WorldWideScience

Sample records for inappropriate excavations industry

  1. Excavations

    National Research Council Canada - National Science Library

    2000-01-01

    .... To better assist excavation firms and contractors, OSHA has completely updated the existing standard to simplify many of the existing provisions, add and clarify definitions, eliminate duplicate...

  2. Crane and Excavator Operator.

    Science.gov (United States)

    Marine Corps Inst., Washington, DC.

    Developed as part of the Marine Corps Institute (MCI) correspondence training program, this course on crane and excavator operation is designed to enable the crane and excavator operator to perform his/her duties more proficiently. Introductory materials include specific information for MCI students, a course introduction, and a study guide…

  3. Principles of Mechanical Excavation

    Energy Technology Data Exchange (ETDEWEB)

    Lislerud, A. [Tamrock Corp., Tampere (Finland)

    1997-12-01

    Mechanical excavation of rock today includes several methods such as tunnel boring, raiseboring, roadheading and various continuous mining systems. Of these raiseboring is one potential technique for excavating shafts in the repository for spent nuclear fuel and dry blind boring is promising technique for excavation of deposition holes, as demonstrated in the Research Tunnel at Olkiluoto. In addition, there is potential for use of other mechanical excavation techniques in different parts of the repository. One of the main objectives of this study was to analyze the factors which affect the feasibility of mechanical rock excavation in hard rock conditions and to enhance the understanding of factors which affect rock cutting so as to provide an improved basis for excavator performance prediction modeling. The study included the following four main topics: (a) phenomenological model based on similarity analysis for roller disk cutting, (b) rock mass properties which affect rock cuttability and tool life, (c) principles for linear and field cutting tests and performance prediction modeling and (d) cutter head lacing design procedures and principles. As a conclusion of this study, a test rig was constructed, field tests were planned and started up. The results of the study can be used to improve the performance prediction models used to assess the feasibility of different mechanical excavation techniques at various repository investigation sites. (orig.). 21 refs.

  4. Principles of Mechanical Excavation

    International Nuclear Information System (INIS)

    Lislerud, A.

    1997-12-01

    Mechanical excavation of rock today includes several methods such as tunnel boring, raiseboring, roadheading and various continuous mining systems. Of these raiseboring is one potential technique for excavating shafts in the repository for spent nuclear fuel and dry blind boring is promising technique for excavation of deposition holes, as demonstrated in the Research Tunnel at Olkiluoto. In addition, there is potential for use of other mechanical excavation techniques in different parts of the repository. One of the main objectives of this study was to analyze the factors which affect the feasibility of mechanical rock excavation in hard rock conditions and to enhance the understanding of factors which affect rock cutting so as to provide an improved basis for excavator performance prediction modeling. The study included the following four main topics: (a) phenomenological model based on similarity analysis for roller disk cutting, (b) rock mass properties which affect rock cuttability and tool life, (c) principles for linear and field cutting tests and performance prediction modeling and (d) cutter head lacing design procedures and principles. As a conclusion of this study, a test rig was constructed, field tests were planned and started up. The results of the study can be used to improve the performance prediction models used to assess the feasibility of different mechanical excavation techniques at various repository investigation sites. (orig.)

  5. Lunar Regolith Excavation Competition

    Science.gov (United States)

    Liles, Cassandra

    2009-01-01

    The Lunar Regolith Excavation Competition is a new competition that needs graphics, logos, rules, as well as an arena. Although this is the first year of the competition, the competition is modeled after an existing competition, the Centennial Lunar Excavator Challenge. This competition however is aimed at college students. This makes the challenge identifying key aspects of the original competition and modeling them to fit into an easier task, and creating exciting advertisement that helps encourage participation. By using a youth focus group, young insight, as well as guiding advice from experts in the field, hopefully an arena can be designed and built, rules can be molded and created to fit, and alluring graphics can be printed to bring about a successful first year of the Lunar Regolith Excavation Competition.

  6. Development of excavator training simulator using leap motion controller

    Science.gov (United States)

    Fahmi, F.; Nainggolan, F.; Andayani, U.; Siregar, B.

    2018-03-01

    Excavator is a heavy machinery that is used for many industries purposes. Controlling the excavator is not easy. Its operator has to be trained well in many skills to make sure it is safe, effective, and efficient while using the excavator. In this research, we proposed a virtual reality excavator simulator supported by a device called Leap Motion Controller that supports finger and hand motions as an input. This prototype will be developed than in the virtual reality environment to give a more real sensing to the user.

  7. Excavation of LSS1

    CERN Multimedia

    CERN PhotoLab

    1972-01-01

    Excavation of the long straight-section LSS1 by an Alpine boring machine. View of the connection chamber, in the background, the roofs of the enlarged sections (8.5 m and 6 m). On the right, the access tunnel to PP1.

  8. Excavating the Spartans

    Directory of Open Access Journals (Sweden)

    John Wilkes

    1997-11-01

    Full Text Available Few ancient Greek place names are so embedded in Western consciousness as Sparta, evoking as it does courage, harsh training, stern duty and endurance. By the 2nd century AD it had become a "heritage centre " admired by visiting Romans, and it flourished again in the Byzantine period. The Institute has been involved in new excavations at Sparta since 1989.

  9. Lightweight Robotic Excavation, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Robust, lightweight, power-efficient excavation robots are mission enablers for lunar outposts and surface systems. Lunar excavators of this type cost-effectively...

  10. Excavator Design Validation

    Science.gov (United States)

    Pholsiri, Chalongrath; English, James; Seberino, Charles; Lim, Yi-Je

    2010-01-01

    The Excavator Design Validation tool verifies excavator designs by automatically generating control systems and modeling their performance in an accurate simulation of their expected environment. Part of this software design includes interfacing with human operations that can be included in simulation-based studies and validation. This is essential for assessing productivity, versatility, and reliability. This software combines automatic control system generation from CAD (computer-aided design) models, rapid validation of complex mechanism designs, and detailed models of the environment including soil, dust, temperature, remote supervision, and communication latency to create a system of high value. Unique algorithms have been created for controlling and simulating complex robotic mechanisms automatically from just a CAD description. These algorithms are implemented as a commercial cross-platform C++ software toolkit that is configurable using the Extensible Markup Language (XML). The algorithms work with virtually any mobile robotic mechanisms using module descriptions that adhere to the XML standard. In addition, high-fidelity, real-time physics-based simulation algorithms have also been developed that include models of internal forces and the forces produced when a mechanism interacts with the outside world. This capability is combined with an innovative organization for simulation algorithms, new regolith simulation methods, and a unique control and study architecture to make powerful tools with the potential to transform the way NASA verifies and compares excavator designs. Energid's Actin software has been leveraged for this design validation. The architecture includes parametric and Monte Carlo studies tailored for validation of excavator designs and their control by remote human operators. It also includes the ability to interface with third-party software and human-input devices. Two types of simulation models have been adapted: high-fidelity discrete

  11. Excavating a transfer tunnel

    CERN Multimedia

    Laurent Guiraud

    2000-01-01

    The transfer tunnel being dug here will take the 450 GeV beam from the SPS and inject it into the LHC where the beam energies will be increased to 7 TeV. In order to transfer this beam from the SPS to the LHC, two transfer tunnels are used to circulate the beams in opposite directions. When excavated, the accelerator components, including magnets, beam pipes and cryogenics will be installed and connected to both the SPS and LHC ready for operation to begin in 2008.

  12. Safety excavation; Seguranca em escavacoes

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Walter Manoel [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil)

    2003-07-01

    In the construction and maintenance services of buried pipelines, the excavation is the activity that contains larger risk, could cause serious accidents. Norms, procedures and technical articles, national and international goods, should be followed for legal and technical aspects. This paper - Safety in Excavations - has purpose to gather all the technical concepts and of safety in a document denominated Procedure of Safety Excavation, serving as instrument to systematize and control the execution of excavation services in construction civil, assembly and pipelines repairs, seeking the people, facilities and the environment's safety. (author)

  13. Excavation research with chemical explosives

    International Nuclear Information System (INIS)

    Vandenberg, William E.; Day, Walter C.

    1970-01-01

    The US Army Engineer Nuclear Cratering Group (NCG) is located at the Lawrence Radiation Laboratory in Livermore, California. NCG was established in 1962 and assigned responsibility for technical program direction of the Corps of Engineers Nuclear Excavation Research Program. The major part of the experimental program has been the execution of chemical explosive excavation experiments. In the past these experiments were preliminary to planned nuclear excavation experiments. The experience gained and technology developed in accomplishing these experiments has led to an expansion of NCG's research mission. The overall research and development mission now includes the development of chemical explosive excavation technology to enable the Corps of Engineers to more economically accomplish Civil Works Construction projects of intermediate size. The current and future chemical explosive excavation experiments conducted by NCG will be planned so as to provide data that can be used in the development of both chemical and nuclear excavation technology. In addition, whenever possible, the experiments will be conducted at the specific sites of authorized Civil Works Construction Projects and will be designed to provide a useful portion of the engineering structures planned in that project. Currently, the emphasis in the chemical explosive excavation program is on the development of design techniques for producing specific crater geometries in a variety of media. Preliminary results of two such experiments are described in this paper; Project Pre-GONDOLA III, Phase III, Reservoir Connection Experiment; and a Safety Calibration Series for Project TUGBOAT, a small boat harbor excavation experiment

  14. Inappropriate prescribing in the elderly.

    LENUS (Irish Health Repository)

    Gallagher, P

    2012-02-03

    BACKGROUND AND OBJECTIVE: Drug therapy is necessary to treat acute illness, maintain current health and prevent further decline. However, optimizing drug therapy for older patients is challenging and sometimes, drug therapy can do more harm than good. Drug utilization review tools can highlight instances of potentially inappropriate prescribing to those involved in elderly pharmacotherapy, i.e. doctors, nurses and pharmacists. We aim to provide a review of the literature on potentially inappropriate prescribing in the elderly and also to review the explicit criteria that have been designed to detect potentially inappropriate prescribing in the elderly. METHODS: We performed an electronic search of the PUBMED database for articles published between 1991 and 2006 and a manual search through major journals for articles referenced in those located through PUBMED. Search terms were elderly, inappropriate prescribing, prescriptions, prevalence, Beers criteria, health outcomes and Europe. RESULTS AND DISCUSSION: Prescription of potentially inappropriate medications to older people is highly prevalent in the United States and Europe, ranging from 12% in community-dwelling elderly to 40% in nursing home residents. Inappropriate prescribing is associated with adverse drug events. Limited data exists on health outcomes from use of inappropriate medications. There are no prospective randomized controlled studies that test the tangible clinical benefit to patients of using drug utilization review tools. Existing drug utilization review tools have been designed on the basis of North American and Canadian drug formularies and may not be appropriate for use in European countries because of the differences in national drug formularies and prescribing attitudes. CONCLUSION: Given the high prevalence of inappropriate prescribing despite the widespread use of drug-utilization review tools, prospective randomized controlled trials are necessary to identify useful interventions. Drug

  15. Remote excavation using the telerobotic small emplacement excavator

    International Nuclear Information System (INIS)

    Thompson, D.H.; Burks, B.L.; Killough, S.M.

    1993-01-01

    Oak Ridge National Laboratory is developing remote excavation technologies for the Office of Technology Development, Robotics Technology Development Program. This work is being done to meet the need for remote excavation and removal of radioactive and contaminated buried waste at several DOE sites. System requirements are based on the need to uncover and remove waste from burial sites in a way that does not cause unnecessary personnel exposure or additional environmental contamination. Goals for the current project are to demonstrate dexterous control of a backhoe with force feedback and to implement robotic operations that will improve productivity. The Telerobotic Small Emplacement Excavator is a prototype system that incorporates the needed robotic and telerobotic capabilities on a commercially available platform. The ability to add remote dexterous teleoperation and robotic operating modes is intended to be adaptable to other commercially available excavator systems

  16. Lightweight Robotic Excavation, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Lightweight robotic excavators address the need for machines that dig, collect, transport and dump lunar soil. Robust and productive small robots enable mining rich...

  17. Lunar Excavator Validation, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Energid Technologies proposes to create a tool for simulation-based verification of lunar excavator designs. Energid will combine the best of 1) automatic control...

  18. Excavations at Cricklade, Wiltshire, 1975

    Directory of Open Access Journals (Sweden)

    Jeremy Haslam

    2003-07-01

    Full Text Available The town of Cricklade in Wiltshire, England is one of the most regular examples of the class of Saxon urban fortresses, created as part of a fort-system in the late 9th century, which are included in the Burghal Hidage List. Its defences are relatively well preserved, and show particularly good evidence of rectilinear planning. It has been the subject of detailed archaeological and historical research over the past 55 years, and its defences at least can lay claim to being the most systematically explored late Saxon fortress in England. Prior to housing development, two excavations were carried out at Cricklade in 1975: Site A, an area within the north-west quarter of the town, which provided evidence of occupation throughout the Roman period; and Site B, on the south-west corner of the late Saxon defences, in which several trenches as well as larger areas across the line of the defences were excavated. A sequence of several successive phases of construction, refurbishment, destruction and rebuilding of the defences from the late 9th century into the medieval period was found. The interpretation of this sequence of phases differs from that put forward based on earlier excavations on the defences since 1948 (excavations which are also reassessed here. Accompanied by interactive plans and sections, this article presents the results of the excavations, followed by an examination of the archaeological and historical development of the defensive sequence and early development of the town.

  19. Kinematic control model for light weighting mechanism of excavator attached to rotary working device

    Science.gov (United States)

    Lee, Choongho; Lee, Sangsik; Cho, Youngtae; Im, Kwanghee

    2007-07-01

    An excavator attached to a rotary working device is used principally in industrial work. In particular, they are used in the building industry and public works. This research concerns the rotary automatic control of an excavator attached to a rotary working device. The drilling excavator is used in the crushed stone industry and the dragline excavation system is employed in the construction industry. Cases of the excavator's use in agriculture have been the subject of a relatively few studies. However, several modified excavator designs have been released in recent years. Applied excavator products are primarily utilized under relatively severe environmental conditions. In this study, we focus on the uses of an excavator in agricultural work. The readjustment of arable land and the reduction of weeds in agricultural applications both require skilled hand-operation of the machines. As such workers have been shown to develop problems with regard to working posture and proper positioning while laboring, a more appropriate excavator design may prove useful in such applications. Therefore, this pilot study is focused primarily on the rotary automatic control of an excavator attached to a rotary working device, and will adapt smart materials to the excavator applications for developing redesigned excavator having a light weight. The excavator is attached to a rotary working device on a normal excavator's platform, and the position and orientation of the mechanism between the joints and the rotary working device was determined. Simulations were also conducted of the excavator attached to the rotary working device. With an eye toward the use of this mechanism in agricultural work, we also conducted a set of kinematic analyses. The rotary working device was assumed to have 3 DOF, and was comprised of 5 links. Computer simulations were also conducted using the developed excavator model. In order to adequately evaluate the possible performance of such a system, kinetic

  20. Inappropriate prescribing in geriatric patients.

    LENUS (Irish Health Repository)

    Barry, Patrick J

    2012-02-03

    Inappropriate prescribing in older people is a common condition associated with significant morbidity, mortality, and financial costs. Medication use increases with age, and this, in conjunction with an increasing disease burden, is associated with adverse drug reactions. This review outlines why older people are more likely to develop adverse drug reactions and how common the problem is. The use of different tools to identify and measure the problem is reviewed. Common syndromes seen in older adults (eg, falling, cognitive impairment, sleep disturbance) are considered, and recent evidence in relation to medication use for these conditions is reviewed. Finally, we present a brief summary of significant developments in the recent literature for those caring for older people.

  1. [Inappropriate test methods in allergy].

    Science.gov (United States)

    Kleine-Tebbe, J; Herold, D A

    2010-11-01

    Inappropriate test methods are increasingly utilized to diagnose allergy. They fall into two categories: I. Tests with obscure theoretical basis, missing validity and lacking reproducibility, such as bioresonance, electroacupuncture, applied kinesiology and the ALCAT-test. These methods lack both the technical and clinical validation needed to justify their use. II. Tests with real data, but misleading interpretation: Detection of IgG or IgG4-antibodies or lymphocyte proliferation tests to foods do not allow to separate healthy from diseased subjects, neither in case of food intolerance, allergy or other diagnoses. The absence of diagnostic specificity induces many false positive findings in healthy subjects. As a result unjustified diets might limit quality of life and lead to malnutrition. Proliferation of lymphocytes in response to foods can show elevated rates in patients with allergies. These values do not allow individual diagnosis of hypersensitivity due to their broad variation. Successful internet marketing, infiltration of academic programs and superficial reporting by the media promote the popularity of unqualified diagnostic tests; also in allergy. Therefore, critical observation and quick analysis of and clear comments to unqualified methods by the scientific medical societies are more important than ever.

  2. Reliability and Assessment Techniques on Ground Excavation

    Directory of Open Access Journals (Sweden)

    Sanga Tangchawal

    2009-05-01

    Full Text Available Planning and assessment on the excavation of the brittle materials (soil or rock can be done by using the machinery and/or explosives. The reliability assessment has been proposed to predict the failure of ground during excavation process. The stability planning on cutting soil (rock face by machinery can be compared between the deterministic and the statistical method. The risk of using explosives for rock excavation has to concern on the damage and environmental impacts after blasting events.

  3. Mechanical tunnel excavation in welded tuff

    International Nuclear Information System (INIS)

    Sperry, P.E.

    1991-01-01

    The Technical Review Board for the US high-level radioactive waste facility at Yucca Mountain has recommended maximum use of open-quotes the most modern mechanical excavation techniques...in order to reduce disturbance to the rock walls and to achieve greater economy of time and cost.close quotes Tunnels for the waste repository at Yucca Mountain can be economically constructed with mechanical excavation equipment. This paper presents the results of mechanical excavation of a tunnel in welded tuff, similar to the tuffs of Yucca Mountain. These results are projected to excavation of emplacement drifts in Yucca Mountain using a current state-of-the-art tunnel boring machine (TBM)

  4. National Advanced Drilling and Excavation Technologies Institute. Status report, March 1997

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, C.

    1997-12-31

    The National Advanced Drilling and Excavation Technologies (NADET) program is intended to pool support, talent, and technologies of the industries dependent upon drilling and excavation technologies to initiate, coordinate, and sustain programs capable of developing substantial technological advances. The NADET Institute has been funded by the DOE Office of Geothermal Technologies and is now supporting seven projects aimed at advanced geothermal drilling technologies. The Institute seeks to broaden its base of funding and technological support from both government and industry sources. Encouraging progress has been made with the support of dues-paying industrial members and industrial sponsorship of a substantial drilling research study.

  5. Slope excavation quality assessment and excavated volume calculation in hydraulic projects based on laser scanning technology

    Directory of Open Access Journals (Sweden)

    Chao Hu

    2015-04-01

    Full Text Available Slope excavation is one of the most crucial steps in the construction of a hydraulic project. Excavation project quality assessment and excavated volume calculation are critical in construction management. The positioning of excavation projects using traditional instruments is inefficient and may cause error. To improve the efficiency and precision of calculation and assessment, three-dimensional laser scanning technology was used for slope excavation quality assessment. An efficient data acquisition, processing, and management workflow was presented in this study. Based on the quality control indices, including the average gradient, slope toe elevation, and overbreak and underbreak, cross-sectional quality assessment and holistic quality assessment methods were proposed to assess the slope excavation quality with laser-scanned data. An algorithm was also presented to calculate the excavated volume with laser-scanned data. A field application and a laboratory experiment were carried out to verify the feasibility of these methods for excavation quality assessment and excavated volume calculation. The results show that the quality assessment indices can be obtained rapidly and accurately with design parameters and scanned data, and the results of holistic quality assessment are consistent with those of cross-sectional quality assessment. In addition, the time consumption in excavation quality assessment with the laser scanning technology can be reduced by 70%–90%, as compared with the traditional method. The excavated volume calculated with the scanned data only slightly differs from measured data, demonstrating the applicability of the excavated volume calculation method presented in this study.

  6. Toxic hazards of underground excavation

    International Nuclear Information System (INIS)

    Smith, R.; Chitnis, V.; Damasian, M.

    1982-09-01

    Inadvertent intrusion into natural or man-made toxic or hazardous material deposits as a consequence of activities such as mining, excavation or tunnelling has resulted in numerous deaths and injuries in this country. This study is a preliminary investigation to identify and document instances of such fatal or injurious intrusion. An objective is to provide useful insights and information related to potential hazards due to future intrusion into underground radioactive-waste-disposal facilities. The methodology used in this study includes literature review and correspondence with appropriate government agencies and organizations. Key categories of intrusion hazards are asphyxiation, methane, hydrogen sulfide, silica and asbestos, naturally occurring radionuclides, and various mine or waste dump related hazards

  7. Toxic hazards of underground excavation

    Energy Technology Data Exchange (ETDEWEB)

    Smith, R.; Chitnis, V.; Damasian, M.; Lemm, M.; Popplesdorf, N.; Ryan, T.; Saban, C.; Cohen, J.; Smith, C.; Ciminesi, F.

    1982-09-01

    Inadvertent intrusion into natural or man-made toxic or hazardous material deposits as a consequence of activities such as mining, excavation or tunnelling has resulted in numerous deaths and injuries in this country. This study is a preliminary investigation to identify and document instances of such fatal or injurious intrusion. An objective is to provide useful insights and information related to potential hazards due to future intrusion into underground radioactive-waste-disposal facilities. The methodology used in this study includes literature review and correspondence with appropriate government agencies and organizations. Key categories of intrusion hazards are asphyxiation, methane, hydrogen sulfide, silica and asbestos, naturally occurring radionuclides, and various mine or waste dump related hazards.

  8. GPS-Based Excavation Encroachment Notification

    Science.gov (United States)

    2011-10-31

    Excavation damage is the primary threat to the integrity of the natural gas distribution system. According to the Common Ground Alliance, the two primary root causes of excavation damage are failure to notify the one-call center and careless excavati...

  9. Regolith Advanced Surface Systems Operations Robot Excavator

    Science.gov (United States)

    Mueller, Robert P.; Smith, Jonathan D.; Ebert, Thomas; Cox, Rachel; Rahmatian, Laila; Wood, James; Schuler, Jason; Nick, Andrew

    2013-01-01

    The Regolith Advanced Surface Systems Operations Robot (RASSOR) excavator robot is a teleoperated mobility platform with a space regolith excavation capability. This more compact, lightweight design (<50 kg) has counterrotating bucket drums, which results in a net-zero reaction horizontal force due to the self-cancellation of the symmetrical, equal but opposing, digging forces.

  10. Archaeology Excavation Simulation: Correcting the Emphasis

    Science.gov (United States)

    Thistle, Paul C.

    2012-01-01

    Museums offering archaeological programs often attempt to use the "sandbox approach" to simulate archaeological excavation work. However, in light of the definition of simulation, and given the realities of actual professional practice in archaeological excavation, the author argues that the activity of troweling for artifacts in loose sand places…

  11. Three Cases With Inappropriate TSH Syndrome

    Directory of Open Access Journals (Sweden)

    Hatice Sebila Dökmetaş

    2012-12-01

    Full Text Available Inappropriate thyroid-stimulating hormone (TSH syndrome or central hyperthyroidism is a rare disorder characterized by inappropriately normal or elevated levels of TSH and elevated levels of T3 and T4. The syndrome is associated with TSH-secreting pituitary adenoma (TSHoma or thyroid hormone resistance (THR. Thyroid-releasing hormone stimulation test and T3 suppression test can be useful for the differential diagnosis of central hyperthyroidism. In the present study, we report three cases of inappropriate TSH syndrome diagnosed after TRH stimulation and T3 suppression tests. Turk Jem 2012; 16: 105-8

  12. Primary Sjogren's syndrome associated with inappropriate ...

    African Journals Online (AJOL)

    A patient in whom primary Sjogren's syndrome and inappropriate antiduretic hormone secretion were associated is reported. This is the first report of such an association. The possible pathophysiological mechanisms are discussed and vasculitis proposed as the underlying pathogenetic mechanism.

  13. Inappropriate prescribing: criteria, detection and prevention.

    LENUS (Irish Health Repository)

    O'Connor, Marie N

    2012-06-01

    Inappropriate prescribing is highly prevalent in older people and is a major healthcare concern because of its association with negative healthcare outcomes including adverse drug events, related morbidity and hospitalization. With changing population demographics resulting in increasing proportions of older people worldwide, improving the quality and safety of prescribing in older people poses a global challenge. To date a number of different strategies have been used to identify potentially inappropriate prescribing in older people. Over the last two decades, a number of criteria have been published to assist prescribers in detecting inappropriate prescribing, the majority of which have been explicit sets of criteria, though some are implicit. The majority of these prescribing indicators pertain to overprescribing and misprescribing, with only a minority focussing on the underprescribing of indicated medicines. Additional interventions to optimize prescribing in older people include comprehensive geriatric assessment, clinical pharmacist review, and education of prescribers as well as computerized prescribing with clinical decision support systems. In this review, we describe the inappropriate prescribing detection tools or criteria most frequently cited in the literature and examine their role in preventing inappropriate prescribing and other related healthcare outcomes. We also discuss other measures commonly used in the detection and prevention of inappropriate prescribing in older people and the evidence supporting their use and their application in everyday clinical practice.

  14. Drug Utilization and Inappropriate Prescribing in Centenarians.

    Science.gov (United States)

    Hazra, Nisha C; Dregan, Alex; Jackson, Stephen; Gulliford, Martin C

    2016-05-01

    To use primary care electronic health records (EHRs) to evaluate prescriptions and inappropriate prescribing in men and women at age 100. Population-based cohort study. Primary care database in the United Kingdom, 1990 to 2013. Individuals reaching the age of 100 between 1990 and 2013 (N = 11,084; n = 8,982 women, n = 2,102 men). Main drug classes prescribed and potentially inappropriate prescribing according to the 2012 American Geriatrics Society Beers Criteria. At the age of 100, 73% of individuals (79% of women, 54% of men) had received one or more prescription drugs, with a median of 7 (interquartile range 0-12) prescription items. The most frequently prescribed drug classes were cardiovascular (53%), central nervous system (CNS) (53%), and gastrointestinal (47%). Overall, 32% of participants (28% of men, 32% of women) who received drug prescriptions may have received one or more potentially inappropriate prescriptions, with temazepam and amitriptyline being the most frequent. CNS prescriptions were potentially inappropriate in 23% of individuals, and anticholinergic prescriptions were potentially inappropriate in 18% of individuals. The majority of centenarians are prescribed one or more drug therapies, and the prescription may be inappropriate for up to one-third of these individuals. Research using EHRs offers opportunities to understand prescribing trends and improve pharmacological care of the oldest adults. © 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

  15. The huge ATLAS cavern now fully excavated

    CERN Multimedia

    2002-01-01

    Excavation of the ATLAS cavern is now complete! At the end of two years' work involving a tremendous technical challenge, the civil engineering contractors have succeeded in digging out one of the biggest experimental caverns in the world. Bravo!

  16. Teleoperation of the Small Emplacement Excavator

    International Nuclear Information System (INIS)

    Burks, B.L.; Hannah, J.H.; Killough, S.M.; Thompson, D.H.

    1992-01-01

    A project is under way at the Oak Ridge National Laboratory (ORNL) to convert a military tractor called the Small Emplacement Excavator (SEE) from conventional, manual control to teleoperated control. The SEE is equipped with a backhoe on the back end and multiple blade attachments for the front The SEE is typically used by the US Army for excavation of unexploded ordinance and for battlefield excavation tasks such as entrenchments and foxholes. Because of the risk of personnel injury from explosions during bomb excavation, the US Army is interested in remotely operating the SEE. Excavation of unexploded bombs requires backhoe operations that are very similar to some of the operations envisioned for retrieval of buried radioactive waste at many of the Department of Energy (DOE) sites. Therefore, teleoperation of the SEE is being sponsored jointly by the DOE Environmental Restoration and Waste Management Office of Technology Development, Robotics Technology Development Program, and the Department of Defense (DOD), US Army Program Manager-Ammunition Logistics. After initial development activities at ORNL in 1992, teleoperation of the SEE will be demonstrated at other DOE and DOD sites during FY 1993. The performance of the system will be enhanced through planned follow-on development. The objective of this project is to merge recently developed DOE remote operations technology with proven military heavy equipment in a cost-effective manner. The result will be a remotely operated excavating device that both DOE and DOD can replicate inexpensively and apply widely to hazardous field operations

  17. Characteristics of Braced Excavation under Asymmetrical Loads

    Directory of Open Access Journals (Sweden)

    Changjie Xu

    2013-01-01

    Full Text Available Numerous excavation practices have shown that large discrepancies exist between field monitoring data and calculated results when the conventional symmetry-plane method (with half-width is used to design the retaining structure under asymmetrical loads. To examine the characteristics of a retaining structure under asymmetrical loads, we use the finite element method (FEM to simulate the excavation process under four different groups of asymmetrical loads and create an integrated model to tackle this problem. The effects of strut stiffness and wall length are also investigated. The results of numerical analysis clearly imply that the deformation and bending moment of diaphragm walls are distinct on different sides, indicating the need for different rebar arrangements when the excavation is subjected to asymmetrical loads. This study provides a practical approach to designing excavations under asymmetrical loads. We analyze and compare the monitoring and calculation data at different excavation stages and find some general trends. Several guidelines on excavation design under asymmetrical loads are drawn.

  18. Inappropriate shocks in the subcutaneous ICD

    DEFF Research Database (Denmark)

    Olde Nordkamp, Louise R A; Brouwer, Tom F; Barr, Craig

    2015-01-01

    shocks have been reported. METHODS: We analyzed the incidence, predictors and management of inappropriate shocks in the EFFORTLESS S-ICD Registry, which collects S-ICD implantation information and follow-up data from clinical centers in Europe and New Zealand. RESULTS: During a follow-up of 21 ± 13...... months, 48 out of 581 S-ICD patients (71% male, age 49 ± 18 years) experienced 101 inappropriate shocks (8.3%). The most common cause was cardiac signal oversensing (73%), such as T-wave oversensing. Eighteen shocks (18%) were due to supraventricular tachycardias (SVT), of which 15 occurred in the shock......-only zone. Cox-proportional hazard modeling using time-dependent covariates demonstrated that patients with a history of atrial fibrillation (HR 2.4) and patients with hypertrophic cardiomyopathy (HR 4.6) had an increased risk for inappropriate shocks, while programming the primary vector for sensing (from...

  19. Excavation Technology for Hard Rock - Problems and Prospects

    International Nuclear Information System (INIS)

    Gillani, S.T.A.; Butt, N.

    2009-01-01

    Civil engineering projects have greatly benefited from the mechanical excavation of hard rock technology. Mining industry, on the other hand, is still searching for major breakthroughs to mechanize and then automate the winning of ore and drivage of access tunnels in its metalliferous sector. The aim of this study is to extend the scope of drag bits for road headers in hard rock cutting. Various factors that can impose limitations on the potential applications of drag bits in hard rock mining are investigated and discussed along with alternative technology options. (author)

  20. Rock samples from LEP/LHC tunnel excavation

    CERN Document Server

    1985-01-01

    Rock samples taken from 0 to 170 m below ground on the CERN site when the LEP (Large Electron Positron collider) pit number 6 was drilled in Bois-chatton (Versonnex). The challenges of LHC civil engineering: A mosaic of works, structures and workers of differents crafts and origins. Three consulting consortia for the engineering and the follow-up of the works. Four industrial consortia for doing the job. A young team of 25 CERN staff, 30 surface buildings, 32 caverns of all sizes, 170 000 m3 of concrete, 420 000 m3 excavated. 1998-2004 : six years of work and 340 millions Swiss Francs.

  1. Inappropriate Intensive Care Unit admissions: Nigerian doctors ...

    African Journals Online (AJOL)

    2015-12-04

    Dec 4, 2015 ... Conclusion: Inappropriate ICU admissions were perceived as a common event and were mainly attributed to pressure from seniors, referring clinicians, and hospital management. Further work is ..... Financial support and sponsorship. Nil. Conflicts of interest. There are no conflicts of interest. References. 1.

  2. Prevalence and Predictors of Inappropriate Medications Prescribing ...

    African Journals Online (AJOL)

    Data analysis involved use of World Health Organization (WHO) prescribing indicators, Updated 2002 Beer's criteria and DRUG-REAX® system software package of MICROMEDEX (R) Healthcare Series to assess the prescribing pattern, identify potentially inappropriate medications and potential drug-drug interactions, ...

  3. Bullying and Inappropriate Behaviour among Faculty Personnel

    Science.gov (United States)

    Meriläinen, Matti; Sinkkonen, Hanna-Maija; Puhakka, Helena; Käyhkö, Katinka

    2016-01-01

    This study focuses on the degree, nature and consequences of bullying or inappropriate behaviour among faculty personnel (n = 303) in a Finnish university. A total of 114 (38%) faculty members answered the email questionnaire. According to the results, 15% of the respondents had experienced bullying; in addition, 45% had experienced inappropriate…

  4. Prevalence of inappropriate prescribing in primary care

    DEFF Research Database (Denmark)

    Bregnhøj, Lisbeth; Thirstrup, Steffen; Kristensen, Mogens Brandt

    2007-01-01

    OBJECTIVE: To describe the prevalence of inappropriate prescribing in primary care in Copenhagen County, according to the Medication Appropriateness Index (MAI) and to identify the therapeutic areas most commonly involved. SETTING: A cross-sectional study was conducted among 212 elderly ( >65 years...

  5. Missed opportunities and inappropriately given vaccines reduce ...

    African Journals Online (AJOL)

    Coverage would have increased by 10% for diphtheria pertusistetanus (DPT) doses DPTI and DPT2, and 7% for DPT3. Measles immunisation coverage would have increased by 19% had missed immunisation opportunities and inappropriately administered vaccinations been avoided. The overall missed opportunities rate ...

  6. Mechanical excavator performance in Yucca Mountain tuffs

    International Nuclear Information System (INIS)

    Ozdemir, L.; Hansen, F.D.

    1991-01-01

    A research effort of four phases is in progress at the Colorado School of Mines. The overall program will evaluate the cutability of welded tuff and other lithologies likely to be excavated at Yucca Mountain in the site characterization process. Several mechanical systems are considered with emphasis given to the tunnel boring machine. The research comprises laboratory testing, linear drag bit and disc cutter tests and potentially large-scale laboratory demonstrations to support potential use of a tunnel boring machine in welded tuff. Preliminary estimates of mechanical excavator performance in Yucca Mountain tuff are presented here. As phases of the research project are completed, well quantified estimates will be made of performance of mechanical excavators in the Yucca Mountain tuffs. 3 refs., 2 tabs

  7. Stepwise excavation in a permanent molar

    DEFF Research Database (Denmark)

    Lima, Fernanda Ferruzzi; Pascotto, Renata Corrêa; Benetti, Ana Raquel

    2010-01-01

    with zinc oxide cement were performed to minimize the risk of pulp exposure during excavation. After 45 days, the remaining carious tissue was removed and a restoration with glass-ionomer lining (Vitrebond) and resin composite (P-50) was performed. Satisfactory morphology and function of the restoration......The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filling...... and pulp vitality were preserved for 17 years, thus indicating that stepwise excavation can be a good treatment alternative in selected cases....

  8. Pajarito Plateau archaeological surveys and excavations. II

    Energy Technology Data Exchange (ETDEWEB)

    Steen, C R

    1982-04-01

    Los Alamos National Laboratory continues its archaeological program of data gathering and salvage excavations. Sites recently added to the archaeological survey are described, as well as the results of five excavations. Among the more interesting and important discoveries are (1) the apparently well-established local use of anhydrous lime, and (2) a late pre-Columbian use of earlier house sites and middens for garden plots. Evidence indicated that the local puebloan population was the result of an expansion of upper Rio Grande peoples, not an influx of migrants.

  9. Radiation safety in mining and excavation work

    International Nuclear Information System (INIS)

    1993-01-01

    The general radiation safety requirements in mining and underground excavation are presented in the guide. The guide deals mostly with radon (Rn 222) as in mines and underground excavations the dose for workers is mainly due to radon. The guide refers only to radon and radon concentration and not to radon daughters or alphaenergy concentration. The guide is based on the Finnish Radiation Act and the Radiation Degree. The instructions are in good accordance with the 1990 Recommendations of the International Commission on Radiological Protection (ICRP publication 60). (4 refs., 1 tab.)

  10. Development of new taxonomy of inappropriate communication and its application to operating teams in nuclear power plants

    International Nuclear Information System (INIS)

    Kim, Ar Ryum; Lee, Seung Woo; Jang, In Seok; Kang, Hyun Gook; Seong, Poong Hyun; Park, Jin Kyun

    2012-01-01

    Inappropriate communications can cause a lack of necessary information exchange between operators and lead to serious consequences in large process systems such as nuclear power plants (NPPs). In this regard, various kinds of taxonomies of inappropriate communications have been developed to prevent inappropriate communications. However, there seems to be difficult to identify inappropriate communications from verbal protocol data between operators. Because the existing taxonomies were developed for use in report analysis, there is a problem of 'uncertainty'. In consequence, this paper proposes a new taxonomy of inappropriate communications and provides some insights to prevent inappropriate communications. In order to develop the taxonomy, existing taxonomies for four industries from 1980 to 2010 were collected and a new taxonomy is developed based on the simplified one-way communication model. In addition, the ratio of inappropriate communications from 8 samples of audio-visual format verbal protocol data recorded during emergency training sessions by operating teams is compared with performance scores calculated based on the task analysis. As a result, inappropriate communications can be easily identified from the verbal protocol data using the suggested taxonomy, and teams with a higher ratio of inappropriate communications tend to have a lower performance score.

  11. Dilmun revisited: excavations at Saar, Bahrain

    Directory of Open Access Journals (Sweden)

    Harriet Crawford

    1997-11-01

    Full Text Available About 2000 BC the island of Bahrain was at the centre of a prosperous trading community - the Early Dilmun civilization - that stretched from Mesopotamia to the Indus Valley. Excavations at the site of Saar have, since 1989, recovered much new information about the layout of the settlement and its local economy and social system.

  12. 100 area excavation treatability test plan

    International Nuclear Information System (INIS)

    1993-05-01

    This test plan documents the requirements for a treatability study on field radionuclide analysis and dust control techniques. These systems will be used during remedial actions involving excavation. The data from this treatability study will be used to support the feasibility study (FS) process. Development and screening of remedial alternatives for the 100 Area, using existing data, have been completed and are documented in the 100 Area Feasibility Study, Phases 1 and 2 (DOE-RL 1992a). Based on the results of the FS, the Treatability Study Program Plan (DOE-RL 1992b) identifies and prioritizes treatability studies for the 100 Area. The data from the treatability study program support future focused FS, interim remedial measures (IRM) selection, operable unit final remedy selection, remedial design, and remedial actions. Excavation is one of the high-priority, near-term, treatability study needs identified in the program plan (DOE-RL 1992b). Excavation of contaminated soils and buried solid wastes is included in several of the alternatives identified in the 100 Area FS. Although a common activity, excavation has only been used occasionally at the Hanford Site for waste removal applications

  13. Case Studies and Monitoring of Deep Excavations

    NARCIS (Netherlands)

    Korff, M.

    2017-01-01

    Several case histories from Dutch underground deep excavation projects are presented in this paper, including the lessons learned and the learning processes involved. The focus of the paper is on how the learning takes places and how it is documented. It is necessary to learn in a systematic and

  14. SADF EARLYIRON AGE EXCAVATIONS IN THETUGELA VALLEY

    African Journals Online (AJOL)

    ramic, bone and carbonized plant remains indi- cating that the inhabitants ..... ash lense pre dated and were cross-cut by the palisade. Unlike these ..... Human remains. Fragments of one or more human skullscame from amongst the furnace debris. Discussion. The pottery from the three excavated areas at. Ndondondwane.

  15. Archaeological Rescue Excavations at the Dejazmach Gebreslassie ...

    African Journals Online (AJOL)

    Archaeological rescue test excavations that were carried out by the Ethiopian Cultural Heritage Project Site Planning and Conservation sub-component at the Gebreslassie Bariya Gabir palace enclosure at the back of The Main Stelae Field in Aksum from the 5th of June to the 15th of July 2005 yielded at least four ...

  16. Heathrow Terminal 5 Excavation Archive (Data Paper

    Directory of Open Access Journals (Sweden)

    Framework Archaeology

    2014-06-01

    Full Text Available Framework Archaeology is a Joint Venture agreement between Oxford Archaeology (OA and Wessex Archaeology (WA to provide archaeological services to BAA (formerly British Airports Authority, now Heathrow Airport Holdings Ltd. Given the potential scale of some of BAA's projects, the joint venture enables Framework Archaeology to draw on the full resources of both OA and WA, including site staff, specialist managers, administrative support, and technical facilities. In 1993, BAA plc and Heathrow Airport Limited submitted a joint planning application to develop an additional passenger terminal complex (Terminal 5, together with the provision of aircraft aprons and taxiways, and include the realignment of rivers and landscaping. The resulting archaeological excavations were undertaken as three main phases of work. Excavations in 1996 by the Museum of London Archaeology Service of approximately 4 ha of sludge stockpile areas (site code POK96. Between 1999-2000 Framework Archaeology excavated approximately 21 ha in the Perry Oaks sludge works and adjacent areas (WPR98. Framework Archaeology also undertook excavations between 2002-2007 as part of the construction of Terminal 5 (PSH02, TEC05 covering a further 50 hectares. Importantly the aim of the Terminal 5 archaeological programme was to move beyond the description and recovery of archaeological remains and to arrive at an understanding of the history of human inhabitation and the practical ways in which people established their presence in the material, social and political conditions of their day.

  17. The possibilites of coal seam underground excavation in Republic of Macedonia with high productive excavation methods

    OpenAIRE

    Despodov, Zoran; Doneva, Nikolinka; Mijalkovski, Stojance

    2008-01-01

    The paper presents mining and geology properties of coal deposits in R.Macedonia predetermined for underground exploitation. Also it will be shown the way of coal seams preparation and development for underground excavation with longwall mining methods. Based on mining and geology properties of coal and it’s caloric value it will be observed the possibilities for application on the longwall mining which is among excavation methods with highest production and capacity applied in the contemp...

  18. MPED: An ISRU Bucket Ladder Excavator Demonstrator System, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract: The Multi-Purpose Excavation Demonstrator (MPED) is a commercial effort and a third generation of technology, following Bucket Wheel Excavator and Bucket...

  19. Low-energy Planetary Excavator (LPE), Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — ORBITEC proposes to develop an innovative Low-energy Planetary Excavator (LPE) to excavate in situ regolith, ice-regolith mixes, and a variety of other geologic...

  20. Low-energy Planetary Excavator (LPE), Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — ORBITEC is developing an innovative Low-energy Planetary Excavator (LPE) to excavate in situ regolith, ice-regolith mixes, and a variety of other geologic materials...

  1. Contiguous Pile Wall as a Deep Excavation Supporting System

    OpenAIRE

    Venkata Ramasubbarao GODAVARTHI; Dineshbabu MALLAVALLI; Ramya PEDDI; Neelesh KATRAGADDA; Prudhvikrishna MULPURU

    2012-01-01

    Providing space for parking, public amenities, etc in multi-storey buildings at town centres has created a need to go deep excavations into ground. Deep excavations are supported by systems like conventional retaining walls, sheet pile walls, braced walls, diaphragm walls and pile walls. This article describes various excavation supporting systems that are in vogue essentially contiguous pile wall and its advantages. A detailed design methodology of an excavation supporting system is furnishe...

  2. Selected aspects of designing deep excavations

    Directory of Open Access Journals (Sweden)

    Obrzud Rafał F.

    2016-09-01

    Full Text Available This paper analyzes two approaches to serviceability limit state (SLS verification for the deep excavation boundary value problem. The verification is carried out by means of the finite element (FE method with the aid of the commercial program ZSoil v2014. In numerical simulations, deep excavation in non-cohesive soil is supported with a diaphragm wall. In the first approach, the diaphragm wall is modeled with the Hookean material assuming reduced average stiffness and possible concrete cracking. The second approach is divided into two stages. In the first stage, the wall is modeled by defining its stiffness with the highest nominal Young’s modulus. The modulus makes it possible to find design bending moments which are used to compute the minimal design cross-section reinforcement for the retaining structure. The computed reinforcement is then used in a non-linear structural analysis which is viewed as the “actual” SLS verification.

  3. 118-B-1 excavation treatability test plan

    International Nuclear Information System (INIS)

    1994-07-01

    The Hanford 118-B-1 Burial Ground Treatability Study has been required by milestone change request number-sign M-15-93-04, dated September 30, 1993. The change request requires that a treatability test be conducted at the 100-B Area to obtain additional engineering information for remedial design of burial grounds receiving waste from 100 Area removal actions. This treatability study has two purposes: (1) to support development of the Proposed Plan (PP) and Record of Decision (ROD), which will identify the approach to be used for burial ground remediation, and (2) to provide specific engineering information for receiving waste generated from the 100 Area removal actions. Data generated from this test also will provide critical performance and cost information necessary for remedy evaluation in the detailed analysis of alternatives during preparation of the focused feasibility study (FFS). This treatability testing supports the following 100 Area alternatives: (1) excavation and disposal, and (2) excavation, sorting, (treatment), and disposal

  4. Pseudostrain representation of multipass excavations in salt

    International Nuclear Information System (INIS)

    Munson, D.E.; Torres, T.M.; Jones, R.L.

    1987-01-01

    Historically, creep closure of excavations in salt have been framed in terms of displacements. However, it appears possible because of the relatively homogeneous nature of salt to introduce a pseudostrain representation, which calls attention to the fact that the displacements are related directly to the strains in the material around the opening. Application of this representation to extensive early-time closure data illustrates the nature of salt response. This paper presents a description of the experimental rooms and explains how early-time mining sequence data were obtained during the multipass excavation. Representative mining sequence displacement data for various size openings are compared and analyzed in terms of pseudostrains. In addition, numerical calculations with a simple back-fitted model of creep are presented. Implications of the results are discussed in the conclusions. 8 refs., 8 figs

  5. CLASSIFICATION OF THE MGR SUBSURFACE EXCAVATION SYSTEM

    International Nuclear Information System (INIS)

    R. Garrett

    1999-01-01

    The purpose of this analysis is to document the Quality Assurance (QA) classification of the Monitored Geologic Repository (MGR) subsurface excavation system structures, systems and components (SSCs) performed by the MGR Safety Assurance Department. This analysis also provides the basis for revision of YMP/90-55Q, Q-List (YMP 1998). The Q-List identifies those MGR SSCs subject to the requirements of DOE/RW-0333P, ''Quality Assurance Requirements and Description'' (QARD) (DOE 1998)

  6. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions: development of a tool to identify inappropriate prescribing.

    Directory of Open Access Journals (Sweden)

    Sonia Prot-Labarthe

    Full Text Available INTRODUCTION: Rational prescribing for children is an issue for all countries and has been inadequately studied. Inappropriate prescriptions, including drug omissions, are one of the main causes of medication errors in this population. Our aim is to develop a screening tool to identify omissions and inappropriate prescriptions in pediatrics based on French and international guidelines. METHODS: A selection of diseases was included in the tool using data from social security and hospital statistics. A literature review was done to obtain criteria which could be included in the tool called POPI. A 2-round-Delphi consensus technique was used to establish the content validity of POPI; panelists were asked to rate their level of agreement with each proposition on a 9-point Likert scale and add suggestions if necessary. RESULTS: 108 explicit criteria (80 inappropriate prescriptions and 28 omissions were obtained and submitted to a 16-member expert panel (8 pharmacists, 8 pediatricians hospital-based -50%- or working in community -50%-. Criteria were categorized according to the main physiological systems (gastroenterology, respiratory infections, pain, neurology, dermatology and miscellaneous. Each criterion was accompanied by a concise explanation as to why the practice is potentially inappropriate in pediatrics (including references. Two round of Delphi process were completed via an online questionnaire. 104 out of the 108 criteria submitted to experts were selected after 2 Delphi rounds (79 inappropriate prescriptions and 25 omissions. DISCUSSION CONCLUSION: POPI is the first screening-tool develop to detect inappropriate prescriptions and omissions in pediatrics based on explicit criteria. Inter-user reliability study is necessary before using the tool, and prospective study to assess the effectiveness of POPI is also necessary.

  7. Selected aspects of designing deep excavations

    Science.gov (United States)

    Obrzud, Rafał F.; Hartmann, Sébastien; Podleś, Krzysztof

    2016-09-01

    This paper analyzes two approaches to serviceability limit state (SLS) verification for the deep excavation boundary value problem. The verification is carried out by means of the finite element (FE) method with the aid of the commercial program ZSoil v2014. In numerical simulations, deep excavation in non-cohesive soil is supported with a diaphragm wall. In the first approach, the diaphragm wall is modeled with the Hookean material assuming reduced average stiffness and possible concrete cracking. The second approach is divided into two stages. In the first stage, the wall is modeled by defining its stiffness with the highest nominal Young's modulus. The modulus makes it possible to find design bending moments which are used to compute the minimal design cross-section reinforcement for the retaining structure. The computed reinforcement is then used in a non-linear structural analysis which is viewed as the "actual" SLS verification. In the second part, the paper examines the same boundary value problem assuming that the excavation takes place in quasi-impermeable cohesive soils, which are modeled with the Hardening Soil model. This example demonstrates the consequences of applying the steady-state type analysis for an intrinsically time-dependent problem. The results of this analysis are compared to the results from the consolidation-type analysis, which are considered as a reference. For both analysis types, the two-phase formulation for partially- saturated medium, after Aubry and Ozanam, is used to describe the interaction between the soil skeleton and pore water pressure.

  8. Contiguous Pile Wall as a Deep Excavation Supporting System

    Directory of Open Access Journals (Sweden)

    Venkata Ramasubbarao GODAVARTHI

    2012-08-01

    Full Text Available Providing space for parking, public amenities, etc in multi-storey buildings at town centres has created a need to go deep excavations into ground. Deep excavations are supported by systems like conventional retaining walls, sheet pile walls, braced walls, diaphragm walls and pile walls. This article describes various excavation supporting systems that are in vogue essentially contiguous pile wall and its advantages. A detailed design methodology of an excavation supporting system is furnished in this study. A case study on the Contiguous pile wall retaining system for supporting a deep excavation at a town centre is presented.

  9. Assessment of exposure to manganese in welding operations during the assembly of heavy excavation machinery accessories.

    Science.gov (United States)

    Smargiassi, A; Baldwin, M; Savard, S; Kennedy, G; Mergler, D; Zayed, J

    2000-10-01

    Welder exposure to metals in various industrial sectors is poorly characterized. We had the opportunity to carry out an exploratory study to characterize manganese exposure in welding operations in a recently established Quebec factory that assembled accessories for heavy excavation machinery. Ten workers were sampled for total manganese for at least two consecutive days out of three followed by two consecutive days for respirable manganese (with a size selective sampler with a median cut-off of 4 microns), during a typical week in the summer of 1998. Parts being welded were characterized as large or small. Small parts were those being welded on tables during subassembly. Workers were divided into two groups according to the parts they were welding. Seventy-eight percent of the total manganese exposure levels of welding operations during the assembly of large accessories of heavy excavation machinery exceeded the manganese American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit value (TLV) of 0.20 mg/m3 (GM 0.24 mg/m3, n = 14) while none exceeded the TLV during the assembly of small pieces (GM 0.06 mg/m3, n = 8). Welding operations during the assembly of large heavy excavation machinery accessories may pose a significant health hazard. Considering the importance of task-related variables affecting exposure among workers, further studies are needed to better characterize exposure determinants of welding operations during the assembly of heavy excavation machinery accessories.

  10. Inappropriate colonoscopic surveillance of hyperplastic polyps.

    LENUS (Irish Health Repository)

    Keane, R A

    2011-11-15

    Colonoscopic surveillance of hyperplastic polyps alone is controversial and may be inappropriate. The colonoscopy surveillance register at a university teaching hospital was audited to determine the extent of such hyperplastic polyp surveillance. The surveillance endoscopy records were reviewed, those patients with hyperplastic polyps were identified, their clinical records were examined and contact was made with each patient. Of the 483 patients undergoing surveillance for colonic polyps 113 (23%) had hyperplastic polyps alone on last colonoscopy. 104 patients remained after exclusion of those under appropriate surveillance. 87 of the 104 patients (84%) were successfully contacted. 37 patients (8%) were under appropriate colonoscopic surveillance for a significant family history of colorectal carcinoma. 50 (10%) patients with hyperplastic polyps alone and no other clinical indication for colonoscopic surveillance were booked for follow up colonoscopy. This represents not only a budgetary but more importantly a clinical opportunity cost the removal of which could liberate valuable colonoscopy time for more appropriate indications.

  11. Airborne asbestos fibres monitoring in tunnel excavation.

    Science.gov (United States)

    Gaggero, Laura; Sanguineti, Elisa; Yus González, Adrián; Militello, Gaia Maria; Scuderi, Alberto; Parisi, Giovanni

    2017-07-01

    Tunnelling across ophiolitic formation with Naturally Occurring Asbestos (NOA) can release fibres into the environment, exposing workers, and the population, if fibres spread outside the tunnel, leading to increased risk of developing asbestos-related disease. Therefore, a careful plan of environmental monitoring is carried out during Terzo Valico tunnel excavation. In the present study, data of 1571 samples of airborne dust, collected between 2014 and 2016 inside the tunnels, and analyzed by SEM-EDS for quantification of workers exposure, are discussed. In particular, the engineering and monitoring management of 100 m tunnelling excavation across a serpentinite lens (Cravasco adit), intercalated within calcschists, is reported. At this chrysotile occurrence, 84% of 128 analyzed samples (from the zone closer to the front rock) were above 2 ff/l. However, thanks to safety measures implemented and tunnel compartmentation in zones, the asbestos fibre concentration did not exceed the Italian standard of occupational exposure (100 ff/l) and 100% of samples collected in the outdoor square were below 1 ff/l. During excavation under normal working conditions, asbestos concentrations were below 2 ff/l in 97.4% of the 668 analyzed samples. Our results showed that air monitoring can objectively confirm the presence of asbestos minerals at a rock front in relative short time and provide information about the nature of the lithology at the front. The present dataset, the engineering measures described and the operative conclusions are liable to support the improvement of legislation on workers exposure to asbestos referred to the tunnelling sector, lacking at present. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Safety analysis of autonomous excavator functionality

    International Nuclear Information System (INIS)

    Seward, D.; Pace, C.; Morrey, R.; Sommerville, I.

    2000-01-01

    This paper presents an account of carrying out a hazard analysis to define the safety requirements for an autonomous robotic excavator. The work is also relevant to the growing generic class of heavy automated mobile machinery. An overview of the excavator design is provided and the concept of a safety manager is introduced. The safety manager is an autonomous module responsible for all aspects of system operational safety, and is central to the control system's architecture. Each stage of the hazard analysis is described, i.e. system model creation, hazard definition and hazard analysis. Analysis at an early stage of the design process, and on a system that interfaces directly to an unstructured environment, exposes certain issues relevant to the application of current hazard analysis methods. The approach taken in the analysis is described. Finally, it is explained how the results of the hazard analysis have influenced system design, in particular, safety manager specifications. Conclusions are then drawn about the applicability of hazard analysis of requirements in general, and suggestions are made as to how the approach can be taken further

  13. Industrialization

    African Journals Online (AJOL)

    Lucy

    importantly exploiting cheap labour for industrial purposes from the native population. 13 . During the colonial era manufacturing in the continent was generally at the handicraft and small scale levels. In some colonies this was supplemented by some relatively complex industries producing mainly for export, but also ...

  14. A STRUCTURAL MODEL OF AN EXCAVATOR WORKFLOW CONTROL SYSTEM

    Directory of Open Access Journals (Sweden)

    A. Gurko

    2016-12-01

    Full Text Available Earthwork improving is connected with excavators automation. In this paper, on the basis of the analysis of problems that a hydraulic excavator control system have to solve, the hierarchical structure of a control system have been proposed. The decomposition of the control process had been executed that allowed to develop the structural model which reflects the characteristics of a multilevel space-distributed control system of an excavator workflow.

  15. A Novel Energy Recovery System for Parallel Hybrid Hydraulic Excavator

    OpenAIRE

    Li, Wei; Cao, Baoyu; Zhu, Zhencai; Chen, Guoan

    2014-01-01

    Hydraulic excavator energy saving is important to relieve source shortage and protect environment. This paper mainly discusses the energy saving for the hybrid hydraulic excavator. By analyzing the excess energy of three hydraulic cylinders in the conventional hydraulic excavator, a new boom potential energy recovery system is proposed. The mathematical models of the main components including boom cylinder, hydraulic motor, and hydraulic accumulator are built. The natural frequency of the pro...

  16. Pneumatic Excavation Mechanism for Lunar Resource Utilization Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Honeybee Robotics, in collaboration with Firestar Engineering, proposes to continue development of a pneumatic regolith excavating, moving and heating approach. With...

  17. Theory and technology of rock excavation for civil engineering

    CERN Document Server

    Zou, Dingxiang

    2017-01-01

    This book summarizes the technical advances in recent decades and the various theories on rock excavation raised by scholars from different countries, including China and Russia. It not only focuses on rock blasting but also illustrates a number of non-blasting methods, such as mechanical excavation in detail. The book consists of 3 parts: Basic Knowledge, Surface Excavation and Underground Excavation. It presents a variety of technical methods and data from diverse sources in the book, making it a valuable theoretical and practical reference resource for engineers, researchers and postgraduates alike.

  18. [Patients with hyperlipidemia: inappropriate nutritional intake].

    Science.gov (United States)

    Lecerf, Jean-Michel; Hottin, Delphine Mastin

    2004-10-23

    Gather knowledge on nutritional supplementation in patients with hyperlipidemia. In an observational study on patients with hyperlipidemia, nutritional intake was assessed using a 7-day dietary questionnaire, provided on the first visit to a lipid clinic. 291 patients (201 men and 90 women) were studied. Calorie intake and proportion of energetic nutrients revealed low carbohydrate intake, low intake of dietary fibres, and excessive lipid and saturated fatty acid intakes. Patients with isolated hypercholesterolemia had nutritional intake very similar to the daily allowances recommended in France. Men with type III hyperlipidemia had the highest calorie intake and those with type IV dyslipidemia had the highest alcohol intake. Triglycerides increased with total energy intake and with fat intake (%). Body mass index was inversely correlated to carbohydrate intake. The duration of dyslipidemia was related to low vitamin C and B9 intake. The existence of risk factors (type 2 diabetes, hypertension, smoking or inactivity) was associated with less well-balanced diet and low protective micronutrient status. In the case of atherosclerosis, vitamin B9, C, E and beta-carotene intake was insufficient. Interactions existed between nutrient intake with correlations between fibres, vitamin B9, C and beta-carotene, suggesting that nutritional education should favour foodstuffs that provide them simultaneously. Nutritional intake in patients with hyperlipidemia is often far from that recommended and does not greatly differ from that in large non-selected populations. It can be considered as inappropriate because of the metabolic and cardiovascular risks in these patients. Adapted nutritional management is crucial.

  19. Accommodating Presuppositions Is Inappropriate in Implausible Contexts.

    Science.gov (United States)

    Singh, Raj; Fedorenko, Evelina; Mahowald, Kyle; Gibson, Edward

    2016-04-01

    According to one view of linguistic information (Karttunen, 1974; Stalnaker, 1974), a speaker can convey contextually new information in one of two ways: (a) by asserting the content as new information; or (b) by presupposing the content as given information which would then have to be accommodated. This distinction predicts that it is conversationally more appropriate to assert implausible information rather than presuppose it (e.g., von Fintel, 2008; Heim, 1992; Stalnaker, 2002). A second view rejects the assumption that presuppositions are accommodated; instead, presuppositions are assimilated into asserted content and both are correspondingly open to challenge (e.g., Gazdar, 1979; van der Sandt, 1992). Under this view, we should not expect to find a difference in conversational appropriateness between asserting implausible information and presupposing it. To distinguish between these two views of linguistic information, we performed two self-paced reading experiments with an on-line stops-making-sense judgment. The results of the two experiments-using the presupposition triggers the and too-show that accommodation is inappropriate (makes less sense) relative to non-presuppositional controls when the presupposed information is implausible but not when it is plausible. These results provide support for the first view of linguistic information: the contrast in implausible contexts can only be explained if there is a presupposition-assertion distinction and accommodation is a mechanism dedicated to reasoning about presuppositions. Copyright © 2015 Cognitive Science Society, Inc.

  20. Modelling bucket excavation by finite element

    Science.gov (United States)

    Pecingina, O. M.

    2015-11-01

    Changes in geological components of the layers from lignite pits have an impact on the sustainability of the cup path elements and under the action of excavation force appear efforts leading to deformation of the entire assembly. Application of finite element method in the optimization of components leads to economic growth, to increase the reliability and durability of the studied machine parts thus the machine. It is obvious usefulness of knowledge the state of mechanical tensions that the designed piece or the assembly not to break under the action of tensions that must cope during operation. In the course of excavation work on all bucket cutting force components, the first coming into contact with the material being excavated cutting edge. Therefore in the study with finite element analysis is retained only cutting edge. To study the field of stress and strain on the cutting edge will be created geometric patterns for each type of cup this will be subject to static analysis. The geometric design retains the cutting edge shape and on this on the tooth cassette location will apply an areal force on the abutment tooth. The cutting edge real pattern is subjected to finite element study for the worst case of rock cutting by symmetrical and asymmetrical cups whose profile is different. The purpose of this paper is to determine the displacement and tensions field for both profiles considering the maximum force applied on the cutting edge and the depth of the cutting is equal with the width of the cutting edge of the tooth. It will consider the worst case when on the structure will act both the tangential force and radial force on the bucket profile. For determination of stress and strain field on the form design of cutting edge profile will apply maximum force assuming uniform distribution and on the edge surface force will apply a radial force. After geometric patterns discretization on the cutting knives and determining stress field, can be seen that at the

  1. Industrialization

    African Journals Online (AJOL)

    Lucy

    . African states as ... regarded as the most important ingredients that went to add value to land and labour in order for countries ... B. Sutcliffe Industry and Underdevelopment (Massachusetts Addison – Wesley Publishing Company. 1971), pp.

  2. Industrialization

    OpenAIRE

    Blundel, Richard

    2016-01-01

    Industrialization, the historical development that saw cheesemaking transformed from a largely craft-based or artisanal activity, often located on a dairy farm, to a production process that, for the most part, takes place in large ‘cheese factories’ or creameries [See ARTISANAL]. The principal features of modern industrialized cheesemaking, which set it apart from traditional approaches include: high production volumes; sourcing of milk from multiple dairy herds; pasteurization and re-balanci...

  3. 118-B-1 excavation treatability test procedures

    International Nuclear Information System (INIS)

    Frain, J.M.

    1994-01-01

    This treatability study has two purposes: to support development of the approach to be used for burial ground remediation, and to provide specific engineering information for the design of burial grounds receiving waste generated from the 100 Area removal actions. Data generated from this test will also provide performance and cost information necessary for detailed analysis of alternatives for burial ground remediation. Further details on the test requirements, milestones and data quality objectives are described in detail in the 118-B-1 Excavation Treatability Test Plan (DOE/RL-94-43). These working procedures are intended for use by field personnel to implement the requirements of the milestone. A copy of the detailed Test Plan will be kept on file at the on-site field support trailer, and will be available for review by field personnel

  4. 118-B-1 excavation treatability test procedures

    Energy Technology Data Exchange (ETDEWEB)

    Frain, J.M.

    1994-08-01

    This treatability study has two purposes: to support development of the approach to be used for burial ground remediation, and to provide specific engineering information for the design of burial grounds receiving waste generated from the 100 Area removal actions. Data generated from this test will also provide performance and cost information necessary for detailed analysis of alternatives for burial ground remediation. Further details on the test requirements, milestones and data quality objectives are described in detail in the 118-B-1 Excavation Treatability Test Plan (DOE/RL-94-43). These working procedures are intended for use by field personnel to implement the requirements of the milestone. A copy of the detailed Test Plan will be kept on file at the on-site field support trailer, and will be available for review by field personnel.

  5. Inappropriate treatments for patients with cognitive decline.

    Science.gov (United States)

    Robles Bayón, A; Gude Sampedro, F

    2014-01-01

    Some treatments are inappropriate for patients with cognitive decline. We analyse their use in 500 patients and present a literature review. Benzodiazepines produce dependence, and reduce attention, memory, and motor ability. They can cause disinhibition or aggressive behaviour, facilitate the appearance of delirium, and increase accident and mortality rates in people older than 60. In subjects over 65, low systolic blood pressure is associated with cognitive decline. Maintaining this figure between 130 and 140 mm Hg (145 in patients older than 80) is recommended. Hypocholesterolaemia < 160 mg/dl is associated with increased morbidity and mortality, aggressiveness, and suicide; HDL-cholesterol<40 mg/dl is associated with memory loss and increased vascular and mortality risks. Old age is a predisposing factor for developing cognitive disorders or delirium when taking opioids. The risks of prescribing anticholinesterases and memantine to patients with non-Alzheimer dementia that is not associated with Parkinson disease, mild cognitive impairment, or psychiatric disorders probably outweigh the benefits. Anticholinergic drugs acting preferentially on the peripheral system can also induce cognitive side effects. Practitioners should be aware of steroid-induced dementia and steroid-induced psychosis, and know that risk of delirium increases with polypharmacy. Of 500 patients with cognitive impairment, 70.4% were on multiple medications and 42% were taking benzodiazepines. Both conditions were present in 74.3% of all suspected iatrogenic cases. Polypharmacy should be avoided, if it is not essential, especially in elderly patients and those with cognitive impairment. Benzodiazepines, opioids and anticholinergics often elicit cognitive and behavioural disorders. Moreover, systolic blood pressure must be kept above 130 mm Hg, total cholesterol levels over 160 mg/dl, and HDL-cholesterol over 40 mg/dl in this population. Copyright © 2012 Sociedad Española de Neurolog

  6. Industry

    Energy Technology Data Exchange (ETDEWEB)

    Bernstein, Lenny; Roy, Joyashree; Delhotal, K. Casey; Harnisch, Jochen; Matsuhashi, Ryuji; Price, Lynn; Tanaka, Kanako; Worrell, Ernst; Yamba, Francis; Fengqi, Zhou; de la Rue du Can, Stephane; Gielen, Dolf; Joosen, Suzanne; Konar, Manaswita; Matysek, Anna; Miner, Reid; Okazaki, Teruo; Sanders, Johan; Sheinbaum Parado, Claudia

    2007-12-01

    This chapter addresses past, ongoing, and short (to 2010) and medium-term (to 2030) future actions that can be taken to mitigate GHG emissions from the manufacturing and process industries. Globally, and in most countries, CO{sub 2} accounts for more than 90% of CO{sub 2}-eq GHG emissions from the industrial sector (Price et al., 2006; US EPA, 2006b). These CO{sub 2} emissions arise from three sources: (1) the use of fossil fuels for energy, either directly by industry for heat and power generation or indirectly in the generation of purchased electricity and steam; (2) non-energy uses of fossil fuels in chemical processing and metal smelting; and (3) non-fossil fuel sources, for example cement and lime manufacture. Industrial processes also emit other GHGs, e.g.: (1) Nitrous oxide (N{sub 2}O) is emitted as a byproduct of adipic acid, nitric acid and caprolactam production; (2) HFC-23 is emitted as a byproduct of HCFC-22 production, a refrigerant, and also used in fluoroplastics manufacture; (3) Perfluorocarbons (PFCs) are emitted as byproducts of aluminium smelting and in semiconductor manufacture; (4) Sulphur hexafluoride (SF{sub 6}) is emitted in the manufacture, use and, decommissioning of gas insulated electrical switchgear, during the production of flat screen panels and semiconductors, from magnesium die casting and other industrial applications; (5) Methane (CH{sub 4}) is emitted as a byproduct of some chemical processes; and (6) CH{sub 4} and N{sub 2}O can be emitted by food industry waste streams. Many GHG emission mitigation options have been developed for the industrial sector. They fall into three categories: operating procedures, sector-wide technologies and process-specific technologies. A sampling of these options is discussed in Sections 7.2-7.4. The short- and medium-term potential for and cost of all classes of options are discussed in Section 7.5, barriers to the application of these options are addressed in Section 7.6 and the implication of

  7. Functional Analysis and Treatment of Multiply Controlled Inappropriate Mealtime Behavior

    Science.gov (United States)

    Bachmeyer, Melanie H.; Piazza, Cathleen C.; Fredrick, Laura D.; Reed, Gregory K.; Rivas, Kristi D.; Kadey, Heather J.

    2009-01-01

    Functional analyses identified children whose inappropriate mealtime behavior was maintained by escape and adult attention. Function-based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast,…

  8. Prescribing Patterns and Inappropriate Use of Medications in Elderly ...

    African Journals Online (AJOL)

    Prescribing Patterns and Inappropriate Use of Medications in Elderly Outpatients in a Tertiary Hospital in Nigeria. ... Tropical Journal of Pharmaceutical Research ... Purpose: To determine the prescribing patterns and occurrence of potentially inappropriate medications (PIM) among elderly outpatients visiting a tertiary ...

  9. Development of excavation technologies at the Canadian underground research laboratory

    International Nuclear Information System (INIS)

    Kuzyk, Gregory W.; Martino, Jason B.

    2008-01-01

    Several countries, Canada being among them, are developing concepts for disposal of used fuel from power generating nuclear reactors. As in underground mining operations, the disposal facilities will require excavation of many kilometres of shafts and tunnels through the host rock mass. The need to maintain the stability of excavations and safety of workers will be of paramount importance. Also, excavations required for many radioactive waste repositories will ultimately need to be backfilled and sealed to maintain stability and minimize any potential for migration of radionuclides, should they escape their disposal containers. The method used to excavate the tunnels and shafts, and the rock damage that occurs due to excavation, will greatly affect the performance characteristics of repository sealing systems. The underground rock mechanics and geotechnical engineering work performed at the Canadian Underground Research Laboratory (URL) has led to the development of excavation technologies that reduce rock damage in subsurface excavations. This paper discusses the excavation methods used to construct the URL and their application in planning for the construction of similar underground laboratories and repositories for radioactive wastes. (author)

  10. Industry

    OpenAIRE

    Schmidt-Belz, B.; Mohamad, Y.; Velasco, C.A.

    2009-01-01

    Industry plays a key role in the path towards eInclusion. While corporate social responsibility statements of leading companies confirm this, surveys show that there is still a long way to go. Among various reasons for the reluctant take-up of Design for All (DfA) by industry providing Information and Communication Technology (ICT), the lack of relevant knowledge and skills obviously plays a crucial role. Therefore, the DfA@eInclusion project has undertaken to develop curriculum guidelines an...

  11. THE IMPROVEMENT OF THE EXCAVATION METHODS IN BAUXITE DEPOSITS

    Directory of Open Access Journals (Sweden)

    Borislav Perić

    1990-12-01

    Full Text Available The underground bauxite excavation in Yugoslavia is getting more important recently due to gradual exploitation of shallow deposits. The main excavation method is sublevel caving method. That technology of exploitation is characterized by high excavation loosses reaching even to 50% due to mixing of bauxite with waste. By beds with competent limestone roof which are not liable to direct caving are formed unplanned open spaces so the work safety is often dangercd by sudden caving. That was the reason for carrying out the observations in situ and investigations on mathematical models to define boundary of excavated space stability. This investigation were the basis for the new conception of further excavation of the »Jukići-Didare« mine with the application of even three exploitation methods maximally adapted to the characteristics of the remaining part of deposit.

  12. Inappropriate urinary catheter reinsertion in hospitalized older patients.

    Science.gov (United States)

    Hu, Fang-Wen; Tsai, Chuan-Hsiu; Lin, Huey-Shyan; Chen, Ching-Huey; Chang, Chia-Ming

    2017-01-01

    We investigated the incidence and rationale for inappropriate reinsertion of urinary catheters and elucidated whether reinsertion is an independent predictor of adverse outcomes. A longitudinal study was adopted. Patients aged ≥65 years with urinary catheters placed within 24 hours of hospitalization were enrolled. Data collection, including demographic variables and health conditions, was conducted within 48 hours after admission. Patients with catheters in place were followed-up every day. If the patient had catheter reinsertion, the reinsertion information was reviewed from medical records. Adverse outcomes were collected at discharge. A total of 321 patients were enrolled. Urinary catheters were reinserted in 66 patients (20.6%), with 95 reinsertions; 49.5% of catheter reinsertions were found to be inappropriate. "No evident reason for urinary catheter use" was the most common rationale for inappropriate reinsertion. Inappropriate reinsertion was found to be a significant predictor for prolonged length of hospital stay, development of catheter-associated urinary tract infections and catheter-related complications, and decline in activities of daily living. This study indicates a considerable percentage of inappropriate urinary catheter reinsertions in hospitalized older patients. Inappropriate reinsertion was significantly associated with worsening outcomes. Efforts to improve appropriateness of reinsertion and setting clinical policies for catheterization are necessary to reduce the high rate of inappropriate reinsertion. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  13. Archaeological Excavations on the BTC Pipeline, Azerbaijan

    Directory of Open Access Journals (Sweden)

    Paul Michael Taylor

    2011-06-01

    Full Text Available The archaeology and history of the Republic of Azerbaijan is not widely known in comparison with that of its neighbours. A recent summary of work in the Caucasus (Smith and Rubinson 2003 contained no specific references to results from Azerbaijan, although the studies were directly comparable and overlapped in period and geography. The reasons for this are many, perhaps the most influential is the presentation of material from Azerbaijan being confused with southern Azerbaijan in Iran in the wider academic audience and the use of the Cyrillic alphabet for reports written in the Azeri language over the past century. The Baku-Tbilisi-Ceyhan (BTC and South Caucasus Pipelines (SCP were constructed through Azerbaijan, Georgia and Turkey during the period 2003-5. BTC was built first from the Caspian Coast to the Georgian border during 2003 and 2004, while the SCP pipeline was built from the Georgian border towards the Caspian and parallel to the BTC in 2005. To investigate and mitigate the effects of this construction, a four year archaeological fieldwork programme (2001-2005 was carried out, followed by a further six-year post-excavation programme that ended in early 2011. This article draws on this extensive archaeological project that combines both the broad corpus of material known in Azerbaijan and new techniques introduced in the Republic for the first time and used on a range of sites that are of both national and international significance.

  14. Summary of nuclear-excavation applications

    International Nuclear Information System (INIS)

    Toman, John

    1970-01-01

    Although many nuclear-excavation applications have been proposed, few have been seriously considered and none have been brought to fruition. This paper summarizes and discusses specific examples of a canal, a harbor, a highway cut and a nuclear quarry, all of which have been studied in some detail. It is believed that useful demonstration projects - such as a deep-water harbor and a nuclear quarry - can be safely accomplished with existing technology. Current assessments of the feasibility of constructing a sea-level canal in either Panama or Colombia appear to be favorable from a technical viewpoint. The concept of close spacing in row-charge designs has made it possible to greatly reduce the estimated required salvo yields for both proposed canals. Salvo yields have been reduced from 35 Mt to 13 Mt in Colombia and 11 Mt in Panama. As a result, the seismic motions predicted for large cities in these countries are similar to motions produced in populated areas in the United States by nuclear tests and earthquakes in which no real damage to residential or high-rise structures was noted. (author)

  15. 29 CFR 1926.651 - Specific excavation requirements.

    Science.gov (United States)

    2010-07-01

    ... foundation or retaining wall that could be reasonably expected to pose a hazard to employees shall not be... stability of adjoining buildings, walls, or other structures is endangered by excavation operations, support...

  16. MPED: An ISRU Bucket Ladder Excavator Demonstrator System, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed innovation is a planetary surface tool called the Multi Purpose Excavation Demonstrator (MPED), which is intended to both extract Lunar Soil to feed an...

  17. Remote Excavation of Heavily Contaminated UXO Sites. The Range Master

    National Research Council Canada - National Science Library

    Crandall, Alan L

    2007-01-01

    USA Environmental, Inc., and Timberline Environmental Services, Inc., developed the Range Master, a remote controlled scraper with an integrated power screen, to excavate and sift the top 12 inches of heavily contaminated UXO sites...

  18. Further excavations of the submerged city of Dwarka

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, S.R.

    . The present paper deals with the more significant results of further excavations in 1988 and 1989 and discussed archaeological and literary evidence for the identification of the port city of Dwaraka of the protohistoric period. It also draws attention...

  19. Impact-Actuated Digging Tool for Lunar Excavation, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Honeybee Robotics proposes to develop a vacuum compatible, impact-actuated digging tool for the excavation of frozen and compacted regolith on the lunar surface and...

  20. Telerobotic Excavator Designed to Compete in NASA's Lunabotics Mining Competition

    Science.gov (United States)

    Nash, Rodney; Santin, Cara; Yousef, Ahmed; Nguyen, Thien; Helferty, John; Pillapakkam, Shriram

    2011-01-01

    The second annual NASA Lunabotics Mining competition is to be held in May 23-28, 2011. The goal of the competition is for teams of university level students to design, build, test and compete with a fully integrated lunar excavator on a simulated lunar surface. Our team, named Lunar Solutions I, will be representing Temple University's College of Engineering in the competition. The team's main goal was to build a robot which is able to compete with other teams, and ultimately win the competition. The main challenge of the competition was to build a wireless robot that can excavate and collect a minimum of 10 kilograms of the regolith material within 15 minutes. The robot must also be designed to operate in conditions similar to those found on the lunar surface. The design of the lunar excavator is constrained by a set of requirements determined by NASA and detailed in the competition's rulebook. The excavator must have the ability to communicate with the "main base" wirelessly, and over a Wi-Fi network. Human operators are located at a remote site approximately 60 meters away from the simulated lunar surface upon which the robot must excavate the lunar regolith surface. During the competition, the robot will operate in a separate area from the control room in an area referred to as the "Lunarena." From the control room, the operators will have to control the robot using visual feedback from cameras placed both within the arena and on the robot. Using this visual feedback the human operators control the robots movement using both keyboard and joystick commands. In order to place in the competition, a minimum of 10 kg of regolith material has to be excavated, collected, and dumped into a specific location. For that reason, the robot must be provided with an effective and powerful excavation system. Our excavator uses tracks for the drive system. After performing extensive research and trade studies, we concluded that tracks would be the most effective method for

  1. Effect of ground motion from nuclear excavation: interim canal studies

    Energy Technology Data Exchange (ETDEWEB)

    King, C. Y.; Nadolski, M. E.

    1969-09-01

    The effect of ground motion due to nuclear excavation of a sea-level canal at two alternative routes, 17A and 25E, are discussed from the aspects of motion prediction and structural response. The importance of the high-rise building problem is stressed because of its complexity. Several damage criteria are summarized for advance planning of excavation and operation. The 1964 shot schedule and the latest revised schedule are included for comparison.

  2. Controlled drill ampersand blast excavation at AECL's Underground Research Laboratory

    International Nuclear Information System (INIS)

    Kuzyk, G.W.; Onagi, D.P.; Thompson, P.M.

    1996-01-01

    A controlled drill and blast method has been developed and used to excavate the Underground Research Laboratory, a geotechnical facility constructed by Atomic Energy of Canada Limited (AECL) in crystalline rock. It has been demonstrated that the method can effectively reduce the excavation disturbed zone (EDZ) and is suitable for the construction of a used fuel disposal vault in the plutonic rock of the Canadian Shield

  3. Excavated rock materials from tunnels for sprayed concrete

    OpenAIRE

    Luong, Judy Yuen Wah; Aarstad, Kari; De Weerdt, Klaartje; Bjøntegaard, Øyvind

    2017-01-01

    Sand extracted from natural resources is widely used in concrete production nowadays. The increase in demand for concrete production has resulted in shortage of natural sand resources, especially in terms of suitable materials for concrete production. At the same time, large amounts of excavated rock materials are and have been generated from tunnelling projects and discarded. Hence, there is an opportunity to use these excavated rock materials as aggregates for concrete production. The chall...

  4. NOVEL EXCAVATION TECHNOLOGIES FOR EFFICIENT AND ECONOMIC SURFACE MINING

    Energy Technology Data Exchange (ETDEWEB)

    Vladislav Kecojevic; Samuel Frimpong

    2005-05-01

    Ground excavation constitutes a significant component of production costs in any surface mining operation. The excavation process entails material digging and removal in which the equipment motion is constrained by the workspace geometry. A major excavation problem is the variability of material properties, resulting in varying mechanical energy input and stress loading of shovel dipper-and-tooth assembly across the working bench. This variability has a huge impact on the shovel dipper and tooth assembly in hard formations. With this in mind, the primary objectives of the project were to (i) provide the theoretical basis to develop the Intelligent Shovel Excavation (ISE) technology to solve the problems associated with excavation in material formations; (ii) advance knowledge and frontiers in shovel excavation through intelligent navigation; and (iii) submit proposal for the design, development and implementation of the ISE technology for shovel excavation at experimental surface mining sites. The mathematical methods were used to (i) develop shovel's kinematics and dynamics, and (ii) establish the relationship between shovel parameters and the resistive forces from the material formation during excavation process. The ADAMS simulation environment was used to develop the hydraulic and cable shovel virtual prototypes. Two numerical examples are included to test the theoretical hypotheses and the obtained results are discussed. The area of sensor technology was studied. Application of specific wrist-mounted sensors to characterize the material, bucket and frame assembly was determined. Data acquisition, display and control system for shovel loading technology was adopted. The concept of data acquisition and control system was designed and a shovel boom stresses were simulated. A multi-partner collaboration between research organizations, shovel manufacturer, hardware and sensor technology companies, and surface mining companies is proposed to test design

  5. Greenhouse Gas Emissions from Excavation on Residential Construction Sites

    OpenAIRE

    Forsythe, Perry; Ding, Grace

    2014-01-01

    Despite considerable research concerning the manifestation of greenhouse gases in the usage of buildings, little has been done concerning emissions arising from the construction process itself. This paper specifically examines emissions arising from cut and fill excavation on residential construction sites. Even though such excavation is often seen as being economical in terms of providing a flat base for concrete raft slab construction, the environmental consequences of this approach need to...

  6. Greenhouse Gas Emissions from Excavation on Residential Construction Sites

    Directory of Open Access Journals (Sweden)

    Perry Forsythe

    2014-12-01

    Full Text Available Despite considerable research concerning the manifestation of greenhouse gases in the usage of buildings, little has been done concerning emissions arising from the construction process itself. This paper specifically examines emissions arising from cut and fill excavation on residential construction sites. Even though such excavation is often seen as being economical in terms of providing a flat base for concrete raft slab construction, the environmental consequences of this approach need to be considered more fully in terms of impact on the environment. This is particularly important when steeply sloping sites are involved and for different soil types. The paper undertakes a study that quantitatively assesses the cumulative greenhouse gas emissions caused by cut and fill excavation on 52 residential projects in Australia for a range of slope and soil types. The paper presents results from the study and concludes that greenhouse gas emissions increase as site slope increases; the building footprint area (as distinct from Gross Floor Area, exposes the need to reduce the area of the building to reduce greenhouse gas emissions; excavation of rock soils creates higher emissions than other soil types; and cut and fill excavation on steeply slope sites increase emissions. Potential alternative construction includes suspended floor construction systems which involve less excavation

  7. Choroidal Excavation in Eye with Normal Tension Glaucoma

    Directory of Open Access Journals (Sweden)

    Kazunobu Asao

    2014-05-01

    Full Text Available Purpose: To report the case of an eye with normal tension glaucoma and a choroidal excavation. Methods: This is an observational case report. Results: A 59-year-old woman with normal tension glaucoma had a choroidal excavation in the left eye. Her best-corrected visual acuity and intraocular pressure were within normal limits and had been stable for 5 years. Fundus examination showed a small white lesion inferior to the macula and a nerve fiber layer defect at the inferior edge of the optic disc. Humphrey Field Analyzer (HFA showed visual field defects corresponding to the nerve fiber layer defect with C30-2, and a central scotoma superior to the macula with C10-2. Optical coherence tomography (OCT showed a 150-µm deep choroidal excavation. Disruptions of the IS/OS line were detected only in the area inferior to the choroidal excavation. During the 5 months of follow-up, her best-corrected visual acuity remained at 1.0 and the IOP ranged from 12 to 14 mm Hg in the left eye. The fundus and OCT images did not deteriorate and the choroidal excavation did not enlarge. Conclusions: The disruption of the inner/outer segment (IS/OS line was detected only at the area surrounding the choroidal excavation. OCT examinations are useful in assessing the area of the residual IS/OS line, and HFA can be used to estimate the residual central visual field.

  8. Greenhouse Gas Emissions from Excavation on Residential Construction Sites

    Directory of Open Access Journals (Sweden)

    Perry Forsythe

    2014-12-01

    Full Text Available Despite considerable research concerning the manifestation of greenhouse gases in the usage of buildings, little has been done concerning emissions arising from the construction process itself. This paper specifically examines emissions arising from cut and fill excavation on residential construction sites. Even though such excavation is often seen as being economical in terms of providing a flat base for concrete raft slab construction, the environmental consequences of this approach need to be considered more fully in terms of impact on the environment. This is particularly important when steeply sloping sites are involved and for different soil types. The paper undertakes a study that quantitatively assesses the cumulative greenhouse gas emissions caused by cut and fill excavation on 52 residential projects in Australia for a range of slope and soil types. The paper presents results from the study and concludes that greenhouse gas emissions increase as site slope increases; the building footprint area (as distinct from Gross Floor Area, exposes the need to reduce the area of the building to reduce greenhouse gas emissions; excavation of rock soils creates higher emissions than other soil types; and cut and fill excavation on steeply slope sites increase emissions. Potential alternative construction includes suspended floor construction systems which involve less excavation.

  9. Research on Trajectory Planning and Autodig of Hydraulic Excavator

    Directory of Open Access Journals (Sweden)

    Bin Zhang

    2017-01-01

    Full Text Available As the advances in computer control technology keep emerging, robotic hydraulic excavator becomes imperative. It can improve excavation accuracy and greatly reduce the operator’s labor intensity. The 12-ton backhoe bucket excavator has been utilized in this research work where this type of excavator is commonly used in engineering work. The kinematics model of operation device (boom, arm, bucket, and swing in excavator is established in both Denavit-Hartenberg coordinates for easy programming and geometric space for avoiding blind spot. The control approach is based on trajectory tracing method with displacements and velocities feedbacks. The trajectory planning and autodig program is written by Visual C++. By setting the bucket teeth’s trajectory, the program can automatically plan the velocity and acceleration of each hydraulic cylinder and motor. The results are displayed through a 3D entity simulation environment which can present real-time movements of excavator kinematics. Object-Oriented Graphics Rendering Engine and skeletal animation are used to give accurate parametric control and feedback. The simulation result shows that a stable linear autodig can be achieved. The errors between trajectory planning command and simulation model are analyzed.

  10. Discontinuing Inappropriate Medication Use in Nursing Home Residents : A Cluster Randomized Controlled Trial

    NARCIS (Netherlands)

    Wouters, Hans; Scheper, Jessica; Koning, Hedi; Brouwer, Chris; Twisk, Jos W.; van der Meer, Helene; Boersma, Froukje; Zuidema, Sytse U.; Taxis, Katja

    2017-01-01

    Background: Inappropriate prescribing is a well-known clinical problem in nursing home residents, but few interventions have focused on reducing inappropriate medication use. Objective: To examine successful discontinuation of inappropriate medication use and to improve prescribing in nursing home

  11. Discontinuing Inappropriate Medication in Nursing Home Residents (DIM-NHR study): A cluster randomized controlled trial

    NARCIS (Netherlands)

    Wouters, H.; Scheper, J.; Koning, H.; Brouwer, C.; Twisk, J.; Van Der Meer, H.; Boersma, F.; Zuidema, S.; Taxis, K.

    2017-01-01

    Introduction: Inappropriate prescribing is a prevalent problem in nursing home residents that is associated with cognitive and physical impairment. Few interventions have been shown to reduce inappropriate prescribing. The aim was therefore to examine successful discontinuation of inappropriate

  12. Inappropriate oophorectomy at time of benign premenopausal hysterectomy.

    Science.gov (United States)

    Mahal, Amandeep S; Rhoads, Kim F; Elliott, Christopher S; Sokol, Eric R

    2017-08-01

    We assessed rates of oophorectomy during benign hysterectomy around the release of the American College of Obstetricians and Gynecologists 2008 practice bulletin on prophylactic oophorectomy, and evaluated predictors of inappropriate premenopausal oophorectomy. A cross-sectional administrative database analysis was performed utilizing the California Office of Statewide Health Planning Development Patient Discharge Database for years 2005 to 2011. After identifying all premenopausal women undergoing hysterectomy for benign conditions, International Classification of Diseases (ICD)-9 diagnosis codes were reviewed to create a master list of indications for oophorectomy. We defined appropriate oophorectomy as cases with concomitant coding for ovarian cyst, breast cancer susceptibility gene carrier status, and other diagnoses. Using patient demographics and hospital characteristics to predict inappropriate oophorectomy, a logistic regression model was created. We identified 57,776 benign premenopausal hysterectomies with oophorectomies during the period studied. Of the premenopausal oophorectomies, 37.7% (21,783) were deemed "inappropriate" with no documented reason for removal. The total number of premenopausal inpatient hysterectomies with oophorectomy decreased yearly (12,227/y in 2005 to 5,930/y in 2011). However, the percentage of inappropriate oophorectomies remained stable. In multivariate analysis, Hispanic and African American ethnicity/race associated with increased odds of inappropriate oophorectomy (P Urban and at low Medi-Cal utilization hospitals showed increased odds of inappropriate oophorectomy. In premenopausal women undergoing benign hysterectomy, over one-third undergo oophorectomy without an appropriate indication documented. The rate of inappropriate oophorectomy in California has not changed since the 2008 American College of Obstetricians and Gynecologists guidelines. Whereas the absolute number of inpatient hysterectomies for benign

  13. Heart rot hotel: fungal communities in red-cockaded woodpecker excavations

    Science.gov (United States)

    Michelle A. Jusino; Daniel L. Lindner; Mark T. Banik; Jeffrey R. Walters

    2015-01-01

    Tree-cavity excavators such as woodpeckers are ecosystem engineers that have potentially complex but poorly documented associations with wood decay fungi. Fungi facilitate cavity excavation by preparing and modifying excavation sites for cavity excavators. Associations between fungi and endangered red-cockaded woodpeckers (RCWs) are particularly interesting because...

  14. Prevalence and correlates of inappropriate use of benzodiazepines in Kosovo.

    Science.gov (United States)

    Tahiri, Zejdush; Kellici, Suela; Mone, Iris; Shabani, Driton; Qazimi, Musa; Burazeri, Genc

    2017-08-01

    In post-war Kosovo, the magnitude of inappropriate use of benzodiazepines is unknown to date. The aim of this study was to assess the prevalence and correlates of continuation of intake of benzodiazepines beyond prescription (referred to as "inappropriate use") in the adult population of Gjilan region in Kosovo. A cross-sectional study was conducted in Gjilan region in 2015 including a representative sample of 780 individuals attending different pharmacies and reporting use of benzodiazepines (385 men and 395 women; age range 18-87 years; response rate: 90%). A structured questionnaire was administered to all participants inquiring about the use of benzodiazepines and socio-demographic characteristics. Overall, the prevalence of inappropriate use of benzodiazepines was 58%. In multivariable-adjusted models, inappropriate use of benzodiazepines was significantly associated with older age (OR 1.7, 95% CI 1.1-2.7), middle education (OR 1.8, 95% CI 1.2-2.7), daily use (OR 1.4, 95% CI 1.1-2.0) and addiction awareness (OR 2.7, 95% CI 2.0-3.8). Furthermore, there was evidence of a borderline relationship with rural residence (OR 1.2, 95% CI 0.9-1.7). Our study provides novel evidence about the prevalence and selected correlates of inappropriate use of benzodiazepines in Gjilan region of Kosovo. Health professionals and policymakers in Kosovo should be aware of the magnitude and determinants of drug misuse in this transitional society.

  15. ISRU System Model Tool: From Excavation to Oxygen Production

    Science.gov (United States)

    Santiago-Maldonado, Edgardo; Linne, Diane L.

    2007-01-01

    In the late 80's, conceptual designs for an in situ oxygen production plant were documented in a study by Eagle Engineering [1]. In the "Summary of Findings" of this study, it is clearly pointed out that: "reported process mass and power estimates lack a consistent basis to allow comparison." The study goes on to say: "A study to produce a set of process mass, power, and volume requirements on a consistent basis is recommended." Today, approximately twenty years later, as humans plan to return to the moon and venture beyond, the need for flexible up-to-date models of the oxygen extraction production process has become even more clear. Multiple processes for the production of oxygen from lunar regolith are being investigated by NASA, academia, and industry. Three processes that have shown technical merit are molten regolith electrolysis, hydrogen reduction, and carbothermal reduction. These processes have been selected by NASA as the basis for the development of the ISRU System Model Tool (ISMT). In working to develop up-to-date system models for these processes NASA hopes to accomplish the following: (1) help in the evaluation process to select the most cost-effective and efficient process for further prototype development, (2) identify key parameters, (3) optimize the excavation and oxygen production processes, and (4) provide estimates on energy and power requirements, mass and volume of the system, oxygen production rate, mass of regolith required, mass of consumables, and other important parameters. Also, as confidence and high fidelity is achieved with each component's model, new techniques and processes can be introduced and analyzed at a fraction of the cost of traditional hardware development and test approaches. A first generation ISRU System Model Tool has been used to provide inputs to the Lunar Architecture Team studies.

  16. Collective workload organization in confined excavation of granular media

    Science.gov (United States)

    Monaenkova, Daria; Linevich, Vadim; Goodisman, Michael A.; Goldman, Daniel I.

    2015-03-01

    Many social insects collectively construct large nests in complex substrates; such structures are often composed of narrow tunnels. The benefits of collective construction, including reduced construction costs per worker come with challenges of navigation in crowded, confined spaces. Here we study the workforce organization of groups of S. invicta fire ants creating tunnels in wet granular media. We monitor the activity levels of marked (painted) workers-defined as a number of tunnel visits over 12 hours- during initiation of tunnels. The activity levels are described by a Lorenz curve with a Gini coefficient of ~ 0 . 7 indicating that a majority of the excavation is performed by a minority of workers. We hypothesize that this workload distribution is beneficial for excavation in crowded conditions, and use a 2D cellular automata (CA) model to reproduce behaviors of the excavating ants. CA simulations reveal that tunnel construction rates decrease in groups of equally active animals compared to groups with the natural workload distribution. We use predictions of the CA model to organize collective excavation of granular material by teams of digging robots, and use the robots to test hypotheses of crowded excavation in the physical world. We acknowledge support of National Science Foundation, Physics of Living Systems division.

  17. Monitoring of Deformation in Ground Before and After Tunnel Excavation

    Science.gov (United States)

    Eren, Mehmet; Hilmi Erkoç, Muharrem

    2017-04-01

    As population increase in metropolitan city, we need transportation and transmission tunnel. In this context, the engineers and administors attach impotance to building and planning underground-tunnel. Moreover, we must at regular intervals monitoring to deformation in underground-tunnel for quality and safety. Firstly, a deformation monitoring network is designed as perpendicular to the tunnel main axis. Secondly, the prescribed number of deformation measurements must be made. Finally, the deformation analysis is evaluated and its results is interpreted. This study investigates how deformation in monitoring network during and after tunnel excavate change.For this purpose, a deformation monitoring network of 18 object point and 4 reference point was established. Object points networks was designed steeply to the tunnel main axis as 3 cross section. Each cross section consisted of 3 point left, 2 point right and 1 point at the flowing line. Initial conditional measurement was made before tunnel excavation. Then the deformation measurement was made 5 period (1 period measured after tunnel excavate). All data sets were adjusted according to free adjustment method. The results from the investigation considering the tunnel line, a symmetrical subsidence was observed. The following day of tunnel excavation, we were observed %68 per of the total deformation. At the end of the last period measurements, %99 per of the total deformation was detected. Keywords: Tunnel, Deformation, Subsidence, Excavation

  18. A novel energy recovery system for parallel hybrid hydraulic excavator.

    Science.gov (United States)

    Li, Wei; Cao, Baoyu; Zhu, Zhencai; Chen, Guoan

    2014-01-01

    Hydraulic excavator energy saving is important to relieve source shortage and protect environment. This paper mainly discusses the energy saving for the hybrid hydraulic excavator. By analyzing the excess energy of three hydraulic cylinders in the conventional hydraulic excavator, a new boom potential energy recovery system is proposed. The mathematical models of the main components including boom cylinder, hydraulic motor, and hydraulic accumulator are built. The natural frequency of the proposed energy recovery system is calculated based on the mathematical models. Meanwhile, the simulation models of the proposed system and a conventional energy recovery system are built by AMESim software. The results show that the proposed system is more effective than the conventional energy saving system. At last, the main components of the proposed energy recovery system including accumulator and hydraulic motor are analyzed for improving the energy recovery efficiency. The measures to improve the energy recovery efficiency of the proposed system are presented.

  19. Fracture development around deep underground excavations: Insights from FDEM modelling

    Directory of Open Access Journals (Sweden)

    Andrea Lisjak

    2014-12-01

    Full Text Available Over the past twenty years, there has been a growing interest in the development of numerical models that can realistically capture the progressive failure of rock masses. In particular, the investigation of damage development around underground excavations represents a key issue in several rock engineering applications, including tunnelling, mining, drilling, hydroelectric power generation, and the deep geological disposal of nuclear waste. The goal of this paper is to show the effectiveness of a hybrid finite-discrete element method (FDEM code to simulate the fracturing mechanisms associated with the excavation of underground openings in brittle rock formations. A brief review of the current state-of-the-art modelling approaches is initially provided, including the description of selecting continuum- and discontinuum-based techniques. Then, the influence of a number of factors, including mechanical and in situ stress anisotropy, as well as excavation geometry, on the simulated damage is analysed for three different geomechanical scenarios. Firstly, the fracture nucleation and growth process under isotropic rock mass conditions is simulated for a circular shaft. Secondly, the influence of mechanical anisotropy on the development of an excavation damaged zone (EDZ around a tunnel excavated in a layered rock formation is considered. Finally, the interaction mechanisms between two large caverns of an underground hydroelectric power station are investigated, with particular emphasis on the rock mass response sensitivity to the pillar width and excavation sequence. Overall, the numerical results indicate that FDEM simulations can provide unique geomechanical insights in cases where an explicit consideration of fracture and fragmentation processes is of paramount importance.

  20. Hypercalcemia, inappropriate calcitriol levels, and tuberculosis on hemodialysis.

    Science.gov (United States)

    Peces, R; Pobes, A; Díaz-Corte, C; Gago, E

    2000-08-01

    We describe a female patient undergoing hemodialysis who developed tuberculosis, hypercalcemia, and inappropriately elevated calcitriol levels. These findings suggest ectopic production of calcitriol by tuberculous granulomas. Successful treatment of tuberculosis led to a substantial decrease in the levels of calcium and calcitriol.

  1. Inappropriate prescribing of proton pump inhibitors among patients ...

    African Journals Online (AJOL)

    updating physicians on the practice guidelines, participation of a clinical pharmacist in making therapeutic decisions and modifying hospital ... inappropriate overuse of PPIs include physician type, practice setting, formulary status and ... Well-trained assistants, using a structured questionnaire, recruited the study sample.

  2. [Inappropriate prescription in older patients: the STOPP/START criteria].

    LENUS (Irish Health Repository)

    Delgado Silveira, Eva

    2009-09-01

    Older people are a heterogeneous group of patients, often with multiple comorbidities for which they are prescribed a large number of drugs, leading to an increased risk of adverse drug reactions (ADR) and drug interactions. This risk is compounded by physiological age-related changes in physiology, changes in drug pharmacokinetics and pharmacodynamics, as well as by disease-related, functional and social issues. Inappropriate prescription of drugs is common in the older individuals and contributes to the increased risk of ADR. Several tools have been developed to detect potentially inappropriate prescription, the most frequently used in Spain being Beers\\' criteria. However, the value of these criteria is limited, especially as they were developed in a different healthcare system. In this article, the Spanish version of a new tool to detect potentially inappropriate prescriptions-STOPP (Screening Tool of Older Person\\'s Prescriptions) and START (Screening Tool to Alert doctors to Right i.e. appropriate, indicated Treatment) criteria-is presented. The creation, development, reliability, and use of these criteria in routine practice is described and discussed. These criteria have shown better sensitivity than Beers\\' criteria in detecting prescription problems and have the added value of being able to detect not only inappropriate prescription of some drugs, but also the omission of well indicated drugs. The STOPP\\/START criteria could become a useful screening tool to improve prescription in older people.

  3. Inappropriate Practices in Fitness Testing and Reporting: Alternative Strategies

    Science.gov (United States)

    Zhu, Xihe; Davis, Summer; Kirk, T. Nicole; Haegele, Justin A.; Knott, Stephen E.

    2018-01-01

    Fitness education is becoming an integrated component for many physical education programs. As such, many physical educators conduct health-related fitness tests on a regular basis. Some states even mandate certain types of physical fitness tests to be administered and reported annually or by semester. Yet, inappropriate practices have been…

  4. Remote Excavation System technology evaluation report: Buried Waste Robotics Program

    Energy Technology Data Exchange (ETDEWEB)

    1993-09-01

    This document describes the results from the Remote Excavation System demonstration and testing conducted at the Idaho National Engineering Laboratory during June and July 1993. The purpose of the demonstration was to ascertain the feasibility of the system for skimming soil and removing various types of buried waste in a safe manner and within all regulatory requirements, and to compare the performances of manual and remote operation of a backhoe. The procedures and goals of the demonstration were previously defined in The Remote Excavation System Test Plan, which served as a guideline for evaluating the various components of the system and discussed the procedures used to conduct the tests.

  5. Geotechnical characterization and construction methods for SSC tunnel excavation

    International Nuclear Information System (INIS)

    Nelson, P.P.; Lundin, T.K.

    1990-06-01

    The site for the Superconducting Super Collider (SSC) facility was selected in 1988 after a nationwide proposal competition. The selected site is located in Ellis County, Texas, surrounding the town of Waxahachie which is about 30 miles (48 km) south of the City of Dallas central business district. This paper will describe the geotechnical conditions anticipated for excavation at the SSC site. A general geologic and geomechanical description of the rock present will be followed by a summary of the site-specific conceptual design for the tunneled components of the SSC machine. The Supercollider project will include about 70 miles (113) km of tunnel excavation

  6. Remote Excavation System technology evaluation report: Buried Waste Robotics Program

    International Nuclear Information System (INIS)

    1993-09-01

    This document describes the results from the Remote Excavation System demonstration and testing conducted at the Idaho National Engineering Laboratory during June and July 1993. The purpose of the demonstration was to ascertain the feasibility of the system for skimming soil and removing various types of buried waste in a safe manner and within all regulatory requirements, and to compare the performances of manual and remote operation of a backhoe. The procedures and goals of the demonstration were previously defined in The Remote Excavation System Test Plan, which served as a guideline for evaluating the various components of the system and discussed the procedures used to conduct the tests

  7. Knudsen-Like Scaling May Be Inappropriate for Gas Shales

    KAUST Repository

    Patzek, Tadeusz

    2017-10-02

    Summary We assert that a classification of gas flow regimes in shales that is widely accepted in the petroleum industry, may be inconsistent with the physics of high-pressure gas flow in capillaries. This classification follows from the 1946 work by Brown et al. (1946) that deals with the flow of gases in large industrial metal pipes, elbows and orifices under vacuum, with gas pressures of the order of 1 mm Hg or less. In another pioneering paper that year, Tsien (1946) analyzed the hypersonic flight of rockets in the thermosphere (above 50 miles of altitude), and established the widely accepted Knudsen flow regimes for the high-Reynolds, high-Mach flow of rarified gases. We show why both these papers are not quite applicable to flow of compressed gas in the hot, high-pressure shale pores with rough surfaces. In addition, it may be inappropriate to use the capillary tube metaphor to describe shale micropores or microcracks, simply because each is fed with gas by dozens or hundreds of intricately connected nanopores, which themselves may be slits rather than circular cylinders, and are charged with the dense, liquid-like gas. In the small-scale, low-velocity flows of gases, failure of the standard Navier-Stokes description (the standard Darcy law in petroleum engineering) can be quantified by the Knudsen number, ratio of the mean free path, λ, of gas molecules at the reservoir pressure and temperature to the characteristic pore radius, R. We carefully enumerate the multiple restrictive conditions that must hold for the slip-flow boundary condition to emerge. We also describe the dependence of the slip correction factor on the gas pressure and temperature, as well as the median pore size and rock roughness. In the derivation, we revisit the original approaches of Helmholtz and von Piotrowski (1860) and Maxwell, Niven (1890), which were somehow lost in the multiple translations from physics to petroleum engineering. For example, in Barnett mudrocks, naturally

  8. Demolition, construction and excavation wastes in Copenhagen. Los residuos de demolicion, construccion y excavacion en Copenhague

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, N.J.; Lauridsen, P.S.

    1994-01-01

    Demolition Waste, Construction Waste and Excavation Waste will in a modern society represent a major part of the total amount of the industrial wastes. Implementation of the Regulation for Industrial Waste in Copenhagen has resulted insignificant changes in the transportation and processing of this type of waste was typically disposed of as mixed waste on landfill sites and open dumps. Today most of this waste is sorted at the source (see figure 1) and recycled namely as secondary raw materials. This change in the disposal of construction waste etc, is due to two main factors: implementation of the regulation of commercial wastes and a significant raise in the (governmental) waste tax on specially landfilling activities. (Author)

  9. Investigation of the impact of excavation (reinforced) on the seismic ...

    African Journals Online (AJOL)

    Every year, as a result of earthquake, abundant losses may be created as result of roof motion and sliding and rupture. Under normal conditions, the ground and soils forming the ground tolerate and transfer the existing stresses and any kind of action like excavation and release of trench and applying dynamic load could ...

  10. A new bee species that excavates sandstone nests

    Science.gov (United States)

    Many wonder why animals act in seemingly injurious ways. Understanding the behavior of pollinators such as bees is especially important because of the necessary ecosystem service they provide. The new species Anthophora pueblo, discovered excavating sandstone nests, provides a model system for addre...

  11. Detecting defects in diaphragm walls prior to excavation

    NARCIS (Netherlands)

    Spruit, R.; Hopman, V.; Van Tol, A.F.; Broere, W.

    2011-01-01

    Recent incidents with leaking diaphragm walls during construction of subway lines in Amsterdam and Rotterdam (Netherlands) have led to reconsideration of the diaphragm wall as a retaining wall construction for deep excavations. In our opinion the joints between the panels are the weak spot. During

  12. Storage solutions for excavated textiles tending to their recalcitrant behaviour

    DEFF Research Database (Denmark)

    Margariti, Christina; Loukopoulou, Polytimi

    2016-01-01

    This paper discusses the selection of packaging and storage means that facilitate the preservation, protection andmanagerial needs for a group of excavated textiles where their physical and chemical properties have been unrecognisably altered as a result of the burial process (in this case minera...

  13. An Analysis of Excavation Support Safety Based on Experimental Studies

    Directory of Open Access Journals (Sweden)

    Gorska Karolina

    2015-09-01

    Full Text Available The article presents the results of inclinometric measurements and numerical analyses of soldier-pile wall displacements. The excavation under investigation was made in cohesive soils. The measurements were conducted at points located at the edge of the cantilever excavation support system. The displacements of the excavation support observed over the period of three years demonstrated the pattern of steady growth over the first two months, followed by a gradual levelling out to a final plateau. The numerical analyses were conducted based on 3D FEM models. The numerical analysis of the problem comprise calculations of the global structural safety factor depending on the displacement of the chosen points in the lagging and conducted by means of the φ/c reduction procedure. The adopted graphical method of safety estimation is very conservative in the sense that it recognizes stability loss quite early, when one could further load the medium or weaken it by further strength reduction. The values of the Msf factor are relatively high. This is caused by the fact that the structure was designed for excavation twice as deep. Nevertheless, the structure is treated as a temporary one.

  14. An Analysis of Excavation Support Safety Based on Experimental Studies

    Science.gov (United States)

    Gorska, Karolina; Wyjadłowski, Marek

    2015-09-01

    The article presents the results of inclinometric measurements and numerical analyses of soldier-pile wall displacements. The excavation under investigation was made in cohesive soils. The measurements were conducted at points located at the edge of the cantilever excavation support system. The displacements of the excavation support observed over the period of three years demonstrated the pattern of steady growth over the first two months, followed by a gradual levelling out to a final plateau. The numerical analyses were conducted based on 3D FEM models. The numerical analysis of the problem comprise calculations of the global structural safety factor depending on the displacement of the chosen points in the lagging and conducted by means of the φ/c reduction procedure. The adopted graphical method of safety estimation is very conservative in the sense that it recognizes stability loss quite early, when one could further load the medium or weaken it by further strength reduction. The values of the Msf factor are relatively high. This is caused by the fact that the structure was designed for excavation twice as deep. Nevertheless, the structure is treated as a temporary one.

  15. Excavations at Bokhira (Porbandar) on the Saurashtra coast

    Digital Repository Service at National Institute of Oceanography (India)

    Gaur, A.S.; Sundaresh; Joglekar, P.P.

    Excavations at Bokhira (Porbandar, Gujarat, India) on the Saurashtra coast revealed at Protohistoric settlement dating back to the mid 3rd millennium B.C. Four trenches were laid in agricultural land where a habitational deposit of 50 cm was noticed...

  16. A high density of ancient spliceosomal introns in oxymonad excavates

    Directory of Open Access Journals (Sweden)

    Keeling Patrick J

    2006-04-01

    Full Text Available Abstract Background Certain eukaryotic genomes, such as those of the amitochondriate parasites Giardia and Trichomonas, have very low intron densities, so low that canonical spliceosomal introns have only recently been discovered through genome sequencing. These organisms were formerly thought to be ancient eukaryotes that diverged before introns originated, or at least became common. Now however, they are thought to be members of a supergroup known as excavates, whose members generally appear to have low densities of canonical introns. Here we have used environmental expressed sequence tag (EST sequencing to identify 17 genes from the uncultivable oxymonad Streblomastix strix, to survey intron densities in this most poorly studied excavate group. Results We find that Streblomastix genes contain an unexpectedly high intron density of about 1.1 introns per gene. Moreover, over 50% of these are at positions shared between a broad spectrum of eukaryotes, suggesting theyare very ancient introns, potentially present in the last common ancestor of eukaryotes. Conclusion The Streblomastix data show that the genome of the ancestor of excavates likely contained many introns and the subsequent evolution of introns has proceeded very differently in different excavate lineages: in Streblomastix there has been much stasis while in Trichomonas and Giardia most introns have been lost.

  17. Choroidal excavation with polypoidal choroidal vasculopathy: a case report

    Directory of Open Access Journals (Sweden)

    Kobayashi W

    2012-08-01

    Full Text Available Wataru Kobayashi,1 Toshiaki Abe,2 Hiroshi Tamai,1 Toru Nakazawa11Department of Ophthalmology, 2Division of Clinical Cell Therapy, Center for Advanced Medical Research and Development (ART, Tohoku University Graduate School of Medical Science, Sendai, JapanPurpose: This is a report of a case of choroidal excavation accompanied by polypoidal choroidal vasculopathy (PCV and retinal pigment epithelium detachment (PED.Methods: A 57-year-old Japanese woman who had begun complaining of metamorphopsia in her left eye 7 months earlier underwent spectral-domain optical coherence tomography (SD-OCT, fluorescein angiography (FA, and indocyanine green angiography (IA, as well as a routine ophthalmological examination.Results: The patient’s intraocular pressure, visual acuity, and visual field were within normal range. Ophthalmoscopy revealed a serous macular detachment, soft drusen, exudates, and a reddish-orange elevated lesion in the macula of the left eye. The right eye was normal. SD-OCT revealed two lesions in the left eye. One was a PED accompanied by a notch sign, and the other was a choroidal excavation. Additionally, FA revealed a window defect in the PED, and IA showed typical PCV. Three monthly injections of antivascular endothelial growth factor preserved visual acuity, but failed to have any visible effect on the lesion during the 6-month follow up period.Conclusions: This is the first report of choroidal excavation accompanied by PED and PCV. The data suggest that choroidal excavation may be associated with various changes that have not been previously reported. Careful observation of such cases may therefore be necessary.Keywords: choroidal excavation, polypoidal choroidal vasculopathy, anti-vascular endothelial growth factor treatment

  18. Inappropriate prescribing in the older population: need for new criteria.

    LENUS (Irish Health Repository)

    O'Mahony, Denis

    2012-02-03

    Inappropriate prescribing (IP) is a common and serious global healthcare problem in elderly people, leading to increased risk of adverse drug reactions (ADRs), polypharmacy being the main risk factor for both IP and ADRs. IP in older people is highly prevalent but preventable; hence screening tools for IP have been devised, principally Beers\\' Criteria and the Inappropriate Prescribing in the Elderly Tool (IPET). Although Beers\\' Criteria have become the most widely cited IP criteria in the literature, nevertheless, they have serious deficiencies, including several drugs that are rarely prescribed nowadays, a lack of structure in the presentation of the criteria and omission of several important and common IP instances. New, more up-to-date, systems-based and easily applicable criteria are needed that can be applied in the routine clinical setting.

  19. Factors associated with inappropriate utilisation of emergency department services.

    Science.gov (United States)

    Selasawati, H G; Naing, L; Wan Aasim, W A; Winn, T; Rusli, B N

    2007-01-01

    This study was carried out to determine the associated factors and the reasons for inappropriate utilisation of Emergency Department (ED) services at Universiti Sains Malaysia Hospital. A case-control study was conducted with 170 cases from ED and 170 controls from the Outpatient Department (OPD). A self-administered questionnaire was designed and used to obtain sociodemographic data, knowledge on the functions of ED and OPD, health seeking attitude and behaviour, and reasons for seeking treatment at ED. The study found that gender, marital status, family size, shift work, perceived illness, and knowledge on the role and functions of ED and OPD were significant associated factors. The three most common reasons for inappropriate utilisation of ED were as follows: "due to severity of illness" (85%), "can't go to OPD during office hours" (42%), and "ED near my house" (27%).

  20. The syndrome of inappropriate antidiuretic hormone: prevalence, causes and consequences.

    LENUS (Irish Health Repository)

    Hannon, M J

    2010-06-01

    Hyponatraemia is the commonest electrolyte abnormality found in hospital inpatients, and is associated with a greatly increased morbidity and mortality. The syndrome of inappropriate antidiuretic hormone (SIADH) is the most frequent cause of hyponatraemia in hospital inpatients. SIADH is the clinical and biochemical manifestation of a wide range of disease processes, and every case warrants investigation of the underlying cause. In this review, we will examine the prevalence, pathophysiology, clinical characteristics and clinical consequences of hyponatraemia due to SIADH.

  1. Requests for "inappropriate" treatment based on religious beliefs.

    Science.gov (United States)

    Orr, R D; Genesen, L B

    1997-06-01

    Requests by patients or their families for treatment which the patient's physician considers to be "inappropriate" are becoming more frequent than refusals of treatment which the physician considers appropriate. Such requests are often based on the patient's religious beliefs about the attributes of God (sovereignty, omnipotence), the attributes of persons (sanctity of life), or the individual's personal relationship with God (communication, commands, etc). We present four such cases and discuss some of the basic religious tenets of the three Abrahamic faith traditions as they relate to such requests. We suggest that religious reasons for requesting "inappropriate" treatment are "special" and deserve serious consideration. We offer guidance to assist clinicians and clinical ethicists as they attempt to resolve these conflicts, emphasising the importance of understanding the religious beliefs of the patient/surrogate and suggesting the assistance of a religious interpreter. We suggest open discussion with patients and families of both the clinical situation and the theological basis for these requests. We also suggest that clinicians use additional religious doctrines or principles from patients' own traditions to balance the reasons behind the requests. We conclude that most persistent requests for "inappropriate" treatment should be honoured.

  2. A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals.

    Science.gov (United States)

    Bjørndal, L; Larsen, T; Thylstrup, A

    1997-01-01

    Concern about the survival of microorganisms in deep carious lesions may often lead to unnecessary exposure of the pulp during final excavation. There are reasons, therefore, to initiate systematic studies on the alternative procedure known as stepwise excavation. Clinical evaluation of stepwise excavation was performed on 31 deep carious lesions considered to result in pulp perforation by traditional excavation. This study examines the clinical and microbiological alterations during the final excavation performed during long intervals (6-12 months) after the initial treatment that included peripheral dentine excavation and removal of the central cariogenic biomass and the superficial necrotic dentine. The dentine colour and consistency were assessed by means of standardized scales before application of a Ca(OH)2 compound and a temporary sealing for 6-12 months. Reassessments were performed before the after final excavation. Microbiological dentine samples were obtained in 19 randomly selected lesions by a sterile bur, transferred to and diluted in reduced transport fluid, and plated on tryptic soy agar. After anaerobic incubation at 37 degrees C for 7 days, total colony-forming units per millilitre were counted from (1) peripheral excavated and hard dentine (control), (2) central demineralized dentine before and final excavation, and (3) central dentine after the final excavation. Six samples of central demineralized dentine were without any cultivable flora increasing to 9 samples after the final excavation. The clinical dentine changes occurring during stepwise excavation were characterized by enhanced hardness of the dentine which was associated with a marked reduction in bacterial growth after the final excavation. Despite the presence of bacteria in the excavated dentine none of the carious lesions resulted in pulp perforation, suggesting that the initial removal of the cariogenic biomass appears to be essential for control of caries progression. Stepwise

  3. A Review of Lunar Regolith Excavation Robotic Device Prototypes

    Science.gov (United States)

    Mueller, Robert P.; Van Susante, Paul J.

    2011-01-01

    The excavation of lunar regolith is desirable for use as a feedstock for oxygen production processes as well as civil engineering purposes and for the fabrication of parts and structures. This is known as In-Situ Resource Utilization (ISRU). More recently, there has been mounting evidence that water ice exists at the poles of the Moon, buried in the regolith where thermally stable conditions exist. This means that regolith excavation will be required to mine the water ice which is believed to be. mixed in with the regolith, or bonded to it. The mined water ice can then be electrolyzed to produce hydrogen and oxygen propellants which could form the basis of a cis-lunar transportation system using in-situ derived propellants. In 2007, the National Aeronautics & Space Administration (NASA) sponsored a Lunar Regolith Excavation Competition as part of its Centennial Challenges program, The competition was not won and it was held again in 2008 and 2009, when it was won by a university team. A $500,000 prize was awarded to the winning team by NASA. In 2010, NASA continued the competition as a spinoff of the Centennial Challenges, which is restricted to university participation only. This competition is known as the "Lunabotics Mining Competition" and is hosted by NASA at Kennedy Space Center. Twenty three American university teams competed in the 2010 Lunabotics Mining Competition. The competition was held again in May 2011 with over 60 teams registered, including international participation. The competition will be held again in May 2012 at Kennedy Space Center in Florida. . This paper contains a thorough review of the various regolith eX,cavation robotic device prototypes that competed in these NASA competitions, and will. classify the machines and their methods of excavation to document the variety of ideas that were spawned and built to compete at these events. It is hoped that documentation of these robots will serve to help future robotic excavation designers and

  4. Potentially inappropriate medications among older adults in Pelotas, Southern Brazil.

    Science.gov (United States)

    Lutz, Bárbara Heather; Miranda, Vanessa Irribarem Avena; Bertoldi, Andréa Dâmaso

    2017-06-22

    To assess the use of potentially inappropriate medications among older adults. This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease. Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications. It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List. Avaliar o uso de medicamentos potencialmente inadequados entre idosos. Estudo transversal de base populacional com 1.451 idosos com 60 anos ou mais em Pelotas, RS, em 2014. Investigou-se o uso de medicamentos nos últimos 15 dias. Utilizando os critérios de Beers (2012), verificou-se a potencial inadequação dos medicamentos e sua relação com variáveis socioeconômicas e demográficas, polifarmácia, automedicação e carga de doença. Dentre os 5.700 medicamentos utilizados, 5

  5. Fish Remains from Excavations near the Riverfront at Newcastle upon Tyne, England

    Directory of Open Access Journals (Sweden)

    Rebecca A. Nicholson

    1997-12-01

    Full Text Available The City of Newcastle, situated some 10 miles inland on the River Tyne in north-east England, is not now an important fishing port. Most of the fresh fish marketed in the city has been landed at the nearby coastal ports of North and South Shields. Excavations at two sites behind the present Quayside in Newcastle, however, have yielded quantities of fish bones, representing a wide variety of species. This is in contrast to excavations in other parts of the city, where few fish remains have been recovered, and suggests that the quayside in Newcastle was an important centre for the fishing industry during the medieval period. It seems likely that most of the fish remains represent waste from landing and processing fish on or near the quayside. Yet, when taphonomic factors are taken into account, the limitations of using even large bone assemblages to interpret processing activities is demonstrated. As always, the need for a programme of on-site sieving to obtain representative samples of fish bone is evident.

  6. A research on the excavation, support, and environment control of large scale underground space

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Pil Chong; Kwon, Kwang Soo; Jeong, So Keul [Korea Institute of Geology Mining and Materials, Taejon (Korea, Republic of)

    1995-12-01

    With the growing necessity of the underground space due to the deficiency of above-ground space, the size and shape of underground structures tend to be complex and diverse. This complexity and variety force the development of new techniques for rock mass classification, excavation and supporting of underground space, monitoring and control of underground environment. All these techniques should be applied together to make the underground space comfortable. To achieve this, efforts have been made on 5 different areas; research on the underground space design and stability analysis, research on the techniques for excavation of rock by controlled blasting, research on the development of monitoring system to forecast the rock behaviour of underground space, research on the environment inspection system in closed space, and research on dynamic analysis of the airflow and environmental control in the large geos-spaces. The 5 main achievements are improvement of the existing structure analysis program(EXCRACK) to consider the deformation and failure characteristics of rock joints, development of new blasting design (SK-cut), prediction of ground vibration through the newly proposed wave propagation equation, development and In-Situ application of rock mass deformation monitoring system and data acquisition software, and trial manufacture of the environment inspection system in closed space. Should these techniques be applied to the development of underground space, prevention of industrial disaster, cut down of construction cost, domestication of monitoring system, improvement of tunnel stability, curtailment of royalty, upgrade of domestic technologies will be brought forth. (Abstract Truncated)

  7. End effectors and attachments for buried waste excavation equipment

    Energy Technology Data Exchange (ETDEWEB)

    King, R.H.

    1993-09-01

    The Buried Waste Integrated Demonstration (BWID) supports the applied research, development, demonstration, and evaluation of a suite of advanced technologies that form a comprehensive remediation system for the effective and efficient remediation of buried waste. Their efforts are identified and coordinated in support of the U.S. Department of Energy (DOE), Environmental Restoration and Waste Management (ER&WM) Department`s needs and objectives. The present focus of BWID is to support retrieval and ex-situ treatment configuration options. Future activities will explore and support containment, and stabilization efforts in addition to the retrieval/ex situ treatment options. This report presents a literature search on the state-of-the-art in end effectors and attachments in support of excavator of buried transuranic waste. Included in the report are excavator platforms and a discussion of the various attachments. Also included is it list of vendors and specifications.

  8. End effectors and attachments for buried waste excavation equipment

    International Nuclear Information System (INIS)

    King, R.H.

    1993-09-01

    The Buried Waste Integrated Demonstration (BWID) supports the applied research, development, demonstration, and evaluation of a suite of advanced technologies that form a comprehensive remediation system for the effective and efficient remediation of buried waste. Their efforts are identified and coordinated in support of the U.S. Department of Energy (DOE), Environmental Restoration and Waste Management (ER ampersand WM) Department's needs and objectives. The present focus of BWID is to support retrieval and ex-situ treatment configuration options. Future activities will explore and support containment, and stabilization efforts in addition to the retrieval/ex situ treatment options. This report presents a literature search on the state-of-the-art in end effectors and attachments in support of excavator of buried transuranic waste. Included in the report are excavator platforms and a discussion of the various attachments. Also included is it list of vendors and specifications

  9. Chip shape and secondary fragmentation through TBM excavation

    International Nuclear Information System (INIS)

    Tsusaka, Kimikazu; Tanimoto, Chikaosa; Ueno, Takaaki; Koizumi, Yu; Nakane, Tatsuto

    2008-01-01

    The chips through TBM tunneling are well-known for one of useful indices to reflect the geological conditions. The flat and elongated chips whose width are equal to the spacing of cutter trace indicate the cutting face with less joints and good practice of TBM excavation with less secondary fragmentation rate. Through a case history in granitic rock, the authors proposed the new index, which is the ratio of length of major axis to thickness. Also the authors studied the relationship between the index and the excavation efficiencies. In conclusion, it was clarified that chips with the new index over 3.5 were generally observed when a TBM drove with less than 30% the secondary fragmentation rate. (author)

  10. Interaction between groundwater and TBM (Tunnel Boring Machine) excavated tunnels

    OpenAIRE

    Font Capó, Jordi

    2012-01-01

    A number of problems, e.g. sudden inflows are encountered during tunneling under the piezometric level, especially when the excavation crosses high transmissivity areas. These inflows may drag materials when the tunnel crosses low competent layers, resulting in subsidence, chimney formation and collapses. Moreover, inflows can lead to a decrease in head level because of aquifer drainage. Tunnels can be drilled by a tunnel boring machine (TBM) to minimize inflows and groundwater impacts, restr...

  11. Excavating back top pillar using the method of mining in level after filling with layers

    International Nuclear Information System (INIS)

    Zhou Yousheng

    2010-01-01

    According to reviewing some uranium mine adopt the metheds of tracking lever, subarea, artificial brace with concrete pillar, deep hole blasting and truncating boost in excavating top pillar using the method of mining in level after filling with layers and commentating preliminarily. analysis that major influencing factor of selecting the methed of excavating top pillar. Put forward the emphasis include safety, depletion, loss, reasonable sequence, design requirements which is ought to be thought over in excavating top pillar. Practice show that we can make good using of resources and ensure the safety of excavating when we adopt reasonable and effective excavating metheds. (authors)

  12. Lunar Excavation Experiments in Simulant Soil Test Beds-Revisiting the Surveyor Geotechnical Data

    Science.gov (United States)

    Agui, Juan H.; Wilkinson, R. Allen

    2012-01-01

    (1) Establishing ISRU technologies on planetary bodies is an important long-term goal of NASA; (2) Excavation is a key component of these ISRU processes; (3) Lack of flight data relevant to lunar excavation; (4) Existing models of the excavation-cutting phenomenon give varying results; (5) The lack of predictive models of the dynamic behavior of soils in excavation implements is a major driver for these studies; and (6) Objective: Need to develop robust models of excavation cutting phenomena that generate predictive capabilities to aid the designer and engineer.

  13. EXCAVATOR: detecting copy number variants from whole-exome sequencing data.

    Science.gov (United States)

    Magi, Alberto; Tattini, Lorenzo; Cifola, Ingrid; D'Aurizio, Romina; Benelli, Matteo; Mangano, Eleonora; Battaglia, Cristina; Bonora, Elena; Kurg, Ants; Seri, Marco; Magini, Pamela; Giusti, Betti; Romeo, Giovanni; Pippucci, Tommaso; De Bellis, Gianluca; Abbate, Rosanna; Gensini, Gian Franco

    2013-01-01

    We developed a novel software tool, EXCAVATOR, for the detection of copy number variants (CNVs) from whole-exome sequencing data. EXCAVATOR combines a three-step normalization procedure with a novel heterogeneous hidden Markov model algorithm and a calling method that classifies genomic regions into five copy number states. We validate EXCAVATOR on three datasets and compare the results with three other methods. These analyses show that EXCAVATOR outperforms the other methods and is therefore a valuable tool for the investigation of CNVs in largescale projects, as well as in clinical research and diagnostics. EXCAVATOR is freely available at http://sourceforge.net/projects/excavatortool/.

  14. Cost analysis of inappropriate treatments for suspected dermatomycoses

    Directory of Open Access Journals (Sweden)

    Emanuela Fiammenghi

    2015-06-01

    Full Text Available Superficial mycoses are estimated to affect more than 20-25% of the world’s population with a consistent increase over the years. Most patients referred to our clinic for suspected dermatomycoses have already been treated with pharmacotherapy, without a previous mycological examination and many show changes in the clinical manifestations. Indeed, some medications, such as steroids, antiviral, antibiotics and antihistamines are not able to erase a fungal infection, but also they can cause atypical clinical manifestations. The consequences of inappropriate treatment include delayed diagnosis, prolonged healing time, and additional costs. The aims of this study were (1 to evaluate the incidence of increased costs attributable to inappropriate therapy sustained by the National Health Service and patients and (2 to highlight the importance of mycological evaluation before starting treatment, in order to improve diagnostic accuracy. An observational retrospective and prospective study was performed from September 2013 to February 2014, in 765 patients referred to our center (University Hospital “ Federico II” in Naples, Italy, for suspected mycological infection. The following treatments (alone or in combination were defined as inappropriate: (1 cortisone in a patient with at least one positive site; (2 antifungals in (a patients with all negative sites or (b ineffective antifungal treatment (in terms of drug chosen, dose or duration in those with all positive sites; or (3 antibiotics; (4 antivirals or (5 antihistamines, in patients with ≥ 1 positive site. Five hundred and fifty patients were using medications before the assessment visit. The total amount of avoidable costs related to inappropriate previous treatments was € 121,417, representing 74% of the total treatment costs. 253/550 patients received drugs also after the visit. For these patients, the cost of treatment prescribed after mycological testing was € 42,952, with a decrease

  15. Medically Inappropriate or Futile Treatment: Deliberation and Justification 1

    Science.gov (United States)

    Misak, Cheryl J.; White, Douglas B.; Truog, Robert D.

    2016-01-01

    This paper reframes the futility debate, moving away from the question “Who decides when to end what is considered to be a medically inappropriate or futile treatment?” and toward the question “How can society make policy that will best account for the multitude of values and conflicts involved in such decision-making?” It offers a pragmatist moral epistemology that provides us with (1) a clear justification of why it is important to take best standards, norms, and physician judgment seriously and (2) a clear justification of why ample opportunity must be made for patients, families, and society to challenge those standards and norms. PMID:26681796

  16. Mortality in enterococcal bloodstream infections increases with inappropriate antimicrobial therapy

    DEFF Research Database (Denmark)

    Suppli, M.; Aabenhus, R.; Harboe, Z.B.

    2010-01-01

    Enterococcus species are common in nosocomial bloodstream infections and their incidence is rising. Although well recognized in several serious bacterial infections, the influence of appropriate antimicrobial therapy in enterococcal bacteraemia has not been fully settled. The aim of the study.......7-10), thrombocytopenia (3.9, 1.6-9.3), chronic liver failure (3.3, 1.1-10) and age >/=60 years (2.2, 0.99-5.0). Antibiotics not appropriately covering enterococci are frequently administered empirically in suspected bloodstream infections. Inappropriate antibiotic therapy was an independent risk factor for mortality...

  17. Quetiapine-Induced Syndrome of Inappropriate Secretion of Antidiuretic Hormone

    Directory of Open Access Journals (Sweden)

    Theocharis Koufakis

    2016-01-01

    Full Text Available The syndrome of inappropriate secretion of antidiuretic hormone (SIADH can be induced by various conditions, including malignant neoplasms, infections, central nervous system disorders, and numerous drugs. We here report a case of a 65-year-old female patient, treated with quetiapine for schizophrenia, who presented with generalized tonic-clonic seizures and was finally diagnosed with quetiapine-induced SIADH. Quetiapine-associated hyponatremia is extremely uncommon and only a few, relevant reports can be found in the literature. This case underlines the fact that patients on antipsychotic medication and more specifically on quetiapine should be closely monitored and routinely tested for electrolyte disorders.

  18. Diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone

    DEFF Research Database (Denmark)

    Holm, Ellen Astrid; Bie, Peter; Ottesen, Michael

    2009-01-01

    BACKGROUND: Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH...... peptide (P = 0.007), elevated mean arterial blood pressure (P = 0.03), and lower plasma levels of creatinine (P = 0.002) compared to the controls. CONCLUSION: A spot urine sample seems to be sufficient to confirm the diagnosis of SIADH....

  19. Silica exposure to excavation workers during the excavation of a low level radiological waste pit and tritium disposal shafts

    International Nuclear Information System (INIS)

    Wilson, K.M.

    1995-01-01

    This study evaluated the task-length average (TLA) respirable dust and respirable silica airborne concentrations to which construction workers excavating volcanic tuff at Los Alamos National Laboratory (LANL) were exposed. These workers were excavating a low level radiological waste disposal pit of final dimensions 720 feet long, 132 feet wide and 60 feet deep. The objectives of this study were as follows: (1) evaluate exposures; (2) determine if the type of machinery used affects the respirable dust concentration in the breathing zone of the worker; (3) evaluate the efficacy of wetting the pit to reduce the respirable dust exposure; and (4) determine if exposure increases with increasing depth of pit due to the walls of the pit blocking the cross wind ventilation

  20. Real-Time Clinical Decision Support Decreases Inappropriate Plasma Transfusion.

    Science.gov (United States)

    Shah, Neil; Baker, Steven A; Spain, David; Shieh, Lisa; Shepard, John; Hadhazy, Eric; Maggio, Paul; Goodnough, Lawrence T

    2017-08-01

    To curtail inappropriate plasma transfusions, we instituted clinical decision support as an alert upon order entry if the patient's recent international normalized ratio (INR) was 1.7 or less. The alert was suppressed for massive transfusion and within operative or apheresis settings. The plasma order was automatically removed upon alert acceptance while clinical exception reasons allowed for continued transfusion. Alert impact was studied comparing a 7-month control period with a 4-month intervention period. Monthly plasma utilization decreased 17.4%, from a mean ± SD of 3.40 ± 0.48 to 2.82 ± 0.6 plasma units per hundred patient days (95% confidence interval [CI] of difference, -0.1 to 1.3). Plasma transfused below an INR of 1.7 or less decreased from 47.6% to 41.6% (P = .0002; odds ratio, 0.78; 95% CI, 0.69-0.89). The alert recommendation was accepted 33% of the time while clinical exceptions were chosen in the remaining cases (active bleeding, 31%; other clinical indication, 33%; and apheresis, 2%). Alert acceptance rate varied significantly among different provider specialties. Clinical decision support can help curtail inappropriate plasma use but needs to be part of a comprehensive strategy including audit and feedback for comprehensive, long-term changes. © American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  1. [Prevalence of potentially inappropriate drug prescription in the elderly].

    Science.gov (United States)

    Fajreldines, A; Insua, J; Schnitzler, E

    2016-01-01

    One of the causes of preventable adverse drug events (ADES) in older patients constitutes inappropriate prescription of drugs (PIM). The PIM is where risks exceed the clinical benefit. Several instruments can be use to measure this problem, the most used are: a) Beers criteria; b) Screening tool to Older People Potentially inappropriate Prescription (STOPP); c) Screening tool to Alert Doctors to Right Appropriate indicated Treatments (START); d) The Medication Appropriateness Index (MAI). This study aims to assess the prevalence of PIM, in a population of older adults in three clinical scopes of university hospital. cross sectional study of 300 cases from a random sample of fields: hospitalization (n=100), ambulatory (n=100) and emergency (n=100), all patients over 65 years old or more who where treated at our hospital. 1355 prescription drugs were analized, finding patients hospitalized (PIM) of 57.7%, 55%, 26%, and 80% according to Beers, in ambulatory 36%, 36.5%, 5% and 52% with the same tools and in emergency 35%, 35%, 6% y 52% with the same tools. Was found significant association the PIM with polipharmacy with Beers, STOPP and MAI. results can be compare to world literature (26-80% vs 11-73.1%). The STOPP-START used in an integrated manner would be best estimating the problem of PIM. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Rates of inappropriate antiretroviral prescription among injection drug users

    Directory of Open Access Journals (Sweden)

    Bonner Simon

    2007-01-01

    Full Text Available Abstract Background Although the survival benefits of antiretroviral therapy (ART for the treatment of HIV infection are well established, the clinical management of HIV disease continues to present major challenges. There are particular concerns regarding access to appropriate HIV treatment among HIV-infected injection drug users (IDU. Methods In a prospective cohort study of HIV-infected IDU in Vancouver, Canada, we examined initial ART regimens vis-à-vis the provincial government's therapeutic guidelines at the time ART was initiated. Briefly, there have been four sets of guidelines: Era 1 (1992 to November 1995; double-drug (dual NRTIs ART for patients with a CD4 cell count of 350 or less; Era 2 (December 1995 to May 1996; double-drug therapy for patients with a CD4+ cell count of 500 or less; Era 3 (June 1996 to June 1997; triple-drug therapy (dual NRTIs with a PI or NNRTI for patients who had a plasma viral load of > 100,000 HIV-1 RNA copies/mL; dual therapy with two NRTIs for those with a plasma viral load of 5,000 to 100,000 HIV-1 RNA copies/mL; Era 4 (since July 1997; universal use of triple drug therapy as first-line treatment. Results Between May 1996 and May 2003, 431 HIV-infected individuals were enrolled into the cohort. By May 31, 2003, 291 (67.5% individuals had initiated ART. We noted instances of inappropriate antiretroviral prescription in each guideline era, with 9 (53% in Era 1, 3 (12% in Era 2, 22 (28% in Era 3, and 23 (15% in Era 4. Of the 57 subjects who received an inappropriate ART regimen initially, 14 never received the appropriate therapy; among the remaining 43, the median time to the initiation of a guideline-appropriate ART regimen was 12 months (inter-quartile range 5 – 20. Conclusion The present study identified measurable rates of guideline-inappropriate ART prescription for patients who were injection drug users. Rates were highest in the era of dual therapy, although high rates persisted into the triple

  3. Development of a teleoperated backhoe for buried waste excavation

    International Nuclear Information System (INIS)

    Burks, B.L.; Killough, S.M.; Thompson, D.H.

    1992-01-01

    For nearly five decades the United States (US) Department of Energy (DOE) and its predecessor agencies have engaged in broad-based research and development activities as well as nuclear weapons component production. As a by-product of these activities, large quantities of waste materials have been granted. One of the most common approaches used for solid waste storage was to bury waste containers in pits and trenches. With the current emphasis on environmental restoration, DOE now plans to either retrieve much of the legacy of buried waste or stabilize the waste in place via in situ vitrification or other means. Because of the variety of materials that have been buried over the years, the hazards of retrieval are significant if performed using conventional manned operations. The potential hazards, in addition to radiation exposure, include pyrophorics, toxic chemicals, and explosives. Although manifests exist for much of the buried waste, these records are often incomplete compared to today's requirements. Because of the potential hazards and uncertainty about waste contents and container integrity, it is highly desirable to excavate these wastes using remotely operated equipment. In this paper the authors describe the development of a teleoperated military tractor called the Small Emplacement Excavator (SEE). Development of the SEE is being funded jointly by both DOE and the US Army. The DOE sponsor is the Office of Technology Development (OTD) Robotics Program. The US Army sponsor is the Program Manager for Ammunition Logistics, Picatinny Arsenal. The primary interest for DOE is in the application to remote excavation of buried waste, while the primary emphasis for the US Army is in the remote retrieval of unexploded ordnance. Technical requirements for these two tasks are very similar and, therefore, justify a joint development project. 1 ref

  4. 118-B-1 burial ground excavation treatability test report

    International Nuclear Information System (INIS)

    1995-08-01

    This treatability investigation focused on the feasibility of excavating, analytical screening, and handling waste materials from the 118-B-1 Burial Ground located in the 100 B/C Area of the Hanford Site. The 118-B-1 Burial Ground consists of approximately 24 trenches on a 7-acre parcel. Solid low-level radioactive wastes and other debris and trash associated with reactor operations were disposed in 28 burial grounds in the 100 Area between 1944 and 1973. The majority of waste generated from routine reactor operations was placed in seven primary burial grounds, including 118-B-1. The 118-B-1 Burial Ground was selected as the location to perform this treatability test based on the availability of historical data for this site, and because it was thought to be representative of other primary-use burial grounds in the 100 Area. Geophysical surveys were conducted over the burial ground to map the concentrations of waste and aid in the selection of test pit excavation locations. The test plan developed for this study integrated the Streamlined Approach for Environmental Restoration (SAFER), a US Department of Energy (DOE) initiative based on both the Data Quality Objective (DQO) process and the observational approach. This treatability test is the first one at the Hanford Site to use the SAFER approach. The purpose of this study was (1) to support development of the Proposed Plan and Record of Decision, which would identify the approach to be used for burial ground remediation and (2) to provide specific engineering information for receiving waste generated from the 100 Area removal actions. The results of the treatability test can be used to determine the feasibility of performing excavation, analytical screening, and handling of burial ground materials from similar burial grounds

  5. Logs of Paleoseismic Excavations Across the Central Range Fault, Trinidad

    Science.gov (United States)

    Crosby, Christopher J.; Prentice, Carol S.; Weber, John; Ragona, Daniel

    2009-01-01

    This publication makes available maps and trench logs associated with studies of the Central Range Fault, part of the South American-Caribbean plate boundary in Trinidad. Our studies were conducted in 2001 and 2002. We mapped geomorphic features indicative of active faulting along the right-lateral, Central Range Fault, part of the South American-Caribbean plate boundary in Trinidad. We excavated trenches at two sites, the Samlalsingh and Tabaquite sites. At the Samlalsingh site, sediments deposited after the most recent fault movement bury the fault, and the exact location of the fault was unknown until we exposed it in our excavations. At this site, we excavated a total of eleven trenches, six of which exposed the fault. The trenches exposed fluvial sediments deposited over a strath terrace developed on Miocene bedrock units. We cleaned the walls of the excavations, gridded the walls with either 1 m X 1 m or 1 m X 0.5 m nail and string grid, and logged the walls in detail at a scale of 1:20. Additionally, we described the different sedimentary units in the field, incorporating these descriptions into our trench logs. We mapped the locations of the trenches using a tape and compass. Our field logs were scanned, and unit contacts were traced in Adobe Illustrator. The final drafted logs of all the trenches are presented here, along with photographs showing important relations among faults and Holocene sedimentary deposits. Logs of south walls were reversed in Illustrator, so that all logs are drafted with the view direction to the north. We collected samples of various materials exposed in the trench walls, including charcoal samples for radiocarbon dating from both faulted and unfaulted deposits. The locations of all samples collected are shown on the logs. The ages of seventeen of the charcoal samples submitted for radiocarbon analysis at the University of Arizona Accelerator Mass Spectrometry Laboratory in Tucson, Ariz., are given in Table 1. Samples found in

  6. Storage solutions for excavated textiles tending to their recalcitrant behaviour

    DEFF Research Database (Denmark)

    Margariti, Christina; Loukopoulou, Polytimi

    2016-01-01

    This paper discusses the selection of packaging and storage means that facilitate the preservation, protection andmanagerial needs for a group of excavated textiles where their physical and chemical properties have been unrecognisably altered as a result of the burial process (in this case......, the system selected and the materials used. The box-in-box method was selected for better controlling environmental parameters. The textiles were systematically organised in a way that they are stable and readily accessible withminimum handling. Thematerials used included open and close-cell polyethylene...

  7. Potentially inappropriate prescriptions in patients admitted to a psychiatric hospital

    DEFF Research Database (Denmark)

    Soerensen, Ann Lykkegaard; Nielsen, Lars Peter; Poulsen, Birgitte Klindt

    2016-01-01

    Background Very little is known about the general appropriateness of prescribing for psychiatric patients. Aims To identify prevalence and types of potentially inappropriate prescribing (PIP) of psychotropic and somatic medications, to assess the severity of potential clinical consequences...... and to identify possible predictive factors of PIP in a sample of adult psychiatric in-patients. Methods A descriptive, cross-sectional design using medication reviews by clinical pharmacologists to identify PIP during a 3-month period. The setting was in-patient units in a psychiatric department of a Danish...... the most frequent PIP. Predictive factors for PIP were polypharmacy (>5 prescriptions) and having one or more somatic diagnoses. Conclusion PIP is common in psychiatric patients and potentially fatal. Particularly polypharmacy (>5 prescriptions) and concomitant somatic illness were associated...

  8. Inappropriate sexual behaviour experienced by speech-language therapists.

    Science.gov (United States)

    Williams, T H; de Seriere, J; Boddington, L

    1999-01-01

    Inappropriate sexual behaviour by clients or patients of health professionals has been noted as a considerable problem in a number of professions. Similarly, sexual harassment by colleagues or employers has been identified as causing stress and harm. The primary objective of this study was to investigate the experience of speech-language therapists in New Zealand of inappropriate sexual behaviour (ISB) by colleagues, clients, and care givers of clients. A questionnaire developed by McComas and colleagues to investigate ISB directed by patients at physical therapists in Canada was adapted to meet the broader requirements of this study. This questionnaire was sent to all members of the New Zealand Speech-Language Therapists' Association and to current third- and fourth-year students in the Bachelor of Speech and Language Therapy degree programme in 1994. The overall return rate was 70%. A large number of respondents (81%) reported experiencing some level of ISB. The number of incidents of ISB from clients and colleagues was identified with equal frequency; care givers less frequently. Fewer students than qualified therapists reported ISB as sexual harassment. ISB affects work performance (e.g. absenteeism) and causes psychological reactions (e.g. stress). A majority of respondents reported being satisfied with how they handled ISB but considered there would be value in having training for both qualified and student therapists in managing such behaviour. Conclusions drawn from the study are that colleagues as well as clients are a serious source of ISB for qualified and student speech-language therapists; that negative effects in this group are similar to those in other professions; that speech-language therapists experience less ISB from clients than some other professions; and that, despite legal steps to curb sexual harassment, it continues to be an issue that requires local administrative and educative attention.

  9. Syndrome of inappropriately low-pressure acute hydrocephalus (SILPAH).

    Science.gov (United States)

    Hamilton, Mark G; Price, Angel V

    2012-01-01

    Most patients with acute hydrocephalus have ventriculomegaly and high intracranial pressure (ICP). However, there is a subset of patients who are symptomatic with acute ventriculomegaly and inappropriately low ICP. Two patient groups were defined. Each patient presented with clinical deterioration that included a significant decrease in level of consciousness with new and significant ventriculomegaly. Patients in group 1 (n = 10) were managed without endoscopic third ventriculostomy (ETV). Group 2 was a series of patients (n = 10) managed with ETV. Treatment for both groups involved insertion of an external ventricular drain (EVD) with ICP <5 cmH(2)O. Further treatment consisted of either neck wrapping with a tensor bandage and/or lowering the EVD to negative levels to facilitate drainage of cerebrospinal fluid (CSF), which resulted in clinical improvement and resolution of ventriculomegaly. All 20 patients had anatomical obstruction to CSF flow into the subarachnoid space (SAS) confirmed by magnetic resonance imaging (MRI) with cine MRI studies. Group 1 patients were treated until shunt revision/insertion was possible (n = 7), ICP normalized, and the EVD could be removed (n = 2), or death (n = 1) occurred. Patients in group 2 all underwent ETV, and ICP patterns normalized in all. Group 2 patients were managed with an EVD until shunt revision/insertion was required (n = 2), ICP normalized and the EVD could be removed (n = 7), or death (n = 1) occurred. The syndrome of inappropriately low-pressure acute hydrocephalus (SILPAH) is an important entity in both children and adults. A possible hypothesis invokes loss of an effective SAS. ETV reestablishes communication between the SAS and ventricles, producing a rapid return of normal ICP dynamics and a significant decrease in the number of shunt-dependent patients.

  10. From Excavations to Web: a GIS for Archaeology

    Science.gov (United States)

    D'Urso, M. G.; Corsi, E.; Nemeti, S.; Germani, M.

    2017-05-01

    The study and the protection of Cultural Heritage in recent years have undergone a revolution about the search tools and the reference disciplines. The technological approach to the problem of the collection, organization and publication of archaeological data using GIS software has completely changed the essence of the traditional methods of investigation, paving the way to the development of several application areas, up to the Cultural Resource Management. A relatively recent specific sector of development for archaeological GIS development sector is dedicated to the intra - site analyses aimed to recording, processing and display information obtained during the excavations. The case - study of the archaeological site located in the south - east of San Pietro Vetere plateau in Aquino, in the Southern Lazio, is concerned with the illustration of a procedure describing the complete digital workflow relative to an intra-site analysis of an archaeological dig. The GIS project implementation and its publication on the web, thanks to several softwares, particularly the FOSS (Free Open Source Software) Quantum - GIS, are an opportunity to reflect on the strengths and the critical nature of this particular application of the GIS technology. For future developments in research it is of fundamental importance the identification of a digital protocol for processing of excavations (from the acquisition, cataloguing, up data insertion), also on account of a possible future Open Project on medieval Aquino.

  11. Shaft Boring Machine: A method of mechanized vertical shaft excavation

    International Nuclear Information System (INIS)

    Goodell, T.M.

    1991-01-01

    The Shaft Boring Machine (SBM) is a vertical application of proven rock boring technology. The machine applies a rotating cutter wheel with disk cutters for shaft excavation. The wheel is thrust against the rock by hydraulic cylinders and slews about the shaft bottom as it rotates. Cuttings are removed by a clam shell device similar to conventional shaft mucking and the muck is hoisted by buckets. The entire machine moves down (and up) the shaft through the use of a system of grippers thrust against the shaft wall. These grippers and their associated cylinders also provide the means to maintain verticality and stability of the machine. The machine applies the same principles as tunnel boring machines but in a vertical mode. Other shaft construction activities such as rock bolting, utility installation and shaft concrete lining can be accomplished concurrent with shaft boring. The method is comparable in cost to conventional sinking to a depth of about 460 meters (1500 feet) beyond which the SBM has a clear host advantage. The SBM has a greater advantage in productivity in that it can excavate significantly faster than drill and blast methods

  12. Evaluation of bending moment and deflection of cantilever supported excavations

    Directory of Open Access Journals (Sweden)

    Seyed Hamid Yasrebi

    2017-11-01

    Full Text Available In many conditions, because of several restrictions, cantilever walls are the only way to stabilize the excavations. It is no doubt that one of the most important parameters in design of such walls is wall stiffness. Therefore, in this study, a large number of case histories are collected and the most commonly used range of wall thickness and stiffness are determined based on this database. In addition, validation of limit equilibrium method (LEM in granular soils showed that this method can only estimate bending moment of rigid walls. Therefore, for more accurate estimating, a new equation is presented for the most commonly used range of wall stiffness and various types of granular soils. Moreover, LEM based equation is replaced with a modified version. The new equation was successfully validated using 70 numerical models and results lied in range of 85% to 115% times the predicted values obtained from FEM. According to the results, in loose and very loose soils, the common cantilever walls can only stabilize the excavations with depth less than 10 m. While if depth is more than 15 m, soil type should be dense or very dense with “E” more than about 70 MPa. The results also show that the effect of wall stiffness is negligible in bending moments less than 2000 kN.m.

  13. Excavation responses in underground repositories in salt formations

    International Nuclear Information System (INIS)

    Langer, M.; Pahl, A.; Wallner, M.

    1989-01-01

    The paper describes the work of the planning and construction of underground repositories for radioactive wastes in rock salt. The geotechnical stability analysis is a critical part of the safety assessment. Engineering-geological study of the site, laboratory and in-situ experiments, geomechanical modeling, and numerical static calculations comprise such an analysis. With regard to excavation responses the principle features of the rheological processes in rock salt are plasticity, creep and fracturing. Treatment of these features involves geotechnical measurements (laboratory and in-situ), theoretical investigations (continuum mechanics), and microphysical considerations (e. g. dislocations, grain structure). A knowledge of the thermo-mechanical behavior of rock salt is an essential part of any assessment of the stability of underground openings for waste disposal purposes. The integrity of the geological barrier can be assessed only by making calculations with validated geomechanical and hydrogeological models. The proper idealization of the host rock in a computational model is the basis of realistic calculations of thermal-stress distribution and excavation damage. Some results of these calculations for the preliminary repository design of the Gorleben site and the ASSE II research mine are given

  14. FROM EXCAVATIONS TO WEB: A GIS FOR ARCHAEOLOGY

    Directory of Open Access Journals (Sweden)

    M. G. D'Urso

    2017-05-01

    Full Text Available The study and the protection of Cultural Heritage in recent years have undergone a revolution about the search tools and the reference disciplines. The technological approach to the problem of the collection, organization and publication of archaeological data using GIS software has completely changed the essence of the traditional methods of investigation, paving the way to the development of several application areas, up to the Cultural Resource Management. A relatively recent specific sector of development for archaeological GIS development sector is dedicated to the intra - site analyses aimed to recording, processing and display information obtained during the excavations. The case - study of the archaeological site located in the south - east of San Pietro Vetere plateau in Aquino, in the Southern Lazio, is concerned with the illustration of a procedure describing the complete digital workflow relative to an intra-site analysis of an archaeological dig. The GIS project implementation and its publication on the web, thanks to several softwares, particularly the FOSS (Free Open Source Software Quantum - GIS, are an opportunity to reflect on the strengths and the critical nature of this particular application of the GIS technology. For future developments in research it is of fundamental importance the identification of a digital protocol for processing of excavations (from the acquisition, cataloguing, up data insertion, also on account of a possible future Open Project on medieval Aquino.

  15. Evaluation of excavation experience: Pierre shale. Final report

    International Nuclear Information System (INIS)

    Abel, J.F. Jr.; Gentry, D.W.

    1975-01-01

    Pierre shale and its stratigraphic equivalents represent a potentially favorable geologic environment for underground storage of hazardous waste products. These rock formations cover great areal and vertical extents, and represent some of the least permeable rock formations within the continental United States. There are, however, several engineering problems associated with constructing underground openings in Pierre shale. This formation is relatively weak and tends to deteriorate rather rapidly if not protected from the mine environment. It will be necessary to place all underground openings below the surficially weathered upper 50 to 70 feet of Pierre shale which contains groundwater moving on fracture permeability. The optimum site for disposal of hazardous waste in Pierre shale, or its stratigraphic equivalents, would be a seismically stable platform bounded on all sides by faults. The optimum size of individual openings would be the minimum necessary for access, storage, and retrieval of waste components. Underground excavations in Pierre shale must be made with care, must be of limited dimensions, must be widely spaced, must be protected from prolonged contact with the mine environment, must be supported immediately after excavation, and must be sited to avoid areas of faulting and(or) intense jointing. Underground openings constructed with boring machines and supported with wet shotcrete are recommended

  16. Discrete element analysis of the excavation effect of cross-river tunnel on the surroundings

    Directory of Open Access Journals (Sweden)

    Liu Dongyuan

    2017-01-01

    Full Text Available Cross-river tunnel as one of the underground constructions is complicated during its construction. For stability of tunnel excavation, it is emergency to analyze the dynamic characteristics of tunnel deformation under high water pressure. Therefore, a cross-river tunnel model is proposed based on DEM in this paper. Stiffness of particles decreases during excavation process which is as one of excavation methods. Porosity ratio of original porosity over its value at different excavation time has been considered. Radial displacements of particles at different angle around the tunnel are detected during excavation process. It shows that large deformation occurs at the vault of the excavation zone which accompanies with large radial displacement. The upper half of the tunnel performs larger deformation than the lower half part which results in many cracks in the concrete lining, the high water pressure may play an crucial role in it.

  17. Long-range terrain characterization for productive regolith excavation, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed research will develop long-range terrain characterization technologies for autonomous excavation in planetary environments. This work will develop a...

  18. Parametric Optimization and Prediction Tool for Excavation and Prospecting Tasks, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Honeybee Robotics therefore proposed to develop a software tool for facilitating prospecting and excavation system trades in support of selecting an optimal...

  19. Parametric Optimization and Prediction Tool for Excavation and Prospecting Tasks Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Honeybee Robotics therefore proposed to develop a software tool for facilitating prospecting and excavation system trades in support of selecting an optimal...

  20. Potentially inappropriate medication use in a city of Southeast Brazil

    Directory of Open Access Journals (Sweden)

    Mauro Cunha Xavier Pinto

    2012-03-01

    Full Text Available Potentially inappropriate medication use by the Diamantina (Minas Gerais State population was investigated by analyzing medicine consumption, self-medication, polypharmacy and drug interactions of medicines prescribed among those interviewed. Level of knowledge about rational drug use and its relationship to socio-economic variables was also evaluated using a semi-structured questionnaire. This survey was based on stratified sampling of 423 individuals selected randomly. The prevalence of prescription drug consumption was 42.32% (n=179 and cardiovascular drugs were the most prescribed. Drug interactions were found in 45.81% (n=82 of prescriptions and 92.68% (n=76 of these interactions were moderate, with co-administration of cardiovascular drugs occurring in more than half of the cases. The inappropriate use of medication, according to Beers criteria, occurred in 44.73% of prescriptions to the elderly. The prevalence of self-medication was 63.34% (n=268 while 21.99% (n=91 of individuals administered medications to their children without formal prescriptions, where this practice was associated to analgesic/antipyretic consumption. The population showed a high prevalence of inappropriate use of drugs across all strata of society, representing an issue requiring effective actions to promote rational use of medicines.O consumo inapropriado de medicamentos pela população de Diamantina-MG foi investigado através da análise do consumo de medicamentos, automedicação, polifarmácia e interações medicamentosas prescritas aos entrevistados. Também foi avaliado o nível de conhecimento sobre uso racional de medicamentos e sua relação com variáveis sócio-econômicas através de um questionário semi-estruturado. Este estudo transversal foi baseado em amostragem estratificada e contou com a participação de 423 indivíduos selecionados aleatoriamente. A prevalência do consumo de medicamentos prescritos foi de 42,32% (n=179, sendo os

  1. Predictive modelling of an excavation test in indurated clay

    International Nuclear Information System (INIS)

    Garitte, B.; Vaunat, J.; Gens, A.; Vietor, T.

    2010-01-01

    Document available in extended abstract form only. This Abstract presents the predictive hydro-mechanical (HM) modelling of an excavation performed in Opalinus clay in the Mont Terri underground laboratory. Niche 2 was excavated in the shaly facies of Opalinus clay from gallery 08. The area surrounding the gallery was intensively instrumented. The geology of Mont Terri is described in Thury and Bosssart (1999) and the parameters used in the analysis were taken from Bock (2009). The stress state is derived from Martin and Lanyion (2003). Gallery 08 is horseshoe shaped and has a mean radius of 2.25 m. It was excavated with a road header at a mean velocity of 1 m/day starting on January 30, 2008 (Gallery chainage 43.8) and ending on June 30, 2008 (Gallery chainage 123.8) with a stop from March 18, to April 24, to instrument the area of niche 2. Niche 2 was excavated by successive blastings 1.3 m deep until reaching a distance of 24 m from the gallery 08 wall. Advance was continuous from October 13, to November 7 with the exception of three stops of 3, 5 and 4 days. The niche has an average diameter of 4.5 m and has a slight upward slope of 0.98%. The excavation of gallery 08 from chainage 43.8 to chainage 123.8 and of the niche was simulated by relaxing the normal total stress and water pressure from the value before excavation to 0. The gallery advance rate was simulated in an approximate manner by applying successively the excavation procedure to 9 m long gallery sections. In the case of the niche, the blasting scheme and the application of the shotcrete was closely reproduced. The three dimensional geometry used in the simulation is shown. The coupled hydro-mechanical formulation used for the analysis is based on the simultaneous solution of the balance equation for solid mass, water mass and momentum (equilibrium). In accordance with field observations, it has been assumed that the medium remains saturated throughout. The formulation was completed with a number of

  2. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use

    OpenAIRE

    Lee, Chun-Hsien; Chang, Fong-Ching; Hsu, Sheng-Der; Chi, Hsueh-Yun; Huang, Li-Jung; Yeh, Ming-Kung

    2017-01-01

    Background While self-medication is common, inappropriate self-medication has potential risks. This study assesses inappropriate self-medication among adolescents and examines the relationships among medication literacy, substance use, and inappropriate self-medication. Method In 2016, a national representative sample of 6,226 students from 99 primary, middle, and high schools completed an online self-administered questionnaire. Multiple logistic regression analysis was used to examine factor...

  3. Coastal dune dynamics in response to excavated foredune notches

    Science.gov (United States)

    Ruessink, B. G.; Arens, S. M.; Kuipers, M.; Donker, J. J. A.

    2018-04-01

    Dune management along developed coasts has traditionally focussed on the suppression of the geomorphic dynamics of the foredune to improve its role in sea defence. Because a stabilized foredune acts as an almost total barrier to aeolian transport from the beach, the habitat diversity in the more landward dunes has degraded. With the overarching objective to mitigate this undesirable loss in biodiversity, dune management projects nowadays increasingly intend to restore aeolian dynamics by reconnecting the beach-dune system with notches excavated through the foredune. Here, we use repeat topographic survey data to examine the geomorphic response of a coastal dune system in the Dutch National Park Zuid-Kennemerland to five notches excavated in 2012-2013 within an 850-m stretch of the 20-m high established foredune. The notches were dug in a V-shape (viewed onshore), with a width between approximately 50 and 100 m at the top, a (cross-dune) length between 100 and 200 m, and excavation depths between 9 and 12.5 m. The 1 × 1 m digital terrain models, acquired with airborne Lidar and UAV photogrammetry, illustrate that during the 3-year survey period the notches developed into a U-shape because of wall deflation, and that up to 8-m thick and 150-m long depositional lobes formed landward of the notches. Sand budget computations showed that the sand volume of the entire study area increased by about 22,750 m3/year, which, given the 850-m width of the study area, corresponds to an aeolian input from the beach of approximately 26.5 m3/m/year. Between 2006 and 2012 all wind-blown beach sand deposited on the seaward side of the foredune; since 2013, the notches have caused 75% of the sand to be deposited landward of the foredune. This highlights that the notches are highly effective conduits for aeolian transport into the back dunes. Future monitoring is required to determine for how long the notches will stimulate aeolian dynamics and if (and when) vegetation eventually

  4. Potentially inappropriate prescribing in an Irish elderly population in primary care.

    LENUS (Irish Health Repository)

    Ryan, Cristín

    2009-12-01

    WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT: * Potentially inappropriate prescribing in older people is a well-documented problem and has been associated with adverse drug reactions and hospitalization. * Beers\\' criteria, Screening Tool of Older Persons\\' potentially inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to Right Treatment (START) are screening tools that have been formulated to help physicians and pharmacists identify potentially inappropriate prescribing and potential prescribing omissions. * The prevalence of potentially inappropriate prescribing and prescribing omissions in the elderly population presenting to hospital with acute illness is high according to STOPP and START criteria.

  5. Between two beds: inappropriately delayed discharges from hospitals.

    Science.gov (United States)

    Holmås, Tor Helge; Islam, Mohammad Kamrul; Kjerstad, Egil

    2013-12-01

    Acknowledging the necessity of a division of labour between hospitals and social care services regarding treatment and care of patients with chronic and complex conditions, is to acknowledge the potential conflict of interests between health care providers. A potentially important conflict is that hospitals prefer comparatively short length of stay (LOS) at hospital, while social care services prefer longer LOS all else equal. Furthermore, inappropriately delayed discharges from hospital, i.e. bed blocking, is costly for society. Our aim is to discuss which factors that may influence bed blocking and to quantify bed blocking costs using individual Norwegian patient data, merged with social care and hospital data. The data allow us to divide hospital LOS into length of appropriate stay (LAS) and length of delay (LOD), the bed blocking period. We find that additional resources allocated to social care services contribute to shorten LOD indicating that social care services may exploit hospital resources as a buffer for insufficient capacity. LAS increases as medical complexity increases indicating hospitals incentives to reduce LOS are softened by considerations related to patients’ medical needs. Bed blocking costs constitute a relatively large share of the total costs of inpatient care.

  6. An inappropriate tool: criminal law and HIV in Asia.

    Science.gov (United States)

    Csete, Joanne; Dube, Siddharth

    2010-09-01

    Asian countries have applied criminal sanctions widely in areas directly relevant to national HIV programmes and policies, including criminalization of HIV transmission, sex work, homosexuality and drug injection. This criminalization may impede universal access to HIV prevention and treatment services in Asia and undermine vulnerable people's ability to be part of the HIV response. To review the status of application of criminal law in key HIV-related areas in Asia and analyze its impact. Review of literature and application of human rights norms to analysis of criminal law measures. Criminal laws in the areas considered here and their enforcement, while intended to reduce HIV transmission, are inappropriate and counterproductive with respect to health and human rights. Governments should remove punitive laws that impede the HIV response and should ensure meaningful participation of people living with HIV, people who use illicit drugs, sex workers and men who have sex with men in combating stigma and discrimination and developing rights-centered approaches to HIV.

  7. Inappropriate eating behavior: a longitudinal study with female adolescents

    Directory of Open Access Journals (Sweden)

    Leonardo de Sousa Fortes

    2014-03-01

    Full Text Available Objective: To evaluate the inappropriate eating behaviors (IEB of female adolescents over a one-year period. Methods: 290 adolescents aged between 11 and 14 years old participated in the three research stages (T1: first four months, T2: second four months and T3: third four months. The Eating Attitudes Test (EAT-26 was applied to assess the IEB. Weight and height were measured to calculate body mass index (BMI in the three study periods. Analysis of variance for repeated measures was used to analyze the data, adjusted for the scores of the Body Shape Questionnaire and the Brazil Economic Classification Criteria. Results: Girls at T1 showed a higher frequency of IEB compared to T2 (p=0.001 and T3 (p=0.001. The findings also indicated higher values for BMI in T3 in relation to T1 (p=0.04. The other comparisons did not show statistically significant differences. Conclusions: IEB scores of female adolescents declined over one year.

  8. Stability assessment for underground excavations and key construction techniques

    CERN Document Server

    Zhu, Hanhua; Zhao, Yu; Niu, Fusheng

    2017-01-01

    This book examines how the state of underground structures can be determined with the assistance of force, deformation and energy. It then analyzes mechanized shield methods, the New Austrian tunneling method (NATM) and conventional methods from this new perspective. The book gathers a wealth of cases reflecting the experiences of practitioners and administrators alike. Based on statistical and engineering studies of these cases, as well as lab and field experiments, it develops a stability assessment approach incorporating a stable equilibrium, which enables engineers to keep the structure and surrounding rocks safe as long as the stable equilibrium and deformation compliance are maintained. The book illustrates the implementation of the method in various tunneling contexts, including soil-rock mixed strata, tunneling beneath operating roads, underwater tunnels, and tunnel pit excavation. It offers a valuable guide for researchers, designers and engineers, especially those who are seeking to understand the u...

  9. The Application of Foundation Pit Monitoring Technology to the Excavation

    Directory of Open Access Journals (Sweden)

    Qiu Jin

    2015-01-01

    Full Text Available The foundation pit monitoring plays an important role in the foundation pit supporting projects especially in those deep foundation pit projects. Through the whole monitoring of the foundation pit construction from the excavation to the backfill, we can learn about the forcing and deforming process of the foundation pit supporting system, and grasp the impact of external condition changes on the foundation pit. This paper takes a project in Jinan as an example to establish a specific monitoring program, and then conducts the analysis and evaluation of the monitoring data; the real-time grasp of the foundation pit deformation and internal force changes can help to further ensure the security status of the foundation pit, thus better guiding the construction.

  10. Pajarito Plateau archaeological survey and excavations. [Los Alamos Reservation

    Energy Technology Data Exchange (ETDEWEB)

    Steen, C.R.

    1977-05-01

    Los Alamos Scientific Laboratory lands were surveyed to locate pre-Columbian Indian ruins. The survey results will permit future construction to be planned so that most of the ancient sites in the area can be preserved. Indian occupation of the area occurred principally from late Pueblo III times (late 13th century) until early Pueblo V (about the middle of the 16th century). There are evidences of sporadic Indian use of the area for some 10,000 years. One Folsom point has been found, as well as many other archaic varieties of projectile points. Continued use of the region well into the historic period is indicated by pictographic art that portrays horses. In addition to an account of the survey, the report contains summaries of excavations made on Laboratory lands between 1950 and 1975.

  11. Shaft Excavation in Frozen Ground at Point 5

    CERN Document Server

    Osborne, J

    2000-01-01

    Construction work on the 112 MCHF civil engineering contract started at Point 5 in August 1998. The new surface buildings and underground structures are necessary to accommodate the CMS detector for the LHC Project. The principal underground works consist of two new shafts, two parallel caverns separated by a supporting pillar, and a number of small connection tunnels and service galleries. The two shafts are to be sunk through approximately 50 m of water-bearing moraine to the underlying molasse rock. From a number of possible construction methods, ground freezing of the moraine was considered to be most appropriate. The ground freezing is used to control the groundwater and to support temporarily the moraine during excavation and lining of the shafts. The aim of this paper is to present the ground-freezing technique and to discuss the advantages and disadvantages of the system in the light of its first few months of running on the Point 5 site.

  12. Groundwater flow modelling of the excavation and operational phases - Laxemar

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Urban (Computer-aided Fluid Engineering AB, Lyckeby (Sweden)); Rhen, Ingvar (SWECO Environment AB, Falun (Sweden))

    2010-12-15

    As a part of the license application for a final repository for spent nuclear fuel at Forsmark, the Swedish Nuclear Fuel and Waste Management Company (SKB) has undertaken a series of groundwater flow modelling studies. These represent time periods with different hydraulic conditions and the simulations carried out contribute to the overall evaluation of the repository design and long-term radiological safety. The modelling study reported here presents calculated inflow rates, drawdown of the groundwater table and upconing of deep saline water for different levels of grouting efficiency during the excavation and operational phases of a final repository at Laxemar. The inflow calculations were accompanied by a sensitivity study, which among other matters handled the impact of different deposition hole rejection criteria. The report also presents tentative modelling results for the duration of the saturation phase, which starts once the used parts of the repository are being backfilled

  13. Engineering and design measures for excavation of vertical mine shafts

    Energy Technology Data Exchange (ETDEWEB)

    Kozel, A.M.; Tyuterev, A.S.; Khusid, M.B. (Vsesoyuznyi Nauchno-Issledovatel' skii Institut Gornoi Geomekhaniki i Marksheiderskogo Dela (USSR))

    1989-07-01

    Examines the use of a yielding relief layer behind the lining in vertical shafts to protect the lining. VNIMI studies show that the best material is a viscous one, e.g. bitumen with crushed cork filler. This allows loads to be absorbed without affecting the basic round shape of the lining. The specimens tested had a 25% crushed rock content. They were tested for up to 14 days at loads up to 0.6 MPa, the greatest compression recorded (0.6 MPa for 14 days) being 9.2%. Other measures recommended are the use of an 'equivalent gap' method derived by VNIMI to ensure that all parts of a multilayer lining bear their share of the load, and a method of preliminary rock fracturing allowing shaft excavation by cutter loader to continue even in hard rock strata. 9 refs.

  14. Physicochemical investigation of medieval ceramics from excavation site Novo Brdo

    Directory of Open Access Journals (Sweden)

    Čugalj Snežana S.

    2008-01-01

    Full Text Available Artefacts produced or treated at high temperatures provide information about manufacturing techniques. Well preserved ceramic objects are therefore excellent chronological markers as well as general markers of society development. In order to determine provenance of pottery fragments, archaeologists classify samples according to their physical characteristics, decoration and aesthetic style. However, a more objective multidisciplinary approach, based on undoubted results, is necessary to complete this study. In this work we have investigated 27 samples of medieval ceramics from excavation site Novo Brdo, using X-ray fluorescence (XRF, FTIR spectroscopy and X-ray powder diffraction (XRPD. Novo Brdo was large and rich mining and trading center of Serbia in XIV and XV century. A large number of ceramic samples found during the systematic excavation of this archaeological site allow good choice of samples for both destructive and nondestructive analysis. Combining results obtained by different experimental techniques, i.e. by FT-IR spectroscopy, after deconvolution of the spectra, and XRPD analysis, we have determined mineralogical composition and technology of production of investigated pottery. Estimated temperature of firing ranged from 800 to 900 °C, which is in agreement with the presence of high-temperature minerals like gehlenite and anorthite. Firing was preformed in the oxidation atmosphere since hematite, which is formed only in oxidation atmosphere, is detected in all investigated samples. Cross sections showed presence of defects and inhomogeneity of investigated ceramic, which indicates fast and incomplete firing procedure. All these findings indicate that investigated pottery was produced in the domestic workshops. The obtained results will be used to build up the National database for medieval ceramics as well as the database for the Balkan region.

  15. Sonic logging for detecting the excavation disturbed and fracture zones

    Science.gov (United States)

    Lin, Y. C.; Chang, Y. F.; Liu, J. W.; Tseng, C. W.

    2017-12-01

    This study presents a new sonic logging method to detect the excavation disturbed zone (EDZ) and fracture zones in a tunnel. The EDZ is a weak rock zone where its properties and conditions have been changed by excavation, which results such as fracturing, stress redistribution and desaturation in this zone. Thus, the EDZ is considered as a physically less stable and could form a continuous and high-permeable pathway for groundwater flow. Since EDZ and fracture zone have the potential of affecting the safety of the underground openings and repository performance, many studies were conducted to characterize the EDZ and fracture zone by different methods, such as the rock mass displacements and strain measurements, seismic refraction survey, seismic tomography and hydraulic test, etc. In this study, we designed a new sonic logging method to explore the EDZ and fracture zone in a tunnel at eastern Taiwan. A high power and high frequency sonic system was set up which includes a two hydrophones pitch-catch technique with a common-offset immersed in water-filled uncased wells and producing a 20 KHz sound to scan the well rock. Four dominant sonic events were observed in the measurements, they are refracted P- and S-wave along the well rock, direct water wave and the reverberation in the well water. Thus the measured P- and S-wave velocities, the signal-to-noise ratio of the refraction and the amplitudes of reverberation along the well rock were used as indexes to determine the EDZ and fracture zone. Comparing these indexes with core samples shows that significant changes in the indexes are consistent with the EDZ and fracture zone. Thus, the EDZ and fracture zone can be detected by this new sonic method conclusively.

  16. Grimsel test site. Excavation disturbed zone experiment (EDZ)

    Energy Technology Data Exchange (ETDEWEB)

    Frieg, B. (ed.); Albert, W. [National Cooperative for the Disposal of Radioactive Waste (NAGRA), Wettingen (Switzerland); Blaser, P. C. [ed., PetraConsult AG, Arni (Switzerland); Adams, J. [Solexperts AG, Schwerzenbach (Switzerland); Dollinger, H. [Geotechnisches Institut AG, Bern (Switzerland); Kuhlmann, U. [TK Consult AG, Zürich, (Switzerland); Lanyon, G. W. [GeoScience Ltd., Falmouth, (United Kingdom)

    2012-07-15

    The ‘Excavation Disturbed Zone (EDZ) Experiment’ was conducted at the Grimsel Test Site (GTS) in the framework of safety analysis of deep geological repositories for radioactive wastes. It concentrated on investigating the hydraulic regime of the near-field of drilled tunnel sections under fully saturated conditions, with the aim of contributing to the development of methods for measuring and modelling axial water flow along tunnels and caverns. The studies focused on the mechanical and hydraulic properties of the rock mass in the direct vicinity of the tunnel wall. The EDZ is defined as the zone around the tunnel where excavation has altered the rock properties. The selected test location was a tunnel section where mechanical stressing of the rock and some breakouts had been observed. In-situ stress measurements were performed in order to record the actual stress redistribution in the tunnel near-field induced by excavation of the tunnel. A small stress increase and microfissures could be identified in the tunnel near-field. The stress measurements and the results of the geological mapping formed the basis for the rock mechanical modelling of the EDZ. Two different models of the development and geometry of the EDZ were used: (a) the regional 3D stress field modelling indicated that the topography has a significant influence on the primary stress field; a good agreement between the measured and calculated stresses in the GTS was achieved by applying an additional far-field tectonic stress component; (b) with the local 2D numerical disturbed zone modelling of the tunnel section itself, stress redistributions, possible plastifications and joint behaviour were investigated; all displacements of the rock matrix and the shear displacements of the discontinuities seem to be the result of the tunnel excavation; maximum shear deformations of 2 - 5 mm occur at the tunnel wall. Prior to the hydraulic test phase, the test location was decoupled from the normal GTS tunnel

  17. Grimsel test site. Excavation disturbed zone experiment (EDZ)

    International Nuclear Information System (INIS)

    Frieg, B.; Blaser, P. C.; Adams, J.; Dollinger, H.; Kuhlmann, U.; Lanyon, G. W.

    2012-07-01

    The ‘Excavation Disturbed Zone (EDZ) Experiment’ was conducted at the Grimsel Test Site (GTS) in the framework of safety analysis of deep geological repositories for radioactive wastes. It concentrated on investigating the hydraulic regime of the near-field of drilled tunnel sections under fully saturated conditions, with the aim of contributing to the development of methods for measuring and modelling axial water flow along tunnels and caverns. The studies focused on the mechanical and hydraulic properties of the rock mass in the direct vicinity of the tunnel wall. The EDZ is defined as the zone around the tunnel where excavation has altered the rock properties. The selected test location was a tunnel section where mechanical stressing of the rock and some breakouts had been observed. In-situ stress measurements were performed in order to record the actual stress redistribution in the tunnel near-field induced by excavation of the tunnel. A small stress increase and microfissures could be identified in the tunnel near-field. The stress measurements and the results of the geological mapping formed the basis for the rock mechanical modelling of the EDZ. Two different models of the development and geometry of the EDZ were used: (a) the regional 3D stress field modelling indicated that the topography has a significant influence on the primary stress field; a good agreement between the measured and calculated stresses in the GTS was achieved by applying an additional far-field tectonic stress component; (b) with the local 2D numerical disturbed zone modelling of the tunnel section itself, stress redistributions, possible plastifications and joint behaviour were investigated; all displacements of the rock matrix and the shear displacements of the discontinuities seem to be the result of the tunnel excavation; maximum shear deformations of 2 - 5 mm occur at the tunnel wall. Prior to the hydraulic test phase, the test location was decoupled from the normal GTS tunnel

  18. The role of wood hardness in limiting nest site selection in avian cavity excavators

    Science.gov (United States)

    Teresa J. Lorenz; Kerri T. Vierling; Timothy R. Johnson; Philip C. Fischer

    2015-01-01

    Woodpeckers and other primary cavity excavators (PCEs) are important worldwide for excavating cavities in trees, and a large number of studies have examined their nesting preferences. However, quantitative measures of wood hardness have been omitted from most studies, and ecologists have focused on the effects of external tree- and habitat-level features on nesting....

  19. Deformations and damage to buildings adjacent to deep excavations in soft soils

    NARCIS (Netherlands)

    Korff, M.

    2009-01-01

    The objective of this study is to gain insight into mechanisms of soil-structure interaction for buildings adjacent to deep excavations and to find a reliable method to design and monitor deep excavations in urban areas with soft soil conditions. The research focuses on typical Dutch conditions. The

  20. Relevant risk factors associated with the construction of excavated tunnel cross-passages in soft soils

    NARCIS (Netherlands)

    Chivatá Cárdenas, Ibsen; Al-Jibouri, Saad H.S.; Halman, Johannes I.M.

    2013-01-01

    This paper reports on an investigation of risk factors associated with the construction of excavated tunnel cross-passages in soft soils. The investigation focused on excavations where freezing technologies are used to provide temporary support. The relevant risk factors and their associated

  1. 29 CFR 1926.913 - Blasting in excavation work under compressed air.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Blasting in excavation work under compressed air. 1926.913... Use of Explosives § 1926.913 Blasting in excavation work under compressed air. (a) Detonators and... connecting wires are connected up. (b) When detonators or explosives are brought into an air lock, no...

  2. Drill, baby, drill: the influence of woodpeckers on post-fire vertebrate communities through cavity excavation

    Science.gov (United States)

    Gina L. Tarbill; Patricia N. Manley; Angela M. White

    2015-01-01

    Several studies have addressed the importance of woodpeckers as ecological engineers in forests due to their excavation of cavities. Although research in green, unburned forests has identified the influence of different excavators on secondary use by cavity-dependent species, little is known about the relative importance of cavities created by woodpeckers in recently...

  3. Investigation of Hexavalent Chromium Flux to Groundwater at the 100-C-7:1 Excavation Site

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J.; Vermeul, Vincent R.; Fritz, Brad G.; Mackley, Rob D.; Horner, Jacob A.; Johnson, Christian D.; Newcomer, Darrell R.

    2012-11-16

    Deep excavation of soil has been conducted at the 100-C-7 and 100-C-7:1 waste sites within the 100-BC Operable Unit at the Department of Energy (DOE) Hanford Site to remove hexavalent chromium (Cr(VI)) contamination with the excavations reaching to near the water table. Soil sampling showed that Cr(VI) contamination was still present at the bottom of the 100-C-7:1 excavation. In addition, Cr(VI) concentrations in a downgradient monitoring well have shown a transient spike of increased Cr(VI) concentration following initiation of excavation. Potentially, the increased Cr(VI) concentrations in the downgradient monitoring well are due to Cr(VI) from the excavation site. However, data were needed to evaluate this possibility and to quantify the overall impact of the 100-C-7:1 excavation site on groundwater. Data collected from a network of aquifer tubes installed across the floor of the 100-C-7:1 excavation and from temporary wells installed at the bottom of the entrance ramp to the excavation were used to evaluate Cr(VI) releases into the aquifer and to estimate local-scale hydraulic properties and groundwater flow velocity.

  4. Inappropriate prescribing and adverse drug events in older people.

    LENUS (Irish Health Repository)

    Hamilton, Hilary J

    2009-01-01

    Inappropriate prescribing (IP) in older patients is highly prevalent and is associated with an increased risk of adverse drug events (ADEs), morbidity, mortality and healthcare utilisation. Consequently, IP is a major safety concern and with changing population demographics, it is likely to become even more prevalent in the future. IP can be detected using explicit or implicit prescribing indicators. Theoretically, the routine clinical application of these IP criteria could represent an inexpensive and time efficient method to optimise prescribing practice. However, IP criteria must be sensitive, specific, have good inter-rater reliability and incorporate those medications most commonly associated with ADEs in older people. To be clinically relevant, use of prescribing appropriateness tools must translate into positive patient outcomes, such as reduced rates of ADEs. To accurately measure these outcomes, a reliable method of assessing the relationship between the administration of a drug and an adverse clinical event is required. The Naranjo criteria are the most widely used tool for assessing ADE causality, however, they are often difficult to interpret in the context of older patients. ADE causality criteria that allow for the multiple co-morbidities and prescribed medications in older people are required. Ultimately, the current high prevalence of IP and ADEs is unacceptable. IP screening criteria need to be tested as an intervention to assess their impact on the incidence of ADEs in vulnerable older patients. There is a role for IP screening tools in everyday clinical practice. These should enhance, not replace good clinical judgement, which in turn should be based on sound pharmacogeriatric training.

  5. Inappropriate prescribing and adverse drug events in older people

    Directory of Open Access Journals (Sweden)

    Gallagher Paul F

    2009-01-01

    Full Text Available Abstract Inappropriate prescribing (IP in older patients is highly prevalent and is associated with an increased risk of adverse drug events (ADEs, morbidity, mortality and healthcare utilisation. Consequently, IP is a major safety concern and with changing population demographics, it is likely to become even more prevalent in the future. IP can be detected using explicit or implicit prescribing indicators. Theoretically, the routine clinical application of these IP criteria could represent an inexpensive and time efficient method to optimise prescribing practice. However, IP criteria must be sensitive, specific, have good inter-rater reliability and incorporate those medications most commonly associated with ADEs in older people. To be clinically relevant, use of prescribing appropriateness tools must translate into positive patient outcomes, such as reduced rates of ADEs. To accurately measure these outcomes, a reliable method of assessing the relationship between the administration of a drug and an adverse clinical event is required. The Naranjo criteria are the most widely used tool for assessing ADE causality, however, they are often difficult to interpret in the context of older patients. ADE causality criteria that allow for the multiple co-morbidities and prescribed medications in older people are required. Ultimately, the current high prevalence of IP and ADEs is unacceptable. IP screening criteria need to be tested as an intervention to assess their impact on the incidence of ADEs in vulnerable older patients. There is a role for IP screening tools in everyday clinical practice. These should enhance, not replace good clinical judgement, which in turn should be based on sound pharmacogeriatric training.

  6. The Inappropriate Symmetries of Multivariate Statistical Analysis in Geometric Morphometrics.

    Science.gov (United States)

    Bookstein, Fred L

    In today's geometric morphometrics the commonest multivariate statistical procedures, such as principal component analysis or regressions of Procrustes shape coordinates on Centroid Size, embody a tacit roster of symmetries -axioms concerning the homogeneity of the multiple spatial domains or descriptor vectors involved-that do not correspond to actual biological fact. These techniques are hence inappropriate for any application regarding which we have a-priori biological knowledge to the contrary (e.g., genetic/morphogenetic processes common to multiple landmarks, the range of normal in anatomy atlases, the consequences of growth or function for form). But nearly every morphometric investigation is motivated by prior insights of this sort. We therefore need new tools that explicitly incorporate these elements of knowledge, should they be quantitative, to break the symmetries of the classic morphometric approaches. Some of these are already available in our literature but deserve to be known more widely: deflated (spatially adaptive) reference distributions of Procrustes coordinates, Sewall Wright's century-old variant of factor analysis, the geometric algebra of importing explicit biomechanical formulas into Procrustes space. Other methods, not yet fully formulated, might involve parameterized models for strain in idealized forms under load, principled approaches to the separation of functional from Brownian aspects of shape variation over time, and, in general, a better understanding of how the formalism of landmarks interacts with the many other approaches to quantification of anatomy. To more powerfully organize inferences from the high-dimensional measurements that characterize so much of today's organismal biology, tomorrow's toolkit must rely neither on principal component analysis nor on the Procrustes distance formula, but instead on sound prior biological knowledge as expressed in formulas whose coefficients are not all the same. I describe the problems

  7. Inappropriate shock: a failure of SVT discriminators in a dual chamber ICD?

    Science.gov (United States)

    Al-Ahmad, Amin; Tsiperfal, Angela; Hsia, Henry H; Wang, Paul J

    2006-12-01

    Inappropriate shock remains a major issue in patients with implantable cardioverter defibrillators. We examine an inappropriate shock delivered in a patient with atrial tachycardia that conducted 1:1. We reconstruct the device algorithms that led to therapy delivery and discuss programming changes that could be considered.

  8. Functional Analysis of Inappropriate Social Interactions in Students with Asperger's Syndrome

    Science.gov (United States)

    Roantree, Christina F.; Kennedy, Craig H.

    2012-01-01

    We analyzed the inappropriate social interactions of 3 students with Asperger's syndrome whose behavior was maintained by social positive reinforcement. We tested whether inappropriate social behavior was sensitive to social positive reinforcement contingencies and whether such contingencies could be reversed to increase the probability of…

  9. [Management of inappropriate shocks/T-wave-oversensing in S-ICD®-patients].

    Science.gov (United States)

    Larbig, Robert; Bettin, Markus; Motloch, Lukas J; Fischer, Alicia; Bode, Niklas; Frommeyer, Gerrit; Reinke, Florian; Loeher, Andreas; Eckardt, Lars; Köbe, Julia

    2018-02-12

    Inappropriate shocks are a feared complication after implantable cardioverter-defibrillator (ICD) implantation and have a tremendous impact on quality of life. Inappropriate shocks in patients with subcutaneous ICD (S-ICD®, Boston Scientific, Marlborough, MA, USA) have various underlying causes. This review summarizes the current literature on this topic and lists possible treatment options.

  10. What is inappropriate hospital use for elderly people near the end of life?

    DEFF Research Database (Denmark)

    Cardona-Morrell, Magnolia; Kim, James C H; Brabrand, Mikkel

    2017-01-01

    independently by two authors. RESULTS: The definition of 'Inappropriate admissions' near the end of life incorporated system factors, social and family factors. The prevalence of inappropriate admissions ranged widely depending largely on non-clinical reasons: poor availability of alternative sites of care...

  11. Percolation and permeability of fracture networks in Excavated Damaged Zones

    Science.gov (United States)

    Mourzenko, V.; Thovert, J.; Adler, P. M.

    2012-12-01

    Generally, the excavation process of a gallery generates fractures in its immediate vicinity. The corresponding zone which is called the Excavated Damaged Zone (EDZ), has a larger permeability than the intact surrounding medium. The properties of the EDZ are attracting more and more attention because of their potential importance in repositories of nuclear wastes. The EDZ which is induced by the excavation process may create along the galleries of the repositories a high permeability zone which could directly connect the storage area with the ground surface. Therefore, the studies of its properties are of crucial importance for applications such as the storage of nuclear wastes. Field observations (such as the ones which have been systematically performed at Mont Terri by [1, 2]) suggest that the fracture density is an exponentially decreasing function of the distance to the wall with a characteristic length of about 0.5 m and that the fracture orientation is anisotropic (most fractures are subparallel to the tunnel walls) and well approximated by a Fisher law whose pole is orthogonal to the wall. Numerical samples are generated according to these prescriptions. Their percolation status and hydraulic transmissivity can be calculated by the numerical codes which are detailed in [3]. Percolation is determined by a pseudo diffusion algorithm. Flow determination necessitates the meshing of the fracture networks and the discretisation of the Darcy equation by a finite volume technique; the resulting linear system is solved by a conjugate gradient algorithm. Only the flow properties of the EDZ along the directions which are parallel to the wall are of interest when a pressure gradient parallel to the wall is applied. The transmissivity T which relates the total flow rate per unit width Q along the wall through the whole EDZ to the pressure gradient grad p, is defined by Q = - T grad p/mu where mu is the fluid viscosity. The percolation status and hydraulic transmissivity

  12. Rock mass characterisation and stability analyses of excavated slopes

    Science.gov (United States)

    Zangerl, Christian; Lechner, Heidrun

    2016-04-01

    Excavated slopes in fractured rock masses are frequently designed for open pit mining, quarries, buildings, highways, railway lines, and canals. These slopes can reach heights of several hundreds of metres and in cases concerning open pit mines slopes larger than 1000 m are not uncommon. Given that deep-seated slope failures can cause large damage or even loss of life, the slope design needs to incorporate sufficient stability. Thus, slope design methods based on comprehensive approaches need to be applied. Excavation changes slope angle, groundwater flow, and blasting increases the degree of rock mass fracturing as well as rock mass disturbance. As such, excavation leads to considerable stress changes in the slopes. Generally, slope design rely on the concept of factor of safety (FOS), often a requirement by international or national standards. A limitation of the factor of safety is that time dependent failure processes, stress-strain relationships, and the impact of rock mass strain and displacement are not considered. Usually, there is a difficulty to estimate the strength of the rock mass, which in turn is controlled by an interaction of intact rock and discontinuity strength. In addition, knowledge about in-situ stresses for the failure criterion is essential. Thus, the estimation of the state of stress of the slope and the strength parameters of the rock mass is still challenging. Given that, large-scale in-situ testing is difficult and costly, back-calculations of case studies in similar rock types or rock mass classification systems are usually the methods of choice. Concerning back-calculations, often a detailed and standardised documentation is missing, and a direct applicability to new projects is not always given. Concerning rock mass classification systems, it is difficult to consider rock mass anisotropy and thus the empirical estimation of the strength properties possesses high uncertainty. In the framework of this study an approach based on

  13. On the selection of an appropriate excavation pattern for urban tunnels with big cross-section: A case study

    Directory of Open Access Journals (Sweden)

    Roohallah Bolghonabai

    2015-12-01

    Full Text Available Among various practical measures used for restriction of the ground surface settlement in such tunnels driven in soft ground, selection of an appropriate excavation method plays a significant role. In this paper, employing suggested diagram by Yu & Chern, corresponding values of Niayesh tunnel has been inserted into the diagram. Later, two excavation methods namely: central diaphragm and side drift methods have been suggested and numerically modeled using Finite Difference Method. Side drift excavation pattern has finally been selected since it causes less settlement. To reach an optimized selection of excavation sequence through side drift method, seven excavation patterns have thus been recommended and numerically modeled. Results have revealed that the first pattern causes the least amount of settlement. Consequently, the aforementioned excavation pattern has finally been considered as an appropriate excavation pattern encompassing optimum excavation sequence for Niayesh tunnel.

  14. Faculties brain above altered by the use inappropriate of internet

    OpenAIRE

    Ramirez Restrepo, Luis Miguel; Universidad de manizales

    2014-01-01

    The contribution of the information technologies and communication in general, and Internet in particular, has been multifaceted. This network of computer networks thatshare information, entertainment and marketing has become indispensable for the modern man’s life. Internet, mobile phones, consoles and network occupy a fundamentalspace in the process of socialization, industrialization, globalization and information, influencing the superior brain faculty: attention, memory, learning, behavi...

  15. Development on excavation and investigation technologies for evaluation of geological and groundwater environment at soft sedimentary rock

    Energy Technology Data Exchange (ETDEWEB)

    Kikata, Kenzo [Central Research Inst. of Electric Power Industry, Abiko, Chiba (Japan). Abiko Research Lab

    2001-03-01

    As radioactivity level of a high level radioactive waste is sustainable for a long term, it is necessary to dispose it without leakage to human field for a long term. As a method for this, so-called 'Interstitial disposal' to dispose it into a stable rock at underground depth is pre-established. On this disposal, this rock (interstice) is expected to become a shielding (natural barrier) to protect moving of radioactive materials in the wastes to human environment. From such viewpoints, when selecting a disposal site it is necessary to elucidate long term stability of rock bodies around the site, no stream of groundwater composing a moving means of leaked radioactive materials (nuclides), and so on. The Central Research Institute of Electric Power Industry carried out a boring excavation technique to evaluate geological and groundwater environment aiming at sedimentary rock, one of candidate rock bodies of high level radioactive waste disposal sites in Japan under collaboration with the Kumagai-gumi, Ltd. and the YBM, Ltd., to carry out upgrading of high precision due to its application to actual use. In this paper, outline of excavation technology already developed and highly upgraded on its precision and a part of its investigations were introduced. (G.K.)

  16. Fate of excavated polluted soils, treated off site. Regulations and field enforcement status in various European countries. Synthesis

    International Nuclear Information System (INIS)

    Leroy, P.

    2003-11-01

    Most industrialized countries have to cope with problems of polluted soils that have their roots in past or present anthropic activities. The treatment and the management of contaminated soils is a fast-moving domain, both from a technological point of view and at the level of regulations. In this respect the future European 'soil directive' should reinforce legislations within the Members States, while harmonizing practices. The fate of excavated soils depends on multiple parameters. In some cases, materials are disposed of at landfills. In other cases, they are recovered and re-used according to specific modes. RE.CO.R.D. wishes to learn more about situations in various European countries, concerning the disposal as well as the re-use/recycling of excavated polluted soils treated off site. This study is in the continuation of the former study number 99-0506/1A performed by Adit in 1999 and 2000. This work reports on the state of legislations as well as their respective implementations in five European States (France, Belgium, The Netherlands, Italy and Germany). The aim of this analysis is to establish a comparative study of the regulations in force through selected countries

  17. Hard-Rock Stability Analysis for Span Design in Entry-Type Excavations with Learning Classifiers

    Directory of Open Access Journals (Sweden)

    Esperanza García-Gonzalo

    2016-06-01

    Full Text Available The mining industry relies heavily on empirical analysis for design and prediction. An empirical design method, called the critical span graph, was developed specifically for rock stability analysis in entry-type excavations, based on an extensive case-history database of cut and fill mining in Canada. This empirical span design chart plots the critical span against rock mass rating for the observed case histories and has been accepted by many mining operations for the initial span design of cut and fill stopes. Different types of analysis have been used to classify the observed cases into stable, potentially unstable and unstable groups. The main purpose of this paper is to present a new method for defining rock stability areas of the critical span graph, which applies machine learning classifiers (support vector machine and extreme learning machine. The results show a reasonable correlation with previous guidelines. These machine learning methods are good tools for developing empirical methods, since they make no assumptions about the regression function. With this software, it is easy to add new field observations to a previous database, improving prediction output with the addition of data that consider the local conditions for each mine.

  18. Hard-Rock Stability Analysis for Span Design in Entry-Type Excavations with Learning Classifiers.

    Science.gov (United States)

    García-Gonzalo, Esperanza; Fernández-Muñiz, Zulima; García Nieto, Paulino José; Bernardo Sánchez, Antonio; Menéndez Fernández, Marta

    2016-06-29

    The mining industry relies heavily on empirical analysis for design and prediction. An empirical design method, called the critical span graph, was developed specifically for rock stability analysis in entry-type excavations, based on an extensive case-history database of cut and fill mining in Canada. This empirical span design chart plots the critical span against rock mass rating for the observed case histories and has been accepted by many mining operations for the initial span design of cut and fill stopes. Different types of analysis have been used to classify the observed cases into stable, potentially unstable and unstable groups. The main purpose of this paper is to present a new method for defining rock stability areas of the critical span graph, which applies machine learning classifiers (support vector machine and extreme learning machine). The results show a reasonable correlation with previous guidelines. These machine learning methods are good tools for developing empirical methods, since they make no assumptions about the regression function. With this software, it is easy to add new field observations to a previous database, improving prediction output with the addition of data that consider the local conditions for each mine.

  19. Comparison of Management Oversight and Risk Tree and Tripod-Beta in Excavation Accident Analysis

    Directory of Open Access Journals (Sweden)

    Mohamadfam

    2015-01-01

    Full Text Available Background Accident investigation programs are a necessary part in identification of risks and management of the business process. Objectives One of the most important features of such programs is the analysis technique for identifying the root causes of accidents in order to prevent their recurrences. Analytical Hierarchy Process (AHP was used to compare management oversight and risk tree (MORT with Tripod-Beta in order to determine the superior technique for analysis of fatal excavation accidents in construction industries. Materials and Methods MORT and Tripod-Beta techniques were used for analyzing two major accidents with three main steps. First, these techniques were applied to find out the causal factors of the accidents. Second, a number of criteria were developed for the comparison of the techniques and third, using AHP, the techniques were prioritized in terms of the criteria for choosing the superior one. Results The Tripod-Beta investigation showed 41 preconditions and 81 latent causes involved in the accidents. Additionally, 27 root causes of accidents were identified by the MORT analysis. Analytical hierarchy process (AHP investigation revealed that MORT had higher priorities only in two criteria than Tripod-Beta. Conclusions Our findings indicate that Tripod-Beta with a total priority of 0.664 is superior to MORT with the total priority of 0.33. It is recommended for future research to compare the available accident analysis techniques based on proper criteria to select the best for accident analysis.

  20. Impact of municipal wastewater effluent on seed bank response and soils excavated from a wetland impoundment

    Science.gov (United States)

    Finocchiaro, R.G.; Kremer, R.J.; Fredrickson, L.H.

    2009-01-01

    Intensive management of wetlands to improve wildlife habitat typically includes the manipulation of water depth, duration, and timing to promote desired vegetation communities. Increased societal, industrial, and agricultural demands for water may encourage the use of alternative sources such as wastewater effluents in managed wetlands. However, water quality is commonly overlooked as an influence on wetland soil seed banks and soils. In four separate greenhouse trials conducted over a 2-yr period, we examined the effects of municipal wastewater effluent (WWE) on vegetation of wetland seed banks and soils excavated from a wildlife management area in Missouri, USA. We used microcosms filled with one of two soil materials and irrigated with WWE, Missouri River water, or deionized water to simulate moist-soil conditions. Vegetation that germinated from the soil seed bank was allowed to grow in microcosms for approximately 100 d. Vegetative taxa richness, plant density, and biomass were significantly reduced in WWE-irrigated soil materials compared with other water sources. Salinity and sodicity rapidly increased in WWE-irrigated microcosms and probably was responsible for inhibiting germination or interfering with seedling development. Our results indicate that irrigation with WWE promoted saline-sodic soil conditions, which alters the vegetation community by inhibiting germination or seedling development. ?? 2009, The Society of Wetland Scientists.

  1. Groundwater flow modelling of the excavation and operational phases - Forsmark

    International Nuclear Information System (INIS)

    Svensson, Urban; Follin, Sven

    2010-07-01

    As a part of the license application for a final repository for spent nuclear fuel at Forsmark, the Swedish Nuclear Fuel and Waste Management Company (SKB) has undertaken a series of groundwater flow modelling studies. These represent time periods with different climate conditions and the simulations carried out contribute to the overall evaluation of the repository design and long-term radiological safety. The modelling study reported here presents calculated inflow rates, drawdown of the groundwater table and upconing of deep saline water for different levels of grouting efficiency during the excavation and operational phases of a final repository at Forsmark. The inflow calculations are accompanied by a sensitivity study, which among other matters handles the impact of parameter heterogeneity, different deposition hole rejection criteria, and the SFR facility (the repository for short-lived radioactive waste located approximately 1 km to the north of the investigated candidate area for a final repository at Forsmark). The report also presents tentative modelling results for the duration of the saturation phase, which starts once the used parts of the repository are being backfilled

  2. Does Avalanche Shovel Shape Affect Excavation Time: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Kurt Schindelwig

    2017-05-01

    Full Text Available In Europe and North America, approximately 150 fatalities occur as a result of avalanches every year. However, it is unclear whether certain shovel shapes are more effective than others in snow removal during avalanche victim recovery. The objective was to determine the performance parameters with a developed standardized test using different shovel shapes and to determine sex-specific differences. Hence, several parameters were determined for clearing the snow from a snow filled box (15 men, 14 women. A flat (F and a deep (D shovel blade with the shaft connected straight (S or in clearing mode (C were used for the investigation of the shovel shapes FS, DC and the subsequent use of DC&DS. Mean snow mass shifted per unit time increased significantly from 1.50 kg/s with FS to 1.71 kg/s (14% with DS and further to 1.79 kg/s (4% with DC&DS for all participants. Snow mass shifted per unit time was 44% higher (p < 0.05 for men than for women. In excavation operations, the sex-specific physical performance should be taken into account. The results were limited to barely binding snow, because only with this snow did the tests show a high reliability.

  3. Damage-induced permeability changes around underground excavations

    International Nuclear Information System (INIS)

    Coll, C.

    2005-07-01

    The storage of nuclear waste in deep geological formations is now considered more and more as a potential solution. During excavation, a disturbed zone develops in which damaging can be important and which can lead eventually to the failure of the rock. Fluid flow and permeability in the rock mass can be significantly modified producing a possible security risk. Our work consisted in an experimental study of the hydro-mechanical coupling of two argillaceous rocks: Boom clay (Mol, Belgium) and Opalinus clay (Mont-Terri, Switzerland). Triaxial tests were performed in a saturated state to study the permeability evolution of both clays with isotropic and deviatoric stresses. Argillaceous rocks are geo-materials with complex behaviour governed by numerous coupled processes. Strong physico-chemical interactions between the fluid and the solid particles and their very low permeability required the modification of the experimental set up. Moreover, specific procedures were developed to measure permeability and to detect strain localisation in shear bands. We show that for Boom Clay, permeability is not significantly influenced by strain localisation. For Opalinus clay, fracturing can induce an increase of the permeability at low confining pressure. (author)

  4. Combined Optimal Control System for excavator electric drive

    Science.gov (United States)

    Kurochkin, N. S.; Kochetkov, V. P.; Platonova, E. V.; Glushkin, E. Y.; Dulesov, A. S.

    2018-03-01

    The article presents a synthesis of the combined optimal control algorithms of the AC drive rotation mechanism of the excavator. Synthesis of algorithms consists in the regulation of external coordinates - based on the theory of optimal systems and correction of the internal coordinates electric drive using the method "technical optimum". The research shows the advantage of optimal combined control systems for the electric rotary drive over classical systems of subordinate regulation. The paper presents a method for selecting the optimality criterion of coefficients to find the intersection of the range of permissible values of the coordinates of the control object. There is possibility of system settings by choosing the optimality criterion coefficients, which allows one to select the required characteristics of the drive: the dynamic moment (M) and the time of the transient process (tpp). Due to the use of combined optimal control systems, it was possible to significantly reduce the maximum value of the dynamic moment (M) and at the same time - reduce the transient time (tpp).

  5. Groundwater flow modelling of the excavation and operational phases - Forsmark

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Urban (Computer-aided Fluid Engineering AB, Lyckeby (Sweden)); Follin, Sven (SF GeoLogic AB, Taeby (Sweden))

    2010-07-15

    As a part of the license application for a final repository for spent nuclear fuel at Forsmark, the Swedish Nuclear Fuel and Waste Management Company (SKB) has undertaken a series of groundwater flow modelling studies. These represent time periods with different climate conditions and the simulations carried out contribute to the overall evaluation of the repository design and long-term radiological safety. The modelling study reported here presents calculated inflow rates, drawdown of the groundwater table and upconing of deep saline water for different levels of grouting efficiency during the excavation and operational phases of a final repository at Forsmark. The inflow calculations are accompanied by a sensitivity study, which among other matters handles the impact of parameter heterogeneity, different deposition hole rejection criteria, and the SFR facility (the repository for short-lived radioactive waste located approximately 1 km to the north of the investigated candidate area for a final repository at Forsmark). The report also presents tentative modelling results for the duration of the saturation phase, which starts once the used parts of the repository are being backfilled.

  6. EXCAVATION OF PITS (CHANNELS BY IMPACT OF PULSE POWER LOADING

    Directory of Open Access Journals (Sweden)

    Anakhaev Koshkinbai Nazirovich

    2017-08-01

    Full Text Available The paper provides an innovative hydromechanical solution of the problem of profiles development of pits and channels by impact of pulse (blasting power load on a surface of homogeneous soil mass, for example, when excavating solid rocks, frozen soil, etc. Thus, soil would be considered as an ideal heavy liquid (disregarding its mechanical strength and plastic properties. The solution of this problem is achieved by the method of consecutive conformal mappings of physical flow region (in the form of Kirchhoff complex on the region of complex potential (in the form of a rectangle. Thus, the new technique of geometrical image generation of the latter in the presence in the flow region of a fixed point with discontinuous variations of pressure head-flow function and the direction of speed of flow and representation of an elliptic sine of Jacobi by means of elementary functions are used. The received analytical functional dependencies allow to determine an outline of a funnel of the soil ejection and all the required hydromechanical characteristics of flow (head-flow function, function of flow, speed of flow, etc.. Thus, the soil ejection funnel outline (for a benchmark problem completely coincides with subproduct of the known rigorous solution of Lavrentyev-Kuznetsov.

  7. Numerical study on lateral wall displacement of deep excavation supported by IPS earth retention system

    Directory of Open Access Journals (Sweden)

    Tugen Feng

    2017-12-01

    Full Text Available The objective of this study is to investigate the 3D behavior characteristics of an excavation supported by an innovative prestressed support (IPS earth retention system. A numerical simulation was conducted in order to provide insight into the IPS system behavior by using the FLAC3D package. Prior to the parametric study, validation work was conducted by means of a comparison of the deformation between the field test data and numerical analysis results, and strong agreement was obtained. The reasonable excavation location, layered excavation thickness, and blocked excavation sequence are presented according to variable parameter analysis. In view of the previous findings, certain measurements are proposed in order to control the foundation pit deformation. The results indicate that prestress compensation has a significant effect on the IPS system behavior, while an optimized excavation sequence slightly improves its behavior. With the conclusion proposed based on the numerical results, the aim is to provide reference data for optimization design and the construction sequence. Keywords: FLAC3D, IPS system, Prestress compensation, Layered excavation, Blocked excavation, Deformation control

  8. Intelligent Risk Assessment for Dewatering of Metro-Tunnel Deep Excavations

    Directory of Open Access Journals (Sweden)

    X. W. Ye

    2012-01-01

    Full Text Available In recent years, China has been undergoing a metro railway construction boom in order to alleviate the urban traffic congestion problem resulting from the rapid urbanization and population growth in many metropolises. In the construction of metro systems, deep excavations and continuous dewatering for construction of the metro tunnels and stations remain a challenging and high risk task in densely populated urban areas. Intelligent computational methods and techniques have exhibited the exceptional talent in dealing with the complicated problems inherent in the deep excavation and dewatering practice. In this paper, an intelligent risk assessment system for deep excavation dewatering is developed and has been applied in the project of Hangzhou Metro Line 1 which is the first metro line of the urban rapid rail transit system in Hangzhou, China. The specific characteristics and great challenges in deep excavation dewatering of the metro-tunnel airshaft of Hangzhou Metro Line 1 are addressed. A novel design method based on the coupled three-dimensional flow theory for dewatering of the deep excavation is introduced. The modularly designed system for excavation dewatering risk assessment is described, and the field observations in dewatering risk assessment of the airshaft excavation of Hangzhou Metro Line 1 are also presented.

  9. Field Observation of Soil Displacements Resulting Due Unsupported Excavation and Its Effects on Proposed Adjacent Piles

    Directory of Open Access Journals (Sweden)

    Ala Nasir Al-Jorany

    2016-06-01

    Full Text Available Soil movement resulting due unsupported excavation nearby axially loaded piles imposes significant structural troubles on geotechnical engineers especially for piles that are not designed to account for loss of lateral confinement. In this study the field excavation works of 7.0 m deep open tunnel was continuously followed up by the authors. The work is related to the project of developing the Army canal in the east of Baghdad city in Iraq. A number of selected points around the field excavation are installed on the ground surface at different horizontal distance. The elevation and coordinates of points are recorded during 23 days with excavation progress period. The field excavation process was numerically simulated by using the finite element package PLAXIS 3D foundation. The obtained analysis results regarding the displacements of the selected points are compared with the field observation for verification purpose. Moreover, finite element analysis of axially loaded piles that are presumed to be existed at the locations of the observation points is carried out to study the effect of excavation on full scale piles behaviors. The field observation monitored an upward movement and positive lateral ground movement for shallow excavation depth. Later on and as the excavation process went deeper, a downward movement and negative lateral ground movement are noticed. The analyses results are in general well agreed with the monitored values of soil displacements at the selected points. It is found also that there are obvious effects of the nearby excavation on the presumed piles in terms of displacements and bending moments.

  10. The Association between Inappropriate Weight Control Behaviors and Suicide Ideation and Attempt among Korean Adolescents.

    Science.gov (United States)

    Lee, Sang Ah; Jang, Suk Yong; Shin, Jaeyong; Ju, Yeong Jun; Nam, Jin Young; Park, Eun Cheol

    2016-10-01

    Suicide is a leading cause of death among adolescents globally, and body weight is also a recognized reason for adolescent suicide. Therefore, we investigated the association between weight control behaviors (WCB) and suicide ideation and attempt, focusing on inappropriate weight control measures. We used data from the 2014 Korea Youth Risk Behavior Web-based Survey, representing a total of 35,224 boys and 34,361 girls aged 12 to 18 years. Adolescents were classified into groups based on WCB: appropriate WCB, inappropriate WCB, and no WCB. We performed logistic regression models to examine associations between WCB and suicide ideation and attempt, controlling for covariates. Both boys and girls with inappropriate WCB were more likely to report suicide ideation and attempt. Underweight and normal weight boys with inappropriate WCB were more likely to think or attempt suicide, and underweight girls with inappropriate WCB were also more likely to attempt suicide. Among five common WCB combinations, the combination of "regular exercise, fasting, eating less" was highly associated with suicide ideation and attempt. We confirmed that inappropriate WCB is associated with suicide ideation and attempt among Korean adolescents. Given the high incidence rate of suicide among adolescents and the adverse effect of inappropriate WCB, encouraging adolescents to control their weight in healthy ways is imperative.

  11. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use.

    Science.gov (United States)

    Lee, Chun-Hsien; Chang, Fong-Ching; Hsu, Sheng-Der; Chi, Hsueh-Yun; Huang, Li-Jung; Yeh, Ming-Kung

    2017-01-01

    While self-medication is common, inappropriate self-medication has potential risks. This study assesses inappropriate self-medication among adolescents and examines the relationships among medication literacy, substance use, and inappropriate self-medication. In 2016, a national representative sample of 6,226 students from 99 primary, middle, and high schools completed an online self-administered questionnaire. Multiple logistic regression analysis was used to examine factors related to inappropriate self-medication. The prevalence of self-medication in the past year among the adolescents surveyed was 45.8%, and the most frequently reported drugs for self-medication included nonsteroidal anti-inflammatory drugs or pain relievers (prevalence = 31.1%), cold or cough medicines (prevalence = 21.6%), analgesics (prevalence = 19.3%), and antacids (prevalence = 17.3%). Of the participants who practiced self-medication, the prevalence of inappropriate self-medication behaviors included not reading drug labels or instructions (10.1%), using excessive dosages (21.6%), and using prescription and nonprescription medicine simultaneously without advice from a health provider (polypharmacy) (30.3%). The results of multiple logistic regression analysis showed that after controlling for school level, gender, and chronic diseases, the participants with lower medication knowledge, lower self-efficacy, lower medication literacy, and who consumed tobacco or alcohol were more likely to engage in inappropriate self-medication. Lower medication literacy and substance use were associated with inappropriate self-medication among adolescents.

  12. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use.

    Directory of Open Access Journals (Sweden)

    Chun-Hsien Lee

    Full Text Available While self-medication is common, inappropriate self-medication has potential risks. This study assesses inappropriate self-medication among adolescents and examines the relationships among medication literacy, substance use, and inappropriate self-medication.In 2016, a national representative sample of 6,226 students from 99 primary, middle, and high schools completed an online self-administered questionnaire. Multiple logistic regression analysis was used to examine factors related to inappropriate self-medication.The prevalence of self-medication in the past year among the adolescents surveyed was 45.8%, and the most frequently reported drugs for self-medication included nonsteroidal anti-inflammatory drugs or pain relievers (prevalence = 31.1%, cold or cough medicines (prevalence = 21.6%, analgesics (prevalence = 19.3%, and antacids (prevalence = 17.3%. Of the participants who practiced self-medication, the prevalence of inappropriate self-medication behaviors included not reading drug labels or instructions (10.1%, using excessive dosages (21.6%, and using prescription and nonprescription medicine simultaneously without advice from a health provider (polypharmacy (30.3%. The results of multiple logistic regression analysis showed that after controlling for school level, gender, and chronic diseases, the participants with lower medication knowledge, lower self-efficacy, lower medication literacy, and who consumed tobacco or alcohol were more likely to engage in inappropriate self-medication.Lower medication literacy and substance use were associated with inappropriate self-medication among adolescents.

  13. Prevalence of inappropriate medication using Beers criteria in Japanese long-term care facilities

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    Yamada Yukari

    2006-01-01

    Full Text Available Abstract Background The prevalence and risk factors of potentially inappropriate medication use among the elderly patients have been studied in various countries, but because of the difficulty of obtaining data on patient characteristics and medications they have not been studied in Japan. Methods We conducted a retrospective cross-sectional study in 17 Japanese long-term care (LTC facilities by collecting data from the comprehensive MDS assessment forms for 1669 patients aged 65 years and over who were assessed between January and July of 2002. Potentially inappropriate medications were identified on the basis of the 2003 Beers criteria. Results The patients in the sample were similar in terms of demographic characteristics to those in the national survey. Our study revealed that 356 (21.1% of the patients were treated with potentially inappropriate medication independent of disease or condition. The most commonly inappropriately prescribed medication was ticlopidine, which had been prescribed for 107 patients (6.3%. There were 300 (18.0% patients treated with at least 1 inappropriate medication dependent on the disease or condition. The highest prevalence of inappropriate medication use dependent on the disease or condition was found in patients with chronic constipation. Multiple logistic regression analysis revealed psychotropic drug use (OR = 1.511, medication cost of per day (OR = 1.173, number of medications (OR = 1.140, and age (OR = 0.981 as factors related to inappropriate medication use independent of disease or condition. Neither patient characteristics nor facility characteristics emerged as predictors of inappropriate prescription. Conclusion The prevalence and predictors of inappropriate medication use in Japanese LTC facilities were similar to those in other countries.

  14. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients.

    Directory of Open Access Journals (Sweden)

    Chia-Chen Hsu

    Full Text Available Prescribing inappropriate pill splitting is not rare in clinical practice. To reduce inappropriate pill splitting, we developed an automatic warning system linked to a computerized physician order entry (CPOE system for special oral formulation drugs in outpatient settings. We examined the impact of the warning system on inappropriate prescribing of pill splitting and assess prescribers' responses to the warnings.Drugs with extended-release or enteric-coated formulations that were not originally intended to be split were recognized as "special oral formulations". A hard-stop system which could examine non-integer doses of drugs with special oral formulations, provide warnings to interrupt inappropriate prescriptions was integrated in CPOE in a medical center since June 2010. We designed an intervention study to compare the inappropriate splitting before and after the implementation of the warning system (baseline period 2010 January to May vs. intervention period 2010 June to 2011 August. During the intervention period, prescription changes in response to a warning were logged and analyzed.A total of 470,611 prescribed drug items with 34 different drugs with special oral formulations were prescribed in the study period. During the 15-month intervention period, 909 warnings for 26 different drugs were triggered among 354,523 prescribed drug items with special oral formulations. The warning rate of inappropriate splitting in the late intervention period was lower than those in baseline period (0.16% vs. 0.61%, incidence rate ratio 0.27, 95% CI 0.23-0.31, P<0.001. In respond to warnings, physicians had to make adjustments, of which the majority was changing to an unsplit pill (72.9%.The interruptive warning system could avoid the prescriptions with inappropriate pill splitting. Accordingly, physicians changed their behavior of prescribing special oral formulations regarding inappropriate pill splitting. We suggest the establishment of such system

  15. Individual and hospital-related determinants of potentially inappropriate admissions emerging from administrative records.

    Science.gov (United States)

    Fusco, Marco; Buja, Alessandra; Piergentili, Paolo; Golfetto, Maria Teresa; Serafin, Gianni; Gallo, Silvia; Dalla Barba, Livio; Baldo, Vincenzo

    2016-11-01

    The appropriate use of health care is an important issue in developed countries. The purpose of this study was to ascertain the extent of potentially inappropriate hospital admissions and their individual, clinical and hospital-related determinants. Medical records were analyzed for the year 2014 held by the Local Heath Unit n. 13 in the Veneto Region of north-east Italy (19,000 records). The outcomes calculated were: admissions for conditions amenable to day hospital care; brief medical admissions; outlier lengths of stay for elderly patients' medical admissions; and medical admissions to surgical wards. Univariate analyses and logistic regression models were used to test associations with demographic, clinical and hospital ward covariates, including organizational indicators. Inappropriate reliance on acute care beds ranged from 6% to 28%, depending on the type of quality indicator analyzed. Some individual features, and wards' specific characteristics were associated with at least one of the phenomena of inappropriate hospital resource usage. In particular, male gender, younger age and transferals seemed to affect inappropriate admissions to surgical wards. Potentially avoidable admissions featuring inpatients amenable to day hospital care were associated with subjects with fewer comorbidities and lower case-mix wards, while inappropriately short medical stays were influenced by patients' higher functional status and local residency and by lower bed occupancy rates. In conclusion, inappropriately long hospital stays for elderly cases were associated with patients with multiple pathologies in wards with a low bed-occupancy. Education level and citizenship did not seem to influence inappropriate admissions. Some individual, clinical ad structural characteristics of patients and wards emerging from administrative records could be associated with inappropriate reliance on acute hospital beds. Analyzing the indicators considered in this study could generate

  16. Understanding Factors Contributing to Inappropriate Critical Care: A Mixed-Methods Analysis of Medical Record Documentation.

    Science.gov (United States)

    Neville, Thanh H; Tarn, Derjung M; Yamamoto, Myrtle; Garber, Bryan J; Wenger, Neil S

    2017-11-01

    Factors leading to inappropriate critical care, that is treatment that should not be provided because it does not offer the patient meaningful benefit, have not been rigorously characterized. We explored medical record documentation about patients who received inappropriate critical care and those who received appropriate critical care to examine factors associated with the provision of inappropriate treatment. Medical records were abstracted from 123 patients who were assessed as receiving inappropriate treatment and 66 patients who were assessed as receiving appropriate treatment but died within six months of intensive care unit (ICU) admission. We used mixed methods combining qualitative analysis of medical record documentation with multivariable analysis to examine the relationship between patient and communication factors and the receipt of inappropriate treatment, and present these within a conceptual model. One academic health system. Medical records revealed 21 themes pertaining to prognosis and factors influencing treatment aggressiveness. Four themes were independently associated with patients receiving inappropriate treatment according to physicians. When decision making was not guided by physicians (odds ratio [OR] 3.76, confidence interval [95% CI] 1.21-11.70) or was delayed by patient/family (OR 4.52, 95% CI 1.69-12.04), patients were more likely to receive inappropriate treatment. Documented communication about goals of care (OR 0.29, 95% CI 0.10-0.84) and patient's preferences driving decision making (OR 0.02, 95% CI 0.00-0.27) were associated with lower odds of receiving inappropriate treatment. Medical record documentation suggests that inappropriate treatment occurs in the setting of communication and decision-making patterns that may be amenable to intervention.

  17. The antler finds at Bilzingsleben, excavations 1969-1993

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    Jürgen Vollbrecht

    2000-09-01

    Full Text Available 2820 antler remains from the Lower Palaeolithic site of Bilzingsleben, Thuringia, Germany (excavations 1969-1993 were the subject of detailed investigations. The two major goals were: 1.the consideration of taphonomic aspects 2.the critical evaluation of suggestions about artificial modifications to the antler material A detailed morphological description of the antler material provided the basis for the investigation. A prerequisite was the transfer of provenance data onto an x-y coordinate grid. Taphonomic aspects considered in this work include the relative frequencies of antler elements, estimates regarding the minimum number of individual deer, their age structure and seasonality, and, insofar as the condition of the antlers allowed, the classification of surface preservation, size classes and spatial distribution of the finds. The assemblage of antler finds, the majority of which seems to have come from red deer, is dominated by small fragments, mostly of tines. About one quarter of the finds are larger than 150 mm. Lower beams are more abundant than upper beams (e.g. crowns. Detailed counting, substantiated by systematic reconstruction, shows that in general the antlers are incomplete. After reconstruction of unshed antlers, it was possible to assess the minimum number of heads at 150 animals. Preliminary counting of postcranial and cranial (non antler cervid material points to about 70 cervids. Intentional accumulation of antlers by hominids can only be accepted as the reason for these disproportionate figures if other site formation processes can be ruled out. In fact, the correlation between sediment thickness and maximum antler densities, at least for finds smaller than 120mm, suggests that fluvial accumulation has to be taken into account as a probable element of the site formation history. Further, the mixture of unifacially abraded finds together with finds that exhibit bifacial abrasion points to a succession of changing fluvial

  18. Thermoluminescence dating of potteries excavated at Bhagwanpura and Mathura

    International Nuclear Information System (INIS)

    Nambi, K.S.V.; Sasidharan, R.; Soman, S.D.

    1979-01-01

    Thermoluminescence (TL) dating attempts were made on sherds of freshly excavated potteries from Bhagwanpura and Mathura sites. TL measurements were generally made from the fine grains of the potsherds; attempts were also made to separate the quartz inclusions from some of the potsherds and evaluate the TL. Dose-rate estimations were made from an analysis of natural radioactivity of the samples; TLD estimation of the environmental gamma dose-rate component was also attempted for the Mathura sites. The TL age estimates ranged between 2000 and 5000 years, B.P. for the Bhagwanpura series and between 1400 and 3000 years, B.P. for the Mathura series. Distinctly different trends were seen in the ages of graywares and redwares from Bhagwanpura: with increasing depth at the site, the grayware ages diminished (upto 1.3 depth beyond which they do not occur) while the redware ages remain the same upto 1.3 m depth and increase regularly beyond. In the case of eight Mathura potsherds for which the archaeologists' expected age values were available, a good to fair (+- 2 to +- 19%) agreement with the TL ages could be seen for four sherds. The estimated accuracies of the TL ages range between +- 9 to +- 19% and such a high value stems from the generous allowance made for all possible values of water content in pottery and soil over the archaeological period; if reasonable values for the actual degree of wetness could be provided, the TL ages can be estimated with accuracies of the order of +- 5%. (auth.)

  19. Calculation of the Chilling Requirement for Air Conditioning in the Excavation Roadway

    Directory of Open Access Journals (Sweden)

    Yueping Qin

    2015-10-01

    Full Text Available To effectively improve the climate conditions of the excavation roadway in coal mine, the calculation of the chilling requirement taking air conditioning measures is extremely necessary. The temperature field of the surrounding rock with moving boundary in the excavation roadway was numerically simulated by using finite volume method. The unstable heat transfer coefficient between the surrounding rock and air flow was obtained via the previous calculation. According to the coupling effects of the air flow inside and outside air duct, the differential calculation mathematical model of air flow temperature in the excavation roadway was established. The chilling requirement was calculated with the selfdeveloped computer program for forecasting the required cooling capacity of the excavation roadway. A good air conditioning effect had been observed after applying the calculated results to field trial, which indicated that the prediction method and calculation procedure were reliable.

  20. Exploration and excavation of shipwrecks in Goa and adjoining waters 2005-2006

    Digital Repository Service at National Institute of Oceanography (India)

    As a part of the institutional project, 'Application of Geological and Geophysical methods in Marine Archaeology and Underwater Explorations, (OLP 0008)', exploration and excavation of shipwrecks have been carried out from 23 Jan 2006 to 21 Feb 2006...

  1. Exploration and excavation of shipwrecks in Goa and adjoining waters 2002-2003

    Digital Repository Service at National Institute of Oceanography (India)

    As a part of the Institutional Project, 'Application of Geological and Geophysical methods in Marine Archaeology and Underwater Explorations, (OLP 050129)', exploration and excavation of shipwrecks have been carried out from January 27 - February 25...

  2. Energy-saving analysis of hydraulic hybrid excavator based on common pressure rail.

    Science.gov (United States)

    Shen, Wei; Jiang, Jihai; Su, Xiaoyu; Karimi, Hamid Reza

    2013-01-01

    Energy-saving research of excavators is becoming one hot topic due to the increasing energy crisis and environmental deterioration recently. Hydraulic hybrid excavator based on common pressure rail (HHEC) provides an alternative with electric hybrid excavator because it has high power density and environment friendly and easy to modify based on the existing manufacture process. This paper is focused on the fuel consumption of HHEC and the actuator dynamic response to assure that the new system can save energy without sacrificing performance. Firstly, we introduce the basic principle of HHEC; then, the sizing process is presented; furthermore, the modeling period which combined mathematical analysis and experiment identification is listed. Finally, simulation results show that HHEC has a fast dynamic response which can be accepted in engineering and the fuel consumption can be reduced 21% to compare the original LS excavator and even 32% after adopting another smaller engine.

  3. Performance predictions for mechanical excavators in Yucca Mountain tuffs; Yucca Mountain Site Characterization Project

    Energy Technology Data Exchange (ETDEWEB)

    Ozdemir, L.; Gertsch, L.; Neil, D.; Friant, J. [Colorado School of Mines, Golden, CO (United States). Earth Mechanics Inst.

    1992-09-01

    The performances of several mechanical excavators are predicted for use in the tuffs at Yucca Mountain: Tunnel boring machines, the Mobile Miner, a roadheader, a blind shaft borer, a vertical wheel shaft boring machine, raise drills, and V-Moles. Work summarized is comprised of three parts: Initial prediction using existing rock physical property information; Measurement of additional rock physical properties; and Revision of the initial predictions using the enhanced database. The performance predictions are based on theoretical and empirical relationships between rock properties and the forces-experienced by rock cutters and bits during excavation. Machine backup systems and excavation design aspects, such as curves and grades, are considered in determining excavator utilization factors. Instanteous penetration rate, advance rate, and cutter costs are the fundamental performance indicators.

  4. A method of modeling time-dependent rock damage surrounding underground excavations in multiphase groundwater flow

    International Nuclear Information System (INIS)

    Christian-Frear, T.; Freeze, G.

    1997-01-01

    Underground excavations produce damaged zones surrounding the excavations which have disturbed hydrologic and geomechanical properties. Prediction of fluid flow in these zones must consider both the mechanical and fluid flow processes. Presented here is a methodology which utilizes a mechanical model to predict damage and disturbed rock zone (DRZ) development around the excavation and then uses the predictions to develop time-dependent DRZ porosity relationships. These relationships are then used to adjust the porosity of the DRZ in the fluid flow model based upon the time and distance from the edge of the excavation. The application of this methodology is presented using a site-specific example from the Waste Isolation Pilot Plant, a US Department of Energy facility in bedded salts being evaluated for demonstration of the safe underground disposal of transuranic waste from US defense-related activities

  5. In situ radiological characterization to support a test excavation at a liquid waste disposal site

    International Nuclear Information System (INIS)

    Keele, B.D.; Bauer, R.G.; Blewett, G.R.; Troyer, G.L.

    1994-05-01

    An in situ radiological detection system was developed to support a small test excavation at a liquid waste disposal site at the Hanford Site in Richland, Washington. Instrumentation, calibration and comparisons to samples are discussed

  6. Parametric Optimization and Prediction Tool for Lunar Surface Systems Excavation Tasks, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Honeybee Robotics proposes to develop a software tool for facilitating lunar excavation system trades in support of selecting an optimal architecture. This will...

  7. Energy-Saving Analysis of Hydraulic Hybrid Excavator Based on Common Pressure Rail

    Science.gov (United States)

    Jiang, Jihai; Su, Xiaoyu

    2013-01-01

    Energy-saving research of excavators is becoming one hot topic due to the increasing energy crisis and environmental deterioration recently. Hydraulic hybrid excavator based on common pressure rail (HHEC) provides an alternative with electric hybrid excavator because it has high power density and environment friendly and easy to modify based on the existing manufacture process. This paper is focused on the fuel consumption of HHEC and the actuator dynamic response to assure that the new system can save energy without sacrificing performance. Firstly, we introduce the basic principle of HHEC; then, the sizing process is presented; furthermore, the modeling period which combined mathematical analysis and experiment identification is listed. Finally, simulation results show that HHEC has a fast dynamic response which can be accepted in engineering and the fuel consumption can be reduced 21% to compare the original LS excavator and even 32% after adopting another smaller engine. PMID:24194683

  8. Inappropriate use of urinary catheters in patients admitted to medical wards in a university hospital.

    Science.gov (United States)

    Fernández-Ruiz, Mario; Calvo, Beatriz; Vara, Rebeca; Villar, Rocío N; Aguado, José María

    2013-10-01

    The prevalence and predisposing factors were determined for inappropriate urinary catheterization (UC) among inpatients in medical wards. A cross-sectional study was conducted including all patients aged ≥ 18 years admitted to medical wards in a 1300-bed tertiary-care centre, and who had a urinary catheter in place on the day of the survey. Of 380 patients observed, 46 (12.1%) had a urinary catheter in place. Twelve of them (26.1%) were inappropriately catheterized. The most common indication for inappropriate UC was urine output monitoring in a cooperative, non-critically ill patient. Inappropriateness was associated with increased age, poor functional status, urinary incontinence, dementia, and admission from a long-term care facility. Further educational efforts should be focused on improving catheterization prescribing practices by physicians. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  9. Inappropriate antibiotic prescription for respiratory tract indications : most prominent in adult patients

    NARCIS (Netherlands)

    Dekker, Anne R. J.; Verheij, Theo J. M.; van der Velden, Alike W.

    Background. Numerous studies suggest overprescribing of antibiotics for respiratory tract indications (RTIs), without really authenticating inappropriate prescription; the strict criteria of guideline recommendations were not taken into account as information on specific diagnoses, patient

  10. Effects of Personality on Social Network Disclosure: Do Emotionally Intelligent Individuals Post Inappropriate Content?

    Directory of Open Access Journals (Sweden)

    Chockalingam Viswesvaran

    2012-12-01

    Full Text Available The prevalence of individuals using social networking sites to stay connected has increased considerably in only a few years and the information posted is now being used by organizations for employee selection. The purpose of the current study was to investigating how differences on the Big Five Personality traits, honesty-integrity, and emotional intelligence influence whether individuals post inappropriate social network content. Participants were 506 college students from a large metropolitan state university in the Southeastern United States. Results suggest individuals scoring high on emotional intelligence and honesty/integrity disclosed less inappropriate social network content. Emotional intelligence was not, however, predictive of inappropriate disclosure above and beyond the Big Five Personality traits. Honest and emotionally intelligent individuals seem to understand the negative implications of disclosing inappropriate social network content. Future research should examine how social network information is being used in employee selection and the predictive validity of this method.

  11. The frequency of agitation due to inappropriate use of naltrexone in addicts

    Directory of Open Access Journals (Sweden)

    Sima Siadat

    2014-01-01

    Conclusion: Considering the high prevalence of agitation in the poisoning emergency department due to inappropriate use of naltrexone, more accurate planning for administration of naltrexone in addicts seems necessary.

  12. Correlates of (inappropriate) benzodiazepine use : the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Manthey, Leonie; van Veen, Tineke; Giltay, Erik J.; Stoop, Jose E.; Neven, Arie Knuistingh; Penninx, Brenda W. J. H.; Zitman, Frans G.

    AIM Results on determinants of benzodiazepine (BZD) use in general and inappropriate use were inconsistent and mostly univariate. The relative importance of sociodemographic, psychological and physical determinants has never been investigated in a comprehensive, multivariate model. METHODS We

  13. Correlates of (inappropriate) benzodiazepine use: the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Manthey, L.; van Veen, T.; Giltay, E.J.; Stoop, J.E.; Neven, A.K.; Penninx, B.W.J.H.; Zitman, F.G.

    2011-01-01

    AIM Results on determinants of benzodiazepine (BZD) use in general and inappropriate use were inconsistent and mostly univariate. The relative importance of sociodemographic, psychological and physical determinants has never been investigated in a comprehensive, multivariate model.METHODS We

  14. Modeling and stability of electro-hydraulic servo of hydraulic excavator

    Science.gov (United States)

    Jia, Wenhua; Yin, Chenbo; Li, Guo; Sun, Menghui

    2017-11-01

    The condition of the hydraulic excavator is complicated and the working environment is bad. The safety and stability of the control system is influenced by the external factors. This paper selects hydraulic excavator electro-hydraulic servo system as the research object. A mathematical model and simulation model using AMESIM of servo system is established. Then the pressure and flow characteristics are analyzed. The design and optimization of electro-hydraulic servo system and its application in engineering machinery is provided.

  15. Impact of carvedilol and metoprolol on inappropriate implantable cardioverter-defibrillator therapy

    DEFF Research Database (Denmark)

    Ruwald, Martin H; Abu-Zeitone, Abeer; Jons, Christian

    2013-01-01

    The goal of this study was to evaluate the effects of carvedilol and metoprolol on the endpoint of inappropriate implantable cardioverter-defibrillator therapy in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation With Cardiac Resynchronization Therapy) study.......The goal of this study was to evaluate the effects of carvedilol and metoprolol on the endpoint of inappropriate implantable cardioverter-defibrillator therapy in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation With Cardiac Resynchronization Therapy) study....

  16. Inappropriate Detection of a Supraventricular Tachycardia as Dual Tachycardia by the PR Logic™ Algorithm

    Directory of Open Access Journals (Sweden)

    Ajit Thachil, MD, DM, CCDS

    2014-05-01

    Full Text Available Tachycardia detection and therapy algorithms in Implantable Cardioverter-Defibrillators (ICD reduce, but do not eliminate inappropriate ICD shocks. Awareness of the pros and cons of a particular algorithm helps to predict its utility in specific situations. We report a case where PR logic™, an algorithm commonly used in currently implanted ICDs to differentiate supraventricular tachycardia (SVT from ventricular tachycardia resulted in inappropriate detection and shock for an SVT, and discuss several solutions to the problem.

  17. Correlation analysis between team communication characteristics and frequency of inappropriate communications

    International Nuclear Information System (INIS)

    Kim, Ar Ryum; Lee, Seung Woo; Park, Jinkyun; Kang, Hyun Gook; Seong, Poong Hyun

    2013-01-01

    Highlights: • We proposed a method to evaluate team communication characteristics based on social network analysis. • We compare team communication characteristics with the frequency of inappropriate communications. • Frequency of inappropriate communications were decreased when more operators perform the same types of role as others. • Frequency of inappropriate communications were decreased for teams who provide more number of acknowledgment. - Abstract: The characteristics of team communications are important since large process systems such as nuclear power plants, airline, and railways are operated by operating teams. In such situation, inappropriate communications can cause a lack of situational information and lead to serious consequences for the systems. As a result, the communication characteristics of operating teams should be understood in order to extract meaningful insights to address the nature of inappropriate communications. The purpose of this study was to develop a method to evaluate the characteristics of team communications based on social network analysis and compare them with the frequency of inappropriate communications. In order to perform the analysis, verbal protocol data, which were audio-visual recorded under training sessions by operating teams, were used and interfacing system loss of coolant accident scenarios were selected. As a result of the study, it was found that the frequency of inappropriate communications decreased when more operators perform the same types of role as other operators, since they can easily and effectively back up each other. Also, the frequency of inappropriate communication is decreased for teams which provide a relatively large communication content that acknowledge or confirm another communication content

  18. Reduction in inappropriate hospital use based on analysis of the causes

    Directory of Open Access Journals (Sweden)

    Soria-Aledo Víctor

    2012-10-01

    Full Text Available Abstract Background To reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the implementation of measures proposed by the group for improvement. Methods Pre- and post-analysis of a sample of clinical histories studied retrospectively, in which the Appropriateness Evaluation Protocol (AEP was applied to a representative hospital sample of 1350 clinical histories in two phases. In the first phase the AEP was applied retrospectively to 725 admissions and 1350 stays. The factors associated with inappropriateness were analysed together with the causes, and specific measures were implemented in a bid to reduce inappropriateness. In the second phase the AEP was reapplied to a similar group of clinical histories and the results of the two groups were compared. The cost of inappropriate stays was calculated by cost accounting. Setting: General University Hospital with 426 beds serving a population of 320,000 inhabitants in the centre of Murcia, a city in south-eastern Spain. Results Inappropriate admissions were reduced significantly: 7.4% in the control group and 3.2% in the intervention group. Likewise, inappropriate stays decreased significantly from 24.6% to 10.4%. The cost of inappropriateness in the study sample fell from 147,044 euros to 66,642 euros. The causes of inappropriateness for which corrective measures were adopted were those that showed the most significant decrease. Conclusions It is possible to reduce inadequacy by applying measures based on prior analysis of the situation in each hospital.

  19. Inappropriate drugs in elderly patients with severe cognitive impairment: results from the shelter study.

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    Giuseppe Colloca

    Full Text Available BACKGROUND: It has been estimated that Nursing Home (NH residents with impaired cognitive status receive an average of seven to eight drugs daily. The aim of this study was to determine prevalence and factors associated with use of inappropriate drugs in elderly patients with severe cognitive impairment living in NH in Europe. METHODS: Cross-sectional data from a sample of 1449 NH residents with severe cognitive impairment, participating in the Services and Health for Elderly in Long TERm care (SHELTER study were analysed. Inappropriate drug use was defined as the use of drugs classified as rarely or never appropriate in patients with severe cognitive impairment based on the Holmes criteria published in 2008. RESULTS: Mean age of participating residents was 84.2±8.9 years, 1087 (75.0% were women. Inappropriate drug use was observed in 643 (44.9% residents. Most commonly used inappropriate drugs were lipid-lowering agents (9.9%, antiplatelet agents (excluding Acetylsalicylic Acid - ASA - (9.9%, acetylcholinesterase, inhibitors (7.2% and antispasmodics (6.9%. Inappropriate drug use was directly associated with specific diseases including diabetes (OR 1.64; 95% CI 1.21-2.24, heart failure (OR 1.48; 95% CI 1.04-2.09, stroke (OR 1.43; 95% CI 1.06-1.93, and recent hospitalization (OR 1.69; 95% CI 1.20-2.39. An inverse relation was shown between inappropriate drug use and presence of a geriatrician in the facility (OR 0.55; 95% CI 0.39-0.77. CONCLUSION: Use of inappropriate drugs is common among older EU NH residents. Determinants of inappropriate drug use include comorbidities and recent hospitalization. Presence of a geriatrician in the facility staff is associated with a reduced rate of use of these medications.

  20. Excavated pulmonary nodules: an unusual clinical presentation of lung metastasis in two cases

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    Lalya Issam

    2010-06-01

    Full Text Available Abstract Background Excavated pulmonary metastasis are rare. We present two cases of excavated pulmonary nodules proved to be metastases from osteosarcoma and gallblader lymphoma. Case presentation The first one is 39-year-old man in whom cholecystectomy made the diagnosis of primary non-Hodgkin's lymphoma of the gallbladder. He presented in chest CT scan excavated nodules that had been biopsied and confirmed the diagnosis of non hodgkin lymphoma. He underwent 8 courses of chemotherapy CHOP 21 with complete remission. The second one is an 21 years old man who presented a right leg osteoblastic osteosarcoma with only excavated pulmonary nodules in extension assessment. He had 3 courses of polychemotherapy API (doxorubicin, platinum, and ifosfamide with partial response. Unfortunately, he died following a septic shock. Review of the literature shows that excavated pulmonary nodules as metastasis are rare but we should consider this diagnosis every time we are in front of a cancer. Chest computed tomography is the best diagnosis imaging that could make this diagnosis. Differential diagnosis between benign and malignant bullous lesions is important because surgical excision affects survival in some malignancies. Conclusions Although pulmonary nodules are the most common cancer metastasis, a differential diagnosis of a concurrent primary malignancy should always be considered every time we have excavated lesions, even in patients with known malignant disease. Thorough chest evaluation is important, as multiple primary malignancies may occur concomitantly.

  1. Performance prediction of mechanical excavators from linear cutter tests on Yucca Mountain welded tuffs

    International Nuclear Information System (INIS)

    Gertsch, R.; Ozdemir, L.

    1992-09-01

    The performances of mechanical excavators are predicted for excavations in welded tuff. Emphasis is given to tunnel boring machine evaluations based on linear cutting machine test data obtained on samples of Topopah Spring welded tuff. The tests involve measurement of forces as cutters are applied to the rock surface at certain spacing and penetrations. Two disc and two point-attack cutters representing currently available technology are thus evaluated. The performance predictions based on these direct experimental measurements are believed to be more accurate than any previous values for mechanical excavation of welded tuff. The calculations of performance are predicated on minimizing the amount of energy required to excavate the welded tuff. Specific energy decreases with increasing spacing and penetration, and reaches its lowest at the widest spacing and deepest penetration used in this test program. Using the force, spacing, and penetration data from this experimental program, the thrust, torque, power, and rate of penetration are calculated for several types of mechanical excavators. The results of this study show that the candidate excavators will require higher torque and power than heretofore estimated

  2. Utilization of potentially inappropriate medications in elderly patients in a tertiary care teaching hospital in India

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    Binit N Jhaveri

    2014-01-01

    Full Text Available Aim: To evaluate the use of potentially inappropriate medicines in elderly inpatients in a tertiary care teaching hospital. Materials and Methods: Retrospective analysis was performed for cases of elderly patients admitted between January 2010 and December 2010. Data on age, gender, diagnosis, duration of hospital stay, treatment, and outcome were collected. Prescriptions were assessed for the use of potentially inappropriate medications in geriatric patients by using American Geriatric Society Beer′s criteria (2012 and PRISCUS list (2010. Results: A total of 676 geriatric patients (52.12% females were admitted in the medicine ward. The average age of geriatric patients was 72.69 years. According to Beer′s criteria, at least one inappropriate medicine was prescribed in 590 (87.3% patients. Metoclopramide (54.3%, alprazolam (9%, diazepam (8%, digoxin > 0.125 mg/day (5%, and diclofenac (3.7% were the commonly used inappropriate medications. Use of nonsteroidal anti-inflammatory drugs (NSAIDs in heart and renal failure patients was the commonly identified drug-disease interaction. According to PRISCUS list, at least one inappropriate medication was prescribed in 210 (31.06% patients. Conclusion: Use of inappropriate medicines is highly prevalent in elderly patients.

  3. Heart failure severity, inappropriate ICD therapy, and novel ICD programming: a MADIT-RIT substudy.

    Science.gov (United States)

    Daimee, Usama A; Vermilye, Katherine; Rosero, Spencer; Schuger, Claudio D; Daubert, James P; Zareba, Wojciech; McNitt, Scott; Polonsky, Bronislava; Moss, Arthur J; Kutyifa, Valentina

    2017-12-01

    The effects of heart failure (HF) severity on risk of inappropriate implantable cardioverter-defibrillator (ICD) therapy have not been thoroughly investigated. We aimed to study the association between HF severity and inappropriate ICD therapy in MADIT-RIT. MADIT-RIT randomized 1,500 patients to three ICD programming arms: conventional (Arm A), high-rate cut-off (Arm B: ≥200 beats/min), and delayed therapy (Arm C: 60-second delay for ≥170 beats/min). We evaluated the association between New York Heart Association (NYHA) class III (n = 256) versus class I-II (n = 251) and inappropriate ICD therapy in Arm A patients with ICD-only and cardiac resynchronization therapy with defibrillator (CRT-D). We additionally assessed benefit of novel ICD programming in Arms B and C versus Arm A by NYHA classification. In Arm A, the risk of inappropriate therapy was significantly higher in those with NYHA III versus NYHA I-II for both ICD (hazard ratio [HR] = 2.55, confidence interval [CI]: 1.51-4.30, P programming significantly reduced inappropriate therapy in patients with both NYHA III (Arm B vs Arm A: HR = 0.08, P programming with high-rate cut-off or delayed detection reduces inappropriate ICD therapies in both mild and moderate HF. © 2017 Wiley Periodicals, Inc.

  4. Archaeological excavations at Gamzigrad - Romuliana in 2007-2008

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    Petković Sofija

    2013-01-01

    Full Text Available Systematical archaeological excavations at the site Gamzigrad - Felix Romuliana continued in 2007-2008 in the south-eastern part of the fortified imperial palace, in the section of the thermae according to the plan of archaeological research for this site (2005-2009. In 2007, squares L'XXIV, M'XXIV, M'XXIH and M'XXII, which were investigated in 2005 to the horizon c, dated to the end of the 5th and the beginning of the 6th centuries, were completely excavated to the level of the porch of the earlier fortification of Romuliana (Plan 1. The stratigraphy of the cultural layers in these squares is as follows (Fig. 1: Below horizon c there is a layer of construction rubble mixed with brownish-yellow, clay like, sandy soil, 50-75 cm thick, comprising the finds dated in the last quarter of the 4th-5th centuries, layer D; The level of layer D is horizon d, where a structure destroyed in a conflagration, house 1/07, was discovered in squares M'XXII and M'XXIII. It could be dated, on the basis of the preserved household (pottery, metal and antler items, coins, etc., from the last quarter of the 4th to the middle of the 5th century; Horizon d 1 is a mortar floor discovered beneath horizon d, which presents the earlier phase of house 1/07; Horizon d 2 is the earliest mortar floor inside the house 1/07, covered with a later mortar floor (horizon d 1 and a levelling layer of yellow sand and gravel, which comprises the finds dating also to the last quarter of the 4th to the middle of the 5th centuries; Layer E, 15-40 cm thick, is below horizon d, comprising dark brown soil with rubble and lenses of soot at the bottom, together with finds dated to the second half of the 4th century; Horizon e is covered with layer E, and spread across all the squares which were investigated to the south and to the east of Galerius' bath, where 8 large postholes, which outlined a space 7 x 3 m large and probably some kind of porch, were found along with two furnaces and two pits

  5. Inappropriate and cloned clinical histories on radiology request forms for sick children.

    Science.gov (United States)

    Shah, Chetan Chandulal; Linam, Leann; Greenberg, S Bruce

    2013-10-01

    An appropriate clinical history improves the perception and interpretation of radiographic examinations in children and adults. However, clinical history provided on radiology request has not been studied for its appropriateness and frequency of cloned clinical history. The purpose of this study was to determine the frequency of inappropriate histories and cloned histories at a tertiary-care children's hospital. We analyzed radiology request forms of 388 outpatient and inpatient radiographic examinations obtained on 3 days during the same month at a tertiary-care children's hospital. Appropriateness of the clinical history was judged by its relevance to the examination ordered and appropriate associated billable ICD-9 code. Cloning was defined as identical clinical histories appearing on the radiology request on three consecutive days. Cloned histories were further subdivided as being appropriate or inappropriate. A total of 18% (70/388) of the requests for clinical history were either inappropriate, cloned or both. Neonatal intensive care unit (NICU) referrals constituted the majority (82%, 9/11) of combined inappropriate history and cloning. NICU referrals accounted for 52% (28/54) of all inappropriate clinical histories, a significantly higher percentage than other inpatient locations (P = 0.006). The cardiovascular intensive care unit (CVICU) was the second most common patient location for inappropriate clinical histories (11%, 6/54). About one-third of the radiographic requests from the NICU had inappropriate histories (35%, 28/79). Among the outpatient referrals, 50% (4/8) of the inappropriate histories were from the emergency department. The most common cloned histories included "hypoplastic left heart syndrome" (15%, 4/27), "endotracheal tube placement" (11%, 3/27) and "evaluate lung fields and bowel" (11%, 3/27). The most commonly cloned clinical history was seen on referrals from the NICU at 63% (17/27), a significantly higher percentage than other

  6. Potentially inappropriate medication use: the Beers' Criteria used among older adults with depressive symptoms

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    Lee D

    2013-09-01

    Full Text Available INTRODUCTION: The ageing population means prescribing for chronic illnesses in older people is expected to rise. Comorbidities and compromised organ function may complicate prescribing and increase medication-related risks. Comorbid depression in older people is highly prevalent and complicates medication prescribing decisions. AIM: To determine the prevalence of potentially inappropriate medication use in a community-dwelling population of older adults with depressive symptoms. METHODS: The medications of 191 community-dwelling older people selected because of depressive symptoms for a randomised trial were reviewed and assessed using the modified version of the Beers' Criteria. The association between inappropriate medication use and various population characteristics was assessed using Chi-square statistics and logistic regression analyses. RESULTS: The mean age was 81 (±4.3 years and 59% were women. The median number of medications used was 6 (range 1-21 medications. The most commonly prescribed potentially inappropriate medications were amitriptyline, dextropropoxyphene, quinine and benzodiazepines. Almost half (49% of the participants were prescribed at least one potentially inappropriate medication; 29% were considered to suffer significant depressive symptoms (Geriatric Depression Scale ≥5 and no differences were found in the number of inappropriate medications used between those with and without significant depressive symptoms (Chi-square 0.005 p=0.54. DISCUSSION: Potentially inappropriate medication use, as per the modified Beers' Criteria, is very common among community-dwelling older people with depressive symptoms. However, the utility of the Beers' Criteria is lessened by lack of clinical correlation. Ongoing research to examine outcomes related to apparent inappropriate medication use is needed.

  7. Using a social story intervention to decrease inappropriate behavior of preschool children with autism

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    Angkhana Khantreejitranon

    2018-01-01

    Full Text Available This research investigated the inappropriate behavior of preschool children with autism in a classroom and examined the effectiveness of the use of social stories to decrease inappropriate autistic behavior. An A-B-A-B single subject design was used across the five participants selected for the study. Investigating the problematic social skills and developing a social story intervention for the preschool autistic children was completed, followed by an examination of the effectiveness of the social story intervention. Ten common problematic social skills among the autistic children in preschool were identified—walking around, making loud noises, not sharing their toys with others, showing frustration when feeling unsatisfied, having no patience, not putting toys away when finished, taking other people's belongings without permission, not knowing how to greet others, destroying things when feeling frustrated, and giving a hug to other people at inappropriate times. It was found that the social story intervention helped to decrease inappropriate behavior in children with autism. The social story intervention consisted of five social story books and five e-books (one story per child using a single subject design with an A-B-A-B pattern. The autistic children preferred social stories from the hardcopy books compared with stories from the e-books. A fourth stage time trial was used over 6 weeks, five times per week, for a total of 30 times. The findings suggested that the use of properly constructed social stories can be effective in decreasing the inappropriate behavior of children with autism. However, each story intervention should be applied with caution because of individual differences between children. The social story intervention should be designed only for autistic children who exhibit specific inappropriate social behavior. Keywords: autistic child, inappropriate behavior, social skills, social story

  8. Potentially inappropriate prescriptions for older patients in long-term care

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    Laurin Danielle

    2004-10-01

    Full Text Available Abstract Background Inappropriate medication use is a major healthcare issue for the elderly population. This study explored the prevalence of potentially inappropriate prescriptions (PIPs in long-term care in metropolitan Quebec. Methods A cross sectional chart review of 2,633 long-term care older patients of the Quebec City area was performed. An explicit criteria list for PIPs was developed based on the literature and validated by a modified Delphi method. Medication orders were reviewed to describe prescribing patterns and to determine the prevalence of PIPs. A multivariate analysis was performed to identify predictors of PIPs. Results Almost all residents (94.0% were receiving one or more prescribed medication; on average patients had 4.8 prescribed medications. A majority (54.7% of treated patients had a potentially inappropriate prescription (PIP. Most common PIPs were drug interactions (33.9% of treated patients, followed by potentially inappropriate duration (23.6%, potentially inappropriate medication (14.7% and potentially inappropriate dosage (9.6%. PIPs were most frequent for medications of the central nervous system (10.8% of prescribed medication. The likelihood of PIP increased significantly as the number of drugs prescribed increased (odds ratio [OR]: 1.38, 95% confidence interval [CI]: 1.33 – 1.43 and with the length of stay (OR: 1.78, CI: 1.43 – 2.20. On the other hand, the risk of receiving a PIP decreased with age. Conclusion Potentially inappropriate prescribing is a serious problem in the highly medicated long-term care population in metropolitan Quebec. Use of explicit criteria lists may help identify the most critical issues and prioritize interventions to improve quality of care and patient safety.

  9. Inappropriate implantable cardioverter defibrillator shocks-incidence, effect, and implications for driver licensing.

    Science.gov (United States)

    Watanabe, Eiichi; Okajima, Katsunori; Shimane, Akira; Ozawa, Tomoya; Manaka, Tetsuyuki; Morishima, Itsuro; Asai, Toru; Takagi, Masahiko; Honda, Toshihiro; Kasai, Atsunobu; Fujii, Eitaro; Yamashiro, Kohei; Kohno, Ritsuko; Abe, Haruhiko; Noda, Takashi; Kurita, Takashi; Watanabe, Shigeyuki; Ohmori, Hiroya; Nitta, Takashi; Aizawa, Yoshifusa; Kiyono, Ken; Okumura, Ken

    2017-09-01

    Patients with implantable cardioverter defibrillators (ICDs) have an ongoing risk of sudden incapacitation that may cause traffic accidents. However, there are limited data on the magnitude of this risk after inappropriate ICD therapies. We studied the rate of syncope associated with inappropriate ICD therapies to provide a scientific basis for formulating driving restrictions. Inappropriate ICD therapy event data between 1997 and 2014 from 50 Japanese institutions were analyzed retrospectively. The annual risk of harm (RH) to others posed by a driver with an ICD was calculated for private driving habits. We used a commonly employed annual RH to others of 5 in 100,000 (0.005%) as an acceptable risk threshold. Of the 4089 patients, 772 inappropriate ICD therapies occurred in 417 patients (age 61 ± 15 years, 74% male, and 65% secondary prevention). Patients experiencing inappropriate therapies had a mean number of 1.8 ± 1.5 therapy episodes during a median follow-up period of 3.9 years. No significant differences were found in the age, sex, or number of inappropriate therapies between patients receiving ICDs for primary or secondary prevention. Only three patients (0.7%) experienced syncope associated with inappropriate therapies. The maximum annual RH to others after the first therapy in primary and secondary prevention patients was calculated to be 0.11 in 100,000 and 0.12 in 100,000, respectively. We found that the annual RH from driving was far below the commonly cited acceptable risk threshold. Our data provide useful information to supplement current recommendations on driving restrictions in ICD patients with private driving habits.

  10. Effects of ocean warming and acidification on the energy budget of an excavating sponge.

    Science.gov (United States)

    Fang, James K H; Schönberg, Christine H L; Mello-Athayde, Matheus A; Hoegh-Guldberg, Ove; Dove, Sophie

    2014-04-01

    Recent research efforts have demonstrated increased bioerosion rates under experimentally elevated partial pressures of seawater carbon dioxide (pCO2 ) with or without increased temperatures, which may lead to net erosion on coral reefs in the future. However, this conclusion clearly depends on the ability of the investigated bioeroding organisms to survive and grow in the warmer and more acidic future environments, which remains unexplored. The excavating sponge Cliona orientalis Thiele, is a widely distributed bioeroding organism and symbiotic with dinoflagellates of the genus Symbiodinium. Using C. orientalis, an energy budget model was developed to calculate amounts of carbon directed into metabolic maintenance and growth. This model was tested under a range of CO2 emission scenarios (temperature + pCO2 ) appropriate to an Austral early summer. Under a pre-industrial scenario, present day (control) scenario, or B1 future scenario (associated with reducing the rate of CO2 emissions over the next few decades), C. orientalis maintained a positive energy budget, where metabolic demand was likely satisfied by autotrophic carbon provided by Symbiodinium and heterotrophic carbon via filter-feeding, suggesting sustainability. Under B1, C. orientalis likely benefited by a greater supply of photosynthetic products from its symbionts, which increased by up to 56% per unit area, and displayed an improved condition with up to 52% increased surplus carbon available for growth. Under an A1FI future scenario (associated with 'business-as-usual' CO2 emissions) bleached C. orientalis experienced the highest metabolic demand, but carbon acquired was insufficient to maintain the sponge, as indicated by a negative energy budget. These metabolic considerations suggest that previous observations of increased bioerosion under A1FI by C. orientalis may not last through the height of future A1FI summers, and survival of individual sponges may be dependent on the energy reserves

  11. Modeling of excavation induced coupled hydraulic-mechanical processes in claystone

    Energy Technology Data Exchange (ETDEWEB)

    Massmann, Jobst

    2009-07-01

    Concepts for the numerical modeling of excavation induced processes in claystone are investigated. The study has been motivated by the international discussion on the adequacy of claystone as a potential host rock for a final repository of radioactive waste. The processes, which could impact the safety of such a repository, are manifold and strongly interacting. Thus, a multiphysics approach is needed, regarding solid mechanics and fluid mechanics within a geological context. A coupled modeling concept is therefore indispensable. Based on observations and measurements at an argillaceous test site (the underground laboratory Tournemire, operated by the Institute of Radioprotection and Nuclear Safety, France) the modeling concept is developed. Two main processes constitute the basis of the applied model: deformation (linear elasticity considering damage) and fluid flow (unsaturated one-phase flow). Several coupling phenomena are considered: Terzaghi 's effective stress concept, mass conservation of the liquid in a deformable porous media, drying induced shrinkage, and a permeability which depends on deformation and damage. In addition, transversely isotropic material behavior is considered. The numerical simulations are done with the finite element code RockFlow, which is extended to include: an orthotropic non-linear shrinkage model, a continuum damage model, and an orthotropic permeability model. For these new methods the theory and a literature review are presented, followed by applications, which illustrate the capability to model excavation induced processes in principle. In a comprehensive case study, the modeling concept is used to simulate the response of the Tournemire argillite to excavation. The results are compared with observations and measurements of three different excavations (century old tunnel, two galleries excavated in 1996 and 2003). In summary, it can be concluded that the developed model concept provides a prediction of the excavation

  12. Energy substrate used by workers of leaf-cutting ants during nest excavation

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    Roberto S. Camargo

    2013-12-01

    Full Text Available Energy substrate used by workers of leaf-cutting ants during nest excavation. In this study we aimed to ascertain whether leaf-cutting ant workers lose body reserves (fat or sugars as a function of nest excavation. For each treatment, we isolated 10 workers of Atta sexdens into two experimental groups, Control (C- without excavation and Soil (S- with excavation, which were kept for different time intervals (0, 24, 48 or 72 hours, totaling 700 tested workers. We then determined the concentration of soluble carbohydrates and total lipid content in them. The total carbohydrates were determined colorimetrically, based on the reaction between carbohydrates and sulfuric acid-phenol. For determination of lipids, the insects were immersed in organic solvent until they reached a constant weight. Our results showed that carbohydrates are consumed during nest excavation activities. In the experimental groups S24, S48 and S72, there was an average reduction of 5.82 (20.42%, 14.31 (44.96% and 13.27 (43.96% µ.mg-1 in soluble sugar when compared with the experimental groups that did not excavate. Furthermore, the lipids were not used during this activity. With respect to dry mass of the workers, their values were C0 = 8%, C24 = 10.4%, C48 = 9.2%, C72 = 10%, S24 = 9.2%, S48 = 8.7% and S72 = 8.5%. Our results show experimentally that the source of energy for nest excavation is carbohydrates, whereas lipids are conserved for other activities.

  13. Modeling of excavation induced coupled hydraulic-mechanical processes in claystone

    International Nuclear Information System (INIS)

    Massmann, Jobst

    2009-01-01

    Concepts for the numerical modeling of excavation induced processes in claystone are investigated. The study has been motivated by the international discussion on the adequacy of claystone as a potential host rock for a final repository of radioactive waste. The processes, which could impact the safety of such a repository, are manifold and strongly interacting. Thus, a multiphysics approach is needed, regarding solid mechanics and fluid mechanics within a geological context. A coupled modeling concept is therefore indispensable. Based on observations and measurements at an argillaceous test site (the underground laboratory Tournemire, operated by the Institute of Radioprotection and Nuclear Safety, France) the modeling concept is developed. Two main processes constitute the basis of the applied model: deformation (linear elasticity considering damage) and fluid flow (unsaturated one-phase flow). Several coupling phenomena are considered: Terzaghi 's effective stress concept, mass conservation of the liquid in a deformable porous media, drying induced shrinkage, and a permeability which depends on deformation and damage. In addition, transversely isotropic material behavior is considered. The numerical simulations are done with the finite element code RockFlow, which is extended to include: an orthotropic non-linear shrinkage model, a continuum damage model, and an orthotropic permeability model. For these new methods the theory and a literature review are presented, followed by applications, which illustrate the capability to model excavation induced processes in principle. In a comprehensive case study, the modeling concept is used to simulate the response of the Tournemire argillite to excavation. The results are compared with observations and measurements of three different excavations (century old tunnel, two galleries excavated in 1996 and 2003). In summary, it can be concluded that the developed model concept provides a prediction of the excavation induced

  14. Choice of rock excavation methods for the Swedish deep repository for spent nuclear fuel

    Energy Technology Data Exchange (ETDEWEB)

    Baeckblom, Goeran [Conrox, Stockholm (Sweden); Christiansson, Rolf [Swedish Nuclear Fuel and Waste Management Co., Stockholm (Sweden); Lagerstedt, Leif [SwedPower AB, Stockholm (Sweden)

    2004-09-01

    Choice of rock excavation methods will or may have implications for a number of issues like repository layout, long term and operational safety, environmental impact, design of and operation of transport vehicles and methodology for backfilling the repository before closure as well as effects on costs and schedules. To fully analyse the issues at hand related to selection of excavation methods, SKB organized a project with the objectives: To investigate and compare principal technical solutions for rock excavation, both methods that are used at present but also methods that may be feasible 10 years from now; To assess how the selection of excavation method influences the design and operation of the deep repository; To present a definition of the Excavation Damaged/Disturbed Zone and practical methods for measurements of EDZ; To present advantages and disadvantages with different excavation methods for the various tunnels and underground openings as a basis for selection of preferred excavation methods; To present the Design Justification Statement for the selection of particular excavation methods for the different tunnels and openings in the deep repository to underpin a decision on excavation method; and To present background data that may be required for the evaluation of the long term safety of the deep repository. Main alternatives studied are very smooth blasting, excavation with a tunnel-boring machine (TBM) and excavation with horizontal pull-reaming using more or less conventional raise-boring equipment. The detailed studies were carried through in co-operation with major suppliers and end-users of the technology. An observation in this study is that all excavation technologies are mature; no major breakthroughs are foreseen within a 10 year period but it is likely that for any technology selected, SKB would specifically fine-tune the design of the equipment and work procedures in view of requirements and site specific conditions. Excavation methods have

  15. Choice of rock excavation methods for the Swedish deep repository for spent nuclear fuel

    International Nuclear Information System (INIS)

    Baeckblom, Goeran; Christiansson, Rolf; Lagerstedt, Leif

    2004-09-01

    Choice of rock excavation methods will or may have implications for a number of issues like repository layout, long term and operational safety, environmental impact, design of and operation of transport vehicles and methodology for backfilling the repository before closure as well as effects on costs and schedules. To fully analyse the issues at hand related to selection of excavation methods, SKB organized a project with the objectives: To investigate and compare principal technical solutions for rock excavation, both methods that are used at present but also methods that may be feasible 10 years from now; To assess how the selection of excavation method influences the design and operation of the deep repository; To present a definition of the Excavation Damaged/Disturbed Zone and practical methods for measurements of EDZ; To present advantages and disadvantages with different excavation methods for the various tunnels and underground openings as a basis for selection of preferred excavation methods; To present the Design Justification Statement for the selection of particular excavation methods for the different tunnels and openings in the deep repository to underpin a decision on excavation method; and To present background data that may be required for the evaluation of the long term safety of the deep repository. Main alternatives studied are very smooth blasting, excavation with a tunnel-boring machine (TBM) and excavation with horizontal pull-reaming using more or less conventional raise-boring equipment. The detailed studies were carried through in co-operation with major suppliers and end-users of the technology. An observation in this study is that all excavation technologies are mature; no major breakthroughs are foreseen within a 10 year period but it is likely that for any technology selected, SKB would specifically fine-tune the design of the equipment and work procedures in view of requirements and site specific conditions. Excavation methods have

  16. Frequent Home Monitoring of ICD Is Effective to Prevent Inappropriate Defibrillator Shock Delivery

    Directory of Open Access Journals (Sweden)

    Paolo Bifulco

    2014-01-01

    Full Text Available Recently, in the context of telemedicine, telemonitoring services are gaining attention. They are offered, for example, to patients with implantable cardioverter defibrillators (ICDs. A major problem associated with ICD therapy is the occurrence of inappropriate shocks which impair patients’ quality of life and may also be arrhythmogenic. The telemonitoring can provide a valid support to intensify followup visits, in order to improve the prevention of inappropriate defibrillator shock, thus enhancing patient safety. Inappropriate shock generally depends on atrial fibrillation, supraventricular tachycardia, and abnormal sensing (such as those caused by electromagnetic interferences. As a practical example, an unusual case of an ICD patient who risked an inappropriate shock while taking a shower is reported. Continuous remote telemonitoring was able to timely warn cardiologist via GSM-SMS, who were able to detect improper sensing examining the intracardiac electrogram via Web. Patient was promptly contacted and warned to not further come in contact with the hydraulic system and any electrical appliance to prevent an inappropriate defibrillator shock. This demonstrates the effectiveness and usefulness of continuous remote telemonitoring in supporting ICD patients.

  17. Healthcare providers attitudes and perceptions of 'inappropriate attendance' in the Emergency Department.

    Science.gov (United States)

    Breen, Bernadette M; McCann, Margaret

    2013-07-01

    Emergency Departments (EDs) worldwide are facing a crisis from overcrowding and a common perception exists that inappropriate use of the ED is a major contributing factor. Patients, who attend the ED with non-urgent problems, could be dealt with by a General Practitioner; such patients use time and resources that would otherwise be used for patients with more appropriate needs. To explore attitudes and perceptions of healthcare providers regarding 'inappropriate attendance' in the ED. Using a survey questionnaire, this descriptive quantitative study included ED nurses, doctors and paramedics from three regional hospitals in the Republic of Ireland. A total of 163 surveys were returned (59% response rate). There was an overwhelming agreement among respondents that inappropriate attendance in Irish ED exists and poses a considerable challenge for healthcare providers. Results suggest differences of opinion on what represents inappropriate ED use. Potential solutions to address the issue of inappropriate ED attendance include General Practitioners and Advanced Nurse Practitioners practicing within the ED setting; education and greater public awareness and faster access to a specialist opinion in the Out Patient Department. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Inappropriate sexual behaviour in adolescents with autism spectrum disorder: what education is recommended and why.

    Science.gov (United States)

    Beddows, Nicola; Brooks, Rachel

    2016-08-01

    Autism spectrum disorder (ASD) is a neurodevelopmental disorder impairing social skills and communication. Adolescents with ASD have sexual needs, but may not understand their physical and emotional development resulting in inappropriate sexual behaviour. The aim of this review is to describe the type of inappropriate behaviour that presents in these adolescents, explain why such behaviours occur, suggest what education is suitable and identify current gaps in research. The databases EMBASE, OVID MEDLINE and PSYCINFO were searched for relevant articles. In total, 5241 articles were found, with an additional 15 sources found via soft searches, of which 42 met inclusion criteria and were subsequently reviewed. Sexual behaviours that occur in these adolescents with ASD include hypermasturbation, public masturbation, inappropriate romantic gestures, inappropriate arousal and exhibitionism. Such behaviours are thought to be caused via a lack of understanding of normal puberty, the absence of appropriate sex education, the severity of their ASD and other associated problems. It is suggested that individualized, repetitive education should be started from an early age in an accessible form. Social skills development is also important before more technical aspects of sex education are taught. Despite being such a common problem for schools, institutions and families to manage, it is surprising how sparse literature is particularly regarding why inappropriate behaviour occurs and what education is effective. © 2015 Wiley Publishing Asia Pty Ltd.

  19. Inappropriate gestational weight gain among teenage pregnancies: prevalence and pregnancy outcomes

    Directory of Open Access Journals (Sweden)

    Vivatkusol Y

    2017-05-01

    Full Text Available Yada Vivatkusol, Thaovalai Thavaramara, Chadakarn Phaloprakarn Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand Objective: To study the prevalence and pregnancy outcomes of inappropriate gestational weight gain (GWG among teenage pregnant women.Methods: A retrospective descriptive study was conducted on 2,165 teenage pregnant women who attended our antenatal clinic between January 2007 and August 2015. Adverse pregnancy outcomes, including maternal and neonatal outcomes of women with inappropriate GWG, including underweight and overweight, were studied and compared with those of women with appropriate GWG.Results: Complete data of 1,943 women were obtained. Among these women, the mean age was 17.4±1.4 years and mean body mass index at first visit was 19.1±3.0 kg/m2. The prevalence of inappropriate GWG was 61.7%. Underweight women were more likely to experience anemia and preterm delivery, whereas overweight women required more cesarean sections because of cephalopelvic disproportion and preeclampsia, compared to women with appropriate weight gain (all P<0.001. The rates of gestational diabetes mellitus among women who were underweight, overweight, or appropriate weight were not significantly different.Conclusion: More than 60% of teenage pregnancies showed inappropriate GWG. GWG had a significant impact on pregnancy outcomes. Keywords: prevalence, pregnancy outcome, inappropriate gestational weight gain, teenage pregnancy

  20. Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers' Criteria.

    LENUS (Irish Health Repository)

    Gallagher, Paul F

    2012-02-03

    INTRODUCTION: Adverse drug events (ADEs) are associated with inappropriate prescribing (IP) and result in increased morbidity, mortality and resource utilisation. We used Beers\\' Criteria to determine the three-month prevalence of IP in a non-selected community-dwelling population of acutely ill older people requiring hospitalisation. METHODS: A prospective, observational study of 597 consecutive acute admissions was performed. Diagnoses and concurrent medications were recorded before hospital physician intervention, and Beers\\' Criteria applied. RESULTS: Mean patient age (SD) was 77 (7) years. Median number of medications was 5, range 0-13. IP occurred in 32% of patients (n = 191), with 24%, 6% and 2% taking 1, 2 and 3 inappropriate medications respectively. Patients taking >5 medications were 3.3 times more likely to receive an inappropriate medication than those taking < or =5 medications (OR 3.34: 95%, CI 2.37-4.79; P<0.001). Forty-nine per cent of patients with inappropriate prescriptions were admitted with adverse effects of the inappropriate medications. Sixteen per cent of all admissions were associated with such adverse effects. CONCLUSION: IP is highly prevalent in acutely ill older patients and is associated with polypharmacy and hospitalisation. However, Beers\\' Criteria cannot be used as a gold standard as they do not comprehensively address all aspects of IP in older people.

  1. Potentially inappropriate prescribing in elderly population: A study in medicine out-patient department

    Directory of Open Access Journals (Sweden)

    Ajit Kumar Sah

    2017-03-01

    Full Text Available Background & Objectives: Older individuals often suffer from multiple systemic diseases and are particularly more vulnerable to potentially inappropriate medicine prescribing. Inappropriate medication can cause serious medical problem for the elderly. The study was conducted with objectives to determine the prevalence of potentially inappropriate medicine (PIM prescribing in older Nepalese patients in a medicine outpatient department.Materials & Methods: A prospective observational analysis of drugs prescribed in medicine out-patient department (OPD of a tertiary hospital of central Nepal was conducted during November 2012 to October 2013 among 869 older adults aged 65 years and above. The use of potentially inappropriate medications (PIM in elderly patients was analysed using Beer’s Criteria updated to 2013. Results: In the 869 patients included, the average number of drugs prescribed per prescription was 5.56. The most commonly used drugs were atenolol (24.3%, amlodipine (23.16%, paracetamol (17.6%, salbutamol (15.72% and vitamin B complex (13.26%. The total number of medications prescribed was 4833. At least one instance of PIM was experienced by approximately 26.3% of patients when evaluated using the Beers criteria. Conclusion: Potentially inappropriate medications are highly prevalent among older patients attending medical OPD and are associated with number of medications prescribed. Further research is warranted to study the impact of PIMs towards health related outcomes in these elderly.

  2. The effects of a shaft excavation experiment on the hydrology of the Tono research field, Japan

    Science.gov (United States)

    Yanagizawa, Koichi; Imai, Hisashi; Furuya, Kazuo; Nishigaki, Makoto

    1995-09-01

    In order to understand the groundwater flow deep underground and its long term evolution in the future, it is necessary to develop a comprehensive hydrological evaluation system including in-situ investigation methodology, instrumentation for measurement and an assessment method such as numerical simulation. A hydrological evaluation system was developed and a project was planned to confirm the efficiency of the system. The project, named the Shaft Excavation Effect Project, in which a shaft 6 m in diameter and 150 m in depth was excavated and the system was applied to evaluate the shaft excavation effect on groundwater flow. The following results were obtained. 1. The recharge rate from the unconsolidated formation into the rock mass underneath was calculated to be 0.57 mm day 2. The hydrogeological model was classified into 12 groups according to the results from a geological survey, geophysical logging and in-situ hydraulic tests. 3. The predictive simulation and the subsequent observation showed good agreement, namely: the area where pore water pressure was considerably influenced by the excavation was within a range of 100 m around the shaft; the inflow into the pre-existing shaft and the drift was not affected by the excavation of the new shaft. 4. The efficiency of the hydrological evaluation system has been confirmed.

  3. In Appreciation of Claude Warren and Susan Rose's "William Pengelly's Techniques of Archaeological Excavation"

    Directory of Open Access Journals (Sweden)

    David L. Browman

    1997-11-01

    Full Text Available The short (40 pages pamphlet by Warren and Rose (1994 provides the answer to a complex question regarding credit for an important archaeological methodology, stratigraphic excavation. Let me set the stage for this appreciation. Continuing research on the beginnings of stratigraphic excavations in North America (Browman and Givens 1996, I sought the origins of the idea of actually excavating by strata, rather than post-facto interpretation, seen in North American as early as 1895 in the work of Henry Chapman Mercer, but not really introduced into the repertoire of American techniques until the work of Gamio, Kidder and Nelson between 1911 and 1914. The roots of the latter three seemed to lie with individuals such as Reisner, Boas, Uhle, who in turn seemed to rely on Hugo Obennaier, Gabriel de Mortillet, Marcellin Boule, and perhaps Pitt-Rivers, while Mercer's work could be traced to Boule and Albert Gaudry. Doggedly following back the roots, I found that Chapman (1989 could make a reasonable case that Pitt-Rivers had actually learned of the idea of strati­graphic excavation from Evans, Prestwich, and Lubbock, from the British scientists working with the Upper and Middle Paleolithic excavations during 1858-1868.

  4. Mechanical analysis about the influence of tunnel excavation on vertical effect of adjacent bridge pile

    Science.gov (United States)

    Tian, Xiaoyan

    2017-08-01

    Tunnel excavation will bring additional deformation and internal force of adjacent bridge piles, if the deformation is large, it will threat the upper structure safety of the bridge. According to the complexity of the existing three - dimensional numerical simulation modeling and the time - consuming calculation, a two - stage analysis method of tunnel excavation based on Winkler foundation model was proposed. Firstly, Loganathan and Polous solutions were used to obtain the vertical displacement of the soil free field at the pile position when tunnel excavated, and the corresponding polynomial fitting displacement curve was taken. Secondly, the differential equation was established by means of the equilibrium condition of micro - element physical force and considering the pile group effect. Then, through the logical derivation, the calculation expressions of the tunnel excavation on the effect of the adjacent bridge pile (settlement, axial force and friction resistance) were obtained. Finally, based on the background of the tunnel project of Yanxing Door Station ˜ Xianning Road Station in Xi’an Metro Line 3, the feasibility and applicability of the proposed method were proved by comparing the calculated values with the numerical simulation values. It provides theoretical guidance for the effective analysis about the influence of tunnel excavation on the adjacent pile foundation effect.

  5. Statin therapy reduces inappropriate shock in non-ischemic patients with mild heart failure

    DEFF Research Database (Denmark)

    Ruwald, Anne-Christine H.; Zareba, Wojciech; Jons, Christian

    2013-01-01

    BACKGROUND: The relationship between diabetes mellitus and risk of inappropriate or appropriate therapy in patients receiving an implantable cardioverter-defibrillator (ICD) and resynchronization therapy has not been investigated thoroughly. The effect of innovative ICD programming on therapy...... tachycardia zone of 170 to 199 bpm (arm A), high-rate cutoff with a ventricular tachycardia zone ≥200 bpm (arm B), or 60-second-delayed therapy (arm C). The end points of inappropriate therapy, appropriate therapy, and death were assessed among 485 patients with and 998 without diabetes mellitus. Innovative...... (hazard ratio, 4.17; 95% confidence interval, 1.52-11.40; P=0.005) and appropriate therapy (hazard ratio, 2.49; 95% confidence interval, 1.06-5.87; P=0.037) compared with those who did not. CONCLUSIONS: Innovative high-rate cutoff or delayed ICD programming was associated with a reduction in inappropriate...

  6. The Effect of ICD Programming on Inappropriate and Appropriate ICD Therapies in Ischemic and Nonischemic Cardiomyopathy

    DEFF Research Database (Denmark)

    Sedláček, Kamil; Ruwald, Anne-Christine; Kutyifa, Valentina

    2015-01-01

    INTRODUCTION: The MADIT-RIT trial demonstrated reduction of inappropriate and appropriate ICD therapies and mortality by high-rate cut-off and 60-second-delayed VT therapy ICD programming in patients with a primary prophylactic ICD indication. The aim of this analysis was to study effects of MADIT......-RIT ICD programming in patients with ischemic and nonischemic cardiomyopathy. METHODS AND RESULTS: First and total occurrences of both inappropriate and appropriate ICD therapies were analyzed by multivariate Cox models in 791 (53%) patients with ischemic and 707 (47%) patients with nonischemic......-rate cut-off (arm B) and delayed VT therapy ICD programming (arm C) compared with conventional (arm A) ICD programming were associated with a significant risk reduction of first inappropriate and appropriate ICD therapy in patients with ischemic and nonischemic cardiomyopathy (HR range 0.11-0.34, P

  7. Prevalence of inappropriate medication using Beers criteria in Japanese long-term care facilities

    DEFF Research Database (Denmark)

    Niwata, Satoko; Yamada, Yukari; Ikegami, Naoki

    2006-01-01

    Background The prevalence and risk factors of potentially inappropriate medication use among the elderly patients have been studied in various countries, but because of the difficulty of obtaining data on patient characteristics and medications they have not been studied in Japan. Methods We...... conducted a retrospective cross-sectional study in 17 Japanese long-term care (LTC) facilities by collecting data from the comprehensive MDS assessment forms for 1669 patients aged 65 years and over who were assessed between January and July of 2002. Potentially inappropriate medications were identified...... on the basis of the 2003 Beers criteria. Results The patients in the sample were similar in terms of demographic characteristics to those in the national survey. Our study revealed that 356 (21.1%) of the patients were treated with potentially inappropriate medication independent of disease or condition...

  8. Dementia and inappropriate sexual behavior (ISB: What we know and what we need to know

    Directory of Open Access Journals (Sweden)

    Josep Fabà

    2013-12-01

    Full Text Available Traditionally, there has been no place for sexuality in older age. However, research has shown that sexuality plays an important role in older people’s life, even in situations such as dementia. The goal of the article is to review the scientific literature regarding the inappropriate sexual behavior that these kind of patients might present. In order to do so, we will firstly address the definition of inappropriate sexual behavior or, more precisely, its multiple definitions. After that, we will deal with other issues such as its prevalence, factors that can cause its appearance, its consequences and some of the available therapeutic options. Finally, in the last section some recommendations for future research will be provided, such as the need to clarify the concept of inappropriate sexual behavior, to find more efficient ways to address this problem, and the desirability of considering sexuality as a human dimension with a high adaptive potential in old age.

  9. Dementia and inappropriate sexual behavior: What we know and what we need to know

    Directory of Open Access Journals (Sweden)

    Josep Fabà

    2012-06-01

    Full Text Available Traditionally, there has been no place for sexuality in older age. However, research has shown that sexuality plays an important role in older people’s life, even in situations such as dementia. The goal of the article is to review the scientific literature regarding the inappropriate sexual behavior that these kind of patients might present. In order to do so, we will firstly address the definition of inappropriate sexual behavior or, more precisely, its multiple definitions. After that, we will deal with other issues such as its prevalence, factors that can cause its appearance, its consequences and some of the available therapeutic options. Finally, in the last section some recommendations for future research will be provided, such as the need to clarify the concept of inappropriate sexual behavior, to find more efficient ways to address this problem, and the desirability of considering sexuality as a human dimension with a high potential for adaptation in old age.

  10. Inappropriate shock for myopotential over-sensing in a patient with subcutaneous ICD

    Directory of Open Access Journals (Sweden)

    Alessandro Corzani

    2015-01-01

    Full Text Available Inappropriate ICD shocks are common adverse events; they are mainly due to supraventricular arrhythmias and secondly are related to noise, undersensing, oversensing, device malfunctions. We present a case of inappropriate device therapy due to myopotential oversensing in a patient with a subcutaneous ICD (s-ICD. A 58 years old male with an s-ICD during the device interrogation showed a previous episode of suspected sustained ventricular tachycardia at 210 bpm, which was effectively treated with ICD shock. The patient experienced the electrical shock while holding a big gas-cylinder in his arms. The EGM analysis revealed many irregular ventricular signals of low amplitude lasting for 24 s and interrupted by the shock. The device showed no malfunctions. This is the first case report of inappropriate S-ICD shock related to myopotential over-sensing. By recording intracardiac EGM, we demonstrated that the noise was created by the activity of the pectorals muscles.

  11. Elevator talk: observational study of inappropriate comments in a public space.

    Science.gov (United States)

    Ubel, P A; Zell, M M; Miller, D J; Fischer, G S; Peters-Stefani, D; Arnold, R M

    1995-08-01

    We conducted a study to determine the type and frequency of inappropriate comments made by hospital employees while riding hospital elevators. Four observers rode in elevators at five hospitals, listening for any comments made by hospital employees that might be deemed inappropriate. All potentially inappropriate comments were reviewed by the research team and were classified as inappropriate if they met at least one of the following criteria: violated patient confidentiality, raised concerns about the speaker's ability or desire to provide high-quality patient care, raised concerns about poor quality of care in the hospital (by persons other than the speaker), or contained derogatory remarks about patients or their families. We observed 259 one-way elevator trips offering opportunity for conversation. We overheard a total of 39 inappropriate comments, which took place on 36 rides (13.9% of the trips). The most frequent comments (18) were violations of patients confidentiality. Next most frequent (10 comments) were unprofessional remarks in which clinicians talked about themselves in ways that raised questions about their ability or desire to provide high-quality patient care. Other comments included derogatory statements about the general quality of hospital care (8) and derogatory remarks about patients (5). Physicians were involved in 15 of the comments, nurses in 10, and other hospital employees in the remainder. Inappropriate comments took place with disturbing frequency in the elevator rides we sampled. These comments did not exclusively involve violations of patient confidentiality, but encompassed a range of discussions that health care employees must be careful to avoid.

  12. The inappropriate use of lumbar magnetic resonance imaging in a health service area

    International Nuclear Information System (INIS)

    Rodriguez Recio, F. J.; Sanz, J. C.; Vera, S.; Peiro, S.

    1999-01-01

    To identify the percentage of inappropriate lumbar spine magnetic resonance imaging in the Soria Health Service, to quantify the costs and the possible association between inadequate use, the characteristics of the patient and the services requested. A descriptive study of the inappropriate use of MRI of the lumbar spine, taken from the retrospective examination, carried out by a radiologist, of the 233 MRI's requested between 1995 and 1998. For the valuation, the criteria of the American College of Radiology (ACR) and the Basque Agency for the Evaluation of Technologies (OSTEBA) were used. All the MRI's were carried out at an approved centre, the costs were calculated taken form the expenses paid by the Insalud, including the transport costs, calculated at prices applicable for the year in question. 11.7% of the studies were values as inappropriate, 2.1% debatable and the remainder adequate according to the ACR criteria, concentrating the inadequacy on studies for lumbago, that reached 80% of the inappropriate requests. The ACR and OSTEBA criteria coincided to a high degree (kappa statistics: 0.87). The expense related to the unnecessary studies was a litter higher than a million pesetas. No differences were found in the proportion of inappropriate studies according to the characteristics of the patient or the service requested, except the one already mentioned for the supposition diagnosis. Although the results of the study cannot be generalised to other environments, they suggest the possibility of a significant proportion of inappropriate use of lumbar spine MRI that could have an important repercussion on health care expenses. (Author) 11 refs

  13. Correlates of (inappropriate) benzodiazepine use: the Netherlands Study of Depression and Anxiety (NESDA).

    Science.gov (United States)

    Manthey, Leonie; van Veen, Tineke; Giltay, Erik J; Stoop, José E; Neven, Arie Knuistingh; Penninx, Brenda W J H; Zitman, Frans G

    2011-02-01

    Results on determinants of benzodiazepine (BZD) use in general and inappropriate use were inconsistent and mostly univariate. The relative importance of sociodemographic, psychological and physical determinants has never been investigated in a comprehensive, multivariate model. We included 429 BZD users and 2423 non-users from the Netherlands Study of Depression and Anxiety (NESDA) in order to investigate sociodemographic, psychological and physical determinants of BZD use and inappropriate use by logistic and linear regression analyses. BZDs were used by a considerable proportion of the 2852 NESDA participants (15.0%). BZD use was independently associated with older age, singleness, unemployment, treatment in secondary care, higher medical consumption (more severe) anxiety, depression (OR [95% CI]=1.95 [1.29, 2.93]), comorbidity, insomnia, SSRI (OR [95% CI]=2.05 [1.55, 2.70]), TCA and other antidepressant (OR [95% CI]=2.44 [1.64, 3.62]) use. Overall, BZD use was rarely in accordance with all guidelines, mainly because most users (82.5%) exceeded the recommended duration of safe use. Inappropriate use was independently associated with older age (β=0.130) and chronic illnesses (β=0.120). Higher scores on agreeableness were associated with less inappropriate use. Mentally or physically vulnerable subjects were most likely to use BZDs. The most vulnerable (i.e. the old and physically ill) BZD users were at highest risk of inappropriate BZD use. Without further evidence of the effectiveness of BZDs in long-term use, caution in initiating BZD prescriptions is recommended, particularly when patients are chronically ill and old, as those are most likely to display inappropriate use. © 2011 The Authors. British Journal of Clinical Pharmacology © 2011 The British Pharmacological Society.

  14. The Method of Validity Evaluation of Hard Coal Excavation in Residual Seam Parts

    Science.gov (United States)

    Wodarski, Krzysztof; Bijańska, Jolanta; Gumiński, Adam

    2017-12-01

    The excavation of residual seam parts should be justified by positive assessment of the purposefulness, technical feasibility and economic effectiveness. The results of the profitability evaluation are crucial in a decision making process. The excavation of residual seam parts, even if it is possible from a technical point of view, should not be implemented if it is economically inefficient or when accompanied by a very high risk of non-recovery of invested capital resources. The article presents the evaluation method of possibilities of excavating hard coal from residual seam parts, and the example of its use in one of collieries in the Upper Silesian Coal Basin. Working in line with the developed method, allows to indicate the variant of residual seam part exploitation, which is feasible to implement from a technical point of view, and which is characterized by the highest economic effectiveness and lowest risk.

  15. The evolution of competitive settlement strategies in Fijian prehistory : results of excavations and radiometric dating

    International Nuclear Information System (INIS)

    Field, J.S.

    2003-01-01

    A series of excavations were completed between June 2001 and March 2002 in the Fiji Islands. The goal of this research was to investigate the evolution of competitive settlement strategies in Fijian prehistory from an archaeological and evolutionary ecological perspective. Twelve sites were excavated and mapped in the Sigatoka Valley, located in the southwestern corner of the main island of Viti Levu. Excavations were focused on determining the chronology of fortifications in the region, and the collected samples were compared to expectations based on GIS-based analyses of land productivity and historical documents pertaining to late-period warfare. Over four hundred archaeological sites have been identified in the Sigatoka Valley, and of these roughly one-third are purely defensive in configuration, with no immediate access to water or arable land. The Waikato Archaeological Dating Fund provided four radiometric dates for three defensive sites, and one site associated with a production area. (author). 6 refs., 1 fig

  16. Bronze and Iron Age Finds from Romuald's Cave, Istria: 2014 Excavation Season.

    Science.gov (United States)

    Janković, Ivor; Ahern, James C M; Mihelić, Sanjin; Premuzić, Zrinka

    2015-12-01

    Archaeological excavations in Romuald's Cave (Lim Channel, Istria, Croatia) have yielded evidence of human activity stretching back to the Middle Palaeolithic. This paper reports on recent Bronze Age/Early Iron Age discoveries uncovered during excavations as part of the Croatian National Science Foundation funded project: "Archaeological Investigations into the Late Pleistocene and Early Holocene of the Lim Channel, Istria". Fragmentary skeletal remains from at least two individuals were excavated, and a direct radiocarbon date from one of the remains is commensurate with a Bronze Age attribution. The recovered ceramics confirm this age attribution, although they range from the Middle Bronze Age to incipient Iron Age in character. Furthermore, the ceramics indicate that the human activities in Romuald's Cave were associated with the nearby settlements of Gradina and St. Martin.

  17. Experimental research data on stress state of salt rock mass around an underground excavation

    Science.gov (United States)

    Baryshnikov, VD; Baryshnikov, DV

    2018-03-01

    The paper presents the experimental stress state data obtained in surrounding salt rock mass around an excavation in Mir Mine, ALROSA. The deformation characteristics and the values of stresses in the adjacent rock mass are determined. Using the method of drilling a pair of parallel holes in a stressed area, the authors construct linear relationship for the radial displacements of the stress measurement hole boundaries under the short-term loading of the perturbing hole. The resultant elasticity moduli of rocks are comparable with the laboratory core test data. Pre-estimates of actual stresses point at the presence of a plasticity zone in the vicinity of the underground excavation. The stress state behavior at a distance from the excavation boundary disagrees with the Dinnik–Geim hypothesis.

  18. Reducing inappropriate testing in the diagnosis of the menopause and peri-menopause.

    Science.gov (United States)

    Williams, Jac; Currie, Heather; Foster, Adele; Anderson, Julia

    2016-09-01

    The menopause should be diagnosed based on age, menstrual history and clinical symptoms, and as such, follicle stimulating hormone testing may be considered inappropriate when diagnosing the menopause or peri-menopause in women aged 45 and over. As part of a demand optimisation programme, the number of follicle stimulating hormone tests requested to diagnose the menopause in this age group was quantified and educational interventions were implemented to reduce inappropriate testing. The number of follicle stimulating hormone tests requested to diagnose the menopause in women aged 45 and over was successfully and sustainably reduced. © The Author(s) 2016.

  19. Prevalence of inappropriate medication using Beers criteria in Japanese long-term care facilities

    DEFF Research Database (Denmark)

    Niwata, Satoko; Yamada, Yukari; Ikegami, Naoki

    2006-01-01

    Background The prevalence and risk factors of potentially inappropriate medication use among the elderly patients have been studied in various countries, but because of the difficulty of obtaining data on patient characteristics and medications they have not been studied in Japan. Methods We...... dependent on the disease or condition was found in patients with chronic constipation. Multiple logistic regression analysis revealed psychotropic drug use (OR = 1.511), medication cost of per day (OR = 1.173), number of medications (OR = 1.140), and age (OR = 0.981) as factors related to inappropriate...

  20. Stepwise excavation may enhance pulp preservation in permanent teeth affected by dental caries

    DEFF Research Database (Denmark)

    Bjørndal, Lars

    2011-01-01

    ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Ways of enhancing pulp preservation by stepwise excavation-a systematic review. Hayashi M, Fujitani M, Yamaki C, Momoi Y. J Dent 2011;39(2):95-107. Epub 2010 Dec 3. REVIEWER: Lars Bjørndal, DDS, PhD, Dr Odont PURPOSE/QUESTION: To determine the clinical...... effectiveness of stepwise excavation for pulp preservation SOURCE OF FUNDING: Japanese Society of Conservative Dentistry TYPE OF STUDY/DESIGN: Systematic review LEVEL OF EVIENCE: Level 2: Limited-quality patient-oriented evidence STRENGTH OF RECOMMENDATION GRADE: Grade B: Limited-quality patient...

  1. Recent analyses of the excavated textile find from Grave 35 HTR73, Kerameikos cemetery, Athens, Greece

    DEFF Research Database (Denmark)

    Margariti, Christina; Protopapas, Stavros; Orphanou, Vassiliki

    2011-01-01

    The following study presents the results of instrumental analyses performed on the excavated textile find HTR73 from the Kerameikos cemetery in Athens. In Greece, preservation of excavated textiles is rare, mainly due to the unfavourable environmental conditions prevailing. The Kerameikos textile...... find is from the 5th century BC, and has been preserved in association with copper, which is the most common type of preservation in Greece. Past analyses had indicated the presence of silk fibres, of the Bombyx mori silkworm, the use of which was not common in Classical Greece. In the present study...... of cotton is an equally rare phenomenon for the Classical period in Greece....

  2. Nest enlargement in leaf-cutting ants: relocated brood and fungus trigger the excavation of new chambers.

    Science.gov (United States)

    Römer, Daniela; Roces, Flavio

    2014-01-01

    During colony growth, leaf-cutting ants enlarge their nests by excavating tunnels and chambers housing their fungus gardens and brood. Workers are expected to excavate new nest chambers at locations across the soil profile that offer suitable environmental conditions for brood and fungus rearing. It is an open question whether new chambers are excavated in advance, or will emerge around brood or fungus initially relocated to a suitable site in a previously-excavated tunnel. In the laboratory, we investigated the mechanisms underlying the excavation of new nest chambers in the leaf-cutting ant Acromyrmex lundi. Specifically, we asked whether workers relocate brood and fungus to suitable nest locations, and to what extent the relocated items trigger the excavation of a nest chamber and influence its shape. When brood and fungus were exposed to unfavorable environmental conditions, either low temperatures or low humidity, both were relocated, but ants clearly preferred to relocate the brood first. Workers relocated fungus to places containing brood, demonstrating that subsequent fungus relocation spatially follows the brood deposition. In addition, more ants aggregated at sites containing brood. When presented with a choice between two otherwise identical digging sites, but one containing brood, ants' excavation activity was higher at this site, and the shape of the excavated cavity was more rounded and chamber-like. The presence of fungus also led to the excavation of rounder shapes, with higher excavation activity at the site that also contained brood. We argue that during colony growth, workers preferentially relocate brood to suitable locations along a tunnel, and that relocated brood spatially guides fungus relocation and leads to increased digging activity around them. We suggest that nest chambers are not excavated in advance, but emerge through a self-organized process resulting from the aggregation of workers and their density-dependent digging behavior

  3. Nest Enlargement in Leaf-Cutting Ants: Relocated Brood and Fungus Trigger the Excavation of New Chambers

    Science.gov (United States)

    Römer, Daniela; Roces, Flavio

    2014-01-01

    During colony growth, leaf-cutting ants enlarge their nests by excavating tunnels and chambers housing their fungus gardens and brood. Workers are expected to excavate new nest chambers at locations across the soil profile that offer suitable environmental conditions for brood and fungus rearing. It is an open question whether new chambers are excavated in advance, or will emerge around brood or fungus initially relocated to a suitable site in a previously-excavated tunnel. In the laboratory, we investigated the mechanisms underlying the excavation of new nest chambers in the leaf-cutting ant Acromyrmex lundi. Specifically, we asked whether workers relocate brood and fungus to suitable nest locations, and to what extent the relocated items trigger the excavation of a nest chamber and influence its shape. When brood and fungus were exposed to unfavorable environmental conditions, either low temperatures or low humidity, both were relocated, but ants clearly preferred to relocate the brood first. Workers relocated fungus to places containing brood, demonstrating that subsequent fungus relocation spatially follows the brood deposition. In addition, more ants aggregated at sites containing brood. When presented with a choice between two otherwise identical digging sites, but one containing brood, ants' excavation activity was higher at this site, and the shape of the excavated cavity was more rounded and chamber-like. The presence of fungus also led to the excavation of rounder shapes, with higher excavation activity at the site that also contained brood. We argue that during colony growth, workers preferentially relocate brood to suitable locations along a tunnel, and that relocated brood spatially guides fungus relocation and leads to increased digging activity around them. We suggest that nest chambers are not excavated in advance, but emerge through a self-organized process resulting from the aggregation of workers and their density-dependent digging behavior

  4. Nest enlargement in leaf-cutting ants: relocated brood and fungus trigger the excavation of new chambers.

    Directory of Open Access Journals (Sweden)

    Daniela Römer

    Full Text Available During colony growth, leaf-cutting ants enlarge their nests by excavating tunnels and chambers housing their fungus gardens and brood. Workers are expected to excavate new nest chambers at locations across the soil profile that offer suitable environmental conditions for brood and fungus rearing. It is an open question whether new chambers are excavated in advance, or will emerge around brood or fungus initially relocated to a suitable site in a previously-excavated tunnel. In the laboratory, we investigated the mechanisms underlying the excavation of new nest chambers in the leaf-cutting ant Acromyrmex lundi. Specifically, we asked whether workers relocate brood and fungus to suitable nest locations, and to what extent the relocated items trigger the excavation of a nest chamber and influence its shape. When brood and fungus were exposed to unfavorable environmental conditions, either low temperatures or low humidity, both were relocated, but ants clearly preferred to relocate the brood first. Workers relocated fungus to places containing brood, demonstrating that subsequent fungus relocation spatially follows the brood deposition. In addition, more ants aggregated at sites containing brood. When presented with a choice between two otherwise identical digging sites, but one containing brood, ants' excavation activity was higher at this site, and the shape of the excavated cavity was more rounded and chamber-like. The presence of fungus also led to the excavation of rounder shapes, with higher excavation activity at the site that also contained brood. We argue that during colony growth, workers preferentially relocate brood to suitable locations along a tunnel, and that relocated brood spatially guides fungus relocation and leads to increased digging activity around them. We suggest that nest chambers are not excavated in advance, but emerge through a self-organized process resulting from the aggregation of workers and their density

  5. Using an Electronic Highlighter to Eliminate the Negative Effects of Pre-Existing, Inappropriate Highlighting

    Science.gov (United States)

    Gier, Vicki; Kreiner, David; Hudnell, Jason; Montoya, Jodi; Herring, Daniel

    2011-01-01

    The purpose of the present experiment was to determine whether using an active learning technique, electronic highlighting, can eliminate the negative effects of pre-existing, poor highlighting on reading comprehension. Participants read passages containing no highlighting, appropriate highlighting, or inappropriate highlighting. We hypothesized…

  6. [Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients].

    Science.gov (United States)

    Rivas-Cobas, Paula Carlota; Ramírez-Duque, Nieves; Gómez Hernández, Mercedes; García, Juana; Agustí, Antonia; Vidal, Xavier; Formiga, Francesc; López-Soto, Alfonso; Torres, Olga H; San-José, Antonio

    To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared. Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p <0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used. Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Inappropriate implantable cardioverter-defibrillator shocks in Brugada syndrome: Pattern in primary and secondary prevention

    Directory of Open Access Journals (Sweden)

    Aimé Bonny

    2017-01-01

    Conclusion: Inappropriate shock is common in Brugada syndrome during the early periods after an ICD implantation, and seems to be more likely in asymptomatic patients. This finding may warrant a review of the indications for ICD implantation, especially in the young and apparently healthy population of patients with Brugada syndrome.

  8. Potentially Inappropriate Medication Use Among Elderly Home Care Patients in Europe

    Czech Academy of Sciences Publication Activity Database

    Fialová, D.; Topinková, E.; Gambassi, G.; Finne-Soveri, H.; Jónsson, P.; Carpenter, I.; Schroll, M.; Onder, G.; Sorbye, L.W.; Wagner, C.; Reissigová, Jindra; Bernabei, R.

    2005-01-01

    Roč. 293, č. 11 (2005), s. 1348-1358 ISSN 0098-7484 Institutional research plan: CEZ:AV0Z10300504 Keywords : potentially inappropriate medication * prevalence * independent correlates Subject RIV: FQ - Public Health Care, Social Medicine Impact factor: 23.332, year: 2005 http://jama.ama-assn.org/cgi/content/abstract/293/11/1348

  9. Unveiling common responses of Medicago truncatula to appropriate and inappropriate rust species

    Directory of Open Access Journals (Sweden)

    Maria Carlota eVaz Patto

    2014-11-01

    Full Text Available Little is known about the nature of effective defense mechanisms in legumes to pathogens of remotely related plant species. Some rust species are among pathogens with broad host range causing dramatic losses in various crop plants. To understand and compare the different host and nonhost resistance responses of legume species against rusts, we characterized the reaction of the model legume Medicago truncatula to one appropriate (Uromyces striatus and two inappropriate (U. viciae-fabae and U. lupinicolus rusts. We found that similar pre and post-haustorial mechanisms of resistance appear to be operative in M. truncatula against appropriate and inappropriate rust fungus. The appropriate U. striatus germinated better on M. truncatula accessions then the inappropriate U. viciae-fabae and U. lupinicolus, but once germinated, germ tubes of the three rusts had a similar level of success in finding stomata and forming an appressoria over a stoma. However responses to different inappropriate rust species also showed some specificity, suggesting a combination of non specific and specific responses underlying this legume nonhost resistance to rust fungi. Further genetic and expression analysis studies will contribute to the development of the necessary molecular tools to use the present information on host and nonhost resistance mechanisms to breed for broad-spectrum resistance to rust in legume species.

  10. Inappropriate use of urinary catheters and its common complications in different hospital wards

    Directory of Open Access Journals (Sweden)

    Parivash Davoodian

    2012-01-01

    Full Text Available Inappropriate use of indwelling urinary catheters (IUCs and their related complications is one of the most important problems in hospital wards. The aim of this study was to evaluate inappropriate use of IUCs and their complications among patients in Tehran, Iran. Two hundred and six consecutive patients hospitalized in the intensive care unit (ICU as well as medical and surgical wards at the Shahid Mohammadi Hospital in Bandarabbas from September 1 to 30, 2005 and in whom IUCs were used, were studied. Data collected included age of the patients, diagnoses, reason for use of IUC and the complications related to it. Overall, 164 patients (79.6% had IUCs used appropriately while 42 of them (20.6% were catheterized unjustifiably. Inappropriate use of IUCs in the ICU, medical and surgical wards was reported in 12 (18.5%, 16 (19.0% and 14 patients (24.6%, respectively. The most common complication of IUCs was urinary tract infection, which occurred in 91 patients (44.2% and hematuria, which was seen in 3.9% of the patients. Our study suggests that inappropriate use of IUCs is prevalent, particularly in the surgical wards, and the most common complication observed was catheter-associated urinary tract infection.

  11. Potentially inappropriate medication use among institutionalized elderly individuals in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Mauro Cunha Xavier Pinto

    2013-12-01

    Full Text Available In recent decades, the elderly population in Brazil has grown rapidly, as has concern for the health of this population. Institutionalization in nursing homes has appeared as an alternative form of health care for frail elderly that live alone. The present study evaluated the pharmacotherapy and inappropriate drug prescriptions for institutionalized elderly patients living in long-term institutions in southeastern Brazil. This research was conducted at five institutions with a total sample of 151 individuals aged at least 60 years. Databases were used to identify drug interactions, defined daily dose and inappropriate prescriptions. The prevalence of drug intake among the elderly was 95.36%, and there were an average of 3.31 ± 1.80 drug prescriptions per individual. Based on Beers criteria, the prevalence of inappropriate prescriptions was 25.83%. In addition, 70.2% of prescriptions were prescribed at a higher dosage than the defined daily dose (ATC/WHO. Potential drug interactions were identified for 54.11% of prescriptions; 81.42% of these were of moderate severity. The main inappropriate drugs were prescribed for cardiovascular and nervous system problems. Institutionalized elderly individuals presented a high consumption and misuse of medications, requiring professional intervention to monitor prescriptions and improve the quality of service for this population.

  12. College Student Perceptions of the (In)Appropriateness and Functions of Teacher Disclosure

    Science.gov (United States)

    Hosek, Angela M.; Presley, Rachel

    2018-01-01

    This study investigated college student perceptions of the (in)appropriateness of instructor disclosures and perceived functions of instructor disclosures. An interpretive analysis of 35 college students identified that family relationships, life experiences and background, and everyday talk and activities were forms of appropriate disclosures;…

  13. Inappropriate Care in European ICUs Confronting Views From Nurses and Junior and Senior Physicians

    NARCIS (Netherlands)

    Piers, Ruth D.; Azoulay, Elie; Ricou, Bara; Ganz, Freda DeKeyser; Max, Adeline; Michalsen, Andrej; Maia, Paulo Azevedo; Owczuk, Radoslaw; Rubulotta, Francesca; Meert, Anne-Pascale; Reyners, Anna K.; Decruyenaere, Johan; Benoit, Dominique D.

    BACKGROUND: ICU care providers oft en feel that the care given to a patient may be inconsistent with their professional knowledge or beliefs. This study aimed to assess differences in, and reasons for, perceived inappropriate care (PIC) across ICU care providers with varying levels of

  14. Electromagnetic Interference from Swimming Pool Generator Current Causing Inappropriate ICD Discharges

    Directory of Open Access Journals (Sweden)

    Edward Samuel Roberto

    2017-01-01

    Full Text Available Electromagnetic interference (EMI includes any electromagnetic field signal that can be detected by device circuitry, with potentially serious consequences: incorrect sensing, pacing, device mode switching, and defibrillation. This is a unique case of extracardiac EMI by alternating current leakage from a submerged motor used to recycle chlorinated water, resulting in false rhythm detection and inappropriate ICD discharge. A 31-year-old female with arrhythmogenic right ventricular cardiomyopathy and Medtronic dual-chamber ICD placement presented after several inappropriate ICD shocks at the public swimming pool. Patient had never received prior shocks and device was appropriate at all regular follow-ups. Intracardiac electrograms revealed unique, high-frequency signals at exactly 120 msec suggestive of EMI from a strong external source of alternating current. Electrical artifact was incorrectly sensed as a ventricular arrhythmia which resulted in discharge. ICD parameters including sensing, pacing thresholds, and impedance were all normal suggesting against device malfunction. With device failure and intracardiac sources excluded, EMI was therefore strongly suspected. Avoidance of EMI source brought complete resolution with no further inappropriate shocks. After exclusion of intracardiac interference, device malfunction, and abnormal settings, extracardiac etiologies such as EMI must be thoughtfully considered and excluded. Elimination of inappropriate shocks is to “first, do no harm.”

  15. Improving Inappropriate Social Behavior of Autistic Students Using the LISTEN Intervention Strategy

    Science.gov (United States)

    Al-Shammari, Zaid; Daniel, Cathy; Faulkner, Paula; Yawkey, Thomas D.

    2010-01-01

    A case study was conducted on the development of the LISTEN intervention strategy for use with autistic students to improve inappropriate social behaviors. The study was conducted in a special education classroom in an autism school in Kuwait. Examination of LISTEN Intervention Strategy applications included: duration of targeted behavior; methods…

  16. Inappropriate gestational weight gain among teenage pregnancies: prevalence and pregnancy outcomes.

    Science.gov (United States)

    Vivatkusol, Yada; Thavaramara, Thaovalai; Phaloprakarn, Chadakarn

    2017-01-01

    To study the prevalence and pregnancy outcomes of inappropriate gestational weight gain (GWG) among teenage pregnant women. A retrospective descriptive study was conducted on 2,165 teenage pregnant women who attended our antenatal clinic between January 2007 and August 2015. Adverse pregnancy outcomes, including maternal and neonatal outcomes of women with inappropriate GWG, including underweight and overweight, were studied and compared with those of women with appropriate GWG. Complete data of 1,943 women were obtained. Among these women, the mean age was 17.4±1.4 years and mean body mass index at first visit was 19.1±3.0 kg/m 2 . The prevalence of inappropriate GWG was 61.7%. Underweight women were more likely to experience anemia and preterm delivery, whereas overweight women required more cesarean sections because of cephalopelvic disproportion and preeclampsia, compared to women with appropriate weight gain (all P teenage pregnancies showed inappropriate GWG. GWG had a significant impact on pregnancy outcomes.

  17. Age-Related Differences in Judgments of Inappropriate Behavior are Related to Humor Style Preferences

    Science.gov (United States)

    Stanley, Jennifer Tehan; Lohani, Monika; Isaacowitz, Derek M.

    2014-01-01

    Identifying social gaffes is important for maintaining relationships. Older adults are less able than young to discriminate between socially appropriate and inappropriate behavior in video clips. One open question is how these social appropriateness ratings relate to potential age differences in the perception of what is actually funny or not. In the present study, young, middle-aged, and older adults were equally able to discriminate between appropriate and inappropriate social behavior in a diverse set of clips relevant to both age groups. However, young and middle-aged adults rated the gaffe clips as funnier than control clips and young adults smiled more during the inappropriate clips than the control clips. Older adults did not show this pattern, suggesting that they did not find the inappropriate clips funny. Additionally, young adults endorsed a more aggressive humor style than middle-aged and older adults and aggressive humor style endorsement mediated age differences in social appropriateness ratings. Results are discussed in terms of possible mechanisms such as cohort differences in humor and developmental prioritization of certain humor styles, as well as the importance of investigating age differences in both abilities and preferences. PMID:25244473

  18. Performance Costs when Emotion Tunes Inappropriate Cognitive Abilities: Implications for Mental Resources and Behavior

    Science.gov (United States)

    Storbeck, Justin

    2012-01-01

    Emotion tunes cognition, such that approach-motivated positive states promote verbal cognition, whereas withdrawal-motivated negative states promote spatial cognition (Gray, 2001). The current research examined whether self-control resources become depleted and influence subsequent behavior when emotion tunes an inappropriate cognitive tendency.…

  19. Inappropriate behaviors and hypersexuality in individuals with dementia: An overview of a neglected issue.

    Science.gov (United States)

    Torrisi, Michele; Cacciola, Alberto; Marra, Angela; De Luca, Rosaria; Bramanti, Placido; Calabrò, Rocco Salvatore

    2017-06-01

    Behavioral and psychological symptoms of dementia are very common in patients affected by dementia, and are associated with high rates of institutionalization. Behavioral and psychological symptoms of dementia consist of aggressive behavior, delusions, hallucinations, depression, apathy, wandering, stereotyped and inappropriate sexual behavior. Interestingly, the latter has been reported to be relatively uncommon, but causing immense distress to patients and their caregivers. The genesis of inappropriate behavior is considered a combination of neurological, psychological and social factors. Although assessment is mainly carried out by clinical observation and interviews with caregivers, the most appropriate management of behavioral and psychological symptoms of dementia, including hypersexuality, is a combination of pharmacological and non-pharmacological interventions, according to specific symptoms, degree of cognitive dysfunction and subtype of dementia. The present narrative review will mainly focus on aggressiveness, disinhibition, aberrant motor, and sexually inappropriate behavior diagnostic work-up and treatment, in an attempt to provide both the patients and their caregivers with useful information to better manage these symptoms and improve their quality of life. Space is particularly dedicated to inappropriate sexual behavior, which is still considered a neglected issue. Geriatr Gerontol Int 2017; 17: 865-874. © 2016 Japan Geriatrics Society.

  20. Healthcare Utilization and Expenditures Associated With Appropriate and Inappropriate Implantable Defibrillator Shocks.

    Science.gov (United States)

    Turakhia, Mintu P; Zweibel, Steven; Swain, Andrea L; Mollenkopf, Sarah A; Reynolds, Matthew R

    2017-02-01

    In patients with implantable cardioverter-defibrillators, healthcare utilization (HCU) and expenditures related to shocks have not been quantified. We performed a retrospective cohort study of patients with implantable cardioverter-defibrillators identified from commercial and Medicare supplemental claims databases linked to adjudicated shock events from remote monitoring data. A shock event was defined as ≥1 spontaneous shocks delivered by an implanted device. Shock-related HCU was ascertained from inpatient and outpatient claims within 7 days following a shock event. Shock events were adjudicated and classified as inappropriate or appropriate, and HCU and expenditures, stratified by shock type, were quantified. Of 10 266 linked patients, 963 (9.4%) patients (61.3±13.6 years; 81% male) had 1885 shock events (56% appropriate, 38% inappropriate, and 6% indeterminate). Of these events, 867 (46%) had shock-related HCU (14% inpatient and 32% outpatient). After shocks, inpatient cardiovascular procedures were common, including echocardiography (59%), electrophysiology study or ablation (34%), stress testing (16%), and lead revision (11%). Cardiac catheterization was common (71% and 51%), but percutaneous coronary intervention was low (6.5% and 5.0%) after appropriate and inappropriate shocks. Expenditures related to appropriate and inappropriate shocks were not significantly different. After implantable cardioverter-defibrillator shock, related HCU was common, with 1 in 3 shock events followed by outpatient HCU and 1 in 7 followed by hospitalization. Use of invasive cardiovascular procedures was substantial, even after inappropriate shocks, which comprised 38% of all shocks. Implantable cardioverter-defibrillator shocks seem to trigger a cascade of health care. Strategies to reduce shocks could result in cost savings. © 2017 American Heart Association, Inc.

  1. [Reasons for inappropriate prescribing of antibiotics in a high-complexity pediatric hospital].

    Science.gov (United States)

    Ruvinsky, Silvina; Mónaco, Andrea; Pérez, Guadalupe; Taicz, Moira; Inda, Laura; Kijko, Ivana; Constanzo, Patricia; Bologna, Rosa

    2011-12-01

    Determine the reasons for inappropriate prescription of antibiotics and identify opportunities to improve prescription of these drugs in pediatric patients hospitalized in intermediate and intensive care units. A prospective, descriptive longitudinal study was conducted of pediatric patients in intermediate and intensive care units who received parenteral administration of antibiotics, with the exception of newborns, burn unit patients, and surgical prophylaxis patients. A univariate analysis and multiple logistic regression were performed. A total of 376 patients with a median of age of 50 months were studied (interquartile range [IQR] 14.5-127 months). Out of the total patients studied, 75% had one or more underlying conditions. A total of 40.6% of these patients had an oncologic pathology and 33.5% had neurological conditions. The remaining 25.9% had other underlying conditions. Antibiotic treatment was inappropriate in 35.6% of the patients studied (N = 134). In 73 (54.4%) of the 134 cases, inappropriate use was due to the type of antibiotic prescribed, the dose administered, or the treatment period. The 61 (45.5%) remaining cases did not require antibiotic treatment. In the multivariate analysis, the risk factors for inappropriate use of antibiotics were: administration of ceftriaxone OR 2 (95% CI, 1.3-3.7; P = 0.02); acute lower respiratory tract infection OR 1.8 (95% CI, 1.1-3.3; P < 0.04); onset of fever of unknown origin in hospital inpatients OR 5.55 (95% CI, 2.5-12; P < 0.0001); and febrile neutropenia OR 0.3 (95% CI, 0.1-0.7; P = 0.009). Inappropriate use of antibiotics was less common in the clinical conditions that were well-characterized. Prescribing practices that could be improved were identified through the preparation and circulation of guidelines for antibiotic use in hospital inpatients.

  2. Potentially Inappropriate Antihypertensive Prescriptions to Elderly Patients: Results of a Prospective, Observational Study.

    Science.gov (United States)

    Márquez, Paola H Ponte; Torres, Olga H; San-José, Anonio; Vidal, Xavier; Agustí, Antonia; Formiga, Francesc; López-Soto, Alfonso; Ramírez-Duque, Nieves; Fernández-Moyano, Antonio; Garcia-Moreno, Juana; Arroyo, Juan A; Ruiz, Domingo

    2017-06-01

    Previous studies of antihypertensive treatment of older patients have focused on blood pressure control, cardiovascular risk or adherence, whereas data on inappropriate antihypertensive prescriptions to older patients are scarce. The aim of the study was to assess inappropriate antihypertensive prescriptions to older patients. An observational, prospective multicentric study was conducted to assess potentially inappropriate prescription of antihypertensive drugs, in patients aged 75 years and older with arterial hypertension (HTN), in the month prior to hospital admission, using four instruments: Beers, Screening Tool of Older Person's Prescriptions (STOPP), Screening Tool to Alert Doctors to the Right Treatment (START) and Assessing Care of Vulnerable Elders 3 (ACOVE-3). Primary care and hospital electronic records were reviewed for HTN diagnoses, antihypertensive treatment and blood pressure readings. Of 672 patients, 532 (median age 85 years, 56% female) had HTN. 21.6% received antihypertensive monotherapy, 4.7% received no hypertensive treatment, and the remainder received a combination of antihypertensive therapies. The most frequently prescribed antihypertensive drugs were diuretics (53.5%), angiotensin-converting enzyme inhibitors (ACEIs) (41%), calcium antagonists (32.2%), angiotensin receptor blockers (29.7%) and beta-blockers (29.7%). Potentially inappropriate prescription was observed in 51.3% of patients (27.8% overprescription and 35% underprescription). The most frequent inappropriately prescribed drugs were calcium antagonists (overprescribed), ACEIs and beta-blockers (underprescribed). ACEI and beta-blocker underprescriptions were independently associated with heart failure admissions [beta-blockers odds ratio (OR) 0.53, 95% confidence interval (CI) 0.39-0.71, p treatment. Underprescription was more frequent than overprescription. ACEIs and beta-blockers were frequently underprescribed and were associated with heart failure admissions.

  3. Echocardiographic assessment of inappropriate left ventricular mass and left ventricular hypertrophy in patients with diastolic dysfunction

    Directory of Open Access Journals (Sweden)

    Hasan Shemirani

    2012-01-01

    Full Text Available Background: early diagnosis of left ventricular mass (LVM inappropriateness and left ventricular hypertrophy (LVH can result in preventing diastolic left ventricular dysfunction and its related morbidity and mortality. This study was performed to determine if diastolic dysfunction is associated with LVH and inappropriate LVM. Materials and Methods: one hundred and twenty five uncomplicated hypertension from Isfahan Healthy Heart Program underwent two-dimensional echocardiography. Inappropriate LVM was defined as an LVM index greater than 88 g/m2 of body-surface area in women and greater than 102 g/m2 in men. LVH-defined septal and posterior wall thickness greater than 0/9 cm in women and greater than 1 cm in men, respectively. Echocardiographic parameters, including early diastolic peak velocity (E/late diastolic peak velocity (A, deceleration time (DT, and E/early mitral annulus velocity (E′ were measured. Results: the mean systolic and diastolic blood pressure at the patients′ admission day were 142.87 ± 18.12 and 88.45 ± 9.18 mmHg, respectively. Totally, 21.7% of subjects had inappropriate LV mass that moderate and severe abnormal LV mass was revealed in 5.6% and 5.6%, respectively. The mean of age and BMI was significantly higher in patients with moderate left ventricular hypertrophy (P 0.05. Spearman′s Rank test was used to test the correlation between diastolic dysfunction and LV mass (P = 0.025. Conclusion: LVH is correlated with the severity of diastolic dysfunction manifested by the E/A value and deceleration time, but inappropriate LVM can slightly predict diastolic dysfunction severity in uncomplicated hypertension.

  4. A Comparative Evaluation of the Efficacy of Different Caries Excavation Techniques in reducing the Cariogenic Flora: An in vivo Study.

    Science.gov (United States)

    Hassan, Afrah Fatima; Yadav, Gunjan; Tripathi, Abhay Mani; Mehrotra, Mridul; Saha, Sonali; Garg, Nishita

    2016-01-01

    Caries excavation is a noninvasive technique of caries removal with maximum preservation of healthy tooth structure. To compare the efficacy of three different caries excavation techniques in reducing the count of cariogenic flora. Sixty healthy primary molars were selected from 26 healthy children with occlusal carious lesions without pulpal involvement and divided into three groups in which caries excavation was done with the help of (1) carbide bur; (2) polymer bur using slow-speed handpiece; and (3) ultrasonic tip with ultrasonic machine. Samples were collected before and after caries excavation for microbiological analysis with the help of sterile sharp spoon excavator. Samples were inoculated on blood agar plate and incubated at 37°C for 48 hours. After bacterial cultivation, the bacterial count of Streptococcus mutans was obtained. All statistical analysis was performed using SPSS 13 statistical software version. Kruskal-Wallis analysis of variance, Wilcoxon matched pairs test, and Z test were performed to reveal the statistical significance. The decrease in bacterial count of S. mutans before and after caries excavation was significant (p flora, while ultrasonic tip showed almost comparable results, while polymer bur showed least reduction in cariogenic flora after caries excavation. Hassan AF, Yadav G, Tripathi AM, Mehrotra M, Saha S, Garg N. A Comparative Evaluation of the Efficacy of Different Caries Excavation Techniques in reducing the Cariogenic Flora: An in vivo Study. Int J Clin Pediatr Dent 2016;9(3):214-217.

  5. Probabilistic analysis of soil : Diaphragm wall friction used for value engineering of deep excavation, north/south metro Amsterdam

    NARCIS (Netherlands)

    Buykx, S.M.; Delfgaauw, S.; Bosch, J.W.

    2009-01-01

    The excavation of deep building pits often requires a check against failure by uplift of low permeability ground layers below excavation level. Whenever the weight of these soil layers is less than the pore-water pressure underneath, measures to resist buoyancy are to be considered. The measures

  6. Excavation-drier method of energy-peat extraction reduces long-term climatic impact

    Energy Technology Data Exchange (ETDEWEB)

    Silvan, N.; Silvan, K.; Laine, J. [Finnish Forest Research Inst., Parkano (Finland)], e-mail: niko.silvan@metla.fi; Vaisanen, S.; Soukka, R. [Lappeenranta Univ.of Techology (Finland)

    2012-11-01

    Climatic impacts of energy-peat extraction are of increasing concern due to EU emissions trading requirements. A new excavation-drier peat extraction method has been developed to reduce the climatic impact and increase the efficiency of peat extraction. To quantify and compare the soil GHG fluxes of the excavation drier and the traditional milling methods, as well as the areas from which the energy peat is planned to be extracted in the future (extraction reserve area types), soil CO{sub 2}, CH{sub 4} and N{sub 2}O fluxes were measured during 2006-2007 at three sites in Finland. Within each site, fluxes were measured from drained extraction reserve areas, extraction fields and stockpiles of both methods and additionally from the biomass driers of the excavation-drier method. The Life Cycle Assessment (LCA), described at a principal level in ISO Standards 14040:2006 and 14044:2006, was used to assess the long-term (100 years) climatic impact from peatland utilisation with respect to land use and energy production chains where utilisation of coal was replaced with peat. Coal was used as a reference since in many cases peat and coal can replace each other in same power plants. According to this study, the peat extraction method used was of lesser significance than the extraction reserve area type in regards to the climatic impact. However, the excavation-drier method seems to cause a slightly reduced climatic impact as compared with the prevailing milling method. (orig.)

  7. National advanced drilling and excavation technologies program: Summary of third meeting of interested Federal agencies

    Energy Technology Data Exchange (ETDEWEB)

    None

    1993-12-07

    The purpose of the meeting was: (1) to discuss a proposal by the Massachusetts Institute of Technology (MIT) outlining a National Advanced Drilling and Excavation Technologies Program, (2) to brief participants on events since the last meeting, and (3) to hear about drilling research activities funded by the Department of Energy. The meeting agenda is included as Attachment B.

  8. ZEDEX - A study of damage and disturbance from tunnel excavation by blasting and tunnel boring

    Energy Technology Data Exchange (ETDEWEB)

    Emsley, S. [Golder Associates, Maidenhead (United Kingdom); Olsson, Olle; Stenberg, L. [Swedish Nuclear Fuel and Waste Co., Figeholm (Sweden); Alheid, H.J. [Federal Inst. for Geosciences and Natural Resources, Hannover (Germany); Falls, S. [Queens Univ., Kingston, ON (Canada)

    1997-12-01

    The objectives of the ZEDEX project were to understand the mechanical behaviour of the excavation disturbed zone (EDZ) with respect to its origin, character, magnitude of property change, extent and its dependence on excavation method. Excavation with normal smooth blasting, blasting with low shock explosives and tunnel boring were studied. The drifts are located at Aespoe at a depth of 420 m, the profiles are circular and 5 m in diameter. The results have shown that there is a damaged zone, close to the drift wall dominated by changes in rock properties which are irreversible, and that there is a disturbed zone beyond the damaged zone that is dominated by changes in stress state and mainly reversible. There is no distinct boundary between the two zones. The results from ZEDEX indicate that the role of the EDZ as a preferential pathway to radionuclide transport is limited to the damaged zone. The extent of the damaged zone can be limited through application of appropriate excavation methods. By limiting the extent of the damaged zone it should also be feasible to block pathways in the damaged zone by plugs placed at strategic locations 68 refs, 92 figs, 31 tabs

  9. Deep excavation in urban areas – defects of surrounding buildings at various stages of construction

    Directory of Open Access Journals (Sweden)

    Rybak Jarosław

    2018-01-01

    Full Text Available Deep excavation and tunnelling works in city centres always bring some risks to surrounding structures, especially in the case of old town centres, where the technical condition and structural stiffness of historical buildings is rather doubtful. When the new desired excavation depth goes deeper than the foundation of the surrounding buildings or when tunnelling works are conducted directly under them, the existing objects are subject to stress, vibrations and displacements imposed at almost every stage of building the new construction. The presented paper outlines, on the basis of the authors’ experience, the typical damages appearing during the supporting wall construction (sheet pile driving, piling and formation of diaphragm walls and tunnelling works. Other damages appear due to soil mass unloading (caused by excavation stages and horizontal loading during pre-stressing of struts or ground anchors. The selected case studies of steel sheet pile wall installation is given with regard to typical failures caused by an unplanned excavation and its impact on neighbouring structures.

  10. Simulating the time-dependent behaviour of excavations in hard rock

    CSIR Research Space (South Africa)

    Malan, DF

    2002-10-01

    Full Text Available associated with using viscoelastic theory to simulate the time-dependent behaviour of hard rock, a viscoelastic convergence solution for the incremental enlargement of a tabular excavation is discussed. Data on the time dependent deformation of a tunnel...

  11. Lightweight Bulldozer Attachment for Construction and Excavation on the Lunar Surface

    Science.gov (United States)

    Mueller, Robert; Wilkinson, R. Allen; Gallo, Christopher A.; Nick, Andrew J.; Schuler, Jason M.; King, Robert H.

    2009-01-01

    A lightweight bulldozer blade prototype has been designed and built to be used as an excavation implement in conjunction with the NASA Chariot lunar mobility platform prototype. The combined system was then used in a variety of field tests in order to characterize structural loads, excavation performance and learn about the operational behavior of lunar excavation in geotechnical lunar simulants. The purpose of this effort was to evaluate the feasibility of lunar excavation for site preparation at a planned NASA lunar outpost. Once the feasibility has been determined then the technology will become available as a candidate element in the NASA Lunar Surface Systems Architecture. In addition to NASA experimental testing of the LANCE blade, NASA engineers completed analytical work on the expected draft forces using classical soil mechanics methods. The Colorado School of Mines (CSM) team utilized finite element analysis (FEA) to study the interaction between the cutting edge of the LANCE blade and the surface of soil. FEA was also used to examine various load cases and their effect on the lightweight structure of the LANCE blade. Overall it has been determined that a lunar bulldozer blade is a viable technology for lunar outpost site preparation, but further work is required to characterize the behavior in 1/6th G and actual lunar regolith in a vacuum lunar environment.

  12. The Li(f)e of the Self: Missing Persons and Auto/Archeological Excavations

    Science.gov (United States)

    Burdick, Jake

    2014-01-01

    This article describes and enacts a process of autobiographical inquiry, auto/archeology, which seeks to address problematic confluences of memory and identity in reconstructing one's historical narrative. Drawing on curriculum theory and Lacanian psychoanalysis, the author describes a process of excavation in which understandings of a prior…

  13. ZEDEX - A study of damage and disturbance from tunnel excavation by blasting and tunnel boring

    International Nuclear Information System (INIS)

    Emsley, S.; Olsson, Olle; Stenberg, L.; Alheid, H.J.; Falls, S.

    1997-12-01

    The objectives of the ZEDEX project were to understand the mechanical behaviour of the excavation disturbed zone (EDZ) with respect to its origin, character, magnitude of property change, extent and its dependence on excavation method. Excavation with normal smooth blasting, blasting with low shock explosives and tunnel boring were studied. The drifts are located at Aespoe at a depth of 420 m, the profiles are circular and 5 m in diameter. The results have shown that there is a damaged zone, close to the drift wall dominated by changes in rock properties which are irreversible, and that there is a disturbed zone beyond the damaged zone that is dominated by changes in stress state and mainly reversible. There is no distinct boundary between the two zones. The results from ZEDEX indicate that the role of the EDZ as a preferential pathway to radionuclide transport is limited to the damaged zone. The extent of the damaged zone can be limited through application of appropriate excavation methods. By limiting the extent of the damaged zone it should also be feasible to block pathways in the damaged zone by plugs placed at strategic locations

  14. Evolution of clutch size in cavity-excavating birds: the nest site limitation hypothesis revisited.

    Science.gov (United States)

    Wiebe, Karen L; Koenig, Walter D; Martin, Kathy

    2006-03-01

    There are two major competing hypotheses for variation in clutch size among cavity-nesting species. The nest site limitation hypothesis postulates that nesting opportunities are more limited for weak excavators, which consequently invest more in each breeding attempt by laying larger clutches. Alternatively, clutch size may be determined by diet; the clutch sizes of strong excavators may be smaller because they are able to specialize on a more seasonally stable prey. We built a conceptual model that integrated hypotheses for interspecific variation in clutch size and tested it with comparative data on life-history traits of woodpeckers (Picidae) and nuthatches (Sittidae). In most analyses, diet explained more variation in clutch size among species than did propensity to excavate. Migratory status was positively associated with clutch size but was difficult to distinguish from diet since resident species consumed more bark beetles (a prey available in winter) and had smaller clutches than migratory species. The literature suggests that cavities are not limited in natural, old-growth forests. Although our data do not rule out nest site limitation, we conclude that annual stability of food resources has a larger impact on the evolution of clutch sizes in excavators than does limitation of nest sites.

  15. Identification of purple dye from molluscs on an excavated textile by non-destructive analytical techniques

    DEFF Research Database (Denmark)

    Margariti, Christina; Protopapas, Stavros; Allen, Norman

    2013-01-01

    on samples from the find with the contemporary reference samples lead to the identification of purple dye as a dibromoindigo compound with the origin from molluscs of Murex trunculus species. The application of non-destructive analytical methods of investigation was successful in analysing dyes on excavated...

  16. Supplement analysis for paleontological excavation at the National Ignition Facility at Lawrence Livermore National Laboratory

    International Nuclear Information System (INIS)

    1997-01-01

    On December 15, 1997, contractor workers supporting the National Ignition Facility (NIF) construction uncovered bones suspected to be of paleontological importance. The NIF workers were excavating a utility trench near the southwest corner of the NIF footprint area, located at the northeast corner of the Lawrence Livermore National Laboratory (LLNL) Livermore Site, and were excavating at a depth of approximately 30 feet. Upon the discovery of bone fragments, the excavation in the immediate vicinity was halted and the LLNL archaeologist was notified. The archaeologist determined that there was no indication of cultural resources. Mark Goodwin, Senior Curator for the University of California Museum of Paleontology at the University of California, Berkeley, was then contacted. Mr. Goodwin visited the site on December 16th and confirmed that the bones consisted of a section of the skull, a portion of the mandible, several teeth, upper palate, and possibly the vertebrae of a mammoth, genus Mammuthus columbi. This supplement analysis evaluates the potential for adverse impacts of excavating skeletal remains, an activity that was only generally assessed by the NIF Project-Specific Analysis in the Final Programmatic Environmental impact Statement for Stockpile Stewardship and Management (SS and M PEIS) published in September 1996 (DOE/EIS-0236) and its Record of Decision published on December 19, 1996. This supplement analysis has been prepared pursuant to the DOE regulations implementing the National Environmental Policy Act (10 CFR 1021.314)

  17. Aspects to improve cabin comfort of wheel loaders and excavators according to operators

    NARCIS (Netherlands)

    Kuijt-Evers, L.F.M.; Krause, F.; Vink, P.

    2003-01-01

    Comfort plays an increasingly important role in interior design of earth moving equipment. Although research has been conducted on vehicle interiors of wheel loaders and excavators, hardly any information is known about the operator's opinion. In this study a questionnaire was completed by machine

  18. Natural Diet of Coral-Excavating Sponges Consists Mainly of Dissolved Organic Carbon (DOC)

    NARCIS (Netherlands)

    Mueller, B.; de Goeij, J.M.; Vermeij, M.J.A.; Mulders, Y.; van der Ent, E.; Ribes, M.; van Duyl, F.C.

    2014-01-01

    Coral-excavating sponges are the most important bioeroders on Caribbean reefs and increase in abundance throughout the region. This increase is commonly attributed to a concomitant increase in food availability due to eutrophication and pollution. We therefore investigated the uptake of organic

  19. Research results on DH-no.13 of trial drilling excavation and its survey research. A rapid report. Research report

    International Nuclear Information System (INIS)

    2001-08-01

    In the Tono Geoscience Center, as a part of the stratum science research, study on wide area groundwater flow was carried out since 1992 fiscal year. This study aims at development on survey and analytical technology required for elucidation of groundwater flow till underground depth and water quality and development on technique to evaluate validity on its survey and analytical results, for objective of an area with 10 km x 10 km containing the Tono mine. This report is a summary on outline of results on trial drilling excavation and various survey researches carried out at DH-no.13 hole excavated on the 13th trial drilling for the study. This hole is excavated at Hiyoshi-cho in Mizunami-city, Gifu prefecture, and has 1015.05 m in depth of its excavation. Here were reported on geological outlines, and results on trial drilling excavation and its survey research. (G.K.)

  20. Technical summary of AECL's Mine-by Experiment phase I: Excavation response

    International Nuclear Information System (INIS)

    Read, R.S.; Martin, C.D.

    1996-02-01

    The first phase of the Mine-by Experiment was conducted at the 420 Level of the Underground Research Laboratory (URL) to investigate the response induced in the rock mass by excavating a 3.5-m-diameter circular tunnel using a non-explosive technique. The main objective of the experiment was to study the processes involved in progressive failure and the development of excavation-induced damage around underground openings. To this end, state-of-the-art geomechanical and geophysical instrumentation was used to monitor the excavation of the 46-m-long Mine-by Experiment test tunnel. The results from the experiment show that progressive failure in compressive regions around the tunnel initiates at stresses about 50% of the rock strength measured in uniaxial compression tests in the laboratory. The difference between the laboratory and in situ behaviour is attributed to complex stress changes that occur during excavation of the tunnel, especially in the vicinity of the advancing face. These effects are not simulated in standard laboratory tests. Numerical modelling and in situ characterization studies were conducted to establish the extent and characteristics of the damaged zone around the test tunnel. As part of this study, in situ stresses and material properties were established through back analysis of measured displacements and strains. Using these boundary conditions, it was shown that the damaged zone was limited to within 1 m of the original tunnel perimeter. The characteristics of the damaged zone, however, were found to be highly variable around the tunnel, and were dependent on the nature of the stress concentrations, geology, stress magnitudes and orientations and, to a lesser extent, the excavation method and sequence. (author) 136 refs., 14 tabs., 103 figs

  1. Project D.I.R.T.: A landscape architect's excavation

    International Nuclear Information System (INIS)

    Bargmann, J.

    1994-01-01

    To a landscape architect interested in the creative manipulation of the land, mineral extraction presents a massive load for design exploration. The primary goal of Project D.I.R.T., Design Investigations Reclaiming Terrain, was to unearth the possibilities for renewing the perception of mining as creatively integral with the cultural and natural evolution of the landscape. The potential collaboration and planning inherent in the multidisciplinary task of reclamation became evident on a journey to document selected mining sites around the country. Various coal, gold, copper, and taconite operations visited represent a diversity of regional landscapes with specific mining and reclamation practices. Both active and abandoned mined sites serve as case studies presented from a landscape architect's perspective. Examining the legal, social, and economic factors uncovered the frustrations with the legislation governing reclamation and the financial and ethical dilemmas of future land use for dependent communities. Reviewing the technical and ecological aspects revealed the innovations and progress of reclamation technology, but also limited application of ecological principles. These current practices of mining and reclamation illustrate a need to revise the legislation and coordinate an interdisciplinary effort to form truly productive and sustainable landscapes. Moreover, from this landscape architect's point of view, a synthetic approach guided by a broader vision of mining must lead to the creation of meaningful places that objectively reveal and celebrate the industrial heritage of the landscape. Mined lands can be an expression of a reciprocal connection between communities and individuals with the land one cultivates and all nurture. These monumental landscapes may come to represent a dynamic relationship between culture and nature for the next century

  2. Potentially inappropriate medication use in nursing homes: an observational study using the NORGEP-NH criteria.

    Science.gov (United States)

    Nyborg, Gunhild; Brekke, Mette; Straand, Jørund; Gjelstad, Svein; Romøren, Maria

    2017-09-19

    Frail residents in the nursing home sector call for extra care in prescribing. The Norwegian General Practice Nursing Home (NORGEP-NH) list of 34 explicit criteria for potentially inappropriate medication use in nursing homes was developed explicitly for this population. The aim of this study was to employ the NORGEP-NH Criteria to study the extent of potentially inappropriate medication use among nursing home residents and explore possible associated factors. Cross-sectional observational pharmacoepidemiological study from residents in nursing homes in the county of Vestfold, Norway. Data collected 2009-11 included residents' demographic and clinical status and all medications, regular and on demand. 881 patients from 30 institutions (mean 85.9 years, 68.6% female), were included. According to NORGEP-NH, 43.8% were prescribed at least one potentially inappropriate regular medication, and 9.9% regularly received three or more potentially inappropriate medications. When also including a) the NORGEP-NH Deprescribing Criteria and b) including drugs prescribed for use as needed, 92.7% of all residents received medication that needs particular surveillance according to the NORGEP-NH. 69.7% of the nursing home residents used at least one psychotropic drug regularly. Female residents received more often than males at least one potentially inappropriate regular medication (OR 1.60, p=0.007). Regarding the prescription of three or more concomitant psychotropic medications, odds ratio for females was 1.79 (p=0.03) compared to males. Residents with the best performance in activities of daily living, and residents residing in long-term wards, had higher risk of using three or more psychotropic drugs. Use of multiple psychoactive drugs increased the risk of falls in the course of an acute episode of infection or dehydration (odds ratio 1.70, p=0.009). Prevalence of potentially inappropriate medications in nursing homes according to the NORGEP-NH was extensive, and especially

  3. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.

    LENUS (Irish Health Repository)

    Hamilton, Hilary

    2011-06-13

    Previous studies have not demonstrated a consistent association between potentially inappropriate medicines (PIMs) in older patients as defined by Beers criteria and avoidable adverse drug events (ADEs). This study aimed to assess whether PIMs defined by new STOPP (Screening Tool of Older Persons\\' potentially inappropriate Prescriptions) criteria are significantly associated with ADEs in older people with acute illness.

  4. Acoustic emission and ultrasonic-velocity methods used to characterise the excavation disturbance associated with deep tunnels in hard rock

    Science.gov (United States)

    Falls, Stephen D.; Young, R. Paul

    1998-04-01

    Acoustic emission (AE) and ultrasonic-velocity monitoring studies have been undertaken at both the Atomic Energy of Canada Limited (AECL) Underground Research Laboratory (URL) and at the Swedish Nuclear Fuel Waste Management Company (SKB) Hard Rock Laboratory (HRL). At both locations the excavations were tunnels in granitic material at approximately 420 m depth. However, the stress regime was more severe at the URL Mine-by tunnel site than the HRL ZEDEX tunnel. Different parts of the ZEDEX tunnel were created using different excavation techniques. Using AE and ultrasonic techniques to study these tunnels we have been able to examine the nature of the excavation-disturbed zone around the tunnel, as well as examining the effects of different stress regimes and excavation techniques. Studies were undertaken both during and after the Mine-by tunnel excavation and during excavation in the ZEDEX tunnel. AE monitoring in the wall of the Mine-by tunnel during excavation showed that some activity occurred in the sidewall regions, but the spatial density of AE hypocentres increased toward the regions in the floor and roof of the tunnel where breakout notches formed. This sidewall activity was clustered primarily within 0.5 m of the tunnel wall. AE monitoring in the floor of the tunnel showed that small numbers of AE continued to occur in the notch region in the floor of the tunnel over 2 years after excavation was completed. This activity became more acute as the rock was heated, imposing thermally induced stresses on the volume. Ultrasonic-velocity studies both in the floor and the wall of the tunnel showed that the velocity is strongly anisotropic with the direction of slowest velocity orthogonal to the tunnel surface. The velocity increased with distance into the rock from the tunnel surface. In the floor, this effect was seen up to 2 m from the tunnel surface. Most of the change occurred within the first 0.5 m from the tunnel perimeter. At the lower-stress HRL, most of

  5. Excavation induced damage evolution during a mine-by experiment in Opalinus Clay

    International Nuclear Information System (INIS)

    Vietor, T.; Armand, G.; Nyonoya, S.; Schuster, K.; Wieczorek, K.

    2010-01-01

    Document available in extended abstract form only. In Switzerland Opalinus Clay, a potential host rock formation for a nuclear waste repository, is intensively studied in the Mont Terri Underground Rock Laboratory (URL) in North-Western Switzerland. During the 2008 extension of the URL, the construction works were repeatedly interrupted to implement monitoring systems for a mine-by experiment. The future position of a 24 m long tunnel was instrumented with 36 different monitoring systems comprising approximately 200 sensors. Key features of this tunnel were chosen similar to the current Swiss concept for emplacement tunnels for High Level Radioactive Waste: circular section, full-face excavation following the geological bedding, support by a thin layer of shotcrete and 6 anchors every 1.3 m. For a mine-by experiment 26 boreholes were equipped with 7 multipoint extensometers, two multi segment inclinometer chains and 26 pore pressure chambers. The data acquisition system recorded 12 data sets per hour. For seismic transmission and acoustic emission monitoring, 8 piezo-electric emitters and 15 piezo-electric receivers were installed in 5 boreholes. The excavation of the instrumented tunnel took place in October/November 2008. The activities on the site were monitored with a web cam to separate spontaneous and excavation induced rock mass reactions. Daily mappings of the tunnel face and the sidewalls revealed the fracture pattern that was generated ahead of the advancing excavation. Three sets of excavation activated discontinuities could be clearly identified. These three sets develop within the framework of the pre-existing tectonic micro-faults that generally have a half-meter spacing. Where their density is high the intensity of excavation induced new slip planes apparently drops. Despite the presence of micro-faults the deformation monitoring around the advancing tunnel face showed a remarkably homogenous response to the excavation. Inclinometer chain segments

  6. Excavation damage and disturbance in crystalline rock - results from experiments and analyses

    International Nuclear Information System (INIS)

    Baeckblom, Goeran

    2008-11-01

    SKB plans to submit the application to site and construct the final repository for spent nuclear fuel in 2010. One important basis for the application is the results of the safety assessments, for which one particular dataset is the axial hydraulic properties along the underground openings used to calculate the transport resistance for radionuclide transport in the event that the canister is impaired. SKB initiated a project (Zuse) to be run over the period 2007-2009 to: - establish the current knowledge base on excavation damage and disturbance with particular focus on the axial hydraulic properties along the underground openings; - provide a basis for the requirements and compliance criteria for the excavation damaged and disturbed zone; - devise methods and instruments to infer or measure the excavation damage and disturbance at different times during the repository construction and operation before closure; - propose demonstration tests for which the methods are used in situ to qualify appropriate data for use in the safety reports. This report presents the results of the first stage of the Zuse project. Previous major experiments and studies in Canada, Finland, Japan, Sweden and Switzerland on spalling, excavation damage and disturbance was compiled and evaluated to provide the SR-Site report with a defendable database on the properties for the excavation damage and disturbance. In preparation for the SR-Site report, a number of sensitivity studies were conducted in which reasonable ranges of values for spalling and damage were selected in combination with an impaired backfill. The report here describes the construction of the repository in eleven steps and for each of these steps, the potential evolution of THMCB (Thermal, Mechanical, Hydraulic and Chemical/ Biological) processes are reviewed. In this work it was found that descriptions of the chemical and microbiological evolution connected with excavation damage and disturbance was lacking. The preliminary

  7. Clinical analysis of asthenopia caused by wearing inappropriate glasses in college students

    Directory of Open Access Journals (Sweden)

    Li Wang

    2015-01-01

    Full Text Available AIM: To proposed control measures by exploring visual fatigue caused by college students wearing inappropriate glasses.METHODS: A total of 124 cases of asthenopia patients underwent optometry students audition, checked the original spectacles; TOPCON-CL100 computer center was used to checked the original mirror glasses(glasses, the distance between the optical center; with near vision as the standard examination table nearly with vergence and regulation near point, and checked the visual function. RESULTS: All 124 cases(248 eyeshad refractive errors, 77% were spherical mirror and 69% column mirror with error ≥±0.50D, and the pupil center distance from the lens had significant difference(U=5.27, PCONCLUSION: Students wearing inappropriate spectacle asthenopia is caused by one of the main scientific wearing glasses can effectively control asthenopia.

  8. Collecting duct renal cell carcinoma with the syndrome of inappropriate antidiuresis: An autopsy case report

    Directory of Open Access Journals (Sweden)

    Emi Yasuda

    2013-01-01

    Full Text Available A 57-year-old Japanese man visited our hospital with a moist cough. Chest radiographic imaging showed a left hilar shadow. Adenocarcinoma cells were found on cytologic screening of fresh sputum. Although multiple metastases including brain were detected, no tumor was observed in the kidneys. The patient underwent whole-brain irradiation and chemotherapy for advanced-stage lung cancer. One month before his death, carcinomatous meningitis was detected. Hyponatremia, hypo-osmolality, and hypertonic urine suggested the syndrome of inappropriate antidiuresis. Restricting water intake improved the hyponatremia; however, he developed fever and hematuria. Despite systemic administration of an antibacterial drug, he died. Primary tumor in the lung was absent, but adenocarcinoma of the right kidney was evident on autopsy. Lectin histochemical analysis of the carcinoma revealed its distal nephron origin, confirming collecting duct carcinoma. Severe carcinomatous meningitis, which is possibly caused the syndrome of inappropriate antidiuresis, was observed, with no cancer involvement of the pituitary gland and hypothalamus.

  9. Meaningful learning: The essential factor for conceptual change in limited or inappropriate propositional hierarchies leading to empowerment of learners

    Science.gov (United States)

    Novak, Joseph D.

    2002-07-01

    The construction and reconstruction of meanings by learners requires that they actively seek to integrate new knowledge with knowledge already in their cognitive structure. Ausubel's assimilation theory of cognitive learning has been shown to be effective in guiding research and instructional design to facilitate meaningful learning (Ausubel, The psychology of meaningful verbal learning, New York: Grune and Stratton, 1963; Educational psychology: A cognitive view, New York: Holt, Rinehart and Winston, 1968; The acquisition and retention of knowledge, Dordrecht: Kluwer, 2000). Gowin's Vee heuristic has been employed effectively to aid teachers and students in understanding the constructed nature of knowledge (Gowin, Educating, Ithaca, NY: Cornell University Press, 1981). Situated learning occurs when learning is by rote or at a lower level of meaningful learning. Concept mapping has been used effectively to aid meaningful learning with resulting modification of student's knowledge structures. When these knowledge structures are limited or faulty in some way, they may be referred to as Limited or Inappropriate Propositional Hierarchies (LIPH's). Conceptual change, or more accurately conceptual reconstrution, requires meaningful learning to modify LIPH's. Collaborative group learning facilitates meaningful learning and new knowledge construction. World-wide economic changes are forcing major changes in business and industry placing a premium on the power and value of knowledge and new knowledge production. These changes require changes in school and university education that centers on the nature and power of meaningful learning. New computer tools are available to facilitate teaching activities targeted at modifying LIPH's, and aiding meaningful learning in general.

  10. Impact of oncology-related direct-to-consumer advertising: association with appropriate and inappropriate prescriptions.

    Science.gov (United States)

    Abel, Gregory A; Chen, Kun; Taback, Nathan; Hassett, Michael J; Schrag, Deborah; Weeks, Jane C

    2013-03-01

    Little is known about the impact of direct-to-consumer advertising (DTCA) on appropriate versus inappropriate prescribing. Aromatase inhibitor (AI) therapy for breast cancer provides an ideal paradigm for studying this issue, because AIs have been the focus of substantial DTCA, and because they should only be used in postmenopausal women, age can serve as a simple surrogate marker of appropriateness. Data regarding national DTCA spending for the AIs were obtained from TNS Multimedia; hormonal therapy prescription data were obtained from IMS Health. Time series analyses were performed to characterize the association between monthly changes in DTCA spending for the AIs and monthly changes in the proportion of all new hormonal therapy prescriptions represented by the AIs from October 2005 to September 2007. Analyses were stratified by age, considering prescriptions for women ≤ 40 (likely premenopausal) to be inappropriate and those for women > 60 (likely postmenopausal) to be appropriate. Monthly dollars spent on AI-associated DTCA varied considerably ($118,600 to $22,019,660). Time series analysis revealed that for every million dollars spent on DTCA for the AIs, there was an associated increase 3 months later in the new AI prescription proportion of 0.15% for all ages (P 60 years (P < .0001), but no significant change for those ≤ 40 at any time from 0 to 6 months. DTCA for the AIs was associated with increases in appropriate prescriptions with no significant effect on inappropriate prescriptions, suggesting that DTCA may not foster inappropriate medication use for certain drug classes. Copyright © 2012 American Cancer Society.

  11. Abdominal pain and syndrome of inappropriate antidiuretic hormone secretion as clinical presentation of acute intermittent porphyria.

    Science.gov (United States)

    Valle Feijóo, M L; Bermúdez Sanjurjo, J R; González Vázquez, L; Rey Martínez, M; de la Fuente Aguado, J

    2015-01-01

    Acute intermittent porphyria (AIP) is a rare condition characterized by abdominal pain and a wide range of nonspecific symptoms. We report the case of a woman with abdominal pain and syndrome of inappropriate antidiuretic hormone secretion (SIADH) as clinical presentation of AIP. The diagnosis was achieved through the etiologic study of the SIADH. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  12. A case of appropriate inappropriate device therapy: Hyperkalemia-induced ventricular oversensing

    OpenAIRE

    Oudit, Gavin Y; Cameron, Doug; Harris, Louise

    2008-01-01

    The present case describes a patient who received inappropriate, but potentially life-saving, therapy from her implantable cardioverter defibrillator (ICD) in the setting of acute hyperkalemia (plasma potassium concentration = 8 mM). Hyperkalemia was associated with the development of a slow sinusoidal ventricular tachycardia, at a rate of 100 beats/min to 125 beats/min (610 ms to 480 ms) in a patient who is pacemaker-dependent. There was associated fractionation of the ICD electrogram and T ...

  13. Potentially inappropriate prescribing and cost outcomes for older people: a national population study.

    LENUS (Irish Health Repository)

    Cahir, Caitriona

    2010-05-01

    Optimization of drug prescribing in older populations is a priority due to the significant clinical and economic costs of drug-related illness. This study aimed to: (i) estimate the prevalence of potentially inappropriate prescribing (PIP) in a national Irish older population using European specific explicit prescribing criteria; (ii) investigate the association between PIP, number of drug classes, gender and age and; (iii) establish the total cost of PIP.

  14. An automated technique to identify potential inappropriate traditional Chinese medicine (TCM) prescriptions.

    Science.gov (United States)

    Yang, Hsuan-Chia; Iqbal, Usman; Nguyen, Phung Anh; Lin, Shen-Hsien; Huang, Chih-Wei; Jian, Wen-Shan; Li, Yu-Chuan

    2016-04-01

    Medication errors such as potential inappropriate prescriptions would induce serious adverse drug events to patients. Information technology has the ability to prevent medication errors; however, the pharmacology of traditional Chinese medicine (TCM) is not as clear as in western medicine. The aim of this study was to apply the appropriateness of prescription (AOP) model to identify potential inappropriate TCM prescriptions. We used the association rule of mining techniques to analyze 14.5 million prescriptions from the Taiwan National Health Insurance Research Database. The disease and TCM (DTCM) and traditional Chinese medicine-traditional Chinese medicine (TCMM) associations are computed by their co-occurrence, and the associations' strength was measured as Q-values, which often referred to as interestingness or life values. By considering the number of Q-values, the AOP model was applied to identify the inappropriate prescriptions. Afterwards, three traditional Chinese physicians evaluated 1920 prescriptions and validated the detected outcomes from the AOP model. Out of 1920 prescriptions, 97.1% of positive predictive value and 19.5% of negative predictive value were shown by the system as compared with those by experts. The sensitivity analysis indicated that the negative predictive value could improve up to 27.5% when the model's threshold changed to 0.4. We successfully applied the AOP model to automatically identify potential inappropriate TCM prescriptions. This model could be a potential TCM clinical decision support system in order to improve drug safety and quality of care. Copyright © 2016 John Wiley & Sons, Ltd.

  15. Beers Criteria as a Proxy for Inappropriate Prescribing of Other Medications Among Older Adults

    Science.gov (United States)

    Lund, Brian C; Steinman, Michael A; Chrischilles, Elizabeth A; Kaboli, Peter J

    2014-01-01

    BACKGROUND The Beers criteria are a compilation of medications deemed potentially inappropriate for older adults, and widely used a prescribing quality indicator. OBJECTIVE To determine whether Beers criteria serve as a proxy measure for other forms of inappropriate prescribing, as measured by comprehensive implicit review. METHODS Data for patients 65 years and older were obtained from the VA Enhanced Pharmacy Outpatient Clinic (EPOC) and the Iowa Medicaid Pharmaceutical Case Management (PCM) studies. Comprehensive measurement of prescribing quality was conducted using expert clinician review of medical records according to the Medication Appropriateness Index (MAI). MAI scores attributable to non-Beers medications (non-Beers MAI) were contrasted between patients who did and did not receive a Beers criteria medication. RESULTS Beers criteria medications accounted for 12.9% and 14.0% of total MAI scores in the two studies. Importantly, non-Beers MAI scores were significantly higher in patients receiving a Beers criteria medication in both studies (EPOC: 15.1 vs. 12.4, p = 0.02; PCM: 11.1 vs. 8.7, p = 0.04), after adjusting for important confounding factors. CONCLUSIONS Beers criteria utility extended beyond direct measurement of a limited set of inappropriate prescribing practices by serving as a clinically meaningful proxy for other inappropriate practices. Using prescribing quality indicators to guide interventions should thus identify patients for comprehensive medication review, rather than identifying specific targets for discontinuation. Future research should explore both the quality measurement and the intervention targeting applications of the Beers criteria, particularly when integrated with other indicators. PMID:21972251

  16. Syndrome of inappropriate antidiuretic hormone caused by continuous lumbar spinal fluid drainage after transphenoidal surgery.

    Science.gov (United States)

    Norlela, S; Azmi, K N; Khalid, B A K

    2006-01-01

    A 53-year-old acromegalic woman had cerebrospinal fluid rhinorrhoea following transphenoidal surgery for a pituitary microadenoma. A continuous lumbar spinal fluid drainage catheter was inserted and on the sixth postoperative day, she developed hyponatremia with features of syndrome of inappropriate antidiuretic hormone (SIADH) requiring hypertonic saline administration. Over-drainage is potentially hazardous and close biochemical monitoring is required. To our knowledge, this is the first reported case of SIADH caused by continuous lumbar drainage in an adult.

  17. Inappropriate gestational weight gain among teenage pregnancies: prevalence and pregnancy outcomes

    OpenAIRE

    Vivatkusol, Yada; Thavaramara, Thaovalai; Phaloprakarn, Chadakarn

    2017-01-01

    Yada Vivatkusol, Thaovalai Thavaramara, Chadakarn Phaloprakarn Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand Objective: To study the prevalence and pregnancy outcomes of inappropriate gestational weight gain (GWG) among teenage pregnant women.Methods: A retrospective descriptive study was conducted on 2,165 teenage pregnant women who attended our antenatal clinic between January 2007 and August 2015. Adverse preg...

  18. Short notes and reviews Simplifying hydrozoan classification: inappropriateness of the group Hydroidomedusae in a phylogenetic context

    OpenAIRE

    Marques, Antonio C.

    2001-01-01

    The systematics of Hydrozoa is considered from the viewpoint of logical consistency between phylogeny and classification. The validity of the nominal taxon Hydroidomedusae (including all groups of Hydrozoa except the Siphonophorae) is discussed with regard to its distinctness and inclusive relationships. In general, phylogenetic systematic evidence suggest that the use of the term Hydroidomedusae is inappropriate given our current level of understanding. It is concluded that no new, or resurr...

  19. Evaluation of potentially inappropriate medications among older residents of Malaysian nursing homes.

    Science.gov (United States)

    Chen, Li Li; Tangiisuran, Balamurugan; Shafie, Asrul Akmal; Hassali, Mohamed Azmi Ahmad

    2012-08-01

    There is an increasing evidence of medicines related issues such as inappropriate prescribing among older people. Inappropriate prescribing is an important risk factor for adverse drug reactions and hospitalizations in the older people. To assess and characterize the prevalence of Potentially Inappropriate Medications (PIMs) in nursing home care in Malaysia as defined by Screening Tool of Older Peoples Prescriptions (STOPP) and Beers criteria. Four Nursing Homes situated in Penang, Malaysia. A multicenter and cross-sectional study was conducted over 2 months period at four large non-governmental organizations nursing homes in Penang, Malaysia. The study population included older residents (≥65 years old) taking at least one medication. Residents who had been diagnosed with dementia or taking anti dementia drugs, delirium, too frail or refused to give consent were excluded. Demographic, clinical data and concurrent medications were collected through direct interview and also by reviewing medical records. STOPP and Beers criteria were applied in the medical review to screen for PIMs. Potentially Inappropriate Medication using STOPP and Beers criteria. Two hundred eleven residents were included in the study with the median age of 77 (inter quartile range (IQR) 72-82) years. Median number of prescription medicines was 4 (IQR 1-14). STOPP identified less residents (50 residents, 23.7 %) being prescribed on PIMs compared with Beers criteria (69 residents, 32.7 %) (p older residents living in the nursing homes and are associated with number of medications and longer nursing home stay. Further research is warranted to study the impact of PIMs towards health related outcomes in these elderly.

  20. Reduction of the inappropriate ICD therapies by implementing a new fuzzy logic-based diagnostic algorithm.

    Science.gov (United States)

    Lewandowski, Michał; Przybylski, Andrzej; Kuźmicz, Wiesław; Szwed, Hanna

    2013-09-01

    The aim of the study was to analyze the value of a completely new fuzzy logic-based detection algorithm (FA) in comparison with arrhythmia classification algorithms used in existing ICDs in order to demonstrate whether the rate of inappropriate therapies can be reduced. On the basis of the RR intervals database containing arrhythmia events and controls recordings from the ICD memory a diagnostic algorithm was developed and tested by a computer program. This algorithm uses the same input signals as existing ICDs: RR interval as the primary input variable and two variables derived from it, onset and stability. However, it uses 15 fuzzy rules instead of fixed thresholds used in existing devices. The algorithm considers 6 diagnostic categories: (1) VF (ventricular fibrillation), (2) VT (ventricular tachycardia), (3) ST (sinus tachycardia), (4) DAI (artifacts and heart rhythm irregularities including extrasystoles and T-wave oversensing-TWOS), (5) ATF (atrial and supraventricular tachycardia or fibrillation), and 96) NT (sinus rhythm). This algorithm was tested on 172 RR recordings from different ICDs in the follow-up of 135 patients. All diagnostic categories of the algorithm were present in the analyzed recordings: VF (n = 35), VT (n = 48), ST (n = 14), DAI (n = 32), ATF (n = 18), NT (n = 25). Thirty-eight patients (31.4%) in the studied group received inappropriate ICD therapies. In all these cases the final diagnosis of the algorithm was correct (19 cases of artifacts, 11 of atrial fibrillation and 8 of ST) and fuzzy rules algorithm implementation would have withheld unnecessary therapies. Incidence of inappropriate therapies: 3 vs. 38 (the proposed algorithm vs. ICD diagnosis, respectively) differed significantly (p fuzzy logic based algorithm seems to be promising and its implementation could diminish ICDs inappropriate therapies. We found FA usefulness in correct diagnosis of sinus tachycardia, atrial fibrillation and artifacts in comparison with tested ICDs.

  1. Mine-by experiment committee report phase 1: excavation response summary and implications

    International Nuclear Information System (INIS)

    Martin, C.D.; Kaiser, P.K.

    1996-05-01

    The first phase of the Mine-by Experiment, i.e., excavation of a 3.5-m-diameter tunnel, was carried out at the 420 Level of the Underground Research Laboratory to investigate rock mass damage and progressive failure around a circular opening in brittle unfractitred Lac du Bonnet granite. The tunnel was excavated without explosives, and state-of-the-art instrumentation comprising both geomechanical and geophysical instruments was used to monitor the failure process. The experiment showed that rock mass damage begins once the deviatoric stress (0'1 - 0'3) near the advancing face of the tunnel exceeds a critical level. Crack propagation can lead to progressive failure around the tunnel; however, it is limited to a region, referred to as the excavation damaged zone, of less than one tunnel radius. Within the damaged zone, stabbing (a typical form of brittle failure) began at stress levels equivalent to about 50% of the short-term laboratory unconfined compressive strength. This reduction in strength between laboratory and in situ conditions occurs because the in situ loading path is far more complex than the monotonic loading path used to test laboratory samples. There is no evidence to suggest that the stabbing failure process would extend beyond the depth of damage defined by the deviatoric stress criterion. The stabbing process stops when the tunnel face has advanced sufficiently (approximately 2 tunnel diameters) such that the rock mass is no longer subjected to excavation-induced stress changes. The strength of the rock mass in the damaged zone must be back-calculated from in situ tests, because the loading path cannot be duplicated readily in the laboratory. Thus, the back-calculated damaged strength must be used to evaluate the stability of the excavation. Sealing systems to reduce the permeability in the axial direction of a tunnel must be keyed into the rock mass beyond the radial extent of the damaged zone. The shape of the seals must be designed so as to

  2. Investigation of Bucket Wheel Excavator Lattice Structure Internal Stress in Harsh Environment through a Remote Measurement System

    Science.gov (United States)

    Risteiu, M.; Dobra, R.; Andras, I.; Roventa, M.; Lorincz, A.

    2017-06-01

    The paper shows the results of a lab model for strain gauges based measuring system for multiple measuring heads of the mechanical stress in lattice structures of the bucket wheel excavator for open pit mines-harsh environment. The system is designed around a microcontroller system. Because of specific working conditions, the measuring system sends data to a processing system (a PC with Matlab software), we have implemented a secure communication solution based on ISM standard, by using NRF24L01 module. The transceiver contains a fully integrated frequency synthesizer based on crystal oscillator, and a Enhanced ShockBurst™ protocol engine. The proposed solution has a current consumption around 9.0 mA at an output power of -6dBm and 12.3mA in RX mode. Built-in Power Down and Standby modes makes power saving easily realizable for our solution battery powered. The stress from structures is taken by specific strain gauges adapted to low frequency vibrations. We are using a precision 24-bit analog-to-digital converter (ADC) designed for weigh scales and industrial control applications to interface directly with a bridge sensor-instrumentation device, with low drift voltage, low noise, common mode rejection signal, frequency and temperature stability. As backup implementation for measurements a high speed storage implementation is used.

  3. Congenital short QT syndrome and implantable cardioverter defibrillator treatment: inherent risk for inappropriate shock delivery.

    Science.gov (United States)

    Schimpf, Rainer; Wolpert, Christian; Bianchi, Francesca; Giustetto, Carla; Gaita, Florenzo; Bauersfeld, Urs; Borggrefe, Martin

    2003-12-01

    A congenital short QT interval constitutes a new primary electrical abnormality associated with syncope and/or sudden cardiac death. We report on the initial use of implantable cardioverter defibrillator (ICD) therapy in patients with inherited short QT interval and discuss sensing abnormalities and detection issues. In five consecutive patients from two unrelated European families who had structurally normal hearts, excessively shortened QT intervals, and a strong positive family history of sudden cardiac death, ICDs were placed for primary and secondary prevention. Mean QT intervals were 252 +/- 13 ms (QTc 287 +/- 13 ms). Despite normal sensing behavior during intraoperative and postoperative device testing, 3 of 5 patients experienced inappropriate shock therapies for T wave oversensing 30 +/- 26 days after implantation. Programming lower sensitivities and decay delays prevented further inappropriate discharges. The congenital short QT syndrome constitutes a new clinical entity with an increased risk for sudden cardiac death. Currently, ICD treatment is the only therapeutic option. In patients with short QT interval and implanted ICD, increased risk for inappropriate therapy is inherent due to the detection of short-coupled and prominent T waves. Careful testing of ICD function and adaptation of sensing levels and decay delays without sacrificing correct arrhythmia detection are essential.

  4. Inappropriate Dexamethasone Use by a Trekker in Nepal: A Case Report.

    Science.gov (United States)

    Haslam, Nicholas R; Garth, Rachel; Kelly, Nicola

    2017-12-01

    We present a case of inappropriate dexamethasone use in a trekker in the Everest region of Nepal. We aim to increase awareness among health professionals of the possible use of this medication by trekkers and promote knowledge of potential complications. In this case, a previously altitude-naive trekker was prescribed prophylactic dexamethasone by physicians in a Western travel clinic before high-altitude trekking in Nepal. There were no indications for prophylactic medication nor for the use of dexamethasone. The trekker reported that no discussion regarding risks and benefits, alternatives, side effects, contraindications, or dose tapering on completion of the course had occurred before travel. Side effects were temporary, but serious complications may have ensued if it not for timely interventions by doctors at the International Porter Protection Group rescue post. The events leading to inappropriate dexamethasone use in this case cannot be known for certain. However, it is clear that the trekker lacked the knowledge to use the medication safely. Although the efficacy of dexamethasone in the prevention of acute mountain sickness is undisputed, associated side effects and other limitations make acetazolamide the prophylactic drug of choice. Inappropriate use of dexamethasone can lead to severe complications, and such a case has been reported from Mount Everest. Clinicians prescribing dexamethasone must understand the indications and risks, and health professionals at altitude should be aware of its use by trekkers and the potential complications. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  5. Phantom movements from physiologically inappropriate muscles: A case study with a high transhumeral amputee.

    Science.gov (United States)

    Gade, Julie; Hugosdottir, Rosa; Kamavuako, Ernest N

    2015-08-01

    Individuals with high-level amputation have a great need for functional prostheses because of their vast functional deficits. Conventional techniques are considered inappropriate for high-level amputees due to the lack of physiologically appropriate muscles. This study investigates how accurate phantom movements (PMs) can be classified from physiologically inappropriate muscles. The study involves a case study of a 42-year-old transhumeral amputee. Suitable PMs and best electrode configuration were identified using the sequential forward selection method and brute-force technique. Using linear discriminant analysis, the best PMs (elbow extension/flexion, wrist supination/pronation) and rest were classified with error ranging from 3% to 0.18% when using 3 to 8 EMG channels respectively. A completion rate of 93 % was obtained during a targeted achievement control test in a virtual reality environment. This case indicates that a proximal transhumeral amputee can generate muscle activation patterns related to distinct PMs; and these PMs can be decoded from physiologically inappropriate muscles.

  6. Amusia results in abnormal brain activity following inappropriate intonation during speech comprehension.

    Science.gov (United States)

    Jiang, Cunmei; Hamm, Jeff P; Lim, Vanessa K; Kirk, Ian J; Chen, Xuhai; Yang, Yufang

    2012-01-01

    Pitch processing is a critical ability on which humans' tonal musical experience depends, and which is also of paramount importance for decoding prosody in speech. Congenital amusia refers to deficits in the ability to properly process musical pitch, and recent evidence has suggested that this musical pitch disorder may impact upon the processing of speech sounds. Here we present the first electrophysiological evidence demonstrating that individuals with amusia who speak Mandarin Chinese are impaired in classifying prosody as appropriate or inappropriate during a speech comprehension task. When presented with inappropriate prosody stimuli, control participants elicited a larger P600 and smaller N100 relative to the appropriate condition. In contrast, amusics did not show significant differences between the appropriate and inappropriate conditions in either the N100 or the P600 component. This provides further evidence that the pitch perception deficits associated with amusia may also affect intonation processing during speech comprehension in those who speak a tonal language such as Mandarin, and suggests music and language share some cognitive and neural resources.

  7. Amusia results in abnormal brain activity following inappropriate intonation during speech comprehension.

    Directory of Open Access Journals (Sweden)

    Cunmei Jiang

    Full Text Available Pitch processing is a critical ability on which humans' tonal musical experience depends, and which is also of paramount importance for decoding prosody in speech. Congenital amusia refers to deficits in the ability to properly process musical pitch, and recent evidence has suggested that this musical pitch disorder may impact upon the processing of speech sounds. Here we present the first electrophysiological evidence demonstrating that individuals with amusia who speak Mandarin Chinese are impaired in classifying prosody as appropriate or inappropriate during a speech comprehension task. When presented with inappropriate prosody stimuli, control participants elicited a larger P600 and smaller N100 relative to the appropriate condition. In contrast, amusics did not show significant differences between the appropriate and inappropriate conditions in either the N100 or the P600 component. This provides further evidence that the pitch perception deficits associated with amusia may also affect intonation processing during speech comprehension in those who speak a tonal language such as Mandarin, and suggests music and language share some cognitive and neural resources.

  8. The Impact of a Computerized Clinical Decision Support Tool on Inappropriate Clostridium difficile Testing.

    Science.gov (United States)

    White, Duncan R; Hamilton, Keith W; Pegues, David A; Hanish, Asaf; Umscheid, Craig A

    2017-10-01

    OBJECTIVE To evaluate the effectiveness of a computerized clinical decision support intervention aimed at reducing inappropriate Clostridium difficile testing DESIGN Retrospective cohort study SETTING University of Pennsylvania Health System, comprised of 3 large tertiary-care hospitals PATIENTS All adult patients admitted over a 2-year period INTERVENTION Providers were required to use an order set integrated into a commercial electronic health record to order C. difficile toxin testing. The order set identified patients who had received laxatives within the previous 36 hours and displayed a message asking providers to consider stopping laxatives and reassessing in 24 hours prior to ordering C. difficile testing. Providers had the option to continue or discontinue laxatives and to proceed with or forgo testing. The primary endpoint was the change in inappropriate C. difficile testing, as measured by the number of patients who had C. difficile testing ordered while receiving laxatives. RESULTS Compared to the 1-year baseline period, the intervention resulted in a decrease in the proportion of inappropriate C. difficile testing (29.6% vs 27.3%; P=.02). The intervention was associated with an increase in the number of patients who had laxatives discontinued and did not undergo C. difficile testing (5.8% vs 46.4%; Ptesting (5.4% vs 35.2%; Ptesting and improving the timely discontinuation of laxatives. Infect Control Hosp Epidemiol 2017;38:1204-1208.

  9. A Top Pilot Tunnel Preconditioning Method for the Prevention of Extremely Intense Rockbursts in Deep Tunnels Excavated by TBMs

    Science.gov (United States)

    Zhang, Chuanqing; Feng, Xiating; Zhou, Hui; Qiu, Shili; Wu, Wenping

    2012-05-01

    The headrace tunnels at the Jinping II Hydropower Station cross the Jinping Mountain with a maximum overburden depth of 2,525 m, where 80% of the strata along the tunnels consist of marble. A number of extremely intense rockbursts occurred during the excavation of the auxiliary tunnels and the drainage tunnel. In particular, a tunnel boring machine (TBM) was destroyed by an extremely intense rockburst in a 7.2-m-diameter drainage tunnel. Two of the four subsequent 12.4-m-diameter headrace tunnels will be excavated with larger size TBMs, where a high risk of extremely intense rockbursts exists. Herein, a top pilot tunnel preconditioning method is proposed to minimize this risk, in which a drilling and blasting method is first recommended for the top pilot tunnel excavation and support, and then the TBM excavation of the main tunnel is conducted. In order to evaluate the mechanical effectiveness of this method, numerical simulation analyses using the failure approaching index, energy release rate, and excess shear stress indices are carried out. Its construction feasibility is discussed as well. Moreover, a microseismic monitoring technique is used in the experimental tunnel section for the real-time monitoring of the microseismic activities of the rock mass in TBM excavation and for assessing the effect of the top pilot tunnel excavation in reducing the risk of rockbursts. This method is applied to two tunnel sections prone to extremely intense rockbursts and leads to a reduction in the risk of rockbursts in TBM excavation.

  10. Doctors and pharmaceutical industry.

    Science.gov (United States)

    Beran, Roy G

    2009-09-01

    The pharmaceutical industry is seen as seducing doctors by providing expensive gifts, subsidising travel and underwriting practice expenses in return for those doctors prescribing products that otherwise they would not use. This paints doctors in a very negative light; suggests doctors are available to the highest bidder; implies doctors do not adequately act as independent agents; and that doctors are driven more by self-interest than by patient needs. Similar practices, in other industries, are accepted as normal business behaviour but it is automatically assumed to be improper if the pharmaceutical industry supports doctors. Should the pharmaceutical industry withdraw educational grants then there would be: fewer scientific meetings; reduced attendance at conferences; limited post graduate education; and a depreciated level of maintenance of professional standards. To suggest that doctors prescribe inappropriately in return for largesse maligns their integrity but where there is no scientific reason to choose between different treatments then there can be little argument against selecting the product manufactured by a company that has invested in the doctor and the question arises as to whether this represents bad medicine? This paper will examine what constitutes non-professional conduct in response to inducements by the pharmaceutical industry. It will review: conflict of interest; relationships between doctors and pharma and the consequences for patients; and the need for critical appraisal before automatically decrying this relationship while accepting that there remain those who do not practice ethical medicine.

  11. Backfilling techniques and materials in underground excavations: Potential alternative backfill materials in use in Posiva's spent fuel repository concept

    International Nuclear Information System (INIS)

    Dixon, D.A.; Keto, P.

    2009-05-01

    A variety of geologic media options have been proposed as being suitable for safely and permanently disposing of spent nuclear fuel or fuel reprocessing wastes. In Finland the concept selected is construction of a deep repository in crystalline rock (Posiva 1999, 2006; SKB 1999), likely at the Olkiluoto site (Posiva 2006). Should that site prove suitable, excavation of tunnels and several vertical shafts will be necessary. These excavations will need to be backfilled and sealed as emplacement operations are completed and eventually all of the openings will need to be backfilled and sealed. Clay-based materials were selected after extensive review of materials options and the potential for practical implementation in a repository and work over a 30+ year period has led to the development of a number of workable clay-based backfilling options, although discussion persists as to the most suitable clay materials and placement technologies to use. As part of the continuous process of re-evaluating backfilling options in order to provide the best options possible, placement methods and materials that have been given less attention have been revisited. Primary among options that were and continue to be evaluated as a potential backfill are cementitious materials. These materials were included in the list of candidate materials initially screened in the late 1970's for use in repository backfilling. Conventional cement-based materials were quickly identified as having some serious technical limitations with respect their ability to fulfil the identified requirements of backfill. Concerns related to their ability to achieve the performance criteria defined for backfill resulted in their exclusion from large-scale use as backfill in a repository. Development of new, less chemically aggressive cementitious materials and installation technologies has resulted in their re-evaluation. Concrete and cementitious materials have and are being developed that have chemical, durability

  12. Experience in Ultrasonic Flaw Estimation and its Excavation on the Weldments of Nuclear Pressure Vessels

    International Nuclear Information System (INIS)

    Lee, J. P.; Park, D. Y.; Lim, H. T.; Kim, B. C.; Joo, Y. S.

    1991-01-01

    The importance and role of preservice and inservice inspection(PSI/ISI) for nuclear power plant components are intimately related to plant design, safety, reliability and operation etc.. The Korea Atomic Energy Research Institute(KAERI) has been performing PSI/ISI in Korea since the PSI of Kori nuclear power plant, unit 1 had been performed in 1977. KAERI has localized PSI/ISI technology and has done much experience in ultrasonic flaw detection, evaluation and its excavation on the weldments of large pressure vessels. The results of flaw estimation using ultrasonic examination are compared with the actual flaw sizes revealed by field excavation. KAERI's experience regarding PSI/ISI was described and some discussions were added

  13. A preliminary assessment of water inflow into proposed excavations in the Cohassett flow interior

    International Nuclear Information System (INIS)

    Baker, S.M.

    1985-05-01

    To support safety and feasibility evaluations of the proposed repository construction and operation, an assessment is necessary of the potential for inflow of groundwater to the repository excavations from the surrounding saturated rock. This report provides preliminary estimates of groundwater inflow based on simple models appropriate to the current understanding of available data, and shows sensitivities in determining water inflow to uncertain parameters. Steady state inflow to the repository is estimated to be on the order of 100 gpm. An accident case of intersecting a 6 meter diameter drift with a flow top of high hydraulic conductivity (10 -5 m/s) shows an initial inflow of about 3,400 gpm, decreasing to less than 2,000 gpm after one hour. Based on available data, this is considered to be a bounding analysis. The calculated inflow is a value which is routinely dealt with in underground excavations. 7 figs

  14. Identification of purple dye from molluscs on an excavated textile by non-destructive analytical techniques

    DEFF Research Database (Denmark)

    Margariti, Christina; Protopapas, Stavros; Allen, Norman

    2013-01-01

    , the application of non-destructive methods of investigation for the extraction of the data present is imperative. This paper presents the results of dye analysis performed on the excavated textile find HTR-73 from the Kerameikos cemetery in Athens. The Kerameikos textile find is from the 5th century BC, and has...... been preserved in association with copper. The techniques applied were Scanning Electron Microscopy (SEM), Energy Dispersive X-Ray (EDX) analysis, Cathodoluminescence and micro Raman. For the first time Cathodoluminescence from an indigoid compound is reported. Comparison of the analysis results...... on samples from the find with the contemporary reference samples lead to the identification of purple dye as a dibromoindigo compound with the origin from molluscs of Murex trunculus species. The application of non-destructive analytical methods of investigation was successful in analysing dyes on excavated...

  15. Assessment of geomechanical properties, maximum depth and excavation damaged zone aspects - Expert report

    International Nuclear Information System (INIS)

    Amann, F.; Löw, S.; Perras, M.

    2015-11-01

    This comprehensive report published by the Swiss National Nuclear Safety Inspectorate ENSI discusses the expert report published on the need for the assessment of geomechanical properties and maximum depth of repositories for high, medium and low-activity nuclear wastes. Also, aspects concerning excavation damaged zones (EDZ) are considered. These are all criteria for the selection of sites as part of Phase 2 of the Swiss waste disposal project. Four questions are examined: are NAGRA’s documented basic considerations and calculations on Opalinus Clay comprehensive enough and correct, are the calculations on maximum depth correct, are the proposed storage perimeters correct with respect to depth and will NAGRA be able to take possible excavation damaged zones (EDZ) into account? Literature and references concerning the subject are quoted

  16. Radiocarbon dating of a sutra container excavated at the Minagi Daibutsuyama site, Fukuoka Prefecture, Japan

    International Nuclear Information System (INIS)

    Oda, Hirotaka; Nakamura, Toshio; Tsukamoto, Toshio

    2004-01-01

    The historical age of a sutra container (Kyozutsu) excavated at the Minagi Daibutsuyama site was estimated by the AMS method. Radiocarbon ages for samples of the charred sutra kept in the container range from 950 to 1000 BP, corresponding to the first half of the 11th or the middle of the 12th century in the calibrated ages. The radiocarbon ages of wood charcoal blocks excavated around the container range from 1000 to 1100 BP, corresponding to calibrated ages from the 10th to the early 11th century. Since the radiocarbon age of wood charcoal can be decades older than the age of production as a result of the old wood effect, the historical age of the sutra container formation is estimated at the first half of the 11th century

  17. Hand-held 3D sensor for documentation of fossil and archaeological excavations

    Science.gov (United States)

    Kühmstedt, Peter; Bräuer-Burchardt, Christian; Schmidt, Ingo; Heinze, Matthias; Breitbarth, Andreas; Notni, Gunther

    2011-06-01

    A mobile hand held battery powered sensor based on fringe projection technique for preservation of fossil traces and archaeological excavations was developed. It consists of a projector and two cameras and covers a measuring field of about 240 mm x 175 mm x 160 mm. The core time for data acquisition is 0.34 s and the final result of a 3D point cloud is obtained in less than five seconds. Errors due to movements of the sensor are detected and can be swept out. The sensor allows the capturing of 3D data of the observed surface together with colour information. It was successfully applied at fossil find of traces of a dinosaur at rock layers from Triassic. 3D reconstruction of a part of the excavation was realized including the determination of the depth of traces.

  18. Minimizing Strength Consequences Resulting From Excavation of Buried Gas Pipeline For In-Operation Insulation Renovations

    Science.gov (United States)

    Jančo, Roland

    2011-12-01

    Because of economic reasons many of the maintenance and repair activities on buried gas pipeline are performed during its operation. By excavating the earth from the sides of the pipeline in certain lengths, there is a possibility that the resulting additional bending load of the pipe will occur due to its deflection. This is caused by the additional compressive force which originates in the buried pipeline as a result of a detained strain, when the longitudinal strain in the pipeline due to service conditions (internal pressure and heating) cannot be realized. In the paper a numerical simulation (using ANSYS program) of pipeline elbow due to excavation for insulation repair and the following backfilling will be presented.

  19. Relic excavated in western India is probably of Georgian Queen Ketevan.

    Science.gov (United States)

    Rai, Niraj; Taher, Nizamuddin; Singh, Manvendra; Chaubey, Gyaneshwer; Jha, Aditya Nath; Singh, Lalji; Thangaraj, Kumarasamy

    2014-01-01

    History has well documented the execution of Queen Ketevan of Georgia by the Persian Emperor of modern day Iran. Based on historical records, in 1624 two Augustinian friars unearthed the queen's remains and one of them brought the relic to the St. Augustine convent in Goa, India. We carried out ancient DNA analysis on the human bone remains excavated from the St. Augustine convent by sequencing and genotyping of the mitochondrial DNA. The investigations of the remains revealed a unique mtDNA haplogroup U1b, which is absent in India, but present in Georgia and surrounding regions. Since our genetic analysis corroborates archaeological and literary evidence, it is likely that the excavated bone belongs to Queen Ketevan of Georgia. Copyright © 2013 Elsevier B.V. All rights reserved.

  20. Coupled hydrological-mechanical effects due to excavation of underground openings in unsaturated fractured rocks

    International Nuclear Information System (INIS)

    Montazer, P.

    1985-01-01

    One of the effects of excavating an underground opening in fractured rocks is a modification of the state of the stress in the rock mass in the vicinity of the opening. This effect causes changes in the geometry of the cross sections of the fracture planes, which in turn results in modification of the hydrologic properties of the fractures of the rock mass. The significance of the orientation of the fractures and their stiffness on the extent of the modification of the hydrologic properties as a result of excavation of underground openings is demonstrated. A conceptual model is presented to illustrate the complexity of the coupled hydrological-mechanical phenomena in the unsaturated zone. This conceptual model is used to develop an investigative program to assess the extent of the effect at a proposed repository site for storing high-level nuclear wastes

  1. Remediating Contaminant Plumes in Groundwater with Shallow Excavations Containing Coarse Reactive Media.

    Science.gov (United States)

    Hudak, Paul F

    2018-02-01

    A groundwater flow and mass transport model tested the capability of shallow excavations filled with coarse, reactive media to remediate a hypothetical unconfined aquifer with a maximum saturated thickness of 5 m. Modeled as contaminant sinks, the rectangular excavations were 10 m downgradient of an initial contaminant plume originating from a source at the top of the aquifer. The initial plume was approximately 259 m long, 23 m wide, and 5 m thick, with a downgradient tip located approximately 100 m upgradient of the site boundary. The smallest trench capable of preventing offsite migration was 11 m long (measured perpendicular to groundwater flow), 4 m wide (measured parallel to groundwater flow), and 3 m deep. Results of this study suggest that shallow trenches filled with coarse filter media that partially penetrate unconfined aquifers may be a viable alternative for remediating contaminated groundwater at some sites.

  2. Regolith Advanced Surface Systems Operations Robot (RASSOR) Phase 2 and Smart Autonomous Sand-Swimming Excavator

    Science.gov (United States)

    Sandy, Michael

    2015-01-01

    The Regolith Advanced Surface Systems Operations Robot (RASSOR) Phase 2 is an excavation robot for mining regolith on a planet like Mars. The robot is programmed using the Robotic Operating System (ROS) and it also uses a physical simulation program called Gazebo. This internship focused on various functions of the program in order to make it a more professional and efficient robot. During the internship another project called the Smart Autonomous Sand-Swimming Excavator was worked on. This is a robot that is designed to dig through sand and extract sample material. The intern worked on programming the Sand-Swimming robot, and designing the electrical system to power and control the robot.

  3. Remediating Contaminant Plumes in Groundwater with Shallow Excavations Containing Coarse Reactive Media

    Science.gov (United States)

    Hudak, Paul F.

    2018-02-01

    A groundwater flow and mass transport model tested the capability of shallow excavations filled with coarse, reactive media to remediate a hypothetical unconfined aquifer with a maximum saturated thickness of 5 m. Modeled as contaminant sinks, the rectangular excavations were 10 m downgradient of an initial contaminant plume originating from a source at the top of the aquifer. The initial plume was approximately 259 m long, 23 m wide, and 5 m thick, with a downgradient tip located approximately 100 m upgradient of the site boundary. The smallest trench capable of preventing offsite migration was 11 m long (measured perpendicular to groundwater flow), 4 m wide (measured parallel to groundwater flow), and 3 m deep. Results of this study suggest that shallow trenches filled with coarse filter media that partially penetrate unconfined aquifers may be a viable alternative for remediating contaminated groundwater at some sites.

  4. Application of full-face round by the sequential blasting machine in tunnel excavation

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Y.D.; Park, B.K.; Lee, S.E.; Lim, H.U.

    1995-12-31

    Many methods and techniques have been developed to reduce ground vibrations. Some of them are an adoption of electric millisecond detonators with a sequential blasting machine and an improvement of initiating system with an adequate number of delay intervals. To reduce the level of ground vibration in tunnel excavation, the sequential blasting machine (S.B.M.) with decisecond detonators was adopted. A total of 134 blasts was recorded at various sites and the results were analyzed. The distances blast-to-structures were ranged from 20.3 to 42.0 meter, where charge weights were varied from 0.25 to 0.75kg per delay. It is proved that the sequential blasting in tunnel excavation is very effective to control ground vibration.

  5. Energy Consumption in the Process of Excavator-Automobile Complexes Distribution at Kuzbass Open Pit Mines

    Directory of Open Access Journals (Sweden)

    Panachev Ivan

    2017-01-01

    Full Text Available Every year worldwide coal mining companies seek to maintain the tendency of the mining machine fleet renewal. Various activities to maintain the service life of already operated mining equipment are implemented. In this regard, the urgent issue is the problem of efficient distribution of available machines in different geological conditions. The problem of “excavator-automobile” complex effective distribution occurs when heavy dump trucks are used in mining. For this reason, excavation and transportation of blasted rock mass are the most labor intensive and costly processes, considering the volume of transported overburden and coal, as well as diesel fuel, electricity, fuel and lubricants costs, consumables for repair works and downtime, etc. Currently, it is recommended to take the number of loading buckets in the range of 3 to 5, according to which the dump trucks are distributed to faces.

  6. Contributions of In-Situ Stress Transient Redistribution to Blasting Excavation Damage Zone of Deep Tunnels

    Science.gov (United States)

    Yan, Peng; Lu, Wen-bo; Chen, Ming; Hu, Ying-guo; Zhou, Chuang-bing; Wu, Xin-xia

    2015-03-01

    With the background of construction of the headrace tunnels with the deepest buried depth in China at present, by means of carefully acoustic velocity detection and analysis of Excavation Damage Zone (EDZ), the contributions to damage zones made by the effect of in situ stress transient redistribution are studied and compared with the extent of damage caused by the explosive load. Also, the numerical simulation was adopted to verify detecting the results. It turned out that the in situ stress transient redistribution during blasting has great influence on the development of EDZ of deep tunnels. The blasting excavation-induced damage zone of deep tunnels can be divided into the inner damage zone and the outer damage zone from the excavation surface into surrounding rocks. Although this damage zone dividing method is similar to the work of Martino and Chandler (2004), the consideration of developing a mechanism of the inner damage zone, especially the contribution of in situ stress transient redistribution, is totally different. The inner damage zone, which accounts for 29-57 % of the total damage zone, is mainly caused by explosive load and in situ stress transient adjustment, while the outer damage zone can be mostly attributed to the static redistribution of in situ stress. Field tests and numerical simulation indicate that the in situ stress transient redistribution effect during blasting contributes about 16-51 % to the inner damage zone in the 2# headrace tunnel of Jinping II Hydropower Station. For general cases, it can be concluded that the in situ stress transient redistribution is one of the main contributors of an excavation damage zone, and damage caused by in situ stress transient redistribution effect may exceed the damage caused by explosion load and become the main inducing factor for damage with the rise of in situ stress levels.

  7. Study on provenance of ancient pottery excavated from Huating Ruins, Xinyi County by INAA

    International Nuclear Information System (INIS)

    Xu Anwu; Wang Changsui; Chi Jinqi; Satoshi Koshimizu; Kazai Manabu; Kushihara Koichi

    1997-01-01

    The ancient pottery excavated from Huating Ruins, Xinyi Country, Jiangsu Province, was measured and studied by INAA. The data were manipulated by multivariate statistic analysis, such as cluster and factor analysis. It has been shown that the specimens can be divided into two groups, which are related to Liangzhu Culture area and Dawenkou Culture area respectively. The result seems to support the viewpoint that the pottery specimens of Liangzhu Culture from Huating Ruins belong to war trophies

  8. Excavation and aggregation as organizing factors in de novo construction by mound-building termites.

    Science.gov (United States)

    Green, Ben; Bardunias, Paul; Turner, J Scott; Nagpal, Radhika; Werfel, Justin

    2017-06-14

    Termites construct complex mounds that are orders of magnitude larger than any individual and fulfil a variety of functional roles. Yet the processes through which these mounds are built, and by which the insects organize their efforts, remain poorly understood. The traditional understanding focuses on stigmergy, a form of indirect communication in which actions that change the environment provide cues that influence future work. Termite construction has long been thought to be organized via a putative 'cement pheromone': a chemical added to deposited soil that stimulates further deposition in the same area, thus creating a positive feedback loop whereby coherent structures are built up. To investigate the detailed mechanisms and behaviours through which termites self-organize the early stages of mound construction, we tracked the motion and behaviour of major workers from two Macrotermes species in experimental arenas. Rather than a construction process focused on accumulation of depositions, as models based on cement pheromone would suggest, our results indicated that the primary organizing mechanisms were based on excavation. Digging activity was focused on a small number of excavation sites, which in turn provided templates for soil deposition. This behaviour was mediated by a mechanism of aggregation, with termites being more likely to join in the work at an excavation site as the number of termites presently working at that site increased. Statistical analyses showed that this aggregation mechanism was a response to active digging, distinct from and unrelated to putative chemical cues that stimulate deposition. Agent-based simulations quantitatively supported the interpretation that the early stage of de novo construction is primarily organized by excavation and aggregation activity rather than by stigmergic deposition. © 2017 The Author(s).

  9. Archeological Excavations at Two Prehistoric Campsites Near Keystone Dam, El Paso, Texas.

    Science.gov (United States)

    1985-07-19

    trench excavations indicates taree major soil types can be provisionally recognized. In brief, the differences allow the identification of an argillic ...consistency of the argillic horizon also characterize the Haplargids in the central areas: Pedon 37-I is typical (Table 6). Both Haplargids and...horizon is suggestive of Late Pleistocene Calciorthids of the Picacho surface in the Desert Project area, characterized by truncated argillic horizons

  10. Photogrammetric Recording in a Context of Preventive Archaeology : the "Place des Martyrs" Excavation (Algiers, Algeria)

    OpenAIRE

    SEGUIN, Maxime; Souq, François; Stiti, Kemal

    2014-01-01

    International audience; The construction of the underground station called Place des Martyrs in Algiers required preventive excavation. The context led us to favour recording methods leading to the rapid and exhaustive acquisition of data. Indeed digital photogrammetry made it possible to measure complex elements simply and rapidly. The originality of the solution implemented resided in the use of a free and open-source applications suite dedicated to scientific usage and making it possible t...

  11. The Avaldsnes Royal Manor Project’s Research Plan and Excavation Objectives

    OpenAIRE

    Skre, Dagfinn

    2017-01-01

    This chapter provides an outline of the scholarly problems that the Avaldsnes Royal Manor Project was designed to address, the central theme explored being the political institutions and processes in the first millennium AD. The research plan was developed during the 2007–9 pilot project phase, and was adjusted and supplemented during the 2011–12 excavations and the research and publication phase in the subsequent years. The first of the research plan’s two sections, the results of which are ...

  12. Multirobot Lunar Excavation and ISRU Using Artificial-Neural-Tissue Controllers

    International Nuclear Information System (INIS)

    Thangavelautham, Jekanthan; Smith, Alexander; Abu El Samid, Nader; Ho, Alexander; D'Eleuterio, Gabriele M. T.; Boucher, Dale; Richard, Jim

    2008-01-01

    Automation of site preparation and resource utilization on the Moon with teams of autonomous robots holds considerable promise for establishing a lunar base. Such multirobot autonomous systems would require limited human support infrastructure, complement necessary manned operations and reduce overall mission risk. We present an Artificial Neural Tissue (ANT) architecture as a control system for autonomous multirobot excavation tasks. An ANT approach requires much less human supervision and pre-programmed human expertise than previous techniques. Only a single global fitness function and a set of allowable basis behaviors need be specified. An evolutionary (Darwinian) selection process is used to 'breed' controllers for the task at hand in simulation and the fittest controllers are transferred onto hardware for further validation and testing. ANT facilitates 'machine creativity', with the emergence of novel functionality through a process of self-organized task decomposition of mission goals. ANT based controllers are shown to exhibit self-organization, employ stigmergy (communication mediated through the environment) and make use of templates (unlabeled environmental cues). With lunar in-situ resource utilization (ISRU) efforts in mind, ANT controllers have been tested on a multirobot excavation task in which teams of robots with no explicit supervision can successfully avoid obstacles, interpret excavation blueprints, perform layered digging, avoid burying or trapping other robots and clear/maintain digging routes

  13. Explosive ordinance disposal technology demonstration using the telerobotic small emplacement excavator

    Energy Technology Data Exchange (ETDEWEB)

    Burks, B.L.; Killough, S.M.; Thompson, D.H.; Dinkins, M.A. [Oak Ridge National Lab., TN (United States). Robotics & Process Systems Div.

    1994-06-01

    The small emplacement excavator (SEE) is a ruggedized military vehicle with backhoe and front loader used by the US Army for explosive ordinance disposal (EOD), combat engineer, and general utility excavation activities. In order to evaluate the feasibility of removing personnel from the vehicle during the high risk EOD excavation tasks a development and demonstration project was initiated to evaluate performance capabilities of the SEE under telerobotic control. This feasibility study was performed at the request of the Ordinance Missile and Munitions Center and School (OMMCS) at the Redstone Arsenal to help define requirements for further joint service development activities. Development of a telerobotic SEE (TSEE) was performed by the Oak Ridge National Laboratory (ORNL) in a project funded jointly by the US Army Project Manager for Ammunition Logistics (PM-AMMOLOG) and the Department of Energy (DOE) Office of Technology Development (OTD) Robotics Technology Development Program (RTDP). A technology demonstration of the TSEE was conducted at McKinley Range, Redstone Arsenal, Huntsville, Alabama, on September 13--17, 1993. The primary objective of the demonstration was to evaluate and demonstrate the feasibility of remote EOD. During the demonstration, approximately 40 EOD specialists were instructed on telerobotic operation of the TSEE and then were asked to complete a series of simulated EOD tasks. Upon completion of the tasks, participants completed an evaluation of the system including human factors performance data.

  14. Multimodal Imaging Evaluations of Focal Choroidal Excavations in Eyes with Central Serous Chorioretinopathy

    Directory of Open Access Journals (Sweden)

    Yao Wang

    2016-01-01

    Full Text Available Purpose. To investigate the prevalence and characteristics of focal choroidal excavation (FCE concurrent with central serous chorioretinopathy (CSC using multimodal imaging. Methods. This was a retrospective single-institution study. Clinical features and multimodal imaging findings were analyzed in eyes with CSC and FCEs, using imaging methods including optical coherence tomography (OCT, OCT angiography (OCTA, fluorescein angiography (FA, indocyanine green angiography (ICGA, fundus autofluorescence (FAF, and multispectral imaging. Results. Seventeen patients (4.8% with 21 FCEs (19 eyes were found among 351 consecutive Chinese patients with CSC. Chronic CSC represented 47.1% of those cases. Window defects in 12 lesions identified through FA and hypoautofluorescence in 13 lesions identified through FAF revealed retinal pigment epithelial attenuation. Choroidal hemodynamic disturbances characterized by localized filling defects at the excavation and circumferential hyperperfusion were validated by both ICGA and OCTA, which were similar to the angiographic features of normal chronic CSC. The hyperreflective tissue beneath FCE, observed on B-scan OCT, presented as intensive choroidal flow signals on OCTA. Conclusions. FCE is not uncommon in patients with CSC. Multimodal imaging suggested that the aberrant choroidal circulation might be a contribution factor for leakage from the dysfunctional retinal pigment epithelium at the area of excavation.

  15. Biofuel or excavation? - Life cycle assessment (LCA) of soil remediation options

    Energy Technology Data Exchange (ETDEWEB)

    Suer, Pascal; Andersson-Skoeld, Yvonne [Swedish Geotechnical Institute, 58193 Linkoeping (Sweden)

    2011-02-15

    The environmental consequences of soil remediation through biofuel or through dig-and-dump were compared using life cycle assessment (LCA). Willow (Salix viminalis) was actually grown in-situ on a discontinued oil depot, as a phytoremediation treatment. These data were used for the biofuel remediation, while excavation-and-refill data were estimated from experience. The biofuel remediation had great environmental advantages compared to the ex situ excavation remediation. With the ReCiPe impact assessment method, which included biodiversity, the net environmental effect was even positive, in spite of the fact that the wood harvest was not utilised for biofuel production, but left on the contaminated site. Impact from the Salix viminalis cultivation was mainly through land use for the short rotation coppice, and through journeys of control personnel. The latter may be reduced when familiarity with biofuel as a soil treatment method increases. The excavation-and-refill remediation was dominated by the landfill and the transport of contaminated soil and backfill. (author)

  16. Methods to ensure the quality of excavated soil material from geogenically metalliferous sites

    Science.gov (United States)

    Liebhard, Peter; Sager, Manfred

    2017-04-01

    Soils at geogenically metalliferous sites might exceed heavy metal threshold levels with respect to agricultural use, apart from anthropogenic contamination sources. As a fundamental substrate for green plants and green plant production, soil is not easily renewable, its formation needs long time (e.g. 500 years for 20 mm). In Austria, about 10ha of soil get sealed every day, resulting in complete loss of its biological functions. Excavated soil material has been classified as waste from a legal point of view, which made 33 mill. tons resp. 48% of total waste in Austria in 2010. Recycling of excavated soil material for agricultural use will be an important task to reduce future waste and to enlarge agricultural substrate volumes, but methods to ensure proper qualities are needed to improve regulations. Within this investigation, the transfer of various metals from geogenically metalliferous soils to various crop plants will be investigated, and correlated with various simple soil test methods. Four excavated soil materials from the metalliferous schist zone within the Austrian province of Styria (Kraubath/Mur, Übelbach) and a low-metal reference sample have been taken as substrates to grow raygrass (lolium multiflorum) as a green cover, salad (Lactuca sativa) as a vegetable food item, oats (Avena sativa), maize (Zea mais) and stinging nettle (Urtica dioica) as a hyperaccumulating species. Results and recommendations will be presented.

  17. Our experience with the full-profile excavation of exploratory for tunnel pipes

    Directory of Open Access Journals (Sweden)

    Edita Lazarová

    2006-12-01

    Full Text Available The economic development of Slovakia places an emphasis on increasing the quality of transport infrastructure, which requires its modernization residing in building the transport network of international level and improving its efficiency and travel speed. The development of transport in Slovakia has been passing major changes related to the economic and political processes in the country. Regarding the geographical character of the land, the tunnel excavation is an inseparable feature of the road communications modernization. Approximately thirty kilometres of highway tunnels are planned for construction in Slovakia until 2020 and road tunnels should be constructed as well. The first modern highway tunnel Branisko, the longest one (4975 m in Slovakia was put into operation in 2003 with a preceding excavation of the Branisko exploratory gallery in the course of designed tunnel pipe. The tunnelling works on the exploratory gallery of Višňové tunnel started in January 1999 and finished in the late summer of 2002 due to unfavorable geological conditions. The excavation of a final profile of the Višňové tunnel is planned for 2007. The Horelica tunnel (605 m near Čadca was finished and put into operation in 2004. The tunnels Lučivná (250 m, Bôrik (999 m and Sitina (1440 m are in construction at present.

  18. Clinical course of focal choroidal excavation in Vogt–Koyanagi–Harada disease

    Directory of Open Access Journals (Sweden)

    Nishikawa Y

    2014-12-01

    Full Text Available Yuko Nishikawa,1–3,* Kaoru Fujinami,1,2,4,5,* Ken Watanabe,1,2 Toru Noda,1,2 Kazushige Tsunoda,1,2 Kunihiko Akiyama1,2 1Department of Ophthalmology, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan; 2Laboratory of Visual Physiology, National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan; 3Department of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, Japan; 4Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 5UCL Institute of Ophthalmology, London, UK*These authors contributed equally to this workAbstract: We describe focal choroidal excavation (FCE in a case of Vogt–Koyanagi–Harada (VKH disease and compare the findings with different chorioretinal conditions. A 55-year-old man was diagnosed with VKH based on panuveitis and exudative retinal detachments. Spectral-domain optical coherence tomography demonstrated a dome-shaped protrusion with a nonconforming pattern at the fovea, which had been detected as a conforming pattern 1 year before the onset. The FCE pattern returned into a conforming pattern following corticosteroid therapy. These findings suggest that the natively existent FCE could be affected by pathophysiological changes of VKH as well as other chorioretinal conditions.Keywords: choroidal excavation, focal choroidal excavation, Vogt–Koyanagi–Harada disease, optical coherence tomography

  19. MARSAME Radiological Release Report for Archaeological Artifacts Excavated from Area L

    Energy Technology Data Exchange (ETDEWEB)

    Ruedig, Elizabeth [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Whicker, Jeffrey Jay [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gillis, Jessica Mcdonnel [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-06-03

    In 1991 Los Alamos National Laboratory’s (LANL’s) cultural resources team excavated archaeological site LA 4618 located at Technical Area 54, within Material Disposal Area L (MDA L). MDA L received non-radioactive chemical waste from the early 1960s until 1985. Further development of the MDA required excavation of several cultural sites under National Historic Preservation Act requirements; artifacts from these sites have been subsequently stored at LANL. The LANL cultural resources group would now like to release these artifacts to the Museum of Indian Arts and Culture in Santa Fe for curation. The history of disposal at Area L suggests that the artifact pool is unlikely to be chemically contaminated and LANL staff washed each artifact at least once following excavation. Thus, it is unlikely that the artifacts present a chemical hazard. LANL’s Environmental Stewardship group (EPC-ES) has evaluated the radiological survey results for the Area L artifact pool and found that the items described in this report meet the criteria for unrestricted radiological release under Department of Energy (DOE) Order 458.1 Radiation Protection of the Public and the Environment and are candidates for release without restriction from LANL control. This conclusion is based on the known history of MDA L and on radiation survey data.

  20. Theoretical Analysis on the Effect of Tunnel Excavation on Building strip foundation

    Science.gov (United States)

    Tian, Xiaoyan; Gu, Shuancheng; Huang, Rongbin

    2017-09-01

    In this paper, according to the characteristics of the ground settlement troughs curves, the influence of tunnel excavation on the effect of strip foundation was studied by inverse analysis firstly. The differential equation of the synergistic effect of the strip foundation and foundation under the tunnel excavation was established by using the equilibrium condition of the micro-element physical force. Then, the conceptual definite initial parameter method was used to solve the corresponding homogeneous equation. According to the plane section assumption, combined with the basic theory of material mechanics, considering the differential characteristic of hyperbolic trigonometric function, and using matlabmathmatica software, the theoretical calculation expression of displacement and internal force which is about the tunnel passes through the strip foundation was obtained. Finally, combined with engineering case analysis, changes of the relative position between the tunnel and the foundation, the influences of the main parameters on the foundation effect were studied. The results show that: The influence scope of the tunnel on the foundation is [-0.5 ~ 1.5] times of the foundation length, and when the tunnel center at the end of the foundation, there exists the maximum settlement. The parameters about the soil loss rate, the excavation section and the buried depth of the tunnel have great influence on the foundation effect. The change of foundation height has a great influence on its internal force.

  1. Excavation damage and disturbance in crystalline rock - results from experiments and analyses

    Energy Technology Data Exchange (ETDEWEB)

    Baeckblom, Goeran (Conrox AB, Stockholm (Sweden))

    2008-11-15

    SKB plans to submit the application to site and construct the final repository for spent nuclear fuel in 2010. One important basis for the application is the results of the safety assessments, for which one particular dataset is the axial hydraulic properties along the underground openings used to calculate the transport resistance for radionuclide transport in the event that the canister is impaired. SKB initiated a project (Zuse) to be run over the period 2007-2009 to: - establish the current knowledge base on excavation damage and disturbance with particular focus on the axial hydraulic properties along the underground openings; - provide a basis for the requirements and compliance criteria for the excavation damaged and disturbed zone; - devise methods and instruments to infer or measure the excavation damage and disturbance at different times during the repository construction and operation before closure; - propose demonstration tests for which the methods are used in situ to qualify appropriate data for use in the safety reports. This report presents the results of the first stage of the Zuse project. Previous major experiments and studies in Canada, Finland, Japan, Sweden and Switzerland on spalling, excavation damage and disturbance was compiled and evaluated to provide the SR-Site report with a defendable database on the properties for the excavation damage and disturbance. In preparation for the SR-Site report, a number of sensitivity studies were conducted in which reasonable ranges of values for spalling and damage were selected in combination with an impaired backfill. The report here describes the construction of the repository in eleven steps and for each of these steps, the potential evolution of THMCB (Thermal, Mechanical, Hydraulic and Chemical/ Biological) processes are reviewed. In this work it was found that descriptions of the chemical and microbiological evolution connected with excavation damage and disturbance was lacking. The preliminary

  2. Optimization design of foundation excavation for Xiluodu super-high arch dam in China

    Directory of Open Access Journals (Sweden)

    Qixiang Fan

    2015-04-01

    Full Text Available With better understanding of the quality and physico-mechanical properties of rocks of dam foundation, and the physico-mechanical properties and structure design of arch dam in association with the foundation excavation of Xiluodu arch dam, the excavation optimization design was proposed for the foundation surface on the basis of feasibility study. Common analysis and numerical analysis results demonstrated the feasibility of using the weakly weathered rocks III1 and III2 as the foundation surface of super-high arch dam. In view of changes in the geological conditions at the dam foundation along the riverbed direction, the design of extending foundation surface excavation area and using consolidating grouting and optimizing structure of dam bottom was introduced, allowing for harmonization of the arch dam and foundation. Three-dimensional (3D geomechanics model test and finite element analysis results indicated that the dam body and foundation have good overload stability and high bearing capacity. The monitoring data showed that the behaviors of dam and foundation correspond with the designed patterns in the construction period and the initial operation period.

  3. Excavation of the Surikamigawa dam diversion tunnel. Surikamigawa dam karihaisui tunnel kantsu

    Energy Technology Data Exchange (ETDEWEB)

    Ikeda, T.; Konno, T. (Ministry of Construction, Tokyo (Japan))

    1994-04-01

    A bypass tunnel construction has been completed at the Surikamigawa dam (Japan). This paper describes the summary of the construction. The full-swing dam construction work is scheduled to begin in 1995. The soils distributed near the dam site consist of lapillus tuff containing andesite-based light stones and tuff-based conglomerates containing large gravels. Excavation of the dam diversion tunnel has used a blasting method, and the tunnel construction has adopted an automatic tunnel cross section marking system and a non-electric explosion method. This marking system is a system to irradiate a laser beam onto the facing to depict excavation lines that realizes labor saving and high-accuracy excavation. The error at the tunnel completion was found 20 mm. The non-electric explosion method ignites a coated explosive layer with an impact wave, which is electrostatically safe, and reduces blasting vibration. Electric detonators have also been used because of using ANFO explosives. The result obtained from measurements of inner space displacement necessary for the blasting process has indicated that the area near the dam site consists of stable mountains. 6 figs., 4 tabs.

  4. Influence of diabetes mellitus on inappropriate and appropriate implantable cardioverter-defibrillator therapy and mortality in the Multicenter Automatic Defibrillator Implantation Trial-Reduce Inappropriate Therapy (MADIT-RIT) Trial

    DEFF Research Database (Denmark)

    Ruwald, Martin H.; Zareba, Wojciech; Jons, Christian

    2013-01-01

    The relationship between diabetes mellitus and risk of inappropriate or appropriate therapy in patients receiving an implantable cardioverter-defibrillator (ICD) and resynchronization therapy has not been investigated thoroughly. The effect of innovative ICD programming on therapy delivery...

  5. Review of excavation methods and their implications for the near-field barrier of a deep underground repository

    International Nuclear Information System (INIS)

    Young, D.K.

    1993-01-01

    The report reviews excavation techniques for use in the construction of deep underground radioactive waste repositories, gives a summary of responses of the host rock to excavation and the means of measuring that response and discusses techniques for predicting that response. The review of excavation techniques included technical developments and current practice. To this end an extensive database was developed reviewing major excavations in rock types relevant to disposal and the techniques employed. Creation of an underground opening alters the properties of the rock mass around it. This study identifies stress, displacement, rock mass deformability and permeability as key parameters and reviews how they may be determined. Finally the report discusses the techniques available for predicting the behaviour of the near-field host rock. This concentrates on methods of numerical analysis since existing empirical or analytical methods are not considered suitable. (author)

  6. Reviewing the Neolithisation phenomenon in the Lower Aragón region in the light of the excavation in the rock shelter of Valmayor xi (Mequinenza, Zaragoza

    Directory of Open Access Journals (Sweden)

    Manuel A. ROJO GUERRA

    2015-06-01

    Full Text Available This paper presents the preliminary results of the excavation of the Valmayor XI rock shelter, in the context of the research project ‘The pathways of the Neolithic’. Through the analysis of the radiocarbon dates and a detailed stratigraphic interpretation three occupations have been established with chronologies within different periods of the vith millennium cal bc. A general description of the archaeological events documented in each phase, and of most of the recovered material –pottery, lithic artefacts, bone industry and ornaments, faunal and carpological remains– is offered. Moreover, in the light of the new dates presented, a review of the Neolithisation process in the Lower Aragón region, and also in the Ebro valley, is proposed. Also the identification of archaeological sites as Neolithic ones only on the basis of the presence of some elements considered as ‘Neolithic markers’, without any consideration of the subsistence strategies or territorial exploitation, is questioned.

  7. Inappropriate pharmacological treatment in older adults affected by cardiovascular disease and other chronic comorbidities: a systematic literature review to identify potentially inappropriate prescription indicators

    Directory of Open Access Journals (Sweden)

    Lucenteforte E

    2017-10-01

    Full Text Available Ersilia Lucenteforte,1 Niccolò Lombardi,1,* Davide Liborio Vetrano,2,* Domenico La Carpia,2,* Zuzana Mitrova,3 Ursula Kirchmayer,3 Giovanni Corrao,4 Francesco Lapi,5 Alessandro Mugelli,1 Alfredo Vannacci1 On behalf of the Italian Group for Appropriate Drug prescription in the Elderly (I-GrADE 1Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA, University of Florence, Florence, Italy; 2Department of Geriatrics Catholic University, Rome, Italy; 3Department of Epidemiology, ASL 1 Rome, Italy; 4Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy; 5Epidemiology Unit, ARS Toscana, Florence, Italy *These authors contributed equally to this work Abstract: Avoiding medications in which the risks outweigh the benefits in the elderly patient is a challenge for physicians, and different criteria to identify inappropriate prescription (IP exist to aid prescribers. Definition of IP indicators in the Italian geriatric population affected by cardiovascular disease and chronic comorbidities could be extremely useful for prescribers and could offer advantages from a public health perspective. The purpose of the present study was to identify IP indicators by means of a systematic literature review coupled with consensus criteria. A systematic search of PubMed, EMBASE, and CENTRAL databases was conducted, with the search structured around four themes and combining each with the Boolean operator “and”. The first regarded “prescriptions”, the second “adverse events”, the third “cardiovascular conditions”, and the last was planned to identify studies on “older people”. Two investigators independently reviewed titles, abstracts, full texts, and selected articles addressing IP in the elderly affected by cardiovascular condition using the following inclusion criteria: studies on people aged ≥65 years; studies on patients with no restriction on age but with data on subjects

  8. Use of chemical explosives for emergency solar flare shelter construction and other excavations on the Martian surface

    International Nuclear Information System (INIS)

    Dick, R.D.; Blacic, J.D.; Pettitt, D.R.

    1985-01-01

    The necessity to shelter people on the Martian surface from solar flare particles at short notice and the need for long-term habitats with thick cosmic ray shielding suggests that explosives could be used effectively for excavation of such structures. Modern insensitive high explosives are safe, efficient, and reliable for rock breakage and excavation. Extensive Earth-bound experience leads us to propose several strategies for explosively-constructed shelters based on tunneling, cratering, and rock casting techniques

  9. Charlson Comorbidity Index, inappropriate medication use and cognitive impairment : Bermuda Triangle.

    Science.gov (United States)

    Silay, Kamile; Yalcin, Ahmet; Akinci, Sema; Gursoy, Fatma Gul; Sener Dede, Didem

    2017-11-01

    The aim is to evaluate the association between the Charlson Comorbidity Index (CCI), polypharmacy, inappropriate medication use and cognitive impairment in long-term care facility patients. A cross-sectional study including 105 long-term care facility residents was performed. The Charlson Comorbidity Index (CCI) was used. Inappropriate drug use (IDU) was defined according to the STOPP (Screening Tool of Older People's Prescriptions) criteria. Univariate analysis to identify variables associated with patient outcome related with cognitive impairment was investigated with χ 2 , Pearson correlation, Fisher exact, and Mann-Whitney U test where appropriate. For the multivariate analysis, the possible factors identified with univariate analysis were further entered into logistic regression analysis. A significant difference was found between gender, CCI and cognitive impairment (p = 0.038, p = 0.01). While every one point increment in the CCI increases the risk of cognitive impairment 3.1 fold (95% CI = 1.8-5.4, p < 0.001), hypertension increases the risk 12 fold (95% CI = 2.5-67.8, p = 0.002). While the correlation between Mini-Mental Status Examination (MMSE) score and polypharmacy is significant (p = 0.015), the correlation between MMSE and IDU was insignificant (p = 0.739). The association of urogenital system drugs and dementia was significant (p = 0.044). Comorbidities, especially hypertension and old age, are risk factors for cognitive impairment. Polypharmacy correlates with MMSE and is considered a risk factor for cognitive impairment. Inappropriate medication use is high among long-term care facility residents. More studies on large cohorts are needed regarding optimal drug prescription and detection of specific drugs that may have an impact on cognitive performance.

  10. Failed Attempts to Reduce Inappropriate Laboratory Utilization in an Emergency Department Setting in Cyprus: Lessons Learned.

    Science.gov (United States)

    Petrou, Panagiotis

    2016-03-01

    Laboratory test ordering is a significant part of the diagnosis definition and disease treatment monitoring process. Inappropriate laboratory test ordering wastes scarce resources, places unnecessary burden on the health care delivery system, and exposes patients to unnecessary discomfort. Inappropriate ordering is caused by many factors, such as lack of guidelines, defensive medicine, thoughtless ordering, and lack of awareness of costs incurred to the system. The purpose of this study is to assess two successive measures, which were introduced in a Cyprus emergency department (ED) for the purpose of synergistically reducing inappropriate laboratory ordering: the introduction of a copayment fee to reduce nonemergent visits, and the development of a Web-based protocol defining the tests emergency physicians could order. An autoregressive integrated moving average model for interrupted time series analysis was constructed. Data include number and type of tests ordered, along with number of visits for a period of 4 years from an ED in Cyprus. Copayment fee and introduction of a revised Web-based protocol for a test ordering form did not reduce the number of ordered tests in the ED unit. Copayment fee alone resulted in a statistically significant reduction in ED visits. The implementation of two consecutive measures resulted in an increase of ordered tests per patient. Laboratory ordering is a multidimensional process that is primarily supplier induced, therefore, all underlying possible causes must be scrutinized by health authorities. These include lack of guidelines, defensive medicine and thoughtless prescribing. To attain significant gains, an integrated approach must be implemented. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Reducing inappropriate accident and emergency department attendances: a systematic review of primary care service interventions.

    Science.gov (United States)

    Ismail, Sharif A; Gibbons, Daniel C; Gnani, Shamini

    2013-12-01

    Inappropriate attendances may account for up to 40% of presentations at accident and emergency (A&E) departments. There is considerable interest from health practitioners and policymakers in interventions to reduce this burden. To review the evidence on primary care service interventions to reduce inappropriate A&E attendances. Systematic review of UK and international primary care interventions. Studies published in English between 1 January 1986 and 23 August 2011 were identified from PubMed, the NHS Economic Evaluation Database, the Cochrane Collaboration, and Health Technology Assessment databases. The outcome measures were A&E attendances, patient satisfaction, clinical outcome, and intervention cost. Two authors reviewed titles and abstracts of retrieved results, with adjudication of disagreements conducted by the third. Studies were quality assessed using the Scottish Intercollegiate Guidelines Network checklist system where applicable. In total, 9916 manuscripts were identified, of which 34 were reviewed. Telephone triage was the single best-evaluated intervention. This resulted in negligible impact on A&E attendance, but exhibited acceptable patient satisfaction and clinical safety; cost effectiveness was uncertain. The limited available evidence suggests that emergency nurse practitioners in community settings and community health centres may reduce A&E attendance. For all other interventions considered in this review (walk-in centres, minor injuries units, and out-of-hours general practice), the effects on A&E attendance, patient outcomes, and cost were inconclusive. Studies showed a negligible effect on A&E attendance for all interventions; data on patient outcomes and cost-effectiveness are limited. There is an urgent need to examine all aspects of primary care service interventions that aim to reduce inappropriate A&E attendance.

  12. A qualitative examination of inappropriate hospital admissions and lengths of stay

    Directory of Open Access Journals (Sweden)

    Hammond Christina L

    2009-03-01

    Full Text Available Abstract Background Research has shown that a number of patients, with a variety of diagnoses, are admitted to hospital when it is not essential and can remain in hospital unnecessarily. To date, research in this area has been primarily quantitative. The purpose of this study was to explore the perceived causes of inappropriate or prolonged lengths of stay and focuses on a specific population (i.e., patients with long term neurological conditions. We also wanted to identify interventions which might avoid admission or expedite discharge as periods of hospitalisation pose particular risks for this group. Methods Two focus groups were conducted with a convenience sample of eight primary and secondary care clinicians working in the Derbyshire area. Data were analysed using a thematic content approach. Results The participants identified a number of key causes of inappropriate admissions and lengths of stay, including: the limited capacity of health and social care resources; poor communication between primary and secondary care clinicians and the cautiousness of clinicians who manage patients in community settings. The participants also suggested a number of strategies that may prevent inappropriate admissions or reduce length of stay (LoS, including: the introduction of new sub-acute care facilities; the introduction of auxiliary nurses to support specialist nursing staff and patient held summaries of specialist consultations. Conclusion Clinicians in both the secondary and primary care sectors acknowledged that some admissions were unnecessary and some patients remain in hospital for a prolonged period. These events were attributed to problems with the current capacity or structuring of services. It was noted, for example, that there is a shortage of appropriate therapeutic services and that the distribution of beds between community and sub-acute care should be reviewed.

  13. Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing.

    Science.gov (United States)

    Fried, Terri R; Niehoff, Kristina M; Street, Richard L; Charpentier, Peter A; Rajeevan, Nallakkandi; Miller, Perry L; Goldstein, Mary K; O'Leary, John R; Fenton, Brenda T

    2017-10-01

    To examine the effect of the Tool to Reduce Inappropriate Medications (TRIM), a web tool linking an electronic health record (EHR) to a clinical decision support system, on medication communication and prescribing. Randomized clinical trial. Primary care clinics at a Veterans Affairs Medical Center. Veterans aged 65 and older prescribed seven or more medications randomized to receipt of TRIM or usual care (N = 128). TRIM extracts information on medications and chronic conditions from the EHR and contains data entry screens for information obtained from brief chart review and telephonic patient assessment. These data serve as input for automated algorithms identifying medication reconciliation discrepancies, potentially inappropriate medications (PIMs), and potentially inappropriate regimens. Clinician feedback reports summarize discrepancies and provide recommendations for deprescribing. Patient feedback reports summarize discrepancies and self-reported medication problems. Primary: subscales of the Patient Assessment of Care for Chronic Conditions (PACIC) related to shared decision-making; clinician and patient communication. Secondary: changes in medications. 29.7% of TRIM participants and 15.6% of control participants provided the highest PACIC ratings; this difference was not significant. Adjusting for covariates and clustering of patients within clinicians, TRIM was associated with significantly more-active patient communication and facilitative clinician communication and with more medication-related communication among patients and clinicians. TRIM was significantly associated with correction of medication discrepancies but had no effect on number of medications or reduction in PIMs. TRIM improved communication about medications and accuracy of documentation. Although there was no association with prescribing, the small sample size provided limited power to examine medication-related outcomes. © 2017, Copyright the Authors Journal compilation © 2017, The

  14. Effect of nurse practitioner and pharmacist counseling on inappropriate medication use in family practice.

    Science.gov (United States)

    Fletcher, John; Hogg, William; Farrell, Barbara; Woodend, Kirsten; Dahrouge, Simone; Lemelin, Jacques; Dalziel, William

    2012-08-01

    To measure the effect of nurse practitioner and pharmacist consultations on the appropriate use of medications by patients. We studied patients in the intervention arm of a randomized controlled trial. The main trial intervention was provision of multidisciplinary team care and the main outcome was quality and processes of care for chronic disease management. Patients were recruited from a single publicly funded family health network practice of 8 family physicians and associated staff serving 10 000 patients in a rural area near Ottawa, Ont. A total of 120 patients 50 years of age or older who were on the practice roster and who were considered by their family physicians to be at risk of experiencing adverse health outcomes. A pharmacist and 1 of 3 nurse practitioners visited each patient at his or her home, conducted a comprehensive medication review, and developed a tailored plan to optimize medication use. The plan was developed in consultation with the patient and the patient's doctor. We assessed medication appropriateness at the study baseline and again 12 to 18 months later. We used the medication appropriateness index to assess medication use. We examined associations between personal characteristics and inappropriate use at baseline and with improvements in medication use at the follow-up assessment. We recorded all drug problems encountered during the trial. At baseline, 27.2% of medications were inappropriate in some way and 77.7% of patients were receiving at least 1 medication that was inappropriate in some way. At the follow-up assessments these percentages had dropped to 8.9% and 38.6%, respectively (P trial. This might provide a mechanism to explain some of the reductions in mortality and morbidity observed in other trials of counseling and advice provided by pharmacists and nurses. NCT00238836 (ClinicalTrials.gov).

  15. Quetiapine effective in treatment of inappropriate sexual behavior of lewy body disease with predominant frontal lobe signs.

    Science.gov (United States)

    Prakash, Ravi; Pathak, Amit; Munda, Sanjay; Bagati, Dhruv

    2009-01-01

    Dementia of Lewy body disease is the second most common degenerative cause of dementia after Alzheimer's disease, among all the dementias. The core features are a progressive dementia, fluctuations in cognitive functions, visual hallucinations, and spontaneous parkinsonism. Rapid eye movement sleep behavior disorder, severe neuroleptic sensitivity, and low dopamine transporter uptake in basal ganglia are other suggestive features. Behavioral abnormalities are commonly present in the form of aggressive behavior, irritability, and uninhibited behaviors. These are mostly seen in the advanced stages of dementia. However, inappropriate sexual behavior is uncommonly seen in such cases. Three types of inappropriate sexual behaviors commonly found in cases of dementia are sex talks, sexual acts, and implied sexual acts. Such inappropriate sexual behaviors have not been described adequately in dementia of Lewy body disease. We report inappropriate sexual behaviors in a case of dementia of Lewy body disease, which improved rapidly after treatment with quetiapine.

  16. Experience and prospects for use of hydraulic drive for excavators. Opyt i perspektivy primeneniya gidroprivoda na ehkskavatorakh

    Energy Technology Data Exchange (ETDEWEB)

    Kozin, G.Yu.; Krutik, A.V.; Zav' yalov, N.I.; Stesin, G.P.; Ehtingof, E.A.; Stesin, S.P.; Ivkin, L.P.

    1982-01-01

    Safety clutches used in drive systems for bucket wheels of bucket wheel excavators in coal surface mining in the USSR are characterized by low efficiency. Friction safety clutches used on the EhRG-400D, the EhRP-1250 and the EhRGV-630 bucket wheel excavators are evaluated. Efficiency of safety clutches used in drive systems for bucket wheels of the KU-800 excavators produced in Czechoslovakia was investigated. The IGD im. A. A. Skochinski Institute in Moscow developed the GPM-230 safety planetary hydraulic-mechanical clutch for drive systems for bucket wheels of the EhR-1250 bucket wheel excavators. The results of laboratory tests of the clutch are shown in 3 diagrams. The GPM-230 safety clutch guaranteed efficient motor protection from overload and was recommended for commercial production in the Kharanor plant. Modular design of drive systems for bucket wheel excavators is discussed: modules with a rated power of 1,000 kW each, consisting of an induction motor and a torque converter. Recommendations for the optimum design and specifications of torque converters for drive systems of bucket wheel excavators are made. Use of modular drive systems with torque converters would reduce drive weight 35 to 45%. (11 refs.)

  17. Appeal of inappropriate technologies: self-inflicted wages, ethnic pride and corruption

    Energy Technology Data Exchange (ETDEWEB)

    Winston, G.C.

    1979-08-01

    A survey of manufacturing firms in Nigeria produced a set of useful clues to why firms in poor countries so often choose inappropriate production technologies. Some of their explanations do and some do not fit neatly in the neoclassical modelling of production by which economists have judged technological appropriateness. Much of what the firms described affect their real costs and do so in ways that escape economists' notice; technology is appropriate to the managers' view of costs. Often they were responding to more complicated goals than simple profit maximization for the firm; defense of ethnic identity or the goal of increasing their own incomes by stealing from the firm.

  18. Urea for management of the syndrome of inappropriate secretion of ADH: A systematic review.

    Science.gov (United States)

    de Solà-Morales, Oriol; Riera, Maribel

    2014-11-01

    Urea has been recently proposed for the management of hyponatremia linked to the syndrome of inappropriate secretion of ADH (SIADH). The objective of the study was to review the levels of evidence for treatment of hyponatremia associated with SIADH with urea. We performed a: systematic review of experimental trials and grading according to SIGN. No clinical trials were found. The 6 studies analysed had methodological limitations and were prone to biases. In conclusion, there is no evidence to support the efficacy of urea for the treatment of hyponatremia following SIADH. Copyright © 2014 SEEN. Published by Elsevier Espana. All rights reserved.

  19. Adrenal insufficiency secondary to inappropriate oral administration of topical exogenous steroids presenting with hypercalcaemia.

    Science.gov (United States)

    Bhatti, Rahila Sarwar; Flynn, Michael D

    2012-06-21

    A 59-year-old Caucasian gentleman presented with malaise, fatigue and proximal muscle weakness. He had history of long-standing roseate psoriasis treated with topical clobetasol propionate (dermovate). On admission, he had significant postural hypotension, and hypercalcaemia. Endocrinological investigation revealed hypercalcaemia, a serum cortisol of <30 nmol/l, a flat short synacthen test and undetectable adrenocorticotropic hormone. He was treated with hydrocortisone. The abrupt withdrawal of the topical steroids by the patient precipitated the addisonian crisis. Further enquiry documented inappropriate oral administration of clobetasol for more than 10 years in addition to prescribed topical usage.

  20. Inappropriate emergency laboratory test ordering: defensive or peer evidence shared based medicine?

    Directory of Open Access Journals (Sweden)

    C. Descovich

    2013-05-01

    Full Text Available BACKGROUND The laboratory overuse is widely prevalent in hospital practice, mostly in the emergency care. Reasons for excessive and inappropriate test-ordering include defensive behaviour and fear or uncertainty, lack of experience, the misuse of protocols and guidelines, “routine” and local attitudes, inadequate educational feedback and clinician’s unawareness about the cost of examinations and their related implications. AIM OF THE STUDY AND METHODS The primary target of our working group was to reduce inappropriate ordering on a urgent basis test, implementing further examinations not yet previewed in the hospital panel of the available urgencies, according to the evidence based diagnosis concept. The secondary goal was to indicate strategies of re-engineering of the processes, improving turnaround time in the laboratory management of emergencies. After evaluating, as first intervention, the more reliable sources for practice guidelines, systematic reviews and RCTs, the committee further discussed main topics with in-hospital stakeholders, selected from Emergency, Internal Medicine and Surgery Depts. The working group, in many subsequent audits, tried to obtain a systematic feed back with all involved professionals. RESULTS After reviewing literature’s evidence, the board constrained testing options by defining the basic emergency laboratory panel tests (blood type, hemogram, blood urea nitrogen, plasma creatinine, glucose, sodium, potassium, chloride, osmolarity, CRP, bicarbonate, CPK, creatine phosphokinase-MB, myoglobin, troponin, BNP and NT-proBNP, PT-INR, PTT, D-dimer, beta- HCG, biochemical urinalysis etc.. As final result, the proposed tests reduced the overall number of inappropriate investigations and increased, with newer and updated tests, the available panel for critical patients. DISCUSSION A collegiate review of data reporting, in-hospital deepening of problems and the inter- professional discussion of the evidences

  1. Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis

    Directory of Open Access Journals (Sweden)

    Baskerville Neill

    2005-03-01

    Full Text Available Abstract Background Outreach facilitation has been proven successful in improving the adoption of clinical preventive care guidelines in primary care practice. The net costs and savings of delivering such an intensive intervention need to be understood. We wanted to estimate the proportion of a facilitation intervention cost that is offset and the potential for savings by reducing inappropriate screening tests and increasing appropriate screening tests in 22 intervention primary care practices affecting a population of 90,283 patients. Methods A cost-consequences analysis of one successful outreach facilitation intervention was done, taking into account the estimated cost savings to the health system of reducing five inappropriate tests and increasing seven appropriate tests. Multiple data sources were used to calculate costs and cost savings to the government. The cost of the intervention and costs of performing appropriate testing were calculated. Costs averted were calculated by multiplying the number of tests not performed as a result of the intervention. Further downstream cost savings were determined by calculating the direct costs associated with the number of false positive test follow-ups avoided. Treatment costs averted as a result of increasing appropriate testing were similarly calculated. Results The total cost of the intervention over 12 months was $238,388 and the cost of increasing the delivery of appropriate care was $192,912 for a total cost of $431,300. The savings from reduction in inappropriate testing were $148,568 and from avoiding treatment costs as a result of appropriate testing were $455,464 for a total savings of $604,032. On a yearly basis the net cost saving to the government is $191,733 per year (2003 $Can equating to $3,687 per physician or $63,911 per facilitator, an estimated return on intervention investment and delivery of appropriate preventive care of 40%. Conclusion Outreach facilitation is more expensive

  2. Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis

    Directory of Open Access Journals (Sweden)

    Ankur A. Karnik, MD

    2014-01-01

    Full Text Available Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD shocks for DAVNNT. Atrial and ventricular device electrograms satisfied both rate and V>A criteria for ventricular tachycardia. We postulate that alterations in refractoriness and conduction as is seen in cardiac sarcoidosis (CS may have contributed to occurrence of DAVNNT.

  3. Metrics of quality care in veterans: correlation between primary-care performance measures and inappropriate myocardial perfusion imaging.

    Science.gov (United States)

    Winchester, David E; Kitchen, Andrew; Brandt, John C; Dusaj, Raman S; Virani, Salim S; Bradley, Steven M; Shaw, Leslee J; Beyth, Rebecca J

    2015-04-01

    Approximately 10% to 20% of myocardial perfusion imaging (MPI) tests are inappropriate based on professional-society recommendations. The correlation between inappropriate MPI and quality care metrics is not known. Inappropriate MPI will be associated with low achievement of quality care metrics. We conducted a retrospective cross-sectional investigation at a single Veterans Affairs medical center. Myocardial perfusion imaging tests ordered by primary-care clinicians between December 2010 and July 2011 were assessed for appropriateness (by 2009 criteria). Using documentation of the clinical encounter where MPI was ordered, we determined how often quality care metrics were achieved. Among 516 MPI patients, 52 (10.1%) were inappropriate and 464 (89.9%) were not inappropriate (either appropriate or uncertain). Hypertension (82.2%), diabetes mellitus (41.3%), and coronary artery disease (41.1%) were common. Glycated hemoglobin levels were lower in the inappropriate MPI cohort (6.6% vs 7.5%; P = 0.04). No difference was observed in the proportion with goal hemoglobin (62.5% vs 46.3% for appropriate/uncertain; P = 0.258). Systolic blood pressure was not different (132 mm Hg vs 135 mm Hg; P = 0.34). Achievement of several other categorical quality metrics was low in both cohorts and no differences were observed. More than 90% of clinicians documented a plan to achieve most metrics. Inappropriate MPI is not associated with performance on metrics of quality care. If an association exists, it may be between inappropriate MPI and overly aggressive care. Most clinicians document a plan of care to address failure of quality metrics, suggesting awareness of the problem. © 2015 Wiley Periodicals, Inc.

  4. Industrial hygiene forum

    Energy Technology Data Exchange (ETDEWEB)

    Banks, O.M.; Hoiem, K.H.

    1987-01-01

    On routine blood tests, two employees of a hospital Dental Service unit had elevated mercury levels. On 23 June 1986, an industrial hygienist made a mercury vapor survey of the area with the use of Jerome direct reading mercury vapor meter and collection on mercury vapor sampling tubes for laboratory analysis by flameless atomic absorption. No work practices were observed that would account for the elevated mercury levels in the blood. All airborne mercury levels were well below detectable limits. A box of Monoject purple top blood collection tubes used for collection of blood for mercury determination was examined. The box listed sodium ethylmercurithiosalicylate as the antimicrobial agent additive. The use of a mercurial preservative on samples for mercury determinations seemed totally inappropriate. Mercury vapor measurements that were made inside these tubes clearly indicated the presence of mercury.

  5. Excess Baggage for Birds: Inappropriate Placement of Tags on Gannets Changes Flight Patterns

    Science.gov (United States)

    Vandenabeele, Sylvie P.; Grundy, Edward; Friswell, Michael I.; Grogan, Adam; Votier, Stephen C.; Wilson, Rory P.

    2014-01-01

    Devices attached to flying birds can hugely enhance our understanding of their behavioural ecology for periods when they cannot be observed directly. For this, scientists routinely attach units to either birds' backs or their tails. However, inappropriate payload distribution is critical in aircraft and, since birds and planes are subject to the same laws of physics during flight, we considered aircraft aerodynamic constraints to explain flight patterns displayed by northern gannets Sula bassana equipped with (small ca. 14 g) tail- and back-mounted accelerometers and (larger ca. 30 g) tail-mounted GPS units. Tail-mounted GPS-fitted birds showed significantly higher cumulative numbers of flap-glide cycles and a higher pitch angle of the tail than accelerometer-equipped birds, indicating problems with balancing inappropriately placed weights with knock-on consequences relating to energy expenditure. These problems can be addressed by carefully choosing where to place tags on birds according to the mass of the tags and the lifestyle of the subject species. PMID:24671007

  6. Lean Methodology Reduces Inappropriate Use of Antipsychotics for Agitation at a Psychiatric Hospital.

    Science.gov (United States)

    Goga, Joshana K; Depaolo, Antonio; Khushalani, Sunil; Walters, J Ken; Roca, Robert; Zisselman, Marc; Borleis, Christopher

    2017-01-01

    To Evaluate the Effects of Applying Lean Methodology-Improving Quality Increasing Efficiency by Eliminating Waste and Reducing Costs-An Approach To Decrease the Prescribing Frequency of Antipsychotics for The Indication of Agitation. Historically Controlled Study. Bheppard Pratt Health System is the Largest Private Provider of Psychiatric Care in Maryland With a Total Bed Capacity of 300. There Were 4 337 Patient Days From November 1 2012 to October 31 2013 on the Dementia Unit. All Patients Admitted on the Dementia Unit Were 65 Years of Age and Older with a Primary Diagnosis of Dementia. our Multidisciplinary Team Used Lean Methodology to Identify the Root Causes and Interventions Necessary to Reduce Inappropriate Antipsychotic Use. The Primary Outcome Was Rate of Inappropriately Indicating Agitation as the Rationale When Prescribing Antipsychotic Medications. There Was a 90% (P Agitation. The Lean Methodology Interventions Led To A 90% (P Agitation and a 10% Rate Reduction in Overall Antipsychotic Prescribing. Key Words: Agitation Alzheimer's Antipsychotics Behavioral and Psychological Symptoms of Dementia Centers For Medicare & Medicaid Services Dementia Root-cause Analysis. BPSD = Behavioral and Psychological Symptoms of Dementia CATIE-AD = Clinical Antipsychotic Trials of Intervention Effectiveness in Alzheimer's Disease EMR = Electronic Medical Records GAO = Government Accountability Office GNCIS = Geriatric Neuropsychiatric Clinical Indicator Scale.

  7. Rooting out institutional corruption to manage inappropriate off-label drug use.

    Science.gov (United States)

    Rodwin, Marc A

    2013-01-01

    Prescribing drugs for uses that the FDA has not approved - off-label drug use - can sometimes be justified but is typically not supported by substantial evidence of effectiveness. At the root of inappropriate off-label drug use lie perverse incentives for pharmaceutical firms and flawed oversight of prescribing physicians. Typical reform proposals such as increased sanctions for manufacturers might reduce the incidence of unjustified off-label use, but they do not remove the source of the problem. Public policy should address the cause and control the practice. To manage inappropriate off-label drug use, off-label prescriptions must be tracked in order to monitor the risks and benefits and the manufacturers' conduct. Even more important, reimbursement rules should be changed so that manufacturers cannot profit from off-label sales. When off-label sales pass a critical threshold, manufacturers should also be required to pay for independent testing of the safety and effectiveness of off-label drug uses and for the FDA to review the evidence. Manufacturers should also finance, under FDA supervision, programs designed to warn physicians and the public about the risks of off-label drug use. © 2013 American Society of Law, Medicine & Ethics, Inc.

  8. How to predict a high rate of inappropriateness for upper endoscopy in an endoscopic centre?

    Science.gov (United States)

    Buri, L; Bersani, G; Hassan, C; Anti, M; Bianco, M A; Cipolletta, L; Di Giulio, E; Di Matteo, G; Familiari, L; Ficano, L; Loriga, P; Morini, S; Pietropaolo, V; Zambelli, A; Grossi, E; Intraligi, M; Tessari, F; Buscema, M

    2010-09-01

    Inappropriateness of upper endoscopy (EGD) indication causes decreased diagnostic yield. Our aim of was to identify predictors of appropriateness rate for EGD among endoscopic centres. A post-hoc analysis of two multicentre cross-sectional studies, including 6270 and 8252 patients consecutively referred to EGD in 44 (group A) and 55 (group B) endoscopic Italian centres in 2003 and 2007, respectively, was performed. A multiple forward stepwise regression was applied to group A, and independently validated in group B. A <70% threshold was adopted to define inadequate appropriateness rate clustered by centre. discrete variability of clustered appropriateness rates among the 44 group A centres was observed (median: 77%; range: 41-97%), and a <70% appropriateness rate was detected in 11 (25%). Independent predictors of centre appropriateness rate were: percentage of patients referred by general practitioners (GP), rate of urgent examinations, prevalence of relevant diseases, and academic status. For group B, sensitivity, specificity and area under receiver operating characteristic curve of the model in detecting centres with a <70% appropriateness rate were 54%, 93% and 0.72, respectively. A simple predictive rule, based on rate of patients referred by GPs, rate of urgent examinations, prevalence of relevant diseases and academic status, identified a small subset of centres characterised by a high rate of inappropriateness. These centres may be presumed to obtain the largest benefit from targeted educational programs. Copyright (c) 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  9. Inappropriate antibiotic prescription for respiratory tract indications: most prominent in adult patients.

    Science.gov (United States)

    Dekker, Anne R J; Verheij, Theo J M; van der Velden, Alike W

    2015-08-01

    Numerous studies suggest overprescribing of antibiotics for respiratory tract indications (RTIs), without really authenticating inappropriate prescription; the strict criteria of guideline recommendations were not taken into account as information on specific diagnoses, patient characteristics and disease severity was not available. The aim of this study is to quantify and qualify inappropriate antibiotic prescribing for RTIs. This is an observational study of the (antibiotic) management of patients with RTIs, using a detailed registration of RTI consultations by general practitioners (GPs). Consultations of which all necessary information was available were benchmarked to the prescribing guidelines for acute otitis media (AOM), acute sore throat, rhinosinusitis or acute cough. Levels of overprescribing for these indications and factors associated with overprescribing were determined. The overall antibiotic prescribing rate was 38%. Of these prescriptions, 46% were not indicated by the guidelines. Relative overprescribing was highest for throat (including tonsillitis) and lowest for ear consultations (including AOM). Absolute overprescribing was highest for lower RTIs (including bronchitis). Overprescribing was highest for patients between 18 and 65 years of age, when GPs felt patients' pressure for an antibiotic treatment, for patients presenting with fever and with complaints longer than 1 week. Underprescribing was observed in overprescribing can help in the development of targeted strategies to improve GPs' prescribing routines for RTIs. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. Voluntary Rehabilitation? On Neurotechnological Behavioural Treatment, Valid Consent and (In)appropriate Offers.

    Science.gov (United States)

    Bomann-Larsen, Lene

    2013-04-01

    Criminal offenders may be offered to participate in voluntary rehabilitation programs aiming at correcting undesirable behaviour, as a condition of early release. Behavioural treatment may include direct intervention into the central nervous system (CNS). This article discusses under which circumstances voluntary rehabilitation by CNS intervention is justified. It is argued that although the context of voluntary rehabilitation is a coercive circumstance, consent may still be effective, in the sense that it can meet formal criteria for informed consent. Further, for a consent to be normatively valid ("take the wronging out of the act") under a coercive circumstance, the subject to be treated must (1) have the sovereign authority to consent, and (2) the offer-giver must be in the right normative position to make the offer. While I argue that subjects do have the sovereign authority to consent to treatment, I also argue that inappropriate offers yield invalid consents. Considerations on inappropriate offers should therefore inform which kinds of CNS intervention-based rehabilitation schemes the state may propose as part of the criminal justice system. Yet as I conclude in this paper, while there are some intrinsic constraints on voluntary rehabilitation programs, the main constraints on voluntary rehabilitation are likely to be contingent overriders. However, CNS intervention is not ruled out as such in the context of voluntary rehabilitation.

  11. Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments.

    Science.gov (United States)

    Stewart, Derek; Mair, Alpana; Wilson, Martin; Kardas, Przemyslaw; Lewek, Pawel; Alonso, Albert; McIntosh, Jennifer; MacLure, Katie

    2017-02-01

    Single disease state led evidence-based guidelines do not provide sufficient coverage of issues of multimorbidities, with the cumulative impact of recommendations often resulting in overwhelming medicines burden. Inappropriate polypharmacy increases the likelihood of adverse drug events, drug interactions and non-adherence. Areas covered: A detailed description of a pan-European initiative, 'Stimulating Innovation Management of Polypharmacy and Adherence in the Elderly, SIMPATHY', which is a project funded by the European Commission to support innovation across the European Union. This includes a systematic review of the literature aiming to summarize and review critically current policies and guidelines on polypharmacy management in older people. The policy driven, evidence-based approach to managing inappropriate polypharmacy in Scotland is described, with consideration of a change management strategy based on Kotter's eight step process for leading sustainable change. Expert opinion: The challenges around promoting appropriate polypharmacy are on many levels, primarily clinical, organisational and political, all of which any workable solution will need to address. To be effective, safe and efficient, any programme that attempts to deal with the complexities of prescribing in this population must be patient-centred, clinically robust, multidisciplinary and designed to fit into the healthcare system in which it is delivered.

  12. Inappropriate Timing of Swallow in the Respiratory Cycle Causes Breathing–Swallowing Discoordination

    Directory of Open Access Journals (Sweden)

    Naomi Yagi

    2017-09-01

    Full Text Available Rationale: Swallowing during inspiration and swallowing immediately followed by inspiration increase the chances of aspiration and may cause disease exacerbation. However, the mechanisms by which such breathing–swallowing discoordination occurs are not well-understood.Objectives: We hypothesized that breathing–swallowing discoordination occurs when the timing of the swallow in the respiratory cycle is inappropriate. To test this hypothesis, we monitored respiration and swallowing activity in healthy subjects and in patients with dysphagia using a non-invasive swallowing monitoring system.Measurements and Main Results: The parameters measured included the timing of swallow in the respiratory cycle, swallowing latency (interval between the onset of respiratory pause and the onset of swallow, pause duration (duration of respiratory pause for swallowing, and the breathing–swallowing coordination pattern. We classified swallows that closely follow inspiration (I as I-SW, whereas those that precede I as SW-I pattern. Patients with dysphagia had prolonged swallowing latency and pause duration, and tended to have I-SW or SW-I patterns reflecting breathing–swallows discoordination.Conclusions: We conclude that swallows at inappropriate timing in the respiratory cycle cause breathing–swallowing discoordination, and the prolongation of swallowing latency leads to delayed timing of the swallow, and results in an increase in the SW-I pattern in patients with dysphagia.

  13. [Severe nutritional deficiencies in young infants with inappropriate plant milk consumption].

    Science.gov (United States)

    Le Louer, B; Lemale, J; Garcette, K; Orzechowski, C; Chalvon, A; Girardet, J-P; Tounian, P

    2014-05-01

    Over the past few years, we have observed increasing consumption of inappropriate plant milks as an alternative to infant milk formula. Some families believe that foods labeled as natural are the most healthy and an appropriate nutritional choice. However, their composition does not respect European recommendations. They are always hypocaloric and protein, vitamin, and mineral concentrations are inadequate. The aim of this study was to report severe nutritional complications after inappropriate plant milk consumption. Between 2008 and 2011, we studied severe nutritional deficiencies caused by consumption of plant milks bought in health food stores or online shops. Infants were identified in our centers and examined through medical history, physical examination, and laboratory testing. Nine cases of infants aged from 4 to 14 months were observed. In all cases, these milks were used as an alternative to milk formulas for supposed cow's milk allergy. At diagnosis, four patients were aged 6 months or less. They had received plant milk exclusively for 1-3 months. The beverages consumed were rice, soya, almond and sweet chestnut milks. In three cases, infants presented severe protein-calorie malnutrition with substantial hypoalbuminemia (slow down the progress of this social trend. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  14. Do physician outcome judgments and judgment biases contribute to inappropriate use of treatments? Study protocol

    Directory of Open Access Journals (Sweden)

    Lott Alison

    2007-06-01

    Full Text Available Abstract Background There are many examples of physicians using treatments inappropriately, despite clear evidence about the circumstances under which the benefits of such treatments outweigh their harms. When such over- or under- use of treatments occurs for common diseases, the burden to the healthcare system and risks to patients can be substantial. We propose that a major contributor to inappropriate treatment may be how clinicians judge the likelihood of important treatment outcomes, and how these judgments influence their treatment decisions. The current study will examine the role of judged outcome probabilities and other cognitive factors in the context of two clinical treatment decisions: 1 prescription of antibiotics for sore throat, where we hypothesize overestimation of benefit and underestimation of harm leads to over-prescription of antibiotics; and 2 initiation of anticoagulation for patients with atrial fibrillation (AF, where we hypothesize that underestimation of benefit and overestimation of harm leads to under-prescription of warfarin. Methods For each of the two conditions, we will administer surveys of two types (Type 1 and Type 2 to different samples of Canadian physicians. The primary goal of the Type 1 survey is to assess physicians' perceived outcome probabilities (both good and bad outcomes for the target treatment. Type 1 surveys will assess judged outcome probabilities in the context of a representative patient, and include questions about how physicians currently treat such cases, the recollection of rare or vivid outcomes, as well as practice and demographic details. The primary goal of the Type 2 surveys is to measure the specific factors that drive individual clinical judgments and treatment decisions, using a 'clinical judgment analysis' or 'lens modeling' approach. This survey will manipulate eight clinical variables across a series of sixteen realistic case vignettes. Based on the survey responses, we will be

  15. Corrosion and coating defects on buried pipelines under CP: Excavations data collection and analysis

    Energy Technology Data Exchange (ETDEWEB)

    Karcher, Sebastien; Campaignolle, Xavier; Masson, Bernard; Meyer, Michel [Gaz de France Research and Development Division, 361 avenue du President Wilson, BP33 93211 Saint Denis La Plaine (France)

    2004-07-01

    Onshore gas transmission pipelines are conjointly protected against external corrosion by an organic coating and by cathodic protection (CP). Owing to particular defects or coating aging in the long term in ground, the protective efficiency of this dual system may be impaired. Consequently, external corrosion may develop and, eventually, threaten the integrity of the line if not detected and mitigated in time. To ensure continued protection of its lines against external corrosion, Gaz de France carries out, routinely, several maintenance and monitoring activities on the CP system. In addition, above ground surveys allow a better assessment of possible coating faults. However, it is necessary to continuously improve the reliability of the corrosion prediction to optimize the maintenance of pipelines. When indications and measurements from any mean of inspection (in-line inspection or above ground surveys) lead to suspect the presence of any significant metal defect, an excavation of the concerned pipe section is performed. At each excavation location, many parameters are collected to document the existing conditions of coating and steel. If sufficiently extended and reliable, this information may help to understand the root causes for development of corrosion. Eventually, thorough analysis of field data resulting either from inspection or from maintenance operations could lead to corrosion prediction. Since the volume of these data is large, reliability and consistency of information is absolutely required. Gaz de France has implemented a systematic data collection procedure on excavation sites, together with data analysis through a range of treatment methods. Data on more than 1400 excavations, pertaining to a set of different selected pipelines, have been collected in a single database. The later contains data such as pipelines characteristics, local cathodic protection parameters at the time of excavation, coating defect description if any, characterization of

  16. Design and methods of the Echo WISELY (Will Inappropriate Scenarios for Echocardiography Lessen SignificantlY) study: An investigator-blinded randomized controlled trial of education and feedback intervention to reduce inappropriate echocardiograms.

    Science.gov (United States)

    Bhatia, R Sacha; Ivers, Noah; Yin, Cindy X; Myers, Dorothy; Nesbitt, Gillian; Edwards, Jeremy; Yared, Kibar; Wadhera, Rishi; Wu, Justina C; Wong, Brian; Hansen, Mark; Weinerman, Adina; Shadowitz, Steven; Johri, Amer; Farkouh, Michael; Thavendiranathan, Paaladinesh; Udell, Jacob A; Rambihar, Sherryn; Chow, Chi-Ming; Hall, Judith; Thorpe, Kevin E; Rakowski, Harry; Weiner, Rory B

    2015-08-01

    Appropriate use criteria (AUC) for transthoracic echocardiography (TTE) were developed to address concerns regarding inappropriate use of TTE. A previous pilot study suggests that an educational and feedback intervention can reduce inappropriate TTEs ordered by physicians in training. It is unknown if this type of intervention will be effective when targeted at attending level physicians in a variety of clinical settings. The aim of this international, multicenter study is to evaluate the hypothesis that an AUC-based educational and feedback intervention will reduce the proportion of inappropriate echocardiograms ordered by attending physicians in the ambulatory environment. In an ongoing multicentered, investigator-blinded, randomized controlled trial across Canada and the United States, cardiologists and primary care physicians practicing in the ambulatory setting will be enrolled. The intervention arm will receive (1) a lecture outlining the AUC and most recent available evidence highlighting appropriate use of TTE, (2) access to the American Society of Echocardiography mobile phone app, and (3) individualized feedback reports e-mailed monthly summarizing TTE ordering behavior including information on inappropriate TTEs and brief explanations of the inappropriate designation. The control group will receive no education on TTE appropriate use and order TTEs as usual practice. The Echo WISELY (Will Inappropriate Scenarios for Echocardiography Lessen Significantly in an education RCT) study is the first multicenter randomized trial of an AUC-based educational intervention. The study will examine whether an education and feedback intervention will reduce the rate of outpatient inappropriate TTEs ordered by attending level cardiologists and primary care physicians (www.clinicaltrials.gov identifier NCT02038101). Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Excavation damage zone tracer experiment in the floor of the room 415 test tunnel

    International Nuclear Information System (INIS)

    Frost, L.H.; Everitt, R.A.

    1997-03-01

    A 3.5-m-diameter test tunnel was constructed on the 420 Level of AECL's Underground Research Laboratory using a mechanical excavation technique. The orientation of the tunnel was chosen to maximize the stress ratio in the plane perpendicular to the tunnel axis in order to promote and study stress-induced excavation damage. The resulting excavation damage zone (EDZ) is characterized by a distinct breakout notch in both the floor and roof of the tunnel. In the floor of the tunnel, the main flow pathway within the EDZ is within a zone of intense grain-size fracturing (process zone) located at the tip of the breakout notch; virtually no flow occurs outside this region. A tracer experiment was performed within the EDZ in the floor of the tunnel to characterize the solute transport properties (permeability, transport porosity and dispersivity) within the process zone, as well as to develop and demonstrate methods for determining the transport properties within EDZs of underground tunnels. The experiment was performed as a constant head test by continuously injecting a constant concentration of iodide tracer into a region of the process zone, and by monitoring tracer breakthrough from the zone at a distance 1.5 m away. An equivalent-porous-media approach was taken in analysing fluid flow and solute transport through the process zone. Based on mass flux calculations, the hydraulic conductivity and transport porosity of the process zone are estimated to be 7.4 x 10 -7 m/s and 2.7 % respectively. Based on an analytic solution that represents tracer transport within the process zone as one-dimensional advective diffusive transport in a finite homogeneous porous medium, the longitudinal dispersivity and transport porosity of the zone are estimated to be 0.60 m and 3.3 % respectively. The transport porosity values estimated by both the mass flux and analytic calculations compare quite well. (author)

  18. Design of Intelligent Hydraulic Excavator Control System Based on PID Method

    Science.gov (United States)

    Zhang, Jun; Jiao, Shengjie; Liao, Xiaoming; Yin, Penglong; Wang, Yulin; Si, Kuimao; Zhang, Yi; Gu, Hairong

    Most of the domestic designed hydraulic excavators adopt the constant power design method and set 85%~90% of engine power as the hydraulic system adoption power, it causes high energy loss due to mismatching of power between the engine and the pump. While the variation of the rotational speed of engine could sense the power shift of the load, it provides a new method to adjust the power matching between engine and pump through engine speed. Based on negative flux hydraulic system, an intelligent hydraulic excavator control system was designed based on rotational speed sensing method to improve energy efficiency. The control system was consisted of engine control module, pump power adjusted module, engine idle module and system fault diagnosis module. Special PLC with CAN bus was used to acquired the sensors and adjusts the pump absorption power according to load variation. Four energy saving control strategies with constant power method were employed to improve the fuel utilization. Three power modes (H, S and L mode) were designed to meet different working status; Auto idle function was employed to save energy through two work status detected pressure switches, 1300rpm was setting as the idle speed according to the engine consumption fuel curve. Transient overload function was designed for deep digging within short time without spending extra fuel. An increasing PID method was employed to realize power matching between engine and pump, the rotational speed's variation was taken as the PID algorithm's input; the current of proportional valve of variable displacement pump was the PID's output. The result indicated that the auto idle could decrease fuel consumption by 33.33% compared to work in maximum speed of H mode, the PID control method could take full use of maximum engine power at each power mode and keep the engine speed at stable range. Application of rotational speed sensing method provides a reliable method to improve the excavator's energy efficiency and

  19. Evaluation of focal choroidal excavation in the macula using swept-source optical coherence tomography

    Science.gov (United States)

    Lim, F P M; Loh, B K; Cheung, C M G; Lim, L S; Chan, C M; Wong, D W K

    2014-01-01

    Purpose To evaluate imaging findings of patients with focal choroidal excavation (FCE) in the macula using swept-source optical coherence tomography (SS-OCT) and correlate it clinically. Methods Prospective observational case series. Eleven consecutive patients (12 eyes) with FCE were described. Data on demographics and clinical presentation were collected and imaging findings (including color photography, fundus autofluorescence imaging, fluorescein angiography, indocyanine green angiography, spectral-domain optical coherence tomography, and SS-OCT) were analyzed. Results The primary diagnosis was epiretinal membrane (two eyes), choroidal neovascularization (one eye), polypoidal choroidal vasculopathy (three eyes), central serous chorioretinopathy (one eye), and dry age-related macular degeneration (two eyes). Eleven out of 12 of the lesions were conforming. One presented with a non-conforming lesion that progressed to a conforming lesion. One eye had multiFCE and two had two overlapping choroidal excavations. Using the SS-OCT, we found the choroid to be thinned out at the area of FCE but sclera remained normal. The choroidal tissue beneath the FCE was abnormal, with high internal reflectivity and poor visualization of choroidal vessels. There was loss of contour of the outer choroidal boundary that appeared to be pulled inward by this abnormal choroidal tissue. A suprachoroidal space was noted beneath this choroidal tissue and the choroidal–scleral interface was smooth. Repeat SS-OCT 6 months after presentation showed the area of excavation to be stable in size. Conclusion FCE can be associated with epiretinal membrane, central serous chorioretinopathy, and age-related macular degeneration. The choroid was thinned out in the area of FCE. PMID:24946847

  20. Numerical calculation of hydrodynamic characteristics of tidal currents for submarine excavation engineering in coastal area

    Directory of Open Access Journals (Sweden)

    Jian-hua Li

    2016-04-01

    Full Text Available In coastal areas with complicated flow movement, deposition and scour readily occur in submarine excavation projects. In this study, a small-scale model, with a high resolution in the vertical direction, was used to simulate the tidal current around a submarine excavation project. The finite volume method was used to solve Navier-Stokes equations and the Reynolds stress transport equation, and the entire process of the tidal current was simulated with unstructured meshes, generated in the irregular shape area, and structured meshes, generated in other water areas. The meshes near the bottom and free surface were densified with a minimum layer thickness of 0.05 m. The volume of fluid method was used to track the free surface, the volume fraction of cells on the upstream boundary was obtained from the volume fraction of adjacent cells, and that on the downstream boundary was determined by the water level process. The numerical results agree with the observed data, and some conclusions can be drawn: after the foundation trench excavation, the flow velocity decreases quite a bit through the foundation trench, with reverse flow occurring on the lee slope in the foundation trench; the swirling flow impedes inflow, leading to the occurrence of dammed water above the foundation trench; the turbulent motion is stronger during ebbing than in other tidal stages, the range with the maximum value of turbulent viscosity, occurring on the south side of the foundation trench at maximum ebbing, is greater than those in other tidal stages in a tidal cycle, and the maximum value of Reynolds shear stress occurs on the south side of the foundation trench at maximum ebbing in a tidal cycle. The numerical calculation method shows a strong performance in simulation of the hydrodynamic characteristics of tidal currents in the foundation trench, providing a basis for submarine engineering construction in coastal areas.

  1. The application of degassing to extinguish burning methane in excavated areas

    Energy Technology Data Exchange (ETDEWEB)

    Morev, A.M.; Sklyarov, L.A.; Romanchuk, A.L.

    1978-07-01

    The experience of extinguishing methane fires in excavated and working areas of coal mines in the Donbass are discussed. A method of extinguishing methane fires by boring shafts to the source of the methane generation, laterally through ventilation ducts and vertically from the surface, and drawing the methane off with vacuum pumps is presented. The basic equipment for this consists of portable vacuum pumps, thin walled metal pipes with rapid couplings, high capacity drilling equipment capable of boring 200 meter long shafts. Factors which must be considered in developing a degassing system and methods of preventing the flames from reaching the degassing pipes are discussed using the experience of various methods.

  2. Deformation and failure mechanism of excavation in clay subjected to hydraulic uplift

    CERN Document Server

    Hong, Yi

    2016-01-01

    This book presents the latest experimental and numerical analysis work in the field of ground deformation and base instability of deep excavations in soft clay subjected to hydraulic uplift. The authors’ latest research findings, based on dimensional analyses, well-instrumented full-scale field tests, systematic coupled-consolidation finite element analyses and centrifuge tests are reported. This book shows how to systematically approach a complex geotechnical problem, from identifying existing problems, reviewing literature, to dimensional and numerical analyses, validation through full-scale testing and centrifuge model testing. The methodologies are also introduced as major tools adopted in geotechnical research.

  3. Natural diet of coral-excavating sponges consists mainly of dissolved organic carbon (DOC).

    Science.gov (United States)

    Mueller, Benjamin; de Goeij, Jasper M; Vermeij, Mark J A; Mulders, Yannick; van der Ent, Esther; Ribes, Marta; van Duyl, Fleur C

    2014-01-01

    Coral-excavating sponges are the most important bioeroders on Caribbean reefs and increase in abundance throughout the region. This increase is commonly attributed to a concomitant increase in food availability due to eutrophication and pollution. We therefore investigated the uptake of organic matter by the two coral-excavating sponges Siphonodictyon sp. and Cliona delitrix and tested whether they are capable of consuming dissolved organic carbon (DOC) as part of their diet. A device for simultaneous sampling of water inhaled and exhaled by the sponges was used to directly measure the removal of DOC and bacteria in situ. During a single passage through their filtration system 14% and 13% respectively of the total organic carbon (TOC) in the inhaled water was removed by the sponges. 82% (Siphonodictyon sp.; mean ± SD; 13 ± 17 μmol L(-1)) and 76% (C. delitrix; 10 ± 12 μmol L(-1)) of the carbon removed was taken up in form of DOC, whereas the remainder was taken up in the form of particulate organic carbon (POC; bacteria and phytoplankton) despite high bacteria retention efficiency (72 ± 15% and 87 ± 10%). Siphonodictyon sp. and C. delitrix removed DOC at a rate of 461 ± 773 and 354 ± 562 μmol C h(-1) respectively. Bacteria removal was 1.8 ± 0.9 × 10(10) and 1.7 ± 0.6 × 10(10) cells h(-1), which equals a carbon uptake of 46.0 ± 21.2 and 42.5 ± 14.0 μmol C h(-1) respectively. Therefore, DOC represents 83 and 81% of the TOC taken up by Siphonodictyon sp. and C. delitrix per hour. These findings suggest that similar to various reef sponges coral-excavating sponges also mainly rely on DOC to meet their carbon demand. We hypothesize that excavating sponges may also benefit from an increasing production of more labile algal-derived DOC (as compared to coral-derived DOC) on reefs as a result of the ongoing coral-algal phase shift.

  4. New Design Concept for an Excavator Arms by Using Composite Material

    Science.gov (United States)

    Solazzi, L.; Assi, A.; Ceresoli, F.

    2017-09-01

    The purpose of the present paper is to lightweight design an excavator arms, by using a different materials and in particular composite material. Specifically, the research is based on the study of a commercial excavator, by determining its geometry and analyzing the load conditions to which it is exposed. These are determined in relation to either the load diagram of the machine or the possible utilities of the excavator, such as the rotation of the machine. The materials used and implemented in the different analytical and numerical elaborations are classic construction steel S 355 (UNI EN 10025-3), high-resistance steel S 890 (UNI EN 10025-6), aluminum Al 6063 T6 (UNI EN 573-3) and the composite material made by carbon fiber and epoxy resin. The adopted constraints for the design of new arms with different materials, non-conventional for these applications, are numerous. The new solutions must present a safety factor either with respect to the yield tensile strength or to the critical load of buckling greater than or equal to the one determined for the excavator in its original geometrical conformation. Another criterion, which has heavily conditioned the geometry of the arms, was given by the fact that the developed solutions must present a very similar value of the maximum displacement in the different load conditions analyzed. A new geometry for arms made by composite material was developed. It was an elliptical conic section, instead of the classic rectangular section, in order to use the filament winding technological process. As for the adoption of the composite material, we focused on the study and the design of this material as long as the interaction with the extremities (made of aluminum) which are interfaced either with the link between the arms or with the elements of the hydraulic plant which serves for the arms movement. From the results developed, it emerges that the solution developed by adopting composite materials is the one that permits the

  5. Aerosol concentration and particle size distributions in underground excavations of a hard coal mine.

    Science.gov (United States)

    Skubacz, Krystian; Wojtecki, Łukasz; Urban, Paweł

    2017-09-01

    Deposition of aerosols in the respiratory system depends inter alia on their size and the respiratory tract deposition is appreciable for nanometer-sized particles. This article presents the results of measurements of size distributions of aerosols in the range of several nanometers up to about 20 μm in the underground mine excavations of an active hard coal mine. The study included practically all particles of a respirable fraction. The results showed that a high concentration of fine and ultrafine aerosols occurs in key underground workplaces especially during mining machine operations, although their contribution to total mass concentration is usually negligible.

  6. Geotechnical issues and guidelines for storage of compressed air in excavated hard rock caverns

    Energy Technology Data Exchange (ETDEWEB)

    Allen, R.D.; Doherty, T.J.; Fossum, A.F.

    1982-04-01

    The results of a literature survey on the stability of excavated hard rock caverns are presented. The objective of the study was to develop geotechnical criteria for the design of compressed air energy storage (CAES) caverns in hard rock formations. These criteria involve geologic, hydrological, geochemical, geothermal, and in situ stress state characteristics of generic rock masses. Their relevance to CAES caverns, and the identification of required research areas, are identified throughout the text. This literature survey and analysis strongly suggests that the chief geotechnical issues for the development and operation of CAES caverns in hard rock are impermeability for containment, stability for sound openings, and hydrostatic balance.

  7. Failure Mechanisms and Evolution Assessment of the Excavation Damaged Zones in a Large-Scale and Deeply Buried Underground Powerhouse

    Science.gov (United States)

    Li, Hai-bo; Liu, Ming-chang; Xing, Wan-bo; Shao, Shuai; Zhou, Jia-wen

    2017-07-01

    The Jinping I underground powerhouse is deeply buried and is one of the largest underground powerhouses in China. As a result of high levels of in situ stress, complex geological conditions and the effects of excavation in adjacent caverns, the surrounding rock mass has been severely deformed and broken, and excavation damaged zones (EDZs) have become major obstacles to the design of cavern excavation and support. Field investigations and monitoring data indicated that there are two main modes of failure: high tangential stress induced failure and progressive failure, which have occurred on the mountain side and the river valley side of the Jinping I underground powerhouse. These two main modes of failure were due to strong secondary principal stress forces in the sub-parallel directions and sub-vertical directions, acting on the axes of the main powerhouse on the mountain side and on the river valley side, respectively. Deformations and EDZs on the river valley side were generally larger than those found along the mountain side, and the distribution of deformations was consistent with the distribution of EDZs. The evolution of the EDZ on the river valley side has clearly been time dependent, especially along the downstream arch abutment, and the EDZ was considerably enlarged with further excavation. Additionally, the deformation of the surrounding rock mass was first initiated from the edge of the excavation area and gradually extended to deeper areas away from the opening. However, the EDZ on the mountain side was enlarged only during the first two phases of excavation. The extension of pre-existing cracks and the creation of new fractures has mainly occurred in the oldest EDZ section, and the HDZ has been visibly enlarged, whereas the EDZ has shown little change in other excavation phases.

  8. AUTOMATED DYNAMIC LOAD CONTROL BY ELECTROMECHANICAL SYSTEMS OF A BUCKET-CHAIN EXCAVATOR IN THE COURSE OF SCOOPING

    Directory of Open Access Journals (Sweden)

    Khayrullin Rustam Zinnatullovich

    2012-10-01

    Full Text Available Methods and algorithms of control of the tension of lifting and towing ropes of bucket-chain excavators are proposed in the article. They are based on the non-linear dependence of the current path length and intensity of excavation efforts. Three automatic control modes, including scooping, correction signals and automatic overload protection, are implemented. Two independent control loops in charge of tension of lifting and towing ropes are developed. The proposed automated control system may be integrated both into new bucket-chain excavators and into those excavators that are already in operation. The new system does not require any substantial alterations in electric drive control systems in charge of lifting and towing, if integrated into excavators in operation. The author has performed the non-linearity analysis; he has also designed, developed and implemented the models that are capable of taking an adequate account of the system peculiarities identified in the course of the project implementation. The system parameters are adjustable to specific conditions of the excavator operation, including the hardness of the rock extracted by the excavator, etc. The automatic overload control system attached to the electric drives in control of lifting and towing ensures maximal responsiveness of the system based on the commutation-related limitations imposed by power-driven elements, maximal over-control values and variability of the transition process. Prevention of any rope slacks in the course of scooping of any hard rock is assured by the loop of regulation of minimal tension of lifting cables. The service life of lifting and towing ropes goes up by eight to ten weeks, if the system proposed by the author is implemented.

  9. Inappropriateness of medication prescriptions about chronic kidney disease patients without dialysis therapy in a Chinese tertiary teaching hospital

    Directory of Open Access Journals (Sweden)

    Yang P

    2016-10-01

    Full Text Available Ping Yang, Na Chen, Rong-Rong Wang, Lu Li, Sai-Ping Jiang Department of Pharmacy, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China Background: With the increasing incidence rate of chronic kidney disease (CKD, inappropriate use of medicine in CKD patients is an important issue, as it may cause adverse effects in patients and progression to chronic renal failure.Objective: The aim of this study is to assess the frequency of inappropriate medicine use among CKD patients.Methods: A cross-sectional study was conducted from November 1 to December 1, 2014 in a Chinese teaching tertiary hospital. All medication prescriptions for CKD patients with serum creatinine level above normal value were enrolled. The prescriptions, including unreasonable dosage, contraindicated, and cautiously used medicines in CKD patients, were evaluated and the related medications were also analyzed and classified.Results: Two hundred and two patients were included, and a total of 1,733 lines of medication prescriptions were evaluated. The prevalence of inappropriate medication prescriptions in CKD patients was 15.18%, of which, unreasonable dosage (n=56, contraindicated (n=46, and cautiously used medicines (n=161 accounted for 3.23%, 2.65%, and 9.29%, respectively. Spearman’s rank correlation coefficient implied that there was a significant correlation between the severity of renal insufficiency and frequency of inappropriate medication prescriptions (P=0.02, r=0.056. Among the inappropriate medication prescriptions, nutraceutical and electrolytes (n=65, 24.71%, cardiovascular drugs (n=61, 23.19%, and antimicrobial drugs (n=55, 20.91% represented the top three medicine categories in CKD patients.Conclusion: The study confirmed that inappropriate medication prescriptions were prevalent in CKD patients. Improving the quality of medication prescriptions in CKD patients is necessary. Keywords: inappropriateness of

  10. [Potentially inappropriate prescription according to the "STOPP" Criteria in heavily polymedicated elderly patients].

    Science.gov (United States)

    Terán-Álvarez, L; González-García, M J; Rivero-Pérez, A L; Alonso-Lorenzo, J C; Tarrazo-Suárez, J A

    2016-01-01

    Appropriate prescribing is especially relevant in elderly people. The objective of this study is to analyse the potentially inappropriate prescription (PIP) in heavily polymedicated elderly patients according to the criteria Screening Tool of Older Person's Prescriptions. A descriptive cross-sectional study was conducted in Primary Care on patients assigned to the Siero-Sariego (Asturias) Health Centre, who were over 64 years old and heavily polymedicated (consumption >10 drugs for six months). The 65 Screening Tool of Older Person's Prescriptions criteria were reviewed in the electronic Primary Care patient records, collecting sociodemographic variables, prescribed medications, and chronic diseases. Frequency distributions were made for each criterion, and causes related to PIP were explored using contingency tables, the Spearman correlation coefficient, and logistic regression. A total of 349 polymedicated elderly patients were analysed with a prevalence of 6.4 (95% CI:5.76-7.08), a mean age of 79.2 years (SD:3.7), 62.2% were female, 14% institutionalised, a Charlson index of 2.9. The mean of number of drugs was 11.5 (SD:1.7), and the most frequent pathologies were high blood pressure (64%), diabetes (46%), and osteoarticular diseases (41%). There was at least one PIP in 72.9% of heavily polymedicated elderly patients [(Mean: 1.32 (SD:1.2)]. The Screening Tool of Older Person's Prescriptions criteria least complied with were: therapeutic duplication (25.2%), use of long-acting benzodiazepines (15.8%), and inappropriate use of aspirin (10.9%). An association was found between having any inappropriate prescription and the number of medications prescribed (OR=1.22 [95% CI:1.04-1.43]) and inversely to the Charlson index (OR=0.76 [95% CI:0.65-0.89]). PIP is common in heavily polymedicated elderly patients. Special attention must be paid to the use of psychotropic drugs, which are implicated in a high volume of PIP. Copyright © 2014 Sociedad Española de Médicos de

  11. New excavations at Bohunice and the question of the uniqueness of the type-site for the Bohunician industrial type

    Czech Academy of Sciences Publication Activity Database

    Tostevin, G. B.; Škrdla, Petr

    2006-01-01

    Roč. 44, č. 1 (2006), s. 31-48 ISSN 0323-1119 Institutional research plan: CEZ:AV0Z80010507 Keywords : Moravia * Bohunician * Early Upper Paleolithic Subject RIV: AC - Archeology, Anthropology, Ethnology

  12. A study on excavation of rock mass by lasers. Researching the possibility of utilizing low-power lasers

    International Nuclear Information System (INIS)

    Ito, Fumio

    2000-03-01

    The object of this research is to develop the techniques of rock-mass excavation by laser irradiation. This rock-mass excavation technique by lasers has a characteristic of extremely little effect to the surroundings of an excavation site no matter how the target rock mass is with regard to geological aspects and given physical property. Moreover, it could be utilized in excavation of waste dump facilities, which need to be re-buried, and applied to excavation of long piles and tunnels, which are drilled through different kinds of strata, and to improvement of rock mass and ground. Lasers have a characteristic of concentrating the energy into a limited point and not only discontinue or cut a large area with a small output like sharp scissors but also block up the cracks deep inside the rock mass by fusing vitrification for its improvement. It leads to restrain the loss of energy, minimization of the effected environment, effective utilization of resources and energy, environmental restoration, and improvement of the working environment. In the field of nuclear fuel, which includes excavating dump pits, dismantling a furnace, and taking appropriate steps of mine remains, excavating, cutting, and fusing could be required to do within a limited space of rock mass or concrete. Up to the present, those things have been done mainly by large machines, but it is too scarce in possibility for them to improve their large size, heavy weight, difficulty in unmanned operation, limited shapes of cutting, and stabilization of waste. In this research the concrete system images have been examined, doing the fundamental researches about higher-power lasers, smaller sizing, transmitting by fibers to find our the breakthrough to realization of laser excavation, This year, as the summary of examining the laser excavation techniques, utilizing a low-power laser, which is thought to be highly effective in rock-mass improvement, will be examined, considering application of the technique

  13. Bucket wheel rehabilitation of ERC 1400-30/7 high-capacity excavators from lignite quarries

    Science.gov (United States)

    Vîlceanu, Fl; Iancu, C.

    2016-11-01

    The existence of bucket wheel equipment type ERC 1400-30/7 in lignite quarries with lifetime expired, or in the ultimate life period, together with high cost investments for their replacement, makes rational the efforts made to rehabilitation in order to extend their life. Rehabilitation involves checking operational safety based on relevant expertise of metal structures supporting effective resistance but also the replacement (or modernization) of subassemblies that can increase excavation process productivity, lowering energy consumption, reducing mechanical stresses. This paper proposes an analysis of constructive solution of using a part of the classical bucket wheel, on which are located 9 cutting cups and 9 chargers cups and adding a new part so that the new redesigned bucket-wheel will contain 18 cutting-chargers cups, compared to the classical model. On the CAD model of bucket wheel was performed a static and a dynamic FEA, the results being compared with the yield strength of the material of the entire structure, were checked mechanical stresses in the overall distribution map, and were verified the first 4 vibrating modes the structure compared to real loads. Thus was verified that the redesigned bucket-wheel can accomplish the proposed goals respectively increase excavation process productivity, lowering energy consumption and reducing mechanical stresses.

  14. Measurement of carbon storage in landfills from the biogenic carbon content of excavated waste samples.

    Science.gov (United States)

    De la Cruz, Florentino B; Chanton, Jeffrey P; Barlaz, Morton A

    2013-10-01

    Landfills are an anaerobic ecosystem and represent the major disposal alternative for municipal solid waste (MSW) in the U.S. While some fraction of the biogenic carbon, primarily cellulose (Cel) and hemicellulose (H), is converted to carbon dioxide and methane, lignin (L) is essentially recalcitrant. The biogenic carbon that is not mineralized is stored within the landfill. This carbon storage represents a significant component of a landfill carbon balance. The fraction of biogenic carbon that is not reactive in the landfill environment and therefore stored was derived for samples of excavated waste by measurement of the total organic carbon, its biogenic fraction, and the remaining methane potential. The average biogenic carbon content of the excavated samples was 64.6±18.0% (average±standard deviation), while the average carbon storage factor was 0.09±0.06g biogenic-C stored per g dry sample or 0.66±0.16g biogenic-C stored per g biogenic C. Published by Elsevier Ltd.

  15. Theoretical Investigations on the Influence of Artificially Altered Rock Mass Properties on Mechanical Excavation

    Science.gov (United States)

    Hartlieb, Philipp; Bock, Stefan

    2018-03-01

    This study presents a theoretical analysis of the influence of the rock mass rating on the cutting performance of roadheaders. Existing performance prediction models are assessed for their suitability for forecasting the influence of pre-damaging the rock mass with alternative methods like lasers or microwaves, prior to the mechanical excavation process. Finally, the RMCR model was chosen because it is the only reported model incorporating a range of rock mass properties into its calculations. The results show that even very tough rocks could be mechanically excavated if the occurrence, orientation and condition of joints are favourable for the cutting process. The calculated improvements in the cutting rate (m3/h) are up to 350% for the most favourable cases. In case of microwave irradiation of hard rocks with an UCS of 200 MPa, a reasonable improvement in the performance by 120% can be achieved with as little as an extra 0.7 kWh/m3 (= 1% more energy) compared to cutting only.

  16. A Basic Robotic Excavator (the Glenn Digger): Description, Design, and Initial Operation

    Science.gov (United States)

    Bauman, Steve; Newman, Paul; Izadnegahdar, Alain; Johnson, Kyle; Abel, Phillip

    2016-01-01

    This paper describes the design, commercial part selections, fabrication, assembly, installation, and initial operation of a two degree of freedom robotic excavator. Colloquially referred to as "the NASA Glenn Digger," it was designed specifically to be mounted onto, and to operate with, the then newly developed Centaur 2 robotic mobility base. The excavator, when mounted to Centaur 2, is designed to scoop loose regolith from the terrain, raise its loaded bucket up and dump the load into a hopper of at least a 1-m-height. The hopper represents the input to a machine that would process the raw material, such as to produce oxygen from lunar regolith as would be required for long-term lunar habitation. This equipment debuted at the annual Research and Technology Studies ("Desert RATS", Ref. 1) event held north of Flagstaff, Arizona, in September of 2010, when the Digger was successfully joined to Centaur 2 and the shoveling articulation was demonstrated. During 2011, the hardware was modified for added strength, strain gauges were added to measure loads, and the controls were improved in preparation for the 2011 Desert RATS event, where additional "field operations" experience was gained.

  17. Excavation-caused extra deformation of existing masonry residence in soft soil region

    Science.gov (United States)

    Tang, Y.; Franceschelli, S.

    2017-04-01

    Growing need for construction of infrastructures and buildings in fast urbanization process creates challenges of interaction between buildings under construction and adjacent existing buildings. This paper presents the mitigation of contradiction between two parties who are involved the interaction using civil engineering techniques. Through the in-depth analysis of the results of monitoring surveys and enhanced accuracy and reliability of surveys, a better understanding of the behavior of deformable buildings is achieved. Combination with the original construction documents, the two parties agree that both of them are responsible for building damages and a better understanding for the rehabilitation of the existing buildings is focused on. Two cases studies are used to demonstrate and describe the importance of better understanding of the behavior of existing buildings and their rehabilitations. The objective of this study is to insight into mechanisms of soil-structure interaction for buildings adjacent to deep excavations, which can result in a damage in existing masonry residence, and to take the optimized measures to make deep excavations safety and economic and adjacent buildings keep good serviceability in urban areas with soft soil conditions.

  18. Great Excavations: Tales of Early Southwestern Archaeology, 1888-1939, School of American Research Press, 1995

    Directory of Open Access Journals (Sweden)

    Stephen E. Nash

    1997-05-01

    Full Text Available Great Excavations: Tales of Early Southwestern Archaeology, 1 888-1939, is an "intentionally selective" account of eight major archaeological expeditions to the Southwest in the late 19th and early 20th centuries. It succeeds in achieving the goals set forth in the prologue. The reader is taken on an "armchair tour"  of early Southwestern excavations in the hope that the resulting "basic understanding of what the early archae­ologists did" will stimulate a desire to "learn more about the intriguing prehistory of the Southwest" (pp. xiii. As a student of the history of North American archaeology, I would be amiss to speak for Elion's "layperson" audience, but my suspicion is that her presentation will indeed stimulate those readers. As an archaeologist, I thoroughly enjoyed this book, and it may well be that Elliott's journalistic approach makes this book more enjoyable because she is able to remain above the level of detail that often burden archaeolo­gists' accounts of these expeditions. I must temper this statement by noting that Elliott's journalistic hyper­ bole and tendency to oversimplify complex research and analysis are at times discomforting.

  19. Evaluation of Spalling Fallout on Excavation Disturbed Zone under Deep Hard Rock Tunnel

    Science.gov (United States)

    Azit, Romziah; Ashraf Mohamaed Ismail, Mohd; You Jiang, Thang

    2017-08-01

    The prediction of compressive stress-induced failures is of concern when designing and constructing facilities in rock for deep underground excavation. The purpose of this study is to model compressive stress-induced failure and fallouts with appropriate material models and strength parameters for deep hard rock tunnel excavation. Three method of numerical modelling are used, which are Generalised Hoek-Brown; Mohr-Coulomb; and Mohr-Coulomb with Cohesion Softening Friction Hardening (CSFH) material models for capturing the observed rock behaviour. A parametric study was also carried out to verify that the peak friction angle of 10° used in CSFH model. The results show that numerical models used only Generalised Hoek-Brown and Mohr Coulomb strength parameters does not show a good agreement with the observed fallout. The comparison revealed that the numerical models using the Mohr-Coulomb with CSFH provides most realistic to the observation fallout length. This model is valid for prediction of failure and fallouts in hard rock masses with high quality (GSI >65 MPa; intact rock compressive strength >70MPa).

  20. On justification of efficient Energy-Force parameters of Hydraulic-excavator main mechanisms

    Science.gov (United States)

    Komissarov, Anatoliy; Lagunova, Yuliya; Shestakov, Viktor; Lukashuk, Olga

    2018-03-01

    The article formulates requirements for energy-efficient designs of the operational equipment of a hydraulic excavator (its boom, stick and bucket) and defines, for a mechanism of that equipment, a new term “performance characteristic”. The drives of main rotation mechanisms of the equipment are realized by hydraulic actuators (hydraulic cylinders) and transmission (leverage) mechanisms, with the actuators (the cylinders themselves, their pistons and piston rods) also acting as links of the leverage. Those drives are characterized by the complexity of translating mechanical-energy parameters of the actuators into energy parameters of the driven links (a boom, a stick and a bucket). Relations between those parameters depend as much on the types of mechanical characteristics of the hydraulic actuators as on the types of structural schematics of the transmission mechanisms. To assess how energy-force parameters of the driven links change when a typical operation is performed, it was proposed to calculate performance characteristics of the main mechanisms as represented by a set of values of transfer functions, i.e. by functional dependences between driven links and driving links (actuators). Another term “ideal performance characteristic” of a mechanism was introduced. Based on operation-emulating models for the main mechanisms of hydraulic excavators, analytical expressions were derived to calculate kinematic and force transfer functions of the main mechanisms.

  1. Re-Excavation of Seti First Tomb, Kv17, Luxor, Egypt

    Directory of Open Access Journals (Sweden)

    Ayman HAMED

    2013-12-01

    Full Text Available This article is discussing technical challenges within engineering works made during re-excavation of the 174 m long tunnel which was cut into bedrock of desert shale known as 'Esna shale'. Recent historical events, during the last decade, explained much of the tunnel deformations and dirt filling inside tunnel space "Debris", caused by multiple water runoff attack to king's valley. The author is also discussing the challenging work under severe financial regime; using non conventional solutions adopted with extraordinary actions in using junk yard equipment. Seti I tomb, is considered as the deepest opening in the valley, not mentioning the risk in re-excavation the tomb, harsh atmospheric conditions inside the tunnel, measured and monitored by author, needed a serious ventilation system to serve workers during removal of dirt. Through that, an interesting mathematical relation between atmospheric variables has been emphasized. Design of steel supporting system serving an inclined deep tunnel with irregular circumference, under strict condition of reversibility, has been performed as a remarkable topic, to solve and apply in such archaeological site. Finally, the article is considered as a scientific pattern for application of geo-engineering in conservation of underground archaeological sites.

  2. Time-dependent evolution of the excavation damaged zone in the argillaceous Tournemire site

    International Nuclear Information System (INIS)

    Rejeb, A.; Cabrera, J.

    2006-01-01

    The experimental Tournemire site enables the assessment of the Excavation Damaged Zones (EDZ) around three structures excavated in argilites: the century-old tunnel, the ten year-old east and west galleries, and the three year-old main gallery. This paper discusses the main experimental results concerning the EDZ characterisation and their interpretation. EDZ fracture analyses from the galleries (cartography) and the radial boreholes (core analyses) allow for accurate structural characterisation of the EDZs. The tunnel has an EDZ with dense, homogeneous fracturing parallel to the wall, resembling onion skins. However, the new galleries do not have an EDZ similar to that of the tunnel. Unsaturated micro-cracks, mainly parallel to the bedding planes are observed on the non covered walls of each gallery. The extent of the EDZ does not seem to be affected by the age of the structure. It is approximately 20 % of the mean radius of the structure. Based on the modelling and experimental characterisation work completed, it is considered that the EDZ in this argillaceous Tournemire site is due to a deferred failure. At first time, when the wall of the structures are not covered the desaturation/re-saturation phenomena induced a tensile failure around the new galleries. During the time, these desaturation/re-saturation phenomena cause a gradual weakening of the material. The EDZ tunnel fractures are explained by this possible hydric damage and a decreasing mechanical strength with the time. These assumptions remain to be confirmed through coupled numerical modelling in unsaturated medium. (authors)

  3. Model uncertainty of various settlement estimation methods in shallow tunnels excavation; case study: Qom subway tunnel

    Science.gov (United States)

    Khademian, Amir; Abdollahipour, Hamed; Bagherpour, Raheb; Faramarzi, Lohrasb

    2017-10-01

    In addition to the numerous planning and executive challenges, underground excavation in urban areas is always followed by certain destructive effects especially on the ground surface; ground settlement is the most important of these effects for which estimation there exist different empirical, analytical and numerical methods. Since geotechnical models are associated with considerable model uncertainty, this study characterized the model uncertainty of settlement estimation models through a systematic comparison between model predictions and past performance data derived from instrumentation. To do so, the amount of surface settlement induced by excavation of the Qom subway tunnel was estimated via empirical (Peck), analytical (Loganathan and Poulos) and numerical (FDM) methods; the resulting maximum settlement value of each model were 1.86, 2.02 and 1.52 cm, respectively. The comparison of these predicted amounts with the actual data from instrumentation was employed to specify the uncertainty of each model. The numerical model outcomes, with a relative error of 3.8%, best matched the reality and the analytical method, with a relative error of 27.8%, yielded the highest level of model uncertainty.

  4. Mechanical behavior and shape optimization of lining structure for subsea tunnel excavated in weathered slot

    Science.gov (United States)

    Li, Peng-fei; Zhou, Xiao-jun

    2015-12-01

    Subsea tunnel lining structures should be designed to sustain the loads transmitted from surrounding ground and groundwater during excavation. Extremely high pore-water pressure reduces the effective strength of the country rock that surrounds a tunnel, thereby lowering the arching effect and stratum stability of the structure. In this paper, the mechanical behavior and shape optimization of the lining structure for the Xiang'an tunnel excavated in weathered slots are examined. Eight cross sections with different geometric parameters are adopted to study the mechanical behavior and shape optimization of the lining structure. The hyperstatic reaction method is used through finite element analysis software ANSYS. The mechanical behavior of the lining structure is evidently affected by the geometric parameters of crosssectional shape. The minimum safety factor of the lining structure elements is set to be the objective function. The efficient tunnel shape to maximize the minimum safety factor is identified. The minimum safety factor increases significantly after optimization. The optimized cross section significantly improves the mechanical characteristics of the lining structure and effectively reduces its deformation. Force analyses of optimization process and program are conducted parametrically so that the method can be applied to the optimization design of other similar structures. The results obtained from this study enhance our understanding of the mechanical behavior of the lining structure for subsea tunnels. These results are also beneficial to the optimal design of lining structures in general.

  5. Presence of a radioactive gas in archaeological excavations, determination and mitigation.

    Science.gov (United States)

    Balcázar, M; Gómez, S; Peña, P; Zavala Arredondo, J; Gazzola, J; Villamares, A

    2014-01-01

    During recent archaeological discovery and excavation of a tunnel build approximately 2000 years ago by the Teotihuacans under the feathered serpent temple, in Mexico, abnormal radon concentrations up to 700 Bq m(-3) were measured at several excavation stages. The tunnel is at 15m below the earth surface with a vertical rectangular entrance of 4×4 m(2), a semi cylindrical shape of 3m in diameter, with a probable length of 100 m. This study supports the assumption that at the opening of the tunnel radon concentration was around 5500 Bq m(-3); however, although natural convection in the tunnel atmosphere naturally pups radon out, it build up to a maximum concentration of 2000 Bq m(-3). This paper presents the identification of the radon problem in this archaeological site, dose determination, and the mitigation actions that reduced the radon concentration down to 40 Bq m(-3) that ensure a negligible radon risk for archaeologist. Copyright © 2013 Elsevier Ltd. All rights reserved.

  6. A new technique in the excavation of ground-nest bee burrows (Hymenoptera: Apoidea

    Directory of Open Access Journals (Sweden)

    Diego Marinho

    Full Text Available ABSTRACT Bees have a diversified natural history, thus the methods applied to study such diversity are varied. When it comes to studies of nesting biology, bees which nest in pre-existing cavities have been reasonably well studied since researchers started using trap-nests. However, bees whose nests are built underground are poorly studied due to the difficulty of finding natural nesting areas and the absence of a method that facilitates bee nest excavation. The latter is evidenced by the lack of accurate descriptions in literature of how nests are excavated. In this study we tested cylindrical rubber refills of eraser pen as a new material to be used as a tracer of underground nest galleries in a natural nesting area of two species of Epicharis Klug, 1807 (Apidae. We compared this technique directly with plaster in powder form mixed with water and our results with other methodological studies describing alternative methods and materials. The rubber refill technique overcame the main issues presented by materials such as plaster, molten metal alloys and bioplastic, namely: death of the organisms by high temperatures and/or formation of plugs and materials unduly following the roots inside the galleries.

  7. Hard rock excavation at the CSM/OCRD test site using Swedish blast design techniques

    International Nuclear Information System (INIS)

    Holmberg, R.

    1983-09-01

    This report is the third in a series describing research conducted by the Colorado School of Mines for the Office of Crystalline Repository Development (OCRD) to determine the extent of blast damage in rock surrounding an underground opening. A special room, called the CSM/OCRD room, was excavated at the CSM experimental mine for the purpose of assessing blast damage in the rock around the room. Even though this mine is not proposed as a nuclear waste repository site, the instrumentation and methods of blast damage assessment developed in this project are applicable to proposed repository sites. This report describes the application of Swedish blasting technology for the excavation of the test room. The design of the blasting patterns including the selection of explosives, hole sizes and location, explosive loading densities, and delay intervals is based upon the theories of Langefors and Kihlstrom in combination with methods used at the Swedish Detonic Research Foundation for minimizing unwanted rock damage. The practical application of the design procedures to seven rounds and the achieved results is discussed

  8. The effects of temperature and use of vibrating wire strain gauges for braced excavations

    Energy Technology Data Exchange (ETDEWEB)

    Boone, S. J. [Golder Associates, Irvine, CA (United States); Crawford, A. M. [Toronto Univ., ON (Canada). Dept. of Civil Engineering

    2000-09-01

    Strut loads in bracer excavations are routinely monitored with strain gauges which range in complexity from simple mechanical measurements to vibrating wire transducers. While in soft soils the effect of temperature changes in strut loads may not be significant, these effects may be very signifciant for stiff and dense soils and rock thermal loading, where inadequate appreciation of the role played by thermal laods may lead to misinterpretations and faulty design that is not representative of potential field loading. This paper interprets the theoretical and practical implications of temperature change on strut loads and discusses the relative merits of using a vibrating wire strain gauge to measure and evaluate the effects of temperature and earth loads. It is shown that by comparing the incremental changes of strut load and temperature from vibrating wire strain gauge data, the temperature-dependent loads, the relative fixity of the strut end, and the earth loads, and mobilized ground stiffness can be deduced. The approach proposed provides a transparent and strut-specific means of evaluating the effects of temperature on struts with braced excavations and is supported by both empirical data and practical application of elastic theory. 9 refs., 6 figs.

  9. How to estimate green house gas (GHG) emissions from an excavator by using CAT's performance chart

    Science.gov (United States)

    Hajji, Apif M.; Lewis, Michael P.

    2017-09-01

    Construction equipment activities are a major part of many infrastructure projects. This type of equipment typically releases large quantities of green house gas (GHG) emissions. GHG emissions may come from fuel consumption. Furthermore, equipment productivity affects the fuel consumption. Thus, an estimating tool based on the construction equipment productivity rate is able to accurately assess the GHG emissions resulted from the equipment activities. This paper proposes a methodology to estimate the environmental impact for a common construction activity. This paper delivers sensitivity analysis and a case study for an excavator based on trench excavation activity. The methodology delivered in this study can be applied to a stand-alone model, or a module that is integrated with other emissions estimators. The GHG emissions are highly correlated to diesel fuel use, which is approximately 10.15 kilograms (kg) of CO2 per gallon of diesel fuel. The results showed that the productivity rate model as the result from multiple regression analysis can be used as the basis for estimating GHG emissions, and also as the framework for developing emissions footprint and understanding the environmental impact from construction equipment activities introduction.

  10. Microindentation hardness and calcium/phosphorus ratio of dentin following excavation of dental caries lesions with different techniques.

    Science.gov (United States)

    Katirci, Gunseli; Ermis, R Banu

    2016-01-01

    The aim of this in vitro study was to evaluate the microindentation hardness and chemical composition of residual dentin left at the cavity bottom following removal of carious dentin using the Carisolv chemomechanical and Er:YAG laser caries excavation methods in comparison with the conventional tungsten-carbide bur excavation. Sixty-nine extracted permanent teeth with occlusal dentin caries were assigned into three groups according to caries removal technique. Carious dentin excavation was guided by tactile method and a caries-staining dye. In stereomicroscope images (100×) of the samples, the presence or absence of residual caries was defined. The Knoop hardness value of the cavity floor was determined and atomic analysis of treated cavities was performed by energy dispersive X-ray spectroscopy. The Knoop hardness value of residual dentin left at the cavity bottom was lower (One-way ANOVA, Dunnett-C, p laser excavations (Kruskal-Wallis, Mann-Whitney U, p  0.05). The results indicated that Er:YAG laser was more comparable to conventional bur excavation than chemomechanical method in the efficacy of caries removal with regard to microindentation hardness of remaining dentin and both Carisolv gel and Er:YAG laser did not alter chemical composition of residual dentin in the treated cavities.

  11. Selective excavation of human carious dentin using the nanosecond pulsed laser in 5.8-μm wavelength range

    Science.gov (United States)

    Kita, Tetsuya; Ishii, Katsunori; Yoshikawa, Kazushi; Yasuo, Kenzo; Yamamoto, Kazuyo; Awazu, Kunio

    Less-invasive treatment of caries has been needed in laser dentistry. Based on the absorption property of dentin substrates, 6 μm wavelength range shows specific absorptions and promising characteristics for the excavation. In our previous study, 5.8 μm wavelength range was found to be effective for selective excavation of carious dentin and restoration treatment using composite resin from the irradiation experiment with bovine sound and demineralized dentin. In this study, the availability of 5.8 μm wavelength range for selective excavation of human carious dentin was investigated for clinical application. A mid-infrared tunable nanosecond pulsed laser by difference-frequency generation was used for revealing the ablation property of human carious dentin. Irradiation experiments indicated that the wavelength of 5.85 μm and the average power density of 30 W/cm2 realized the selective excavation of human carious dentin, but ablation property was different with respect to each sample because of the different caries progression. In conclusion, 5.8 μm wavelength range was found to be effective for selective excavation of human carious dentin.

  12. Design and construction of earth retaining walls with anchors employed in excavation works at Oi Nuclear Power Plant

    International Nuclear Information System (INIS)

    Saino, Susumu; Aoshima, Ken-ichiro; Kamide, Atsushi.

    1990-01-01

    In Oi Nuclear Power Station, Kansai Electric Power Co., Inc., No.3 and No.4 plants of each 1180 MWe output are additionally installed, neighboring existing No.1 and No.2 plants of each 1175 MWe output in operation. The start of operation is expected in December, 1991 in No.3 plant, and in February, 1993 in No.4 plant. The total quantity of earth excavated for this additional installation works is about 3.3 million m 3 . The main works are, subsequently to the preparation of the site, the excavation for the foundations of reactor buildings and others, and the construction of the foundations for the seawater system facilities for cooling condensers and reactor auxiliary machines, and the works were begun in May, 1987. The excavation by using anchors was carried out in seven places. The vertical excavation on large scale was carried out by using the earth retaining walls of concrete-sprayed anchor structure in drain pits. In this report, the outline of the geological features, the outline of the excavation works, the design of the earth retaining walls, the execution of concrete spraying, the planning and result of measurement are described. (K.I.)

  13. Application of Distributed Optical Fiber Sensing Technology in Surrounding Rock Deformation Control of TBM-Excavated Coal Mine Roadway

    Directory of Open Access Journals (Sweden)

    Bin Tang

    2018-01-01

    Full Text Available After roadway excavation, the deformation and failure of roadway surrounding rocks typically results in roadway damage or collapse. Conventional monitoring techniques, such as extensometers, stress meters, and convergence stations, are only capable to detect the stress or strain data with the shallow layers of surrounding rocks, and they require arduous manual works. Moreover, in the abovementioned monitoring techniques, the monitoring instruments are installed behind the excavation face; therefore, the strain and deformation occurring in front of excavation face cannot be detected. In order to eliminate these shortcomings, an innovative monitoring system for surrounding rock deformation control has been developed base on Brillouin optical time domain reflectometry. Compared with conventional monitoring systems, the proposed system provides a reliable, accurate, and real-time monitoring measure for roadway surrounding rock deformation control over wide extension. The optical fiber sensors are installed in boreholes which are situated ahead of the excavation face; therefore, the sensors can be protected well and the surrounding rock deformation behaviors can be studied. The proposed system has been applied within a TBM-excavated roadway in Zhangji coal mine, China. The surrounding rock deformation behaviors have been detected accurately, and the monitoring results provided essential references for surrounding rock deformation control works.

  14. Numerical Simulation of Blast Vibration and Crack Forming Effect of Rock-Anchored Beam Excavation in Deep Underground Caverns

    Directory of Open Access Journals (Sweden)

    XinPing Li

    2017-01-01

    Full Text Available Aiming at surrounding rock damage induced by dynamic disturbance from blasting excavation of rock-anchored beam in rock mass at moderate or far distance in underground cavern, numerical model of different linear charging density and crustal stress in underground cavern is established by adopting dynamic finite element software based on borehole layout, charging, and rock parameter of the actual situation of a certain hydropower station. Through comparison in vibration velocity, contour surface of rock mass excavation, and the crushing extent of excavated rock mass between calculation result and field monitoring, optimum linear charging density of blast hole is determined. Studies are also conducted on rock mass vibration in moderate or far distance to blasting source, the damage of surrounding rock in near-field to blasting source, and crushing degree of excavated rock mass under various in situ stress conditions. Results indicate that, within certain range of in situ stress, the blasting vibration is independent of in situ stress, while when in situ stress is increasing above certain value, the blasting vibration velocity will be increasing and the damage of surrounding rock and the crushing degree of excavated rock mass will be decreasing.

  15. A case of appropriate inappropriate device therapy: Hyperkalemia-induced ventricular oversensing

    Science.gov (United States)

    Oudit, Gavin Y; Cameron, Doug; Harris, Louise

    2008-01-01

    The present case describes a patient who received inappropriate, but potentially life-saving, therapy from her implantable cardioverter defibrillator (ICD) in the setting of acute hyperkalemia (plasma potassium concentration = 8 mM). Hyperkalemia was associated with the development of a slow sinusoidal ventricular tachycardia, at a rate of 100 beats/min to 125 beats/min (610 ms to 480 ms) in a patient who is pacemaker-dependent. There was associated fractionation of the ICD electrogram and T wave oversensing, leading to ventricular oversensing with resultant detection in the ventricular fibrillation rate zone. This was followed by shock therapy, even though the ventricular tachycardia rate was below the programmed detection rate of the ICD. The subsequent emergency treatment of the hyperkalemia normalized the electrogram, corrected the ventricular oversensing and arrhythmia, and restored rate-adaptive single-chamber ventricular pacing. PMID:18340383

  16. Combined intervention programme reduces inappropriate prescribing in elderly patients exposed to polypharmacy in primary care

    DEFF Research Database (Denmark)

    Bregnhøj, L; Thirstrup, S; Kristensen, M

    2009-01-01

    PURPOSE: To evaluate the effect of a combined or a single educational intervention on the prescribing behaviour of general practitioners (GPs). The primary endpoint was effect on inappropriate prescribing according to the Medication Appropriateness Index (MAI). METHODS: General practitioners were...... to polypharmacy (>/=5 medications) were identified and approached for inclusion. Data on medications prescribed over a 3-month period were collected, and the GPs provided detailed information on their patients before and after the intervention. A pre- and post-MAI were scored for all medications. RESULTS......: Of the 277 GPs invited to participate; 41 (14.8%) volunteered. Data were obtained from 166 patients before and after the intervention. Medication appropriateness improved in the combined intervention group but not in the single intervention group. The mean change in MAI and number of medications was -5 [95...

  17. Syndrome of inappropriate antidiuretic hormone secretion: Revisiting a classical endocrine disorder

    Directory of Open Access Journals (Sweden)

    Binu P Pillai

    2011-01-01

    Full Text Available Hyponatremia occurs in about 30% of hospitalized patients and syndrome of inappropriate antidiuretic hormone secretion (SIADH is a common cause of hyponatremia. SIADH should be differentiated from other causes of hyponatremia like diuretic therapy, hypothyroidism and hypocortisolism. Where possible, all attempts should be made to identify and rectify the cause of SIADH. The main problem in SIADH is fluid excess, and hyponatremia is dilutional in nature. Fluid restriction is the main stay in the treatment of SIADH; however, cerebral salt wasting should be excluded in the clinical setting of brain surgeries, subarachnoid hemorrhage, etc. Fluid restriction in cerebral salt wasting can be hazardous. Sodium correction in chronic hyponatremia (onset >48 hours should be done slowly to avoid deleterious effects in brain.

  18. Vancomycin intoxication in a patient with inappropriate antidiuretic hormone syndrome and diarrhea

    Directory of Open Access Journals (Sweden)

    Patricia Hidalgo-Collazos

    2015-07-01

    Full Text Available Vancomycin is an antibiotic used for infections by gram-positive bacteria with a two-compartment pharmacokinetic model. Its monitoring has an established therapeutic range (10-20 mg/L to prevent nephrotoxicity and ototoxicity due to supratherapeutic levels, and inefficiency and development of resistance by subtherapeutic levels. Nephrotoxicity for vancomycin monotherapy at standard doses according to pathogen and typical regimens (usual dose: 15-20 mg/kg/12 h is rare and usually reversible. Moreover, monitoring plasma concentrations allows to achieve concentrations within therapeutic range to allow safe and effective drug use. The renal hypoperfusion can cause pre-renal damage, resulting in elevated levels of serum creatinine, resulting in decreased antibiotic elimination and nephrotoxicity. We report a case of unexpected vancomycin nephrotoxicity in a patient with syndrome Inappropriate antidiuretic hormone secretion associated paraneoplastic

  19. The syndrome of inappropriate antidiuretic hormone: current and future management options.

    LENUS (Irish Health Repository)

    Sherlock, Mark

    2010-06-01

    Hyponatraemia is the commonest electrolyte abnormality, and syndrome of inappropriate antidiuretic hormone (SIADH) is the most frequent underlying pathophysiology. Hyponatraemia is associated with significant morbidity and mortality, and as such appropriate treatment is essential. Treatment options for SIADH include fluid restriction, demeclocycline, urea, frusemide and saline infusion, all of which have their limitations. The introduction of the vasopressin-2 receptor antagonists has allowed clinicians to specifically target the underlying pathophysiology of SIADH. Initial studies have shown good efficacy and safety profiles in the treatment of mild to moderate hyponatraemia. However, studies assessing the efficacy and safety of these agents in acute severe symptomatic hyponatraemia are awaited. Furthermore, the cost of these agents at present may limit their use.

  20. Decreasing Inappropriate Use of Antibiotics in Primary Care in Four Countries in South America

    DEFF Research Database (Denmark)

    Urbiztondo, Inés; Bjerrum, Lars; Caballero, Lidia

    2017-01-01

    High antibiotic prescribing and antimicrobial resistance in patients attending primary care have been reported in South America. Very few interventions targeting general practitioners (GPs) to decrease inappropriate antibiotic prescribing have been investigated in this region. This study assessed...... limited effect. A cluster randomized two-arm control trial was implemented. Healthcare centres from Bolivia, Argentina, Paraguay and Uruguay participating in the quality improvement program HAPPY AUDIT were randomly allocated to either intervention or control group. During ten consecutive weeks, GPs...... in the intervention group received evidence-based online feedback on the management of suspected RTIs. In patients with acute bronchitis, the intervention reduced the antibiotic prescribing rate from 71.6% to 56% (control group from 61.2% to 52%). In patients with acute otitis media, the intervention reduced...

  1. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH in Strongyloides stercoralis hyperinfection

    Directory of Open Access Journals (Sweden)

    Deepshikha Nag Chowdhury

    2014-01-01

    Full Text Available Strongyloides stercoralis (S. stercoralis is a soil transmitted intestinal roundworm that has a unique ability to multiply within the human host and reinfect the human carrier by a process of autoinfection. By this property, S. stercoralis can persist as an occult infection for many decades. In situations of immunosuppression or other permissive gastrointestinal conditions, there occurs a massive increase in parasite multiplication. The parasites penetrate through the intestinal mucosa and are carried in circulation and can cause multisystem involvement. We report a case of a 76-year-old Columbian male who presented with intractable vomiting and hyponatremia who was then diagnosed to have syndrome of inappropriate antidiuretic hormone (SIADH. The patient′s symptoms improved after treatment with two doses of ivermectin and his serum sodium levels returned to normal. S. stercoralis infection should be suspected in patients from endemic regions who present with gastrointestinal symptoms and unexplained hyponatremia.

  2. [Validity of the protocol for evaluating the inappropriate use of hospitalization].

    Science.gov (United States)

    Peiró, S; Meneu, R; Roselló, M L; Portella, E; Carbonell-Sanchís, R; Fernández, C; Lázaro, G; Llorens, M A; Martínez-Mas, E; Moreno, E; Ruano, M; Rincón, A; Vila, M

    1996-06-22

    The study was carried out in order to assess the inter-observer reliability and validity in respect of clinical appraisal given by the Appropriateness Evaluation Protocol (AEP), in the context of the Spanish Public Hospital System. In order to assess the reliability a total of 614 hospital stays chosen at random from 56 hospital admissions were independently analysed by three reviewers (two doctors and one nurse). In order to assess the validity, the findings obtained by the nurse were compared with the majority opinion given by the 7 hospital specialists in respect of each of hospital stays under evaluation. As part of the analytical procedure, indices for observed agreement, and specific agreement were calculated, as well as the Kappa statistic, all forming of various random samples of 614 hospital stays. In order to assess the predictive validity of the AEP, its sensitivity, specificity and predictive values were all measured against the majority clinical judgement. The study exhibited a high degree of inter-observer reliability (specific agreement > 64%, kappa > 0.75) and a reasonable validity in comparison with the consensus of opinions formed by a least 4 or 5 of its 7 clinical reviewers (specific agreement > 61%, kappa > 0.64), these values decreasing notably when the consensus of 6 or 7 of the reviewers was required. The AEP revealed a high degree of sensitivity and a low degree of specificity in comparison with the majority clinical assessment, thus minimising the occurrence of false results when the stay was regarded as appropriate, and producing false negatives (appropriate hospital stays regarded as inappropriate) varying in degree from moderate to very high. The results showing high reliability and moderate validity regarding clinical assessment shows the AEP to be a useful instrument in the sifting-out of inappropriate use of hospitalisation, although they do not allow a definitive judgement to be made concerning the efficiency of hospital services

  3. Polypharmacy and potentially inappropriate medication use as the precipitating factor in readmissions to the hospital

    Directory of Open Access Journals (Sweden)

    Vishal Sehgal

    2013-01-01

    Full Text Available Background and Aim: Readmission to the hospital within 30 days of discharge from the hospital is a common occurrence. Congestive heart failure is the most common cause of readmissions in the hospital. We hypothesized that irrespective of the admission diagnosis polypharmacy and potentially inappropriate use of medications (PIM leads to readmissions within 30 days of discharge from the hospital. Materials and Methods: A retrospective study was carried out by reviewing the hospital records of 414 patients who were readmitted to the hospital within 30 days of discharge from the hospital between January 2008 and December 2009. The data was stratified to see which patients were on polypharmacy and/or on PIM. Polypharmacy was defined as use of more than 5 medications. PIM was defined as per the modified Beers criteria. Day 0 was defined as the day of discharge and day1 was defined as the day-after Admission to the hospital. Statistical analysis was carried out using a two-way analysis of variance (ANOVA on the data to see if polypharmacy and/or PIM was related to readmission within 30 days of discharge irrespective of admission diagnosis. Results: Polypharmacy was related to hospital readmission at day 1 and day 0, however inappropriate drug use was found to be not related at any day. Polypharmacy and PIM combined had a positive correlation to readmission only on days 1 and 0 and it was statistically significant. The use of minimal and appropriate use of drugs was statistically significant compared to polypharmacy and PIM use. Conclusions: Polypharmacy and PIM are under recognized cause of readmissions to the hospital.

  4. Potentially inappropriate prescribing in community-dwelling older people across Europe: a systematic literature review.

    Science.gov (United States)

    Tommelein, Eline; Mehuys, Els; Petrovic, Mirko; Somers, Annemie; Colin, Pieter; Boussery, Koen

    2015-12-01

    Potentially inappropriate prescribing (PIP) is one of the main risk factors for adverse drug events (ADEs) in older people. This systematic literature review aims to determine prevalence and type of PIP in community-dwelling older people across Europe, as well as identifying risk factors for PIP. The PubMed and Web of Science database were searched systematically for relevant manuscripts (January 1, 2000-December 31, 2014). Manuscripts were included if the study design was observational, the study participants were community-dwelling older patients in Europe, and if a published screening method for PIP was used. Studies that focused on specific pathologies or that focused on merely one inappropriate prescribing issue were excluded. Data analysis was performed using R statistics. Fifty-two manuscripts were included, describing 82 different sample screenings with an estimated overall PIP prevalence of 22.6 % (CI 19.2-26.7 %; range 0.0-98.0 %). Ten of the sample screenings were based on the Beers 1997 criteria, 19 on the Beers 2003 criteria, 14 on STOPP criteria (2008 version), 8 on START-criteria (2008 version), and 7 on the PRISCUS list. The 24 remaining sample screenings were carried out using compilations of screening methods or used country-specific lists such as the Laroche criteria. It appears that only PIP prevalence calculated from insurance data significantly differs from the other data collection method categories. Furthermore, risk factors most often positively associated with PIP prevalence were polypharmacy, poor functional status, and depression. Drug groups most often involved in PIP were anxiolytics (ATC-code: N05B), antidepressants (N06A), and nonsteroidal anti-inflammatory and anti-rheumatic products (M01A). PIP prevalence in European community-dwelling older adults is high and depends partially on the data collection method used. Polypharmacy, poor functional status, and depression were identified as the most common risk factors for PIP.

  5. High-dose oral medroxyprogesterone for inappropriate hypersexuality in elderly men with dementia: a case series.

    Science.gov (United States)

    Cross, Bethany S; DeYoung, G Robert; Furmaga, Kevin M

    2013-01-01

    To retrospectively examine the utility of high-dose oral medroxyprogesterone (MPA) for the treatment of inappropriate hypersexuality (IH) in elderly men with dementia. Ten men aged 65 years or older (median 79.5 years, range 65-93 years) were identified from all admissions at a 170-bed tertiary referral psychiatric hospital between December 2005 and January 2011. Admission records were used to identify subjects who received at least 100 mg daily of oral MPA. The primary outcome of successful treatment was chart documentation of a substantial decline in IH, such that subjects could return to preadmission residence. Data were collected to assess trends in dose, adverse effects, use of other symptom-modifying medications prior to MPA initiation, and successful return to preadmission placement. A trial serotoneric agent was used in 70% of subjects prior to MPA initiation. Sixty percent of subjects failed a trial of an antipsychotic, while 40% did not have response to the use of both a serotonergic agent and an antipsychotic before MPA was initiated. The average daily dose of MPA was 300 mg (range 100-400 mg/day). No adverse effects were documented from physician, nursing, or behavioral health rounding notes; however, adverse effects may not have been systematically assessed at the time of MPA administration. Seventy percent of subjects experienced favorable changes in target behaviors from MPA. Few data exist on effective therapy options for treatment of IH. The minimum concentration of MPA needed to suppress IH in the male body is unknown. MPA was titrated upward, with the efficacy measure being a decrease in inappropriate behaviors. Use of MPA likely contributed to decreased IH; however, other factors involved in hospitalization could have contributed to improved behavior. While requiring further study, high-dose (100-400 mg/day) oral MPA may represent an effective and well-tolerated treatment option for subjects displaying IH.

  6. Historical photogrammetry: Bird's Paluxy River dinosaur chase sequence digitally reconstructed as it was prior to excavation 70 years ago.

    Science.gov (United States)

    Falkingham, Peter L; Bates, Karl T; Farlow, James O

    2014-01-01

    It is inevitable that some important specimens will become lost or damaged over time, conservation is therefore of vital importance. The Paluxy River dinosaur tracksite is among the most famous in the world. In 1940, Roland T. Bird described and excavated a portion of the site containing associated theropod and sauropod trackways. This excavated trackway was split up and housed in different institutions, and during the process a portion was lost or destroyed. We applied photogrammetric techniques to photographs taken by Bird over 70 years ago, before the trackway was removed, to digitally reconstruct the site as it was prior to excavation. The 3D digital model offers the opportunity to corroborate maps drawn by R.T. Bird when the tracksite was first described. More broadly, this work demonstrates the exciting potential for digitally recreating palaeontological, geological, or archaeological specimens that have been lost to science, but for which photographic documentation exists.

  7. An application of the ground laser scanning to recognise terrain surface deformation over a shallowly located underground excavation

    Science.gov (United States)

    Pilecka, Elżbieta; Szwarkowski, Dariusz

    2017-11-01

    In the Upper Silesian Coal Basin area, there are post-mining sites of shallow exploitation of metal ores and hard coal deposits that reveal discontinuous deformations. Most often, these areas are heavily urbanised and the appearing deformations may be dangerous to the existing building infrastructure. The work, described in this article, presents the results of the research, which aimed to rate the usefulness of laser scanning to recognize discontinuous deformations on surface areas located over shallow mining excavations. Two laser scanning measurements were taken over the course of a few months. The surface area images were compared to identify changes in its deformation, especially those areas located above mining excavations. The tests carried out by the laser scanning method showed that some of the identified discontinuous deformations could have been connected to the shallowly located mining excavations.

  8. Sequential Subterranean Transport of Excavated Sand and Foraged Seeds in Nests of the Harvester Ant, Pogonomyrmex badius.

    Directory of Open Access Journals (Sweden)

    Walter R Tschinkel

    Full Text Available During their approximately annual nest relocations, Florida harvester ants (Pogonomyrmex badius excavate large and architecturally-distinct subterranean nests. Aspects of this process were studied by planting a harvester ant colony in the field in a soil column composed of layers of 12 different colors of sand. Quantifying the colors of excavated sand dumped on the surface by the ants revealed the progress of nest deepening to 2 m and enlargement to 8 L in volume. Most of the excavation was completed within about 2 weeks, but the nest was doubled in volume after a winter lull. After 7 months, we excavated the nest and mapped its structure, revealing colored sand deposited in non-host colored layers, especially in the upper 30 to 40 cm of the nest. In all, about 2.5% of the excavated sediment was deposited below ground, a fact of importance to sediment dating by optically-stimulated luminescence (OSL. Upward transport of excavated sand is carried out in stages, probably by different groups of ants, through deposition, re-transport, incorporation into the nest walls and floors and remobilization from these. This results in considerable mixing of sand from different depths, as indicated in the multiple sand colors even within single sand pellets brought to the surface. Just as sand is transported upward by stages, incoming seeds are transported downward to seed chambers. Foragers collect seeds and deposit them only in the topmost nest chambers from which a separate group of workers rapidly transports them downward in increments detectable as a "wave" of seeds that eventually ends in the seed chambers, 20 to 80 cm below the surface. The upward and downward transport is an example of task-partitioning in a series-parallel organization of work carried out by a highly redundant work force in which each worker usually completes only part of a multi-step process.

  9. Post-excavation analysis of a revised hydraulic model of the Room 209 fracture, URL, Manitoba, Canada

    International Nuclear Information System (INIS)

    Winberg, A.; Tin Chan; Griffiths, P.; Nakka, B.

    1989-10-01

    An excavation response test was conducted in the Room 209 on the 240 m level of the AECL Underground Research Laboratory. Model predictions prior to excavation were made of the geomechanical response of the rock mass and the hydraulic response of an intercepted fracture. The model results were compared with excavation response data collected in a comprehensive instrument array. The work performed has addressed discrepancies between calculated and in-situ measured hydraulic response as part of a post-test analysis. Already existing hydraulic conceptual models of the fracture were revised and any available information was included in the new model. The model reproduced the pre-excavation hydraulic head distribution and hydraulic test results in terms of normalized flow rate within 5% and 75%, respectively. It was also found that the model reproduced the results of cross-hole hydraulic interference tests at least from a qualitative standpoint. The next stage of the modelling addressed the response of the model to a simulation of the excavated pilot tunnel. The preliminary results suggested the presence of a skin of different permeability in a thin zone around the periphery of the tunnel. By altering the permeability in the floor and along the walls and roof of the periphery, a better correspondence between calculated and measured drawdown was obtained. The same also applied for measured groundwater inflow in quantity, though not for the actual distribution on inflow. As probable causes for the interpreted positive skin in the crown and wall, temporary partial unsaturation and propulsion of debris into the fracture were suggested. The negative skin in the floor was interpreted as an effect of the dense and high energy charges used in the excavation process. (authors)

  10. Potentially inappropriate prescribing in institutionalised older patients in Spain: the STOPP-START criteria compared with the Beers criteria

    Directory of Open Access Journals (Sweden)

    Bonet M

    2012-06-01

    Full Text Available Objective: The aims of this study were to identify potentially inappropriate prescribing using the Beers and STOPP criteria. The START criteria were applied to detect prescription omission in the geriatric population. We compared the utility of these criteria in institutionalised older people.Methods: Descriptive study reviewing the medication and clinical records of 81 residents (aged 65 years and more by pharmacists in a nursing home in the Lleida region (Spain.Results: The mean patients’ age was 84 (SD=8 years, with an average of 5 drugs per resident (total prescriptions: 416 medicines. The Beers criteria identified potentially inappropriate medication use in 25% of patients and 48% of patients used at least 1 inappropriate medication according to STOPP criteria. The most frequent potentially inappropriate medications for both criteria were long-acting benzodiazepines and NSAIDs. START detected 58 potential prescribing omissions in 44% of patients. Calcium-vitamin D supplementation in osteoporosis was the most frequent rule (15%, but omissions corresponding to the cardiovascular system implied 23% of patients.Conclusion: The STOPP-START criteria reveal that potentially inappropriate prescribing (PIP is a highly prevalent problem among Spanish nursing home residents, and a statistically significant positive correlation was found between the number of medicines prescribed and the number of PIP detected in this study. The STOPP criteria detect a larger number of PI medications in this geriatric population than the Beers criteria. The prescribing omissions detected by the START criteria are relevant and require intervention. Pharmacists’ review of medications may help identify potentially inappropriate prescribing and, through an interdisciplinary approach, working with physicians may improve prescribing practices among geriatric residents of nursing homes.

  11. The infant food industry and international child health.

    Science.gov (United States)

    Jelliffe, D B; Jelliffe, E F

    1977-01-01

    Declining breast-feeding, with accompanying increased marasmus and diarrhea, has occurred in developing countries because of many factors, including inappropriate health services, new urban life styles, and so forth. The infant food industry must bear a considerable burden of blame as a result of "unethical" advertising. Responses have most recently included various journalistic and legal actions. There is a need for revised roles for the infant food industry, and for mechanisms to monitor intrinsically harmful practices.

  12. Design aspects of the Alpha Repository. V. Suite selection and cost analysis of excavation/hauling systems

    International Nuclear Information System (INIS)

    Zeller, T.J.; Grams, W.H.

    1975-01-01

    The various types of haulage and excavation equipment that may be suitable for use in the development and excavation of the Alpha repository are described with discussion of the advantages, disadvantages, expected costs, availability, and special features of each. The various equipment suites are delineated, and the costs of mining and transportation of the salt are presented and discussed. Individual manufacturers contacted and equipment considered are listed. Most of the equipment is ''off-the-shelf''; however, some manufactuers were contacted that do custom work because of their expertise in salt mining equipment. The costs of custom equipment are comparable to those for standard equipment

  13. Modelling and Analysis of the Excavation Phase by the Theory of Blocks Method of Tunnel 4 Kherrata Gorge, Algeria

    Science.gov (United States)

    Boukarm, Riadh; Houam, Abdelkader; Fredj, Mohammed; Boucif, Rima

    2017-12-01

    The aim of our work is to check the stability during excavation tunnel work in the rock mass of Kherrata, connecting the cities of Bejaia to Setif. The characterization methods through the Q system (method of Barton), RMR (Bieniawski classification) allowed us to conclude that the quality of rock mass is average in limestone, and poor in fractured limestone. Then modelling of excavation phase using the theory of blocks method (Software UNWEDGE) with the parameters from the recommendations of classification allowed us to check stability and to finally conclude that the use of geomechanical classification and the theory of blocks can be considered reliable in preliminary design.

  14. [The annotated research on "Xun du", "Xun li" as seen in excavation of the remains of Western Han dynasty].

    Science.gov (United States)

    Zhang, X

    2001-10-01

    The "Collected Notes of Armed Vehicles of 4th year of Wuku Yong shi" in Han bamboo slips excavated from the remains of Han tomb in Lianyungang, Jiangsu, carries a "Xun du", while a "Xun li" is carried in the Han record paper excavated in the remains of Xuanquan of Han, Dunhuang, Gansu. Both should be "frankincense", being the earliest record of this material, demonstrating that this medicine had been imported at least in early Western Han dynasty. Thus, the record of frankincense should be 300 years ahead of the existing record.

  15. E16 Sandvika-Wøyen - Analysis of tunnel excavation, achieved contour quality and influence of applied initiation system.

    OpenAIRE

    Sklodowska, Anna Maria

    2016-01-01

    The drill and blast excavation method is the most commonly used method for tunnel construction in Norway. In D&B the results from blasting can be evaluated through several factors, such as pull percentage, vibration level and contour quality. The main goal of the thesis was to analyze excavation with a special focus on the quality of the achieved contour and the influence of the applied initiation system. The analysis was performed based on results from the Bjørnegård tunnel, which wa...

  16. A Review and Treatment Selection Model for Individuals with Developmental Disabilities Who Engage in Inappropriate Sexual Behavior.

    Science.gov (United States)

    Davis, Tonya N; Machalicek, Wendy; Scalzo, Rachel; Kobylecky, Alicia; Campbell, Vincent; Pinkelman, Sarah; Chan, Jeffrey Michael; Sigafoos, Jeff

    2016-12-01

    Some individuals with developmental disabilities develop inappropriate sexual behaviors such as public masturbation, disrobing, and touching others in an unwanted sexual manner. Such acts are problematic given the taboo nature of the behaviors and the potential for significant negative consequences, such as restricted community access, injury, and legal ramifications. Therefore, it is necessary to equip caregivers and practitioners with effective treatment options. The purpose of this paper is to review studies that have evaluated behavioral treatments to reduce inappropriate sexual behavior in persons with developmental disabilities. The strengths and weaknesses of each treatment are reviewed, and a model for treatment selection is provided.

  17. RESOURCE SAVING IN CONSTRUCTION INDUSTRY WITH HIGHWAY BRANCH AS EXAMPLE

    OpenAIRE

    A. V. Roudensky

    2011-01-01

    Consumption of energy is an objective (independent on cost fluctuations) technical efficiency criterion of any construction or repair work. Highway/road (particularly bituminous pavement) sector is an important construction industry part. Bituminous road pavement construction consists of such components as excavation and preparation of basic materials, manufacture of mixes, ready mix laying/compacting and transportation of all materials. Average energy consumption for every bituminous pavemen...

  18. Industrial chimney monitoring - contemporary methods

    Science.gov (United States)

    Kaszowska, Olga; Gruchlik, Piotr; Mika, Wiesław

    2018-04-01

    The paper presents knowledge acquired during the monitoring of a flue-gas stack, performed as part of technical and scientific surveillance of mining activity and its impact on industrial objects. The chimney is located in an area impacted by mining activity since the 1970s, from a coal mine which is no longer in existence. In the period of 2013-16, this area was subject to mining carried out by a mining entrepreneur who currently holds a license to excavate hard coal. Periodic measurements of the deflection of the 113-meter chimney are performed using conventional geodetic methods. The GIG used 3 methods to observe the stack: landbased 3D laser scanning, continuous deflection monitoring with a laser sensor, and drone-based visual inspections. The drone offered the possibility to closely inspect the upper sections of the flue-gas stack, which are difficult to see from the ground level.

  19. Displacement Forecasting Method in Brittle Crack Surrounding Rock Under Excavation Unloading Incorporating Opening Deformation

    Science.gov (United States)

    Li, X. J.; Yang, W. M.; Wang, L. G.; Butler, I. B.

    2014-11-01

    Splitting failure, which is recognized as a special engineering geology phenomenon, occurs continually in the brittle rock mass of caverns during underground excavation. In this paper, a splitting model of linear slippage crack groups is built with fracture mechanics, energy analysis, and crack extension theories. Considering intrinsic cracks in rock mass and change of outer stress, intrinsic cracks propagate into macroscopical splitting cracks that are approximately parallel to the side wall of caverns. The splitting criterion of cavern rock mass and the method for predicting displacement in view of splitting opening displacement are proposed. In the end, the forecasting method is applied to the Jinping-I Hydropower Station, underground caverns engineering in China, the splitting failure zone and forecasting displacement are accordant with the monitoring data. The new forecasting displacement method is proven to contribute to the construction of similar underground caverns.

  20. Study on the provenance of ancient porcelain excavated in Maojiawan ruin by WDXRF analysis

    International Nuclear Information System (INIS)

    Xie Guoxi

    2007-01-01

    In order to determine the provenance of two different kinds of ancient celadons which were excavated in Maojiawan ruin located in Beijing of China and named FLQ (imitated celadon) and WLNQ which is celadon outside and blue-white inside, ten components of each sample's body and glaze were measured by the wave length dispersive X-ray fluorescence (WDXRF) analysis. Multivariates statistical analysis was used to analyze and compare the experiment data with those of LQY (ancient celadon) made in Zhejiang and ancient Jingdezhen porcelain (JDZ) made in Jingdezhen. The results show that the two different kinds of ancient celadons have the same provenance as JDZ, that is, they were produced in Jingdezhen. (authors)