WorldWideScience

Sample records for incidental finding lca

  1. [Incidental finding of proteinuria].

    Science.gov (United States)

    Galle, J

    2014-10-01

    A positive signal when testing urine for proteinuria is a frequent finding, either in the context of a routine medical check-up or when searching for a specific renal disorder. This brief overview aims to provide assistance in the classification of proteinuria and to provide guidance to the next diagnostic and therapeutic steps. The normal urine protein loss of a healthy adult is less then 150 mg/day. Higher rates of proteinuria should be confirmed as this is often a sign of glomerular or tubular damage. In addition, proteinuria is a strong prognostic factor for cardiovascular and total mortality. Principally, proteinuria is 1) a symptom of renal diseases, 2) a progression factor for renal diseases and 3) a risk factor for cardiovascular diseases and total mortality. In this article proteinuria is defined, the correlation to various renal diseases is described and the relevance for progression of renal diseases and total mortality is shown. Finally, diagnostic procedures are described and a perspective on therapeutic measures is provided.

  2. Autosomal Dominant Polycystic Kidney Disease, incidental finding ...

    African Journals Online (AJOL)

    Introduction: Pre-existing renal lesions predispose kidneys to effects of otherwise insignificant blunt trauma, and may uncommonly present as an incidental finding in the workup of a suspected renal injury. Observation: This is a case report of a 28-year-old male diagnosed incidentally with Autosomal Dominant Polycystic ...

  3. Fetal MRI: incidental findings in the mother

    Energy Technology Data Exchange (ETDEWEB)

    Abdullah, Selwan B. [University of Maryland Medical Center, Diagnostic Radiology and Nuclear Medicine, Baltimore, MD (United States); University of Minnesota, Medical School, Minneapolis, MN (United States); Dietz, Kelly R.; Holm, Tara L. [University of Minnesota, Department of Radiology, Minneapolis, MN (United States)

    2016-11-15

    Fetal magnetic resonance imaging (MRI) is a routinely used tool in prenatal diagnosis; however, there is a lack of studies evaluating incidental findings observed in the mother. This study describes and quantifies incidental findings observed in the mother during fetal MRI. We reviewed all fetal MRI studies at the University of Minnesota Medical Center from February 2008 to September 2014. Two pediatric radiologists retrospectively conducted a consensus evaluation. The maternal findings were categorized into neurologic, gynecologic, urinary, gastrointestinal and musculoskeletal. Hydronephrosis consistent with the stage of pregnancy was recorded but was not included as an abnormal finding. Abnormal findings were classified into three groups, depending on their clinical significance: level I (low), level II (medium) and level III (high). We evaluated 332 pregnant patients with a mean age of 29.3 years and a mean gestational age of 29 weeks. Of these, 55.4% had at least 1 incidental finding, for a total of 262 incidental maternal findings. Of the 262 abnormalities, 113 (43.1%) were neurologic, 69 were gynecologic (26.3%), 36 (13.7%) urinary, 24 (9.2%) gastrointestinal and 20 (7.6%) musculoskeletal. Of the 262 incidental findings, 237 (90.5%) were level I, 24 (9.2%) were level II and 1 (0.4%) was level III. Our results suggest that although the vast majority of incidental maternal findings are benign, more significant findings are still encountered and should be expected. (orig.)

  4. Renal Myxoma, an Incidental Finding

    Directory of Open Access Journals (Sweden)

    Parth Thakker

    2017-07-01

    Full Text Available Myxomas are mesenchymal tumors commonly found in the heart and skin. Renal myxomas are rare, having only been documented 14 times. Our case is a 55-year-old woman who presented to our clinic after a right renal mass was incidentally found on CT. Evaluation with MRI showed a mass that appeared to arise from the supero-medial cortex of the right kidney. As the imaging was concerning for renal cell carcinoma, the patient underwent a partial nephrectomy. Microscopic examination showed a well-circumscribed mass with polygonal to spindle-shaped cells in a granular eosinophilic cytoplasm. Immunohistochemical staining for CD-10, Desmin, HMB-45, and Pankeratin were negative.

  5. Incidental Cardiac Findings on Thoracic Imaging.

    LENUS (Irish Health Repository)

    Kok, Hong Kuan

    2013-02-07

    The cardiac structures are well seen on nongated thoracic computed tomography studies in the investigation and follow-up of cardiopulmonary disease. A wide variety of findings can be incidentally picked up on careful evaluation of the pericardium, cardiac chambers, valves, and great vessels. Some of these findings may represent benign variants, whereas others may have more profound clinical importance. Furthermore, the expansion of interventional and surgical practice has led to the development and placement of new cardiac stents, implantable pacemaker devices, and prosthetic valves with which the practicing radiologist should be familiar. We present a collection of common incidental cardiac findings that can be readily identified on thoracic computed tomography studies and briefly discuss their clinical relevance.

  6. Color vision and fatigue: an incidental finding.

    Science.gov (United States)

    Hovis, Jeffery K; Ramaswamy, Shankaran

    2007-11-01

    Because there is little information available as to how fatigue and color vision interact, we present some incidental findings on how a protanope and a color-normal perform on several color vision tests after 1 night of sleep deprivation. A series of clinically and occupationally based color vision tests were administered to a protanope and a color-normal subject after they had stayed awake all night and after a regular night's sleep. There was essentially no change in their performance on the clinical color vision tests; however, both did worse on the occupationally based color vision tests after 1 night of sleep deprivation. The color-normal made numerous errors in identifying colors displayed on a video display terminal, whereas the protanope had a large increase in errors on the CN Lantern Test. Both subjects passed these respective tests after a regular night's sleep. The primary reason for color-normal's poor performance on the video display terminal test was probably due to a decrement in his visuo-motor control rather than a loss in color discrimination. In contrast, the protanope's poor performance on the lantern test was probably due to the additive effects of the inherent limitations of his visual system and fatigue.

  7. Research malpractice and the issue of incidental findings.

    Science.gov (United States)

    Milstein, Alan C

    2008-01-01

    Human subject research involving brain imaging is likely to reveal significant incidental findings of abnormal brain morphology. Because of this fact and because of the fiduciary relationship between researcher and subject, board-certified or board-eligible radiologists should review the scans to look for any abnormality, the scans should be conducted in accordance with standard medical practice for reviewing the clinical status of the whole brain, and the informed consent process should disclose the possibility that incidental findings may be revealed and what consequences will follow. In the event such findings are revealed, qualified physicians should explain to the subject the significance of the findings and the alternatives available.

  8. Patients' views on incidental findings from clinical exome sequencing

    Directory of Open Access Journals (Sweden)

    Kristin E. Clift

    2015-03-01

    Full Text Available This article characterizes the opinions of patients and family members of patients undergoing clinical genomic-based testing regarding the return of incidental findings from these tests. Over sixteen months, we conducted 55 in-depth interviews with individuals to explore their preferences regarding which types of results they would like returned to them. Responses indicate a diversity of attitudes toward the return of incidental findings and a diversity of justifications for those attitudes. The majority of participants also described an imperative to include the patient in deciding which results to return rather than having universal, predetermined rules governing results disclosure. The results demonstrate the importance of a patient centered-approach to returning incidental findings.

  9. Incidental findings in musculoskeletal radiology; Zufallsbefunde in der muskuloskeletalen Radiologie

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    Wuennemann, F.; Rehnitz, C.; Weber, M.A. [Universitaetsklinikum Heidelberg, Klinik fuer Diagnostische und Interventionelle Radiologie, Heidelberg (Germany)

    2017-04-15

    Increasing numbers of conventional X-rays, computed tomography and magnetic resonance imaging in the inpatient, outpatient and scientific routine leads to an increasing number of incidental findings. The correct interpretation of these incidental findings with respect to the relevance and the evaluation concerning further work-up is an important task of radiologists. Description of common incidental findings in musculoskeletal imaging and their clinical classification. A PubMed literature search was performed using the following terms: incidental findings, population-based imaging, musculoskeletal imaging, non-ossifying fibroma, enchondroma, osteodystrophia deformans, chondrosarcoma, fibrous dysplasia, simple bone cyst, unicameral bone cyst, solitary bone cyst, aneurysmal bone cyst, vertebral hemangioma, bone island, osteopoikilosis, Tarlov cyst and diffuse idiopathic skeletal hyperostosis (DISH). Incidental findings are observed in up to 40% of imaging procedures. In up to 6% these incidental findings involve the skeletal system. Common incidental findings are discussed and their clinical relevance is explained. (orig.) [German] Mit steigender Menge an konventionellen Roentgen- sowie CT- und MRT-Bildern im stationaeren, ambulanten und wissenschaftlichen Alltag steigt unweigerlich auch die Zahl der Zufallsbefunde. Die korrekte Einordnung bzgl. deren Relevanz, ob eine weitere Abklaerung notwendig ist oder nicht, stellt eine wichtige Aufgabe des Radiologen dar. Vorstellung haeufiger Zufallsbefunde des muskuloskeletalen Systems und deren klinische Einordnung. Pubmed-Literaturrecherche zu den Stichworten ''incidental findings'', ''population-based imaging'', ''musculoskeletal imaging'', ''non-ossifying fibroma'', ''enchondroma'', ''osteodysthrophia deformans'', ''chondrosarcoma'', ''fibrous dysplasia'', &apos

  10. Renal arterial aneurysm--an incidental finding at autopsy.

    Directory of Open Access Journals (Sweden)

    Vaideeswar P

    1998-01-01

    Full Text Available Herein we describe a rare case of saccular renal artery aneurysm seen as an incidental autopsy finding in an elderly, hypertensive female. The aneurysm was seen as a small exophytic mass with calcified wall and lumen occluded by recanalized thrombus.

  11. Incidental finding of hypertension and diminished femoral pulses ...

    African Journals Online (AJOL)

    2012-06-08

    Jun 8, 2012 ... Case Study: Incidental finding of hypertension and diminished femoral pulses. 168. Vol 55 No 2. S Afr Fam Pract 2013. Introduction. Coarctation of the aorta is ... Surgery of the aorta and its branches. Philadelphia: WB Saunders Company, 2000; p. 3-10. 2. Rao PS. Coarctation of the aorta. Curr Cardiol Rep.

  12. Incidental finding of hypertension and diminished femoral pulses ...

    African Journals Online (AJOL)

    Incidental finding of hypertension and diminished femoral pulses: short-segment stenosis of the aorta just distal to the origin of the left subclavian artery. ... Young patients may present within the first few weeks of life with poor feeding, tachypnea and lethargy. They usually progress to overt congestive heart failure and shock.

  13. Incidental findings in chest X-rays; Zufallsbefunde im Roentgenthorax

    Energy Technology Data Exchange (ETDEWEB)

    Wielpuetz, M.O.; Kauczor, H.U. [Universitaetsklinikum Heidelberg, Klinik fuer Diagnostische und Interventionelle Radiologie, Heidelberg (Germany); Universitaet Heidelberg, Translational Lung Research Center (TLRC), Deutsches Zentrum fuer Lungenforschung (DZL), Heidelberg (Germany); Universitaetsklinikum Heidelberg, Klinik fuer Diagnostische und Interventionelle Radiologie mit Nuklearmedizin, Thoraxklinik, Heidelberg (Germany); Weckbach, S. [Universitaetsklinikum Heidelberg, Klinik fuer Diagnostische und Interventionelle Radiologie, Heidelberg (Germany); Universitaet Heidelberg, Translational Lung Research Center (TLRC), Deutsches Zentrum fuer Lungenforschung (DZL), Heidelberg (Germany)

    2017-04-15

    Conventional projection radiography (chest x-ray) is one of the most frequently requested procedures in radiology. Even though chest x-ray imaging is frequently performed in asymptomatic patients for preoperative assessment, clinically relevant incidental findings are relatively scarce. This is due to the relatively low sensitivity of chest x-rays where few clinically relevant incidental findings are to be expected, as any detectable pathologies will as a rule already be clinically symptomatic. Recommendations from relevant societies for the management of incidental findings, apart from the clarification of incidental nodules, do not exist. This review article therefore describes the most frequent and typical incidental findings of lung parenchyma (apart from pulmonary nodules), mediastinal structures including the hilum of the lungs, pleura, chest wall and major vessels. Also described are those findings which can be diagnosed with sufficient certainty from chest x-rays so that further clarification is not necessary and those which must be further clarified by multislice imaging procedures or other techniques. (orig.) [German] Eine der haeufigsten Untersuchungen in der Radiologie ist die konventionelle Projektionsradiographie des Thorax (Roentgenthorax). Auch wenn projektionsradiographische Aufnahmen im Rahmen einer praeoperativen Abklaerung haeufig als orientierende Untersuchung angefertigt werden, sind - bedingt durch die relativ geringe Sensitivitaet des Roentgenthorax - wenig klinisch relevante Zufallsbefunde zu erwarten, da nachweisbare Pathologien in der Regel bereits auch klinisch apparent sind. Empfehlungen entsprechender Fachgesellschaften zu Zufallsbefunden im Roentgenthorax jenseits der Abklaerung von Rundherden liegen nicht vor. Die vorliegende Arbeit beleuchtet daher haeufige und typische Zufallsbefunde des Lungenparenchyms (ausser den Lungenrundherden), der mediastinalen Strukturen einschliesslich der Hili, der Pleura, der Thoraxwand sowie der

  14. Incidental MRI findings of acute gadolinium hypersensitivity.

    Science.gov (United States)

    Amene, C; Yeh-Nayre, L A; Dory, C E; Crawford, J R

    2012-01-01

    A 13-year-old girl with a remote history of juvenile pilocytic astrocytoma developed acute onset flushing, tachycardia and shortness of breath immediately following administration of gadopentetate dimeglumine during routine brain MRI that subsided following intravenous diphenhydramine. A retrospective review of the MRI results revealed multiple areas of contrast enhancement of the face, consistent with observed urticaria. The patient received pretreatment medications prior to subsequent gadolinium injections without incident. Gadolinium allergy is extremely rare and has been reported in less than 0.1% of injections. However, in patients who undergo anesthesia for MRI studies, similar subtle extracranial MRI findings should alert the neuroradiologist to possible gadolinium allergy that may warrant premedication prior to future injections.

  15. Incidental MRI Findings in Patients with Impaired Cognitive Function

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    Hwang, Yoon Joon [Dept. of Radiology, College of Medicine, Inje University, Ilsan Paik Hospital, Goyang (Korea, Republic of)

    2013-01-15

    This study aims to evaluate the incidental findings on brain MRI of patients with cognitive function impairments. We analyzed magnetic resonance (MR) findings of 236 patients with decreased cognitive function. MR protocols include conventional T2 weighted axial images, fluid attenuated inversion recovery axial images, T1 weighted coronal 3-dimensional magnetization-prepared rapid acquisition of gradient echo and diffusion tensor images. We retrospectively evaluated the signal changes that suggest acute/subacute infarction and space occupying lesions which show mass effect. Incidental MR findings were seen in 16 patients. Nine patients (3.8%) showed increased signal intensity on trace map of diffusion tensor images suggesting acute/subacute infarctions. Space occupying lesions were detected in 7 patients, and 3 lesions (1.27%) had mass effect and edema and were considered clinically significant lesions that diminish cognitive functions. Several incidental MR findings were detected in patients with decreased cognitive function, and the incidence of aucte/subacute infarctions were higher. Proper evaluations of MRI in patients with impaired cognitive functions will be helpful in early detection and management of ischemic lesions and space occupying lesions.

  16. Incidental findings, genetic screening and the challenge of personalisation

    Directory of Open Access Journals (Sweden)

    Carlo Petrini

    2014-12-01

    Full Text Available Genetic tests frequently produce more information than is initially expected. Several documents have addressed this issue and offer suggestions regarding how this information should be managed and, in particular, concerning the expedience of revealing (or not revealing it to the persons concerned. While the approaches to the management of these incidental findings (IFs vary, it is usually recommended that the information be disclosed if there is confirmed clinical utility and the possibility of treatment or prevention. However, this leaves unsolved some fundamental issues such as the different ways of interpreting "clinical utility", countless sources of uncertainty and varying ways of defining the notion of "incidental". Guidelines and other reference documents can offer indications to those responsible for managing IFs but should not be allowed to relieve researchers and healthcare professionals of their responsibilities.

  17. Managing incidental findings in human subjects research: analysis and recommendations.

    Science.gov (United States)

    Wolf, Susan M; Lawrenz, Frances P; Nelson, Charles A; Kahn, Jeffrey P; Cho, Mildred K; Clayton, Ellen Wright; Fletcher, Joel G; Georgieff, Michael K; Hammerschmidt, Dale; Hudson, Kathy; Illes, Judy; Kapur, Vivek; Keane, Moira A; Koenig, Barbara A; Leroy, Bonnie S; McFarland, Elizabeth G; Paradise, Jordan; Parker, Lisa S; Terry, Sharon F; Van Ness, Brian; Wilfond, Benjamin S

    2008-01-01

    No consensus yet exists on how to handle incidental findings (IFs) in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are findings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed.

  18. Clinical management of incidental findings on pelvic adnexal masses

    Directory of Open Access Journals (Sweden)

    Daniel Spadoto Dias

    2015-10-01

    Full Text Available Summary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment.

  19. Incidental cardiac findings on computed tomography imaging of the thorax

    Directory of Open Access Journals (Sweden)

    El-Gendi Hossam

    2010-12-01

    Full Text Available Abstract Background Investigation of pulmonary pathology with computed tomography also allows visualisation of the heart and major vessels. We sought to explore whether clinically relevant cardiac pathology could be identified on computed tomography pulmonary angiograms (CTPA requested for the exclusion of pulmonary embolism (PE. 100 consecutive CT contrast-enhanced pulmonary angiograms carried out for exclusion of PE at a single centre were assessed retrospectively by two cardiologists. Findings Evidence of PE was reported in 5% of scans. Incidental cardiac findings included: aortic wall calcification (54%, coronary calcification (46%, cardiomegaly (41%, atrial dilatation (18%, mitral annulus calcification (15%, right ventricular dilatation (11%, aortic dilatation (8% and right ventricular thrombus (1%. Apart from 3 (3% reports describing cardiomegaly, no other cardiac findings were described in radiologists' reports. Other reported pulmonary abnormalities included: lung nodules (14%, lobar collapse/consolidation (8%, pleural effusion (2%, lobar collapse/consolidation (8%, emphysema (6% and pleural calcification (4%. Conclusions CTPAs requested for the exclusion of PE have a high yield of cardiac abnormalities. Although these abnormalities may not have implications for acute clinical management, they may, nevertheless, be important in long-term care.

  20. Incidental findings detected on abdomino-pelvic multidetector computed tomography performed in the acute setting.

    Science.gov (United States)

    Shuaib, Waqas; Waqas, Shuaib; Johnson, Jamlik-Omari; Salastekar, Ninad; Maddu, Kiran K; Khosa, Faisal

    2014-01-01

    The objective of the study is to determine the prevalence and significance of incidental findings in patients with a chief complaint of abdominal pain presenting to the emergency department (ED) who received abdomino-pelvic multidetector computed tomography. We conducted a retrospective review of data collected for 290 patients over a period of 5 months (April to September 2012) from 3 different university-affiliated EDs. Two board-certified radiologists reviewed the original images independently and recorded the incidental findings. These findings were classified as benign, indeterminate, and worrisome. Only those findings present in the original report were included in the study. If an indeterminate or worrisome incidental finding was identified, the patient's medical records were reviewed to determine if the incidental finding was previously known, whether recommendation was made for further evaluation, and whether this recommendation led to any change in management. We identified 283 incidental findings—144 benign (51%), 114 indeterminate (40%), and 25 worrisome (9%) findings. A statistically significant difference was observed in the percentage of patients who experienced a change in management among those who received recommendations as compared with those who did not, in both previously known (87% vs 22%, P=.001) and previously unknown (70% vs 2%, P=.001) indeterminate findings. Unlike benign incidental findings, indeterminate and worrisome findings frequently alter the course of management. Recommendation from radiologists appears to significantly contribute to the management of indeterminate incidental findings.

  1. Management of intracranial incidental findings on brain MRI; Management intrakranieller Zufallsbefunde in der MRT-Bildgebung

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    Langner, S.; Buelow, R.; Kirsch, M. [University Medicine Greifswald (Germany). Inst. for Diagnostic Radiology and Neuroradiology; Fleck, S. [University Medicine Greifswald (Germany). Dept. of Neurosurgery; Angermaier, A. [University Medicine Greifswald (Germany). Dept. of Neurology

    2016-12-15

    The wider use of MRI for imaging of the head in both research and clinical practice has led to an increasing number of intracranial incidental findings. Most of these findings have no immediate medical consequences. Nevertheless, knowledge of common intracranial incidental findings and their clinical relevance is necessary to adequately discuss the findings with the patient. Based on the author's experiences from a large population-based study, the most common incidental MR findings in the brain will be presented, discussing their clinical relevance and giving recommendations for management according to the current literature and guidelines.

  2. Accessory hepatic lobe in right lumbar region - an incidental finding.

    Science.gov (United States)

    Shrestha, M K; Ghartimagar, D; Ghosh, A

    2014-01-01

    An accessory lobe of liver is a rare congenital anomaly which can be detected incidentally or can even present as acute surgical emergency due to torsion. We report a case of accessory hepatic lobe in right lumbar region in a 21years old female who came for a ultrasound abdomen for lower abdominal pain. We report the importance of ultrasonography and Computed Tomogram (CT) scan for the diagnosis of accessory hepatic lobe.

  3. LCA Cookbook

    DEFF Research Database (Denmark)

    Hauschild, Michael Z.; Bjørn, Anders

    2017-01-01

    The LCA cookbook presents the provisions and actions from the ILCD Handbook that are central in the performance of an LCA. The selection is intended to cover all those activities that an LCA practitioner needs to undertake in a typical process-LCA , and the presentation follows the normal progres...

  4. Incidental findings at MRI-enterography in patients with suspected or known Crohn's disease

    DEFF Research Database (Denmark)

    Jensen, Michael Dam; Nathan, Torben; Kjeldsen, Jens

    2010-01-01

    AIM: To determine the frequency and clinical impact of incidental findings detected with magnetic resonance imaging (MRI)-enterography in patients with suspected or known Crohn's disease (CD). METHODS: Incidental findings were defined as unexpected lesions outside the small intestine, not previou......AIM: To determine the frequency and clinical impact of incidental findings detected with magnetic resonance imaging (MRI)-enterography in patients with suspected or known Crohn's disease (CD). METHODS: Incidental findings were defined as unexpected lesions outside the small intestine......, not previously known or suspected at the time of referral, and not related to inflammatory bowel disease. Through a systematic review of medical charts we analyzed the clinical impact of incidental findings, and compared the MRI findings with subsequent diagnostic procedures. RESULTS: A total of 283 patients...... were included in the analysis, and MRI detected active CD in 31%, fistula in 1.4% and abscess in 0.7%. Extra-intestinal findings not related to CD were recorded in 72 patients (25%), of which 58 patients (20%) had 74 previously unknown lesions. Important or incompletely characterized findings were...

  5. Incidental findings on computed tomography scans in children with mild head trauma.

    Science.gov (United States)

    Ortega, Henry W; Vander Velden, Heidi; Reid, Samuel

    2012-09-01

    Computed tomography (CT) scans are frequently used in managing traumatic brain injuries in children. To assess incidental findings in children with head trauma undergoing CT scan and to describe any associated clinical ramifications. Retrospective review of 524 children treated in 2 emergency departments for closed head injury who received a CT scan. Overall, 137 (26.2%) patients had an incidental finding on CT scan. The most common incidental finding was sinus opacification with an air fluid level (115/137, 83.9%). Thirty-five interventions were reported in children with incidental findings. Children 2 years old or younger were more likely to receive a prescription for antibiotics (relative risk [RR] = 2.66, 95% confidence interval [CI] = 1.08-6.51) and be referred to a specialist (RR = 10.26, 95% CI = 3.56-29.56) than older children. Incidental findings in minor head trauma are common. Clinicians should be prepared to address these findings if clinically indicated.

  6. Clinically relevant incidental cardiovascular findings in CT examinations; Klinisch relevante kardiovaskulaere Zufallsbefunde bei CT-Untersuchungen

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    Voigt, P.; Fahnert, J.; Kahn, T.; Surov, A. [Universitaetsklinikum Leipzig, Klinik fuer Diagnostische und Interventionelle Radiologie, Leipzig (Germany); Schramm, D.; Bach, A.G. [Universitaetsklinikum Halle (Saale), Klinik fuer Radiologie, Halle (Germany)

    2017-04-15

    Incidental cardiovascular findings are a frequent phenomenon in computed tomography (CT) examinations. As the result of a dedicated PubMed search this article gives a systemic overview of the current literature on the most important incidental cardiovascular findings, their prevalence and clinical relevance. The majority of incidental cardiovascular findings are of only low clinical relevance; however, highly relevant incidental findings, such as aortic aneurysms, thromboses and thromboembolic events can also occasionally be found, especially in oncology patients. The scans from every CT examination should also be investigated for incidental findings as they can be of decisive importance for the further clinical management of patients, depending on their clinical relevance. (orig.) [German] Inzidentelle kardiovaskulaere Befunde sind ein haeufiges Phaenomen bei CT-Untersuchungen. Mit dieser Arbeit soll nach gezielter PubMed-Recherche ein systematischer Literaturueberblick ueber die wichtigsten kardiovaskulaeren Zufallsbefunde sowie deren Haeufigkeit und klinische Relevanz gegeben werden. Die Mehrzahl der inzidentellen kardiovaskulaeren Befunde sind klinisch nur von untergeordneter Bedeutung, allerdings werden immer wieder auch hochgradig relevante Zufallsbefunde wie beispielsweise Aortenaneurysmata oder - gerade bei onkologischen Patienten - Thrombosen und thrombembolische Ereignisse detektiert. Jede CT-Untersuchung sollte gezielt nach inzidentellen Befunden durchsucht werden, da diese je nach klinischer Relevanz von entscheidender Bedeutung fuer das weitere klinische Management des Patienten sein koennen. (orig.)

  7. Clinical magnetic resonance imaging. Frequent incidental cerebral findings; Klinische Magnetresonanztomographie. Haeufige zerebrale Zufallsbefunde

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    Mueller, A.; Ditter, P.; Schild, H.H.; Hattingen, E. [Universitaetsklinikum Bonn, Funktionseinheit Neuroradiologie der Klinik fuer Radiologie, Bonn (Germany); Weidauer, S. [St.-Katharinen-Krankenhaus, Neurologische Klinik, Frankfurt/M (Germany)

    2017-04-15

    The increasing use of magnetic resonance imaging (MRI) in clinical diagnostics means that patients and physicians are confronted more often with incidental findings. In the literature there are fluctuating data on the incidence of such findings and guidelines concerning the further procedure exist in only very few cases, such as incidental aneurysms and pituitary adenomas. The diagnostic and therapeutic implications which can be derived from incidental findings depend on multiple factors, such as anatomical location, patient age, comorbidity and patient wishes. For this reason it often makes sense to refer patients with incidental findings to an interdisciplinary neurological center at an early stage. In this review frequent incidental cerebral findings, epidemiological data, imaging criteria and, where possible, recommendations for the further procedure are shown. (orig.) [German] Durch den gehaeuften Einsatz der MRT in der zerebralen Diagnostik werden Arzt und Patienten in zunehmendem Masse mit Zufallsbefunden, auch Nebenbefunde genannt, konfrontiert. In der Literatur existieren sehr schwankende Angaben zur Haeufigkeit solcher Zufallsbefunde. Nur fuer einzelne dieser Befunde, wie z. B. das inzidentelle Aneurysma oder das Hypophysenadenom, existieren Leitlinien fuer das weitere Prozedere. Die aus einem Zufallsbefund abzuleitenden diagnostischen und therapeutischen Konsequenzen sind von vielen Faktoren, wie z. B. der anatomischen Lage, dem Patientenalter, den Komorbiditaeten und dem Patientenwunsch abhaengig. Daher ist es oft sinnvoll, den Patienten mit einem Zufallsbefund fruehzeitig in einem interdisziplinaeren Neurozentrum vorzustellen. In der vorliegenden Arbeit werden haeufige zerebrale Zufallsbefunde mit epidemiologischen Daten, bildgebenden Kriterien und - wenn moeglich - Empfehlungen bzgl. des weiteren Vorgehens gezeigt. (orig.)

  8. Whole-body MRI in neurofibromatosis: incidental findings and prevalence of scoliosis

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    Jaremko, Jacob L.; MacMahon, Peter J.; Torriani, Martin; Bredella, Miriam A. [Massachusetts General Hospital and Harvard Medical School, Musculoskeletal Imaging and Intervention, Department of Radiology, Boston, MA (United States); Merker, Vanessa L.; Plotkin, Scott R. [Massachusetts General Hospital, Department of Neurology and Cancer Center, Boston, MA (United States); Mautner, Victor F. [University Medical Center Hamburg-Eppendorf, Department of Neurology, Hamburg (Germany)

    2012-08-15

    To demonstrate incidental findings and scoliosis on whole-body MRI (WBMRI) in patients with neurofibromatosis type 1 and 2 (NF1 and NF2, respectively), and schwannomatosis. Institutional review board approval and written informed consent were obtained for this prospective HIPAA-compliant study. A total of 247 subjects (141 with NF1, 55 with NF2, 51 with schwannomatosis; 132 women (53.5%); mean age, 41 years, range, 18-97 years) underwent WBMRI using coronal STIR (TR/TE: 4190/111 ms, TI: 150 ms) and T1-weighted images (TR/TE: 454/10 ms), 10-mm slice thickness, imaging time {proportional_to}40 min. Images were reviewed for the presence of incidental findings, outside of nerve sheath tumors. The presence of scoliosis was recorded and curve morphology was assessed and quantified. Incidental findings other than scoliosis were recorded in 104/247 (42%) patients, most often affecting the musculoskeletal system (65/247 patients, 26%). We found 16/247 (6.5%) significant incidental findings likely to affect clinical management, including avascular necrosis of bone in eight patients (five with NF2), eight insufficiency fractures, and four non-neurogenic neoplasms (Hodgkin's lymphoma, liposarcoma, dermoid cyst, large uterine myoma requiring excision). Scoliosis was seen in 50/247 patients (20%), including 8/55 with NF2 (15%) and 11/51 with schwannomatosis (22%). Incidental findings in the neurofibromatoses frequently involve the skeleton. Given the relatively high incidence of unsuspected osteonecrosis and stress fractures, close attention to the skeleton on WBMRI is advised. In addition, knowledge of common incidental findings can help clinicians prepare patients who undergo WBMRI for potential unexpected findings. (orig.)

  9. Ethical and Practical Considerations in the Management of Incidental Findings in Pediatric MRI Studies

    Science.gov (United States)

    Kumra, Sanjiv; Ashtari, Manzar; Anderson, Britt; Cervellione, Kelly L.; Kan, Li

    2006-01-01

    Objective: The authors examined the ethical and practical management issues resulting from the detection of incidental abnormal findings on magnetic resonance imaging (MRI) research studies in healthy pediatric volunteers. Method: A retrospective examination of the findings from 60 clinical reports of research MRI scans from a cohort of healthy…

  10. Incidental findings on cone beam computed tomography scans in cleft lip and palate patients

    NARCIS (Netherlands)

    Kuijpers, Mette A. R.; Pazera, Andrzej; Admiraal, Ronald J.; Berge, Stefaan J.; Vissink, Arjan; Pazera, Pawel

    Cone beam computed tomography (CBCT) is frequently used in treatment planning for alveolar bone grafting (ABG) and orthognathic surgery in patients with cleft lip and palate (CLP). CBCT images may depict coincident findings. The aim of this study was to assess the prevalence of incidental findings

  11. Renal lymphangiectasia: incidental finding at multislice computed tomography and literature review

    Energy Technology Data Exchange (ETDEWEB)

    Vasconcelos, Rodrigo Abdalla de; Pereira, Emanuelle Santiago [Hospital de Base do Distrito Federal (HBDF), Brasilia, DF (Brazil); Bauab Junior, Tufik [Instituto de Radiodiagnostico Rio Preto - Ultra-X and Hospital de Base de Faculdade de Medicina de Sao Jose do Rio Preto (Famerp), Sao Jose do Rio Preto, SP (Brazil); Valente, Rodolfo Silva [Hospital Universitario de Brasilia (HUB), Brasilia, DF (Brazil)

    2012-05-15

    Renal lymphangiectasia is a rare condition characterized by parapyelic and perirenal fluid collections, which may progress from asymptomatic condition to chronic renal failure. The present report describes a case of incidental computed tomography finding of bilateral lymphangiectasia in an asymptomatic patient, as well as the main imaging findings with a comprehensive literature review. (author)

  12. System-Level Process Change Improves Communication and Follow-Up for Emergency Department Patients With Incidental Radiology Findings.

    Science.gov (United States)

    Baccei, Steven J; Chinai, Sneha A; Reznek, Martin; Henderson, Scott; Reynolds, Kevin; Brush, D Eric

    2018-01-03

    The appropriate communication and management of incidental findings on emergency department (ED) radiology studies is an important component of patient safety. Guidelines have been issued by the ACR and other medical associations that best define incidental findings across various modalities and imaging studies. However, there are few examples of health care facilities designing ways to manage incidental findings. Our institution aimed to improve communication and follow-up of incidental radiology findings in ED patients through the collaborative development and implementation of system-level process changes including a standardized loop-closure method. We assembled a multidisciplinary team to address the nature of these incidental findings and designed new workflows and operational pathways for both radiology and ED staff to properly communicate incidental findings. Our results are based on all incidental findings received and acknowledged between November 1, 2016, and May 30, 2017. The total number of incidental findings discovered was 1,409. Our systematic compliance fluctuated between 45% and 95% initially after implementation. However, after overcoming various challenges through optimization, our system reached a compliance rate of 93% to 95%. Through the implementation of our new, standardized communication system, a high degree of compliance with loop closure for ED incidental radiology findings was achieved at our institution. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  13. LCA Applications

    DEFF Research Database (Denmark)

    Owsianiak, Mikołaj; Bjørn, Anders; Laurent, Alexis

    2017-01-01

    The chapter gives examples of applications of LCA by the central societal actors in government, industry and citizens, and discusses major motivations and challenges for the use of LCA to support science-based decision-making from their respective perspectives. We highlight applications of LCA in...

  14. Incidental benign parotid lesions on FDG-PET: prevalence and clinico-pathologic findings

    International Nuclear Information System (INIS)

    Lim, Il Han; Lee, Won Woo; Chung, Jin Haeng; Park, So Yeon; Kim, Yu Kyeong; Kim, Sang Eun

    2007-01-01

    Incidental parotid lesions on F-18 FDG-PET can mimic distant metastasis of underlying malignancy. The prevalence and the clinico-pathologic findings of PET positive parotid lesions have not been known. We investigated how often incidental parotid lesions are found on clinical FDG-PET studies and what the clinico-pathologic characteristics of those parotid lesions are in the present study. We retrospectively reviewed 3, 344 cases of FDG-PET which had been obtained in our hospital from May 2003 to Dec 2006. The indications of FDG-PET were: evaluation of known/suspected cancer (n=3, 212) or screening of cancer in healthy subjects (n=132). Incidental parotid lesion on FDG-PET was defined as an un-expected FDG uptake in one of parotid glands which was not primary target lesion of current FDG-PET. FDG uptake was represented by maximum standardized uptake value (maxSUV). Final diagnosis was made by pathologic analysis or clinical follow-up assessment. Fifteen (0.45% = 15/3, 344) incidental parotid lesions were found and they were all benign lesions. The maxSUV ranged from 1.7 to 8.6 (means.d.=3.71.9). Final diagnoses of the incidental parotid lesions were; Warthin's tumor (n=2), pleomorphic adenoma (n=1), other un-specified benign lesion (n=1), and benign lesions under bases of imaging studies (n=3) and of clinical follow-up (n=8). All of incidentally found parotid lesions in clinical FDG-PET studies were confirmed as benign lesions with prevalence of 0.45%. Close follow up using PET or CT might be a reasonable approach for determining the nature of incidentally found parotid lesions

  15. Incidental finding of dextrocardia with situs inversus totalis in a day ...

    African Journals Online (AJOL)

    Dextrocardia with situs inversus are rare congenital anomalies which can be asymptomatic and compatible with normal life. They are characterized by mirror images of all intra-thoracic and intra-abdominal viscera. Our aim is to report an incidental finding of dextrocardia with situs inversus in a neonate with neonatal sepsis.

  16. Prevalence of incidental findings in paranasal sinus in brain and orbital CT scans in pediatric patients

    Directory of Open Access Journals (Sweden)

    Adriano Ferreira da Silva

    2011-09-01

    Full Text Available In emergency services a significant amount of pediatric patients undergoa brain or orbit CT scans for suspicion other than sinusitis. Assuming thispremise, this study was held to show the incidental findings of the paranasalsinuses of children with nonspecific symptoms such as fever, headache andvomiting that underwent brain or orbits CT scans, without the initial suspicion of sinusitis. In a retrospective study, we evaluated 70 CT scans of the brainand orbits of children between 0 and 12 years. The incidental findings of theparanasal sinuses occurred in 32 cases (45.7%. Mucosal thickening was themost common incidental finding, being observed in 35% of patients, followed bycomplete opacification observed in 28% of cases and incomplete opacificationobserved in 28% of patients. Bilateral involvement occurred in 78% patients.The sinuses most frequently affected were the maxillary sinus followed byethmoid sinuses. The abnormalities were more severe in children under theage of three years. The prevalence of incidental tomographic abnormalities inpatients without an initial diagnosis of sinusitis is high. The predominance ofthese findings are mild abnormalities.

  17. 78 FR 33843 - Request for Comments on Issues Related to Incidental Findings That Arise in the Clinical...

    Science.gov (United States)

    2013-06-05

    ... requesting public comment on the ethical, legal, and social issues raised by incidental findings that arise... specific bioethical, legal, and social issues related to potential scientific and technological advances... have to actively look for certain incidental findings; Best practices, methods, and mechanisms for...

  18. Pseudoxanthoma elasticum and nephrocalcinosis: Incidental finding or an infrequent manifestation?

    Directory of Open Access Journals (Sweden)

    Tirthankar Gayen

    2014-01-01

    Full Text Available Pseudoxanthoma elasticum (PXE is an inherited disorder characterized by generalized fragmentation and progressive calcification of elastic tissue. We report two sporadic cases of PXE, both of whom presented with asymptomatic yellowish papules over the flexural sites for cosmetic reasons. Histopathological findings on hematoxylin and eosin and Verhoeff-Van Gieson (VVG staining were classical of PXE. In addition to this, renal calcification was documented on plain radiography of kidneys, ureters, and bladder (KUB in both the cases. Paucity of literature describing the association of nephrocalcinosis with PXE prompted the present report.

  19. Prevalence of incidental findings on magnetic resonance imaging: Cuban project to map the human brain

    International Nuclear Information System (INIS)

    Hernandez Gonzalez, Gertrudis de los Angeles; Alvarez Sanchez, Marilet; Jordan Gonzalez, Jose

    2010-01-01

    To determine the prevalence of incidental findings in healthy subjects of the Cuban Human Brain Mapping Project sample, it was performed a retrospective descriptive study of the magnetic resonance imaging (MRI) obtained from 394 healthy subjects that make up the sample of the project, between 2006-2007, with an age range of 18 to 68 years (mean 33,12), of which 269 (68,27 %) are male and 125 (31,73 %) are women. It was shown that 40,36 % had one or more anomaly in the magnetic resonance imaging (MRI). In total, the number of incidental findings was 188, 23,6 % of which were brain findings and 24,11 % were non-brain findings, among the latter, were the sinusopathy with 20,81 % and maxillary polyps with 3,30 %. The most prevalent brain findings were: intrasellar arachnoidocele, 11,93 %, followed by the prominence of the pituitary gland, 5,84 %, ventricular asymmetry, 1,77 % and bone defects, 1,02 %. Other brain abnormalities found with very low prevalence had no pathological significance, except for two cases with brain tumor, which were immediately sent to a specialist. Incidental findings in MRI are common in the general population (40,36 %), being the sinusopathy, and intrasellar arachnoidocele the most common findings. Asymptomatic individuals who have any type of structural abnormality provide invaluable information on the prevalence of these abnormalities in a presumably healthy population, which may be used as references for epidemiological studies

  20. Healed perivalvular abscess: Incidental finding on transthoracic echocardiography

    Directory of Open Access Journals (Sweden)

    Vishnu Datt

    2014-01-01

    Full Text Available A 36-year-old male patient presented with the complaints of palpitations and breathlessness. Preoperative transthoracic echocardiography (TTE revealed a bicuspid aortic valve; severe aortic regurgitation with dilated left ventricle (LV and mild LV systolic dysfunction (ejection fraction 50%. He was scheduled to undergo aortic valve replacement. History was not suggestive of infective endocarditis (IE. Preoperative TTE did not demonstrate any aortic perivalvular abscess. Intraoperative transesophageal echocardiography (TEE examination using the mid-esophageal (ME long-axis view, showed an abscess cavity affecting the aortic valve, which initially was assumed to be a dissection flap, but later confirmed to be an abscess cavity by color Doppler examination. The ME aortic valve short-axis view showed two abscesses; one was at the junction of the non-coronary and left coronary commissure and the other one above the right coronary cusp. Intraoperatively, these findings were confirmed by the surgeons. The case report demonstrates the superiority of TEE over TTE in diagnosing perivalvular abscesses.

  1. Empty sella syndrome - beyond being an incidental finding

    Directory of Open Access Journals (Sweden)

    Vikrant Ghatnatti

    2012-01-01

    Full Text Available Introduction: Empty sella is characterized by the herniation of the subarachnoid space within the sella, which is often associated with some degree of flattening of the pituitary gland. This study was undertaken to evaluate the clinical and hormonal profile in patients with empty sella. Aims and Objectives: To evaluate the clinical and hormonal profile of the patients with an empty sella. Materials and Methods: Patients undergoing a CT/MRI at our center, for various reasons but with the finding of the empty sella were included in this study. A detailed history and clinical examination was done. Apart from routine tests, hormonal evaluation included serum thyroid stimulating hormone, T4, cortisol (8 am, prolactin, total testosterone, follicle stimulating hormone, leutinizing hormone, and fasting Insulin like Growth factor 1 (IGF 1 were done. Results: A total of 34 patients, diagnosed radiologically to have empty sella, were evaluated and of them 24 had primary empty sella (PES and 10 had secondary empty sella (SES. In subjects with PES, 12 out of 24 (50% had endocrine dysfunction. The most common endocrine dysfunction noted was hyperprolactinemia, which was seen in 5 (20.8% patients and the most common hormonal deficiency was isolated GH deficiency seen in four patients (12.5%. Conclusion: The high incidence of endocrine abnormalities in patients with PES mandates that these patients should routinely be subjected to endocrine evaluation to detect these deficiencies early, and appropriate replacement instituted where necessary, thus ensuring them of a better quality of life.

  2. Freedom of Choice About Incidental Findings Can Frustrate Participants' True Preferences.

    Science.gov (United States)

    Viberg, Jennifer; Segerdahl, Pär; Langenskiöld, Sophie; Hansson, Mats G

    2016-03-01

    Ethicists, regulators and researchers have struggled with the question of whether incidental findings in genomics studies should be disclosed to participants. In the ethical debate, a general consensus is that disclosed information should benefit participants. However, there is no agreement that genetic information will benefit participants, rather it may cause problems such as anxiety. One could get past this disagreement about disclosure of incidental findings by letting participants express their preferences in the consent form. We argue that this freedom of choice is problematic. In transferring the decision to participants, it is assumed that participants will understand what they decide about and that they will express what they truly want. However, psychological findings about people's reaction to probabilities and risk have been shown to involve both cognitive and emotional challenges. People change their attitude to risk depending on what is at stake. Their mood affects judgments and choices, and they over- and underestimate probabilities depending on whether they are low or high. Moreover, different framing of the options can steer people to a specific choice. Although it seems attractive to let participants express their preferences to incidental findings in the consent form, it is uncertain if this choice enables people to express what they truly prefer. In order to better understand the participants' preferences, we argue that future empirical work needs to confront the participant with the complexity of the uncertainty and the trade-offs that are connected with the uncertain predictive value of genetic risk information. © 2015 John Wiley & Sons Ltd.

  3. An Incidental Finding of the Thyroidea Ima Artery:-A Case Report Study

    Directory of Open Access Journals (Sweden)

    Lalit C. Ratanpara

    2015-12-01

    Full Text Available We are here reporting a case of an incidental finding of the thyroidea ima artery emerging from the brachiocephalic trunk with a typical inferior thyroid vessels on both sides emerging from the thyrocervical trunk. The thyroidea ima artery entered the thyroid gland near to anterior surface of right lobe of thyroid gland. It arose from the brachiocephalic artery proximal to its bifurcation.

  4. CASE REPORT: Papillary Adenoma of Kidney- An Incidental Autopsy Finding: Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Bhakti D. Deshmukh

    2012-01-01

    Full Text Available Background: Renal papillary adenoma is usually an incidental finding at autopsy with an incidence of 7% to 23%. The frequency of small papillary tumours of kidney increases with age to approximately 40% of the population over the age of 65. These tumours occur morefrequently in scarred kidneys, acquired renal cystic disease and in children with von Hippel-Lindau syndrome. Case history: In this report we describe renal papillary adenoma incidentally detected during autopsies of two elderly males. Gross examination of kidneyshowed two tiny subcapsular yellowish nodules in one case and single nodule with similar morphology in the other. Microscopic examination in both the cases showed a well circumscribed tumour composed of densely packed tubules and papillae lined by small cuboidal to columnar cells with rounded uniform nuclei. However there was no nuclear atypia, mitosis or necrosis.

  5. Incidental enchondromas at knee magnetic resonance imaging: intraobserver and interobserver agreement and prevalence of imaging findings

    Directory of Open Access Journals (Sweden)

    Sandra Akemi Nakamura

    2013-06-01

    Full Text Available Objective To evaluate intra- and interobserver agreement in the identification of incidental enchondromas at knee magnetic resonance imaging, and to assess the prevalence of imaging findings. Materials and Methods Retrospective study reviewing 326 knee magnetic resonance images acquired in the period between November 2009 and September 2010. The images were independently and blindly analyzed by two specialists in musculoskeletal radiology, with the objective of identifying incidental enchondromas, presence of foci with signal similar to bone marrow and foci of signal absence suggestive of calcifications within the enchondromas. Inter- and intraobserver agreements were analyzed. Results Eleven lesions compatible with enchondromas (3.3% were identified. The interobserver agreement for the presence of enchondroma was high. Prevalence of foci of bone marrow signal inside the enchondromas was of 54.55%, and foci suggestive of calcification corresponded to 36.36%. The intraobserver agreement for foci of bone marrow signal in enchondromas was perfect, and interobserver agreement was high. Conclusion The prevalence of incidental enchondromas in the current study was compatible with data in the literature. Excellent agreement was observed in the identification of enchondromas and in the assessment of imaging findings. A higher prevalence of fat signal foci was observed as compared with signal absence suggestive of calcifications.

  6. Incidental findings are frequent in young healthy individuals undergoing magnetic resonance imaging in brain research imaging studies

    DEFF Research Database (Denmark)

    Hartwigsen, Gesa; Siebner, Hartwig R; Deuschl, Günther

    2010-01-01

    There is an ongoing debate about how to handle incidental findings (IF) detected in healthy individuals who participate in research-driven magnetic resonance imaging (MRI) studies. There are currently no established guidelines regarding their management....

  7. LCA History

    DEFF Research Database (Denmark)

    Bjørn, Anders; Owsianiak, Mikołaj; Molin, Christine

    2017-01-01

    The idea of LCA was conceived in the 1960s when environmental degradation and in particular the limited access to resources started becoming a concern. This chapter gives a brief summary of the history of LCA since then with a focus on the fields of methodological development, application...... internally and made little communication to stakeholders. After a silent period in the 1970s, the 1980s and 1990s saw an increase in methodological development and international collaboration and coordination in the scientific community and method development increasingly took place in universities....... With the consolidation of the methodological basis, application of LCA widened to encompass a rapidly increasing range of products and systems with studies commissioned or performed by both industry and governments, and results were increasingly communicated through academic papers and industry and government reports...

  8. Organisational LCA

    DEFF Research Database (Denmark)

    Martínez-Blanco, Julia; Finkbeiner, Matthias

    2018-01-01

    The most applied and widespread approaches for environmental assessments at the organisation level have only recently extended their view beyond the factory gates. Even if they now consider the full value chain, they still mostly concentrate on a single environmental aspect like greenhouse gases...... (GHGs). While LCA was originally developed for products, its benefits and potential can be extended to the assessment of organisations. Organisational LCA is built on the principles, requirements and guidelines of ISO 14040 and ISO 14044, but requires some adaptations in the scope and inventory phases......, when the unit of analysis and the system boundaries are defined. Also, the approach for data collection needs to be fixed. Organisational LCA is a compilation and evaluation of the inputs, outputs and potential environmental impacts of the activities associated with the organisation adopting a life...

  9. Societal preferences for the return of incidental findings from clinical genomic sequencing: a discrete-choice experiment.

    Science.gov (United States)

    Regier, Dean A; Peacock, Stuart J; Pataky, Reka; van der Hoek, Kimberly; Jarvik, Gail P; Hoch, Jeffrey; Veenstra, David

    2015-04-07

    An important challenge with the application of next-generation sequencing technology is the possibility of uncovering incidental genomic findings. A paucity of evidence on personal utility for incidental findings has hindered clinical guidelines. Our objective was to estimate personal utility for complex information derived from incidental genomic findings. We used a discrete-choice experiment to evaluate participants' personal utility for the following attributes: disease penetrance, disease treatability, disease severity, carrier status and cost. Study participants were drawn from the Canadian public. We analyzed the data with a mixed logit model. In total, 1200 participants completed our questionnaire (available in English and French). Participants valued receiving information about high-penetrance disorders but expressed disutility for receiving information on low-penetrance disorders. The average willingness to pay was $445 (95% confidence interval [CI] $322-$567) to receive incidental findings in a scenario where clinicians returned information about high-penetrance, medically treatable disorders, but only 66% of participants (95% CI 63%-71%) indicated that they would choose to receive information in that scenario. On average, participants placed an important value ($725, 95% CI $600-$850) on having a choice about what type of findings they would receive, including receipt of information about high-penetrance, treatable disorders or receipt of information about high-penetrance disorders with or without available treatment. The predicted uptake of that scenario was 76% (95% CI 72%-79%). Most participants valued receiving incidental findings, but personal utility depended on the type of finding, and not all participants wanted to receive incidental results, regardless of the potential health implications. These results indicate that to maximize benefit, participant-level preferences should inform the decision about whether to return incidental findings. © 2015

  10. MR imaging of the pelvis: a guide to incidental musculoskeletal findings for abdominal radiologists.

    Science.gov (United States)

    Gaetke-Udager, Kara; Girish, Gandikota; Kaza, Ravi K; Jacobson, Jon; Fessell, David; Morag, Yoav; Jamadar, David

    2014-08-01

    Occasionally patients who undergo magnetic resonance imaging for presumed pelvic disease demonstrate unexpected musculoskeletal imaging findings in the imaged field. Such incidental findings can be challenging to the abdominal radiologist, who may not be familiar with their appearance or know the appropriate diagnostic considerations. Findings can include both normal and abnormal bone marrow, osseous abnormalities such as Paget's disease, avascular necrosis, osteomyelitis, stress and insufficiency fractures, and athletic pubalgia, benign neoplasms such as enchondroma and bone island, malignant processes such as metastasis and chondrosarcoma, soft tissue processes such as abscess, nerve-related tumors, and chordoma, joint- and bursal-related processes such as sacroiliitis, iliopsoas bursitis, greater trochanteric pain syndrome, and labral tears, and iatrogenic processes such as bone graft or bone biopsy. Though not all-encompassing, this essay will help abdominal radiologists to identify and describe this variety of pelvic musculoskeletal conditions, understand key radiologic findings, and synthesize a differential diagnosis when appropriate.

  11. Natural course of asymptomatic abnormal prostate findings incidentally detected by CT after intravesical BCG therapy.

    Science.gov (United States)

    Matsushima, Masashi; Kikuchi, Eiji; Akita, Hirotaka; Miyajima, Akira; Oya, Mototsugu; Jinzaki, Masahiro

    2017-06-01

    Detailed information is not currently available on the incidence, natural course, and management of asymptomatic abnormal prostate findings incidentally detected by radiologic evaluations after BCG therapy for non-muscle-invasive bladder cancer patients. We identified 38 patients who were evaluated by contrast-enhanced CT scans before TUR-BT and after BCG therapy between 2006 and 2012. We evaluated the clinical courses of patients with abnormal radiologic findings of the prostate gland after BCG therapy. Abnormal findings on CT scans were found in the prostate glands of 11 of the 38 patients examined (28.9%), none of whom exhibited any sign or symptom associated with prostatitis. Abnormal findings included a low attenuation area (n = 6, 15.8%), contrast enhancement (n = 3, 7.9%), and a low attenuation area and contrast enhancement in the prostate gland (n = 2, 5.3%). During the follow-up, abnormal prostate findings disappeared spontaneously in most cases without any anti-bacterial or anti-tuberculous drug treatments. No significant differences were observed in patient clinical backgrounds, with the exception of post-BCG prostate volumes, between patients with and without abnormal CT findings. Furthermore, no significant differences were noted in the incidence of the adverse effects of BCG therapy, tumor recurrence rates, or progression rates between patients with and without abnormal CT findings of the prostate gland after BCG therapy. Asymptomatic abnormal prostate findings incidentally detected by CT after BCG therapy are not rare, and these disappear over time during the follow-up period without any treatment.

  12. Incidental finding of a left over guide wire on a positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Yap, Kok Hooi; Lee, Phong Teck; Buch, Mamta; Rammohan, Kandadai Seshadri

    2012-12-15

    The Seldinger technique is commonly used cannulate vessels for radiographical procedures. Loss of a guide wire into the circulation is a rare and preventable complication. It is often noticed by chance during routine radiographs. However, there is a lack of reported cases of incidental fin dings of leftover guide wire on a PET scan. An intravascular foreign body should be retrieved as soon as the diagnosis is made, to prevent complications such as embolisation or vascular damage by fractured wires. Interventional radiology is the method of choice for retrieval. We report a rare case of the coincidental finding of a lost guide wire on a PET scan. A 37 year old man presented with psychotic episodes, thigh weakness, weight gain, increased appetite and leg cramps. He was subsequently diagnosed with cushing syndrome secondary to ectopic adrenocorticotropic secretion from a right lung tumour. He subsequently underwent a staging positron emission tomography (PET) scan. The lung tumour had no uptake on PET bit had increased activity uptake on octreotide scanning. These appearances were suggestive of with carcinoid tumour. The PET scan also revealed an incidental finding of a leftover guide wire used during peripheral inserted central catheter (PICC) recently. The wire extended from right atrium to inferior vena cava. It also showed a high uptake in the adrenal glands, indicating hyperplasia, which was most likely due to adrenocorticotropic hormone stimulation. He underwent a percutaneous wire retrieval via the right femoral vein in a cardiac catheterisation laboratory and was transferred to a thoracic surgical unit for lung tumor resection.

  13. Incidental finding of a left over guide wire on a positron emission tomography

    International Nuclear Information System (INIS)

    Yap, Kok Hooi; Lee, Phong Teck; Buch, Mamta; Rammohan, Kandadai Seshadri

    2012-01-01

    The Seldinger technique is commonly used cannulate vessels for radiographical procedures. Loss of a guide wire into the circulation is a rare and preventable complication. It is often noticed by chance during routine radiographs. However, there is a lack of reported cases of incidental fin dings of leftover guide wire on a PET scan. An intravascular foreign body should be retrieved as soon as the diagnosis is made, to prevent complications such as embolisation or vascular damage by fractured wires. Interventional radiology is the method of choice for retrieval. We report a rare case of the coincidental finding of a lost guide wire on a PET scan. A 37 year old man presented with psychotic episodes, thigh weakness, weight gain, increased appetite and leg cramps. He was subsequently diagnosed with cushing syndrome secondary to ectopic adrenocorticotropic secretion from a right lung tumour. He subsequently underwent a staging positron emission tomography (PET) scan. The lung tumour had no uptake on PET bit had increased activity uptake on octreotide scanning. These appearances were suggestive of with carcinoid tumour. The PET scan also revealed an incidental finding of a leftover guide wire used during peripheral inserted central catheter (PICC) recently. The wire extended from right atrium to inferior vena cava. It also showed a high uptake in the adrenal glands, indicating hyperplasia, which was most likely due to adrenocorticotropic hormone stimulation. He underwent a percutaneous wire retrieval via the right femoral vein in a cardiac catheterisation laboratory and was transferred to a thoracic surgical unit for lung tumor resection

  14. Prevalence of cartilaginous tumours as an incidental finding on MRI of the knee

    Energy Technology Data Exchange (ETDEWEB)

    Stomp, Wouter; Reijnierse, Monique; Bloem, Johan L. [Leiden University Medical Center, Department of Radiology, Leiden (Netherlands); Kloppenburg, Margreet [Leiden University Medical Center, Department of Rheumatology, Leiden (Netherlands); Leiden University Medical Center, Department of Clinical Epidemiology, Leiden (Netherlands); Mutsert, Renee de; Heijer, Martin den [Leiden University Medical Center, Department of Clinical Epidemiology, Leiden (Netherlands); Bovee, Judith V.M.G. [Leiden University Medical Center, Department of Pathology, Leiden (Netherlands); Collaboration: NEO study group

    2015-12-15

    The purpose was to determine prevalence of enchondromas and atypical cartilaginous tumour/chondrosarcoma grade 1 (ACT/CS1) of the knee on MRI in a large cohort study, namely the Netherlands Epidemiology of Obesity (NEO) study. Participants aged 45 to 65 years were prospectively included, oversampling overweight and obese persons. Within a subgroup of participants, MRI of the right knee was performed and screened for incidental cartilaginous tumours, as defined by their characteristic location and appearance. Forty-nine cartilaginous tumours were observed in 44 out of 1285 participants (estimated population prevalence 2.8 %, 95 % CI 2.0-4.0 %). Mean largest tumour diameter was 12 mm (range 2-31 mm). Eight participants with a tumour larger than 20 mm or a tumour with aggressive features were referred to rule out low-grade chondrosarcoma. One was lost to follow-up, three had histologically proven ACT/CS1 and four had dynamic contrast MRI findings consistent with benign enchondroma. Incidental cartilaginous tumours were relatively common on knee MRI and may be regarded as a normal concurrent finding. However, more tumours than expected were ACT/CS1. Because further examination was performed only when suspicion of chondrosarcoma was high, the actual prevalence might be even higher. (orig.)

  15. Prevalence of cartilaginous tumours as an incidental finding on MRI of the knee

    International Nuclear Information System (INIS)

    Stomp, Wouter; Reijnierse, Monique; Bloem, Johan L.; Kloppenburg, Margreet; Mutsert, Renee de; Heijer, Martin den; Bovee, Judith V.M.G.

    2015-01-01

    The purpose was to determine prevalence of enchondromas and atypical cartilaginous tumour/chondrosarcoma grade 1 (ACT/CS1) of the knee on MRI in a large cohort study, namely the Netherlands Epidemiology of Obesity (NEO) study. Participants aged 45 to 65 years were prospectively included, oversampling overweight and obese persons. Within a subgroup of participants, MRI of the right knee was performed and screened for incidental cartilaginous tumours, as defined by their characteristic location and appearance. Forty-nine cartilaginous tumours were observed in 44 out of 1285 participants (estimated population prevalence 2.8 %, 95 % CI 2.0-4.0 %). Mean largest tumour diameter was 12 mm (range 2-31 mm). Eight participants with a tumour larger than 20 mm or a tumour with aggressive features were referred to rule out low-grade chondrosarcoma. One was lost to follow-up, three had histologically proven ACT/CS1 and four had dynamic contrast MRI findings consistent with benign enchondroma. Incidental cartilaginous tumours were relatively common on knee MRI and may be regarded as a normal concurrent finding. However, more tumours than expected were ACT/CS1. Because further examination was performed only when suspicion of chondrosarcoma was high, the actual prevalence might be even higher. (orig.)

  16. Return of individual research results and incidental findings in the clinical trials cooperative group setting.

    Science.gov (United States)

    Ferriere, Michael; Van Ness, Brian

    2012-04-01

    The National Cancer Institute (NCI)-funded cooperative group cancer clinical trial system develops experimental therapies and often collects samples from patients for correlative research. The cooperative group bank (CGB) system maintains biobanks with a current policy not to return research results to individuals. An online survey was created, and 10 directors of CGBs completed the surveys asking about understanding and attitudes in changing policies to consider return of incidental findings (IFs) and individual research results (IRRs) of health significance. The potential impact of the 10 consensus recommendations of Wolf et al. presented in this issue are examined. Reidentification of samples is often not problematic; however, changes to the current banking and clinical trial systems would require significant effort to fulfill an obligation of recontact of subjects. Additional resources, as well as a national advisory board would be required to standardize implementation.

  17. Incidental Finding of Inferior Vena Cava Atresia Presenting with Deep Venous Thrombosis following Physical Exertion

    Directory of Open Access Journals (Sweden)

    Shalini Koppisetty

    2015-01-01

    Full Text Available Inferior vena cava atresia (IVCA is a rare but well described vascular anomaly. It is a rare risk factor for deep venous thrombosis (DVT, found in approximately 5% of cases of unprovoked lower extremity (LE DVT in patients <30 years of age. Affected population is in the early thirties, predominantly male, often with a history of major physical exertion and presents with extensive or bilateral DVTs. Patients with IVC anomalies usually develop compensatory circulation through the collateral veins with enlarged azygous/hemizygous veins. Despite the compensatory circulation, the venous drainage of the lower limbs is often insufficient leading to venous stasis and thrombosis. We describe a case of extensive and bilateral deep venous thrombosis following physical exertion in a thirty-six-year-old male patient with incidental finding of IVCA on imaging.

  18. Incidental Findings in the Use of DNA to Identify Human Remains: An Ethical Assessment

    Science.gov (United States)

    Parker, Lisa S.; Aronson, Jay D.

    2012-01-01

    DNA analysis is increasingly used to identify the remains of victims of conflicts and disasters. This is especially true in cases where remains are badly damaged and fragmented, or where antemortem records are unavailable. Incidental findings (IFs)—that is, genetics-related information for which investigators were not looking—may result from these identification efforts employing DNA analysis. Because of the critical role played by family members of the missing in identification efforts, as well as the familial nature of DNA, identification initiatives employing DNA analysis are particularly prone to reveal IFs about familial relationships, such as misattributed paternity or false beliefs about sibling relationships. Despite forensic scientists’ widespread awareness of the possibility of generating IFs, to date there has been relatively little explicit guidance about their management. This paper fills that gap. It offers substantive guidance about the ethical management of IFs in this context. To ensure that the analysis addresses actual needs and practices in the field, one author (JDA) conducted semi-structured interviews with key informants from six regionally diverse organizations involved in post-conflict or post-disaster identification efforts. The paper first describes how methods of DNA analysis give rise to IFs. Next, it explains the importance of developing an ethically justified general policy for managing IFs and discusses features of DNA identification efforts that are relevant to such a policy. Then it presents an argument in support of a general policy of nondisclosure—specifically, that considerations of fair access to the individual and social benefits of identification efforts, and the concern to minimize and fairly distribute the risks of participation, support a policy of nondisclosure. It concludes by considering some implications of this argument for the choice among scientific practices involved in using DNA analysis to identify human

  19. Impact of incidental findings on integrated 2-[18F]-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography in patients with gastric cancer.

    Science.gov (United States)

    Tae, Chung Hyun; Lee, Jun Haeng; Choi, Joon Young; Min, Byung-Hoon; Rhee, Poong-Lyul; Kim, Jae J

    2015-03-01

    Since positron emission tomography/computed tomography (PET/CT) has been introduced, many incidental findings have been identified. The aim of this study was to assess the clinical significance of incidental findings on PET/CT in patients with gastric cancer. A total of 421 patients with gastric cancer underwent PET/CT for initial staging. Incidental findings on PET/CT were classified into five categories according to clinical significance--normal variant, benign, probably benign, probably malignant, and definitely malignant. We obtained information regarding follow-up examinations, additional visits, final diagnosis of incidental findings and short-term medical costs for further evaluation. Eight hundred eighty-two incidental findings were detected in 386 (91.7%) patients. Of 274 incidental findings classified as probably benign, probably malignant or definitely malignant, 130 required one or more additional investigations. Finally, 12 (9.2%) were proved to be associated with second primary malignancy or metastasis of gastric cancer. One hundred twenty-nine additional outpatient visits and 10 additional hospitalizations were needed for evaluating the incidental findings. The treatment strategy for gastric cancer was changed in one patient. The estimated cost of additional investigations was $US283 (95% CI: $US248-$US311) per patient. Incidental findings on PET/CT were common. Although the incidental findings were suspicious of malignancy, most were benign with high costs for additional investigations. © 2015 Wiley Publishing Asia Pty Ltd.

  20. Managing Incidental Findings and Research Results in Genomic Research Involving Biobanks & Archived Datasets

    Science.gov (United States)

    Wolf, Susan M.; Crock, Brittney N.; Van Ness, Brian; Lawrenz, Frances; Kahn, Jeffrey P.; Beskow, Laura M.; Cho, Mildred K.; Christman, Michael F.; Green, Robert C.; Hall, Ralph; Illes, Judy; Keane, Moira; Knoppers, Bartha M.; Koenig, Barbara A.; Kohane, Isaac S.; LeRoy, Bonnie; Maschke, Karen J.; McGeveran, William; Ossorio, Pilar; Parker, Lisa S.; Petersen, Gloria M.; Richardson, Henry S.; Scott, Joan A.; Terry, Sharon F.; Wilfond, Benjamin S.; Wolf, Wendy A.

    2013-01-01

    Biobanks and archived datasets collecting samples and data have become crucial engines of genetic and genomic research. Unresolved, however, is what responsibilities biobanks should shoulder to manage incidental findings (IFs) and individual research results (IRRs) of potential health, reproductive, or personal importance to individual contributors (using “biobank” here to refer to both collections of samples and collections of data). This paper reports recommendations from a 2-year, NIH-funded project. The authors analyze responsibilities to manage return of IFs and IRRs in a biobank research system (primary research or collection sites, the biobank itself, and secondary research sites). They suggest that biobanks shoulder significant responsibility for seeing that the biobank research system addresses the return question explicitly. When re-identification of individual contributors is possible, the biobank should work to enable the biobank research system to discharge four core responsibilities: to (1) clarify the criteria for evaluating findings and roster of returnable findings, (2) analyze a particular finding in relation to this, (3) re-identify the individual contributor, and (4) recontact the contributor to offer the finding. The authors suggest that findings that are analytically valid, reveal an established and substantial risk of a serious health condition, and that are clinically actionable should generally be offered to consenting contributors. The paper specifies 10 concrete recommendations, addressing new biobanks and biobanks already in existence. PMID:22436882

  1. Frequency and clinical significance of previously undetected incidental findings detected on computed tomography simulation scans for breast cancer patients.

    Science.gov (United States)

    Nakamura, Naoki; Tsunoda, Hiroko; Takahashi, Osamu; Kikuchi, Mari; Honda, Satoshi; Shikama, Naoto; Akahane, Keiko; Sekiguchi, Kenji

    2012-11-01

    To determine the frequency and clinical significance of previously undetected incidental findings found on computed tomography (CT) simulation images for breast cancer patients. All CT simulation images were first interpreted prospectively by radiation oncologists and then double-checked by diagnostic radiologists. The official reports of CT simulation images for 881 consecutive postoperative breast cancer patients from 2009 to 2010 were retrospectively reviewed. Potentially important incidental findings (PIIFs) were defined as any previously undetected benign or malignancy-related findings requiring further medical follow-up or investigation. For all patients in whom a PIIF was detected, we reviewed the clinical records to determine the clinical significance of the PIIF. If the findings from the additional studies prompted by a PIIF required a change in management, the PIIF was also recorded as a clinically important incidental finding (CIIF). There were a total of 57 (6%) PIIFs. The 57 patients in whom a PIIF was detected were followed for a median of 17 months (range, 3-26). Six cases of CIIFs (0.7% of total) were detected. Of the six CIIFs, three (50%) cases had not been noted by the radiation oncologist until the diagnostic radiologist detected the finding. On multivariate analysis, previous CT examination was an independent predictor for PIIF (p = 0.04). Patients who had not previously received chest CT examinations within 1 year had a statistically significantly higher risk of PIIF than those who had received CT examinations within 6 months (odds ratio, 3.54; 95% confidence interval, 1.32-9.50; p = 0.01). The rate of incidental findings prompting a change in management was low. However, radiation oncologists appear to have some difficulty in detecting incidental findings that require a change in management. Considering cost, it may be reasonable that routine interpretations are given to those who have not received previous chest CT examinations within 1 year

  2. An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings

    International Nuclear Information System (INIS)

    Önder, Hakan; Ekici, Faysal; Adin, Emin; Kuday, Suzan; Gümüş, Hatice; Bilici, Aslan

    2013-01-01

    Fascioliasis is a disease caused by the trematode Fasciola hepatica. Cholangitis is a common clinical manifestation. Although fascioliasis may show various radiological and clinical features, cases without biliary dilatation are rare. We present unique ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) findings of a biliary fascioliasis case which doesn’t have biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with juvenile and mature Fasciola hepatica within the gallbladder and common bile duct were found. The parasites appear as bright echogenic structures with no acoustic shadow on US and hypo-intense curvilinear lesions on T2 weighted MRCP images. Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions

  3. Point-of-Care Reference Materials Increase Practice Compliance With Societal Guidelines for Incidental Findings in Emergency Imaging.

    Science.gov (United States)

    Zygmont, Matthew E; Shekhani, Haris; Kerchberger, James Matthew; Johnson, Jamlik-Omari; Hanna, Tarek N

    2016-12-01

    The aim of this study was to assess the efficacy of an educational framework encouraging the systematic application of national societal recommendations regarding the imaging evaluation and follow-up of incidental findings (IFs) in the emergency department. After institutional review board approval was received, consecutive CT and ultrasonographic examinations from the emergency department over a 2-month period were collected. Examination reports were categorized by study type and evaluated individually for the presence of IFs that fit into the following core categories: solid or subsolid pulmonary nodules, liver lesions, splenic lesions, gallbladder polyps, pancreatic cystic lesions, adrenal nodules, adnexal cysts on CT or ultrasonography, thyroid nodules (CT), and abnormal lymph nodes. Subsequently, after an educational intervention consisting of printed and electronic references, e-mail, and verbal communication detailing societal guidelines and the introduction of voice recognition macros, data were recollected in the same fashion for an additional 2-month period. A total of 3,131 imaging events occurred in the 2-month preintervention period, yielding 514 total incidental findings. Of these 514 findings, 67.5% were correctly managed and 32.5% were incorrectly managed according to societal recommendations. In the postintervention period, 3,793 imaging events yielded 499 total incidental findings. Of these 499 findings, 80.2% were correctly managed and 19.8% were incorrectly managed. The increased rate of reporting incidental findings in concordance with societal guidelines was statistically significant (P societal guidelines for incidental findings. Compliance with societal guidelines improves patient care and has cost-saving implications. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  4. Prevalence, Clinical Management, and Natural Course of Incidental Findings on Brain MR Images: The Population-based Rotterdam Scan Study.

    Science.gov (United States)

    Bos, Daniel; Poels, Marielle M F; Adams, Hieab H H; Akoudad, Saloua; Cremers, Lotte G M; Zonneveld, Hazel I; Hoogendam, Yoo Y; Verhaaren, Benjamin F J; Verlinden, Vincent J A; Verbruggen, Jasper G J; Peymani, Abbas; Hofman, Albert; Krestin, Gabriel P; Vincent, Arnaud J; Feelders, Richard A; Koudstaal, Peter J; van der Lugt, Aad; Ikram, M Arfan; Vernooij, Meike W

    2016-11-01

    Purpose To present an updated prevalence estimate for incidental findings on brain magnetic resonance (MR) images and provide information on clinical relevance, including natural course, over a period of up to 9 years. Materials and Methods This study was approved by the institutional review board and all participants gave informed consent. In a prospective population-based setting, structural brain MR imaging was performed in 5800 participants (mean age, 64.9 years; 3194 women [55.1%]). Trained reviewers recorded abnormalities, which were subsequently evaluated by neuroradiologists. The prevalence with 95% confidence interval (CI) of incidental findings was determined, and clinical management of findings that required the attention of a medical specialist was followed. Follow-up imaging in the study context provided information on the natural course of findings that were not referred. Results In 549 of 5800 participants (9.5% [95% CI: 8.7%, 10.3%]), incidental findings were found, of which meningiomas (143 of 5800; 2.5% [95% CI: 2.1%, 2.9%]) and cerebral aneurysms (134 of 5800; 2.3% [95% CI: 2.0%, 2.7%]) were most common. A total of 188 participants were referred to medical specialists for incidental findings (3.2% [95% CI: 2.8%, 3.7%]). Of these, 144 (76.6% [95% CI: 70.1%, 82.1%]) either underwent a wait-and-see policy or were discharged after the initial clinical visit. The majority of meningiomas and virtually all aneurysms not referred or referred but untreated remained stable in size during follow-up. Conclusion Incidental findings at brain MR imaging that necessitate further diagnostic evaluation occur in over 3% of the general middle-aged and elderly population, but are mostly without direct clinical consequences. © RSNA, 2016.

  5. Natural language processing of radiology reports for the detection of thromboembolic diseases and clinically relevant incidental findings.

    Science.gov (United States)

    Pham, Anne-Dominique; Névéol, Aurélie; Lavergne, Thomas; Yasunaga, Daisuke; Clément, Olivier; Meyer, Guy; Morello, Rémy; Burgun, Anita

    2014-08-07

    Natural Language Processing (NLP) has been shown effective to analyze the content of radiology reports and identify diagnosis or patient characteristics. We evaluate the combination of NLP and machine learning to detect thromboembolic disease diagnosis and incidental clinically relevant findings from angiography and venography reports written in French. We model thromboembolic diagnosis and incidental findings as a set of concepts, modalities and relations between concepts that can be used as features by a supervised machine learning algorithm. A corpus of 573 radiology reports was de-identified and manually annotated with the support of NLP tools by a physician for relevant concepts, modalities and relations. A machine learning classifier was trained on the dataset interpreted by a physician for diagnosis of deep-vein thrombosis, pulmonary embolism and clinically relevant incidental findings. Decision models accounted for the imbalanced nature of the data and exploited the structure of the reports. The best model achieved an F measure of 0.98 for pulmonary embolism identification, 1.00 for deep vein thrombosis, and 0.80 for incidental clinically relevant findings. The use of concepts, modalities and relations improved performances in all cases. This study demonstrates the benefits of developing an automated method to identify medical concepts, modality and relations from radiology reports in French. An end-to-end automatic system for annotation and classification which could be applied to other radiology reports databases would be valuable for epidemiological surveillance, performance monitoring, and accreditation in French hospitals.

  6. Primary colonic lymphoma: An incidental finding in a patient with a gallstone attack.

    Science.gov (United States)

    Gigli, Silvia; Buonocore, Valeria; Barchetti, Flavio; Glorioso, Marianna; Di Brino, Martina; Guerrisi, Pietro; Buonocore, Chiara; Giovagnorio, Francesco; Giraldi, Guglielmo

    2014-05-16

    We report a case of primary colonic lymphoma incidentally diagnosed in a patient presenting a gallbladder attack making particular attention on the diagnostic findings at ultrasound (US) and total body computed tomography (CT) exams that allowed us to make the correct final diagnosis. A 85-year-old Caucasian male patient was referred to our department due to acute pain at the upper right quadrant, spreaded to the right shoulder blade. Patient had nausea and mild fever and Murphy's maneuver was positive. At physical examination a large bulky mass was found in the right flank. Patient underwent to US exam that detected a big stone in the lumen of the gallbladder and in correspondence of the palpable mass, an extended concentric thickening of the colic wall. CT scan was performed and confirmed a widespread and concentric thickening of the wall of the ascending colon and cecum. In addition, revealed signs of microperforation of the colic wall. Numerous large lymphadenopathies were found in the abdominal, pelvic and thoracic cavity and there was a condition of splenomegaly, with some ischemic outcomes in the context of the spleen. No metastasis in the parenchimatous organs were found. These imaging findings suggest us the diagnosis of lymphoma. Patient underwent to surgery, and right hemicolectomy and cholecystectomy was performed. Histological examination confirmed our diagnosis, revealing a diffuse large B-cell lymphoma. The patient underwent to Cyclophosphamide, Hydroxydaunorubicin, Oncovin, Prednisone chemotherapy showing only a partial regression of the lymphadenopathies, being in advanced stage at the time of diagnosis.

  7. Extraspinal incidental findings on routine MRI of lumbar spine: Prevalence and reporting Rates in 1278 patients

    Energy Technology Data Exchange (ETDEWEB)

    Tuncel, Sedat Alpaslan; Cagli, Bekir; Tekatas, Aslan; Kirici, Yadigar Mehmet; Unlu, Ercument; Genchellac, Haken [Trakya University Faculty of Medicine, Balkan Campus, Edirne (Turkmenistan)

    2015-08-15

    The aim of the present study was to determine the prevalence and reporting rate of incidental findings (IF) in adult outpatients undergoing lumbar magnetic resonance imaging (MRI). Re-evaluation of a total of 1278 lumbar MRI images (collected from patients with a mean age of 50.5 years, range 16-91 years) captured between August 2010-August 2011 was done by a neuroradiologist and a musculoskeletal radiologist. IFs were classified according to organ or system (liver, gallbladder, kidney, bladder, uterus, ovary, lymph node, intestine and aorta). The rate of reporting of a range of IF was examined. The outcome of each patient's treatment was evaluated based on review of hospital records and by telephone interviews. A total of 253 IFs were found in 241 patients (18.8% of 1278). Among these, clinically significant IFs (n = 34) included: 2 renal masses (0.15%), 2 aortic aneurysms (0.15%), 2 cases of hydronephrosis (0.15%), 11 adrenal masses (0.86%), 7 lymphadenopathies (0.55%), 6 cases of endometrial or cervical thickening (0.47%), 1 liver hemangioma (0.08%), 1 pelvic fluid (0.08%) and 2 ovarian dermoid cysts (0.15%). Overall, 28% (71/253) of IFs were included in the clinical reports, while clinically significant findings were reported in 41% (14/34) of cases. Extraspinal IFs are commonly detected during a routine lumbar MRI, and many of these findings are not clinically significant. However, IFs including clinically important findings are occasionally omitted from formal radiological reports.

  8. Incidental extracerebral findings on brain nonenhanced magnetic resonance imaging: frequency, nondetection rate, and clinical importance

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Ming-Liang; Wei, Xiao-Er [School of Medicine, Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People' s Hospital, Shanghai (China); Lu, Li-Yan [Nanjing Medical University, Department of Radiology, Nanjing First Hospital, Nanjing (China); Li, Wen-Bin [School of Medicine, Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People' s Hospital, Shanghai (China); Kashgar Prefecture Second People' s Hospital, Imaging Center, Kashgar (China)

    2017-03-15

    This study aims to elucidate the frequency, nondetection rate, and clinical importance of incidental extracerebral findings (IECFs) on brain nonenhanced magnetic resonance imaging (MRI). A total of 8284 brain MRIs performed between January 1, 2015 and December 31, 2015 were evaluated for the presence of IECFs and the distribution of IECFs was analyzed. IECFs were categorized as E1 (clinically unimportant, e.g., sinus mucosal thickening); E2 (likely unimportant, e.g., pharyngeal mucosal symmetrical thickening); and E3 (potentially important, e.g., pharyngeal mucosal asymmetrical thickening). The nondetection rate was determined by comparing the results of the structured approach with the initial MRI reports. The medical records were examined for patients with E3 IECFs to assess clinical importance and outcome of these lesions. A total of 5992 IECFs were found in 4469 of the 8284 patients (54.0%). E1 findings constituted 82.2% (4924/5992) of all IECFs; E2 constituted 16.6% (995/5992) and E3 constituted 1.2% (73/5992). Overall IECFs and E1 findings were significantly more common in male patients (P < 0.05). Statistically significant difference was also seen between the different age groups (P < 0.001). The nondetection rate was 56.9% (3409/5992) for overall IECFs and 32.9% (24/73) for E3 IECFs. Of the 73 patients with E3 IECFs, 34 (46.6%) received final diagnosis and appropriate treatment during the study period. IECFs are prevalent in clinical patients on brain MR images with a nondetection rate of 32.9% for potentially important (E3) findings. The reporting of IECFs according to clinical importance is helpful for patients' management. (orig.)

  9. Incidental finding of knee osteoarthritis in bone scans performed in obese patients with neoplasia

    International Nuclear Information System (INIS)

    Regalado R, R.; Morales G, R.; Cano P, R.; Mendoza P, G.; Vidal N, L.

    1996-01-01

    Bone scanning performed in the Nuclear Medicine Center (IPEN-INEN) to patients with neoplastic diagnosis between January 1995 and June 1996, permitted the incidental finding of increased uptake images in the knees of 28 patients associated to an asymptomatic arthropathy: osteoarthritis. The histories and bone scanning of this patients were reviewed obtaining their weight, occupation, symptomatology, neoplastic diagnosis and previous scan diagnosis. Patients under 66 years old, asymptomatic, were included, not presenting secondary focuses, without arthropathia antecedent and with a body mass index equal or above class I. The arthropathy was classified according to the localization of the compromised compartment of the knee. >From the body mass index assessment of every patient it was obtained: Class I=12, Class II=11, Class III=3 and Class IV=1. The predominant localization of the osteoarthritic lesions was the patellar zone. We discuss factors that may influence the absence of symptoms of this disease, the relation obesity-osteoarthritis and the usefulness of bone scanning in the diagnosis of this arthropathy in these patients. (authors). 16 refs., 1 fig., 3 tabs

  10. Genetics specialists’ perspectives on disclosure of genomic incidental findings in the clinical setting

    Science.gov (United States)

    Downing, Nancy R.; Williams, Janet K.; Daack-Hirsch, Sandra; Driessnack, Martha; Simon, Christian M.

    2012-01-01

    Objective Evidence documenting management of incidental findings (IFs) from clinical genomic testing is limited. The aim of this study was to examine genetics specialists’ perspectives regarding current and preferred disclosure of clinical genomic IFs. Methods 50 genetics specialists, including medical geneticists, laboratory professionals, genetic counselors, and nurses participated in structured telephone interviews. Data were analyzed using qualitative content analysis and descriptive statistics. Results Most specialists had encountered IFs, but definitions of IFs varied. They discussed challenges with informing patients about the prospect of IFs and disclosing IFs to patients. Causing psychological harm to patients was a concern. Participants were divided on whether IFs needed to be clinically significant and/or actionable in order to be disclosed to patients. Creating formal disclosure guidelines was considered useful, but only if they were flexible. Additional counseling, more interdisciplinary communication, maintaining contact with patients, and a centralized database to interpret IFs were also proposed. Conclusion Genetics specialists offer insights into the challenges of defining IFs, knowing when and how to disclose them, and the potential need for flexible disclosure guidelines. Practice Implications Further discussion between practicing genetics specialists is needed to develop consensus on the development of best-practice guidelines for IF management. PMID:23068909

  11. Right Hemispheric Leukoencephalopathy as an Incidental Finding Following a Lightning Strike.

    Science.gov (United States)

    Kruja, Jera; Kuqo, Altin; Grabova, Serla; Rroji, Arben; Vyshka, Gentian

    2016-12-15

    Lightning injuries may produce a variety of medical conditions, and specific neurological complications have been identified, with the character of immediate aftershock effects or even long-term consequences. The authors describe the incidental finding following a routine unenhanced brain MRI performed to a young female patient, suffering from a headache. Diffuse white matter changes with the character of a leukoencephalopathy were seen, which strictly interested only the right cerebral hemisphere. The parents referred that she suffered from an indoor lightning strike at age of seven months, although she survived with almost no external burns or signs, and recovered uneventfully at that time. A discussion over the effects of electrocution and lightning strike on the human body in general, and over the nervous system, is made. Particular attention must be shown when making the differential diagnosis of leukoencephalopathies with a strictly one-hemisphere extension since several other conditions might resemble each other under the radiological aspect, here including brain viral infections, genetic disorders, and so on. The particularity of the long-term aftershock effects of the lightning strike on the central nervous system raise again the necessity of collecting data and duly reporting every electrical accident, lightning events included.

  12. Rib osteoblastoma as an incidental finding in a patient with adolescent idiopathic scoliosis: a case report.

    Science.gov (United States)

    Lykissas, Marios G; Crawford, Alvin H; Abruzzo, Todd A

    2013-11-01

    The purpose of this article is to present an unreported case of rib osteoblastoma associated with progressive adolescent idiopathic scoliosis and to discuss thoracogenic scoliosis as a potential cause of curve progression after tumor resection. An 11-year and 8-month-old girl with adolescent idiopathic scoliosis was referred with an incidental finding of an expansile lesion in the posterior left seventh rib. A computed tomography-guided needle biopsy established the diagnosis of benign osteoblastoma. Transarterial embolization was performed followed by wide resection. Sixteen months after surgery the patient underwent posterior spinal fusion to address her scoliosis progression during the growth spurt. Forty-one and 25 months after rib resection and spinal fusion, respectively, the patient remains asymptomatic, without local tumor recurrence, and with excellent correction of her spinal deformity. Although scoliosis secondary to rib osteoblastoma has been described in the literature, rib osteoblastoma may coexist with idiopathic scoliosis. In such a case, surgical management of osteoblastoma should not interfere with treatment of idiopathic scoliosis.

  13. Considering Actionability at the Participant's Research Setting Level for Anticipatable Incidental Findings from Clinical Research.

    Science.gov (United States)

    Ortiz-Osorno, Alberto Betto; Ehler, Linda A; Brooks, Judith

    2015-01-01

    Determining what constitutes an anticipatable incidental finding (IF) from clinical research and defining whether, and when, this IF should be returned to the participant have been topics of discussion in the field of human subject protections for the last 10 years. It has been debated that implementing a comprehensive IF-approach that addresses both the responsibility of researchers to return IFs and the expectation of participants to receive them can be logistically challenging. IFs have been debated at different levels, such as the ethical reasoning for considering their disclosure or the need for planning for them during the development of the research study. Some authors have discussed the methods for re-contacting participants for disclosing IFs, as well as the relevance of considering the clinical importance of the IFs. Similarly, other authors have debated about when IFs should be disclosed to participants. However, no author has addressed how the "actionability" of the IFs should be considered, evaluated, or characterized at the participant's research setting level. This paper defines the concept of "Actionability at the Participant's Research Setting Level" (APRSL) for anticipatable IFs from clinical research, discusses some related ethical concepts to justify the APRSL concept, proposes a strategy to incorporate APRSL into the planning and management of IFs, and suggests a strategy for integrating APRSL at each local research setting. © 2015 American Society of Law, Medicine & Ethics, Inc.

  14. Institutional review board perspectives on obligations to disclose genetic incidental findings to research participants.

    Science.gov (United States)

    Gliwa, Catherine; Yurkiewicz, Ilana R; Lehmann, Lisa Soleymani; Hull, Sara Chandros; Jones, Nathan; Berkman, Benjamin E

    2016-07-01

    Researchers' obligations to disclose genetic incidental findings (GIFs) have been widely debated, but there has been little empirical study of the engagement of institutional review boards (IRBs) with this issue. This article presents data from the first extensive (n = 796) national survey of IRB professionals' understanding of, experience with, and beliefs surrounding GIFs. Most respondents had dealt with questions about GIFs (74%), but only a minority (47%) felt prepared to address them. Although a majority believed that there is an obligation to disclose GIFs (78%), there is still not consensus about the supporting ethical principles. Respondents generally did not endorse the idea that researchers' additional time and effort (7%), and lack of resources (29%), were valid reasons for diminishing a putative obligation. Most (96%) supported a right not to know, but this view became less pronounced (63%) when framed in terms of specific case studies. IRBs are actively engaged with GIFs but have not yet reached consensus. Respondents were uncomfortable with arguments that could be used to limit an obligation to return GIFs. This could indicate that IRBs are providing some of the impetus for the trend toward returning GIFs, although questions remain about the relative contribution of other stakeholders.Genet Med 18 7, 705-711.

  15. The Clinical Dilemma of Incidental Findings on the Low-Resolution CT Images from SPECT/CT MPI Studies.

    Science.gov (United States)

    Coward, Joanne; Nightingale, Julie; Hogg, Peter

    2016-09-01

    Incidental findings are common in medical imaging. There is a particularly high prevalence of incidental findings within the thorax, the most frequent being pulmonary nodules. Although pulmonary nodules have the potential to be malignant, most are benign, resulting in a high number of false-positive findings. Low-resolution CT images produced for attenuation correction of SPECT images are essentially a by-product of the imaging process. The high number of false-positive incidental findings detected on these attenuation-correction images causes a reporting dilemma. Early detection of cancer can be beneficial, but false-positive findings and overdiagnosis can be detrimental to the patient. Attenuation-correction CT images are not of diagnostic quality, and further diagnostic tests are usually necessary for a definitive diagnosis to be reached. Given the high number of false-positive findings, the psychologic effect on the patient should be considered. This review recommends caution when the findings on attenuation-correction CT images are routinely reported. © 2016 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

  16. Primary thymic extranodal marginal zone B cell lymphoma as an incidental finding in a Caucasian woman

    DEFF Research Database (Denmark)

    Krogh Petersen, Jeanette; Larsen, Thomas Stauffer; Møller, Michael Boe

    2015-01-01

    Primary thymic extranodal marginal zone B cell lymphoma (TML) is an extremely rare lymphoma strongly associated with autoimmune disease. We report an exceedingly rare case of TML found in a non-Asian population. TML was found incidentally in a 60-year-old Caucasian woman with a short history...

  17. Incidental extracolonic findings on bright lumen MR colonography in a population at increased risk for colorectal carcinoma

    International Nuclear Information System (INIS)

    Yusuf, Erlangga; Florie, Jasper; Nio, Chung Yung; Jensch, Sebastian; Nievelstein, Rutger A.J.; Baak, Lubbertus; Stoker, Jaap

    2011-01-01

    Purpose: Incidental extracolonic findings affect patient treatment and cost. Therefore, to consider magnetic resonance colonography (MRC) as a tool for colorectal cancer and polyps screening, more knowledge is needed on extracolonic findings. In this study, we sought to determine the prevalence and the spectrum of extracolonic findings in patients with an increased risk colorectal cancer that underwent bright lumen MRC. Materials and methods: MRC examinations were performed in 210 patients. A gadolinium solution was administered rectally for distension of the colon. Extracolonic findings were scored by two radiologists and classified by using C-RADS Reporting System. All findings (with advice regarding work-up) were reported to the patient's physician and followed up for 4.5 years on average. Results: Extracolonic findings were found in 125 (59.5%) patients. Ten (4.8%) had 'potentially important' findings (C-RADS category E4). Twenty-five patients (11.9%) had 'likely unimportant' findings (E3), 90 (42.8%) had 'clinically unimportant' findings (E2) and 85 (40.5%) had a normal exam (E1). In 14 (6.7%) patients additional work-up was performed for their incidentally discovered lesions. In three of them surgery was performed. After work-up, only in two (1.0%) patients a malignancy was found. Conclusion: The number of new relevant extracolonic findings is small and the required additional work-up is limited. This should be considered for implementation of 'bright lumen' MRC as a screening tool.

  18. Incidental head and neck findings on 18F-fluoro-deoxy-glucose positron emission tomography computed tomography.

    Science.gov (United States)

    Williams, S P; Kinshuck, A J; Williams, C; Dwivedi, R; Wieshmann, H; Jones, T M

    2015-09-01

    The overlapping risk factors for lung and head and neck cancer present a definite risk of synchronous malignant pathology. This is the first study to specifically review incidental positron emission tomography computed tomography findings in the head and neck region in lung carcinoma patients. A retrospective review was performed of all lung cancer patients who underwent positron emission tomography computed tomography imaging over a five-year period (January 2008 - December 2012), identified from the Liverpool thoracic multidisciplinary team database. Six hundred and nine patients underwent positron emission tomography computed tomography imaging over this period. In 76 (12.5 per cent) scans, incidental regions of avid 18F-fluoro-deoxy-glucose uptake were reported in the head and neck region. In the 28 patients who were fully investigated, there were 4 incidental findings of malignancy. In lung cancer patients undergoing investigative positron emission tomography computed tomography scanning, a significant number will also present with areas of clinically significant 18F-fluoro-deoxy-glucose uptake in the head and neck region. Of these, at least 5 per cent may have an undiagnosed malignancy.

  19. Life cycle assessment (LCA)

    DEFF Research Database (Denmark)

    Thrane, Mikkel; Schmidt, Jannick Andresen

    2004-01-01

    The chapter introduces Life Cycle Assessment (LCA) and its application according to the ISO 1404043 standards.......The chapter introduces Life Cycle Assessment (LCA) and its application according to the ISO 1404043 standards....

  20. Pancreatic neuroendocrine tumor - incidental finding during a follow-up CT for primary ovarian carcinoma

    International Nuclear Information System (INIS)

    Ivanova, D.; Balev, B.

    2013-01-01

    Pancreatic neuroendocrine tumors (PNET) are primary, usually we 11-differentiated pancreatic tumors. Their origin is not fully understood, but they are thought to develop from the pluripotent cells in the exocrine part of the pancreas. PNET are a heterogeneous group with different malignant potential. In some of the patients with sporadical forms of PNET there is association with other malignancies such as ovarian cancer, breast cancer, bladder and prostate cancers. We present a case of 50-year-old woman, with incidentally found pancreatic neoplasm, during a follow-up CT for ovarian cancer. Laparotomy and pancreatic biopsy are performed. Histological diagnosis confirms a well- differentiated endocrine tumor of the pancreas. (authors)

  1. Incidental finding of multiple well-differentiated papillary mesotheliomas in peritoneum

    DEFF Research Database (Denmark)

    Jakobsen, Mark; Engvad, Birte; Jensen, Thor

    2016-01-01

    We present a case of multiple well-differentiated papillary mesotheliomas (WDPM) in the peritoneum found incidentally in a 63-year-old man with urothelial carcinoma of the bladder. When multiple tumors are seen, malignant mesothelioma should be excluded by histopathological examination as this may...... have a similar focal appearance to WDPM. True stromal invasion is by far the most reliable criterion of mesothelial malignancy. In doubtful cases, a conservative diagnostic approach has been recommended. Compared to malignant mesotheliomas, WDPMs are rare and have a relatively indolent clinical course...

  2. LCA and Sustainability

    DEFF Research Database (Denmark)

    Moltesen, Andreas; Bjørn, Anders

    2017-01-01

    LCA is often presented as a sustainability assessment tool. This chapter analyses the relationship between LCA and sustainability. This is done by first outlining the history of the sustainability concept, which gained momentum with the Brundtland Commission’s report ‘Our Common Future report...... is then demonstrated, and the strategy of LCA to achieving environmental protection, namely to guide the reduction of environmental impacts per delivery of a function, is explained. The attempt to broaden the scope of LCA, beyond environmental protection, by so-called life cycle sustainability assessment (LCSA......) is outlined. Finally, the limitations of LCA in guiding a sustainable development are discussed....

  3. Incidental finding of arteria lusoria during transradial coronary catheterization: Significance in interventional cardiology.

    Science.gov (United States)

    Rafiq, Arsalan; Chutani, Surendra; Krim, Nassim R

    2017-12-08

    Arteria lusoria is the most common anomaly of the aortic arch with an incidence of 0.5%-2.5%. It is mostly diagnosed incidentally while performing imaging for evaluation of other unrelated medical conditions. The aberrant right subclavian artery arises beyond the origin of the left subclavian artery from the aortic arch. This results in a complex right-subclavian-aortic anatomy which leads to difficulty in transradial coronary angiography. This can lead to prolonged procedure time and increased use of catheters by unaware interventionists. This is even more important if this is encountered in the setting of an acute myocardial infarction. Our review takes into account clinical significance of this uncommon anomaly in the field of interventional cardiology. © 2017 Wiley Periodicals, Inc.

  4. Cystadenocarcinoma of the appendix: an incidental imaging finding in a patient with adenocarcinomas of the ascending and the sigmoid colon

    Directory of Open Access Journals (Sweden)

    Prassopoulos Panos

    2003-10-01

    Full Text Available Abstract Background Primary adenocarcinomas of the appendix are uncommon. Mucoceles that result from mucinous adenocarcinomas of the appendix may be incidentally detected on imaging. Case presentation A case of a mucocele of the appendix, due to cystadenocarcinoma, is presented as an incidental imaging finding in a female, 86-year-old patient. The patient was admitted due to rectal hemorrhage and underwent colonoscopy, x-ray, US and CT. Adenocarcinoma of the ascending colon, adenomatous polyp of the sigmoid colon and a cystic lesion in the right iliac fossa were diagnosed. The cystic lesion was characterized as mucocele. The patient underwent right hemicolectomy, excision of the mucocele and sigmoidectomy. She recovered well and in two-year follow-up is free from cancer. Conclusions Preoperative diagnosis of an underlying malignancy in a mucocele is important for patient management, but it is difficult on imaging studies. Small lymph nodes or soft tissue stranding in the surrounding fat on computed tomography examination may suggest the possibility of malignancy.

  5. Main Characteristics of LCA

    DEFF Research Database (Denmark)

    Bjørn, Anders; Owsianiak, Mikołaj; Molin, Christine

    2017-01-01

    Life cycle assessment (LCA) has a number of defining characteristics that enables it to address questions that no other assessment tools can address. This chapter begins by demonstrating how the use of LCA in the late 2000s led to a drastic shift in the dominant perception that biofuels were “green......”, “sustainable” or “carbon neutral”, which led to a change in biofuel policies . This is followed by a grouping of the LCA characteristics into four headlines and an explanation of these: (1) takes a life cycle perspective , (2) covers a broad range of environmental issues, (3) is quantitative, (4) is based...... on science. From the insights of the LCA characteristics we then consider the strengths and limitations of LCA and end the chapter by listing 10 questions that LCA can answer and 3 that it cannot....

  6. Effect of Direct Marketing for Uterine Artery Embolization on Rates of Leiomyomas, Incidental Findings, and Management After Pelvic MRI.

    Science.gov (United States)

    Gurwara, Sheena; Allen, Brian C; Kouri, Brian; Clingan, M Jennings; Picard, Melissa; Leyendecker, John R

    2016-07-01

    The aim of this study was to determine whether a self-referred population screened by an interventional radiology (IR) clinic and a non-IR, physician-referred population differed with regard to suitability for uterine artery embolization (UAE) for symptomatic leiomyomas on the basis of preprocedure MRI. This was an institutional review board-approved, HIPAA-compliant retrospective study of 301 women evaluated in an IR clinic for possible UAE from January 2009 to September 2012. Subjects were retrospectively divided into two groups: self-referred via direct marketing (group A, n = 203; mean age, 41.8 years; range, 22-58 years) and physician referred (group B, n = 98; mean age, 42.9 years; range, 30-65 years). There was no significant difference between groups in presenting symptoms (multiple symptoms, bleeding, bulk-related symptoms, pain). After initial screening, 73.4% of group A (149 of 203) and 79.6% of group B (78 of 98) underwent MRI (P = .242). On the basis of MRI findings, 91.3% of group A (136 of 149) and 94.9% of group B (74 of 78) had uterine leiomyomas (P = .328). Adenomyosis without leiomyoma was present in 4.0% of group A (6 of 149) and 3.8% of group B (3 of 78) (P = .947). Incidental findings requiring further clinical or imaging evaluation were found in 20.8% of group A (31 of 149) and 24.4% of group B (19 of 78) (P = .539). After MRI, 41.6% of group A (62 of 149) and 48.7% of group B (38 of 78) proceeded to UAE (P = .306). After initial screening, similar proportions of self-referred and physician-referred patients were candidates for UAE. The rates of confirmed leiomyomas and incidental findings on MRI were similar between groups. Copyright © 2016 American College of Radiology. All rights reserved.

  7. High rates of clinically relevant incidental findings by total-body CT scanning in trauma patients; results of the REACT-2 trial

    Energy Technology Data Exchange (ETDEWEB)

    Treskes, K.; Bos, S.A.; Sierink, J.C.; Luitse, J.S.K.; Goslings, J.C. [Academic Medical Center, Trauma Unit, Department of Surgery, Amsterdam (Netherlands); Beenen, L.F.M. [Academic Medical Center, Department of Radiology, Amsterdam (Netherlands); Edwards, M.J.R. [Radboud University Medical Center, Department of Trauma and emergency surgery, Nijmegen (Netherlands); Beuker, B.J.A. [University Medical Center Groningen, Trauma Unit, Department of Surgery, Groningen (Netherlands); Muradin, G.S.R. [University Medical Center Rotterdam, Department of Radiology, Erasmus MC, Rotterdam (Netherlands); Hohmann, J. [University of Basel Hospital, Department of Radiology and Nuclear Medicine, Basel (Switzerland); Hollmann, M.W. [Academic Medical Center, Department of Anaesthesiology, Amsterdam (Netherlands); Dijkgraaf, M.G.W. [Academic Medical Center, Clinical Research Unit, Amsterdam (Netherlands); Collaboration: REACT-2 study group

    2017-06-15

    To determine whether there is a difference in frequency and clinical relevance of incidental findings detected by total-body computed tomography scanning (TBCT) compared to those by the standard work-up (STWU) with selective computed tomography (CT) scanning. Trauma patients from five trauma centres were randomized between April 2011 and January 2014 to TBCT imaging or STWU consisting of conventional imaging with selective CT scanning. Incidental findings were divided into three categories: 1) major finding, may cause mortality; 2) moderate finding, may cause morbidity; and 3) minor finding, hardly relevant. Generalized estimating equations were applied to assess differences in incidental findings. In total, 1083 patients were enrolled, of which 541 patients (49.9 %) were randomized for TBCT and 542 patients (50.1 %) for STWU. Major findings were detected in 23 patients (4.3 %) in the TBCT group compared to 9 patients (1.7 %) in the STWU group (adjusted rate ratio 2.851; 95%CI 1.337-6.077; p < 0.007). Findings of moderate relevance were detected in 120 patients (22.2 %) in the TBCT group compared to 86 patients (15.9 %) in the STWU group (adjusted rate ratio 1.421; 95%CI 1.088-1.854; p < 0.010). Compared to selective CT scanning, more patients with clinically relevant incidental findings can be expected by TBCT scanning. (orig.)

  8. Minimizing liability risks under the ACMG recommendations for reporting incidental findings in clinical exome and genome sequencing.

    Science.gov (United States)

    Evans, Barbara J

    2013-12-01

    Recent recommendations by the American College of Medical Genetics and Genomics (ACMG) for reporting incidental findings present novel ethical and legal issues. This article expresses no views on the ethical aspects of these recommendations and focuses strictly on liability risks and how to minimize them. The recommendations place labs and clinicians in a new liability environment that exposes them to intentional tort lawsuits as well to traditional suits for negligence. Intentional tort suits are especially troubling because of their potential to inflict ruinous personal financial losses on individual clinicians and laboratory personnel. This article surveys this new liability landscape and describes analytical approaches for minimizing tort liabilities. To a considerable degree, liability risks can be controlled by structuring activities in ways that make future lawsuits nonviable before the suits ever arise. Proactive liability analysis is an effective tool for minimizing tort liabilities in connection with the testing and reporting activities that the ACMG recommends.

  9. Incidental finding of unilateral isolated aplasia of serratus anterior muscle and winged scapula on chest radiograph: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Joon Sung; Park, Hyun Jin; Ko, Jeong Min [Dept. of Radiology, St. Vincent' s Hospital, College of Medicine, The Catholic University of Korea, Suwon (Korea, Republic of)

    2014-10-15

    The isolated aplasia of the serratus anterior muscle with winging of scapula is very rare, and only a few cases are reported. Here, we present a case of a 30-year-old Korean male who initially presented with a left flank pain. His physical exam did not show any significant finding in his right shoulder. However, his chest radiograph showed absence of right serratus anterior muscle and slightly elevated and medially rotated right scapula. Subsequent CT scan showed the right serratus anterior muscle aplasia and medial winging of the right scapula. This case is unique in two aspects. First, the combination of abnormalities is different from the typical congenital abnormalities involving shoulder girdle, such as Sprengel deformity or Poland syndrome. Secondly, this was incidentally diagnosed with chest radiograph, without clinical impression. Careful reading of chest radiograph can help the radiologists to detect such clinically silent abnormalities.

  10. Benign incidental findings of osteopoikilosis on Tc-99m MDP bone SPECT/CT: A case report and literature review.

    Science.gov (United States)

    Tsai, Szu-Ying; Wang, Shan-Ying; Shiau, Yu-Chien; Wu, Yen-Wen

    2016-06-01

    Osteopoikilosis is a benign but rare condition characterized by bone islands throughout the osseous tissue, which could be easily confused with bone metastasis. We present a case of a 37-year-old man presented to orthopedic outpatient clinic with right hip pain for 2 weeks. There were multiple, small punctate lesions scattered throughout the skeleton on radiograph. Subsequent Tc-99m methylene diphosphonate (MDP) bone scan with pelvic single-photon emission computed tomography (SPECT)/computed tomography (CT) showed multiple enostoses without abnormal focal MDP uptake. Therefore, clinical diagnosis was compatible with osteopoikilosis while bone metastasis was unlikely. The symptoms then improved by conservative treatments. Osteopoikilosis is usually an incidental finding on radiograph or CT, and a normal MDP confirmed the diagnosis by excluding bone metastasis. It is important for clinicians to recognize the specific image features to prevent further unnecessary interventions. In addition, bone SPECT/CT could also make the diagnosis in one step.

  11. Incidental finding of an extensive oropharyngeal mass in magnetic resonance imaging of a patient with temporomandibular disorder: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Omolehinwa, Temitope T.; Mupparapu, Mel; Akintoye, SundayO. [Dept. of Oral Medicine, School of Dental Medicine, University of Pennsylvania, Philadelphia (United States)

    2016-12-15

    In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long-standing human papilloma virus (HPV-16)-positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain.

  12. Incidental finding of an extensive oropharyngeal mass in magnetic resonance imaging of a patient with temporomandibular disorder: A case report

    International Nuclear Information System (INIS)

    Omolehinwa, Temitope T.; Mupparapu, Mel; Akintoye, SundayO.

    2016-01-01

    In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long-standing human papilloma virus (HPV-16)-positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain

  13. Ethical framework for the detection, management and communication of incidental findings in imaging studies, building on an interview study of researchers’ practices and perspectives

    NARCIS (Netherlands)

    E.M. Bunnik (Eline); L. Van Bodegom (Lisa); W. Pinxten (Wim); I.D. de Beaufort (Inez); M.W. Vernooij (Meike)

    2017-01-01

    textabstractBackground: As thousands of healthy research participants are being included in small and large imaging studies, it is essential that dilemmas raised by the detection of incidental findings are adequately handled. Current ethical guidance indicates that pathways for dealing with

  14. Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission.

    Science.gov (United States)

    Kroczek, Eduard K; Wieners, Gero; Steffen, Ingo; Lindner, Tobias; Streitparth, Florian; Hamm, Bernd; Maurer, Martin H

    2017-10-01

    To evaluate the number, localisation and importance of non-traumatic incidental findings (IFs) in patients with suspected or obvious multiple trauma undergoing whole-body CT (WBCT) in a level-1 trauma centre. Between January 2009 and December 2013, a total of 2440 patients with trauma undergoing WBCT at admission to a level-1 trauma centre of a university hospital were retrospectively analysed, through imaging IFs unrelated to trauma with the radiological reports. All IFs were grouped into four categories according to their clinical relevance. Category 1: urgent treatment or further clarification needed; category 2: further examination and follow-up within 3-6 months required; category 3: findings with no immediate consequences for the treatment of the patient but of potential relevance in the future; category 4: harmless findings. Altogether, 5440 IFs in 2440 patients (1735 male, 705 female; mean age 45.1 years) were documented. In 204 patients (8.4%) urgent category 1 findings were reported, 766 patients (31.4%) had category 2 findings, 1236 patients (50.7%) had category 3 findings and 1173 patients (48.1%) had category 4 findings. Most IFs were detected in the abdomen/pelvis (42.5%). 602 (24.7%) of the patients had no IFs. WBCT scans of unrelated trauma patients demonstrate a high rate of IF. A substantial percentage (8.4%) of patients had urgent category 1IFs and a high percentage (31.4%) had category 2 IFs requiring a follow-up. This high number of patients with polytrauma undergoing WBCT, having IFs of high relevance, poses a major challenge for the level-1 trauma centre in the acute and postacute management of these patients. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. LCA Center Denmark

    DEFF Research Database (Denmark)

    Hauschild, Michael Zwicky; Frydendal, Jeppe

    2006-01-01

    As the first country in Europe Denmark established an official centre for Life Cycle Assessments and life cycle approaches as an element of the national IPP (Integrated Product Policy), three years ago. The aim of the centre is to promote and support the use of Life Cycle Assessment and other...... product-oriented environmental tools in companies, to ensure that the LCA efforts is based on a solid and scientific basis, and to maintain the well-established co-operation between all important actors in the LCA field in Denmark. A status is given on the achievements of LCA Center Denmark...

  16. Incidental findings on cone beam computed tomography scans in cleft lip and palate patients

    NARCIS (Netherlands)

    Kuijpers, M.A.R.; Pazera, A.; Admiraal, R.J.C.; Berge, S.J.; Vissink, A.; Pazera, P.

    2014-01-01

    OBJECTIVES: Cone beam computed tomography (CBCT) is frequently used in treatment planning for alveolar bone grafting (ABG) and orthognathic surgery in patients with cleft lip and palate (CLP). CBCT images may depict coincident findings. The aim of this study was to assess the prevalence of

  17. [Incidental findings in cardiology. Diagnosing today what can cause illness tomorrow].

    Science.gov (United States)

    Castrucci, M; Seifert, T; Breithardt, G

    2000-10-26

    Among the anatomical and functional findings in cardiology, congenitally corrected transposition of the major vessels (ventricular inversion), bicuspid aortic valve and prolapse of the mitral valve with simultaneous mitral insufficiency have at least a potential for causing future problems. In such cases, regular cardiological checks or a further diagnostic work-up is to be recommended. The assessment of cardiac sounds can usually be correctly interpreted on the basis of the history, physical examination and auscultation. Among the electrocardiological findings, complete left bundle-branch block and prolongation of the QT segment, mandate clarification of a structural heart condition. Furthermore, in the event of ventricular extrasystoles, right-ventricular cardiomyopathy needs to be excluded. Such isolated conduction disorders as left-anterior fascicular block or right bundle-branch block are of no prognostic significance.

  18. Ethical framework for the detection, management and communication of incidental findings in imaging studies, building on an interview study of researchers' practices and perspectives.

    Science.gov (United States)

    Bunnik, Eline M; van Bodegom, Lisa; Pinxten, Wim; de Beaufort, Inez D; Vernooij, Meike W

    2017-02-06

    As thousands of healthy research participants are being included in small and large imaging studies, it is essential that dilemmas raised by the detection of incidental findings are adequately handled. Current ethical guidance indicates that pathways for dealing with incidental findings should be in place, but does not specify what such pathways should look like. Building on an interview study of researchers' practices and perspectives, we identified key considerations for the set-up of pathways for the detection, management and communication of incidental findings in imaging research. We conducted an interview study with a purposive sample of researchers (n = 20) at research facilities across the Netherlands. Based on a qualitative analysis of these interviews and on existing guidelines found in the literature, we developed a prototype ethical framework, which was critically assessed and fine-tuned during a two-day international expert meeting with bioethicists and representatives from large population-based imaging studies from the United Kingdom, Germany, Sweden and Belgium (n = 14). Practices and policies for the handling of incidental findings vary strongly across the Netherlands, ranging from no review of research scans and limited feedback to research participants, to routine review of scans and the arrangement of clinical follow-up. Respondents felt that researchers do not have a duty to actively look for incidental findings, but they do have a duty to act on findings, when detected. The principle of reciprocity featured prominently in our interviews and expert meeting. We present an ethical framework that may guide researchers and research ethics committees in the design and/or evaluation of appropriate pathways for the handling of incidental findings in imaging studies. The framework consists of seven steps: anticipation of findings, information provision and informed consent, scan acquisition, review of scans, consultation on detected

  19. LCA of Energy Systems

    DEFF Research Database (Denmark)

    Laurent, Alexis; Espinosa Martinez, Nieves; Hauschild, Michael Zwicky

    2017-01-01

    at identifying environmental hotspots and impact patterns across different energy sources. Based on this literature review recommendations and guidelines are issued to LCA practitioners on key methodological aspects that are important for a proper conduct of LCA studies of energy systems and thus ensuring......Energy systems are essential in the support of modern societies’ activities, and can span a wide spectrum of electricity and heat generation systems and cooling systems. Along with their central role and large diversity, these systems have been demonstrated to cause serious impacts on human health...... , ecosystems and natural resources. Over the past two decades, energy systems have thus been the focus of more than 1000 LCA studies, with the aim to identify and reduce these impacts. This chapter addresses LCA applications to energy systems for generation of electricity and heat . The chapter gives insight...

  20. Research cardiac magnetic resonance imaging in end stage renal disease - incidence, significance and implications of unexpected incidental findings

    Energy Technology Data Exchange (ETDEWEB)

    Rutherford, Elaine; Weir-McCall, Jonathan R.; Houston, J.G.; Struthers, Allan D. [Ninewells Hospital, Division of Cardiovascular and Diabetes Medicine, Dundee (United Kingdom); Patel, Rajan K.; Jardine, Alan G.; Mark, Patrick B. [Institute of Cardiovascular and Medical Sciences, Glasgow (United Kingdom); Roditi, Giles [NHS Greater Glasgow and Clyde, Department of Radiology, Glasgow Royal Infirmary, Glasgow (United Kingdom)

    2017-01-15

    Left ventricular mass (LVM) at cardiac magnetic resonance imaging (CMR) is a frequent end point in clinical trials in nephrology. Trial participants with end stage renal disease (ESRD) may have a greater frequency of incidental findings (IF). We retrospectively investigated prevalence of IF in previous research CMR and reviewed their subsequent impact on participants. Between 2002 and 2006, 161 ESRD patients underwent CMR in a transplant assessment study. Images were used to assess LV mass and function. In the current study a radiologist reviewed the scans for IF. Review of patient records determined the subsequent clinical significance of IF. There were 150 IF in 95 study participants. Eighty-four (56 %) were new diagnoses. One hundred and two were non-cardiac. Fifteen were suspicious of malignancy. There was a clinically significant IF for 14.9 % of the participants. In six cases earlier identification of an IF may have improved quality of life or survival. Without radiology support clinically important IF may be missed on CMR. Patients undergoing CMR in trials should be counselled about the frequency and implications of IF. Patients with ESRD have a higher prevalence of IF than reported in other populations. Nephrology studies require mechanisms for radiologist reporting and strategies for dealing with IF. (orig.)

  1. Incidental finding of both cholecystoduodenal fistula and caecum carcinoma with MDCT imaging

    International Nuclear Information System (INIS)

    Groudeva, V.; Adam, G.; Malla Houech, I-V.; Davidkov, L.; Stoinova, V.

    2015-01-01

    Full text: Bouveret’s syndrome is a rare condition of gastric outlet obstruction, due to the impaction of gallstones in the duodenum. Most commonly it affects women and usually a history of cholelithiasis is present. We present the case of 86 years old female, with complaints of fullness, belching, acids, loss of appetite and weight for a few weeks. The examination revealed soft abdomen, painful palpation and a palpable movable mass in the right lower quadrant. The patient was referred to the imaging department for assessment of the finding. MDCT of the abdomen was carried out on 320 - row Aquillion ONE Toshiba machine, using contrast medium. The aim is to clarifying the accurate managing of the diagnosis of cholecystoduodenal fistula using MDCT. MDCT identified the presence of two independent from one another diseases, characterized by similar complaints. An enhancing mass with irregular borders in the caecal area was visualized. In addition presence of pneumobilia and a communication extending from the gallbladder to the duodenum and calculi in the latter were identified.The findings were consistent with cholecystoduodenal fistula. the patient underwent surgery, right hemicolectomy was performed together with duodenotomy and calculus extraction. Different conditions may present with overlapping symptoms and imaging diagnostic comes in help with the investigation. Since the condition of cholecystoduodenal fistula is associated with high risk of complications and death, it appeals to quick diagnosis and treatment. the use of MDCT in clinical practice as a non-invasive method allows precise identification of the signs of this disease

  2. Primary hydatid disease of the femur: unsuspected and incidental MRI findings with long-term curative results on medical treatment alone

    International Nuclear Information System (INIS)

    Poyanli, A.; Sencer, S.; Akan, K.; Poyanli, O.; Sayrak, H.

    2001-01-01

    This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of the early MRI findings and long-term outcome of medical treatment in primary hydatid disease of the femur in this age group. (orig.)

  3. Intracranial haemorrhage: an incidental finding at magnetic resonance imaging in a cohort of late preterm and term infants

    Energy Technology Data Exchange (ETDEWEB)

    Sirgiovanni, Ida; Groppo, Michela; Bassi, Laura; Passera, Sofia; Schiavolin, Paola; Fumagalli, Monica; Mosca, Fabio [Universita degli Studi di Milano, Neonatal Intensive Care Unit, Department of Clinical Science and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan (Italy); Avignone, Sabrina; Cinnante, Claudia; Triulzi, Fabio [Universita degli Studi di Milano, Department of Neuroradiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan (Italy); Lista, Gianluca [V. Buzzi Children' s Hospital, ICP, Neonatal Intensive Care Unit, Milan (Italy)

    2014-03-15

    Intracranial haemorrhage (ICH) in term newborns has been increasingly recognised but the occurrence in late preterm infants and the clinical presentation are still unclear. To investigate the appearance of intracranial haemorrhage at MRI in a cohort of infants born at 34 weeks' gestation or more and to correlate MRI findings with neonatal symptoms. We retrospectively reviewed neonatal brain MRI scans performed during a 3-year period. We included neonates ≥34 weeks' gestation with intracranial haemorrhage and compared findings with those in babies without intracranial haemorrhage. Babies were classified into three groups according to haemorrhage location: (1) infratentorial, (2) infra- and supratentorial, (3) infra- and supratentorial + parenchymal involvement. Intracranial haemorrhage was observed in 36/240 babies (15%). All of these 36 had subdural haemorrhage. Sixteen babies were included in group 1; 16 in group 2; 4 in group 3. All infants in groups 1 and 2 were asymptomatic except one who was affected by intraventricular haemorrhage grade 3. Among the infants in group 3, who had intracranial haemorrhage with parenchymal involvement, three of the four (75%) presented with acute neurological symptoms. Uncomplicated spontaneous vaginal delivery was reported in 20/36 neonates (56%), vacuum extraction in 4 (11%) and caesarean section in 12 (33%). Babies with intracranial haemorrhage had significantly higher gestational age (38 ± 2 weeks vs. 37 ± 2 weeks) and birth weight (3,097 ± 485 g vs. 2,803 ± 741 g) compared to babies without intracranial haemorrhage and were more likely to be delivered vaginally than by caesarian section. Mild intracranial haemorrhage (groups 1 and 2) is relatively common in late preterm and term infants, although it mostly represents an incidental finding in clinically asymptomatic babies; early neurological symptoms appear to be related to parenchymal involvement. (orig.)

  4. Intracranial haemorrhage: an incidental finding at magnetic resonance imaging in a cohort of late preterm and term infants

    International Nuclear Information System (INIS)

    Sirgiovanni, Ida; Groppo, Michela; Bassi, Laura; Passera, Sofia; Schiavolin, Paola; Fumagalli, Monica; Mosca, Fabio; Avignone, Sabrina; Cinnante, Claudia; Triulzi, Fabio; Lista, Gianluca

    2014-01-01

    Intracranial haemorrhage (ICH) in term newborns has been increasingly recognised but the occurrence in late preterm infants and the clinical presentation are still unclear. To investigate the appearance of intracranial haemorrhage at MRI in a cohort of infants born at 34 weeks' gestation or more and to correlate MRI findings with neonatal symptoms. We retrospectively reviewed neonatal brain MRI scans performed during a 3-year period. We included neonates ≥34 weeks' gestation with intracranial haemorrhage and compared findings with those in babies without intracranial haemorrhage. Babies were classified into three groups according to haemorrhage location: (1) infratentorial, (2) infra- and supratentorial, (3) infra- and supratentorial + parenchymal involvement. Intracranial haemorrhage was observed in 36/240 babies (15%). All of these 36 had subdural haemorrhage. Sixteen babies were included in group 1; 16 in group 2; 4 in group 3. All infants in groups 1 and 2 were asymptomatic except one who was affected by intraventricular haemorrhage grade 3. Among the infants in group 3, who had intracranial haemorrhage with parenchymal involvement, three of the four (75%) presented with acute neurological symptoms. Uncomplicated spontaneous vaginal delivery was reported in 20/36 neonates (56%), vacuum extraction in 4 (11%) and caesarean section in 12 (33%). Babies with intracranial haemorrhage had significantly higher gestational age (38 ± 2 weeks vs. 37 ± 2 weeks) and birth weight (3,097 ± 485 g vs. 2,803 ± 741 g) compared to babies without intracranial haemorrhage and were more likely to be delivered vaginally than by caesarian section. Mild intracranial haemorrhage (groups 1 and 2) is relatively common in late preterm and term infants, although it mostly represents an incidental finding in clinically asymptomatic babies; early neurological symptoms appear to be related to parenchymal involvement. (orig.)

  5. LCA of Drinking Water Supply

    DEFF Research Database (Denmark)

    Godskesen, Berit; Meron, Noa; Rygaard, Martin

    2017-01-01

    water over sea water, the significant impacts from changed drinking water quality and reduced environmental burden from wastewater reuse instead of desalination. Some of the main challenges in conducting LCAs of water supply systems are their complexity and diversity, requiring very large data......Water supplies around the globe are growing complex and include more intense treatment methods than just decades ago. Now, desalination of seawater and wastewater reuse for both non-potable and potable water supply have become common practice in many places. LCA has been used to assess...... the potentials and reveal hotspots among the possible technologies and scenarios for water supplies of the future. LCA studies have been used to support decisions in the planning of urban water systems and some important findings include documentation of reduced environmental impact from desalination of brackish...

  6. Enterobius vermicularis in tubo-ovarian abscess: A rare and interesting incidental finding - A case Report.

    Science.gov (United States)

    Saleem, Faryal; Malik, Faizan; Fatima, Saira

    2017-04-01

    Enterobius vermicularis is a common intestinal nematode; however, rare extraintestinal Enterobius infections have been reported from different parts of the world. Here, we present a case of tubo-ovarian abscess in an otherwise healthy young sexually active female with no known comorbids with history of on and off lower abdominal pain for one year and high grade fever for one month. On the basis of further workup and radiological evaluation, a preoperative diagnosis of right sided tubo-ovarian abscess was made and salpingo-oophorectomy was performed laproscopically in July 2015. Histopathology of the resected tissue revealed necrosis and in one area Enterobius vermicularis was identified surrounded by neutrophils and eosinophil rich abscess. A final diagnosis of severe acute and chronic salpingo-oophoritis with abscess formation, secondary to Enterobius vermicularis was made. Signs and symptoms of parasitic involvement in tubo-ovarian abscesses are not much different than usual presentations of pelvic inflammatory diseases and identification of a parasite in a tubo-ovarian tissue sample is a rare clinical finding. A high index of suspicion on the part of histopathologist as well as clinician is important for timely diagnosis and effective management of such cases.

  7. Nine cases of nonpalpable testicular mass. An incidental finding in a large scale ultrasonography survey

    International Nuclear Information System (INIS)

    Avci, A.; Eken, C.; Ozgok, Y.; Erol, B.

    2008-01-01

    Nonpalpable testicular masses are usually diagnosed during routine ultrasonography (US) examinations for other conditions. There are conflicting results on the final diagnosis and management of these lesions. In the present study we report the results of a large US series of 5104 patients on nonpalpable testicular masses and discuss the management of these patients. This retrospective observational study was performed in a secondary care military hospital. A total of 5104 patients underwent a US and 11 of them were diagnosed as having a nonpalpable testicular mass. These 11 patients also underwent magnetic resonance imaging (MRI). Two of them refused surgery and were excluded from the study. The remaining nine patients underwent intraoperative US-guided localization and excisional biopsy of the non-palpable testicular parenchymal mass. A radical orchiectomy was required in all of them. US and MRI findings, frozen and final pathology results were recorded. The median age of study subjects was 24 years. The final pathology revealed a malign tumor in eight patients and an inflammatory mass in one patient. There were inconsistent results in four patients between frozen section analysis and final pathology. MRI improved the definition of the solid masses in all patients. MRI enhances the certainty of the diagnosis of malignity in nonpalpable testicular masses, particularly in conditions that generally can not be diagnosed with ultrasonography alone. Frozen section analysis is not an accredited method in diagnosing malign lesions in non-palpable testicular masses. (author)

  8. Mitral annulus caseous calcification mimicking cardiac mass in asymptomatic patient – multimodality imaging approach to incidental echocardiographic finding

    International Nuclear Information System (INIS)

    Możeńska, Olga; Sypuła, Sławomir; Celińska-Spoder, Małgorzata; Walecki, Jerzy; Kosior, Dariusz A.

    2014-01-01

    Caseous calcification of mitral annulus is rather rare echocardiographic finding with prevalence of 0.6% in pts. with proven mitral annular calcification and 0.06% to 0.07% in large series of subjects in all ages. Echocardiographic images of caseous calcification are often heterogenous due to calcium and lipid deposits, and the masses show hyperechogenic and hypoechogenic areas. However the appearance of caseous calcification can imitate that of abscess, tumors and cysts, surgical treatment may not be needed when there is no obstruction. 76-year old obese (BMI 32 kg/m 2 ), female patient with history of hypertension, stable coronary artery disease, diabetes type 2 and hyperlipidemia presented with no symptoms of mitral valve dysfunction and had no abnormalities on physical exam. Transesophageal echocardiography identified well-organized, composite, immobile lesion (22×15 mm) localized in the posterior part of the mitral annulus, with markedly calcified margins, and no significant impact on the valve function. In computed tomography (CT) lesion was described as calcified (24×22×17.5 mm), connected with posterior leaflet and posterior part of the mitral annulus, reducing posterior leaflet mobility. CT brought the suggestion of caseous mitral annular calcification. Coming to a conclusion, bearing in mind no mitral valve dysfunction at that time, patient was offered conservative treatment. Although caseous mitral annular calcification is typically an incidental finding, accurate recognition is needed to avoid mistaking the lesion for a tumor or abscess, which may result in unnecessary cardiac surgery. However this entity is diagnosed on cardiac MRI, multi-modality imaging, especially non-contrast CT, allows for the confident, prospective diagnosis

  9. Introduction to LCA Methodology

    DEFF Research Database (Denmark)

    2017-01-01

    In order to offer the reader an overview of the LCA methodology in the preparation of the more detailed description of its different phases, a brief introduction is given to the methodological framework according to the ISO 14040 standard and the main elements of each of its phases. Emphasis...... is on the iterative nature of the LCA process with its many feedback loops between the different phases. It is explained how the integrated use of sensitivity analysis helps identify key assumptions and key data and thus ensure effectiveness by directing the focus of the LCA practitioner to those parts of the study...... where additional work contributes most to strengthen the results and conclusions of the study....

  10. LCA data quality: sensitivity and uncertainty analysis.

    Science.gov (United States)

    Guo, M; Murphy, R J

    2012-10-01

    Life cycle assessment (LCA) data quality issues were investigated by using case studies on products from starch-polyvinyl alcohol based biopolymers and petrochemical alternatives. The time horizon chosen for the characterization models was shown to be an important sensitive parameter for the environmental profiles of all the polymers. In the global warming potential and the toxicity potential categories the comparison between biopolymers and petrochemical counterparts altered as the time horizon extended from 20 years to infinite time. These case studies demonstrated that the use of a single time horizon provide only one perspective on the LCA outcomes which could introduce an inadvertent bias into LCA outcomes especially in toxicity impact categories and thus dynamic LCA characterization models with varying time horizons are recommended as a measure of the robustness for LCAs especially comparative assessments. This study also presents an approach to integrate statistical methods into LCA models for analyzing uncertainty in industrial and computer-simulated datasets. We calibrated probabilities for the LCA outcomes for biopolymer products arising from uncertainty in the inventory and from data variation characteristics this has enabled assigning confidence to the LCIA outcomes in specific impact categories for the biopolymer vs. petrochemical polymer comparisons undertaken. Uncertainty combined with the sensitivity analysis carried out in this study has led to a transparent increase in confidence in the LCA findings. We conclude that LCAs lacking explicit interpretation of the degree of uncertainty and sensitivities are of limited value as robust evidence for decision making or comparative assertions. Copyright © 2012 Elsevier B.V. All rights reserved.

  11. LCA of Wastewater Treatment

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred

    2018-01-01

    emissions and potential health impacts due to spreading of pathogens. Anyway, the use of treatment for micro-pollutants is increasing and a paradigm shift is ongoing — wastewater is more and more considered as a resource of, e.g. energy, nutrients and even polymers, in the innovations going on. The focus...... of LCA studies addressing wastewater treatment have from the very first published cases, been on energy and resource consumption. In recent time, the use of characterisation has increased and besides global warming potential, especially eutrophication is in focus. Even the toxicity-related impact...... categories are nowadays included more often. Application of LCA for comparing avoided against induced impacts, and hereby identifying trade-offs when introducing new technology, is increasingly used. A typical functional unit is the treatment of one cubic metre of wastewater which should be well defined...

  12. Incidental Finding of Bilateral Dens Invaginatus in the Maxillary Lateral Incisors and Role of Cone Beam Computed Tomography in Diagnose and Treatment

    Directory of Open Access Journals (Sweden)

    Emre Köse

    2017-04-01

    Full Text Available Dens invaginatus (DI is a dental malformation commonly thought to occur as a result of an infolding of the enamel organ into the adjacent dental papilla during the development of the tooth. It shows a wide spectrum of variations in morphology and usually affects the maxillary lateral incisors. This study presents type 1 DI involving bilateral maxillary lateral incisors, which presented as an incidental radiographic finding in the laterals and was associated with a periapical lesion in the right one without caries. The case was successfully treated using nonsurgical endodontic treatment.

  13. Future-Oriented LCA

    DEFF Research Database (Denmark)

    Olsen, Stig Irving; Borup, Mads; Andersen, Per Dannemand

    2017-01-01

    challenges are described and some learnings are derived. Many of the future-oriented LCAs published so far perform relatively short-term prediction of simple comparisons. But for more long-term time horizons foresight methods can be of help. Scenarios established by qualified experts about future......LCA is often applied for decision-making that concerns actions reaching near or far into the future. However, traditional life cycle assessment methodology must be adjusted for the prospective and change-oriented purposes, but no standardised way of doing this has emerged yet. In this chapter some...

  14. LCA Experiences in Danish Industry

    DEFF Research Database (Denmark)

    Broberg, Ole; Christensen, Per

    1999-01-01

    to supply more environmentally friendly products is the most important in-centive for the enterprises to engage in LCA activities. This pressure has, however, not emerged yet and the enterprises have not achieved the expected competitive advantages. LCA work has revealed new environmental aspects...

  15. Cradle to Cradle and LCA

    DEFF Research Database (Denmark)

    Bjørn, Anders; Hauschild, Michael Z.

    2017-01-01

    with the circular economy , the C2C certification and examples of C2C certified or inspired products and systems. This is followed by a comparison of C2C with eco-efficiency and LCA . Because of their important differences, we conclude that care should be taken when combing C2C and LCA, e.g. using LCA to evaluate...... products inspired by C2C. We then provide an in-depth analysis of the conflicts between C2C and LCA and offer solutions. Finally, we reflect upon how LCA practitioners can learn from C2C in terms of providing a vision of a sustainable future, creating a sense of urgency for change and communicating results...

  16. Incidental findings in paranasal sinuses and mastoid cells. A cross-sectional magnetic resonance imaging (MRI) study in a pediatric radiology department

    Energy Technology Data Exchange (ETDEWEB)

    Kalle, T. von; Fabig-Moritz, C.; Winkler, P. [Olgahospital Klinikum, Stuttgart (Germany). Radiologie; Heumann, H. [Olgahospital Klinikum, Stuttgart (Germany). Paediatrische HNO-Heilkunde und Otologie

    2012-07-15

    Purpose: Misdiagnosis of 'sinusitis' is still frequent in children, although mucosal swelling in the paranasal sinuses of children has been reported as a common incidental finding. Recent radiological publications on the problem are rare. We prospectively evaluated the mucosal thickening in the paranasal sinuses and mastoid cells of children who underwent MRI of the head for reasons other than sinusitis or mastoiditis. Materials and Methods: 147 patients, 0.2 - 22.7 years, median 8.9. Axial and sagittal T2 TSE images were evaluated by two experienced pediatric radiologists. Categories for the degree of mucosal swelling were for the maxillary, frontal and sphenoid sinuses: no swelling, minor: < 5 mm, or major: {>=} 5 mm; for ethmoid cells and mastoid cells: not present, minor: {<=} 50 % of cells, or major: > 50 %. Results: 61 % of children had one or more salient findings in their paranasal sinuses or mastoid cells. 48 % had mucosal swelling in their paranasal cavities, 25 % in their mastoid cells. The prevalence was higher among children less than 10 years of age (60 % and 42 %) and among children with current upper respiratory tract infection (71 % and 35 %). There was no correlation to a history of headache, snoring, asthma and allergies, or to gender or place of residence. Conclusion: Mucosal swelling in paranasal sinuses and in mastoid cells is a frequent incidental finding in children. Even major mucosal swelling in a paranasal sinus is not necessarily a sign of infection. In radiological reports the terms 'sinusitis' and 'mastoiditis' should therefore be used with great caution. The initiation of treatment should be based on clinical symptoms and not on radiological abnormalities alone. (orig.)

  17. Striated nephrogram as an incidental finding in MRI examination of children; Streifiges Nephrogramm als Zufallsbefund nach Kontrastmittelgabe bei Kindern in der MRT

    Energy Technology Data Exchange (ETDEWEB)

    Strocka, S.; Sorge, I.; Ritter, L.; Hirsch, F.W. [Leipzig Univ. (Germany). Dept. of Pediatric Radiology

    2016-01-15

    A highly striated contrast pattern of the kidneys occasionally appears in abdominal MRI examinations of children following the administration of gadolinium. As this phenomenon is well known but has not yet been explicitly described in literature, we investigated how frequently and in which clinical context this occurred. 855 abdominal MRI examinations with contrast media of 362 children between 2006 and 2014 were analysed retrospectively. A striated renal parenchyma was found in a total of nine children and eleven examinations (1.3 % of examinations) and did only occur at a field strength of 3 Tesla. Of these children, seven had previously had tumors and chemotherapy. In two children there was no evidence of a previously serious condition with medications or a kidney disease. All of them had a normal renal function. A noticeably striated nephrogram in the later phase of an MRI examination following administration of gadolinium may appear as an incidental finding in examinations at 3 Tesla without pathological relevance.

  18. Achado incidental de agenesia do lobo hepático esquerdo em paciente com colecistite aguda Incidental finding of agenesis of the left hepatic lobe in a patient with acute cholecystitis

    Directory of Open Access Journals (Sweden)

    Bruno da Costa Martins

    2008-12-01

    Full Text Available INTRODUÇÃO: Anomalias da morfologia hepática são entidades raras causadas por desenvolvimento embriológico anormal do fígado. Podem ser classificadas como anomalias devido a desenvolvimento defeituoso do fígado (agenesia, aplasia e hipoplasia ou devido ao desenvolvimento excessivo (lobos acessórios. RELATO DO CASO: Paciente de 48 anos, do sexo feminino, obesa (IMC=40, que procurou o serviço de emergência com quadro de colecistite aguda. A paciente foi submetida a colecistectomia videolaparoscópica e durante o procedimento cirúrgico foi verificada a agenesia do lobo hepático esquerdo. A vesícula biliar estava em sua topografia habitual e não havia parênquima hepático à esquerda do ligamento falciforme. A colecistectomia foi realizada sem intercorrências e uma banda gástrica foi colocada para o tratamento da obesidade mórbida. Ela recebeu alta após 60 horasINTRODUCTION: Anomalies of hepatic morphology are rare entities caused by abnormal embryological development of the liver. They can be classified as anomalies due to defective development (agenesis, aplasia or hypoplasia or anomalies due to excessive development of the liver (accessory lobes. CASE REPORT: A 48 years old obese female looked for emergency assistance with acute cholecystitis. An incidental finding of left hepatic lobe agenesis was observed when the patient was submitted to laparoscopic cholecystectomy. There was no hepatic parenchyma to the left of falciform ligament and gallbladder was settled on its normal position. Cholecystectomy was performed uneventfully and an adjustable gastric band was placed for the treatment of the morbid obesity. The patient was discharged after 60 hours.

  19. Neglectable benefit of searching for incidental findings in the Dutch-Belgian lung cancer screening trial (NELSON) using low-dose multidetector CT

    International Nuclear Information System (INIS)

    Wiel, J.C.M. van de; Wang, Y.; Xu, D.M.; Zaag-Loonen, H.J. van der; Jagt, E.J. van der; Oudkerk, M.; Klaveren, R.J. van

    2007-01-01

    The purpose of this study was to prospectively determine the frequency and spectrum of incidental findings (IFs) and their clinical implications in a high risk population for lung cancer undergoing low-dose multidetector computed tomography (MDCT) screening for lung cancer. Scans of 1,929 participants were evaluated for lung lesions and IFs by two radiologists. IFs were categorised as not clinically relevant or possibly clinically relevant. Findings were considered possibly clinically relevant if they could require further evaluation or could have substantial clinical implications. All possibly clinically relevant IFs were reviewed by a third radiologist, who determined its clinical relevance. Of all 1,929 participants, 1,410 (73%) had not clinically relevant IFs and 163 (8%) had possibly clinically relevant IFs of which 129 (79%) were indeed considered clinically relevant. Additional imaging was performed mainly by ultrasound (112 of 118, 96%). All but one lesion were concluded to be benign, mostly cysts (n = 115, 80%). Only 21 (1%) participants had findings with clinical implications. In one participant a malignancy was found, yet without any clinical benefit since no curative treatment was possible. Based on our results, we advise against systematically searching for and reporting of IFs in lung cancer screening studies using low-dose MDCT. (orig.)

  20. Incidentally detected non-palpable testicular tumours in adults at scrotal ultrasound: impact of radiological findings on management Radiologic review and recommendations of the ESUR scrotal imaging subcommittee

    International Nuclear Information System (INIS)

    Rocher, Laurence; Ramchandani, Parvati; Belfield, Jane; Bertolotto, Michele; Derchi, Lorenzo E.; Correas, Jean Michel; Oyen, Raymond; Tsili, Athina C.; Turgut, Ahmet Tuncay; Dogra, Vikram; Fizazi, Karim; Freeman, Simon; Richenberg, Jonathan

    2016-01-01

    The increasing detection of small testicular lesions by ultrasound (US) in adults can lead to unnecessary orchiectomies. This article describes their nature, reviews the available literature on this subject and illustrates some classical lesions. We also suggest recommendations to help characterization and management. The ESUR scrotal imaging subcommittee searched for original and review articles published before May 2015 using the Pubmed and Medline databases. Key words used were 'testicular ultrasound', 'contrast-enhanced sonography', 'sonoelastography', 'magnetic resonance imaging', 'testis-sparing surgery', 'testis imaging', 'Leydig cell tumour', 'testicular cyst'. Consensus was obtained amongst the members of the subcommittee, urologist and medical oncologist. Simple cysts are frequent and benign, and do not require follow up or surgery. Incidentally discovered small solid testicular lesions detected are benign in up to 80 %, with Leydig cell tumours being the most frequent. However, the presence of microliths, macrocalcifications and hypoechoic areas surrounding the nodule are findings suggestive of malignant disease. Asymptomatic small testicular lesions found on ultrasound are mainly benign, but findings such as microliths or hypoechoic regions surrounding the nodules may indicate malignancy. Colour Doppler US remains the basic examination for characterization. The role of newer imaging modalities in characterization is evolving. (orig.)

  1. Retained Intra-Abdominal Surgical Clamp Complicating Emergency Laparotomy: Incidental Finding on Hysterosalpingogram for Evaluation of Tubal Infertility

    Directory of Open Access Journals (Sweden)

    Adebiyi Gbadebo Adesiyun

    2014-01-01

    Full Text Available The finding of intraperitoneal foreign body complicating surgical intervention broadly remains as an issue of safety in the operative room, a source of emotive concern for the patient, and an upsetting but equally embarrassing situation to the surgeon and the team. However, in the media world, it is a source of sumptuous and captivating headline on the newspaper and to the legal profession, an attractive case to prosecute. A middle age teacher presented with secondary infertility. She had emergency laparotomy fifteen years ago for ruptured tubal ectopic pregnancy in a private hospital and postoperative period was uneventful. Amongst other investigations to find out the cause of infertility, she had hysterosalpingography and a radio-opaque clamp was visualized on the films. She was counselled and had laparotomy. A pair of surgical Kocher clamps was retrieved buried in the mesentery.

  2. Acute suppurative appendicitis associated with Enterobius vermicularis: an incidental finding or a causative agent? A case report.

    Science.gov (United States)

    Efared, Boubacar; Atsame-Ebang, Gabrielle; Soumana, Boubacar Marou; Tahiri, Layla; Hammas, Nawal; El Fatemi, Hinde; Chbani, Laila

    2017-10-06

    Histological acute appendicitis patterns associated with Enterobius vermicularis is an extremely rare finding. The exact role of this parasite in acute appendicitis is controversial as usually resected specimens show no evidence of histological inflammation. We present herein a case of a 21-year-old male Arabic patient who presented with clinical syndrome of acute appendicitis. Emergency appendectomy was performed and the histopathological examination of the resected specimen showed the presence of E. vermicularis as well as intense acute inflammatory patterns such as mucosal ulceration and suppurative necrosis. The post-operative course was uneventful and the patient was discharged with appropriate anti-helmintic drug prescription. Acute appendicitis due to E. vermicularis is a very rare occurrence. The histopathological analysis of resected specimens should pay special attention to search for this parasite for adequate post-operative treatment of patients.

  3. Incidental findings of the kidneys, adrenal glands, adnexa uteri, gastrointestinal tract, mesentery and lymph nodes. Assessment and management recommendations; Zufallsbefunde von Niere, Nebenniere, Adnexen, Gastrointestinaltrakt, Mesenterium und Lymphknoten. Bewertung und Managementempfehlung

    Energy Technology Data Exchange (ETDEWEB)

    Scharitzer, M.; Tamandl, D.; Ba-Ssalamah, A. [Medizinische Universitaet Wien, Universitaetsklinik fuer Radiologie und Nuklearmedizin, Wien (Austria)

    2017-04-15

    Besides the upper abdominal parenchymal organs, the increasing application of cross-sectional imaging has also led to a rising number of incidental findings in the kidneys, adrenal glands, adnexa uteri, the gastrointestinal tract, mesentery and abdominal lymph nodes. Abdominal computed tomography investigations often show unexpected findings without any correlating symptoms. The growing clinical relevance is due to the large number of incidental findings as well as an increasing awareness of ethical and socioeconomic factors. When interpreting radiological findings not only morphological criteria but also individual risk factors of the patient and the clinical context are of great importance. The aims of this article are the description and evaluation of frequent incidental findings detected by computed tomography and to provide information about management recommendations. (orig.) [German] Neben den parenchymatoesen Oberbauchorganen hat der zunehmende Einsatz von Schnittbildverfahren zu einer vermehrten Anzahl von Zufallsbefunden der Nieren, Nebennieren, Adnexe, des Gastrointestinaltrakts, Mesenteriums und der intraabdominellen Lymphknoten gefuehrt. Abdominelle CT-Untersuchungen zeigen haeufig unerwartete Befunde ohne korrelierende Symptomatik. Die steigende klinische Relevanz ist einerseits auf die Zunahme inzidenteller Pathologien und andererseits auf ein wachsendes Bewusstsein ethischer und soziooekonomischer Faktoren zurueckzufuehren. Bei der radiologischen Interpretation sind neben morphologischen Kriterien sowohl die Einbeziehung der individuellen Risikofaktoren des Patienten als auch der klinische Gesamtkontext von grosser Bedeutung. Das Ziel dieses Artikels ist eine Beschreibung und Bewertung der in der Computertomographie detektierten genannten Zufallsbefunde sowie weiterer Managementempfehlungen. (orig.)

  4. Globalisation and Mainstreaming of LCA

    DEFF Research Database (Denmark)

    Wangel, Arne

    2017-01-01

    The chapter describes how a globalised economy exacerbates the need of a mainstreaming of LCA, in particular the emergence of long, complex and geographically highly dispersed global value chains (GVCs). In documenting the three phases of the UNEP-SETAC Life Cycle Initiative, a conventional roadmap...

  5. LCA of a washing machine

    DEFF Research Database (Denmark)

    Erichsen, Hanne K. Linnet

    1997-01-01

    Task 2.1 has the aim to generate inforamtion of the present situation for electrical motors through life cycle assessment (LCA). When assessing the environmental burdens through out the life cycle of the motor it is necessary to look at the life cycle of the product in which the motor is used. Th...

  6. Antifreeze life cycle assessment (LCA

    Directory of Open Access Journals (Sweden)

    Kesić Jelena

    2005-01-01

    Full Text Available Antifreeze based on ethylene glycol is a commonly used commercial product The classification of ethylene glycol as a toxic material increased the disposal costs for used antifreeze and life cycle assessment became a necessity. Life Cycle Assessment (LCA considers the identification and quantification of raw materials and energy inputs and waste outputs during the whole life cycle of the analyzed product. The objectives of LCA are the evaluation of impacts on the environment and improvements of processes in order to reduce and/or eliminate waste. LCA is conducted through a mathematical model derived from mass and energy balances of all the processes included in the life cycle. In all energy processes the part of energy that can be transformed into some other kind of energy is called exergy. The concept of exergy considers the quality of different types of energy and the quality of different materials. It is also a connection between energy and mass transformations. The whole life cycle can be described by the value of the total loss of exergy. The physical meaning of this value is the loss of material and energy that can be used. The results of LCA are very useful for the analyzed products and processes and for the determined conditions under which the analysis was conducted. The results of this study indicate that recycling is the most satisfactory solution for the treatment of used antifreeze regarding material and energy consumption but the re-use of antifreeze should not be neglected as a solution.

  7. Attributional and consequential LCA of milk production

    NARCIS (Netherlands)

    Thomassen, Marlies A.; Dalgaard, Randi; Heijungs, Reinout; De Boer, Imke

    Background, aim and scope: Different ways of performing a life cycle assessment (LCA) are used to assess the environmental burden of milk production. A strong connection exists between the choice between attributional LCA (ALCA) and consequential LCA (CLCA) and the choice of how to handle

  8. Attributional and consequential LCA of milk production

    NARCIS (Netherlands)

    Thomassen, M.A.; Dalgaard, P.; Heijungs, R.; Boer, de I.J.M.

    2008-01-01

    Background, aim and scope Different ways of performing a life cycle assessment (LCA) are used to assess the environmental burden of milk production. A strong connection exists between the choice between attributional LCA (ALCA) and consequential LCA (CLCA) and the choice of how to handle

  9. Incidental versus non-incidental thyroid carcinoma: Clinical presentation, surgical management and prognosis.

    Science.gov (United States)

    González-Sánchez-Migallón, Elena; Flores-Pastor, Benito; Pérez-Guarinos, Carmen Victoria; Miguel-Perelló, Joana; Chaves-Benito, Asunción; Illán-Gómez, Fátima; Carrillo-Alcaraz, Andrés; Aguayo-Albasini, José Luis

    2016-11-01

    Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors. A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves' disease were compared to those with multinodular goiter. Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves' disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery. Early stage thyroid cancer has better survival and prognosis after surgical treatment. Copyright © 2016 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. LCA versus RA - an introduction

    DEFF Research Database (Denmark)

    Olsen, Stig Irving

    2000-01-01

    of products is another environmental management tool that gains more and more ground, and which is often thought of as universal due to its basic holistic philosophy. As the environmental impacts of one product can only be seen in relation to the impacts of other products providing the same functions, LCA...... is a comparative tool. The primary purpose of this article is to identify harmonies, discrepancies and relations between the two tools, exemplified by the risk assessment principles of the European Commission (EC) as stated in 'Technical Guidance Document' (EC, 1996) and the LCA method 'EDIP' (Environmental Design...... and discrepancies in the principles of assessing the potential for ecotoxicological and toxicological effects. The aim here is to compare the two tools to each other and relate the development/use of the two tools to possibilities for integration etc. As the Techical Guidance Document (TGD) (see chapter...

  11. LCA profiles for building components:

    DEFF Research Database (Denmark)

    Marsh, Rob

    2016-01-01

    , a new approach explores how environmental information on building components can be simplified for strategic use early in the design process in a Danish context. In this paper, life cycle assessments (LCAs) are undertaken for several hundred typical external wall solutions, based on relevant standards....... A full bivariate linear regression analysis is performed, showing statistically significant correlations with strong direct relationships between environmental impact categories. A simplified LCA profile consisting of total primary energy, global warming potential and acidification potential is developed....... This simplified LCA profile presents environmental data in a more understandable way, creating a strategic overview that can be easily used by non-technical clients and construction professionals in the early design stages. This has a scientific and statistical validity generated by environmental assessment...

  12. Handling incidental findings in neuroimaging research in Japan: current state of research facilities and attitudes of investigators and the general population.

    Science.gov (United States)

    Fujita, Misao; Hayashi, Yoshinori; Tashiro, Shimon; Takashima, Kyoko; Nakazawa, Eisuke; Akabayashi, Akira

    2014-10-06

    To establish appropriate measures that deal with incidental findings (IFs), the neuroscience community needs to address various ethical issues. The current state of research facilities regarding IFs and investigator attitudes as well as potentially eligible research participants must be assessed prior to future discussions and before the development of policies and guidelines. To this end, we conducted two questionnaire surveys to clarify i) how IFs are addressed at neuroimaging research facilities in Japan and ii) the views of investigators and potential research participants regarding the handling of IFs. Thirty-one principal investigators (PIs) involved in the Strategic Research Program for Brain Sciences (SRPBS), a government-funded project, were asked to fill out a questionnaire regarding ways IFs were handled at the facility. A total of 110 investigators engaged in SRPBS tasks, including 31 PIs who participated in the research facility survey and researchers conducting studies under the management of the PIs, and 500 individuals from the general public (i.e., general population) were asked to select the most appropriate way to deal with IFs in two scenarios, namely the medical school and humanities and social sciences department scenarios. More than 40% of PIs responded that they did not know or were unsure of what type of approach was employed to handle IFs at their research facilities. Nevertheless, they were willing to improve the current status if sufficient resources were provided. With regard to specialist involvement, 37.7% of investigators responded that it was appropriate to have a specialist check all images in the medical school scenario, whereas 13.3% responded that such involvement was appropriate in the humanities and social sciences department scenario. In contrast, 76.1% and 61.0% of the general population indicated that specialist involvement was appropriate in the medical school and humanities and social sciences department scenarios

  13. Breast cancer only detected at US. Incidental finding or clinical evidence?; Le neoplasie mammarie visualizzabili solo con esame ecografico. Reperti incidentali o realta' clinica?

    Energy Technology Data Exchange (ETDEWEB)

    Nori, J.; Masi, A.; Boeri, C.; Vivian, A.; Nori Bufalini, F. [Azienda Ospedaliera Careggi, Florence (Italy). Unita' Operativa di Radiodiagnostica 2; Cariti, G. [Florence Univ., Florence (Italy). Dipt. di Ginecologia e Ostetricia

    2000-06-01

    Mammography is the only technique of proven efficacy in the early diagnosis of breast cancer, even though its sensitivity is much lower in breasts that are dense or with a high parenchymal-stroma component. In the past malignant breast nodules detected at US in patients with negative mammographic and physical findings were considered incidental findings, but more recent papers report increasing numbers of breast cancers detected only at US. It was investigated the yield of US performed as a diagnostic complement in asymptomatic women with mammographic findings that were either negative or poorly readable because of dense breast. 13 women were examined: 37 to 55 years old (mean 47): 9 of them were asymptomatic and 4 had poorly specific physical findings. The patients underwent physical examination, mammography, US, micro histologic biopsy with 14G needles under US guidance and surgery. Fourteen breast lesions 7.0-15 mm in diameter were detected only by US. Mammography (2 or 3 standard views) was negative in all cases. The lesions detected only by US (10% of all carcinomas) were typified with US-guided needle biopsy and finally confirmed surgically. Though obtained in a small series, the results seem to suggest that US should be included in the diagnostic work-up, especially of women with dense breast. Also, any hypoechoic lesion detected at breast US in clinically asymptomatic women with negative mammographic findings should be further investigated with US, needle aspiration or core biopsy to make the final diagnosis. [Italian] Si intende con questo lavoro valutare l'utilita' dell'esame ecografico, eseguito come completamento diagnostico in donne clinicamente negative e con mammografia negativa o comunque scarsamente leggibile in relazione alla elevata densita' del parenchima mammario (mammelle dense). Tredici donne con eta' compresa tra 37 e 55 anni (eta' media 47 anni) asintomatiche o con quadri clinici vaghi o comunque non

  14. Mapping and characterization of LCA networks

    DEFF Research Database (Denmark)

    Bjørn, Anders; Owsianiak, Mikolaj; Laurent, Alexis

    2013-01-01

    was performed based on (1) a literature search, (2) a web search and (3) an inquiry to stakeholders distributed via the two largest LCA fora. Networks were characterized based on responses from a survey. Results and discussion: We identified 100 networks, of which 29 fulfilled all six criteria composing our......, an increasing trend in the formation of LCA networks over time is observed, which tends to correlate with the number of LCA scientific publications over the same time period. Continental distributions of networks also show a correlation with the number of LCA publications from the same region. Conclusions...

  15. Review of LCA studies of solid waste management systems – Part I: Lessons learned and perspectives

    International Nuclear Information System (INIS)

    Laurent, Alexis; Bakas, Ioannis; Clavreul, Julie; Bernstad, Anna; Niero, Monia; Gentil, Emmanuel; Hauschild, Michael Z.; Christensen, Thomas H.

    2014-01-01

    Highlights: • We perform a critical review of 222 LCA studies of solid waste management systems. • Studies mainly concentrated in Europe with little application in developing countries. • Assessments of relevant waste types apart from household waste have been overlooked. • Local specificities of systems prevent a meaningful generalisation of the LCA results. • LCA should support recommendations representative of the local conditions. - Abstract: The continuously increasing solid waste generation worldwide calls for management strategies that integrate concerns for environmental sustainability. By quantifying environmental impacts of systems, life cycle assessment (LCA) is a tool, which can contribute to answer that call. But how, where and to which extent has it been applied to solid waste management systems (SWMSs) until now, and which lessons can be learnt from the findings of these LCA applications? To address these questions, we performed a critical review of 222 published LCA studies of SWMS. We first analysed the geographic distribution and found that the published studies have primarily been concentrated in Europe with little application in developing countries. In terms of technological coverage, they have largely overlooked application of LCA to waste prevention activities and to relevant waste types apart from household waste, e.g. construction and demolition waste. Waste management practitioners are thus encouraged to abridge these gaps in future applications of LCA. In addition to this contextual analysis, we also evaluated the findings of selected studies of good quality and found that there is little agreement in the conclusions among them. The strong dependence of each SWMS on local conditions, such as waste composition or energy system, prevents a meaningful generalisation of the LCA results as we find it in the waste hierarchy. We therefore recommend stakeholders in solid waste management to regard LCA as a tool, which, by its ability of

  16. Incidental Vocabulary Learning in Second Language Acquisition: A Literature Review

    Directory of Open Access Journals (Sweden)

    Falcon Dario Restrepo Ramos

    2015-01-01

    Full Text Available This literature review aims to analyze previous studies that address the incidental learning of vocabulary in second language acquisition. The articles included in this literature review look into the understanding of vocabulary learning through incidental means, the relationship of reading and incidental vocabulary learning, and the strategies and tasks that promote the incidental learning of vocabulary. The findings show that L2 learners develop much of their vocabulary by incidental means through exposure to words in informative contexts. Moreover, this exposure is promoted by reading, and enhanced through multimodal glosses. Further research may focus on listening for higher lexical retention rates, the circumstances that allow incidental learning of multi-word phrases and collocations, and the use of technology-based methods for incidental vocabulary acquisition.

  17. USEEIOv1.1 - openLCA

    Data.gov (United States)

    U.S. Environmental Protection Agency — This is a version of the full USEEIO v1.1 model in the openLCA schema serialized as JSON-LD that can be imported into openLCA software (www.openlca.org) v1.5 and...

  18. Temporal Considerations of Carbon Sequestration in LCA

    Science.gov (United States)

    James Salazar; Richard Bergman

    2013-01-01

    Accounting for carbon sequestration in LCA illustrates the limitations of a single global warming characterization factor. Typical cradle-to-grave LCA models all emissions from end-of-life processes and then characterizes these flows by IPCC GWP (100-yr) factors. A novel method estimates climate change impact by characterizing annual emissions with the IPCC GHG forcing...

  19. Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults

    Directory of Open Access Journals (Sweden)

    Anna Koumarianou

    2013-01-01

    Full Text Available MYCN is a well-known oncogene overexpressed in different human malignancies including neuroblastoma, rhabdomyosarcoma, medulloblastoma, astrocytoma, Wilms’ tumor, and small cell lung cancer. While neuroblastoma is one of the most common childhood malignancies, in adults it is extremely rare and its treatment is based on pediatric protocols that take into consideration stage and genotypic features, such as MYCN amplification. Although neuroblastoma therapy has evolved, identification of early stage patients who need chemotherapy continues to pose a therapeutic challenge. The emerging prognostic role of MYCN phenotype of this disease is currently under investigation as it may redefine MYCN amplified subgroups. We describe an unusual case of adult neuroblastoma with MYCN amplification diagnosed incidentally and discuss possible therapeutic dilemmas.

  20. Achado incidental de glândula sebácea em colo uterino: provavelmente um processo metaplásico An incidental finding of sebaceous glands in the uterine cervix: a probable metaplastic process

    Directory of Open Access Journals (Sweden)

    Daniel Cury Ogata

    2012-06-01

    Full Text Available As glândulas sebáceas ectópicas são achados muito infrequentes no trato genital feminino. Descrevemos um caso que ocorreu em paciente de 42 anos de idade, submetida à histerectomia total, devido à leiomiomatose e ao prolapso uterino.The ectopic sebaceous glands have been extremely rare findings in female genital system. We describe the case of 42 years-old patient with total hysterectomy due to leiomyomatosis and uterine prolapsed.

  1. Langerhans cell histiocytosis associated with lymphoma: an incidental finding that is not associated with BRAF or MAP2K1 mutations.

    Science.gov (United States)

    Pina-Oviedo, Sergio; Medeiros, L Jeffrey; Li, Shaoying; Khoury, Joseph D; Patel, Keyur P; Alayed, Khaled; Cason, R Craig; Bowman, Christopher J; Yin, C Cameron

    2017-05-01

    Langerhans cell histiocytosis is characterized by a localized or systemic proliferation of Langerhans cells. BRAF mutations have been reported in 40-70% of cases and MAP2K1 mutations have been found in BRAF-negative cases, supporting that Langerhans cell histiocytosis is a true neoplasm, at least in mutated cases. In a small subset of patients, Langerhans cell histiocytosis is detected incidentally in a biopsy involved by lymphoma. These lesions are usually minute and rarely have been assessed for mutations. We assessed for BRAF and MAP2K1 mutations in seven cases of Langerhans cell histiocytosis detected incidentally in biopsies involved by lymphoma. We performed immunohistochemical analysis for phosphorylated (p)-ERK. There were four men and three women (median age, 54 years; range, 28-84). The biopsies included lymph nodes (n=6) and chest wall (n=1). The lymphomas included five classical Hodgkin lymphoma, one mantle cell lymphoma, and one angioimmunoblastic T-cell lymphoma. All cases were negative for BRAF V600E and MAP2K1 mutations. Nevertheless, three of seven cases showed ERK activation as shown by expression of p-ERK. We performed mutation analysis using a panel of 134 commonly mutated genes (including BRAF and MAP2K1) by next-generation sequencing on three cases, including two cases positive for p-ERK by immunohistochemistry. No mutations were detected in any of the three cases assessed. Six patients received therapy appropriate for their lymphoma. With a median follow-up of 21 months (range, 6-89), no patients developed disseminated or recurrent Langerhans cell histiocytosis. We conclude that lymphoma-associated Langerhans cell histiocytosis is a clinically benign process that is not associated with BRAF V600E or MAP2K1 mutations and, as suggested by others, the designation Langerhans cell hyperplasia may be more appropriate. Nevertheless, the expression of p-ERK in three cases suggests that the RAS-RAF-MAP2K-ERK pathway is activated, perhaps by non

  2. Incidental renal neoplasms

    DEFF Research Database (Denmark)

    Rabjerg, Maj; Mikkelsen, Minne Nedergaard; Walter, Steen

    2014-01-01

    On the basis of associations between tumor size, pathological stage, histological subtype and tumor grade in incidentally detected renal cell carcinoma vs symptomatic renal cell carcinoma, we discussed the need for a screening program of renal cell carcinoma in Denmark. We analyzed a consecutive...... series of 204 patients with renal tumors in 2011 and 2012. The tumors were classified according to detection mode: symptomatic and incidental and compared to pathological parameters. Eighty-nine patients (44%) were symptomatic, 113 (55%) were incidental. Information was not available in two patients...

  3. Review of LCA studies of solid waste management systems – Part I: Lessons learned and perspectives

    DEFF Research Database (Denmark)

    Laurent, Alexis; Bakas, Ioannis; Clavreul, Julie

    2014-01-01

    , e.g. construction and demolition waste. Waste management practitioners are thus encouraged to abridge these gaps in future applications of LCA. In addition to this contextual analysis, we also evaluated the findings of selected studies of good quality and found that there is little agreement......The continuously increasing solid waste generation worldwide calls for management strategies that integrate concerns for environmental sustainability. By quantifying environmental impacts of systems, life cycle assessment (LCA) is a tool, which can contribute to answer that call. But how, where...... and to which extent has it been applied to solid waste management systems (SWMSs) until now, and which lessons can be learnt from the findings of these LCA applications? To address these questions, we performed a critical review of 222 published LCA studies of SWMS. We first analysed the geographic...

  4. LCA Modeling of Waste Management Scenarios

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Simion, F.; Tonini, Davide

    2011-01-01

    Lifecycle assessment (LCA) modeling provides a quantitative statement about resource issues and environmental issues in waste management useful in evaluating alternative management systems and in mapping where major loads and savings take place within existing systems. Chapter 3.1 describes...... the concepts behind LCA modeling and Chapter 3.2 gives an overview of existing models and shows examples of their application. A recent comprehensive review of publicly available LCA studies (WRAP, 2006) concluded that, on a material basis, LCA modeling in general confirms the validity of the waste hierarchy...... combinations of waste recycling, biological treatment, incineration, mechanical–biological treatment and landfilling. The purpose is to compare waste management on a system level and to indentify the steps and treatments within the system contributing the most to the environmental performance of waste...

  5. REVIEW OF EXISTING LCA STUDIES ON WASTE WATER TREATMENT TECHNOLOGIES

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Hauschild, Michael Zwicky

    importance of the different life cycle stages and the individual impact categories in the total impact from the waste water treatment, and the degree to which micropollutants, pathogens and whole effluent toxicity have been included in earlier studies. The results show that more than 30 different WWTT (and......The EU research project “NEPTUNE” is related to the EU Water Framework Directive and focused on the development of new waste water treatment technologies (WWTT) for municipal waste water. The sustainability of these WWTTs is going to be assessed by the use of life cycle assessment (LCA). New life...... cycle impact assessment methods on pathogens, whole effluent toxicity and micropollutants will be developed within the project. As part of this work a review of more than 20 previous LCA studies on WWTTs has been done and the findings are summarised on this poster. The review is focused on the relative...

  6. Crane. Incidental Classroom Instruction 20295

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, Richard Jennings [Los Alamos National Laboratory

    2016-04-01

    The purpose of this course is to introduce safe hoisting and rigging practices to personnel who are attempting to become LANL incidental crane operators and to review and refresh safe hoisting and rigging practices with existing incidental crane operators.

  7. LCA of Chemicals and Chemical Products

    DEFF Research Database (Denmark)

    Fantke, Peter; Ernstoff, Alexi

    2017-01-01

    including risk assessment , green and sustainable chemistry , and chemical alternatives assessment. A large number of LCA studies focus on contrasting different feedstocks or chemical synthesis processes, thereby often conducting a cradle to (factory) gate assessment. While typically a large share......This chapter focuses on the application of Life Cycle Assessment (LCA) to evaluate the environmental performance of chemicals as well as of products and processes where chemicals play a key role. The life cycle stages of chemical products, such as pharmaceuticals drugs or plant protection products......, are discussed and differentiated into extraction of abiotic and biotic raw materials, chemical synthesis and processing, material processing, product manufacturing, professional or consumer product use, and finally end-of-life . LCA is discussed in relation to other chemicals management frameworks and concepts...

  8. Stochastic and epistemic uncertainty propagation in LCA

    DEFF Research Database (Denmark)

    Clavreul, Julie; Guyonnet, Dominique; Tonini, Davide

    2013-01-01

    When performing uncertainty propagation, most LCA practitioners choose to represent uncertainties by single probability distributions and to propagate them using stochastic methods. However, the selection of single probability distributions appears often arbitrary when faced with scarce information...... manner and apply it to LCA. A case study is used to show the uncertainty propagation performed with the proposed method and compare it to propagation performed using probability and possibility theories alone.Basic knowledge on the probability theory is first recalled, followed by a detailed description...

  9. Emerging role of Geographical Information System (GIS), Life Cycle Assessment (LCA) and spatial LCA (GIS-LCA) in sustainable bioenergy planning.

    Science.gov (United States)

    Hiloidhari, Moonmoon; Baruah, D C; Singh, Anoop; Kataki, Sampriti; Medhi, Kristina; Kumari, Shilpi; Ramachandra, T V; Jenkins, B M; Thakur, Indu Shekhar

    2017-10-01

    Sustainability of a bioenergy project depends on precise assessment of biomass resource, planning of cost-effective logistics and evaluation of possible environmental implications. In this context, this paper reviews the role and applications of geo-spatial tool such as Geographical Information System (GIS) for precise agro-residue resource assessment, biomass logistic and power plant design. Further, application of Life Cycle Assessment (LCA) in understanding the potential impact of agro-residue bioenergy generation on different ecosystem services has also been reviewed and limitations associated with LCA variability and uncertainty were discussed. Usefulness of integration of GIS into LCA (i.e. spatial LCA) to overcome the limitations of conventional LCA and to produce a holistic evaluation of the environmental benefits and concerns of bioenergy is also reviewed. Application of GIS, LCA and spatial LCA can help alleviate the challenges faced by ambitious bioenergy projects by addressing both economics and environmental goals. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Review of LCA studies of solid waste management systems--part I: lessons learned and perspectives.

    Science.gov (United States)

    Laurent, Alexis; Bakas, Ioannis; Clavreul, Julie; Bernstad, Anna; Niero, Monia; Gentil, Emmanuel; Hauschild, Michael Z; Christensen, Thomas H

    2014-03-01

    The continuously increasing solid waste generation worldwide calls for management strategies that integrate concerns for environmental sustainability. By quantifying environmental impacts of systems, life cycle assessment (LCA) is a tool, which can contribute to answer that call. But how, where and to which extent has it been applied to solid waste management systems (SWMSs) until now, and which lessons can be learnt from the findings of these LCA applications? To address these questions, we performed a critical review of 222 published LCA studies of SWMS. We first analysed the geographic distribution and found that the published studies have primarily been concentrated in Europe with little application in developing countries. In terms of technological coverage, they have largely overlooked application of LCA to waste prevention activities and to relevant waste types apart from household waste, e.g. construction and demolition waste. Waste management practitioners are thus encouraged to abridge these gaps in future applications of LCA. In addition to this contextual analysis, we also evaluated the findings of selected studies of good quality and found that there is little agreement in the conclusions among them. The strong dependence of each SWMS on local conditions, such as waste composition or energy system, prevents a meaningful generalisation of the LCA results as we find it in the waste hierarchy. We therefore recommend stakeholders in solid waste management to regard LCA as a tool, which, by its ability of capturing the local specific conditions in the modelling of environmental impacts and benefits of a SWMS, allows identifying critical problems and proposing improvement options adapted to the local specificities. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Erdheim-Chester disease with novel gene mutations discovered as an incidental finding in explanted liver of a patient with hepatitis C cirrhosis: A case report and literature review.

    Science.gov (United States)

    Liao, Xiaoyan; Thorson, John A; Hughes, Tudor; Nguyen, John C; Wang, Huan-You; Lin, Grace Y

    2016-09-01

    Erdheim-Chester disease (ECD) is a rare form of non-Langerhans cell histiocytosis characterized by xanthogranulomatous infiltration of foamy histiocytes frequently involving bone and other organ systems. We herein report a unique case of ECD discovered incidentally in an explanted liver in a 65-year-old male with end-stage liver disease secondary to hepatitis C cirrhosis. Histological examination and immunohistochemical studies in the explanted liver revealed prominent foamy histiocytes that were CD68 positive, but CD1a and S100 negative. Mutational hotspot analysis of the explanted liver using a panel of 47 most common cancer-related genes performed by next generation sequencing (NGS) revealed likely somatic mutations in the PDGFRA, PTEN, and HNF1A genes, but no BRAF codon 600 mutations were detected. The bone marrow showed similar findings as in the liver. Whole body PET and bone scans demonstrated increased heterogeneous uptake in bilateral humeral and femoral diaphysis, most compatible with ECD. To our knowledge, this is the first case report of ECD that involves mainly bone marrow and liver with novel genomic alterations. Our case highlights the diversity and complexity of this disease entity and the importance of multi-modality approach integrating clinical and radiologic features with histopathologic and molecular/genomic findings. Copyright © 2016 Elsevier GmbH. All rights reserved.

  12. Incidental findings of liver, biliary system, pancreas and spleen in asymptomatic patients. Assessment and management recommendations; Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten. Bewertung und Managementempfehlung

    Energy Technology Data Exchange (ETDEWEB)

    Scharitzer, M.; Tamandl, D.; Ba-Ssalamah, A. [Medizinische Universitaet Wien, Universitaetsklinik fuer Radiologie und Nuklearmedizin, Wien (Austria)

    2017-04-15

    The increased use of highly developed imaging procedures, such as multidetector-row computed tomography and magnetic resonance imaging has led to a substantial increase of asymptomatic and unexpected findings. Abdominal CT investigations are particularly affected with a large number of incidental findings. This valuable diagnostic procedure also entails the risk of complex and cost-intensive subsequent investigations with partly invasive procedures. For this reason radiologists are more often confronted with the difficult task of correctly assessing these lesions, to decide on the need for additional investigations and to inform the patient in detail about the clinical relevance. The aims of this article are to describe the most common abdominal incidentalomas, to assist with the interpretation and differential diagnosis and to give recommendations for further management. (orig.) [German] Die vermehrte Verwendung hoch entwickelter bildgebender Verfahren wie Multidetektorcomputertomographie und Magnetresonanztomographie hat zu einer betraechtlichen Zunahme asymptomatischer und unerwarteter Befunde gefuehrt. Besonders betroffen sind abdominelle CT-Untersuchungen mit einer Vielzahl inzidenteller Befunde. Dieses wertvolle Diagnoseverfahren birgt auch die Gefahr aufwendiger und auch kostenintensiver Folgeuntersuchungen mit z. T. invasiven Verfahren. Vor diesem Hintergrund stellt sich fuer den Radiologen immer haeufiger die schwierige Aufgabe, diese Laesionen korrekt einzuschaetzen, ueber die Notwendigkeit einer weiteren Abklaerung zu entscheiden und den Patienten umfassend ueber die klinische Relevanz zu informieren. Das Ziel dieses Artikels ist es, die am haeufigsten vorkommenden abdominellen Zufallsbefunde zu beschreiben sowie Hilfestellung bei ihrer Interpretation und Differenzialdiagnose mit Empfehlungen fuer das weitere Management zu geben. (orig.)

  13. Incidental cancer in multinodular goitre post thyroidectomy

    African Journals Online (AJOL)

    anterior neck mass, but other nodules may be detected incidentally during radiological evaluation of the neck. ..... Our 5.7% false-negative rate for FNAB in detecting cancer is similar to the findings of Rumstadt et al. ... our institution most of these cases are treated medically with antithyroid medication followed by radioactive.

  14. Recent LCA Developments In Waste Management

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Astrup, Thomas Fruergaard; Brogaard, Line Kai-Sørensen

    2015-01-01

    Based on 10 years of experience we briefly present key issues which should receive special attention when waste LCA is performed. Attention paid to the importance of good data on waste composition, the contribution of environmental impacts from capital goods, assessing the value of recovered...

  15. Regional LCA in a global perspective

    NARCIS (Netherlands)

    Wegener Sleeswijk, Anneke

    2010-01-01

    Environmental life cycle assessment (LCA) is a method for the quantitative assessment of the environmental impacts of products. A number of impact categories are related to toxic effects of chemicals. Multimedia models for substance fate, supplemented with models for human exposure, have been

  16. Unsustainability, eMergy and LCA

    DEFF Research Database (Denmark)

    Kamp, Andreas; Morandi, Fabiana; Thomsen, Sune Tjalfe

    2014-01-01

    of a subsystem to sustain itself within a larger system (the planetary ecosystem). Life Cycle Assessment (LCA) identifies inputs from the sociosphere and emissions to the ecosphere, and evaluates a product’s impact in a set of subsystem analyses.The two unsustainability analysis methods are fundamentally...

  17. LCA of Soil and Groundwater Remediation

    DEFF Research Database (Denmark)

    Søndergaard, Gitte Lemming; Owsianiak, Mikolaj

    2017-01-01

    primary and tertiary impacts. In order to obtain robust decisions for the management of contaminated sites , the combination of LCA with other tools is necessary, including multi-criteria decision analysis tools, site-specific fate and exposure models and consideration of stakeholders’ views....

  18. Lights and shadows in consequential LCA

    NARCIS (Netherlands)

    Zamagni, Alessandra; Guinée, Jeroen B.; Heijungs, Reinout; Masoni, Paolo; Raggi, Andrea

    Purpose Consequential LCA (CLCA) is becoming widely used in the scientific community as a modelling technique which describes the consequences of a decision. However, despite the increasing number of case studies published, a proper systematization of the approach has not yet been achieved. This

  19. Incidental Anterior Cruciate Ligament Calcification: Case Report.

    Science.gov (United States)

    Hayashi, Hisami; Fischer, Hans

    2016-03-01

    The calcification of knee ligaments is a finding noted only in a handful of case reports. The finding of an anterior cruciate ligament calcification has been reported once in the literature. Comparable studies involving the posterior cruciate ligament, medial collateral ligament and an ossicle within the anterior cruciate ligament are likewise discussed in reports of symptomatic patients. We report a case of incidentally discovered anterior cruciate ligament calcification. We discuss the likely etiology and clinical implications of this finding.

  20. LCA of second generation bioethanol : A review and some issues to be resolved for good LCA practice

    NARCIS (Netherlands)

    Wiloso, Edi Iswanto; Heijungs, Reinout; De Snoo, Geert R.

    This paper aims at reviewing the life cycle assessment (LCA) literature on second generation bioethanol based on lignocellulosic biomass and at identifying issues to be resolved for good LCA practice. Reviews are carried out on respective LCA studies published over the last six years. We use the

  1. Hybrid life cycle assessment (LCA) does not necessarily yield more accurate results than process-based LCA

    NARCIS (Netherlands)

    Yang, Yi; Heijungs, Reinout; Brandão, Miguel

    2017-01-01

    Hybrid life cycle assessment (LCA), through combining input-output (IO) models and process-based LCA for a complete system boundary, is widely recognized as a more accurate approach than process-based LCA with an incomplete system boundary. Without a complete process model for verification, however,

  2. LCA of Solid Waste Management Systems

    DEFF Research Database (Denmark)

    Bakas, Ioannis; Laurent, Alexis; Clavreul, Julie

    2017-01-01

    The chapter explores the application of LCA to solid waste management systems through the review of published studies on the subject. The environmental implications of choices involved in the modelling setup of waste management systems are increasingly in the spotlight, due to public health...... concerns and new legislation addressing the impacts from managing our waste. The application of LCA to solid waste management systems, sometimes called “waste LCA”, is distinctive in that system boundaries are rigorously defined to exclude all life cycle stages except from the end-of-life. Moreover......, specific methodological challenges arise when investigating waste systems, such as the allocation of impacts and the consideration of long-term emissions. The complexity of waste LCAs is mainly derived from the variability of the object under study (waste) which is made of different materials that may...

  3. LCA of Buildings and the Built Environment

    DEFF Research Database (Denmark)

    Goldstein, Benjamin Paul; Rasmussen, Freja Nygaard

    2017-01-01

    How we design human settlements has a profound influence on society’s environmental pressures. This chapter explores the current state of LCA applied to two scales of human settlements; individual buildings and the built environment, where the built environment is understood as a collection...... of the building tends to dominate environmental impacts, though as buildings become increasingly energy efficient, life cycle impacts shift towards other stages. LCA of built environments has been a useful supplement to mass-based urban environmental assessments, highlighting the importance of embodied...... environmental impacts in imported goods and showing interesting trade-offs between dense urban living and the greater purchasing power of wealthy urbanites. LCAs of human settlements also face difficult challenges; the long use stage (often decades) introduces high uncertainty regarding the end-of-life stage...

  4. On process optimization considering LCA methodology.

    Science.gov (United States)

    Pieragostini, Carla; Mussati, Miguel C; Aguirre, Pío

    2012-04-15

    The goal of this work is to research the state-of-the-art in process optimization techniques and tools based on LCA, focused in the process engineering field. A collection of methods, approaches, applications, specific software packages, and insights regarding experiences and progress made in applying the LCA methodology coupled to optimization frameworks is provided, and general trends are identified. The "cradle-to-gate" concept to define the system boundaries is the most used approach in practice, instead of the "cradle-to-grave" approach. Normally, the relationship between inventory data and impact category indicators is linearly expressed by the characterization factors; then, synergic effects of the contaminants are neglected. Among the LCIA methods, the eco-indicator 99, which is based on the endpoint category and the panel method, is the most used in practice. A single environmental impact function, resulting from the aggregation of environmental impacts, is formulated as the environmental objective in most analyzed cases. SimaPro is the most used software for LCA applications in literature analyzed. The multi-objective optimization is the most used approach for dealing with this kind of problems, where the ε-constraint method for generating the Pareto set is the most applied technique. However, a renewed interest in formulating a single economic objective function in optimization frameworks can be observed, favored by the development of life cycle cost software and progress made in assessing costs of environmental externalities. Finally, a trend to deal with multi-period scenarios into integrated LCA-optimization frameworks can be distinguished providing more accurate results upon data availability. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. Panorama 2013 - Using LCA in selecting technologies

    International Nuclear Information System (INIS)

    Collet, Pierre

    2012-12-01

    Our society is increasingly concerned with safeguarding the environment. By assessing the impact that the manufacture of a product or the delivery of a service can have on the environment, Life-Cycle Assessment (LCA) can be used to identify key sources of pollution and possible ways of mitigating against it. The ways in which this tool can be used are demonstrated here by various projects which help define innovative energy production systems. (author)

  6. LCA as a strategic management tool

    Energy Technology Data Exchange (ETDEWEB)

    Wibberley, L. [BHP Research, Newcastle, NSW (Australia); Verbeek, I. [BHP Engineering, Newcastle, NSW (Australia)

    1996-08-01

    BHP Research began using LCA techniques in 1993 in response to comparisons being made between steel and competing products and to provide data for impending greenhouse gas initiatives. The scope of application of this technique has since broadened from the initial product assessment, to include information management, product and process support, improvement targeting and use as a business evaluation tool. This paper outlines the BHP model, Eco-model for Materials and Manufacturing Assessment (EMMA), with particular reference to process/business evaluation, benchmarking with competitor products (plus companion products), process improvement targeting and cleaner production, and strategic marketing. These are discussed in terms of a number of areas affecting strategic management. The holistic/broader scope of LCA can contribute significantly to the analysis of energy consumption. It is concluded that with quality data management systems, LCA can provide a useful tool for information management, product support, improvement targeting and strategic business evaluation. The main limitations involve the level of process detail which can be applied. (author). 2 figs.

  7. Incidental fear cues increase monetary loss aversion.

    Science.gov (United States)

    Schulreich, Stefan; Gerhardt, Holger; Heekeren, Hauke R

    2016-04-01

    In many everyday decisions, people exhibit loss aversion-a greater sensitivity to losses relative to gains of equal size. Loss aversion is thought to be (at least partly) mediated by emotional--in particular, fear-related--processes. Decision research has shown that even incidental emotions, which are unrelated to the decision at hand, can influence decision making. The effect of incidental fear on loss aversion, however, is thus far unclear. In two studies, we experimentally investigated how incidental fear cues, presented during (Study 1) or before (Study 2) choices to accept or reject mixed gambles over real monetary stakes, influence monetary loss aversion. We find that the presentation of fearful faces, relative to the presentation of neutral faces, increased risk aversion-an effect that could be attributed to increased loss aversion. The size of this effect was moderated by psychopathic personality: Fearless dominance, in particular its interpersonal facet, but not self-centered impulsivity, attenuated the effect of incidental fear cues on loss aversion, consistent with reduced fear reactivity. Together, these results highlight the sensitivity of loss aversion to the affective context. (c) 2016 APA, all rights reserved).

  8. Incidental Finding of Isolated Colonic Neurofibroma

    Directory of Open Access Journals (Sweden)

    Haritha Chelimilla

    2013-09-01

    Full Text Available Neurofibromatosis is a genetic disorder manifested by characteristic cutaneous lesions called neurofibromas. There are two distinct neurocutaneous syndromes named neurofibromatosis type 1 (also called von Recklinghausen disease or NF1 and neurofibromatosis type 2 (NF2. NF1 is by far the most common presentation and is caused by an autosomal dominant mutation in the NF1 gene mapped to chromosome 17q11.2. The literature shows that gastrointestinal involvement is noted in systemic neurofibromatosis in up to 25% of patients, but isolated intestinal neurofibromatosis is a very rare manifestation. We herein present the case of a 70-year-old woman who was diagnosed with an isolated colonic neurofibroma without any systemic signs of neurofibromatosis; only a few case reports of this condition have been published to date.

  9. Autosomal Dominant Polycystic Kidney Disease, incidental finding ...

    African Journals Online (AJOL)

    N.J. Gildenhuys

    2016-06-30

    Jun 30, 2016 ... Abbreviations: ADPKD, Autosomal Dominant Polycystic Kidney Disease; UPJ, congenital ureteropelvic junction obstruction; HK, horseshoe kidney;. RCC, renal cell carcinoma; MVA, motor vehicle accident; PVA, pedestrian vehicle accident; GH, gross haematuria; AP, abdominal pain; FP, flank pain;.

  10. Incidental emotions influence risk preference and outcome evaluation.

    Science.gov (United States)

    Zhao, Ding; Gu, Ruolei; Tang, Ping; Yang, Qiwei; Luo, Yue-Jia

    2016-10-01

    Incidental emotions, which are irrelevant to the current decision, play a significant role in the decision-making process. In this study, to investigate the influence of incidental emotions on behavioral, psychological, and electrophysiological responses in the process of decision making, participants were required to perform a monetary gambling task. During the selection stage, an emotional picture, which was chosen from the Chinese Affective Picture System and fell into one of three categories: negative, neutral, and positive, was presented between two alternatives (small/large amount of bet). The pictures were provided to induce incidental emotions. ERPs and self-rating emotional experiences to outcome feedback were recorded during the task. Behavioral results showed that positive incidental emotions elicited risk preference, but emotional experiences to outcome feedback were not influenced by incidental emotions. The feedback-related negativity amplitudes were larger in the positive emotion condition than in the negative and neutral emotion conditions for small outcomes (including wins and losses), whereas there was no difference between the three conditions for large outcomes. In addition, the amplitudes of P3 were reduced overall in the negative emotion condition. We suggest that incidental emotions have modulated both the option assessment stage (manifested in behavioral choices) and the outcome evaluation stage (manifested in ERP amplitudes) of decision making unconsciously (indicated by unchanged subjective emotional experiences). The current findings have expanded our understanding of the role of incidental emotion in decision making. © 2016 Society for Psychophysiological Research.

  11. Incidental malignant periocular tumors

    Directory of Open Access Journals (Sweden)

    Thabit Odat

    2016-04-01

    Full Text Available AIM: To study the incidence, epidemiology, and clinical characteristics of incidental malignant periocular tumors at the royal medical services hospitals of Jordan.METHODS: Retrospective medical charts of 327 patients with malignant periocular tumor diagnosis at Jordan military hospitals between 2004 and 2015 were reviewed. Study variables included age, gender, city where patient lived, the presenting complaint(not caused by or related to tumor, clinical and histological diagnosis, size of the tumor, location, and surgical procedure.RESULTS:A total of 327 charts reviewed, 46(14.1%patients were found to have incidental malignant periocular tumor. Males where affected more than females with a ratio of 2:1. The average age was 66.39±10.59(22-83y. The most common presenting symptom or disease was blurring of vision secondary to cataract(44%, followed by combined cataract and other associated complaints such as epiphora in 21.7%.Preliminary clinical diagnosis corresponded with histological diagnosis in 95.7% of skin cancer. The average size of the lesions was 1.04×0.85 mm2(0.2×0.2-3.0×3.0 mm2. There was no significant relationship between the maximum diameter of the tumor and age of the patient,(P=0.105. The most frequent location of tumors was the lower eyelid(30.4%followed by the medial canthus(26.1%. The follow up period ranged between 6mo and 3y(average 9.3mo.CONCLUSION: Incidental malignant periocular malignant tumors were relatively common in this study, which urges excision of any suspicious lesion particularly young patients. A prospective study is needed to investigate the reasons why some patients neglect these lesions.

  12. Review of methodologies for Social LCA

    DEFF Research Database (Denmark)

    Jørgensen, Andreas; Hauschild, Michael Zwicky

    on their approaches to the goal and scope definition, inventory, and impact assessment phases of LCA. The review concludes that a main methodical difference lies in the definition of impact categories to be included in the assessment as well as in the formulation of indicators. Another challenging aspect is the data...... collection. Some SLCA proposals opinion that the use of generic process data is not feasible in SLCA, because social impacts are claimed not to be process specific but rather company specific. This change could easily imply a strong need for site-specific data leading to a very demanding data collection...

  13. Quantifying uncertainty in LCA-modelling of waste management systems

    DEFF Research Database (Denmark)

    Clavreul, Julie; Guyonnet, D.; Christensen, Thomas Højlund

    2012-01-01

    Uncertainty analysis in LCA studies has been subject to major progress over the last years. In the context of waste management, various methods have been implemented but a systematic method for uncertainty analysis of waste-LCA studies is lacking. The objective of this paper is (1) to present...... the sources of uncertainty specifically inherent to waste-LCA studies, (2) to select and apply several methods for uncertainty analysis and (3) to develop a general framework for quantitative uncertainty assessment of LCA of waste management systems. The suggested method is a sequence of four steps combining...

  14. LCA Experiences in Danish Industry: Results of a Survey

    DEFF Research Database (Denmark)

    Broberg, Ole; Christensen, Per

    1999-01-01

    to supply more environmentally friendly products is the most important incentive for the enterprises to engage in LCA activities. This pressure has, however, not emerged yet and the enterprises have not achieved the expected competitive advantages yet. LCA work has revealed new environmental aspects......A study on Danish industry's experiences with LCA has been performed. Twenty-six enterprises from different sectors filled in a questionnaire. The enterprises are still in an adoption and learning phase and experiences with full-blown LCA's are sparse. Expectations of future market pressure...

  15. Survey on the Use of LCA in European Chemical Industry

    DEFF Research Database (Denmark)

    Olsen, Stig Irving

    1999-01-01

    's has been undertaken to comply with customers' requirements for LCA data, but also process development and marketing were important purposes of the work. Interestingly, in about 40% of the companies the LCA's actually revealed results that would not have been anticipated without doing the LCA...... making and for reaching consensus on impact assessment. Additionally, the companies think that it is important that LCA methodologies are replicable, and easy and fast to perform. To reach theses last goals, the industry plays a very important part themselves because we need experience and data....

  16. Cooperative Research to Evaluate an Incidental Catch Distribution Forecast

    Directory of Open Access Journals (Sweden)

    Sara M. Turner

    2017-05-01

    Full Text Available Concern over incidental catches in commercial fisheries has been increasing, and while simple mitigation strategies have been effective, few effective mitigation strategies have been established for more complex species interactions. Incidental catches of alewife (Alosa pseudoharengus and blueback herring (A. aestivalis in the commercial Atlantic herring (Clupea harengus fishery have received substantial attention on the Northeast U.S. continental shelf, despite an existing bycatch avoidance program. This study evaluates the utility of existing species distribution forecasts to predict river herring catches in the southern New England small mesh bottom trawl Atlantic herring fishery, with the ultimate goal of incorporating incidental catch forecasts into the bycatch avoidance program. Commercial Atlantic herring bottom trawl vessels assisted with field-based evaluation of alewife, blueback herring, and Atlantic herring species distribution forecast models. Vessels were equipped with conductivity, temperature, and depth probes, and sampling occurred throughout the fishery season (January–March. Locations of expected low and high forecasted incidental catches were sampled, as well as locations the captain expected to find low and high incidental catches. This allowed us to sample within the spatial area the fishery occurs, and to evaluate the forecasted conditions, and predictions, at the spatial scale of the fishery. Catch differences between high and low probability stations were small and variable, as were differences in modeled probability of species presence. No differences were observed between observations at model-predicted stations and captain-selected stations. The sampling provided a better understanding of the potential effectiveness of distribution forecasts for further reducing incidental catches. Existing models have limited use at the spatial scale of this fishery, but could be improved by developing models with fishery

  17. The MIIM LCA Ph.D. Club : Presentation and introduction

    NARCIS (Netherlands)

    Andersson, K.; Baumann, H.; Cowell, S.; Finnveden, G.; Frischknecht, R.; Hofstetter, P.; Jonsson, A.; Lundie, S.; Tukker, A.

    1999-01-01

    During 1998, the number of completed Ph.D.s on Life Cycle Assessment (LCA) seemed to be larger than any previous year. In order to mark this achievement, a special series is being published in the International Journal of LCA. In this introductory paper, the Class of MIIM outline the results of

  18. LCA Experiences in Danish Industry: Results of a Survey

    DEFF Research Database (Denmark)

    Broberg, Ole; Christensen, Per

    1999-01-01

    to supply more environmentally friendly products is the most important incentive for the enterprises to engage in LCA activities. This pressure has, however, not emerged yet and the enterprises have not achieved the expected competitive advantages yet. LCA work has revealed new environmental aspects...

  19. INCIDENTAL VOCABULARY LEARNING THROUGH READING

    OpenAIRE

    Holly Warzecha, M.A. TESOL

    2017-01-01

    The purpose of the following paper is to take a closer look at the benefits of incidental learning through reading, with a specific focus on vocabulary acquisition. The teaching of vocabulary has traditionally been an explicit process where the target vocabulary is taken out of context and taught separately. However, this kind of explicit teaching and learning may only take into account a form-meaning connection. Therefore, this paper explores research on incidental learning and specifically ...

  20. Private Arbitration of Incidental Public Law Issues

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2009-01-01

     The article discusses the incidental public law issues which can arise in an arbitration case, e.g. concerning power, heating, natural gas and other public facility legislation, national or Community legal restrictive trade practices law, and rules on state administration approval of the terms...... by arbitration, and where the award is nullifiable only if its findings are in violation of public policy, the ordre public. The article relies on UNCITRAL's Model Arbitration Law, the new Danish arbitration act (DAA), national European case law, and literature and case law of the European Court....

  1. Roadmap toward addressing and communicating uncertainty in LCA

    DEFF Research Database (Denmark)

    Laurin, Lise; Vigon, Bruce; Fantke, Peter

    2017-01-01

    considerable uncertainty and variability at different assessment phases. These contributions have led to questions about the ability of LCA results to be used in decision-making. Mainly, variability is related to spatiotemporal, technological, and interspecies and inter-individual differences, while......Life Cycle Assessment (LCA) models for quantifying emissions and resources used as part of the life cycle inventory (LCI) step and for characterizing related impacts on human health, ecosystem quality, and natural resources as part of the life cycle impact assessment (LCIA) step together contribute......, model uncertainty, and uncertainty related to choices and human errors. As part of the LCA Capability Roadmap, a committee of nearly 40 contributors under the auspices of the SETAC North America LCA Interest Group is currently working to identify research needs in the area of ill...

  2. Life cycle analysis (LCA); Analyse du cycle de vie (ACV)

    Energy Technology Data Exchange (ETDEWEB)

    Rousseaux, P. [Institut des Risques Industriels, Assurantiels et Financiers (IRIAF), 79 - Niort (France)

    2005-12-01

    This article introduces the tool for life cycle analysis (LCA), its origin, methodological framework, applications and critical analysis. LCA has become a necessary tool for the environmental evaluation of products. The main objectives are: the comparative evaluation of the different steps of a life cycle in order to identify the pollution transfers, and the comparative evaluation between several life cycles in competition in order to identify the ones most respectful of the environment. The LCA comprises 3 steps: an inventory of all input and output fluxes of matter and energy, an impact analysis at the local and global scales, and an interpretation in terms of environmental status. LCA applies to all products but its limitations are linked with the lack of availability and quality of data. (J.S.)

  3. Clinical Characteristics and Prognosis of Incidentally Detected Lung Cancers

    Directory of Open Access Journals (Sweden)

    S. Quadrelli

    2015-01-01

    Full Text Available Objective. To evaluate clinical characteristics and outcomes in incidentally detected lung cancer and in symptomatic lung cancer. Material and Methods. We designed a retrospective study including all patients undergoing pulmonary resection with a curative intention for NSCLC. They were classified into two groups according to the presence or absence of cancer-related symptoms at diagnosis in asymptomatic (ASX—incidental diagnosis—or symptomatic. Results. Of the 593 patients, 320 (53.9% were ASX. In 71.8% of these, diagnosis was made by chest X-ray. Patients in the ASX group were older (P=0.007, had a higher prevalence of previous malignancy (P=0.002, presented as a solitary nodule more frequently (P<0.001, and were more likely to have earlier-stage disease and smaller cancers (P=0.0001. A higher prevalence of incidental detection was observed in the last ten years (P=0.008. Overall 5-year survival was higher for ASX (P=0.001. Median survival times in pathological stages IIIB-IV were not significantly different. Conclusion. Incidental finding of NSCLC is not uncommon even among nonsmokers. It occurred frequently in smokers and in those with history of previous malignancy. Mortality of incidental diagnosis group was lower, but the better survival was related to the greater number of patients with earlier-stage disease.

  4. Wind LCA Harmonization (Fact Sheet), NREL (National Renewable Energy Laboratory)

    Energy Technology Data Exchange (ETDEWEB)

    2013-06-01

    NREL recently led the Life Cycle Assessment (LCA) Harmonization Project, a study that provides more exact estimates of GHG emissions for renewable and conventional generation, clarifying inconsistent and conflicting estimates in the published literature, and reducing uncertainty. This involved a systematic review and harmonization of life cycle assessment (LCA) literature of utility-scale wind power systems in order to determine the causes of life cycle greenhouse gases (GHG) emissions and, where possible, reduce variability in GHG estimates.

  5. 25 CFR 700.199 - Incidental expenses.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Incidental expenses. 700.199 Section 700.199 Indians THE... Expenses § 700.199 Incidental expenses. (a) Eligible costs. Subject to the limitations in paragraphs (b) and (c) of this section, the incidental expenses to be paid are those actually incurred by the...

  6. Evaluation of Life Cycle Assessment (LCA) for Roadway Drainage Systems.

    Science.gov (United States)

    Byrne, Diana M; Grabowski, Marta K; Benitez, Amy C B; Schmidt, Arthur R; Guest, Jeremy S

    2017-08-15

    Roadway drainage design has traditionally focused on cost-effectively managing water quantity; however, runoff carries pollutants, posing risks to the local environment and public health. Additionally, construction and maintenance incur costs and contribute to global environmental impacts. While life cycle assessment (LCA) can potentially capture local and global environmental impacts of roadway drainage and other stormwater systems, LCA methodology must be evaluated because stormwater systems differ from wastewater and drinking water systems to which LCA is more frequently applied. To this end, this research developed a comprehensive model linking roadway drainage design parameters to LCA and life cycle costing (LCC) under uncertainty. This framework was applied to 10 highway drainage projects to evaluate LCA methodological choices by characterizing environmental and economic impacts of drainage projects and individual components (basin, bioswale, culvert, grass swale, storm sewer, and pipe underdrain). The relative impacts of drainage components varied based on functional unit choice. LCA inventory cutoff criteria evaluation showed the potential for cost-based criteria, which performed better than mass-based criteria. Finally, the local aquatic benefits of grass swales and bioswales offset global environmental impacts for four impact categories, highlighting the need to explicitly consider local impacts (i.e., direct emissions) when evaluating drainage technologies.

  7. Incorporating Health Impacts from Exposure to Chemicals in Food Packaging in LCA

    DEFF Research Database (Denmark)

    Ernstoff, Alexi; Trier, Xenia; Jolliet, Oliver

    2014-01-01

    Life cycle assessments (LCA) on the environmental and public health impacts of food and beverage packaging materials have found some advantages to plastic over glass. Entirely missing from these evaluations are the health impacts of possible chemical, e.g. endocrine dis-ruptor, exposure through...... migration of chemicals from the packaging into the food product. We build a framework based on a life cycle perspective to predict which chemicals may be in a package that are not intentionally added ingredients, and we apply this approach to the US EPA’s CPCAT database. In total we find 1,154 chemicals...... within the CPCAT database related to food-contact materials; out of these 107 are potential endocrine disruptors according to the TEDX list of endocrine disruptors. We also build a framework in an effort to begin harmonizing LCA to include health impacts of chemical exposure related to food packaging...

  8. Personal Metabolism (PM) coupled with Life Cycle Assessment (LCA) model: Danish Case Study

    DEFF Research Database (Denmark)

    Kalbar, Pradip; Birkved, Morten; Kabins, Simon

    2016-01-01

    Sustainable and informed resource consumption is the key to make everyday living sustainable for entire populations.An intelligent and strategic way of addressing the challenges related with sustainable development of the everyday living of consumers is to identify consumption-determined hotspots...... in the context of environmental and human health burdens,as well as resource consumptions. A systematic commodity consumption, commodity disposal, and life style survey of 1281 persons living in urbanized Danish areas was conducted. The findings of the survey showed new impact dimensions in terms of Personal...... Metabolism (PM) patterns of residents living in urbanized areas of Denmark. Extending the PM analysis with Life Cycle Assessment (LCA) provided a clear picture of the per capita environmental and human health burdens, as well as resource consumptions, and the exact origin hereof. A generic PM-LCA Model...

  9. Understanding the LCA and ISO water footprint: A response to ...

    Science.gov (United States)

    Water footprinting has emerged as an important approach to assess water use related effects from consumption of goods and services. Assessment methods are proposed by two different communities, the Water Footprint Network (WFN) and the Life Cycle Assessment (LCA) community. The proposed methods are broadly similar and encompass both the computation of water use and its impacts, but differ in communication of a water footprint result. In this paper, we explain the role and goal of LCA and ISO-compatible water footprinting and resolve the six issues raised by Hoekstra (2016) in “A critique on the water-scarcity weighted water footprint in LCA”. By clarifying the concerns, we identify both the overlapping goals in the WFN and LCA water footprint assessments and discrepancies between them. The main differing perspective between the WFN and LCA-based approach seems to relate to the fact that LCA aims to account for environmental impacts, while the WFN aims to account for water productivity of global fresh water as a limited resource. We conclude that there is potential to use synergies in research for the two approaches and highlight the need for proper declaration of the methods applied. This paper advances efforts to understand ways to accurately capture use of water in life cycle analysis in other contexts. As the paper indicates, there is a discussion about whether quantities of water should be weighted by some local stress factor. This paper attempts to brid

  10. Addressing crop interactions within cropping systems in LCA

    DEFF Research Database (Denmark)

    Goglio, Pietro; Brankatschk, Gerhard; Knudsen, Marie Trydeman

    2018-01-01

    objectives of this discussion article are as follows: (i) to discuss the characteristics of cropping systems which might affect the LCA methodology, (ii) to discuss the advantages and the disadvantages of the current available methods for the life-cycle assessment of cropping systems, and (iii) to offer...... management and emissions, and (3) functional unit issues. The LCA approaches presented are as follows: cropping system, allocation approaches, crop-by-crop approach, and combined approaches. The various approaches are described together with their advantages and disadvantages, applicability...... considers cropping system issues if they are related to multiproduct and nutrient cycling, while the crop-by-crop approach is highly affected by assumptions and considers cropping system issues only if they are related to the analyzed crop. Conclusions Each LCA approach presents advantages and disadvantages...

  11. LCA sensitivity analysis of a multi-megawatt wind turbine

    International Nuclear Information System (INIS)

    Martinez, E.; Jimenez, E.; Blanco, J.; Sanz, F.

    2010-01-01

    During recent years renewables have been acquiring gradually a significant importance in the world market (especially in the Spanish energetic market) and in society; this fact makes clear the need to increase and improve knowledge of these power sources. Starting from the results of a Life Cycle Assessment (LCA) of a multi-megawatt wind turbine, this work is aimed to assess the relevance of different choices that have been made during its development. Looking always to cover the largest possible spectrum of options, four scenarios have been analysed, focused on four main phases of lifecycle: maintenance, manufacturing, dismantling, and recycling. These scenarios facilitate to assess the degree of uncertainty of the developed LCA due to choices made, excluding from the assessment the uncertainty due to the inaccuracy and the simplification of the environmental models used or spatial and temporal variability in different parameters. The work has been developed at all times using the of Eco-indicator99 LCA method. (author)

  12. PESTLCI – A PESTICIDE DISTRIBUTION MODEL FOR LCA

    DEFF Research Database (Denmark)

    Birkved, Morten; Hauschild, Michael Zwicky

    The aim of the presented work is to develop a model for distribution of pesticides into the environment following application to the field. Based on input of required substance characteristics and applied quantities for the pesticides, the model will estimate the emissions to the air, water, soil...... and assessment of pesticide applications. The report therefore starts with a review of the work reported by the CAPER project as described in / / in order to locate new methods amenable for: 1. Handling of pesticide screening in LCA 2. Distribution modelling of pesticides in LCA 3. Evaluation of human exposure...... in LCA Following the review of existing methods, a number of modifications and new modules are developed and integrated into the existing method for pesticide distribution modelling to arrive at PESTLCI. Finally, PESTLCI is tested on three pesticide applications and the results compared to the results...

  13. LIFE CYCLE ASSESSMENT (LCA AS A TOOL FOR BUSINESS STRATEGY

    Directory of Open Access Journals (Sweden)

    Rodrigo Salvador

    2014-09-01

    Full Text Available The growing concern about the development of sustainable production systems leads organizations to seek the support of management tools for decision-making. Considering the whole life cycle of the product, the Life Cycle Assessment (LCA has an important role in this scenario. The objective of this paper is to present, through the theoretical discussion, the role of LCA in strategic planning of the organization. It showed the enormous potential for decision making on the environmental aspect, but also the critical factor in the development shares in the competitive context. The use of LCA can reduce the environmental impacts of the system under study (primary purpose and guide the range of advantages in the fields of marketing, legislation and environmental labeling, competitive strategies, efficiency use of resources and others.

  14. INCIDENTAL VOCABULARY LEARNING THROUGH READING

    Directory of Open Access Journals (Sweden)

    Holly Warzecha, M.A. TESOL

    2017-04-01

    Full Text Available The purpose of the following paper is to take a closer look at the benefits of incidental learning through reading, with a specific focus on vocabulary acquisition. The teaching of vocabulary has traditionally been an explicit process where the target vocabulary is taken out of context and taught separately. However, this kind of explicit teaching and learning may only take into account a form-meaning connection. Therefore, this paper explores research on incidental learning and specifically looks at what it takes to acquire new vocabulary incidentally through reading while considering the coverage rates of texts, how many words must be known already from the text, how many repetitions it takes to learn a word, types of texts that promote learning, and the effects of pairing students‘ reading with learner tasks. After reviewing many studies, it can be concluded that more reading is better. More specifically, extensive reading of chosen novels at an appropriate level and interest to the students showed important gains in vocabulary. In addition, readings that were supplemented with additional activities that focused on both form and meaning showed an even higher increase in word retention.

  15. The Incidental Thyroid Lesion in Parathyroid Disease Management

    Directory of Open Access Journals (Sweden)

    Uthman Alamoudi MD

    2017-03-01

    Full Text Available Objective The incidental thyroid lesion is a common finding during general imaging studies. Their management has been the subject of numerous studies and recommendations. Parathyroid disease workup necessitates imaging investigation of the adjacent thyroid gland and therefore provides a unique window to the perioperative management of thyroid incidentaloma. The specific prevalence of incidental thyroid lesions in the context of parathyroid disease is unknown. We seek to investigate its prevalence during parathyroid workup and surgery and to ascertain if there was a change in management of these patients. Study Design Five-year retrospective database review. Setting Tertiary care medical center. Subjects and Methods The source and indication for referral, preoperative investigation findings, and management of the incidental thyroid lesions were examined. The actual procedure performed and final pathology results were assessed. Results A total of 98 patients and 106 operations, including revision surgeries, were identified. There were 21 incidental thyroid lesions (21.4% detected, whereby 15 patients underwent fine-needle aspirations and 12 subsequently had diagnostic hemithyroidectomies. This decision was made preoperatively in 5 patients and intraoperatively in 7 patients at the time of parathyroid surgery. Along with other pathologies, there were 7 patients with micropapillary thyroid carcinoma identified. Conclusions In our series, the prevalence of incidental thyroid lesion and thyroid malignancy is comparable to the general population. The management of the initial parathyroid disease in our patients was altered by the imaging and cytological findings of these thyroid lesions. This has implications on perioperative counseling of the thyroid and parathyroid disease.

  16. Challenges in LCA modelling of multiple loops for aluminium cans

    OpenAIRE

    Niero, Monia; Olsen, Stig Irving

    2016-01-01

    Life Cycle Assessment (LCA) has traditionally played a key role in identifying the most efficient envi- ronmental design strategies and the best option for the end-of-life of products from an environmental point of view, within “one life cycle” approach. However, such an approach fails to capture one of themain features of circular product systems, i.e. the need to model multiple life cycles. There are some key methodological challenges that LCA has to face in order to exploit its potential i...

  17. An improved model for estimating pesticide emissions for agricultural LCA

    DEFF Research Database (Denmark)

    Dijkman, Teunis Johannes; Birkved, Morten; Hauschild, Michael Zwicky

    2011-01-01

    Credible quantification of chemical emissions in the inventory phase of Life Cycle Assessment (LCA) is crucial since chemicals are the dominating cause of the human and ecotoxicity-related environmental impacts in Life Cycle Impact Assessment (LCIA). When applying LCA for assessment of agricultural...... products, off-target pesticide emissions need to be quantified as accurately as possible because of the considerable toxicity effects associated with chemicals designed to have a high impact on biological organisms like for example insects or weed plants. PestLCI was developed to estimate the fractions...

  18. Cradle to Cradle and LCA – is there a conflict?

    DEFF Research Database (Denmark)

    Bjørn, Anders; Hauschild, Michael Zwicky

    2011-01-01

    The Cradle to Cradle (C2C) approach to ecodesign has been gaining increasing interest among industries, authorities and consumers over the last years. With its focus on resource conservation through closing loops, use of solar-based energy sources, avoidance of certain chemicals and the stated aim...... to create good rather than just avoid doing too much evil, it appeals more to industry than traditional LCA-based ecodesign. What are the real differences between the two approaches, and is there a conflict? Potential points of divergence between C2C and LCA are identified and the ability of C2C to support...

  19. Clinical characteristics and prognosis of incidentally detected lung cancers.

    Science.gov (United States)

    Quadrelli, S; Lyons, G; Colt, H; Chimondeguy, D; Buero, A

    2015-01-01

    To evaluate clinical characteristics and outcomes in incidentally detected lung cancer and in symptomatic lung cancer. We designed a retrospective study including all patients undergoing pulmonary resection with a curative intention for NSCLC. They were classified into two groups according to the presence or absence of cancer-related symptoms at diagnosis in asymptomatic (ASX)—incidental diagnosis—or symptomatic. Of the 593 patients, 320 (53.9%) were ASX. In 71.8% of these, diagnosis was made by chest X-ray. Patients in the ASX group were older (P = 0.007), had a higher prevalence of previous malignancy (P = 0.002), presented as a solitary nodule more frequently (P ASX (P = 0.001). Median survival times in pathological stages IIIB-IV were not significantly different. Incidental finding of NSCLC is not uncommon even among nonsmokers. It occurred frequently in smokers and in those with history of previous malignancy. Mortality of incidental diagnosis group was lower, but the better survival was related to the greater number of patients with earlier-stage disease.

  20. 78 FR 33357 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to...

    Science.gov (United States)

    2013-06-04

    ... confidence in these values is unknown. Table 3--Marine Mammal Density Estimates Density Species (animals/km\\2... unintentional taking of marine animals occurring incidental to the shock testing which involved large explosives... Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to Conducting...

  1. Experts' opinions on the benefit of an incidental prenatal diagnosis of sex chromosomal aneuploidy: a qualitative interview survey

    NARCIS (Netherlands)

    Pieters, J.J.P.M.; Verhaak, C.M.; Braat, D.D.M.; van Leeuwen, E.; Smits, A.P.T.

    2012-01-01

    OBJECTIVE: Incidental findings in prenatal diagnostic testing may or may not have clear prognostic significance for the phenotype. We studied experts' opinions of the benefit and disadvantage of an incidental prenatal diagnosis of a sex chromosomal aneuploidy (SCA). METHODS: We interviewed 16

  2. Use of Input–Output Analysis in LCA

    DEFF Research Database (Denmark)

    Mattila, Tuomas J.

    2018-01-01

    sustainability metrics is also discussed, as are the limitations of the approach. All aspects are demonstrated through examples and references both to recent scientific literature and publicly available datasets are provided. The aim of the chapter is to present the basic tools for applying IO in practical LCA...

  3. EDITORIAL: THE STATUS OF LCA IN THE USA

    Science.gov (United States)

    Life Cycle Assessment (LCA) is alive and well in the USA. Concerns for environmental management, over strict command and control approaches, has led to an increasing presence of the life cycle concept since its initial appearance in the 1970's. In addition, the very reasonablen...

  4. Challenges in LCA modelling of multiple loops for aluminium cans

    DEFF Research Database (Denmark)

    Niero, Monia; Olsen, Stig Irving

    one of the main features of circular product systems, i.e. the need to model multiple life cycles. There are some key methodological challenges that LCA has to face in order to exploit its potential in a circular economy framework, e.g. how to model the recycling of materials in multiple loops. We...

  5. Introduction to Part III: Application of LCA in Practice

    DEFF Research Database (Denmark)

    Rosenbaum, Ralph K.

    2018-01-01

    While Part II of this book presents the theoretical foundation and methodology of LCA, Part III is dedicated to a comprehensive discussion of how this methodology has been adapted and applied in practice. The chapters of Part III provide an easily readable and accessible introduction to different...

  6. An improved model for estimating pesticide emissions for agricultural LCA

    DEFF Research Database (Denmark)

    Dijkman, Teunis Johannes; Birkved, Morten; Hauschild, Michael Zwicky

    2011-01-01

    Credible quantification of chemical emissions in the inventory phase of Life Cycle Assessment (LCA) is crucial since chemicals are the dominating cause of the human and ecotoxicity-related environmental impacts in Life Cycle Impact Assessment (LCIA). When applying LCA for assessment of agricultural...... products, off-target pesticide emissions need to be quantified as accurately as possible because of the considerable toxicity effects associated with chemicals designed to have a high impact on biological organisms like for example insects or weed plants. PestLCI was developed to estimate the fractions....... To overcome these limitations, a reworked and updated version of PestLCI is presented here. The new model includes 16 European climate types and 6 mean European soil characteristic profiles covering all dominant European soil types to widen the geographical scope and to allow contemporary (varying site...

  7. EASETECH – A LCA model for assessment of environmental technologies

    DEFF Research Database (Denmark)

    Damgaard, Anders; Baumeister, Hubert; Astrup, Thomas Fruergaard

    2014-01-01

    with different kinds of material flows, such as sludge, wastewater, biomass for energy production and treatment of contaminated soil. The primary aim of EASETECH is to perform life cycle assessment (LCA) of complex systems handling heterogeneous material flows. The main novelties of the model compared to other......EASETECH is a new model for the environmental assessment of environmental technologies developed in collaboration between DTU Environment and DTU Compute. EASETECH is based on experience gained in the field of waste management modelling over the last decade and applies the same concepts to systems...... LCA software are as follows. The focus is put on material flow modelling. This means that each material flow is characterized as a mix of material fractions with different properties. Flows in terms of mass and composition are computed throughout the integrated system including rejects, slags, ashes...

  8. Application of Life Cycle Assessment (LCA in Sugar Industries

    Directory of Open Access Journals (Sweden)

    Dwi Astuti Arieyanti

    2018-01-01

    Full Text Available Sugar is one of the main commodities that are needed for human life. The demand of sugar is very high with the trend increase from year to year. This condition makes the sugar industry become a leading industry that must be maintained sustainability. The sustainability of the sugar industry is influenced by the use of energy and natural resources and the resulting environmental impacts. Therefore, an effort is needed to analyze the environmental aspects and potential environmental impacts resulting from a product (sugar, by using Life Cycle Assessment (LCA. LCA is a very important tool for the analysis of a process/system from its cradle to grave. This technique is very useful in the estimation of energy usage and environmental load of a product/system. This paper aims to describe the main elements of sugar industries using Life Cycle Assessment.

  9. Application of Life Cycle Assessment (LCA) in Sugar Industries

    Science.gov (United States)

    Astuti, Arieyanti Dwi; Astuti, Rahayu Siwi Dwi; Hadiyanto, Hadiyanto

    2018-02-01

    Sugar is one of the main commodities that are needed for human life. The demand of sugar is very high with the trend increase from year to year. This condition makes the sugar industry become a leading industry that must be maintained sustainability. The sustainability of the sugar industry is influenced by the use of energy and natural resources and the resulting environmental impacts. Therefore, an effort is needed to analyze the environmental aspects and potential environmental impacts resulting from a product (sugar), by using Life Cycle Assessment (LCA). LCA is a very important tool for the analysis of a process/system from its cradle to grave. This technique is very useful in the estimation of energy usage and environmental load of a product/system. This paper aims to describe the main elements of sugar industries using Life Cycle Assessment.

  10. Potential and limitations of environmental design with LCA tools

    Directory of Open Access Journals (Sweden)

    Alexander Hollberg

    2017-10-01

    Full Text Available The built environment has a very high impact on the environment. Architects can largely define the environmental impact a building will cause throughout its lifetime through its design. Especially the choice of material and the type of construction can be influenced in early design stages. To quantify the environmental impact, tools for Life Cycle Assessment (LCA are used. This paper discusses the results of four case studies of applying four different novel LCA tools in four different academic courses at different universities. The results show that the success of applying LCA tools highly depends on the point of time during the design process and the design strategy the student pursues. If the right tool is used at the right moment and matches the design strategy, it can help to improve the architectural quality and reduce environmental impacts. In most cases however, the time of application did not fit, resulting in additional effort for applying the LCA tool. In consequence, the architectural elaboration of the design and the improvement of environmental performance compete against each other. Either the architectural quality suffers or the tool is employed late and the environmental performance cannot be improved. Even if the point in time of the tool application is right, the success depends highly on the design strategy. The number of tools is growing and there is an adequate tool available for each design stage. The design strategy has to match the tool and this requires a willingness to adapt the design approach. The issue of environmental design shifted from a lack of adequate tools to the lack of adequate design approaches. Tools can be easily taught in seminars. Environmental design strategies, however, have to be included in design studios and developed throughout the entire design phase to become part of architectural education.

  11. Improving odour assessment in LCA — the odour footprint

    DEFF Research Database (Denmark)

    Peters, Gregory M; Murphy, K R; Adamsen, Anders Peter S.

    2014-01-01

    in the life cycle assessment (LCA) community. This article aims to redress this. Results and discussion: We produced a list of 33 linear characterisation factors based on hydrogen sulphide equivalents, analogous to the linear carbon dioxide equivalency factors in use in carbon footprinting...... detection threshold, the diffusion rate and the kinetics of degradation of odourants, was implemented in MATLAB. We demonstrated the use of the characterisation factors we calculated in a case study based on odour removal technology applied to a pig barn....

  12. Incidental Learning of Melodic Structure of North Indian Music.

    Science.gov (United States)

    Rohrmeier, Martin; Widdess, Richard

    2017-07-01

    Musical knowledge is largely implicit. It is acquired without awareness of its complex rules, through interaction with a large number of samples during musical enculturation. Whereas several studies explored implicit learning of mostly abstract and less ecologically valid features of Western music, very little work has been done with respect to ecologically valid stimuli as well as non-Western music. The present study investigated implicit learning of modal melodic features in North Indian classical music in a realistic and ecologically valid way. It employed a cross-grammar design, using melodic materials from two modes (rāgas) that use the same scale. Findings indicated that Western participants unfamiliar with Indian music incidentally learned to identify distinctive features of each mode. Confidence ratings suggest that participants' performance was consistently correlated with confidence, indicating that they became aware of whether they were right in their responses; that is, they possessed explicit judgment knowledge. Altogether our findings show incidental learning in a realistic ecologically valid context during only a very short exposure, they provide evidence that incidental learning constitutes a powerful mechanism that plays a fundamental role in musical acquisition. Copyright © 2016 Cognitive Science Society, Inc.

  13. Integrating LCA and EHS expertise in the assessment of nanoparticles

    DEFF Research Database (Denmark)

    Olsen, Stig Irving; Hankin, Steve; Chaudry, Qasim

    DTU with their expertise in LCA have joined forces with IOM in two nanotechnology-related projects, one of which additionally involves and is lead by FERA. The first project, Nancore, includes the evaluation of health risks and environmental impacts over the life cycle concurrently with the devel......DTU with their expertise in LCA have joined forces with IOM in two nanotechnology-related projects, one of which additionally involves and is lead by FERA. The first project, Nancore, includes the evaluation of health risks and environmental impacts over the life cycle concurrently...... with the development of new production technology for lightweight materials used in e.g. wind turbine blades. As the new technology involves the use of nanoparticles, the health and safety workpackage is needed to examine the potential exposure and effects of these particles. An LCA is also performed to evaluate...... the overall environmental impacts of the technology. Through the concurrent assessments, the strengths of the two tools are combined to provide a more qualified assessment of both the health and safety aspects and the life cycle impacts. The overall aim of the second project, sponsored by Defra...

  14. Innovation strategies in a fruit growers association impacts assessment by using combined LCA and s-LCA methodologies.

    Science.gov (United States)

    Tecco, Nadia; Baudino, Claudio; Girgenti, Vincenzo; Peano, Cristiana

    2016-10-15

    In the challenging world of territorial transformations within the agriculture, there is an increasing need for an integrated methodological framework of assessment that is able to reconcile the demand for solutions that are both economically sustainable and contribute to environmental and social improvement. This study aims to assess the introduction of innovation into agro-food systems by combining an environmental life cycle (LCA) assessment and a social life cycle assessment (s-LCA) to support the decision making process of a fruit growers co-op for the adoption of mulching and covering in raspberry farming. LCA and s-LCA have been applied independently under specific consistency requirements, selecting two scenarios to compare the impact with (1) and without (2) the innovation and then combined within a cause-effect chain. The interactions between the environment and socioeconomic components were considered within a nested frameset of business and territorial features. The total emissions from raspberry production in Scenario 1, according to the Global Warming Potential (GWP) Impact Category amounted to 2.2840kg of CO2 eq. In Scenario 2, the impact of production was associated with a GWP of 0.1682kg of CO2 eq. Social repercussions analysis from Scenario 1 compared to Scenario 2 indicate more satisfaction for working conditions and the management of climate risks. The mulching and covering, implemented within a given framework of farm activity, created conditions for the preservation of a model in which raspberry production contributes to landscape protection, the business sustainability of farms and the creation of employment. The combined use of the two methods contributes to the development of a strategy planning due to its ability to deliver, as well as specific analysis at a functional level, a wider framework for assessing the consistency of the impacts related to innovation in raspberry production. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Incidental breast carcinoma in reduction mammoplasty.

    Science.gov (United States)

    Huysmans, Michaël; Bronckaers, Marc; Schillebeeckx, Charlotte; Servaes, Dirk

    2017-10-01

    The objective of this study was to analyze the incidence and treatment options of occult cancer or atypical lesions found in the histopathological examination of reduction mammoplasty (RM) specimens. The role of preoperative mammography and systematic histopathological examination are discussed. We performed a retrospective single-center database review of all patients who underwent a RM between January 2005 and December 2014. Preoperative examination, histopathological findings and follow-up were documented. A total of 1045 patients underwent RM, of which 97% were bilateral (1021). All patients received a mammography and routine clinical examination to exclude cancer preoperatively. The overall mean patient age was 40.2 years (14.2-73.4). A total of 19 patients (1.18%) had significant histopathological findings, all of whom were over 40 years of age. There were 4 incidental carcinomas (0.38%), of which 2 were DCIS (0.19%) and 2 invasive ductal carcinomas (0.19%). Incidence of postoperative diagnosis of occult breast cancer in RM specimens remains low, but poses significant therapeutic challenges. While emphasis should lay on preoperative diagnostics, routine histological analysis of RM specimens is recommended.

  16. Incidental mastoid opacification in children on MRI

    International Nuclear Information System (INIS)

    Singh, Sumit; Kuruva, Manohar; Rettiganti, Mallikarjuna Rao; Qin, Curtis; Hegde, Shilpa V.

    2016-01-01

    The opacification the mastoid cavity is frequently reported by radiologists on cross-sectional imaging done for non-otological indications. It is well known that presence of fluid the mastoid does not amount to mastoiditis. This study seeks to provide an evidence-based confirmation of this known finding. The purpose of our study was to determine the prevalence of mastoid opacification in children undergoing outpatient brain MRI examination. Our study included 515 outpatient children who had brain MRI for indications other than mastoiditis or otitis media from January 2014 to March 2014. Children with history of skull base trauma or radiation were excluded. The age range was 15 days to 18 years. The overall prevalence of mastoid opacification was determined using one sample proportion and exact 95% Clopper-Pearson confidence intervals. The prevalence of mastoid opacification was analyzed based on gender, age and presenting symptoms using chi-square test of association. One hundred ten children (21.4%) had mastoid opacification. Younger patients tended to have higher opacification rates with the prevalence in children younger than 1 year of age and between 1 and 2 years of age as high as 41.7% (20/48) and 47.5% (38/80), respectively. The diagnosis of mastoiditis in children should not be based upon a radiologist's report of finding fluid or mucosal thickening in the mastoid air cells as incidental opacification the mastoid is seen frequently. (orig.)

  17. Incidental mastoid opacification in children on MRI

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Sumit; Kuruva, Manohar [University of Arkansas for Medical Sciences, Pediatric Radiology, Little Rock, AR (United States); Rettiganti, Mallikarjuna Rao [University of Arkansas for Medical Sciences and Arkansas Children' s Hospital Research Institute, Biostatistics Program, Department of Pediatrics, Little Rock, AR (United States); Qin, Curtis [Georgetown University Hospital, Radiology, Washington, DC (United States); Hegde, Shilpa V. [University of Pittsburgh Medical Centre, Section of Neuroradiology, Pittsburgh, PA (United States)

    2016-05-15

    The opacification the mastoid cavity is frequently reported by radiologists on cross-sectional imaging done for non-otological indications. It is well known that presence of fluid the mastoid does not amount to mastoiditis. This study seeks to provide an evidence-based confirmation of this known finding. The purpose of our study was to determine the prevalence of mastoid opacification in children undergoing outpatient brain MRI examination. Our study included 515 outpatient children who had brain MRI for indications other than mastoiditis or otitis media from January 2014 to March 2014. Children with history of skull base trauma or radiation were excluded. The age range was 15 days to 18 years. The overall prevalence of mastoid opacification was determined using one sample proportion and exact 95% Clopper-Pearson confidence intervals. The prevalence of mastoid opacification was analyzed based on gender, age and presenting symptoms using chi-square test of association. One hundred ten children (21.4%) had mastoid opacification. Younger patients tended to have higher opacification rates with the prevalence in children younger than 1 year of age and between 1 and 2 years of age as high as 41.7% (20/48) and 47.5% (38/80), respectively. The diagnosis of mastoiditis in children should not be based upon a radiologist's report of finding fluid or mucosal thickening in the mastoid air cells as incidental opacification the mastoid is seen frequently. (orig.)

  18. Relative Preference and Localized Food Affect Predator Space Use and Consumption of Incidental Prey.

    Directory of Open Access Journals (Sweden)

    Tyler E Schartel

    Full Text Available Abundant, localized foods can concentrate predators and their foraging efforts, thus altering both the spatial distribution of predation risk and predator preferences for prey that are encountered incidentally. However, few investigations have quantified the spatial scale over which localized foods affect predator foraging behavior and consumption of incidental prey. In spring 2010, we experimentally tested how point-source foods altered how generalist predators (white-footed mice, Peromyscus leucopus utilized space and depredated two incidental prey items: almonds (Prunus dulcis; highly profitable and maple seeds (Acer saccharum; less profitable. We estimated mouse population densities with trapping webs, quantified mouse consumption rates of these incidental prey items, and measured local mouse activity with track plates. We predicted that 1 mouse activity would be elevated near full feeders, but depressed at intermediate distances from the feeder, 2 consumption of both incidental prey would be high near feeders providing less-preferred food and, 3 consumption of incidental prey would be contingent on predator preference for prey relative to feeders providing more-preferred food. Mouse densities increased significantly from pre- to post-experiment. Mean mouse activity was unexpectedly greatest in control treatments, particularly <15 m from the control (empty feeder. Feeders with highly preferred food (sunflower seeds created localized refuges for incidental prey at intermediate distances (15 to 25m from the feeder. Feeders with less-preferred food (corn generated localized high risk for highly preferred almonds <10 m of the feeder. Our findings highlight the contingent but predictable effects of locally abundant food on risk experienced by incidental prey, which can be positive or negative depending on both spatial proximity and relative preference.

  19. An LCA researcher's wish list--data and emission models needed to improve LCA studies of animal production.

    Science.gov (United States)

    Cederberg, C; Henriksson, M; Berglund, M

    2013-06-01

    The last decade has seen an increase in environmental systems analysis of livestock production, resulting in a significant number of studies with a holistic approach often based on life-cycle assessment (LCA) methodology. The growing public interest in global warming has added to this development; guidelines for carbon footprint (CF) accounting have been developed, including for greenhouse gas (GHG) accounting of animal products. Here we give an overview of methods for estimating GHG emissions, with emphasis on nitrous oxide, methane and carbon from land use change, presently used in LCA/CF studies of animal products. We discuss where methods and data availability for GHGs and nitrogen (N) compounds most urgently need to be improved in order to produce more accurate environmental assessments of livestock production. We conclude that the top priority is to improve models for N fluxes and emissions from soils and to implement soil carbon change models in LCA/CF studies of animal products. We also point at the need for more farm data and studies measuring emissions from soils, manure and livestock in developing countries.

  20. Experience with the use of LCA-modelling (EASEWASTE) in waste management.

    Science.gov (United States)

    Christensen, Thomas H; Bhander, Gurbakhash; Lindvall, Hanna; Larsen, Anna W; Fruergaard, Thilde; Damgaard, Anders; Manfredi, Simone; Boldrin, Alessio; Riber, Christian; Hauschild, Michael

    2007-06-01

    Life-cycle assessment (LCA) models are becoming the principal decision support tools of waste management systems. This paper describes our experience with the use of EASEWASTE (Environmental Assessment of Solid Waste Systems and Technologies), a new computerized LCA-based model for integrated waste management. Our findings provide a quantitative understanding of waste management systems and may reveal consistent approaches to improve their environmental performances. EASEWASTE provides a versatile system modelling facility combined with a complete life-cycle impact assessment and in addition to the traditional impact categories addresses toxicity-related categories. New categories dealing with stored ecotoxicity and spoiled groundwater resources have been introduced. EASEWASTE has been applied in several studies, including full-scale assessments of waste management in Danish municipalities. These studies led to numerous modelling issues: the need of combining process-specific and input-specific emissions, the choice of a meaningful time horizon, the way of accounting for biological carbon emissions, the problem of stored ecotoxicity and aspects of crediting the waste management system with the savings inherent in avoided production of energy and materials. Interpretation of results showed that waste management systems can be designed in an environmentally sustainable manner where energy recovery processes lead to substantial avoidance of emissions and savings of resources.

  1. Incidental papillary fibroelastoma of the tricuspid valve

    OpenAIRE

    Strecker, Thomas; Scheuermann, Sabine; Nooh, Ehab; Weyand, Michael; Agaimy, Abbas

    2014-01-01

    Primary cardiac tumors are very rare, papillary fibroelastoma (PFE) being the second most common benign tumor of the heart in previous series. However, as a consequence of increased imaging examinations, incidental PFE may represent the most common cardiac tumor. Their clinical presentation varies from incidental asymptomatic masses to severe life-threatening cardiovascular complications necessitating emergency surgery. Here we report the diagnostic evaluation and successful surgical resectio...

  2. Risk of appendicitis in patients with incidentally discovered appendicoliths.

    Science.gov (United States)

    Khan, Muhammad Sohaib; Chaudhry, Mustafa Belal Hafeez; Shahzad, Noman; Tariq, Marvi; Memon, Wasim Ahmed; Alvi, Abdul Rehman

    2018-01-01

    An appendicolith-related appendiceal obstruction leading to appendicitis is a commonly encountered surgical emergency that has clear evidence-based management plans. However, there is no consensus on management of asymptomatic patients when appendicoliths are found incidentally. The objective of this study was to determine the risk of appendicitis in patients with an incidental finding of the appendicolith. A retrospective matched cohort study of patients with appendicolith discovered incidentally on computed tomographic scan from January 2008 to December 2014 at our institution was completed. The size and position of the appendicolith were ascertained. The study group was matched by age and gender to a control group. Both groups were contacted and interviewed regarding development of appendicitis. In total, 111 patients with appendicolith were successfully contacted and included in the study. Mean age was found to be 38 ± 15 y with 36 (32%) of the study population being females. Mean length of appendix was 66 ± 16 mm, and mean width was 5.8 ± 0.9 mm. Mean size of the appendicolith was 3.6 ± 1.1 mm (1.4-7.8 mm). Fifty-eight percent of appendicoliths was located at the proximal end or whole of appendix, 31% at mid area, and 11% at the distal end of appendix. All patients of the study and control groups were contacted, and at a mean follow-up of 4.0 ± 1.7 y, there was no occurrence of acute appendicitis in either group. Patients with incidentally discovered appendicolith on radiological imaging did not develop appendicitis. Hence, the risk of developing acute appendicitis for these patients does not seem higher than the general population. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. PROMOTING INCIDENTAL VOCABULARY LEARNING THROUGH VERBAL DRAMATIZATION OF WORDS

    Directory of Open Access Journals (Sweden)

    Looi-Chin Ch’ng

    2014-12-01

    Full Text Available Despite the fact that explicit teaching of vocabulary is often practised in English as a Second Language (ESL classrooms, it has been proven to be rather ineffective, largely because words are not taught in context. This has prompted the increasing use of incidental vocabulary learning approach, which emphasises on repeated readings as a source for vocabulary learning. By adopting this approach, this study aims to investigate students’ ability in learning vocabulary incidentally via verbal dramatization of written texts. In this case, readers’ theatre (RT is used as a way to allow learners to engage in active reading so as to promote vocabulary learning. A total of 160 diploma students participated in this case study and they were divided equally into two groups, namely classroom reading (CR and RT groups. A proficiency test was first conducted to determine their vocabulary levels. Based on the test results, a story was selected as the reading material in the two groups. The CR group read the story through a normal reading lesson in class while the RT group was required to verbally dramatize the text through readers’ theatre activity. Then, a post-test based on vocabulary levels was carried out and the results were compared. The findings revealed that incidental learning was more apparent in the RT group and their ability to learn words from the higher levels was noticeable through higher accuracy scores. Although not conclusive, this study has demonstrated the potential of using readers’ theatre as a form of incidental vocabulary learning activity in ESL settings.

  4. An LCA study of an electricity coal supply chain

    Directory of Open Access Journals (Sweden)

    Chao Wang

    2014-01-01

    Full Text Available Purpose: The aim of this paper is to provide methods to find the emission source and estimate the amount of waste gas emissions in the electricity coal supply chain, establish the model of the environmental impact (burden in the electricity coal supply chain, detect the critical factor which causes significant environmental impact, and then identify the key control direction and reduce amount of environmental pollution in the electricity coal supply chain. Design/methodology/approach: In this context, life cycle inventory and life cycle assessment of China’s electricity coal were established in three difference stages: coal mining, coal transportation, and coal burning. Then the outcomes were analyzed with the aim to reduce waste gases emissions’ environmental impact in the electricity coal supply chain from the perspective of sensitivity analysis. Findings: The results and conclusion are as follow: (1 In terms of total waste gas emissions in electricity coal supply chain, CO2 is emitted in the greatest quantity, accounting for 98-99 wt% of the total waste gas emissions. The vast majority of the CO2, greater than 93%, is emitted from the power plant when the coal is combusted. (2 Other than CO2, the main waste gas is CH4, SO2 and so on. CH4 is mainly emitted from Coal Bed Methane (CBM, so the option is to consider capturing some of the CH4 from underground mines for an alternative use. SO2 is mainly emitted from power plant when the coal is combusted. (3 The environmental burden of coal burning subsystem is greatest, followed by the coal mining subsystem, and finally the coal transportation subsystem. Improving the coal-burning efficiency of coal-fired power plant in electricity coal supply chain is the most effective way to reduce the environmental impact of waste gas emissions. (4 Of the three subsystems examined (coal mining, coal transportation, and coal burning, transportation requires the fewest resources and has the lowest waste gas

  5. Incidental gallbladder cancer: what management?

    Directory of Open Access Journals (Sweden)

    Sidi Mohammed Bouchentouf

    2011-11-01

    Full Text Available Gallbladder cancer (GBC represents 3.8% of all gastrointestinal cancers and usually known to be of a poor prognosis. In 0.2–2.9% of cases, this cancer is found in cholecystectomy specimens. A better understanding of spread mode of this tumor helps a better surgical management. The aim of the present review is to underline the management of GBC based on the comprehension of risk factors and anatomic features. A Medline, PubMed database search was performed to identify articles published from 2000 to 2011 using the keywords ‘carcinoma of gallbladder’, ‘incidental gallbladder cancer’, ‘gallbladder neoplasm’ and ‘cholecystectomy’. Some pathological situations such as chronic lithiasis and biliopancreatic junction abnormalities have been clearly identified as predisposing to GBC. Laparoscopy increases peritoneal and parietal tumor dissemination, thus, it should not be performed when GBC is suspected. Most determinant prognostic factors are nodal, perineural and venous involvement, invasion of the cystic duct and the tumor differentiation. The simple cholecystectomy is sufficient for tumors classified as T1a; for other cancers exceeding the muscularis, radical re-resection is required due to the high risk of recurrence. This aggressive surgery improved the overall survival of patients. There is still no standard adjuvant treatment; patients should be included in prospective trials.

  6. Combining building thermal simulation methods and LCA methods

    DEFF Research Database (Denmark)

    Pedersen, Frank; Hansen, Klaus; Wittchen, Kim Bjarne

    2008-01-01

    Thsi paper describes recent efforts made by the Danish Building Research Institute regarding the integration of a life cycle assessment (LCA) method into a whole building hygro-thermal simulation tool. The motivation for the work is that the increased requirements to the energy performance...... of buildings (as expressed in EU Directive 2002/91/EC), may in the future be supplemented by requirements to the environmental impact of buildings. This can be seen by the fact that EU recently has given EN mandate to prepare standards for environmental assessment of buildings (CEN/TC 350)....

  7. LCA of nanotechnological products -What’s the issues?

    DEFF Research Database (Denmark)

    Olsen, Stig Irving

    The number of nanotechnological products (NPs) on the market are steadily increasing but environmental aspects of their life cycle are still to a large extent disregarded presumably due to lack of data and a neglect from the nanoresearchers. Although essentially comparable, LCAs of NPs does invol...... nanoparticles is necessary – this also have implication for the inventory. Scarce resources may be a more important issue than for other types of products. Although the object of LCA is a functional unit impacts due to rebound effects should also be considered....

  8. An application of life cycle assessment (LCA) within the Catalonian building sector: A case study

    OpenAIRE

    Ortiz-Rodriguez, Oscar; Colodel, Cecilia; Fischer, Matthias; Castells, Francesc; Sonnemann, Guido

    2010-01-01

    Life Cycle Assessment (LCA) tool has been applied to evaluate environmental impacts through the whole building life cycle. LCA has been carried out in accordance to the international standard of ISO 14040 and ISO 14044. As a reference, an application of LCA has been made to a Catalan house located in Barcelona, Spain with a projected 50 years life span. In this work, construction, use (operationand maintenance) and end-of-life phases have been considered. The operational energy consumed durin...

  9. How methodological choices affect LCA climate impact results: the case of structural timber

    DEFF Research Database (Denmark)

    De Rosa, Michele; Pizzol, Massimo; Schmidt, Jannick Højrup

    2018-01-01

    data are often addressed in LCA by performing sensitivity analyses, the sensitivity of results to LCA methodologies chosen is seldom addressed. This work investigates the influence of common methodological choices on LCA climate impact results of forestry products. Methods Performing a consequential...... of the other tested assumptions. Conclusions LCA results of forestry products were highly sensitive to the tested methodological choices. A description and motivation of these choices is required for a clear and critical interpretation of the results. The choice of climate indicator and TH applied depends...

  10. Incidental English Vocabulary Studying in L2 learning : A Study of Learning and Teaching English Vocabulary in a College in China

    OpenAIRE

    Wu, Linglin

    2009-01-01

    This study aims to investigate whether incidental methods are used in learning English vocabulary by non-English students at college in China, and in teaching English vocabulary by their oral English teachers. It also finds out what kinds of incidental strategies are used. Then based on the results of the investigation, this study puts forward some pedagogical implications for teachers.

  11. Enabling optimization in LCA: from “ad hoc” to “structural” LCA approach—based on a biodiesel well-to-wheel case study

    DEFF Research Database (Denmark)

    Herrmann, Ivan Tengbjerg; Lundberg-Jensen, Martin; Jørgensen, Andreas

    2014-01-01

    influencing explanatory variable is found to be the use of different alcohol types (bioethanol orm petrochemical methanol) in biodiesel production. Using MO, we found the Pareto front based on 5 different life cycle pathways which are nondominated solutions out of 66 different analyzed solutions. Given...... LCA approach can lead to more transparent LCAs since the potentially most important explanatory variables which are used to model the LCAs are explicitly presented through the structural LCA approach. The suggested structural approach is a new approach to LCA and it seems to be a promising approach...

  12. Incidental copy-number variants identified by routine genome testing in a clinical population

    Science.gov (United States)

    Boone, Philip M.; Soens, Zachry T.; Campbell, Ian M.; Stankiewicz, Pawel; Cheung, Sau Wai; Patel, Ankita; Beaudet, Arthur L.; Plon, Sharon E.; Shaw, Chad A.; McGuire, Amy L.; Lupski, James R.

    2013-01-01

    Purpose Mutational load of susceptibility variants has not been studied on a genomic scale in a clinical population, nor has the potential to identify these mutations as incidental findings during clinical testing been systematically ascertained. Methods Array comparative genomic hybridization, a method for genome-wide detection of DNA copy-number variants, was performed clinically on DNA from 9,005 individuals. Copy-number variants encompassing or disrupting single genes were identified and analyzed for their potential to confer predisposition to dominant, adult-onset disease. Multigene copy-number variants affecting dominant, adult-onset cancer syndrome genes were also assessed. Results In our cohort, 83 single-gene copy-number variants affected 40 unique genes associated with dominant, adult-onset disorders and unrelated to the patients’ referring diagnoses (i.e., incidental) were found. Fourteen of these copy-number variants are likely disease-predisposing, 25 are likely benign, and 44 are of unknown clinical consequence. When incidental copy-number variants spanning up to 20 genes were considered, 27 copy-number variants affected 17 unique genes associated with dominant, adult-onset cancer predisposition. Conclusion Copy-number variants potentially conferring susceptibility to adult-onset disease can be identified as incidental findings during routine genome-wide testing. Some of these mutations may be medically actionable, enabling disease surveillance or prevention; however, most incidentally observed single-gene copy-number variants are currently of unclear significance to the patient. PMID:22878507

  13. Case Report on Septate Uterus: An Incidental Finding in a ...

    African Journals Online (AJOL)

    Background: Septate uterus is caused by incomplete resorption of the Mullerian duct during embryogenesis which may alter the reproductive outcome of the patients. It is the commonest form of structural uterine anomaly and has the highest reproductive failure rate. Case Report: A 21-year-old booked G4P2 +1 woman with ...

  14. POLAND' SYNDROME: An Incidental findings on routine medical ...

    African Journals Online (AJOL)

    Dr Hamidu

    SM is a 20 year, old young man who came for routine medical check for recruitment into a local football club. Born to a 45 ... mimicking a radical mastectomy. A dense ascending line as a result of the absence of the ... centered around reconstructive surgical procedures on the hand. They may however be some functional.

  15. CASE SERIES Substantive incidental cardiac findings revealed by ...

    African Journals Online (AJOL)

    Joint Division of Medical Imaging and Division of Cardiology, Peter Munk Cardiac Centre, Toronto General Hospital, Toronto, Canada. A Crean, MD, MRCP, FRCR. Corresponding author: M Durand (mirandadurand@gmail.com). Limitations inherent in CT imaging of the thorax left the heart as an ill-defined and largely ...

  16. CASE REPORT CASE CASE R Incidental MDCT finding of a ...

    African Journals Online (AJOL)

    2009-08-17

    Aug 17, 2009 ... artery via the PDA. Studies timed for the aorta will show a 'positive jet' of enhanced blood flowing from the aorta to the unenhanced pulmonary artery via the PDA.11. In patients with PDAs complicated by Eisenmenger's syndrome, MDCT is more sensitive than transthoracic cardiac echo in detecting a PDA; ...

  17. An incidental finding of the accessory inferior thyroid artery

    Czech Academy of Sciences Publication Activity Database

    Šedý, Jiří

    2008-01-01

    Roč. 1, č. 1 (2008), s. 10-11 ISSN 1308-4038 Grant - others:GA MZd(CZ) NR8308 Institutional research plan: CEZ:AV0Z50390512 Keywords : Itnterior thyroid artery * Anatomy Subject RIV: FB - Endocrinology, Diabetology, Metabolism, Nutrition

  18. Incidental necropsy finding of a quadricuspid aortic valve

    NARCIS (Netherlands)

    van Rijswijk, Jan Willem; Willemink, Martin; Kluin, Jolanda; Vink, Aryan

    2015-01-01

    Quadricuspid aortic valve is a rare congenital cardiac malformation often associated with abnormal valve function. In this article, we present a case of quadricuspid aortic valve only diagnosed at the time of post-mortem examination. (C) 2015 Elsevier Inc. All rights reserved.

  19. Case Report on Septate Uterus: An Incidental Finding in a ...

    African Journals Online (AJOL)

    Background: Septate uterus is caused by incomplete resorption of the Mullerian duct during embryogenesis which may alter the reproductive outcome of the patients. It is the commonest form of structural uterine anomaly and has the highest reproductive failure rate. Case Report: A 21-year-old booked G4P2. +1 woman with ...

  20. Bilateral Supernumerary Kidneys: Incidental Finding in a Three ...

    African Journals Online (AJOL)

    mn

    was confirmed by excretory urography. To our knowledge, this is the highest number of. SNK reported. ... EUG showed a total of six separate excretory units related to the six kidneys. Two of these kidneys were within the .... The pelvicalyceal systems are arrowed. The concave indentation of the dome of the urinary bladder is ...

  1. Making the most of LCA in technical inter-organisational R&D projects

    DEFF Research Database (Denmark)

    Sandin, Gustav; Clancy, Gunilla; Heimersson, Sara

    2014-01-01

    In technical Research and Development (R&D) projects, a Life Cycle Assessment (LCA) of the technology under development is sometimes carried out. Particularly in inter-organisational R&D projects, the roles of LCAs tend to be unclear and arbitrary, and as a consequence, LCA work is not adequately...

  2. Systematic, efficient and consistent LCA calculations for chemical and biochemical processes

    DEFF Research Database (Denmark)

    Petchkaewkul, Kaesinee; Malakul, Pomthong; Gani, Rafiqul

    2016-01-01

    Life Cycle Assessment or LCA is a technique, which is applied for the study and evaluation of quantitative environmental impacts through the entire life cycle of products, processes or services in order to improve and/or evaluate the design of existing as well as new processes. The LCA factors can...

  3. Involvement of LCA5 in Leber congenital amaurosis and retinitis pigmentosa in the Spanish population

    NARCIS (Netherlands)

    Corton, M.; Avila-Fernandez, A.; Vallespin, E.; Lopez-Molina, M.I.; Almoguera, B.; Martin-Garrido, E.; Tatu, S.D.; Khan, M.I.; Blanco-Kelly, F.; Riveiro-Alvarez, R.; Brion, M.; Garcia-Sandoval, B.; Cremers, F.P.M.; Carracedo, A.; Ayuso, C.

    2014-01-01

    OBJECTIVE: We aimed to identify novel genetic defects in the LCA5 gene underlying Leber congenital amaurosis (LCA) in the Spanish population and to describe the associated phenotype. DESIGN: Case series. PARTICIPANTS: A cohort of 217 unrelated Spanish families affected by autosomal recessive or

  4. The value of the exergetic life cycle assessment besides the LCA

    NARCIS (Netherlands)

    Cornelissen, Rene; Hirs, Gerard

    2002-01-01

    In this paper the value of the exergetic life cycle assessment (ELCA) has been analysed. The ELCA uses the framework of the life cycle assessment (LCA) and can be seen as the exergy analysis of a complete life cycle. The value of the ELCA besides the LCA has been discussed. It is shown that the ELCA

  5. Mutations in LCA5, encoding the ciliary protein lebercilin, cause Leber congenital amaurosis.

    NARCIS (Netherlands)

    Hollander, A.I. den; Koenekoop, R.K.; Mohamed, M.D.; Arts, H.H.; Boldt, K.; Towns, K.V.; Sedmak, T.; Beer, M. de; Nagel-Wolfrum, K.; McKibbin, M.; Dharmaraj, S.; Lopez, I.; Ivings, L.; Williams, G.A.; Springell, K.; Woods, C.G.; Jafri, H.; Rashid, Y.; Strom, T.M.; Zwaag, B. van der; Gosens, I.; Kersten, F.F.J.; Wijk, E. van; Veltman, J.A.; Zonneveld, M.N.; Beersum, S.E.C. van; Maumenee, I.H.; Wolfrum, U.; Cheetham, M.E.; Ueffing, M.; Cremers, F.P.M.; Inglehearn, C.F.; Roepman, R.

    2007-01-01

    Leber congenital amaurosis (LCA) causes blindness or severe visual impairment at or within a few months of birth. Here we show, using homozygosity mapping, that the LCA5 gene on chromosome 6q14, which encodes the previously unknown ciliary protein lebercilin, is associated with this disease. We

  6. The significance of incidental focal colonic 18FDG uptake on PET scanning

    International Nuclear Information System (INIS)

    Bartholomeusz, Dylan; Schultz, Christopher

    2009-01-01

    Full text: The incidental discovery of colonic polyps, colonic malignancy, diverticulitis and inflammation during PET scanning is well described. This study is a retrospective review of the incidence and follow up of incidental focal FOG uptake in the colon detected during routine PET scanning. PET scan reports over 12 months were reviewed for the reporting of incidental colonic uptake and then clinical follow up performed in available patient records for the incidence of further colonic investigation and results. In 2008, 1985 PET scans were reported at the Royal Adelaide Hospital for the staging and detection of malignancy. Review of the results show that incidental focal colonic uptake was seen in 27 cases, (II female aged 56-83 years). Follow up colonoscopy was performed in 8 cases and in 4 cases showed tubulovillous adenomas, 7-9 mm in size, in the region of abnormal FOG uptake, I had divetticulae and another focal inflammation. Two colonoscopies revealed no abnormality (25% false negative rate). One patient with Head and Neck cancer did not have colonoscopy but the colonic lesion resolved on a post therapy PET scan. Of the 18 cases that did not have colonoscopic follow up 5 were reported on the PET scan to have diffuse probably physiological caecal activity but 13 had focal lesions in the large bowel. Although incidental colonic lesions were detected in only 1.3% of studies, of those having colonoscopy 75 % had significant findings.

  7. LCA and economic evaluation of landfill leachate and gas technologies

    DEFF Research Database (Denmark)

    Damgaard, Anders; Manfredi, Simone; Merrild, Hanna Kristina

    2011-01-01

    Landfills receiving a mix of waste, including organics, have developed dramatically over the last 3–4 decades; from open dumps to engineered facilities with extensive controls on leachate and gas. The conventional municipal landfill will in most climates produce a highly contaminated leachate......-effective in reducing the impact from a conventional landfill. This was done by modeling landfills ranging from a simple open dump to highly engineered conventional landfills with energy recovery in form of heat or electricity. The modeling was done in the waste LCA model EASEWASTE. The results showed drastic...... leachate is collected. However, at the same time, leachate collection causes a slight increase in eco-toxicity and human toxicity via water (0.007E to 0.013PE and 0.002 to 0.003 PE respectively). The reason for this is that even if the leachate is treated, slight amounts of contaminants are released...

  8. Capabilities for modelling of conversion processes in LCA

    DEFF Research Database (Denmark)

    Damgaard, Anders; Zarrin, Bahram; Tonini, Davide

    2015-01-01

    , EASETECH (Clavreul et al., 2014) was developed which integrates a matrix approach for the functional unit which contains the full chemical composition for different material fractions, and also the number of different material fractions present in the overall mass being handled. These chemical substances...... able to set constraints for a possible flow on basis of other flows, and also do return flows for some material streams. We have therefore developed a new editor for the EASETECH software, which allows the user to make specific process modules where the actual chemical conversion processes can...... be modelled and then integrated into the overall LCA model. This allows for flexible modules which automatically will adjust the material flows it is handling on basis of its chemical information, which can be set for multiple input materials at the same time. A case example of this was carried out for a bio...

  9. Energy system analysis of marginal electricity supply in consequential LCA

    DEFF Research Database (Denmark)

    Lund, Henrik; Mathiesen, Brian Vad; Christensen, Per

    2010-01-01

    in capacity but can be characterised as a complex set of affected electricity and heat supply technologies. A long-term YAM technology is identified for the Danish BAU2030 system in the case of three different long-term marginal changes in capacity, namely coal, natural gas or wind power. Discussion Four...... of four different situations are provided. We suggest that the technology mix with the installation of natural gas or coal power plant is applied as the marginal capacity. Conclusions The environmental consequences of marginal changes in electricity supply cannot always be represented solely by long......Background, aim and scope This paper discusses the identification of the environmental consequences of marginal electricity supplies in consequential life cycle assessments (LCA). According to the methodology, environmental characteristics can be examined by identifying affected activities, i...

  10. Compostable cutlery and waste management: an LCA approach.

    Science.gov (United States)

    Razza, Francesco; Fieschi, Maurizio; Innocenti, Francesco Degli; Bastioli, Catia

    2009-04-01

    The use of disposable cutlery in fast food restaurants and canteens in the current management scenario generates mixed heterogeneous waste (containing food waste and non-compostable plastic cutlery). The waste is not recyclable and is disposed of in landfills or incinerated with or without energy recovery. Using biodegradable and compostable (B&C) plastic cutlery, an alternative management scenario is possible. The resulting mixed homogeneous waste (containing food waste and compostable plastic cutlery) can be recycled through organic recovery, i.e., composting. This LCA study, whose functional unit is "serving 1000 meals", shows that remarkable improvements can be obtained by shifting from the current scenario to the alternative scenario (based on B&C cutlery and final organic recovery of the total waste). The non-renewable energy consumption changes from 1490 to 128MJ (an overall 10-fold energy savings) and the CO(2) equivalents emission changes from 64 to 22 CO(2) eq. (an overall 3-fold GHG savings).

  11. LCA and emergy accounting of aquaculture systems: towards ecological intensification.

    Science.gov (United States)

    Wilfart, Aurélie; Prudhomme, Jehane; Blancheton, Jean-Paul; Aubin, Joël

    2013-05-30

    An integrated approach is required to optimise fish farming systems by maximising output while minimising their negative environmental impacts. We developed a holistic approach to assess the environmental performances by combining two methods based on energetic and physical flow analysis. Life Cycle Assessment (LCA) is a normalised method that estimates resource use and potential impacts throughout a product's life cycle. Emergy Accounting (EA) refers the amount of energy directly or indirectly required by a product or a service. The combination of these two methods was used to evaluate the environmental impacts of three contrasting fish-farming systems: a farm producing salmon in a recirculating system (RSF), a semi-extensive polyculture pond (PF1) and an extensive polyculture pond (PF2). The RSF system, with a low feed-conversion ratio (FCR = 0.95), had lower environmental impacts per tonne of live fish produced than did the two pond farms, when the effects on climate change, acidification, total cumulative energy demand, land competition and water dependence were considered. However, RSF was clearly disconnected from the surrounding environment and depended highly on external resources (e.g. nutrients, energy). Ponds adequately incorporated renewable natural resources but had higher environmental impacts due to incomplete use of external inputs. This study highlighted key factors necessary for the successful ecological intensification of fish farming, i.e., minimise external inputs, lower the FCR, and increase the use of renewable resources from the surrounding environment. The combination of LCA and EA seems to be a practical approach to address the complexity of optimising biophysical efficiency in aquaculture systems. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. LCA and external costs in comparative assessment of electricity chains. Decision support for sustainable electricity provision?

    International Nuclear Information System (INIS)

    Voss, A.

    2002-01-01

    The provision of energy and electricity plays an important role in a country's economic and environmental performance and the sustainability of its development. Sustainable development of the energy and electricity sector depends on finding ways of meeting energy service demands of the present generation that are economically viable, environmentally sound, and socially acceptable and do not jeopardize the ability of future generations to meet their own energy needs. Life Cycle Assessment (LCA) and external cost valuation are considered to offer opportunities to assist energy policy in a comprehensive comparative evaluation of electricity supply options with regard to the different dimensions of sustainable energy provision as well as in the implementation of appropriate internalization strategies. The paper addresses life cycle assessment and external cost analysis carried out for selected electricity systems of interest under German conditions. Results from a comprehensive comparative assessment of various electricity supply options with regard to their environmental impacts, health risks, raw materials requirements as well as their resulting external cost will be summarised. The use of LCA based indicators for assessing the relative sustainability of electricity systems and the use of total (internal plus external) cost assessment as measure of economic and environmental efficiency of energy systems will be discussed. Open problems related to life cycle analysis of energy chains and the assessment of environmental damage costs are critically reviewed, to illustrate how in spite of existing uncertainties the state of the art results may provide helpful energy policy decision support. The paper starts with some remarks on what the concept of sustainability in terms of energy systems means. (author)

  13. Personal Metabolism (PM) coupled with Life Cycle Assessment (LCA) model: Danish Case Study.

    Science.gov (United States)

    Kalbar, Pradip P; Birkved, Morten; Kabins, Simon; Nygaard, Simon Elsborg

    2016-05-01

    Sustainable and informed resource consumption is the key to make everyday living sustainable for entire populations. An intelligent and strategic way of addressing the challenges related with sustainable development of the everyday living of consumers is to identify consumption-determined hotspots in terms of environmental and health burdens, as well as resource consumptions. Analyzing consumer life styles in terms of consumption patterns in order to identify hotspots is hence the focus of this study. This is achieved by taking into account the entire value chain of the commodities consumed in the context of environmental and human health burdens, as well as resource consumptions. A systematic commodity consumption, commodity disposal, and life style survey of 1281 persons living in urbanized Danish areas was conducted. The findings of the survey showed new impact dimensions in terms of Personal Metabolism (PM) patterns of residents living in urbanized areas of Denmark. Extending the PM analysis with Life Cycle Assessment (LCA) provided a clear picture of the per capita environmental and human health burdens, as well as resource consumptions, and the exact origin hereof. A generic PM-LCA Model for all the 1281 persons was set-up in Gabi 6. The assessment results obtained applying the model on all 1281 personal consumption scenarios yielded the 1281 Personal Impact Profiles (PIPs). Consumption of food and energy (electricity and thermal energy) proved to be the primary impact sources of PM, followed by transport. The PIPs further revealed that behavioral factors (e.g. different diets, use of cars, household size) affect the profiles. Hence, behavioral changes are one means out of many that humanity will most likely have to rely on during the sustainable development process. The results of this study will help the Danish and other comparable populations to identify and prioritize the steps towards reducing their environmental, human health, and resource consumption

  14. Incidental Education (for Women) in Rural Communities.

    Science.gov (United States)

    Crosby, Valmai

    The Country Women's Association (CWA) is a nationwide Australian group that started in the 1920s in response to isolated women's need to socialize. The group's activities have expanded greatly over time. It distributes essential food and clothing to needy rural families, and its extensive involvement in incidental education for women includes…

  15. Incidental learning in second language acquisition

    NARCIS (Netherlands)

    Hulstijn, J.H.; Chapelle, C.A.

    2013-01-01

    The term incidental learning is used, in applied linguistics, to refer to the acquisition of a word or expression without the conscious intention to commit the element to memory, such as "picking up" an unknown word from listening to someone or from reading a text.

  16. Incidental diagnosis of diseases on un-enhanced helical computed tomography performed for ureteric colic

    Directory of Open Access Journals (Sweden)

    Ather M Hammad

    2003-03-01

    Full Text Available Abstract Background Patients presenting in the emergency room with flank pain suggestive of acute ureteric colic may have alternative underlying conditions mimicking ureteric stones. An early diagnosis and appropriate treatment for other causes of flank pain is important. The majority of centers around the world are increasingly using un-enhanced helical CT (UHCT for evaluation of ureteric colic. This study was conducted to determine the incidence and spectrum of significant incidental diagnoses established or suggested on UHCT performed for suspected renal/ureteric colic. Methods Urologist and radiologist reviewed 233 consecutive UHCT, performed for suspected renal/ureteral colic along with assessment of the medical records. Radiological diagnoses of clinical entities not suspected otherwise were analyzed. All other relevant radiological, biochemical and serological investigations and per-operative findings were also noted. Results Ureteral calculi were identified in 148 examinations (64%, findings of recent passage of calculi in 10 (4% and no calculus in 75 examinations (32%. Overall the incidental findings (additional or alternative diagnosis were found in 28 (12% CT scans. Twenty (71% of these diagnoses were confirmed by per-operative findings, biopsy, and other radiological and biochemical investigations or on clinical follow up. Conclusion A wide spectrum of significant incidental diagnoses can be identified on UHCT performed for suspected renal/ureteral colic. In the present series of 233 consecutive CT examinations, the incidence of incidental diagnosis was 12%.

  17. The Impact of Watching Subtitled Animated Cartoons on Incidental Vocabulary Learning of ELT Students

    Science.gov (United States)

    Karakas, Ali; Sariçoban, Arif

    2012-01-01

    This study aimed to find out whether watching subtitled cartoons influences incidental vocabulary learning. The study was conducted with 42 first grade English Language Teaching (ELT) department students at the University of Mehmet Akif Ersoy, Burdur. To collect data from the subjects, a 5-point vocabulary knowledge scale was used and 18 target…

  18. Incidental orbital calcifications on computed tomography scans; Calcificacoes orbitarias incidentais na tomografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Fugita, Dalton Yukio A.; Cruz, Daniela Nogueira; Cappucci, Alessandro; Arakava, Marcia Mayumi; Guimaraes, Maria Carolina; Wolosker, Angela Maria B.; Yamashita, Helio Kiitiro [Universidade Federal de Sao Paulo (UNIFESP), SP (Brazil). Dept. de Diagnostico por Imagem; Manso, Paulo Goes [Universidade Federal de Sao Paulo (UNIFESP), SP (Brazil). Dept. de Oftalmologia

    2001-02-01

    We retrospectively studied the computed tomography scans of the orbit in 75 patients in order to identify the presence of incidental calcifications (scleral and trochlear apparatus calcifications.). These imaging findings should integrate the vast list of differential diagnosis of orbital calcifications, as they may help radiologists to distinguish these calcifications from orbital foreign bodies. (author)

  19. Incidental fallopian tube mesothelioma diagnosed at time of elective bilateral salpingectomy for sterilisation: A case report.

    Science.gov (United States)

    Phillips-Yelland, J; Payton, D; Land, R; Kaur, A

    2017-11-01

    Incidental finding of a fallopian tube lesion at the time of bilateral salpingectomy•Histopathological appearance not consistent with mucinous or serous carcinoma, appearance of mesothelioma•Very rare known primary neoplasm of tubal mesothelium, favours an indolent course•Recommendation for prophylactic hysterectomy and bilateral oophorectomy•If nil further spread, generally nil further treatment is required.

  20. Incidental fallopian tube mesothelioma diagnosed at time of elective bilateral salpingectomy for sterilisation: A case report

    OpenAIRE

    Phillips-Yelland, J.; Payton, D.; Land, R.; Kaur, A.

    2017-01-01

    Highlights ? Incidental finding of a fallopian tube lesion at the time of bilateral salpingectomy ? Histopathological appearance not consistent with mucinous or serous carcinoma, appearance of mesothelioma ? Very rare known primary neoplasm of tubal mesothelium, favours an indolent course ? Recommendation for prophylactic hysterectomy and bilateral oophorectomy ? If nil further spread, generally nil further treatment is required

  1. Life Cycle Thinking and the Use of LCA in Policies Around the World

    DEFF Research Database (Denmark)

    Sonnemann, G.; Gemechu, E. D.; Sala, S.

    2018-01-01

    is the 10-Year Framework of Programmes on SCP adopted in 2012 and the global agreements on the Sustainable Development Goals (SDGs) adopted in 2015. Life cycle thinking has become mature, moving from its academic origins and limited uses, primarily in-house in large companies, to more powerful approaches...... that can support the provision of more sustainable goods and services through efficient use in product development, external communications, in support of customer choice, and in public debates. Now governments can use LCA for SCP policies. For this purpose LCA databases are needed. LCA is in particular...

  2. Generic model for calculating carbon footprint of milk using four different LCA modelling approaches

    DEFF Research Database (Denmark)

    Dalgaard, Randi; Schmidt, Jannick Højrup; Flysjö, Anna

    2014-01-01

    is LCA. The model includes switches that enables for, within the same scope, transforming the results to comply with 1) consequential LCA, 2) allocation/average modelling (or ‘attributional LCA’), 3) PAS 2050 and 4) The International Dairy Federations (IDF) guide to standard life cycle assessment......The aim of the study is to develop a tool, which can be used for calculation of carbon footprint (using a life cycle assessment (LCA) approach) of milk both at a farm level and at a national level. The functional unit is ‘1 kg energy corrected milk (ECM) at farm gate’ and the applied methodology...

  3. LCA and economic evaluation of landfill leachate and gas technologies.

    Science.gov (United States)

    Damgaard, Anders; Manfredi, Simone; Merrild, Hanna; Stensøe, Steen; Christensen, Thomas H

    2011-07-01

    Landfills receiving a mix of waste, including organics, have developed dramatically over the last 3-4 decades; from open dumps to engineered facilities with extensive controls on leachate and gas. The conventional municipal landfill will in most climates produce a highly contaminated leachate and a significant amount of landfill gas. Leachate controls may include bottom liners and leachate collection systems as well as leachate treatment prior to discharge to surface water. Gas controls may include oxidizing top covers, gas collection systems with flares or gas utilization systems for production of electricity and heat. The importance of leachate and gas control measures in reducing the overall environmental impact from a conventional landfill was assessed by life-cycle-assessment (LCA). The direct cost for the measures were also estimated providing a basis for assessing which measures are the most cost-effective in reducing the impact from a conventional landfill. This was done by modeling landfills ranging from a simple open dump to highly engineered conventional landfills with energy recovery in form of heat or electricity. The modeling was done in the waste LCA model EASEWASTE. The results showed drastic improvements for most impact categories. Global warming went from an impact of 0.1 person equivalent (PE) for the dump to -0.05 PE for the best design. Similar improvements were found for photochemical ozone formation (0.02 PE to 0.002 PE) and stratospheric ozone formation (0.04 PE to 0.001 PE). For the toxic and spoiled groundwater impact categories the trend is not as clear. The reason for this was that the load to the environment shifted as more technologies were used. For the dump landfill the main impacts were impacts for spoiled groundwater due to lack of leachate collection, 2.3 PE down to 0.4 PE when leachate is collected. However, at the same time, leachate collection causes a slight increase in eco-toxicity and human toxicity via water (0.007 E to 0

  4. LCA comparison of container systems in municipal solid waste management

    International Nuclear Information System (INIS)

    Rives, Jesus; Rieradevall, Joan; Gabarrell, Xavier

    2010-01-01

    The planning and design of integrated municipal solid waste management (MSWM) systems requires accurate environmental impact evaluation of the systems and their components. This research assessed, quantified and compared the environmental impact of the first stage of the most used MSW container systems. The comparison was based on factors such as the volume of the containers, from small bins of 60-80 l to containers of 2400 l, and on the manufactured materials, steel and high-density polyethylene (HDPE). Also, some parameters such as frequency of collections, waste generation, filling percentage and waste container contents, were established to obtain comparable systems. The methodological framework of the analysis was the life cycle assessment (LCA), and the impact assessment method was based on CML 2 baseline 2000. Results indicated that, for the same volume, the collection systems that use HDPE waste containers had more of an impact than those using steel waste containers, in terms of abiotic depletion, global warming, ozone layer depletion, acidification, eutrophication, photochemical oxidation, human toxicity and terrestrial ecotoxicity. Besides, the collection systems using small HDPE bins (60 l or 80 l) had most impact while systems using big steel containers (2400 l) had less impact. Subsequent sensitivity analysis about the parameters established demonstrated that they could change the ultimate environmental impact of each waste container collection system, but that the comparative relationship between systems was similar.

  5. LCA comparison of container systems in municipal solid waste management.

    Science.gov (United States)

    Rives, Jesús; Rieradevall, Joan; Gabarrell, Xavier

    2010-06-01

    The planning and design of integrated municipal solid waste management (MSWM) systems requires accurate environmental impact evaluation of the systems and their components. This research assessed, quantified and compared the environmental impact of the first stage of the most used MSW container systems. The comparison was based on factors such as the volume of the containers, from small bins of 60-80l to containers of 2400l, and on the manufactured materials, steel and high-density polyethylene (HDPE). Also, some parameters such as frequency of collections, waste generation, filling percentage and waste container contents, were established to obtain comparable systems. The methodological framework of the analysis was the life cycle assessment (LCA), and the impact assessment method was based on CML 2 baseline 2000. Results indicated that, for the same volume, the collection systems that use HDPE waste containers had more of an impact than those using steel waste containers, in terms of abiotic depletion, global warming, ozone layer depletion, acidification, eutrophication, photochemical oxidation, human toxicity and terrestrial ecotoxicity. Besides, the collection systems using small HDPE bins (60l or 80l) had most impact while systems using big steel containers (2400l) had less impact. Subsequent sensitivity analysis about the parameters established demonstrated that they could change the ultimate environmental impact of each waste container collection system, but that the comparative relationship between systems was similar. Copyright 2010 Elsevier Ltd. All rights reserved.

  6. LCA Study of Oleaginous Bioenergy Chains in a Mediterranean Environment

    Directory of Open Access Journals (Sweden)

    Daniele Cocco

    2014-09-01

    Full Text Available This paper reports outcomes of life cycle assessments (LCAs of three different oleaginous bioenergy chains (oilseed rape, Ethiopian mustard and cardoon under Southern Europe conditions. Accurate data on field practices previously collected during a three-year study at two sites were used. The vegetable oil produced by oleaginous seeds was used for power generation in medium-speed diesel engines while the crop residues were used in steam power plants. For each bioenergy chain, the environmental impact related to cultivation, transportation of agricultural products and industrial conversion for power generation was evaluated by calculating cumulative energy demand, acidification potential and global warming potential. For all three bioenergy chains, the results of the LCA study show a considerable saving of primary energy (from 70 to 86 GJ·ha−1 and greenhouse gas emissions (from 4.1 to 5.2 t CO2·ha−1 in comparison to power generation from fossil fuels, although the acidification potential of these bioenergy chains may be twice that of conventional power generation. In addition, the study highlights that land use changes due to the cultivation of the abovementioned crops reduce soil organic content and therefore worsen and increase greenhouse gas emissions for all three bioenergy chains. The study also demonstrates that the exploitation of crop residues for energy production greatly contributes to managing environmental impact of the three bioenergy chains.

  7. Archive of Digital Boomer Sub-bottom Data Collected During USGS Field Activities 97LCA01, 97LCA02, and 97LCA03, West-Central and East Coast Florida, February through July 1997

    Science.gov (United States)

    Forde, Arnell S.; Dadisman, Shawn V.; Metz, Patricia A.; Tihansky, Ann B.; Davis, Jeffrey B.; Wiese, Dana S.

    2011-01-01

    From February through July of 1997, the U.S. Geological Survey (USGS) conducted geophysical surveys of several Florida water bodies as part of the USGS Lakes and Coastal Aquifers (LCA) study. These areas include Lakes Dosson, Halfmoon and Round in west-central Florida and Sebastian Inlet and Indian River Lagoon on the east coast of the State. Field activity 97LCA01 was conducted in cooperation with the Southwest Florida Water Management District (SWFWMD), and field activities 97LCA02 and 97LCA03 were conducted in cooperation with the St. Johns River Water Management District (SJRWMD). This report serves as an archive of unprocessed digital boomer sub-bottom data, trackline maps, navigation files, Geographic Information System (GIS) files, observer's logbook, and formal Federal Geographic Data Committee (FGDC) metadata. Filtered and gained (showing a relative increase in signal amplitude) digital images of the seismic profiles are also provided. Refer to the Acronyms page for expansions of acronyms and abbreviations used in this report.

  8. LCA for assessing the environmental performance of a company with the environmental management system ISO 14000

    International Nuclear Information System (INIS)

    Rigamonti, L.; Perotto, E.

    2008-01-01

    The environmental management system is an ordered pattern to treat and manage environmental issues and to improve the environmental performance of companies. It is proposed an example of application of LCA to a manufacturing company with ISO 14000. [it

  9. Transportation life cycle assessment (LCA) synthesis : life cycle assessment learning module series.

    Science.gov (United States)

    2015-03-12

    The Life Cycle Assessment Learning Module Series is a set of narrated, self-advancing slideshows on : various topics related to environmental life cycle assessment (LCA). This research project produced the first 27 of such modules, which : are freely...

  10. Characterisation of social impacts in LCA. Part 1: Development of indicators for labour rights

    DEFF Research Database (Denmark)

    Dreyer, Louise Camilla; Hauschild, Michael Zwicky; Schierbeck, Jens

    2010-01-01

    dignity and well-being as the ultimate goal and area of protection of Social LCA. The intended main application of this framework for Social LCA was to support management decisions in companies who wish to conduct business in a socially responsible manner, by providing information about the potential...... involves assessment of the context of the company in terms of geographical location and industry and of the typical level of social impacts that these entail, and interpretation of the company’s management effort in the light of this context. Discussion The developed indicators in Social LCA are discussed......Background, Aim and Scope The authors have earlier suggested a framework for life cycle impact assessment (LCIA) to form the modelling basis of Social LCA. In this framework the fundamental labour rights were pointed out as obligatory issues to be addressed, and protection and promotion of human...

  11. LCA of the timber sector in Ghana: preliminary life cycle impact assessment (LCIA)

    NARCIS (Netherlands)

    Eshun, J.F.; Potting, J.; Leemans, R.

    2011-01-01

    Purpose - Most life cycle impact assessment (LCIA) approaches in life cycle assessment (LCA) are developed for western countries. Their LCIA approaches and characterization methodologies for different impact categories may not be necessarily relevant to African environmental conditions and

  12. Proposition of Eco-feature: a new CAD/PLM data model for an LCA tool

    OpenAIRE

    Gaha, Raoudha; Benamara, Abdelmajid; YANNOU, Bernard

    2017-01-01

    International audience; Today, the environmental problems become serious and they are highlighted in regulations frameworks. Then, the use of Life cycle assessment (LCA) tools, for assessing products environmental impacts, is necessary, till Computer Aided Design (CAD) phase, for manufactures aiming at guarding their market places. Required LCA data (processes) can be provided from CAD and Product Life Management integrated systems (CAD/PLM), which became a necessity for industries to manage ...

  13. BIM Application to Select Appropriate Design Alternative with Consideration of LCA and LCCA

    Directory of Open Access Journals (Sweden)

    Young-su Shin

    2015-01-01

    Full Text Available Advancements in building materials and technology have led to the rapid development of various design solutions. At the same time, life cycle assessment (LCA and life cycle cost analysis (LCCA of such solutions have become a great burden to engineers and project managers. To help conduct LCA and LCCA conveniently, this study (i analyzed the information needed to conduct LCA and LCCA, (ii evaluated a way to obtain such information in an easy and accurate manner using a building information modeling tool, and (iii developed an Excel spreadsheet-based framework that allowed for the simultaneous implementation of LCA and LCCA. The framework developed for LCA and LCCA was applied to a real building case to evaluate three possible alternatives for an external skin system. The framework could easily and accurately determine which skin system had good properties in terms of the LCA and LCCA performance. Therefore, these results are expected to assist in decision making based on the perspectives of economic and environmental performances in the early phases of a project, where various alternatives can be created and evaluated.

  14. Net environmental benefit: introducing a new LCA approach on wastewater treatment systems.

    Science.gov (United States)

    Godin, D; Bouchard, C; Vanrolleghem, P A

    2012-01-01

    Life cycle assessment (LCA) allows evaluating the potential environmental impacts of a product or a service in relation to its function and over its life cycle. In past LCAs applied to wastewater treatment plants (WWTPs), the system function definition has received little attention despite its great importance. This has led to some limitations in LCA results interpretation. A new methodology to perform LCA on WWTPs is proposed to avoid those limitations. It is based on net environmental benefit (NEB) evaluation and requires assessing the potential impact of releasing wastewater without and with treatment besides assessing the impact of the WWTP's life cycle. The NEB allows showing the environmental trade-offs between avoided impact due to wastewater treatment and induced impact by the WWTP's life cycle. NEB is compared with a standard LCA through the case study of a small municipal WWTP consisting of facultative aerated lagoons. The NEB and standard LCA show similar results for impact categories solely related to the WWTP's life cycle but differ in categories where wastewater treatment environmental benefit is accounted for as NEB considers influent wastewater quality whereas standard LCA does not.

  15. Incidental enhancing lesions found on preoperative breast MRI: management and role of second-look ultrasound.

    Science.gov (United States)

    Luciani, M L; Pediconi, F; Telesca, M; Vasselli, F; Casali, V; Miglio, E; Passariello, R; Catalano, C

    2011-09-01

    This study prospectively assessed second-look ultrasound (US) for the evaluation of incidental enhancing lesions identified on preoperative breast magnetic resonance imaging (MRI). Between 2004 and 2007, 182 patients with malignant breast lesions detected on US and/or X-ray mammography and confirmed by cytology/histology underwent preoperative breast contrast-enhanced (CE)-MRI. Patients with incidental lesions on breast MRI underwent second-look high-resolution US directed at the site of the incidental finding. Diagnosis of incidental lesions was based on biopsy or 24-month follow-up. Breast MRI detected 55 additional lesions in 46/182 (25.2%) patients. Forty-two of 55 (76.3%) lesions were detected on second-look US in 38/46 (82.6%) patients. Malignancy was confirmed for 24/42 (57.1%) correlate lesions compared with 7/13 (53.8%) noncorrelate lesions. Second-look US depicted 8/9 (88.8%) Breast Imaging Reporting and Data System (BI-RADS) 5, 16/22 (72.7%) BI-RADS 4 and 18/24 (75%) BI-RADS 3 lesions. Sensitivity, specificity, accuracy and positive and negative predictive values for lesion detection/diagnosis was 100%, 88.9%, 94.6%, 90.3% and 100% for MRI and 64.3%, 70.4%, 67.3%, 69.2% and 65.5% for second-look US. Improved performance for US was obtained when masslike lesions only were considered. Second-look US is a confirmatory method for incidental findings on breast MRI, particularly for mass-like lesions.

  16. Incidental internal carotid artery calcifications on temporal bone CT in children

    International Nuclear Information System (INIS)

    Koch, Bernadette; Jones, Blaise; Blackham, Aaron

    2007-01-01

    Incidental internal carotid artery (ICA) calcifications are occasionally noted on CT images of the brain and temporal bone. In adults, incidental calcifications have been correlated with increased incidence of hypercholesterolemia, cardiac disease, diabetes and carotid stenosis. To determine the incidence of incidental calcifications of the carotid siphon on temporal bone CT in children. We retrospectively reviewed 24 months of consecutive temporal bone CT examinations in children aged 18 years and younger. CT examinations on 663 patients were reviewed and the presence or absence of ICA calcifications was ranked as absent, questionable or definitive. In patients in whom definitive calcifications were identified, hospital charts were reviewed for evidence of diabetes mellitus, hypercholesterolemia, hypertriglyceridemia, hyperlipidemia and chronic renal disease as potential causes of early atherosclerosis. Of the 663 patients, 25% had definitive calcifications within the wall of the ICA: 6% of children younger than 2 years and 28% of children 12-19 years of age. Incidentally noted ICA calcifications are a common finding on temporal bone CT in children, most likely a physiologic response to turbulent flow at natural bends in the artery rather than secondary to underlying disease predisposing to early atherosclerotic calcification. (orig.)

  17. Incidental internal carotid artery calcifications on temporal bone CT in children

    Energy Technology Data Exchange (ETDEWEB)

    Koch, Bernadette; Jones, Blaise [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Blackham, Aaron [University of Cincinnati College of Medicine, Cincinnati, OH (United States)

    2007-02-15

    Incidental internal carotid artery (ICA) calcifications are occasionally noted on CT images of the brain and temporal bone. In adults, incidental calcifications have been correlated with increased incidence of hypercholesterolemia, cardiac disease, diabetes and carotid stenosis. To determine the incidence of incidental calcifications of the carotid siphon on temporal bone CT in children. We retrospectively reviewed 24 months of consecutive temporal bone CT examinations in children aged 18 years and younger. CT examinations on 663 patients were reviewed and the presence or absence of ICA calcifications was ranked as absent, questionable or definitive. In patients in whom definitive calcifications were identified, hospital charts were reviewed for evidence of diabetes mellitus, hypercholesterolemia, hypertriglyceridemia, hyperlipidemia and chronic renal disease as potential causes of early atherosclerosis. Of the 663 patients, 25% had definitive calcifications within the wall of the ICA: 6% of children younger than 2 years and 28% of children 12-19 years of age. Incidentally noted ICA calcifications are a common finding on temporal bone CT in children, most likely a physiologic response to turbulent flow at natural bends in the artery rather than secondary to underlying disease predisposing to early atherosclerotic calcification. (orig.)

  18. Differences between LCA for analysis and LCA for policy : A case study on the consequences of allocation choices in bio-energy policies

    NARCIS (Netherlands)

    Wardenaar, T.; Van Ruijven, T.W.J.; Beltran, A.M.; Vad, K.; Guinee, J.; Heijungs, R.

    2012-01-01

    Purpose - The increasing concern for adverse effects of climate change has spurred the search for alternatives for conventional energy sources. Life cycle assessment (LCA) has increasingly been used to assess the potential of these alternatives to reduce greenhouse gas emissions. The popularity of

  19. Differences between LCA for analysis and LCA for policy : A case study on the consequences of allocation choices in bio-energy policies

    NARCIS (Netherlands)

    Wardenaar, Tjerk; Van Ruijven, Theo; Beltran, Angelica Mendoza; Vad, Kathrine; Guinée, Jeroen B.; Heijungs, Reinout

    Purpose: The increasing concern for adverse effects of climate change has spurred the search for alternatives for conventional energy sources. Life cycle assessment (LCA) has increasingly been used to assess the potential of these alternatives to reduce greenhouse gas emissions. The popularity of

  20. Cone Beam Computed Tomography Analysis of Incidental Maxillary Sinus Pathologies in North Indian Population

    Directory of Open Access Journals (Sweden)

    Sangeeta S Malik

    2017-01-01

    Full Text Available Introduction: Maxillary sinus can be visualized in both two-dimensional and three-dimensional images. Computed tomography (CT is considered the gold standard method for the examination of maxillary sinus. Cone beam computed tomography (CBCT addresses the limitation of CT and provides many dental advantages. It can provide valuable knowledge about the pathology with limited exposure and low cost compared with other imaging used for diagnostic purposes. Aims and Objectives: The aim of the study is to analyze the prevalence of pathological changes in maxillary sinus of asymptomatic cases using CBCT for diagnostic purposes. Materials and Methods: This retrospective study evaluated 231 patients for incidental maxillary sinus pathologies. Pathological findings were categorized as mucosal thickening, polypoid mucosal thickening, radiopacification, and no pathological findings. Evaluation of pathological findings was done using factors of age and gender. Results: The present study showed 86 cases with maxillary sinus pathology and 145 cases with no pathological findings. Patients with maxillary sinus pathology were mostly diagnosed with mucosal thickening on both sides. In right maxillary sinus, 45 cases (52.3% showed mucosal thickening, and on the left side 36 cases (41.9% were diagnosed with mucosal thickening. Among 86 cases reported, 20 right maxillary sinus (23.3% and 25 left maxillary sinus (29.1% showed no signs of pathology. Conclusion: The incidental maxillary sinus pathologies are highly prevalent in asymptomatic patients. Therefore, oral radiologists should be aware of these incidental findings which will help in early diagnosis and treatment of disease.

  1. 78 FR 52135 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental To...

    Science.gov (United States)

    2013-08-22

    ...--Marine Mammal Density Estimates Density Species (animals/km \\2\\) Bottlenose dolphin \\1\\ 0.455 Atlantic... criteria and thresholds in a final rule on the unintentional taking of marine animals occurring incidental... analysis assumed the marine species populations were 100 percent small animals. The criterion with the...

  2. 77 FR 65059 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to...

    Science.gov (United States)

    2012-10-24

    ... harassment, small numbers of nine species of marine mammals incidental to in-ice marine seismic surveys in..., by harassment, from ION's in-ice seismic survey will have a negligible impacton the affected species... whales and other marine mammal species in the Beaufort and Chukchi Seas during ION's in-ice seismic...

  3. 76 FR 62378 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to...

    Science.gov (United States)

    2011-10-07

    ....noaa.gov/publications/tm/tm210/ . The West Indian manatee (Trichechus manatus) is managed by the U.S... populations of marine mammals that are expected to be present in the action area. The Incidental Take... mammal populations; (iii) results of the monitoring program, including numbers by species/stock of any...

  4. 77 FR 72327 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to...

    Science.gov (United States)

    2012-12-05

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XC283 Takes of...), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; issuance of an incidental... State Parks). Once a particular study has ended, the respective sampling equipment is removed. No trash...

  5. An Incidentally Detected Right Ventricular Pseudoaneurysm

    Directory of Open Access Journals (Sweden)

    Vamsi C. Gaddipati

    2017-01-01

    Full Text Available Ventricular pseudoaneurysm is an uncommon, potentially fatal complication that has been associated with myocardial infarction, cardiac surgery, chest trauma, and infectious processes. Diagnosis can be challenging, as cases are rare and slowly progressing and typically lack identifiable features on clinical presentation. As a result, advanced imaging techniques have become the hallmark of identification. Ahead, we describe a patient who presents with acute decompensated heart failure and was incidentally discovered to have a large right ventricular pseudoaneurysm that developed following previous traumatic anterior rib fracture.

  6. The Effects of Training on Caregiver Implementation of Incidental Teaching

    Science.gov (United States)

    Hsieh, Hsing-Hsiu; Wilder, David A.; Abellon, O. Elizabeth

    2011-01-01

    A brief training package consisting of modeling, rehearsal, and feedback was evaluated to train caregivers to use incidental teaching to teach 3 children with autism to request an item or activity. The training package improved correct implementation of the incidental teaching procedure by caregivers. In addition, probes indicated that caregivers…

  7. Incidental Exposure and L3 Learning of Morphosyntax

    Science.gov (United States)

    Grey, Sarah; Williams, John N.; Rebuschat, Patrick

    2014-01-01

    Evidence of learning following incidental exposure has been found for aspects of nonnative syntax in adults (Rebuschat & Williams, 2006, 2012; Williams & Kuribara, 2008). However, little research has tested delayed effects of learning under an incidental condition or moved beyond word order. This study investigated learning of third…

  8. Chiropractic care of acute low back pain and incidental spina bifida occulta: a case report.

    Science.gov (United States)

    Cofano, Gregory P; Anderson, Benjamin C; Stumpff, Eric R

    2014-12-01

    The purpose of this case report is to describe chiropractic care of an adolescent with acute low back pain and incidental finding of spina bifida occulta managed with high-velocity low-amplitude manipulation. A 10-year-old boy was referred for chiropractic care by his pediatrician for the management of low back pain after a fall 3 days prior. Examination and medical records revealed the patient also had spina bifida occulta at the level of L5. High-velocity low-amplitude treatment for lower back pain showed resolution of patient's pain after 6 visits. No adverse effects were reported. An adolescent patient with lower back pain and incidental finding of spina bifida occulta improved with a course of care that included with high-velocity low-amplitude manipulation therapy.

  9. Prospective time-resolved LCA of fully electric supercap vehicles in Germany.

    Science.gov (United States)

    Zimmermann, Benedikt M; Dura, Hanna; Baumann, Manuel J; Weil, Marcel R

    2015-07-01

    The ongoing transition of the German electricity supply toward a higher share of renewable and sustainable energy sources, called Energiewende in German, has led to dynamic changes in the environmental impact of electricity over the last few years. Prominent scenario studies predict that comparable dynamics will continue in the coming decades, which will further improve the environmental performance of Germany's electricity supply. Life cycle assessment (LCA) is the methodology commonly used to evaluate environmental performance. Previous LCA studies on electric vehicles have shown that the electricity supply for the vehicles' operation is responsible for the major part of their environmental impact. The core question of this study is how the prospective dynamic development of the German electricity mix will affect the impact of electric vehicles operated in Germany and how LCA can be adapted to analyze this impact in a more robust manner. The previously suggested approach of time-resolved LCA, which is located between static and dynamic LCA, is used in this study and compared with several static approaches. Furthermore, the uncertainty issue associated with scenario studies is addressed in general and in relation to time-resolved LCA. Two scenario studies relevant to policy making have been selected, but a moderate number of modifications have been necessary to adapt the data to the requirements of a life cycle inventory. A potential, fully electric vehicle powered by a supercapacitor energy storage system is used as a generic example. The results show that substantial improvements in the environmental repercussions of the electricity supply and, consequentially, of electric vehicles will be achieved between 2020 and 2031 on the basis of the energy mixes predicted in both studies. This study concludes that although scenarios might not be able to predict the future, they should nonetheless be used as data sources in prospective LCA studies, because in many cases

  10. Global warming impact assessment of a crop residue gasification project—A dynamic LCA perspective

    International Nuclear Information System (INIS)

    Yang, Jin; Chen, Bin

    2014-01-01

    Highlights: • A dynamic LCA is proposed considering time-varying factors. • Dynamic LCA is used to highlight GHG emission hotspots of gasification projects. • Indicators are proposed to reflect GHG emission performance. • Dynamic LCA alters the static LCA results. • Crop residue gasification project has high GHG abatement potential. - Abstract: Bioenergy from crop residues is one of the prevailing sustainable energy sources owing to the abundant reserves worldwide. Amongst a wide variety of energy conversion technologies, crop residue gasification has been regarded as promising owing to its higher energy efficiency than that of direct combustion. However, prior to large-scale application of crop residue gasification, the lifetime environmental performance should be investigated to shed light on sustainable strategies. As traditional static life cycle assessment (LCA) does not include temporal information for dynamic processes, we proposed a dynamic life cycle assessment approach, which improves the static LCA approach by considering time-varying factors, e.g., greenhouse gas characterization factors and energy intensity. As the gasification project can reduce greenhouse gas (GHG) discharge compared with traditional direct fuel combustion, trade-offs between the benefits of global warming mitigation and the impact on global warming of crop residue gasification should be considered. Therefore, indicators of net global warming mitigation benefit and global warming impact mitigation period are put forward to justify the feasibility of the crop residue gasification project. The proposed dynamic LCA and indicators were then applied to estimate the life cycle global warming impact of a crop residue gasification system in China. Results show that the crop residue gasification project has high net global warming mitigation benefit and a short global warming impact mitigation period, indicating its prominent potential in alleviating global warming impact. During

  11. Challenge clusters facing LCA in environmental decision-making-what we can learn from biofuels.

    Science.gov (United States)

    McManus, Marcelle C; Taylor, Caroline M; Mohr, Alison; Whittaker, Carly; Scown, Corinne D; Borrion, Aiduan Li; Glithero, Neryssa J; Yin, Yao

    Bioenergy is increasingly used to help meet greenhouse gas (GHG) and renewable energy targets. However, bioenergy's sustainability has been questioned, resulting in increasing use of life cycle assessment (LCA). Bioenergy systems are global and complex, and market forces can result in significant changes, relevant to LCA and policy. The goal of this paper is to illustrate the complexities associated with LCA, with particular focus on bioenergy and associated policy development, so that its use can more effectively inform policymakers. The review is based on the results from a series of workshops focused on bioenergy life cycle assessment. Expert submissions were compiled and categorized within the first two workshops. Over 100 issues emerged. Accounting for redundancies and close similarities in the list, this reduced to around 60 challenges, many of which are deeply interrelated. Some of these issues were then explored further at a policy-facing workshop in London, UK. The authors applied a rigorous approach to categorize the challenges identified to be at the intersection of biofuels/bioenergy LCA and policy. The credibility of LCA is core to its use in policy. Even LCAs that comply with ISO standards and policy and regulatory instruments leave a great deal of scope for interpretation and flexibility. Within the bioenergy sector, this has led to frustration and at times a lack of obvious direction. This paper identifies the main challenge clusters: overarching issues, application and practice and value and ethical judgments. Many of these are reflective of the transition from application of LCA to assess individual products or systems to the wider approach that is becoming more common. Uncertainty in impact assessment strongly influences planning and compliance due to challenges in assigning accountability, and communicating the inherent complexity and uncertainty within bioenergy is becoming of greater importance. The emergence of LCA in bioenergy governance is

  12. Broadening GHG accounting with LCA: application to a waste management business unit.

    Science.gov (United States)

    Fallaha, Sophie; Martineau, Geneviève; Bécaert, Valérie; Margni, Manuele; Deschênes, Louise; Samson, Réjean; Aoustin, Emmanuelle

    2009-11-01

    In an effort to obtain the most accurate climate change impact assessment, greenhouse gas (GHG) accounting is evolving to include life-cycle thinking. This study (1) identifies similarities and key differences between GHG accounting and life-cycle assessment (LCA), (2) compares them on a consistent basis through a case study on a waste management business unit. First, GHG accounting is performed. According to the GHG Protocol, annual emissions are categorized into three scopes: direct GHG emissions (scope 1), indirect emissions related to electricity, heat and steam production (scope 2) and other indirect emissions (scope 3). The LCA is then structured into a comparable framework: each LCA process is disaggregated into these three scopes, the annual operating activities are assessed, and the environmental impacts are determined using the IMPACT2002+ method. By comparing these two approaches it is concluded that both LCA and GHG accounting provide similar climate change impact results as the same major GHG contributors are determined for scope 1 emissions. The emissions from scope 2 appear negligible whereas emissions from scope 3 cannot be neglected since they contribute to around 10% of the climate change impact of the waste management business unit. This statement is strengthened by the fact that scope 3 generates 75% of the resource use damage and 30% of the ecosystem quality damage categories. The study also shows that LCA can help in setting up the framework for a annual GHG accounting by determining the major climate change contributors.

  13. Development of a Carbon Emission Calculations System for Optimizing Building Plan Based on the LCA Framework

    Directory of Open Access Journals (Sweden)

    Feifei Fu

    2014-01-01

    Full Text Available Life cycle thinking has become widely applied in the assessment for building environmental performance. Various tool are developed to support the application of life cycle assessment (LCA method. This paper focuses on the carbon emission during the building construction stage. A partial LCA framework is established to assess the carbon emission in this phase. Furthermore, five typical LCA tools programs have been compared and analyzed for demonstrating the current application of LCA tools and their limitations in the building construction stage. Based on the analysis of existing tools and sustainability demands in building, a new computer calculation system has been developed to calculate the carbon emission for optimizing the sustainability during the construction stage. The system structure and detail functions are described in this paper. Finally, a case study is analyzed to demonstrate the designed LCA framework and system functions. This case is based on a typical building in UK with different plans of masonry wall and timber frame to make a comparison. The final results disclose that a timber frame wall has less embodied carbon emission than a similar masonry structure. 16% reduction was found in this study.

  14. Experts' opinions on the benefit of an incidental prenatal diagnosis of sex chromosomal aneuploidy: a qualitative interview survey.

    Science.gov (United States)

    Pieters, J J P M; Verhaak, C M; Braat, D D M; van Leeuwen, E; Smits, A P T

    2012-12-01

    Incidental findings in prenatal diagnostic testing may or may not have clear prognostic significance for the phenotype. We studied experts' opinions of the benefit and disadvantage of an incidental prenatal diagnosis of a sex chromosomal aneuploidy (SCA). We interviewed 16 experts in the field of counseling and treatment of people with SCA and asked 13 clinical geneticists and genetic associates about the clinical relevance of an incidental prenatal diagnosis of SCA. Most of the experts and clinical geneticists (87.5% and 76.9%, respectively) stated that an incidental prenatal diagnosis of SCA was a benefit for the child and the parents. They acknowledged the possibility of parental decisions to terminate pregnancy. Expert options in screening, training, and treatment of health, behavior, and fertility problems increase with an early diagnosis of SCA. Most experts favored an incidental prenatal diagnosis of SCA despite the complex counseling issues and their acknowledgment of possible parental decisions to terminate pregnancy. They believed the benefits greatly outweigh the disadvantages. © 2012 John Wiley & Sons, Ltd.

  15. 76 FR 41463 - Takes of Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to a...

    Science.gov (United States)

    2011-07-14

    ... requirements, many marine animals may need to remain in areas where they are exposed to chronic stimuli... Marine Mammals Incidental to Specified Activities; Taking Marine Mammals Incidental to a Marine... Atmospheric Administration (NOAA), National Marine Fisheries Service (NMFS). ACTION: Notice; proposed...

  16. Cardiac pathologies incidentally detected with non-gated chest CT; Inzidentelle Pathologien des Herzens im Thorax-CT

    Energy Technology Data Exchange (ETDEWEB)

    Scherer, Axel; Kroepil, P.; Lanzman, R.S.; Moedder, U. [Inst. fuer Radiologie, Universitaetsklinikum Duesseldorf, Heinrich-Heine-Univ. (Germany); Choy, G.; Abbara, S. [Cardiovascular Imaging Section, Massachusetts General Hospital, Harvard Medical School (United States)

    2009-12-15

    Cardiac imaging using electrocardiogram-gated multi-detector computed tomography (MDCT) permits noninvasive diagnosis of congenital and acquired cardiac pathologies and has thus become increasingly important in the last years. Several studies investigated the incidence and relevance of incidental extracardiac structures within the lungs, mediastinum, chest wall, and abdomen with gated coronary CT. This resulted in the general acceptance of the review of extracardiac structures as a routine component of coronary CT interpretation. On the other hand radiologists tend to neglect pericardial and cardiac pathologies in non-gated chest CT, which is primarily performed for the evaluation of the respiratory system or for tumor staging. Since the introduction of multi-detector spiral CT technology, the incidental detection of cardiac and pericardial findings has become possible using non-gated chest CT. This article reviews the imaging appearances and differential diagnostic considerations of incidental cardiac entities that may be encountered in non-gated chest CT. (orig.)

  17. PestLCI - a model for estimating field emissions of pesticides in agricultural LCA

    DEFF Research Database (Denmark)

    Birkved, Morten; Hauschild, Michael Zwicky

    2006-01-01

    of the major corner stones in any LCA, chemical emissions, and it inevitably influences the outcome of the impact assessment, where the environmental impacts are normally assumed proportional to the emissions in LCA. PestLCI is a modular model for estimation of pesticide emissions from field application......Life cycle assessment (LCA) involves assessment of resource consumption and emissions caused by the provision of a given service over the whole life cycle of the products it involves, from the cradle to the grave. The quantification of exchanges with the environment during the life cycle...... to the different environmental compartments. It estimates the fractions of the applied quantity which is emitted to the air, surface water, and groundwater compartment based on information which will normally be available to the model user about: type and time of application, crop species and development stage...

  18. The applicability of LCA to evaluate the key environmental challenges in food supply chains

    DEFF Research Database (Denmark)

    Aronsson, Anna K.S.; Landquist, Birgit; Esturo, Aintzane

    2014-01-01

    System analysis was performed to gain an overview of key environmental challenges and pinpoint hotspots causing environmental impacts in three European food supply chains. An overview was obtained based on a review on LCA studies for beef, dairy, orange juice and aquaculture food supply chains....... Similarities of the main environmental impacts were identified to rationalize and justify the selection of key performance indicators chosen for a simplified web based LCA tool developed within the EC funded project SENSE (FP7). Life Cycle Assessment methodology covered many of the key challenges identified...... but will not be sufficient to address all environmental impacts generated from the food supply chains. Especially for aquaculture impacts that are not taken into account with LCA are i.e. nutrient and organic matter releases, impacts associated with feed provision, diseases introduction, escapes, and changed usage...

  19. EcoDesign and LCA approach toward sustainable micro products development

    DEFF Research Database (Denmark)

    De Grave, Arnaud; Olsen, Stig Irving; Hansen, Hans Nørgaard

    2009-01-01

    in the context of micro technology. Ecodesign and LCA take into account environmental impact of production of micro and nano products, but another important issue to include is the impact of such applications on human health. A particular focus has been put on the human health risks of nanoparticles.......Historically LCA has mainly been applied to products; however, it can be very useful in assisting the whole product development by identifying more sustainable options in process selection, design and optimisation. Using LCA it is believed that one can aim at identifying issues of environmental...... importance in the design of micro/nano products and of downscaled production pathways. In addition, the topic of EcoDesign, which has been used for a long time now in so-called “macro size”, is explained and the panel of tools used for designing products taking care of the environment will be investigated...

  20. Life cycle assessment (LCA) of electricity generation technologies: Overview, comparability and limitations

    DEFF Research Database (Denmark)

    Turconi, Roberto; Boldrin, Alessio; Astrup, Thomas Fruergaard

    2013-01-01

    Electricity generation is a key contributor to global emissions of greenhouse gases (GHG), NOx and SO2 and their related environmental impact. A critical review of 167 case studies involving the life cycle assessment (LCA) of electricity generation based on hard coal, lignite, natural gas, oil...... contribution for biomass technologies (71% for GHG, 54% for NOx and 61% for SO2) and nuclear power (60% for GHG, 82% for NOx and 92% for SO2); infrastructures provided the highest impact for renewables. These data indicated that all three phases should be included for completeness and to avoid problem shifting....... The most critical methodological aspects in relation to LCA studies were identified as follows: definition of the functional unit, the LCA method employed (e.g., IOA, PCA and hybrid), the emission allocation principle and/or system boundary expansion. The most important technological aspects were...

  1. Deliverable 4.1 Homogeneous LCA methodology agreed by NEPTUNE and INNOWATECH

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Hauschild, Michael Zwicky; Wenzel, Henrik

    2007-01-01

    In order to do a life cycle assessment (LCA) of a waste water treatment technique, a system to handle the mapped inventory data and a life cycle impact assessment (LCIA) method/model is needed. Besides NEPTUNE, another EU-funded project has the same methodology need namely INNOWATECH (contract No....... 036882) running in parallel with NEPTUNE but focusing on industrial waste water. With the aim of facilitating cooperation between the two projects a common LCA methodology framework has been worked out and is described in the following. This methodology work has been done as a joint effort between...... NEPTUNE WP4 and INNOWATECH WP4 represented by the WP4 lead partner IVL. The aim of the co-operation is to establish common methodologies and/or LCA models and/or tools in order to achieve a homogenous approach in INNOWATECH and NEPTUNE. Further, the aim is to facilitate possibilities of data exchange...

  2. Education and training in LCA and life-cycle thinking experience and needs

    DEFF Research Database (Denmark)

    Jørgensen, Michael Søgaard; Bey, Niki; Hauschild, Michael Zwicky

    2003-01-01

    This paper discusses experience and needs for education and training in LCA and life-cycle thinking based on project carried out for the Environmental Protection Agency in Denmark. An approach was chosen where both quantitative and qualitative facts and records were collected. The quantitative data....... The questionnaire for providers was returned by 20 institutions, describing 47 educational offers and the questionnaire for users of education was filled by 41 companies and 16 consultancies. Most of the companies and consultancies that participated in the survey have experience with LCA and/or life cycle thinking....... The target group for the educational offers are students of both short and long term higher education, primarily engineering students of various disciplines. However, teaching within LCA and life cycle thinking also takes place in curricula for designers, architects and production technicians. The target...

  3. Exposure to chemicals in food packaging as a sustainability trade-off in LCA

    DEFF Research Database (Denmark)

    Ernstoff, Alexi; Muncke, Jane; Trier, Xenia

    2016-01-01

    developed. In this study we question if exposure to chemicals in food packaging should be considered as a sustainable design consideration, i.e. if this human health risk is relevant in a life cycle context. To answer this question, we focus on developing methods to quantify exposure to chemicals in food...... packaging in a life cycle impact assessment (LCIA) framework. To put exposure during use in a life cycle context we perform a screening-level LCA of several life cycle stages of high impact polystyrene packaging (HIPS), with a functional unit of containing and delivering one kilogram of yogurt......Hazardous chemicals in packaging, including ‘eco-friendly’ and recycled food packaging, can migrate into food and expose humans. LCA has been fundamental to indicate more ‘eco-friendly’ packages, but currently LCA does not consider exposure to chemical migrants and methods have not yet been...

  4. LCA of a condensing boiler according to EuP Directive

    International Nuclear Information System (INIS)

    Tremonti, M.; Breedvelt, L.; Padovan, G.; Bosio, S.; Corsini, M.

    2008-01-01

    In the light of the EuP Directive (2005/32/EC), producers of Energy using Product (EuP) are obliged to initiate eco design activities. Fourteen product groups are currently under study, one being the preparatory EC study Eco Boiler, and will result in a EuP Working Plan. The LCA of a condensing boiler, commissionated by an Italian SME in the Lombardy Region, has been conducted to support its environmental strategy and communication, to start implementing eco design activities and to anticipate implications to the EuP Directive. In line with the Eco Boiler study, no detailed LCA has been applied, instead a simplified LCA proves to be a strategic tool to support the company environmental objectives. Specifically, the condensing boiler (the option with the best environmental performance and the lowest life cycle costs for the final consumer) has been internally compared to other boilers, resulting in useful eco design recommendations

  5. Towards a meaningful assessment of marine ecological impacts in life cycle assessment (LCA).

    Science.gov (United States)

    Woods, John S; Veltman, Karin; Huijbregts, Mark A J; Verones, Francesca; Hertwich, Edgar G

    2016-01-01

    Human demands on marine resources and space are currently unprecedented and concerns are rising over observed declines in marine biodiversity. A quantitative understanding of the impact of industrial activities on the marine environment is thus essential. Life cycle assessment (LCA) is a widely applied method for quantifying the environmental impact of products and processes. LCA was originally developed to assess the impacts of land-based industries on mainly terrestrial and freshwater ecosystems. As such, impact indicators for major drivers of marine biodiversity loss are currently lacking. We review quantitative approaches for cause-effect assessment of seven major drivers of marine biodiversity loss: climate change, ocean acidification, eutrophication-induced hypoxia, seabed damage, overexploitation of biotic resources, invasive species and marine plastic debris. Our review shows that impact indicators can be developed for all identified drivers, albeit at different levels of coverage of cause-effect pathways and variable levels of uncertainty and spatial coverage. Modeling approaches to predict the spatial distribution and intensity of human-driven interventions in the marine environment are relatively well-established and can be employed to develop spatially-explicit LCA fate factors. Modeling approaches to quantify the effects of these interventions on marine biodiversity are less well-developed. We highlight specific research challenges to facilitate a coherent incorporation of marine biodiversity loss in LCA, thereby making LCA a more comprehensive and robust environmental impact assessment tool. Research challenges of particular importance include i) incorporation of the non-linear behavior of global circulation models (GCMs) within an LCA framework and ii) improving spatial differentiation, especially the representation of coastal regions in GCMs and ocean-carbon cycle models. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Life cycle assessment (LCA of lead-free solders from the environmental protection aspect

    Directory of Open Access Journals (Sweden)

    Mitovski Aleksandra M.

    2009-01-01

    Full Text Available Life-cycle assessment (LCA presents a relatively new approach, which allows comprehensive environmental consequences analysis of a product system over its entire life. This analysis is increasingly being used in the industry, as a tool for investigation of the influence of the product system on the environment, and serves as a protection and prevention tool in ecological management. This method is used to predict possible influences of a certain material to the environment through different development stages of the material. In LCA, the product systems are evaluated on a functionally equivalent basis, which, in this case, was 1000 cubic centimeters of an alloy. Two of the LCA phases, life-cycle inventory (LCA and life-cycle impact assessment (LCIA, are needed to calculate the environmental impacts. Methodology of LCIA applied in this analysis aligns every input and output influence into 16 different categories, divided in two subcategories. The life-cycle assessment reaserch review of the leadfree solders Sn-Cu, SAC (Sn-Ag-Cu, BSA (Bi-Sb-Ag and SABC (Sn-Ag-Bi-Cu respectively, is given in this paper, from the environmental protection aspect starting from production, through application process and finally, reclamation at the end-of-life, i.e. recycling. There are several opportunities for reducing the overall environmental and human health impacts of solder used in electronics manufacturing based on the results of the LCA, such as: using secondary metals reclaimed through post-industrial recycling; power consumption reducing by replacing older, less efficient reflow assembly equipment, or by optimizing the current equipment to perform at the elevated temperatures required for lead-free soldering, etc. The LCA analysis was done comparatively in relation to widely used Sn-Pb solder material. Additionally, the impact factors of material consumption, energy use, water and air reserves, human health and ecotoxicity have been ALSO considered including

  7. 78 FR 49729 - Takes of Marine Mammals Incidental to Specified Activities; U.S. Air Force Launches, Aircraft and...

    Science.gov (United States)

    2013-08-15

    .../Evolved Expendable Launch Vehicle (EELV) at VAFB, CA, from February 2014 through February 2019. Pursuant.../incidental.htm without change. All Personal Identifying Information (for example, name, address, etc... NMFS finds that the taking will have a negligible impact on the species or stock(s), will not have an...

  8. LCA of waste management systems: Development of tools for modeling and uncertainty analysis

    DEFF Research Database (Denmark)

    Clavreul, Julie

    Since the late 1990s, life cycle assessment (LCA) has been increasingly applied to waste management to quantify direct, indirect and avoided impacts from various treatment options. The construction of inventories for waste management systems differs from classical product-LCAs in that (1) these s......Since the late 1990s, life cycle assessment (LCA) has been increasingly applied to waste management to quantify direct, indirect and avoided impacts from various treatment options. The construction of inventories for waste management systems differs from classical product-LCAs in that (1...

  9. Introducing carrying capacity-based normalisation in LCA: framework and development of references at midpoint level

    DEFF Research Database (Denmark)

    Bjørn, Anders; Hauschild, Michael Zwicky

    2015-01-01

    There is currently a weak or no link between the indicator scores quantified in life cycle assessment (LCA) and the carrying capacity of the affected ecosystems. Such a link must be established if LCA is to support assessments of environmental sustainability and it may be done by developing...... capacity of a reference region divided by its population and thus describes the annual personal share of the carrying capacity.The developed references can be applied to indicator results obtained using commonly applied characterisation models in LCIA. The European NR are generally lower than the global NR...

  10. The Use of Facade Mockups in in LCA Based Architectural Design

    DEFF Research Database (Denmark)

    Naboni, Emanuele

    2017-01-01

    Life Cycle Assessment is increasingly becoming important in façade architectural design. The presented research aims to describe an LCA architectural design approach based on the use of a Façade Mockup. The approach is applied and tested for the design Telecom Sustainable Campus’ façade, in Rome....... It is studied how a mockup could facilitate a more thorough LCA-based design processes, and how it could be the medium between design domains and the various stakeholders....

  11. Incidental and intentional learning of verbal episodic material differentially modifies functional brain networks.

    Directory of Open Access Journals (Sweden)

    Marie-Therese Kuhnert

    Full Text Available Learning- and memory-related processes are thought to result from dynamic interactions in large-scale brain networks that include lateral and mesial structures of the temporal lobes. We investigate the impact of incidental and intentional learning of verbal episodic material on functional brain networks that we derive from scalp-EEG recorded continuously from 33 subjects during a neuropsychological test schedule. Analyzing the networks' global statistical properties we observe that intentional but not incidental learning leads to a significantly increased clustering coefficient, and the average shortest path length remains unaffected. Moreover, network modifications correlate with subsequent recall performance: the more pronounced the modifications of the clustering coefficient, the higher the recall performance. Our findings provide novel insights into the relationship between topological aspects of functional brain networks and higher cognitive functions.

  12. Incidental bony pathology when reporting trauma orthopantomograms

    Energy Technology Data Exchange (ETDEWEB)

    Macanovic, M., E-mail: mladenmaca@gmail.co [Derriford Hospital NHS Trust, Plymouth (United Kingdom); Gangidi, S.; Porter, G.; Brown, S.; Courtney, D. [Derriford Hospital NHS Trust, Plymouth (United Kingdom); Porter, J. [Community Dental Service, Plymouth Primary Care Trust, Plymouth, Devon (United Kingdom)

    2010-10-15

    Radiologists frequently report orthopantomograms (OPTs) and other views of the mandible, most often in patients who have suffered facial trauma. These examinations may reveal incidental pathology. It is important that radiologists are aware of the radiological appearances and the clinical significance of these lesions. In this review we will present examples of the more common odontogenic lesions including: radicular cyst, odontogenic keratocyst, dentigerous cyst, ameloblastoma, and also examples of non-odontogenic pathology: bisphosphonate-related osteonecrosis of the jaw (BRONJ) and chronic osteomyelitis. Although some of the lesions will require computed tomography (CT) or magnetic resonance imaging (MRI) for further lesion characterization and evaluation of the surrounding tissues, we are going to focus on the plain film appearances. We will also briefly discuss the pathogenesis, epidemiology, and treatment of these lesions.

  13. Incidental sinus abnormalities in 256 patients referred for brain MRI

    Directory of Open Access Journals (Sweden)

    Ghanaati H

    2007-06-01

    Full Text Available Background: Imaging abnormalities in the paranasal sinuses are regularly noted as incidental findings on MRI, however, little is known about their prevalence in the Iranian population. The purpose of this study was to classify these findings in the paranasal sinuses as seen on MRI and to investigate the prevalence, according to site and type of paranasal abnormality. Methods: In this cross-sectional study, the T2-weighted axial MRI of 256 patients with diseases unrelated to their paranasal sinuses were reviewed between May 2002 and June 2003. The findings were categorized according to the anatomic location and the imaging characteristics of the abnormality. The abnormalities recorded included total sinus opacification, mucoperiosteal thickening >5mm, air fluid levels and retention cysts or polyps. Unilateral or bilateral involvement and septal deviation were also noted. A sinus was considered normal if it was fully aerated and no soft-tissue density was apparent within the cavity. Results: Among our cases, 111 (43.5% were male and 145 (56.5% were female. Of these patients, abnormalities in one or more of the sinus groups were found in 110 subjects (42.9%, 55.5% of which were male and 44.5% were female (P=0.001. Maxillary sinus abnormalities were observed in 66.4% of the patients, while ethmoid sinus abnormalities were found in 63.6%. Of the ethmoid abnormalities, 21% were found in the anterior section, 9% in the middle ethmoid, and 8% in the posterior ethmoid. The most common abnormality found was mucosal thickening. Among our cases, 23.4% had septal deviation, which was significantly higher among those with sinusitis (29% versus 19.1%; P<0.01. Of those patients with sinus involvement, 16% were involved in the sphenoid sinus and 5% in the frontal sinus. The results obtained from the patients with sinus abnormality revealed that 85% suffered from cough, nasal obstruction, runny nose, facial pain and post nasal discharge and 24% had been diagnosed

  14. Evaluation of the effect of accounting method, IPCC v. LCA, on grass-based and confinement dairy systems' greenhouse gas emissions.

    Science.gov (United States)

    O'Brien, D; Shalloo, L; Patton, J; Buckley, F; Grainger, C; Wallace, M

    2012-09-01

    Life cycle assessment (LCA) and the Intergovernmental Panel on Climate Change (IPCC) guideline methodology, which are the principal greenhouse gas (GHG) quantification methods, were evaluated in this study using a dairy farm GHG model. The model was applied to estimate GHG emissions from two contrasting dairy systems: a seasonal calving pasture-based dairy farm and a total confinement dairy system. Data used to quantify emissions from these systems originated from a research study carried out over a 1-year period in Ireland. The genetic merit of cows modelled was similar for both systems. Total mixed ration was fed in the Confinement system, whereas grazed grass was mainly fed in the grass-based system. GHG emissions from these systems were quantified per unit of product and area. The results of both methods showed that the dairy system that emitted the lowest GHG emissions per unit area did not necessarily emit the lowest GHG emissions possible for a given level of product. Consequently, a recommendation from this study is that GHG emissions be evaluated per unit of product given the growing affluent human population and increasing demand for dairy products. The IPCC and LCA methods ranked dairy systems' GHG emissions differently. For instance, the IPCC method quantified that the Confinement system reduced GHG emissions per unit of product by 8% compared with the grass-based system, but the LCA approach calculated that the Confinement system increased emissions by 16% when off-farm emissions associated with primary dairy production were included. Thus, GHG emissions should be quantified using approaches that quantify the total GHG emissions associated with the production system, so as to determine whether the dairy system was causing emissions displacement. The IPCC and LCA methods were also used in this study to simulate, through a dairy farm GHG model, what effect management changes within both production systems have on GHG emissions. The findings suggest that

  15. Incidental Reflector Comparison of Containerized Dry Fire Extinguishing Agents

    Energy Technology Data Exchange (ETDEWEB)

    Chapman, Bryan Scott [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wysong, Andrew Russell [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-12-14

    This document addresses the incidental reflector reactivity worth of containerized fire extinguishing agents authorized for use in PF-4 at Los Alamos National Laboratory (LANL). The intent of the document is to analyze dry fire extinguishing agent that remains in a container and is not actively being used in a fire emergency. The incidental reflector reactivity worth is determined by comparison to various thicknesses of close fitting water reflection which is commonly used to bound incidental reflectors in criticality safety evaluations. The conclusion is that even in unlimited quantities, when containerized the authorized dry fire extinguishing agents are bound by 0.4 inches of close fitting water.

  16. Life cycle assessment - current state and perspectives for research; Life cycle assessment (LCA) no saikin no doko

    Energy Technology Data Exchange (ETDEWEB)

    Inaba, A.; Matsuno, Y. [National Institute for Resources and Environment, Tsukuba (Japan); Finkbeiner, M.; Siegenthaler, C.

    1998-10-20

    LCA is a methodology for calculating environmental loads in life cycles of products and services, and assessing impacts to environment. Although the methodology for collection and calculation of data, and quantification of environment impacts is not yet clear, ISO-14040 `LCA- Principles and framework` and JIS-Q-14040 were published in June and Nov. 1997, respectively. Under the assumption that `Links in LC` is the feature of LCA, since a life cycle cost analysis and environmental performance of enterprises are probably supposed as a part of LCA, discussion on LCA is endless. Nearly 80 papers were read at the LCA session of the 8th Annual Meeting of Society of Environmental Toxicology and Chemistry-Europe held in France in April 1998. Nearly 150 papers including nearly 70 overseas papers are scheduled to be read at the 3rd Eco-Balance International Meeting held in Tsukuba city in Nov. 1998. This paper describes the current trend on LCA, and development of techniques for the future LCA development. 51 refs., 4 figs., 5 tabs.

  17. Critical aspects in the life cycle assessment (LCA) of bio-based materials – Reviewing methodologies and deriving recommendations

    NARCIS (Netherlands)

    Pawelzik, P.; Carus, M.; Hotchkiss, J.; Narayan, R.; Selke, S.; Wellisch, M.; Weiss, M.; Wicke, B.; Patel, M.K.

    2013-01-01

    Concerns over non-renewable fossil fuel supply and climate change have been driving the Renaissance of bio-based materials. To substantiate environmental claims, the impacts of bio-based materials are typically quantified by applying life cycle assessment(LCA). The internationally agreed LCA

  18. Critical aspects in the life cycle assessment (LCA) of bio-based materials – Reviewing methodologies and deriving recommendations

    NARCIS (Netherlands)

    Pawelzik, P.; Carus, M.; Hotchkiss, J.; Narayan, R.; Selke, S.; Wellisch, M.; Weiss, M.; Wicke, B.; Patel, M.K.

    2013-01-01

    Concerns over non-renewable fossil fuel supply and climate change have been driving the Renaissance of bio-based materials. To substantiate environmental claims, the impacts of bio-based materials are typically quantified by applying life cycle assessment (LCA). The internationally agreed LCA

  19. Sustainable Environment and Health for 21st Century: Implementation of LCA in development of products and systems

    DEFF Research Database (Denmark)

    Bhander, G. S.; Hauschild, M.; McAloone, Timothy Charles

    2003-01-01

    product and system developers to the subject area, and an understanding of possible future directions for product development; participate actively in development and documentation of methods for Improvement Assessments in LCA internationally; integrate CAD-LCA systems in the early stages of the product...

  20. "Incidental fear cues increase monetary loss aversion": Correction to Schulreich, Gerhardt, and Heekeren (2016).

    Science.gov (United States)

    2016-12-01

    Reports an error in "Incidental fear cues increase monetary loss aversion" by Stefan Schulreich, Holger Gerhardt and Hauke R. Heekeren ( Emotion , 2016[Apr], Vol 16[3], 402-412). In the current article, there was an error in the Study 2 portion of the article. The fourth paragraph of the Results section should read as follows: Performing the same analyses as in Study 1, we found an effect of incidental fear cues on decision behavior. Participants accepted fewer gambles in the fearful-face condition (32.77%) than in the neutral-face condition (33.96%), with Z = -2.187, p = .027, d = -0.998 in the Wilcoxon signed-ranks test and β = 0.012, SE = 0.0053, F(1, 21) = 4.434, p = .047, partial η² = .174 in the linear regression. This suggests increased risk aversion in the fearful-face condition. Concerning personality, however, there were no significant between-subjects effects or between-within interaction effects (all ps = .349). (The following abstract of the original article appeared in record 2015-52358-001.) In many everyday decisions, people exhibit loss aversion-a greater sensitivity to losses relative to gains of equal size. Loss aversion is thought to be (at least partly) mediated by emotional-in particular, fear-related-processes. Decision research has shown that even incidental emotions, which are unrelated to the decision at hand, can influence decision making. The effect of incidental fear on loss aversion, however, is thus far unclear. In two studies, we experimentally investigated how incidental fear cues, presented during (Study 1) or before (Study 2) choices to accept or reject mixed gambles over real monetary stakes, influence monetary loss aversion. We find that the presentation of fearful faces, relative to the presentation of neutral faces, increased risk aversion-an effect that could be attributed to increased loss aversion. The size of this effect was moderated by psychopathic personality: Fearless dominance, in particular its interpersonal facet

  1. Microcarcinomas papilares de tiroides no incidentales Non-incidental papillary microcarcinomas of the thyroid

    Directory of Open Access Journals (Sweden)

    Marcelo Monteros Alvi

    2008-04-01

    Full Text Available El significado clínico de los microcarcinomas papilares de tiroides sigue siendo controvertido. La alta prevalencia en autopsias e incidental en tiroidectomías por patología benigna indican un comportamiento clínico indolente. Sin embargo, algunos desarrollan metástasis ganglionares y recurrencia local. Nuestro objetivo fue determinar características clínicas y patológicas de microcarcinonas papilares de tiroides no incidentales (MPT-NI. Se analizaron 18 pacientes con diagnóstico de microcarcinomas (tumor The clinical significance of papillary microcarcinoma of the thyroid gland keeps being controversial. Its high prevalence in autopsies and as incidental findings in thyroidectomy specimens for benign pathology indicate an indolent clinical behavior. Nevertheless some of the microcarcinomas develop lymph node metastasis and local recurrence. To determine the clinical and pathological characteristics of non-incidental papillary microcarcinomas of the thyroid (PTM -NI. 18 patients with diagnosis of non-incidental papillary microcarcinoma (tumor < 1cm with nodular expression in the thyroid gland or with lymph node metastasis have been studied. Initial diagnosis, prediction factors and evolution have been evaluated. Of 18 patients with PTM-NI, 12 demonstrated lymph node metastasis. 6 patients had positive fine needle aspiration (FNA of palpable thyroid nodules. Multifocality and extraglandular extension were associated with lymph node metastasis. Seven of the nine metastatic lymph nodes diagnosed by FNA were cystic. Histologically 83.3% of the nodules in the thyroid were non-encapsulated and showed papillary growth pattern. Multifocality and extrathyroid infiltration were associated with lymph node metastasis at presentation. 46% of the patients with thyroid nodules < 4 mm and lymph node involvement (N1 showed recurrence/persistence. The non-incidental intrathyroideal papillary microcarcinoma without capsular involvement, extraglandular

  2. An innovative implementation of LCA within the EIA procedure: Lessons learned from two Wastewater Treatment Plant case studies

    International Nuclear Information System (INIS)

    Larrey-Lassalle, Pyrène; Catel, Laureline; Roux, Philippe; Rosenbaum, Ralph K.; Lopez-Ferber, Miguel; Junqua, Guillaume; Loiseau, Eléonore

    2017-01-01

    Life Cycle Assessment (LCA) has been identified in the literature as a promising tool to increase the performance of environmental assessments at different steps in the Environmental Impact Assessment (EIA) procedure. However, few publications have proposed a methodology for an extensive integration, and none have compared the results with existing EIA conclusions without LCA. This paper proposes a comprehensive operational methodology for implementing an LCA within an EIA. Based on a literature review, we identified four EIA steps that could theoretically benefit from LCA implementation, i.e., (a) the environmental comparison of alternatives, (b) the identification of key impacts, (c) the impact assessment, and (d) the impact of mitigation measures. For each of these steps, an LCA was implemented with specific goal and scope definitions that resulted in a specific set of indicators. This approach has been implemented in two contrasting Wastewater Treatment Plant (WWTP) projects and compared to existing EIA studies. The results showed that the two procedures, i.e., EIAs with or without inputs from LCA, led to different conclusions. The environmental assessments of alternatives and mitigation measures were not carried out in the original studies and showed that other less polluting technologies could have been chosen. Regarding the scoping step, the selected environmental concerns were essentially different. Global impacts such as climate change or natural resource depletion were not taken into account in the original EIA studies. Impacts other than those occurring on the project site (off-site impacts) were not assessed, either. All these impacts can be significant compared to those initially considered. On the other hand, unlike current LCA applications, EIAs usually address natural and technological risks and neighbourhood disturbances such as noises or odours, which are very important for the public acceptability of projects. Regarding the impact assessment

  3. Multiple data sets and modelling choices in a comparative LCA of disposable beverage cups

    NARCIS (Netherlands)

    Harst, van der E.J.M.; Potting, J.; Kroeze, C.

    2014-01-01

    This study used multiple data sets and modelling choices in an environmental life cycle assessment (LCA) to compare typical disposable beverage cups made from polystyrene (PS), polylactic acid (PLA; bioplastic) and paper lined with bioplastic (biopaper). Incineration and recycling were considered as

  4. LCA as a Tool for Assessing Product and Process Oriented Eco-Innovations Undertaken by Enterprises

    Directory of Open Access Journals (Sweden)

    Rybaczewska-Błażejowska Magdalena

    2017-09-01

    Full Text Available This paper examines the application of life cycle assessment (LCA as an approach to foster the product and process oriented eco- innovation of enterprises, using the fruit and vegetable processing plant as an example. LCA, which is traditionally used to assess the impacts of a single product system on the environment, was applied in the enterprise context. This was made possible by forming an indicator describing the environmental profile of an enterprise, which is calculated by the sum of the multiplication of the environmental impact assessment (LCIA results for individual unit processes within a particular impact category and their weights reflecting the structure of production in an enterprise. In order to distinguish and indicate the direction in which an enterprise should undertake its eco-innovative actions (implementing eco-innovations within the product or production process the LCIA results are presented individually for products and production processes. The research was conducted in full compliance with the LCA methodology. LCA proved that the analysed enterprise has the largest negative impacts on the environment in the following impact categories: marine eco-toxicity, freshwater eco-toxicity, freshwater eutrophication, human toxicity and natural land transformation. They result primarily from the consumption of thermal and electric energy in the production processes. Therefore, to improve energy efficiency, the enterprise should take eco-innovative actions in the processes applied.

  5. Modelling sensitivity and uncertainty in a LCA model for waste management systems - EASETECH

    DEFF Research Database (Denmark)

    Damgaard, Anders; Clavreul, Julie; Baumeister, Hubert

    2013-01-01

    In the new model, EASETECH, developed for LCA modelling of waste management systems, a general approach for sensitivity and uncertainty assessment for waste management studies has been implemented. First general contribution analysis is done through a regular interpretation of inventory and impact...

  6. The importance of the application context for the design of Social LCA methodology

    DEFF Research Database (Denmark)

    Jørgensen, Andreas

    it is applied. The purpose of this study is to fill this gap by analyzing the conditions and constraints that the context of application sets for the design of Social LCA methodology and to suggest methodological approaches that account for these contextual constraints and conditions. The relevant context...

  7. The applicability of LCA to evaluate the key environmental challenges in food supply chains

    DEFF Research Database (Denmark)

    Aronsson, Anna K.S.; Landquist, Birgit; Esturo, Aintzane

    2014-01-01

    but will not be sufficient to address all environmental impacts generated from the food supply chains. Especially for aquaculture impacts that are not taken into account with LCA are i.e. nutrient and organic matter releases, impacts associated with feed provision, diseases introduction, escapes, and changed usage...... of coastal areas. In agriculture land use and biodiversity are issues not well covered....

  8. The Glasgow consensus on the delineation between pesticide emission inventory and impact assessment for LCA

    DEFF Research Database (Denmark)

    Rosenbaum, Ralph K.; Anton, Assumpció; Bengoa, Xavier

    2015-01-01

    Pesticides are applied to agricultural fields to optimise crop yield and their global use is substantial. Their consideration in life cycle assessment (LCA) is affected by important inconsistencies between the emission inventory and impact assessment phases of LCA. A clear definition of the delin......Pesticides are applied to agricultural fields to optimise crop yield and their global use is substantial. Their consideration in life cycle assessment (LCA) is affected by important inconsistencies between the emission inventory and impact assessment phases of LCA. A clear definition...... of the delineation between the product system model (life cycle inventory—LCI, technosphere) and the natural environment (life cycle impact assessment—LCIA, ecosphere) is missing and could be established via consensus building.A workshop held in 2013 in Glasgow, UK, had the goal of establishing consensus...... and creating clear guidelines in the following topics: (1) boundary between emission inventory and impact characterisation model, (2) spatial dimensions and the time periods assumed for the application of substances to open agricultural fields or in greenhouses and (3) emissions to the natural environment...

  9. Open-loop recycling: A LCA case study of PET bottle-to-fibre-recycling

    NARCIS (Netherlands)

    Shen, L.; Worrell, E.; Patel, M.K.

    2010-01-01

    This study assesses the environmental impact of polyethylene terephthalate (PET) bottle-to-fibre recycling using the methodology of life-cycle assessment (LCA). Four recycling cases, including mechanical recycling, semi-mechanical recycling, back-to-oligomer recycling and back-to-monomer recycling

  10. Bringing Science and Pragmatism together - a Tiered Approach for Modelling Toxicological Impacts in LCA

    DEFF Research Database (Denmark)

    Guinée, J; De Koning, A; Pennington, David W.

    2004-01-01

    Goal, Scope and Background. The EU 5th framework project OMNIITOX will develop models calculating characterisation factors for assessing the potential toxic impacts of chemicals within the framework of LCA. These models will become accessible through a web-based information system. The key object...

  11. Comparison of environmental impact and energy efficiency of desalination processes by LCA

    NARCIS (Netherlands)

    Tarnacki, K.M.; Melin, T.; Jansen, A.E.; Medevoort, J. van

    2011-01-01

    In this study two desalination technologies have been compared by means of LCA with the focus on energy supply with a variety of scenarios based on different assumptions. The studied technologies are reverse osmosis and the newly developed technology Memstill where electrical energy demand is

  12. GLOBOX : A spatially differentiated global fate, intake and effect model for toxicity assessment in LCA

    NARCIS (Netherlands)

    Wegener Sleeswijk, Anneke; Heijungs, Reinout

    GLOBOX is a model for the calculation of spatially differentiated LCA toxicity characterisation factors on a global scale. It can also be used for human and environmental risk assessment. The GLOBOX model contains equations for the calculation of fate, intake and effect factors, and equations for

  13. LCA Study for Pilot Scale Production of Cellulose Nano Crystals (CNC) from Wood Pulp

    Science.gov (United States)

    Hongmei Gu; Richard Reiner; Richard Bergman; Alan Rudie

    2015-01-01

    Interest in cellulose nanocrystals (CNC)/cellulose nanofibrils (CNF) made from woody biomass has been growing rapidly with close attention from pulp and paper industry, governments, universities, and research institutes. Many new products development with CNCs have been studied intensively. However, little life-cycle analysis (LCA) has been conducted for the...

  14. The use of LCA in the water industry and the case for an ...

    African Journals Online (AJOL)

    This paper reviews the use of environmental life-cycle assessments (LCAs) in the water industry internationally and locally. An LCA conducted on the water supply, treatment and recycling in the eThekwini Municipality is used for demonstrative purposes. Many of the LCAs reviewed, including the case study, have ...

  15. Sustainable Design with Respect to LCA Using Parametric Design and BIM Tools

    DEFF Research Database (Denmark)

    Tsikos, Marios; Negendahl, Kristoffer

    minimize their design’s environmental impacts. To achieve this, this study evaluated the potential of integrating LCA into BIM, developed and proposed an Integrated Dynamic Model using Revit, Dynamo and Excel. The Integrated Dynamic model was used in case studies the results of which were compared...

  16. Fostering incidental experiences of nature through green infrastructure planning

    DEFF Research Database (Denmark)

    Beery, Thomas H; Raymond, Christopher M; Kyttä, Marketta

    2017-01-01

    Concern for a diminished human experience of nature and subsequent decreased human well-being is addressed via a consideration of green infrastructure's potential to facilitate unplanned or incidental nature experience. Incidental nature experience is conceptualized and illustrated in order...... to consider this seldom addressed aspect of human interaction with nature in green infrastructure planning. Special attention has been paid to the ability of incidental nature experience to redirect attention from a primary activity toward an unplanned focus (in this case, nature phenomena). The value...... of such experience for human well-being is considered. The role of green infrastructure to provide the opportunity for incidental nature experience may serve as a nudge or guide toward meaningful interaction. These ideas are explored using examples of green infrastructure design in two Nordic municipalities...

  17. The Radiological Prevalence of Incidental Kienböck Disease

    Directory of Open Access Journals (Sweden)

    Saroj K. Golay

    2016-07-01

    Full Text Available Background:To determine the prevalence of incidental Kienböck disease.   Methods: A retrospective analysis of 150,912 radiological reports or images obtained over a five year period was performed of 76,174 patients who underwent a radiograph or computed tomography scan which included the wrist, in Edinburgh and Lothian, UK. Results: There were 5 cases of incidental Kienböck disease and 13 cases of symptomatic Kienböck disease. There were no significant differences in age, sex, ethnicity, comorbidities, smoking status, excess alcohol use or Lichtman stage between the incidental and symptomatic Kienböck groups. Conclusion: The radiological prevalence of incidental Kienböck disease was 0.0066% or 7 in 100,000 patients.

  18. Esplenectomía incidental: ¿Está justificada?

    Directory of Open Access Journals (Sweden)

    Eddy Sierra Enrique

    1997-12-01

    Full Text Available Se revisaron 77 historias clínicas de pacientes que presentaban lesiones incidentales del bazo ocurridas entre 1985 y 1994, durante operaciones intraabdominales y por examen laparoscópico. Las funciones inmunológicas del bazo y su papel contra las infecciones están bien definidas, por lo cual al ser suprimido este órgano a consecuencia de lesiones incidentales, favorecen las infecciones en dichos pacientes de por vida. De las 77 lesiones incidentales se realizaron 47(61 % esplenectomías incidentales y 30(39 % cirugías conservadoras. La úlcera duodenal y la hernia hiatal son las causas principales de esplenectomía incidental. Se presentaron 11 infecciones (23,4 % y 1 fallecido (2,1 % en la esplenectomía incidental contra 1 infección (3,3 % y ningún fallecido en la cirugía conservadora. Se llega a la conclusión de que la esplenectomía no está justificada dadas las desventajas que presenta77 medical histories of patients who presented incidental injuries of the spleen occurred between 1985 and 1994, during intraabdominal operations and by laparoscopic examination, were reviewed. The immunological functions of the spleen and its role against infections are well defined, so the removal of this organ due to incidental injuries favors the appearance of infections in these patients for the rest of their lives. Of the 77 incidental injuries 47 (61 % incidental splenectomies and 30 (39 % conservative surgeries were performed. Duodenal ulcer and hiatal hernia proved to be the main causes of incidental splenectomy. There were 11 infections (23.4 % and 1 death (2.1 % in the incidental splenectomy compared with 1 infection (3.3 % and no death in the conservative surgery. It is concluded that splenectomy is not justified because of its disadvantages

  19. Bridging the gap between LCA, LCC and CBA as sustainability assessment tools

    International Nuclear Information System (INIS)

    Hoogmartens, Rob; Van Passel, Steven; Van Acker, Karel; Dubois, Maarten

    2014-01-01

    Increasing interest in sustainability has led to the development of sustainability assessment tools such as Life Cycle Analysis (LCA), Life Cycle Costing (LCC) and Cost–Benefit Analysis (CBA). Due to methodological disparity of these three tools, conflicting assessment results generate confusion for many policy and business decisions. In order to interpret and integrate assessment results, the paper provides a framework that clarifies the connections and coherence between the included assessment methodologies. Building on this framework, the paper further focuses on key aspects to adapt any of the methodologies to full sustainability assessments. Aspects dealt with in the review are for example the reported metrics, the scope, data requirements, discounting, product- or project-related and approaches with respect to scarcity and labor requirements. In addition to these key aspects, the review shows that important connections exist: (i) the three tools can cope with social inequality, (ii) processes such as valuation techniques for LCC and CBA are common, (iii) Environmental Impact Assessment (EIA) is used as input in both LCA and CBA and (iv) LCA can be used in parallel with LCC. Furthermore, the most integrated sustainability approach combines elements of LCA and LCC to achieve the Life Cycle Sustainability Assessment (LCSA). The key aspects and the connections referred to in the review are illustrated with a case study on the treatment of end-of-life automotive glass. - Highlights: • Proliferation of assessment tools creates ambiguity and confusion. • The developed assessment framework clarifies connections between assessment tools. • Broadening LCA, key aspects are metric and data requirements. • Broadening LCC, key aspects are scope, time frame and discounting. • Broadening CBA, focus point, timespan, references, labor and scarcity are key

  20. Bridging the gap between LCA, LCC and CBA as sustainability assessment tools

    Energy Technology Data Exchange (ETDEWEB)

    Hoogmartens, Rob, E-mail: rob.hoogmartens@uhasselt.be [Hasselt University, Faculty of Business Economics, Centre for Environmental Sciences, Agoralaan, Building D, 3590 Diepenbeek (Belgium); Van Passel, Steven, E-mail: steven.vanpassel@uhasselt.be [Hasselt University, Faculty of Business Economics, Centre for Environmental Sciences, Agoralaan, Building D, 3590 Diepenbeek (Belgium); Van Acker, Karel, E-mail: karel.vanacker@lrd.kuleuven.be [Katholieke Universiteit Leuven, Department of Metallurgy and Materials Engineering, Kasteelpark Arenberg 44, 3001 Leuven (Belgium); Dubois, Maarten, E-mail: maarten.dubois@kuleuven.be [Katholieke Universiteit Leuven, Policy Research Centre for Sustainable Materials, Kasteelpark Arenberg 44, 3001 Leuven (Belgium)

    2014-09-15

    Increasing interest in sustainability has led to the development of sustainability assessment tools such as Life Cycle Analysis (LCA), Life Cycle Costing (LCC) and Cost–Benefit Analysis (CBA). Due to methodological disparity of these three tools, conflicting assessment results generate confusion for many policy and business decisions. In order to interpret and integrate assessment results, the paper provides a framework that clarifies the connections and coherence between the included assessment methodologies. Building on this framework, the paper further focuses on key aspects to adapt any of the methodologies to full sustainability assessments. Aspects dealt with in the review are for example the reported metrics, the scope, data requirements, discounting, product- or project-related and approaches with respect to scarcity and labor requirements. In addition to these key aspects, the review shows that important connections exist: (i) the three tools can cope with social inequality, (ii) processes such as valuation techniques for LCC and CBA are common, (iii) Environmental Impact Assessment (EIA) is used as input in both LCA and CBA and (iv) LCA can be used in parallel with LCC. Furthermore, the most integrated sustainability approach combines elements of LCA and LCC to achieve the Life Cycle Sustainability Assessment (LCSA). The key aspects and the connections referred to in the review are illustrated with a case study on the treatment of end-of-life automotive glass. - Highlights: • Proliferation of assessment tools creates ambiguity and confusion. • The developed assessment framework clarifies connections between assessment tools. • Broadening LCA, key aspects are metric and data requirements. • Broadening LCC, key aspects are scope, time frame and discounting. • Broadening CBA, focus point, timespan, references, labor and scarcity are key.

  1. Life cycle thinking in impact assessment—Current practice and LCA gains

    International Nuclear Information System (INIS)

    Bidstrup, Morten

    2015-01-01

    It has been advocated that life cycle thinking (LCT) should be applied in impact assessment (IA) to a greater extent, since some development proposals pose a risk of significant impacts throughout the interconnected activities of product systems. Multiple authors have proposed the usage of life cycle assessment (LCA) for such analytical advancement, but little to no research on this tool application has been founded in IA practice so far. The aim of this article is to elaborate further on the gains assigned to application of LCA. The research builds on a review of 85 Danish IA reports, which were analysed for analytical appropriateness and application of LCT. Through a focus on the non-technical summary, the conclusion and the use of specific search words, passages containing LCT were searched for in each IA report. These passages were then analysed with a generic framework. The results reveal that LCT is appropriate for most of the IAs, but that LCA is rarely applied to provide such a perspective. Without LCA, the IAs show mixed performance in regard to LCT. Most IAs do consider the product provision of development proposals, but they rarely relate impacts to this function explicitly. Many IAs do consider downstream impacts, but assessments of upstream, distant impacts are generally absent. It is concluded that multiple analytical gains can be attributed to greater application of LCA in IA practice, though some level of LCT already exists. - Highlights: • Life cycle thinking is appropriate across the types and topics of impact assessment. • Yet, life cycle assessment is rarely used for adding such perspective. • Impact assessment practice does apply some degree of life cycle thinking. • However, application of life cycle assessment could bring analytical gains

  2. Incidental mood state before dissonance induction affects attitude change.

    Directory of Open Access Journals (Sweden)

    Marie-Amélie Martinie

    Full Text Available The way that incidental affect impacts attitude change brought about by controlled processes has so far been examined when the incidental affective state is generated after dissonance state induction. We therefore investigated attitude change when the incidental mood occurs prior to dissonance state induction. We expected a negative mood to induce systematic processing, and a positive mood to induce heuristic processing. Given that both systematic processing and attitude change are cognitively costly, we expected participants who experienced the dissonance state in a negative mood to have insufficient resources to allocate to attitude change. In our experiment, after mood induction (negative, neutral or positive, participants were divided into low-dissonance and high-dissonance groups. They then wrote a counterattitudinal essay. Analysis of their attitudes towards the essay topic indicated that attitude change did not occur in the negative incidental mood condition. Moreover, written productivity-one indicator of cognitive resource allocation-varied according to the type of incidental mood, and only predicted attitude change in the high-dissonance group. Our results suggest that incidental mood before dissonance induction influences the style of information processing and, by so doing, affects the extent of attitude change.

  3. Incidental mood state before dissonance induction affects attitude change.

    Science.gov (United States)

    Martinie, Marie-Amélie; Almecija, Yves; Ros, Christine; Gil, Sandrine

    2017-01-01

    The way that incidental affect impacts attitude change brought about by controlled processes has so far been examined when the incidental affective state is generated after dissonance state induction. We therefore investigated attitude change when the incidental mood occurs prior to dissonance state induction. We expected a negative mood to induce systematic processing, and a positive mood to induce heuristic processing. Given that both systematic processing and attitude change are cognitively costly, we expected participants who experienced the dissonance state in a negative mood to have insufficient resources to allocate to attitude change. In our experiment, after mood induction (negative, neutral or positive), participants were divided into low-dissonance and high-dissonance groups. They then wrote a counterattitudinal essay. Analysis of their attitudes towards the essay topic indicated that attitude change did not occur in the negative incidental mood condition. Moreover, written productivity-one indicator of cognitive resource allocation-varied according to the type of incidental mood, and only predicted attitude change in the high-dissonance group. Our results suggest that incidental mood before dissonance induction influences the style of information processing and, by so doing, affects the extent of attitude change.

  4. Integrating LCA and Risk Assessment for Decision Support

    DEFF Research Database (Denmark)

    Dong, Yan; Miraglia, Simona; Manzo, Stefano

    The study aims at developing a methodology using decision analysis theory and tools to find the optimal policy (or design) of the studied system, to ensure both sustainability and meanwhile manage risks.......The study aims at developing a methodology using decision analysis theory and tools to find the optimal policy (or design) of the studied system, to ensure both sustainability and meanwhile manage risks....

  5. Incidental Vocabulary Learning: A Semantic Field Approach

    Directory of Open Access Journals (Sweden)

    Parvaneh Khosravizadeh

    2011-10-01

    Full Text Available

    This study is an attempt to explore the difference between acquiring new words with different semantic fields to which they belong. In other words, the purpose of this study is to scrutinize the contribution of semantic field theory in learning new vocabulary items in an EFL setting. Thirty-eight students of three different levels of education took part in this research. They were exposed to some new words from four different semantic fields, and then they were tested on their acquisition of the words meaning. This exposure was through reading texts and the aim of reading was just comprehension, therefore the words were acquired incidentally. The outcome showed significant differences between groups with different levels of education regarding retention of words from different semantic fields.

  6. Incidental placental choriocarcinoma in a term pregnancy: a case report

    Directory of Open Access Journals (Sweden)

    Chung Christopher

    2008-10-01

    Full Text Available Abstract Introduction Gestational choriocarcinoma occurs in 1 in 40,000 pregnancies. Of all forms of gestational choriocarcinoma, placental choriocarcinoma is the most rare. Maternal choriocarcinoma is usually diagnosed in symptomatic patients with metastases. The incidental finding of a choriocarcinoma confined to the placenta with no evidence of dissemination to the mother, or infant is the least common scenario. Case presentation The patient is an 18 year-old Gravida 1 Para 1 African American female who delivered a viable 3641 g female infant at 39 weeks gestation. Her pregnancy course was complicated by gestational hypertension during the third trimester. Her placenta revealed intraplacental choriocarcinoma. She was then followed closely by the Gynecologic Oncology service with a weekly serum beta human chorionic gonadotropin value. Beta human chorionic gonadotropin values dropped from 3070 mIU/ml to less than 2 mIU/ml two months post partum. No chemotherapy was initiated. Metastasis was ruled out by chest x-ray and whole body computed tomography scan. To date, both mother and baby are well. Conclusion Due to the potential fatal outcome of placental choriocarcinoma, careful evaluation of both mother and infant after the diagnosis is made is important. The incidence of placental choriocarcinoma may actually be higher than expected since it is not routine practice to send placentas for pathological evaluation after a normal spontaneous delivery. The obstetrician, pathologist, and pediatrician should have an increased awareness of placental choriocarcinoma and its manifestations.

  7. Environmental assessment of amine-based carbon capture Scenario modelling with life cycle assessment (LCA)

    Energy Technology Data Exchange (ETDEWEB)

    Brekke, Andreas; Askham, Cecilia; Modahl, Ingunn Saur; Vold, Bjoern Ivar; Johnsen, Fredrik Moltu

    2012-07-01

    This report contains a first attempt at introducing the environmental impacts associated with amines and derivatives in a life cycle assessment (LCA) of gas power production with carbon capture and comparing these with other environmental impacts associated with the production system. The report aims to identify data gaps and methodological challenges connected both to modelling toxicity of amines and derivatives and weighting of environmental impacts. A scenario based modelling exercise was performed on a theoretical gas power plant with carbon capture, where emission levels of nitrosamines were varied between zero (gas power without CCS) to a worst case level (outside the probable range of actual carbon capture facilities). Because of extensive research and development in the areas of solvents and emissions from carbon capture facilities in the latter years, data used in the exercise may be outdated and results should therefore not be taken at face value.The results from the exercise showed: According to UseTox, emissions of nitrosamines are less important than emissions of formaldehyde with regard to toxicity related to operation of (i.e. both inputs to and outputs from) a carbon capture facility. If characterisation factors for emissions of metals are included, these outweigh all other toxic emissions in the study. None of the most recent weighting methods in LCA include characterisation factors for nitrosamines, and these are therefore not part of the environmental ranking.These results shows that the EDecIDe project has an important role to play in developing LCA methodology useful for assessing the environmental performance of amine based carbon capture in particular and CCS in general. The EDecIDe project will examine the toxicity models used in LCA in more detail, specifically UseTox. The applicability of the LCA compartment models and site specificity issues for a Norwegian/Arctic situation will be explored. This applies to the environmental compartments

  8. A tomato ER-type Ca2+-ATPase, LCA1, has a low thapsigargin-sensitivity and can transport manganese

    DEFF Research Database (Denmark)

    Johnson, Neil A.; Liu, F; Weeks, P. D.

    2008-01-01

    Recombinant Ca(2+)-ATPase from tomato (i.e. LCA1 for Lycopersicon esculentum [Since the identification and naming of LCA1, the scientific name for the tomato has been changed to Solanum lycopersicum.] Ca-ATPase) was heterologously expressed in yeast for structure-function characterization. We...... investigate the differences between plant and animal Ca pumps utilizing comparisons between chicken and rabbit SERCA-type pumps with Arabidopsis (ECA1) and tomato plant (LCA1) Ca(2+)-ATPases. Enzyme function was confirmed by the ability of each Ca(2+)-ATPase to rescue K616 growth on EGTA-containing agar...

  9. The incidental pulmonary nodule in a child. Part 2: Commentary and suggestions for clinical management, risk communication and prevention

    Energy Technology Data Exchange (ETDEWEB)

    Westra, Sjirk J. [Massachusetts General Hospital, Division of Pediatric Radiology, Boston, MA (United States); Thacker, Paul G. [Medical University of South Carolina, Department of Radiology, Charleston, SC (United States); Podberesky, Daniel J. [Nemours Children' s Hospital, Department of Radiology, Orlando, FL (United States); Lee, Edward Y. [Boston Children' s Hospital, Department of Pediatric Radiology, Boston, MA (United States); Iyer, Ramesh S. [Seattle Children' s Hospital, Department of Radiology, Seattle, WA (United States); Hegde, Shilpa V. [Arkansas Children' s Hospital, Department of Radiology, Little Rock, AR (United States); Guillerman, R.P. [Texas Children' s Hospital, Department of Radiology, Houston, TX (United States); Mahani, Maryam Ghadimi [University of Michigan Health System, Section of Pediatric Radiology, C. S. Mott Children' s Hospital, Department of Radiology, Ann Arbor, MI (United States)

    2015-05-01

    The incidental detection of small lung nodules in children is a vexing consequence of an increased reliance on CT. We present an algorithm for the management of lung nodules detected on CT in children, based on the presence or absence of symptoms, the presence or absence of elements in the clinical history that might explain these nodules, and the imaging characteristics of the nodules (such as attenuation measurements within the nodule). We provide suggestions on how to perform a thoughtfully directed and focused search for clinically occult extrathoracic disease processes (including malignant disease) that may present as an incidentally detected lung nodule on CT. This algorithm emphasizes that because of the lack of definitive information on the natural history of small solid nodules that are truly detected incidentally, their clinical management is highly dependent on the caregivers' individual risk tolerance. In addition, we present strategies to reduce the prevalence of these incidental findings, by preventing unnecessary chest CT scans or inadvertent inclusion of portions of the lungs in scans of adjacent body parts. Application of these guidelines provides pediatric radiologists with an important opportunity to practice patient-centered and evidence-based medicine. (orig.)

  10. A Comparison between Experienced and Novice Teachers in Using Incidental Focus on Form Techniques in EFL Classrooms

    Directory of Open Access Journals (Sweden)

    Yassamin Pouriran

    2012-11-01

    Full Text Available This paper reports the findings of an empirical study that explored whether EFL teachers’ use of incidental focus-on-form techniques was influenced by their level of experience. Also, it investigated the distribution of incidental focus on form types at intermediate level and they were coded based on Lyster and Ranta (1997 and Panova and Lyster (2002 models. Incidental focus on form occurs spontaneously, without prior intention during meaning-focused activities and targets a variety of linguistic items. Here specific forms are not intentionally focused on, but are attended to spontaneously by teachers and other learners within meaning-driven contexts. Six teachers (three experienced and three novice participated in this study. The data was drawn from transcripts of oral corrective feedback moves of six intact classes which were audio and video-recorded totaling 9 hours. A descriptive design which employed qualitative and quantitative data collection procedure was adopted. The results revealed that experienced teachers used incidental focus on form techniques more frequently than novice teachers. This study supports the notion that integrative activities which can integrate a focus on form into L2 communicative activities can contribute to learning a foreign language in terms of both accuracy and fluency.

  11. Life Cycle Assessment (LCA) used to compare two different methods of ripe table olive processing

    Energy Technology Data Exchange (ETDEWEB)

    Russo, C.; Cappelletti, G. M.; Nicoletti, G. M.

    2010-07-01

    The aim of the present study is to analyze the most common method used for processing ripe table olives: the California style. Life Cycle Assessment (LCA) was applied to detect the hot spots of the system under examination. The LCA results also allowed us to compare the traditional California style, here called method A, with another California style, here called method B. We were interested in this latter method, because the European Union is considering introducing it into the product specification of the Protected Denomination of Origin (PDO) La Bella della Daunia. It was also possible to compare the environmental impacts of the two California style methods with those of the Spanish style method. From the comparison it is clear that method B has a greater environmental impact than method A because greater amounts of water and electricity are required, whereas Spanish style processing has a lower environmental impact than the California style methods. (Author)

  12. Environmental assessment of solid waste landfilling technologies by means of LCA-modeling

    DEFF Research Database (Denmark)

    Manfredi, Simone; Christensen, Thomas Højlund

    2009-01-01

    -aerobic landfill) and assesses the influence of the active operations practiced on these performances. The environmental assessments have been performed by means of the LCA-based tool EASEWASTE, whereby the functional unit utilized for the LCA is “landfilling of 1 ton of wet household waste in a 10 m deep landfill...... that it is crucially important to ensure the highest collection efficiency of landfill gas and leachate since a poor capture compromises the overall environmental performance. Once gas and leachate are collected and treated, the potential impacts in the standard environmental categories and on spoiled groundwater...... resources significantly decrease, although at the same time specific emissions from gas treatment lead to increased impact potentials in the toxicity-related categories. Gas utilization for energy recovery leads to saved emissions and avoided impact potentials in several environmental categories. Measures...

  13. Life cycle assessment (LCA) of an energy recovery plant in the olive oil industries

    Energy Technology Data Exchange (ETDEWEB)

    Intini, Francesca; Kuhtz, Silvana [Dep. Engineering and Environmental Physics, Faculty of Engineering, University of Basilicata (Italy); Gianluca Rospi, [Dep. Engineering and Environmental Physics, Faculty of Architecture, University of Basilicata (Italy)

    2012-07-01

    To reduce the GHG emissions in the UE and to increase the produced energy it is important to spread out decentralized technologies for renewable energy production. In this paper a power plant fed with biomass is studied, in particular the biomass considered is the waste of the olive oil industries. This study focuses on the possibility of using the de-oiled pomace and waste wood as fuel. A life cycle assessment (LCA) of a biomass power plant located in the South of Italy was performed. The global warming potential has been calculated and compared with that of a plant for energy production that uses refuse derived fuel (RDF) and that of one that uses coal. The LCA shows the important environmental advantages of biomass utilization in terms of greenhouse gas emissions reduction. An improved impact assessment methodology may better underline the advantages due to the biomass utilization.

  14. Preparing the ground for an operational handling of long-term emissions in LCA

    DEFF Research Database (Denmark)

    Bakas, Ioannis; Hauschild, Michael Zwicky; Astrup, Thomas Fruergaard

    2015-01-01

    Currently, there is no meaningful methodology for the estimation of environmental impacts from long-term heavy metal emissions in a life cycle assessment (LCA) context, when an assessment of landfill and mining technologies is performed. In this paper, the aims are to investigate the main issues...... orders of magnitude. Therefore, the decision-making process supported by an LCA becomes very confusing. None of the approaches consider future changes in the receiving environment and are accompanied with any uncertainty considerations.In order to move towards a robust environmental assessment of long......-term emissions, it is necessary to (i) represent future potential impacts more accurately by estimating time-dependent characterisation factors (CFs) corresponding to changing environmental conditions, (ii) develop more robust estimations by addressing uncertainty and (iii) refer to actual potential impacts...

  15. Analysis of LCA/LCB DC power supply loss in Fuqing nuclear power plant

    International Nuclear Information System (INIS)

    Sun Mingchen; Wu Shengguo

    2015-01-01

    This paper comprehensively analyzes the impact on the nuclear power plant security when LCA/LCB loses the power. When LCA loses the power, the normal boronization of the reactor coolant is unavailable, only the direct boronization can be used; the normal discharge, excess discharge and low pressure discharge of the pressurizer are unavailable: the reactor trip breakers disconnect and P4 signal appears; the reactor trips or safety injection probably happens for the excessive cooling reactor coolant or too low pressure. When LCB loses the power, normal boronization is available, and normal discharge can be used by manual operation, and the reactor shutdown or safety injection probably also happen for the same reason. (authors)

  16. Life cycle assessment of waste incineration in Denmark and Italy using two LCA models

    DEFF Research Database (Denmark)

    Turconi, Roberto; Butera, Stefania; Boldrin, Alessio

    2011-01-01

    In Europe, about 20% of municipal solid waste is incinerated. Large differences can be found between northern and southern Europe regarding energy recovery efficiencies, flue gas cleaning technologies and residue management. Life-cycle assessment (LCA) of waste incineration often provides...... contradictory results if these local conditions are not properly accounted for. The importance of regional differences and site-specific data, and choice of LCA model itself, was evaluated by assessment of two waste incinerators representing northern and southern Europe (Denmark and Italy) based on two....... Differences in waste composition between the two countries mainly affected global warming and human toxicity via water. Overall, SimaPro and EASEWASTE provided consistent ranking of the individual scenarios. However, important differences in results from the two models were related to differences...

  17. Estimating pesticide emission fractions for use in LCA: A global consensus-building effort

    DEFF Research Database (Denmark)

    Fantke, Peter; Anton, Assumpcio; Basset-Mens, Claudine

    2016-01-01

    agreement on recommended default agricultural pesticide emission fractions to environmental media. Consensual decisions on the assessment framework are (a) primary distributions are used as inputs for LCIA, while further investigating how to assess secondary emissions, (b) framework and LCA application......A practical challenge in LCA for comparing pesticide application in different agricultural practices is the agreement on how to quantify the amount emitted, while only the amount applied to the field is known. Main goal of this paper is to present an international effort carried out to reach...... should state whether the agricultural field belongs to technosphere or ecosphere, (b) additional information needs to be reported in LCI (e.g. pesticide mass applied), (c) emissions after primary distribution and secondary fate processes should be reported, (d) LCIA methods should allow for treating...

  18. Environmental benefits of compost use on land through LCA – a review of the current gaps

    DEFF Research Database (Denmark)

    Lazcano, Cristina; Martínez-Blanco, Julia; Christensen, Thomas Højlund

    2014-01-01

    The use of biowaste compost on land can have beneficial effects on the plant–soil system. While the environmental impacts associated with compost production have been successfully assessed in previous studies, the assessment of the benefits of compost on plant and soil has been only partially...... included in few published works. In the present study, we reviewed the recent progresses made in the quantification of the effects associated to biowaste compost use on land by using life cycle assessment (LCA). Different research efforts are required for a full assessment of the potential benefits, apart...... from nutrient supply and carbon sequestration; additional impact categories – dealing with phosphorus resources, biodiversity, soil losses, and water depletion – may be needed for a comprehensive assessment of compost application. Several of the natural mechanisms identified and the LCA procedures...

  19. PENGEMBANGAN PERANGKAT LUNAK LIFE CYCLE ASSESSMENT (LCA UNTUK AMPAS TEBU (Studi Kasus di Pabrik Gula Madukismo, Yogyakarta The Development of Life Cycle Assessment (LCA Software for Bagasse (A Case Study at Madukismo Sugar Mill, Yogyakarta

    Directory of Open Access Journals (Sweden)

    Rosmeika Rosmeika

    2012-05-01

    Full Text Available This study was conducted to develop software which can process data to be information of bagasse life cycle assess- ment (LCA. This study was done by collecting data of sugarcane process production and the utilization of bagasse as a boiler fuel at Madukismo Sugar Mill, Yogyakarta. Data analysis utilized the LCA standard analysis based on ISO14040 series. LCA software which has been developed can be applied in a simulating for condition of energy input, energy output, emission and its impact of bagasse life cycle in the sugarcane industry. The analysis results using LCA software showed that the energy input at the mill and boiler station in Madukismo Sugar Mill was higher than energy output, and bagasse utilization as a boiler fuel was more environmental friendly than fossil fuel. ABSTRAK Penelitian ini bertujuan untuk mengembangkan suatu perangkat lunak yang dapat mengolah data menjadi informasi mengenai Life Cycle Assessment (LCA dari ampas tebu. Penelitian ini dilakukan dengan pengambilan data pada proses produksi gula tebu dan pemanfaatan ampasnya untuk bahan bakar ketel uap di Pabrik Gula Madukismo, Yog- yakarta. Analisis data menggunakan standar analisis LCA berdasarkan ISO seri 14040. Perangkat Lunak LCA yang dikembangkan dapat digunakan untuk melakukan simulasi kondisi dalam input dan output energi, serta emisi dan dampak yang mungkin ditimbulkan dalam proses daur hidup ampas tebu pada industri gula. Hasil analisis menggunakan perangkat lunak LCA menunjukan bahwa input energi di stasiun gilingan dan stasiun ketel PG Madukismo lebih besar dibandingkan output energinya, dan pemanfaatan ampas tebu sebagai bahan bakar lebih ramah lingkungan dibandingkan bahan bakar fosil.

  20. Fostering incidental experiences of nature through green infrastructure planning.

    Science.gov (United States)

    Beery, Thomas H; Raymond, Christopher M; Kyttä, Marketta; Olafsson, Anton Stahl; Plieninger, Tobias; Sandberg, Mattias; Stenseke, Marie; Tengö, Maria; Jönsson, K Ingemar

    2017-11-01

    Concern for a diminished human experience of nature and subsequent decreased human well-being is addressed via a consideration of green infrastructure's potential to facilitate unplanned or incidental nature experience. Incidental nature experience is conceptualized and illustrated in order to consider this seldom addressed aspect of human interaction with nature in green infrastructure planning. Special attention has been paid to the ability of incidental nature experience to redirect attention from a primary activity toward an unplanned focus (in this case, nature phenomena). The value of such experience for human well-being is considered. The role of green infrastructure to provide the opportunity for incidental nature experience may serve as a nudge or guide toward meaningful interaction. These ideas are explored using examples of green infrastructure design in two Nordic municipalities: Kristianstad, Sweden, and Copenhagen, Denmark. The outcome of the case study analysis coupled with the review of literature is a set of sample recommendations for how green infrastructure can be designed to support a range of incidental nature experiences with the potential to support human well-being.

  1. Incidentally Detected Enhancing Breast Lesions on Chest Computed Tomography

    International Nuclear Information System (INIS)

    Lin, Wen Chiung; Hsu, Hsian He; Yu, Jyh Cherng; Hsu, Giu Cheng; Yu, Cheng Ping; Chang, Tsun Hou; Huang, Guo Shu; Li, Chao Shiang

    2011-01-01

    To evaluate the nature and imaging appearance of incidental enhancing breast lesions detected on a routine contrast-enhanced chest CT. Twenty-three patients with incidental enhancing breast lesions on contrast-enhanced chest CT were retrospectively reviewed. The breast lesions were reviewed by unenhanced and enhanced CT, and evaluated by observing the shapes, margins, enhancement patterns and backgrounds of breast lesions. A histopathologic diagnosis or long-term follow-up served as reference standard. Sixteen (70%) patients had malignant breast lesions and seven (30%) had benign lesions. In 10 patients, the breast lesions were exclusively detected on contrast-enhanced CT. Using unenhanced CT, breast lesions with fi broglandular backgrounds were prone to be obscured (p < 0.001). Incidental primary breast cancer showed an non-significant trend of a higher percentage irregular margin (p = 0.056). All of the four incidental breast lesions with non-mass-like enhancement were proven to be malignant. Routine contrast-enhanced chest CT can reveal sufficient details to allow for the detection of unsuspected breast lesions, in which some cases may be proven as malignant. An irregular margin of incidental enhancing breast lesion can be considered a suggestive sign of malignancy

  2. Accounting for ecosystem services in Life Cycle Assessment, Part II: toward an ecologically based LCA.

    Science.gov (United States)

    Zhang, Yi; Baral, Anil; Bakshi, Bhavik R

    2010-04-01

    Despite the essential role of ecosystem goods and services in sustaining all human activities, they are often ignored in engineering decision making, even in methods that are meant to encourage sustainability. For example, conventional Life Cycle Assessment focuses on the impact of emissions and consumption of some resources. While aggregation and interpretation methods are quite advanced for emissions, similar methods for resources have been lagging, and most ignore the role of nature. Such oversight may even result in perverse decisions that encourage reliance on deteriorating ecosystem services. This article presents a step toward including the direct and indirect role of ecosystems in LCA, and a hierarchical scheme to interpret their contribution. The resulting Ecologically Based LCA (Eco-LCA) includes a large number of provisioning, regulating, and supporting ecosystem services as inputs to a life cycle model at the process or economy scale. These resources are represented in diverse physical units and may be compared via their mass, fuel value, industrial cumulative exergy consumption, or ecological cumulative exergy consumption or by normalization with total consumption of each resource or their availability. Such results at a fine scale provide insight about relative resource use and the risk and vulnerability to the loss of specific resources. Aggregate indicators are also defined to obtain indices such as renewability, efficiency, and return on investment. An Eco-LCA model of the 1997 economy is developed and made available via the web (www.resilience.osu.edu/ecolca). An illustrative example comparing paper and plastic cups provides insight into the features of the proposed approach. The need for further work in bridging the gap between knowledge about ecosystem services and their direct and indirect role in supporting human activities is discussed as an important area for future work.

  3. Life cycle assessment (LCA) of lead-free solders from the environmental protection aspect

    OpenAIRE

    Mitovski Aleksandra M.; Živković Dragana T.; Balanović Ljubiša T.; Štrbac Nada D.; Živković Živan D.

    2009-01-01

    Life-cycle assessment (LCA) presents a relatively new approach, which allows comprehensive environmental consequences analysis of a product system over its entire life. This analysis is increasingly being used in the industry, as a tool for investigation of the influence of the product system on the environment, and serves as a protection and prevention tool in ecological management. This method is used to predict possible influences of a certain material to the environment through different ...

  4. Applicazione della metodologia LCA all’intervento di modifica degli impianti semaforici nel Comune di Udine

    OpenAIRE

    Bogoni, Paolo; Campisi, Barbara; Piani, Lucia

    2017-01-01

    In recent years the Municipality of Udine changed the technology of traffic lights in the administered area, no longer equipped with traditional incandescent optics but with Light Emitting Diodes (LED), in order to reduce the greenhouse gas emissions during the operation phase. The paper aims at applying the Life Cycle Assessment (LCA) methodology, to evaluate whether the transition to the new technology has actually allowed the reduction of environmental impacts, resulting from all life cycl...

  5. Bridging the gap between LCA, LCC and CBA as sustainability assessment tools.

    OpenAIRE

    HOOGMARTENS, Rob; VAN PASSEL, Steven; VAN ACKER, Karel; DUBOIS, Maarten

    2014-01-01

    Increasing interest in sustainability has led to the development of sustainability assessment tools such as Life Cycle Analysis (LCA), Life Cycle Costing (LCC) and Cost-Benefit Analysis (CBA). Due to methodological disparity of these three tools, conflicting assessment results generate confusion for many policy and business decisions. In order to interpret and integrate assessment results, the paper provides a framework that clarifies the connections and coherence between the included assessm...

  6. Crop residues as raw materials for biorefinery systems - A LCA case study

    International Nuclear Information System (INIS)

    Cherubini, Francesco; Ulgiati, Sergio

    2010-01-01

    Our strong dependence on fossil fuels results from the intensive use and consumption of petroleum derivatives which, combined with diminishing oil resources, causes environmental and political concerns. The utilization of agricultural residues as raw materials in a biorefinery is a promising alternative to fossil resources for production of energy carriers and chemicals, thus mitigating climate change and enhancing energy security. This paper focuses on a biorefinery concept which produces bioethanol, bioenergy and biochemicals from two types of agricultural residues, corn stover and wheat straw. These biorefinery systems are investigated using a Life Cycle Assessment (LCA) approach, which takes into account all the input and output flows occurring along the production chain. This approach can be applied to almost all the other patterns that convert lignocellulosic residues into bioenergy and biochemicals. The analysis elaborates on land use change aspects, i.e. the effects of crop residue removal (like decrease in grain yields, change in soil N 2 O emissions and decrease of soil organic carbon). The biorefinery systems are compared with the respective fossil reference systems producing the same amount of products/services from fossils instead of biomass. Since climate change mitigation and energy security are the two most important driving forces for biorefinery development, the assessment focuses on greenhouse gas (GHG) emissions and cumulative primary energy demand, but other environmental categories are evaluated as well. Results show that the use of crop residues in a biorefinery saves GHG emissions and reduces fossil energy demand. For instance, GHG emissions are reduced by about 50% and more than 80% of non-renewable energy is saved. Land use change effects have a strong influence in the final GHG balance (about 50%), and their uncertainty is discussed in a sensitivity analysis. Concerning the investigation of the other impact categories, biorefinery systems

  7. Review of LCA studies of solid waste management systems – Part II: Methodological guidance for a better practice

    DEFF Research Database (Denmark)

    Laurent, Alexis; Clavreul, Julie; Bernstad, Anna

    2014-01-01

    conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements......Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper...... are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste...

  8. Production of recyclates – compared with virgin Plastics – a LCA Study

    Directory of Open Access Journals (Sweden)

    Storm Birgit Kjærside

    2017-01-01

    Full Text Available Plastix A/S is a Danish cleantech company transforming discarded fishing trawls and nets into valuable green raw materials. Plastix– technology and processes solve a maritime waste problem and contribute to a more circular green economy and reduce landfilling, marine pollution, CO2 emissions and especially loss of valuable resources. Plastix– recycling technology enables recovery of discarded fishing trawls and nets via mechanical and thermal processes transforming the waste into valuable recycles which can be converted into plastic products replacing virgin raw materials. The performance has been proved through a Life Cycle Assessment (LCA study. The results from the LCA study are compared with the production of virgin materials. The results of the LCA show that especially the carbon footprint is remarkable better for Oceanix than for virgin plastics. Oceanix HDPE is 5 times better than virgin HDPE, when talking about the carbon foot print, and the results for Oceanix PP and Oceanix PA6 are 5 times and 20 times better compared with virgin PP and PA6. Also other environmental indicators are better for Oceanix compared with virgin plastics.

  9. Carbon Reduction Measures-Based LCA of Prefabricated Temporary Housing with Renewable Energy Systems

    Directory of Open Access Journals (Sweden)

    Ling Dong

    2018-03-01

    Full Text Available Temporary housing plays an important role in providing secure, hygienic, private, and comfortable shelter in the aftermath of disaster (such as flood, fire, earthquake, etc.. Additionally, temporary housing can also be used as a sustainable form of on-site residences for construction workers. While most of the building components used in temporary housing can be manufactured in a plant, prefabrication technology improves the production efficiency of temporary housing; furthermore, integrated renewable energy systems, for example, solar photovoltaic (PV system, offer benefits for temporary housing operations. In order to assess the environmental impacts of prefabricated temporary housing equipped with renewable energy systems, this study first divides the life cycle of temporary housing into six stages, and then establishes a life cycle assessment (LCA model for each stage. Furthermore, with the aim of reducing the environmental impacts, life cycle carbon reduction measures are proposed for each stage of temporary housing. The proposed methodology is demonstrated using a case study in China. Based on the proposed carbon reduction measures, the LCA of a prefabricated temporary housing case study building equipped with renewable energy systems indicates a carbon emissions intensity of 35.7 kg/m2·per year, as well as a reduction in material embodied emissions of 18%, assembly emissions of 17.5%, and operational emissions of 91.5%. This research proposes a carbon reduction-driven LCA of temporary housing and contributes to promoting sustainable development of prefabricated temporary housing equipped with renewable energy systems.

  10. Minimization of the LCA impact of thermodynamic cycles using a combined simulation-optimization approach

    International Nuclear Information System (INIS)

    Brunet, Robert; Cortés, Daniel; Guillén-Gosálbez, Gonzalo; Jiménez, Laureano; Boer, Dieter

    2012-01-01

    This work presents a computational approach for the simultaneous minimization of the total cost and environmental impact of thermodynamic cycles. Our method combines process simulation, multi-objective optimization and life cycle assessment (LCA) within a unified framework that identifies in a systematic manner optimal design and operating conditions according to several economic and LCA impacts. Our approach takes advantages of the complementary strengths of process simulation (in which mass, energy balances and thermodynamic calculations are implemented in an easy manner) and rigorous deterministic optimization tools. We demonstrate the capabilities of this strategy by means of two case studies in which we address the design of a 10 MW Rankine cycle modeled in Aspen Hysys, and a 90 kW ammonia-water absorption cooling cycle implemented in Aspen Plus. Numerical results show that it is possible to achieve environmental and cost savings using our rigorous approach. - Highlights: ► Novel framework for the optimal design of thermdoynamic cycles. ► Combined use of simulation and optimization tools. ► Optimal design and operating conditions according to several economic and LCA impacts. ► Design of a 10MW Rankine cycle in Aspen Hysys, and a 90kW absorption cycle in Aspen Plus.

  11. LCA of strippable coatings and of steam vacuum technology used for nuclear plants decontamination

    International Nuclear Information System (INIS)

    Guidi, Giambattista; Cumo, Fabrizio; Santoli, Livio de

    2010-01-01

    The application of strippable coatings is an innovative technology for decontamination of nuclear plants and for any decontamination project aiming at removing surface contamination. An adhesive plastic coating is applied on the contaminated surface. The strippable coating is allowed to cure for up to 24 h, after which it can be easily peeled. The coating traps the contaminants in the polymer matrix. Strippable coatings are non-toxic and do not contain volatile compounds or heavy metals. Since the coating constitutes a solid waste, disposal is easier than treating contaminated liquid wastes, produced by the baseline technology: steam vacuum cleaning, based upon superheated pressurized water in order to remove contaminants from floors and walls. A life cycle assessment (LCA) has been carried out with the purpose of comparing the strippable coating with the steam vacuum technology. The functional unit of the study is represented by a surface of 1 m 2 to be decontaminated. The results of LCA achieved using Sima Pro 5.0 registered software confirm the good environmental performances of strippable coatings. Taking into account both LCA and environmental costs for liquid wastes, the advantages of strippable coatings will be more and more evident. (orig.)

  12. Verification of an emerging LCA design tool through real life performance monitoring

    Directory of Open Access Journals (Sweden)

    Eon Christine

    2017-01-01

    Full Text Available Recent research has demonstrated that low-emission houses often underperform, consuming more energy than predicted by their designs. Life cycle assessments (LCA have been employed to complement mandatory energy assessments, as they offer a more comprehensive evaluation of greenhouse gas (GHG emissions over the building lifespan. This research monitored ten energy efficient Australian houses and recorded data about energy use and photovoltaic generation over 1 year. The houses were assessed with a relatively new LCA tool in addition to the Australian mandatory house energy assessment Nationwide House Energy Rating Scheme (NatHERS. The objective of this study was twofold: first, to evaluate the results of the assessment tools compared to actual house energy requirements and second, to understand how design, renewable energy, and occupancy can impact the overall GHG emissions of the houses. The results show that energy use is positively related to NatHERS ratings, but some of the high performance houses perform poorly and there was significant variation in energy use between houses with the same ratings. The LCA revealed that modern houses have higher embodied energy than older houses, while solar panels are not always used to their full potential. This paper attributes some of the variations between theoretical and actual energy use to construction issues and occupant practices.

  13. [A Case of Rectal Syphilis Incidentally Found at Regular Medical Check-up].

    Science.gov (United States)

    You, Ji Hong; Cho, Ki Won; Cha, Yoon Jin; Park, Hyo Jin

    2016-10-25

    Syphilis is a rare disease in the rectum. It is difficult to diagnose because the characteristics of the rectal syphilis rectal lesion are highly varied. The endoscopic findings of rectal syphilis are proctitis, ulcers, and masses. If rectal syphilis is suspected to be the cause for rectal lesions, it is important for physicians to consider the sexual history and sexual orientation of the patient. We report a case of incidental rectal syphilis in a 41-year-old man diagnosed during a regular medical check-up.

  14. Incidental diagnosis of HLRCC following investigation for Asperger Syndrome: actionable and actioned.

    Science.gov (United States)

    Duong, Bich-Thu; Savarirayan, Ravi; Winship, Ingrid

    2016-01-01

    Incidental findings are inevitable as clinical research and practice transitions from a single gene approach to a genomic approach. A novel deletion of the Fumarate Hydratase (FH) gene was identified in a 22 year old male who underwent a molecular karyotype as part of an autism spectrum disorder research project. This unexpected result implies a predisposition to Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC), a rare, autosomal dominant condition and has unforeseen implications for him and his family. We review the typical features and management of HLRCC and discuss the challenges that face health professionals, as genetic testing advances and becomes more accessible.

  15. 78 FR 15737 - Incidental Take Permit Amendment and Supplemental Environmental Assessment for Wind Energy...

    Science.gov (United States)

    2013-03-12

    ...] Incidental Take Permit Amendment and Supplemental Environmental Assessment for Wind Energy Development... of a revised habitat conservation plan (revised HCP) and accompanying documents for wind energy... of Puerto Rican crested toad (Peltophryne lemur) incidental to the previously authorized wind energy...

  16. From LCA to PSS – Making leaps towards sustainability by applying product/service-system thinking in product development

    DEFF Research Database (Denmark)

    Bey, Niki; McAloone, Timothy Charles

    2006-01-01

    Life Cycle Assessment (LCA) is the standardised and globally recognised tool for quantifying environmental impact of goods and services. A key aspect in LCA is the consideration of whole life cycle systems. The application of LCA in product development inherently comprises the quest for optimisat......Life Cycle Assessment (LCA) is the standardised and globally recognised tool for quantifying environmental impact of goods and services. A key aspect in LCA is the consideration of whole life cycle systems. The application of LCA in product development inherently comprises the quest...... for optimisations on all system levels. However, as the act of ecodesign conventionally focuses on physical products, the search for potential optimisations is usually directed ‘downwards’, i.e. towards lower system levels, resulting in optimised components within products rather than optimised products within...... their surrounding systems. This paper will exemplify that when broadening the ecodesign horizon to environmental product/service-system (PSS) design, there is a better possibility of applying a system-oriented life cycle thinking approach, and therefore a potential to yield extreme improvements towards...

  17. How Well Does LCA Model Land Use Impacts on Biodiversity?--A Comparison with Approaches from Ecology and Conservation.

    Science.gov (United States)

    Curran, Michael; de Souza, Danielle Maia; Antón, Assumpció; Teixeira, Ricardo F M; Michelsen, Ottar; Vidal-Legaz, Beatriz; Sala, Serenella; Milà i Canals, Llorenç

    2016-03-15

    The modeling of land use impacts on biodiversity is considered a priority in life cycle assessment (LCA). Many diverging approaches have been proposed in an expanding literature on the topic. The UNEP/SETAC Life Cycle Initiative is engaged in building consensus on a shared modeling framework to highlight best-practice and guide model application by practitioners. In this paper, we evaluated the performance of 31 models from both the LCA and the ecology/conservation literature (20 from LCA, 11 from non-LCA fields) according to a set of criteria reflecting (i) model completeness, (ii) biodiversity representation, (iii) impact pathway coverage, (iv) scientific quality, and (v) stakeholder acceptance. We show that LCA models tend to perform worse than those from ecology and conservation (although not significantly), implying room for improvement. We identify seven best-practice recommendations that can be implemented immediately to improve LCA models based on existing approaches in the literature. We further propose building a "consensus model" through weighted averaging of existing information, to complement future development. While our research focuses on conceptual model design, further quantitative comparison of promising models in shared case studies is an essential prerequisite for future informed model choice.

  18. How can LCA approaches contribute to improve geo-cycles management

    Science.gov (United States)

    Carreiras, M.; Ferreira, A. J. D.; Esteves, T. C. J.; Delgado, F.; Andrade, F.; Franco, J.; Pereira, C. D.

    2012-04-01

    Climate change and land use have become a major challenge for mankind and the natural environment. Greenhouse gas (GHG) emissions released into the atmosphere in ever rapidly growing volumes are most likely to be responsible for this change. Carbon dioxide gas (CO2) is suggested to be the main cause of global warming. Carbon reduction is the key to preventing this, for example, by enhancing energy efficiency and mitigating carbon emissions by means of green energy and adjusting the use of natural resources. Different activities produce distinguish impacts, and each product generates specific impacts on nature. The impact of man activities in the geo-cycles is of paramount importance in what concerns long term sustainability. Nevertheless, the environmental and sustainability impacts of different approaches and techniques of ecosystem management is a difficult question that can be assessed using LCA techniques LCA is a technique to assess environmental impacts associated with all the stages of a product's life from-cradle-to-grave. Based on that, LCA can be effective in supporting the assessment of decision making on complex sustainability issues because it can integrate the diversity of impacts categories guise and it can be adapted to a large variety of contexts. By incorporating quantitative data LCA allows decision makers to include a full range of economic, environmental, social and technical criteria. The integrated framework is configured such that the pros and cons of alternative environmental and energy strategies can be measured in terms of their ability to achieve the overall goals and objectives of the sustainable development, while satisfying the pollution control requirements. Because it is holistic, integrate and dynamic, this approach represents a state of the art tool for enhance the sustainable development of a sector, allowing a more transparent and participated management, a basic instrument for improved competitiveness. This approach may serve

  19. Partial spline score test to determine if tumors are incidental

    International Nuclear Information System (INIS)

    Griffith, W.C.

    1994-01-01

    A primary consideration in many rodent bioassays is whether a tumor observed in an animal has affected its life span. When tumors are incidental, the natural death times can be regarded as random sampling times unrelated to the presence of the tumor. In this case, animals dying from natural causes and those sacrificed can be combined to estimate the prevalence p(t) of the tumors in the living animals. When tumors are incidental, the tumor incidence rate, λ T (t), is related to the prevalence by λ T (t) = p(t) 1 - p(t) , where p(t) is the derivative of the prevalence

  20. A Review of Effect of Different Tasks on Incidental Vocabulary Acquisition

    Science.gov (United States)

    Liu, Chen L.

    2015-01-01

    Studies of incidental vocabulary acquisition in second language learning have got more and more attention both at home and abroad. By first introducing the definition and theoretical foundations of incidental vocabulary acquisition, this paper reviews empirical studies of effect of different tasks on incidental vocabulary acquisition and points…

  1. 50 CFR 216.107 - Incidental harassment authorization for Arctic waters.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Incidental harassment authorization for Arctic waters. 216.107 Section 216.107 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL... Incidental to Specified Activities § 216.107 Incidental harassment authorization for Arctic waters. (a...

  2. 76 FR 12751 - Endangered and Threatened Wildlife and Plants; Receipt of Applications for Incidental Take...

    Science.gov (United States)

    2011-03-08

    ... Incidental Take Permits; Availability of Proposed Low- Effect Habitat Conservation Plan and Associated... the availability of incidental take permit (ITP) applications and a Habitat Conservation Plan (HCP... incidental to land preparation for the extension and paving of a road, the construction of a fellowship hall...

  3. 75 FR 20344 - Taking and Importing Marine Mammals; Taking Marine Mammals Incidental to Rocket Launches from...

    Science.gov (United States)

    2010-04-19

    ... Marine Mammals Incidental to Rocket Launches from Kodiak, AK AGENCY: National Marine Fisheries Service... (Eumetopias jubatus) and Pacific harbor seals (Phoca vitulina richardsi) incidental to rocket launches from... Steller sea lions and harbor seals, by harassment, incidental to rocket launches at KLC, became effective...

  4. Economic and environmental analysis of four different configurations of anaerobic digestion for food waste to energy conversion using LCA for: a food service provider case study.

    Science.gov (United States)

    Franchetti, Matthew

    2013-07-15

    The US disposes of more than 34 million tons of food waste in landfills per year. As this food waste decomposes it generates methane gas and negatively contributes to global warming. Diverting theses organic food wastes from landfills and to emerging technologies will prevent these wastes and greenhouse gas emissions while at the same time generating a source renewable energy by collecting the emitted gases. From a waste prevention standpoint, instead of the food waste decomposing at local landfills, it is being converted into an energy source and the by-product may be used as a fertilizer (Fine and Hadas, 2012). The purpose of this study was to compare four different configurations of anaerobic digestion of organic waste to energy technologies from an economic, energy, and emissions standpoint using LCA via a case study at a large food services provider in Northwest Ohio, USA. The technologies studied included two-stage anaerobic digestion system using ultrasound pre-treating, two stage continuous combined thermophilic acidogenic hydrogenesis and mesophilic with recirculation of the digested sludge, long-term anaerobic digestion of food waste stabilized by trace elements, and single stage anaerobic digestion. Using LCA, these scenarios were compared to landfill disposal of the food waste. The findings from the case study indicated that implementing on-site waste to energy systems will result in lower operation costs and lower environmental impacts. In addition, a standardized environmental and economic comparison of competing food waste to energy technologies is provided. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Review of LCA studies of solid waste management systems – Part II: Methodological guidance for a better practice

    International Nuclear Information System (INIS)

    Laurent, Alexis; Clavreul, Julie; Bernstad, Anna; Bakas, Ioannis; Niero, Monia; Gentil, Emmanuel; Christensen, Thomas H.; Hauschild, Michael Z.

    2014-01-01

    Highlights: • We perform a critical review of 222 LCA studies of solid waste management systems. • We analyse the past LCA practice against the ISO standard and ILCD Handbook guidance. • Malpractices exist in many methodological aspects with large variations among studies. • Many of these aspects are important for the reliability of the results. • We provide detailed recommendations to practitioners of waste management LCAs. - Abstract: Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs

  6. Review of LCA studies of solid waste management systems – Part II: Methodological guidance for a better practice

    Energy Technology Data Exchange (ETDEWEB)

    Laurent, Alexis, E-mail: alau@dtu.dk [Division for Quantitative Sustainability Assessment, Department of Management Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark); Clavreul, Julie [Residual Resources Engineering, Department of Environmental Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark); Bernstad, Anna [Water and Environmental Engineering, Department of Chemical Engineering, Lund University, 221 00 Lund (Sweden); Bakas, Ioannis [Division for Quantitative Sustainability Assessment, Department of Management Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark); Niero, Monia [Division for Quantitative Sustainability Assessment, Department of Management Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark); ECO – Ecosystems and Environmental Sustainability, Department of Chemical and Biochemical Engineering, Technical University of Denmark, 4000 Roskilde (Denmark); Gentil, Emmanuel [Copenhagen Resource Institute, 1215 Copenhagen K (Denmark); Christensen, Thomas H. [Residual Resources Engineering, Department of Environmental Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark); Hauschild, Michael Z. [Division for Quantitative Sustainability Assessment, Department of Management Engineering, Technical University of Denmark, 2800 Kgs. Lyngby (Denmark)

    2014-03-01

    Highlights: • We perform a critical review of 222 LCA studies of solid waste management systems. • We analyse the past LCA practice against the ISO standard and ILCD Handbook guidance. • Malpractices exist in many methodological aspects with large variations among studies. • Many of these aspects are important for the reliability of the results. • We provide detailed recommendations to practitioners of waste management LCAs. - Abstract: Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs.

  7. Implicit and Explicit Cognitive Processes in Incidental Vocabulary Acquisition

    Science.gov (United States)

    Ender, Andrea

    2016-01-01

    Studies on vocabulary acquisition in second language learning have revealed that a large amount of vocabulary is learned without an overt intention, in other words, incidentally. This article investigates the relevance of different lexical processing strategies for vocabulary acquisition when reading a text for comprehension among 24 advanced…

  8. Is Incidental Vocabulary Acquisition Feasible to EFL Learning?

    Science.gov (United States)

    Luo, Jian-ping

    2013-01-01

    For learning English as a foreign language, the efficiency of the approach of incidental vocabulary acquisition depends on the word frequency and text coverage. However, the statistics of English corpus reveals that English is a language that has a large vocabulary size but a low word frequency as well as text coverage, which is obviously not in…

  9. Positron emission tomography of incidentally detected small pulmonary nodules

    DEFF Research Database (Denmark)

    Fischer, B M; Mortensen, J; Dirksen, A

    2004-01-01

    The aim of this study was to assess the value of fluorodeoxyglucose positron emission tomography (FDG PET) imaging of small pulmonary nodules incidentally detected by spiral computed tomography (CT) in a high-risk population. Ten patients (five females, five males, aged 54-72 years) were recruited...

  10. Fisheries in small reservoirs in Northern Ghana: Incidental Benefit or ...

    African Journals Online (AJOL)

    Fisheries in small reservoirs in the Upper East Region are perceived to be an incidental benefit and the potential of this livelihood strategy is neglected. However, in some communities fishing in small reservoirs is part of their livelihood strategies. Several participatory appraisal tools provided entry points for investigations, ...

  11. Task type and incidental L2 vocabulary learning: Repetition versus ...

    African Journals Online (AJOL)

    This study investigated the effect of task type on incidental L2 vocabulary learning. The different tasks investigated in this study differed in terms of repetition of encounters and task involvement load. In a within-subjects design, 72 Iranian learners of English practised 18 target words in three exercise conditions: three ...

  12. Preliminary Assessment of Cetacean Incidental Mortality in Artisanal ...

    African Journals Online (AJOL)

    Three dolphin species and humpback whales were reported accidentally caught in fishing gear meant to catch sharks. Dolphins were mostly reported as to be entangled in gillnets; conversely longlines were only described to incidentally catch humpback whales. Bottlenose and spinner dolphins were respectively 48.10% ...

  13. Guidance of Spatial Attention by Incidental Learning and Endogenous Cuing

    Science.gov (United States)

    Jiang, Yuhong V.; Swallow, Khena M.; Rosenbaum, Gail M.

    2013-01-01

    Our visual system is highly sensitive to regularities in the environment. Locations that were important in one's previous experience are often prioritized during search, even though observers may not be aware of the learning. In this study we characterized the guidance of spatial attention by incidental learning of a target's spatial probability,…

  14. Incidental right Bochdalek hernia with interruption of the inferior ...

    African Journals Online (AJOL)

    2014-05-30

    May 30, 2014 ... Case Report doi:10.4102/sajr.v18i1.592 http://sajr.org.za. Incidental right Bochdalek hernia with interruption of the inferior vena cava and hepatic venous collateral continuation: A case report. Authors: Farzanah I. Ismail1. Rule Human2. Anith Chacko1. Parmanand Naran2. Samia Ahmad1. Siraj Ellemdin2.

  15. Incidental Learning of Geospatial Concepts across Grade Levels: Map Overlay

    Science.gov (United States)

    Battersby, Sarah E.; Golledge, Reginald G.; Marsh, Meredith J.

    2006-01-01

    In this paper, the authors evaluate map overlay, a concept central to geospatial thinking, to determine how it is naively and technically understood, as well as to identify when it is leaner innately. The evaluation is supported by results from studies at three grade levels to show the progression of incidentally learned geospatial knowledge as…

  16. Texture and flavour memory in foods : an incidental learning experiment

    NARCIS (Netherlands)

    Mojet, J.; Köster, E.P.

    2002-01-01

    Memory plays a major role in the formation of food expectations. How accessible and how accurate is incidentally acquired and stored product information? In the present experiment the memory for variations in texture (and flavour) was tested with a new and ecologically valid method. Subjects (N =

  17. Texture and flavour memory in foods : an incidental learning experiment

    NARCIS (Netherlands)

    Mojet, J.; Koster, E.P.

    2002-01-01

    Memory plays a major role in the formation of food expectations. How accessible and how accurate is incidentally acquired and stored product information? In the present experiment the memory for variations in texture (and flavour) was tested with a new and ecologically valid method. Subjects (N=69:

  18. Fatores de risco de paratireoidectomia acidental em tireoidectomia Risk factors for incidental parathyroidectomy during thyroidectomy

    Directory of Open Access Journals (Sweden)

    Niklas Söderberg Campos

    2012-02-01

    Full Text Available A paratireoidectomia acidental é um acontecimento frequente nas tireoidectomias. A literatura demonstra um achado de glândulas paratireoides, variando entre 6,4% a 31% em espécimes de exame anatomopatológico de glândula tireoide. OBJETIVO: Avaliar a quantidade de glândulas paratireoides encontradas em espécimes cirúrgicos de tireoidectomia e correlacionar com as variáveis demográficas e histopatológicas. MÉTODOS: Trabalho retrospectivo baseado nos laudos anatomopatológicos de tireoidectomias realizadas entre janeiro de 2007 a dezembro de 2008. RESULTADOS: O total de pacientes tireoidectomizados foi de 442, sendo o achado de glândulas paratireoides de 2,93%, o que corresponde a 13 deste total. A presença de carcinoma papilífero de tireoide associado à paratireoidectomia acidental foi de 10,11% contra a presença de patologia benigna de 1,4%. CONCLUSÃO: O carcinoma papilífero de tireoide foi a variável associada ao maior número de paratireoidectomias acidentais.Incidental parathyroidectomy is a common event in thyroid surgery. The literature shows a finding of parathyroid glands ranging from 6.4% to 31% in pathological specimens of the thyroid gland. OBJECTIVE: To collect the amount of parathyroid glands found in surgical specimens of thyroidectomy and correlate with the histopathological and demographic variables. METHODS: Retrospective study based on pathological reports of thyroidectomy from January 2007 to December 2008. RESULTS: 442 patients were submitted to total thyroidectomy, and 2.93% had parathyroid glands, which corresponded to 13 of this total. The presence of papillary thyroid carcinoma associated with incidental parathyroidectomy was 10.11%, compared to the benign lesion: 1.4%. CONCLUSION: Papillary thyroid carcinoma was the variable associated with increased number of incidental parathyroidectomy.

  19. Skin cancer of the head and neck with incidental microscopic perineural invasion

    International Nuclear Information System (INIS)

    McCord, Mark W.; Mendenhall, William M.; Parsons, James T.; Flowers, Franklin P.

    1999-01-01

    Purpose: To address outcomes in clinically asymptomatic patients in whom the unexpected finding of microscopic perineural invasion is noted at the time of surgery. Methods and Materials: The 35 patients included in this study had skin cancers of the head and neck treated with curative intent between January 1965 and April 1995 at the University of Florida. All patients were without clinical or radiographic evidence of perineural invasion but, at the time of biopsy or surgical excision, had the incidental finding of microscopic perineural invasion. Definitive therapy consisted of radiotherapy alone after lesion biopsy (3 patients) or surgical excision preceded (2 patients) or followed (30 patients) by radiotherapy. All patients had follow-up for at least 1 year, 13 patients (37%) had follow-up for at least 5 years. Results: The 5-year local control rate was 78%. The 5-year local control rate for the few patients treated with radiotherapy alone was statistically similar to that for patients treated with surgery and radiotherapy (100% vs. 77%, p = 0.4). Multivariate analysis for factors affecting local control included sex, histology, age, treatment group, clinical T stage, initial histologic differentiation, and previously untreated vs. recurrent tumors, none of which was found to be significant. Conclusions: Both surgery plus radiotherapy and radiotherapy alone provide a relatively high rate of local control for patients with incidentally discovered perineural invasion secondary to skin cancer

  20. La música incidental en el cine y el teatro

    OpenAIRE

    Olarte Martínez, Matilde María

    2002-01-01

    [ES] Este artículo revisa el papel protagonista de la música incidental en el cine y en el teatro, partiendo de la definición estricta de música incidental y accidental, revisando las principales evoluciones que la música incidental ha experimentado en el cine, y deteniéndose en el género del musical, como un ejemplo significativo de la creación incidental musical actual. [EN] In this article we study the main role of the incidental music for films and theatre plays, starting from the stri...

  1. Multiple data sets and modelling choices in a comparative LCA of disposable beverage cups.

    Science.gov (United States)

    van der Harst, Eugenie; Potting, José; Kroeze, Carolien

    2014-10-01

    This study used multiple data sets and modelling choices in an environmental life cycle assessment (LCA) to compare typical disposable beverage cups made from polystyrene (PS), polylactic acid (PLA; bioplastic) and paper lined with bioplastic (biopaper). Incineration and recycling were considered as waste processing options, and for the PLA and biopaper cup also composting and anaerobic digestion. Multiple data sets and modelling choices were systematically used to calculate average results and the spread in results for each disposable cup in eleven impact categories. The LCA results of all combinations of data sets and modelling choices consistently identify three processes that dominate the environmental impact: (1) production of the cup's basic material (PS, PLA, biopaper), (2) cup manufacturing, and (3) waste processing. The large spread in results for impact categories strongly overlaps among the cups, however, and therefore does not allow a preference for one type of cup material. Comparison of the individual waste treatment options suggests some cautious preferences. The average waste treatment results indicate that recycling is the preferred option for PLA cups, followed by anaerobic digestion and incineration. Recycling is slightly preferred over incineration for the biopaper cups. There is no preferred waste treatment option for the PS cups. Taking into account the spread in waste treatment results for all cups, however, none of these preferences for waste processing options can be justified. The only exception is composting, which is least preferred for both PLA and biopaper cups. Our study illustrates that using multiple data sets and modelling choices can lead to considerable spread in LCA results. This makes comparing products more complex, but the outcomes more robust. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Comparative life cycle assessment (LCA) of artificial vs natural Christmas tree

    Energy Technology Data Exchange (ETDEWEB)

    Couillard, S.; Bage, G.; Trudel, J.S.

    2009-02-15

    This document reported on a study that compared the environmental impacts of a natural versus artificial Christmas tree using life cycle assessment (LCA) methodology. The LCA followed the recognized ISO 14040 and 14044 standards and it was reviewed by an independent third-party of peers. The purpose of the study was to guide the general public in choosing the best type of Christmas tree based on sustainable development and environmental considerations. The modelled natural tree was harvested in a plantation near Montreal, while the artificial tree was manufactured in China and shipped by boat and train to Montreal via Vancouver. Both trees were assumed to be 7 feet high. The lights and decorations were excluded from the analysis. Calculations for the artificial tree were based on a 6-year life span, the average time an artificial tree is kept in North America. The LCA considered the resources extraction and processing of raw materials, the manufacturing processes, transport and distribution, use, reuse and then recycling and disposal at the end of life. The environmental impacts of the natural and artificial trees showed the impacts of each tree for 4 damage categories, namely human health, ecosystem quality, climate change and resources. It was concluded that the natural tree is a better option than the artificial tree, particularly in terms of impacts on climate change and resource depletion. However, the natural tree was found to have important impacts on ecosystem quality. Those who prefer using the artificial tree can reduce their impacts on all categories by increasing the life span of their tree to over 20 years. 6 figs.

  3. Simplified LCA and matrix methods in identifying the environmental aspects of a product system.

    Science.gov (United States)

    Hur, Tak; Lee, Jiyong; Ryu, Jiyeon; Kwon, Eunsun

    2005-05-01

    In order to effectively integrate environmental attributes into the product design and development processes, it is crucial to identify the significant environmental aspects related to a product system within a relatively short period of time. In this study, the usefulness of life cycle assessment (LCA) and a matrix method as tools for identifying the key environmental issues of a product system were examined. For this, a simplified LCA (SLCA) method that can be applied to Electrical and Electronic Equipment (EEE) was developed to efficiently identify their significant environmental aspects for eco-design, since a full scale LCA study is usually very detailed, expensive and time-consuming. The environmentally responsible product assessment (ERPA) method, which is one of the matrix methods, was also analyzed. Then, the usefulness of each method in eco-design processes was evaluated and compared using the case studies of the cellular phone and vacuum cleaner systems. It was found that the SLCA and the ERPA methods provided different information but they complemented each other to some extent. The SLCA method generated more information on the inherent environmental characteristics of a product system so that it might be useful for new design/eco-innovation when developing a completely new product or method where environmental considerations play a major role from the beginning. On the other hand, the ERPA method gave more information on the potential for improving a product so that it could be effectively used in eco-redesign which intends to alleviate environmental impacts of an existing product or process.

  4. LCA of greywater management within a water circular economy restorative thinking framework.

    Science.gov (United States)

    Dominguez, Sara; Laso, Jara; Margallo, María; Aldaco, Rubén; Rivero, Maria J; Irabien, Ángel; Ortiz, Inmaculada

    2018-04-15

    Greywater reuse is an attractive option for the sustainable management of water under water scarcity circumstances, within a water circular economy restorative thinking framework. Its successful deployment relies on the availability of low cost and environmentally friendly technologies. The life cycle assessment (LCA) approach provides the appropriate methodological tool for the evaluation of alternative treatments based on environmental decision criteria and, therefore, it is highly useful during the process conceptual design. This methodology should be employed in the early design phase to select those technologies with lower environmental impact. This work reports the comparative LCA of three scenarios for greywater reuse: photocatalysis, photovoltaic solar-driven photocatalysis and membrane biological reactor, in order to help the selection of the most environmentally friendly technology. The study has been focused on the removal of the surfactant sodium dodecylbenzenesulfonate, which is used in the formulation of detergents and personal care products and, thus, widely present in greywater. LCA was applied using the Environmental Sustainability Assessment methodology to obtain two main environmental indicators in order to simplify the decision making process: natural resources and environmental burdens. Energy consumption is the main contributor to both indicators owing to the high energy consumption of the light source for the photocatalytic greywater treatment. In order to reduce its environmental burdens, the most desirable scenario would be the use of solar light for the photocatalytic transformation. However, while the technological challenge of direct use of solar light is approached, the environmental suitability of the photovoltaic solar energy driven photocatalysis technology to greywater reuse has been demonstrated, as it involves the smallest environmental impact among the three studied alternatives. Copyright © 2017 Elsevier B.V. All rights

  5. Life Cycle Assessment (LCA used to compare two different methods of ripe table olive processing

    Directory of Open Access Journals (Sweden)

    Russo, Carlo

    2010-06-01

    Full Text Available The aim of the present study is to analyze the most common method used for processing ripe table olives: the “California style”. Life Cycle Assessment (LCA was applied to detect the “hot spots” of the system under examination. The LCA results also allowed us to compare the traditional “California style”, here called “method A”, with another “California style”, here called “method B”. We were interested in this latter method, because the European Union is considering introducing it into the product specification of the Protected Denomination of Origin (PDO “La Bella della Daunia”. It was also possible to compare the environmental impacts of the two “California style” methods with those of the “Spanish style” method. From the comparison it is clear that “method B” has a greater environmental impact than “method A” because greater amounts of water and electricity are required, whereas “Spanish style” processing has a lower environmental impact than the ”California style” methods.

    El objetivo de este estudio es analizar el método más común utilizado para el procesamiento de la aceituna negra de mesa “estilo California” (Californian Style. La metodología LCA se aplicó para detectar los puntos calientes del sistema estudiado. Los resultados LCA también nos permitieron comparar el estilo californiano tradicional, aquí llamado “método A”, con otro estilo californiano, llamado “método B”. Nosotros estábamos interesados en el segundo método, porque la Unión Europea está considerando introducirlo en la Denominación de Origen Protegida (DOP “La Bella della Daunia”. También fue posible comparar los impactos medioambientales de los dos mètodos californianos con los impactos del método español. Observando la comparación, está claro que el “método B” tiene un mejor impacto ambiental que el “método A” porque este último requiere más cantidad de agua y

  6. LCA of pork products & evaluation of alternative super-chilling techniques

    DEFF Research Database (Denmark)

    Bonou, Alexandra; Birkved, Morten

    This LCA study has two aims: 1) The environmental assessment of Danish pork products (Danish Landrace breed): The purpose is to put the pork production system into perspective and to identify the relative contribution of different life cycle stages; 2) The comparative assessment of alternative...... after cooling technologies, which affect the products’ shelf life: The purpose is to identify the technology leading to least environmental impacts in a life cycle perspective; also to facilitate a benchmarking of these technologies relative to existing after-cooling approaches i.e. freezing....

  7. Environmental assessment of solid waste landfilling technologies by means of LCA-modeling.

    Science.gov (United States)

    Manfredi, Simone; Christensen, Thomas H

    2009-01-01

    By using life cycle assessment (LCA) modeling, this paper compares the environmental performance of six landfilling technologies (open dump, conventional landfill with flares, conventional landfill with energy recovery, standard bioreactor landfill, flushing bioreactor landfill and semi-aerobic landfill) and assesses the influence of the active operations practiced on these performances. The environmental assessments have been performed by means of the LCA-based tool EASEWASTE, whereby the functional unit utilized for the LCA is "landfilling of 1ton of wet household waste in a 10m deep landfill for 100 years". The assessment criteria include standard categories (global warming, nutrient enrichment, ozone depletion, photo-chemical ozone formation and acidification), toxicity-related categories (human toxicity and ecotoxicity) and impact on spoiled groundwater resources. Results demonstrate that it is crucially important to ensure the highest collection efficiency of landfill gas and leachate since a poor capture compromises the overall environmental performance. Once gas and leachate are collected and treated, the potential impacts in the standard environmental categories and on spoiled groundwater resources significantly decrease, although at the same time specific emissions from gas treatment lead to increased impact potentials in the toxicity-related categories. Gas utilization for energy recovery leads to saved emissions and avoided impact potentials in several environmental categories. Measures should be taken to prevent leachate infiltration to groundwater and it is essential to collect and treat the generated leachate. The bioreactor technologies recirculate the collected leachate to enhance the waste degradation process. This allows the gas collection period to be reduced from 40 to 15 years, although it does not lead to noticeable environmental benefits when considering a 100 years LCA-perspective. In order to more comprehensively understand the influence

  8. Climate change damage functions in LCA – (1) from global warming potential to natural environment damages

    DEFF Research Database (Denmark)

    Callesen, Ingeborg; Hauschild, Michael Zwicky; Bagger Jørgensen, Rikke

    Energy use often is the most significant contributor to the impact category ‘global warming’ in life cycle impact assessment. However, the potential global warming effects on the climate at regional level and consequential effects on the natural environment are not thoroughly described within LCA...... methodology. The current scientific understanding of the extent of climate change impacts is limited due to the immense complexity of the multi-factorial environmental changes and unknown adaptive capacities at process, species and ecosystem level. In the presentation we argue that the global warming impacts...

  9. BayesLCA: An R Package for Bayesian Latent Class Analysis

    Directory of Open Access Journals (Sweden)

    Arthur White

    2014-11-01

    Full Text Available The BayesLCA package for R provides tools for performing latent class analysis within a Bayesian setting. Three methods for fitting the model are provided, incorporating an expectation-maximization algorithm, Gibbs sampling and a variational Bayes approximation. The article briefly outlines the methodology behind each of these techniques and discusses some of the technical difficulties associated with them. Methods to remedy these problems are also described. Visualization methods for each of these techniques are included, as well as criteria to aid model selection.

  10. Clival Lesion incidentally discovered on cone-beam computed tomography: A case report and review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Jadhav, Aniket B.; Tadinada, Aditya; Rengasamy, Kandasamy; Lurie, Alan G. [Dept. of Oral and Maxillofacial Radiology, University of Connecticut School of Dental Medicine, Farmington (United States); Douglas, Fellows [Division of Diagnostic Sciences and Therapeutics, University of Connecticut School of Medicine, Farmington (United States)

    2014-06-15

    An osteolytic lesion with a small central area of mineralization and sclerotic borders was discovered incidentally in the clivus on the cone-beam computed tomography (CBCT) of a 27-year-old male patient. This benign appearance indicated a primary differential diagnosis of non-aggressive lesions such as fibro-osseous lesions and arrested pneumatization. Further, on magnetic resonance imaging (MRI), the lesion showed a homogenously low T1 signal intensity with mild internal enhancement after post-gadolinium and a heterogeneous T2 signal intensity. These signal characteristics might be attributed to the fibrous tissues, chondroid matrix, calcific material, or cystic component of the lesion; thus, chondroblastoma and chondromyxoid fibroma were added to the differential diagnosis. Although this report was limited by the lack of final diagnosis and the patient lost to follow-up, the incidental skull base finding would be important for interpreting the entire volume of CBCT by a qualified oral and maxillofacial radiologist.

  11. Incidental histological diagnosis of acute rheumatic myocarditis: case report and review of the literature.

    Science.gov (United States)

    Spina, Guilherme S; Sampaio, Roney O; Branco, Carlos E; Miranda, George B; Rosa, Vitor E E; Tarasoutchi, Flávio

    2014-01-01

    Rheumatic fever (RF) remains endemic in many countries and frequently causes heart failure due to severe chronic rheumatic valvular heart disease, which requires surgical treatment. Here, we report on a patient who underwent an elective surgical correction for mitral and aortic valvular heart disease and had a post-operative diagnosis of acute rheumatic carditis. The incidental finding of Aschoff bodies in myocardial biopsies is frequently reported in the nineteenth-century literature, with prevalences as high as 35%, but no clinical or prognostic data on the patients is included. The high frequency of this finding after cardiac surgery in classical reports suggests that these patients were not using secondary prophylaxis for RF. We discuss the clinical diagnosis of acute rheumatic myocarditis in asymptomatic patients and the laboratorial and imaging methods for the diagnosis of acute rheumatic carditis. We also discuss the prognostic implications of this finding and review the related literature.

  12. Incidental histological diagnosis of acute rheumatic carditis: case report and review of the literature.

    Directory of Open Access Journals (Sweden)

    Guilherme S. Spina

    2014-11-01

    Full Text Available Rheumatic fever remains endemic in many countries and frequently causes heart failure due to severe chronic rheumatic valvular heart disease, which requires surgical treatment. Here, we report on a patient who underwent an elective surgical correction for mitral and aortic valvular heart disease and had a post-operative diagnosis of acute rheumatic carditis. The incidental finding of Aschoff bodies in myocardial biopsies is frequently reported in the nineteenth-century literature, with prevalences as high as 35%, but no clinical or prognostic data on the patients is included. The high frequency of this finding after cardiac surgery in classical reports suggests that these patients were not using secondary prophylaxis for rheumatic fever. We discuss the clinical diagnosis of acute rheumatic myocarditis in asymptomatic patients and the laboratorial and imaging methods for the diagnosis of acute rheumatic carditis. We also discuss the prognostic implications of this finding and review the related literature.

  13. To search or to like: Mapping fixations to differentiate two forms of incidental scene memory.

    Science.gov (United States)

    Choe, Kyoung Whan; Kardan, Omid; Kotabe, Hiroki P; Henderson, John M; Berman, Marc G

    2017-10-01

    We employed eye-tracking to investigate how performing different tasks on scenes (e.g., intentionally memorizing them, searching for an object, evaluating aesthetic preference) can affect eye movements during encoding and subsequent scene memory. We found that scene memorability decreased after visual search (one incidental encoding task) compared to intentional memorization, and that preference evaluation (another incidental encoding task) produced better memory, similar to the incidental memory boost previously observed for words and faces. By analyzing fixation maps, we found that although fixation map similarity could explain how eye movements during visual search impairs incidental scene memory, it could not explain the incidental memory boost from aesthetic preference evaluation, implying that implicit mechanisms were at play. We conclude that not all incidental encoding tasks should be taken to be similar, as different mechanisms (e.g., explicit or implicit) lead to memory enhancements or decrements for different incidental encoding tasks.

  14. Review of LCA studies of solid waste management systems--part II: methodological guidance for a better practice.

    Science.gov (United States)

    Laurent, Alexis; Clavreul, Julie; Bernstad, Anna; Bakas, Ioannis; Niero, Monia; Gentil, Emmanuel; Christensen, Thomas H; Hauschild, Michael Z

    2014-03-01

    Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Comparative LCA of methanol-fuelled SOFCs as auxiliary power systems on-board ships

    International Nuclear Information System (INIS)

    Strazza, C.; Del Borghi, A.; Costamagna, P.; Traverso, A.; Santin, M.

    2010-01-01

    Fuel cells own the potential for significant environmental improvements both in terms of air quality and climate protection. Through the use of renewable primary energies, local pollutant and greenhouse gas emissions can be significantly minimized over the full life cycle of the electricity generation process, so that marine industry accounts renewable energy as its future energy source. The aim of this paper is to evaluate the use of methanol in Solid Oxide Fuel Cells (SOFC), as auxiliary power systems for commercial vessels, through Life Cycle Assessment (LCA). The LCA methodology allows the assessment of the potential environmental impact along the whole life cycle of the process. The unit considered is a 20 kWel fuel cell system. In a first part of the study different fuel options have been compared (methanol, bio-methanol, natural gas, hydrogen from cracking, electrolysis and reforming), then the operation of the cell fed with methanol has been compared with the traditional auxiliary power system, i.e. a diesel engine. The environmental benefits of the use of fuel cells have been assessed considering different impact categories. The results of the analysis show that fuel production phase has a strong influence on the life cycle impacts and highlight that feeding with bio-methanol represents a highly attractive solution from a life cycle point of view. The comparison with the conventional auxiliary power system shows extremely lower impacts for SOFCs.

  16. Eco-efficient waste glass recycling: Integrated waste management and green product development through LCA.

    Science.gov (United States)

    Blengini, Gian Andrea; Busto, Mirko; Fantoni, Moris; Fino, Debora

    2012-05-01

    As part of the EU Life + NOVEDI project, a new eco-efficient recycling route has been implemented to maximise resources and energy recovery from post-consumer waste glass, through integrated waste management and industrial production. Life cycle assessment (LCA) has been used to identify engineering solutions to sustainability during the development of green building products. The new process and the related LCA are framed within a meaningful case of industrial symbiosis, where multiple waste streams are utilised in a multi-output industrial process. The input is a mix of rejected waste glass from conventional container glass recycling and waste special glass such as monitor glass, bulbs and glass fibres. The green building product is a recycled foam glass (RFG) to be used in high efficiency thermally insulating and lightweight concrete. The environmental gains have been contrasted against induced impacts and improvements have been proposed. Recovered co-products, such as glass fragments/powders, plastics and metals, correspond to environmental gains that are higher than those related to landfill avoidance, whereas the latter is cancelled due to increased transportation distances. In accordance to an eco-efficiency principle, it has been highlighted that recourse to highly energy intensive recycling should be limited to waste that cannot be closed-loop recycled. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. LCA of domestic and centralized biomass combustion: The case of Lombardy (Italy)

    International Nuclear Information System (INIS)

    Caserini, S.; Livio, S.; Giugliano, M.; Grosso, M.; Rigamonti, L.

    2010-01-01

    This paper analyzes and compares the environmental impacts of biomass combustion in small appliances such as domestic open fireplaces and stoves, and in two types of centralized combined heat and power plants, feeding district heating networks. The analysis is carried out following a Life Cycle Assessment (LCA) approach. The expected savings of GHG (greenhouse gases) emissions due to the substitution of fossil fuels with biomass are quantified, as well as emissions of toxic pollutants and substances responsible for acidification and ozone formation. The LCA results show net savings of GHG emissions when using biomass instead of conventional fuels, varying from 0.08 to 1.08 t of CO 2 eq. per t of dry biomass in the different scenarios. Avoided GHG emissions thanks to biomass combustion in Lombardy are 1.32 Mt year -1 (1.5% of total regional GHG emissions). For the other impact categories, the use of biomass in district heating systems can again cause a consistent reduction of impacts, whereas biomass combustion in residential devices shows higher impacts than fossil fuels with a particular concern for PAH, VOC and particulate matter emissions. For example, in Lombardy, PM10 emissions from domestic devices are about 8100 t year -1 , corresponding to almost one third of the total particulate emissions in 2005.

  18. Biofuel production from crude palm oil with supercritical alcohols: comparative LCA studies.

    Science.gov (United States)

    Sawangkeaw, Ruengwit; Teeravitud, Sunsanee; Piumsomboon, Pornpote; Ngamprasertsith, Somkiat

    2012-09-01

    A recent life cycle assessment (LCA) reported that biodiesel production in supercritical alcohols (SCA) produces a higher environmental load than the homogeneous catalytic process because an enormous amount of energy is required to recover excess alcohol. However, the excess alcohol could be dramatically reduced by increasing the operating temperature to 400°C; although the product would have to be considered as an alternative biofuel instead of biodiesel. A comparative LCA of the biodiesel production in two SCA at 300°C (C-SCA) and novel biofuel production in the same two SCA at 400°C (N-SCA) is presented. It was clear that the N-SCA process produces a dramatically reduced environmental load over that of the C-SCA process due to a lower amount of excess alcohol being used. The N-SCA process could be improved in terms of its environmental impact by changing from fossil fuel to biomass-based fuels for the steam generation. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Assessing environmental impacts using a comparative LCA of industrial and artisanal production processes: "Minas Cheese" case

    Directory of Open Access Journals (Sweden)

    Elbert Muller Nigri

    2014-09-01

    Full Text Available This study uses the Life Cycle Assessment (LCA methodology to evaluate and compare the environmental impacts caused by both the artisanal and the industrial manufacturing processes of "Minas cheese". This is a traditional cheese produced in the state of Minas Gerais (Brazil, and it is considered a "cultural patrimony" in the country. The high participation of artisanal producers in the market justifies this research, and this analysis can help the identification of opportunities to improve the environmental performance of several stages of the production system. The environmental impacts caused were also assessed and compared. The functional unit adopted was 1 kilogram (Kg of cheese. The system boundaries considered were the production process, conservation of product (before sale, and transport to consumer market. The milk production process was considered similar in both cases, and therefore it was not included in the assessment. The data were collected through interviews with the producers, observation, and a literature review; they were ordered and processed using the SimaPro 7 LCA software. According to the impact categories analyzed, the artisanal production exerted lower environmental impacts. This can be justified mainly because the industrial process includes the pasteurization stage, which uses dry wood as an energy source and refrigeration.

  20. The use of LCA for modelling sustainability and environmental impact of manufacturing processes

    Energy Technology Data Exchange (ETDEWEB)

    Culaba, A.; Purvis, M. [Portsmouth Univ. (United Kingdom). Dept. of Mechanical and Manufacturing Engineering

    1995-12-31

    Most industries rely significantly on natural resources for raw materials and energy requirements. As a consequence of manufacturing activities, various pollutants are generated in the process. While effects on the environment can be detrimental, wastes and emissions account for a high percentage loss in the overall material balance. Unless these unnecessary losses are minimized and recovered, the environment would continue to be disadvantaged and long-term supply of raw materials and energy would likewise be affected. The key to the analysis of such problems concerns generalised procedures for the modelling of the sustainable use of resources in manufacturing processes and the development of associated sustainability criteria. This requires identifying the various aspects of manufacturing from the time the raw materials are extracted until they have been processed into products and then used or consumed and finally disposed of. The use of life cycle assessment (LCA) methodology encompasses these analyses and that of the identification of environmental effects associated with every stage of the manufacturing process. The presentation concludes that LCA is a very useful and effective tool in providing planners, legislator and decision-makers with the necessary information on the probable impacts of manufacture on the environment as well as underlying legislation, ecological, health standards and emission limits. (author)

  1. Application of Life Cycle Assessment (LCA) and extenics theory for building energy conservation assessment

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Guozhong; Jing, Youyin; Zhang, Xutao; Gao, Yuefen [School of Energy and Power Engineering, North China Electric Power University, Baoding 071003 (China); Huang, Hongxia [School of Electric and Electronic Engineering, North China Electric Power University, Baoding 071003 (China)

    2009-11-15

    Reduce energy consumption and environmental pollution is an important objective in energy sustainability. The building sector, one of the fastest growing in terms of energy consumption, accounts for over 40% of final energy. Building energy conservation will drive the application of new energy conservation technologies and strongly promote the development of sustainable building. In this paper, the extenics theory and life cycle assessment (LCA) are proposed in building energy conservation assessment. Analytic hierarchical process (AHP) method and 9-scale pair-wise comparison are adopted to determine the weights of the factors in different hierarchies. A building energy conservation assessment model combining LCA and the extenics theory is established. The matter-element and the dependent function are defined. Then the synthesis dependent degree and the final grade index are calculated. Thus the building energy conservation grade is obtained. An example is used to illustrate the proposed approach. The results provide guidance to assess building energy conservation performance and determine the energy conservation grade of buildings. (author)

  2. assessment of environmental impacts in comfortable furniture production process using life cycle assessment (LCA technique

    Directory of Open Access Journals (Sweden)

    hejhar abbasi

    2016-12-01

    Full Text Available Furniture industry releases annually a large amount of volatile organic compound to the environment due to the use of adhesives, textiles, paints and coating materials. There are some different methods to measure the load of pollutions and the environmental impacts. Life cycle assessment (LCA is one of the best techniques. LCA is a technique in which all environmental impacts related to a product assessed all over its life cycle, from cradle to grave, and ultimately can be used to improve the production process and to prevent unsuitable environmental impacts. In summary, it can be concluded that the use of this technique is the basis for sustainable development and improving social, economic, and environmental indices. This study focused on the collecting of a comprehensive life cycle inventory data for comfortable furniture in two different production processes (B1 and B2 located in Tehran province, and analyzed the environmental impacts during the production process as gate to gate investigation. The results revealed that emissions in production process B1 were higher than that of production process B2. The reason for this is that basic operations such as sawing and frame assembling along with final operation have been done in the same unit for case B1. Textile production and usage, and polyurethane foam were identified as the main hotspots, respectively. Moreover, the results showed that comfortable furniture production process has the highest effects on ecosystem quality, human health, and resources (fossil fuels and mines, respectively.

  3. How to manage uncertainty in future Life Cycle Assessment (LCA) scenarios addressing the effect of climate change in crop production

    DEFF Research Database (Denmark)

    Niero, Monia; Ingvordsen, Cathrine Heinz; Bagger Jørgensen, Rikke

    2015-01-01

    . In this context, the objectives of this paper are two-fold: (i) to recommend an approach to deal with uncertainty in scenario analysis for LCA of crop production in a changed climate, when the goal of the study is to suggest strategies for adaptation of crop cultivation practices towards low environmental impacts......When Life Cycle Assessment (LCA) is used to provide insights on how to pursue future food demand, it faces the challenge to describe scenarios of the future in which the environmental impacts occur. In the case of future crop production, the effects of climate change should be considered......, and (ii) to implement the suggested approach to spring barley cultivation in Denmark. First, the main implications of climate change for future crop cultivation are analyzed, and the factors which should be included when modeling the climate change effects on crops through LCA are introduced, namely...

  4. L1 AND L2 GLOSSES: THEIR EFFECTS ON INCIDENTAL VOCABULARY LEARNING

    Directory of Open Access Journals (Sweden)

    Makoto Yoshii

    2006-09-01

    Full Text Available This study examined the effectiveness of L1 and L2 glosses on incidental vocabulary learning in a multimedia environment. The investigation included the effects of additional pictorial cues in L1 and L2 glosses, and how these additions affect vocabulary learning. The analyses of a mixed design repeated measures 2 (L1, L2 X 2 (picture, no picture X 2 (immediate test, delayed test analysis of variance (ANOVA indicated no significant differences between L1 and L2 glosses for definition-supply and recognition tasks and showed significant differences between picture (text-plus-picture and no-picture (text-only glosses for definition-supply test only. The results also revealed significant interaction effects between languages and tests indicating that L1 and L2 groups showed different patterns of vocabulary retention over time. Findings suggest that both L1 and L2 glosses are effective for incidental vocabulary learning, but long-term retention may differ between the two types; and that the effect of additional visual cues on vocabulary learning may rely on the nature of the tasks given.

  5. Incidental Diagnosis of Cerebral Cortical Venous Thrombosis in Postdural Puncture Headache on Brain Computed Tomography.

    Science.gov (United States)

    Humbertjean, Lisa; Ducrocq, Xavier; Lacour, Jean-Christophe; Mione, Gioia; Richard, Sébastien

    2015-01-01

    Diagnosis of cerebral cortical venous thrombosis in patients with postdural puncture headache (PDPH) is usually secondary to changes in headache pattern or cerebral infarctions. Nevertheless, incidental discovery of asymptomatic forms on brain imaging has never been reported before and its management thus remains ill-defined. We describe 2 cases of patients with asymptomatic cortical vein thrombosis in the context of PDPH. In both cases, brain computed tomography (CT) scans showed an isolated cortical vein thrombosis without cerebral damage. Neurological examination revealed the typical orthostatic feature of PDPH, independently of cortical vein thrombosis which was considered as a radiological incidental finding. Clinical and radiological signs resolved after bed rest, oral caffeine, and anticoagulation therapy. Asymptomatic cortical vein thrombosis may be found on radiological exploration, even basic like brain CT scan without contrast, of PDPH. Utility of anticoagulation therapy, which could increase the risk of cerebral hemorrhagic complications in this specific context, has to be assessed. Copyright © 2014 by the American Society of Neuroimaging.

  6. Weight and see: Loading working memory improves incidental identification of irrelevant faces

    Directory of Open Access Journals (Sweden)

    David eCarmel

    2012-08-01

    Full Text Available Are task-irrelevant stimuli processed to a level enabling individual identification? This question is central both for perceptual processing models and for applied settings (e.g., eyewitness testimony. Lavie’s load theory proposes that working memory actively maintains attentional prioritization of relevant over irrelevant information. Loading working memory thus impairs attentional prioritization, leading to increased processing of task-irrelevant stimuli. Previous research has shown that increased working memory load leads to greater interference effects from response competing distractors. Here we test the novel prediction that increased processing of irrelevant stimuli under high working memory load should lead to a greater likelihood of incidental identification of entirely irrelevant stimuli. To test this, we asked participants to perform a word-categorization task while ignoring task-irrelevant images. The categorization task was performed during the retention interval of a working memory task with either low or high load (defined by memory set size. Following the final experimental trial, a surprise question assessed incidental identification of the irrelevant image. Loading working memory was found to improve identification of task-irrelevant faces, but not of building stimuli (shown in a separate experiment to be less distracting. These findings suggest that working memory plays a critical role in determining whether distracting stimuli will be subsequently identified.

  7. Assessment of global environmental impacts by utilizing methodology of LCA on solar water heater for dwellings; LCA shuho ni yoru taiyonetsu onsuiki no kankyo fuka hyoka

    Energy Technology Data Exchange (ETDEWEB)

    Kamoshida, J. [Shibaura Institute of Technology, Tokyo (Japan); Asai, S. [Yazaki Corp., Tokyo (Japan)

    1997-11-25

    CO2 emission was quantified through the life cycle of a solar water heater to assess its environment impact. Although LCA (life cycle assessment) originally sums up I/O of all materials and energy through the whole life cycle of a product to examine environment impact, this assessment was carried out for only CO2. Calculation of CO2 emission assumed a natural circulating solar water heater of 200 l in effective hot water capacity, 2.78m{sup 2} in effective collecting area, and 0.5 in average annual collecting efficiency of total solar radiation, and an auxiliary city gas heat source for compensating insufficient heat quantity. The total CO2 emission in the life cycle of a solar water heater was obtained from an industrial association table assuming the life cycles of 10 and 20 years. CO2 emission was estimated to be 5407.1kg-CO2 and 10665.2kg-CO2 for 10 and 20 years, respectively. CO2 emission due to city gas was largest in the total CO2 emission in the life cycle. As a result, for reduction of CO2 emission due to a solar water heater, improvement of equipment efficiency was most important. 6 refs., 5 figs., 3 tabs.

  8. Compensatory weight gain due to dopaminergic hypofunction: new evidence and own incidental observations

    Directory of Open Access Journals (Sweden)

    Bohr Iwo

    2008-12-01

    Full Text Available Abstract There is increasing evidence for a role of dopamine in the development of obesity. More specifically, dopaminergic hypofunction might lead to (overcompensatory food intake. Overeating and resulting weight gain may be induced by genetic predisposition for lower dopaminergic activity, but might also be a behavioral mechanism of compensating for decreased dopamine signaling after dopaminergic overstimulation, for example after smoking cessation or overconsumption of high palatable food. This hypothesis is in line with our incidental finding of increased weight gain after discontinuation of pharmaceutical dopaminergic overstimulation in rats. These findings support the crucial role of dopaminergic signaling for eating behaviors and offer an explanation for weight-gain after cessation of activities associated with high dopaminergic signaling. They further support the possibility that dopaminergic medication could be used to moderate food intake.

  9. Bioenergy production from perennial energy crops: A consequential LCA of 12 bioenergy scenarios including land use changes

    DEFF Research Database (Denmark)

    Tonini, Davide; Hamelin, Lorie; Wenzel, Henrik

    2012-01-01

    In the endeavor of optimizing the sustainability of bioenergy production in Denmark, this consequential life cycle assessment (LCA) evaluated the environmental impacts associated with the production of heat and electricity from one hectare of Danish arable land cultivated with three perennial crops...... and IV) co-firing in large scale coal-fired CHP plants. Soil carbon changes, direct and indirect land use changes as well as uncertainty analysis (sensitivity, MonteCarlo) were included in the LCA. Results showed that global warming was the bottleneck impact, where only two scenarios, namely willow...

  10. Incidental focal FDG uptake in the parotid glands on PET/CT in patients with head and neck malignancy

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Young Lan; Yoon, Dae Young; Lim, Kyoung Ja; Yun, Eun Joo; Cho, Young Kwon [Hallym University College of Medicine, Department of Radiology, Kangdong Seong-Sim Hospital, Seoul (Korea, Republic of); Baek, Sora [Hallym University College of Medicine, Department of Nuclear Medicine, Kangdong Seong-Sim Hospital, Seoul (Korea, Republic of); Bae, Woo Jin; Chung, Eun Jae; Kwon, Kee Hwan [Hallym University College of Medicine, Department of Otorhinolaryngology, Ilsong Memorial Institute of Head and Neck Cancer, Kangdong Seong-Sim Hospital, Seoul (Korea, Republic of)

    2015-01-15

    To evaluate the prevalence and clinical significance of focal parotid lesions identified by {sup 18} F- FDG PET/CT in patients with nonparotid head and neck malignancies. From 3,638 PET/CT examinations using {sup 18} F-FDG conducted on 1,342 patients with nonparotid head and neck malignancies, we retrospectively identified patients showing incidental focal FDG uptake in the parotid glands. The diagnosis of parotid lesions was confirmed histopathologically or on imaging follow-up. Patient demographics, clinical features, maximum standardized uptake value (SUV{sub max}) on PET images, size and attenuation on corresponding contrast-enhanced CT images were assessed and correlated with the final diagnosis. The prevalence of incidental focal parotid FDG uptake on PET/CT was 2.1 % (95 % CI 1.4 - 3.0 %). Among 21 patients with focal parotid lesions confirmed histologically or on imaging follow-up, 7 (33.3 %) had malignant lesions (all metastases) and 14 (66.7 %) had benign lesions (four pleomorphic adenomas, two Warthin's tumours, one benign lymph node, one granulomatous lesion, six lesions without histopathological confirmation). There were no significant differences in age, sex, SUV{sub max} or CT findings between patients with benign and those with malignant lesions. Focal parotid FDG uptake on PET/CT in patients with head and neck malignancy warrants further investigations to ensure adequate therapy for incidental parotid lesions. (orig.)

  11. The Effect of Using Online Collaborative Tasks on Incidental Vocabulary Learning of Impulsive vs. Reflective Iranian EFL Learners

    Directory of Open Access Journals (Sweden)

    Khalil Motallebzadeh

    2017-09-01

    Full Text Available Incidental vocabulary learning is one of the most significant sources of learning vocabulary for language learners Laufer  & Hulstjin, 2001. This study endeavored to investigate the effect of using online collaborative tasks on incidental vocabulary learning of impulsive vs. reflective Iranian EFL learners. To this end, Nelson vocabulary proficiency test was administered to 100 Iranian EFL learners as the homogeneity test and the pretest. Using random sampling procedure, 75 learners were selected as the main participants for this study. Kember, McKay, Sinclair and Wong (2008 reflective thinking questionnaire was administered to these learners, based on which they were distinguished based on their cognitive thinking styles, i.e., impulsivity and reflectivity. The participants were homogenously distributed into 3 main groups (impulsive experimental group, reflective experimental group, and the control group. All participants went through 4 weeks of treatment. Experimental groups were conducted using Telegram software and the control group was conducted in a classroom. The results of t-test after 4 weeks of treatment revealed that reflective learners benefited from online collaborative groups with regard to incidental vocabulary learning. The findings of the study are discussed in light of previous research.

  12. Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm

    Directory of Open Access Journals (Sweden)

    Diana Briosa e Gala

    2014-01-01

    Full Text Available Purpose. To report a case of successful thrombolysis performed in a patient with an incidental unruptured intracranial aneurysm and review the literature. Case Report. Patient admitted for ischemic stroke due to left posterior cerebral artery occlusion, with an incidental right middle cerebral artery aneurysm, who underwent treatment with tissue plasminogen activator (rtPA resulting in clinical improvement without complications. Conclusion. The presence of unruptured intracranial aneurysms is considered as a contraindication to thrombolysis, due to a potentially higher hemorrhagic risk of aneurysm rupture. Patients, otherwise, eligible for thrombolysis are usually excluded from receiving this emergent treatment, despite its potential benefits. A reevaluation of the strict exclusion criteria for thrombolysis in acute stroke patients should be considered.

  13. The prevalence of incidentally detected adrenal enlargement on CT

    International Nuclear Information System (INIS)

    Tang, Y.Z.; Bharwani, N.; Micco, M.; Akker, S.; Rockall, A.G.; Sahdev, A.

    2014-01-01

    Aim: To assess the prevalence and the department's detection rate of adrenocortical hyperplasia. Materials and methods: All computed tomography (CT) examinations of the adrenal glands between February and April 2011 were reviewed. The study excluded patients with known underlying cancer, abdominal trauma, or endocrine disease. The adrenal gland was deemed enlarged if its body was greater than 10 mm diameter, or a limb greater than 5 mm. Results: There were a total of 564 eligible CT studies during this period. A total of 64 cases of incidental adrenal enlargement were found giving a prevalence of 11.3%. Only nine cases were reported in the contemporaneous CT report. Conclusion: The results of the present study show that incidental adrenal enlargement has a significant prevalence. It is often dismissed during reporting, and awareness needs to be raised in the radiological community. Equally, the clinical and biochemical significance needs to be assessed with endocrine correlation

  14. Incidental Detection of Arteria Lusoria During Transradial Coronary Intervention.

    Science.gov (United States)

    Moorthy, Nagaraja; Setty, Natraj; Kharge, Jayashree; Raghu, Thagachagere R; Nanjappa, Manjunath C

    2017-08-01

    Transradial access has become popular and preferred approach in coronary interventions due to high success rate, low risk of complications and patients' comfort. However various anatomical variations and anomalies may pose technical challenge. Arteria lusoria is an uncommon condition which is technically challenging and may warrant cross-over to alternate access. We report a middle aged male presenting with acute coronary syndrome in which arteria lusoria was incidentally detected during right transradial coronary intervention.

  15. Small Renal Masses: Incidental Diagnosis, Clinical Symptoms, and Prognostic Factors

    OpenAIRE

    Sánchez-Martín, F. M.; Millán-Rodríguez, F.; Urdaneta-Pignalosa, G.; Rubio-Briones, J.; Villavicencio-Mavrich, H.

    2009-01-01

    Introduction. The small renal masses (SRMs) have increased over the past two decades due to more liberal use of imaging techniques. SRMs have allowed discussions regarding their prognostic, diagnosis, and therapeutic approach. Materials and methods. Clinical presentation, incidental diagnosis, and prognosis factors of SRMs are discussed in this review. Results. SRMs are defined as lesions less than 4 cm in diameter. SRM could be benign, and most malignant SMRs are low stage and low grade. Cli...

  16. Intrarenal Splenosis Diagnosed in an Incidentally Found Left Renal Mass

    Directory of Open Access Journals (Sweden)

    Eliza Lamin

    2015-09-01

    Full Text Available Intrarenal splenosis is very rare and its management is not well established. We present a patient in whom an enhancing left renal mass was incidentally detected on a Computerized tomographic (CT scan, concerning for renal cell carcinoma. However, the lesion was determined to represent intrarenal splenosis, confirmed by Technetium-99m (99mTc sulfur colloid scan and percutaneous biopsy, which revealed splenic tissue. This multimodal approach to diagnosis of an unusual condition spared the patient an invasive procedure.

  17. Delayed incidental diagnosis of postoperative extradural hematoma following ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Vinay Byrappa

    2015-01-01

    Full Text Available Ventriculo peritoneal (VP shunt uncommonly complicates as intracranial hematomas which can still occur in patients with a functioning VP shunt leading to a delay in the diagnosis which can be extremely dangerous and lead to adverse outcomes. We report a case of an incidental diagnosis of delayed post-operative EDH following VP shunt in an young adult patient with a right cerebellar lesion and highlight the need for meticulous post-operative neurological examination.

  18. Clinicopathologic features of incidental prostatic adenocarcinoma in radical cystoprostatectomy specimens

    Directory of Open Access Journals (Sweden)

    Vuruskan Hakan

    2011-07-01

    Full Text Available Abstract Background The aim of this study is to review all features of incidentally discovered prostate adenocarcinoma in patients undergoing radical cystoprostatectomy for bladder cancer. Methods The medical charts of 300 male patients who underwent radical cystoprostatectomy for bladder cancer between 1997 and 2005 were retrospectively reviewed. The mean age of the patients was 62 (range 51-75 years. Results Prostate adenocarcinoma was present in 60 (20% of 300 specimens. All were acinar adenocarcinoma. Of these, 40 (66.7% were located in peripheral zone, 20 (33.3% had pT2a tumor, 12 (20% had pT2b tumor, 22(36.7% had pT2c and, 6 (10% had pT3a tumor. Gleason score was 6 or less in 48 (80% patients. Surgical margins were negative in 54 (90% patients, and tumor volume was less than 0.5 cc in 23 (38.3% patients. Of the 60 incidentally detected cases of prostate adenocarcinoma 40 (66.7% were considered clinically significant. Conclusion Incidentally detected prostate adenocarcinoma is frequently observed in radical cystoprostatectomy specimens. The majority are clinically significant.

  19. Effects of land-use change on the carbon balance of 1st generation biofuels: An analysis for the European Union combining spatial modeling and LCA

    International Nuclear Information System (INIS)

    Humpenöder, Florian; Schaldach, Rüdiger; Cikovani, Yalda; Schebek, Liselotte

    2013-01-01

    Biofuels are considered as an important option for the mitigation of climate change. However, the negative impact of land-use change (LUC) on soil and vegetation carbon pools may jeopardize the potentially achievable savings of greenhouse gas (GHG) emissions. In this study the impact of GHG emissions from LUC on the overall GHG performance of 1st generation biofuels was analyzed for the European Union (EU). The scenario-based analysis was done by coupling a spatial land-use model to a Life Cycle Assessment (LCA) of biofuels. The biofuel demand in the scenarios was derived from figures for the transport sector of the EU-27 Member States. The calculation of GHG emissions was performed with a Geographic Information System. Finally, these results were integrated into the LCA approach of the EU Renewable Energy Directive (RED). Without taking LUC into account, the average GHG emission saving compared to fossil fuel use amounts to ∼50%. In this case the mandatory 35% emission saving target laid down in the RED would be fulfilled. If LUC is considered, this target is reached under none of the simulated biofuel scenarios. In the most realistic scenario the GHG emission savings from 1st gen. biofuel use compared to fossil fuel use range between −2% and 13%. Based on our findings, we conclude that national policy plans for biofuel use should be reconsidered and revised as in their current form they do not provide an adequate measure for the mitigation of global warming on EU-level. -- Highlights: •We determine LUC due to 1st gen. biofuel production in the EU with a spatial model. •We comprehensively estimate GHG emissions from LUC across a fine resolution grid. •Based on our GHG emission estimates we perform an LCA of 1st gen. biofuel scenarios. •By 2020, the GHG emission savings from biofuel use are considerably below the EU target. •Our analysis questions the contribution of biofuel use to climate change mitigation

  20. LCA of management strategies for RDF incineration and gasification bottom ash based on experimental leaching data.

    Science.gov (United States)

    Di Gianfilippo, Martina; Costa, Giulia; Pantini, Sara; Allegrini, Elisa; Lombardi, Francesco; Astrup, Thomas Fruergaard

    2016-01-01

    The main characteristics and environmental properties of the bottom ash (BA) generated from thermal treatment of waste may vary significantly depending on the type of waste and thermal technology employed. Thus, to ensure that the strategies selected for the management of these residues do not cause adverse environmental impacts, the specific properties of BA, in particular its leaching behavior, should be taken into account. This study focuses on the evaluation of potential environmental impacts associated with two different management options for BA from thermal treatment of Refuse Derived Fuel (RDF): landfilling and recycling as a filler for road sub bases. Two types of thermal treatment were considered: incineration and gasification. Potential environmental impacts were evaluated by life-cycle assessment (LCA) using the EASETECH model. Both non-toxicity related impact categories (i.e. global warming and mineral abiotic resource depletion) and toxic impact categories (i.e. human toxicity and ecotoxicity) were assessed. The system boundaries included BA transport from the incineration/gasification plants to the landfills and road construction sites, leaching of potentially toxic metals from the BA, the avoided extraction, crushing, transport and leaching of virgin raw materials for the road scenarios, and material and energy consumption for the construction of the landfills. To provide a quantitative assessment of the leaching properties of the two types of BA, experimental leaching data were used to estimate the potential release from each of the two types of residues. Specific attention was placed on the sensitivity of leaching properties and the determination of emissions by leaching, including: leaching data selection, material properties and assumptions related to emission modeling. The LCA results showed that for both types of BA, landfilling was associated with the highest environmental impacts in the non-toxicity related categories. For the toxicity

  1. Applying consequential LCA to support energy policy: Land use change effects of bioenergy production

    International Nuclear Information System (INIS)

    Vázquez-Rowe, Ian; Marvuglia, Antonino; Rege, Sameer; Benetto, Enrico

    2014-01-01

    Luxembourg aims at complying with the EU objective of attaining a 14% use of bioenergy in the national grid by 2020. The increase of biomethane production from energy crops could be a valuable option in achieving this objective. However, the overall environmental benefit of such option is yet to be proven. Consequential Life Cycle Assessment (CLCA) has shown to be a useful tool to evaluate the environmental suitability of future energy scenarios and policies. The objective of this study was, therefore, to evaluate the environmental consequences of modifying the Luxembourgish agricultural system to increase maize production for biomethane generation. A total of 10 different scenarios were modelled using a partial equilibrium (PE) model to identify changes in land cultivation based on farmers' revenue maximisation, which were then compared to the baseline scenario, i.e. the state of the agricultural sector in 2009. The results were divided into three different consequential decision contexts, presenting differing patterns in terms of land use changes (LUCs) but with minor shifts in environmental impacts. Nevertheless, energy from maize production would imply substantially higher environmental impacts when compared with the current use of natural gas, mainly due to increases in climate change and agricultural land occupation impacts. The results are discussed based on the consequences they may generate on the bioenergy policy, the management of arable land, the changes in import–export flows in Luxembourg and LUCs in the domestic agricultural system. In addition, the specific PE + LCA method presented intends to be of use for other regional studies in which a high level of site-specific data is available. - Highlights: • Partial equilibrium (PE) model created for the agricultural sector in Luxembourg • PE model combined with a consequential LCA approach to support energy policy • The impact of LUCs due to the additional production of maize for energy was

  2. Study for a simplified LCA methodology adapted to bio-products. Final report

    International Nuclear Information System (INIS)

    2009-01-01

    Agricultural resources form a renewable stock of raw materials that can be used for various purposes: food supply, production of energy (including biofuels), bio-products and bio-based construction materials. The use of agricultural resources to produce bio-products is expanding in France and throughout the world, partly due to the presumed advantages of these products towards the environment. In this context, ADEME (the French Environment and Energy Management Agency) commissioned a study for the development of a methodological framework to evaluate the environmental impacts of bio-products. This study was also in charge of the identification of areas of improvement for the 'Bilan Produit', an environmental assessment tool developed by ADEME, in order to allow a future integration of bio-products. The first step of this study consisted of a comparative review of the existing bio-products' LCA (Life Cycle Assessment). This review underlined a deep heterogeneity among the methodologies used, as well as a lack of transparency in the results displayed. In a second step of the project, all the methodological issues in the evaluation of bio-products were studied, and recommendations for the resolution of each one of them have been proposed. These critical analyses are presented in individual fact-sheets, which detail the specific issues of each question, facts from the bibliographic review, the results of the tests conducted on three bio-products, and finally the methodological recommendations to answer the question. This project showed that some methodological recommendations had to be specified depending on the objective of the LCA: eco-design, environmental labeling or comparative LCA. The work conducted also identified some necessary improvements to the Bilan Produit tool, which come under four categories: addition of the missing inventories, integration of metadata regarding the inventories, consideration for the specific end-of-life scenarios of bio-products, and

  3. Leaving the lecture room and learning LCM: - Experiences from Aalborg University after 13 years and 1950 students on LCA and related issues

    DEFF Research Database (Denmark)

    Riisgaard, Henrik

    2003-01-01

    the above with focus on learning processes other than courses. The empirical data stems from 13 years experience of facilitating learning processes and a study of Aalborg University graduates with a professional career based on LCA. Besides ordinary LCA courses, this papers describes the problem...

  4. A limited LCA of bio-adipic acid: Manufacturing the nylon-6,6 precursor adipic acid using the benzoic acid degradation pathway from different feedstocks

    NARCIS (Netherlands)

    Duuren, van J.B.J.H.; Brehmer, B.; Mars, A.E.; Eggink, G.; Martins Dos Santos, V.A.P.; Sanders, J.P.M.

    2011-01-01

    A limited life cycle assessment (LCA) was performed on a combined biological and chemical process for the production of adipic acid, which was compared to the traditional petrochemical process. The LCA comprises the biological conversion of the aromatic feedstocks benzoic acid, impure aromatics,

  5. Incidental Rickets in the Emergency Department Setting

    Directory of Open Access Journals (Sweden)

    John V. Zurlo

    2012-01-01

    Full Text Available Vitamin D deficiency rickets is a childhood osteomalacia, with impaired skeletal development and potentially skeletal deformities. The radiographic findings of rickets are many but include widening, fraying, and cupping of the metaphysis. Developmental delay and related complications of seizure and tetany have also been reported. This medical entity is often thought of as a classic medical disease of the past. However, it persists, and the recognition of rickets is on the rise. The reemergence of rickets correlates with the increase in the number of children exclusively breastfed and with the frequent use of sun block in the pediatric population. We present two cases of rickets, diagnosed through a visit to the Emergency Department made for unrelated symptoms. These two cases illustrate the importance of diagnosing rickets as an “incidental” finding. With early detection, dietary supplementation can be initiated potentially sparing the patient symptomatic disease.

  6. A flexible matrix-based human exposure assessment framework suitable for LCA and CAA

    DEFF Research Database (Denmark)

    Jolliet, Olivier; Ernstoff, Alexi; Huang, Lei

    2016-01-01

    use or exchange between near-and far-field compartments until sub -fractions reach humans via inhalation, ingestion or dermal uptake. Currently, however, multimedia exposure models mainly focus on far-field exposure pathways. Metrics and modeling approaches used in far-field, emission-based models...... are not applicable to all types of near-field chemical releases from consumer products, e.g. direct dermal application. A consistent near-and far-field framework is needed for life cycle assessment (LCA) and chemical alternative assessment (CAA) to inform mitigation of human exposure to harmful chemicals. To close...... the current research gaps, we (i) define a near-and far-field matrix-based exposure pathways framework that builds on a quantitative metric based on chemical mass in products, (ii) rovide input data for the framework, e.g. chemical concentrations in products linked to functional use categories, and (iii...

  7. Comprehensive Assessment of Human Health Impacts and Benefits of Fruits and Vegetables in a LCA Context

    DEFF Research Database (Denmark)

    Stylianou, Katerina S.; Fantke, Peter; Fulgoni, Victor L.

    2017-01-01

    following a traditional LCA approach. For PM, we couple emissions with an epidemiology-based dose-response to estimate impacts. For pesticide residues exposure, we use publically available health impacts derived by combining exposure modelling of pesticide residue with toxicological studies for numerous...... pesticide active ingredients. The nutritional assessment is based on effect factors estimated using the 2010 health burden attributable to corresponding dietary risk factors in DALY from the global burden of disease (GBD) and daily consumption food consumption based on the National Health and Nutrition...... Examination Survey (NHANES) 2009-2012.One fruits serving is linked to 0.07 g PM2.5-eq (0.03 g PM2.5-eq/servingvegetables, Figure 1), 40% due to NH3 as PM precursor, corresponding to 0.08 mu DALY (0.03 mu DALY/servingvegetables). From a nutritional perspective, adding one serving of fruits to the average US...

  8. Environmental assessment of Ammassuo Landfill (Finland) by means of LCA-modelling (EASEWASTE)

    DEFF Research Database (Denmark)

    Niskanen, A.; Manfredi, Simone; Christensen, Thomas Højlund

    2009-01-01

    The Old Ammassuo Landfill (Espoo, Finland) covers an area of 52 hectares and contains about 10 million tonnes of waste that was landfilled between 1987 and 2007. The majority of this waste was mixed, of which about 57% originated from households. This paper aims at describing the management......) and ecotoxicity in water chronic (ETwc). The largest impact potential was found for SGR and amounted to 57.6 person equivalent (PE) per tonne of landfilled waste. However, the SGR impact may not be viewed as a significant issue in Finland as the drinking water is mostly supplied from surface water bodies. Overall...... of the Old Ammassuo Landfill throughout its operational lifetime (1987-2007), and at developing an environmental evaluation based on life-cycle assessment (LCA) using the EASEWASTE-model. The assessment criteria evaluate specific categories of impact, including standard impact categories, toxicity...

  9. Estimation of product specific emissions from municipal solid waste landfills for the inventory phase in LCA

    DEFF Research Database (Denmark)

    Nielsen, Per Henning; Hauschild, Michael Zwicky

    1998-01-01

    is frequently given as a quantity of solid wasteand possibly some recovered energy from waste incineration.Since product specific emissions can not be calculated or measured directly at the landfills, they must be estimated by modeling oflandfill processes. This paper presents a landfill model based on a large...... number of assumptions and approximations concerninglandfill properties, waste product properties and characteristics of various kinds of environmental protection systems (e.g. landfill gascombustion units and leachate treatment units). The model is useful for estimation of emissions from waste products......), and inorganic non-metals (e.g. chlorine,) which are considered individually. The computer toolLCA-LAND is useful for estimation of emissions from specific waste products disposed in municipal solid waste landfills in Europeancountries (for the present Denmark, Germany and The Netherlands). Input data...

  10. LCA of management strategies for RDF incineration and gasification bottom ash based on experimental leaching data

    DEFF Research Database (Denmark)

    Gianfilippo, Martina Di; Costa, Giulia; Pantini, Sara

    2016-01-01

    not cause adverse environmental impacts, the specific properties of BA, in particular its leaching behavior, should be taken into account. This study focuses on the evaluation of potential environmental impacts associated with two different management options for BA from thermal treatment of Refuse Derived......The main characteristics and environmental properties of the bottom ash (BA) generated from thermal treatment of waste may vary significantly depending on the type of waste and thermal technology employed. Thus, to ensure that the strategies selected for the management of these residues do...... Fuel (RDF): landfilling and recycling as a filler for road sub bases. Two types of thermal treatment were considered: incineration and gasification. Potential environmental impacts were evaluated by life-cycle assessment (LCA) using the EASETECH model. Both non-toxicity related impact categories (i...

  11. Deliverable 4.3 Decision support guideline based on LCA and cost/efficiency assessment

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Hansen, Peter Augusto; Boyer-Souchet, Florence

    2010-01-01

    The environmental sustainability assessments described in this report is based on life cycle assessments (LCA) of selected waste water treatment technology (WWTT) cases included in NEPTUNE. The basic approach in these assessments (avoided against induced impacts) is described in Deliverable 4...... inventoried. Figure 2.1 Do we induce more environmental impact than we avoid by introducing a new waste water treatment technology (sub-optimisation)? The study is based as much as possible on data obtained directly from NEPTUNE partners for the physical and functional inventory. In particular, the functional.......1 (Larsen et al. 2007) and other methodological issues (e.g. normalization and weighting) in Deliverable 4.2 (Larsen et al. 2009). The basic approach is illustrated in a simplified way for the case ozonation in Figure 2.1. The technologies investigated include conventional WWT (reference), ozonation, sand...

  12. Comparative techno-economic assessment and LCA of selected integrated sugarcane-based biorefineries.

    Science.gov (United States)

    Gnansounou, Edgard; Vaskan, Pavel; Pachón, Elia Ruiz

    2015-11-01

    This work addresses the economic and environmental performance of integrated biorefineries based on sugarcane juice and residues. Four multiproduct scenarios were considered; two from sugar mills and the others from ethanol distilleries. They are integrated biorefineries producing first (1G) and second (2G) generation ethanol, sugar, molasses (for animal feed) and electricity in the context of Brazil. The scenarios were analysed and compared using techno-economic value-based approach and LCA methodology. The results show that the best economic configuration is provided by a scenario with largest ethanol production while the best environmental performance is presented by a scenario with full integration sugar - 1G2G ethanol production. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Characterisation of social impacts in LCA. Part 2: implementation in six company case studies

    DEFF Research Database (Denmark)

    Dreyer, Louise Camilla; Hauschild, Michael Zwicky; Schierbeck, Jens

    2010-01-01

    , Restrictions of freedom of association and collective bargaining, and Child labour (Dreyer et al, 2009a). These impact categories are considered by the authors to be among the obligatory impact categories in a Social LCA. The characterisation models combine information about the way a company manages its...... or industrial branch or sector) of the company. The resulting indicator score represents the risk that violations take place of the labour right represented by the impact category. Results The social impact characterisation is performed for each of the six case studies using the methodology earlier developed...... is required. The possibility to apply country- or industry sector-based information is discussed, and while it is found useful to identify low-risk companies and eliminate them from more detailed studies, the ability of the screening methods to discriminate between companies located in medium and high risk...

  14. Milestone 4.1 ∙ First draft on complemented LCA methodology

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Olsen, Stig Irving; Hauschild, Michael Zwicky

    As described in deliverable 4.1, D4.1 (Larsen et al. 2007) NEPTUNE is using two main types of life cycle impact assessment (LCIA) methodologies when doing LCA studies on the waste water treatment technologies included. The basic methodology is the well known existing EDIP97 methodology (Wenzel et...... al. 1997, Hauschild and Wenzel 1998) for which the impact assessment on toxicity is PNEC based. However, in order to include the newest development on especially best available practice as regards ecotoxicity a new revised and updated EDIP 200X LCIA methodology has been developed. A first draft...... of this methodology is presented here. Special issues of waste water have been addressed by including novel development on LCIA methodology for possible impact from pathogens and whole effluent toxicity. Special focus is also allocated to micropollutants with specific toxic mode of action (i.e. endocrine disruptors...

  15. Impact Assessment of Abiotic Resources in LCA: Quantitative Comparison of Selected Characterization Models

    DEFF Research Database (Denmark)

    Rørbech, Jakob Thaysen; Vadenbo, Carl; Hellweg, Stefanie

    2014-01-01

    methods. Significant differences in resource coverage were observed (9–73 resources) revealing a trade-off between resource coverage and model complexity. High correlation in CFs between methods did not necessarily manifest in high correlation in total impacts. This indicates that also resource coverage...... may be critical for impact assessment results. Although no consistent correlations between methods applying similar assessment models could be observed, all methods showed relatively high correlation regarding the assessment of energy resources. Finally, we classify the existing methods into three......Resources have received significant attention in recent years resulting in development of a wide range of resource depletion indicators within life cycle assessment (LCA). Understanding the differences in assessment principles used to derive these indicators and the effects on the impact assessment...

  16. How methodological choices affect LCA climate impact results: the case of structural timber

    DEFF Research Database (Denmark)

    De Rosa, Michele; Pizzol, Massimo; Schmidt, Jannick Højrup

    2018-01-01

    LCA, the study compares results obtained through different choices concerning four methodological aspects: the modeling of land use change effects, the choice of climate metric for impact assessment, the choice of time horizon applied, and the completeness of the forest carbon stock modeled. Eight...... scenarios were tested, applied to the same case study to ensure the full comparability of the results. A dynamic life cycle inventory of annual forest biomass production and degradation was obtained through a methodology accounting dynamically for the annual carbon fluxes in a forest plot. Results....... The results are particularly sensitive to the choice of time horizon, especially when combined with the choice of static or dynamic climate indicator and different climate metrics as GWP and GTP. The case study showed a lower variability of results to the choice of forest carbon stock compared to the effect...

  17. Life cycle assessment of castor-based biorefinery: a well to wheel LCA

    DEFF Research Database (Denmark)

    Khoshnevisan, Benyamin; Rafiee, Shahin; Tabatabaei, Meisam

    2017-01-01

    also considered as byproducts. Developed scenarios were also compared with a fossil reference system delivering the same amount of energy through the combustion of neat diesel. Materials and methods: Life cycle assessment (LCA) was used to investigate the environmental consequences of castor biodiesel...... of their ability in converting biomass into a spectrum of marketable products and bioenergies. This study was aimed at developing different novel castor-based biorefinery scenarios for generating biodiesel and other co-products, i.e., ethanol and biogas. In these scenarios, glycerin, heat, and electricity were...... production and consumption with a biorefinery approach. All the input and output flows from the cultivation stage to the combustion in diesel engines as well as changes in soil organic carbon (SOC) were taken into account. Impact 2002+ method was used to quantify the environmental consequences. Results...

  18. Comprehensive assessment of fruits and vegetables human health effects in a LCA context

    DEFF Research Database (Denmark)

    Stylianou, Katerina S.; Jolliet, O.; Fantke, Peter

    2016-01-01

    in which the substituted food items are associated with negative health effects, such as red meat and trans-fat. Overall environmental health impacts associated with this addition are substantially smaller compared to nutritional benefits in each scenario, even when considering an uncertainty factor of 400......Nutritional effects from the ‘use stage’ of food items life cycle can have a substantial effect on human health; yet, they are often not considered in life cycle assessment (LCA). In our study we explore the case of increased fruit and vegetable consumption, a healthy dietary option – that could...... the environmental and nutritional effects of foods expressed in Disability Adjusted Life Years (DALYs). For the environmental health assessment we consider impact categories such as global warming and particulate matter (PM) as well as chemical exposure due to pesticide residues. Global warming and PM are assessed...

  19. Eco-efficient waste glass recycling: Integrated waste management and green product development through LCA

    International Nuclear Information System (INIS)

    Blengini, Gian Andrea; Busto, Mirko; Fantoni, Moris; Fino, Debora

    2012-01-01

    Highlights: ► A new eco-efficient recycling route for post-consumer waste glass was implemented. ► Integrated waste management and industrial production are crucial to green products. ► Most of the waste glass rejects are sent back to the glass industry. ► Recovered co-products give more environmental gains than does avoided landfill. ► Energy intensive recycling must be limited to waste that cannot be closed-loop recycled. - Abstract: As part of the EU Life + NOVEDI project, a new eco-efficient recycling route has been implemented to maximise resources and energy recovery from post-consumer waste glass, through integrated waste management and industrial production. Life cycle assessment (LCA) has been used to identify engineering solutions to sustainability during the development of green building products. The new process and the related LCA are framed within a meaningful case of industrial symbiosis, where multiple waste streams are utilised in a multi-output industrial process. The input is a mix of rejected waste glass from conventional container glass recycling and waste special glass such as monitor glass, bulbs and glass fibres. The green building product is a recycled foam glass (RFG) to be used in high efficiency thermally insulating and lightweight concrete. The environmental gains have been contrasted against induced impacts and improvements have been proposed. Recovered co-products, such as glass fragments/powders, plastics and metals, correspond to environmental gains that are higher than those related to landfill avoidance, whereas the latter is cancelled due to increased transportation distances. In accordance to an eco-efficiency principle, it has been highlighted that recourse to highly energy intensive recycling should be limited to waste that cannot be closed-loop recycled.

  20. A LCA (life cycle assessment) of the methanol production from sugarcane bagasse

    International Nuclear Information System (INIS)

    Reno, Maria Luiza Grillo; Lora, Electo Eduardo Silva; Palacio, Jose Carlos Escobar; Venturini, Osvaldo Jose; Buchgeister, Jens; Almazan, Oscar

    2011-01-01

    Nowadays one of the most important environmental issues is the exponential increase of the greenhouse effect by the polluting action of the industrial and transport sectors. The production of biofuels is considered a viable alternative for the pollution mitigation but also to promote rural development. The work presents an analysis of the environmental impacts of the methanol production from sugarcane bagasse, taking into consideration the balance of the energy life cycle and its net environmental impacts, both are included in a LCA (Life Cycle Assessment) approach. The evaluation is done as a case study of a 100,000 t/y methanol plant, using sugarcane bagasse as raw material. The methanol is produced through the BTL (Biomass to Liquid) route. The results of the environmental impacts were compared to others LCA studies of biofuel and it was showed that there are significant differences of environmental performance among the existing biofuel production system, even for the same feedstock. The differences are dependent on many factors such as farming practices, technology of the biomass conversion. With relation to the result of output/input ratio, the methanol production from sugarcane bagasse showed to be a feasible alternative for the substitution of an amount of fossil methanol obtained from natural gas. -- Highlights: → High and favorable energy ratio value of methanol from bagasse. → Sugarcane production has a low participation on environmental impacts. → The gasification and methanol synthesis can be combined in a biorefinery. → Farming biomass could cause the environmental impact land competition. → The trash of sugarcane can be used successfully in methanol production.

  1. A trade-based method for modelling supply markets in consequential LCA exemplified with Portland cement and bananas

    DEFF Research Database (Denmark)

    Sacchi, Romain

    2017-01-01

    This study proposes a method based on the analysis of trade networks over time for modelling the marginal supply of products in consequential life cycle assessment (LCA). It aims at increasing the geographical granularity of markets, accuracy of transport distances and modes and material losses d...

  2. LCA as an environmental technology development performance indicator of engineered nano-materials and their application in polymers

    DEFF Research Database (Denmark)

    Miseljic, Mirko; Olsen, Stig Irving; Hauschild, Michael Zwicky

    project is aimed to be holistic and thereby include the entire life cycle of the nano‐polymer products and not be like the current frequently applied nano‐material LCA case study approaches where the life cycle is reduced and system boundaries substantially limited. In order to perform accurate...

  3. Consensus building on the development of a stress-based indicator for LCA-based impact assessment of water consumption

    NARCIS (Netherlands)

    Boulay, Anne Marie; Bare, Jane; Camillis, De Camillo; Döll, Petra; Gassert, Francis; Gerten, Dieter; Humbert, Sebastien; Inaba, Atsushi; Itsubo, Norihiro; Lemoine, Yann; Margni, Manuele; Motoshita, Masaharu; Núñez, Montse; Pastor, A.V.; Ridoutt, Brad; Schencker, Urs; Shirakawa, Naoki; Vionnet, Samuel; Worbe, Sebastien; Yoshikawa, Sayaka; Pfister, Stephan

    2015-01-01

    Purpose: The WULCA group, active since 2007 on Water Use in LCA, commenced the development of consensus-based indicators in January 2014. This activity is planned to last 2 years and covers human health, ecosystem quality, and a stress-based indicator. This latter encompasses potential

  4. Life cycle assessment in buildings: State-of-the-art and simplified LCA methodology as a complement for building certification

    Energy Technology Data Exchange (ETDEWEB)

    Zabalza Bribian, Ignacio; Aranda Uson, Alfonso; Scarpellini, Sabina [CIRCE - Centre of Research for Energy Resources and Consumption, University of Zaragoza, Maria de Luna 3, 50018 Zaragoza (Spain)

    2009-12-15

    The paper presents the state-of-the-art regarding the application of life cycle assessment (LCA) in the building sector, providing a list of existing tools, drivers and barriers, potential users and purposes of LCA studies in this sector. It also proposes a simplified LCA methodology and applies this to a case study focused on Spain. The thermal simulation tools considered in the Spanish building energy certification standards are analysed and complemented with a simplified LCA methodology for evaluating the impact of certain improvements to the building design. The simplified approach proposed allows global comparisons between the embodied energy and emissions of the building materials and the energy consumption and associated emissions at the use stage. The results reveal that embodied energy can represent more than 30% of the primary energy requirement during the life span of a single house of 222 m{sup 2} with a garage for one car. The contribution of the building materials decreases if the house does not include a parking area, since this increases the heated surface percentage. Usually the top cause of energy consumption in residential building is heating, but the second is the building materials, which can represent more than 60% of the heating consumption. (author)

  5. Use of LCA as a Tool for Building Ecodesign. A Case Study of a Low Energy Building in Spain

    Directory of Open Access Journals (Sweden)

    Alberto Jáñez

    2013-08-01

    Full Text Available This paper demonstrates how to achieve energy savings in the construction and operation of buildings by promoting the use of life cycle assessment techniques in the design for new buildings and for refurbishment. The paper aims to draw on the application of a specific methodology for low energy consumption, integrated planning, environmental performance evaluation of buildings, and design for sustainability and LCA techniques applied to buildings. The ENergy Saving through promotion of LIfe Cycle assessment in buildings (ENSLIC methodology based on LCA for use in an integral planning process has been promoted to stakeholders who require a means to optimize the environmental performance of buildings. Feedback from the stakeholders has facilitated the creation of simplified LCA guidelines, a systematic approach guiding the user through the alternative options regarding software choices, their strengths and weaknesses, the databases available, the usefulness of different indicators, aggregation, definition of limits and options for simplifying the process. As a result, this paper presents the applied results of a case study where this methodology is implemented serving as an energy savings evaluation tool for decision makers, end-users, professionals involved in the different stages of construction, etc. Finally, it is demonstrated how LCA can facilitate comparisons between different buildings, showing the influence of all variables on a building’s life cycle environmental impact and showing the potential for energy savings. Removing market barriers to sustainable construction is actually stricter and this is good news for promoting higher energy efficiency in buildings.

  6. Thermodynamic resource indicators in LCA : A case study on the titania produced in Panzhihua city, southwest China

    NARCIS (Netherlands)

    Liao, Wenjie; Heijungs, Reinout; Huppes, Gjalt

    Purpose: While life cycle assessment (LCA) has standardized methods for assessing emission impacts, some comparable methods for the accounting or impact assessment of resource use exist, but are not as mature or standardized. This study contributes to the existing research by offering a

  7. The use of Meta-Regression Analysis to harmonize LCA literature: an application to GHG emissions of 2. and 3. generation biofuels

    International Nuclear Information System (INIS)

    Menten, Fabio; Cheze, Benoit; Patouillard, Laure; Bouvart, Frederique

    2013-01-01

    This article presents the results of a literature review performs with a meta-regression analysis (MRA) that focuses on the estimates of advanced biofuel Greenhouse Gas (GHG) emissions assessed with a Life Cycle Assessment (LCA) approach. The mean GHG emissions of both second (G2) and third generation (G3) biofuels and the effects of factors influencing these estimates are identified and quantified by means of specific statistical methods. 47 LCA studies are included in the database, providing 593 estimates. Each study estimate of the database is characterized by i) technical data/characteristics, ii) author's methodological choices and iii) typology of the study under consideration. The database is composed of both the vector of these estimates - expressed in grams of CO 2 equivalent per MJ of biofuel (g CO 2 eq/MJ) - and a matrix containing vectors of predictor variables which can be continuous or dummy variables. The former is the dependent variable while the latter corresponds to the explanatory variables of the meta-regression model. Parameters are estimated by mean of econometrics methods. Our results clearly highlight a hierarchy between G3 and G2 biofuels: life cycle GHG emissions of G3 biofuels are statistically higher than those of Ethanol which, in turn, are superior to those of BtL. Moreover, this article finds empirical support for many of the hypotheses formulated in narrative literature surveys concerning potential factors which may explain estimates variations. Finally, the MRA results are used to address the harmonization issue in the field of advanced biofuels GHG emissions thanks to the technique of benefits transfer using meta-regression models. The range of values hence obtained appears to be lower than the fossil fuel reference (about 83.8 in g CO 2 eq/ MJ). However, only Ethanol and BtL do comply with the GHG emission reduction thresholds for biofuels defined in both the American and European directives. (authors)

  8. Analysis And Assessment Of The Security Method Against Incidental Contamination In The Collective Water Supply System

    Directory of Open Access Journals (Sweden)

    Szpak Dawid

    2015-09-01

    Full Text Available The paper presents the main types of surface water incidental contaminations and the security method against incidental contamination in water sources. Analysis and assessment the collective water supply system (CWSS protection against incidental contamination was conducted. Failure Mode and Effects Analysis (FMEA was used. The FMEA method allow to use the product or process analysis, identification of weak points, and implementation the corrections and new solutions for eliminating the source of undesirable events. The developed methodology was shown in application case. It was found that the risk of water contamination in water-pipe network of the analyzed CWSS caused by water source incidental contamination is at controlled level.

  9. Localized attachment loss in Pendred syndrome: incidental?

    Science.gov (United States)

    Sharma, C G Dileep; Pradeep, A R

    2007-05-01

    Pendred syndrome is a rare, inherited, autosomal recessive disorder with an iodine organification defect of thyroxin produced by the thyroid gland. Its clinical features include sensorineural hearing loss, classically congenital and prelingual, and goiter. This is the first case report of Pendred syndrome in the dental literature with oral findings that include localized extensive attachment loss involving mandibular incisor teeth and idiopathic hypercementosis involving multiple teeth in addition to other oral manifestations, suggesting hypothyroidism-like macroglossia and macrocheilia. Furthermore, serum alkaline phosphatase along with inorganic calcium and phosphate levels were also elevated. Peripheral neutrophil function test suggested a defective function of neutrophils. Management of the case included augmenting thyroxin supplementation, in consultation with an endocrinologist, and extraction of hopeless mandibular central incisors followed by placement of immediate transitional dentures. A comprehensive medical history and systemic and laboratory evaluations should be considered a prerequisite to identify, manage, and report such rare conditions in routine clinical practice.

  10. Persistent trigeminal artery: angio-tomography and angio-magnetic resonance finding

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Licia Pacheco; Nepomuceno, Lara A.M.; Coimbra, Pablo Picasso; Oliveira Neto, Sabino Rodrigues de [Hospital Geral de Fortaleza (HGF), CE (Brazil). Radiology Dept.], e-mail: licia_p@hotmail.com; Natal, Marcelo Ricardo C. [Hospital de Base do Distrito Federal, Brasilia, DF (Brazil)

    2009-09-15

    The trigeminal artery (TA) is the most common embryonic carotid-vertebrobasilar anastomosis to persist into adulthood. It typically extends from the internal carotid artery to the basilar artery. Persistent primitive arteries are usually found incidentally, but are often associated with vascular malformation, cerebral aneurysm and, in case of TA, with trigeminal neuralgia. We present one patient with TA as a cause of trigeminal neuralgia and in other three as an incidental finding, on TC and MR angiograms. (author)

  11. Giant Extra-Adrenal Retroperitoneal Myelolipoma With Incidental Gastric Mesenchymal Neoplasias.

    Science.gov (United States)

    Yildiz, Baris D

    2015-06-01

    Extra-adrenal myelolipomas are rare, benign tumors composed of adipose tissue and hematopoietic cells. Almost all myelolipomas occur within the adrenal gland. Only 50 cases of myelolipomas were described in literature and none of these were associated with gastric mesenchymal neoplasia. A 72-year-old male patient presented to a family medicine outpatient clinic with dyspnea and urinary urgency. His abdominal sonography revealed a 9-cm intra-abdominal mass. An incidental finding was 2 separate masses 1 cm each on the serosal surface of the stomach. The pathology specimen of the retroperitoneal mass revealed myelolipoma histopathology while gastric masses were reported as spindle cell mesenchymal neoplasias. The association of gastric spindle cell tumor and myelolipoma was not reported before in medical literature. Extra-adrenal myelolipomas are rare lesions, but should be considered in the differential diagnosis of fat containing retroperitoneal masses that are well circumscribed.

  12. Led into temptation? Rewarding brand logos bias the neural encoding of incidental economic decisions.

    Directory of Open Access Journals (Sweden)

    Carsten Murawski

    Full Text Available Human decision-making is driven by subjective values assigned to alternative choice options. These valuations are based on reward cues. It is unknown, however, whether complex reward cues, such as brand logos, may bias the neural encoding of subjective value in unrelated decisions. In this functional magnetic resonance imaging (fMRI study, we subliminally presented brand logos preceding intertemporal choices. We demonstrated that priming biased participants' preferences towards more immediate rewards in the subsequent temporal discounting task. This was associated with modulations of the neural encoding of subjective values of choice options in a network of brain regions, including but not restricted to medial prefrontal cortex. Our findings demonstrate the general susceptibility of the human decision making system to apparently incidental contextual information. We conclude that the brain incorporates seemingly unrelated value information that modifies decision making outside the decision-maker's awareness.

  13. Led into temptation? Rewarding brand logos bias the neural encoding of incidental economic decisions.

    Science.gov (United States)

    Murawski, Carsten; Harris, Philip G; Bode, Stefan; Domínguez D, Juan F; Egan, Gary F

    2012-01-01

    Human decision-making is driven by subjective values assigned to alternative choice options. These valuations are based on reward cues. It is unknown, however, whether complex reward cues, such as brand logos, may bias the neural encoding of subjective value in unrelated decisions. In this functional magnetic resonance imaging (fMRI) study, we subliminally presented brand logos preceding intertemporal choices. We demonstrated that priming biased participants' preferences towards more immediate rewards in the subsequent temporal discounting task. This was associated with modulations of the neural encoding of subjective values of choice options in a network of brain regions, including but not restricted to medial prefrontal cortex. Our findings demonstrate the general susceptibility of the human decision making system to apparently incidental contextual information. We conclude that the brain incorporates seemingly unrelated value information that modifies decision making outside the decision-maker's awareness.

  14. Influence of Incidental Discrete Emotions on Health Risk Perception and Persuasion.

    Science.gov (United States)

    Nan, Xiaoli

    2017-06-01

    This research examines the effects of two incidental discrete emotions-fear and anger-on health risk perception (i.e., perceived susceptibility to a health problem) and persuasion. In two experiments, fear and anger were induced before participants were exposed to a public service announcement that advocated sun protection behaviors to prevent skin cancer (Experiment 1) or flossing to prevent gum diseases (Experiment 2). It was found that fearful participants perceived greater susceptibility to the health risk than angry participants and those who were in a neutral affective state. Angry participants did not differ from those in a neutral affective state in terms of perceived susceptibility. There was mixed evidence that fear exerted an indirect effect on attitude toward the recommended health behavior and intention to perform the health behavior through health risk perception. Theoretical and practical implications of the findings are discussed.

  15. Incidentally Detected Inoperable Malignant Pheochromocytoma with Hepatic Metastasis Treated by Transcatheter Arterial Chemoembolization

    Directory of Open Access Journals (Sweden)

    Joong Keun Kim

    2014-12-01

    Full Text Available Malignant pheochromocytoma (PCC is a rare condition. Although the liver is the second most frequent site of metastasis in malignant PCC, no definite treatments have been established. Herein, we report a case of liver metastasis of PCC that was successfully treated by transcatheter arterial chemoembolization (TACE. A 69-year-old man was admitted to the Department of Gastroenterology for evaluation of an incidental hepatic mass in August 2013. He had undergone right adrenalectomy in May 2005 and PCC had been confirmed on the basis of histopathological findings. Liver biopsy was performed, and metastatic PCC was diagnosed. The lesion appeared inoperable because of invasion of the portal vein and metastases in the lymph nodes along the hepatoduodenal ligament. Thus, TACE was performed instead. After TACE, symptoms including dizziness and cold sweating improved, and the patient's serum catecholamine levels decreased. On the basis of this case, we believe that TACE may be a useful treatment for liver metastasis in malignant PCC.

  16. Intrauterine Devices Penetrated and Migrated: CT Findings

    International Nuclear Information System (INIS)

    Mejia Restrepo, Jorge; Lopez, Juan Esteban; Aldana Sepulveda, Natalia; Ruiz Zabaleta, Tania; Mazzaro Mauricio

    2011-01-01

    Intrauterine devices have been used for over 40 years, and they constitute the most widely accepted method of contraception among women because of the low rates of complications and low cost. Although uncommon, with the growing use of multidetector CT penetrated and migrated intrauterine devices have become a more common incidental finding. In some cases, intrauterine devices migrate to adjacent viscera, in particular the bladder and bowel and may give rise to symptoms. Consequently tomographic localization and characterization are essential for treatment planning.

  17. An Incidental Finding of AL-associated Amyloidosis Presenting as Gastric Ulcers

    Directory of Open Access Journals (Sweden)

    Nadia Huq

    2018-01-01

    Full Text Available Gastrointestinal tract amyloidosis has been reported in rare instances and related symptoms are usually nonspecific to the disease process. We present a patient who initially had melena on anticoagulation and endoscopy revealed a bleeding gastric ulcer. Hemostasis was achieved. The patient had a recurrence of symptoms despite being off anticoagulation months later and at that time repeat endoscopy showed multiple gastric ulcers with surrounding friable mucosa. Biopsy results were significant for light chain associated-amyloidosis. This case represents a rare cause of gastric ulcer.

  18. An Incidental Finding of Eisenmenger Syndrome in an Adult Following a Motor Vehicle Accident

    Science.gov (United States)

    2017-05-19

    an adult patient with an uncorrected defect. Case Presentation: A 39 year-old male with history of substance abuse was found unconscious after being...had a heart condition as a child , access-to-care barriers had prevented a definitive diagnosis or pediatric intervention, leaving the worsening...correction of congenital abnormalities during pennatal screening. Case Presentation 39 year-old male ",;th history of substance abuse found unconscious after

  19. [Primary intestinal parasitic fibroid, an incidental finding during gynecological laparoscopic surgery].

    Science.gov (United States)

    Alcalá-Alcalde, M M; Pantoja-Garrido, M; Frías-Sánchez, Z

    2016-09-01

    Uterine fibroids are the most frequent solid pelvic benign tumors in women. Their most common location is the uterine corpus, cervix and broad ligament but they can also be found in other areas, less commonly as extragenital locations and/or in a parasitic way. A 40 years old patient, who consulted for menorrhagia and dysmenorrhea on long evolution. On physical examination, the enlarged uterus, inflamated, hard consistency and normal mobility was identified. The sonographic features and location suggested a fibroid nodule type II (Wamsteker classification), which deformed the endometrial cavity. It was decided to perform the surgery and during the procedure the enlarged uterus, deformed at the expense of a localized fundal formation, like a intramural fibroid. By mobilizing the intestinal loops and change the position of the patient (Trendelenburg) a solid tumor, cranially separated from the internal genitals it was observed. In reviewing the insertion site, it was visualized that remained attached to antimesial of the jejunum. Total hysterectomy was performed with monopolar and bipolar energy, and vascular sealant. The postoperative was favorable, without complication. The pathological study reported a primary leiomyoma of the small intestine, while in the uterus of multiple myomas was confirmed. The parasitic fibroids are those located separately from the uterus that receive vascular irrigation from another organ or abdominopelvic structure. They are a very rare pathology. The diagnosis has made as an accidental event, during an abdominal surgery or during the differential diagnosis of a abdominopelvic tumor. The therapeutical choice depends on the clinical presentation, the location of the fibroid and the reproductive desires of the patient, most commonly recomending their surgycal removal.

  20. Incidental cone beam computed tomographic findings among Taibah University patients, KSA: A retrospective study

    Directory of Open Access Journals (Sweden)

    Ebtihal H. Zain-Alabdeen, MDS

    2017-04-01

    الاستنتاجات: تؤكد هذه الدراسة النسبة العالية لوجود التشخيصات العرضية الظاهرة في صور الأشعة المقطعية المخروطية في منطقة الوجه والفكين بين عينة من المرضى النساء في عيادات أسنان جامعة طيبة. وهذا يؤكد الحاجة إلى فحص دقيق لصور الأشعة المقطعية المخروطية لاكتشاف نتائج هامة سريريا داخل وخارج منطقة الاهتمام الأساسية, وذلك لصالح المرضى ولحماية الممارسين الصحيين.

  1. Incidental Finding of a Large Mobile Aortic Arch Mass during Conventional Angiography

    Directory of Open Access Journals (Sweden)

    Hassan Aghajani

    2018-02-01

    Full Text Available Thromboembolism occurs commonly in general practice and leads to significant health burden. Apart from cardiac sources, aortic atherosclerotic plaques contribute considerably to thromboembolism. A 63-year-old diabetic hypertensive woman referred to our center due to exertional chest pain unresponsive to optimal medical therapy and underwent coronary angiography. Owing to resistance during guide-wire advancement, an aortography was performed. Aortic arch injection demonstrated a large suspended mass distal to the left subclavian artery with free movement in the descending thoracic aorta. Echocardiography revealed widespread atherosclerotic changes in the aortic arch with a large hypermobile mass. Dual-source multi-slice (2 × 128:256 computed tomography angiography of the whole aorta revealed a large floating mass (in favor of a thrombus in the distal portion of the arch. The patient underwent coronary artery bypass grafting due to severe coronary artery disease. The intra-aortic mass, which was actually a large atherosclerotic plaque, was resected at the same session. She was discharged uneventfully and during a 1-year follow-up, she had no embolic events.

  2. Uncommon incidental 3D TOE findings: RA-LA clots within a PFO

    Directory of Open Access Journals (Sweden)

    IS Ramzy

    2013-01-01

    Full Text Available A 27 year old, Caucasian man was admitted to the hospital with sudden onset of sharp chest pain and breathlessness. He had left calf muscle swelling and redness two weeks before the recent presentation, which was treated by General Practitioner (GP with antibiotics. He has no past medical history of note. He never smoked or taken regular medication.

  3. Internal jugular phlebectasia as an incidental finding in cervical spine surgery

    Directory of Open Access Journals (Sweden)

    Thulasiraman V

    2010-01-01

    Full Text Available Idiopathic internal jugular phlebectasia, occurs either unilaterally or bilaterally affecting the internal jugular vein is a rare congenital variation often diagnosed during childhood. It usually presents with a benign swelling over the lateral side of neck on the affected side, seen on exertion. A-30-year old male was operated for anterior cervical dissectomy from right lateral approach and was diagnosed per-operatively as internal jugular phlebectasia.The surgery was abandoned at this stage on the advice of cardiothoracic surgeon to investigate the patient for the secondary etiological factors for internal jugular vein dilatation. The patient was reassured without any active intervention for the phlebectasia and cervical dissectomy was performed in the second surgery through the lateral approach from left side. This case is presented in view of rarity and suggested that during preoperative workup the nearby structures like carotid sheath should be evaluated by magnetic resonance imaging to avoid such per-operative surprises.

  4. Fifteen-minute consultation: The child with an incidental finding of low IgA.

    Science.gov (United States)

    Sullivan, Adrienne; Bland, Ruth M; Hague, Rosie

    2018-02-23

    Low or absent immunoglobulin A (IgA) levels are frequently found in children in whom immunodeficiency is not suspected. IgA deficiency is the most common primary immunodeficiency disorder in the UK affecting approximately 1 in 600 people. Isolated IgA deficiency is often identified coincidentally when investigating a child for conditions such as coeliac disease. The aim of this article is to provide a structured approach to the history, investigation and management of an isolated IgA deficiency. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  5. An Incidental Finding of Enlarged Genial Tubercles in a Case of Oral Carcinoma

    Directory of Open Access Journals (Sweden)

    S C Selvamuthukumar

    2010-01-01

    Full Text Available The genial tubercles are a group of bony extensions that surround the lingual foramen bilaterally in the midway between the superior and inferior borders of the lingual surface of the mandible. Enlargement of genial tubercle occurs very rarely due to hypertrophy. This article focuses on a rare case showing hypertrophy of the genial tubercles.

  6. Fifteen-minute consultation: The child with an incidental finding of elevated aminotransferases.

    Science.gov (United States)

    Hegarty, Robert; Dhawan, Anil

    2018-02-06

    It is not unusual to encounter abnormal liver enzyme levels on routine blood tests. When the abnormal elevation in aminotransferases persist, they require prompt and appropriate investigations as liver diseases in children are often insidious in onset and clinically silent. This article aims to provide (1) an explanation to the aetiologies of elevated aminotransferases; (2) an investigational approach to these children and (3) an insight into further investigations performed at a liver centre. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. Translocation of an Intrauterine Contraceptive Device: Incidental Finding in the Rectosigmoid Colon

    Directory of Open Access Journals (Sweden)

    R. Vilallonga

    2010-01-01

    Full Text Available The presence of an intrauterine device (IUD within the colon is rare. Complications have been reported with IUDs among which uterine perforation. Translocation of IUDs to the uterine cavity, to the bladder and also through the wall of the bowel, and sigmoid colon has been reported. We believe there may be a case that surgeons should know the result of despite being a priori gynaecological complication. This paper reports on a case of colon perforation by an IUD.

  8. Incidental Finding of Inferior Vena Cava Atresia Presenting with Deep Venous Thrombosis following Physical Exertion

    OpenAIRE

    Koppisetty, Shalini; Smith, Alton G.; Dhillon, Ravneet K.

    2015-01-01

    Inferior vena cava atresia (IVCA) is a rare but well described vascular anomaly. It is a rare risk factor for deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity (LE) DVT in patients

  9. Incidental findings of implant complications on postimplantation CBCTs: A cross-sectional study.

    Science.gov (United States)

    Clark, Danielle; Barbu, Horia; Lorean, Adi; Mijiritsky, Eitan; Levin, Liran

    2017-10-01

    Survival rates of dental implants are reported to be very high and seem to indicate minimal complications related to dental implants. The aim of this report was to evaluate in a cross-sectional study the prevalence of implant positioning complications as appears in postimplantation Cone-Beam Computerized Tomography (CBCT) in two of the major imaging facilities in Bucharest, Romania. Demographic and implant data was collected from two of the three main CBCT facilities in Bucharest, Romania. All postimplantation CBCT imaging were assessed and evaluated for the presence of different implant positioning related complications. Data were entered into Excel spreadsheet and analyzed statistically. Of the 2323 CBCT's that were analyzed, a total of 160 (6.89%) presented with implant positioning related complications. Out of those, 62 cases revealed penetration of the implant to adjacent anatomic structure. More specifically, there were 21 instances of sinus penetration, 19 instances of nasal cavity penetration, 9 instances of inferior alveolar canal penetration, and 13 instances of lingual plate perforations. There were also 15 cases of adjacent tooth injury noted. Despite the popularity of dental implants, the surgical placement of these implants is not a riskless procedure. Implant mal-positioning might be life-threatening and can lead to serious bleeding, airway obstruction, and unnecessary postoperative surgeries. Complications of dental implants are not obsolete and dental implant associated problems may not be apparent immediately. Surgeons must have proper training and use evidenced-based treatment planning in order to prevent dental implant complications. © 2017 Wiley Periodicals, Inc.

  10. Fitz‑Hugh‑Curtis syndrome: An incidental diagnostic finding in an ...

    African Journals Online (AJOL)

    2016-01-18

    Jan 18, 2016 ... at our gynecological clinic with a complaint of inability to conceive of 4 years duration after marriage to a new husband despite regular unprotected sexual intercourse. Prior to the second marriage, she had a confinement in. 2007 for the first husband, but they separated due to erectile dysfunction. She had a ...

  11. Fitz‑Hugh‑Curtis syndrome: An incidental diagnostic finding in an ...

    African Journals Online (AJOL)

    Her husband's semen analysis was within normal range. She had a hysterosalpingogram that showed bilateral tubal blockage and clinical assessment showed right sided abdominal tenderness, cervical excitation tenderness, and adnexa tenderness. The endocervical swab test for Chlamydia trachomatis was a positive.

  12. Mycoplasma hominis: an incidental but significant finding by routine bacteriological culture

    DEFF Research Database (Denmark)

    Gertsen, Jan Berg; Schønheyder, Henrik Carl

    2009-01-01

    Objectives: M. hominis is part of the normal mucosal flora and is primarily associated with infections in the genitourinary tract. Most infections occur following delivery or genitourinary instrumentation, but are also seen in immunocompromised patients. We present 4 cases diagnosed by routine ba...... Serum Institut, Copenhagen (by courtesy to Jørgen Skov). Results: The four patients were immunocompetent women (23-56 years of age) without significant comorbidity (Table). In all patients M. hominis were obtained in pure culture. At the time of diagnosis three patients had abscesses...

  13. Prevalence of pineal gland calcification as an incidental finding in patients referred for implant dental therapy

    Energy Technology Data Exchange (ETDEWEB)

    Mutalik, Sunil; Tadinade, Aditya [Section of Oral and Maxillofacial Radiology, School of Dental Medicine, University of Connecticut Health Center, Farmington (United States)

    2017-09-15

    Pineal gland calcification has been proposed to play a role in the pathogenesis of Alzheimer disease. This study evaluated the prevalence and extent of pineal gland calcification in cone-beam computed tomography (CBCT) scans of patients referred for dental implant therapy who could possibly be a vulnerable group for this condition. A retrospective evaluation of 500 CBCT scans was conducted. Scans that showed the area where the pineal gland was located were included. The scans were initially screened by a single observer to record the prevalence and extent of calcification. Six weeks following the completion of the study, another investigator randomly reviewed and selected 50 scans to investigate inter-observer variation, which was evaluated using reliability analysis statistics. The prevalence and measurements of the calcifications were reported using descriptive statistics. The chi-square test was used to compare the prevalence between males and females. The prevalence of pineal gland calcification was 58.8%. There was no statistically significant correlation between age and the extent of the calcification. The prevalence of calcification was 58.6% in females and 59.0% in males. The average anteroposterior measurement was 3.73±1.63 mm, while the average mediolateral measurement was 3.47±1.31 mm. The average total calcified area was 9.79±7.59 mm{sup 2}. The prevalence of pineal gland calcification was high in patients undergoing implant therapy. While not all pineal gland calcifications lead to neurodegenerative disorders, they should be strongly considered in the presence of any symptoms as a reason to initiate further investigations.

  14. Gastrointestinal stromal tumors as an incidental finding in patients with a presumptive diagnosis of ovarian cancer.

    Science.gov (United States)

    Muñoz, Mario; Ramirez, Pedro T; Echeverri, Carolina; Alvarez, Luis Guillermo; Palomino, Maria Alejandra; Pareja, Luis René

    2012-01-01

    To report the clinical presentation and oncologic outcomes of a series of patients who presented with an abdominal or pelvic mass and were diagnosed with a gastrointestinal stromal tumor (GIST). Data were obtained on all patients who presented with an abdominal or pelvic mass between September 2007 and June 2010 and who were ultimately diagnosed with a GIST. The patients' medical records were reviewed. A literature review was also conducted. Six patients were identified who met the inclusion criteria. All six patients had a tumor in the intestinal tract arising from the small bowel. The mean tumor size was 12 cm (range, 6 to 22 cm). A complete resection was achieved in five of the six patients. There were no intraoperative complications; one patient had a postoperative complication. Two patients were treated with imatinib after surgery. The mean follow-up time was 32 months (range, 0.3 to 40 months). At the last follow-up, five of the six patients were without any evidence of disease. One patient died of an unrelated hepatic encephalopathy. The incidence in our institution is 3%. GISTs are uncommon; however, they should be considered in the differential diagnosis of patients presenting with an abdominal or pelvic mass.

  15. Incidental solid renal mass in a cadaveric donor kidney

    Directory of Open Access Journals (Sweden)

    R M Meyyappan

    2012-01-01

    Full Text Available The number of patients living with end-stage renal disease (ESRD is increasing in our country and demand for renal grafts is ever increasing. Cadaver renal transplantation is being established as a viable supplement to live transplantation. We present a case where a mass lesion was encountered in the donor kidney from a cadaver. Enucleation of the lesion was done and we proceeded with the grafting. Histopathological examination showed a ′Renomedullary interstitial cell tumour′, a rare benign lesion. Post transplant, the renal function recovered well and the patient is asymptomatic. Such incidental renal masses present an ethical dilemma to the operating surgeon.

  16. Clinical value of renal images obtained incidentally to bone scintigraphy

    International Nuclear Information System (INIS)

    Ohishi, Y.; Machida, T.; Miki, M.; Kido, A.; Tanaka, A.

    1982-01-01

    Various studies were made on 400 renal (including 325 clinical cases) observed during whole-body bone scintigraphy using 99mTc-MDP. Asymmetrical renal images in bone scintigrams were obtained from 40% of the urologic patients and 7.5% of the nonurologic patients. Out of the asymmetrical images of the urologic patients, 50% provided nonvisualized kidneys and 35% showed unilateral renal high accumulation. It can be said from the above that renal images incidentally obtained during whole-body bone scintigraphy should not be overlooked

  17. 31 CFR 594.512 - Payment of taxes and incidental fees to the Palestinian Authority.

    Science.gov (United States)

    2010-07-01

    ....512 Payment of taxes and incidental fees to the Palestinian Authority. Effective April 12, 2006, U.S. persons are authorized to pay taxes or fees to, and purchase or receive permits or public utility services... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Payment of taxes and incidental fees...

  18. 31 CFR 595.510 - Payment of taxes and incidental fees to the Palestinian Authority.

    Science.gov (United States)

    2010-07-01

    ... Payment of taxes and incidental fees to the Palestinian Authority. Effective April 12, 2006, U.S. persons are authorized to pay taxes or fees to, and purchase or receive permits or public utility services... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Payment of taxes and incidental fees...

  19. Does the Freedom of Reader Choice Affect Second Language Incidental Vocabulary Acquisition?

    Science.gov (United States)

    Reynolds, Barry Lee; Bai, Yi Ling

    2013-01-01

    In this study, the effect of freedom of reader choice on the incidental acquisition of vocabulary was investigated in English as a Foreign Language (EFL) reading classes. Despite advocating free extensive reading as a means of obtaining a native-like L2 vocabulary,existing studies investigating the incidental acquisition of vocabulary have not…

  20. Incidental L2 Vocabulary Acquisition "from" and "while" Reading: An Eye-Tracking Study

    Science.gov (United States)

    Pellicer-Sánchez, Ana

    2016-01-01

    Previous studies have shown that reading is an important source of incidental second language (L2) vocabulary acquisition. However, we still do not have a clear picture of what happens when readers encounter unknown words. Combining offline (vocabulary tests) and online (eye-tracking) measures, the incidental acquisition of vocabulary knowledge…