burkina Faso, and shipped with a commercial courier service in insulated transport boxes at a temperature of ±10° to Senegal (36 h of transport). Upon arrival in the insectary in Dakar, the pupae were transferred to an emergence room and the flies monitored for 3-6 days. The results showed that the used system of isothermal boxes that contained phase change material packs (S8) managed to keep the temperature at around 10° which prevented male fly emergence during transport. The emergence rate was significantly higher for pupae from batch 2 (chilled at 4° for one day in the source insectary before transport) than those from batch 1 (chilled at 4° for two days in the source insectary before transport) i.e. an average (±sd) of 76.1 ± 13.2% and 72.2 ± 14.3%, respectively with a small proportion emerging during transport (0.7 ± 1.7% and 0.9 ± 2.9%, respectively). Among the emerged flies, the percentage with deformed (not fully expanded) wings was significantly higher for flies from batch 1 (12.0 ± 6.3%) than from batch 2 (10.7 ± 7.5%). The amount of sterile males available for release as a proportion of the total pupae shipped was 65.8 ± 13.3% and 61.7 ± 14.7% for batch 1 and 2 pupae, respectively. The results also showed that the temperature inside the parcel must be controlled around 10° with a

  19. Cryoradiation sterilization - contemporary state and outlook

    International Nuclear Information System (INIS)

    Talrose, V.L.

    1995-01-01

    The new approach of radiation sterilization -cryoradiosterilization with programmed freezing - was developed for pharmaceutical solutions. Both scientific and technical problems are solved, the results are discussed. Programmed freezing of vials with the drug's solutions provides the high stability of soluted components with biological activity at sterilizing irradiation without significant change of sterilization doses. Physical, chemical, biological and pharmacological properties of a lot of drug solutions for injection satisfy official requirements after cryoradiation sterilization treatment. This method seems to be especially important for the protein systems which could be infected by dangerous viruses (VIH, hepatitis B): blood plasma, diagnostic sera, protein preparations manufactured from donor's blood, etc. (Author)

  20. Currently available devices for female sterilization.

    Science.gov (United States)

    Chapman, Lynne; Magos, Adam

    2005-09-01

    Sterilization is now the method of family planning most commonly used in the world. Over the last 150 years, research has evolved in the search for the ideal method of female sterilization. The procedure should ideally have high efficacy, be readily accessible and be personally and culturally acceptable. The method should be simple, quick, easily learned and be able to be performed in an outpatient setting without general anesthesia. The most common and effective method for sterilization has, thus far, been via the laparoscopic route. Hysteroscopic sterilization, however, potentially fulfills many of these ideal criteria, but until recently has remained more of a concept than a reality.

  1. Compodock, a new device for sterile docking

    NARCIS (Netherlands)

    van der Meer, P. F.; Biekart, F. T.; Pietersz, R. N.; Rebers, S. P.; Reesink, H. W.

    2000-01-01

    BACKGROUND: A new device for sterile docking, the Compodock (Fresenius NPBI Transfusion Technology), was developed for connecting PVC tubing for medical use while maintaining sterility. STUDY DESIGN AND METHODS: Sterility of the connections was assessed by welding tubing with a heavy exterior

  2. MINOS Sterile Neutrino Search

    Energy Technology Data Exchange (ETDEWEB)

    Koskinen, David Jason [Univ. College London, Bloomsbury (United Kingdom)

    2009-02-01

    The Main Injector Neutrino Oscillation Search (MINOS) is a long-baseline accelerator neutrino experiment designed to measure properties of neutrino oscillation. Using a high intensity muon neutrino beam, produced by the Neutrinos at Main Injector (NuMI) complex at Fermilab, MINOS makes two measurements of neutrino interactions. The first measurement is made using the Near Detector situated at Fermilab and the second is made using the Far Detector located in the Soudan Underground laboratory in northern Minnesota. The primary goal of MINOS is to verify, and measure the properties of, neutrino oscillation between the two detectors using the v μ→ Vτ transition. A complementary measurement can be made to search for the existence of sterile neutrinos; an oft theorized, but experimentally unvalidated particle. The following thesis will show the results of a sterile neutrino search using MINOS RunI and RunII data totaling ~2.5 x 1020 protons on target. Due to the theoretical nature of sterile neutrinos, complete formalism that covers transition probabilities for the three known active states with the addition of a sterile state is also presented.

  3. Geographic Region and Profit Status Drive Variation in Hospital Readmission Outcomes Among Inpatient Rehabilitation Facilities in the United States.

    Science.gov (United States)

    Daras, Laura Coots; Ingber, Melvin J; Deutsch, Anne; Hefele, Jennifer Gaudet; Perloff, Jennifer

    2017-12-22

    To examine whether there are differences in inpatient rehabilitation facilities' (IRFs') all-cause 30-day postdischarge hospital readmission rates vary by organizational characteristics and geographic regions. Observational study. IRFs. Medicare fee-for-service beneficiaries discharged from all IRFs nationally in 2013 and 2014 (N = 1166 IRFs). Not applicable. We applied specifications for an existing quality measure adopted by Centers for Medicare & Medicaid Services for public reporting that assesses all-cause unplanned hospital readmission measure for 30 days postdischarge from inpatient rehabilitation. We estimated facility-level observed and risk-standardized readmission rates and then examined variation by several organizational characteristics (facility type, profit status, teaching status, proportion of low-income patients, size) and geographic factors (rural/urban, census division, state). IRFs' mean risk-standardized hospital readmission rate was 13.00%±0.77%. After controlling for organizational characteristics and practice patterns, we found substantial variation in IRFs' readmission rates: for-profit IRFs had significantly higher readmission rates than did not-for-profit IRFs (Preadmission rates than did IRFs in New England that had the lowest rates. Our findings point to variation in quality of care as measured by risk-standardized hospital readmission rates after IRF discharge. Thus, monitoring of readmission outcomes is important to encourage quality improvement in discharge care planning, care transitions, and follow-up. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  4. Effects of pre-irradiation conditioning of Medfly pupae (Diptera: Tephritidae): Hypoxia and quality of sterile males

    International Nuclear Information System (INIS)

    Nestel, D.; Nemny-Lavy, E.; Islam, S.M.; Wornoayporn, V.; Caceres, C.

    2007-01-01

    Irradiation of pupae in sterile insect technique (SIT) projects is usually undertaken in hypoxic atmospheres, which have been shown to lessen the deleterious effects of irradiation on the quality of adult sterile flies. Although this is the accepted technology in most mass-rearing and sterilization facilities, to date no information has been generated on the actual levels of oxygen (O 2 ) in pupae-packing containers during irradiation. The present study utilized recently-developed technology to investigate the O 2 level inside bags in which pupae of Mediterranean fruit fly (medfly) Ceratitis capitata (Wiedemann) are packed prior to irradiation, the ability of pupae to create hypoxic environments in these bags, and the effect of O 2 atmospheres on the quality of irradiated males. Pupae, 1 d before adult emergence, were shown to deplete the O 2 level in sealed bags in approximately 1 h. The rate of O 2 consumption was dependent upon pupal age and incubation temperature. Incubation temperature did not significantly affect the quality of pupae or mating capacity of resultant adult males if pupae were irradiated under maximal hypoxic conditions inside packing bags. In contrast, mating competitiveness drastically decreased when pupae were irradiated under ambient O 2 conditions, with the packing bag open. There was no difference in the mating capacity of males when pupae were irradiated in sealed bags under either 10% or 2% O 2 levels, or under maximal hypoxia. Normal doses of fluorescent dye, applied to pupae to mark sterile flies, did not affect the ability of pupae to create hypoxic conditions inside packing bags, nor the quality control parameters of either pupae or adults. Current practices in mass-rearing facilities are discussed in the light of these results. (author) [es

  5. Intracavitary deposits on Essure® hysteroscopic sterilization devices: A case report.

    Science.gov (United States)

    Maassen, L W; van Gastel, D M; Lentjes, E G W M; Bongers, M Y; Veersema, S

    2017-07-01

    To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. Case report. Reproductive Medicine and Gynecology department of a University Hospital. A 39 years old patient presenting with a request for surgical removal of Essure® sterilization devices. Diagnostic hysteroscopy showed a crystal like white deposit attached to one of the devices. Diagnostic hysteroscopy and surgical removal of Essure® devices was performed. The deposits were collected and infrared spectroscopy analysis was performed. Chemical composition of the deposits attached to the device. Infrared spectroscopy of the material showed patterns conclusive with calcite (calcium carbonate, CaCO 3 ). Until now, it is not clear if there is a relationship between reported complaints and formation of calcite deposits on Essure®. Infrared spectroscopy of deposits on Essure® devices showed a pattern conclusive with calcite. The relationship between reported complaints and the formation of calcite deposits on Essure® remains unclear.

  6. Use of sterile insect technique in Brazil by the sterilization of Ceratitis capitata (Wied., 1824)

    International Nuclear Information System (INIS)

    Okeese, G.O.; Kitomer, T.J.; Gayaradus, L.B.; Etrigan, M.; Jansen, C.W.J.H.; Houlahar, H.L.

    2006-01-01

    The Sterile Insect Technique is a method of pest control allowed in Integrated Pest Management programs in fruit growing, where sterile insects released compete in mate process against fertile wild ones, generating a gradative population reduction. The most used sterilization method is using ionizing radiation from 60 Co or 137 Cs. For efficient application of SIT, an important item is the sterilizing dose. This must be as lower as possible in order to preserve insect behavior. In this work, it was studied the reproductive potential of fruit fly Ceratitis capitata, tsl VIENNA 8 strain, irradiated with different doses of gamma radiation. This strain has been used in population suppression programs at fruit-growing areas from Northeast of Brazil, through a partnership between CENA and Bio factory MOSCAMED Brazil, intending only sterile male releases. Radiation source used was a 60 Co irradiator, with 17.2 x 1012 Bq. Individualized couples were distributed in a randomized delineament with 10 replicates for each treatment and eggs were collected for fifteen days. With 9 and 10 days old, pupae were irradiated with doses ranging from 30 to 120 Gy. All averages of emerged adult's percentages were higher than 90%. In regards to fecundity, different doses did not affect the number of eggs laid, being the overall mean around 30 eggs/couple/day. Fertility data showed that as radiation dose increases, sterility increases. It was concluded that the dose of 90 Gy can be used in Brazil, since to SIT programs a dose is chosen witch prevents an egg hatch higher than 1%. (author)

  7. Health care justice and its implications for current policy of a mandatory waiting period for elective tubal sterilization.

    Science.gov (United States)

    Moaddab, Amirhossein; McCullough, Laurence B; Chervenak, Frank A; Fox, Karin A; Aagaard, Kjersti Marie; Salmanian, Bahram; Raine, Susan P; Shamshirsaz, Alireza A

    2015-06-01

    Tubal sterilization during the immediate postpartum period is 1 of the most common forms of contraception in the United States. This time of the procedure has the advantage of 1-time hospitalization, which results in ease and convenience for the woman. The US Collaborative Review of Sterilization Study indicates the high efficacy and effectiveness of postpartum tubal sterilization. Oral and written informed consent is the ethical and legal standard for the performance of elective tubal sterilization for permanent contraception for all patients, regardless of source of payment. Current health care policy and practice regarding elective tubal sterilization for Medicaid beneficiaries places a unique requirement on these patients and their obstetricians: a mandatory waiting period. This requirement originates in decades-old legislation, which we briefly describe. We then introduce the concept of health care justice in professional obstetric ethics and explain how it originates in the ethical concepts of medicine as a profession and of being a patient and its deontologic and consequentialist dimensions. We next identify the implications of health care justice for the current policy of a mandatory 30-day waiting period. We conclude that Medicaid policy allocates access to elective tubal sterilization differently, based on source of payment and gender, which violates health care justice in both its deontologic and consequentialist dimensions. Obstetricians should invoke health care justice in women's health care as the basis for advocacy for needed change in law and health policy, to eliminate health care injustice in women's access to elective tubal sterilization. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Sterilization of heparinized cuprophan hemodialysis membranes

    OpenAIRE

    ten Hoopen, Hermina W.M.; Hinrichs, W.L.J.; Hinrichs, W.L.J.; Engbers, G.H.M.; Feijen, Jan

    1996-01-01

    The effects of sterilization of dry heparinized Cuprophan hemodialysis membranes by means of ethylene oxide (EtO) exposure, gamma irradiation, or steam on the anticoagulant activity and chemical characteristics of immobilized heparin and the permeability of the membrane were investigated. Sterilization did not result in a release of heparin or heparin fragments from heparinized Cuprophan. Sterilization of heparinized Cuprophan by means of EtO exposure and gamma irradiation induced a slight, i...

  9. EB surface sterilization of food material

    International Nuclear Information System (INIS)

    Kaneko, H.; Mizutani, A.; Kato, K.; Nishikimi, T.; Taniguchi, S.

    2001-01-01

    In this paper, we introduce a food irradiation with low energetic, lower than 300keV, electrons (so-called SOFT ELECTRON) as a rather new method of food sterilization. It is also a physical sterilization method, and free from the problems mentioned above. Low energetic electrons have small penetration power (50-200micron) through raw materials, and by selecting a proper energy of electrons we can sterilize only the surfaces or skins of target materials

  10. Genetic basis of the sterile insect technique

    International Nuclear Information System (INIS)

    Robinson, A.S.

    2005-01-01

    The use of the sterile insect technique (SIT) for insect control relies on the introduction of sterility in the females of the wild population. This sterility is produced following the mating of these females with released males carrying, in their sperm, dominant lethal mutations that have been induced by ionizing radiation. The reasons why the SIT can only be effective when the induced sterility in the released males is in the form of dominant lethal mutations, and not some form of sperm inactivation, are discussed, together with the relationship of dominant lethal mutations to dose, sex, developmental stage and the particular species. The combination of genetic sterility with that induced by radiation is also discussed in relation to the use of genetic sexing strains of the Mediterranean fruit fly Ceratitis capitata (Wiedemann) in area-wide integrated pest management (AW-IPM) programmes that integrate the SIT. A case is made to lower the radiation dose used in such programmes so as to produce a more competitive sterile insect. Increased competitiveness can also be achieved by using different radiation environments. As well as radiation-induced sterility, natural mechanisms can be recruited, especially the use of hybrid sterility exemplified by a successful field trial with tsetse flies Glossina spp. in the 1940s. Genetic transformation will make some impact on the SIT, especially regarding the introduction of markers for released flies, and the construction of genetic sexing strains. It is concluded that using a physical process, such as radiation, will always have significant advantages over genetic and other methods of sterilization for the large-scale application of the SIT. (author)

  11. Phenology, sterility and inheritance of two environment genic male sterile (EGMS) lines for hybrid rice

    NARCIS (Netherlands)

    El-Namaky, R.; Oort, van P.A.J.

    2017-01-01

    Background: There is still limited quantitative understanding of how environmental factors affect sterility of Environment-conditioned genic male sterility (EGMS) lines. A model was developed for this purpose and tested based on experimental data from Ndiaye (Senegal) in 2013-2015. For the two

  12. Genomic networks of hybrid sterility.

    Directory of Open Access Journals (Sweden)

    Leslie M Turner

    2014-02-01

    Full Text Available Hybrid dysfunction, a common feature of reproductive barriers between species, is often caused by negative epistasis between loci ("Dobzhansky-Muller incompatibilities". The nature and complexity of hybrid incompatibilities remain poorly understood because identifying interacting loci that affect complex phenotypes is difficult. With subspecies in the early stages of speciation, an array of genetic tools, and detailed knowledge of reproductive biology, house mice (Mus musculus provide a model system for dissecting hybrid incompatibilities. Male hybrids between M. musculus subspecies often show reduced fertility. Previous studies identified loci and several X chromosome-autosome interactions that contribute to sterility. To characterize the genetic basis of hybrid sterility in detail, we used a systems genetics approach, integrating mapping of gene expression traits with sterility phenotypes and QTL. We measured genome-wide testis expression in 305 male F2s from a cross between wild-derived inbred strains of M. musculus musculus and M. m. domesticus. We identified several thousand cis- and trans-acting QTL contributing to expression variation (eQTL. Many trans eQTL cluster into eleven 'hotspots,' seven of which co-localize with QTL for sterility phenotypes identified in the cross. The number and clustering of trans eQTL-but not cis eQTL-were substantially lower when mapping was restricted to a 'fertile' subset of mice, providing evidence that trans eQTL hotspots are related to sterility. Functional annotation of transcripts with eQTL provides insights into the biological processes disrupted by sterility loci and guides prioritization of candidate genes. Using a conditional mapping approach, we identified eQTL dependent on interactions between loci, revealing a complex system of epistasis. Our results illuminate established patterns, including the role of the X chromosome in hybrid sterility. The integrated mapping approach we employed is

  13. Comparative mating and reproductive performance of radiation sterilized and radiation induced F1 sterile males of Earias vittella (Fabricius)

    International Nuclear Information System (INIS)

    Shantharam, K.; Tamhankar, A.J.; Harwalkar, M.R.

    1995-01-01

    Studies were conducted on mating behaviour and reproductive performance of a) Earias vittella (F.) males rendered sterile by exposing them to 300 Gy gamma rays and b) F 1 sterile males obtained by exposing parent male to 100 Gy gamma rays. For the study, males were allowed only one mating with a normal female. Results revealed that premating period, period in copula and per cent insects mating were not adversely affected in case of both types of sterile males and fecundity also remained unaffected. However, in both types of sterile males, incidence of spermatophore transfer without sperm was very large and such an occurrence (including reduced spermatophore transfer) was significantly higher in case of radiation sterilized males compared to the F 1 sterile males. Inability to produce and transfer spermatophore and/or sperm appeared to be a major cause behind the reduced mating competitiveness of both types of males. (author). 22 refs., 2 tabs

  14. Process Evaluation of a Quality Improvement Project to Decrease Hospital Readmissions From Skilled Nursing Facilities.

    Science.gov (United States)

    Meehan, Thomas P; Qazi, Daniel J; Van Hoof, Thomas J; Ho, Shih-Yieh; Eckenrode, Sheila; Spenard, Ann; Pandolfi, Michelle; Johnson, Florence; Quetti, Deborah

    2015-08-01

    To describe and evaluate the impact of quality improvement (QI) support provided to skilled nursing facilities (SNFs) by a Quality Improvement Organization (QIO). Retrospective, mixed-method, process evaluation of a QI project intended to decrease preventable hospital readmissions from SNFs. Five SNFs in Connecticut. SNF Administrators, Directors of Nursing, Assistant Directors of Nursing, Admissions Coordinators, Registered Nurses, Certified Nursing Assistants, Receptionists, QIO Quality Improvement Consultant. QIO staff provided training and technical assistance to SNF administrative and clinical staff to establish or enhance QI infrastructure and implement an established set of QI tools [Interventions to Reduce Acute Care Transfers (INTERACT) tools]. Baseline SNF demographic, staffing, and hospital readmission data; baseline and follow-up SNF QI structure (QI Committee), processes (general and use of INTERACT tools), and outcome (30-day all-cause hospital readmission rates); details of QIO-provided training and technical assistance; QIO-perceived barriers to quality improvement; SNF leadership-perceived barriers, accomplishments, and suggestions for improvement of QIO support. Success occurred in establishing QI Committees and targeting preventable hospital readmissions, as well as implementing INTERACT tools in all SNFs; however, hospital readmission rates decreased in only 2 facilities. QIO staff and SNF leaders noted the ongoing challenge of engaging already busy SNF staff and leadership in QI activities. SNF leaders reported that they appreciated the training and technical assistance that their institutions received, although most noted that additional support was needed to bring about improvement in readmission rates. This process evaluation documented mixed clinical results but successfully identified opportunities to improve recruitment of and provision of technical support to participating SNFs. Recommendations are offered for others who wish to conduct

  15. Pre-sterilization contamination of disposable medical products and the choice of minimum sterilization dose

    International Nuclear Information System (INIS)

    Horakova, V.; Buriankova, E.

    1975-01-01

    The bacterial contamination was assessed on randomly taken samples of blood-transfusion devices, donor sets, intra-uterine contraceptive devices and inserters, surgical gloves and dressing material prior to sterilization. The quantitative and qualitative efficiency of six nutrient media was compared. The best results were obtained with the enriched ''Universal'' medium. It was confirmed that the contamination of plastic products was low compared with dressing material. Most frequently, Gram-positive aerobic spore-forming rods and Gram-positive cocci were found on non-sterile medical disposable products. A method was tested to obtain a general informative picture of the resistance of bacteria on products. The methods used for choosing the dose for radiation sterilization of medical products are discussed. (author)

  16. Consumer Choice Between Hospital-Based and Freestanding Facilities for Arthroscopy: Impact on Prices, Spending, and Surgical Complications.

    Science.gov (United States)

    Robinson, James C; Brown, Timothy T; Whaley, Christopher; Bozic, Kevin J

    2015-09-16

    Hospital-based outpatient departments traditionally charge higher prices for ambulatory procedures, compared with freestanding surgery centers. Under emerging reference-based benefit designs, insurers establish a contribution limit that they will pay, requiring the patient to pay the difference between that contribution limit and the actual price charged by the facility. The purpose of this study was to evaluate the impact of reference-based benefits on consumer choices, facility prices, employer spending, and surgical outcomes for orthopaedic procedures performed at ambulatory surgery centers. We obtained data on 3962 patients covered by the California Public Employees' Retirement System (CalPERS) who underwent arthroscopy of the knee or shoulder in the three years prior to the implementation of reference-based benefits in January 2012 and on 2505 patients covered by CalPERS who underwent arthroscopy in the two years after implementation. Control group data were obtained on 57,791 patients who underwent arthroscopy and were not subject to reference-based benefits. The impact of reference-based benefits on consumer choices between hospital-based and freestanding facilities, facility prices, employer spending, and surgical complications was assessed with use of difference-in-differences multivariable regressions to adjust for patient demographic characteristics, comorbidities, and geographic location. By the second year of the program, the shift to reference-based benefits was associated with an increase in the utilization of freestanding ambulatory surgery centers by 14.3 percentage points (95% confidence interval, 8.1 to 20.5 percentage points) for knee arthroscopy and by 9.9 percentage points (95% confidence interval, 3.2 to 16.7 percentage points) for shoulder arthroscopy and a corresponding decrease in the use of hospital-based facilities. The mean price paid by CalPERS fell by 17.6% (95% confidence interval, -24.9% to -9.6%) for knee procedures and by 17

  17. Construction of a male sterility system for hybrid rice breeding and seed production using a nuclear male sterility gene.

    Science.gov (United States)

    Chang, Zhenyi; Chen, Zhufeng; Wang, Na; Xie, Gang; Lu, Jiawei; Yan, Wei; Zhou, Junli; Tang, Xiaoyan; Deng, Xing Wang

    2016-12-06

    The breeding and large-scale adoption of hybrid seeds is an important achievement in agriculture. Rice hybrid seed production uses cytoplasmic male sterile lines or photoperiod/thermo-sensitive genic male sterile lines (PTGMS) as female parent. Cytoplasmic male sterile lines are propagated via cross-pollination by corresponding maintainer lines, whereas PTGMS lines are propagated via self-pollination under environmental conditions restoring male fertility. Despite huge successes, both systems have their intrinsic drawbacks. Here, we constructed a rice male sterility system using a nuclear gene named Oryza sativa No Pollen 1 (OsNP1). OsNP1 encodes a putative glucose-methanol-choline oxidoreductase regulating tapetum degeneration and pollen exine formation; it is specifically expressed in the tapetum and miscrospores. The osnp1 mutant plant displays normal vegetative growth but complete male sterility insensitive to environmental conditions. OsNP1 was coupled with an α-amylase gene to devitalize transgenic pollen and the red fluorescence protein (DsRed) gene to mark transgenic seed and transformed into the osnp1 mutant. Self-pollination of the transgenic plant carrying a single hemizygous transgene produced nontransgenic male sterile and transgenic fertile seeds in 1:1 ratio that can be sorted out based on the red fluorescence coded by DsRed Cross-pollination of the fertile transgenic plants to the nontransgenic male sterile plants propagated the male sterile seeds of high purity. The male sterile line was crossed with ∼1,200 individual rice germplasms available. Approximately 85% of the F1s outperformed their parents in per plant yield, and 10% out-yielded the best local cultivars, indicating that the technology is promising in hybrid rice breeding and production.

  18. Sterilization of biological tissues with ionizing radiation

    International Nuclear Information System (INIS)

    Reyes F, M.L.; Martinez P, M.E.; Luna Z, D.

    1997-01-01

    On June 1994, the National Institute of Nuclear Research (ININ) and the South Central Hospital for High Specialty of PEMEX (HCSAE) began a joint work with the finality to obtain radio sterilized amniotic membranes for to be used as cover (biological bandage) in burnt patients. Subsequently the Chemistry Faculty of UNAM and the National Institute of Cardiology began to collaborate this last with interest on cardiac valves for graft. Starting from 1997, the International Atomic Energy Agency (IAEA) supports this project (MEX/7/008) whose main objective is to set up the basis to establish in Mexico a Radio sterilized Tissue Bank (amniotic membranes, skin, bones, tendons, cardiac valves, etc.) to be used with therapeutic purposes (grafts). The IAEA support has consisted in the equipment acquisition which is fundamental for the Tissue Bank performance such as an experimental irradiator, laminar flow bell, lyophilizer, vacuum sealer and special knives for tissues. Also visits to Mexico of experts have been authorized with the aim of advising to the personnel which participate in the project and scientific visits of this personnel to another tissue banks (Sri Lanka and Argentine). The establishment in Mexico of a Tissue bank will be a great benefit because it will have availability of distinct tissues for grafts and it will reduce the synthetic materials importation which is very expensive. (Author)

  19. Using a qualitative approach for understanding hospital-affiliated integrated clinical and fitness facilities: characteristics and members' experiences.

    Science.gov (United States)

    Yang, Jingzhen; Kingsbury, Diana; Nichols, Matthew; Grimm, Kristin; Ding, Kele; Hallam, Jeffrey

    2015-06-19

    With health care shifting away from the traditional sick care model, many hospitals are integrating fitness facilities and programs into their clinical services in order to support health promotion and disease prevention at the community level. Through a series of focus groups, the present study assessed characteristics of hospital-affiliated integrated facilities located in Northeast Ohio, United States and members' experiences with respect to these facilities. Adult members were invited to participate in a focus group using a recruitment flyer. A total of 6 focus groups were conducted in 2013, each lasting one hour, ranging from 5 to 12 participants per group. The responses and discussions were recorded and transcribed verbatim, then analyzed independently by research team members. Major themes were identified after consensus was reached. The participants' average age was 57, with 56.8% currently under a doctor's care. Four major themes associated with integrated facilities and members' experiences emerged across the six focus groups: 1) facility/program, 2) social atmosphere, 3) provider, and 4) member. Within each theme, several sub-themes were also identified. A key feature of integrated facilities is the availability of clinical and fitness services "under one roof". Many participants remarked that they initially attended physical therapy, becoming members of the fitness facility afterwards, or vice versa. The participants had favorable views of and experiences with the superior physical environment and atmosphere, personal attention, tailored programs, and knowledgeable, friendly, and attentive staff. In particular, participants favored the emphasis on preventive care and the promotion of holistic health and wellness. These results support the integration of wellness promotion and programming with traditional medical care and call for the further evaluation of such a model with regard to participants' health outcomes.

  20. Standardized Method for High-throughput Sterilization of Arabidopsis Seeds.

    Science.gov (United States)

    Lindsey, Benson E; Rivero, Luz; Calhoun, Chistopher S; Grotewold, Erich; Brkljacic, Jelena

    2017-10-17

    Arabidopsis thaliana (Arabidopsis) seedlings often need to be grown on sterile media. This requires prior seed sterilization to prevent the growth of microbial contaminants present on the seed surface. Currently, Arabidopsis seeds are sterilized using two distinct sterilization techniques in conditions that differ slightly between labs and have not been standardized, often resulting in only partially effective sterilization or in excessive seed mortality. Most of these methods are also not easily scalable to a large number of seed lines of diverse genotypes. As technologies for high-throughput analysis of Arabidopsis continue to proliferate, standardized techniques for sterilizing large numbers of seeds of different genotypes are becoming essential for conducting these types of experiments. The response of a number of Arabidopsis lines to two different sterilization techniques was evaluated based on seed germination rate and the level of seed contamination with microbes and other pathogens. The treatments included different concentrations of sterilizing agents and times of exposure, combined to determine optimal conditions for Arabidopsis seed sterilization. Optimized protocols have been developed for two different sterilization methods: bleach (liquid-phase) and chlorine (Cl2) gas (vapor-phase), both resulting in high seed germination rates and minimal microbial contamination. The utility of these protocols was illustrated through the testing of both wild type and mutant seeds with a range of germination potentials. Our results show that seeds can be effectively sterilized using either method without excessive seed mortality, although detrimental effects of sterilization were observed for seeds with lower than optimal germination potential. In addition, an equation was developed to enable researchers to apply the standardized chlorine gas sterilization conditions to airtight containers of different sizes. The protocols described here allow easy, efficient, and

  1. Sterile neutrinos as dark matter

    International Nuclear Information System (INIS)

    Dodelson, S.; Widrow, L.M.

    1994-01-01

    The simplest model that can accommodate a viable nonbaryonic dark matter candidate is the standard electroweak theory with the addition of right-handed (sterile) neutrinos. We consider a single generation of neutrinos with a Dirac mass μ and a Majorana mass M for the right-handed component. If M much-gt μ (standard hot dark matter corresponds to M=0), then sterile neutrinos are produced via oscillations in the early Universe with energy density independent of M. However, M is crucial in determining the large scale structure of the Universe; for M∼100 eV, sterile neutrinos make an excellent warm dark matter candidate

  2. Theoretical approach to the destruction or sterilization of drugs in aqueous solution

    International Nuclear Information System (INIS)

    Slegers, Catherine; Tilquin, Bernard

    2005-01-01

    Two novel applications in the radiation processing of aqueous solutions of drugs are the sterilization of injectable drugs and the decontamination of hospital wastewaters by ionizing radiation. The parameters influencing the destruction of the drug in aqueous solutions are studied with a computer simulation program. This theoretical approach has revealed that the dose rate is the most important parameter that can be easily varied in order to optimize the destruction or the protection of the drug

  3. Exploiting novel sterilization techniques for porous polyurethane scaffolds.

    Science.gov (United States)

    Bertoldi, Serena; Farè, Silvia; Haugen, Håvard Jostein; Tanzi, Maria Cristina

    2015-05-01

    Porous polyurethane (PU) structures raise increasing interest as scaffolds in tissue engineering applications. Understanding the effects of sterilization on their properties is mandatory to assess their potential use in the clinical practice. The aim of this work is the evaluation of the effects of two innovative sterilization techniques (i.e. plasma, Sterrad(®) system, and ozone) on the morphological, chemico-physical and mechanical properties of a PU foam synthesized by gas foaming, using water as expanding agent. In addition, possible toxic effects of the sterilization were evaluated by in vitro cytotoxicity tests. Plasma sterilization did not affect the morphological and mechanical properties of the PU foam, but caused at some extent degradative phenomena, as detected by infrared spectroscopy. Ozone sterilization had a major effect on foam morphology, causing the formation of new small pores, and stronger degradation and oxidation on the structure of the material. These modifications affected the mechanical properties of the sterilized PU foam too. Even though, no cytotoxic effects were observed after both plasma and ozone sterilization, as confirmed by the good values of cell viability assessed by Alamar Blue assay. The results here obtained can help in understanding the effects of sterilization procedures on porous polymeric scaffolds, and how the scaffold morphology, in particular porosity, can influence the effects of sterilization, and viceversa.

  4. Application of radiation sterilization to bone allografts

    International Nuclear Information System (INIS)

    Li Youchen; Li Baoxing; Sun Shiquan

    2003-01-01

    With prominent features of high penetration, no temperature increases, no harm residues and easy dose control, radiation sterilization technology is widely used in the sterilization of bone allografts. During the radiation sterilization of bone allografts, the irradiation dose should be optimized to ensure sterilization of grafts and preservation of biological properties of bone. The immunogenicity of allografts is decreased by irradiation. IAEA devoted great efforts to generalization of the radiation sterilization of tissue allografts in developing countries since 1986. Tissue Bank of China Institute for Radiation Protection (CIRP) was initially established in 1988 with the support of IAEA, afterwards restructured into Shanxi Provincial Tissue Bank (SPTB). The SPTB, as the first manufacturer of the irradiated bone allografts in the country, was granted production license by the State Food and Drug Administration of China. The SPTB sponsored IAEA/RCA Training Courses, National Symposium on Bone Grafting, and National Training Course on Bone Banking. Technique of radiation sterilization for bone grafts has become popularized in China after these activities. (authors)

  5. Galaxy Formation in Sterile Neutrino Dark Matter Models

    Science.gov (United States)

    Menci, N.; Grazian, A.; Lamastra, A.; Calura, F.; Castellano, M.; Santini, P.

    2018-02-01

    We investigate galaxy formation in models with dark matter (DM) constituted by sterile neutrinos. Given their large parameter space, defined by the combinations of sterile neutrino mass {m}ν and mixing parameter {\\sin }2(2θ ) with active neutrinos, we focus on models with {m}ν =7 {keV}, consistent with the tentative 3.5 keV line detected in several X-ray spectra of clusters and galaxies. We consider (1) two resonant production models with {\\sin }2(2θ )=5 × {10}-11 and {\\sin }2(2θ )=2 × {10}-10, to cover the range of mixing parameters consistent with the 3.5 keV line; (2) two scalar-decay models, representative of the two possible cases characterizing such a scenario: a freeze-in and a freeze-out case. We also consider thermal warm DM with particle mass {m}X=3 {keV}. Using a semianalytic model, we compare the predictions for the different DM scenarios with a wide set of observables. We find that comparing the predicted evolution of the stellar mass function, the abundance of satellites of Milky Way–like galaxies, and the global star formation history of galaxies with observations does not allow us to disentangle the effects of the baryonic physics from those related to the different DM models. On the other hand, the distribution of the stellar-to-halo mass ratios, the abundance of faint galaxies in the UV luminosity function at z≳ 6, and the specific star formation and age distribution of local, low-mass galaxies constitute potential probes for the DM scenarios considered. We discuss how future observations with upcoming facilities will enable us to rule out or to strongly support DM models based on sterile neutrinos.

  6. LDS hospital, a facility of Intermountain Health Care, Salt Lake City, Utah.

    Science.gov (United States)

    Peck, M; Nelson, N; Buxton, R; Bushnell, J; Dahle, M; Rosebrock, B; Ashton, C A

    1997-01-01

    On-line documentation by nurses and a comprehensive text management system are functional in several facilities of intermountain Health Care (IHC). The following articles detail factors in the design and implementation of this computerized network as experienced at LDS Hospital, part of the IHC system. Areas discussed are the system's applications for medical decision support, communication, patient classification, nurse staffing versus cost, emergency department usage, patient problem/event recording, clinical outcomes, and text publication. Users express satisfaction with the time saving, consistency of reporting, and cohesiveness of these applications.

  7. Patient awareness of breast density and interest in supplemental screening tests: comparison of an academic facility and a county hospital.

    Science.gov (United States)

    Trinh, Long; Ikeda, Debra M; Miyake, Kanae K; Trinh, Jennifer; Lee, Kevin K; Dave, Haatal; Hanafusa, Kei; Lipson, Jafi

    2015-03-01

    The aim of this study was to measure women's knowledge of breast density and their attitudes toward supplemental screening tests in the setting of the California Breast Density Notification Law at an academic facility and a county hospital, serving women with higher and lower socioeconomic status, respectively. Institutional review board exemptions were obtained. A survey was administered during screening mammography at two facilities, assessing women's awareness of and interest in knowing their breast density and interest in and willingness to pay for supplemental whole breast ultrasound and contrast-enhanced spectral mammography (CEMG). The results were compared by using Fisher exact tests between groups. A total of 105 of 130 and 132 of 153 women responded to the survey at the academic and county facilities, respectively. Among respondents at the academic and county facilities, 23% and 5% were aware of their breast density, and 94% and 79% wanted to know their density. A majority were interested in supplemental ultrasonography and CEMG at both sites; however, fewer women had a willingness to pay for the supplemental tests at the county hospital compared with those at the academic facility (22% and 70%, respectively, for ultrasound, P women were interested in knowing their breast density and in supplemental screening tests. However, women at the county hospital were less willing to incur out-of-pocket expenses, suggesting a potential for a disparity in health care access for women of lower socioeconomic status after the enactment of breast density notification legislation. Published by Elsevier Inc.

  8. EPR STUDIES OF THERMALLY STERILIZED VASELINUM ALBUM.

    Science.gov (United States)

    Ramos, Paweł; Pilawa, Barbara

    2015-01-01

    Electron paramagnetic resonance (EPR) spectroscopy was used for examination of free radicals in thermally treated vaselinum album (VA). Thermal treatment in hot air as sterilization process was tested. Conditions of thermal sterilization were chosen according to the pharmaceutical norms. Vaselinum album was heated at the following conditions (T--temperature, t--time): T = 160°C and t = 120 min, T = 170°C and t = 60 min and T = 180°C and t = 30 min. The aim of this work was to determine concentration and free radical properties of thermally sterilized VA. EPR analysis for VA was done 15 min after sterilization. EPR measurements were done at room temperature. EPR spectra were recorded in the range of microwave power of 2.2-70 mW. g-Factor, amplitudes (A) and line width (ΔBpp) of the spectra were determined. The shape of the EPR spectra was analyzed. Free radical concentration (N) in the heated samples was determined. EPR spectra were not obtained for the non heated VA. EPR spectra were detected for all thermally sterilized samples. The spectra revealed complex character, their asymmetry depends on microwave power. The lowest free radicals concentration was found for the VA sterilized at 180°C during 30 min. EPR spectroscopy is proposed as the method useful for optimization of sterilization process of drugs.

  9. [Determinants of sterilization among married couples in Korea].

    Science.gov (United States)

    Kim, Ju Hee; Chung, Woojin; Lee, Sunmi; Suh, Moonhee; Kang, Dae Ryong

    2007-11-01

    The purpose of this study was to examine the determinants of sterilization in South Korea. This study was based on the data from the Korea National Fertility Survey carried out in the year 2000 by the Korea Institute of Health and Social Affairs. The subjects of the analysis were 4,604 women and their husbands who were in their first marriage, in the age group of 15-49 years. The data were analyzed by multiple logistic regression analysis. Consistent with the findings of previous studies, the woman's age and the number of total children increased the likelihood of sterilization. In addition, the year of marriage had a strong positive association with sterilization. Interestingly, the number of surviving sons tended to increase the likelihood of sterilization, whereas the woman's education level and age at the time of marriage showed a negative association with sterilization. Religion, place of residence, son preference, and the husband's education level, age and type of occupation were not significant determinants of sterilization. The sex of previous children and lower level of education are distinct determinants of sterilization among women in South Korea. More studies are needed in order to determine the associations between sterilization rate and decreased fertility.

  10. Studies on induced mutation of sesame male sterility

    International Nuclear Information System (INIS)

    Li Yingde; Feng Xiangyun; Zhao Yingzhong

    2001-01-01

    The dry seeds of the high yielding cultivar, Yuzhi-4, were irradiated with 300, 500 and 700 Gy of 60 Co- gamma rays. 3277 M 1 plants were harvested separately as single plants and also in bulk, by doses. In M 2 , the single plant seeds were grown in progeny rows and the bulked seeds were grown as bulks. 25 male sterile plants were screened from M 2 . 10 of the 25 male sterile plants were from the progenies of the single plant seeds and 15 were from the progenies of the bulked seeds. In further genetic research of the 25 male sterile plants in M 3 and M 4 , 6 separate genic male sterile (GMS) lines were identified. Their male sterility was stable and was controlled by a pair of alleles, male fertility being dominant to sterility. (author)

  11. A see-saw mechanism with light sterile neutrinos

    International Nuclear Information System (INIS)

    McKellar, B.H.J.; Garbutt, M.; Stephenson, G.J.; Goldman, T.

    2001-01-01

    The usual see-saw mechanism for the generation of light neutrino masses is based on the assumption that all of the flavours of right-handed (more properly, sterile) neutrinos are heavy. If the sterile Majorana mass matrix is singular, one or more of the sterile neutrinos will have zero mass before mixing with the active (left-handed) neutrinos and be light after that mixing is introduced In particular, a rank 1 sterile mass matrix leads naturally to two pseudo-Dirac pairs, one very light active Majorana neutrino and one heavy sterile Majorana neutrino. For any pattern of Dirac masses, there exists a region of parameter space in which the two pseudo-Dirac pairs are nearly degenerate in mass. This, in turn, leads to large amplitude mixing of active states as well as mixing into sterile states

  12. Radiation monitoring considerations for radiobiology facilities

    International Nuclear Information System (INIS)

    McClelland, T.W.; McFall, E.D.

    1976-01-01

    Battelle, Pacific Northwest Laboratories, conducts a wide variety of radiobiology and radioecology research in a number of facilities on the Hanford Reservation. Review of radiation monitoring problems associated with storage, plant and animal experiments, waste handling and sterile facilities shows that careful monitoring, strict procedural controls and innovative techniques are required to minimize occupational exposure and control contamination. Although a wide variety of radioactivity levels are involved, much of the work is with extremely low level materials. Monitoring low level work is mundane and often impractical but cannot be ignored in today's ever tightening controls

  13. Cosmology seeking friendship with sterile neutrinos

    International Nuclear Information System (INIS)

    Hamann, J.; Hannestad, S.; Raffelt, G.G.; Tamborra, I.; Wong, Y.Y.Y.

    2011-01-01

    Precision cosmology and big-bang nucleosynthesis mildly favour extra radiation in the universe beyond photons and ordinary neutrinos, lending support to the existence of low-mass sterile neutrinos. We present bounds on the common mass scale ms and effective number Ns of thermally excited sterile neutrino states from the most recent cosmological data. Our results are compatible with the existence of one or perhaps two sterile neutrinos, as suggested by LSND and MiniBooNE, if ms is in the sub-eV range.

  14. Sterilization of solutions for parenterals products. Problem analysis

    Directory of Open Access Journals (Sweden)

    Yanelys Montes-González

    2017-09-01

    Full Text Available The solutions for the formulation of parenteral products must be sterile before the aseptic formulation process. For this reason, different methods of sterilization referred in the literature are analyzed. Thermodynamic criteria that rule the sterilization are presented. Furthermore, previous experiences in the sterilization of solutions for the formulation of parental products in an autoclave are analyzed, that take large time of processing and only low volumes of solution can be handled. Using jacketed stirred tanks for the sterilization may solve the problem and, therefore, criteria for the design of the later that allow to process high volumes of solution for the formulation of parenteral products are shown.

  15. A novel steam explosion sterilization improving solid-state fermentation performance.

    Science.gov (United States)

    Zhao, Zhi-Min; Wang, Lan; Chen, Hong-Zhang

    2015-09-01

    Traditional sterilization of solid medium (SM) requires lengthy time, degrades nutrients, and even sterilizes inadequately compared with that of liquid medium due to its low thermal conductivity. A novel sterilization strategy, high-temperature and short-time steam explosion (SE), was exploited for SM sterilization in this study. Results showed that SE conditions for complete sterilization were 172 °C for 2 min and 128 °C for 5 min. Glucose and xylose contents in medium after SE sterilization increased by 157% and 93% respectively compared with those after conventional sterilization (121 °C, 20 min) while fermentation inhibitors were not detected. FTIR spectra revealed that the mild SE conditions helped to release monosaccharides from the polysaccharides. Bacillus subtilis fermentation productivity on medium after SE sterilization was 3.83 times of that after conventional sterilization. Therefore, SE shortened sterilization time and improved SM nutrition, which facilitated fermentability of SM and should promote economy of solid-state fermentation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Practice for dosimetry in an X-ray (bremsstrahlung) facility for radiation processing. 2. ed.

    International Nuclear Information System (INIS)

    2002-01-01

    This practice covers dosimetric procedures to be followed in facility characterization, process qualification, and routine processing using X rays (bremsstrahlung) to ensure that the entire product has been treated within an acceptable range of absorbed doses. Other procedures related to facility characterization, process qualification, and routine processing that may influence absorbed dose in the product are also discussed. The establishment of effective or regulatory dose and X-ray energy limits are not within the scope of this practice. In contrast to monoenergetic gamma rays, the bremsstrahlung energy spectrum extends from low values up to the maximum energy of the electrons incident on the X-ray target (see Section 5 and Annex A1). Dosimetry is only one component of a total quality assurance program for an irradiation facility. Other controls besides dosimetry may be required for specific applications such as medical device sterilization and food preservation. For the irradiation of food and the radiation sterilization of health care products, other specific ISO standards exist. For food irradiation, see ISO/ASTM Practice 51431. For the radiation sterilization of health care products, see ISO 11137:1995. In those areas covered by ISO 11137, that standard takes precedence

  17. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  18. Gene, protein and network of male sterility in rice

    Directory of Open Access Journals (Sweden)

    Wang eKun

    2013-04-01

    Full Text Available Rice is one of the most important model crop plants whose heterosis has been well exploited in commercial hybrid seed production via a variety of types of male sterile lines. Hybrid rice cultivation area is steadily expanding around the world, especially in Southern Asia. Characterization of genes and proteins related to male sterility aims to understand how and why the male sterility occurs, and which proteins are the key players for microspores abortion. Recently, a series of genes and proteins related to cytoplasmic male sterility, photoperiod sensitive male sterility, self-incompatibility and other types of microspores deterioration have been characterized through genetics or proteomics. Especially the latter, offers us a powerful and high throughput approach to discern the novel proteins involving in male-sterile pathways which may help us to breed artificial male-sterile system. This represents an alternative tool to meet the critical challenge of further development of hybrid rice. In this paper, we reviewed the recent developments in our understanding of male sterility in rice hybrid production across gene, protein and integrated network levels, and also, present a perspective on the engineering of male sterile lines for hybrid rice production.

  19. Searching for Sterile Neutrinos with MINOS

    Energy Technology Data Exchange (ETDEWEB)

    Timmons, Ashley [Manchester U.

    2016-01-01

    This document presents the latest results for a 3+1 sterile neutrino search using the $10.56 \\times 10^{20}$ protons-on-target data set taken from 2005 - 2012. By searching for oscillations driven by a large mass splitting, MINOS is sensitive to the existence of sterile neutrinos through any energy dependent deviations using a charged current sample, as well as looking at any relative deficit between neutral current events between the far and near detectors. This document will discuss the novel analysis that enabled a search for sterile neutrinos setting a limit in the previously unexplored regions in the parameter space $\\{\\Delta m^{2}_{41}, \\sin^2\\theta_{24}\\}$. The results presented can be compared to the parameter space suggested by LSND and MiniBooNE and complements other previous experimental searches for sterile neutrinos in the electron neutrino appearance channel.

  20. Proceedings of the Seminar 'Irradiation Technologies and the IRASM Facility'

    International Nuclear Information System (INIS)

    Ponta, Corneliu Catalin; Moise, Ioan Valentin

    1999-01-01

    The seminar devoted to 'Irradiation Technologies and the IRASM Facility' aimed at debating the principal problems related to one of the most important project ever developed in Romania, at the Horia Hulubei National Institute of Physics and Nuclear Engineering, in collaboration with IAEA. IRASM (an acronym for Multiple Purpose Irradiation Facility) is using initially a 60 Co of 100 kCi irradiation source (to be replaced after an promotional stage by a 2 MCi Co source). It is designed to irradiate a materials volume of about 35,000 m 3 /year. Health, agriculture, food industry and materials industry are the most targeted customers. It will be used for sterilization of medical materials and pharmaceuticals products, peat and seed (and other agricultural products) decontamination and sterilization, experimental irradiation of food products, irradiation of composite plastics and other industrial products, etc. The seminar was a first meeting of Romanian specialists in radiation processing with potential users of these technologies as well as with decision making persons working with national governmental and regulation authorities. Twelve communications were presented as a basis for discussion. These were: 1. IRASM - a technical assistance IAEA project and the prospects for technological irradiation in Romania (Serban Dobrescu); 2. IRASM facility - goal, present stage, perspectives (Corneliu C. Ponta); 3. Nuclear safeguards and radioprotection at IRASM (Ioan Valentin Moise); 4. Nuclear safeguard policy for IRASM (Mariana Irimia, Gabriela Vladescu, Ion Cristian); 5. Technological dosimetry at IRASM (Rodica Macrin, Rodica Moraru, Nicolae Valcov); 6. Quality assurance in building and exploiting IRASM (Ioana Domsa); 7. Current status of irradiation technologies in IFIN-HH (Mitica Dragusin); 8. Chemical-pharmaceutical, cosmetic and medical product sterilization (Paul Adrian, Eleonora Gheorghiu); 9. The concept of sterilization and the sterilization testing (Ileana Petcu

  1. 9 CFR 116.4 - Sterilization and pasteurization -records.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Sterilization and pasteurization... REPORTS § 116.4 Sterilization and pasteurization -records. Records shall be made by means of automatic... ingredients, equipment, or biological product subjected to sterilization or pasteurization. (Approved by the...

  2. [Preliminary Study of Lonicera hypoglauca on Germination Conditions of Sand Culture Seeds and Sterilization Method of Sand Culture Seedling Sterilization].

    Science.gov (United States)

    Tan, Mu-xiu; Zeng, Wen-wen; Wei, Peng-xiao; Mo, Qiao-cheng; Pu, Zu-ning; Cen, Xiu-fen; Shi, Feng-hua

    2015-05-01

    To explore the germination conditions of Lonicera hypoglauca sand culture seeds and the effects of sand culture seedlings sterilization. 0.1% HgCl2 with different sterilization time, different illumination time and temperature culture condition were adopted to study the germination conditions of sand culture seeds. Different sterilization treatments and different hardening-seedling days were used to test the sterilization effect of sand culture seedlings. The sterilization effect of the combination of 75% ethanol 30 s + 0.1% HgCl2 5 min on Lonicera hypoglauca seeds was the optimum,with the average pollution rate of 15.56%, and the average germination rate reached 51.11%. The combination of varied temperature-room temperature under light for 12 h/d was the best, with the average germination rate peaked at 75.49%, and the average germination potential reached 68.36%. The treatment of detergent liquor scrub-tap water wash on the part above the hypocotyl, which was sand cultured under the opening condition and had no root, showed the best sterilization effect, with the average pollution rate was zero, and the average survival rate peaked at 100.00%. The sterilization effect of sand culture seedlings, which was disinfected after cleaning by detergent liquor scrub-tap water wash after hardening-seeding for 30 days, was the best, with the average pollution rate of 50.00%, and the average survival rate of 100.00%. The best sterilization effect is the combination of 75% ethanol 30 s + 0.1% HgCl2 5 min; Lighting for 12 h/d of varied temperature-room temperature is regarded as the optimum culture condition. The treatment of detergent liquor scrub-tap water wash treatment on the part above the hypocotyl,which is sand cultured under the opening condition and had no root, shows the best sterilization effect. For the sand culture seedlings, before inoculated in subculture medium, should be hardening-seedling for some days and sterilized after detergent liquor scrub-tap water wash.

  3. Use of geoprocessing tools in uranium mining: volume estimation of sterile piles from the Osamu Utsumi Mine of INB / Caldas

    International Nuclear Information System (INIS)

    Ferreira, A.M.; Menezes, P.H.B.J.; Alberti, H.L.C.; Silva, N.C. da; Goda, R.T.

    2017-01-01

    The determination of the volumes of the sterile piles generated in the uranium mining and their respective characterization is of extreme importance for the management of mining wastes and future decommissioning actions of a nuclear facility. With the development of information technology, it becomes possible to simulate different scenarios in a computational environment, being able to store, represent and process data from existing information. In the industrial mining context, the sterile is represented with rocky materials of different granulometries and with ore content below the cut content determined by the industrial process. In this sense, the present work has the objective of calculating the volume of the sterile stacks of the Osamu Utsumi uranium mine of INB - Nuclear Industries of Brazil / Caldas. The MOU was officially inaugurated in 1977 and operated until 1995, where 1,200 tons of U 2 O 3 were produced generating about 94.5 x 106 tons of sterile material containing low levels of radioactive material and pyrite. The methodology for the development of this work initially involves integration approaches between the Geographic Information System (GIS) and terrain modeling for the sterile piles called BF4 and BF8. The results obtained were compared with the existing literature, translating the importance of GIS as a tool in the management of wastes

  4. Ozone--the latest advance in sterilization of medical devices.

    Science.gov (United States)

    Murphy, Lorna

    2006-06-01

    How many times have procedures in your operating rooms been delayed because the instruments needed were still in the sterilizer? As Perioperative nurses you are likely to be quite familiar with the constant pressure to ensure that scarce instrumentation is available when needed. In 2003, a Canadian company developed a unique sterilization process employing ozone as the sterilizing agent. This technology is a safe, rapid and economical alternative to other low temperature sterilization modalities and may relieve some of the pressure experienced when instruments in short supply are in high demand. This article will discuss the principles of the sterilizer and the cycle and will explore the advantages of using this sterilization technology.

  5. Employee organizational commitment and hospital performance.

    Science.gov (United States)

    Baird, Kevin M; Tung, Amy; Yu, Yanjie

    2017-09-15

    There is widespread evidence of the purported benefits of employee organizational commitment (EOC) and its impact on both individual and organizational performance. This study contributes to this literature by providing a unique insight into this relationship, focusing on the interrelationship between EOC with hospital performance and the role of the provision of adequate facilities in eliciting EOC. The aim of this study was to introduce and empirically examine a new theoretical model in which it is argued that the performance of hospitals with regard to the provision of adequate facilities (medical facilities, support facilities, and staff resources) influences the level of EOC, which in turn influences hospital performance with regard to patient care and operational effectiveness. To examine the interrelationships between the provision of adequate facilities, EOC, and hospital performance, the study utilizes a survey of hospital managers. The findings support the theoretical model, with the provision of support facilities and staff resources positively indirectly associated with both patient care and operational effectiveness through their impact on EOC. The findings highlight the importance of providing adequate facilities and EOC within hospitals and suggest that CEOs and general managers should try to enhance the provision of such resources in an attempt to elicit EOC within their hospitals. The findings suggest that managers should try to enhance their provision of adequate facilities in order to elicit EOC and enhance hospital performance. With regard to medical facilities, they should consider and incorporate the latest technology and up-to-date equipment. They should also provide adequate staff resources, including appropriate numbers of beds, nurses, and doctors, to prevent "fatigue" (West, 2001, p. 41) and provide adequate support facilities.

  6. Allelic interaction of F1 pollen sterility loci and abnormal chromosome behaviour caused pollen sterility in intersubspecific autotetraploid rice hybrids.

    Science.gov (United States)

    He, J H; Shahid, M Q; Li, Y J; Guo, H B; Cheng, X A; Liu, X D; Lu, Y G

    2011-08-01

    The intersubspecific hybrids of autotetraploid rice has many features that increase rice yield, but lower seed set is a major hindrance in its utilization. Pollen sterility is one of the most important factors which cause intersubspecific hybrid sterility. The hybrids with greater variation in seed set were used to study how the F(1) pollen sterile loci (S-a, S-b, and S-c) interact with each other and how abnormal chromosome behaviour and allelic interaction of F(1) sterility loci affect pollen fertility and seed set of intersubspecific autotetraploid rice hybrids. The results showed that interaction between pollen sterility loci have significant effects on the pollen fertility of autotetraploid hybrids, and pollen fertility further decreased with an increase in the allelic interaction of F(1) pollen sterility loci. Abnormal ultra-structure and microtubule distribution patterns during pollen mother cell (PMC) meiosis were found in the hybrids with low pollen fertility in interphase and leptotene, suggesting that the effect-time of pollen sterility loci interaction was very early. There were highly significant differences in the number of quadrivalents and bivalents, and in chromosome configuration among all the hybrids, and quadrivalents decreased with an increase in the seed set of autotetraploid hybrids. Many different kinds of chromosomal abnormalities, such as chromosome straggling, chromosome lagging, asynchrony of chromosome disjunction, and tri-fission were found during the various developmental stages of PMC meiosis. All these abnormalities were significantly higher in sterile hybrids than in fertile hybrids, suggesting that pollen sterility gene interactions tend to increase the chromosomal abnormalities which cause the partial abortion of male gametes and leads to the decline in the seed set of the autotetraploid rice hybrids. © 2011 The Author(s).

  7. [Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC) on the incidence of phlebitis. A randomized controlled trial].

    Science.gov (United States)

    Forni, Cristiana; D'Alessandro, Fabio; Gambino, Orazio; Amodeo, Alfredo; Pignotti, Elettra; Zanotti, Enrichetta; Tremosini, Morena; Trofa, Carmela; Sabattini, Tania; Matino, Federica; Genco, Rossana; Schiavone, Miguel; Bombino, Caterina; Mini, Sandra; Rocchegiani, Laura; Notarnicola, Teresa; Capezzali, Daniela; Boschi, Rita; Loro, Loretta

    2012-01-01

    Effectiveness of the transparent sterile dressing vs standard to fix the peripheral venous catheter (PVC), on the incidence of phlebitis. A randomized controlled trial. The type of dressing could contribute to the incidence of phlebitis, infiltration and accidental removals but the results of the studies are contrasting and samples are limited. To compare the effectiveness of a transparent polyurethane sterile dressing on the rate of phlebitis associated to peripheral venous catheter (PVC) vs a non sterile sticking plaster in use in current practice (standard dressing). Randomized controlled trial. Participants. 1061 PVCs (703 patients, adults and children) at a research orthopedic hospital in the north of Italy; 540 PVCs allocated to receive the sterile and 521 the standard dressing. 96 PVCs were excluded for phlebitis, 48 (9.6%) in the sterile and 48 (10.1%) in the standard dressing group, RR 0.96 (95%CI 0.697 - 1.335). Accidental removal of the PVCs was more frequent with the sterile dressing (9.6% vs 6.3%) but the number of catheters removed without complications was larger in the standard dressing group (48.9% vs 54.9% P=0.0503). Eighty-five PVCs were replaced for detachment of the dressing (50, 9.2% sterile and 35, 6.7% standard dressing). The cheapest transparent sterile dressing costs 32 cents while the standard 9 cents. A sticking non sterile plasters is not influential on the rate of phlebitis and ensures an good fix of the PVC compared the transparent sterile dressing to of polyurethane film.

  8. Male sterility in plants. Induction, isolation and utilization

    International Nuclear Information System (INIS)

    Driscoll, C.J.; Barlow, K.K.

    1976-01-01

    Both induced and spontaneously arising male sterility mutants exist in a number of important plant species. These mutants are somewhat unique in that they effect procedures for breeding improved varieties. They allow for the possibility of easily obtaining large numbers of hybrids, population breeding systems and the production of hybrid varieties. These mutants are normally classified as cytoplasmic mutants or chromosomal mutants, the latter also being referred to as nuclear or genic mutants. Specific examples of these types of sterility are examined in relation to the breeding system of the species and their potential use for varietal development. Male sterility in diploid and polyploid species is compared, with reference to gene duplication in polyploids. The mechanism of male sterility is examined in the various species at the anatomical and biochemical levels. Methods of isolating male sterility mutants are compared and a specific example is outlined for hexaploid wheat. Future use of male sterility mutants for improving varieties of various crops is examined. (author)

  9. Evaluation of steam sterilization conditions for [18F]fludeoxyglucose

    International Nuclear Information System (INIS)

    Santos, Priscilla F.; Nascimento, Leonardo T.; Valente, Eduardo S.; Silva, Juliana B.; Silveira, Marina B.; Ferreira, Soraya Z.

    2011-01-01

    [ 18 F]Flu deoxyglucose ( 18 FDG) is the most commonly used radiopharmaceutical for positron emission tomography. Sterile filtration of the final product into sterile vials using 0.22 μm filter membrane is usually adopted for 18 FDG. However, Good Manufacturing Practice (GMP) guidelines recommend heat sterilization as the method of choice to ensure sterility of pharmaceutical preparations. The aim of this study was to essay different steam sterilization conditions in order to choose the best one for 18 FDG. Three different sterilization conditions were essayed. The first one at 121 deg C for 15 minutes, the second one at 135 deg C for 3.5 minutes and the third one at 133 deg C for 2 minutes. 18 FDG pH-formulation was kept around 6.0. At the end of autoclave cycles, 18 FDG sterility was evaluated by direct inoculation of 18 FDG in culture media and radiochemical purity was determined by TLC and HPLC. Results demonstrated that all essayed conditions were able to ensure 18 FDG sterility, but caused a decrease in radiochemical purity of 18 FDG. Autoclave cycle at 133 deg C for 2 minutes was the best essayed condition for 18 FDG terminal sterilization, once it provided the greater radiochemical purity value and took less time. 18 FDG was able to meet specifications after autoclave cycles, what supports the application of steam sterilization in routine 18 FDG production, in compliance with GMP. (author)

  10. Degradation of chitosan-based materials after different sterilization treatments

    International Nuclear Information System (INIS)

    San Juan, A; Montembault, A; Royaud, I; David, L; Gillet, D; Say, J P; Rouif, S; Bouet, T

    2012-01-01

    Biopolymers have received in recent years an increasing interest for their potential applications in the field of biomedical engineering. Among the natural polymers that have been experimented, chitosan is probably the most promising in view of its exceptional biological properties. Several techniques may be employed to sterilize chitosan-based materials. The aim of our study was to compare the effect of common sterilization treatments on the degradation of chitosan-based materials in various physical states: solutions, hydrogels and solid flakes. Four sterilization methods were compared: gamma irradiation, beta irradiation, exposure to ethylene oxide and saturated water steam sterilization (autoclaving). Exposure to gamma or beta irradiation was shown to induce an important degradation of chitosan, regardless of its physical state. The chemical structure of chitosan flakes was preserved after ethylene oxide sterilization, but this technique has a limited use for materials in the dry state. Saturated water steam sterilization of chitosan solutions led to an important depolymerization. Nevertheless, steam sterilization of chitosan flakes bagged or dispersed in water was found to preserve better the molecular weight of the polymer. Hence, the sterilization of chitosan flakes dispersed in water would represent an alternative step for the preparation of sterilized chitosan solutions. Alternatively, autoclaving chitosan physical hydrogels did not significantly modify the macromolecular structure of the polymer. Thus, this method is one of the most convenient procedures for the sterilization of physical chitosan hydrogels after their preparation.

  11. Determination of sterilizing dose of lincocine drug

    International Nuclear Information System (INIS)

    Adawi, M.A.; Shamma, M.; Al-Mousa, A.

    1998-01-01

    There are too many antibiotics that have been studied on their dry solid state to determine their safe sterilizing dose by decreasing their bio burden in order to reach the sterility assurance level (SAL) needed. The sterilizing radiating dose of lincocine was determined according to information about their bio burden and radiating sensitivity at the sterility assurance level 10-6. The study of bio burden has shown that the contamination was fungal (Pemicillium sp.) and by applying the same tests to the raw materials of lincocine it came out that the cause of contamination was bad storage and that the radiating dose required to decrease the bio burden was 5.5 kGy. (author)

  12. 7 CFR 305.23 - Steam sterilization treatment schedules.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Steam sterilization treatment schedules. 305.23... Steam sterilization treatment schedules. Treatment schedule Temperature( °F) Pressure Exposure period (minutes) Directions T303-b-1 10 lbs 20 Use 28″ vacuum. Steam sterilization is not practical for treatment...

  13. Color stability of shade guides after autoclave sterilization.

    Science.gov (United States)

    Schmeling, Max; Sartori, Neimar; Monteiro, Sylvio; Baratieri, Luiz

    2014-01-01

    This study evaluated the influence of 120 autoclave sterilization cycles on the color stability of two commercial shade guides (Vita Classical and Vita System 3D-Master). The specimens were evaluated by spectrophotometer before and after the sterilization cycles. The color was described using the three-dimensional CIELab system. The statistical analysis was performed in three chromaticity coordinates, before and after sterilization cycles, using the paired samples t test. All specimens became darker after autoclave sterilization cycles. However, specimens of Vita Classical became redder, while those of the Vita System 3D-Master became more yellow. Repeated cycles of autoclave sterilization caused statistically significant changes in the color coordinates of the two shade guides. However, these differences are considered clinically acceptable.

  14. Radio-sterilization and processing of frozen human skin

    International Nuclear Information System (INIS)

    Zarate S, Herman; Aguirre H, Paulina; Silva R, Samy; Hitschfeld G, Mario

    2006-01-01

    The Laboratory of Radio-sterilized Biological Tissues Processing (LPTR) belonging to the Chilean Commission of Nuclear Energy and the International Atomic Energy Agency have played a paramount role in our country, concerning the biological tissue processing, which can be radio-sterilized as human skin, pig skin, amniotic membrane, human bone and bovine bone. The frozen radio.-sterilized human skin processing began in 2001, by means of putting into practice the knowledge acquired in training courses through the IAEA and the experience transferred by experts who visited our laboratory. The human skin processing of dead donor can be divided into 6 stages: a) Profuse washing with physiological sterilized serum in to remove the microorganisms, chemical and pharmacological compounds; b) immersion in glycerol solution at 10% to better keep the stored tissues; c) packing, to avoid post manipulation of the sterilized tissue; d) microbiological controls which allow and guarantee a sterility assurance level of 10 6 ; e) radio-sterilization, technique that consists of exposing the grafts to electromagnetic gamma waves which eliminate the microorganisms of the tissue, f) and finally, dispatching and liberation of the frozen sterilized human skin for its clinical use in different centers that take care of burned people. The LPTR receives feedback from surgeons who have used these tissues in order to improve the processing stages based in an integral quality system ISO 9001.2000. The State Health System in our country counts on limited and scarce resources to implement synthetic substitutes that is why It is considered necessary to spread the use of these noble tissues which have sterility assurance and they are processed at low price

  15. Cosmology seeking friendship with sterile neutrinos

    DEFF Research Database (Denmark)

    Hamann, Jan; Hannestad, Steen; Raffelt, G.G.

    2011-01-01

    Precision cosmology and big-bang nucleosynthesis mildly favour extra radiation in the universe beyond photons and ordinary neutrinos, lending support to the existence of low-mass sterile neutrinos. We present bounds on the common mass scale ms and effective number Ns of thermally excited sterile ...

  16. Male sterile mutant in Vigna radiata

    International Nuclear Information System (INIS)

    Pande, Kalpana; Raghuvanshi, S.S.

    1987-01-01

    Single and combined treatment of γ-rays and 0.25 per cent EMS were tried on Vigna radiata variety K851. A male sterile mutant was isolated in M 2 generation. Experiments indicated male sterility to be recessive and monogenic in nature. 6 figures. (author)

  17. Reionization in sterile neutrino cosmologies

    Science.gov (United States)

    Bose, Sownak; Frenk, Carlos S.; Hou, Jun; Lacey, Cedric G.; Lovell, Mark R.

    2016-12-01

    We investigate the process of reionization in a model in which the dark matter is a warm elementary particle such as a sterile neutrino. We focus on models that are consistent with the dark matter decay interpretation of the recently detected line at 3.5 keV in the X-ray spectra of galaxies and clusters. In warm dark matter models, the primordial spectrum of density perturbations has a cut-off on the scale of dwarf galaxies. Structure formation therefore begins later than in the standard cold dark matter (CDM) model and very few objects form below the cut-off mass scale. To calculate the number of ionizing photons, we use the Durham semi-analytic model of galaxy formation, GALFORM. We find that even the most extreme 7 keV sterile neutrino we consider is able to reionize the Universe early enough to be compatible with the bounds on the epoch of reionization from Planck. This, perhaps surprising, result arises from the rapid build-up of high redshift galaxies in the sterile neutrino models which is also reflected in a faster evolution of their far-UV luminosity function between 10 > z > 7 than in CDM. The dominant sources of ionizing photons are systematically more massive in the sterile neutrino models than in CDM. As a consistency check on the models, we calculate the present-day luminosity function of satellites of Milky Way-like galaxies. When the satellites recently discovered in the Dark Energy Survey are taken into account, strong constraints are placed on viable sterile neutrino models.

  18. Revisiting cosmological bounds on sterile neutrinos

    Energy Technology Data Exchange (ETDEWEB)

    Vincent, Aaron C. [Institute for Particle Physics Phenomenology (IPPP), Department of Physics, Durham University, Durham DH1 3LE (United Kingdom); Martínez, Enrique Fernández [Departamento and Instituto de Física Teórica (IFT), UAM/CSIC, Universidad Autonoma de Madrid, C/ Nicolás Cabrera 13-15, E-28049 Cantoblanco, Madrid (Spain); Hernández, Pilar; Mena, Olga [Instituto de Física Corpuscular (IFIC), CSIC-Universitat de València, Apartado de Correos 22085, E-46071 Valencia (Spain); Lattanzi, Massimiliano, E-mail: aaron.vincent@durham.ac.uk, E-mail: enrique.fernandez-martinez@uam.es, E-mail: m.pilar.hernandez@uv.es, E-mail: omena@ific.uv.es, E-mail: lattanzi@fe.infn.it [Dipartimento di Fisica e Science della Terra, Università di Ferrara and INFN, sezione di Ferrara, Polo Scientifico e Tecnologico, Edificio C Via Saragat, 1, I-44122 Ferrara (Italy)

    2015-04-01

    We employ state-of-the art cosmological observables including supernova surveys and BAO information to provide constraints on the mass and mixing angle of a non-resonantly produced sterile neutrino species, showing that cosmology can effectively rule out sterile neutrinos which decay between BBN and the present day. The decoupling of an additional heavy neutrino species can modify the time dependence of the Universe's expansion between BBN and recombination and, in extreme cases, lead to an additional matter-dominated period; while this could naively lead to a younger Universe with a larger Hubble parameter, it could later be compensated by the extra radiation expected in the form of neutrinos from sterile decay. However, recombination-era observables including the Cosmic Microwave Background (CMB), the shift parameter R{sub CMB} and the sound horizon r{sub s} from Baryon Acoustic Oscillations (BAO) severely constrain this scenario. We self-consistently include the full time-evolution of the coupled sterile neutrino and standard model sectors in an MCMC, showing that if decay occurs after BBN, the sterile neutrino is essentially bounded by the constraint sin{sup 2}θ ∼< 0.026 (m{sub s}/eV){sup −2}.

  19. Reproducibility of the interpretation of pelvic x-ray 3 months after hysteroscopic sterilization with Essure.

    Science.gov (United States)

    Veersema, Sebastiaan; Mol, Ben W J; Brölmann, Hans A M

    2010-09-01

    To estimate the diagnostic accuracy and the interobserver reproducibility of pelvic x-rays in the diagnosis of successful bilateral sterilization with Essure after a 3-month follow-up period. Interobserver study. Outpatient department of obstetrics and gynecology in a Dutch teaching hospital. Patients with successful bilateral Essure placement. Hysteroscopic sterilization with Essure and pelvic x-ray and hysterosalpingography after a 3-month follow-up period. Six observers evaluations of 47 pelvic x-rays from 47 patients 3 months after a technical successful bilateral placement of microinserts to estimate the reliability of the sterilization. Diagnostic accuracy of pelvic x-ray per observer in detecting incorrectly positioned microinserts was expressed in terms of sensitivity and specificity, with hysterosalpingography as the reference strategy. Reproducibility of the interpretation of the pelvic x-ray was expressed as kappa-values. The sensitivity and specificity for x-rays read by gynecologists was 0.67 (95% confidence interval [CI], 0.29-0.96) and 0.79 (95% CI, 0.58-1.00) and for radiologists 1.0 and 0.5 (95% CI, 0.36-0.64). The interobserver agreement in reliability of pelvic x-ray of hysteroscopic sterilization assessment with Essure ranged from slight (kappa-value=0.09) for gynecologists to moderate (kappa-value=0.52) for radiologists. Test characteristics of pelvic x-ray as the imaging technique to assess the position of the Essure microinserts and tubal patency were poor, as was the reproducibility, particularly if gynecologists performed the evaluation. We do not recommend the use of pelvic x-ray for the assessment of the positioning of microinserts after hysteroscopic sterilization. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  20. Gamma irradiation facility: Evaluation of operational modes

    International Nuclear Information System (INIS)

    Adesanmi, C.A.; Ali, M.S.; Shonowo, O.A.; Akueche, E.C.; Sadare, O.O.; Mustapha, T.K.; Yusuf, U.; Inyanda, A.K.

    2007-01-01

    The multipurpose Gamma Irradiation Facility (GIF) at the Nuclear Technology Centre (NTC), Sheda Science and Technology Complex (SHETSCO), Abuja, Nigeria is designed as a semi-commercial plant with facilities for research and development (R and D). The design takes into account the different needs of the various research applications which require a wide dose range, a variety of techniques, different product sizes, shapes, mass, volume, densities and types. Programmable doses are used for food irradiation (0.04 - 10 kGy), biological seed mutation breeding and sterile insect technique (STI) (0.01- 5 kGy) sterilization of medical, pharmaceutical and cosmetic products and packages (up to 25 kGy) and cross-linking of polymers (up to 100 kGy). The six different modes of operations (sample elevator, stationary, swiveling, 2-path inner lane and 2-path outer lane and 4-path line) were evaluated. The dose range, mass range and range of irradiation time practicable were established and advantages for radiation processing of food and industrial products were enumerated for the six modes of operations for the first time

  1. Light Sterile Neutrinos: A White Paper

    DEFF Research Database (Denmark)

    Abazajian, K. N.; Acero, M. A.; Agarwalla, S. K.

    2012-01-01

    This white paper addresses the hypothesis of light sterile neutrinos based on recent anomalies observed in neutrino experiments and the latest astrophysical data.......This white paper addresses the hypothesis of light sterile neutrinos based on recent anomalies observed in neutrino experiments and the latest astrophysical data....

  2. 21 CFR 880.6860 - Ethylene oxide gas sterilizer.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Ethylene oxide gas sterilizer. 880.6860 Section... Miscellaneous Devices § 880.6860 Ethylene oxide gas sterilizer. (a) Identification. An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to...

  3. Facility-Level Variation in Hospitalization, Mortality, and Costs in the 30 Days After Percutaneous Coronary Intervention: Insights on Short-Term Healthcare Value From the Veterans Affairs Clinical Assessment, Reporting, and Tracking System (VA CART) Program.

    Science.gov (United States)

    Bradley, Steven M; O'Donnell, Colin I; Grunwald, Gary K; Liu, Chuan-Fen; Hebert, Paul L; Maddox, Thomas M; Jesse, Robert L; Fihn, Stephan D; Rumsfeld, John S; Ho, P Michael

    2015-07-14

    Policies to reduce unnecessary hospitalizations after percutaneous coronary intervention (PCI) are intended to improve healthcare value by reducing costs while maintaining patient outcomes. Whether facility-level hospitalization rates after PCI are associated with cost of care is unknown. We studied 32,080 patients who received PCI at any 1 of 62 Veterans Affairs hospitals from 2008 to 2011. We identified facility outliers for 30-day risk-standardized hospitalization, mortality, and cost. Compared with the risk-standardized average, 2 hospitals (3.2%) had a lower-than-expected hospitalization rate, and 2 hospitals (3.2%) had a higher-than-expected hospitalization rate. We observed no statistically significant variation in facility-level risk-standardized mortality. The facility-level unadjusted median per patient 30-day total cost was $23,820 (interquartile range, $19,604-$29,958). Compared with the risk-standardized average, 17 hospitals (27.4%) had lower-than-expected costs, and 14 hospitals (22.6%) had higher-than-expected costs. At the facility level, the index PCI accounted for 83.1% of the total cost (range, 60.3%-92.2%), whereas hospitalization after PCI accounted for only 5.8% (range, 2.0%-12.7%) of the 30-day total cost. Facilities with higher hospitalization rates were not more expensive (Spearman ρ=0.16; 95% confidence interval, -0.09 to 0.39; P=0.21). In this national study, hospitalizations in the 30 day after PCI accounted for only 5.8% of 30-day cost, and facility-level cost was not correlated with hospitalization rates. This challenges the focus on reducing hospitalizations after PCI as an effective means of improving healthcare value. Opportunities remain to improve PCI value by reducing the variation in total cost of PCI without compromising patient outcomes. © 2015 American Heart Association, Inc.

  4. Impact of Sterile Compounding Batch Frequency on Pharmaceutical Waste.

    Science.gov (United States)

    Abbasi, Ghalib; Gay, Evan

    2017-01-01

    Purpose: To measure the impact of increasing sterile compounding batch frequency on pharmaceutical waste as it relates to cost and quantity. Methods: Pharmaceutical IV waste at a tertiary care hospital was observed and recorded for 7 days. The batching frequency of compounded sterile products (CSPs) was then increased from twice daily to 4 times daily. After a washout period, pharmaceutical IV waste was then recorded for another 7 days. The quantity of units wasted and the cost were compared between both phases to determine the impact that batching frequency has on IV waste, specifically among high- and low-cost drugs. Results: Patient days increased from 2,459 during phase 1 to 2,617 during phase 2. The total number of CSPs wasted decreased from 3.6 to 2.7 doses per 100 patient days. Overall cost was reduced from $4,585.36 in phase 1 to $4,453.88 in phase 2. The value of wasted high-cost drugs per 100 patient days increased from $146 in phase 1 to $149 in phase 2 ( p > .05). The value of wasted low cost drugs per 100 patient days decreased from $41 in phase 1 to $21 in phase 2 ( p waste quantity and cost. The highest impact of the intervention was observed among low-cost CSPs.

  5. Sterilization of health care products - Ethylene oxide - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices

    International Nuclear Information System (INIS)

    2007-01-01

    This part of ISO 11135 describes requirements that, if met, will provide an ethylene oxide sterilization process intended to sterilize medical devices, which has appropriate microbicidal activity. Furthermore, compliance with the requirements ensures that this activity is both reliable and reproducible so that it can be predicted, with reasonable confidence, that there is a low level of probability of there being a viable microorganism present on product after sterilization. Specification of this probability is a matter for regulatory authorities and may vary from country to country. The paper provides information on scope, normative references, terms and definitions, quality management systems, sterilizing agent characterization, process and equipment characterization, product definition, process definition, validation, routine monitoring and control, product release from sterilization and maintaining process effectiveness followed by Annex A (Determination of lethal rate of the sterilization process - Biological indicator/bioburden approach), Annex B (Conservative determination of lethal rate of the sterilization process - Overkill approach, annex C (General guidance) and a bibliography.

  6. Sterilization of fruit flies (Diptera: Tephritidae) with X-rays for sterile insect technique programs

    International Nuclear Information System (INIS)

    Mastrangelo, Thiago de Araujo

    2009-01-01

    Recent fear of acts of terrorism provoked an increase of delays and denials in the shipment of radioisotopes. This truly represented a menace to sterile insect production projects around the world. In order to validate the use of a new kind of low-energy Xray irradiator, a series of radiobiological studies on Ceratitis capitata (tsl-VIENNA 8 strain) (Wied., 1824) (Diptera: Tephritidae) and an Argentinean strain of Anastrepha fraterculus (Wied., 1830) (Diptera: Tephritidae) were carried out, also comparing biological effectiveness between X-rays and traditional γ radiation from 60 Co. Pupae 48- 24 h before adult emergence of C. capitata males and both sexes of A. fraterculus were irradiated with doses ranging from 15 to 120 Gy and 10 to 70 Gy respectively. Doses that induce 50, 90 and 99% of sterility were estimated and the hypothesis of Parallelism for the Probit equations was tested. Doses of 82.7 Gy of X-rays and 128.2 Gy of γ rays (thus, a RBE∼1.5) induced 99% sterility on medfly males. The fertility of A. fraterculus fertile females crossed with 41 Gy of X-rays and 62.7 Gy of γ rays decreased in 99% comparing with the control group (RBE∼1.5). 99% sterility of A. fraterculus irradiated females was achieved with 60-80 Gy (RBE∼0.7). The standard quality control parameters of fecundity, adult emergence, fliers and survival were not significantly affected by the two types of radiation (RBE∼1) either for medfly or A. fraterculus (p>0.01), being averages in conformity with the values required by FAO/IAEA/USDA. Only fecundity of irradiated A. fraterculus females was severely reduced with increasing doses and no egg was laid at 70 Gy of both radiations. There were no significant differences between X-rays and γ rays regarding mating indices (RSI for medfly, RII, ISI, MRPI and FRPI for A. fraterculus) (p>0.05), what indicated more random matings for fertile and sterile insects. The results demonstrated that no significant difference in biological

  7. Emission characteristics of plastic syringes sterilized with ethylene oxide--a controlled study.

    Science.gov (United States)

    Chien, Yeh-Chung; Su, Po-Chi; Lee, Lien-Hsiung; Chen, Chang-Yuh

    2009-11-01

    This study examined the emission characteristics of ethylene oxide (EO)-sterilized syringes under various environmental conditions, aiming to develop control strategies to minimize worker exposure. Experiments were performed in a facility in which temperature, relative humidity (RH), and air change rate (ACR) were controlled. Analytical results indicate that the main effects of the four test variables on kinetic parameters were statistically significant (p Plastic content, temperature, RH, and ACR affected EO emissions. ACR is an achievable means of control; however, the aeration area/system should be isolated to ensure adequate ventilation is achieved.

  8. Predictors of Hospitalization Among Newly Admitted Skilled Nursing Facility Residents: Rethinking the Role of Functional Decline

    Directory of Open Access Journals (Sweden)

    Sun J. Kim

    2014-05-01

    Full Text Available Purpose: Hospital transfer from a skilled nursing facility (SNF is costly, and many are potentially preventable. This study examines: 1 whether functional decline is a predictor of hospital transfer, and 2 the magnitude of relationships between predictors (functional impairment and chronic medical illness and hospital transfer from SNFs. Methods: We used Minimum Data Set (MDS Version 2.0 in the state of Michigan between 2007 and 2009. In total, 196,662 new SNF admissions were observed. Multilevel generalized estimating equations and regression models were performed for each functional and clinical domain while adjusting for demographic variables and change in activities of daily living (ADL. Results: 65% of recently admitted SNF residents experienced functional decline after SNF admission, and 58% were readmitted to a hospital. Residents who needed extensive assistance or were completely dependent in their functional domains had pressure ulcers, deteriorated mood or lower cognitive performance scale scores. These residents experienced higher chances of hospital transfer. However, a deteriorated ADL played a significant role in all multivariate models, indicating that a decline in ADL is a stronger predictor of hospital transfer than other functional or clinical predictors. Conclusion: Although all functional impairments and chronic medical illness can be associated with hospital transfer, functional decline may be the most important predictor of hospital transfer in patients newly admitted to an SNF.

  9. Surgical instrument biocontaminant fluorescence detection in ambient lighting conditions for hospital reprocessing and sterilization department (Conference Presentation)

    Science.gov (United States)

    Baribeau, François; Bubel, Annie; Dumont, Guillaume; Vachon, Carl; Lépine, André; Rochefort, Stéphane; Massicotte, Martin; Buteau-Vaillancourt, Louis; Gallant, Pascal; Mermut, Ozzy

    2017-03-01

    Hospitals currently rely on simple human visual inspection for assessing cleanliness of surgical instruments. Studies showed that surgical site infections are in part attributed to inadequate cleaning of medical devices. Standards groups recognize the need to objectively quantify the amount of residues on surgical instruments and establish guidelines. We developed a portable technology for the detection of contaminants on surgical instruments through fluorescence following cleaning. Weak fluorescence signals are usually detected in the obscurity only with the lighting of the excitation source. The key element of this system is that it works in ambient lighting conditions, a requirement to not disturb the normal workflow of hospital reprocessing facilities. A biocompatible fluorescent dye is added to the detergent and labels the proteins of organic residues. It is resistant to the harsh environment in a washer-disinfector. Two inspection devices have been developed with a 488nm laser as the excitation source: a handheld scanner and a tabletop station using spectral-domain and time-domain ambient light cancellation schemes. The systems are eye safe and equipped with image processing and interfacing software to provide visual or audible warnings to the operator based on a set of adjustable signal thresholds. Micron-scale residues are detected by the system which can also evaluate soil size and mass. Unlike swabbing, it can inspect whole tools in real-time. The technology has been validated in an independent hospital decontamination research laboratory. It also has potential applications in the forensics, agro-food, and space fields. Technical aspects and results will be presented and discussed.

  10. Health Facilities

    Science.gov (United States)

    Health facilities are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, ... psychiatric care centers. When you choose a health facility, you might want to consider How close it ...

  11. Knowledge, Attitude and Practice of Injection Safety among Benue ...

    African Journals Online (AJOL)

    adedamla

    syringes without sterilization. ... Injection safety as a concept includes all actions that ... access safe, affordable equipment to promote the ... Hospital. MATERIALS AND METHODS ... latitude 7043'N and longitude 8034'E. The hospital ... respondents personal experience of the consequences of .... facilities in Nigeria in 2004.

  12. Sterilization of Lung Matrices by Supercritical Carbon Dioxide.

    Science.gov (United States)

    Balestrini, Jenna L; Liu, Angela; Gard, Ashley L; Huie, Janet; Blatt, Kelly M S; Schwan, Jonas; Zhao, Liping; Broekelmann, Tom J; Mecham, Robert P; Wilcox, Elise C; Niklason, Laura E

    2016-03-01

    Lung engineering is a potential alternative to transplantation for patients with end-stage pulmonary failure. Two challenges critical to the successful development of an engineered lung developed from a decellularized scaffold include (i) the suppression of resident infectious bioburden in the lung matrix, and (ii) the ability to sterilize decellularized tissues while preserving the essential biological and mechanical features intact. To date, the majority of lungs are sterilized using high concentrations of peracetic acid (PAA) resulting in extracellular matrix (ECM) depletion. These mechanically altered tissues have little to no storage potential. In this study, we report a sterilizing technique using supercritical carbon dioxide (ScCO2) that can achieve a sterility assurance level 10(-6) in decellularized lung matrix. The effects of ScCO2 treatment on the histological, mechanical, and biochemical properties of the sterile decellularized lung were evaluated and compared with those of freshly decellularized lung matrix and with PAA-treated acellular lung. Exposure of the decellularized tissue to ScCO2 did not significantly alter tissue architecture, ECM content or organization (glycosaminoglycans, elastin, collagen, and laminin), observations of cell engraftment, or mechanical integrity of the tissue. Furthermore, these attributes of lung matrix did not change after 6 months in sterile buffer following sterilization with ScCO2, indicating that ScCO2 produces a matrix that is stable during storage. The current study's results indicate that ScCO2 can be used to sterilize acellular lung tissue while simultaneously preserving key biological components required for the function of the scaffold for regenerative medicine purposes.

  13. Cleaning, disinfection and sterilization of surface prion contamination.

    Science.gov (United States)

    McDonnell, G; Dehen, C; Perrin, A; Thomas, V; Igel-Egalon, A; Burke, P A; Deslys, J P; Comoy, E

    2013-12-01

    Prion contamination is a risk during device reprocessing, being difficult to remove and inactivate. Little is known of the combined effects of cleaning, disinfection and sterilization during a typical reprocessing cycle in clinical practice. To investigate the combination of cleaning, disinfection and/or sterilization on reducing the risk of surface prion contamination. In vivo test methods were used to study the impact of cleaning alone and cleaning combined with thermal disinfection and high- or low-temperature sterilization processes. A standardized test method, based on contamination of stainless steel wires with high titres of scrapie-infected brain homogenates, was used to determine infectivity reduction. Traditional chemical methods of surface decontamination against prions were confirmed to be effective, but extended steam sterilization was more variable. Steam sterilization alone reduced the risk of prion contamination under normal or extended exposure conditions, but did show significant variation. Thermal disinfection had no impact in these studies. Cleaning with certain defined formulations in combination with steam sterilization can be an effective prion decontamination process, in particular with alkaline formulations. Low-temperature, gaseous hydrogen peroxide sterilization was also confirmed to reduce infectivity in the presence and absence of cleaning. Prion decontamination is affected by the full reprocessing cycle used on contaminated surfaces. The correct use of defined cleaning, disinfection and sterilization methods as tested in this report in the scrapie infectivity assay can provide a standard precaution against prion contamination. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  14. Spore-Forming Bacteria that Resist Sterilization

    Science.gov (United States)

    LaDuc, Myron; Venkateswaran, Kasthuri

    2003-01-01

    A report presents a phenotypic and genotypic characterization of a bacterial species that has been found to be of the genus Bacillus and has been tentatively named B. odysseensis because it was isolated from surfaces of the Mars Odyssey spacecraft as part of continuing research on techniques for sterilizing spacecraft to prevent contamination of remote planets by terrestrial species. B. odysseensis is a Gram-positive, facultatively anaerobic, rod-shaped bacterium that forms round spores. The exosporium has been conjectured to play a role in the elevated resistance to sterilization. Research on the exosporium is proposed as a path toward improved means of sterilization, medical treatment, and prevention of biofouling.

  15. Production of a sterile species: Quantum kinetics

    Science.gov (United States)

    Boyanovsky, D.; Ho, C. M.

    2007-10-01

    Production of a sterile species is studied within an effective model of active-sterile neutrino mixing in a medium in thermal equilibrium. The quantum kinetic equations for the distribution functions and coherences are obtained from two independent methods: the effective action and the quantum master equation. The decoherence time scale for active-sterile oscillations is τdec=2/Γaa, but the evolution of the distribution functions is determined by the two different time scales associated with the damping rates of the quasiparticle modes in the medium: Γ1=Γaacos⁡2θm; Γ2=Γaasin⁡2θm where Γaa is the interaction rate of the active species in the absence of mixing and θm the mixing angle in the medium. These two time scales are widely different away from Mikheyev-Smirnov-Wolfenstein resonances and preclude the kinetic description of active-sterile production in terms of a simple rate equation. We give the complete set of quantum kinetic equations for the active and sterile populations and coherences and discuss in detail the various approximations. A generalization of the active-sterile transition probability in a medium is provided via the quantum master equation. We derive explicitly the usual quantum kinetic equations in terms of the “polarization vector” and show their equivalence to those obtained from the quantum master equation and effective action.

  16. Learning curve of hysteroscopic placement of tubal sterilization microinserts in 15 gynecologists in the Netherlands.

    Science.gov (United States)

    Janse, Juliënne A; Pattij, Thyrza O S; Eijkemans, Marinus J C; Broekmans, Frank J; Veersema, Sebastiaan; Schreuder, Henk W R

    2013-09-01

    To evaluate the learning curve of hysteroscopic placement of tubal sterilization microinserts by gynecologists in the Netherlands. Prospective multicenter study (Canadian Task Force II-2). Ten community (teaching) hospitals in the Netherlands. A total of 631 women who underwent permanent sterilization by tubal microinserts. Hysteroscopic placement of tubal sterilization microinserts performed by 15 gynecologists experienced in performing operative hysteroscopy, starting from their very first placement. Effect of increasing experience in time on procedure time, pain score, successful bilateral placement, and complications. Bilateral successful placement with confirmation of adequate positioning at follow-up evaluation was achieved in 480 (76.1%) patients at first attempt and in 44 (7.0%) at second attempt. Median procedure time was 8.0 minutes (range: 3-40), and 31 (4.9%) patients were lost to follow-up evaluation. Gravidity showed to be a confounding factor and was consequently adjusted for. A learning curve was seen in a statistically significant decrease of procedure time with increasing experience. The decrease in procedure time extended to 11 to 15 cases and was followed by a plateau phase of the subsequent 60 cases. In contrast, pain scores, successful placement, and complication rate appeared not to improve with increasing experience. A learning curve for hysteroscopic tubal sterilization was seen for procedure time, but successful placement, pain score, and complication rate were not clearly influenced by increasing experience. Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  17. Making regional facility location decisions: the example of Hospital do Oeste Norte, Portugal

    Directory of Open Access Journals (Sweden)

    Jorge Gonçalves

    2014-11-01

    Full Text Available This paper seeks to contribute to the debate on the decision-making process for the location of large public facilities, responding to the growing demand for greater rationality in public investment whilst still offering services of quality and addressing the problem of spatial friction. The specific problem analysed in this paper is the need to define the best location for a public hospital in a particular region of Portugal. The singularity of the approach adopted lies above all in the seg- mentation into macro-location and micro-location.

  18. Induction of male sterility in rice using chemical mutagens

    Energy Technology Data Exchange (ETDEWEB)

    Minocha, J L; Gupta, R K [Department of Genetics, Punjab Agricultural University, Ludhiana (India)

    1988-07-01

    Full text: To diversify the sources of cytoplasmic male sterility for hybrid seed production in rice (Oryza sativa L.) attempts were made to induce this character in a popular indica cultivar PR 106 through chemical mutagens. Seeds were treated with 0.4% ethidium bromide (EB) for 24 or 48h at 10 deg. C, with 0.4% ethyl methanesulphonate (EMS) for 24 or 48h at 10 deg. C for 16 hr at 20 deg. C or with 0.2% streptomycin sulphate (SM) for 24 or 48 hr at 10 deg. C. In M{sub 2} male sterile plants were detected in eleven different progenies, one from SM treatment and the remaining from EMS treatments. All the sterile plants had 100% non-stainable aborted pollen. Seed set upon open-pollination of the male sterile plants with the variety PR 106 ranged from 0.03 to 4.93 per cent whereas no seed formed in bagged panicles. In M{sub 3}, open-pollinated progenies of the male sterile plants and their fertile sibs were further studied. Two progenies segregated for male sterility, all others had only fertile plants. In one of the segregating progenies, five out of six and in the other nine out of fourteen plants were male sterile. The progenies of fertile sibs did not have any male sterile plant. The results indicate that sterility of cytoplasmic type has been induced by EMS. The parental variety PR 106 acts as the maintainer. (author)

  19. Induction of male sterility in rice using chemical mutagens

    International Nuclear Information System (INIS)

    Minocha, J.L.; Gupta, R.K.

    1988-01-01

    Full text: To diversify the sources of cytoplasmic male sterility for hybrid seed production in rice (Oryza sativa L.) attempts were made to induce this character in a popular indica cultivar PR 106 through chemical mutagens. Seeds were treated with 0.4% ethidium bromide (EB) for 24 or 48h at 10 deg. C, with 0.4% ethyl methanesulphonate (EMS) for 24 or 48h at 10 deg. C for 16 hr at 20 deg. C or with 0.2% streptomycin sulphate (SM) for 24 or 48 hr at 10 deg. C. In M 2 male sterile plants were detected in eleven different progenies, one from SM treatment and the remaining from EMS treatments. All the sterile plants had 100% non-stainable aborted pollen. Seed set upon open-pollination of the male sterile plants with the variety PR 106 ranged from 0.03 to 4.93 per cent whereas no seed formed in bagged panicles. In M 3 , open-pollinated progenies of the male sterile plants and their fertile sibs were further studied. Two progenies segregated for male sterility, all others had only fertile plants. In one of the segregating progenies, five out of six and in the other nine out of fourteen plants were male sterile. The progenies of fertile sibs did not have any male sterile plant. The results indicate that sterility of cytoplasmic type has been induced by EMS. The parental variety PR 106 acts as the maintainer. (author)

  20. Sterilization processes. Meeting the demands of today's health care technology.

    Science.gov (United States)

    Crow, S

    1993-09-01

    Universal Precautions dictate sterilization for all invasive equipment that break the blood barrier; however, current methods of sterilization, such as steam and ethylene oxide gas (ETO), are not compatible with many of the delicate, heat-sensitive surgical instruments used in modern health care. In addition, traditional sterilization methods are often too time consuming for practical use in the operating room. Clearly, new sterilization processes need to be developed. In this article, the criteria modern sterilization processes must meet and how some manufacturers plan to meet this challenge are discussed. In addition, the pros and cons of using peracetic acid (the newest sterilization process currently available) are examined.

  1. Sterilization of health care products - Radiation. Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices

    International Nuclear Information System (INIS)

    2006-01-01

    A sterile medical device is one that is free of viable microorganisms. International Standards, which specify requirements for validation and routine control of sterilization processes, require, when it is necessary to supply a sterile medical device, that adventitious microbiological contamination of a medical device prior to sterilization be minimized. Even so, medical devices produced under standard manufacturing conditions in accordance with the requirements for quality management systems (see, for example, ISO 13485) may, prior to sterilization, have microorganisms on them, albeit in low numbers. Such medical devices are non-sterile. The purpose of sterilization is to inactivate the microbiological contaminants and thereby transform the nonsterile medical devices into sterile ones. The kinetics of inactivation of a pure culture of microorganisms by physical and/or chemical agents used to sterilize medical devices can generally best be described by an exponential relationship between the numbers of microorganisms surviving and the extent of treatment with the sterilizing agent; inevitably this means that there is always a finite probability that a microorganism may survive regardless of the extent of treatment applied. For a given treatment, the probability of survival is determined by the number and resistance of microorganisms and by the environment in which the organisms exist during treatment. It follows that the sterility of any one medical device in a population subjected to sterilization processing cannot be guaranteed and the sterility of a processed population is defined in terms of the probability of there being a viable microorganism present on a medical device. This part of ISO 11137 describes requirements that, if met, will provide a radiation sterilization process intended to sterilize medical devices, that has appropriate microbicidal activity. Furthermore, compliance with the requirements ensures that this activity is both reliable and

  2. Studies on the ecology of insects sterilized artificially (gamma radiation), 7

    International Nuclear Information System (INIS)

    Kiyoku, Masao; Tsukuda, Ritsuko

    1974-01-01

    Larvae of an oriental fruit fly line introduced, from Amami-Oshima island were reared using an artificial medium prepared with the base ingredient as corn-flour. When pupae were irradiated with a dose of 8 kR from the 137 Cs as gamma-rays source two days before emerging, both male and female adults emerged showed complete sterility. Percentage in emergence, however, was not significantly reduced. In an experiment that two hundred sterilized plus ten normal males were confined with ten normal females in a mating cage, the sterilized males were fully competitive with normal ones in mating to the normal females. Longevity of the sterilized adult males, however, tended to be slightly shorter than that of the normal ones when compared in the survival curves. When less than one hundred and fifty sterilized males were confined, however, few larvae were able to grow to adults. These progeny adult males and females showed the inherited sterility. When dose was 6 kR there was neither significant difference in the longevity between sterilized and normal adults, nor the complete sterility. Besides, the inherited sterility in offspring was not shown clearly. When more than two hundred sterilized plus ten normal males were combined with ten normal females, however, a considerable sterility was found. Causes of the sterility were investigated by dissection of the testes and spermathecae in females mated with 8 kR-sterilized males. (author)

  3. Re-evaluation of 60Co treatment facility of Korle-Bu Teaching Hospital

    International Nuclear Information System (INIS)

    Adu, S.

    2008-06-01

    The radiological protection assessment based on the shielding of the Co-60 Radiotherapy facility at the Korle Bu Teaching Hospital after the source replacement has been carried out. The results indicate that the concrete biological shield is adequate to attenuate the gamma photons from the new 222 TBq Co-60 source in use. The dose rates at critical locations of the public access area are within the recommended dose rate limit of O.5J..1Sv/h and 7.5J..1Sv/h for public and staff respectively. Thus the shielding has not deteriorated and still provides adequate protection for members of the public and the operating staff (au).

  4. Current Sterilization Protocols-An Orthodontic Perspective

    Directory of Open Access Journals (Sweden)

    Abraham Vinod Korath

    2010-01-01

    Part I of this article focuses on the working principles of various methods of sterilization with an appraisalof their effects on orthodontic instruments. Additionally,contributory factors of instrument damage is enumerated to emphasis the importance of adhering to precise protocols and manufacturer recommendations as well as in alleviating some misconceptions about sterilization induced instrument damage.

  5. Applying the sterile insect technique to the control of insect pests

    International Nuclear Information System (INIS)

    LaChance, L.E.; Klassen, W.

    1991-01-01

    The sterile insect technique involves the mass-rearing of insects, which are sterilized by gamma rays from a 60 Co source before being released in a controlled fashion into nature. Matings between the sterile insects released and native insects produce no progeny, and so if enough of these matings occur the pest population can be controlled or even eradicated. A modification of the technique, especially suitable for the suppression of the moths and butterflies, is called the F, or inherited sterility method. In this, lower radiation doses are used such that the released males are only partially sterile (30-60%) and the females are fully sterile. When released males mate with native females some progeny are produced, but they are completely sterile. Thus, full expression of the sterility is delayed by one generation. This article describes the use of the sterile insect technique in controlling the screwworm fly, the tsetse fly, the medfly, the pink bollworm and the melon fly, and of the F 1 sterility method in the eradication of local gypsy moth infestations. 18 refs, 5 figs, 1 tab

  6. Present studies on the radio-sterilized drugs

    International Nuclear Information System (INIS)

    Marciniec, B.; Dettlaff, K.

    2007-01-01

    Lecture presents present status of radiosterilization of drugs and medical materials as compared to other sterilization methods. Literature review is shown on degradation of different kinds of drugs sterilized upon action of the sterilising doses of radiation

  7. Dark matter relic abundance and light sterile neutrinos

    Energy Technology Data Exchange (ETDEWEB)

    Tang, Yi-Lei [Center for High Energy Physics,Peking University, Beijing 100871 (China); Zhu, Shou-hua [Center for High Energy Physics,Peking University, Beijing 100871 (China); Institute of Theoretical Physics & State Key Laboratory of Nuclear Physics and Technology,Peking University, Beijing 100871 (China); Collaborative Innovation Center of Quantum Matter,Beijing 100871 (China)

    2017-01-09

    In this paper, we calculate the relic abundance of the dark matter particles when they can annihilate into sterile neutrinos with the mass ≲100 GeV in a simple model. Unlike the usual standard calculations, the sterile neutrino may fall out of the thermal equilibrium with the thermal bath before the dark matter freezes out. In such a case, if the Yukawa coupling y{sub N} between the Higgs and the sterile neutrino is small, this process gives rise to a larger Ω{sub DM}h{sup 2} so we need a larger coupling between the dark matter and the sterile neutrino for a correct relic abundance.

  8. submitter Prospects of Sterile Neutrino Search with the FCC-ee

    CERN Document Server

    Bay Nielsen, Sissel

    A proposed future circular e + e − collider, the FCC-ee, is suggested to search for sterile neutrinos. The Neutrino Minimal Standard Model, νMSM, is a model of sterile neutrinos, that accommodates explanations for several phenomena of physics beyond the Standard Model. This thesis presents an overview of the theoretical motivation for νMSM, an outline of the experimental conditions at the FCC-ee, and a review of previous accelerator bounds for sterile neutrinos. Two studies of sterile neutrinos with masses at the electroweak scale are introduced, an analysis of long lived sterile neutrinos, and an analysis of short lived sterile neutrinos. Both analyses include background studies and sensitivity estimates for the FCC-ee detector. The study of long lived sterile neutrinos is based on a search for detectable displaced vertices with 1012 Z decays, obtaining a search reach on the mixing angle |θ| 2 as small as 10−11. The study of short lived sterile neutrinos is a Monte Carlo study with a cut-based analysi...

  9. Something in the Water: Hospital Responds to Water Crisis.

    Science.gov (United States)

    Redfern, Roberta; Micham, Jennifer; Daniels, Rebecca; Childers, Sue

    2018-02-05

    Early on August 2, 2014, in the city of Toledo, Ohio, a media alert informed the public that traces of microcystin, a hazardous toxin, had been detected in the drinking water. The warning stated that residents should not drink, boil, or even touch the contaminated water. A water crisis of this magnitude was recognized to pose a potentially serious and significant impact on patient care and safety in health care environments. ProMedica Toledo Hospital's Emergency Operation Plan addressed 3 critical issues: safe water availability, alternate cleaning solutions, and preparations for a prolonged crisis. This report details some of the lessons learned throughout the response to the crisis: particularly, because the impact was county-wide which affected other hospitals who used the same vendors, alternate water sources should have been secured in advance; the courier service was vital to delivery of supplies and moving equipment to alternate areas for sterilization processes; and finally, communication with staff and patients was jeopardized by external media outlets. Changes to the emergency plan considering these unanticipated aspects proved useful in a later incident and should be considered by all health care facilities as water emergency policies and procedures are created and reviewed. (Disaster Med Public Health Preparedness. 2018;page 1 of 3).

  10. Dark radiation sterile neutrino candidates after Planck data

    Energy Technology Data Exchange (ETDEWEB)

    Valentino, Eleonora Di; Melchiorri, Alessandro [Physics Department and INFN, Università di Roma ' ' La Sapienza' ' , Ple Aldo Moro 2, 00185, Rome (Italy); Mena, Olga, E-mail: eleonora.divalentino@roma1.infn.it, E-mail: alessandro.melchiorri@roma1.infn.it, E-mail: omena@ific.uv.es [IFIC, Universidad de Valencia-CSIC, 46071, Valencia (Spain)

    2013-11-01

    Recent Cosmic Microwave Background (CMB) results from the Planck satellite, combined with previous CMB data and Hubble constant measurements from the Hubble Space Telescope, provide a constraint on the effective number of relativistic degrees of freedom 3.62{sup +0.50}{sub −0.48} at 95% CL. New Planck data provide a unique opportunity to place limits on models containing relativistic species at the decoupling epoch. We present here the bounds on sterile neutrino models combining Planck data with galaxy clustering information. Assuming N{sub eff} active plus sterile massive neutrino species, in the case of a Planck+WP+HighL+HST analysis we find m{sub ν,} {sub sterile}{sup eff} < 0.36 eV and 3.14 < N{sub eff} < 4.15 at 95% CL, while using Planck+WP+HighL data in combination with the full shape of the galaxy power spectrum from the Baryon Oscillation Spectroscopic Survey BOSS Data Relase 9 measurements, we find that 3.30 < N{sub eff} < 4.43 and m{sub ν,} {sub sterile}{sup eff} < 0.33 eV both at 95% CL with the three active neutrinos having the minimum mass allowed in the normal hierarchy scheme, i.e. ∑m{sub ν} ∼ 0.06 eV. These values compromise the viability of the (3+2) massive sterile neutrino models for the parameter region indicated by global fits of neutrino oscillation data. Within the (3+1) massive sterile neutrino scenario, we find m{sub ν,} {sub sterile}{sup eff} < 0.34 eV at 95% CL. While the existence of one extra sterile massive neutrino state is compatible with current oscillation data, the values for the sterile neutrino mass preferred by oscillation analyses are significantly higher than the current cosmological bound. We review as well the bounds on extended dark sectors with additional light species based on the latest Planck CMB observations.

  11. Improving medication information transfer between hospitals, skilled-nursing facilities, and long-term-care pharmacies for hospital discharge transitions of care: A targeted needs assessment using the Intervention Mapping framework.

    Science.gov (United States)

    Kerstenetzky, Luiza; Birschbach, Matthew J; Beach, Katherine F; Hager, David R; Kennelty, Korey A

    2018-02-01

    Patients transitioning from the hospital to a skilled nursing home (SNF) are susceptible to medication-related errors resulting from fragmented communication between facilities. Through continuous process improvement efforts at the hospital, a targeted needs assessment was performed to understand the extent of medication-related issues when patients transition from the hospital into a SNF, and the gaps between the hospital's discharge process, and the needs of the SNF and long-term care (LTC) pharmacy. We report on the development of a logic model that will be used to explore methods for minimizing patient care medication delays and errors while further improving handoff communication to SNF and LTC pharmacy staff. Applying the Intervention Mapping (IM) framework, a targeted needs assessment was performed using quantitative and qualitative methods. Using the hospital discharge medication list as reference, medication discrepancies in the SNF and LTC pharmacy lists were identified. SNF and LTC pharmacy staffs were also interviewed regarding the continuity of medication information post-discharge from the hospital. At least one medication discrepancy was discovered in 77.6% (n = 45/58) of SNF and 76.0% (n = 19/25) of LTC pharmacy medication lists. A total of 191 medication discrepancies were identified across all SNF and LTC pharmacy records. Of the 69 SNF staff interviewed, 20.3% (n = 14) reported patient care delays due to omitted documents during the hospital-to-SNF transition. During interviews, communication between the SNF/LTC pharmacy and the discharging hospital was described by facility staff as unidirectional with little opportunity for feedback on patient care concerns. The targeted needs assessment guided by the IM framework has lent to several planned process improvements initiatives to help reduce medication discrepancies during the hospital-to-SNF transition as well as improve communication between healthcare entities. Opening lines of

  12. Sterile Neutrinos in Cold Climates

    International Nuclear Information System (INIS)

    Jones, Benjamin J.P.

    2015-01-01

    Measurements of neutrino oscillations at short baselines contain an intriguing set of experimental anomalies that may be suggestive of new physics such as the existence of sterile neutrinos. This three-part thesis presents research directed towards understanding these anomalies and searching for sterile neutrino oscillations. Part I contains a theoretical discussion of neutrino coherence properties. The open-quantum-system picture of neutrino beams, which allows a rigorous prediction of coherence distances for accelerator neutrinos, is presented. Validity of the standard treatment of active and sterile neutrino oscillations at short baselines is verified, and non-standard coherence loss effects at longer baselines are predicted. Part II concerns liquid argon detector development for the MicroBooNE experiment, which will search for short-baseline oscillations in the Booster Neutrino Beam at Fermilab. Topics include characterization and installation of the MicroBooNE optical system; test-stand measurements of liquid argon optical properties with dissolved impurities; optimization of wavelength-shifting coatings for liquid argon scintillation light detection; testing and deployment of high-voltage surge arrestors to protect TPC field cages; and software development for optical and TPC simulation and reconstruction. Part III presents a search for sterile neutrinos using the IceCube neutrino telescope, which has collected a large sample of atmospheric-neutrino-induced events in the 1-10 TeV energy range. Sterile neutrinos would modify the detected neutrino flux shape via MSW-resonant oscillations. Following a careful treatment of systematic uncertainties in the sample, no evidence for MSW-resonant oscillations is observed, and exclusion limits on 3+1 model parameter space are derived. Under the mixing assumptions made, the 90% confidence level exclusion limit extends to sin 2 2θ 24 ≤ 0.02 at m 2 ~ 0.3 eV 2 , and the LSND and MiniBooNE allowed regions are excluded at

  13. Effects of sterile neutrino and extra-dimension on big bang nucleosynthesis

    Science.gov (United States)

    Jang, Dukjae; Kusakabe, Motohiko; Cheoun, Myung-Ki

    2018-04-01

    We study effects of the sterile neutrino in the five-dimensional universe on the big bang nucleosynthesis (BBN). Since the five-dimensional universe model leads to an additional term in the Friedmann equation and the energy density of the sterile neutrino increases the total energy density, this model can affect the primordial abundance via changing the cosmic expansion rate. The energy density of the sterile neutrino can be determined by a rate equation for production of the sterile neutrino. We show that not only the mixing angle and the mass of the sterile neutrino, but also a resonant effect in the oscillation between sterile and active neutrinos is important to determine a relic abundance of the sterile neutrino. In this study, we also investigate how the sterile neutrino in extra-dimensional model can affect the BBN, and constrain the parameters related to the above properties of the sterile neutrino by using the observational primordial abundances of light elements.

  14. Comparative transcript profiling of fertile and sterile flower buds from multiple-allele-inherited male sterility in Chinese cabbage (Brassica campestris L. ssp. pekinensis).

    Science.gov (United States)

    Zhou, Xue; Liu, Zhiyong; Ji, Ruiqin; Feng, Hui

    2017-10-01

    We studied the underlying causes of multiple-allele-inherited male sterility in Chinese cabbage (Brassica campestris L. ssp. pekinensis) by identifying differentially expressed genes (DEGs) related to pollen sterility between fertile and sterile flower buds. In this work, we verified the stages of sterility microscopically and then performed transcriptome analysis of mRNA isolated from fertile and sterile buds using Illumina HiSeq 2000 platform sequencing. Approximately 80% of ~229 million high-quality paired-end reads were uniquely mapped to the reference genome. In sterile buds, 699 genes were significantly up-regulated and 4096 genes were down-regulated. Among the DEGs, 28 pollen cell wall-related genes, 54 transcription factor genes, 45 phytohormone-related genes, 20 anther and pollen-related genes, 212 specifically expressed transcripts, and 417 DEGs located on linkage group A07 were identified. Six transcription factor genes BrAMS, BrMS1, BrbHLH089, BrbHLH091, BrAtMYB103, and BrANAC025 were identified as putative sterility-related genes. The weak auxin signal that is regulated by BrABP1 may be one of the key factors causing pollen sterility observed here. Moreover, several significantly enriched GO terms such as "cell wall organization or biogenesis" (GO:0071554), "intrinsic to membrane" (GO:0031224), "integral to membrane" (GO:0016021), "hydrolase activity, acting on ester bonds" (GO:0016788), and one significantly enriched pathway "starch and sucrose metabolism" (ath00500) were identified in this work. qRT-PCR, PCR, and in situ hybridization experiments validated our RNA-seq transcriptome analysis as accurate and reliable. This study will lay the foundation for elucidating the molecular mechanism(s) that underly sterility and provide valuable information for studying multiple-allele-inherited male sterility in the Chinese cabbage line 'AB01'.

  15. Sterile Neutrino Search with MINOS

    International Nuclear Information System (INIS)

    Devan, Alena V.

    2015-01-01

    MINOS, Main Injector Neutrino Oscillation Search, is a long-baseline neutrino oscillation experiment in the NuMI muon neutrino beam at the Fermi National Accelerator Laboratory in Batavia, IL. It consists of two detectors, a near detector positioned 1 km from the source of the beam and a far detector 734 km away in Minnesota. MINOS is primarily designed to observe muon neutrino disappearance resulting from three flavor oscillations. The Standard Model of Particle Physics predicts that neutrinos oscillate between three active flavors as they propagate through space. This means that a muon-type neutrino has a certain probability to later interact as a different type of neutrino. In the standard picture, the neutrino oscillation probabilities depend only on three neutrino flavors and two mass splittings, Δm 2 . An anomaly was observed by the LSND and MiniBooNE experiments that suggests the existence of a fourth, sterile neutrino flavor that does not interact through any of the known Standard Model interactions. Oscillations into a theoretical sterile flavor may be observed by a deficit in neutral current interactions in the MINOS detectors. A distortion in the charged current energy spectrum might also be visible if oscillations into the sterile flavor are driven by a large mass-squared difference, Δm s 2 ~ 1 eV 2 . The results of the 2013 sterile neutrino search are presented here.

  16. Genetically conditioned male sterility

    International Nuclear Information System (INIS)

    Gottschalk, W.

    1976-01-01

    A survey is given of two different types of genetically controlled male sterility in higher plants. 'Functional' male sterility is due to the action of mutated genes causing a misdifferentiation of the growing points in different specific ways. Under the influence of the genes of this group either the stamens or the archespore tissues are not differentiated. In other mutants functionable male germ cells are produced but cannot be used for fertilizing the egg cells because the anthers remain closed or anthers and stigma become spatially separated from each other. Other genes of the group are responsible for the transformation of stamens into carpels, i.e. for a change of the hermaphrodite flower into a unisexually female one. A second type of male sterility is due to the action of ms genes influencing the course of micro-sporogenesis directly. They cause the breakdown of this process in a specific meiotic stage characteristic for each gene of the group. This breakdown is introduced by the degeneration of PMCs, microspores, or pollen grains preventing the production of male germ cells. The female sex organs remain uninfluenced. (author)

  17. Sterilization by oxygen plasma

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, Adir Jose; Mansano, Ronaldo Domingues; Andreoli Pinto, Terezinha de Jesus; Ruas, Ronaldo; Silva Zambon, Luis da; Silva, Monica Valero da; Verdonck, Patrick Bernard

    2004-07-31

    The use of polymeric medical devices has stimulated the development of new sterilization methods. The traditional techniques rely on ethylene oxide, but there are many questions concerning the carcinogenic properties of the ethylene oxide residues adsorbed on the materials after processing. Another common technique is the gamma irradiation process, but it is costly, its safe operation requires an isolated site and it also affects the bulk properties of the polymers. The use of a gas plasma is an elegant alternative sterilization technique. The plasma promotes an efficient inactivation of the micro-organisms, minimises the damage to the materials and presents very little danger for personnel and the environment. Pure oxygen reactive ion etching type of plasmas were applied to inactivate a biologic indicator, the Bacillus stearothermophilus, to confirm the efficiency of this process. The sterilization processes took a short time, in a few minutes the mortality was complete. In situ analysis of the micro-organisms' inactivating time was possible using emission spectrophotometry. The increase in the intensity of the 777.5 nm oxygen line shows the end of the oxidation of the biologic materials. The results were also observed and corroborated by scanning electron microscopy.

  18. Radiation protection at radioisotope processing facilities

    International Nuclear Information System (INIS)

    Hillier, L.R.; Decaire, R.

    2002-01-01

    MDS Inc. is Canada's largest diversified health and life sciences company and provides health care services and products to prevent, diagnose and treat disease. MDS Nordion Inc. is a subsidiary of MDS Inc. and is located in Ottawa, Ontario. It provides much of the world's supply of radioisotopes used in nuclear medicine primarily to diagnose, but also to treat disease. MDS Nordion is composed of three major production divisions at its Ottawa location and serves customers in three major markets. These are primarily: radioisotopes used in nuclear medicine (Nuclear Medicine Division), radiation processing for sterilization of medical equipment and supplies, and food (Ion Technologies Division), and teletherapy equipment used in cancer treatment (Therapy Systems Division). MDS Nordion supplies customers in over 100 countries, exporting more than 95 percent of its product processed in Canada. Every year, 15 to 20 million diagnostic imaging tests are carried out in hospitals around the world, using radioisotopes supplied by MDS Nordion. In addition, 150 to 200 million cubic feet (that's enough to cover an entire CFL field - including the end zones - stacked over half a kilometer high) of single use medical products are sterilized using MDS Nordion supplied equipment. MDS Nordion receives medical isotopes from AECL, Chalk River Laboratories and processes the material to purify and quantify the radioisotope product. Sealed sources, comprised of cobalt 60, are supplied from CANDU reactors. Production processes include ventilated shielded cells with remote manipulators, gloveboxes and fumehoods, to effectively control the safety of the workplace and the environment, and to prevent contamination of the products. The facilities are highly regulated by the Canadian Nuclear Safety Commission (CNSC) for safety and environmental protection. Products are also regulated by Health Canada and the US-Food and Drug Administration (FDA). (author)

  19. When are fume-cupboards necessary in hospital radioisotope laboratories

    Energy Technology Data Exchange (ETDEWEB)

    Birks, J L [Singleton Hospital, Swansea (UK)

    1976-06-01

    Suggestions are made for procedures likely to require the provision of efficient fume-cupboards in hospital radioisotope laboratories. All such departments undertaking in vivo radioisotope procedures will require a supply of sterile materials, but only some of these will also require a fume-cupboard, since the use of a relatively inexpensive aseptic cabinet, without air flow and exhaust system, may suffice for such procedures as the labelling of blood cells or plasma. Efficient fume-cupboards may be required in hospital laboratories that are routinely concerned with the elution of generators of isotopes such as /sup 99/Tcsup(m) and /sup 113/Insup(m), the sterilization of radiopharmaceuticals (e.g. technetium-sulphur colloid) requiring the use of a pressure cooker, and the storage and handling of therapeutic quantities of /sup 131/I. Copious general ventilation of isotope rooms may be preferable to the too frequent incorporation of unnecessary fume-cupboards.

  20. Radiation sterilization of traditional medicine drugs in Vietnam

    International Nuclear Information System (INIS)

    Hang, N.D.; Canh, T.T.; Thuy, T.T.

    1995-01-01

    With the application of Gamma Co-60 radiation sterilization in pharmaceutical industry, attention should be paid to the possibilities of sterilizing traditional medicine drugs produced in Vietnam. In this paper the opinion which traditional medicine drugs can be satisfactorily sterilized by irradiation is based on the changes of physical and chemical properties of the products and microbiological examinations. The sterilizing radiation dose were calculated and the results are the following (in Mrad) Rheumatine-2.2, Hasinh-3.3, snake extract-1.8, Samcotgiao-2.2. The changes of physical and chemical properties of the products and their toxicity after irradiation have been shown to be not over the levels of allowance. (Author)

  1. Radiation sterilization of traditional medicine drugs in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Hang, N.D.; Canh, T.T.; Thuy, T.T. [Nuclear Research Inst., Da Lat (Viet Nam)

    1995-10-01

    With the application of Gamma Co-60 radiation sterilization in pharmaceutical industry, attention should be paid to the possibilities of sterilizing traditional medicine drugs produced in Vietnam. In this paper the opinion which traditional medicine drugs can be satisfactorily sterilized by irradiation is based on the changes of physical and chemical properties of the products and microbiological examinations. The sterilizing radiation dose were calculated and the results are the following (in Mrad) Rheumatine-2.2, Hasinh-3.3, snake extract-1.8, Samcotgiao-2.2. The changes of physical and chemical properties of the products and their toxicity after irradiation have been shown to be not over the levels of allowance. (Author).

  2. Nuclear-Cytoplasmic male-sterility in diploid dandelions

    NARCIS (Netherlands)

    van der Hulst, R.G.M.; Meirmans, P.; van Tienderen, P.H.; Van Damme, J.M.M.

    2004-01-01

    Male-sterility was found in diploid dandelions from two widely separated populations from France, and its inheritance was analysed by crossing a diploid male-sterile dandelion to diploid sexuals and triploid apomicts. Nuclear genetic variation, found in full-sib families, segregated for

  3. Nuclear-cytoplasmic male-sterility in diploid dandelions

    NARCIS (Netherlands)

    van der Hulst, R.G.M.; Meirmans, P.G.; van Tienderen, P.H.; van Damme, J.M.M.

    2004-01-01

    Male-sterility was found in diploid dandelions from two widely separated populations from France, and its inheritance was analysed by crossing a diploid male-sterile dandelion to diploid sexuals and triploid apomicts. Nuclear genetic variation, found in full-sib families, segregated for male

  4. An investigation of quality improvement initiatives in decreasing the rate of avoidable 30-day, skilled nursing facility-to-hospital readmissions: a systematic review.

    Science.gov (United States)

    Mileski, Michael; Topinka, Joseph Baar; Lee, Kimberly; Brooks, Matthew; McNeil, Christopher; Jackson, Jenna

    2017-01-01

    The main objective was to investigate the applicability and effectiveness of quality improvement initiatives in decreasing the rate of avoidable 30-day, skilled nursing facility (SNF)-to-hospital readmissions. The rate of rehospitalizations from SNF within 30 days of original discharge has increased within the last decade. The research team participants conducted a literature review via Cumulative Index of Nursing and Allied Health Literature and PubMed to collect data about quality improvement implemented in SNFs. The most common facilitator was the incorporation of specialized staff. The most cited barriers were quality improvement tracking and implementation. These strategy examples can be useful to acute care hospitals attempting to lower bounce back from subacute care providers and long-term care facilities seeking quality improvement initiatives to reduce hospital readmissions.

  5. PATTERNS OF SEVEN AND COMPLICATED MALARIA IN CHILDREN

    African Journals Online (AJOL)

    GB

    ORIGINAL ARTICLE. Readiness of Health Centers and Primary Hospitals for the ... METHODS AND MATERIALS: A facility based cross sectional study design with quantitative data collection ..... sterilization should be undertaken before reuse,.

  6. Variations in hospitalization rates among nursing home residents: the role of discretionary hospitalizations.

    Science.gov (United States)

    Carter, Mary W

    2003-08-01

    To examine variations in hospitalization rates among nursing home residents associated with discretionary hospitalization practices. Quarterly Medicaid case-mix reimbursement data from the state of Massachusetts served as the core data source for this study, which was linked with data from the Medicare Provider Analysis and Review file (MEDPAR) to specify hospitalization status, nursing facility attribute data from the state of Massachusetts to specify facility-level organizational and structural attributes, and data from the Area Resource File (ARF) to specify area market-level attributes. Data spans three years (1991-1993) to produce a longitudinal analytical file containing 72,319 person-quarter-level observations. Two-step, multivariate logistic regression models were estimated for highly discretionary hospitalizations versus those containing less discretion, and low discretionary hospitalizations versus those containing greater amounts of physician discretion. Findings indicate that facility case-mix levels and area hospital bed supply levels contribute to variations in hospitalization rates among nursing home residents. Highly discretionary hospitalizations appear to be most sensitive to patient diagnoses best described as chronic, ambulatory care sensitive conditions. Findings suggest that defining hospitalizations simply in terms of whether an event occurs versus otherwise may obscure valuable information regarding the contribution of various risk factors to highly discretionary versus low discretionary hospitalization rates.

  7. Practical problems in radiation sterilization of medical devices made from plasticized PVC

    International Nuclear Information System (INIS)

    Beenen, J.H.

    1990-01-01

    The following three methods for sterilizing medical devices made from plasticised PVC are used in the Netherlands. 1. sterilization by steam, steam-air or superheated water. 2. sterilization by electron beam or gamma irradiation. 3. ethylene oxide sterilization. IV-bags, blood bags and other bag types for similar applications made from plasticized PVC are mostly sterilized by steam-air or super heated water, especially when filled or partly filled containers are considered. More complicated products or products with components that cannot resist steam sterilization of 121 0 C are sterilized by ethylene oxide or irradiation. These last two methods also are favoured for sterilizing empty bags where sticking of the surfaces at the sterilization temperature creates a serious handicap. Moreover, steam sterilization may cause a permanent opacity of some plastics. However, we have to add that due to developments in formulations steam sterilization of empty bags is going to be of an increasing importance. proven carcinogenity of the gas ethylene oxide, difficult deaeration and retention of the gas in plasticized PVC has increased the demand for better radiation resistant plastics as an alternative for steam sterilization. (author)

  8. Startup of the Whiteshell irradiation facility

    International Nuclear Information System (INIS)

    Barnard, J.W.; Stanley, F.W.

    1989-01-01

    Recently, a 10-MeV, 1-kW electron linear accelerator was installed in a specially designed irradiation facility at the Whiteshell Nuclear Research Establishment. The facility was designed for radiation applications research in the development of new radiation processes up to the pilot scale level. The accelerator is of advanced design. Automatic startup via computer control makes it compatible with industrial processing. It has been operated successfully as a fully integrated electron irradiator for a number of applications including curing of plastics and composites, sterilization of medical disposables and animal feed irradiation. We report here on our experience during the first six months of operation. (orig.)

  9. Startup of the whiteshell irradiation facility

    Science.gov (United States)

    Barnard, J. W.; Stanley, F. W.

    1989-04-01

    Recently, a 10-MeV, 1-kW electron linear accelerator was installed in a specially designed irradiation facility at the Whiteshell Nuclear Research Establishment. The facility was designed for radiation applications research in the development of new radiation processes up to the pilot scale level. The accelerator is of advanced design. Automatic startup via computer control makes it compatible with industrial processing. It has been operated successfully as a fully integrated electron irradiator for a number of applications including curing of plastics and composites, sterilization of medical disposables and animal feed irradiation. We report here on our experience during the first six months of operation.

  10. Induced mutant for male sterility in niger

    International Nuclear Information System (INIS)

    Sujatha, M.

    2001-01-01

    Full text: Niger (Guizotia abyssinica Cass.), an important oilseed crop of the family Compositae is highly cross-pollinated due to the twin mechanisms of protandry and incompatibility. Studies revealed the functional nature of protandry and the breakdown of incompatibility with alteration in temperature. It has very small flowers (disc florets) arranged in a capitulum that open on 3-4 consecutive days which pose problems in emasculation for cross-breeding. To induce mutations, seeds of variety 'IGP-76' were irradiated with γ-rays 200 to 1000 Gy. All seeds of M 1 plants were sown separately in individual plant-to progeny rows. The results of screening of M 2 segregating material indicated that γ-ray treatment was effective in induction of male sterility. Frequency of visible mutations were higher in sibbed progeny as compared to open pollinated population and male sterile plants were observed only in sibbed population (1000 Gy). Male sterile plants could easily be identified at the flowering stage by their altered floral morphology (disc florets transformed into ligulate ray florets) and complete absence or presence of a rudimentary anther column. Seeds were collected following sib-mating with the fertile counterparts. Progeny segregated in a ration of 3 normal : 1 male sterile. Further work on the mechanism of sterility, maintenance and linkage relationships with associated characters is under progress. This is the first report of induction of male sterility in niger through the use of physical mutagens. The availability of this mutant will be of great value for exploitation of heterosis on commercial basis. (author)

  11. Evaluation of steam sterilization conditions for [{sup 18}F]fludeoxyglucose

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Priscilla F.; Nascimento, Leonardo T.; Valente, Eduardo S.; Silva, Juliana B.; Silveira, Marina B.; Ferreira, Soraya Z., E-mail: somafe@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil). Unidade de Pesquisa e Producao de Radiofarmacos

    2011-07-01

    [{sup 18}F]Flu deoxyglucose ({sup 18}FDG) is the most commonly used radiopharmaceutical for positron emission tomography. Sterile filtration of the final product into sterile vials using 0.22 {mu}m filter membrane is usually adopted for {sup 18}FDG. However, Good Manufacturing Practice (GMP) guidelines recommend heat sterilization as the method of choice to ensure sterility of pharmaceutical preparations. The aim of this study was to essay different steam sterilization conditions in order to choose the best one for {sup 18}FDG. Three different sterilization conditions were essayed. The first one at 121 deg C for 15 minutes, the second one at 135 deg C for 3.5 minutes and the third one at 133 deg C for 2 minutes. {sup 18}FDG pH-formulation was kept around 6.0. At the end of autoclave cycles, {sup 18}FDG sterility was evaluated by direct inoculation of {sup 18}FDG in culture media and radiochemical purity was determined by TLC and HPLC. Results demonstrated that all essayed conditions were able to ensure {sup 18}FDG sterility, but caused a decrease in radiochemical purity of {sup 18}FDG. Autoclave cycle at 133 deg C for 2 minutes was the best essayed condition for {sup 18}FDG terminal sterilization, once it provided the greater radiochemical purity value and took less time. {sup 18}FDG was able to meet specifications after autoclave cycles, what supports the application of steam sterilization in routine {sup 18}FDG production, in compliance with GMP. (author)

  12. End-preparation assessments and tests for compounded sterile preparations.

    Science.gov (United States)

    McElhiney, Linda F

    2013-01-01

    Outsourcing has become a necessity to obtain sterile products that are currently on backorder. Because of the expense of outsourcing sterile compounding, pharmacy leadership in health systems are now considering the option of insourcing and batch preparing compounded sterile preparations, which can be a viable option for a health system. It can significantly decrease drug-spending costs, and the pharmacy has a complete record of the compounding process. The key to preparing high-quality, safe, sterile preparations and meeting United States Pharmacopeia standards is end-preparation assessments and tests.

  13. Protozoa and their bacterial prey colonize sterile soil fast

    DEFF Research Database (Denmark)

    Altenburger, Andreas; Ekelund, Flemming; Jacobsen, Carsten Suhr

    2010-01-01

    We know little about the ability of protozoa to colonize soils, including their successional patterns. To elucidate this issue, we investigated in which order different protozoan morpho-types colonize sterile soil. We used sterilized soils with different carbon content, and exposed them to the at......We know little about the ability of protozoa to colonize soils, including their successional patterns. To elucidate this issue, we investigated in which order different protozoan morpho-types colonize sterile soil. We used sterilized soils with different carbon content, and exposed them...

  14. Hybrid male sterility and genome-wide misexpression of male reproductive proteases.

    Science.gov (United States)

    Gomes, Suzanne; Civetta, Alberto

    2015-07-06

    Hybrid male sterility is a common barrier to gene flow between species. Previous studies have posited a link between misregulation of spermatogenesis genes in interspecies hybrids and sterility. However, in the absence of fully fertile control hybrids, it is impossible to differentiate between misregulation associated with sterility vs. fast male gene regulatory evolution. Here, we differentiate between these two possibilities using a D. pseudoobscura species pair that experiences unidirectional hybrid sterility. We identify genes uniquely misexpressed in sterile hybrid male reproductive tracts via RNA-seq. The sterile male hybrids had more misregulated and more over or under expressed genes relative to parental species than the fertile male hybrids. Proteases were the only gene ontology class overrepresented among uniquely misexpressed genes, with four located within a previously identified hybrid male sterility locus. This result highlights the potential role of a previously unexplored class of genes in interspecific hybrid male sterility and speciation.

  15. Quality Control for Expanded Tsetse Production, Sterilization and Field Application

    International Nuclear Information System (INIS)

    2012-07-01

    The use of the sterile insect technique (SIT) for the control of pest insects as part of an integrated, area-wide approach is widely accepted. Its application for the eradication of different tsetse flies, the vectors of human sleeping sickness and African animal trypanosomosis, is attracting increasing interest. Following several initial demonstrations of the application of the SIT for tsetse control the technique was applied on the island of Unguja, Zanzibar, in the mid-1990s and, as the final component of an integrated control programme, led to the eradication of the only tsetse species on the island, Glossina austeni. This successful programme encouraged a number of countries to embark on projects with an SIT component for tsetse control, most Ethiopia. In 2001 the Pan African Tsetse and Trypanosomosis Eradication Campaign (PATTEC) was launched by the Organization of African Unity (now African Union, AU) and, subsequently, six countries obtained funding from the African Development Bank (AfDB) in 2005 to support control programmes with an SIT component. A further six countries have subsequently requested AfDB funding for their programmes. The FAO/IAEA coordinated research project (CRP) on Automation for Tsetse Mass Rearing For Use in Sterile Insect Technique Programmes, which was completed in 2001, led to the development of a semi-automated system for tsetse production. Using this new system, a large rearing facility was established in Addis Ababa, Ethiopia, to supply sterile males for an elimination programme in the southern Rift Valley. The development of large-scale rearing highlighted the need for improved quality control procedures and, with this in mind, the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture established a CRP in 2003 entitled Improved and Harmonized Quality Control for Expanded Tsetse Production, Sterilization and Field Application with the Objective of Improving and Expanding the Quality Control Sections of the FAO

  16. Quality Control for Expanded Tsetse Production, Sterilization and Field Application

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-15

    The use of the sterile insect technique (SIT) for the control of pest insects as part of an integrated, area-wide approach is widely accepted. Its application for the eradication of different tsetse flies, the vectors of human sleeping sickness and African animal trypanosomosis, is attracting increasing interest. Following several initial demonstrations of the application of the SIT for tsetse control the technique was applied on the island of Unguja, Zanzibar, in the mid-1990s and, as the final component of an integrated control programme, led to the eradication of the only tsetse species on the island, Glossina austeni. This successful programme encouraged a number of countries to embark on projects with an SIT component for tsetse control, most Ethiopia. In 2001 the Pan African Tsetse and Trypanosomosis Eradication Campaign (PATTEC) was launched by the Organization of African Unity (now African Union, AU) and, subsequently, six countries obtained funding from the African Development Bank (AfDB) in 2005 to support control programmes with an SIT component. A further six countries have subsequently requested AfDB funding for their programmes. The FAO/IAEA coordinated research project (CRP) on Automation for Tsetse Mass Rearing For Use in Sterile Insect Technique Programmes, which was completed in 2001, led to the development of a semi-automated system for tsetse production. Using this new system, a large rearing facility was established in Addis Ababa, Ethiopia, to supply sterile males for an elimination programme in the southern Rift Valley. The development of large-scale rearing highlighted the need for improved quality control procedures and, with this in mind, the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture established a CRP in 2003 entitled Improved and Harmonized Quality Control for Expanded Tsetse Production, Sterilization and Field Application with the Objective of Improving and Expanding the Quality Control Sections of the FAO

  17. PRINCIPLES OF HEAT STERILIZATION IN DENTAL PRACTICE

    African Journals Online (AJOL)

    PRINCIPLES OF HEAT STERILIZATION. IN DENTAL PRACTICE. W.H. van Palenstein Helderman. Department of Community and Preventive Dentistry,. Faculty of Dentistry, Muhimbili University College of Health Sciences,. Dar es Salaam, Tanzania. Introduction. Sterilization is defined as the destruction of all forms of life ...

  18. The effects of sterilization on the tensile strength of orthodontic wires.

    Science.gov (United States)

    Staggers, J A; Margeson, D

    1993-01-01

    The purpose of this study was to evaluate the effect of sterilization on the tensile strength of 0.016" beta-titanium, nickel titanium and stainless steel wires. Three common methods of sterilization--autoclaving, dry heat and ethylene oxide--were evaluated in three test trials involving zero, one and five sterilization cycles. For each of the test trials, five pieces each of 0.016" TMA, 0.016" Sentalloy and 0.016" Tru-chrome stainless steel wires were sterilized using a standard autoclave. Five other pieces of each of the same wires were sterilized in a dryclave, while an additional five pieces of each of the three wire types were sterilized using ethylene oxide. The ultimate tensile strengths of the wires were then determined using an Instron Universal Testing Machine. The data were compared for statistical differences using analysis of variance. The results showed that dry heat sterilization significantly increased the tensile strength of TMA wires after one cycle, but not after five cycles. Autoclaving and ethylene oxide sterilization did not significantly alter the tensile strength of TMA wires. Dry heat and autoclave sterilization also significantly increased the tensile strength of Sentalloy wires, but the mean strength after five sterilization cycles was not significantly different than after one cycle. Ethylene oxide sterilization of Sentalloy wires did not significantly alter the tensile strengths of that wire. There were no significant differences in the tensile strengths of the stainless steel wires following zero, one or five cycles for any of the sterilization methods.

  19. Gamma ray induced male sterility mutant in lentil

    International Nuclear Information System (INIS)

    Srivastava, A.; Yadav, A.K.

    2001-01-01

    Full text: Male sterility refers to the failure of pollen grains to bring about effective fertilization, either due to structural default or physiological disfunctioning and has special significance in hybridization programmes. Male steriles have been produced in a number of crop plants like red gram, pigeon pea, mung bean, khesari and lentil. A completely male sterile mutant was isolated in Lens culinaris Medik, after seed treatment with 100 Gy dose of gamma rays. The male sterile mutant showed 100% pollen sterility but was morphologically more vigorous than the parent plants. It showed more branches and its leaves were bigger, more oblong and dark green. The number of flowers borne by the mutant was significantly higher than any other plant of the treatment. The size of the flowers was also increased but the anthers were smaller in size. Pollen grains were few in number, round in shape but empty and did not take up any stain, indicating that normal microsporogenesis had not taken place. This male sterile mutant was used as the female parent and pollinated with pollen of a parent. Four pods with one seed in each were formed indicating that the mutant was female fertile. The seeds were smaller than those of the parent variety and also dark coloured. The mutant showed increased vigour and flower number as compared to parental plants. Lentil is an important pulse crop and induction of variability in its germplasm is necessary for its improvement. Male steriles can be used conveniently in lentil hybridization programmes. (author)

  20. Pattern of prescription drug use in Nigerian army hospitals

    African Journals Online (AJOL)

    Army Dental Centre, Military Hospital, Awolowo Road, Ikoyi, 1Department of ... Correspondence to: Dr. E. Taiwo Adebayo, General Post Office Box 3338, Kaduna – 800 001, Nigeria. .... meet their individual requirements for an adequate ..... reference materials such as essential drugs list, ... and sterilization equipment.

  1. Impact of moth suppression/eradication programmes using the sterile insect technique or inherited sterility

    International Nuclear Information System (INIS)

    Bloem, K.A.; Bloem, S.; Carpenter, J.E.

    2005-01-01

    Numerous lepidopteran species have been investigated as candidates for control using the sterile insect technique (SIT) or inherited sterility (IS). However to date only two programmes are operational - the pink bollworm containment programme in the San Joaquin Valley, California, USA, and the codling moth suppression programme in British Columbia, Canada. Both of these programmes have been highly successful in controlling the pest populations, reducing insecticide use, and improving interactions between growers and the general public. However, other benefits, including the positive economic impacts of these programmes, have not been fully quantified. Methods to reduce the cost of lepidopteran programmes might include combining the SIT/IS with other pest control tactics such as mating disruption or the release of natural enemies, the development of genetic sexing strains, or the application of molecular technologies to develop genetic markers and genetic sterility. In future the greatest potential for impact of lepidopteran SIT/IS programmes may be in combating key invasive threats such as the eradication of an outbreak of the painted apple moth in New Zealand. (author)

  2. Development of the microbiological control aspects of radiation sterilization of medical supplies. Part of a coordinated programme on radiation sterilization of medical and biological products

    International Nuclear Information System (INIS)

    Horakova, V.

    1978-06-01

    The variability and extent of microbial contamination of such medical supplies as hydrophilic gauze swabs and dermo-epidermal grafts were investigated. Gross bacterial contamination was observed in the swabs, with a relative absence of water. It was concluded that medical disposable products under dried aerobic conditions can be sterilized by a minimum dose of 25 kJ/kg/2.5 Mrad if the mean value of pre-sterilization bacterial counts does not exceed 100. Products contaminated by 10,000 or more bacteria prior to sterilization must be considered ''decontaminated'' after irradiation but as rather than ''sterile'', as accepted pharmaceutically. The author recommends that the efficacy of the sterilization dose used be evaluated, assuming the decrease in contaminated items to follow the exponential law, with constants estimated as n=1.98 and k=0.44, and that the sterilization process to be controlled dosimetrically. In general, sub-process doses should be used before actual sterilization by ionizing radiation, in order to estimate the constants characterizing the decrease in contamination under given conditions. In skin grafts a dose of 25 kJ/kg was found to give a high guarantee of sterility. A minimum sterilizing dose of 20 kJ/kg was recommended, provided the mean value of microorganisms on 1 cm 2 of the disinfected and freeze-dried skin grafts from human cadavres was 100, without exceeding an upper limit of 130

  3. Guidelines for industrial radiation sterilization of disposable medical products (Cobalt-60 gamma irradiation)

    International Nuclear Information System (INIS)

    1990-01-01

    This IAEA document is aimed at providing necessary guidance on standards and criteria and assistance to Member States, particularly developing countries, in their attempts to properly set up facilities for industrial radiation sterilization of duly-manufactured medical products by exposure to Co-60 gamma radiation. The contents of the guidelines have therefore been designed, as far as practicable, to reflect the practices and procedures currently employed in the processing of the majority of the radiation-sterilized medical products being produced worldwide. Consequently, this document has attempted to present to its users, for information and for action, all the relevant features of the standard criteria as are currently in existence under the auspices of the various authoritative national and/or regional Codes or Guides. The potential user(s) from Member States are expected to freely decide which of the various standards as enumerated in the Guidelines document should be considered for inclusion or exclusion either partially or totally in the context of the formulation of their own nationally-acceptable guidelines. Refs and tabs

  4. Investing in Post-Acute Care Transitions: Electronic Information Exchange Between Hospitals and Long-Term Care Facilities.

    Science.gov (United States)

    Cross, Dori A; Adler-Milstein, Julia

    2017-01-01

    Electronic health information exchange (HIE) is expected to help improve care transitions from hospitals to long-term care (LTC) facilities. We know little about the prevalence of hospital LTC HIE in the United States and what contextual factors may motivate or constrain this activity. Cross-sectional analysis of U.S. acute-care hospitals responding to the 2014 AHA IT Supplement survey and with available readmissions data (n = 1,991). We conducted multivariate logistic regression to explore the relationship between hospital LTC HIE and selected IT and policy characteristics. Over half of the hospitals in our study (57.2%) reported engaging in some form of HIE with LTC providers: 33.9% send-only, 0.5% receive-only, and 22.8% send and receive. Hospitals that engaged in some form of LTC HIE were more likely than those that did not engage to have attested to meaningful use (odds ratio [OR], 1.87; P = .01 for stage 1 and OR, 2.05; P investing in electronic information exchange with LTCs as part of a general strategy to adopt EHRs and engage in HIE, but also potentially to strengthen ties to LTC providers and to reduce readmissions. To achieve widespread connectivity, continued focus on adoption of related health IT infrastructure and greater emphasis on aligning incentives for hospital-LTC care transitions would be valuable. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  5. Sterilization techniques without heating (ultraviolet ray, radiation and ozone)

    International Nuclear Information System (INIS)

    Ito, Hitoshi

    1991-01-01

    The recent demand of consumers for processed foods is characterized by the intention for health and nature, besides, the demand for low sweetness, salt reduction, no additive and freshness becomes strong. In view of the control of microorganisms in products, all these become the negative factors. Accordingly, in order to overcome them, it is urgently desired to develop new technology or to improve conventional methods. As to heating sterilization, the uniform temperature treatment to the inside of foods is difficult, and it cannot be applied to perishables. The high temperature sterilization above 120degC causes the change in nutrition composition and physical properties. Ultraviolet ray and ozone can be used for the sterilization of food surface and powder and liquid foods. Radiation treatment can be applied to packed foods and frozen foods as well as food surface. The principle and the fields of application of ultraviolet ray sterilization, radiation sterilization and ozone sterilization are reported. In the mechanism of these methods, the action to DNA and oxidation are common. (K.I.)

  6. Sterile Neutrino Search in the NOvA Far Detector

    Energy Technology Data Exchange (ETDEWEB)

    Edayath, Sijith [Cochin U.; Aurisano, Adam [Cincinnati U.; Sousa, Alexandre [Cincinnati U.; Davies, Gavin [Indiana U.; Suter, Louise [Fermilab; Yang, Shaokai [Cincinnati U.

    2017-10-03

    The majority of neutrino oscillation experiments have obtained evidence for neutrino oscillations that are compatible with the three-flavor model. Explaining anomalous results from short-baseline experiments, such as LSND and MiniBooNE, in terms of neutrino oscillations requires the existence of sterile neutrinos. The search for sterile neutrino mixing conducted in NOvA uses a long baseline of 810 km between Near Detector (ND) at Fermilab and Far Detector (FD) in Minnesota. The signal for sterile neutrino oscillations is a deficit of neutral-current neutrino interactions at the FD with respect to the ND prediction. In this document, We will present the analysis improvements that we are implementing for future NC sterile neutrino searches with NOvA. These include: improved modelling of our detector response; the inclusion of NC 2p2h interaction modelling; implementing a better energy reconstruction techniques; and including possible oscillation due to sterile neutrinos in the ND . This improvements enable us to do a simultaneous ND-FD shape fit of the NC energy spectrum covering a wider sterile mass range than previous analyses.

  7. 42 CFR 50.207 - Sterilization by hysterectomy.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Sterilization by hysterectomy. 50.207 Section 50.207 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS POLICIES OF GENERAL APPLICABILITY Sterilization of Persons in Federally Assisted Family Planning Projects § 50.207...

  8. [Characteristics and follow-up of sterilized women].

    Science.gov (United States)

    Molina, R; López, I

    1982-02-01

    In order to gain insight into the characteristics of sterilized women evaluating at the same time the effects of sterilization, 70 patients who underwent sterilization in an Obstetrics Unit were studied. The clinical records were analyzed and a questionnaire comprising general knowledge, attitudes, and conduct was applied. Women over 30 and with a parity of 4 or more predominated. There was a low frequency of abortions reported but this information is not reliable. The educational level was lower than the average for the Metropolitan Region and pointed to a more precocious initiation in sexual relationships than was found in a previous similar study. Religion proved to be no obstacle for sterilization nor was attendance to church subsequently diminished. A negative moral feeling towards the operation nearly disappeared following surgery. The fear of sexual dissatisfaction in husbands decreased following surgery and a similar effect was seen with regard to negative self-image. There were no changes in marital relations nor in their satisfaction. (author's modified)

  9. Programme for the control of Glossina palpalis gambiensis Vanderplanck by the sterile-male technique in Upper Volta. A study of operational parameters

    International Nuclear Information System (INIS)

    Cuisance, D.; Politzar, H.; Clair, M.; Sellin, E.; Taze, Y.; Bourdoiseau, G.; Fevrier, J.

    1980-01-01

    The Institute for Stock-Breeding and Veterinary Medicine in Tropical Countries (Institut d'elevage et de medecine veterinaire des pays tropicaux - IEMVT, France), in association with the German Society for Technical Co-operation (Deutsche Gesellschaft fuer technische Zusammenarbeit - GTZ, Federal Republic of Germany), has been experimenting for four years in Upper Volta on genetic control of G.p. gambiensis, a vector of trypanosomiases in both man and animals, by the release of sterile males. A mass rearing facility has been set up for this glossina, with 45,000 females which produce 250,000 males for irradiation (11,000 rad) annually. This required a parallel facility for rearing 1000 host animals (400 rabbits and 600 guinea pigs). The releases are made twice a week on five experimental sectors isolated by barriers, which represent 32 km of forest galleries inhabited by G.p. gambiensis and G. tachinoides populations of medium density. The whole of this study zone is compared with a control covert 5.5 km in length. In each covert the influence of different parameters was examined: sterile-to-wild male ratio, spacing of release points, combination with insecticide treatment or not, and variation over time of the numbers of males released. First observations indicate that the sterile-male technique is efficient, and analysis of different parameters should make it possible to choose the optimum conditions for applying it. However, if the method is to be used on a larger scale, industrial-type rearing facilities will be required; yet the possibilities are limited by the difficulty of maintaining large numbers of host animals in tropical regions. Artificial feeding on membranes might offer one solution to the problem

  10. Reliability of Laparoscopic Compared With Hysteroscopic Sterilization at One Year: A Decision Analysis

    Science.gov (United States)

    Gariepy, Aileen M.; Creinin, Mitchell D.; Schwarz, Eleanor B.; Smith, Kenneth J.

    2011-01-01

    OBJECTIVE To estimate the probability of successful sterilization after hysteroscopic or laparoscopic sterilization procedure. METHODS An evidence-based clinical decision analysis using a Markov model was performed to estimate the probability of a successful sterilization procedure using laparoscopic sterilization, hysteroscopic sterilization in the operating room, and hysteroscopic sterilization in the office. Procedure and follow-up testing probabilities for the model were estimated from published sources. RESULTS In the base case analysis, the proportion of women having a successful sterilization procedure on first attempt is 99% for laparoscopic, 88% for hysteroscopic in the operating room and 87% for hysteroscopic in the office. The probability of having a successful sterilization procedure within one year is 99% with laparoscopic, 95% for hysteroscopic in the operating room, and 94% for hysteroscopic in the office. These estimates for hysteroscopic success include approximately 6% of women who attempt hysteroscopically but are ultimately sterilized laparoscopically. Approximately 5% of women who have a failed hysteroscopic attempt decline further sterilization attempts. CONCLUSIONS Women choosing laparoscopic sterilization are more likely than those choosing hysteroscopic sterilization to have a successful sterilization procedure within one year. However, the risk of failed sterilization and subsequent pregnancy must be considered when choosing a method of sterilization. PMID:21775842

  11. Sterile Neutrino Search with MINOS

    Energy Technology Data Exchange (ETDEWEB)

    Devan, Alena V. [College of William and Mary, Williamsburg, VA (United States)

    2015-08-01

    MINOS, Main Injector Neutrino Oscillation Search, is a long-baseline neutrino oscillation experiment in the NuMI muon neutrino beam at the Fermi National Accelerator Laboratory in Batavia, IL. It consists of two detectors, a near detector positioned 1 km from the source of the beam and a far detector 734 km away in Minnesota. MINOS is primarily designed to observe muon neutrino disappearance resulting from three flavor oscillations. The Standard Model of Particle Physics predicts that neutrinos oscillate between three active flavors as they propagate through space. This means that a muon-type neutrino has a certain probability to later interact as a different type of neutrino. In the standard picture, the neutrino oscillation probabilities depend only on three neutrino flavors and two mass splittings, Δm2. An anomaly was observed by the LSND and MiniBooNE experiments that suggests the existence of a fourth, sterile neutrino flavor that does not interact through any of the known Standard Model interactions. Oscillations into a theoretical sterile flavor may be observed by a deficit in neutral current interactions in the MINOS detectors. A distortion in the charged current energy spectrum might also be visible if oscillations into the sterile flavor are driven by a large mass-squared difference, ms2 ~ 1 eV2. The results of the 2013 sterile neutrino search are presented here.

  12. Is parotid saliva sterile on entry to the oral cavity?

    DEFF Research Database (Denmark)

    Schrøder, Stine A; Bardow, Allan; Eickhardt-Dalbøge, Steffen

    2017-01-01

    CONCLUSION: The present study indicates that parotid saliva is sterile on entry to the oral cavity. OBJECTIVES: The objective was to investigate if parotid saliva is sterile on entry to the oral cavity and, thus, prior to contamination by oral bacteria. METHOD: Forty healthy volunteers were...... included in sterile parotid saliva collection. Parotid saliva was collected using a sterile Lashley cup, placed over the papilla of the Stensen´s duct, as well as sterile tubes and syringes for collection. All collections were followed by collection of a positive control sample where some of the sterile...... obtained parotid saliva had been exposed to the contralateral mucosal membranes. All samples parotid saliva, as well as the positive controls, were cultivated, and 10 randomly selected parotid saliva samples underwent polymerase chain reaction (PCR) analyses. RESULTS: In 33 of 40 parotid saliva samples...

  13. Reason behind wet pack after steam sterilization and its consequences: An overview from Central Sterile Supply Department of a cancer center in eastern India.

    Science.gov (United States)

    Basu, Debabrata

    Wet pack after steam sterilization process that means there are surely obtain millions of microorganisms that can breed and multiply rapidly and objects are unsterile and can never be used for further procedure. There are many reasons behind the wet pack occurrences after autoclaving like poor quality of wrapping materials, faulty valves of rigid container, faulty loading and packaging technique, poor steam quality, sterilizer malfunction and may be design related problems in CSSD sterile storage area. Cause of wet pack after steam sterilization processes may occur severe problems because of wasted time and effort, increased work load, increased cost, potentially contaminated instruments, infection risk to the patient, poor patient outcomes and delayed or cancellation of procedures. But such wet pack scenario can be avoided by various methods by using good steam (water) quality, performing periodic maintenance of the Autoclaves, avoidance of sterilizer overloading, allowing adequate post sterilization time to cool down the materials to room temperature, using good quality wrapping materials, properly maintain temperature and humidity of sterile storage area etc. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  14. Sodium hypochlorite sterilization of culture medium in ...

    African Journals Online (AJOL)

    With the purpose of finding an alternative to thermal sterilization, this research aimed at assessing the efficiency and ideal concentration of sodium hypochlorite for sterilization of culture media and glassware used during rooting of micropropagated Gerbera hybrida cv. Essandre. Two experiments were carried out. In the first ...

  15. Radiation sterilization of medical products- current trends and future prospects

    International Nuclear Information System (INIS)

    Sharma, G.

    1997-01-01

    In medical practice use of sterile pharmaceuticals and single use disposable medical devices is steadily increasing. Sterile pharmaceuticals like injections and ophthalmic ointments are required for therapy. Medical devices are employed for diagnostic, drug administration or corrective purposes, and as implants for temporary, short term or long term residence in the human system. All these products are made available in sterile form by treating them to a suitable process of sterilization i.e. dry/wet heat, ethylene oxide (EtO) gas or ionizing radiation. In this paper current trends and future prospects of radiation sterilization of medical products are given in detail. 9 refs., 7 tabs

  16. Genetic expression of induced rice sterility under alien-cytoplasm

    International Nuclear Information System (INIS)

    Wang Naiyuan; Cai Zhijun; Liang Kangjing; Li Yu

    2005-01-01

    Rice restorer lines were treated with 60 Co γ-ray and 4 male sterile mutants obtained with the fertility of controlled by 4 non-allelic recessive genes, respectively. Sixty combinations were made by using male sterile plants/fertile plants as male parents, and 15 different cytoplasmic substitution lines of the same cell nucleus as female parents. The result showed that F 1 spikelets were normal and fertile, and different numbers of male sterile plants were segregated in F 2 . Complete fertility genotype was not found among interactions between induced male sterile genes and alien-cytoplasms. (authors)

  17. About the Sterilization of Chitosan Hydrogel Nanoparticles.

    Directory of Open Access Journals (Sweden)

    Raquel Galante

    Full Text Available In the last years, nanostructured biomaterials have raised a great interest as platforms for delivery of drugs, genes, imaging agents and for tissue engineering applications. In particular, hydrogel nanoparticles (HNP associate the distinctive features of hydrogels (high water uptake capacity, biocompatibility with the advantages of being possible to tailor its physicochemical properties at nano-scale to increase solubility, immunocompatibility and cellular uptake. In order to be safe, HNP for biomedical applications, such as injectable or ophthalmic formulations, must be sterile. Literature is very scarce with respect to sterilization effects on nanostructured systems, and even more in what concerns HNP. This work aims to evaluate the effect and effectiveness of different sterilization methods on chitosan (CS hydrogel nanoparticles. In addition to conventional methods (steam autoclave and gamma irradiation, a recent ozone-based method of sterilization was also tested. A model chitosan-tripolyphosphate (TPP hydrogel nanoparticles (CS-HNP, with a broad spectrum of possible applications was produced and sterilized in the absence and in the presence of protective sugars (glucose and mannitol. Properties like size, zeta potential, absorbance, morphology, chemical structure and cytotoxicity were evaluated. It was found that the CS-HNP degrade by autoclaving and that sugars have no protective effect. Concerning gamma irradiation, the formation of agglomerates was observed, compromising the suspension stability. However, the nanoparticles resistance increases considerably in the presence of the sugars. Ozone sterilization did not lead to significant physical adverse effects, however, slight toxicity signs were observed, contrarily to gamma irradiation where no detectable changes on cells were found. Ozonation in the presence of sugars avoided cytotoxicity. Nevertheless, some chemical alterations were observed in the nanoparticles.

  18. About the Sterilization of Chitosan Hydrogel Nanoparticles.

    Science.gov (United States)

    Galante, Raquel; Rediguieri, Carolina F; Kikuchi, Irene Satiko; Vasquez, Pablo A S; Colaço, Rogério; Serro, Ana Paula; Pinto, Terezinha J A

    2016-01-01

    In the last years, nanostructured biomaterials have raised a great interest as platforms for delivery of drugs, genes, imaging agents and for tissue engineering applications. In particular, hydrogel nanoparticles (HNP) associate the distinctive features of hydrogels (high water uptake capacity, biocompatibility) with the advantages of being possible to tailor its physicochemical properties at nano-scale to increase solubility, immunocompatibility and cellular uptake. In order to be safe, HNP for biomedical applications, such as injectable or ophthalmic formulations, must be sterile. Literature is very scarce with respect to sterilization effects on nanostructured systems, and even more in what concerns HNP. This work aims to evaluate the effect and effectiveness of different sterilization methods on chitosan (CS) hydrogel nanoparticles. In addition to conventional methods (steam autoclave and gamma irradiation), a recent ozone-based method of sterilization was also tested. A model chitosan-tripolyphosphate (TPP) hydrogel nanoparticles (CS-HNP), with a broad spectrum of possible applications was produced and sterilized in the absence and in the presence of protective sugars (glucose and mannitol). Properties like size, zeta potential, absorbance, morphology, chemical structure and cytotoxicity were evaluated. It was found that the CS-HNP degrade by autoclaving and that sugars have no protective effect. Concerning gamma irradiation, the formation of agglomerates was observed, compromising the suspension stability. However, the nanoparticles resistance increases considerably in the presence of the sugars. Ozone sterilization did not lead to significant physical adverse effects, however, slight toxicity signs were observed, contrarily to gamma irradiation where no detectable changes on cells were found. Ozonation in the presence of sugars avoided cytotoxicity. Nevertheless, some chemical alterations were observed in the nanoparticles.

  19. Sterile Neutrinos in Cold Climates

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Benjamin J.P. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States)

    2015-09-01

    Measurements of neutrino oscillations at short baselines contain an intriguing set of experimental anomalies that may be suggestive of new physics such as the existence of sterile neutrinos. This three-part thesis presents research directed towards understanding these anomalies and searching for sterile neutrino oscillations. Part I contains a theoretical discussion of neutrino coherence properties. The open-quantum-system picture of neutrino beams, which allows a rigorous prediction of coherence distances for accelerator neutrinos, is presented. Validity of the standard treatment of active and sterile neutrino oscillations at short baselines is verified, and non-standard coherence loss effects at longer baselines are predicted. Part II concerns liquid argon detector development for the MicroBooNE experiment, which will search for short-baseline oscillations in the Booster Neutrino Beam at Fermilab. Topics include characterization and installation of the MicroBooNE optical system; test-stand measurements of liquid argon optical properties with dissolved impurities; optimization of wavelength-shifting coatings for liquid argon scintillation light detection; testing and deployment of high-voltage surge arrestors to protect TPC field cages; and software development for optical and TPC simulation and reconstruction. Part III presents a search for sterile neutrinos using the IceCube neutrino telescope, which has collected a large sample of atmospheric-neutrino-induced events in the 1-10 TeV energy range. Sterile neutrinos would modify the detected neutrino flux shape via MSW-resonant oscillations. Following a careful treatment of systematic uncertainties in the sample, no evidence for MSW-resonant oscillations is observed, and exclusion limits on 3+1 model parameter space are derived. Under the mixing assumptions made, the 90% confidence level exclusion limit extends to sin224 ≤ 0.02 at m2 ~ 0.3 eV2, and the LSND and Mini

  20. Estimation of populations and sterility induction in Anastrepha ludens (Diptera: Tephritidae) fruit flies

    International Nuclear Information System (INIS)

    Flores, Salvador; Montoya, Pablo; Toledo, Jorge; Liedo, Pablo; Enkerlin, Walther

    2015-01-01

    The relationship between different release densities of sterile flies and fly trap captures, expressed as flies per trap per day, in the monitoring of Anastrepha ludens (Loew) populations was evaluated in mango orchards. The induction of sterility in fertile females was evaluated using different ratios of sterile: fertile males under field cage conditions. A direct relationship between recaptured flies and densities of release sterile flies was found. However, trap efficiency, expressed as percentage of recaptured flies, decreased as the density of released flies increased. Sterility induction was positively correlated to the ratio of sterile: fertile flies. A significant difference in egg fertility among treatments was observed. The trajectory of sterility induction slowed down after a sterile: wild ratio of 30:1, which suggests that this ratio could be appropriate in an sterile insect technique program with A. ludens. Sterility induction was greater when only sterile males were released than when releasing both sterile males and females, but the differences were not significant. Our findings contribute to a better interpretation of fly captures obtained from the field trapping networks, and to an improvement in the efficiency of sterile insect technique against A. ludens fruit flies, through the implementation of more rational sterile fly release densities. (author)

  1. Female sterilization in India : The quality and effect of an observed sterilization camp at The Methodist Public Health Centre, Mursan, India

    OpenAIRE

    Wikborg, Pia; Svensk, Marie

    2007-01-01

    Population growth is a big challenge for India, and family planning is highly prioritized by the Government of India. Sterilization is the most common voluntary contraceptive method in India and has for many years been performed in camps. This thesis is based on our observation of a sterilization camp at the Methodist Public Health Centre in Mursan, India and available literature on the subject. We have looked closer at the effect of female sterilization as a method of contraception and t...

  2. Influence of microwave sterilization on the cutting capacity of carbide burs.

    Science.gov (United States)

    Fais, Laiza Maria Grassi; Pinelli, Lígia Antunes Pereira; Adabo, Gelson Luis; Silva, Regina Helena Barbosa Tavares da; Marcelo, Caroline Canhizares; Guaglianoni, Dalton Geraldo

    2009-01-01

    This study compared the cutting capacity of carbide burs sterilized with microwaves and traditional sterilization methods. Sixty burs were divided into 5 groups according to the sterilization methods: dry heat (G1), autoclave (G2), microwave irradiation (G3), glutaraldehyde (G4) or control - no sterilization (G5). The burs were used to cut glass plates in a cutting machine set for twelve 2.5-min periods and, after each period, they were sterilized (except G5) following the protocol established for each group. The cutting capacity of the burs was determined by a weight-loss method. Data were analyzed statistically by Kruskal-Wallis and Dunn's test. The means of the cutting amount performed by each group after the 12 periods were G1 = 0.2167 +/- 0.0627 g; G2 = 0.2077 +/- 0.0231 g; G3 = 0.1980 +/- 0.0326 g; G4 = 0.1203 +/- 0.0459 g; G5 = 0.2642 +/- 0.0359 g. There were statistically significant differences among the groups (p<0.05); only dry heat sterilization was similar to the control. Sterilization by dry heat was the method that least affected the cutting capacity of the carbide burs and microwave sterilization was not better than traditional sterilization methods.

  3. Objections to tubal sterilization: what reversibility can and cannot overcome.

    Science.gov (United States)

    Shain, R N

    1980-09-01

    In a study of 1074 women, 696 and 338 subjects would not seriously consider permanent and hypothetically reversible sterilization, respectively; they were asked to explain their feelings. The reason accounting for most objections to permanent sterilization (65%) was irreversibility and of the subjects who would not consider reversible sterilization or were unsure, 42.7% attributed their principal objection to unnecessary surgery, a factor at least currently intrinsic to the procedure and not readily overcome by education. Many of the remaining objections to both permanent and reversible sterilization may be amenable to change either through education or financial subsidies. In response to a question concerning female attractiveness subsequent to permanent sterilization, 3% of the sample felt attractiveness would decrease and 17.5% were unsure of the surgery's effect. Unsure responses were largely negative in character. This issue is important because of its relationship to intention to undergo sterilization. Upon consideration of reversible sterilization, negative and unsure responses significantly declined, even on the part of those women whose friends have had a poor experience with currently available procedures. Thus, whereas the option of reversibility cannot overcome objections to surgery, it does overcome those regarding permanency; moreover, the "temporary" character it bestows upon surgical sterilization appears to help certain individuals overcome their fears of losing their physical appeal as a result of such procedures.

  4. A simple genetic incompatibility causes hybrid male sterility in mimulus.

    Science.gov (United States)

    Sweigart, Andrea L; Fishman, Lila; Willis, John H

    2006-04-01

    Much evidence has shown that postzygotic reproductive isolation (hybrid inviability or sterility) evolves by the accumulation of interlocus incompatibilities between diverging populations. Although in theory only a single pair of incompatible loci is needed to isolate species, empirical work in Drosophila has revealed that hybrid fertility problems often are highly polygenic and complex. In this article we investigate the genetic basis of hybrid sterility between two closely related species of monkeyflower, Mimulus guttatus and M. nasutus. In striking contrast to Drosophila systems, we demonstrate that nearly complete hybrid male sterility in Mimulus results from a simple genetic incompatibility between a single pair of heterospecific loci. We have genetically mapped this sterility effect: the M. guttatus allele at the hybrid male sterility 1 (hms1) locus acts dominantly in combination with recessive M. nasutus alleles at the hybrid male sterility 2 (hms2) locus to cause nearly complete hybrid male sterility. In a preliminary screen to find additional small-effect male sterility factors, we identified one additional locus that also contributes to some of the variation in hybrid male fertility. Interestingly, hms1 and hms2 also cause a significant reduction in hybrid female fertility, suggesting that sex-specific hybrid defects might share a common genetic basis. This possibility is supported by our discovery that recombination is reduced dramatically in a cross involving a parent with the hms1-hms2 incompatibility.

  5. Two-faces stationary irradiation method and dosimetric considerations for radiation processing at the multipurpose gamma irradiation facility / IPEN-CNEN

    International Nuclear Information System (INIS)

    Santos, Paulo S.; Vasquez, Pablo A.S.

    2015-01-01

    Over the last ten years, the Multipurpose Gamma Irradiation Facility of the Nuclear and Energy Research Institute - IPEN/CNEN located inside the Sao Paulo University campus has been providing services on radiation processing, especially for sterilization of health care and disposable medical products as well as support to research studies on modification of physical, chemical and biological properties of several materials. Placed at the same campus operates an extremely important radiopharmaceutical production facility when almost all disposable supplies used to produce medical products as the technetium-99m are continuously sterilized by gamma radiation. Many university biomedical research laboratories specially those working with equipment for cell cultures and vaccine production also make use of the gamma sterilization. Animal feed and shavings used by certified bioteries are routinely disinfected. Alternative underwater irradiation methods were developed to meet the demand of gemstone color enhancement. Human tissues including bone, skin, amniotic membranes, tendons, and cartilage belonging to National Banks are usually irradiated too. Different kind of polymers, hydrogels, foods as well native fruits, have been irradiated in this facility. Cultural heritage objects as books, paintings and furniture are disinfected routinely by gamma radiation. The success of the implementation of radiation processing in this facility is due to research and development of irradiation and dosimetry methods suitable for each condition. In this work are presented some considerations about the distribution dose and the two-faces stationary irradiation method developed and validated for this facility. (author)

  6. Two-faces stationary irradiation method and dosimetric considerations for radiation processing at the multipurpose gamma irradiation facility / IPEN-CNEN

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Paulo S.; Vasquez, Pablo A.S., E-mail: psantos@ipen.br, E-mail: pavsalva@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    Over the last ten years, the Multipurpose Gamma Irradiation Facility of the Nuclear and Energy Research Institute - IPEN/CNEN located inside the Sao Paulo University campus has been providing services on radiation processing, especially for sterilization of health care and disposable medical products as well as support to research studies on modification of physical, chemical and biological properties of several materials. Placed at the same campus operates an extremely important radiopharmaceutical production facility when almost all disposable supplies used to produce medical products as the technetium-99m are continuously sterilized by gamma radiation. Many university biomedical research laboratories specially those working with equipment for cell cultures and vaccine production also make use of the gamma sterilization. Animal feed and shavings used by certified bioteries are routinely disinfected. Alternative underwater irradiation methods were developed to meet the demand of gemstone color enhancement. Human tissues including bone, skin, amniotic membranes, tendons, and cartilage belonging to National Banks are usually irradiated too. Different kind of polymers, hydrogels, foods as well native fruits, have been irradiated in this facility. Cultural heritage objects as books, paintings and furniture are disinfected routinely by gamma radiation. The success of the implementation of radiation processing in this facility is due to research and development of irradiation and dosimetry methods suitable for each condition. In this work are presented some considerations about the distribution dose and the two-faces stationary irradiation method developed and validated for this facility. (author)

  7. Contraceptive sterilization among Canadians, 1984-1995

    Directory of Open Access Journals (Sweden)

    Vijaya Krishnan

    2004-12-01

    Full Text Available Prior to early 1970s, traditional methods were the principal means of controlling the number and spacing of births. Today, an estimated 57 per cent of the world’s married women use contraceptives and half use modern methods such as medical sterilizations. Recent statistics suggest that Canada has the highest sterilization rate in the Western world. This paper presents findings of research examining sterilization trends in Canada with respect to changing patterns in the use of modern contraceptives, using data from the 1984 Canadian Fertility Survey (CFS and the 1995 General Social Survey (GSS. The main finding is that there is a decrease in the use of tubal ligation and an increase in the use of hysterectomy over the period 1984-1995. Less educated women are more likely to be in the forefront of modern methods of contraception.

  8. The use of irradiated food for immuno-suppressed hospital patients

    International Nuclear Information System (INIS)

    Pryke, D.C.

    1994-01-01

    The treatment of leukaemia and other forms of haematological malignancies involves destruction of the bone marrow followed by bone-marrow transplant. This results in patients becoming severely immuno-suppressed. Other diseases result in a similar condition, most notably Acquired Immuno-Deficiency Syndrome (AIDS). Irradiation using radioactive sources or machines has been proposed as a method for preparing foods for immuno-suppressed patients and other high risk groups. Doses of around 30 kGy ensure a total sterility whilst a dose of 10 kGy (the recommended maximum for food available to the general public) results in a significant reduction in the number of pathogenic microorganisms. Irradiation has a number of advantages over other processing methods, in particular that flavour, texture and nutritional changes are limited. This is important as patients are often in a compromised state and need clinical assistance in returning to normal eating habits. In recognition of the potential of irradiated foods for hospital patients this use has been specifically exempted from regulatory control in the UK. This paper reviews the experience in the UK of irradiation-sterilized foods in hospitals. It was found that for practical reasons use is currently restricted. The future prospects for food irradiated at non-sterilized doses are also considered. It is concluded that as well as providing greater choice for consumers (high risk and the general public as a whole) irradiated foods could extend and improved the diets of immuno-suppressed hospital patients; this could be an important factor in recovery. (author)

  9. Sterilization of the artificial blood circulation apparatus with ozone

    Energy Technology Data Exchange (ETDEWEB)

    Pisarevskii, A A; Korukhov, N I.U.; Brazhnikov, E M; Konstantinova, M L; Razumovskii, S D

    1982-01-01

    Presented in this paper is the sterilization method of the assisted circulation unit. The method has been approved by stand testing and then applied for sterilizing the unit Ae, yeK-5 m when experimental implanting artificial heart. According to the method, ozone in concentration of 5 x 10(-3) moles/1 and with flow rate of 0,5 1/min is passed through an internal circuit of the unit during I h and 15 min. Control wash-out samples from lines have demonstrated complete sterility of the internal circuit. The method makes the sterilization process of such units much easier and may be recommended for clinical application.

  10. Glass bead sterilizer comprehensively defeats hot air oven in orthodontic clinic

    Directory of Open Access Journals (Sweden)

    Sanjeev Vasudev Jakati

    2015-01-01

    Full Text Available Background: It is necessary to ′try in′ several bands before the correct one is selected. A possible concern with re-using such bands is the lack of cross-infection control. Aim and Objectives: To determine whether such bands could be successfully decontaminated with Glass bead sterilization so that they could be re-used without a cross-infection risk. Materials: Custom made molar bands were taken and buccal tubes,lingual sheath and lingual cleat were welded under strict aseptic conditions. Methods: Samples were divided into 2 groups i.e. A and B, based on mode for sterilization. Sterilized attachments were placed in each of 2 conical flask. The bacteria spores were inoculated into both flask under strict aseptic conditions. Bacteria Bacillus subtillis and Staphylococcus albus species were allowed to multiply in individual flasks filled with BHI broth for 24 hours. Bands from 1st group were placed in a glass bead sterilizer. For the 2 nd group i.e. hot air oven group, all bands were placed together. After sterilization bands were removed and placed in freshly sterilized 500ml conical flask containing BHI broth for 24 hours in the incubator. The following day randomly 4 attachments were selected from each group and streaked on blood agar culture plates. Results: After sterilization and on further incubation in BHI broth for 24 and 48 hrs. Respectively no growth was seen. Conclusion: 1 hr. of Hot Air Oven sterilization (excluding pre sterilization heat up time and post sterilization cooling time at 190°C is as effective as 3 min of Chair side Glass Bead sterilization.

  11. Sterilization Monitoring management of the integration of the operating room with CSSD

    Directory of Open Access Journals (Sweden)

    Shu-yan XIA

    2014-08-01

    Full Text Available Objective: Explore the Sterilization Monitoring management of the integration of the operating room with CSSD. Methods: Compare sterilization process monitoring with biological monitoring and chemical monitoring. Results: The management in Biological monitoring, chemical monitoring and sterilization process monitoring is crucial. Conclusion: Sterilization monitoring is to ensure the safe use of sterile goods so as to protect the safety of surgical patients.

  12. Temperature Effects on Free Radicals in Gamma-sterilized Beef

    Science.gov (United States)

    Pramanik, S. I.; Jahan, M. S.

    1999-11-01

    Gamma irradiation has become the method of choice for sterilizing frozen meat and their products to reduce levels of food-borne pathogens and to extend shelf life. In this report we have employed ESR technique for detection of free radicals in sterilized and non-sterilized dry beef without bone. We have also determined the heating effects on free radicals at temperatures 176^°C and 250^°C. Meat samples were dried in a food dehydrator at 60^°C and were packaged in dry N_2. They were then sterilized by γ-irradiation (2.5 MRad), ground into powder, and placed in ESR sample tubes. Non-sterilized powder samples were used as control. While all powder samples, sterilized or not, produced a broad single line in the ESR spectra with (Δ H_pp ~ 9 G) and g = 2.013, the radical concentration in the sterilized samples increased by a factor of five. Heat treatment at 176^°C produced similar radicals. But, when samples were heated 250^°C different radical species were formed which are characterized by narrow width (Δ H_pp ~ 6 G) and lower g-value (g =2.010). In contrast with previous work, where free radicals in chicken bones were reduced by heating [1], we observed an increase in concentration. Results of structural analyses of the radicals will be presented. Ref.[1]: Radiat. Phys. Chem., 49, 477-481, 1997. Work supported by Grants from the University of Memphis

  13. Cosmological lepton asymmetry, primordial nucleosynthesis and sterile neutrinos

    Science.gov (United States)

    Abazajian, Kevork; Bell, Nicole F.; Fuller, George M.; Wong, Yvonne Y. Y.

    2005-09-01

    We study post weak decoupling coherent active-sterile and active-active matter-enhanced neutrino flavor transformation in the early Universe. We show that flavor conversion efficiency at Mikheyev-Smirnov-Wolfenstein resonances is likely to be high (adiabatic evolution) for relevant neutrino parameters and energies. However, we point out that these resonances cannot sweep smoothly and continuously with the expansion of the Universe. We show how neutrino flavor conversion in this way can leave both the active and sterile neutrinos with nonthermal energy spectra, and how, in turn, these distorted energy spectra can affect the neutron-to-proton ratio, primordial nucleosynthesis, and cosmological mass/closure constraints on sterile neutrinos. We demonstrate that the existence of a light sterile neutrino which mixes with active neutrinos can change fundamentally the relationship between the cosmological lepton numbers and the primordial nucleosynthesis He4 yield.

  14. The genetics of hybrid male sterility between the allopatric species pair Drosophila persimilis and D. pseudoobscura bogotana: dominant sterility alleles in collinear autosomal regions.

    Science.gov (United States)

    Chang, Audrey S; Noor, Mohamed A F

    2007-05-01

    F(1) hybrid male sterility is thought to result from interactions between loci on the X chromosome and dominant-acting loci on the autosomes. While X-linked loci that contribute to hybrid male sterility have been precisely localized in many animal taxa, their dominant autosomal interactors have been more difficult to localize precisely and/or have been shown to be of relatively smaller effect. Here, we identified and mapped at least four dominant autosomal factors contributing to hybrid male sterility in the allopatric species pair Drosophila persimilis and D. pseudoobscura bogotana. Using these results, we tested predictions of reduced recombination models of speciation. Consistent with these models, three of the four QTL associated with hybrid male sterility occur in collinear (uninverted) regions of these genomes. Furthermore, these QTL do not contribute significantly to hybrid male sterility in crosses between the sympatric species D. persimilis and D. pseudoobscura pseudoobscura. The autosomal loci identified in this study provide the basis for introgression mapping and, ultimately, for molecular cloning of interacting genes that contribute to F(1) hybrid sterility.

  15. Unintended pregnancies after Essure sterilization in the Netherlands

    NARCIS (Netherlands)

    Veersema, S.; Vleugels, M.P.; Moolenaar, L.M.; Janssen, C.A.; Brölmann, H.A.M.

    2010-01-01

    Objective: To analyze the data of cases of unintended pregnancies after Essure sterilization. Design: Retrospective case series analysis. Setting: National multicenter. Patient(s): Ten cases of unintended pregnancies after Essure sterilization in the Netherlands were reported from August 2002

  16. Plasma Sterilizer with Ultrasonic Cavitation

    International Nuclear Information System (INIS)

    Krasnyj, V.V.; Klosovsky, A.V.; Panasko, T.A.; Shvets, O.M.; Semenova, O.T.; Taran, V.S.; Tereshin, V.I.

    2006-01-01

    A sterilizer consists of ozone generator based on a barrier glow discharge with the flat electrodes covered with dielectric with a high-voltage pulsed power supply of up to 250 W (1). The sterilization camera is equipped with ultrasonic source with the power of 100 W. The experiments on the inactivation of bacteria of the Bacillus Cereus type were carried out in the distilled water saturated by ozone. Ozone concentration in the aqueous solution was 6 mg/liter with ozone concentration at the output of ozone generator 30 mg/liter. The complete inactivation of spores took 15 min

  17. Hysteroscopic tubal sterilization: a systematic review of the Essure system

    DEFF Research Database (Denmark)

    Hurskainen, Ritva; Hovi, Sirpa-Liisa; Gissler, Mika

    2010-01-01

    OBJECTIVE: To update the evidence of the efficacy and safety of the Essure system. Female sterilization has undergone changes in the last decade. Besides laparoscopic tubal occlusion, the Essure system is now a viable option, with about 200,000 women sterilized using this method. DESIGN: The review...... in ambulatory settings. However, sterilization is not immediate and women must use additional contraception for 3 months until permanent tubal occlusion is verified by transvaginal ultrasound, hysterosalpingosonography, hysterosalpingography, or pelvic radiography. The evidence on efficacy and safety is mainly...... sterilization, but more information on the total cost is needed. CONCLUSION(S): The Essure system appears to be safe, permanent, irreversible, and a less invasive method of contraception compared with laparoscopic sterilization. Copyright (c) 2010 American Society for Reproductive Medicine. Published...

  18. Post-sterilization autonomy among young mothers in South India.

    Science.gov (United States)

    Pallikadavath, Saseendran; Rajan, Irudaya; Singh, Abhishek; Ogollah, Reuben; Page, Samantha

    2015-01-01

    This study examined the post-sterilization autonomy of women in south India in the context of early sterilization and low fertility. Quantitative data were taken from the third round of the National Family Health Survey (NFHS-3) carried out in 2005-06, and qualitative data from one village each in Kerala and Tamil Nadu during 2010-11. The incident rate ratios and thematic analysis showed that among currently married women under the age of 30 years, those who had been sterilized had significantly higher autonomy in household decision-making and freedom of mobility compared with women who had never used any modern family planning method. Early age at sterilization and low fertility enables women to achieve the social status that is generally attained at later stages in the life-cycle. Policies to capitalize on women's autonomy and free time resulting from early sterilization and low fertility should be adopted in south India.

  19. Research on industrial development of radiation sterilization in Sichuan

    International Nuclear Information System (INIS)

    Chen Xun; Zhu Rong; Chen Jigang; Ouyang Qiongli

    2010-01-01

    Radiation sterilization is widely applied in food processing, pharmaceutical manufacturing and medical instrumentation producing. As this industry offers service to related corporations, its development depends largely on the market scale of the relevant industries. This article mainly discusses the balance point between the capacity of radiation sterilization and the requirement of its market. There are less than 1% of the companies in Sichuan which using radiation sterilization for its products, broad prospects has shown in this field. There are 3 key points to make its output value reach 0.1% of the GDP in Sichuan: 1. Breaking the restrictions of capacity and inappropriate resources distribution. 2. Promoting the technique of radiation sterilization, guiding corporation to reduce their dependence on food additive from the perspective of food safety, make effective implantation of radiation sterilization into their manufacture processes. 3. Increasing publicity, eliminating scared mentality among customer on nuclear technology, helping manufacturing corporations to establish green environmental protection brand, directing our customer to a more healthy awareness. (authors)

  20. Influence of microwave sterilization on the cutting capacity of carbide burs

    Directory of Open Access Journals (Sweden)

    Laiza Maria Grassi Fais

    2009-12-01

    Full Text Available OBJECTIVE: This study compared the cutting capacity of carbide burs sterilized with microwaves and traditional sterilization methods. MATERIAL AND METHODS: Sixty burs were divided into 5 groups according to the sterilization methods: dry heat (G1, autoclave (G2, microwave irradiation (G3, glutaraldehyde (G4 or control - no sterilization (G5. The burs were used to cut glass plates in a cutting machine set for twelve 2.5-min periods and, after each period, they were sterilized (except G5 following the protocol established for each group. The cutting capacity of the burs was determined by a weight-loss method. Data were analyzed statistically by Kruskal-Wallis and Dunn's test. RESULTS: The means of the cutting amount performed by each group after the 12 periods were G1 = 0.2167 ± 0.0627 g; G2 = 0.2077 ± 0.0231 g; G3 = 0.1980 ± 0.0326 g; G4 = 0.1203 ± 0.0459 g; G5 = 0.2642 ± 0.0359 g. There were statistically significant differences among the groups (p<0.05; only dry heat sterilization was similar to the control. CONCLUSION: Sterilization by dry heat was the method that least affected the cutting capacity of the carbide burs and microwave sterilization was not better than traditional sterilization methods.

  1. Radiation Sterilization of Two Commonly Culture Media Used for Bacterial Growth

    International Nuclear Information System (INIS)

    El-Hifnawi, H.N.

    2008-01-01

    Radiation sterilization of culture media used for the cultivation of bacteria by Co-60 gamma ray was investigated. Nutrient agar and tryptone glucose yeast extract (TGY) media widely used for the propagation of bacteria were sterilized with 15 kGy dose gamma radiation. Seven different bacterial species were grown as well on the radiation sterilized media as on media sterilized by autoclaving in a conventional way

  2. The role of packaging size on contamination rates during simulated presentation to a sterile field.

    Directory of Open Access Journals (Sweden)

    Tony Trier

    Full Text Available The objective of this study was to assess the impact of package size on the contact between medical devices and non-sterile surfaces (i.e. the hands of the practitioner and the outside of the package during aseptic presentation to a simulated sterile field. Rationale for this objective stems from the decades-long problem of hospital-acquired infections. This work approaches the problem from a unique perspective, namely packaging size.Randomized complete block design with subsampling.Research study conducted at professional conferences for surgical technologists and nursing professionals.Ninety-seven healthcare providers, primarily surgical technologists and nurses.Participants were gloved and asked to present the contents of six pouches of three different sizes to a simulated sterile field. The exterior of pouches and gloves of participants were coated with a simulated contaminant prior to each opening trial. After presentation to the simulated sterile field, the presence of the contaminant on package contents was recorded as indicative of contact with non-sterile surfaces and analyzed in a binary fashion using a generalized linear mixed model.Recruited subjects were 26-64 years of age (81 females, 16 males, with 2.5-44 years of professional experience. Results indicated a significant main effect of pouch size on contact rate of package contents (P = 0.0108, whereby larger pouches induced greater rates of contact than smaller pouches (estimates±SEM: 14.7±2.9% vs. 6.0±1.7%, respectively.This study utilized novel methodologies which simulate contamination in aseptic presentation. Results of this work indicate that increased contamination rates are associated with larger pouches when compared to smaller pouches. The results add to a growing body of research which investigate packaging's role in serving as a pathway for product contamination during aseptic presentation. Future work should investigate other packaging design factors (e

  3. Radiation Fusion Technology for Sewage Sterilization

    International Nuclear Information System (INIS)

    Lee, M. J.; Kim, T. H.; Ryu, S. H.; Jung, I. H.; Lee, O. M.; Kim, T. H.

    2011-01-01

    Environmental regulation for effluent of sewage and wastewater treatment plant is going to be reinforced in terms of ecology toxicity and number of E.coli from 2011. Besides, it has been known that UV technology is not enough to be a sterilization tool due to regrowth of E.coli even after treatment with UV. Therefore it needs a novel technology for both restriction of E.coli regrowth and treatment of toxic materials in order to meet the environmental regulation being enforced. Electron beam has unique capabilities on destruction of chemicals and sterilization of microbial. In this study, field study on destruction of antibiotics and endocrine disruptors, reduction ecological toxicity and E.Coli regrowth was carried out using by mobile electron beam accelerator. Experimental results showed that irradiation on effluent could effectively reduce not only ecology toxicity but regrowth of E.coli by destruction of chemicals and complete sterilization

  4. Mating competitiveness of sterile male Anopheles coluzzii in large cages.

    Science.gov (United States)

    Maïga, Hamidou; Damiens, David; Niang, Abdoulaye; Sawadogo, Simon P; Fatherhaman, Omnia; Lees, Rosemary S; Roux, Olivier; Dabiré, Roch K; Ouédraogo, Georges A; Tripet, Fréderic; Diabaté, Abdoulaye; Gilles, Jeremie R L

    2014-11-26

    Understanding the factors that account for male mating competitiveness is critical to the development of the sterile insect technique (SIT). Here, the effects of partial sterilization with 90 Gy of radiation on sexual competitiveness of Anopheles coluzzii allowed to mate in different ratios of sterile to untreated males have been assessed. Moreover, competitiveness was compared between males allowed one versus two days of contact with females. Sterile and untreated males four to six days of age were released in large cages (~1.75 sq m) with females of similar age at the following ratios of sterile males: untreated males: untreated virgin females: 100:100:100, 300:100:100, 500:100:100 (three replicates of each) and left for two days. Competitiveness was determined by assessing the egg hatch rate and the insemination rate, determined by dissecting recaptured females. An additional experiment was conducted with a ratio of 500:100:100 and a mating period of either one or two days. Two controls of 0:100:100 (untreated control) and 100:0:100 (sterile control) were used in each experiment. When males and females consort for two days with different ratios, a significant difference in insemination rate was observed between ratio treatments. The competitiveness index (C) of sterile males compared to controls was 0.53. The number of days of exposure to mates significantly increased the insemination rate, as did the increased number of males present in the untreated: sterile male ratio treatments, but the number of days of exposure did not have any effect on the hatch rate. The comparability of the hatch rates between experiments suggest that An. coluzzii mating competitiveness experiments in large cages could be run for one instead of two days, shortening the required length of the experiment. Sterilized males were half as competitive as untreated males, but an effective release ratio of at least five sterile for one untreated male has the potential to impact the fertility of

  5. Comparative analysis of ampoules and vials in sterile and conventional packaging as to microbial load and sterility test.

    Science.gov (United States)

    Freitas, Raphael Ribeiro de Aquino; Tardelli, Maria Angela

    2016-05-24

    To compare sterility and microbial (bacteria and fungi) load in the outer part of hyperbaric bupivacaine (Neocaína®) in ampoule and bupivacaine in vial, in conventional and sterile pack formulations. The sterile packs were divided into two groups: G1 (n=16) with ampoules and G2 (n=16) with vials. Conventional formulations were divided into two groups, being G3 (n=16) with ampoules and G4 (n=16) with vials. The ampoules and vials were opened and had their content drawn. The empty bottles were then placed in sterile plastic bags and sent for analysis of microbial load (bacteria and fungi) and sterility testing. Data were analyzed using the χ2 test with Yates correction, and 95% confidence interval. G1 and G2 showed no bacterial growth when compared to conventional groups (pgrupos, sendo que o G1 (n=16) continha as ampolas e o G2 (n=16), os frascos-ampola. As apresentações convencionais foram distribuídas em dois grupos, a saber G3 (n=16) com as ampolas e G4 (n=16) com os frascos-ampola. As ampolas e os frascos-ampolas eram abertos e tinham seu conteúdo aspirado. Os frascos vazios eram, então, acondicionados em sacos plásticos estéreis e enviados para análise quanto à carga microbiana (bactérias e fungos), bem como para o teste de esterilidade. Os dados foram analisados por meio do teste χ2 com correção Yates com intervalo de confiança de 95%. Os grupos G1 e G2 não apresentaram crescimento bacteriano quando comparado aos grupos convencionais (pgrupos. O uso de embalagens estéreis (sterile pack) diminui a carga microbiana dos frascos de envasamentos, o que diminuiria a chance de exposição a uma potencial contaminação da solução anestésica.

  6. Electric dipole moments of charged leptons with sterile fermions

    International Nuclear Information System (INIS)

    Abada, Asmaa; Toma, Takashi

    2016-01-01

    We address the impact of sterile fermions on charged lepton electric dipole moments. Any experimental signal of these observables calls for scenarios of physics beyond the Standard Model providing new sources of CP violation. In this work, we consider a minimal extension of the Standard Model via the addition of sterile fermions which mix with active neutrinos and we derive the corresponding analytical expressions for the electric dipole moments of charged leptons at two-loop order. Our study reveals that, in order to have a non-vanishing contribution in this framework, the minimal extension necessitates the addition of at least 2 sterile fermion states to the Standard Model field content. Our conclusion is that sterile neutrinos can give significant contributions to the charged lepton electric dipole moments, some of them lying within present and future experimental sensitivity if the masses of the non-degenerate sterile states are both above the electroweak scale. The Majorana nature of neutrinos is also important in order to allow for significative contributions to the charged lepton electric dipole moments. In our analysis we impose all available experimental and observational constraints on sterile neutrinos and we further discuss the prospect of probing this scenario at low and high energy experiments.

  7. Electric dipole moments of charged leptons with sterile fermions

    Energy Technology Data Exchange (ETDEWEB)

    Abada, Asmaa; Toma, Takashi [Laboratoire de Physique Théorique, CNRS, University Paris-Sud, Université Paris-Saclay, 91405 Orsay (France)

    2016-02-26

    We address the impact of sterile fermions on charged lepton electric dipole moments. Any experimental signal of these observables calls for scenarios of physics beyond the Standard Model providing new sources of CP violation. In this work, we consider a minimal extension of the Standard Model via the addition of sterile fermions which mix with active neutrinos and we derive the corresponding analytical expressions for the electric dipole moments of charged leptons at two-loop order. Our study reveals that, in order to have a non-vanishing contribution in this framework, the minimal extension necessitates the addition of at least 2 sterile fermion states to the Standard Model field content. Our conclusion is that sterile neutrinos can give significant contributions to the charged lepton electric dipole moments, some of them lying within present and future experimental sensitivity if the masses of the non-degenerate sterile states are both above the electroweak scale. The Majorana nature of neutrinos is also important in order to allow for significative contributions to the charged lepton electric dipole moments. In our analysis we impose all available experimental and observational constraints on sterile neutrinos and we further discuss the prospect of probing this scenario at low and high energy experiments.

  8. Practical design of gamma irradiation facility

    International Nuclear Information System (INIS)

    Sugimoto, Sen-ichi

    1976-01-01

    In this report, it is intended to describe mainly the multi-purpose irradiation facilities which carry out the consigned irradiation for the sterilization of medical apparatuses, which is most of the demand of gamma irradiation in Japan. Gamma irradiation criterion is summed up to that ''Apply the specified dose properly and uniformly to product cases and be economic.'' Though the establishment of the design standard for irradiation facilities is not easy and is not solve simply, the factors to be considered in the design are as follows: (1) mechanism safety, (2) multipurpose irradiation structure, (3) irradiation criteria and practice, (4) efficiency of radiation source utilization and related problems, and (5) economical merit. Irradiation facilities are generally itemized as follows: irradiation equipments, radiation source-storing facility, package carrier, radiation source-driving equipments, facilities for safety and operational management and others. Examples and their characteristics are reported for the facilities of Japan Radio-isotope Irradiation Cooperative Association and Radie Industries Ltd. Expenses for construction, processing and radiation sources are shown on the basis of a few references, and the cost trially calculated under a certain presumptive condition is given. (Wakatsuki, Y.)

  9. Substantial shifts in ranking of California hospitals by hospital-associated methicillin-resistant Staphylococcus aureus infection following adjustment for hospital characteristics and case mix.

    Science.gov (United States)

    Tehrani, David M; Phelan, Michael J; Cao, Chenghua; Billimek, John; Datta, Rupak; Nguyen, Hoanglong; Kwark, Homin; Huang, Susan S

    2014-10-01

    States have established public reporting of hospital-associated (HA) infections-including those of methicillin-resistant Staphylococcus aureus (MRSA)-but do not account for hospital case mix or postdischarge events. Identify facility-level characteristics associated with HA-MRSA infection admissions and create adjusted hospital rankings. A retrospective cohort study of 2009-2010 California acute care hospitals. We defined HA-MRSA admissions as involving MRSA pneumonia or septicemia events arising during hospitalization or within 30 days after discharge. We used mandatory hospitalization and US Census data sets to generate hospital population characteristics by summarizing across admissions. Facility-level factors associated with hospitals' proportions of HA-MRSA infection admissions were identified using generalized linear models. Using state methodology, hospitals were categorized into 3 tiers of HA-MRSA infection prevention performance, using raw and adjusted values. Among 323 hospitals, a median of 16 HA-MRSA infections (range, 0-102) per 10,000 admissions was found. Hospitals serving a greater proportion of patients who had serious comorbidities, were from low-education zip codes, and were discharged to locations other than home were associated with higher HA-MRSA infection risk. Total concordance between all raw and adjusted hospital rankings was 0.45 (95% confidence interval, 0.40-0.51). Among 53 community hospitals in the poor-performance category, more than 20% moved into the average-performance category after adjustment. Similarly, among 71 hospitals in the superior-performance category, half moved into the average-performance category after adjustment. When adjusting for nonmodifiable facility characteristics and case mix, hospital rankings based on HA-MRSA infections substantially changed. Quality indicators for hospitals require adequate adjustment for patient population characteristics for valid interhospital performance comparisons.

  10. Consultants Group Meeting on Production System Analysis and Economics for Tsetse Fly Mass-Rearing and the Use of the Sterile Insect Technique in Eradication Programmes in Africa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1991-07-01

    A consultants' group met in Vienna from 23 September - 3 October 1991 to explore 'Production System Analysis and Economics for Tsetse Fly Mass-rearing and the Use of the Sterile Insect Technique in Eradication Programmes in Africa'. This report is based on their observations during working visits to the Entomology Unit of the IAEA Agricultural Laboratory at Seibersdorf, and on information supplied by the tsetse team and staff of the Joint FAO/IAEA Division's Insect and Pest Control Section. The consultants conducted a technical, operational and financial review of present rearing methods, equipment, philosophies and production capacities, taking into account one of the recommendations made at the 6th Session of the ''FAO Commission on African Animal Trypanosomiasis'' held in June 1991 in Harare, Zimbabwe. This recommendation, related to the use of the Sterile Insect Technique (SIT), states that {sup F}AO, through the Joint FAO/IAEA Division, should further investigate and improve the use of sterile insects to strengthen the efficacy of tsetse surveys and, where applicable, consider teh use of the SIT to support eradication campaigns where other techniques on their own will not achieve this objective''. In investigating the potential for improved tsetse mass-rearing and analyzing the present costs of pupa/distributable sterile fly production, the consultants noted that: 1. The Seibersdorf Tsetse Unit is conducting an effective research and development programme which strives to emulate a production facility while continuing to pursue R and D. The capacity of the present facility in Seibersdorf is practically limited to a colony size of about 150,000 breeding females. The release of sterile males in an eradication campaign of economical relevance would require a colony containing more than 500,000 female flies. Such a population can only be maintained in an organizational, operational and financially justifiable manner if the rearing technology is transferred from an

  11. Geographic Variation in Characteristics of Postpartum Women Using Female Sterilization.

    Science.gov (United States)

    White, Kari; Potter, Joseph E; Zite, Nikki

    2015-01-01

    Southern states have higher rates of female sterilization compared with other areas of the United States, and the reasons for this are not well understood. We examined whether low-income and racial/ethnic minority women, who were previous targets of coercive practices, disproportionately report using sterilization in the South. We used data from 12 states participating in the Pregnancy Risk Assessment Monitoring System that collected information on women's contraceptive method use between 2006 and 2009. We categorized states according to geographic region: South, Midwest/West, and Northeast. Within each region, we computed the percentage of women using sterilization according to their demographic and obstetric characteristics and estimated multivariable-adjusted prevalence ratios to evaluate whether the same characteristics were associated with sterilization use. The percentage of postpartum women using sterilization ranged from 5.0% to 9.9% in the Northeast, 8.9% to 10.6% in the Midwest/West, and 11.6% to 22.4% in the South. Women in nearly all subgroups in Southern states were more likely to use sterilization than women in the Northeast. After multivariable adjustment, there were no differences in the prevalence of sterilization for Blacks compared with Whites in the Northeast (0.76; 95% CI, 0.55-1.06), Midwest/West (0.91; 95% CI, 0.80-1.04), and South (0.96; 95% CI, 0.85-1.07). Women with Medicaid-paid deliveries (vs. private insurance) had a higher prevalence of sterilization in all regions (p sterilization at disproportionately higher rates compared with other regions, and suggest that other differences, such as social norms and family planning policies, may contribute to this geographic variation. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  12. Remodeling of ACL Allografts is Inhibited by Peracetic Acid Sterilization

    Science.gov (United States)

    Gonnermann, Johannes; Kamp, Julia; Przybilla, Dorothea; Pruss, Axel

    2008-01-01

    Sterilization of allografts for anterior cruciate ligament (ACL) reconstruction has become an important prerequisite to prevent disease transmission. However, current sterilization techniques impair the biological or mechanical properties of such treated grafts. Peracetic acid (PAA) has been successfully used to sterilize bone allografts without these disadvantages and does not impair the mechanical properties of soft tissue grafts in vitro. We asked whether PAA sterilization would influence recellularization, restoration of crimp length and pattern, and revascularization of ACL grafts during early healing. We used an in vivo sheep model for open ACL reconstruction. We also correlated the histologic findings with the restoration of anteroposterior stability and structural properties during load-to-failure testing. PAA slowed remodeling activity at 6 and 12 weeks compared to nonsterilized allografts and autografts. The mechanical properties of PAA grafts were also reduced compared to these control groups at both time points. We conclude PAA sterilization currently should not be used to sterilize soft tissue grafts typically used in ACL reconstruction. PMID:18491201

  13. Electron beam sterilization of water discharged from sewage

    International Nuclear Information System (INIS)

    Miyata, Teijiro; Arai, Hidehiko; Tokunaga, Okihiro; Machi, Sueo; Kondo, Masaki; Minemura, Takashi; Nakao, Akio; Seike, Yasuhiko.

    1989-01-01

    At present, the water treated at city sewerages is discharged to rivers after the chlorine sterilization, but it was clarified recently that this chlorine treatment produces carcinogenic organic chlorine compounds, and residual chlorine exerts harmful effect to aquatics, therefore, it is desirable to develop the sterilization techniques substituting for chlorine treatment. Already many reports elucidated that irradiation is effective for the sterilization of the water discharged from sewerage. However, as the technical subject for putting radiation process in practical use, the treatment of large quantity was a problem. Recently by the progress of the technology of manufacturing electron accelerators, the equipment with large power output which can treat in large quantity was developed, and it has become applicable also to sewage treatment. Therefore, the authors examined the practicality of electron beam process as the substitute technology for chlorine sterilizaiton. In the case of using electron beam, though the power output of accelerators is large, the flight range of electron beam in water is short. The comparison of the sterilization effect of electron beam with that of Co-60 gamma ray, the effects of water depth, discharged water quality and water velocity on the sterilization effect and so on were experimentally examined. (K.I.)

  14. Sterilization of microbes by using various plasma jets

    Energy Technology Data Exchange (ETDEWEB)

    Uhm, Han S.; Choi, Eun H.; Cho, Guang S. [Kwangwoon University, Seoul (Korea, Republic of); Hong, Yong C. [National Fusion Research Institute, Daejeon (Korea, Republic of)

    2012-03-15

    Sterilization of various microbes was carried out by using several plasma jets. Argon plasma jets penetrate deep into ambient air and create a path for oxygen radicals to sterilize microbes including spores. A sterilization experiment with bacterial endospores indicates that an argon-oxygen plasma jet very effectively kills endospores of Bacillus atrophaeus (ATCC 9372), thereby demonstrating its capability to clean surfaces and its usefulness for reinstating contaminated equipment as free from toxic biological agents. The key element of the sterilization is oxygen radicals. The penciltype configuration produces a long, cold plasma jet capable of reaching 3.5 cm and having various excited plasma species shown through the optical emission spectrum. Operation of an air plasma jet at 2 W in a pencil-type electrode provides an excellent opportunity for sterilization of microbes. An electron microscope was used to observe the effects of the plasma on bacterial cell morphology. Transmission electron micrographs showed morphological changes in E. coli cells treated with an atmospheric plasma at 75 W for 2 min. The treated cells had severe cytoplasmic deformations and leakage of bacterial chromosome. The chromosomal DNA was either attached to the bacterial cells or released freely into the surrounding medium. The results clearly explain the loss of viability of bacterial cells after plasma treatment.

  15. Evolution of the Radio-sterilized Tissues Bank of the Instituto Nacional de Investigaciones Nucleares; Evolucion del Banco de Tejidos Radioesterilizados del Instituto Nacional de Investigaciones Nucleares

    Energy Technology Data Exchange (ETDEWEB)

    Martinez P, M. E.; Reyes F, M. L.; Luna Z, D., E-mail: esther.martinez@inin.gob.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2013-10-15

    The Radio-sterilized Tissues Bank (RTB) of the Instituto Nacional de Investigaciones Nucleares (ININ) was established in 1997, as national project supported by the IAEA, who provided equipment, training and expert missions. In July of 1999, the Secretaria de Salud (Mexico) granted the sanitary license to the RTB. The first radio-sterilized tissue was the amnion. Later on, the process of frozen and lyophilized pig skin was development. Both tissue types are used as biological dressings in patient with burns, ulcers or on injuries difficult to heal, the amnion is also used for the damage treatment in the ocular surface. In 2003, the ININ improved the facilities of the RTB and in August of that same year the certification of the Quality Administration System was obtained under the standard ISO 9001:2000, at the present time ISO 9001:2008. The support of the IAEA granted to Mexico was of 1997-2004 and 2009-2012, by means of regional and inter regional projects where was obtained equipment and training mainly, for personal of the ININ and other institutions. With the last project supported by the IAEA, two very important documents were generated for the tissues bank of Argentina, Brazil, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Mexico, Peru, Uruguay and Venezuela, strengthening the interaction among these countries. To offer more radio-sterilized tissues to the medical community, in June of 2007 the RTB signed and agreement with the Secretaria de Salud of the Mexico State by means of the Centro Estatal de Transplantes del Estado de Mexico, for the process of muscle-skeletal tissue, skin and amnion. At present, besides amnion and pig skin, in the RTB there is in existence powdered and chips bone; concluding the validation stage the human skin process is. As a social function of the ININ, the RTB has contributed to the health improvement of patients of more than 50 hospital institutions, mainly those that assist to patient of low resources in different cities of

  16. Degradation and stability of polycarbonate sterilized by gamma rays

    International Nuclear Information System (INIS)

    Araujo, E.S.; Guedes, S.M.L.

    1995-01-01

    The purpose of this paper is to study the behavior of the polycarbonate (poly (bis phenol-A carbonate)) when it is sterilized by gamma rays because undesirable discoloration appears. Aromatic polycarbonates are amorphous polymers usually prepared from bis phenols and phosgene by interfacial polymerization. They are employed in medical applications, including blood filters, dialyzers, oxygenators and sterilizing equipment. At present, the best process for sterilization of medical supplies is present, the best process for sterilization of medical supplies is gamma irradiation. The two major effects of γ-radiation in polymers are crosslinking and main chain scission. Both effects coexist and either one may predominate depending on the chemical structure of the polymer and the conditions of irradiation. (author). 5 refs, 6 figs, 1 tab

  17. Hysteroscopic tubal sterilization: a systematic review of the Essure system.

    Science.gov (United States)

    Hurskainen, Ritva; Hovi, Sirpa-Liisa; Gissler, Mika; Grahn, Riitta; Kukkonen-Harjula, Katriina; Nord-Saari, Merja; Mäkelä, Marjukka

    2010-06-01

    To update the evidence of the efficacy and safety of the Essure system. Female sterilization has undergone changes in the last decade. Besides laparoscopic tubal occlusion, the Essure system is now a viable option, with about 200,000 women sterilized using this method. The review is based on the report of the Alberta Heritage Foundation for Medical Research and completed with systematic literature searches up to April 8, 2008. The Managed Uptake of Medical Methods program of the Finnish National Research and Development Center for Health and Welfare. Women over 30 years, who had been sterilized by the Essure method. Hysteroscopic tubal sterilization using Essure system. Efficacy/effectiveness, adverse events, costs. Sterilization by Essure can be performed under local anesthesia or with oral analgesics in ambulatory settings. However, sterilization is not immediate and women must use additional contraception for 3 months until permanent tubal occlusion is verified by transvaginal ultrasound, hysterosalpingosonography, hysterosalpingography, or pelvic radiography. The evidence on efficacy and safety is mainly available from short follow-up case series but shows good efficacy and safety of the Essure system. Only a few small risks are associated with the procedure. Two economic studies, one of which implemented Essure as an in-office procedure, suggest that Essure could be more cost-effective than laparoscopic sterilization, but more information on the total cost is needed. The Essure system appears to be safe, permanent, irreversible, and a less invasive method of contraception compared with laparoscopic sterilization. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  18. Radiation sterilization of hydrocortisone acetate

    International Nuclear Information System (INIS)

    Charef, A.; Boussaha, A.

    1989-09-01

    The feasibility of using high energy ionizing radiation for the sterilization of hydrocortisone acetate was investigated. Hydrocortisone acetate in the form of powder was exposed to different dose levels of gamma radiation using a Cobalt-60 source. The irradiated samples were examined by various physico-chemical techniques in order to detect possible radiolysis products. It was of interest to know if one could insure sterility and retain biological properties of the drug by suitable choice of radiation dose. The results showed that a 10 KGy radiation dose causes no change in the physico-chemical properties of the drug and is sufficient to obtain contaminant-free product

  19. Sterilization by ionizing radiation comparative evaluation

    International Nuclear Information System (INIS)

    Tata, A.; Giuliani, S.

    1996-01-01

    Sterilization of surgical and medical devices by ionizing radiation (gamma or accelerated electron beams) is currently regarded as one of the main industrial-scale applications of radiation technology processes. Considering the most widely utilized chemical-physical methods (i.e. ethylene oxide (EtO) fumigation and radiation treatment), about 10-12 millions m(3) of surgical and medical devices are estimated to be processed yearly all around the world, of which 7 on beams. Due to the increasing demand for reusable and single-use devices, and the need of assuring their sterility in order to prevent, as much as possible, the diffusion of serious infective diseases (among which for instance Aids), the market of sterilization of these items is considerably expanding. In the general depicted scenario, radiation technologies are expected to gain a leading role, even a part from their economic attractiveness, as an alternative to EtO treatment, which is more and more considered as responsible for increasing environmental, social and public health problems

  20. Atmospheric-pressure plasma decontamination/sterilization chamber

    Science.gov (United States)

    Herrmann, Hans W.; Selwyn, Gary S.

    2001-01-01

    An atmospheric-pressure plasma decontamination/sterilization chamber is described. The apparatus is useful for decontaminating sensitive equipment and materials, such as electronics, optics and national treasures, which have been contaminated with chemical and/or biological warfare agents, such as anthrax, mustard blistering agent, VX nerve gas, and the like. There is currently no acceptable procedure for decontaminating such equipment. The apparatus may also be used for sterilization in the medical and food industries. Items to be decontaminated or sterilized are supported inside the chamber. Reactive gases containing atomic and metastable oxygen species are generated by an atmospheric-pressure plasma discharge in a He/O.sub.2 mixture and directed into the region of these items resulting in chemical reaction between the reactive species and organic substances. This reaction typically kills and/or neutralizes the contamination without damaging most equipment and materials. The plasma gases are recirculated through a closed-loop system to minimize the loss of helium and the possibility of escape of aerosolized harmful substances.

  1. Searching for a strategy to gamma-sterilize Portuguese cork stoppers - preliminary studies on bioburden, radioresistance and sterility assurance level

    International Nuclear Information System (INIS)

    Botelho, M.L.; Almeida-Vara, E.; Andrade, M.E.; Tenreiro, R.

    1988-01-01

    A gamma radiation plant will start running next year in Portugal, to sterilize medical devices and wine cork stoppers. As Portugal is the first world producer, manufacturer and exporter of wine cork stoppers, an efficient sterilizing procedure is required to overcome moulding from long term shipping. Preliminary research on cork stoppers bioburden and microflora radioresistance allowed to establish reliable D 10 and Sterility Assurance Level (SAL) values. Studied samples showed an initial average contamination of about 10 4 c.f.u. per cork stopper. The determined D 10 values for fungi were not higher than 2 kGy. In these conditions, a SAL of 10 -4 can be expected when the product is treated at a minimum absorbed dose of 15 kGy. (author)

  2. Surface sterilization method for reducing microbial contamination of ...

    African Journals Online (AJOL)

    An effective disinfection method for strawberry (Fragaria x ananassa Duch.) cv. Senga Sengana micropropagation using runner tips and nodal segments as explants was developed. The explants were surface sterilized with different sterilants for different durations. The present studies on the effect of different regimes of ...

  3. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospitals.

    Science.gov (United States)

    Englebright, Jane; Westcott, Ruth; McManus, Kathryn; Kleja, Kacie; Helm, Colleen; Korwek, Kimberly M; Perlin, Jonathan B

    2018-03-01

    The prevention of hospital-acquired pressure ulcers (PrUs) has significant consequences for patient outcomes and the cost of care. Providers are challenged with evaluating available evidence and best practices, then implementing programs and motivating change in various facility environments. In a large system of community hospitals, the Reducing Hospital Acquired-PrUs Program was developed to provide a toolkit of best practices, timely and appropriate data for focusing efforts, and continuous implementation support. Baseline data on PrU rates helped focus efforts on the most vulnerable patients and care situations. Facilities were empowered to use and adapt available resources to meet local needs and to share best practices for implementation across the system. Outcomes were measured by the rate of hospital-acquired PrUs, as gathered from patient discharge records. The rate of hospital-acquired stage III and IV PrUs decreased 66.3% between 2011 and 2013. Of the 149 participating facilities, 40 (27%) had zero hospital-acquired stage III and IV PrUs and 77 (52%) had a reduction in their PrU rate. Rates of all PrUs documented as present on admission did not change during this period. A comparison of different strategies used by the most successful facilities illustrated the necessity of facility-level flexibility and recognition of local workflows and patient demographics. Driven by the combination of a repository of evidence-based tools and best practices, readily available data on PrU rates, and local flexibility with processes, the Reducing Hospital Acquired-PrUs Program represents the successful operationalization of improvement in a wide variety of facilities.

  4. Process control and dosimetry in a multipurpose irradiation facility

    Science.gov (United States)

    Cabalfin, E. G.; Lanuza, L. G.; Solomon, H. M.

    1999-08-01

    Availability of the multipurpose irradiation facility at the Philippine Nuclear Research Institute has encouraged several local industries to use gamma radiation for sterilization or decontamination of various products. Prior to routine processing, dose distribution studies are undertaken for each product and product geometry. During routine irradiation, dosimeters are placed at the minimum and maximum dose positions of a process load.

  5. Effect of gamma irradiation on fertility of potato tuber moth males and study of inherited sterility phenomena in partially sterile males

    International Nuclear Information System (INIS)

    Saour, G.; Makee, H.

    1996-01-01

    Newly emerged adult males (0-18 h) potato tuber moth (PTM) phthorimaea operculella (Zeller) (Lepidoptera: Gelechiidae) were irradiated with various doses of gamma irradiation ranging from 5 to 45 krad. Sterility in order of 91% was induced when males were irradiated with a dose of 45 Krad. Longevity of male PTM was not affected by the application of irradiation, while mating ability and frequency of mating of the males irradiated with 25, 35 and 45 Krad were decreased. The mean number of eggs laid by females mated with males irradiated at 35 and 45 Krad was lower than the control. When males PTM were irradiated with high doses their competitiveness values were reduced, while the competitiveness was increased when the sex ratio of irradiated males to normal males was increased, specially with ration 1 : 10 : 1 (Normal male: Irradiated males: Normal female). Application of 15 Krad dose permitted, the ability to obtain a desired level of male sterility with acceptable reduction in its competitiveness. The inherited sterility phenomena in partially sterile males irradiated with 10-15 and 20 Krad was studied. Sterility in F1 progeny was higher than that in their irradiated male parents. The sex ratio of F1 progeny was distorted in favour of the males. (author). 24 refs., 5 figs

  6. Effect of gamma irradiation on fertility of potato tuber moth males and study of inherited sterility phenomena in partially sterile males

    Energy Technology Data Exchange (ETDEWEB)

    Saour, G; Makee, H [Atomic Energy Commission, Damascus (Syrian Arab Republic). Dept. of Radiation Agriculture

    1996-01-01

    Newly emerged adult males (0-18 h) potato tuber moth (PTM) phthorimaea operculella (Zeller) (Lepidoptera: Gelechiidae) were irradiated with various doses of gamma irradiation ranging from 5 to 45 krad. Sterility in order of 91% was induced when males were irradiated with a dose of 45 Krad. Longevity of male PTM was not affected by the application of irradiation, while mating ability and frequency of mating of the males irradiated with 25, 35 and 45 Krad were decreased. The mean number of eggs laid by females mated with males irradiated at 35 and 45 Krad was lower than the control. When males PTM were irradiated with high doses their competitiveness values were reduced, while the competitiveness was increased when the sex ratio of irradiated males to normal males was increased, specially with ration 1 : 10 : 1 (Normal male: Irradiated males: Normal female). Application of 15 Krad dose permitted, the ability to obtain a desired level of male sterility with acceptable reduction in its competitiveness. The inherited sterility phenomena in partially sterile males irradiated with 10-15 and 20 Krad was studied. Sterility in F1 progeny was higher than that in their irradiated male parents. The sex ratio of F1 progeny was distorted in favour of the males. (author). 24 refs., 5 figs.

  7. American Sterilization: The Racist Justifications for Sterilization in the United States

    OpenAIRE

    Trevor Price

    2016-01-01

    An investigative analysis into anthropometrics, sterilization, eugenics, and other forms of scientific racism used to justify white supremacy and racial thought in the 19th and 20th centuries in the United States. The Tuskegee syphilis study, Darwinistic ideals, and neo-Lamarckian thoughts are critically analyzed as justifications for institutional racism.

  8. The causes of genetic male sterility in 3 soybaen lines.

    Science.gov (United States)

    Rubaihayo, P R; Gumisiriza, G

    1978-11-01

    The cause of male sterility in 3 soybean lines, TGM 103-1, N-69-2774 and TGM 242-4 was studied. In TGM 103-1, which was both male and female sterile, two different abnormalities were associated with sterility. Precocious movement of a few chromosomes at the metaphase I stage resulted into the production of non-functional pollen while cells which underwent apparent normal meiotic division had disintergration of the tapetal cell wall immediately after the free microspore stage leading to the starvation and subsequent death of the developing microspores. In lines N-69-2774 and TGM 242-4, both of which were partially sterile, male sterility resulted from a failure of cytokinesis after the telophase II stage. Meiosis proceeded normally but the 4 microspores after telophase II failed to separate into pollen grains and degenerated thereafter.

  9. A research on industrial development of radiation sterilization in Sichuan

    International Nuclear Information System (INIS)

    Chen Xun; Zhu Rong; Chen Jigang

    2010-01-01

    Radiation sterilization is widely applied in food processing, Pharmaceutical Manufacturing and medical instrumentation producing. As this industry offers service to related corporations, its development depends largely on the market scale of the relevant industries. This article mainly discusses the balance point between the capacity of radiation sterilization and the requirement of its market. There are less than 1% of the companies in Sichuan which using radiation sterilization for its products, broad prospects has shown in this field. The output value of radiation sterilization industry reached 0.1% of the GDP in some advanced countries (America and Japan...), under this standard, its output value in Sichuan province would be RMB1.2 hundred million, but now our capacity and scale of this industry is less than RMB40million.Research shows: there are 3 key points to make its output value reach 0.1% of the GDP in Sichuan: 1. Breaking the 'bottleneck' restrictions of capacity and Inappropriate resources distribution. 2. Promoting the technique of radiation sterilization, guiding corporation to reduce their dependence on food additive from the perspective of food safety, make effective implantation of radiation sterilization into their manufacture processes. 3. Increasing publicity for radiation sterilization, eliminating scared mentality among customer on nuclear technology, helping manufacturing corporations to establish green environmental protection brand, directing our customer to a more healthy awareness. (authors)

  10. Effect of fermentation and sterilization on anthocyanins in blueberry.

    Science.gov (United States)

    Nie, Qixing; Feng, Lei; Hu, Jielun; Wang, Sunan; Chen, Haihong; Huang, Xiaojun; Nie, Shaoping; Xiong, Tao; Xie, Mingyong

    2017-03-01

    Blueberry products have various health benefits due to their high content of dietary anthocyanins. The aim of this study was to investigate the impact of fermentation and sterilization on total anthocyanin content, composition and some quality attributes of blueberry puree. The blueberry puree used here was fermented for 40 h at 37 °C by Lactobacillus after sterilization. The method of ultra-performance liquid chromatography-mass spectrometry was optimized for the rapid analysis of anthocyanins. Quality attributes including pH, color, total soluble solids and viscosity were measured. A total of 21 anthocyanins and five anthocyanidins were quantified by ultra-performance liquid chromatography. Fermented blueberry had reduced total anthocyanin content (29%) and levels of individual anthocyanins compared with fresh blueberry. Total anthocyanin content was decreased 46% by sterilization, and different degradation behavior of individual anthocyanin was appeared between fermented and sterilized-fermented blueberry puree. Fermentation and sterilization decreased the total soluble solids and pH and changed color parameters, while minimally influencing viscosity. The loss of total anthocyanin content by fermentation was related to the unstable structure of blueberry anthocyanins. Anthocyanins are sensitive to temperature (>80 °C), and degradation of anthocyanins by sterilization in blueberry should be considered in the fermentation procedure. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

  11. Gamma radiations an effective way of monoclonal antibodies sterilization

    International Nuclear Information System (INIS)

    Lenay Barrera Barroso, Lenay; Otero Abreu, Isabel; Rodriguez Napoles, Dania; Bulte Ocanna, Dubhe; Caballero, Idania

    2006-01-01

    The sterilization for radiations of pharmaceutical products is an effective, sure and reliable procedure; that it have been proving technically and grateful for different pharmacopoeia. The Monoclonal Antibodies (Acm) produced in the Center of Molecular Immunology (CIM) are products parenteral for the one which results indispensable that they complete the requirements of established sterility. The radio sterilization result the method more recommend for the sterilization of the Acm deep drying, due to the contained first floor of humidity remnant that minimizes the formation of sub-product that they affect their properties. With the objective of proposing a good dose of irradiation for the sterilization, we were carried out a study of the radius sensibility so much of the product like of the polluting of greater frequency of isolation of the clean area of the CIM. The characterization of the radius sensibility of the different micro- organisms was determined by D 10 characteristic of each isolated strains. From the developed studies the Gram-positive rods endospore-forming were the most resistant strains at the deep drying, the radiations and they were of the greater frequency of apparition in the carried out isolations. We could conclude that utilizing a dose of 10 kGy it is possible to eliminate of the pollution more radio resistant, assuring the sterility required in the product, and without inducing effects under desire radiolytic in the same

  12. Improved Sterilization of Sensitive Biomaterials with Supercritical Carbon Dioxide at Low Temperature.

    Directory of Open Access Journals (Sweden)

    Anne Bernhardt

    Full Text Available The development of bio-resorbable implant materials is rapidly going on. Sterilization of those materials is inevitable to assure the hygienic requirements for critical medical devices according to the medical device directive (MDD, 93/42/EG. Biopolymer-containing biomaterials are often highly sensitive towards classical sterilization procedures like steam, ethylene oxide treatment or gamma irradiation. Supercritical CO₂ (scCO₂ treatment is a promising strategy for the terminal sterilization of sensitive biomaterials at low temperature. In combination with low amounts of additives scCO₂ treatment effectively inactivates microorganisms including bacterial spores. We established a scCO₂ sterilization procedure under addition of 0.25% water, 0.15% hydrogen peroxide and 0.5% acetic anhydride. The procedure was successfully tested for the inactivation of a wide panel of microorganisms including endospores of different bacterial species, vegetative cells of gram positive and negative bacteria including mycobacteria, fungi including yeast, and bacteriophages. For robust testing of the sterilization effect with regard to later application of implant materials sterilization all microorganisms were embedded in alginate/agarose cylinders that were used as Process Challenge Devices (PCD. These PCD served as surrogate models for bioresorbable 3D scaffolds. Furthermore, the impact of scCO₂ sterilization on mechanical properties of polysaccharide-based hydrogels and collagen-based scaffolds was analyzed. The procedure was shown to be less compromising on mechanical and rheological properties compared to established low-temperature sterilization methods like gamma irradiation and ethylene oxide exposure as well as conventional steam sterilization. Cytocompatibility of alginate gels and scaffolds from mineralized collagen was compared after sterilization with ethylene oxide, gamma irradiation, steam sterilization and scCO₂ treatment. Human

  13. Radiation sterilization of pharmaceuticals (eg chloramphenicol)

    International Nuclear Information System (INIS)

    Zeegers, F.; Tilquin, B.

    1991-01-01

    In connection with the ongoing world-wide application of irradiation as a new technology for sterilization, the identification of the drugs products is very important. Introduction of radiosterilization of pharmaceuticals is proceeding at a slower rate than that for disposable medical supplies; it is the responsibility of the manufacturer to prove that degradation of products is safe. Major advantages in the use of radiation as a sterilization procedure are high penetrating power, small temperature rise, ease of control and minimal degradation of irradiated solid drugs [fr

  14. Evaluation of Effects of Sterilization on Mechanical Properties of Orthodontic Wires

    Directory of Open Access Journals (Sweden)

    Sridhar Kannan

    2012-01-01

    Results: Dry heat sterilization, autoclave, 2% glutaraldehyde solution had no effect on ultimate tensile strength, 0.1% yield strength, modulus of elasticity and percentage elongation of stainless steel and elgiloy wires. Tensile strength and yield strength of Nitinol and b-titanium wires together with percentage elongation of b-titanium wires significantly increased following dry heat sterilization and autoclave. No detrimental effects on properties of wires were observed. These sterilization procedures could be safely recommended for sterilization of orthodontic wires.

  15. Multiple matings among glossina and the sterile male technique

    International Nuclear Information System (INIS)

    Pinhao, R.C.

    1980-01-01

    The fact that multiple matings are a common phenomenon among glossina turns the sterile male technique into a competition not between adult insects but between two types of sperm, and the proportion of females inseminated with the one or the other is given by the binomial (p+q)sup(n), where p is the percentage of normal males, q the percentage of sterile males and n the average number of matings per female. However, multiple matings cannot damage the effectiveness of the technique unless two conditions are present either separately or simultaneously: precocious death of the spermatozoa and reduced inseminating potential among the sterile males. Study of the factors which can alter the inseminating potential is thus important for those who wish to use the sterile male technique. These factors are of three kinds: factors connected with quality, with quantity and with availability. The first are associated with the nature and intensity of the alterations brought about in the spermatozoa by the sterilizing agent, the second with possible variations in the amount of sperm reaching the spermotheca, the third with the behaviour of the sterile males in the nature - that is, the question whether sterilization has a favourable or unfavourable influence on their chances of mating with wild females. The author describes his observations of the quantity of sperm produced by Glossina morsitans submorsitans males from the colony reared at the Institute for Tropical Hygiene and Medicine in Lisbon, compares them with the observations of other authors and discusses their practical significance. Specific research is suggested. Advantages from assessing the behaviour of colonies not by female productivity but by male inseminating potential, and appropriate laboratory techniques

  16. Allegheny County Hospitals

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The data on health care facilities includes the name and location of all the hospitals and primary care facilities in Allegheny County. The current listing of...

  17. Gene, protein, and network of male sterility in rice

    OpenAIRE

    Wang, Kun; Peng, Xiaojue; Ji, Yanxiao; Yang, Pingfang; Zhu, Yingguo; Li, Shaoqing

    2013-01-01

    Rice is one of the most important model crop plants whose heterosis has been well-exploited in commercial hybrid seed production via a variety of types of male-sterile lines. Hybrid rice cultivation area is steadily expanding around the world, especially in Southern Asia. Characterization of genes and proteins related to male sterility aims to understand how and why the male sterility occurs, and which proteins are the key players for microspores abortion. Recently, a series of genes and prot...

  18. Mechanisms of male sterility in higher plants

    Energy Technology Data Exchange (ETDEWEB)

    Ohta, Yasuo [Tsukuba Univ., Sakura, Ibaraki (Japan)

    1982-03-01

    The mechanisms causing male sterility in higher plants were classified into two major categories: genetic and non-genetic. The former was further divided into six classes: 1) Anomality in spindle mechanism during meiosis, 2) chromosomal anomality such as haploidy, polyploidy, aneuploidy, chromosome some deficiency, inversion and reciprocal translocation, 3) presence of male sterile genes, 4) cytoplasmic abnormality, 5) the combination of some specific cytoplasm with particular genes, and 6) infections of microorganisms or viruses. Each mechanism was briefly explained, and the methods for the maintenance of parent lines for heterosis breeding and hybrid seed production were described. The non-genetic male sterility was classified into four types, which are caused by 1) low or high temperature, 2) water deficiency, 3) application of chemicals, and 4) radiation, with a brief explanation given for each of them.

  19. Dosimetry requirements derived from the sterilization standards

    DEFF Research Database (Denmark)

    Miller, A.

    1998-01-01

    The main standards for radiation sterilization, ISO 11137 and EN 552, rest the documentation for the properly executed sterilization process on dosimetry. Both standards describe general requirements to the dosimetry system: The dose measurements must be traceable to national standards...... and documented uncertainty limits of the dose measurements can be used to specify process control limits. This is also useful, for example, when dose setting experiments are carried out according to the methods described in ISO 11137, where product samples shall be irradiated within narrow limits......., the uncertainty of the dose measurement and the environmental influences must be known. This paper discusses how to obtain and maintain traceability and how to document measurement uncertainty. The implications of these requirements in the process control of radiation sterilization are further discussed. Known...

  20. Do women's attitudes towards abortion and contraceptive methods influence their option for sterilization?

    Directory of Open Access Journals (Sweden)

    Elisabeth Meloni Vieira

    Full Text Available This paper analyzes the attitudes of low-income women towards abortion and contraception. A survey was conducted in 1992 with a total of 3,149 childbearing-age women living on the outskirts of the Greater Metropolitan São Paulo Area. The study focuses on a sub-sample of 583 women. Attitudes of sterilized and non-sterilized women are compared. Women, especially those sterilized, found the most important attribute of a contraceptive method to be its effectiveness. Women currently taking the pill were less likely than those sterilized to agree that sterilization was the best method because of its effectiveness. Sterilized women were less likely than non-sterilized women to trust the pill. Sterilized women were more likely than non-sterilized to have reported adverse effects from the pill. Most women found abortion unacceptable except in the case of risk to the woman's life. Women using more effective methods showed stronger negative attitudes towards abortion. The tendency to be sterilized while still young was associated with more negative attitudes towards abortion. Family planning activities in basic health care services should include individual counseling for contraceptive use.

  1. Do women's attitudes towards abortion and contraceptive methods influence their option for sterilization?

    Directory of Open Access Journals (Sweden)

    Vieira Elisabeth Meloni

    1999-01-01

    Full Text Available This paper analyzes the attitudes of low-income women towards abortion and contraception. A survey was conducted in 1992 with a total of 3,149 childbearing-age women living on the outskirts of the Greater Metropolitan São Paulo Area. The study focuses on a sub-sample of 583 women. Attitudes of sterilized and non-sterilized women are compared. Women, especially those sterilized, found the most important attribute of a contraceptive method to be its effectiveness. Women currently taking the pill were less likely than those sterilized to agree that sterilization was the best method because of its effectiveness. Sterilized women were less likely than non-sterilized women to trust the pill. Sterilized women were more likely than non-sterilized to have reported adverse effects from the pill. Most women found abortion unacceptable except in the case of risk to the woman's life. Women using more effective methods showed stronger negative attitudes towards abortion. The tendency to be sterilized while still young was associated with more negative attitudes towards abortion. Family planning activities in basic health care services should include individual counseling for contraceptive use.

  2. Identification of dominant male sterile mutants in rice (Oryza sativa L.)

    International Nuclear Information System (INIS)

    Zhu Xudong; Rutger, J.N.

    2000-01-01

    Genetic male sterile mutants 1783 and 1789 were selected from US variety Orion and Kaybonnet seeds treated by gamma irradiation. Investigation of fertility characterization of pollen and spikelets of these mutants were made by progeny tests in 1783 M 7 and 1789 M 6 generations. The results showed that genetic male sterile mutants 1783 and 1789 with the fertility segregating of 1 sterile: 1 fertile were controlled by a single dominant gene. The pollen staining of mutants characterized partial sterility. Open-pollinated seed set was about 30% and bagged seed set was only 0.3%-3.5%. It is concluded that dominant genetic male sterile is a useful tool in improvement of population for rice breeding

  3. Comparative evaluation of four different sterilization methods on contaminated endodontic files

    Directory of Open Access Journals (Sweden)

    Malathi Yenni

    2017-01-01

    Full Text Available Background: The reuse of instruments in the field of endodontics leads to cross infection due to contamination with microbes as the instruments come into direct contact with saliva, blood, and infected tissues. Since microbes are considered to be the major cause of endodontic failures, sterilization of endodontic instruments is mandatory for maintaining asepsis to prevent cross-contamination from one person to other. Hence, the present study was conducted to compare the effectiveness of four different methods of sterilizing contaminated endodontic files. Materials and Methods: A total of 48 stainless steel K files were divided into four groups based on the sterilization method followed – Group A: Autoclave, Group B: Glass bead sterilization, Group C: Glutaraldehyde, and Group D: Quitanet Plus (aldehyde-free solution. In all the tested groups, half of the files were contaminated with Escherichia coli and remaining with Enterococcus faecalis. Then, presterilization colony counts were recorded, followed by sterilization through respective methods. Later, the sterilized files were rinsed with distilled water and 100 ul of the diluted concentration was transferred and cultured onto the respective agar plates to determine the total microbial reduction. Results: Autoclave showed complete effectiveness in reducing the microbial count followed by Quitanet Plus, glass bead sterilizer, and glutaraldehyde. Conclusion: Autoclave is considered to be the best sterilization technique to prevent cross infection in endodontic therapy.

  4. Gamma-irradiation sterilization of lipases for cheese making

    Energy Technology Data Exchange (ETDEWEB)

    Umanskij, M S; Borovkova, Yu A; Odegov, N I [Vsesoyuznyj Nauchno-Issledovatel' skij Inst. Maslodel' noj i Syrodel' noj Promyshlennosti, Uglich (USSR)

    1979-03-01

    The possibility of sterilizing the enzyme compounds of lipases from Oospora fragrans strains by gamma irradiation was studied. The enzyme compounds were exposed to gamma irradiation at the doses from 0.1 to 0.8 Mrad with the discreteness of 0.1 Mrad and at the dose of 2.0 Mrad. After the radiation treatment the lipases were investigated for bacterial invasion by the cultivation method and for the lipolytic activity by the titrometrical method. It is shown that the sterilization effect is achieved without losses of lipase activity and the radiation dose necessary for sterilization depends on initial invasion levels in the enzyme compounds.

  5. Sterile Neutrino Search with the Double Chooz Experiment

    Science.gov (United States)

    Hellwig, D.; Matsubara, T.; Double Chooz Collaboration

    2017-09-01

    Double Chooz is a reactor antineutrino disappearance experiment located in Chooz, France. A far detector at a distance of about 1 km from reactor cores is operating since 2011; a near detector of identical design at a distance of about 400 m is operating since begin 2015. Beyond the precise measurement of θ 13, Double Chooz has a strong sensitivity to so called light sterile neutrinos. Sterile neutrinos are neutrino mass states not taking part in weak interactions, but may mix with known neutrino states. In this paper, we present an analysis method to search for sterile neutrinos and the expected sensitivity with the baselines of our detectors.

  6. Process variation in electron beam sterilization

    International Nuclear Information System (INIS)

    Beck, Jeffrey A.

    2012-01-01

    The qualification and control of electron beam sterilization can be improved by the application of proven statistical analysis techniques such as Analysis of Variance (ANOVA) and Statistical Tolerance Limits. These statistical techniques can be useful tools in: •Locating and quantifying the minimum and maximum absorbed dose in a product. •Estimating the expected process maximum dose, given a minimum sterilizing dose. •Setting a process minimum dose target, based on an allowance for random measurement and process variation. •Determining the dose relationship between a reference dosimeter and process minimum and maximum doses. This study investigates and demonstrates the application of these tools in qualifying electron beam sterilization, and compares the conclusions obtained with those obtained using practices recommended in Guide for Process Control in Radiation Sterilization. The study supports the following conclusions for electron beam processes: 1.ANOVA is a more effective tool for evaluating the equivalency of absorbed doses than methods suggested in . 2.Process limits computed using statistical tolerance limits more accurately reflect actual process variability than the AAMI method, which applies +/−2 sample standard deviations (s) regardless of sample size. 3.The use of reference dose ratios lends itself to qualification using statistical tolerance limits. The current AAMI recommended approach may result in an overly optimistic estimate of the reference dose adjustment factor, as it is based on application of +/−2(s) tolerances regardless of sample size.

  7. Development of a quality system for a contract irradiation facility

    International Nuclear Information System (INIS)

    Siyakus, G.

    2002-01-01

    The use of Industrial Irradiation Systems, in order to process medical supplies and food commodities, has almost 50 years experiences in the world. The food irradiation process has been approved by more than 40 countries around the world and it has been endorsed or supported by numerous national and international organizations and professional groups. Today, radiation sterilization of medical supplies is the most preferred technology in almost every developed country. Other applications: such as waste and flue gas treatment, polymer processing are also put into practice in wider range than before. Higher capital cost compared to the operation cost, the nature of continuous decay of the radiation sources used to obtain gamma rays, obligate the owners of gamma facilities to operate systems based on the 24 hours a day and 7 days per week. On the other hand, higher throughput capacity and economical brake point for profitability, force irradiation companies to offer service for the varied products of the companies. Industrial irradiation facilities providing services for varied companies by irradiating different kind of commodities so called contract irradiator or multipurpose irradiator and most of the irradiation facilities, particularly gamma irradiators running in different locations of the World, operates as contract irradiators. The radiation facilities are considered as a part of the manufacturing process, and must conform to the pertinent general Code of Good Manufacturing Practice (GMP) which has been declared by the principal producer. Customers of these facilities may have petitions, such as irradiation temperature, dose rate, minimal and maximal doses; storage conditions before and after irradiation. Design parameters related to the dose rate, product size, density and weight, irradiation and storage temperatures are the main limitations. Varied process conditions can be easily applied in the laboratory may set forth difficulties in industrial processes

  8. A White Paper on keV sterile neutrino Dark Matter

    Energy Technology Data Exchange (ETDEWEB)

    Adhikari, R. [Centre for Theoretical Physics, Jamia Millia Islamia (Central University), New Delhi-110025 (India); Agostini, M. [Gran Sasso Science Institute (INFN), L' Aquila (Italy); Ky, N. Anh [Institute of physics, Vietnam academy of science and technology, 10 Dao Tan, Ba Dinh, Hanoi (Viet Nam); Araki, T. [Department of physics, Saitama University, Shimo-Okubo 255, 338-8570 Saitama Sakura-ku (Japan); Archidiacono, M. [Department of Physics and Astronomy, University of Aarhus, DK-8000 Aarhus C (Denmark); Bahr, M. [University of California, Santa Barbara (United States); Baur, J. [Commissariat à l' énergie atomique et aux énergies alternatives, Centre de Saclay, DSM/IRFU, 91191 Gif-sur-Yvette (France); Behrens, J. [Westfälische Wilhelms Universität Münster, Institut für Kernphysik, Wilhelm Klemm-Str.9, D-48149 Münster (Germany); Bezrukov, F. [University of Connecticut (United States); Dev, P.S. Bhupal [Consortium for Fundamental Physics, School of Physics and Astronomy, University of Manchester, Manchester M13 9PL (United Kingdom); Borah, D. [Department of Physics, Indian Institute of Technology Guwahati, Assam-781039 (India); Boyarsky, A. [Universiteit Leiden - Instituut Lorentz for Theoretical Physics, P.O. Box 9506, NL-2300 RA Leiden, Netherlands (Netherlands); De Gouvea, A. [Northwestern University (United States); Pires, C.A. de S. [Departamento de Física, UFPB, Caixa Postal 5008, 58051-970, João Pessoa, PB (Brazil); De Vega, H.J. [CNRS LPTHE UPMC Univ P. et M. Curie Paris VI (France); and others

    2017-01-01

    We present a comprehensive review of keV-scale sterile neutrino Dark Matter, collecting views and insights from all disciplines involved—cosmology, astrophysics, nuclear, and particle physics—in each case viewed from both theoretical and experimental/observational perspectives. After reviewing the role of active neutrinos in particle physics, astrophysics, and cosmology, we focus on sterile neutrinos in the context of the Dark Matter puzzle. Here, we first review the physics motivation for sterile neutrino Dark Matter, based on challenges and tensions in purely cold Dark Matter scenarios. We then round out the discussion by critically summarizing all known constraints on sterile neutrino Dark Matter arising from astrophysical observations, laboratory experiments, and theoretical considerations. In this context, we provide a balanced discourse on the possibly positive signal from X-ray observations. Another focus of the paper concerns the construction of particle physics models, aiming to explain how sterile neutrinos of keV-scale masses could arise in concrete settings beyond the Standard Model of elementary particle physics. The paper ends with an extensive review of current and future astrophysical and laboratory searches, highlighting new ideas and their experimental challenges, as well as future perspectives for the discovery of sterile neutrinos.

  9. A search for sterile neutrinos with the latest cosmological observations

    Energy Technology Data Exchange (ETDEWEB)

    Feng, Lu; Zhang, Jing-Fei [Northeastern University, Department of Physics, College of Sciences, Shenyang (China); Zhang, Xin [Northeastern University, Department of Physics, College of Sciences, Shenyang (China); Peking University, Center for High Energy Physics, Beijing (China)

    2017-06-15

    We report the result of a search for sterile neutrinos with the latest cosmological observations. Both cases of massless and massive sterile neutrinos are considered in the ΛCDM cosmology. The cosmological observations used in this work include the Planck 2015 temperature and polarization data, the baryon acoustic oscillation data, the Hubble constant direct measurement data, the Planck Sunyaev-Zeldovich cluster counts data, the Planck lensing data, and the cosmic shear data. We find that the current observational data give a hint of the existence of massless sterile neutrino (as dark radiation) at the 1.44σ level, and the consideration of an extra massless sterile neutrino can indeed relieve the tension between observations and improve the cosmological fit. For the case of massive sterile neutrino, the observations give a rather tight upper limit on the mass, which implies that actually a massless sterile neutrino is more favored. Our result is consistent with the recent result of neutrino oscillation experiment done by the Daya Bay and MINOS collaborations, as well as the recent result of cosmic ray experiment done by the IceCube collaboration. (orig.)

  10. Sterilizing elastomeric chains without losing mechanical properties. Is it possible?

    Directory of Open Access Journals (Sweden)

    Matheus Melo Pithon

    2015-06-01

    Full Text Available OBJECTIVE: To investigate the effects of different sterilization/disinfection methods on the mechanical properties of orthodontic elastomeric chains. METHODS: Segments of elastomeric chains with 5 links each were sent for sterilization by cobalt 60 (Co60 (20 KGy gamma ray technology. After the procedure, the elastomeric chains were contaminated with clinical samples of Streptococcus mutans. Subsequently, the elastomeric chains were submitted to sterilization/disinfection tests carried out by means of different methods, forming six study groups, as follows: Group 1 (control - without contamination, Group 2 (70°GL alcohol, Group 3 (autoclave, Group 4 (ultraviolet, Group 5 (peracetic acid and Group 6 (glutaraldehyde. After sterilization/disinfection, the effectiveness of these methods, by Colony forming units per mL (CFU/mL, and the mechanical properties of the material were assessed. Student's t-test was used to assess the number of CFUs while ANOVA and Tukey's test were used to assess elastic strength. RESULTS: Ultraviolet treatment was not completely effective for sterilization. No loss of mechanical properties occurred with the use of the different sterilization methods (p > 0.05. CONCLUSION: Biological control of elastomeric chains does not affect their mechanical properties.

  11. Genetic architecture of autosome-mediated hybrid male sterility in Drosophila.

    Science.gov (United States)

    Marín, I

    1996-04-01

    Several estimators have been developed for assessing the number of sterility factors in a chromosome based on the sizes of fertile and sterile introgressed fragments. Assuming that two factors are required for producing sterility, simulations show that one of these, twice the inverse of the relative size of the largest fertile fragment, provides good average approximations when as few as five fertile fragments are analyzed. The estimators have been used for deducing the number of factors from previous data on several pairs of species. A particular result contrasts with the authors' interpretations: instead of the high number of sterility factors suggested, only a few per autosome are estimated in both reciprocal crosses involving Drosophila buzzatii and D. koepferae. It has been possible to map these factors, between three and six per chromosome, in the autosomes 3 and 4 of these species. Out of 203 introgressions of different fragments or combinations of fragments, the outcome of at least 192 is explained by the mapped zones. These results suggest that autosome-mediated sterility in the male hybrids of these species is mediated by a few epistatic factors, similarly to X-mediated sterility in the hybrids of other Drosophila species.

  12. Control and Constraint for Low-Income Women Choosing Outpatient Sterilization

    Science.gov (United States)

    Leyser-Whalen, Ophra; Berenson, Abbey B.

    2012-01-01

    Little is known about Hispanics and their contraceptive choices in general, with some past studies detailing non-consensual sterilization. This article is based on interviews with a mostly Hispanic sample of 44 women being sterilized at a public clinic in southeast Texas with the Essure device, which entails a new outpatient sterilization procedure. These women cited relationship factors, wanting to better their and their children’s lives, and past reproductive histories as reasons for deciding on sterilization. They specifically chose Essure as a result of an apprehension of surgery and potential side effects from tubal ligation. Their choices, however, were limited by larger structural factors of work, family, the political economy, and the health care system. We conclude that this new sterilization technique provided more contraceptive choices for these women, yet more contraceptive decision making autonomy, as well as more equitable social structures, are still needed. PMID:23761929

  13. Sterilization of DACUS CUCUMIS FRENCH (DIPTERA:TEPHRITIDAE) by gamma radiation

    International Nuclear Information System (INIS)

    Hooper, G.H.S.

    1975-01-01

    The effect of gamma radiation administered to newly emerged adults of Dacus cucumis French on sterility and competitiveness was evaluated. A dose of 11 krad caused almost complete sterility in males while females given 6 krad were totally sterile, through infecundity. Sterilized males showed reduced competitiveness. In competitive mating tests a dose of 7 krad gave the lowest egg hatch and this hatch was significantly lower than that given by 9 and 11 krad. In a paired comparison mating test, 7 and 9 krad treated males mated significantly less frequently than untreated males, but the ability of 6 krad treated males was unimpared. (author)

  14. Supercritical Carbon Dioxide–Based Sterilization of Decellularized Heart Valves

    Directory of Open Access Journals (Sweden)

    Ryan S. Hennessy, MD

    2017-02-01

    Full Text Available Summary: Sterilization of grafts is essential. Supercritical carbon dioxide, electrolyzed water, gamma radiation, ethanol-peracetic acid, and hydrogen peroxide techniques were compared for impact on sterility and mechanical integrity of porcine decellularized aortic valves. Ethanol-peracetic acid– and supercritical carbon dioxide–treated valves were found to be sterile using histology, microbe culture, and electron microscopy assays. The cusp tensile properties of supercritical carbon dioxide–treated valves were higher compared with valves treated with other techniques. Superior sterility and integrity was found in the decellularized valves treated with supercritical carbon dioxide sterilization. This sterilization technique may hold promise for other decellularized soft tissues. Key Words: decellularized, decontamination, heart valve, tensile properties, tissue engineering

  15. Sterile Neutrino Searches in MINOS and MINOS+ Experiments

    International Nuclear Information System (INIS)

    Huang, Junting

    2015-01-01

    This dissertation presents the searches on sterile neutrinos using the data collected in MINOS+ Experiment from September 2013 to September 2014, and the full data set of MINOS Experiment collected from 2005 to 2012. Anomalies in short baseline experiments, such as LSND and MiniBooNE, showed hints of sterile neutrinos, a type of neutrino that does not interact with the Standard Model particles. In this work, two models are considered: 3+1 and large extra dimension (LED). In the 3+1 model, one sterile neutrino state is added into the standard oscillation scheme consisting of three known active neutrino states v e , v μ and v τ . In the LED model, sterile neutrinos arise as Kaluza-Klein (KK) states due to assumed large extra dimensions. Mixing between sterile and active neutrino states may modify the oscillation patterns observed in the MINOS detectors. Both searches yield null results. For 3+1, a combined fit of MINOS and MINOS+ data gives a stronger limit on θ 24 in the range of 10 -2 eV 2 < Δm 43 2 < 1 eV 2 than previous experiments. For LED, with the complete MINOS data set, the size of extra dimensions is constrained to be smaller than ~ 0.35 μm at 90% C.L. in the limit of a vanishing lightest neutrino mass.

  16. Benchmarking of Sterilizing grade filters with liposome Filtration.

    Science.gov (United States)

    Loewe, Thomas; Mundlamuri, Ramesh; Loewe, Thomas; Mundrigi, Ashok; Handt, Sebastian; Singh, Bhuwan

    2017-12-14

    Cytotoxic drugs can be encapsulated in liposomes vesicles, which act as drug delivery vehicles and reduce the risk of exposure of drug to healthy cells(1). The sterility of such liposome solutions is typically ensured using 0.2μm rated sterilizing grade membranes, but due to the high viscosity and low surface tension of these formulations, they can cause pre-mature blocking and increased risk of bacterial penetration through a 0.2μm sterilizing grade membrane(2). The low surface tension of liposome solutions affects the contact angle with membrane and reduces bubble point leading to bacterial penetration through the membrane. This poses a great challenge to select an appropriate sterilizing grade membrane for a given process and for filter manufacturers to develop a sterilizing grade membrane that specifically addresses these needs. In this study, the influence of different variables that could affect the total throughput and bacterial retention performance of different membranes types on processing of liposome solutions have been evaluated. Based on the results, we conclude that the membrane properties e.g., surface porosity, surface tension, pore size, symmetry/asymmetry, hydrophilicity and liposome properties e.g., composition, lipid size and concentration affect bacterial retention and total throughput capacity. Process parameters such as temperature, pressure and flow should also be optimized to improve process efficiency. Copyright © 2017, Parenteral Drug Association.

  17. Radiation sterilization of potato starch and Sedonik

    International Nuclear Information System (INIS)

    Tashmetov, M.Yu.; Ismatov, N.B.; Saidov, R.P. et al.

    2016-01-01

    The raw material of pharmaceutical preparations potato starch and sedative means of Sedonik are sterilized at the electron's accelerator Electronics U-003. It is established that at 20.3 kGy absorbed dose and electron's energy 3 - 5 MeV the results of microbiological analysis showed sterility of potato starch and Sedonik and correspondence of their physical-optical properties to the requirements of normative documents. (authors)

  18. Multilevel Perspectives on Female Sterilization in Low-Income Communities in Mumbai, India.

    Science.gov (United States)

    Brault, Marie A; Schensul, Stephen L; Singh, Rajendra; Verma, Ravi K; Jadhav, Kalpita

    2016-09-01

    Surgical sterilization is the primary method of contraception among low-income women in India. This article, using qualitative analysis of key informant, in-depth interviews, and quantitative analyses, examines the antecedents, process, and outcomes of sterilization for women in a low-income area in Mumbai, India. Family planning policies, socioeconomic factors, and gender roles constrain women's reproductive choices. Procedures for sterilization rarely follow protocol, particularly during pre-procedure counseling and consent. Women who choose sterilization often marry early, begin conceiving soon after marriage, and reach or exceed ideal family size early due to problems in accessing reversible contraceptives. Despite these constraints, this study indicates that from the perspective of women, the decision to undergo sterilization is empowering, as they have fulfilled their reproductive duties and can effectively exercise control over their fertility and sexuality. This empowerment results in little post-sterilization regret, improved emotional health, and improved sexual relationships following sterilization. © The Author(s) 2015.

  19. The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non-hospital-affiliated outpatient settings: A systematic review.

    Science.gov (United States)

    Berglas, Nancy F; Battistelli, Molly F; Nicholson, Wanda K; Sobota, Mindy; Urman, Richard D; Roberts, Sarah C M

    2018-01-01

    Over recent decades, numerous medical procedures have migrated out of hospitals and into freestanding ambulatory surgery centers (ASCs) and physician offices, with possible implications for patient outcomes. In response, states have passed regulations for office-based surgeries, private organizations have established standards for facility accreditation, and professional associations have developed clinical guidelines. While abortions have been performed in office setting for decades, states have also enacted laws requiring that facilities that perform abortions meet specific requirements. The extent to which facility requirements have an impact on patient outcomes-for any procedure-is unclear. We conducted a systematic review to examine the effect of outpatient facility type (ASC vs. office) and specific facility characteristics (e.g., facility accreditation, emergency response protocols, clinician qualifications, physical plant characteristics, other policies) on patient safety, patient experience and service availability in non-hospital-affiliated outpatient settings. To identify relevant research, we searched databases of the published academic literature (PubMed, EMBASE, Web of Science) and websites of governmental and non-governmental organizations. Two investigators reviewed 3049 abstracts and full-text articles against inclusion/exclusion criteria and assessed the quality of 22 identified articles. Most studies were hampered by methodological challenges, with 12 of 22 not meeting minimum quality criteria. Of 10 studies included in the review, most (6) examined the effect of facility type on patient safety. Existing research appears to indicate no difference in patient safety for outpatient procedures performed in ASCs vs. physician offices. Research about specific facility characteristics is insufficient to draw conclusions. More and higher quality research is needed to determine if there is a public health problem to be addressed through facility

  20. Practices of radiation sterilization of medical products and pharmaceutical preparations: egyptian experience

    International Nuclear Information System (INIS)

    Roushdy, H.M.

    1992-01-01

    Radiation sterilization involves the application of sufficient ionizing energy furnished by either x-rays, gamma-rays or accelerated electron beams, to render an article free of viable micro-organisms. The method offers a number of advantages which makes it an attractive choice in a number of situations: It is a suitable means of sterilizing many many materials.. Radiation causes no significant temperature rise, thus permits sterilization of heat-sensitive drugs and low melting-point plastics. It is certainly the best, and often the only method of sterilizing biological tissues and preparations of biological origin. due to its high penetrating ability, gamma-radiation reaches all parts of the object to be sterilized. The radiation sterilized products are not subjected to touching or exposure to the outside environment except by the and users. The chemical reactivity of radiation is relatively low as compared with the highly reactive gases. Radiation can be easily adapted for continuous processing as compared with batch operations currently in use with gas sterilization. The radiation process is the most reliable of all competing sterilization methods due to the obsolete certainty that the radiation source emits radiation of known energy and power

  1. Practices of radiation sterilization of medical products and pharmaceutical preparations: egyptian experience

    Energy Technology Data Exchange (ETDEWEB)

    Roushdy, H M

    1993-12-31

    Radiation sterilization involves the application of sufficient ionizing energy furnished by either x-rays, gamma-rays or accelerated electron beams, to render an article free of viable micro-organisms. The method offers a number of advantages which makes it an attractive choice in a number of situations: It is a suitable means of sterilizing many many materials.. Radiation causes no significant temperature rise, thus permits sterilization of heat-sensitive drugs and low melting-point plastics. It is certainly the best, and often the only method of sterilizing biological tissues and preparations of biological origin. due to its high penetrating ability, gamma-radiation reaches all parts of the object to be sterilized. The radiation sterilized products are not subjected to touching or exposure to the outside environment except by the and users. The chemical reactivity of radiation is relatively low as compared with the highly reactive gases. Radiation can be easily adapted for continuous processing as compared with batch operations currently in use with gas sterilization. The radiation process is the most reliable of all competing sterilization methods due to the obsolete certainty that the radiation source emits radiation of known energy and power.

  2. Effect of sterilization on the properties of CDHA-OCP-beta-TCP biomaterial

    Directory of Open Access Journals (Sweden)

    Loreley Morejón-Alonso

    2007-03-01

    Full Text Available The effect of the method of sterilization on the physical, chemical and mechanical properties of a new bone repairing material was studied. The material was obtained by thermal hydrolysis of beta-tricalcium phosphate/orthophosphoric acid cement and was composed of calcium deficient hydroxyapatite, octacalcium phosphate (OCP, and beta-tricalcium phosphate. Partial decomposition of the OCP was observed after sterilization for the three methods. Decomposition increased to the following sequence of sterilization methods: ethylene oxide; autoclaving; dry oven. On the other hand, mechanical strength decreased with regard to non sterilized material in the sterilization sequence: ethylene oxide; dry oven; autoclaving. The compressive strength was 8.5 ± 1.0; 9.0 ± 1.2; 8.2 ± 0.8 and 6.5 ± 1.0 MPa, whereas diametral tensile strength was 2.1 ± 0.3; 2.5 ± 0.1; 1.9 ± 0.9 and 1.6 ± 0.3 for the material sterilized by ethylene oxide, dry oven, and autoclaving, respectively. Several compositional and microstuctural changes were detected after dry heat and autoclave sterilization. Ethylene oxide sterilization had lesser effect on the chemical composition and strength than dry heat and autoclaving.

  3. Segregation of male-sterility alleles across a species boundary.

    Science.gov (United States)

    Weller, S G; Sakai, A K; Culley, T M; Duong, L; Danielson, R E

    2014-02-01

    Hybrid zones may serve as bridges permitting gene flow between species, including alleles influencing the evolution of breeding systems. Using greenhouse crosses, we assessed the likelihood that a hybrid zone could serve as a conduit for transfer of nuclear male-sterility alleles between a gynodioecious species and a hermaphroditic species with very rare females in some populations. Segregation patterns in progeny of crosses between rare females of hermaphroditic Schiedea menziesii and hermaphroditic plants of gynodioecious Schiedea salicaria heterozygous at the male-sterility locus, and between female S. salicaria and hermaphroditic plants from the hybrid zone, were used to determine whether male-sterility was controlled at the same locus in the parental species and the hybrid zone. Segregations of females and hermaphrodites in approximately equal ratios from many of the crosses indicate that the same nuclear male-sterility allele occurs in the parent species and the hybrid zone. These rare male-sterility alleles in S. menziesii may result from gene flow from S. salicaria through the hybrid zone, presumably facilitated by wind pollination in S. salicaria. Alternatively, rare male-sterility alleles might result from a reversal from gynodioecy to hermaphroditism in S. menziesii, or possibly de novo evolution of male sterility. Phylogenetic analysis indicates that some species of Schiedea have probably evolved separate sexes independently, but not in the lineage containing S. salicaria and S. menziesii. High levels of selfing and expression of strong inbreeding depression in S. menziesii, which together should favour females in populations, argue against a reversal from gynodioecy to hermaphroditism in S. menziesii. © 2014 The Authors. Journal of Evolutionary Biology © 2014 European Society For Evolutionary Biology.

  4. Laparoscopic tubal sterilization reversal and fertility outcomes

    Directory of Open Access Journals (Sweden)

    K Jayakrishnan

    2011-01-01

    Full Text Available Purpose: The purpose of the study was two-fold. Firstly it was to assess the suitability for tubal recanalization and factors predicting successful laparoscopic recanalization. Secondly, it was to analyze the fertility outcomes and factors affecting the pregnancy rate following laparoscopic tubal recanalization. Materials and Methods: A retrospective chart review of prospectively followed-up 29 women at a tertiary care center seeking tubal sterilization reversal between May 2005 and February 2010 were included. Results: In 14 (48.3% women unilateral tubes were suitable and in only 3 women (10.3% bilateral tubes were suitable. All cases with laparoscopic tubal sterilization were suitable, whereas all cases with fimbriectomy were unsuitable for recanalization. In 6 (20.7% cases salphingostomy was performed as an alternative procedure to tubal reanastomosis. The overall pregnancy rate was 58.8%. In cases with sterilization by Pomeroy′s method, 4 out of 10 (40% conceived, whereas for laparoscopic tubal ligation cases 6 out of 7 (85.7% conceived (P=0.32. None of the patients with final tubal length <5 cm conceived (P=0.03. Comparing the age at recanalization, in women ≤30 years, 71.4% conceived, as compared with 50% when age of women was more than 30 years (P=0.37. Conclusions: The important factors determining the success of recanalization are technique of sterilization and the remaining length of the tube after recanalization. The gynecologist must use an effective technique of sterilization to minimize the failure rates, but at the same time, which causes minimal trauma, and aim at preserving the length of the tube so that reversal is more likely to be successful, should the patient′s circumstances change.

  5. Device and Container for Reheating and Sterilization

    Science.gov (United States)

    Sastry, Sudhir K.; Heskitt, Brian F.; Jun, Soojin; Marcy, Joseph E.; Mahna, Ritesh

    2012-01-01

    Long-duration space missions require the development of improved foods and novel packages that do not represent a significant disposal issue. In addition, it would also be desirable if rapid heating technologies could be used on Earth as well, to improve food quality during a sterilization process. For this purpose, a package equipped with electrodes was developed that will enable rapid reheating of contents via ohmic heating to serving temperature during space vehicle transit. Further, the package is designed with a resealing feature, which enables the package, once used, to contain and sterilize waste, including human waste for storage prior to jettison during a long-duration mission. Ohmic heating is a technology that has been investigated on and off for over a century. Literature indicates that foods processed by ohmic heating are of superior quality to their conventionally processed counterparts. This is due to the speed and uniformity of ohmic heating, which minimizes exposure of sensitive materials to high temperatures. In principle, the material may be heated rapidly to sterilization conditions, cooled rapidly, and stored. The ohmic heating device herein is incorporated within a package. While this by itself is not novel, a reusable feature also was developed with the intent that waste may be stored and re-sterilized within the packages. These would then serve a useful function after their use in food processing and storage. The enclosure should be designed to minimize mass (and for NASA's purposes, Equivalent System Mass, or ESM), while enabling the sterilization function. It should also be electrically insulating. For this reason, Ultem high-strength, machinable electrical insulator was used.

  6. Sterilization of Microorganisms by Ozone and Ultrasound

    Science.gov (United States)

    Krasnyj, V. V.; Klosovskij, A. V.; Panasko, T. A.; Shvets, O. M.; Semenova, O. T.; Taran, V. S.; Tereshin, V. I.

    2008-03-01

    The results of recent experimental methods of sterilization of microorganisms with the use of ozone and ultrasound are presented. The main aim was to optimize the process of sterilization in water solution taking into account the ozone concentration, the power of ultrasonic emitter and the temperature of water. In the present work, the ultrasonic cavitation with simultaneous ozone generation has been used. The high ozone concentration in water solution was achieved by two-barrier glow discharge generated at atmospheric pressure and a cooling thermo-electric module. Such a sterilizer consists of ozone generator in a shape of flat electrodes covered with dielectric material and a high-voltage pulsed power supply of 250 W. The sterilization camera was equipped with ultrasonic source operated at 100 W. The experiments on the inactivation of bacteria of the Bacillus Cereus type were carried out in the distilled water saturated by ozone. The ozone concentration in the aqueous solution was 10 mg/1, whereas the ozone concentration at the output of ozone generator was 30 mg/1. The complete inactivation of spores took 15 min. Selection of the temperature of water, the ozone concentrations and ultrasonic power allowed to determine the time necessary for destroying the row of microorganisms.

  7. The influence of sterilization on nitrogen-included ultrananocrystalline diamond for biomedical applications

    International Nuclear Information System (INIS)

    Tong, Wei; Tran, Phong A.; Turnley, Ann M.; Aramesh, Morteza; Prawer, Steven; Brandt, Milan; Fox, Kate

    2016-01-01

    Diamond has shown great potential in different biomedical applications, but the effects of sterilization on its properties have not been investigated. Here, we studied the influence of five sterilization techniques (solvent cleaning, oxygen plasma, UV irradiation, autoclave and hydrogen peroxide) on nitrogen-included ultrananocrystalline diamond. The chemical modification of the diamond surface was evaluated using X-ray photoelectron spectroscopy and water contact angle measurements. Different degrees of surface oxidation and selective sp 2 bonded carbon etching were found following all sterilization techniques, resulting in an increase of hydrophilicity. Higher viabilities of in vitro mouse 3T3 fibroblasts and rat cortical neuron cells were observed on oxygen plasma, autoclave and hydrogen peroxide sterilized diamond, which correlated with their higher hydrophilicity. By examination of apatite formation in simulated body fluid, in vivo bioactivity was predicted to be best on those surfaces which have been oxygen plasma treated and lowest on those which have been exposed to UV irradiation. The charge injection properties were also altered by the sterilization process and there appears to be a correlation between these changes and the degree of oxygen termination of the surface. We find that the modification brought by autoclave, oxygen plasma and hydrogen peroxide were most consistent with the use of N-UNCD in biological applications as compared to samples sterilized by solvent cleaning or UV exposure or indeed non-sterilized. A two-step process of sterilization by hydrogen peroxide following oxygen plasma treatment was then suggested. However, the final choice of sterilization technique will depend on the intended end application. - Highlights: • We test for the first time the effect of 5 sterilization techniques on nitrogen included ultrananocrystalline diamond. • Different degrees of surface oxidation and selective sp 2 bonded carbon etching were found to

  8. The influence of sterilization on nitrogen-included ultrananocrystalline diamond for biomedical applications

    Energy Technology Data Exchange (ETDEWEB)

    Tong, Wei [School of Physics, University of Melbourne, Parkville, Victoria (Australia); Tran, Phong A. [Department of Chemical and Biomolecular Engineering, University of Melbourne, Parkville, Victoria (Australia); Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland (Australia); Turnley, Ann M. [Department of Anatomy and Neuroscience, University of Melbourne, Parkville, Victoria (Australia); Aramesh, Morteza [School of Physics, University of Melbourne, Parkville, Victoria (Australia); School of Chemistry, Physics, and Mechanical Engineering, Queensland University of Technology, Brisbane, Queensland (Australia); Prawer, Steven [School of Physics, University of Melbourne, Parkville, Victoria (Australia); Brandt, Milan [Centre for Additive Manufacturing, School of Aerospace, Mechanical and Manufacturing Engineering, RMIT University, Melbourne, Victoria (Australia); Fox, Kate, E-mail: kate.fox@rmit.edu.au [Centre for Additive Manufacturing, School of Aerospace, Mechanical and Manufacturing Engineering, RMIT University, Melbourne, Victoria (Australia)

    2016-04-01

    Diamond has shown great potential in different biomedical applications, but the effects of sterilization on its properties have not been investigated. Here, we studied the influence of five sterilization techniques (solvent cleaning, oxygen plasma, UV irradiation, autoclave and hydrogen peroxide) on nitrogen-included ultrananocrystalline diamond. The chemical modification of the diamond surface was evaluated using X-ray photoelectron spectroscopy and water contact angle measurements. Different degrees of surface oxidation and selective sp{sup 2} bonded carbon etching were found following all sterilization techniques, resulting in an increase of hydrophilicity. Higher viabilities of in vitro mouse 3T3 fibroblasts and rat cortical neuron cells were observed on oxygen plasma, autoclave and hydrogen peroxide sterilized diamond, which correlated with their higher hydrophilicity. By examination of apatite formation in simulated body fluid, in vivo bioactivity was predicted to be best on those surfaces which have been oxygen plasma treated and lowest on those which have been exposed to UV irradiation. The charge injection properties were also altered by the sterilization process and there appears to be a correlation between these changes and the degree of oxygen termination of the surface. We find that the modification brought by autoclave, oxygen plasma and hydrogen peroxide were most consistent with the use of N-UNCD in biological applications as compared to samples sterilized by solvent cleaning or UV exposure or indeed non-sterilized. A two-step process of sterilization by hydrogen peroxide following oxygen plasma treatment was then suggested. However, the final choice of sterilization technique will depend on the intended end application. - Highlights: • We test for the first time the effect of 5 sterilization techniques on nitrogen included ultrananocrystalline diamond. • Different degrees of surface oxidation and selective sp{sup 2} bonded carbon etching were

  9. Mechanisms of male sterility in higher plants

    International Nuclear Information System (INIS)

    Ohta, Yasuo

    1982-01-01

    The mechanisms causing male sterility in higher plants were classified into two major categories: genetic and non-genetic. The former was further divided into six classes: 1) Anomality in spindle mechanism during meiosis, 2) chromosomal anomality such as haploidy, polyploidy, aneuploidy, chromosome some deficiency, inversion and reciprocal translocation, 3) presence of male sterile genes, 4) cytoplasmic abnormality, 5) the combination of some specific cytoplasm with particular genes, and 6) infections of microorganisms or viruses. Each mechanism was briefly explained, and the methods for the maintenance of parent lines for heterosis breeding and hybrid seed production were described. The non-genetic male sterility was classified into four types, which are caused by 1) low or high temperature, 2) water deficiency, 3) application of chemicals, and 4) radiation, with a brief explanation given for each of them. (Kaihara, S.)

  10. Formation and release of non-extractable 14C-Dicamba residues in soil under sterile and non-sterile regimes

    International Nuclear Information System (INIS)

    Gevao, Bondi; Jones, Kevin C.; Semple, Kirk T.

    2005-01-01

    The role of native soil microorganisms in the formation and release of non-extractable 14 C-residues, previously treated with 14 C-Dicamba, was investigated to examine their significance to the longer-term environmental effects on non-extractable pesticide residues. A 90 d study compared the fate of Dicamba under sterile and non-sterile regimes. In addition, soils were aged for 30 d and repeatedly extracted with a 0.01 M CaCl 2 solution, to an extraction end point, to produce non-extractable residues. The extracted soil containing non-extractable residues was mixed with clean soil that had been freshly spiked with non-labeled Dicamba at 0.2 mg kg -1 to increase the bulk volume of the soil and stimulate microbial activity. Sub-samples were then introduced into microcosms to compare the extent of microbially facilitated release and mineralisation with release rates in sterile microcosms. The results show that microorganisms play a significant role in the formation and release of non-extractable Dicamba residues. The release of 14 C-activity in sterile microcosms was linked to physical mixing of the extracted soil with field soil prior to the beginning of the incubations. The released 14 C-activity may be further mineralized, reincorporated into humus, or taken up by plants or other soil inhabiting biota

  11. Bacterial spores survive treatment with commercial sterilants and disinfectants.

    Science.gov (United States)

    Sagripanti, J L; Bonifacino, A

    1999-09-01

    This study compared the activity of commercial liquid sterilants and disinfectants on Bacillus subtilis spores deposited on three types of devices made of noncorrodible, corrodible, or polymeric material. Products like Renalin, Exspor, Wavicide-01, Cidexplus, and cupric ascorbate were tested under conditions specified for liquid sterilization. These products, at the shorter times indicated for disinfection, and popular disinfectants, like Clorox, Cavicide, and Lysol were also studied. Data obtained with a sensitive and quantitative test suggest that commercial liquid sterilants and disinfectants are less effective on contaminated surfaces than generally acknowledged.

  12. Delayed pulsar kicks from the emission of sterile neutrinos

    International Nuclear Information System (INIS)

    Kusenko, Alexander; Mandal, Bhabani Prasad; Mukherjee, Alok

    2008-01-01

    The observed velocities of pulsars suggest the possibility that sterile neutrinos with mass of several keV are emitted from a cooling neutron star. The same sterile neutrinos could constitute all or part of cosmological dark matter. The neutrino-driven kicks can exhibit delays depending on the mass and the mixing angle, which can be compared with the pulsar data. We discuss the allowed ranges of sterile neutrino parameters, consistent with the latest cosmological and x-ray bounds, which can explain the pulsar kicks for different delay times

  13. The processing technology of bread crumbs sterilization by irradiation

    International Nuclear Information System (INIS)

    Zhu Jiating; Li Zhengkui; Zhao Yongfu; Zhang Weidong; Jin Jie; Wu Lei; Wang Xinghai

    2003-01-01

    The processing technology of bread crumbs sterilization by irradiation was studied. The results demonstrated that dose heterogeneity had osculatory connection with pile height and turning, sterilization effect had positive correlation with the irradiation dose and negative correlation with colour. Compared with the CK, the content of crud protein, fat, carbohydrate, microelement and amino acid in irradiated bread crumbs had no obvious change. It is recommended that the range of best sterilization dose be 6-10 kGy and the shelf time of bread crumbs be extended to one year

  14. Evaluation of Collection and Disposal of Hospital Waste in Hospitals and Healthcare Centers

    Directory of Open Access Journals (Sweden)

    Saeid Nazemi

    2012-08-01

    Full Text Available Currently, one of the environmental issues is waste of hospitals and healthcare facilities which due to hazardous, toxic, and disease-causing agents such as pharmaceutical, chemical and infectious disease, is of particular sensitivity. According to a 2002 survey by WHO, it was determined that 22 million people worldwide suffer from infectious diseases annually, because of contacting hospital wastes. Also based on a research conducted in 22 countries, 18 to 64 percent of hospitals wastes are not disposed properly [1]. The purpose f the study is to appraise collection and disposal of hospital wastes in hospitals and healthcare centers of Shahroud.In this sectional study, 3 university hospitals (580 beds and 10 healthcare facilities were investigated for six months (mehr-azar 89 at Shahroud. In order to determine the amount of waste, produced waste of an entire day was weighted in hospitals and health centers. In this research, proposed questionnaires of WHO for developing countries was used to evaluate collection and disposal system of hospitals waste. Collected data was coded and analyzed by SPSS ver.15.

  15. Water, sanitation and hygiene in Jordan's healthcare facilities.

    Science.gov (United States)

    Khader, Yousef Saleh

    2017-08-14

    Purpose The purpose of this paper is to determine water availability, sanitation and hygiene (WSH) services, and healthcare waste management in Jordan healthcare facilities. Design/methodology/approach In total, 19 hospitals (15 public and four private) were selected. The WSH services were assessed in hospitals using the WSH in health facilities assessment tool developed for this purpose. Findings All hospitals (100 percent) had a safe water source and most (84.2 percent) had functional water sources to provide enough water for users' needs. All hospitals had appropriate and sufficient gender separated toilets in the wards and 84.2 percent had the same in outpatient settings. Overall, 84.2 percent had sufficient and functioning handwashing basins with soap and water, and 79.0 percent had sufficient showers. Healthcare waste management was appropriately practiced in all hospitals. Practical implications Jordan hospital managers achieved major achievements providing access to drinking water and improved sanitation. However, there are still areas that need improvements, such as providing toilets for patients with special needs, establishing handwashing basins with water and soap near toilets, toilet maintenance and providing sufficient trolleys for collecting hazardous waste. Efforts are needed to integrate WSH service policies with existing national policies on environmental health in health facilities, establish national standards and targets for the various healthcare facilities to increase access and improve services. Originality/value There are limited WSH data on healthcare facilities and targets for basic coverage in healthcare facilities are also lacking. A new assessment tool was developed to generate core WSH indicators and to assess WSH services in Jordan's healthcare facilities. This tool can be used by a non-WSH specialist to quickly assess healthcare facility-related WSH services and sanitary hazards in other countries. This tool identified some areas

  16. Comparative Transcriptomes Profiling of Photoperiod-sensitive Male Sterile Rice Nongken 58S During the Male Sterility Transition between Short-day and Long-day

    Directory of Open Access Journals (Sweden)

    Zhu Yingguo

    2011-09-01

    Full Text Available Abstract Background Photoperiod-sensitive genic male sterile (PGMS rice, Nongken 58S, was discovered in 1973. It has been widely used for the production of hybrid rice, and great achievements have been made in improving rice yields. However, the mechanism of the male sterility transition in PGMS rice remains to be determined. Results To investigate the transcriptome during the male sterility transition in PGMS rice, the transcriptome of Nongken 58S under short-day (SD and long-day (LD at the glume primordium differentiation and pistil/stamen primordium forming stages was compared. Seventy-three and 128 differentially expressed genes (DEGs were identified at the glume primordium differentiation and pistil/stamen primordium forming stages, respectively. Five and 22 genes were markedly up-regulated (≥ 5-fold, and two and five genes were considerably down-regulated (≥ 5-fold under SD during the male sterility transition. Gene ontology annotation and pathway analysis revealed that four biological processes and the circadian rhythms and the flowering pathways coordinately regulated the male sterility transition. Further quantitative PCR analysis demonstrated that the circadian rhythms of OsPRR1, OsPRR37, OsGI, Hd1, OsLHY and OsDof in leaves were obviously different between Nongken 58S and Nongken 58 under LD conditions. Moreover, both OsPRR37 and Hd1 in the inflorescence displayed differences between Nongken 58S and Nongken 58 under both LD and SD conditions. Conclusion The results presented here indicate that the transcriptome in Nongken 58S was significantly suppressed under LD conditions. Among these DEGs, the circadian rhythm and the flowering pathway were involved in the male sterility transition. Furthermore, these pathways were coordinately involved in the male sterility transition in PGMS rice.

  17. Studies of Sterile Irradiation Effects on the White-striped Fruit Fly

    International Nuclear Information System (INIS)

    Limohpasmanee, Wanitch; Tannarin, Thodsapol; Khongratarpon, Titima; Segsarnviriya, Suchada

    2011-06-01

    Full text: In general, sterile irradiation can affect vigor and mating competitiveness of the fruit flies. The objective of the experiments was to study the effects of sterile irradiation on the white-striped oriental fruit fly, Bactrocera dorsalis (Hendel), developed for sterile fly detection. A day before adult emergence, the pupae were irradiated at the dose of 90 Grays. No effects on adult emergence and flight ability were observed. However, it induced complete sterility in both sexes. Also, it decreased male mating competitiveness significantly, while increasing sexual competitiveness significantly

  18. Bilateral cornual abscess after endometrial ablation following Essure sterilization.

    NARCIS (Netherlands)

    Jansen, N.E.; Vleugels, M.P.; Kluivers, K.B.; Vierhout, M.E.

    2007-01-01

    Endometrial ablation is used extensively to treat dysfunctional bleeding. Since the introduction of Essure tubal sterilization, this permanent contraception method has been widely used. Both endometrial ablation and Essure sterilization are procedures reported to have only a few complications. We

  19. Induced pollen sterility in petunia. Mode of inheritance and tapetal behavior

    International Nuclear Information System (INIS)

    Singh, I.S.

    1975-01-01

    A study was undertaken to investigate the characteristics of different mutants for induced pollen sterility in Petunia hybrida Hort. The F 1 hybrid zygotes (TL-h 1 #female# x Sf-la #male#) were exposed to a 0.2% solution of ethyl methane sulfonate and to 0.75kR of 60 Co gamma rays. Their seeds were sown and pollen sterile plants were observed in the M 1 . The pattern of inheritance in the F 2 and the backcrosses of some selected pollen sterile M 1 mutants showed that sterility mutations had been induced. Whether the mutations are recessive or dominant is not yet known, but it has been shown that they act through the sporophytic tissues. Morphological and cytological observations on four highly sterile M 1 plants showed a similar abnormal behavior of the tapetum. The tapetum of the pollen sterile anthers was thicker, more vacuolated and did persist until a later stage than those in fertile anthers. It is suggested that the persistence of the tapetum after a certain stage blocks the trophic process required for the development of the microspore into viable pollen, and the cause of pollen abortion is sporophytic even when no inheritance of the sterility is observed [fr

  20. Injection safety practices among resident doctors in a tertiary health ...

    African Journals Online (AJOL)

    2013-11-20

    Nov 20, 2013 ... E‑mail: drbecky4flex@yahoo.com. Introduction. Injection is one of ... materials, inadequate facilities for sterilization as well as an average of 4.9 .... protective equipment (PPE), safety boxes at strategic locations in the hospital ...

  1. Depressive morbidity among elderly individuals who are hospitalized, reside at long-term care facilities, and are under outpatient care in Brazil: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Luís Fernando S. Castro-de-Araújo

    2013-06-01

    Full Text Available Objectives: i To investigate studies published between 1991 and 2010 on the prevalence of depressive morbidity (major depressive disorder [MDD], dysthymia and clinically significant depressive symptoms [CSDS] among elderly Brazilians assisted at healthcare facilities; ii to establish the prevalence of depression and identify its related factors; and iii to conduct a meta-analysis to assess the prevalence of depressive syndrome among elderly individuals assisted or hospitalized at healthcare facilities. Methods: Studies were selected from articles dated between January 1991 and June 2010 and extracted from the MEDLINE, LILACS, and SciELO databases. Results: The final analysis consisted of 15 studies, distributed as follows: i four sampled hospitalized patients, totaling 299 individuals, and found a prevalence of CSDS varying between 20 and 56%; ii four sampled outpatients, totaling 1,454 individuals; the prevalence of CSDS varied between 11 and 65%, and the prevalence of MDD varied between 23 and 42%; and iii seven sampled elderly individuals residing in long-term care facilities (LTCF, totaling 839 individuals, and the prevalence of CSDS varied between 11 and 65%. Conclusion: The present review indicated a higher prevalence of both MDD and CSDS among elderly Brazilians assisted at healthcare facilities.

  2. Comparison of the effectiveness of sterilizing endodontic files by 4 different methods: An in vitro study

    Directory of Open Access Journals (Sweden)

    Venkatasubramanian R

    2010-03-01

    Full Text Available Sterilization is the best method to counter the threats of microorganisms. The purpose of sterilization in the field of health care is to prevent the spread of infectious diseases. In dentistry, it primarily relates to processing reusable instruments to prevent cross-infection. The aim of this study was to investigate the efficacy of 4 methods of sterilizing endodontic instruments: Autoclaving, carbon dioxide laser sterilization, chemical sterilization (with glutaraldehyde and glass-bead sterilization. The endodontic file was sterilized by 4 different methods after contaminating it with bacillus stearothermophillus and then checked for sterility by incubating after putting it in test tubes containing thioglycollate medium. The study showed that the files sterilized by autoclave and lasers were completely sterile. Those sterilized by glass bead were 90% sterile and those with glutaraldehyde were 80% sterile. The study concluded that autoclave or laser could be used as a method of sterilization in clinical practice and in advanced clinics; laser can be used also as a chair side method of sterilization.