WorldWideScience

Sample records for integrating patient generated

  1. Review of Variable Generation Integration Charges

    Energy Technology Data Exchange (ETDEWEB)

    Porter, K.; Fink, S.; Buckley, M.; Rogers, J.; Hodge, B. M.

    2013-03-01

    The growth of wind and solar generation in the United States, and the expectation of continued growth of these technologies, dictates that the future power system will be operated in a somewhat different manner because of increased variability and uncertainty. A small number of balancing authorities have attempted to determine an 'integration cost' to account for these changes to their current operating practices. Some balancing authorities directly charge wind and solar generators for integration charges, whereas others add integration charges to projected costs of wind and solar in integrated resource plans or in competitive solicitations for generation. This report reviews the balancing authorities that have calculated variable generation integration charges and broadly compares and contrasts the methodologies they used to determine their specific integration charges. The report also profiles each balancing authority and how they derived wind and solar integration charges.

  2. Steam-Generator Integrity Program/Steam-Generator Group Project

    International Nuclear Information System (INIS)

    1982-10-01

    The Steam Generator Integrity Program (SGIP) is a comprehensive effort addressing issues of nondestructive test (NDT) reliability, inservice inspection (ISI) requirements, and tube plugging criteria for PWR steam generators. In addition, the program has interactive research tasks relating primary side decontamination, secondary side cleaning, and proposed repair techniques to nondestructive inspectability and primary system integrity. The program has acquired a service degraded PWR steam generator for research purposes. This past year a research facility, the Steam Generator Examination Facility (SGEF), specifically designed for nondestructive and destructive examination tasks of the SGIP was completed. The Surry generator previously transported to the Hanford Reservation was then inserted into the SGEF. Nondestructive characterization of the generator from both primary and secondary sides has been initiated. Decontamination of the channelhead cold leg side was conducted. Radioactive field maps were established in the steam generator, at the generator surface and in the SGEF

  3. Generation of an integration-free induced pluripotent stem cell line (CSC-43 from a patient with sporadic Parkinson's disease

    Directory of Open Access Journals (Sweden)

    Ana Marote

    2018-03-01

    Full Text Available An induced pluripotent stem cell (iPSC line was generated from a 36-year-old patient with sporadic Parkinson's disease (PD. Skin fibroblasts were reprogrammed using the non-integrating Sendai virus technology to deliver OCT3/4, SOX2, c-MYC and KLF4 factors. The generated cell line (CSC-43 exhibits expression of common pluripotency markers, in vitro differentiation into three germ layers and normal karyotype. This iPSC line can be used to study the mechanisms underlying the development of PD.

  4. Steam generator tube integrity program

    International Nuclear Information System (INIS)

    Dierks, D.R.; Shack, W.J.; Muscara, J.

    1996-01-01

    A new research program on steam generator tubing degradation is being sponsored by the U.S. Nuclear Regulatory Commission (NRC) at Argonne National Laboratory. This program is intended to support a performance-based steam generator tube integrity rule. Critical areas addressed by the program include evaluation of the processes used for the in-service inspection of steam generator tubes and recommendations for improving the reliability and accuracy of inspections; validation and improvement of correlations for evaluating integrity and leakage of degraded steam generator tubes, and validation and improvement of correlations and models for predicting degradation in steam generator tubes as aging occurs. The studies will focus on mill-annealed Alloy 600 tubing, however, tests will also be performed on replacement materials such as thermally-treated Alloy 600 or 690. An overview of the technical work planned for the program is given

  5. Emission & Generation Resource Integrated Database (eGRID)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Emissions & Generation Resource Integrated Database (eGRID) is an integrated source of data on environmental characteristics of electric power generation....

  6. Generation of human-induced pluripotent stem cells from burn patient-derived skin fibroblasts using a non-integrative method.

    Science.gov (United States)

    Fu, Shangfeng; Ding, Jianwu; Liu, Dewu; Huang, Heping; Li, Min; Liu, Yang; Tu, Longxiang; Liu, Deming

    2018-01-01

    Patient specific induced pluripotent stem cells (iPSCs) have been recognized as a possible source of cells for skin tissue engineering. They have the potential to greatly benefit patients with large areas of burned skin or skin defects. However, the integration virus-based reprogramming method is associated with a high risk of genetic mutation and mouse embryonic fibroblast feeder-cells may be a pollutant. In the present study, human skin fibroblasts (HSFs) were successfully harvested from patients with burns and patient-specific iPSCs were generated using a non-integration method with a feeder-free approach. The octamer-binding transcription factor 4 (OCT4), sex-determining region Y box 2 (SOX2) and NANOG transcription factors were delivered using Sendai virus vectors. iPSCs exhibited representative human embryonic stem cell-like morphology and proliferation characteristics. They also expressed pluripotent markers, including OCT4, NANOG, SOX2, TRA181, stage-specific embryonic antigen 4 and TRA-160, and exhibited a normal karyotype. Teratoma and embryoid body formation revealed that iPSCs were able to differentiate into cells of all three germ layers in vitro and in vivo. The results of the present study demonstrate that HSFs derived from patients with burns, may be reprogrammed into stem cells with pluripotency, which provides a basis for cell‑based skin tissue engineering in the future.

  7. Generation of integration-free induced pluripotent stem cell line (NJMUi001-A) from a phenylketonuria patient.

    Science.gov (United States)

    Xu, Tianhui; Liang, Dong; Zhang, Jingjing; Ji, Xiuqing; Hu, Huanran; Sun, Yun; Jiang, Tao; Wang, Xia; Hu, Ping; Xu, Zhengfeng

    2017-12-01

    PKU is a prevalent type of inherited metabolic disease, caused by the defective phenylalanine metabolism. In most PKU cases, mutations in the PAH gene could be found. Dysfunction of this hepatic enzyme will lead to diverse clinical symptoms due to a failure in converting phenylalanine into tyrosine. Here, we report an integration-free human induced pluripotent stem cell line (NJMUi001-A) generated from peripheral blood mononuclear cells of a PKU patient by using Sendai virus. This iPS cell line has characteristics of pluripotent stem cells and can be used as a useful tool for the investigation of this inherited metabolic disease. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  8. LC Quadrature Generation in Integrated Circuits

    DEFF Research Database (Denmark)

    Christensen, Kåre Tais

    2001-01-01

    Today quadrature signals for IQ demodulation are provided through RC polyphase networks, quadrature oscillators or double frequency VCOs. This paper presents a new method for generating quadrature signals in integrated circuits using only inductors and capacitors. This LC quadrature generation...

  9. Wind Integration into Various Generation Mixtures

    NARCIS (Netherlands)

    Maddaloni, J.D.; Rowe, A.M.; Kooten, van G.C.

    2009-01-01

    A load balance model is used to quantify the economic and environmental effects of integrating wind power into three typical generation mixtures. System operating costs over a specified period are minimized by controlling the operating schedule of the existing power generating facilities for a range

  10. The Healthcare Future for the iGeneration: Integrating the Patient and the Healthcare System

    OpenAIRE

    Cathy H. Ficzere, PharmD, BCPS; Traci M. Poole, PharmD, BCACP; Rachel B. Franks, PharmD, BCACP; Elisa M. Greene, PharmD, BCACP; Kristina D. Wood, PharmD, BCACP; Philip E. Johnston, PharmD

    2013-01-01

    Objective: To propose a vision to integrate patients, their health-related data, and their wellness plans into the healthcare system using smartphone and tablet computer technology. Setting: Ambulatory care and community practice Practice Innovation: Utilization of smartphone and tablet computer technology to assess health care conditions, educate and involve patients, and facilitate seamless communication between the patient, electronic health record, pharmacy system, third-party p...

  11. Generation of integration-free induced pluripotent stem cell lines derived from two patients with X-linked Alport syndrome (XLAS).

    Science.gov (United States)

    Kuebler, Bernd; Aran, Begoña; Miquel-Serra, Laia; Muñoz, Yolanda; Ars, Elisabet; Bullich, Gemma; Furlano, Monica; Torra, Roser; Marti, Merce; Veiga, Anna; Raya, Angel

    2017-12-01

    Skin biopsies were obtained from two male patients with X-linked Alport syndrome (XLAS) with hemizygous COL4A5 mutations in exon 41 or exon 46. Dermal fibroblasts were extracted and reprogrammed by nucleofection with episomal plasmids carrying OCT3/4, SOX2, KLF4 LIN28, L-MYC and p53 shRNA. The generated induced Pluripotent Stem Cell (iPSC) lines AS-FiPS2-Ep6F-28 and AS-FiPS3-Ep6F-9 were free of genomically integrated reprogramming genes, had the specific mutations, a stable karyotype, expressed pluripotency markers and generated embryoid bodies which were differentiated towards the three germ layers in vitro. These iPSC lines offer a useful resource to study Alport syndrome pathomechanisms and drug testing. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  12. The Healthcare Future for the iGeneration: Integrating the Patient and the Healthcare System

    Directory of Open Access Journals (Sweden)

    Kristina D. Wood

    2013-01-01

    Full Text Available Objective: To propose a vision to integrate patients, their health-related data, and their wellness plans into the healthcare system using smartphone and tablet computer technology. Setting: Ambulatory care and community practice Practice Innovation: Utilization of smartphone and tablet computer technology to assess health care conditions, educate and involve patients, and facilitate seamless communication between the patient, electronic health record, pharmacy system, third-party payers, point-of-care testing, and all health-care providers. Main Outcome Measures: By providing integrated and customized information at the point of use, medication adherence and access to care will be increased and patients will engage in healthy behaviors more often resulting in an improved level of care for patients. Results: In the future, the authors believe if the vision is achieved, the health care system and patients will see improved health outcomes and more efficient utilization of the healthcare system. Conclusions: Our proposed use of technology provides an opportunity to empower patients to positively improve their own health which could be a vital advancement in health care, especially in the areas of medication adherence, improving access to care, and health behavior support. As pharmacists, we may also embrace technology opportunities to expand our roles as health care professionals as we continue to partner with patients and the health care team to improve outcomes.   Type: Idea Paper

  13. The Healthcare Future for the iGeneration: Integrating the Patient and the Healthcare System

    Directory of Open Access Journals (Sweden)

    Cathy H. Ficzere, PharmD, BCPS

    2013-01-01

    Full Text Available Objective: To propose a vision to integrate patients, their health-related data, and their wellness plans into the healthcare system using smartphone and tablet computer technology.Setting: Ambulatory care and community practicePractice Innovation: Utilization of smartphone and tablet computer technology to assess health care conditions, educate and involve patients, and facilitate seamless communication between the patient, electronic health record, pharmacy system, third-party payers, point-of-care testing, and all health-care providers.Main Outcome Measures: By providing integrated and customized information at the point of use, medication adherence and access to care will be increased and patients will engage in healthy behaviors more often resulting in an improved level of care for patients.Results: In the future, the authors believe if the vision is achieved, the health care system and patients will see improved health outcomes and more efficient utilization of the healthcare system.Conclusions: Our proposed use of technology provides an opportunity to empower patients to positively improve their own health which could be a vital advancement in health care, especially in the areas of medication adherence, improving access to care, and health behavior support. As pharmacists, we may also embrace technology opportunities to expand our roles as health care professionals as we continue to partner with patients and the health care team to improve outcomes.

  14. Personalized Hypertension Management Using Patient-Generated Health Data Integrated With Electronic Health Records (EMPOWER-H): Six-Month Pre-Post Study.

    Science.gov (United States)

    Lv, Nan; Xiao, Lan; Simmons, Martha L; Rosas, Lisa G; Chan, Albert; Entwistle, Martin

    2017-09-19

    EMPOWER-H (Engaging and Motivating Patients Online With Enhanced Resources-Hypertension) is a personalized-care model facilitating engagement in hypertension self-management utilizing an interactive Web-based disease management system integrated with the electronic health record. The model is designed to support timely patient-provider interaction by incorporating decision support technology to individualize care and provide personalized feedback for patients with chronic disease. Central to this process were patient-generated health data, including blood pressure (BP), weight, and lifestyle behaviors, which were uploaded using a smartphone. The aim of this study was to evaluate the program among patients within primary care already under management for hypertension and with uncontrolled BP. Using a 6-month pre-post design, outcome measures included office-measured and home-monitored BP, office-measured weight, intervention contacts, diet, physical activity, smoking, knowledge, and health-related quality of life. At 6 months, 55.9% of participants (N=149) achieved office BP goals (total intervention, behavioral, pharmaceutical contacts had significantly lower odds of achieving home BP goals but higher improvements in office BP (all Pmanagement. The experience gained in this study provides support for the feasibility and value of using carefully managed patient-generated health data in the day-to-day clinical management of patients with chronic conditions. A large-scale, real-world study to evaluate sustained effectiveness, cost-effectiveness, and scalability is warranted. ©Nan Lv, Lan Xiao, Martha L Simmons, Lisa G Rosas, Albert Chan, Martin Entwistle. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.09.2017.

  15. Status of steam generator tubing integrity at Jaslovske Bohunice NPP

    International Nuclear Information System (INIS)

    Cepcek, S.

    1997-01-01

    Steam generator represents one of the most important component of nuclear power plants. Especially, loss of tubing integrity of steam generators can lead to the primary coolant leak to secondary circuit and in worse cases to the unit shut down or to the PTS events occurrence. Therefore, to ensure the steam generator tubing integrity and the current knowledge about tube degradation propagation and development is of the highest importance. In this paper the present status of steam generator tubing integrity in operated NPP in Slovak Republic is presented

  16. Integrated Control for Small Power Wind Generator

    Directory of Open Access Journals (Sweden)

    Hongliang Liu

    2018-05-01

    Full Text Available The control strategies of the small power wind generator are usually divided into the maximum power point tracking (MPPT case, which requires the wind generator produce power as much as possible, and the power limited control (PLC case that demands the wind generator produce a power level following the load requirement. Integration of these two operating cases responding to flexible and sophisticated power demands is the main topic of this article. A small power wind generator including the sluggish mechanical dynamic phenomenon, which uses the permanent magnet synchronous generator, is introduced to validate different control methods integrating MPPT and PLC cases and based on hysteresis control. It is a matter of an indirect power control method derived from three direct methods following perturb and observe principle as well as from a look-up table. To analyze and compare the proposed power control methods, which are implemented into an emulator of a small power wind generator, a power demand profile is used. This profile is randomly generated based on measured rapid wind velocity data. Analyzing experimental results, from the power viewpoint, all proposed methods reveal steady-state error with big amount of peak resulting from the nature of perturb and observe.

  17. Generation of integration-free induced pluripotent stem cells (GZHMUi001-A by reprogramming peripheral blood mononuclear cells from a 47, XXX syndrome patient

    Directory of Open Access Journals (Sweden)

    Yuchang Chen

    2017-08-01

    Full Text Available 47, XXX syndrome is one of several sex-chromosomal aneuploidies, and it has an incidence of approximately 1/1000 in newborn females. Because of heterogeneity in X-inactivation, these patients may exhibit a variety of clinical symptoms. Here, we report the generation of an integration-free human induced pluripotent stem cell line (GZHMUi001-A by using Sendai virus to reprogram peripheral blood mononuclear cells from a 47, XXX syndrome patient with premature ovarian failure. This 47, XXX iPS cell line has characteristics of pluripotent stem cells and is a useful tool for the investigation of this X chromosome aneuploid disease.

  18. Generation of integration-free induced pluripotent stem cells (GZHMUi001-A) by reprogramming peripheral blood mononuclear cells from a 47, XXX syndrome patient.

    Science.gov (United States)

    Chen, Yuchang; Ou, Zhanhui; Song, Bing; Xian, Yexing; Ouyang, Shuming; Xie, Yuhuan; Xue, Yanting; Sun, Xiaofang

    2017-08-01

    47, XXX syndrome is one of several sex-chromosomal aneuploidies, and it has an incidence of approximately 1/1000 in newborn females. Because of heterogeneity in X-inactivation, these patients may exhibit a variety of clinical symptoms. Here, we report the generation of an integration-free human induced pluripotent stem cell line (GZHMUi001-A) by using Sendai virus to reprogram peripheral blood mononuclear cells from a 47, XXX syndrome patient with premature ovarian failure. This 47, XXX iPS cell line has characteristics of pluripotent stem cells and is a useful tool for the investigation of this X chromosome aneuploid disease. Copyright © 2017. Published by Elsevier B.V.

  19. Integrity Analysis of Damaged Steam Generator Tubes

    International Nuclear Information System (INIS)

    Stanic, D.

    1998-01-01

    Variety of degradation mechanisms affecting steam generator tubes makes steam generators as one of the critical components in the nuclear power plants. Depending of their nature, degradation mechanisms cause different types of damages. It requires performance of extensive integrity analysis in order to access various conditions of crack behavior under operating and accidental conditions. Development and application of advanced eddy current techniques for steam generator examination provide good characterization of found damages. Damage characteristics (shape, orientation and dimensions) may be defined and used for further evaluation of damage influence on tube integrity. In comparison with experimental and analytical methods, numerical methods are also efficient tools for integrity assessment. Application of finite element methods provides relatively simple modeling of different type of damages and simulation of various operating conditions. The stress and strain analysis may be performed for elastic and elasto-plastic state with good ability for visual presentation of results. Furthermore, the fracture mechanics parameters may be calculated. Results obtained by numerical analysis supplemented with experimental results are the base for definition of alternative plugging criteria which may significantly reduce the number of plugged tubes. (author)

  20. An Integrated Safety Assessment Methodology for Generation IV Nuclear Systems

    International Nuclear Information System (INIS)

    Leahy, Timothy J.

    2010-01-01

    The Generation IV International Forum (GIF) Risk and Safety Working Group (RSWG) was created to develop an effective approach for the safety of Generation IV advanced nuclear energy systems. Early work of the RSWG focused on defining a safety philosophy founded on lessons learned from current and prior generations of nuclear technologies, and on identifying technology characteristics that may help achieve Generation IV safety goals. More recent RSWG work has focused on the definition of an integrated safety assessment methodology for evaluating the safety of Generation IV systems. The methodology, tentatively called ISAM, is an integrated 'toolkit' consisting of analytical techniques that are available and matched to appropriate stages of Generation IV system concept development. The integrated methodology is intended to yield safety-related insights that help actively drive the evolving design throughout the technology development cycle, potentially resulting in enhanced safety, reduced costs, and shortened development time.

  1. Optimizing the method for generation of integration-free induced pluripotent stem cells from human peripheral blood.

    Science.gov (United States)

    Gu, Haihui; Huang, Xia; Xu, Jing; Song, Lili; Liu, Shuping; Zhang, Xiao-Bing; Yuan, Weiping; Li, Yanxin

    2018-06-15

    Generation of induced pluripotent stem cells (iPSCs) from human peripheral blood provides a convenient and low-invasive way to obtain patient-specific iPSCs. The episomal vector is one of the best approaches for reprogramming somatic cells to pluripotent status because of its simplicity and affordability. However, the efficiency of episomal vector reprogramming of adult peripheral blood cells is relatively low compared with cord blood and bone marrow cells. In the present study, integration-free human iPSCs derived from peripheral blood were established via episomal technology. We optimized mononuclear cell isolation and cultivation, episomal vector promoters, and a combination of transcriptional factors to improve reprogramming efficiency. Here, we improved the generation efficiency of integration-free iPSCs from human peripheral blood mononuclear cells by optimizing the method of isolating mononuclear cells from peripheral blood, by modifying the integration of culture medium, and by adjusting the duration of culture time and the combination of different episomal vectors. With this optimized protocol, a valuable asset for banking patient-specific iPSCs has been established.

  2. Generation of iPS cell lines from schizophrenia patients using a non-integrative method

    Directory of Open Access Journals (Sweden)

    Jaroslaw Sochacki

    2016-07-01

    Full Text Available Skin biopsies were collected from three male patients (age 45, 44 and 44 with clinically diagnosed schizophrenia. The patients were diagnosed according to DSM-5 criteria by a trained psychiatrist. Dermal fibroblast cell lines were established and expanded for subsequent reprogramming procedures. Induced pluripotent stem (iPS cells were derived using the integration-free CytoTune®-iPS 2.0 Sendai Reprogramming Kit, containing Sendai virus particles of the four Yamanaka factors Oct3/4, Sox2, Klf4 and c-Myc.

  3. Integrated Free-Piston Generators: An Overview

    Energy Technology Data Exchange (ETDEWEB)

    Arshad, Waqas M.; Thelin, Peter; Sadarangani, Chandur [Royal Inst. of Tech., Stockholm (Sweden). Dept. of Electrical Machines and Power Electronics; Baeckstroem, Thomas [ABB Group Services-Corporate Research, Vaesteraas (Sweden)

    2002-08-01

    The free-piston generator is an energy conversion device that integrates a combustion engine and an electrical generator into a single unit. Thereby the intermediary crankshaft stage present in conventional hybrid topologies is eliminated. This has benefits in efficiency, weight reduction, robustness, variable compression operation and multi-fuel possibilities. This paper presents the free-piston generator concepts, along with the expected benefits and drawbacks. A literature survey is provided. Results from a simplified combustion modeling process are presented in terms of piston motion profiles. These have implications upon the dimensioning and selection of an appropriate electrical machine. Specifications for the electrical machine are outlined. Some distinct electrical machine solutions are presented and discussed. An application of the free-piston generator in a series hybrid vehicle is also proposed.

  4. Optimal Solar PV Arrays Integration for Distributed Generation

    Energy Technology Data Exchange (ETDEWEB)

    Omitaomu, Olufemi A [ORNL; Li, Xueping [University of Tennessee, Knoxville (UTK)

    2012-01-01

    Solar photovoltaic (PV) systems hold great potential for distributed energy generation by installing PV panels on rooftops of residential and commercial buildings. Yet challenges arise along with the variability and non-dispatchability of the PV systems that affect the stability of the grid and the economics of the PV system. This paper investigates the integration of PV arrays for distributed generation applications by identifying a combination of buildings that will maximize solar energy output and minimize system variability. Particularly, we propose mean-variance optimization models to choose suitable rooftops for PV integration based on Markowitz mean-variance portfolio selection model. We further introduce quantity and cardinality constraints to result in a mixed integer quadratic programming problem. Case studies based on real data are presented. An efficient frontier is obtained for sample data that allows decision makers to choose a desired solar energy generation level with a comfortable variability tolerance level. Sensitivity analysis is conducted to show the tradeoffs between solar PV energy generation potential and variability.

  5. A framework for different levels of integration of computational models into web-based virtual patients.

    Science.gov (United States)

    Kononowicz, Andrzej A; Narracott, Andrew J; Manini, Simone; Bayley, Martin J; Lawford, Patricia V; McCormack, Keith; Zary, Nabil

    2014-01-23

    Virtual patients are increasingly common tools used in health care education to foster learning of clinical reasoning skills. One potential way to expand their functionality is to augment virtual patients' interactivity by enriching them with computational models of physiological and pathological processes. The primary goal of this paper was to propose a conceptual framework for the integration of computational models within virtual patients, with particular focus on (1) characteristics to be addressed while preparing the integration, (2) the extent of the integration, (3) strategies to achieve integration, and (4) methods for evaluating the feasibility of integration. An additional goal was to pilot the first investigation of changing framework variables on altering perceptions of integration. The framework was constructed using an iterative process informed by Soft System Methodology. The Virtual Physiological Human (VPH) initiative has been used as a source of new computational models. The technical challenges associated with development of virtual patients enhanced by computational models are discussed from the perspectives of a number of different stakeholders. Concrete design and evaluation steps are discussed in the context of an exemplar virtual patient employing the results of the VPH ARCH project, as well as improvements for future iterations. The proposed framework consists of four main elements. The first element is a list of feasibility features characterizing the integration process from three perspectives: the computational modelling researcher, the health care educationalist, and the virtual patient system developer. The second element included three integration levels: basic, where a single set of simulation outcomes is generated for specific nodes in the activity graph; intermediate, involving pre-generation of simulation datasets over a range of input parameters; advanced, including dynamic solution of the model. The third element is the

  6. Steam generator tube integrity program: Phase II, Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kurtz, R.J.; Bickford, R.L.; Clark, R.A.; Morris, C.J.; Simonen, F.A.; Wheeler, K.R.

    1988-08-01

    The Steam Generator Tube Integrity Program (SGTIP) was a three phase program conducted for the US Nuclear Regulatory Commission (NRC) by Pacific Northwest Laboratory (PNL). The first phase involved burst and collapse testing of typical steam generator tubing with machined defects. The second phase of the SGTIP continued the integrity testing work of Phase I, but tube specimens were degraded by chemical means rather than machining methods. The third phase of the program used a removed-from-service steam generator as a test bed for investigating the reliability and effectiveness of in-service nondestructive eddy-current inspection methods and as a source of service degraded tubes for validating the Phase I and Phase II data on tube integrity. This report describes the results of Phase II of the SGTIP. The object of this effort included burst and collapse testing of chemically defected pressurized water reactor (PWR) steam generator tubing to validate empirical equations of remaining tube integrity developed during Phase I. Three types of defect geometries were investigated: stress corrosion cracking (SCC), uniform thinning and elliptical wastage. In addition, a review of the publicly available leak rate data for steam generator tubes with axial and circumferential SCC and a comparison with an analytical leak rate model is presented. Lastly, nondestructive eddy-current (EC) measurements to determine accuracy of defect depth sizing using conventional and alternate standards is described. To supplement the laboratory EC data and obtain an estimate of EC capability to detect and size SCC, a mini-round robin test utilizing several firms that routinely perform in-service inspections was conducted.

  7. Steam generator tube integrity program: Phase II, Final report

    International Nuclear Information System (INIS)

    Kurtz, R.J.; Bickford, R.L.; Clark, R.A.; Morris, C.J.; Simonen, F.A.; Wheeler, K.R.

    1988-08-01

    The Steam Generator Tube Integrity Program (SGTIP) was a three phase program conducted for the US Nuclear Regulatory Commission (NRC) by Pacific Northwest Laboratory (PNL). The first phase involved burst and collapse testing of typical steam generator tubing with machined defects. The second phase of the SGTIP continued the integrity testing work of Phase I, but tube specimens were degraded by chemical means rather than machining methods. The third phase of the program used a removed-from-service steam generator as a test bed for investigating the reliability and effectiveness of in-service nondestructive eddy-current inspection methods and as a source of service degraded tubes for validating the Phase I and Phase II data on tube integrity. This report describes the results of Phase II of the SGTIP. The object of this effort included burst and collapse testing of chemically defected pressurized water reactor (PWR) steam generator tubing to validate empirical equations of remaining tube integrity developed during Phase I. Three types of defect geometries were investigated: stress corrosion cracking (SCC), uniform thinning and elliptical wastage. In addition, a review of the publicly available leak rate data for steam generator tubes with axial and circumferential SCC and a comparison with an analytical leak rate model is presented. Lastly, nondestructive eddy-current (EC) measurements to determine accuracy of defect depth sizing using conventional and alternate standards is described. To supplement the laboratory EC data and obtain an estimate of EC capability to detect and size SCC, a mini-round robin test utilizing several firms that routinely perform in-service inspections was conducted

  8. Generation of Induced Pluripotent Stem Cells from Frozen Buffy Coats using Non-integrating Episomal Plasmids.

    Science.gov (United States)

    Meraviglia, Viviana; Zanon, Alessandra; Lavdas, Alexandros A; Schwienbacher, Christine; Silipigni, Rosamaria; Di Segni, Marina; Chen, Huei-Sheng Vincent; Pramstaller, Peter P; Hicks, Andrew A; Rossini, Alessandra

    2015-06-05

    Somatic cells can be reprogrammed into induced pluripotent stem cells (iPSCs) by forcing the expression of four transcription factors (Oct-4, Sox-2, Klf-4, and c-Myc), typically expressed by human embryonic stem cells (hESCs). Due to their similarity with hESCs, iPSCs have become an important tool for potential patient-specific regenerative medicine, avoiding ethical issues associated with hESCs. In order to obtain cells suitable for clinical application, transgene-free iPSCs need to be generated to avoid transgene reactivation, altered gene expression and misguided differentiation. Moreover, a highly efficient and inexpensive reprogramming method is necessary to derive sufficient iPSCs for therapeutic purposes. Given this need, an efficient non-integrating episomal plasmid approach is the preferable choice for iPSC derivation. Currently the most common cell type used for reprogramming purposes are fibroblasts, the isolation of which requires tissue biopsy, an invasive surgical procedure for the patient. Therefore, human peripheral blood represents the most accessible and least invasive tissue for iPSC generation. In this study, a cost-effective and viral-free protocol using non-integrating episomal plasmids is reported for the generation of iPSCs from human peripheral blood mononuclear cells (PBMNCs) obtained from frozen buffy coats after whole blood centrifugation and without density gradient separation.

  9. Effects of further integration of distributed generation on the electricity market

    NARCIS (Netherlands)

    Frunt, J.; Kling, W.L.; Myrzik, J.M.A.; Nobel, Frank; Klaar, D.A.M.

    2006-01-01

    Environmental concern leads to legislation to stimulate the further integration of renewable energy in the Dutch electricity supply system. Distributed generation is suited for the integration of renewable energy sources. Furthermore it can be used to generate both heat and electricity in a more

  10. Distributed Storage Inverter and Legacy Generator Integration Plus Renewables Solution for Microgrids

    Science.gov (United States)

    2015-07-01

    inverter (advantage of short term storage) and enables microgrid upgrade of legacy generator assets (integration of inverter and generator controllers ...today. The storage inverter controls and hardware are also leveraged to provide an islanding inverter ( microgrid compatibility) for renewable...transiently rated inverters, integration with legacy generator controls , and microgrid compatible inverters for PV. Key system design drivers are lowering

  11. Mass generation in perturbed massless integrable models

    International Nuclear Information System (INIS)

    Controzzi, D.; Mussardo, G.

    2005-01-01

    We extend form-factor perturbation theory to non-integrable deformations of massless integrable models, in order to address the problem of mass generation in such systems. With respect to the standard renormalisation group analysis this approach is more suitable for studying the particle content of the perturbed theory. Analogously to the massive case, interesting information can be obtained already at first order, such as the identification of the operators which create a mass gap and those which induce the confinement of the massless particles in the perturbed theory

  12. Steam generator tube integrity requirements and operating experience in the United States

    International Nuclear Information System (INIS)

    Karwoski, K.J.

    2009-01-01

    Steam generator tube integrity is important to the safe operation of pressurized-water reactors. For ensuring tube integrity, the U.S. Nuclear Regulatory Commission uses a regulatory framework that is largely performance based. This performance-based framework is supplemented with some prescriptive requirements. The framework recognizes that there are three combinations of tube materials and heat treatments currently used in the United States and that the operating experience depends, in part, on the type of material used. This paper summarizes the regulatory framework for ensuring steam generator tube integrity, it highlights the current status of steam generators, and it highlights some of the steam generator issues and challenges that exist in the United States. (author)

  13. Strategy for assessment of WWER steam generator tube integrity. Report prepared within the framework of the coordinated research project on verification of WWER steam generator tube integrity

    International Nuclear Information System (INIS)

    2007-12-01

    Steam generator heat exchanger tube degradations happen in WWER Nuclear Power Plant (NPP). The situation varies from country to country and from NPP to NPP. More severe degradation is observed in WWER-1000 NPPs than in case of WWER-440s. The reasons for these differences could be, among others, differences in heat exchanger tube material (chemical composition, microstructure, residual stresses), in thermal and mechanical loadings, as well as differences in water chemistry. However, WWER steam generators had not been designed for eddy current testing which is the usual testing method in steam generators of western PWRs. Moreover, their supplier provided neither adequate methodology and criteria nor equipment for planning and implementing In-Service Inspection (ISI). Consequently, WWER steam generator ISI infrastructure was established with delay. Even today, there are still big differences in the eddy current inspection strategy and practice as well as in the approach to steam generator heat exchanger tube structural integrity assessment (plugging criteria for defective tubes vary from 40 to 90% wall thickness degradation). Recognizing this situation, the WWER operating countries expressed their need for a joint effort to develop methodology to establish reasonable commonly accepted integrity assessment criteria for the heat exchanger tubes. The IAEA's programme related to steam generator life management is embedded into the systematic activity of its Technical Working Group on Life Management of Nuclear Power Plants (TWG-LMNPP). Under the advice of the TWG-LMNPP, an IAEA coordinated research project (CRP) on Verification of WWER Steam Generator Tube Integrity was launched in 2001. It was completed in 2005. Thirteen organizations involved in in-service inspection of steam generators in WWER operating countries participated: Croatia, Czech Republic, Finland, France, Hungary, Russian Federation, Slovakia, Spain, Ukraine, and the USA. The overall objective was to

  14. Some aspects affecting fast reactor steam generator integrity considered from a utility viewpoint

    Energy Technology Data Exchange (ETDEWEB)

    Bolt, P R

    1975-07-01

    The important conditions affecting fast reactor steam generator integrity are discussed. In addition to the need for high integrity levels when the steam generator is first delivered to the power station site, the equally important aspect of demonstrating retention of continued high levels of integrity throughout the operating life of the station is described. The functional and related conditions that are believed important to the selection of a design type which can offer adequately high levels of integrity are given. Some of the data needs of a utility concerned with fast reactor S.G.U. design assessment are described, particular emphasis being given to areas believed to have a significant effect on steam generator reliability and integrity. (author)

  15. Two Integrator Loop Filters: Generation Using NAM Expansion and Review

    Directory of Open Access Journals (Sweden)

    Ahmed M. Soliman

    2010-01-01

    Full Text Available Systematic synthesis method to generate a family of two integrator loop filters based on nodal admittance matrix (NAM expansion is given. Eight equivalent circuits are obtained; six of them are new. Each of the generated circuits uses two grounded capacitors and employs two current conveyors (CCII or two inverting current conveyors (ICCII or a combination of both. The NAM expansion is also used to generate eight equivalent grounded passive elements two integrator loop filters using differential voltage current conveyor (DVCC; six of them are new. Changing the input port of excitation, two new families of eight unity gain lowpass filter circuits each using two CCII or ICCII or combination of both or two DVCC are obtained.

  16. Steam generator tube integrity program. Phase I report

    International Nuclear Information System (INIS)

    Alzheimer, J.M.; Clark, R.A.; Morris, C.J.; Vagins, M.

    1979-09-01

    The results are presented of the pressure tests performed as part of Phase I of the Steam Generator Tube Integrity (SGTI) program at Battelle Pacific Northwest Laboratory. These tests were performed to establish margin-to-failure predictions for mechanically defected Pressurized Water Reactor (PWR) steam generator tubing under operating and accident conditions. Defect geometries tested were selected because they simulate known or expected defects in PWR steam generators. These defect geometries are Electric Discharge Machining (EDM) slots, elliptical wastage, elliptical wastage plus through-wall slot, uniform thinning, denting, denting plus uniform thinning, and denting plus elliptical wastage. All defects were placed in tubing representative of that currently used in PWR steam generators

  17. Steam Generator Tube Integrity Program: Surry Steam Generator Project, Hanford site, Richland, Benton County, Washington: Environmental assessment

    International Nuclear Information System (INIS)

    1980-03-01

    The US Nuclear Regulatory Commission (NRC) has placed a Nuclear Regulatory Research Order with the Richland Operations Office of the US Department of Energy (DOE) for expanded investigations at the DOE Pacific Northwest Laboratory (PNL) related to defective pressurized water reactor (PWR) steam generator tubing. This program, the Steam Generator Tube Integrity (SGTI) program, is sponsored by the Metallurgy and Materials Research Branch of the NRC Division of Reactor Safety Research. This research and testing program includes an additional task requiring extensive investigation of a degraded, out-of-service steam generator from a commercial nuclear power plant. This comprehensive testing program on an out-of-service generator will provide NRC with timely and valuable information related to pressurized water reactor primary system integrity and degradation with time. This report presents the environmental assessment of the removal, transport, and testing of the steam generator along with decontamination/decommissioning plans

  18. On Generating Discrete Integrable Systems via Lie Algebras and Commutator Equations

    International Nuclear Information System (INIS)

    Zhang Yu-Feng; Tam, Honwah

    2016-01-01

    In the paper, we introduce the Lie algebras and the commutator equations to rewrite the Tu-d scheme for generating discrete integrable systems regularly. By the approach the various loop algebras of the Lie algebra A_1 are defined so that the well-known Toda hierarchy and a novel discrete integrable system are obtained, respectively. A reduction of the later hierarchy is just right the famous Ablowitz–Ladik hierarchy. Finally, via two different enlarging Lie algebras of the Lie algebra A_1, we derive two resulting differential-difference integrable couplings of the Toda hierarchy, of course, they are all various discrete expanding integrable models of the Toda hierarchy. When the introduced spectral matrices are higher degrees, the way presented in the paper is more convenient to generate discrete integrable equations than the Tu-d scheme by using the software Maple. (paper)

  19. Computer generation of integrands for Feynman parametric integrals

    International Nuclear Information System (INIS)

    Cvitanovic, Predrag

    1973-01-01

    TECO text editing language, available on PDP-10 computers, is used for the generation and simplification of Feynman integrals. This example shows that TECO can be a useful computational tool in complicated calculations where similar algebraic structures recur many times

  20. Integrative medicine and patient-centered care.

    Science.gov (United States)

    Maizes, Victoria; Rakel, David; Niemiec, Catherine

    2009-01-01

    Integrative medicine has emerged as a potential solution to the American healthcare crisis. It provides care that is patient centered, healing oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine. Initially driven by consumer demand, the attention integrative medicine places on understanding whole persons and assisting with lifestyle change is now being recognized as a strategy to address the epidemic of chronic diseases bankrupting our economy. This paper defines integrative medicine and its principles, describes the history of complementary and alternative medicine (CAM) in American healthcare, and discusses the current state and desired future of integrative medical practice. The importance of patient-centered care, patient empowerment, behavior change, continuity of care, outcomes research, and the challenges to successful integration are discussed. The authors suggest a model for an integrative healthcare system grounded in team-based care. A primary health partner who knows the patient well, is able to addresses mind, body, and spiritual needs, and coordinates care with the help of a team of practitioners is at the centerpiece. Collectively, the team can meet all the health needs of the particular patient and forms the patient-centered medical home. The paper culminates with 10 recommendations directed to key actors to facilitate the systemic changes needed for a functional healthcare delivery system. Recommendations include creating financial incentives aligned with health promotion and prevention. Insurers are requested to consider the total costs of care, the potential cost effectiveness of lifestyle approaches and CAM modalities, and the value of longer office visits to develop a therapeutic relationship and stimulate behavioral change. Outcomes research to track the effectiveness of integrative models must be funded, as well as feedback and dissemination strategies

  1. Emerging uses of patient generated health data in clinical research.

    Science.gov (United States)

    Wood, William A; Bennett, Antonia V; Basch, Ethan

    2015-05-01

    Recent advancements in consumer directed personal computing technology have led to the generation of biomedically-relevant data streams with potential health applications. This has catalyzed international interest in Patient Generated Health Data (PGHD), defined as "health-related data - including health history, symptoms, biometric data, treatment history, lifestyle choices, and other information-created, recorded, gathered, or inferred by or from patients or their designees (i.e. care partners or those who assist them) to help address a health concern."(Shapiro et al., 2012) PGHD offers several opportunities to improve the efficiency and output of clinical trials, particularly within oncology. These range from using PGHD to understand mechanisms of action of therapeutic strategies, to understanding and predicting treatment-related toxicity, to designing interventions to improve adherence and clinical outcomes. To facilitate the optimal use of PGHD, methodological research around considerations related to feasibility, validation, measure selection, and modeling of PGHD streams is needed. With successful integration, PGHD can catalyze the application of "big data" to cancer clinical research, creating both "n of 1" and population-level observations, and generating new insights into the nature of health and disease. Copyright © 2014 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.

  2. Expectations for the next generation of electronic patient records in primary care: a triangulated study

    Directory of Open Access Journals (Sweden)

    Tom Christensen

    2008-05-01

    Conclusions Progress toward a problem-oriented EPR system based on episodes of care that includes decision support is necessary to satisfy the needs expressed by GPs. Further research could solve the problem of integration of functionality for consultation with specialists and integration with patient held records. Results from this study could contribute to further development of the next generation of EPRs in primary care, as well as inspire the application of EPRs in other parts of the health sector.

  3. Integration of Renewable Generation in Power System Defence Plans

    DEFF Research Database (Denmark)

    Das, Kaushik

    Increasing levels of penetration of wind power and other renewable generations in European power systems pose challenges to power system security. The power system operators are continuously challenged especially when generations from renewables are high thereby reducing online capacity of conven......Increasing levels of penetration of wind power and other renewable generations in European power systems pose challenges to power system security. The power system operators are continuously challenged especially when generations from renewables are high thereby reducing online capacity......, one of them being the North East area with high share of wind power generation.The aim of this study is to investigate how renewable generations like wind power can contribute to the power system defence plans. This PhD project “Integration of Renewable Generation in Power System Defence Plans...

  4. New generation nuclear power units of PWR type integral reactors

    International Nuclear Information System (INIS)

    Mitenkov, F.M.; Kurachen Kov, A.V.; Malamud, V.A.; Panov, Yu.K.; Runov, B.I.; Flerov, L.N.

    1997-01-01

    Design bases of new generation nuclear power units (nuclear power plants - NPP, nuclear co-generation plants - NCP, nuclear distract heating plants - NDHP), using integral type PWPS, developed in OKBM, Nizhny Novgorod and trends of design decisions optimization are considered in this report. The problems of diagnostics, servicing and repair of the integral reactor components in course of operation are discussed. The results of safety analysis, including the problems of several accident localization with postulated core melting and keeping corium in the reactor vessel and guard vessel are presented. Information on experimental substantiation of the suggested plant design decisions is presented. (author)

  5. Mass Market Demand Response and Variable Generation Integration Issues: A Scoping Study

    Energy Technology Data Exchange (ETDEWEB)

    Cappers, Peter; Mills, Andrew; Goldman, Charles; Wiser, Ryan; Eto, Joseph H.

    2011-09-10

    This scoping study focuses on the policy issues inherent in the claims made by some Smart Grid proponents that the demand response potential of mass market customers which is enabled by widespread implementation of Advanced Metering Infrastructure (AMI) through the Smart Grid could be the “silver bullet” for mitigating variable generation integration issues. In terms of approach, we will: identify key issues associated with integrating large amounts of variable generation into the bulk power system; identify demand response opportunities made more readily available to mass market customers through widespread deployment of AMI systems and how they can affect the bulk power system; assess the extent to which these mass market Demand Response (DR) opportunities can mitigate Variable Generation (VG) integration issues in the near-term and what electricity market structures and regulatory practices could be changed to further expand the ability for DR to mitigate VG integration issues over the long term; and provide a qualitative comparison of DR and other approaches to mitigate VG integration issues.

  6. Design study on steam generator integration into the VVER reactor pressure vessel

    International Nuclear Information System (INIS)

    Hort, J.; Matal, O.

    2004-01-01

    The primary circuit of VVER (PWR) units is arranged into loops where the heat generated by the reactor is removed by means of main circulating pumps, loop pipelines and steam generators, all located outside the reactor pressure vessel. If the primary circuit and reactor core were integrated into one pressure vessel, as proposed, e.g., within the IRIS project (WEC), a LOCA situation would be limited by the reactor pressure vessel integrity only. The aim of this design study regarding the integration of the steam generator into the reactor pressure vessel was to identify the feasibility limits and some issues. Fuel elements and the reactor pressure vessel as used in the Temelin NPP were considered for the analysis. From among the variants analyzed, the variant with steam generators located above the core and vertically oriented circulating pumps at the RPV lower bottom seems to be very promising for future applications

  7. ANL/CANTIA code for steam generator tube integrity assessment

    International Nuclear Information System (INIS)

    Revankar, S.T.; Wolf, B.; Majumdar, S.; Riznic, J.R.

    2009-01-01

    Steam generator (SG) tubes have an important safety role in CANDU type reactors and Pressurized Water Reactors (PWR) because they constitute one of the primary barriers between the radioactive and non-radioactive sides of the nuclear plant. The SG tubes are susceptible to corrosion and damage. A failure of a single steam generator tube, or even a few tubes, would not be a serious safety-related event in a CANDU reactor. The leakage from a ruptured tube is within makeup capacity of the primary heat transport system, so that as long as the operator takes the correct actions, the off-site consequences will be negligible. A sufficient safety margin against tube rupture used to be the basis for a variety of maintenance strategies developed to maintain a suitable level of plant safety and reliability. Several through-wall flaws may remain in operation and potentially contribute to the total primary-to-secondary leak rate. Assessment of the conditional probabilities of tube failures, leak rates, and ultimately risk of exceeding licensing dose limits has been used for steam generator tube fitness-for-service assessment. The advantage of this type of analysis is that it avoids the excessive conservatism typically present in deterministic methodologies. However, it requires considerable effort and expense to develop all of the failure, leakage, probability of detection, and flaw growth distributions and models necessary to obtain meaningful results from a probabilistic model. The Canadian Nuclear Safety Commission (CNSC) recently developed the CANTIA methodology for probabilistic assessment of inspection strategies for steam generator tubes as a direct effect on the probability of tube failure and primary-to-secondary leak rate Recently Argonne National Laboratory has developed tube integrity and leak rate models under Integrated Steam Generator Tube Integrity Program (ISGTIP-2). These models have been incorporated in the ANL/CANTIA code. This paper presents the ANL

  8. Psychological aspects of patients with intestinal stoma: integrative review

    Directory of Open Access Journals (Sweden)

    Natália Michelato Silva

    2017-12-01

    Full Text Available ABSTRACT Objective: to analyze evidences of psychological aspects of patients with intestinal stoma. Method: integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results: after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion: it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.

  9. Integration issues of distributed generation in distribution grids

    NARCIS (Netherlands)

    Coster, E.J.; Myrzik, J.M.A.; Kruimer, B.; Kling, W.L.

    2011-01-01

    In today’s distribution grids the number of distributed generation (DG) units is increasing rapidly. Combined heat and power (CHP) plants and wind turbines are most often installed. Integration of these DG units into the distribution grid leads to planning as well as operational challenges. Based on

  10. From Modules to a Generator: An Integrated Heat Exchanger Concept for Car Applications of a Thermoelectric Generator

    Science.gov (United States)

    Bosch, Henry

    2016-03-01

    A heat exchanger concept for a thermoelectric generator with integrated planar modules for passenger car applications is introduced. The module housings, made of deep drawn stainless steel sheet metal, are brazed onto the exhaust gas channel to achieve an optimal heat transfer on the hot side of the modules. The cooling side consists of winding fluid channels, which are mounted directly onto the cold side of the modules. Only a thin foil separates the cooling media from the modules for an almost direct heat contact on the cooling side. Thermoelectric generators with up to 20 modules made of PbTe and Bi2Te3, respectively, are manufactured and tested on a hot gas generator to investigate electrical power output and performance of the thermoelectric generator. The proof of concept of the light weight heat exchanger design made of sheet metal with integrated modules is positively accomplished.

  11. Thermal-hydraulic study of integrated steam generator in PWR

    International Nuclear Information System (INIS)

    Osakabe, Masahiro

    1989-01-01

    One of the safety aspects of innovative reactor concepts is the integration of steam generators (SGs) into the reactor vessel in the case of the pressurized water reactor (PWR). All of the reactor system components including the pressurizer are within the reactor vessel in the SG integrated PWR. The simple heat transfer code was developed for the parametric study of the integrated SG. The code was compared to the once-through 19-tube SG experiment and the good agreement between the experimental results and the code predictions was obtained. The assessed code was used for the parametric study of the integrated once-through 16 m-straight-tube SG installed in the annular downcomer. The proposed integrated SG as a first attempt has approximately the same tube size and pitch as the present PWR and the SG primary and secondary sides in the present PWR is inverted in the integrated PWR. Based on the study, the reactor vessel size of the SG integrated PWR was calculated. (author)

  12. Four New Applications of Second-Order Generalized Integrator Quadrature Signal Generator

    DEFF Research Database (Denmark)

    Xin, Zhen; Zhao, Rende; Wang, Xiongfei

    2016-01-01

    The Second-Order Generalized Integrator (SOGI) was used as a building block for the SOGI-Quadrature-Signal Generator (SOGI-QSG) which has been widely used for grid synchronization, frequency estimation, and harmonic extraction over the past decade. This paper further investigates its integration...... and differentiation characteristics, with four new integrators and differentiators proposed. Theoretical analysis shows that the proposed SOGI-QSG based integration and differentiation methods can effectively overcome the drawbacks of the pure integrator and differentiator. The proposed four new methods...

  13. Experimental Investigation and Modeling of Integrated Tri-generation Systems

    Science.gov (United States)

    Cetinkaya, Eda

    Energy demand in the world is increasing with population growth and higher living standards. Today, the need for energy requires a focus on renewable sources without abandoning fossil fuels. Efficient use of energy is one of the most important tasks in modern energy systems to achieve. In addition to the energy need, growing environmental concerns are linked with energy is emerged. Multi-purpose energy generation allows a higher efficiency by generating more outputs with the same input in the same system. Tri-generation systems are expected to provide at least three commodities, such as heating, cooling, desalination, storable fuel production and some other useful outputs, in addition to power generation. In this study, an experimental investigation of gasification is presented and two integrated tri-generation systems are proposed. The first integrated tri-generation system (System 1) utilizes solar energy as input and the outputs are power, fresh water and hot water. It consists of four sub-systems, namely solar power tower system, desalination system, Rankine cycle and organic Rankine cycle (ORC). The second integrated tri-generation system (System 2) utilizes coal and biomass as input and the outputs are power, fuel and hot water. It consists of five sub-systems: gasification plant, Brayton cycle, Rankine cycle, Fischer-Tropsch synthesis plant and an organic Rankine cycle (ORC). Experimental investigation includes coal and biomass gasification, where the experimental results of synthesis gas compositions are utilized in the analysis of the second systems. To maximize efficiency, heat losses from the system should be minimized through a recovery system to make the heat a useful commodity for other systems, such as ORCs which can utilize the low-grade heat. In this respect, ORCs are first analyzed for three different configurations in terms of energy and exergy efficiencies altering working fluids to increase the power output. Among two types of coal and one type

  14. Optimal Thermal Unit Commitment Solution integrating Renewable Energy with Generator Outage

    Directory of Open Access Journals (Sweden)

    S. Sivasakthi

    2017-06-01

    Full Text Available The increasing concern of global climate changes, the promotion of renewable energy sources, primarily wind generation, is a welcome move to reduce the pollutant emissions from conventional power plants. Integration of wind power generation with the existing power network is an emerging research field. This paper presents a meta-heuristic algorithm based approach to determine the feasible dispatch solution for wind integrated thermal power system. The Unit Commitment (UC process aims to identify the best feasible generation scheme of the committed units such that the overall generation cost is reduced, when subjected to a variety of constraints at each time interval. As the UC formulation involves many variables and system and operational constraints, identifying the best solution is still a research task. Nowadays, it is inevitable to include power system reliability issues in operation strategy. The generator failure and malfunction are the prime influencing factor for reliability issues hence they have considered in UC formulation of wind integrated thermal power system. The modern evolutionary algorithm known as Grey Wolf Optimization (GWO algorithm is applied to solve the intended UC problem. The potential of the GWO algorithm is validated by the standard test systems. Besides, the ramp rate limits are also incorporated in the UC formulation. The simulation results reveal that the GWO algorithm has the capability of obtaining economical resolutions with good solution quality.

  15. Integration and Task Allocation: Evidence from Patient Care.

    Science.gov (United States)

    David, Guy; Rawley, Evan; Polsky, Daniel

    2013-01-01

    Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.

  16. Integration and Task Allocation: Evidence from Patient Care*

    Science.gov (United States)

    David, Guy; Rawley, Evan; Polsky, Daniel

    2013-01-01

    Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings. PMID:24415893

  17. Integrating distributed generation: Regulation and trends in three leading countries

    International Nuclear Information System (INIS)

    Anaya, Karim L.; Pollitt, Michael G.

    2015-01-01

    This paper explores the trends in the deployment and integration of distributed generation in Germany, Denmark and Sweden. The study concentrates on the regulation of renewable energy generation with a focus on grid access and connection mechanisms. The high rate of distributed generation penetration is mainly based on the early support that these countries gave to the expansion of renewable energy generation – mainly wind and solar – within their respective national policies. Germany and Denmark are the ones with the most sophisticated support schemes, which have shown a dynamic design over time. In terms of connections, Germany has the most favorable connection regime which provides not only priority connection but also priority grid access for generation units that produce electricity from renewable energy sources. Sweden guarantees equal treatment among different technologies (i.e. a non-discrimination principle). High connection costs have been observed specially in Germany and Denmark. The costs of network upgrades are usually socialised across demand customers. However, integration issues should be taken into consideration in order to avoid expansion of distributed generation in a way which unnecessarily raises total system costs, via high connection costs. -- Highlights: •Examination of the DG connection arrangements in Denmark, Germany and Sweden. •Sophisticated subsidy schemes for DG contrast with socialization of connection costs. •No evidence of novel business models for connecting DG units smartly

  18. Generation of optical vortices in an integrated optical circuit

    Science.gov (United States)

    Tudor, Rebeca; Kusko, Mihai; Kusko, Cristian

    2017-09-01

    In this work, the generation of optical vortices in an optical integrated circuit is numerically demonstrated. The optical vortices with topological charge m = ±1 are obtained by the coherent superposition of the first order modes present in a waveguide with a rectangular cross section, where the phase delay between these two propagating modes is Δφ = ±π/2. The optical integrated circuit consists of an input waveguide continued with a y-splitter. The left and the right arms of the splitter form two coupling regions K1 and K2 with a multimode output waveguide. In each coupling region, the fundamental modes present in the arms of the splitter are selectively coupled into the output waveguide horizontal and vertical first order modes, respectively. We showed by employing the beam propagation method simulations that the fine tuning of the geometrical parameters of the optical circuit makes possible the generation of optical vortices in both transverse electric (TE) and transverse magnetic (TM) modes. Also, we demonstrated that by placing a thermo-optical element on one of the y-splitter arms, it is possible to switch the topological charge of the generated vortex from m = 1 to m = -1.

  19. iCycle: Integrated, multicriterial beam angle, and profile optimization for generation of coplanar and noncoplanar IMRT plans

    International Nuclear Information System (INIS)

    Breedveld, Sebastiaan; Storchi, Pascal R. M.; Voet, Peter W. J.; Heijmen, Ben J. M.

    2012-01-01

    Purpose: To introduce iCycle, a novel algorithm for integrated, multicriterial optimization of beam angles, and intensity modulated radiotherapy (IMRT) profiles. Methods: A multicriterial plan optimization with iCycle is based on a prescription called wish-list, containing hard constraints and objectives with ascribed priorities. Priorities are ordinal parameters used for relative importance ranking of the objectives. The higher an objective priority is, the higher the probability that the corresponding objective will be met. Beam directions are selected from an input set of candidate directions. Input sets can be restricted, e.g., to allow only generation of coplanar plans, or to avoid collisions between patient/couch and the gantry in a noncoplanar setup. Obtaining clinically feasible calculation times was an important design criterium for development of iCycle. This could be realized by sequentially adding beams to the treatment plan in an iterative procedure. Each iteration loop starts with selection of the optimal direction to be added. Then, a Pareto-optimal IMRT plan is generated for the (fixed) beam setup that includes all so far selected directions, using a previously published algorithm for multicriterial optimization of fluence profiles for a fixed beam arrangement Breedveld et al.[Phys. Med. Biol. 54, 7199-7209 (2009)]. To select the next direction, each not yet selected candidate direction is temporarily added to the plan and an optimization problem, derived from the Lagrangian obtained from the just performed optimization for establishing the Pareto-optimal plan, is solved. For each patient, a single one-beam, two-beam, three-beam, etc. Pareto-optimal plan is generated until addition of beams does no longer result in significant plan quality improvement. Plan generation with iCycle is fully automated. Results: Performance and characteristics of iCycle are demonstrated by generating plans for a maxillary sinus case, a cervical cancer patient, and a

  20. IRREVERSIBILITY GENERATION IN SUGAR, ALCOHOL AND BIOGAS INTEGRATED PRODUCTIONS

    Directory of Open Access Journals (Sweden)

    Meilyn González Cortés

    2017-01-01

    Full Text Available In this work, the stages of losses and lower exergetic efficiency are determined when the sugar production process is integrated with others for the production of products such as biogas, torula yeast and electricity. The study is carried out in three scenarios of integrated processes for obtaining the indicated products. A sugar factory in which sugar and electricity are produced is considered as the base scenario and from this; a second scenario is inferred in which alcohol is produced from the molasses of the sugar process and biogas from the vinasse of the alcohol distillation process. Finally, a third scenario is exergetically evaluated in which sugar, electricity, biogas and alcohol are produced, but this last one from juices and molasses of the sugar process. For the exergetic analysis the integrated scheme was divided into 8 subsystems. From the analysis of results, the major subsystems that generate irreversibilities are: cogeneration (64.36-65.98%, juice extraction (8.85-9.85%, crystallization and cooking, (8.48 -9.02%, fermentation (4.12-4.94% and distillation (2.74-3.2%. Improvements are proposed to minimize irreversibilities, including the thermal integration of processes, technological modifications in the fermentation process and the introduction of more efficient equipment for the generation of electricity. The exergetic efficiency is between 78.95-81.10%, obtaining greater exergetic efficiency in the scheme of joint operation to produce sugar, alcohol and biogas.

  1. Eastern Renewable Generation Integration Study

    Energy Technology Data Exchange (ETDEWEB)

    Bloom, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); Townsend, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); Palchak, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Novacheck, Joshua [National Renewable Energy Lab. (NREL), Golden, CO (United States); King, Jack [RePPAE LLC, Wexford, PA (United States); Barrows, Clayton [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ibanez, Eduardo [GE Energy, Denver, CO (United States); O' Connell, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jordan, Gary [GE Energy, Denver, CO (United States); Roberts, Billy [National Renewable Energy Lab. (NREL), Golden, CO (United States); Draxl, Caroline [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gruchalla, Kenny [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-08-01

    The Eastern Interconnection (EI) is one of the largest power systems in the world, and its size and complexity have historically made it difficult to study in high levels of detail in a modeling environment. In order to understand how this system might be impacted by high penetrations (30% of total annual generation) of wind and solar photovoltaic (PV) during steady state operations, the National Renewable Energy Laboratory (NREL) and the U.S. Department of Energy (DOE) conducted the Eastern Renewable Generation Integration Study (ERGIS). This study investigates certain aspects of the reliability and economic efficiency problem faced by power system operators and planners. Specifically, the study models the ability to meet electricity demand at a 5-minute time interval by scheduling resources for known ramping events, while maintaining adequate reserves to meet random variation in supply and demand, and contingency events. To measure the ability to meet these requirements, a unit commitment and economic dispatch (UC&ED) model is employed to simulate power system operations. The economic costs of managing this system are presented using production costs, a traditional UC&ED metric that does not include any consideration of long-term fixed costs. ERGIS simulated one year of power system operations to understand regional and sub-hourly impacts of wind and PV by developing a comprehensive UC&ED model of the EI. In the analysis, it is shown that, under the study assumptions, generation from approximately 400 GW of combined wind and PV capacity can be balanced on the transmission system at a 5-minute level. In order to address the significant computational burdens associated with a model of this detail we apply novel computing techniques to dramatically reduce simulation solve time while simultaneously increasing the resolution and fidelity of the analysis. Our results also indicate that high penetrations of wind and PV (collectively variable generation (VG

  2. Integral computer-generated hologram via a modified Gerchberg-Saxton algorithm

    International Nuclear Information System (INIS)

    Wu, Pei-Jung; Lin, Bor-Shyh; Chen, Chien-Yue; Huang, Guan-Syun; Deng, Qing-Long; Chang, Hsuan T

    2015-01-01

    An integral computer-generated hologram, which modulates the phase function of an object based on a modified Gerchberg–Saxton algorithm and compiles a digital cryptographic diagram with phase synthesis, is proposed in this study. When the diagram completes position demultiplexing decipherment, multi-angle elemental images can be reconstructed. Furthermore, an integral CGH with a depth of 225 mm and a visual angle of ±11° is projected through the lens array. (paper)

  3. Post-acute care and vertical integration after the Patient Protection and Affordable Care Act.

    Science.gov (United States)

    Shay, Patrick D; Mick, Stephen S

    2013-01-01

    The anticipated changes resulting from the passage of the Patient Protection and Affordable Care Act-including the proposed adoption of bundled payment systems and the promotion of accountable care organizations-have generated considerable controversy as U.S. healthcare industry observers debate whether such changes will motivate vertical integration activity. Using examples of accountable care organizations and bundled payment systems in the American post-acute healthcare sector, this article applies economic and sociological perspectives from organization theory to predict that as acute care organizations vary in the degree to which they experience environmental uncertainty, asset specificity, and network embeddedness, their motivation to integrate post-acute care services will also vary, resulting in a spectrum of integrative behavior.

  4. Heterogeneously Integrated Microwave Signal Generators with Narrow Linewidth Lasers

    Science.gov (United States)

    2017-03-20

    have shown that heterogeneous integration not only allows for a reduced cost due to economy of scale, but also allows for same or even better...advantage of introducing SOAs for microwave generator is the control and boosting of optical power before the detector providing higher RF powers. A

  5. Application of Integrated Neural Network Method to Fault Diagnosis of Nuclear Steam Generator

    International Nuclear Information System (INIS)

    Zhou Gang; Yang Li

    2009-01-01

    A new fault diagnosis method based on integrated neural networks for nuclear steam generator (SG) was proposed in view of the shortcoming of the conventional fault monitoring and diagnosis method. In the method, two neural networks (ANNs) were employed for the fault diagnosis of steam generator. A neural network, which was used for predicting the values of steam generator operation parameters, was taken as the dynamics model of steam generator. The principle of fault monitoring method using the neural network model is to detect the deviations between process signals measured from an operating steam generator and corresponding output signals from the neural network model of steam generator. When the deviation exceeds the limit set in advance, the abnormal event is thought to occur. The other neural network as a fault classifier conducts the fault classification of steam generator. So, the fault types of steam generator are given by the fault classifier. The clear information on steam generator faults was obtained by fusing the monitoring and diagnosis results of two neural networks. The simulation results indicate that employing integrated neural networks can improve the capacity of fault monitoring and diagnosis for the steam generator. (authors)

  6. An integrable low-cost hardware random number generator

    Science.gov (United States)

    Ranasinghe, Damith C.; Lim, Daihyun; Devadas, Srinivas; Jamali, Behnam; Zhu, Zheng; Cole, Peter H.

    2005-02-01

    A hardware random number generator is different from a pseudo-random number generator; a pseudo-random number generator approximates the assumed behavior of a real hardware random number generator. Simple pseudo random number generators suffices for most applications, however for demanding situations such as the generation of cryptographic keys, requires an efficient and a cost effective source of random numbers. Arbiter-based Physical Unclonable Functions (PUFs) proposed for physical authentication of ICs exploits statistical delay variation of wires and transistors across integrated circuits, as a result of process variations, to build a secret key unique to each IC. Experimental results and theoretical studies show that a sufficient amount of variation exits across IC"s. This variation enables each IC to be identified securely. It is possible to exploit the unreliability of these PUF responses to build a physical random number generator. There exists measurement noise, which comes from the instability of an arbiter when it is in a racing condition. There exist challenges whose responses are unpredictable. Without environmental variations, the responses of these challenges are random in repeated measurements. Compared to other physical random number generators, the PUF-based random number generators can be a compact and a low-power solution since the generator need only be turned on when required. A 64-stage PUF circuit costs less than 1000 gates and the circuit can be implemented using a standard IC manufacturing processes. In this paper we have presented a fast and an efficient random number generator, and analysed the quality of random numbers produced using an array of tests used by the National Institute of Standards and Technology to evaluate the randomness of random number generators designed for cryptographic applications.

  7. An ultra-efficient nonlinear planar integrated platform for optical signal processing and generation

    DEFF Research Database (Denmark)

    Pu, Minhao; Ottaviano, Luisa; Semenova, Elizaveta

    2017-01-01

    This paper will discuss the recently developed integrated platform: AlGaAs-oninsulator and its broad range of nonlinear applications. Recent demonstrations of broadband optical signal processing and efficient frequency comb generations in this platform will be reviewed.......This paper will discuss the recently developed integrated platform: AlGaAs-oninsulator and its broad range of nonlinear applications. Recent demonstrations of broadband optical signal processing and efficient frequency comb generations in this platform will be reviewed....

  8. Pitting temporal against spatial integration in schizophrenic patients.

    Science.gov (United States)

    Herzog, Michael H; Brand, Andreas

    2009-06-30

    Schizophrenic patients show strong impairments in visual backward masking possibly caused by deficits on the early stages of visual processing. The underlying aberrant mechanisms are not clearly understood. Spatial as well as temporal processing deficits have been proposed. Here, by combining a spatial with a temporal integration paradigm, we show further evidence that temporal but not spatial processing is impaired in schizophrenic patients. Eleven schizophrenic patients and ten healthy controls were presented with sequences composed of Vernier stimuli. Patients needed significantly longer presentation times for sequentially presented Vernier stimuli to reach a performance level comparable to that of healthy controls (temporal integration deficit). When we added spatial contextual elements to some of the Vernier stimuli, performance changed in a complex but comparable manner in patients and controls (intact spatial integration). Hence, temporal but not spatial processing seems to be deficient in schizophrenia.

  9. Integration of wind generation forecasts. Volume 2

    International Nuclear Information System (INIS)

    Ahlstrom, M.; Zavadil, B.; Jones, L.

    2005-01-01

    WindLogics is a company that specializes in atmospheric modelling, visualization and fine-scale forecasting systems for the wind power industry. A background of the organization was presented. The complexities of wind modelling were discussed. Issues concerning location and terrain, shear, diurnal and interannual variability were reviewed. It was suggested that wind power producers should aim to be mainstream, and that variability should be considered as intrinsic to fuel supply. Various utility operating impacts were outlined. Details of an Xcel NSP wind integration study were presented, as well as a studies conducted in New York state and Colorado. It was concluded that regulations and load following impacts with wind energy integration are modest. Overall impacts are dominated by costs incurred to accommodate wind generation variability and uncertainty in the day-ahead time frame. Cost impacts can be reduced with adjustments to operating strategies, improvements in wind forecasting and access to real-time markets. Details of WindLogic's wind energy forecast system were presented, as well as examples of day ahead and hour ahead forecasts and wind speed and power forecasts. Screenshots of control room integration, EMS integration and simulations were presented. Details of a utility-scale wind energy forecasting system funded by Xcel Renewable Development Fund (RDF) were also presented. The goal of the system was to optimize the way that wind forecast information is integrated into the control room environment. Project components were outlined. It was concluded that accurate day-ahead forecasting can lead to significant asset optimization. It was recommended that wind plants share data, and aim to resolve issues concerning grid codes and instrumentation. refs., tabs., figs

  10. The next generation of LASIK patients.

    Science.gov (United States)

    Freeman, J Christopher; Chuck, Roy S

    2009-07-01

    With baby boomers aging, and despite a growing global population, there is a decreasing number of potential laser vision correction patients. Some believe that the worldwide economic downturn of these times will limit the number of potential patients as well. This article highlights looking to an alternative segment of the population to identify potential laser vision correction patients and the limitations of reaching this group. The group known as generation Y contains a large number of individuals who may be candidates for laser vision correction. Traditional marketing efforts present challenges in reaching this particular population segment. Many individuals in this group are already patients of eye doctors for contact lenses and glasses and can be reached by these eye doctors to address candidacy and education of laser vision correction. Generation Y represents a large population segment that contains technology-embracing individuals who, although hard to reach with traditional marketing efforts, may be reached by fellow eye doctors already managing these patients. There are many in this age group who would be good laser vision correction candidates.

  11. Integrated O&M for energy generation and exchange facilities

    International Nuclear Information System (INIS)

    2016-01-01

    Ingeteam Service, part of the Ingeteam Group, is a leading company in the provision of integrated O&M services at energy generation and exchange facilities worldwide. From its head office in the Albacete Science and Technology Park, it manages the work of the 1,300 employees that make up its global workforce, rendering services to wind farms, PV installations and power generation plants. In addition, it maintains an active participation strategy in a range of R&D+i programmes that improve the existing technologies and are geared towards new production systems and new diagnostic techniques, applied to renewables installation maintenance. (Author)

  12. An integrated model for long-term power generation planning toward future smart electricity systems

    International Nuclear Information System (INIS)

    Zhang, Qi; Mclellan, Benjamin C.; Tezuka, Tetsuo; Ishihara, Keiichi N.

    2013-01-01

    Highlights: • An integrated model for planning future smart electricity systems was developed. • The model consists of an optimization model and an hour-by-hour simulation model. • The model was applied to Tokyo area, Japan in light of the Fukushima Accident. • Paths to best generation mixes of smart electricity systems were obtained. • Detailed hourly operation patterns in smart electricity systems were obtained. - Abstract: In the present study, an integrated planning model was developed to find economically/environmentally optimized paths toward future smart electricity systems with high level penetration of intermittent renewable energy and new controllable electric devices at the supply and demand sides respectively for regional scale. The integrated model is used to (i) plan the best power generation and capacity mixes to meet future electricity demand subject to various constraints using an optimization model; (ii) obtain detailed operation patterns of power plants and new controllable electric devices using an hour-by-hour simulation model based on the obtained optimized power generation mix. As a case study, the model was applied to power generation planning in the Tokyo area, Japan, out to 2030 in light of the Fukushima Accident. The paths toward best generation mixes of smart electricity systems in 2030 based on fossil fuel, hydro power, nuclear and renewable energy were obtained and the feasibility of the integrated model was proven

  13. An Improved Second-Order Generalized Integrator Based Quadrature Signal Generator

    DEFF Research Database (Denmark)

    Xin, Zhen; Wang, Xiongfei; Qin, Zian

    2016-01-01

    The second-order generalized integrator based quadrature signal generator (SOGI-QSG) is able to produce in-quadrature signals for many applications, such as frequency estimation, grid synchronization, and harmonic extraction. However, the SOGI-QSG is sensitive to input dc and harmonic components...

  14. Rating Requirements of the UPQC to Integrate the FSIG Type Wind Generation to the Grid

    OpenAIRE

    Jayanti, N.; Basu, Malabika; Conlon, Michael; Gaughan, Kevin

    2009-01-01

    The ability of wind generation to remain connected to the grid in the event of system faults and dynamic reactive power compensation are two aspects of grid integration, which have received particular attention. The wind driven, fixed-speed induction generator (FSIG) on its own fails to fulfil these requirements of grid integration. The application of a unified power quality conditioner (UPQC) to overcome the grid integration problems of the FSIG is investigated. The role of the UPQC in enhan...

  15. Demand for integrative medicine among women in pregnancy and childbed: a German survey on patients' needs.

    Science.gov (United States)

    Schürger, Nikolas; Klein, Evelyn; Hapfelmeier, Alexander; Kiechle, Marion; Paepke, Daniela

    2018-06-15

    Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed. The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich. Eligible participants were women hospitalized due to pregnancy related complications and women in childbed. Descriptive statistics were generated to determine patterns of CAM use and demand for integrative therapeutic approaches. Univariate analysis was used to detect associations between patients' characteristics and their interest in the different integrative therapies. Furthermore, binary logistic regression was used to estimate the odds ratio of demand for CAM. A total of 394 out of 503 patients participated in the survey (78%). 60% declared using CAM in general, 45% specifically in relation to their pregnancy or childbed. Most commonly used modalities were vitamins (31% of all patients), yoga (24%), and herbal supplements (23%). Most popular sources of recommendation of CAM use were midwives and gynecologists. Integrative therapy options patients would have wanted alongside conventional maternity care were CAM (64%), relaxation therapies (44%), dietary counseling (28%), and psychological counseling (15%). Furthermore, associations between patients' sociodemographic characteristics and their demand for integrative therapies were identified. The results of this study demonstrate that there is a considerable demand for integrative medicine and widespread use of CAM among women during pregnancy and

  16. Integrated operation of electric vehicles and renewable generation in a smart distribution system

    International Nuclear Information System (INIS)

    Zakariazadeh, Alireza; Jadid, Shahram; Siano, Pierluigi

    2015-01-01

    Highlights: • The contribution of electric vehicles to provide the reserve capacity is analyzed. • Decentralized energy and reserve scheduling in a distribution system is presented. • The integrated operation of renewable generation and electric vehicles is proposed. - Abstract: Distribution system complexity is increasing mainly due to technological innovation, renewable Distributed Generation (DG) and responsive loads. This complexity makes difficult the monitoring, control and operation of distribution networks for Distribution System Operators (DSOs). In order to cope with this complexity, a novel method for the integrated operational planning of a distribution system is presented in this paper. The method introduces the figure of the aggregator, conceived as an intermediate agent between end-users and DSOs. In the proposed method, energy and reserve scheduling is carried out by both aggregators and DSO. Moreover, Electric Vehicles (EVs) are considered as responsive loads that can participate in ancillary service programs by providing reserve to the system. The efficiency of the proposed method is evaluated on an 84-bus distribution test system. Simulation results show that the integrated scheduling of EVs and renewable generators can mitigate the negative effects related to the uncertainty of renewable generation

  17. Integrated biofuel facility, with carbon dioxide consumption and power generation

    Energy Technology Data Exchange (ETDEWEB)

    Powell, E.E.; Hill, G.A. [Saskatchewan Univ., Saskatoon, SK (Canada). Dept. of Chemical Engineering

    2009-07-01

    This presentation provided details of an economical design for a large-scale integrated biofuel facility for coupled production of bioethanol and biodiesel, with carbon dioxide capture and power generation. Several designs were suggested for both batch and continuous culture operations, taking into account all costs and revenues associated with the complete plant integration. The microalgae species Chlorella vulgaris was cultivated in a novel photobioreactor (PBR) in order to consume industrial carbon dioxide (CO{sub 2}). This photosynthetic culture can also act as a biocathode in a microbial fuel cell (MFC), which when coupled to a typical yeast anodic half cell, results in a complete biological MFC. The photosynthetic MFC produces electricity as well as valuable biomass and by-products. The use of this novel photosynthetic microalgae cathodic half cell in an integrated biofuel facility was discussed. A series of novel PBRs for continuous operation can be integrated into a large-scale bioethanol facility, where the PBRs serve as cathodic half cells and are coupled to the existing yeast fermentation tanks which act as anodic half cells. These coupled MFCs generate electricity for use within the biofuel facility. The microalgae growth provides oil for biodiesel production, in addition to the bioethanol from the yeast fermentation. The photosynthetic cultivation in the cathodic PBR also requires carbon dioxide, resulting in consumption of carbon dioxide from bioethanol production. The paper also discussed the effect of plant design on net present worth and internal rate of return. tabs., figs.

  18. Distributed Storage Inverter and Legacy Generator Integration Plus Renewable Solution for Microgrids

    Science.gov (United States)

    2015-07-01

    Observation ................. 5 2.1.5 PV Inverter with Microgrid Controls .......................................................... 5 2.2 TECHNOLOGY... CONTROL OF PV POWER RAMP RATE FOR GENERATOR STABILITY ..................... 27 6.11 DEMONSTRATION 11: MICROGRID VOLTAGE SUPPORT FROM PV INVERTER...power delivery optimized storage, transiently rated inverters, integration with legacy generator controls , and microgrid compatible inverters for PV

  19. [Generation continuity and integration].

    Science.gov (United States)

    Zakhvatkin, Iu A

    2008-01-01

    Transformation of the cyclic morphoprocesses in Protista toward the terminal-cyclic morphoprocesses in Metazoa had lead to integration of the fomer's life circles into the latter's ontogenesis and began to supply the newly emerging ecosystems with the regular income of mortomasses. According to the palintomic hypothesis of A.A. Zakhvatkin, it was the egg that became a means of the metazoan generation continuity, and not the half set of organells acquired by descendants of a divided maternal cell in Protozoa. Origin of Metazoa and of their ontogenesis was accomplished by hypetrophic distomy and subsequent palintomic division of the protist parental cell, these processes being comparable to the ovogenesis and ovocyte division in the Metazoa. Division process in the most primitive metazoans, Leptolida and Calcarea, retained certains features of its palintomic nature that are clear in the Ctenophora, the latter though specific being most similar in this respect to the spongs and not to the Coelenterata whith whom they were united in the same phylum formerly. The ovogenesis perfection controlled by the maternal organism and leading to an increment of the nuclear-plasmic tension due to enrichment of egg with the yolk, promoted the embrionization of development and formation of the egg morphogenetic environment providing for the earlier formation processes without participation of the parental recombined genotypes. With all this, far earlier appearence of symmetry elements of definitive forms is embriogenesis along the ascending trend from the lower Metazoa to the most advanced insects. The unordered correspondence of the polarity axis of egg and the oral-aboral axis of blastula-like larva (1) is replaced by protaxony (2) in which these axes coincide, all formation processes reaching their perfection in the homoquadrant spiral division of annelids, which became a means of ovoplasma segregation. Afterward, a herequadrant division and plagioxony are developed in the course

  20. Organizational Leadership and Work-Life Integration: Insights from Three Generations of Men

    Science.gov (United States)

    Smith, Deborah N.; Roebuck, Deborah; Elhaddaoui, Terri

    2016-01-01

    The literature has traditionally portrayed work-life balance as a women's issue. However, working men, specifically those classified as Generation X and Generation Y, are starting to speak up and share that they too are struggling with integrating all aspects of their lives. Workers, as well as organizations can benefit when employees have a…

  1. Regulatory Improvements for Effective Integration of Distributed Generation into Electricity Distribution Networks

    International Nuclear Information System (INIS)

    Scheepers, M.J.J.; Jansen, J.C.; De Joode, J.; Bauknecht, D.; Gomez, T.; Pudjianto, D.; Strbac, G.; Ropenus, S.

    2007-11-01

    The growth of distributed electricity supply of renewable energy sources (RES-E) and combined heat and power (CHP) - so called distributed generation (DG) - can cause technical problems for electricity distribution networks. These integration problems can be overcome by reinforcing the network. Many European Member States apply network regulation that does not account for the impact of DG growth on the network costs. Passing on network integration costs to the DG-operator who is responsible for these extra costs may result in discrimination between different DG plants and between DG and large power generation. Therefore, in many regulatory systems distribution system operators (DSOs) are not being compensated for the DG integration costs. The DG-GRID project analysed technical and economical barriers for integration of distributed generation into electricity distribution networks. The project looked into the impact of a high DG deployment on the electricity distribution system costs and the impact on the financial position of the DSO. Several ways for improving network regulation in order to compensate DSOs for the increasing DG penetration were identified and tested. The DG-GRID project looked also into stimulating network innovations through economic regulation. The project was co-financed by the European Commission and carried out by nine European universities and research institutes. This report summarises the project results and is based on a number of DG-GRID reports that describe the conducted analyses and their results

  2. NRC integrated program for the resolution of Unresolved Safety Issues A-3, A-4 and A-5 regarding steam generator tube integrity: Final report

    International Nuclear Information System (INIS)

    1988-09-01

    This report presents the results of the NRC integrated program for the resolution of Unresolved Safety Issues (USIs) A-3, A-4, and A-5 regarding steam generator tube integrity. A generic risk assessment is provided and indicates that risk from steam generator tube rupture (SGTR) events is not a significant contributor to total risk at a given site, nor to the total risk to which the general public is routinely exposed. This finding is considered to be indicative of the effectiveness of licensee programs and regulatory requirements for ensuring steam generator tube integrity in accordance with 10 CFR 50, Appendices A and B. This report also identifies a number of staff-recommended actions that the staff finds can further improve the effectiveness of licensee programs in ensuring the integrity of steam generator tubes and in mitigating the consequences of an SGTR. As part of the integrated program, the staff issued Generic Letter 85-02 encouraging licensees of pressurized water reactors (PWRs) to upgrade their programs, as necessary, to meet the intent of the staff-recommended actions; however, such actions do not constitute NRC requirements. In addition, this report describes a number of ongoing staff actions and studies involving steam generator issues which are being pursued to provide added assurance that risk from SGTR events will continue to be small. 146 refs., 5 figs., 11 tabs

  3. Integrable high order UWB pulse photonic generator based on cross phase modulation in a SOA-MZI.

    Science.gov (United States)

    Moreno, Vanessa; Rius, Manuel; Mora, José; Muriel, Miguel A; Capmany, José

    2013-09-23

    We propose and experimentally demonstrate a potentially integrable optical scheme to generate high order UWB pulses. The technique is based on exploiting the cross phase modulation generated in an InGaAsP Mach-Zehnder interferometer containing integrated semiconductor optical amplifiers, and is also adaptable to different pulse modulation formats through an optical processing unit which allows to control of the amplitude, polarity and time delay of the generated taps.

  4. Generation of iPSC line from desmin-related cardiomyopathy patient carrying splice site mutation of DES gene

    Directory of Open Access Journals (Sweden)

    Aleksandr Khudiakov

    2017-10-01

    Full Text Available Human iPSC line was generated from patient-specific adipose tissue-derived mesenchymal multipotent stromal cells carrying desmin (DES gene heterozygous splice site mutation using non-integrative reprogramming method. Reprogramming factors OCT4, KLF4, SOX2, CMYC were delivered using Sendai viruses. iPSCs were characterized by sequencing, karyotype analysis, STR analysis, immunocytochemistry, RT-PCR and teratoma formation.

  5. Multi-Sensory Integration Impairment in Patients with Minimal Hepatic Encephalopathy.

    Science.gov (United States)

    Seo, Kyoungwon; Jun, Dae Won; Kim, Jae-Kwan; Ryu, Hokyoung

    2017-11-02

    Paper-and-pencil-based psychometric tests are the gold standard for diagnosis of cognitive dysfunction in liver disease. However, they take time, can be affected by demographic factors, and lack ecological validity. This study explored multi-sensory integration ability to discriminate cognitive dysfunction in cirrhosis. Thirty-two healthy controls and 30 cirrhotic patients were recruited. The sensory integration test presents stimuli from two different modalities (e.g., image/sound) with a short time lag, and subjects judge which stimuli appeared first. Repetitive tests reveal the sensory integration capability. Performance in the sensory integration test, psychometric tests, and functional near-infrared spectroscopy for patients was compared to controls. Sensory integration capability, the perceptual threshold to discriminate the time gap between an image and sound stimulus, was significantly impaired in cirrhotic patients with minimal hepatic encephalopathy (MHE) compared to controls (p integration test showed good correlation with psychometric tests (NCT-A, r = 0.383, p = 0.002; NCT-B, r = 0.450, p integration test was not affected. The sensory integration test, where a cut-off value for the perceptual threshold was 133.3ms, recognized MHE patients at 90% sensitivity and 86.5% specificity.

  6. Integrated photoelectrochemical energy storage: solar hydrogen generation and supercapacitor.

    Science.gov (United States)

    Xia, Xinhui; Luo, Jingshan; Zeng, Zhiyuan; Guan, Cao; Zhang, Yongqi; Tu, Jiangping; Zhang, Hua; Fan, Hong Jin

    2012-01-01

    Current solar energy harvest and storage are so far realized by independent technologies (such as solar cell and batteries), by which only a fraction of solar energy is utilized. It is highly desirable to improve the utilization efficiency of solar energy. Here, we construct an integrated photoelectrochemical device with simultaneous supercapacitor and hydrogen evolution functions based on TiO(2)/transition metal hydroxides/oxides core/shell nanorod arrays. The feasibility of solar-driven pseudocapacitance is clearly demonstrated, and the charge/discharge is indicated by reversible color changes (photochromism). In such an integrated device, the photogenerated electrons are utilized for H(2) generation and holes for pseudocapacitive charging, so that both the reductive and oxidative energies are captured and converted. Specific capacitances of 482 F g(-1) at 0.5 A g(-1) and 287 F g(-1) at 1 A g(-1) are obtained with TiO(2)/Ni(OH)(2) nanorod arrays. This study provides a new research strategy for integrated pseudocapacitor and solar energy application.

  7. Scheduling of Power System Cells Integrating Stochastic Power Generation

    International Nuclear Information System (INIS)

    Costa, L.M.

    2008-12-01

    Energy supply and climate change are nowadays two of the most outstanding problems which societies have to cope with under a context of increasing energy needs. Public awareness of these problems is driving political willingness to take actions for tackling them in a swift and efficient manner. Such actions mainly focus in increasing energy efficiency, in decreasing dependence on fossil fuels, and in reducing greenhouse gas emissions. In this context, power systems are undergoing important changes in the way they are planned and managed. On the one hand, vertically integrated structures are being replaced by market structures in which power systems are un-bundled. On the other, power systems that once relied on large power generation facilities are witnessing the end of these facilities' life-cycle and, consequently, their decommissioning. The role of distributed energy resources such as wind and solar power generators is becoming increasingly important in this context. However, the large-scale integration of such type of generation presents many challenges due, for instance, to the uncertainty associated to the variability of their production. Nevertheless, advanced forecasting tools may be combined with more controllable elements such as energy storage devices, gas turbines, and controllable loads to form systems that aim to reduce the impacts that may be caused by these uncertainties. This thesis addresses the management under market conditions of these types of systems that act like independent societies and which are herewith named power system cells. From the available literature, a unified view of power system scheduling problems is also proposed as a first step for managing sets of power system cells in a multi-cell management framework. Then, methodologies for performing the optimal day-ahead scheduling of single power system cells are proposed, discussed and evaluated under both a deterministic and a stochastic framework that directly integrates the

  8. Integrated Care Planning for Cancer Patients: A Scoping Review

    Directory of Open Access Journals (Sweden)

    Anum Irfan Khan

    2017-11-01

    Full Text Available Introduction: There has been a growing emphasis on the use of integrated care plans to deliver cancer care. However little is known about how integrated care plans for cancer patients are developed including featured core activities, facilitators for uptake and indicators for assessing impact. Methods: Given limited consensus around what constitutes an integrated care plan for cancer patients, a scoping review was conducted to explore the components of integrated care plans and contextual factors that influence design and uptake. Results: Five types of integrated care plans based on the stage of cancer care: surgical, systemic, survivorship, palliative and comprehensive (involving a transition between stages are described in current literature. Breast, esophageal and colorectal cancers were common disease sites. Multi-disciplinary teams, patient needs assessment and transitional planning emerged as key features. Provider buy-in and training alongside informational technology support served as important facilitators for plan uptake. Provider-level measurement was considerably less robust compared to patient and system-level indicators. Conclusions: Similarities in design features, components and facilitators across the various types of integrated care plans indicates opportunities to leverage shared features and enable a management lens that spans the trajectory of a patient’s journey rather than a phase-specific silo approach to care.

  9. Building the Capacity for Climate Services: Thoughts on Training Next Generation Climate Science Integrators

    Science.gov (United States)

    Garfin, G. M.; Brugger, J.; Gordon, E. S.; Barsugli, J. J.; Rangwala, I.; Travis, W.

    2015-12-01

    For more than a decade, stakeholder needs assessments and reports, including the recent National Climate Assessment, have pointed out the need for climate "science translators" or "science integrators" who can help bridge the gap between the cultures and contexts of researchers and decision-makers. Integration is important for exchanging and enhancing knowledge, building capacity to use climate information in decision making, and fostering more robust planning for decision-making in the context of climate change. This talk will report on the characteristics of successful climate science integrators, and a variety of models for training the upcoming generation of climate science integrators. Science integration characteristics identified by an experienced vanguard in the U.S. include maintaining credibility in both the scientific and stakeholder communities, a basic respect for stakeholders demonstrated through active listening, and a deep understanding of the decision-making context. Drawing upon the lessons of training programs for Cooperative Extension, public health professionals, and natural resource managers, we offer ideas about training next generation climate science integrators. Our model combines training and development of skills in interpersonal relations, communication of science, project implementation, education techniques and practices - integrated with a strong foundation in disciplinary knowledge.

  10. Integrated Patient Education on U.S. Hospital Web Sites.

    Science.gov (United States)

    Huang, Edgar; Wu, Kerong; Edwards, Kelsey

    2016-01-01

    Based on a census of the 2015 Most Wired Hospitals, this content analysis aimed to find out how patient education has been integrated on these best IT hospitals' Web sites to serve the purposes of marketing and meeting online visitors' needs. This study will help hospitals to understand where the weaknesses are in their interactive patient education implementation and come up with a smart integration strategy. The study found that 70% of these hospitals had adopted interactive patient education contents, 76.6% of such contents were from a third-party developer, and only 20% of the hospitals linked their patient education contents to one or more of the hospital's resources while 26% cross-references such contents. The authors concluded that more hospitals should take advantage of modern information communication technology to cross-reference their patient education contents and to integrate such contents into their overall online marketing strategy to benefit patients and themselves.

  11. Recent Developments in Grid Generation and Force Integration Technology for Overset Grids

    Science.gov (United States)

    Chan, William M.; VanDalsem, William R. (Technical Monitor)

    1994-01-01

    Recent developments in algorithms and software tools for generating overset grids for complex configurations are described. These include the overset surface grid generation code SURGRD and version 2.0 of the hyperbolic volume grid generation code HYPGEN. The SURGRD code is in beta test mode where the new features include the capability to march over a collection of panel networks, a variety of ways to control the side boundaries and the marching step sizes and distance, a more robust projection scheme and an interpolation option. New features in version 2.0 of HYPGEN include a wider range of boundary condition types. The code also allows the user to specify different marching step sizes and distance for each point on the surface grid. A scheme that takes into account of the overlapped zones on the body surface for the purpose of forces and moments computation is also briefly described, The process involves the following two software modules: MIXSUR - a composite grid generation module to produce a collection of quadrilaterals and triangles on which pressure and viscous stresses are to be integrated, and OVERINT - a forces and moments integration module.

  12. WWER steam generator tube structural and leakage integrity

    International Nuclear Information System (INIS)

    Splichal, K.; Krhounek, Vl.; Otruba, J.; Ruscak, M.

    1998-01-01

    The integrity of heat exchange tubes may influence the lifetime of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirements are to assure very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evaluation and heat exchange tubes plugging. The stress corrosion cracking and pitting are the main corrosion damages of WWER heat exchange tubes and are initiated from the outer surface. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through wall cracks, oriented preferentially in the axial direction. The paper presents the leakage and plugging limits for WWER steam generators, which have been determined from leak tests and burst tests. The tubes with axial part-through and through-wall defects have been used. The permissible value of primary to secondary leak rate was evaluated with respect to permissible axial through-wall defect size of WWER 440 and 1000 steam generator tubes. Blocking of the tube cracks by corrosion product particles and other compounds reduces the primary to secondary leak rate. The plugging limits involve the following factors: permissible tube wall thickness which determine further operation of the tubes with defects and assures their integrity under operating conditions and permissible size of a through-wall crack which is sufficiently stable under normal and accident conditions in relation to the critical crack length. For the evaluation of burst test of heat exchange tubes with longitudinal through-wall defects the instability criterion has been used and the dependence of the normalised burst pressure on the normalised length of an axial through-wall defect has been determined. The validity of the criterion of instability for WWER tubes with through

  13. Defining and measuring integrated patient care: promoting the next frontier in health care delivery.

    Science.gov (United States)

    Singer, Sara J; Burgers, Jako; Friedberg, Mark; Rosenthal, Meredith B; Leape, Lucian; Schneider, Eric

    2011-02-01

    Integration of care is emerging as a central challenge of health care delivery, particularly for patients with multiple, complex chronic conditions. The authors argue that the concept of "integrated patient care" would benefit from further clarification regarding (a) the object of integration and (b) its essential components, particularly when constructing measures.To address these issues, the authors propose a definition of integrated patient care that distinguishes it from integrated delivery organizations, acknowledging that integrated organizational structures and processes may fail to produce integrated patient care. The definition emphasizes patients' central role as active participants in managing their own health by including patient centeredness as a key element of integrated patient care. Measures based on the proposed definition will enable empirical assessment of the potential relationships between the integration of organizations, the integration of patient care, and patient outcomes, providing valuable guidance to health systems reformers.

  14. Note: Fully integrated 3.2 Gbps quantum random number generator with real-time extraction

    International Nuclear Information System (INIS)

    Zhang, Xiao-Guang; Nie, You-Qi; Liang, Hao; Zhang, Jun; Pan, Jian-Wei; Zhou, Hongyi; Ma, Xiongfeng

    2016-01-01

    We present a real-time and fully integrated quantum random number generator (QRNG) by measuring laser phase fluctuations. The QRNG scheme based on laser phase fluctuations is featured for its capability of generating ultra-high-speed random numbers. However, the speed bottleneck of a practical QRNG lies on the limited speed of randomness extraction. To close the gap between the fast randomness generation and the slow post-processing, we propose a pipeline extraction algorithm based on Toeplitz matrix hashing and implement it in a high-speed field-programmable gate array. Further, all the QRNG components are integrated into a module, including a compact and actively stabilized interferometer, high-speed data acquisition, and real-time data post-processing and transmission. The final generation rate of the QRNG module with real-time extraction can reach 3.2 Gbps.

  15. Note: Fully integrated 3.2 Gbps quantum random number generator with real-time extraction

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Xiao-Guang; Nie, You-Qi; Liang, Hao; Zhang, Jun, E-mail: zhangjun@ustc.edu.cn; Pan, Jian-Wei [Hefei National Laboratory for Physical Sciences at the Microscale and Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026 (China); CAS Center for Excellence and Synergetic Innovation Center in Quantum Information and Quantum Physics, University of Science and Technology of China, Hefei, Anhui 230026 (China); Zhou, Hongyi; Ma, Xiongfeng [Center for Quantum Information, Institute for Interdisciplinary Information Sciences, Tsinghua University, Beijing 100084 (China)

    2016-07-15

    We present a real-time and fully integrated quantum random number generator (QRNG) by measuring laser phase fluctuations. The QRNG scheme based on laser phase fluctuations is featured for its capability of generating ultra-high-speed random numbers. However, the speed bottleneck of a practical QRNG lies on the limited speed of randomness extraction. To close the gap between the fast randomness generation and the slow post-processing, we propose a pipeline extraction algorithm based on Toeplitz matrix hashing and implement it in a high-speed field-programmable gate array. Further, all the QRNG components are integrated into a module, including a compact and actively stabilized interferometer, high-speed data acquisition, and real-time data post-processing and transmission. The final generation rate of the QRNG module with real-time extraction can reach 3.2 Gbps.

  16. Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives.

    Science.gov (United States)

    Ackerman, Michael J; Filart, Rosemarie; Burgess, Lawrence P; Lee, Insup; Poropatich, Ronald K

    2010-01-01

    The major goals of telemedicine today are to develop next-generation telehealth tools and technologies to enhance healthcare delivery to medically underserved populations using telecommunication technology, to increase access to medical specialty services while decreasing healthcare costs, and to provide training of healthcare providers, clinical trainees, and students in health-related fields. Key drivers for these tools and technologies are the need and interest to collaborate among telehealth stakeholders, including patients, patient communities, research funders, researchers, healthcare services providers, professional societies, industry, healthcare management/economists, and healthcare policy makers. In the development, marketing, adoption, and implementation of these tools and technologies, communication, training, cultural sensitivity, and end-user customization are critical pieces to the process. Next-generation tools and technologies are vehicles toward personalized medicine, extending the telemedicine model to include cell phones and Internet-based telecommunications tools for remote and home health management with video assessment, remote bedside monitoring, and patient-specific care tools with event logs, patient electronic profile, and physician note-writing capability. Telehealth is ultimately a system of systems in scale and complexity. To cover the full spectrum of dynamic and evolving needs of end-users, we must appreciate system complexity as telehealth moves toward increasing functionality, integration, interoperability, outreach, and quality of service. Toward that end, our group addressed three overarching questions: (1) What are the high-impact topics? (2) What are the barriers to progress? and (3) What roles can the National Institutes of Health and its various institutes and centers play in fostering the future development of telehealth?

  17. 125-GHz Microwave Signal Generation Employing an Integrated Pulse Shaper

    DEFF Research Database (Denmark)

    Liao, Shasha; Ding, Yunhong; Dong, Jianji

    2017-01-01

    We propose and experimentally demonstrate an on-chip pulse shaper for 125-GHz microwave waveform generation. The pulse shaper is implemented based on a silicon-on-insulator (SOI) platform that has a structure with eight-tap finite impulse response (FIR) and there is an amplitude modulator on each...... of the generated microwave waveforms is larger than 100 GHz, and it has wide bandwidth when changing the time delay of the adjacent taps and compactness, capability for integration with electronics and small power consumption are also its merits.......We propose and experimentally demonstrate an on-chip pulse shaper for 125-GHz microwave waveform generation. The pulse shaper is implemented based on a silicon-on-insulator (SOI) platform that has a structure with eight-tap finite impulse response (FIR) and there is an amplitude modulator on each...

  18. Esophageal acid sensitivity and mucosal integrity in patients with functional heartburn.

    Science.gov (United States)

    Weijenborg, P W; Smout, A J P M; Bredenoord, A J

    2016-11-01

    Patients with functional heartburn (FH) experience troublesome heartburn that is not related to gastroesophageal reflux. The etiology of the heartburn sensation in FH patients is unknown. In patients with reflux disease, esophageal hypersensitivity seems associated with impaired mucosal integrity. We aimed to determine esophageal sensitivity and mucosal integrity in FH and non-erosive reflux disease (NERD) patients. In this prospective experimental study, we performed an acid perfusion test and upper endoscopy with biopsies in 12 patients with NERD and nine patients with FH. Mucosal integrity was measured during endoscopy using electrical tissue impedance spectroscopy and biopsy specimens were analyzed in Ussing chambers for transepithelial electrical resistance and transepithelial permeability. Lag time to heartburn perception was significantly longer in FH patients (median 12 min) than in NERD patients (median 3 min). Once perceived, intensity of heartburn was scored equal with median visual analog scale 6.5 and 7.1 respectively. Esophageal mucosal integrity was also comparable between FH and NERD patients, both in vivo extracellular impedance and ex vivo transepithelial resistance and permeability were similar. Patients with FH did not show acid hypersensitivity as seen in patients with NERD. However, once perceived, intensity of heartburn is similar. Esophageal mucosal integrity is similar between NERD and FH patients, and is therefore unlikely to be the underlying cause of the observed difference in esophageal acid perception. © 2016 John Wiley & Sons Ltd.

  19. [The IPT integrative program of psychological therapy for schizophrenia patients: new perspectives].

    Science.gov (United States)

    Pomini, Valentino

    2004-04-01

    The integrated psychological treatment for schizophrenic patients IPT is composed by six modules that can be implemented either separately or in an articulated way. In that case, the treatment begins with a cognitive remediation phase which is followed by a social skills training phase. In the first phase, exercises specifically focalize on selective attention, memory, logical reasoning, perception and communication skills. The second phase of the program offers three other modules that train other skills: 1) social skills, 2) emotional management, 3) interpersonal problem solving. The IPT program belong to the so called second generation of social skills training programmes. It has been validated by numerous controlled studies, either in its complete form or in partial forms containing only one ore more of its sub-programmes. The results of these studies are globally positive. They show that IPT is an interesting therapeutic contribution for the rehabilitation practice with schizophrenic patients. A third generation of social skills training has been elaborated on the basis of the current IPT program. These new adjunctions to the IPT tend to favour the utilization in the real life of the competencies trained in the sessions, either by adding specific homeworks, in-vivo or booster sessions, or by designating new programmes directed to specific rehabilitation objectives, such as the integration in a apartment, the management of leisure times or the return to a workplace. These new programmes have been studied. They are promising and seem to be a useful complement to the original IPT.

  20. Operational antecedents of integrated patient planning in hospitals

    NARCIS (Netherlands)

    Drupsteen, Justin; van der Vaart, T.; van Donk, Dirk

    2016-01-01

    Purpose - Hospitals struggle to integrate the planning from different departments; resulting in unacceptable waiting times for patients. The literature mainly addresses general, organizational factors inhibiting or enabling integration and omits important factors stemming from the care delivery

  1. Assessing the economic feasibility of flexible integrated gasification Co-generation facilities

    NARCIS (Netherlands)

    Meerman, J.C.; Ramírez Ramírez, C.A.; Turkenburg, W.C.; Faaij, A.P.C.

    2011-01-01

    This paper evaluated the economic effects of introducing flexibility to state-of-the-art integrated gasification co-generation (IGCG) facilities equipped with CO2 capture. In a previous paper the technical and energetic performances of these flexible IG-CG facilities were evaluated. This paper

  2. Structural integrity of power generating speed bumps made of concrete foam composite

    Science.gov (United States)

    Syam, B.; Muttaqin, M.; Hastrino, D.; Sebayang, A.; Basuki, W. S.; Sabri, M.; Abda, S.

    2018-02-01

    In this paper concrete foam composite speed bumps were designed to generate electrical power by utilizing the movements of commuting vehicles on highways, streets, parking gates, and drive-thru station of fast food restaurants. The speed bumps were subjected to loadings generated by vehicles pass over the power generating mechanical system. In this paper, we mainly focus our discussion on the structural integrity of the speed bumps and discuss the electrical power generating speed bumps in another paper. One aspect of structural integrity is its ability to support designed loads without breaking and includes the study of past structural failures in order to prevent failures in future designs. The concrete foam composites were used for the speed bumps; the reinforcement materials are selected from empty fruit bunch of oil palm. In this study, the speed bump materials and structure were subjected to various tests to obtain its physical and mechanical properties. To analyze the structure stability of the speed bumps some models were produced and tested in our speed bump test station. We also conduct a FEM-based computer simulation to analyze stress responses of the speed bump structures. It was found that speed bump type 1 significantly reduced the radial voltage. In addition, the speed bump is equipped with a steel casing is also suitable for use as a component component in generating electrical energy.

  3. Integrated photoelectrochemical energy storage: solar hydrogen generation and supercapacitor

    Science.gov (United States)

    Xia, Xinhui; Luo, Jingshan; Zeng, Zhiyuan; Guan, Cao; Zhang, Yongqi; Tu, Jiangping; Zhang, Hua; Fan, Hong Jin

    2012-01-01

    Current solar energy harvest and storage are so far realized by independent technologies (such as solar cell and batteries), by which only a fraction of solar energy is utilized. It is highly desirable to improve the utilization efficiency of solar energy. Here, we construct an integrated photoelectrochemical device with simultaneous supercapacitor and hydrogen evolution functions based on TiO2/transition metal hydroxides/oxides core/shell nanorod arrays. The feasibility of solar-driven pseudocapacitance is clearly demonstrated, and the charge/discharge is indicated by reversible color changes (photochromism). In such an integrated device, the photogenerated electrons are utilized for H2 generation and holes for pseudocapacitive charging, so that both the reductive and oxidative energies are captured and converted. Specific capacitances of 482 F g−1 at 0.5 A g−1 and 287 F g−1 at 1 A g−1 are obtained with TiO2/Ni(OH)2 nanorod arrays. This study provides a new research strategy for integrated pseudocapacitor and solar energy application. PMID:23248745

  4. From symplectic integrator to Poincare map: Spline expansion of a map generator in Cartesian coordinates

    International Nuclear Information System (INIS)

    Warnock, R.L.; Ellison, J.A.; Univ. of New Mexico, Albuquerque, NM

    1997-08-01

    Data from orbits of a symplectic integrator can be interpolated so as to construct an approximation to the generating function of a Poincare map. The time required to compute an orbit of the symplectic map induced by the generator can be much less than the time to follow the same orbit by symplectic integration. The construction has been carried out previously for full-turn maps of large particle accelerators, and a big saving in time (for instance a factor of 60) has been demonstrated. A shortcoming of the work to date arose from the use of canonical polar coordinates, which precluded map construction in small regions of phase space near coordinate singularities. This paper shows that Cartesian coordinates can also be used, thus avoiding singularities. The generator is represented in a basis of tensor product B-splines. Under weak conditions the spline expansion converges uniformly as the mesh is refined, approaching the exact generator of the Poincare map as defined by the symplectic integrator, in some parallelepiped of phase space centered at the origin

  5. Patient perceptions of integrated care: confused by the term, clear on the concept

    Directory of Open Access Journals (Sweden)

    Kara Odom Walker

    2013-03-01

    Full Text Available Purpose: Health care reform in the United States has introduced terms such as “the patient-centered medical home” and “integrated care” that are often unclear and unfamiliar to patients. This study explored patient experiences with the functional domains of integrated care. Theory and methods: Patients first wrote their definitions of integrated care and then participated in focus group discussions about their experiences with the health care system. Transcripts were analyzed for thematic content. Results: Forty-four patients participated in one of seven focus groups in San Francisco, CA in English and Spanish. Many patients were not clear about the meaning of the term integrated care. However, patients described experiences largely reflected in an existing conceptual model of integrated care and the importance of coordination within and across teams and with community resources, continuity and sharing of information, and patient engagement. Patients with high medical needs described the ubiquitous challenges they faced in experiencing coordinated care. Conclusions: Patients may not understand the term integrated care but are relatively clear on what the concept of integrated care entails and support its successful implementation. Patients and their families are at the center of integrated care, and health systems need to support and empower them to successfully navigate the medical neighborhood.

  6. Operation strategy for a lab-scale grid-connected photovoltaic generation system integrated with battery energy storage

    International Nuclear Information System (INIS)

    Jou, Hurng-Liahng; Chang, Yi-Hao; Wu, Jinn-Chang; Wu, Kuen-Der

    2015-01-01

    Highlights: • The operation strategy for grid-connected PV generation system integrated with battery energy storage is proposed. • The PV system is composed of an inverter and two DC-DC converter. • The negative impact of grid-connected PV generation systems on the grid can be alleviated by integrating a battery. • The operation of the developed system can be divided into nine modes. - Abstract: The operation strategy for a lab-scale grid-connected photovoltaic generation system integrated with battery energy storage is proposed in this paper. The photovoltaic generation system is composed of a full-bridge inverter, a DC–DC boost converter, an isolated bidirectional DC–DC converter, a solar cell array and a battery set. Since the battery set acts as an energy buffer to adjust the power generation of the solar cell array, the negative impact on power quality caused by the intermittent and unstable output power from a solar cell array is alleviated, so the penetration rate of the grid-connected photovoltaic generation system is increased. A lab-scale prototype is developed to verify the performance of the system. The experimental results show that it achieves the expected performance

  7. Economic viability of a residential building integrated photovoltaic generator in South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Ziuku, Sosten; Meyer, Edson L. [Fort Hare Institute of Technology, University of Fort Hare, Private Bag X1314, Alice 5700 (South Africa)

    2012-07-01

    A photovoltaic (PV) generator was integrated onto the north facing roof of an energy efficient house in South Africa. The building integrated photovoltaic generator (BIPV) supplies power to the household loads and the grid and is also the roof facade. This paper presents an economic evaluation of the viability of the BIPV system using methods of investment analysis. The capital cost and life cycle cost of energy were found to be ZAR 52 631-58/kWp and ZAR 1-94/kWh respectively. The payback period was 8 years and adjusted internal rate of return 9.3%. Parametric sensitivity analysis revealed that a 50% decrease in module price results in a 29% reduction in life cycle cost of energy and more than 50% reduction in payback period.

  8. Generation of a High Number of Healthy Erythroid Cells from Gene-Edited Pyruvate Kinase Deficiency Patient-Specific Induced Pluripotent Stem Cells

    Directory of Open Access Journals (Sweden)

    Zita Garate

    2015-12-01

    Full Text Available Pyruvate kinase deficiency (PKD is a rare erythroid metabolic disease caused by mutations in the PKLR gene. Erythrocytes from PKD patients show an energetic imbalance causing chronic non-spherocytic hemolytic anemia, as pyruvate kinase defects impair ATP production in erythrocytes. We generated PKD induced pluripotent stem cells (PKDiPSCs from peripheral blood mononuclear cells (PB-MNCs of PKD patients by non-integrative Sendai viral vectors. PKDiPSCs were gene edited to integrate a partial codon-optimized R-type pyruvate kinase cDNA in the second intron of the PKLR gene by TALEN-mediated homologous recombination (HR. Notably, we found allele specificity of HR led by the presence of a single-nucleotide polymorphism. High numbers of erythroid cells derived from gene-edited PKDiPSCs showed correction of the energetic imbalance, providing an approach to correct metabolic erythroid diseases and demonstrating the practicality of this approach to generate the large cell numbers required for comprehensive biochemical and metabolic erythroid analyses.

  9. Thermodynamic assessment of integrated biogas-based micro-power generation system

    International Nuclear Information System (INIS)

    Hosseini, Seyed Ehsan; Barzegaravval, Hasan; Wahid, Mazlan Abdul; Ganjehkaviri, Abdolsaeid; Sies, Mohsin Mohd

    2016-01-01

    Highlights: • A thermodynamic modelling of an integrated biogas-based micro-power generation system is reported. • The impact of design parameters on the thermodynamic performance of the system is evaluated. • High turbine inlet temperatures lead the system to the higher energy and exergy efficiency and higher power generation. • Enhancement of GT isentropic efficiency incurs negative effects on the performance of air preheater and heat exchanger. • The rate of power generation increases by the enhancement of steam turbine pressure in ORC. - Abstract: In this paper, a thermodynamic modelling of an integrated biogas (60%CH_4 + 40%CO_2) micro-power generation system for electricity generation is reported. This system involves a gas turbine cycle and organic Rankine cycle (ORC) where the wasted heat of gas turbine cycle is recovered by closed ORC. The net output power of the micro-power generation system is fixed at 1.4 MW includes 1 MW power generated by GT and 0.4 MW by ORC. Energy and exergy assessments and related parametric studies are carried out, and parameters that influence on energy and exergy efficiency are evaluated. The performance of the system with respect to variation of design parameters such as combustion air inlet temperature, turbine inlet temperature, compressor pressure ratio, gas turbine isentropic efficiency and compressor isentropic efficiency (from the top cycle) and steam turbine inlet pressure, and condenser pressure (from bottoming cycle) is evaluated. The results reveal that by the increase of gas turbine isentropic efficiency, the outlet temperature of gas turbine decreases which incurs negative impacts on the performance of air preheater and heat exchanger, however the energy and exergy efficiency increases in the whole system. By the increase of air compressor pressure ratio, the energy and exergy of the combined cycle decreases. The exergy efficiency of ORC alters by the variation of gas turbine parameters which can be

  10. Establishment of Next-Generation Neurosurgery Research and Training Laboratory with Integrated Human Performance Monitoring.

    Science.gov (United States)

    Bernardo, Antonio

    2017-10-01

    Quality of neurosurgical care and patient outcomes are inextricably linked to surgical and technical proficiency and a thorough working knowledge of microsurgical anatomy. Neurosurgical laboratory-based cadaveric training is essential for the development and refinement of technical skills before their use on a living patient. Recent biotechnological advances including 3-dimensional (3D) microscopy and endoscopy, 3D printing, virtual reality, surgical simulation, surgical robotics, and advanced neuroimaging have proved to reduce the learning curve, improve conceptual understanding of complex anatomy, and enhance visuospatial skills in neurosurgical training. Until recently, few means have allowed surgeons to obtain integrated surgical and technological training in an operating room setting. We report on a new model, currently in use at our institution, for technologically integrated surgical training and innovation using a next-generation microneurosurgery skull base laboratory designed to recreate the setting of a working operating room. Each workstation is equipped with a 3D surgical microscope, 3D endoscope, surgical drills, operating table with a Mayfield head holder, and a complete set of microsurgical tools. The laboratory also houses a neuronavigation system, a surgical robotic, a surgical planning system, 3D visualization, virtual reality, and computerized simulation for training of surgical procedures and visuospatial skills. In addition, the laboratory is equipped with neurophysiological monitoring equipment in order to conduct research into human factors in surgery and the respective roles of workload and fatigue on surgeons' performance. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. An integrated SNP mining and utilization (ISMU) pipeline for next generation sequencing data.

    Science.gov (United States)

    Azam, Sarwar; Rathore, Abhishek; Shah, Trushar M; Telluri, Mohan; Amindala, BhanuPrakash; Ruperao, Pradeep; Katta, Mohan A V S K; Varshney, Rajeev K

    2014-01-01

    Open source single nucleotide polymorphism (SNP) discovery pipelines for next generation sequencing data commonly requires working knowledge of command line interface, massive computational resources and expertise which is a daunting task for biologists. Further, the SNP information generated may not be readily used for downstream processes such as genotyping. Hence, a comprehensive pipeline has been developed by integrating several open source next generation sequencing (NGS) tools along with a graphical user interface called Integrated SNP Mining and Utilization (ISMU) for SNP discovery and their utilization by developing genotyping assays. The pipeline features functionalities such as pre-processing of raw data, integration of open source alignment tools (Bowtie2, BWA, Maq, NovoAlign and SOAP2), SNP prediction (SAMtools/SOAPsnp/CNS2snp and CbCC) methods and interfaces for developing genotyping assays. The pipeline outputs a list of high quality SNPs between all pairwise combinations of genotypes analyzed, in addition to the reference genome/sequence. Visualization tools (Tablet and Flapjack) integrated into the pipeline enable inspection of the alignment and errors, if any. The pipeline also provides a confidence score or polymorphism information content value with flanking sequences for identified SNPs in standard format required for developing marker genotyping (KASP and Golden Gate) assays. The pipeline enables users to process a range of NGS datasets such as whole genome re-sequencing, restriction site associated DNA sequencing and transcriptome sequencing data at a fast speed. The pipeline is very useful for plant genetics and breeding community with no computational expertise in order to discover SNPs and utilize in genomics, genetics and breeding studies. The pipeline has been parallelized to process huge datasets of next generation sequencing. It has been developed in Java language and is available at http://hpc.icrisat.cgiar.org/ISMU as a standalone

  12. Patient safety and infection control: bases for curricular integration.

    Science.gov (United States)

    Silva, Andréa Mara Bernardes da; Bim, Lucas Lazarini; Bim, Felipe Lazarini; Sousa, Alvaro Francisco Lopes; Domingues, Pedro Castania Amadio; Nicolussi, Adriana Cristina; Andrade, Denise de

    2018-05-01

    To analyze curricular integration between teaching of patient safety and good infection prevention and control practices. Integrative review, designed to answer the question: "How does curricular integration of content about 'patient safety teaching' and content about 'infection prevention and control practices' occur in undergraduate courses in the health field?". The following databases were searched for primary studies: CINAHL, LILACS, ScienceDirect, Web of Science, Scopus, Europe PMC and MEDLINE. The final sample consisted of 13 studies. After content analysis, primary studies were grouped into two subject categories: "Innovative teaching practices" and "Curricular evaluation. Patient safety related to infection prevention and control practices is present in the curriculum of health undergraduate courses, but is not coordinated with other themes, is taught sporadically, and focuses mainly on hand hygiene.

  13. MULTI SENSOR DATA INTEGRATION FOR AN ACCURATE 3D MODEL GENERATION

    Directory of Open Access Journals (Sweden)

    S. Chhatkuli

    2015-05-01

    Full Text Available The aim of this paper is to introduce a novel technique of data integration between two different data sets, i.e. laser scanned RGB point cloud and oblique imageries derived 3D model, to create a 3D model with more details and better accuracy. In general, aerial imageries are used to create a 3D city model. Aerial imageries produce an overall decent 3D city models and generally suit to generate 3D model of building roof and some non-complex terrain. However, the automatically generated 3D model, from aerial imageries, generally suffers from the lack of accuracy in deriving the 3D model of road under the bridges, details under tree canopy, isolated trees, etc. Moreover, the automatically generated 3D model from aerial imageries also suffers from undulated road surfaces, non-conforming building shapes, loss of minute details like street furniture, etc. in many cases. On the other hand, laser scanned data and images taken from mobile vehicle platform can produce more detailed 3D road model, street furniture model, 3D model of details under bridge, etc. However, laser scanned data and images from mobile vehicle are not suitable to acquire detailed 3D model of tall buildings, roof tops, and so forth. Our proposed approach to integrate multi sensor data compensated each other’s weakness and helped to create a very detailed 3D model with better accuracy. Moreover, the additional details like isolated trees, street furniture, etc. which were missing in the original 3D model derived from aerial imageries could also be integrated in the final model automatically. During the process, the noise in the laser scanned data for example people, vehicles etc. on the road were also automatically removed. Hence, even though the two dataset were acquired in different time period the integrated data set or the final 3D model was generally noise free and without unnecessary details.

  14. Vertical integration increases opportunities for patient flow.

    Science.gov (United States)

    Radoccia, R A; Benvenuto, J A; Blancett, L

    1991-08-01

    New sources of patients will become more and more important in the next decade as hospitals continue to feel the squeeze of a competitive marketplace. Vertical integration, a distribution tool used in other industries, will be a significant tool for health care administrators. In the following article, the authors explain the vertical integration model that shows promise for other institutions.

  15. Piezo-generator integrating a vertical array of GaN nanowires.

    Science.gov (United States)

    Jamond, N; Chrétien, P; Houzé, F; Lu, L; Largeau, L; Maugain, O; Travers, L; Harmand, J C; Glas, F; Lefeuvre, E; Tchernycheva, M; Gogneau, N

    2016-08-12

    We demonstrate the first piezo-generator integrating a vertical array of GaN nanowires (NWs). We perform a systematic multi-scale analysis, going from single wire properties to macroscopic device fabrication and characterization, which allows us to establish for GaN NWs the relationship between the material properties and the piezo-generation, and to propose an efficient piezo-generator design. The piezo-conversion of individual MBE-grown p-doped GaN NWs in a dense array is assessed by atomic force microscopy (AFM) equipped with a Resiscope module yielding an average output voltage of 228 ± 120 mV and a maximum value of 350 mV generated per NW. In the case of p-doped GaN NWs, the piezo-generation is achieved when a positive piezo-potential is created inside the nanostructures, i.e. when the NWs are submitted to compressive deformation. The understanding of the piezo-generation mechanism in our GaN NWs, gained from AFM analyses, is applied to design a piezo-generator operated under compressive strain. The device consists of NW arrays of several square millimeters in size embedded into spin-on glass with a Schottky contact for rectification and collection of piezo-generated carriers. The generator delivers a maximum power density of ∼12.7 mW cm(-3). This value sets the new state of the art for piezo-generators based on GaN NWs and more generally on nitride NWs, and offers promising prospects for the use of GaN NWs as high-efficiency ultra-compact energy harvesters.

  16. Diminished white matter integrity in patients with systemic lupus erythematosus

    Directory of Open Access Journals (Sweden)

    Tobias Schmidt-Wilcke

    2014-01-01

    Conclusions: Our data suggest that changes in regional white matter integrity, in terms of a decrease in FA, are present not only in NPSLE patients, but also in non-NPSLE patients, though to a lesser degree. We also demonstrate that the way statistical maps are corrected for multiple comparisons has a profound influence on whether alterations in white matter integrity in non-NPSLE patients are deemed significant.

  17. Techno-Economic Analysis of Integrating First and Second-Generation Ethanol Production Using Filamentous Fungi: An Industrial Case Study

    Directory of Open Access Journals (Sweden)

    Karthik Rajendran

    2016-05-01

    Full Text Available The 2nd generation plants producing ethanol from lignocelluloses demand risky and high investment costs. This paper presents the energy- and economical evaluations for integrating lignocellulose in current 1st generation dry mill ethanol processes, using filamentous fungi. Dry mills use grains and have mills, liquefactions, saccharifications, fermentation, and distillation to produce ethanol, while their stillage passes centrifugation, and evaporation to recycle the water and dry the cake and evaporated syrup into animal feed. In this work, a bioreactor was considered to cultivate fungi on the stillage either before or after the centrifugation step together with pretreated lignocellulosic wheat bran. The results showed that the integrated 1st and 2nd generation ethanol process requires a capital investment of 77 million USD, which could yield NPV of 162 million USD after 20 years. Compared to the fungal cultivation on thin stillage modified 1st generation process, the integrated process resulted in 53 million USD higher NPV. The energy analysis showed that the thin stillage modified 1st generation process could reduce the overall energy consumption by 2.5% and increase the ethanol production by 4%. Such modifications in the 1st generation processes and integration concepts could be interesting for the ethanol industries, as integrating lignocelluloses to their existing setup requires less capital investment.

  18. Equivalent Method of Integrated Power Generation System of Wind, Photovoltaic and Energy Storage in Power Flow Calculation and Transient Simulation

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    The integrated power generation system of wind, photovoltaic (PV) and energy storage is composed of several wind turbines, PV units and energy storage units. The detailed model of integrated generation is not suitable for the large-scale powe.r system simulation because of the model's complexity and long computation time. An equivalent method for power flow calculation and transient simulation of the integrated generation system is proposed based on actual projects, so as to establish the foundation of such integrated system simulation and analysis.

  19. Integration of distributed generation in the power system

    CERN Document Server

    Bollen, Math H J

    2011-01-01

    "The integration of new sources of energy like wind power, solar-power, small-scale generation, or combined heat and power in the power grid is something that impacts a lot of stakeholders: network companies (both distribution and transmission), the owners and operators of the DG units, other end-users of the power grid (including normal consumers like you and me) and not in the least policy makers and regulators. There is a lot of misunderstanding about the impact of DG on the power grid, with one side (including mainly some but certainly not all, network companies) claiming that the lights will go out soon, whereas the other side (including some DG operators and large parks of the general public) claiming that there is nothing to worry about and that it's all a conspiracy of the large production companies that want to protect their own interests and keep the electricity price high. The authors are of the strong opinion that this is NOT the way one should approach such an important subject as the integration...

  20. Generation of a human induced pluripotent stem cell line (CSC-42 from a patient with sporadic form of Parkinson's disease

    Directory of Open Access Journals (Sweden)

    Ekaterina Savchenko

    2018-03-01

    Full Text Available Skin fibroblasts were collected from a 44-year-old patient with sporadic case of Parkinson's disease (PD. The non-integrating Sendai virus vector encoding OCT3/4, SOX2, c-MYC and KLF4 was used to reprogram fibroblasts into induced pluripotent stem cells (iPSCs. Generated iPSCs had normal karyotypes, expressed common stem cell markers, and were capable of differentiating into all three germ layers. Generated line could be used for PD modeling to understand the mechanisms that influence the disorder.

  1. Scored patient-generated Subjective Global Assessment: Length of hospital stay and mortality in cancer patients

    Directory of Open Access Journals (Sweden)

    Alexsandro Ferreira dos SANTOS

    Full Text Available ABSTRACT Objective To determine the association of a scored patient-generated Subjective Global Assessment with mortality and length of hospital stay in cancer patients. Methods Cross-sectional study carried out between July and September 2014 using secondary data collection using data from 366 medical records of patients admitted to a hospital recognized as a cancer center of excellence. The present study included patients with hospital stay over than or equal three days and minimum age of 20 years. The patient-generated Subjective Global Assessment scores were calculated and compared with the patients’ clinical and anthropometric characteristics and outcomes (death and long length of stay in hospital. Results Of the 366 patients evaluated, 36.0% were malnourished. The presence of malnutrition, according to the scored patient-generated Subjective Global Assessment, was statistically associated with the presence of metastasis (52.4%. On the other hand, malnutrition, according to the body mass index in adults (55.8% and in older elderly patients (54.2%, was associated with death (55.0%. The adjusted logistic regression model showed that the following factors were associated with prolonged hospitalization: early nutritional screening, presence of severe malnutrition, radiotherapy and chemotherapy, and surgical procedures. As for mortality, the associated factors were: male reproductive system tumor, presence of metastasis, clinical treatment, prolonged hospitalization, and the presence of some degree of malnutrition. Conclusion The patient-generated Subjective Global Assessment score is an important risk marker of prolonged hospitalization and mortality rates. It is a useful tool capable of circumventing significant biases in the nutritional evaluation of cancer patients.

  2. Modeling and simulation of syngas purification and power generation in integrated gasification combined cycle (IGCS)

    Energy Technology Data Exchange (ETDEWEB)

    Mehmood, N; Zaman, Z U; Mehran, M T [National Development, Islamabad (Pakistan)

    2011-07-01

    Integrated Gasification Combined Cycle (IGCC) is one of the most promising technologies for power generation; The environmental benefits and the higher energy conversion efficiency distinguish it from traditional coal generation technologies. This work presents a structured and validated conceptual model of purification of coal gas produced during the Underground Coal Gasification (UCG) of coal containing high sulfur contents. Gas cleaning operations for CO/sub 2/, H/sub 2/S and moisture removal have been modeled in steady and dynamic state. The power generation from combined cycle is also modeled. The model has been developed using Aspen HYSYS and Aspen Plus simulation software. Predicted results of clean gas composition and generated power present a good agreement with industrial data and efficiency parameters. This study is aimed at obtaining optimal assessment of an integrated gasification combined cycle (IGCC) power plant configurations. (author)

  3. Modeling and simulation of syngas purification and power generation in integrated gasification combined cycle (IGCS)

    International Nuclear Information System (INIS)

    Mehmood, N.; Zaman, Z.U.; Mehran, M.T.

    2011-01-01

    Integrated Gasification Combined Cycle (IGCC) is one of the most promising technologies for power generation; The environmental benefits and the higher energy conversion efficiency distinguish it from traditional coal generation technologies. This work presents a structured and validated conceptual model of purification of coal gas produced during the Underground Coal Gasification (UCG) of coal containing high sulfur contents. Gas cleaning operations for CO/sub 2/, H/sub 2/S and moisture removal have been modeled in steady and dynamic state. The power generation from combined cycle is also modeled. The model has been developed using Aspen HYSYS and Aspen Plus simulation software. Predicted results of clean gas composition and generated power present a good agreement with industrial data and efficiency parameters. This study is aimed at obtaining optimal assessment of an integrated gasification combined cycle (IGCC) power plant configurations. (author)

  4. Integrated circuit test-port architecture and method and apparatus of test-port generation

    Science.gov (United States)

    Teifel, John

    2016-04-12

    A method and apparatus are provided for generating RTL code for a test-port interface of an integrated circuit. In an embodiment, a test-port table is provided as input data. A computer automatically parses the test-port table into data structures and analyzes it to determine input, output, local, and output-enable port names. The computer generates address-detect and test-enable logic constructed from combinational functions. The computer generates one-hot multiplexer logic for at least some of the output ports. The one-hot multiplexer logic for each port is generated so as to enable the port to toggle between data signals and test signals. The computer then completes the generation of the RTL code.

  5. Integrating publicly-available data to generate computationally ...

    Science.gov (United States)

    The adverse outcome pathway (AOP) framework provides a way of organizing knowledge related to the key biological events that result in a particular health outcome. For the majority of environmental chemicals, the availability of curated pathways characterizing potential toxicity is limited. Methods are needed to assimilate large amounts of available molecular data and quickly generate putative AOPs for further testing and use in hazard assessment. A graph-based workflow was used to facilitate the integration of multiple data types to generate computationally-predicted (cp) AOPs. Edges between graph entities were identified through direct experimental or literature information or computationally inferred using frequent itemset mining. Data from the TG-GATEs and ToxCast programs were used to channel large-scale toxicogenomics information into a cpAOP network (cpAOPnet) of over 20,000 relationships describing connections between chemical treatments, phenotypes, and perturbed pathways measured by differential gene expression and high-throughput screening targets. Sub-networks of cpAOPs for a reference chemical (carbon tetrachloride, CCl4) and outcome (hepatic steatosis) were extracted using the network topology. Comparison of the cpAOP subnetworks to published mechanistic descriptions for both CCl4 toxicity and hepatic steatosis demonstrate that computational approaches can be used to replicate manually curated AOPs and identify pathway targets that lack genomic mar

  6. Continuous terahertz-wave generation using a monolithically integrated horn antenna

    Science.gov (United States)

    Peytavit, E.; Beck, A.; Akalin, T.; Lampin, J.-F.; Hindle, F.; Yang, C.; Mouret, G.

    2008-09-01

    A transverse electromagnetic horn antenna is monolithically integrated with a standard ultrafast interdigitated electrode photodetector on low-temperature-grown GaAs. Continuous-wave terahertz radiation is generated at frequencies up to 2 THz with a maximum power of approximately 1 μW at 780 GHz. Experimental variations in the terahertz power as function of the frequency are explained by means of electromagnetic simulations of the antenna and the photomixer vicinity.

  7. Psychometric Characteristics of a Patient Reported Outcome Measure on Ego-Integrity and Despair among Cancer Patients.

    Directory of Open Access Journals (Sweden)

    Gitta Kleijn

    Full Text Available To evaluate psychometric characteristics of a questionnaire (the Northwestern Ego-integrity Scale (NEIS on ego-integrity (the experience of wholeness and meaning in life, even in spite of negative experiences and despair (the experience of regret about the life one has led, and feelings of sadness, failure and hopelessness among cancer patients.Cancer patients (n = 164 completed patient reported outcome measures on ego-integrity and despair (NEIS, psychological distress, anxiety and depression (Hospital Anxiety and Depression Scale (HADS, and quality of life (EORTC QLQ-C30 (cancer survivors, n = 57 or EORTC QLQ-C15-PAL (advanced cancer patients, n = 107. Confirmatory Factor Analysis was used to assess construct validity. Cronbach's alpha was used to assess internal consistency. Convergent validity was tested based on a priori defined hypotheses: a higher level of ego-integrity was expected to be related to a higher level of quality of life, and lower levels of distress, depression and anxiety; a higher level of despair was expected to be related to a lower level of quality of life, and higher levels of distress, depression and anxiety.The majority of all items (94.5% of the NEIS were completed by patients and single item missing rate was below 2%. The two subscales, labeled as Ego-integrity (5 items and Despair (4 items had acceptable internal consistency (Cronbach's alpha .72 and .61, respectively. The Ego-integrity subscale was not significantly associated with quality of life, distress, anxiety, or depression. The Despair subscale correlated significantly (p <.001 with quality of life (r = -.29, distress (r = .44, anxiety (r = .47 and depression (r = .32.The NEIS has good psychometric characteristics to assess ego-integrity and despair among cancer patients.

  8. Sustainable integration of high levels of intermittent generation

    International Nuclear Information System (INIS)

    Pereira, R.; Cabral, P.

    2005-01-01

    The sustainable development of electric power systems rely on three main drivers: the security of supply, the competitiveness and the protection of the environment. For this purpose the promotion of endogenous energy sources, mainly the renewable ones, should be underlined. Still, most of renewable energy sources raise very sensitive issues concerning the security of supply, due to its randomness and unpredictability. The wind power, currently in its fast growing development, plays a relevant role on this matter. From the demand-side perspective, there is also a lot to do regarding the promotion of more efficient use of energy as well as mechanisms that contribute to security of supply. This paper aims to present guidelines for the selection of the most adequate solutions regarding: sustainable evolution of renewable generation technologies, based on the most meritorious resources under economic and security of supply assessments; complementary energy storage systems that allow the integration of intermittent generation ensuring adequate security of supply levels; and sustainable evolution of demand, based on DSM measures selected from different available alternatives. (author)

  9. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia.

    Science.gov (United States)

    Mayer-Amberg, Norbert; Woltmann, Rainer; Walther, Stefanie

    2015-01-01

    The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various health-care service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The Integrated Care Initiative Schizophrenia has implemented a networked care concept in the German federal state of Lower Saxony that integrates various stakeholders of the health care system. In this initiative, office-based psychiatrists, specialized nursing staff, psychologists, social workers, hospitals, psychiatric institutional outpatient's departments, and other community-based mental health services work together in an interdisciplinary approach. Much emphasis is placed on psychoeducation. Additional efforts cover socio-therapy, visiting care, and family support. During the period from October 2010 (start of the initiative) to December 2012, first experiences and results of quality indicators were collected of 713 registered patients and summarized in a quality monitoring report. In addition, standardized patient interviews were conducted, and duration of hospital days was recorded in 2013. By the end of 2012, patients had been enrolled for an average of 18.7 months. The overall patient satisfaction measured in a patient survey in June 2013 was high and the duration of hospital days measured in a pre-post analysis in July 2013 was reduced by 44%. Two years earlier than planned, the insurance fund will continue the successfully implemented Integrated Care Initiative and adopt it in the regular care setting. This initiative can serve as a learning case for how to set up and measure integrated care systems that may improve outcomes for patients suffering from schizophrenia.

  10. Environmental implications of electricity generation in an integrated long-term planning framework

    International Nuclear Information System (INIS)

    Turner, Graham M.; West, James

    2012-01-01

    Long-term, integrated modelling of electricity generation capacity and its operational requirements is important for coherent energy policy because of the multi-decadal lifespan of such plant, and because related fuel requirements, water consumption, and greenhouse gas emissions impact other sectors. This paper describes a physical model of electricity generation designed for long-term simulations, including the reproduction of decades of historical data, and its application to key policy questions. The simulation uses a dynamic, physical input–output model for the basic material and energy industries, embedded in an economy-wide stocks and flows framework (SFF). The historical reproduction, illustrated for the state of Victoria, is based on integrating bottom-up technical data on physical processes as inputs, and validating output against top-down aggregate data. We show that while greenhouse gas emissions would decrease significantly with the aggressive introduction of cleaner generation technology, long-term reductions are difficult to maintain against ongoing growth in consumption. Additionally, our sensitivity analysis identifies the importance of rapid action due to the age structure of operating power stations. We also identify significant imposts of alternative power generation on land and water resources, though a business-as-usual scenario would impose greater losses of water resources. - Highlights: ► System-wide dynamic analysis is needed to avoid unintended adverse environmental outcomes. ► Dynamics of long-lived plant is important in transitions for reducing greenhouse gas emissions. ► Large gains in GHG emissions efficiency of generation portfolios fail to maintain low emissions.

  11. Overcoming communication challenges in integrative supportive cancer care: The integrative physician, the psycho-oncologist, and the patient.

    Science.gov (United States)

    Ben-Arye, Eran; Shavit, Efrat; Wiental, Haya; Schiff, Elad; Agour, Olga; Samuels, Noah

    2016-12-01

    Complementary/integrative medicine (CIM) services are increasingly being integrated into conventional supportive cancer care, presenting a number of challenges to communication between healthcare professionals (HCPs). The purpose of the present study was to explore the impact of the communication between integrative physicians (IPs) trained in CIM and social workers (SWs) working as psycho-oncologists in the same oncology setting. We examine whether IP-SW communication correlates with the number of patient-SW sessions, as provided within the oncology department. SW-IP communication, defined as a summary of the IP consultation sent to the patient's SW, was compared to SW-patient communication, defined as the number of psycho-oncology treatment sessions. Of 344 patients referred by their oncology HCP for IP consultation, 91 were referred by an SW and 253 by an oncologist or nurse. IP-to-SW summaries were provided for 150 patients referred by a non-SW HCP (43.6%), and for 91 of SW-referred patients (26.5%). In all, 32 patients referred to the IP had no psycho-oncology interaction with an SW; 58 only one meeting; and 254 with ≥2 interactions, with 119 having >6 sessions. SW-patient interactions were greater with higher rates of IP-SW communication, for both patients referred by an SW (79.1%) and those referred by a non-SW HCP (77.3%) when compared to patients for whom no summary was provided (64.1%; p= 0.02). A greater level of IP-SW communication, measured by the provision of an IP summary to the patient's SW, was found to correlate with a higher rate of SW-patient interactions. The use of a structured two-way referral-summary between IPs and SWs has the potential to advance the SW-patient psycho-oncology interaction, within an integrative supportive cancer care setting. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. A systematic review of vertical integration and quality of care, efficiency, and patient-centered outcomes.

    Science.gov (United States)

    Machta, Rachel M; Maurer, Kristin A; Jones, David J; Furukawa, Michael F; Rich, Eugene C

    2018-04-02

    Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems may increase the price and costs of care without commensurate improvements in quality and outcomes. Despite a growing body of research on vertically integrated health systems, no systematic review that we know of compares vertically integrated health systems (defined as shared ownership or joint management of hospitals and physician practices) to nonintegrated hospitals or physician practices. We conducted a systematic search of the literature published from January 1996 to November 2016. We considered articles for review if they compared the performance of a vertically integrated health system and examined an outcome related to quality of care, efficiency, or patient-centered outcomes. Database searches generated 7,559 articles, with 29 articles included in this review. Vertical integration was associated with better quality, often measured as optimal care for specific conditions, but showed either no differences or lower efficiency as measured by utilization, spending, and prices. Few studies evaluated a patient-centered outcome; among those, most examined mortality and did not identify any effects. Across domains, most studies were observational and did not address the issue of selection bias. Recent evidence suggests the trend toward vertical integration will likely continue as providers respond to changing payment models and market factors. A growing body of research on comparative health system performance suggests that integration of physician practices with hospitals might not be enough to achieve higher-value care. More information is needed to identify the health system attributes that contribute to improved outcomes, as well as which policy levers

  13. An integral boundary layer method for modelling the effects of vortex generators

    NARCIS (Netherlands)

    Baldacchino, D.; Ragni, D.; Simao Ferreira, C.J.; Van Bussel, G.J.W.

    2015-01-01

    In this work, the measured modulated integral boundary layer (IBL) characteristics of low-profile vortex generators (VGs) are used to validate new developments in a viscousinviscid interaction code which is modified to incorporate the effect of the passive mixing devices. The motivations are laid

  14. Silicon Photonics Integrated Circuits for 5th Generation mm-Wave Wireless Communications

    DEFF Research Database (Denmark)

    Rommel, Simon; Vegas Olmos, Juan José; Tafur Monroy, Idelfonso

    Hybrid photonic-wireless transmission schemes in the mm-wave frequency are promising candidates to enable the multi-gigabit per second data communications required from wireless and mobile networks of the 5th and future generations. Photonic integration may pave the way to practical applicability...

  15. Efficient generation of integration-free human induced pluripotent stem cells from keratinocytes by simple transfection of episomal vectors.

    Science.gov (United States)

    Piao, Yulan; Hung, Sandy Shen-Chi; Lim, Shiang Y; Wong, Raymond Ching-Bong; Ko, Minoru S H

    2014-07-01

    Keratinocytes represent an easily accessible cell source for derivation of human induced pluripotent stem (hiPS) cells, reportedly achieving higher reprogramming efficiency than fibroblasts. However, most studies utilized a retroviral or lentiviral method for reprogramming of keratinocytes, which introduces undesirable transgene integrations into the host genome. Moreover, current protocols of generating integration-free hiPS cells from keratinocytes are mostly inefficient. In this paper, we describe a more efficient, simple-to-use, and cost-effective method for generating integration-free hiPS cells from keratinocytes. Our improved method using lipid-mediated transfection achieved a reprogramming efficiency of ∼0.14% on average. Keratinocyte-derived hiPS cells showed no integration of episomal vectors, expressed stem cell-specific markers and possessed potentials to differentiate into all three germ layers by in vitro embryoid body formation as well as in vivo teratoma formation. To our knowledge, this represents the most efficient method to generate integration-free hiPS cells from keratinocytes. ©AlphaMed Press.

  16. Overview of Researches on Social Capital, Human Capital and Social Integration of New Generation Migrant Workers

    OpenAIRE

    Luan, Wenjing; Lu, Honghong; Tong, Yulin; Lu, Danna

    2013-01-01

    With urbanization and socio-economic development, new generation migrant workers play an increasingly important role in urban construction. However, for a long time, their social integration situation in inflow places is not ideal. Academic circle has done a lot of researches, but no effective strategy is so far put forward. Through analysis of domestic and foreign researches, it is found that social capital and human capital have an important influence on social integration of new generation...

  17. Halbach array-based design and simulation of disc coreless permanen-magnet integrated starter generator

    Science.gov (United States)

    Li, Y. B.; Yang, Z. X.; Chen, W.; He, Q. Y.

    2017-11-01

    The functional performance, such as magnetic flux leakage, power density and efficiency, is related to the structural characteristics and design technique for the disc permanent magnet synchronous generators (PMSGs). Halbach array theory-based magnetic circuit structure is developed, and Maxwell3D simulation analysis approach of PMSG is proposed in this paper for integrated starter generator (ISG). The magnetization direction of adjacent permanent magnet is organized in difference of 45 degrees for focusing air gap side, and improving the performance of the generator. The magnetic field distribution and functional performance in load and/or unload conditions are simulated by Maxwell3D module. The proposed approach is verified by simulation analysis, the air gap flux density is 0.66T, and the phase voltage curve has the characteristics of a preferable sinusoidal wave and the voltage amplitude 335V can meet the design requirements while the disc coreless PMSG is operating at rated speed. And the developed magnetic circuit structure can be used for engineering design of the disc coreless PMSG to the integrated starter generator.

  18. Steam Generator tube integrity -- US Nuclear Regulatory Commission perspective

    International Nuclear Information System (INIS)

    Murphy, E.L.; Sullivan, E.J.

    1997-01-01

    In the US, the current regulatory framework was developed in the 1970s when general wall thinning was the dominant degradation mechanism; and, as a result of changes in the forms of degradation being observed and improvements in inspection and tube repair technology, the regulatory framework needs to be updated. Operating experience indicates that the current U.S. requirements should be more stringent in some areas, while in other areas they are overly conservative. To date, this situation has been dealt with on a plant-specific basis in the US. However, the NRC staff is now developing a proposed steam generator rule as a generic framework for ensuring that the steam generator tubes are capable of performing their intended safety functions. This paper discusses the current U.S. regulatory framework for assuring steam generator (SG) tube integrity, the need to update this regulatory framework, the objectives of the new proposed rule, the US Nuclear Regulatory Commission (NRC) regulatory guide (RG) that will accompany the rule, how risk considerations affect the development of the new rule, and some outstanding issues relating to the rule that the NRC is still dealing with

  19. Western Wind and Solar Integration Study Phase 3A: Low Levels of Synchronous Generation

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Nicholas W. [GE Energy Management, Atlanta, GA (United States); Leonardi, Bruno [GE Energy Management, Atlanta, GA (United States); D' Aquila, Robert [GE Energy Management, Atlanta, GA (United States); Clark, Kara [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-11-17

    The stability of the North American electric power grids under conditions of high penetrations of wind and solar is a significant concern and possible impediment to reaching renewable energy goals. The 33% wind and solar annual energy penetration considered in this study results in substantial changes to the characteristics of the bulk power system. This includes different power flow patterns, different commitment and dispatch of existing synchronous generation, and different dynamic behavior from wind and solar generation. The Western Wind and Solar Integration Study (WWSIS), sponsored by the U.S. Department of Energy, is one of the largest regional solar and wind integration studies to date. In multiple phases, it has explored different aspects of the question: Can we integrate large amounts of wind and solar energy into the electric power system of the West? The work reported here focused on the impact of low levels of synchronous generation on the transient stability performance in one part of the region in which wind generation has displaced synchronous thermal generation under highly stressed, weak system conditions. It is essentially an extension of WWSIS-3. Transient stability, the ability of the power system to maintain synchronism among all elements following disturbances, is a major constraint on operations in many grids, including the western U.S. and Texas systems. These constraints primarily concern the performance of the large-scale bulk power system. But grid-wide stability concerns with high penetrations of wind and solar are still not thoroughly understood. This work focuses on 'traditional' fundamental frequency stability issues, such as maintaining synchronism, frequency, and voltage. The objectives of this study are to better understand the implications of low levels of synchronous generation and a weak grid on overall system performance by: 1) Investigating the Western Interconnection under conditions of both high renewable

  20. Caring for Patients of the Millennial Generation: Considerations for Nurses.

    Science.gov (United States)

    Johanson, Linda S

    2017-07-01

    Much has been written about teaching students of the Millennial Generation (those born between the years 1980 and 2000) and about intergenerational dynamics in the healthcare workforce. However, little can be found in the literature regarding generation-specific nursing care of Millennial patients. This article presents six categories of considerations for nurses caring for patients of the Millennial Generation based on the characteristics, attitudes, and values that have influenced them as well as the healthcare issues confronting this group of young adults. © 2016 Wiley Periodicals, Inc.

  1. Composition Modeling and Equivalence of an Integrated Power Generation System of Wind, Photovoltaic and Energy Storage Unit

    Institute of Scientific and Technical Information of China (English)

    WANG Haohuai; TANG Yong; HOU Junxian; ZOU Jiangfeng; LIANGShuang; SU Feng

    2011-01-01

    The characteristic of wind and solar generation is random and fluctuant. In order to improve their generation performance, the integrated power generation of wind, photovoltaic (PV) and energy storage is a focus in the study. In this paper,

  2. GABA regulates synaptic integration of newly generated neurons in the adult brain

    Science.gov (United States)

    Ge, Shaoyu; Goh, Eyleen L. K.; Sailor, Kurt A.; Kitabatake, Yasuji; Ming, Guo-Li; Song, Hongjun

    2006-02-01

    Adult neurogenesis, the birth and integration of new neurons from adult neural stem cells, is a striking form of structural plasticity and highlights the regenerative capacity of the adult mammalian brain. Accumulating evidence suggests that neuronal activity regulates adult neurogenesis and that new neurons contribute to specific brain functions. The mechanism that regulates the integration of newly generated neurons into the pre-existing functional circuitry in the adult brain is unknown. Here we show that newborn granule cells in the dentate gyrus of the adult hippocampus are tonically activated by ambient GABA (γ-aminobutyric acid) before being sequentially innervated by GABA- and glutamate-mediated synaptic inputs. GABA, the major inhibitory neurotransmitter in the adult brain, initially exerts an excitatory action on newborn neurons owing to their high cytoplasmic chloride ion content. Conversion of GABA-induced depolarization (excitation) into hyperpolarization (inhibition) in newborn neurons leads to marked defects in their synapse formation and dendritic development in vivo. Our study identifies an essential role for GABA in the synaptic integration of newly generated neurons in the adult brain, and suggests an unexpected mechanism for activity-dependent regulation of adult neurogenesis, in which newborn neurons may sense neuronal network activity through tonic and phasic GABA activation.

  3. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia

    Directory of Open Access Journals (Sweden)

    Norbert eMayer-Amberg

    2016-01-01

    Full Text Available The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various healthcare service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The current work is a quality monitoring report of a novel care setting, called Integrated Care Initiative Schizophrenia. It has implemented a networked care concept in the German federal state of Lower Saxony that integrates various stakeholders of the health care system. In this initiative, office-based psychiatrists, specialised nursing staff, psychologists, social workers, hospitals, psychiatric institutional outpatient’s departments and other community-based mental health services work together in an interdisciplinary approach. Much emphasis is placed on psychoeducation. Additional efforts cover socio-therapy, visiting care, and family support. During the period from October 2010 (start of the initiative to December 2012, first experiences and results of quality indicators were collected of 713 registered patients and summarised in a quality monitoring report. In addition, standardised patient interviews were conducted, and duration of hospital days was recorded in 2013. By the end of 2012, patients had been enrolled for an average of 18.7 months. The overall patient satisfaction measured in a patient survey in June 2013 was high and the duration of hospital days measured in a pre-post analysis in July 2013 was reduced by 44%. Two years earlier than planned, the insurance fund will continue the successfully implemented integrated care initiative and adopt it in the regular care setting. This initiative can serve as a learning case for how to set up and measure integrated care systems that may improve outcomes for patients suffering from schizophrenia.

  4. Integration of distributed plant process computer systems to nuclear power generation facilities

    International Nuclear Information System (INIS)

    Bogard, T.; Finlay, K.

    1996-01-01

    Many operating nuclear power generation facilities are replacing their plant process computer. Such replacement projects are driven by equipment obsolescence issues and associated objectives to improve plant operability, increase plant information access, improve man machine interface characteristics, and reduce operation and maintenance costs. This paper describes a few recently completed and on-going replacement projects with emphasis upon the application integrated distributed plant process computer systems. By presenting a few recent projects, the variations of distributed systems design show how various configurations can address needs for flexibility, open architecture, and integration of technological advancements in instrumentation and control technology. Architectural considerations for optimal integration of the plant process computer and plant process instrumentation ampersand control are evident from variations of design features

  5. Efficient generation of single and entangled photons on a silicon photonic integrated chip

    International Nuclear Information System (INIS)

    Mower, Jacob; Englund, Dirk

    2011-01-01

    We present a protocol for generating on-demand, indistinguishable single photons on a silicon photonic integrated chip. The source is a time-multiplexed spontaneous parametric down-conversion element that allows optimization of single-photon versus multiphoton emission while realizing high output rate and indistinguishability. We minimize both the scaling of active elements and the scaling of active element loss with multiplexing. We then discuss detection strategies and data processing to further optimize the procedure. We simulate an improvement in single-photon-generation efficiency over previous time-multiplexing protocols, assuming existing fabrication capabilities. We then apply this system to generate heralded Bell states. The generation efficiency of both nonclassical states could be increased substantially with improved fabrication procedures.

  6. Patient Segmentation Analysis Offers Significant Benefits For Integrated Care And Support.

    Science.gov (United States)

    Vuik, Sabine I; Mayer, Erik K; Darzi, Ara

    2016-05-01

    Integrated care aims to organize care around the patient instead of the provider. It is therefore crucial to understand differences across patients and their needs. Segmentation analysis that uses big data can help divide a patient population into distinct groups, which can then be targeted with care models and intervention programs tailored to their needs. In this article we explore the potential applications of patient segmentation in integrated care. We propose a framework for population strategies in integrated care-whole populations, subpopulations, and high-risk populations-and show how patient segmentation can support these strategies. Through international case examples, we illustrate practical considerations such as choosing a segmentation logic, accessing data, and tailoring care models. Important issues for policy makers to consider are trade-offs between simplicity and precision, trade-offs between customized and off-the-shelf solutions, and the availability of linked data sets. We conclude that segmentation can provide many benefits to integrated care, and we encourage policy makers to support its use. Project HOPE—The People-to-People Health Foundation, Inc.

  7. Faraday Waves-Based Integrated Ultrasonic Micro-Droplet Generator and Applications.

    Science.gov (United States)

    Tsai, Chen S; Mao, Rong W; Tsai, Shirley C; Shahverdi, Kaveh; Zhu, Yun; Lin, Shih K; Hsu, Yu-Hsiang; Boss, Gerry; Brenner, Matt; Mahon, Sari; Smaldone, Gerald C

    2017-01-01

    An in-depth review on a new ultrasonic micro-droplet generator which utilizes megahertz (MHz) Faraday waves excited by silicon-based multiple Fourier horn ultrasonic nozzles (MFHUNs) and its potential applications is presented. The new droplet generator has demonstrated capability for producing micro droplets of controllable size and size distribution and desirable throughput at very low electrical drive power. For comparison, the serious deficiencies of current commercial droplet generators (nebulizers) and the other ultrasonic droplet generators explored in recent years are first discussed. The architecture, working principle, simulation, and design of the multiple Fourier horns (MFH) in resonance aimed at the amplified longitudinal vibration amplitude on the end face of nozzle tip, and the fabrication and characterization of the nozzles are then described in detail. Subsequently, a linear theory on the temporal instability of Faraday waves on a liquid layer resting on the planar end face of the MFHUN and the detailed experimental verifications are presented. The linear theory serves to elucidate the dynamics of droplet ejection from the free liquid surface and predict the vibration amplitude onset threshold for droplet ejection and the droplet diameters. A battery-run pocket-size clogging-free integrated micro droplet generator realized using the MFHUN is then described. The subsequent report on the successful nebulization of a variety of commercial pulmonary medicines against common diseases and on the experimental antidote solutions to cyanide poisoning using the new droplet generator serves to support its imminent application to inhalation drug delivery.

  8. Integration of Optically Generated Impulse Radio UWB Signals into Baseband WDM-PON

    DEFF Research Database (Denmark)

    Pham, Tien Thang; Yu, Xianbin; Dittmann, Lars

    2011-01-01

    We propose a compact integration system to simultaneously provide wireline and wireless (baseband and ultra-wide band (UWB)) services to end-users in a WDM-PON. A 1-Gbps UWB signal is optically generated and shares the same wavelength with the baseband signal. Error-free performance was achieved...

  9. Integration between a thermophotovoltaic generator and an Organic Rankine Cycle

    International Nuclear Information System (INIS)

    De Pascale, Andrea; Ferrari, Claudio; Melino, Francesco; Morini, Mirko; Pinelli, Michele

    2012-01-01

    Highlights: ► A new energy system comprising a Thermo-Photo-Voltaic and Organic Rankine Cycle. ► An analytical model to calculate the performance of the system is introduced. ► The system shows promising results in terms of CHP performance. -- Abstract: The constant increase in energy need and the growing attention to the related environmental impact have given a boost to the development of new strategies in order to reduce the primary energy consumption and to improve its utilization. One of the possible strategies for achieving this aim is Combined Heat and Power (CHP) specially if coupled with the concept of on-site generation (also known as distributed generation). These approaches allow the reduction of fuel consumption and pollutant emissions and the increase of security in energy supply. This paper introduces the Thermophotovoltaic Organic Rankine Cycle Integrated System (TORCIS), an energy system integrating a ThermoPhotoVoltaic generator (TPV) and an Organic Rankine Cycle (ORC). This study represents the start-up of a research program which involves three research teams from IMEM – National Research Council, ENDIF – University of Ferrara and DIEM – University of Bologna. The aim of this research is the complete definition and the pre-prototyping characterization of this system covering all the unresolved issues in this field. More specifically, TPV is a system to convert the radiation emitted from an artificial heat source (i.e. the combustion of fuel) into electrical energy by the use of photovoltaic cells. In this system, the produced electrical power is strictly connected to the thermal one as their ratio is almost constant and cannot be changed without severe loss in performance. The coupling between TPV and ORC allows this limitation to be overcome by the realization of a CHP system which can be regulated with a large degree of freedom changing the ratio between the produced electrical and thermal power. In this study a thermodynamic

  10. Assessment of the SRI Gasification Process for Syngas Generation with HTGR Integration -- White Paper

    Energy Technology Data Exchange (ETDEWEB)

    A.M. Gandrik

    2012-04-01

    This white paper is intended to compare the technical and economic feasibility of syngas generation using the SRI gasification process coupled to several high-temperature gas-cooled reactors (HTGRs) with more traditional HTGR-integrated syngas generation techniques, including: (1) Gasification with high-temperature steam electrolysis (HTSE); (2) Steam methane reforming (SMR); and (3) Gasification with SMR with and without CO2 sequestration.

  11. Integration of renewable generation uncertainties into stochastic unit commitment considering reserve and risk: A comparative study

    International Nuclear Information System (INIS)

    Quan, Hao; Srinivasan, Dipti; Khosravi, Abbas

    2016-01-01

    The uncertainties of renewable energy have brought great challenges to power system commitment, dispatches and reserve requirement. This paper presents a comparative study on integration of renewable generation uncertainties into SCUC (stochastic security-constrained unit commitment) considering reserve and risk. Renewable forecast uncertainties are captured by a list of PIs (prediction intervals). A new scenario generation method is proposed to generate scenarios from these PIs. Different system uncertainties are considered as scenarios in the stochastic SCUC problem formulation. Two comparative simulations with single (E1: wind only) and multiple sources of uncertainty (E2: load, wind, solar and generation outages) are investigated. Five deterministic and four stochastic case studies are performed. Different generation costs, reserve strategies and associated risks are compared under various scenarios. Demonstrated results indicate the overall costs of E2 is lower than E1 due to penetration of solar power and the associated risk in deterministic cases of E2 is higher than E1. It implies the superimposed effect of uncertainties during uncertainty integration. The results also demonstrate that power systems run a higher level of risk during peak load hours, and that stochastic models are more robust than deterministic ones. - Highlights: • An extensive comparative study for renewable integration is presented. • A novel scenario generation method is proposed. • Wind and solar uncertainties are represented by a list of prediction intervals. • Unit commitment and dispatch costs are discussed considering reserve and risk.

  12. Optimised heat recovery steam generators for integrated solar combined cycle plants

    Science.gov (United States)

    Peterseim, Jürgen H.; Huschka, Karsten

    2017-06-01

    The cost of concentrating solar power (CSP) plants is decreasing but, due to the cost differences and the currently limited value of energy storage, implementation of new facilities is still slow compared to photovoltaic systems. One recognized option to lower cost instantly is the hybridization of CSP with other energy sources, such as natural gas or biomass. Various references exist for the combination of CSP with natural gas in combined cycle plants, also known as Integrated Solar Combined Cycle (ISCC) plants. One problem with current ISCC concepts is the so called ISCC crisis, which occurs when CSP is not contributing and cycle efficiency falls below efficiency levels of solely natural gas only fired combined cycle plants. This paper analyses current ISCC concepts and compares them with two optimised designs. The comparison is based on a Kuraymat type ISCC plant and shows that cycle optimization enables a net capacity increase of 1.4% and additional daily generation of up to 7.9%. The specific investment of the optimised Integrated Solar Combined Cycle plant results in a 0.4% cost increase, which is below the additional net capacity and daily generation increase.

  13. Integration of microbiological, epidemiological and next generation sequencing technologies data for the managing of nosocomial infections

    Directory of Open Access Journals (Sweden)

    Matteo Brilli

    2018-02-01

    Full Text Available At its core, the work of clinical microbiologists consists in the retrieving of a few bytes of information (species identification; metabolic capacities; staining and antigenic properties; antibiotic resistance profiles, etc. from pathogenic agents. The development of next generation sequencing technologies (NGS, and the possibility to determine the entire genome for bacterial pathogens, fungi and protozoans will likely introduce a breakthrough in the amount of information generated by clinical microbiology laboratories: from bytes to Megabytes of information, for a single isolate. In parallel, the development of novel informatics tools, designed for the management and analysis of the so-called Big Data, offers the possibility to search for patterns in databases collecting genomic and microbiological information on the pathogens, as well as epidemiological data and information on the clinical parameters of the patients. Nosocomial infections and antibiotic resistance will likely represent major challenges for clinical microbiologists, in the next decades. In this paper, we describe how bacterial genomics based on NGS, integrated with novel informatic tools, could contribute to the control of hospital infections and multi-drug resistant pathogens.

  14. Generation of urine iPS cell line from a patient with obsessive-compulsive disorder using a non-integrative method

    Directory of Open Access Journals (Sweden)

    Jaroslaw Sochacki

    2016-07-01

    Full Text Available Urine sample was collected from a 29-year-old male patient with an early onset form of DSM-5 obsessive-compulsive disorder (OCD, comorbid body dysmorphic and excoriation (skin-picking disorders, and a positive family history for OCD. Urine cell line was established and expanded for the reprogramming procedure. Induced pluripotent stem (iPS cells were derived using the integration-free CytoTune®-iPS 2.0 Sendai Reprogramming Kit, which includes Sendai virus particles of the four Yamanaka factors Oct3/4, Sox2, Klf4 and c-Myc.

  15. Evaluation of Novel Integrated Dielectric Barrier Discharge Plasma as Ozone Generator

    Directory of Open Access Journals (Sweden)

    Muhammad Nur

    2017-04-01

    Full Text Available This paper presents a characterization of an integrated ozone generator constructed by seven of reactors of Dielectric Barrier Discharge Plasma (DBDP. DBDP a has spiral-cylindrical configuration. Silence plasma produced ozone inside the DBDP reactor was generated by AC-HV with voltage up to 25 kV and maximum frequency of 23 kHz. As a source of ozone, dry air was pumped into the generator and controlled by valves system and a flowmeter. We found ozone concentration increased with the applied voltage, but in contrary, the concentration decreased with the flow rate of dry air. It was also found that a maximum concentration was 20 mg/L and ozone capacity of 48 g/h with an input power of 1.4 kW. Moreover, in this generator, IP efficiency of 8.13 g/kWh was obtained at input power 0.45 kW and air flow rate of 9 L/min. Therefore, be the higher ozone capacity can be produced with higher input power; however, it provided lower IP efficiency. The effect of dry air flow rate and applied voltage on ozone concentrations have been studied. At last, spiral wire copper was very corrosive done to the interaction with ozone, and it is necessary to do a research for finding the best metals as an active electrode inside of the quartz dielectric. Copyright © 2017 BCREC GROUP. All rights reserved Received: 18th July 2016; Revised: 25th September 2016; Accepted: 5th October 2016 How to Cite: Nur, M., Susan, A.I., Muhlisin, Z., Arianto, F., Kinandana, A.W., Nurhasanah, I., Sumariyah, S., Wibawa, P.J., Gunawan, G., Usman, A. (2017. Evaluation of Novel Integrated Dielectric Barrier Discharge Plasma as Ozone Generator. Bulletin of Chemical Reaction Engineering & Catalysis, 12 (1: 24-31 (doi:10.9767/bcrec.12.1.605.24-31 Permalink/DOI: http://dx.doi.org/10.9767/bcrec.12.1.605.24-31

  16. Realization of Quadrature Signal Generator Using Accurate Magnitude Integrator

    DEFF Research Database (Denmark)

    Xin, Zhen; Yoon, Changwoo; Zhao, Rende

    2016-01-01

    Second-Order Generalized Integrator based Quadrature Signal Generator (SOGI-QSG) has been widely used in single- or three-phase power converter systems due to its simplicity and flexibility. Howeever, its dynamic response is not onyl decided by its damping gain but also influences by the input...... of the AMI-QSG can thus be as simple as the typical FOS. Besides, the structure of the AMI-QSG is further configurated to be able to extract the dc component and harmonic components. The effectiveness of the proposed structures and the correctness of the theoretical analysis are evaluated by experimental...

  17. Power generation and heating performances of integrated system of ammonia–water Kalina–Rankine cycle

    International Nuclear Information System (INIS)

    Zhang, Zhi; Guo, Zhanwei; Chen, Yaping; Wu, Jiafeng; Hua, Junye

    2015-01-01

    Highlights: • Integrated system of ammonia–water Kalina–Rankine cycle (AWKRC) is investigated. • Ammonia–water Rankine cycle is operated for cogenerating room heating-water in winter. • Kalina cycle with higher efficiency is operated for power generation in other seasons. • Power recovery efficiency accounts thermal efficiency and waste heat absorbing ratio. • Heating water with 70 °C and capacity of 55% total reclaimed heat load is cogenerated. - Abstract: An integrated system of ammonia–water Kalina–Rankine cycle (AWKRC) for power generation and heating is introduced. The Kalina cycle has large temperature difference during evaporation and small one during condensation therefore with high thermal efficiency for power generation, while the ammonia–water Rankine cycle has large temperature difference during condensation as well as evaporation, thus it can be adopted to generate heating-water as a by-product in winter. The integrated system is based on the Kalina cycle and converted to the Rankine cycle with a set of valves. The performances of the AWKRC system in different seasons with corresponding cycle loops were studied and analyzed. When the temperatures of waste heat and cooling water are 300 °C and 25 °C respectively, the thermal efficiency and power recovery efficiency of Kalina cycle are 20.9% and 17.4% respectively in the non-heating seasons, while these efficiencies of the ammonia–water Rankine cycle are 17.1% and 13.1% respectively with additional 55.3% heating recovery ratio or with comprehensive efficiency 23.7% higher than that of the Kalina cycle in heating season

  18. Network Regulation and Support Schemes - How Policy Interactions Affect the Integration of Distributed Generation

    DEFF Research Database (Denmark)

    Ropenus, Stephanie; Jacobsen, Henrik; Schröder, Sascha Thorsten

    2011-01-01

    This article seeks to investigate the interactions between the policy dimensions of support schemes and network regulation and how they affect distributed generation. Firstly, the incentives of distributed generators and distribution system operators are examined. Frequently there exists a trade......-off between the incentives for these two market agents to facilitate the integration of distributed generation. Secondly, the interaction of these policy dimensions is analyzed, including case studies based on five EU Member States. Aspects of operational nature and investments in grid and distributed...

  19. Patient Safety and Workplace Bullying: An Integrative Review.

    Science.gov (United States)

    Houck, Noreen M; Colbert, Alison M

    Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published articles that address the impact of workplace nurse bullying on patient safety.

  20. Exergetic Analysis of an Integrated Tri-Generation Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Ratha Z. Mathkor

    2015-08-01

    Full Text Available This paper reports on a study of the modelling, validation and analysis of an integrated 1 MW (electrical output tri-generation system energized by solar energy. The impact of local climatic conditions in the Mediterranean region on the system performance was considered. The output of the system that comprised a parabolic trough collector (PTC, an organic Rankine cycle (ORC, single-effect desalination (SED, and single effect LiBr-H2O absorption chiller (ACH was electrical power, distilled water, and refrigerant load. The electrical power was produced by the ORC which used cyclopentane as working fluid and Therminol VP-1 was specified as the heat transfer oil (HTO in the collectors with thermal storage. The absorption chiller and the desalination unit were utilize the waste heat exiting from the steam turbine in the ORC to provide the necessary cooling energy and drinking water respectively. The modelling, which includes an exergetic analysis, focuses on the performance of the solar tri-generation system. The simulation results of the tri-generation system and its subsystems were produced using IPSEpro software and were validated against experimental data which showed good agreement. The tri-generation system was able to produce about 194 Ton of refrigeration, and 234 t/day distilled water.

  1. Faraday Waves-Based Integrated Ultrasonic Micro-Droplet Generator and Applications

    Directory of Open Access Journals (Sweden)

    Chen S. Tsai

    2017-02-01

    Full Text Available An in-depth review on a new ultrasonic micro-droplet generator which utilizes megahertz (MHz Faraday waves excited by silicon-based multiple Fourier horn ultrasonic nozzles (MFHUNs and its potential applications is presented. The new droplet generator has demonstrated capability for producing micro droplets of controllable size and size distribution and desirable throughput at very low electrical drive power. For comparison, the serious deficiencies of current commercial droplet generators (nebulizers and the other ultrasonic droplet generators explored in recent years are first discussed. The architecture, working principle, simulation, and design of the multiple Fourier horns (MFH in resonance aimed at the amplified longitudinal vibration amplitude on the end face of nozzle tip, and the fabrication and characterization of the nozzles are then described in detail. Subsequently, a linear theory on the temporal instability of Faraday waves on a liquid layer resting on the planar end face of the MFHUN and the detailed experimental verifications are presented. The linear theory serves to elucidate the dynamics of droplet ejection from the free liquid surface and predict the vibration amplitude onset threshold for droplet ejection and the droplet diameters. A battery-run pocket-size clogging-free integrated micro droplet generator realized using the MFHUN is then described. The subsequent report on the successful nebulization of a variety of commercial pulmonary medicines against common diseases and on the experimental antidote solutions to cyanide poisoning using the new droplet generator serves to support its imminent application to inhalation drug delivery.

  2. Evaluation of steam generator tube integrity during earthquakes

    Energy Technology Data Exchange (ETDEWEB)

    Kusakabe, Takaya; Kodama, Toshio [Mitsubishi Heavy Industries Ltd., Kobe (Japan). Kobe Shipyard and Machinery Works; Takamatsu, Hiroshi; Matsunaga, Tomoya

    1999-07-01

    This report shows an experimental study on the strength of PWR steam generator (SG) tubes with various defects under cyclic loads which simulate earthquakes. The tests were done using same SG tubing as actual plants with axial and circumferential defects with various length and depth. In the tests, straight tubes were loaded with cyclic bending moments to simulate earthquake waves and number of load cycles at which tube leak started or tube burst was counted. The test results showed that even tubes with very long crack made by EDM more than 80% depth could stand the maximum earthquake, and tubes with corrosion crack were far stronger than those. Thus the integrity of SG tubes with minute potential defects was demonstrated. (author)

  3. An integrative model of patient-centeredness - a systematic review and concept analysis.

    Directory of Open Access Journals (Sweden)

    Isabelle Scholl

    Full Text Available Existing models of patient-centeredness reveal a lack of conceptual clarity. This results in a heterogeneous use of the term, unclear measurement dimensions, inconsistent results regarding the effectiveness of patient-centered interventions, and finally in difficulties in implementing patient-centered care. The aim of this systematic review was to identify the different dimensions of patient-centeredness described in the literature and to propose an integrative model of patient-centeredness based on these results.Protocol driven search in five databases, combined with a comprehensive secondary search strategy. All articles that include a definition of patient-centeredness were eligible for inclusion in the review and subject to subsequent content analysis. Two researchers independently first screened titles and abstracts, then assessed full texts for eligibility. In each article the given definition of patient-centeredness was coded independently by two researchers. We discussed codes within the research team and condensed them into an integrative model of patient-centeredness.4707 records were identified through primary and secondary search, of which 706 were retained after screening of titles and abstracts. 417 articles (59% contained a definition of patient-centeredness and were coded. 15 dimensions of patient-centeredness were identified: essential characteristics of clinician, clinician-patient relationship, clinician-patient communication, patient as unique person, biopsychosocial perspective, patient information, patient involvement in care, involvement of family and friends, patient empowerment, physical support, emotional support, integration of medical and non-medical care, teamwork and teambuilding, access to care, coordination and continuity of care. In the resulting integrative model the dimensions were mapped onto different levels of care.The proposed integrative model of patient-centeredness allows different stakeholders to speak

  4. Bioethanol and power from integrated second generation biomass: A Monte Carlo simulation

    International Nuclear Information System (INIS)

    Osaki, Márcia R.; Seleghim, Paulo

    2017-01-01

    Highlights: • The impacts of integrating new sugarcane conversion using bagasse and straw. • Industrial conversion of sugarcane into energy carriers: ethanol and electricity. • A reference sugarcane industrial was simulated by the Monte Carlo method. • Simultaneously optimal ethanol production and electricity generation occur at low burning bagasse rates. - Abstract: The main objective of this work is to assess the impacts of integrating new biomass conversion technologies into an existing sugarcane industrial processing plant in terms of its multi-objective optimal operating conditions. A typical sugarcane mill is identified and a second generation ethanol production pathway is incorporated to give the operator the possibility of controlling the ratio between the rates of burning bagasse and straw (sugarcane tops and leaves) to their second generation processing to achieve optimal ethanol and electricity outputs. A set of equations describing the associated conversion unit operations and chemical reactions is simulated by the Monte Carlo method and the corresponding operating envelope is constructed and statistically analyzed. These equations permit to calculate ethanol production and electricity generation in terms of a virtually infinite number of scenarios characterized by two controlled variables (burning bagasse and straw mass flow rates) and several uncontrolled variables (biomass composition, cellulose, hemicelluloses and lignin yields, fermentation efficiencies, etc.). Results reveal that the input variables have specific statistical characteristics when the corresponding operating states lay near the maximum energy limit (Pareto frontier). For example, since the objectives being optimized are intrinsically antagonistic, i.e. the increase of one dictates the decrease of the other, it is better to convert bagasse to ethanol via second generation pathway because of the high energy requirements of its dewatering prior to combustion and low heat

  5. Generation of a human iPSC line from a patient with congenital glaucoma caused by mutation in CYP1B1 gene

    Directory of Open Access Journals (Sweden)

    Arantxa Bolinches-Amorós

    2018-04-01

    Full Text Available The human iPSC cell line, GLC-FiPS4F1 (ESi047-A, derived from dermal fibroblast from the patient with congenital glaucoma caused by the mutation of the gene CYP1B1, was generated by non-integrative reprogramming technology using OCT3/4, SOX2, CMYC and KLF4 reprogramming factors.

  6. Integrated Computational Materials Engineering (ICME) for Third Generation Advanced High-Strength Steel Development

    Energy Technology Data Exchange (ETDEWEB)

    Savic, Vesna; Hector, Louis G.; Ezzat, Hesham; Sachdev, Anil K.; Quinn, James; Krupitzer, Ronald; Sun, Xin

    2015-06-01

    This paper presents an overview of a four-year project focused on development of an integrated computational materials engineering (ICME) toolset for third generation advanced high-strength steels (3GAHSS). Following a brief look at ICME as an emerging discipline within the Materials Genome Initiative, technical tasks in the ICME project will be discussed. Specific aims of the individual tasks are multi-scale, microstructure-based material model development using state-of-the-art computational and experimental techniques, forming, toolset assembly, design optimization, integration and technical cost modeling. The integrated approach is initially illustrated using a 980 grade transformation induced plasticity (TRIP) steel, subject to a two-step quenching and partitioning (Q&P) heat treatment, as an example.

  7. Integration of Thermoelectric Generator and Wireless Sensor Node Simulators

    Energy Technology Data Exchange (ETDEWEB)

    Agarwal, Vivek [Idaho National Lab. (INL), Idaho Falls, ID (United States); Zhang, Yanliang [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-09-01

    This report focuses on integrating TEG and WSN simulators with DC-DC converter as an interface. Here DC stands for direct current. DC-DC converter is essential to balance a wide range of analog, digital, and radio loads acting on the energy source. Also, the voltage level generated by TEGs under varying temperature conditions could be low, irregular, and insufficient to operate WSN, therefore DC-DC is required to boost up the voltage to a desired level. Most of the main problems of DC-DC converters used in TEG system are related to impedance matching between the internal resistance of TEG and the input resistance of DC-DC converter. This report would address the issue associated with dynamic impedance matching under varying temperature conditions in the effort to integrate TEG and WSN. In this effort, dynamic impedance matching algorithms like perturb and observe (P&O) and extremum seeking control (ESC) algorithms will de implemented and compared to achieve maximum peak power tracking (MPPT). In addition, the report will summarize the experimental study performed at BSU on profiling behavior of WSN prototype.

  8. Integration of Thermoelectric Generator and Wireless Sensor Node Simulators

    International Nuclear Information System (INIS)

    Agarwal, Vivek; Zhang, Yanliang

    2016-01-01

    This report focuses on integrating TEG and WSN simulators with DC-DC converter as an interface. Here DC stands for direct current. DC-DC converter is essential to balance a wide range of analog, digital, and radio loads acting on the energy source. Also, the voltage level generated by TEGs under varying temperature conditions could be low, irregular, and insufficient to operate WSN, therefore DC-DC is required to boost up the voltage to a desired level. Most of the main problems of DC-DC converters used in TEG system are related to impedance matching between the internal resistance of TEG and the input resistance of DC-DC converter. This report would address the issue associated with dynamic impedance matching under varying temperature conditions in the effort to integrate TEG and WSN. In this effort, dynamic impedance matching algorithms like perturb and observe (P&O) and extremum seeking control (ESC) algorithms will de implemented and compared to achieve maximum peak power tracking (MPPT). In addition, the report will summarize the experimental study performed at BSU on profiling behavior of WSN prototype.

  9. On-chip photonic integrated circuit structures for millimeter and terahertz wave signal generation

    NARCIS (Netherlands)

    Gordón, C.; Guzmán, R. C.; Corral, V.; Carpintero, G.; Leijtens, X.

    2015-01-01

    We present two different on-chip photonic integrated circuit (PIC) structures for continuous-wave generation of millimeter and terahertz waves, each one using a different approach. One approach is the optical heterodyne method, using an on-chip arrayed waveguide grating laser (OC-AWGL) which is

  10. Integrated Power Flow and Short Circuit Calculation Method for Distribution Network with Inverter Based Distributed Generation

    Directory of Open Access Journals (Sweden)

    Shan Yang

    2016-01-01

    Full Text Available Power flow calculation and short circuit calculation are the basis of theoretical research for distribution network with inverter based distributed generation. The similarity of equivalent model for inverter based distributed generation during normal and fault conditions of distribution network and the differences between power flow and short circuit calculation are analyzed in this paper. Then an integrated power flow and short circuit calculation method for distribution network with inverter based distributed generation is proposed. The proposed method let the inverter based distributed generation be equivalent to Iθ bus, which makes it suitable to calculate the power flow of distribution network with a current limited inverter based distributed generation. And the low voltage ride through capability of inverter based distributed generation can be considered as well in this paper. Finally, some tests of power flow and short circuit current calculation are performed on a 33-bus distribution network. The calculated results from the proposed method in this paper are contrasted with those by the traditional method and the simulation method, whose results have verified the effectiveness of the integrated method suggested in this paper.

  11. Quantitative analysis of plasma cell-free DNA and its DNA integrity in patients with metastatic prostate cancer using ALU sequence

    International Nuclear Information System (INIS)

    Fawzy, A.; Sweify, K.M.; Nofal, N.; El-Fayoumy, H.M.

    2016-01-01

    Background: Prostate cancer (PC) is the most common cancer affecting men, it accounts for 29% of all male cancer and 11% of all male cancer related death. DNA is normally released from an apoptotic source which generates small fragments of cell-free DNA, whereas cancer patients have cell-free circulating DNA that originated from necrosis, autophagy, or mitotic catastrophe, which produce large fragments. Aim of work: Differentiate the cell free DNA levels (cfDNA) and its integrity in prostate cancer patients and control group composed of benign prostate hyperplasia (BPH) and healthy persons. Methodology: cf-DNA levels were quantified by real-time PCR amplification in prostate cancer patients ( n = 50), (BPH) benign prostate hyperplasia ( n = 25) and healthy controls ( n = 30) using two sets of ALU gene (product size of 115 bp and 247-bp) and its integrity was calculated as a ratio of qPCR results of 247 bp ALU over 115 bp ALU. Results: Highly significant levels of cf-DNA and its integrity in PC patients compared to BPH. Twenty-eight (56%) patients with prostate cancer had bone metastasis. ALU115 qpcr is superior to the other markers in discriminating metastatic patients with a sensitivity of 96.4% and a specificity of 86.4% and (AUC = 0.981) Conclusion: ALU115 qpcr could be used as a valuable biomarker helping in identifying high risk patients, indicating early spread of tumor cells as a potential seed for future metastases

  12. Empirical Analysis of the Variability of Wind Generation in India: Implications for Grid Integration

    Energy Technology Data Exchange (ETDEWEB)

    Phadke, Amol; Abhyankar, NIkit; Rao, Poorvi

    2014-06-17

    We analyze variability in load and wind generation in India to assess its implications for grid integration of large scale wind projects using actual wind generation and load data from two states in India, Karnataka and Tamil Nadu. We compare the largest variations in load and net load (load ?wind, i.e., load after integrating wind) that the generation fleet has to meet. In Tamil Nadu, where wind capacity is about 53percent of the peak demand, we find that the additional variation added due to wind over the current variation in load is modest; if wind penetration reaches 15percent and 30percent by energy, the additional hourly variation is less than 0.5percent and 4.5percent of the peak demand respectively for 99percent of the time. For wind penetration of 15percent by energy, Tamil Nadu system is found to be capable of meeting the additional ramping requirement for 98.8percent of the time. Potential higher uncertainty in net load compared to load is found to have limited impact on ramping capability requirements of the system if coal plants can me ramped down to 50percent of their capacity. Load and wind aggregation in Tamil Nadu and Karnataka is found to lower the variation by at least 20percent indicating the benefits geographic diversification. These findings suggest modest additional flexible capacity requirements and costs for absorbing variation in wind power and indicate that the potential capacity support (if wind does not generate enough during peak periods) may be the issue that has more bearing on the economics of integrating wind

  13. Medium term municipal solid waste generation prediction by autoregressive integrated moving average

    International Nuclear Information System (INIS)

    Younes, Mohammad K.; Nopiah, Z. M.; Basri, Noor Ezlin A.; Basri, Hassan

    2014-01-01

    Generally, solid waste handling and management are performed by municipality or local authority. In most of developing countries, local authorities suffer from serious solid waste management (SWM) problems and insufficient data and strategic planning. Thus it is important to develop robust solid waste generation forecasting model. It helps to proper manage the generated solid waste and to develop future plan based on relatively accurate figures. In Malaysia, solid waste generation rate increases rapidly due to the population growth and new consumption trends that characterize the modern life style. This paper aims to develop monthly solid waste forecasting model using Autoregressive Integrated Moving Average (ARIMA), such model is applicable even though there is lack of data and will help the municipality properly establish the annual service plan. The results show that ARIMA (6,1,0) model predicts monthly municipal solid waste generation with root mean square error equals to 0.0952 and the model forecast residuals are within accepted 95% confident interval

  14. Medium term municipal solid waste generation prediction by autoregressive integrated moving average

    Science.gov (United States)

    Younes, Mohammad K.; Nopiah, Z. M.; Basri, Noor Ezlin A.; Basri, Hassan

    2014-09-01

    Generally, solid waste handling and management are performed by municipality or local authority. In most of developing countries, local authorities suffer from serious solid waste management (SWM) problems and insufficient data and strategic planning. Thus it is important to develop robust solid waste generation forecasting model. It helps to proper manage the generated solid waste and to develop future plan based on relatively accurate figures. In Malaysia, solid waste generation rate increases rapidly due to the population growth and new consumption trends that characterize the modern life style. This paper aims to develop monthly solid waste forecasting model using Autoregressive Integrated Moving Average (ARIMA), such model is applicable even though there is lack of data and will help the municipality properly establish the annual service plan. The results show that ARIMA (6,1,0) model predicts monthly municipal solid waste generation with root mean square error equals to 0.0952 and the model forecast residuals are within accepted 95% confident interval.

  15. Medium term municipal solid waste generation prediction by autoregressive integrated moving average

    Energy Technology Data Exchange (ETDEWEB)

    Younes, Mohammad K.; Nopiah, Z. M.; Basri, Noor Ezlin A.; Basri, Hassan [Department of Civil and Structural Engineering, Faculty of Engineering and Built Environment, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor (Malaysia)

    2014-09-12

    Generally, solid waste handling and management are performed by municipality or local authority. In most of developing countries, local authorities suffer from serious solid waste management (SWM) problems and insufficient data and strategic planning. Thus it is important to develop robust solid waste generation forecasting model. It helps to proper manage the generated solid waste and to develop future plan based on relatively accurate figures. In Malaysia, solid waste generation rate increases rapidly due to the population growth and new consumption trends that characterize the modern life style. This paper aims to develop monthly solid waste forecasting model using Autoregressive Integrated Moving Average (ARIMA), such model is applicable even though there is lack of data and will help the municipality properly establish the annual service plan. The results show that ARIMA (6,1,0) model predicts monthly municipal solid waste generation with root mean square error equals to 0.0952 and the model forecast residuals are within accepted 95% confident interval.

  16. Assessing patients’ experience of integrated care: a survey of patient views in the North West London Integrated Care Pilot

    Directory of Open Access Journals (Sweden)

    Nikolaos Mastellos

    2014-06-01

    Full Text Available Introduction: Despite the importance of continuity of care and patient engagement, few studies have captured patients’ views on integrated care. This study assesses patient experience in the Integrated Care Pilot in North West London with the aim to help clinicians and policy makers understand patients’ acceptability of integrated care and design future initiatives. Methods: A survey was developed, validated and distributed to 2029 randomly selected practice patients identified as having a care plan. Results: A total of 405 questionnaires were included for analysis. Respondents identified a number of benefits associated with the pilot, including increased patient involvement in decision-making, improved patient-provider relationship, better organisation and access to care, and enhanced inter-professional communication. However, only 22.4% were aware of having a care plan, and of these only 37.9% had a copy of the care plan. Knowledge of care plans was significantly associated with a more positive experience. Conclusions: This study reinforces the view that integrated care can improve quality of care and patient experience. However, care planning was a complex and technically challenging process that occurred more slowly than planned with wide variation in quality and time of recruitment to the pilot, making it difficult to assess the sustainability of benefits.

  17. What the patient wants: Addressing patients' treatment targets in an integrative group psychotherapy programme.

    Science.gov (United States)

    Kealy, David; Joyce, Anthony S; Weber, Rainer; Ehrenthal, Johannes C; Ogrodniczuk, John S

    2018-02-13

    Limited empirical attention has been devoted to individualized treatment objectives in intensive group therapy for personality dysfunction. This study investigated patients' ratings of distress associated with individual therapy goals - referred to as target object severity - in an intensive Evening Treatment Programme for patients with personality dysfunction. Change in target objective severity was examined in a sample of 81 patients who completed treatment in an intensive, integrative group therapy programme. Correlation and regression analyses were used to examine associations between change in target object severity and patients' pre-treatment diagnosis, symptom distress, and treatment outcome expectancy, and between change in target objective severity and patients' ratings of group therapy process (group climate, therapeutic alliance, group cohesion). The relationship between change in target objective severity and longer-range life satisfaction was also examined in a subsample of patients who rated life satisfaction at follow-up. While change in target objective severity was not significantly related to pre-treatment variables, significant associations were found with several aspects of group therapy process. Patients' experience of a highly engaged group climate was uniquely associated with improvement in target object severity. Such improvement was significantly related to longer-term life satisfaction after controlling for general symptom change. The working atmosphere in group therapy contributes to patients' progress regarding individual treatment targets, and such progress is an important factor in later satisfaction. Attention to individualized treatment targets deserves further clinical and research attention in the context of integrative group therapy for personality dysfunction. This study found that patients attending an integrative group treatment programme for personality dysfunction experienced significant improvement in severity of distress

  18. Proceedings of the CNRA/CSNI workshop on steam generator tube integrity in nuclear power plants

    International Nuclear Information System (INIS)

    Diercks, D.R.

    1997-02-01

    The objective of the workshop was to provide a working forum for the exchange of information by contributing experts on current issues related to PWR steam generator tube integrity. One hundred persons from 15 countries attended the workshop, including 36 from regulatory and nuclear policy agencies, 28 from research and development laboratories, 18 from nuclear vendors and consulting firms, and 18 from electrical utilities. The workshop opened with a plenary session; the first part of the session covered international steam generator regulatory practices and issues, featuring speakers from regulatory bodies in Belgium, France, Japan, Spain, and the US. In Part 2 of the plenary session, comprehensive technical overviews on steam generator tubing degradation, inspection, and integrity were presented by authorities in these fields from the US, France, and Belgium. Parallel working sessions on the second and third days of the workshop then developed findings and recommendations in the areas of (1) tubing degradation, (2) tubing inspection, (3) tubing integrity, (4) preventative and corrective measures, and (5) operational aspects and risk analysis. On the final day of the workshop, the working-session facilitators presented summaries of their sessions to the workshop attendees. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database

  19. Proceedings of the CNRA/CSNI workshop on steam generator tube integrity in nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Diercks, D.R. [Argonne National Lab., IL (United States)

    1997-02-01

    The objective of the workshop was to provide a working forum for the exchange of information by contributing experts on current issues related to PWR steam generator tube integrity. One hundred persons from 15 countries attended the workshop, including 36 from regulatory and nuclear policy agencies, 28 from research and development laboratories, 18 from nuclear vendors and consulting firms, and 18 from electrical utilities. The workshop opened with a plenary session; the first part of the session covered international steam generator regulatory practices and issues, featuring speakers from regulatory bodies in Belgium, France, Japan, Spain, and the US. In Part 2 of the plenary session, comprehensive technical overviews on steam generator tubing degradation, inspection, and integrity were presented by authorities in these fields from the US, France, and Belgium. Parallel working sessions on the second and third days of the workshop then developed findings and recommendations in the areas of (1) tubing degradation, (2) tubing inspection, (3) tubing integrity, (4) preventative and corrective measures, and (5) operational aspects and risk analysis. On the final day of the workshop, the working-session facilitators presented summaries of their sessions to the workshop attendees. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

  20. Audiovisual Integration of Speech in a Patient with Broca’s Aphasia

    DEFF Research Database (Denmark)

    Andersen, Tobias; Starrfelt, Randi

    2015-01-01

    's area is necessary for audiovisual integration of speech. Here we describe a patient with Broca's aphasia who experienced the McGurk illusion. This indicates that an intact Broca's area is not necessary for audiovisual integration of speech. The McGurk illusions this patient experienced were atypical......, which could be due to Broca's area having a more subtle role in audiovisual integration of speech. The McGurk illusions of a control subject with Wernicke's aphasia were, however, also atypical. This indicates that the atypical McGurk illusions were due to deficits in speech processing...

  1. Operational integration in primary health care: patient encounters and workflows.

    Science.gov (United States)

    Sifaki-Pistolla, Dimitra; Chatzea, Vasiliki-Eirini; Markaki, Adelais; Kritikos, Kyriakos; Petelos, Elena; Lionis, Christos

    2017-11-29

    Despite several countrywide attempts to strengthen and standardise the primary healthcare (PHC) system, Greece is still lacking a sustainable, policy-based model of integrated services. The aim of our study was to identify operational integration levels through existing patient care pathways and to recommend an alternative PHC model for optimum integration. The study was part of a large state-funded project, which included 22 randomly selected PHC units located across two health regions of Greece. Dimensions of operational integration in PHC were selected based on the work of Kringos and colleagues. A five-point Likert-type scale, coupled with an algorithm, was used to capture and transform theoretical framework features into measurable attributes. PHC services were grouped under the main categories of chronic care, urgent/acute care, preventive care, and home care. A web-based platform was used to assess patient pathways, evaluate integration levels and propose improvement actions. Analysis relied on a comparison of actual pathways versus optimal, the latter ones having been identified through literature review. Overall integration varied among units. The majority (57%) of units corresponded to a basic level. Integration by type of PHC service ranged as follows: basic (86%) or poor (14%) for chronic care units, poor (78%) or basic (22%) for urgent/acute care units, basic (50%) for preventive care units, and partial or basic (50%) for home care units. The actual pathways across all four categories of PHC services differed from those captured in the optimum integration model. Certain similarities were observed in the operational flows between chronic care management and urgent/acute care management. Such similarities were present at the highest level of abstraction, but also in common steps along the operational flows. Existing patient care pathways were mapped and analysed, and recommendations for an optimum integration PHC model were made. The developed web

  2. Human papillomavirus genome integration in squamous carcinogenesis: what have next-generation sequencing studies taught us?

    Science.gov (United States)

    Groves, Ian J; Coleman, Nicholas

    2018-05-01

    Human papillomavirus (HPV) infection is associated with ∼5% of all human cancers, including a range of squamous cell carcinomas. Persistent infection by high-risk HPVs (HRHPVs) is associated with the integration of virus genomes (which are usually stably maintained as extrachromosomal episomes) into host chromosomes. Although HRHPV integration rates differ across human sites of infection, this process appears to be an important event in HPV-associated neoplastic progression, leading to deregulation of virus oncogene expression, host gene expression modulation, and further genomic instability. However, the mechanisms by which HRHPV integration occur and by which the subsequent gene expression changes take place are incompletely understood. The advent of next-generation sequencing (NGS) of both RNA and DNA has allowed powerful interrogation of the association of HRHPVs with human disease, including precise determination of the sites of integration and the genomic rearrangements at integration loci. In turn, these data have indicated that integration occurs through two main mechanisms: looping integration and direct insertion. Improved understanding of integration sites is allowing further investigation of the factors that provide a competitive advantage to some integrants during disease progression. Furthermore, advanced approaches to the generation of genome-wide samples have given novel insights into the three-dimensional interactions within the nucleus, which could act as another layer of epigenetic control of both virus and host transcription. It is hoped that further advances in NGS techniques and analysis will not only allow the examination of further unanswered questions regarding HPV infection, but also direct new approaches to treating HPV-associated human disease. Copyright © 2018 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd. Copyright © 2018 Pathological Society of Great Britain and Ireland. Published by John

  3. Uncovering the decision-making work of transferring dying patients home from critical care units: An integrative review.

    Science.gov (United States)

    Lin, Yanxia; Myall, Michelle; Jarrett, Nikki

    2017-12-01

    To understand how decisions are made to transfer dying patients home from critical care units. Many people prefer a home death, but a high proportion die in critical care units. Transferring dying patients home is recognized to be complex but transfer decision-making itself remains unclear. Integrative review. Seven bibliographic databases (origin-2015), grey literature and reference lists were searched. An integrative review method was used to synthesize data from diverse sources. Papers were selected through title and abstract screening and full-text reviewing, using inclusion and exclusion criteria derived from review questions. Following quality appraisal, data were extracted and synthesized using normalization process theory as a framework. The number of patients transferred home ranged from 1-346, with most papers reporting on the transfer of one or two patients. Four themes regarding transfer decision-making work were generated: divergent views and practice, multiple stakeholders' involvement in decision-making, collective work and limited understanding of individuals' experiences. The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at home. © 2017 John Wiley & Sons Ltd.

  4. Integrated biomass pyrolysis with organic Rankine cycle for power generation

    Science.gov (United States)

    Nur, T. B.; Syahputra, A. W.

    2018-02-01

    The growing interest on Organic Rankine Cycle (ORC) application to produce electricity by utilizing biomass energy sources are increasingly due to its successfully used to generate power from waste heat available in industrial processes. Biomass pyrolysis is one of the thermochemical technologies for converting biomass into energy and chemical products consisting of liquid bio-oil, solid biochar, and pyrolytic gas. In the application, biomass pyrolysis can be divided into three main categories; slow, fast and flash pyrolysis mainly aiming at maximizing the products of bio-oil or biochar. The temperature of synthesis gas generated during processes can be used for Organic Rankine Cycle to generate power. The heat from synthesis gas during pyrolysis processes was transfer by thermal oil heater to evaporate ORC working fluid in the evaporator unit. In this study, the potential of the palm oil empty fruit bunch, palm oil shell, and tree bark have been used as fuel from biomass to generate electricity by integrated with ORC. The Syltherm-XLT thermal oil was used as the heat carrier from combustion burner, while R245fa was used as the working fluid for ORC system. Through Aspen Plus, this study analyses the influences on performance of main thermodynamic parameters, showing the possibilities of reaching an optimum performance for different working conditions that are characteristics of different design parameters.

  5. Photonic generation of ultra-wideband signals by direct current modulation on SOA section of an SOA-integrated SGDBR laser.

    Science.gov (United States)

    Lv, Hui; Yu, Yonglin; Shu, Tan; Huang, Dexiu; Jiang, Shan; Barry, Liam P

    2010-03-29

    Photonic ultra-wideband (UWB) pulses are generated by direct current modulation of a semiconductor optical amplifier (SOA) section of an SOA-integrated sampled grating distributed Bragg reflector (SGDBR) laser. Modulation responses of the SOA section of the laser are first simulated with a microwave equivalent circuit model. Simulated results show a resonance behavior indicating the possibility to generate UWB signals with complex shapes in the time domain. The UWB pulse generation is then experimentally demonstrated for different selected wavelength channels with an SOA-integrated SGDBR laser.

  6. Proportional-integral controller based small-signal analysis of hybrid distributed generation systems

    International Nuclear Information System (INIS)

    Ray, Prakash K.; Mohanty, Soumya R.; Kishor, Nand

    2011-01-01

    Research highlights: → We aim to minimize the deviation of frequency in an integrated energy resources like offshore wind, photovoltaic (PV), fuel cell (FC) and diesel engine generator (DEG) along with the energy storage elements like flywheel energy storage system (FESS) and battery energy storage system (BESS). → Further ultracapacitor (UC) as an alternative energy storage element and proportional-integral (PI) controller is addressed in order to achieve improvements in the deviation of frequency profiles. → A comparative assessment of frequency deviation for different hybrid systems is also carried out in the presence of high voltage direct current (HVDC) link and high voltage alternating current (HVAC) line. → In the study both qualitative and quantitative analysis reflects the improvements in frequency deviation profiles with use of ultracapacitor (UC) as energy storage element. -- Abstract: The large band variation in the wind speed and unpredictable solar radiation causes remarkable fluctuations of output power in offshore wind and photovoltaic system respectively, which leads to large deviation in the system frequency. In this context, to minimize the deviation in frequency, this paper presents integration of different energy resources like offshore wind, photovoltaic (PV), fuel cell (FC) and diesel engine generator (DEG) along with the energy storage elements like flywheel energy storage system (FESS) and battery energy storage system (BESS). Further ultracapacitor (UC) as an alternative energy storage element and proportional-integral (PI) controller is addressed in order to achieve improvements in the deviation of frequency profiles. A comparative assessment of frequency deviation for different hybrid systems is also carried out in the presence of high-voltage direct current (HVDC) link and high-voltage alternating current (HVAC) line. Frequency deviation for different isolated hybrid systems are presented graphically as well as in terms of

  7. Design and Control of Integrated Systems for Hydrogen Production and Power Generation

    Science.gov (United States)

    Georgis, Dimitrios

    Growing concerns on CO2 emissions have led to the development of highly efficient power plants. Options for increased energy efficiencies include alternative energy conversion pathways, energy integration and process intensification. Solid oxide fuel cells (SOFC) constitute a promising alternative for power generation since they convert the chemical energy electrochemically directly to electricity. Their high operating temperature shows potential for energy integration with energy intensive units (e.g. steam reforming reactors). Although energy integration is an essential tool for increased efficiencies, it leads to highly complex process schemes with rich dynamic behavior, which are challenging to control. Furthermore, the use of process intensification for increased energy efficiency imposes an additional control challenge. This dissertation identifies and proposes solutions on design, operational and control challenges of integrated systems for hydrogen production and power generation. Initially, a study on energy integrated SOFC systems is presented. Design alternatives are identified, control strategies are proposed for each alternative and their validity is evaluated under different operational scenarios. The operational range of the proposed control strategies is also analyzed. Next, thermal management of water gas shift membrane reactors, which are a typical application of process intensification, is considered. Design and operational objectives are identified and a control strategy is proposed employing advanced control algorithms. The performance of the proposed control strategy is evaluated and compared with classical control strategies. Finally SOFC systems for combined heat and power applications are considered. Multiple recycle loops are placed to increase design flexibility. Different operational objectives are identified and a nonlinear optimization problem is formulated. Optimal designs are obtained and their features are discussed and compared

  8. Five generations in the nursing workforce: implications for nursing professional development.

    Science.gov (United States)

    Bell, Julie A

    2013-01-01

    Positive patient outcomes require effective teamwork, communication, and technological literacy. These skills vary among the unprecedented five generations in the nursing workforce, spanning the "Silent Generation" nurses deferring retirement to the newest "iGeneration." Nursing professional development educators must understand generational differences; address communication, information technology, and team-building competencies across generations; and promote integration of learner-centered strategies into professional development activities.

  9. DIII-D Integrated plasma control solutions for ITER and next-generation tokamaks

    International Nuclear Information System (INIS)

    Humphreys, D.A.; Ferron, J.R.; Hyatt, A.W.; La Haye, R.J.; Leuer, J.A.; Penaflor, B.G.; Walker, M.L.; Welander, A.S.; In, Y.

    2008-01-01

    Plasma control design approaches and solutions developed at DIII-D to address its control-intensive advanced tokamak (AT) mission are applicable to many problems facing ITER and other next-generation devices. A systematic approach to algorithm design, termed 'integrated plasma control,' enables new tokamak controllers to be applied operationally with minimal machine time required for tuning. Such high confidence plasma control algorithms are designed using relatively simple ('control-level') models validated against experimental response data and are verified in simulation prior to operational use. A key element of DIII-D integrated plasma control, also required in the ITER baseline control approach, is the ability to verify both controller performance and implementation by running simulations that connect directly to the actual plasma control system (PCS) that is used to operate the tokamak itself. The DIII-D PCS comprises a powerful and flexible C-based realtime code and programming infrastructure, as well as an arbitrarily scalable hardware and realtime network architecture. This software infrastructure provides a general platform for implementation and verification of realtime algorithms with arbitrary complexity, limited only by speed of execution requirements. We present a complete suite of tools (known collectively as TokSys) supporting the integrated plasma control design process, along with recent examples of control algorithms designed for the DIII-D PCS. The use of validated physics-based models and a systematic model-based design and verification process enables these control solutions to be directly applied to ITER and other next-generation tokamaks

  10. Regulatory road maps for the integration of intermittent electricity generation: Methodology development and the case of The Netherlands

    International Nuclear Information System (INIS)

    Welle, Adriaan J. van der; Joode, Jeroen de

    2011-01-01

    The envisaged increase in the share of electricity generation from intermittent renewable energy sources (RES-E) like wind and photovoltaics will pose challenges to the existing electricity system. A successful integration of these sources requires a cost-efficient use of system flexibility. The literature on the options to improve system flexibility, and thus the costs of successfully integrating intermittent electricity generating units, is still growing but what is lacking is an overarching systematic view on when to adopt which option in particular energy systems. This paper aims to bridge this gap in literature. We use existing insights on market and network integration of intermittent electricity sources within a regulatory road map framework. The framework allows policy makers and other electricity system stakeholders to arrive at a consistent strategy in dealing with integration issues over a longer period of time. In this contribution we present and explain the framework and apply it for the case of The Netherlands. - Highlights: → Successful integration of intermittent electricity generation requires a cost-efficient use of system flexibility. → An overarching systematic view on when to adopt which flexibility option in particular energy systems was lacking. → We identify a consistent strategy in dealing with integration issues over a longer period of time. → We present this regulatory road map framework and apply it for the case of The Netherlands.

  11. Perspectives of Integrative Cancer Genomics in Next Generation Sequencing Era

    Directory of Open Access Journals (Sweden)

    So Mee Kwon

    2012-06-01

    Full Text Available The explosive development of genomics technologies including microarrays and next generation sequencing (NGS has provided comprehensive maps of cancer genomes, including the expression of mRNAs and microRNAs, DNA copy numbers, sequence variations, and epigenetic changes. These genome-wide profiles of the genetic aberrations could reveal the candidates for diagnostic and/or prognostic biomarkers as well as mechanistic insights into tumor development and progression. Recent efforts to establish the huge cancer genome compendium and integrative omics analyses, so-called "integromics", have extended our understanding on the cancer genome, showing its daunting complexity and heterogeneity. However, the challenges of the structured integration, sharing, and interpretation of the big omics data still remain to be resolved. Here, we review several issues raised in cancer omics data analysis, including NGS, focusing particularly on the study design and analysis strategies. This might be helpful to understand the current trends and strategies of the rapidly evolving cancer genomics research.

  12. A Case Study - On Patient Empowerment and Integration of Telemedicine to National Healthcare Services

    DEFF Research Database (Denmark)

    Urazimbetova, Surayya

    Patient empowerment in the digitalized healthcare can be supported by means of telemedicine. As opposed to Electronic Patient Records developed by a few large business suppliers for healthcare professionals, telemedical applications include innovative solutions of small-medium size suppliers...... and are targeted at specific groups of patients (e.g., hip operated or dermatology patients) and their care network. Based on an integration experiment we argue that in order to support the national visions for patient empowerment and connectedness of healthcare at the same time, it is necessary to achieve...... the integration of telemedicine to the national healthcare services on a business logic (functional) integration level. In this paper, (1) we identify the lack of business logic (functional) level integration opportunities for patient oriented telemedical applications with national healthcare services; (2) we...

  13. A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health Record Systems.

    Science.gov (United States)

    Marceglia, S; Fontelo, P; Rossi, E; Ackerman, M J

    2015-01-01

    Mobile health Applications (mHealth Apps) are opening the way to patients' responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient's access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated "island systems". Although much work has been done on patient's access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care. Following the definition of requirements for the EHR/mHealth App information exchange recently proposed, and after reviewing current standards, we designed the architecture for EHR/mHealth App integration. Then, as a case study, we modeled a system based on the proposed architecture aimed to support home monitoring for congestive heart failure patients. We simulated such process using, on the EHR side, OpenMRS, an open source longitudinal EHR and, on the mHealth App side, the iOS platform. The integration architecture was based on the bi-directional exchange of standard documents (clinical document architecture rel2 - CDA2). In the process, the clinician "prescribes" the home monitoring procedures by creating a CDA2 prescription in the EHR that is sent, encrypted and de-identified, to the mHealth App to create the monitoring calendar. At the scheduled time, the App alerts the patient to start the monitoring. After the measurements are done, the App generates a structured CDA2-compliant monitoring report and sends it to the EHR, thus avoiding local storage. The proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and healthcare professionals, supporting the patient's engagement in self

  14. Integrating Phase-Change Materials into Automotive Thermoelectric Generators

    Science.gov (United States)

    Klein Altstedde, Mirko; Rinderknecht, Frank; Friedrich, Horst

    2014-06-01

    Because the heat emitted by conventional combustion-engine vehicles during operation has highly transient properties, automotive thermoelectric generators (TEG) are intended for a particular operating state (design point). This, however, leads to two problems. First, whenever the combustion engine runs at low load, the maximum operating temperature cannot be properly utilised; second, a combustion engine at high load requires partial diversion of exhaust gas away from the TEG to protect the thermoelectric modules. An attractive means of stabilising dynamic exhaust behaviour (thereby keeping the TEG operating status at the design point for as long as possible) is use of latent heat storage, also known as phase-change materials (PCM). By positioning PCM between module and exhaust heat conduit, and choosing a material with a phase-change temperature matching the module's optimum operating temperature, it can be used as heat storage. This paper presents results obtained during examination of the effect of integration of latent heat storage on the potential of automotive TEG to convert exhaust heat. The research resulted in the development of a concept based on the initial integration idea, followed by proof of concept by use of a specially created prototype. In addition, the potential amount of energy obtained by use of a PCM-equipped TEG was calculated. The simulations indicated a significant increase in electrical energy was obtained in the selected test cycle.

  15. Modelling Fanconi anemia pathogenesis and therapeutics using integration-free patient-derived iPSCs.

    Science.gov (United States)

    Liu, Guang-Hui; Suzuki, Keiichiro; Li, Mo; Qu, Jing; Montserrat, Nuria; Tarantino, Carolina; Gu, Ying; Yi, Fei; Xu, Xiuling; Zhang, Weiqi; Ruiz, Sergio; Plongthongkum, Nongluk; Zhang, Kun; Masuda, Shigeo; Nivet, Emmanuel; Tsunekawa, Yuji; Soligalla, Rupa Devi; Goebl, April; Aizawa, Emi; Kim, Na Young; Kim, Jessica; Dubova, Ilir; Li, Ying; Ren, Ruotong; Benner, Chris; Del Sol, Antonio; Bueren, Juan; Trujillo, Juan Pablo; Surralles, Jordi; Cappelli, Enrico; Dufour, Carlo; Esteban, Concepcion Rodriguez; Belmonte, Juan Carlos Izpisua

    2014-07-07

    Fanconi anaemia (FA) is a recessive disorder characterized by genomic instability, congenital abnormalities, cancer predisposition and bone marrow (BM) failure. However, the pathogenesis of FA is not fully understood partly due to the limitations of current disease models. Here, we derive integration free-induced pluripotent stem cells (iPSCs) from an FA patient without genetic complementation and report in situ gene correction in FA-iPSCs as well as the generation of isogenic FANCA-deficient human embryonic stem cell (ESC) lines. FA cellular phenotypes are recapitulated in iPSCs/ESCs and their adult stem/progenitor cell derivatives. By using isogenic pathogenic mutation-free controls as well as cellular and genomic tools, our model serves to facilitate the discovery of novel disease features. We validate our model as a drug-screening platform by identifying several compounds that improve hematopoietic differentiation of FA-iPSCs. These compounds are also able to rescue the hematopoietic phenotype of FA patient BM cells.

  16. Modeling Fanconi Anemia pathogenesis and therapeutics using integration-free patient-derived iPSCs

    Science.gov (United States)

    Montserrat, Nuria; Tarantino, Carolina; Gu, Ying; Yi, Fei; Xu, Xiuling; Zhang, Weiqi; Ruiz, Sergio; Plongthongkum, Nongluk; Zhang, Kun; Masuda, Shigeo; Nivet, Emmanuel; Tsunekawa, Yuji; Soligalla, Rupa Devi; Goebl, April; Aizawa, Emi; Kim, Na Young; Kim, Jessica; Dubova, Ilir; Li, Ying; Ren, Ruotong; Benner, Chris; del Sol, Antonio; Bueren, Juan; Trujillo, Juan Pablo; Surralles, Jordi; Cappelli, Enrico; Dufour, Carlo; Esteban, Concepcion Rodriguez; Belmonte, Juan Carlos Izpisua

    2014-01-01

    Fanconi Anemia (FA) is a recessive disorder characterized by genomic instability, congenital abnormalities, cancer predisposition and bone marrow failure. However, the pathogenesis of FA is not fully understood partly due to the limitations of current disease models. Here, we derive integration-free induced pluripotent stem cells (iPSCs) from an FA patient without genetic complementation and report in situ gene correction in FA-iPSCs as well as the generation of isogenic FANCA deficient human embryonic stem cell (ESC) lines. FA cellular phenotypes are recapitulated in iPSCs/ESCs and their adult stem/progenitor cell derivatives. By using isogenic pathogenic mutation-free controls as well as cellular and genomic tools, our model serves to facilitate the discovery of novel disease features. We validate our model as a drug-screening platform by identifying several compounds that improve hematopoietic differentiation of FA-iPSCs. These compounds are also able to rescue the hematopoietic phenotype of FA-patient bone marrow cells. PMID:24999918

  17. An integrative psychotherapist's account of his focus when treating self-critical patients.

    Science.gov (United States)

    Shahar, Golan

    2013-09-01

    This article presents the factors on which I focus as an integrative psychotherapist when treating self-critical patients. I first describe my personal version of psychotherapy integration. Drawing principally from Wachtel's cyclical psychodynamic model, I also incorporate existential and neurocognitive elements highlighting patients' future-oriented thinking and goal-directed action. I then relate this integrative model to the vexing clinical problem of self-criticism. Finally, I outline three types of interventions I attempt to implement in each session: (1) Multiple-Selves Analysis (MSA); (2) Behavioral Activation (BA), conceptualized integratively; and (3) use of therapist's presence. 2013 APA, all rights reserved

  18. Defining and measuring integrated patient care: promoting the next frontier in health care delivery.

    NARCIS (Netherlands)

    Singer, S.J.; Burgers, J.S.; Friedberg, M.; Rosenthal, M.B.; Leape, L.; Schneider, E.

    2011-01-01

    Integration of care is emerging as a central challenge of health care delivery, particularly for patients with multiple, complex chronic conditions. The authors argue that the concept of "integrated patient care" would benefit from further clarification regarding (a) the object of integration and

  19. Physician organization-practice team integration for the advancement of patient-centered care.

    Science.gov (United States)

    Wise, Christopher G; Alexander, Jeffrey A; Green, Lee A; Cohen, Genna R

    2012-01-01

    The patient-centered medical home is being promoted as a cornerstone for transforming primary care. Physician organizations (POs) are playing a more prominent role by facilitating practices' transformation to the patient-centered medical home. Using a framework of organizational integration, we investigated the changing relationship between POs and practices through qualitative interviews. Through increased integration, POs can support both the big picture and day-to-day activities of practice transformation. Most PO-practice unit connections we identified reflected new areas of engagement-competencies that POs were not developing in the past-that are proving integral to the broad-scale practice change of patient-centered medical home implementation.

  20. [Integrated management of patients with schizophrenia: beyond psychotropic drugs].

    Science.gov (United States)

    Taborda Zapata, Eliana; Montoya Gonzalez, Laura Elisa; Gómez Sierra, Natalia María; Arteaga Morales, Laura María; Correa Rico, Oscar Andrés

    2016-01-01

    Schizophrenia is a complex disease with severe functional repercussions; therefore it merits treatment which goes beyond drugs. It requires an approach that considers a diathesis-stress process that includes rehabilitation, psychotherapeutic strategies for persistent cognitive, negative and psychotic symptoms, psychoeducation of patient and communities, community adaptation strategies, such as the introduction to the work force, and the community model, such as a change in the asylum paradigm. It is necessary to establish private and public initiatives for the integrated care of schizophrenia in the country, advocating the well-being of those with the disease. The integrated management of schizophrenic patients requires a global view of the patient and his/her disease, and its development is essential. Copyright © 2015 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  1. Evaluation of steam generator U-tube integrity during PWR station blackout with secondary system depressurization

    International Nuclear Information System (INIS)

    Hidaka, Akihide; Asaka, Hideaki; Sugimoto, Jun; Ueno, Shingo; Yoshino, Takehito

    1999-12-01

    In PWR severe accidents such as station blackout, the integrity of steam generator U-tube would be threatened early at the transient among the pipes of primary system. This is due to the hot leg countercurrent natural circulation (CCNC) flow which delivers the decay heat of the core to the structures of primary system if the core temperature increases after the secondary system depressurization. From a view point of accident mitigation, this steam generator tube rupture (SGTR) is not preferable because it results in the direct release of primary coolant including fission products (FP) to the environment. Recent SCDAP/RELAP5 analyses by USNRC showed that the creep failure of pressurizer surge line which results in release of the coolant into containment would occur earlier than SGTR during the secondary system depressurization. However, the analyses did not consider the decay heat from deposited FP on the steam generator U-tube surface. In order to investigate the effect of decay heat on the steam generator U-tube integrity, the hot leg CCNC flow model used in the USNRC's calculation was, at first, validated through the analysis for JAERI's LSTF experiment. The CCNC model reproduced well the thermohydraulics observed in the LSTF experiment and thus the model is mostly reliable. An analytical study was then performed with SCDAP/RELAP5 for TMLB' sequence of Surry plant with and without secondary system depressurization. The decay heat from deposited FP was calculated by JAERI's FP aerosol behavior analysis code, ART. The ART analysis showed that relatively large amount of FPs may deposit on steam generator U-tube inlet mainly by thermophoresis. The SCDAP/RELAP5 analyses considering the FP decay heat predicted small safety margin for steam generator U-tube integrity during secondary system depressurization. Considering associated uncertainties in the analyses, the potential for SGTR cannot be ignored. Accordingly, this should be considered in the evaluation of merits

  2. Fully Automated Volumetric Modulated Arc Therapy Plan Generation for Prostate Cancer Patients

    International Nuclear Information System (INIS)

    Voet, Peter W.J.; Dirkx, Maarten L.P.; Breedveld, Sebastiaan; Al-Mamgani, Abrahim; Incrocci, Luca; Heijmen, Ben J.M.

    2014-01-01

    Purpose: To develop and evaluate fully automated volumetric modulated arc therapy (VMAT) treatment planning for prostate cancer patients, avoiding manual trial-and-error tweaking of plan parameters by dosimetrists. Methods and Materials: A system was developed for fully automated generation of VMAT plans with our commercial clinical treatment planning system (TPS), linked to the in-house developed Erasmus-iCycle multicriterial optimizer for preoptimization. For 30 randomly selected patients, automatically generated VMAT plans (VMAT auto ) were compared with VMAT plans generated manually by 1 expert dosimetrist in the absence of time pressure (VMAT man ). For all treatment plans, planning target volume (PTV) coverage and sparing of organs-at-risk were quantified. Results: All generated plans were clinically acceptable and had similar PTV coverage (V 95%  > 99%). For VMAT auto and VMAT man plans, the organ-at-risk sparing was similar as well, although only the former plans were generated without any planning workload. Conclusions: Fully automated generation of high-quality VMAT plans for prostate cancer patients is feasible and has recently been implemented in our clinic

  3. Integrated assessment and consultation for the preoperative patient.

    Science.gov (United States)

    Silverman, David G; Rosenbaum, Stanley H

    2009-12-01

    Assessment of the presurgical patient requires interdisciplinary cooperation over the continuum of documentation and optimization of existing disorders, determination of patient resilience and reserve, and planning for subsequent interventions and care. For many patients, evident or suspected morbidities or anticipated surgical disturbance warrant specialty consultation. There may be uncertainty as to the optimal processes for a given patient, a limitation attributable to myriad factors, not the least of which is that there is often a paucity of evidence that is directly relevant to a given patient in a given setting. The present article discusses these limitations and describes a framework for documentation, optimization, risk assessment, and planning, as well as a uniform grading of existing morbidities and anticipated perioperative disturbances for patients requiring integrated assessment and consultation.

  4. An integral reactor design concept for a nuclear co-generation plant

    International Nuclear Information System (INIS)

    Lee, D.J.; Kim, J.I.; Kim, K.K.; Chang, M.H.; Moon, K.S.

    1997-01-01

    An integral reactor concept for nuclear cogeneration plant is being developed at KAERI as an attempt to expand the peaceful utilization of well established commercial nuclear technology, and related industrial infrastructure such as desalination technology in Korea. Advanced technologies such as intrinsic and passive safety features are implemented in establishing the design concepts to enhance the safety and performance. Research and development including laboratory-scale tests are concurrently underway to evaluate the characteristics of various passive safety concepts and provide the proper technical data for the conceptual design. This paper describes the preliminary safety and design concepts of the advanced integral reactor. Salient features of the design are hexagonal core geometry, once-through helical steam generator, self-pressurizer, and seismic resistant fine control CEDMS, passive residual heat removal system, steam injector driven passive containment cooling system. (author)

  5. [Eating disorders in psychiatric patients during treatment with second generation antipsychotics].

    Science.gov (United States)

    Vasilenko, L M; Gorobets, L N; Bulanov, V S; Litvinov, A V; Ivanova, G P; Tsarenko, M A; Polyakovskaya, T P

    2015-01-01

    To identify the frequency and characteristics of eating disorders in patients with schizophrenia treated with second generation antipsychotics. A sample included 56 patients (48 women and 8 men, mean age 28 ± 4.5 years) with schizophrenia and schizoaffective disorder. Patients received risperidone, quetiapine and olanzapine. The study employed clinical-anamnestic, endocrinological methods and assessment of eating behavior with DEBQ (The Dutch Eating Behavior Questionnaire). All of the patients had extra Body mass or obesity: extra Body mass of the 1st grade was found in 18 patients (BMIobesity grade 2-3 in 38 patients (BMI>30 kg/m²). Authors identified different types of eating disorders: external, restrictive and emotiogenic as well as the relationship of their prevalence and severity with sex, drug, presence and grade of obesity. Based on these we developed recommendations for management of patients treated with second generation antipsychotics.

  6. Side-by-side reading of PET and CT scans in oncology: Which patients might profit from integrated PET/CT?

    International Nuclear Information System (INIS)

    Reinartz, Patrick; Wieres, Franz-Josef; Schneider, Wolfram; Schur, Alexander; Buell, Ulrich

    2004-01-01

    Most early publications on integrated positron emission tomography/computed tomography (PET/CT) devices have reported the new scanner generation to be superior to conventional PET. However, few of these studies have analysed the situation where, in addition to PET, a current CT scan is available for side-by-side viewing. This fact is important, because combined PET/CT or a software-based fusion of the two modalities may improve diagnosis only in cases where side-by-side reading of PET and CT data does not lead to a definitive diagnosis. The aim of this study was to analyse which patients will profit from integrated PET/CT in terms of lesion characterization. A total of 328 consecutively admitted patients referred for PET in whom a current CT scan was available were included in the study. The localization of all pathological PET lesions, as well as possible infiltration of adjacent anatomical structures, was assessed. Of 467 pathological lesions, 94.0% were correctly assessed with respect to localization and infiltration by either conventional PET alone (51.6%) or combined reading of PET and the already existing CT scans (42.4%). Hence, in only 6.0% of all lesions, affecting 6.7% of all patients, could evaluation have profited from integrated PET/CT. We conclude that side-by-side viewing of PET and CT scans is essential, as in 42.4% of all cases, combined viewing was important for a correct diagnosis in our series. In up to 6.7% of patients, integrated PET/CT might have given additional information, so that in nearly 50% of patients some form of combined viewing of PET and CT data is needed for accurate lesion characterization. (orig.)

  7. A hybrid electron and photon IMRT planning technique that lowers normal tissue integral patient dose using standard hardware.

    Science.gov (United States)

    Rosca, Florin

    2012-06-01

    To present a mixed electron and photon IMRT planning technique using electron beams with an energy range of 6-22 MeV and standard hardware that minimizes integral dose to patients for targets as deep as 7.5 cm. Ten brain cases, two lung, a thyroid, an abdominal, and a parotid case were planned using two planning techniques: a photon-only IMRT (IMRT) versus a mixed modality treatment (E+IMRT) that includes an enface electron beam and a photon IMRT portion that ensures a uniform target coverage. The electron beam is delivered using a regular cutout placed in an electron cone. The electron energy was chosen to provide a good trade-off between minimizing integral dose and generating a uniform, deliverable plan. The authors choose electron energies that cover the deepest part of PTV with the 65%-70% isodose line. The normal tissue integral dose, the dose for ring structures around the PTV, and the volumes of the 75%, 50%, and 25% isosurfaces were used to compare the dose distributions generated by the two planning techniques. The normal tissue integral dose was lowered by about 20% by the E+IMRT plans compared to the photon-only IMRT ones for most studied cases. With the exception of lungs, the dose reduction associated to the E+IMRT plans was more pronounced further away from the target. The average dose ratio delivered to the 0-2 cm and the 2-4 cm ring structures for brain patients for the two planning techniques were 89.6% and 70.8%, respectively. The enhanced dose sparing away from the target for the brain patients can also be observed in the ratio of the 75%, 50%, and 25% isodose line volumes for the two techniques, which decreases from 85.5% to 72.6% and further to 65.1%, respectively. For lungs, the lateral electron beams used in the E+IMRT plans were perpendicular to the mostly anterior/posterior photon beams, generating much more conformal plans. The authors proved that even using the existing electron delivery hardware, a mixed electron/photon planning

  8. Esophageal acid sensitivity and mucosal integrity in patients with functional heartburn

    NARCIS (Netherlands)

    Weijenborg, P. W.; Smout, A. J. P. M.; Bredenoord, A. J.

    2016-01-01

    Patients with functional heartburn (FH) experience troublesome heartburn that is not related to gastroesophageal reflux. The etiology of the heartburn sensation in FH patients is unknown. In patients with reflux disease, esophageal hypersensitivity seems associated with impaired mucosal integrity.

  9. Reliability of scored patient generated subjective global assessment ...

    African Journals Online (AJOL)

    Objective: Establish the reliability of the scored Patient Generated-Subjective Global Assessment (PG-SGA) in determining nutritional status among Antiretroviral Therapy (ART) naive HIV-infected adults. Methods: A descriptive, cross sectional study among outpatient medical clinics, in The AIDS Support Organization ...

  10. Assessing Patients' Preference for Integrating Herbal Medicine Within Primary Care Services in Saudi Arabia.

    Science.gov (United States)

    Allam, Safaa; Moharam, Maha; Alarfaj, Gada

    2014-07-01

    Family physician advice and follow-up may be important to reduce the negative aspects of locally marketed herbal remedies and improve the patient outcome. There is a lack of studies assessing the preference of Saudi patients for the integration of herbal medicine into primary care services. To examine the knowledge, attitudes, and practice of Saudi patients toward herbal medicine and its integration into primary care services. A cross-sectional study was conducted between February and March 2013 among adult patients attending the family medicine clinics at a primary care center in Riyadh, Saudi Arabia. A self-administered questionnaire (27 items) was developed and administered to all patients. A total of 240 patients were included in the current analysis. The average age was 33.5 ± 9.9 years, and 61% of the patients were women. Approximately 60% of the patients were aware of herbal medicine use and its possible side effects. More than 85% of the patients believed that herbal containers should be labeled with safety information. Approximately 71% of the patients had a favorable attitude toward integrated services. Approximately 65% of the patients used herbal remedies for themselves, and 42% used them for their children. Preference for integrated services was significantly associated with female sex, better knowledge, positive attitudes toward safety and regulations, and higher level of practice. A good knowledge and a very favorable attitude toward integrating herbal medicine into primary care services were found among a group of patients attending a primary care center in Saudi Arabia. © The Author(s) 2014.

  11. Stakeholders' Perceptions Regarding the Use of Patient Photographs Integrated with Medical Imaging Studies.

    Science.gov (United States)

    Sadigh, Gelareh; Applegate, Kimberly E; Ng, Timothy W; Hendrix, Kamilah A; Tridandapani, Srini

    2016-06-01

    Integrating digital facial photographs of pediatric patients as identifiers (ID) with medical imaging (integrated photographic IDs) may increase the detection of mislabeled studies. The purpose of this study was to determine how different stakeholders would receive this novel technology. Parents or guardians of patients in a children's hospital outpatient radiology department, radiology faculty and residents, and radiology technologists and nurses were asked to complete a survey. The perception about the anticipated use of integrated photographic ID in different clinical scenarios was investigated, and its predictors were determined using logistic regression analysis. Four hundred ninety-eight parents responded (response rate 83 %); 96 and 97 % supported the use of integrated photographic ID, if it improves the radiologist's imaging interpretation or decreases the rate of mislabeled errors, respectively. Thirty-eight percent were worried that photographic IDs would impact patients' privacy. Ninety-four percent believed that they should be asked for their consent prior to obtaining their child's photograph. Seventy-eight radiologists responded (response rate 39 %); 63 and 59 % believed that the use of integrated photographic ID would result in improvement in accurate interpretation of images and identification of mislabeled patient errors, respectively. Forty-nine percent of radiologists had concern that integrated photographic ID would increase interpretation time. Fifty technologists and nurses responded (response rate 59 %); 71 and 73 % supported the technology if it resulted in more acute interpretation of images and identification of mislabeled patients, respectively. A majority of stakeholders support integrated photographic ID in order to improve safety. A majority of parents believe that consent should be obtained.

  12. Study of the integration of distributed generation systems in the grid: application in micro-grids; Etude de structures d'integration des systemes de generation decentralisee: application aux microreseaux

    Energy Technology Data Exchange (ETDEWEB)

    Gaztanaga Arantzamendi, H

    2006-12-15

    The present PhD deals with an original micro-grid concept and its application as a Renewable Energy Source's (RES) grid integration scheme. This micro-grid is composed of RES generators as well as support systems that incorporate additional functionalities in order to improve RES integration into the grid. According to this concept, two practical micro-grid applications have been studied in detail: a residential micro-grid and a wind farm supported by DFACTS systems (STATCOM and DVR). In both applications, the control structures which are implemented at different levels and applied to the different micro-grid elements have been developed, analyzed by means of off-line simulations and finally validated in real-time conditions with physical reduced-scale prototypes. (author)

  13. Rapidly reconfigurable high-fidelity optical arbitrary waveform generation in heterogeneous photonic integrated circuits.

    Science.gov (United States)

    Feng, Shaoqi; Qin, Chuan; Shang, Kuanping; Pathak, Shibnath; Lai, Weicheng; Guan, Binbin; Clements, Matthew; Su, Tiehui; Liu, Guangyao; Lu, Hongbo; Scott, Ryan P; Ben Yoo, S J

    2017-04-17

    This paper demonstrates rapidly reconfigurable, high-fidelity optical arbitrary waveform generation (OAWG) in a heterogeneous photonic integrated circuit (PIC). The heterogeneous PIC combines advantages of high-speed indium phosphide (InP) modulators and low-loss, high-contrast silicon nitride (Si3N4) arrayed waveguide gratings (AWGs) so that high-fidelity optical waveform syntheses with rapid waveform updates are possible. The generated optical waveforms spanned a 160 GHz spectral bandwidth starting from an optical frequency comb consisting of eight comb lines separated by 20 GHz channel spacing. The Error Vector Magnitude (EVM) values of the generated waveforms were approximately 16.4%. The OAWG module can rapidly and arbitrarily reconfigure waveforms upon every pulse arriving at 2 ns repetition time. The result of this work indicates the feasibility of truly dynamic optical arbitrary waveform generation where the reconfiguration rate or the modulator bandwidth must exceed the channel spacing of the AWG and the optical frequency comb.

  14. Cross-Cultural Validation of the Patient Perception of Integrated Care Survey.

    Science.gov (United States)

    Tietschert, Maike V; Angeli, Federica; van Raak, Arno J A; Ruwaard, Dirk; Singer, Sara J

    2017-07-20

    To test the cross-cultural validity of the U.S. Patient Perception of Integrated Care (PPIC) Survey in a Dutch sample using a standardized procedure. Primary data collected from patients of five primary care centers in the south of the Netherlands, through survey research from 2014 to 2015. Cross-sectional data collected from patients who saw multiple health care providers during 6 months preceding data collection. The PPIC survey includes 59 questions that measure patient perceived care integration across providers, settings, and time. Data analysis followed a standardized procedure guiding data preparation, psychometric analysis, and included invariance testing with the U.S. dataset. Latent scale structures of the Dutch and U.S. survey were highly comparable. Factor "Integration with specialist" had lower reliability scores and noninvariance. For the remaining factors, internal consistency and invariance estimates were strong. The standardized cross-cultural validation procedure produced strong support for comparable psychometric characteristics of the Dutch and U.S. surveys. Future research should examine the usability of the proposed procedure for contexts with greater cultural differences. © Health Research and Educational Trust.

  15. A PVTC system integrating photon-enhanced thermionic emission and methane reforming for efficient solar power generation

    Institute of Scientific and Technical Information of China (English)

    Wenjia Li; Hongsheng Wang; Yong Hao

    2017-01-01

    A new photovoltaic-thermochemical (PVTC) conceptual system integrating photon-enhanced thermionic emission (PETE) and methane steam reforming is proposed.Major novelty of the system lies in its potential adaptivity to primary fuels (e.g.methane) and high efficiencies of photovoltaic and thermochemical power generation,both of which result from its operation at much elevated temperatures (700-1000 ℃)compared with conventional photovoltaic-thermal (PVT) systems.Analysis shows that an overall power generation efficiency of 45.3% and a net solar-to-electric efficiency of 39.1% could be reached at an operating temperature of 750 ℃,after considering major losses during solar energy capture and conversion processes.The system is also featured by high solar share (37%) in the total power output,as well as high energy storage capability and very low CO2 emissions,both enabled by the integration of methane reforming with photovoltaic generation at high temperatures.

  16. Generation of induced pluripotent stem cells (iPSC) from an atrial fibrillation patient carrying a KCNA5 p.D322H mutation

    DEFF Research Database (Denmark)

    Mora, Cristina; Serzanti, Marialaura; Giacomelli, Alessio

    2017-01-01

    . To investigate the molecular mechanisms underlying AF, we reprogrammed to pluripotency polymorphonucleated leukocytes isolated from the blood of a patient carrying a KCNA5 p.D322H mutation, using a commercially available non-integrating system. The generated iPSCs expressed pluripotency markers...... and differentiated toward cells belonging to the three embryonic germ layers. Moreover, the cells showed a normal karyotype and retained the p.D322H mutation....

  17. Generation of induced pluripotent stem cells (iPSC) from an atrial fibrillation patient carrying a PITX2 p.M200V mutation

    DEFF Research Database (Denmark)

    Mora, Cristina; Serzanti, Marialaura; Giacomelli, Alessio

    2017-01-01

    the molecular mechanisms underlying AF, we reprogrammed to pluripotency polymorphonucleated leukocytes isolated from the blood of a patient carrying a PITX2 p.M200V mutation, using a commercially available non-integrating expression system. The generated iPSCs expressed pluripotency markers and differentiated...... toward cells belonging to the three embryonic germ layers. Moreover, the cells showed a normal karyotype and retained the PITX2 p.M200V mutation....

  18. Integration-free induced pluripotent stem cells derived from a patient with autosomal recessive Alport syndrome (ARAS).

    Science.gov (United States)

    Kuebler, Bernd; Aran, Begoña; Miquel-Serra, Laia; Muñoz, Yolanda; Ars, Elisabet; Bullich, Gemma; Furlano, Monica; Torra, Roser; Marti, Merce; Veiga, Anna; Raya, Angel

    2017-12-01

    A skin biopsy was obtained from a 25-year-old female patient with autosomal recessive Alport syndrome (ARAS) with the homozygous COL4A3 mutation c.345delG, p.(P166Lfs*37). Dermal fibroblasts were derived and reprogrammed by nucleofection with episomal plasmids carrying OCT3/4, SOX2, KLF4 LIN28, L-MYC and p53shRNA. The generated induced Pluripotent Stem Cell (iPSC) clone AS FiPS1 Ep6F-2 was free of genomically integrated reprogramming genes, had the specific homozygous mutation, a stable karyotype, expressed pluripotency markers and generated embryoid bodies which were differentiated towards the three germ layers in vitro. This iPSC line offers a useful resource to study Alport syndrome pathomechanisms and drug testing. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  19. Scaling Up Renewable Energy Generation: Aligning Targets and Incentives with Grid Integration Considerations, Greening The Grid

    Energy Technology Data Exchange (ETDEWEB)

    Katz, Jessica; Cochran, Jaquelin

    2015-05-27

    Greening the Grid provides technical assistance to energy system planners, regulators, and grid operators to overcome challenges associated with integrating variable renewable energy into the grid. This document, part of a Greening the Grid toolkit, provides power system planners with tips to help secure and sustain investment in new renewable energy generation by aligning renewable energy policy targets and incentives with grid integration considerations.

  20. Concept Generation Process for Patient Transferring Device

    Science.gov (United States)

    Dandavate, A. L.; Sarje, S. H.

    2012-07-01

    In this paper, an attempt has been made to develop concepts for patient transferring tasks. The concept generation process of patient transferring device (PTD), which includes interviews of the customers, interpretation of the needs, organizing the needs into a hierarchy, establishing relative importance of the needs, establishing target specifications, and conceptualization has been discussed in this paper. The authors conducted the interviews of customers at Mobilink NGO, St. John's Hospital, Bangalore in order to know the needs and wants for the PTD. AHP technique was used for establishing and evaluating relative importance of needs, and based on the importance of the customer needs, concepts were developed through brainstorming.

  1. Steam generator tube integrity program: Annual report, August 1995--September 1996. Volume 2

    International Nuclear Information System (INIS)

    Diercks, D.R.; Bakhtiari, S.; Kasza, K.E.; Kupperman, D.S.; Majumdar, S.; Park, J.Y.; Shack, W.J.

    1998-02-01

    This report summarizes work performed by Argonne National Laboratory on the Steam Generator Tube Integrity Program from the inception of the program in August 1995 through September 1996. The program is divided into five tasks: (1) assessment of inspection reliability, (2) research on ISI (inservice-inspection) technology, (3) research on degradation modes and integrity, (4) tube removals from steam generators, and (5) program management. Under Task 1, progress is reported on the preparation of facilities and evaluation of nondestructive evaluation techniques for inspecting a mock-up steam generator for round-robin testing, the development of better ways to correlate failure pressure and leak rate with eddy current (EC) signals, the inspection of sleeved tubes, workshop and training activities, and the evaluation of emerging NDE technology. Results are reported in Task 2 on closed-form solutions and finite-element electromagnetic modeling of EC probe responses for various probe designs and flaw characteristics. In Task 3, facilities are being designed and built for the production of cracked tubes under aggressive and near-prototypical conditions and for the testing of flawed and unflawed tubes under normal operating, accident, and severe-accident conditions. Crack behavior and stability are also being modeled to provide guidance for test facility design, develop an improved understanding of the expected rupture behavior of tubes with circumferential cracks, and predict the behavior of flawed and unflawed tubes under severe accident conditions. Task 4 is concerned with the acquisition of tubes and tube sections from retired steam generators for use in the other research tasks. Progress on the acquisition of tubes from the Salem and McGuire 1 nuclear plants is reported

  2. Safety Evaluation for IHTS Integrity due to the Steam Generator Sodium-Water Reaction Event in the PGSFR

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Sang-Jun; Lee, Kwi Lim; Ha, Kwi-Seok; Lee, Seung Won; Jeong, Taekyeong [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    In this paper, the integrity of the IHTS and SG by the SWR event are evaluated using the SWAAMII code. A sodium has a chemical characteristics to rigorously react the water or steam and produce the high pressure waves and high temperature reaction heat. It has an excellent characteristics as a reactor coolant. But, there is an event to be considered in the sodium cooled fast reactor design. The Sodium-Water Reaction (SWR) event can be occurred by the water or steam leaks due to the break of the steam generator tubes. The propagated high pressure waves threathen the structural integrity of the affected Intermediate Heat Transport System (IHTS) and steam generator. If the IHTS pipes are failed, the sodium of the IHTS can be released to the containment building. To the peak pressure point of view, it is performed to evaluate the integrity of the major components due to the SWR event in the SG. The generated peak pressures due to the five SG tubes simultaneous break event are within the range of the design pressure for the SG, IHX and IHTS including the related pipes.

  3. INTEGRATED APPROACH TO GENERATION OF PRECEDENCE RELATIONS AND PRECEDENCE GRAPHS FOR ASSEMBLY SEQUENCE PLANNING

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    An integrated approach to generation of precedence relations and precedence graphs for assembly sequence planning is presented, which contains more assembly flexibility. The approach involves two stages. Based on the assembly model, the components in the assembly can be divided into partially constrained components and completely constrained components in the first stage, and then geometric precedence relation for every component is generated automatically. According to the result of the first stage, the second stage determines and constructs all precedence graphs. The algorithms of these two stages proposed are verified by two assembly examples.

  4. Evaluation of material integrity on electricity power steam generator cycles (turbine casing) component

    International Nuclear Information System (INIS)

    Histori; Benedicta; Farokhi; S A, Soedardjo; Triyadi, Ari; Natsir, M

    1999-01-01

    The evaluation of material integrity on power steam generator cycles component was done. The test was carried out on casing turbine which is made from Inconel 617. The tested material was taken from t anjung Priok plant . The evaluation was done by metallography analysis using microscope with magnification of 400. From the result, it is shown that the material grains are equiaxed

  5. Assessment of the integrity of degraded steam generator tube by the use of heterogeneous finite element method

    International Nuclear Information System (INIS)

    Duan, X.; Kozluk, M.; Pagan, S.; Mills, B.

    2006-01-01

    Steam generator tubes at Ontario Power Generation (OPG) have been experiencing a variety of degradations such as pitting, fretting wear, erosion-corrosion, thinning and denting. To assist with steam generator life cycle management, OPG has developed Fitness-For-Service Guidelines (FFSG) for steam generator tubes. The FFSG are intended to provide standard acceptance criteria and evaluation procedures for assessing the condition of steam generator tubes for structural integrity, operational leak rate, and consequential leakage during an upset or abnormal event. Based on inspection results in conjunction with representative, postulated distributions of flaws in the un-inspected tubes, the FFSG provide an acceptable method of satisfying the intent of CSA-N285.4 and justifying the continued operation of degraded steam generator tubes. Some non-mandatory empirical axial and circumferential flaw models are also provided in the FFSG for structural integrity assessments. The test data from the OPG Steam Generator Tube Test Program (SGTTP) showed that the FFSG axial flaw model is conservative for a wide range of defect morphologies. A defect-specific axial flaw model was proposed for lattice-bar fret defects in I800 tubes by utilizing the SGTTP database of extensive test results. A defect-specific flaw model for outer diameter (OD) pitting and inner diameter (ID) intergranular attack in Monel 400 tubes was also developed using the SGTTP test data. More tests have been scheduled to support the development of defect specific models for axial flaws (OD cracks or ID laps) in Monel 400 and to supplement the database for Monel 400 pits. This paper explores the use of simulated testing for use in developing defect specific flaw models to reduce the amount of expensive tests. The Heterogeneous Finite Element Model (HFEM) has been developed and successfully applied to predict the failure behaviour of ductile metals under various deformation modes, i.e. plane stress, plane strain and

  6. Integrating generation and transmission networks reliability for unit commitment solution

    International Nuclear Information System (INIS)

    Jalilzadeh, S.; Shayeghi, H.; Hadadian, H.

    2009-01-01

    This paper presents a new method with integration of generation and transmission networks reliability for the solution of unit commitment (UC) problem. In fact, in order to have a more accurate assessment of system reserve requirement, in addition to unavailability of generation units, unavailability of transmission lines are also taken into account. In this way, evaluation of the required spinning reserve (SR) capacity is performed by applying reliability constraints based on loss of load probability and expected energy not supplied (EENS) indices. Calculation of the above parameters is accomplished by employing a novel procedure based on the linear programming which it also minimizes them to achieve optimum level of the SR capacity and consequently a cost-benefit reliability constrained UC schedule. In addition, a powerful solution technique called 'integer-coded genetic algorithm (ICGA)' is being used for the solution of the proposed method. Numerical results on the IEEE reliability test system show that the consideration of transmission network unavailability has an important influence on reliability indices of the UC schedules

  7. Advanced integrated real-time clinical displays.

    Science.gov (United States)

    Kruger, Grant H; Tremper, Kevin K

    2011-09-01

    Intelligent medical displays have the potential to improve patient outcomes by integrating multiple physiologic signals, exhibiting high sensitivity and specificity, and reducing information overload for physicians. Research findings have suggested that information overload and distractions caused by patient care activities and alarms generated by multiple monitors in acute care situations, such as the operating room and the intensive care unit, may produce situations that negatively impact the outcomes of patients under anesthesia. This can be attributed to shortcomings of human-in-the-loop monitoring and the poor specificity of existing physiologic alarms. Modern artificial intelligence techniques (ie, intelligent software agents) are demonstrating the potential to meet the challenges of next-generation patient monitoring and alerting. Copyright © 2011 Elsevier Inc. All rights reserved.

  8. Development of integral type forgings for steam generator of nuclear power plant

    International Nuclear Information System (INIS)

    Suzuki, Komei; Sato, Ikuo; Murai, Etsuo

    1992-01-01

    The use of integral type steel forgings for the construction of pressure vessel enhances the structural integrity of components and makes the fabrication of components and the execution of in-service inspection (ISI) easier than those fabrication from plate and casting materials. Such steel forgings have been realized for steam generator (SG) for nuclear power plant as follows : (1) Forged shell ring : change from welding fabrication of formed plates to forging ; (2) Forged conical shell ring : ditto ; (3) Forged head integral with nozzles (s) : (i) Primary head : change from casting to forging ; (ii) Secondary head : change from welding fabrication of formed plates to forging. These steel forgings have been realized by recent development in manufacturing technologies, such as steel making, forging processes and heat treatment which are vital to the quality of steel forgings. Some examples of recent typical high quality steel forgings developed by the Japan Steel Works, Ltd. (JSW) are introduced, and the main points of the manufacturing technique and the quality attained are also described. (author)

  9. Integrative oncology for breast cancer patients: introduction of an expert-based model

    International Nuclear Information System (INIS)

    Dobos, Gustav J; Voiss, Petra; Schwidde, Ilka; Choi, Kyung-Eun; Paul, Anna; Kirschbaum, Barbara; Saha, Felix J; Kuemmel, Sherko

    2012-01-01

    Malignant breast neoplasms are among the most frequent forms of cancer in the Western world. Conventional treatment of breast cancer may include surgery, hormonal therapy, chemotherapy, radiation and/or immunotherapy, all of which are often accompanied by severe side effects. Complementary and alternative medicine (CAM) treatments have been shown to be effective in alleviating those symptoms. Furthermore, with patient survival rates increasing, oncologists, psychologists and other therapists have to become more sensitive to the needs of cancer survivors that go beyond than the mere alleviation of symptoms. Many CAM methods are geared to treat the patient in a holistic manner and thus are also concerned with the patient’s psychological and spiritual needs. The use of certain CAM methods may become problematic when, as frequently occurs, patients use them indiscriminately and without informing their oncologists. Herbal medicines and dietary supplements, especially, may interfere with primary cancer treatments or have other detrimental effects. Thus, expertise in this highly specialized field of integrative medicine should be available to patients so that they can be advised about the benefits and negative effects of such preparations and practices. Being a beneficial combination of conventional and CAM care, integrative oncology makes possible the holistic approach to cancer care. The concept of integrative oncology for breast cancer is jointly practiced by the Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, academic teaching hospital of the University of Duisburg-Essen, and the Breast Center at Kliniken Essen-Mitte in Germany. This model is introduced here; its scope is reviewed, and its possible implications for the practice of integrative medicine are discussed. Evidence-based integrative care is crucial to the field of oncology in establishing state-of-the-art care for breast cancer patients

  10. Large-scale integration of renewable and distributed generation of electricity in Spain: Current situation and future needs

    International Nuclear Information System (INIS)

    Cossent, Rafael; Gómez, Tomás; Olmos, Luis

    2011-01-01

    Similar to other European countries, mechanisms for the promotion of electricity generation from renewable energy sources (RESs) and combined heat and power (CHP) production have caused a significant growth in distributed generation (DG) in Spain. Low DG/RES penetration levels do not have a major impact on electricity systems. However, several problems arise as DG shares increase. Smarter distribution grids are deemed necessary to facilitate DG/RES integration. This involves modifying the way distribution networks are currently planned and operated. Furthermore, DG and demand should also adopt a more active role. This paper reviews the current situation of DG/RES in Spain including penetration rates, support payments for DG/RES, level of market integration, economic regulation of Distribution System Operators (DSOs), smart metering implementation, grid operation and planning, and incentives for DSO innovation. This paper identifies several improvements that could be made to the treatment of DG/RES. Key aspects of an efficient DG/RES integration are identified and several regulatory changes specific to the Spanish situation are recommended. - Highlights: ► Substantial DG/RES penetration levels are foreseen for the coming years in Spain. ► Integrating such amount of DG/RES in electricity markets and networks is challenging. ► We review key regulatory aspects that may affect DG/RES integration in Spain. ► Several recommendations aimed at easing DG/RES integration in Spain are provided. ► Market integration and the transition towards smarter grids are deemed key issues.

  11. A new generation of real-time DOS technology for mission-oriented system integration and operation

    Science.gov (United States)

    Jensen, E. Douglas

    1988-01-01

    Information is given on system integration and operation (SIO) requirements and a new generation of technical approaches for SIO. Real-time, distribution, survivability, and adaptability requirements and technical approaches are covered. An Alpha operating system program management overview is outlined.

  12. Audiovisual integration of speech in a patient with Broca's Aphasia

    Science.gov (United States)

    Andersen, Tobias S.; Starrfelt, Randi

    2015-01-01

    Lesions to Broca's area cause aphasia characterized by a severe impairment of the ability to speak, with comparatively intact speech perception. However, some studies have found effects on speech perception under adverse listening conditions, indicating that Broca's area is also involved in speech perception. While these studies have focused on auditory speech perception other studies have shown that Broca's area is activated by visual speech perception. Furthermore, one preliminary report found that a patient with Broca's aphasia did not experience the McGurk illusion suggesting that an intact Broca's area is necessary for audiovisual integration of speech. Here we describe a patient with Broca's aphasia who experienced the McGurk illusion. This indicates that an intact Broca's area is not necessary for audiovisual integration of speech. The McGurk illusions this patient experienced were atypical, which could be due to Broca's area having a more subtle role in audiovisual integration of speech. The McGurk illusions of a control subject with Wernicke's aphasia were, however, also atypical. This indicates that the atypical McGurk illusions were due to deficits in speech processing that are not specific to Broca's aphasia. PMID:25972819

  13. Ortho-perio integrated approach in periodontally compromised patients

    Science.gov (United States)

    Ramachandra, C. S.; Shetty, Pradeep Chandra; Rege, Sanyukta; Shah, Chitrang

    2011-01-01

    It is an undisputed fact that sound and strong periodontal health is a must in patients seeking orthodontic treatment. Does this mean that we are going to deny orthodontic treatment for those adults whose number is rising, more often secondary to periodontal deterioration and pathological migration of teeth resulting in aesthetic and functional problems? Need of the hour is to have an integrated approach where in periodontal treatment precedes orthodontic treatment to restore periodontal health. Orthodontic treatment should be performed under strict plaque control measures to place the teeth in a structurally balanced and functionally efficient position. Aim of this article is to familiarize the practicing clinicians both in the field of orthodontics and periodontics with current thoughts and successful clinical techniques used in the field of periodontology to regenerate lost periodontal structures. Furthermore, it aims to integrate such techniques into the orthodontic treatment of patients with severe bone loss. PMID:22368371

  14. The Challenge of Integrating Renewable Generation in the Alberta Electricity Market

    Directory of Open Access Journals (Sweden)

    G. Kent Fellows

    2016-09-01

    Full Text Available Renewable electric generation is forecast to enjoy an increasing share of total capacity and supply regimes in the future. Alberta is no exception to this trend, having initiated policy incentives in response to calls for increasing the fraction of wind and solar energy available to the province over the next decade.1 This call is coming from various sectors including advocacy groups, the provincial government and some utilities. The University of Calgary’s School of Public Policy convened a roundtable discussion on Sept. 15, 2015. Given the wide-ranging aspects of increased renewables integration (for example the policy options, economic forces and engineering/technical issues the topic demands attention from a wide range of experts and stakeholders. To that end, we endeavoured to group expert panellists and representatives of utilities, public agencies, academe and consumer groups to consider the planning necessary to integrate new renewable capacity into the existing and future grid system in the province and its potential impact. The purpose of the roundtable was to facilitate and foster a knowledge exchange between interested and knowledgeable parties while also aggregating this knowledge into a more complete picture of the challenges and potential strategies associated with increased renewables integration in the Alberta electricity grid.

  15. Integrated GaN photonic circuits on silicon (100) for second harmonic generation

    OpenAIRE

    Xiong, Chi; Pernice, Wolfram; Ryu, Kevin K.; Schuck, Carsten; Fong, King Y.; Palacios, Tomas; Tang, Hong X.

    2014-01-01

    We demonstrate second order optical nonlinearity in a silicon architecture through heterogeneous integration of single-crystalline gallium nitride (GaN) on silicon (100) substrates. By engineering GaN microrings for dual resonance around 1560 nm and 780 nm, we achieve efficient, tunable second harmonic generation at 780 nm. The \\{chi}(2) nonlinear susceptibility is measured to be as high as 16 plus minus 7 pm/V. Because GaN has a wideband transparency window covering ultraviolet, visible and ...

  16. Analytic methods to generate integrable mappings

    Indian Academy of Sciences (India)

    essential integrability features of an integrable differential equation is a .... With this in mind we first write x3(t) as a cubic polynomial in (xn−1,xn,xn+1) and then ..... coefficients, the quadratic equation in xn+N has real and distinct roots which in ...

  17. Mutational profiling of non-small-cell lung cancer patients resistant to first-generation EGFR tyrosine kinase inhibitors using next generation sequencing

    Science.gov (United States)

    Jin, Ying; Shao, Yang; Shi, Xun; Lou, Guangyuan; Zhang, Yiping; Wu, Xue; Tong, Xiaoling; Yu, Xinmin

    2016-01-01

    Patients with advanced non-small-cell lung cancer (NSCLC) harboring sensitive epithelial growth factor receptor (EGFR) mutations invariably develop acquired resistance to EGFR tyrosine kinase inhibitors (TKIs). Identification of actionable genetic alterations conferring drug-resistance can be helpful for guiding the subsequent treatment decision. One of the major resistant mechanisms is secondary EGFR-T790M mutation. Other mechanisms, such as HER2 and MET amplifications, and PIK3CA mutations, were also reported. However, the mechanisms in the remaining patients are still unknown. In this study, we performed mutational profiling in a cohort of 83 NSCLC patients with TKI-sensitizing EGFR mutations at diagnosis and acquired resistance to three different first-generation EGFR TKIs using targeted next generation sequencing (NGS) of 416 cancer-related genes. In total, we identified 322 genetic alterations with a median of 3 mutations per patient. 61% of patients still exhibit TKI-sensitizing EGFR mutations, and 36% of patients acquired EGFR-T790M. Besides other known resistance mechanisms, we identified TET2 mutations in 12% of patients. Interestingly, we also observed SOX2 amplification in EGFR-T790M negative patients, which are restricted to Icotinib treatment resistance, a drug widely used in Chinese NSCLC patients. Our study uncovered mutational profiles of NSCLC patients with first-generation EGFR TKIs resistance with potential therapeutic implications. PMID:27528220

  18. Integrated Power Flow and Short Circuit Calculation Method for Distribution Network with Inverter Based Distributed Generation

    OpenAIRE

    Yang, Shan; Tong, Xiangqian

    2016-01-01

    Power flow calculation and short circuit calculation are the basis of theoretical research for distribution network with inverter based distributed generation. The similarity of equivalent model for inverter based distributed generation during normal and fault conditions of distribution network and the differences between power flow and short circuit calculation are analyzed in this paper. Then an integrated power flow and short circuit calculation method for distribution network with inverte...

  19. Relevant patient characteristics for guiding tailored integrated diabetes primary care: a systematic review.

    Science.gov (United States)

    Hertroijs, Dorijn F L; Elissen, Arianne M J; Brouwers, Martijn C G J; Schaper, Nicolaas C; Ruwaard, Dirk

    2018-02-06

    Aim To identify which patient-related effect modifiers influence the outcomes of integrated care programs for type 2 diabetes in primary care. Integrated care is a widespread management strategy for the treatment of type 2 diabetes. However, most integrated care programs are not tailored to patients' needs, preferences and abilities. There is increasing consensus that such a patient-centered approach could improve the management of type 2 diabetes. Thus far, it remains unclear which patient-related effect modifiers should guide such an approach. PubMed, CINAHL and EMBASE were searched for empirical studies published after 1998. A systematic literature review was conducted according to the PRISMA guidelines. Findings In total, 23 out of 1015 studies were included. A total of 21 studies measured the effects of integrated diabetes care programs on hemoglobin A1c (HbA1c) and three on low-density lipoprotein cholesterol, systolic blood pressure and health-care utilization. In total, 49 patient characteristics were assessed as potential effect modifiers with HbA1c as an outcome, of which 46 were person or health-related and only three were context-related. Younger age, insulin therapy and longer disease duration were associated with higher HbA1c levels in cross-sectional and longitudinal studies. Higher baseline HbA1c was associated with higher HbA1c at follow-up in longitudinal studies. Information on context- and person-related characteristics was limited, but is necessary to help identify the care needs of individual patients and implement an effective integrated type 2 diabetes tailored care program.

  20. Patients with hippocampal amnesia successfully integrate gesture and speech.

    Science.gov (United States)

    Hilverman, Caitlin; Clough, Sharice; Duff, Melissa C; Cook, Susan Wagner

    2018-06-19

    During conversation, people integrate information from co-speech hand gestures with information in spoken language. For example, after hearing the sentence, "A piece of the log flew up and hit Carl in the face" while viewing a gesture directed at the nose, people tend to later report that the log hit Carl in the nose (information only in gesture) rather than in the face (information in speech). The cognitive and neural mechanisms that support the integration of gesture with speech are unclear. One possibility is that the hippocampus - known for its role in relational memory and information integration - is necessary for integrating gesture and speech. To test this possibility, we examined how patients with hippocampal amnesia and healthy and brain-damaged comparison participants express information from gesture in a narrative retelling task. Participants watched videos of an experimenter telling narratives that included hand gestures that contained supplementary information. Participants were asked to retell the narratives and their spoken retellings were assessed for the presence of information from gesture. For features that had been accompanied by supplementary gesture, patients with amnesia retold fewer of these features overall and fewer retellings that matched the speech from the narrative. Yet their retellings included features that contained information that had been present uniquely in gesture in amounts that were not reliably different from comparison groups. Thus, a functioning hippocampus is not necessary for gesture-speech integration over short timescales. Providing unique information in gesture may enhance communication for individuals with declarative memory impairment, possibly via non-declarative memory mechanisms. Copyright © 2018. Published by Elsevier Ltd.

  1. Generating millimeter-wave Bessel beam with orbital angular momentum using reflective-type metasurface inherently integrated with source

    Science.gov (United States)

    Shen, Yizhu; Yang, Jiawei; Meng, Hongfu; Dou, Wenbin; Hu, Sanming

    2018-04-01

    Metasurfaces, orbital angular momenta (OAM), and non-diffractive Bessel beams have been attracting worldwide research. Combining the benefits of these three promising techniques, this paper proposes a metasurface-based reflective-type approach to generate a first-order Bessel beam carrying OAM. To validate this approach, a millimeter-wave metasurface is analyzed, designed, fabricated, and measured. Experimental results agree well with simulation. Moreover, this reflective-type metasurface, generating a Bessel beam with OAM, is inherently integrated with a planar feeding source in the same single-layer printed circuit board. Therefore, the proposed design features low profile, low cost, easy integration with front-end active circuits, and no alignment error between the feeding source and the metasurface.

  2. Is there a relationship between service integration and differentiation and patient outcomes?

    Directory of Open Access Journals (Sweden)

    Robin P. Newhouse

    2003-11-01

    Full Text Available Objective: To examine the level of service integration within Maryland hospitals and service differentiation across the hospital system or network and its affect on heart failure patient clinical and economic outcomes. Data sources/Study setting: Maryland Health Services Cost Review Commission Inpatient Data for 1997 and 1998 were used for secondary data analysis. Study design: Retrospective cross sectional. Independent variables were the level of service integration and differentiation created from the 1998 American Hospital Association Annual Survey based on the work of Bazzoli et al. [1]. The primary dependent variables were readmission, in-hospital mortality, length of stay and costs. Data collection/Extraction methods: Patients discharged from Maryland hospitals with a diagnosis that grouped to DRG 127 (heart failure were extracted. Multivariate linear and logistic models clustered by hospital were used to analyse results at the patient level. Principal findings: A higher likelihood of readmission was found as the level of Community Differentiation increased. Although costs were higher as Total Differentiation increased in 1998, these results were not validated by 1997 data. No significant relationship was found between integration of services and outcomes. Conclusions: Similar outcomes were achieved regardless of the level of service integration or differentiation. Community hospitals produce similar patient outcomes at the same cost for this diagnosis.

  3. Performance analysis of an integrated biomass gasification and PEMFC (proton exchange membrane fuel cell) system: Hydrogen and power generation

    International Nuclear Information System (INIS)

    Chutichai, Bhawasut; Authayanun, Suthida; Assabumrungrat, Suttichai; Arpornwichanop, Amornchai

    2013-01-01

    The PEMFC (proton exchange membrane fuel cell) is expected to play a significant role in next-generation energy systems. Because most hydrogen that is used as a fuel for PEMFCs is derived from the reforming of natural gas, the use of renewable energy sources such as biomass to produce this hydrogen offers a promising alternative. This study is focused on the performance analysis of an integrated biomass gasification and PEMFC system. The combined heat and power generation output of this integrated system is designed for residential applications, taking into account thermal and electrical demands. A flowsheet model of the integrated PEMFC system is developed and employed to analyze its performance with respect to various key operating parameters. A purification process consisting of a water–gas shift reactor and a preferential oxidation reactor is also necessary in order to reduce the concentration of CO in the synthesis gas to below 10 ppm for subsequent use in the PEMFC. The effect of load level on the performance of the PEMFC system is investigated. Based on an electrical load of 5 kW, it is found that the electrical efficiency of the PEMFC integrated system is 22%, and, when waste heat recovery is considered, the total efficiency of the PEMFC system is 51%. - Highlights: • Performance of a biomass gasification and PEMFC integrated system is analyzed. • A flowsheet model of the PEMFC integrated system is developed. • Effect of biomass sources and key parameters on hydrogen and power generation is presented. • The PEMFC integrated system is designed for small-scale power demand. • Effect of load changes on the performance of PEMFC is investigated

  4. A hybrid model for the optimum integration of renewable technologies in power generation systems

    International Nuclear Information System (INIS)

    Poullikkas, Andreas; Kourtis, George; Hadjipaschalis, Ioannis

    2011-01-01

    The main purpose of this work is to assess the unavoidable increase in the cost of electricity of a generation system by the integration of the necessary renewable energy sources for power generation (RES-E) technologies in order for the European Union Member States to achieve their national RES energy target. The optimization model developed uses a genetic algorithm (GA) technique for the calculation of both the additional cost of electricity due to the penetration of RES-E technologies as well as the required RES-E levy in the electricity bills in order to fund this RES-E penetration. Also, the procedure enables the estimation of the optimum feed-in-tariff to be offered to future RES-E systems. Also, the overall cost increase in the electricity sector for the promotion of RES-E technologies, for the period 2010-2020, is analyzed taking into account factors, such as, the fuel avoidance cost, the carbon dioxide emissions avoidance cost, the conventional power system increased operation cost, etc. The overall results indicate that in the case of RES-E investments with internal rate of return (IRR) of 10% the cost of integration is higher, compared to RES-E investments with no profit, (i.e., IRR at 0%) by 0.3-0.5 Euro c/kWh (in real prices), depending on the RES-E penetration level. - Research Highlights: →Development of a hybrid optimization model for the integration of renewable technologies in power generation systems. →Estimation of the optimum feed-in-tariffs to be offered to future renewable systems. →Determination of the overall cost increase in the electricity sector for the promotion of renewable technologies. →Analyses taking into account fuel avoidance cost, the carbon dioxide emissions avoidance cost, the conventional power system increased operation cost, etc.

  5. Integrating Renewable Generation into Grid Operations: Four International Experiences

    Energy Technology Data Exchange (ETDEWEB)

    Weimar, Mark R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Mylrea, Michael E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Levin, Todd [Argonne National Lab. (ANL), Argonne, IL (United States); Botterud, Audun [Argonne National Lab. (ANL), Argonne, IL (United States); O' Shaughnessy, Eric [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-04-22

    synchronous generation. Interconnections to other regions provides added opportunities for balancing that would not be available otherwise, and at this point, has allowed for integration of renewables.

  6. Thermo-economic analysis of an integrated solar power generation system using nanofluids

    International Nuclear Information System (INIS)

    Alashkar, Adnan; Gadalla, Mohamed

    2017-01-01

    Highlights: • Develop a thermo-economic analysis of an integrated solar-power generation system. • A thermodynamic optimization is proposed to maximize system performance. • Select the optimum nanofluid to replace conventional heating fluids inside a PTSC. • Study the effect of thermal energy storage on performance and cost of the system. • Perform monthly and daily analyses to analyze system behavior using nanofluids. - Abstract: In this paper, a thermo-economic analysis of an Integrated Solar Regenerative Rankine Cycle (ISRRC) is performed. The ISRRC consists of a nanofluid-based Parabolic Trough Solar Collector (PTSC), and a Thermal Energy Storage System (TES) integrated with a Regenerative Rankine Cycle. The effect of dispersing metallic and non-metallic nanoparticles into conventional heating fluids on the output performance and cost of the ISRRC is studied for different volume fractions and for three modes of operation. The first mode assumes no storage, while the second and the third assume a storage system with a storage period of 7.5 h and 10 h respectively. For the modes of operation with the TES, the charging and discharging cycles are explained. The results show that the presence of the nanoparticles leads to an increase in the overall energy produced by the ISRRC for all modes of operation, causing a decrease in the Levelized Cost of Electricity (LEC), and an increase in the net savings of the ISRRC. After comparing the three modes of operation, it is established that the existence of a storage system leads to a higher power generation, and a lower LEC; however, the efficiency of the cycle drops. It is seen that the maximum increase in the annual energy output of the ISRRC caused by the addition of Cu nanoparticles to Syltherm 800 is approximately 3.1%, while the maximum increase in the net savings is about 2.4%.

  7. Integration of direct carbon and hydrogen fuel cells for highly efficient power generation from hydrocarbon fuels

    Energy Technology Data Exchange (ETDEWEB)

    Muradov, Nazim; Choi, Pyoungho; Smith, Franklyn; Bokerman, Gary [Florida Solar Energy Center, University of Central Florida, 1679 Clearlake Road, Cocoa, FL 32922-5703 (United States)

    2010-02-15

    In view of impending depletion of hydrocarbon fuel resources and their negative environmental impact, it is imperative to significantly increase the energy conversion efficiency of hydrocarbon-based power generation systems. The combination of a hydrocarbon decomposition reactor with a direct carbon and hydrogen fuel cells (FC) as a means for a significant increase in chemical-to-electrical energy conversion efficiency is discussed in this paper. The data on development and operation of a thermocatalytic hydrocarbon decomposition reactor and its coupling with a proton exchange membrane FC are presented. The analysis of the integrated power generating system including a hydrocarbon decomposition reactor, direct carbon and hydrogen FC using natural gas and propane as fuels is conducted. It was estimated that overall chemical-to-electrical energy conversion efficiency of the integrated system varied in the range of 49.4-82.5%, depending on the type of fuel and FC used, and CO{sub 2} emission per kW{sub el}h produced is less than half of that from conventional power generation sources. (author)

  8. "Smart pharmacy" master blends integrated supply chains with patient care to uphold regulatory compliances.

    Science.gov (United States)

    Bhinder, Prabhjot; Oberoi, Mandeep Singh

    2009-01-01

    Hospitals require better information connectivity because timing and content of the information to be traded is critical. The imperative success in the past has generated renewed thrust on the expectations and credibility of the current enterprise resource planning (ERP) applications in health care. The desire to bring improved connectivity and to match it with critical timing remains the penultimate dream. Currently, majority of ERP system integrators are not able to match these requirements of the healthcare industry. It is perceived that the concept of ERP has made the process of segregating bills and patient records much easier. Hence the industry is able to save more lives, but at the cost of an individual's privacy as it enables to access the database of patients and medical histories through the common database shared by hospitals though at a quicker rate. Businesses such as health care providers, pharmaceutical manufacturers, and distributors have already implemented rapid ERPs. The new concept "Smart Pharmacies" will link the process all the way from drug delivery, patient care, demand management, drug repository, and pharmaceutical manufacturers while maintaining Regulatory Compliances and make the vital connections where these Businesses will talk to each other electronically.

  9. A genome-wide analysis of lentivector integration sites using targeted sequence capture and next generation sequencing technology.

    Science.gov (United States)

    Ustek, Duran; Sirma, Sema; Gumus, Ergun; Arikan, Muzaffer; Cakiris, Aris; Abaci, Neslihan; Mathew, Jaicy; Emrence, Zeliha; Azakli, Hulya; Cosan, Fulya; Cakar, Atilla; Parlak, Mahmut; Kursun, Olcay

    2012-10-01

    One application of next-generation sequencing (NGS) is the targeted resequencing of interested genes which has not been used in viral integration site analysis of gene therapy applications. Here, we combined targeted sequence capture array and next generation sequencing to address the whole genome profiling of viral integration sites. Human 293T and K562 cells were transduced with a HIV-1 derived vector. A custom made DNA probe sets targeted pLVTHM vector used to capture lentiviral vector/human genome junctions. The captured DNA was sequenced using GS FLX platform. Seven thousand four hundred and eighty four human genome sequences flanking the long terminal repeats (LTR) of pLVTHM fragment sequences matched with an identity of at least 98% and minimum 50 bp criteria in both cells. In total, 203 unique integration sites were identified. The integrations in both cell lines were totally distant from the CpG islands and from the transcription start sites and preferentially located in introns. A comparison between the two cell lines showed that the lentiviral-transduced DNA does not have the same preferred regions in the two different cell lines. Copyright © 2012 Elsevier B.V. All rights reserved.

  10. Protein Nano-Object Integrator (ProNOI for generating atomic style objects for molecular modeling

    Directory of Open Access Journals (Sweden)

    Smith Nicholas

    2012-12-01

    Full Text Available Abstract Background With the progress of nanotechnology, one frequently has to model biological macromolecules simultaneously with nano-objects. However, the atomic structures of the nano objects are typically not available or they are solid state entities. Because of that, the researchers have to investigate such nano systems by generating models of the nano objects in a manner that the existing software be able to carry the simulations. In addition, it should allow generating composite objects with complex shape by combining basic geometrical figures and embedding biological macromolecules within the system. Results Here we report the Protein Nano-Object Integrator (ProNOI which allows for generating atomic-style geometrical objects with user desired shape and dimensions. Unlimited number of objects can be created and combined with biological macromolecules in Protein Data Bank (PDB format file. Once the objects are generated, the users can use sliders to manipulate their shape, dimension and absolute position. In addition, the software offers the option to charge the objects with either specified surface or volumetric charge density and to model them with user-desired dielectric constants. According to the user preference, the biological macromolecule atoms can be assigned charges and radii according to four different force fields: Amber, Charmm, OPLS and PARSE. The biological macromolecules and the atomic-style objects are exported as a position, charge and radius (PQR file, or if a default dielectric constant distribution is not selected, it is exported as a position, charge, radius and epsilon (PQRE file. As illustration of the capabilities of the ProNOI, we created a composite object in a shape of a robot, aptly named the Clemson Robot, whose parts are charged with various volumetric charge densities and holds the barnase-barstar protein complex in its hand. Conclusions The Protein Nano-Object Integrator (ProNOI is a convenient tool for

  11. Self-reported Improvement in Side Effects and Quality of Life With Integrative Medicine in Breast Cancer Patients.

    Science.gov (United States)

    Hack, Carolin C; Hackl, Janina; Hüttner, Nina B M; Langemann, Hanna; Schwitulla, Judith; Dietzel-Drentwett, Svenja; Fasching, Peter A; Beckmann, Matthias W; Theuser, Anna-Katharin

    2018-05-01

    Although the demand from patients for integrative medicine is increasing, complementary medicine services are still quite heterogeneous and have not been incorporated into clinical routine. The aim of this study was to systematically evaluate improvements in side effects and quality of life associated with a hospital-based integrative medicine program in the modern breast cancer patient care setting. In a cross-sectional study, integrative health counseling and treatment were evaluated in women with breast cancer. Over a 15-month period, data for 75 patients from an integrative medicine consultancy service with standardized operating procedures were collected at the University Breast Center for Franconia. At baseline, the patients answered a questionnaire on their medical history, symptoms, and the treatment goals they were hoping to achieve with integrative medicine. In the follow-up, patient-reported outcomes related to side effects of conventional cancer treatment and patients' quality of life were analyzed. Among 60 patients with the therapy goal of reducing the side effects of conventional treatment, 46 (76.7%) were successful. Among 57 patients hoping to improve disease-related quality of life, 46 (82%) reported success. Whereas patients with metastatic disease achieved a reduction in the side effects of conventional therapy, quality-of-life improvements were predominantly achieved by patients with a good treatment prognosis. Breast cancer patients benefit from the counseling and treatment provided with integrative medicine in all phases of tumor disease. Integrative treatment services should be included as part of patient care in clinical routine work to offer patients the maximum quality of care and safety with complementary therapies.

  12. Interest in Integrative Medicine Among Postmenopausal Hormone Receptor–Positive Breast Cancer Patients in the EvAluate-TM Study

    Science.gov (United States)

    Hack, Carolin C.; Fasching, Peter A.; Fehm, Tanja; de Waal, Johann; Rezai, Mahdi; Baier, Bernd; Baake, Gerold; Kolberg, Hans-Christian; Guggenberger, Martin; Warm, Mathias; Harbeck, Nadia; Wuerstlein, Rachel; Deuker, Jörg-Uwe; Dall, Peter; Richter, Barbara; Wachsmann, Grischa; Brucker, Cosima; Siebers, Jan W.; Fersis, Nikos; Kuhn, Thomas; Wolf, Christopher; Vollert, Hans-Walter; Breitbach, Georg-Peter; Janni, Wolfgang; Landthaler, Robert; Kohls, Andreas; Rezek, Daniela; Noesslet, Thomas; Fischer, Gunnar; Henschen, Stefan; Praetz, Thomas; Heyl, Volker; Kühn, Thorsten; Krauss, Thomas; Thomssen, Christoph; Hohn, Andre; Tesch, Hans; Mundhenke, Christoph; Hein, Alexander; Rauh, Claudia; Bayer, Christian M.; Jacob, Adib; Schmidt, Katja; Belleville, Erik; Hadji, Peyman; Brucker, Sara Y.; Wallwiener, Diethelm; Kümmel, Sherko; Beckmann, Matthias W.; Paepke, Daniela

    2016-01-01

    Background. Breast cancer patients often use complementary and alternative medicine, but few prospectively collected data on the topic are available specifically for postmenopausal breast cancer patients. A large prospective study was therefore conducted within a noninterventional study in order to identify the characteristics of patients interested in integrative medicine. Methods. The EvAluate-TM study is a prospective, multicenter noninterventional study in which treatment with the aromatase inhibitor letrozole was evaluated in postmenopausal women with hormone receptor–positive primary breast cancer. Between 2008 and 2009, 5045 postmenopausal patients were enrolled at 339 certified breast centers in Germany. As part of the data collection process, patients were asked at the baseline about their interest in and information needs relating to integrative medicine. Results. Of the 5045 patients recruited, 3411 responded to the questionnaire on integrative medicine and took part in the analysis, 1583 patients expressed an interest in integrative medicine, and 1828 patients declared no interest. Relevant predictors of interest in integrative medicine were age, body mass index, tumor size, previous chemotherapy, and use of concomitant medications for other medical conditions. Interest in integrative medicine declined highly significantly (P 65 years, 38.0%). Patients in favor of integrative medicine were significantly less satisfied with the information received about individual treatments and antihormonal therapy. Patients with interest in integrative medicine were more often interested in rehabilitation and fitness, nutritional counseling, and additional support from self-help organizations. These women were mostly interested in receiving information about their disease and integrative medicine from a physician, rather than from other sources. Conclusions. This study shows that a considerable proportion of postmenopausal breast cancer patients are interested in

  13. Determinants of patient loyalty to healthcare providers: An integrative review.

    Science.gov (United States)

    Zhou, Wei-Jiao; Wan, Qiao-Qin; Liu, Cong-Ying; Feng, Xiao-Lin; Shang, Shao-Mei

    2017-08-01

    Patient loyalty is key to business success for healthcare providers and also for patient health outcomes. This study aims to identify determinants influencing patient loyalty to healthcare providers and propose an integrative conceptual model of the influencing factors. PubMed, CINAHL, OVID, ProQuest and Elsevier Science Direct databases were searched. Publications about determinants of patient loyalty to health providers were screened, and 13 articles were included. Date of publication, location of the research, sample details, objectives and findings/conclusions were extracted for 13 articles. Thirteen studies explored eight determinants: satisfaction, quality, value, hospital brand image, trust, commitment, organizational citizenship behavior and customer complaints. The integrated conceptual model comprising all the determinants demonstrated the significant positive direct impact of quality on satisfaction and value, satisfaction on trust and commitment, trust on commitment and loyalty, and brand image on quality and loyalty. This review identifies and models the determinants of patient loyalty to healthcare providers. Further studies are needed to explore the influence of trust, commitment, and switching barriers on patient loyalty. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  14. Steam generator collector integrity of WWER-1000 reactors. IAEA extrabudgetary programme on the safety of WWER NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Lin, C.; Strupczewski, A. [International Atomic Energy Agency, Vienna (Austria)

    1995-12-31

    At the Consultants` Meeting on `The Safety of WWER-1000 Model 320 Nuclear Power Plants` organized by the IAEA within the framework of its Extrabudgetary Programme on the Safety of WWER-1000 NPPs, which was held in Vienna, 1-5 June 1992, the problem of WWER-1000 steam generator integrity was identified as an important issue of safety concern. Considering the safety importance of this issue, a Consultants` Meeting on `The Steam Generator Integrity of WWER-1000 Nuclear Power Plants` was convened in Vienna in May 1993, attended by 15 international experts in the area to compile information on the steam generator operating experience, deficiencies and corrective measures implemented and planned. In order to also include information from the main designer OKB Gidropress and to finalize the meeting report the IAEA convened a second meeting on the issue on 23-27 November 1993. The present paper summarizes the information and conclusions from those meetings.

  15. Steam generator collector integrity of WWER-1000 reactors. IAEA extrabudgetary programme on the safety of WWER NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Lin, C; Strupczewski, A [International Atomic Energy Agency, Vienna (Austria)

    1996-12-31

    At the Consultants` Meeting on `The Safety of WWER-1000 Model 320 Nuclear Power Plants` organized by the IAEA within the framework of its Extrabudgetary Programme on the Safety of WWER-1000 NPPs, which was held in Vienna, 1-5 June 1992, the problem of WWER-1000 steam generator integrity was identified as an important issue of safety concern. Considering the safety importance of this issue, a Consultants` Meeting on `The Steam Generator Integrity of WWER-1000 Nuclear Power Plants` was convened in Vienna in May 1993, attended by 15 international experts in the area to compile information on the steam generator operating experience, deficiencies and corrective measures implemented and planned. In order to also include information from the main designer OKB Gidropress and to finalize the meeting report the IAEA convened a second meeting on the issue on 23-27 November 1993. The present paper summarizes the information and conclusions from those meetings.

  16. Family caregivers of patients with frontotemporal dementia: An integrative review.

    Science.gov (United States)

    Caceres, Billy A; Frank, Mayu O; Jun, Jin; Martelly, Melissa T; Sadarangani, Tina; de Sales, Paloma Cesar

    2016-03-01

    The purpose of this integrative review is to: (1) identify the characteristics of family caregivers of patients with frontotemporal dementia, (2) explore the impact of providing care on family caregivers' health and well-being, and (3) identify coping strategies used by family caregivers. Frontotemporal dementia is thought to be the second most common form of dementia after Alzheimer's disease. Family caregivers of patients with frontotemporal dementia face unique challenges due to its early onset, behavioral symptoms, and slow progression of decline. However, there is a dearth of research evaluating the health and wellbeing of family caregivers of patients with frontotemporal dementia. An integrative review was conducted using the Whittemore and Knafl methodology. An electronic search of the literature was conducted using four electronic databases: PubMed, Embase, CINAHL, and Web of Science. The Crowe Critical Appraisal tool was used to evaluate the quality of the selected articles. Findings of 11 articles informed this integrative review. Family caregivers of patients with frontotemporal dementia identify behavioral disturbances as most troubling. Spouses and female caregivers experience greater caregiver burden, distress, increased rates of depression, as well as decreased sleep related to behavior disturbances. Though less explored, providing care to those with behavioral disturbances may also impact caregiver physical health. Additionally, female caregivers are most likely to employ coping strategies, most commonly, adaptation and reframing. Effective interventions to reduce family caregiver burden are poorly understood but family caregivers suggest education and internet-based support groups are most helpful. Family caregivers of patients with frontotemporal dementia experience significant distress, which impacts their health and wellbeing. It is important for healthcare providers who care for patients with frontotemporal dementia to recognize the unique

  17. Main results of assessing integrity of RNPP-3 steam generator heat exchange tubes in accident management

    International Nuclear Information System (INIS)

    Shugajlo, Al-j P.; Mustafin, M.A.; Shugajlo, Al-r P.; Ryzhov, D.I.; Zhabin, O.I.

    2017-01-01

    Tubes integrity evaluation under accident conditions considering drain of SG and current technical state of steam exchange tubes is an important question regarding SG long-term operation and improvement of accident management strategy.The main investigation results prepared for heat exchange surface of RNPP-3 steam generator are presented in this research aimed at assessing integrity of heat exchange tubes under accident conditions, which lead to full or partial drain of heat exchange surface, in particular during station blackout.

  18. Policy and network regulation for the integration of distribution generation and renewables for electricity supply

    International Nuclear Information System (INIS)

    Ten Donkelaar, M.; Van Oostvoorn, F.

    2005-08-01

    This study has analysed the existing policy and regulation aimed at the integration of an increased share of Distributed Generation (DG) in electricity supply systems in the European Union. It illustrates the state of the art and progress in the development of support mechanisms and network regulation for large-scale integration of DG. Through a benchmark study a systematic comparison has been made of different DG support schemes and distribution network regulation in EU Member States to a predefined standard, the level playing field. This level playing field has been defined as the situation where energy markets, policy and regulation provide neutral incentives to central versus distributed generation, which results in an economically more efficient electricity supply to the consumer. In current regulation and policy a certain discrepancy can be noticed between the actual regulation and policy support systems in a number of countries, the medium to long term targets and the ideal situation described according to the level playing field objective. Policies towards DG and RES are now mainly aimed at removing short-term barriers, increasing the production share of DG/RES, but often ignoring the more complex barriers of integrating DG/RES that is created by the economic network regulation in current electricity markets

  19. Development of an Integrated Intelligent Multi -Objective Framework for UAV Trajectory Generation

    Science.gov (United States)

    Wilburn, Jennifer Nicole

    This thesis explores a variety of path planning and trajectory generation schemes intended for small, fixed-wing Unmanned Aerial Vehicles. Throughout this analysis, discrete and pose-based methods are investigated. Pose-based methods are the focus of this research due to their increased flexibility and typically lower computational overhead. Path planning in 3 dimensions is also performed. The 3D Dubins methodology presented is an extension of a previously suggested approach and addresses both the mathematical formulation of the methodology, as well as an assessment of numerical issues encountered and the solutions implemented for these. The main contribution of this thesis is a 3-dimensional clothoid trajectory generation algorithm, which produces flyable paths of continuous curvature to ensure a more followable commanded path. This methodology is an extension of the 3D Dubins method and the 2D clothoid method, which have been implemented herein. To ensure flyability of trajectories produced by 3D pose-based trajectory generation methodologies, a set of criteria are specified to limit the possible solutions to only those flyable by the aircraft. Additionally, several assumptions are made concerning the motion of the aircraft in order to simplify the path generation problem. The 2D and 3D clothoid and Dubins trajectory planners are demonstrated through a trajectory tracking performance comparison between first the 2D Dubins and 2D clothoid methods using a position proportional-integral-derivative controller, then the 3D Dubins and 3D clothoid methods using both a position proportional-integral-derivative controller and an outer-loop non-linear dynamic inversion controller, within the WVU UAV Simulation Environment. These comparisons are demonstrated for both nominal and off-nominal conditions, and show that for both 2D and 3D implementations, the clothoid path planners yields paths with better trajectory tracking performance as compared to the Dubins path planners

  20. Feasibility Analysis and Simulation of Integrated Renewable Energy System for Power Generation: A Hypothetical Study of Rural Health Clinic

    Directory of Open Access Journals (Sweden)

    Vincent Anayochukwu Ani

    2015-01-01

    Full Text Available This paper presents the feasibility analysis and study of integrated renewable energy (IRE using solar photovoltaic (PV and wind turbine (WT system in a hypothetical study of rural health clinic in Borno State, Nigeria. Electrical power consumption and metrology data (such as solar radiation and wind speed were used for designing and analyzing the integrated renewable energy system. The health clinic facility energy consumption is 19 kWh/day with a 3.4 kW peak demand load. The metrological data was collected from National Aeronautics and Space Administration (NASA website and used to analyze the performance of electrical generation system using HOMER program. The simulation and optimization results show that the optimal integrated renewable energy system configuration consists of 5 kW PV array, BWC Excel-R 7.5 kW DC wind turbine, 24 unit Surrette 6CS25P battery cycle charging, and a 19 kW AC/DC converter and that the PV power can generate electricity at 9,138 kWh/year while the wind turbine system can generate electricity at 7,490 kWh/year, giving the total electrical generation of the system as 16,628 kWh/year. This would be suitable for deployment of 100% clean energy for uninterruptable power performance in the health clinic. The economics analysis result found that the integrated renewable system has total NPC of 137,139 US Dollar. The results of this research show that, with a low energy health facility, it is possible to meet the entire annual energy demand of a health clinic solely through a stand-alone integrated renewable PV/wind energy supply.

  1. An Integrated Care Initiative to Improve Patient Outcome in Schizophrenia

    OpenAIRE

    Mayer-Amberg, Norbert; Woltmann, Rainer; Walther, Stefanie

    2016-01-01

    The optimal treatment of schizophrenia patients requires integration of medical and psychosocial inputs. In Germany, various healthcare service providers and institutions are involved in the treatment process. Early and continuous treatment is important but often not possible because of the fragmented medical care system in Germany. The current work is a quality monitoring report of a novel care setting, called Integrated Care Initiative Schizophrenia. It has implemented a networked care con...

  2. Performance Evaluation of a Printed Circuit Steam Generator for Integral Reactors: A Feasibility Test

    Energy Technology Data Exchange (ETDEWEB)

    Han, Hun Sik; Kang, Han-Ok; Yoon, Juhyeon; Kim, Young In; Kim, Keung Koo [KAERI, Daejeon (Korea, Republic of); Seo, Jang-won; Choi, Brain [Alfa Laval Korea Ltd., Daejeon (Korea, Republic of)

    2015-05-15

    SMART (System-integrated Modular Advanced ReacTor) is a small-sized integral type pressurized water reactor. It adopts advanced design features such as structural safety improvement, system simplification, and component modularization to achieve highly enhanced safety and improved economics. The design issues related to further safety enhancement and cost reduction have received significant attention to increase its competitiveness in the global small reactor market. For the cost reduction, it is important to design the reactor vessel as small as possible. Thus, it is necessary to reduce the volume of main components such as a steam generator. Its manufacturing processes of the chemical etching and diffusion bonding provide high effectiveness, high compactness, and inherent structural safety under high temperatures and high pressures. Thus, it is expected to be an alternative to the conventional shell and tube type steam generator in SMART. In this paper, simple thermal-hydraulic performance measurement of a small-scale printed circuit steam generator (PCSG) is conducted to investigate the feasibility of applying it to SMART. The simple thermal-hydraulic performance of the PCSG has been experimentally evaluated. A small-scale PCHE is employed to investigate the feasibility of operating it as a steam generator. The performance assessment reveals that the PCSG stably produces superheated steam, and the increased degree of superheat is obtained at lower water flow rate. However, the flow instability is increased with the decrease of the water flow rate. Thus, it is required to apply the orifice design into the cold side plate to suppress the density-wave oscillations. The pressure drops and heat transfer rates increase with the water flow rate.

  3. Collecting, Integrating, and Disseminating Patient-Reported Outcomes for Research in a Learning Healthcare System.

    Science.gov (United States)

    Harle, Christopher A; Lipori, Gloria; Hurley, Robert W

    2016-01-01

    Advances in health policy, research, and information technology have converged to increase the electronic collection and use of patient-reported outcomes (PROs). Therefore, it is important to share lessons learned in implementing PROs in research information systems. The purpose of this case study is to describe a novel information system for electronic PROs and lessons learned in implementing that system to support research in an academic health center. The system incorporates freely available and commercial software and involves clinical and research workflows that support the collection, transformation, and research use of PRO data. The software and processes that comprise the system serve three main functions, (i) collecting electronic PROs in clinical care, (ii) integrating PRO data with non-patient generated clinical data, and (iii) disseminating data to researchers through the institution's research informatics infrastructure, including the i2b2 (Informatics for Integrating Biology and the Bedside) system. Our successful design and implementation was driven by three overarching strategies. First, we selected and implemented multiple interfaced technologies to support PRO collection, management, and research use. Second, we aimed to use standardized approaches to measuring PROs, sending PROs between systems, and disseminating PROs. Finally, we focused on using technologies and processes that aligned with existing clinical research information management strategies within our organization. These experiences and lessons may help future implementers and researchers enhance the scale and sustainable use of systems for research use of PROs.

  4. An Integrated Multiperiod OPF Model with Demand Response and Renewable Generation Uncertainty

    DEFF Research Database (Denmark)

    Bukhsh, Waqquas Ahmed; Zhang, Chunyu; Pinson, Pierre

    2015-01-01

    Renewable energy sources such as wind and solar have received much attention in recent years, and large amount of renewable generation is being integrated to the electricity networks. A fundamental challenge in a power system operation is to handle the intermittent nature of the renewable...... that with small flexibility on the demand-side substantial benefits in terms of re-dispatch costs can be achieved. The proposed approach is tested on all standard IEEE test cases upto 300 buses for a wide variety of scenarios....

  5. Effect of humic acids on electricity generation integrated with xylose degradation in microbial fuel cells

    DEFF Research Database (Denmark)

    Huang, Liping; Angelidaki, Irini

    2008-01-01

    Pentose and humic acids (HA) are the main components of hydrolysates, the liquid fraction produced during thermohydrolysis of lignocellulosic material. Electricity generation integrated with xylose (typical pentose) degradation as well as the effect of HA on electricity production in microbial fuel...... to controls where HAs were not added, addition of commercial HA resulted in increase of power density and coulombic efficiency, which ranged from 7.5% to 67.4% and 24% to 92.6%, respectively. Digested manure wastewater (DMW) was tested as potential mediator for power generation due to its content of natural...

  6. Aortic stiffness is associated with white matter integrity in patients with type 1 diabetes

    International Nuclear Information System (INIS)

    Tjeerdema, Nathanja; Schinkel, Linda D. van; Westenberg, Jos J.; Elderen, Saskia G. van; Buchem, Mark A. van; Grond, Jeroen van der; Roos, Albert de; Smit, Johannes W.

    2014-01-01

    To assess the association between aortic pulse wave velocity (PWV) as a marker of arterial stiffness and diffusion tensor imaging of brain white matter integrity in patients with type 1 diabetes using advanced magnetic resonance imaging (MRI) technology. Forty-one patients with type 1 diabetes (23 men, mean age 44 ± 12 years, mean diabetes duration 24 ± 13 years) were included. Aortic PWV was assessed using through-plane velocity-encoded MRI. Brain diffusion tensor imaging (DTI) measurements were performed on 3-T MRI. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were calculated for white and grey matter integrity. Pearson correlation and multivariable linear regression analyses including cardiovascular risk factors as covariates were assessed. Multivariable linear regression analyses revealed that aortic PWV is independently associated with white matter integrity FA (β = -0.777, p = 0.008) in patients with type 1 diabetes. This effect was independent of age, gender, mean arterial pressure, body mass index, smoking, duration of diabetes and glycated haemoglobin levels. Aortic PWV was not significantly related to grey matter integrity. Our data suggest that aortic stiffness is independently associated with reduced white matter integrity in patients with type 1 diabetes. (orig.)

  7. Aortic stiffness is associated with white matter integrity in patients with type 1 diabetes

    Energy Technology Data Exchange (ETDEWEB)

    Tjeerdema, Nathanja; Schinkel, Linda D. van [Leiden University Medical Center, Department of Endocrinology and General Internal Medicine (C7-Q), Albinusdreef 2, PO Box 9600, Leiden (Netherlands); Westenberg, Jos J.; Elderen, Saskia G. van; Buchem, Mark A. van; Grond, Jeroen van der; Roos, Albert de [Leiden University Medical Center, Department of Radiology, Leiden (Netherlands); Smit, Johannes W. [Leiden University Medical Center, Department of Endocrinology and General Internal Medicine (C7-Q), Albinusdreef 2, PO Box 9600, Leiden (Netherlands); University Medical Center Nijmegen, Department of General Internal Medicine, Nijmegen (Netherlands)

    2014-09-15

    To assess the association between aortic pulse wave velocity (PWV) as a marker of arterial stiffness and diffusion tensor imaging of brain white matter integrity in patients with type 1 diabetes using advanced magnetic resonance imaging (MRI) technology. Forty-one patients with type 1 diabetes (23 men, mean age 44 ± 12 years, mean diabetes duration 24 ± 13 years) were included. Aortic PWV was assessed using through-plane velocity-encoded MRI. Brain diffusion tensor imaging (DTI) measurements were performed on 3-T MRI. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were calculated for white and grey matter integrity. Pearson correlation and multivariable linear regression analyses including cardiovascular risk factors as covariates were assessed. Multivariable linear regression analyses revealed that aortic PWV is independently associated with white matter integrity FA (β = -0.777, p = 0.008) in patients with type 1 diabetes. This effect was independent of age, gender, mean arterial pressure, body mass index, smoking, duration of diabetes and glycated haemoglobin levels. Aortic PWV was not significantly related to grey matter integrity. Our data suggest that aortic stiffness is independently associated with reduced white matter integrity in patients with type 1 diabetes. (orig.)

  8. Integration of a finite element generator model into a simulated HVDC connected system

    Energy Technology Data Exchange (ETDEWEB)

    Preston, T W; Sturgess, J P [GEC Alsthom Engineering Research Center, Stafford (United Kingdom)

    1994-12-31

    Within most system analysis programs generators and motors are represented by an equivalent circuit model either a 2-axis model for both stators and rotor or a three-phase model of the stator and a two-axis model of the rotor. This may be adequate under certain operating conditions such as steady-state or some symmetrical faults but for inverter-fed motors or generators feeding into a rectified load a more rigorous model of the machine is required. This paper describes the theory and development of such a model, its integration with the power electronics and application to 6-pulse and 12-pulse converters, the latter being appropriate in systems similar to HVDC unit connection. (author) 5 refs., 16 figs.

  9. The large-scale integration of wind generation: Impacts on price, reliability and dispatchable conventional suppliers

    International Nuclear Information System (INIS)

    MacCormack, John; Hollis, Aidan; Zareipour, Hamidreza; Rosehart, William

    2010-01-01

    This work examines the effects of large-scale integration of wind powered electricity generation in a deregulated energy-only market on loads (in terms of electricity prices and supply reliability) and dispatchable conventional power suppliers. Hourly models of wind generation time series, load and resultant residual demand are created. From these a non-chronological residual demand duration curve is developed that is combined with a probabilistic model of dispatchable conventional generator availability, a model of an energy-only market with a price cap, and a model of generator costs and dispatch behavior. A number of simulations are performed to evaluate the effect on electricity prices, overall reliability of supply, the ability of a dominant supplier acting strategically to profitably withhold supplies, and the fixed cost recovery of dispatchable conventional power suppliers at different levels of wind generation penetration. Medium and long term responses of the market and/or regulator in the long term are discussed.

  10. Breast cancer patients' satisfaction with individual therapy goals and treatment in a standardized integrative medicine consultancy service.

    Science.gov (United States)

    Hack, Carolin C; Antoniadis, Sophia; Hackl, Janina; Langemann, Hanna; Schwitulla, Judith; Fasching, Peter A; Beckmann, Matthias W; Theuser, Anna-Katharin

    2018-04-27

    Complementary medicine services are nowadays usually quite heterogeneous, and little information is available on standards for running an integrative medicine consultancy service. This study aimed to assess patients' satisfaction with a standardized treatment service on integrative medicine. Using a cross-sectional design, 75 breast cancer patients from the integrative medicine consultancy service at the University Breast Center for Franconia were evaluated between January 2016 and March 2017. At primary consultation, patients answered a standardized questionnaire on their medical history and treatment goals regarding integrative medicine. In a subsequent interview, patients evaluated their satisfaction with the treatment service and individual treatment goals. 72% of the patients (n = 54) reported high satisfaction with the overall approach of the treatment service. 76% of the patients (n = 57) were very satisfied or satisfied with their individual treatment plans. The most frequently reported goals were to slow tumor progression (n = 64, 85.3%), reducing the side effects of conventional cancer treatments (n = 60, 80%), and a desire to participate actively in the treatment of breast cancer (n = 64, 85.3%). Using a standardized procedure in integrative medicine allows a high quality level to be offered to patients. Overall, breast cancer patients report very high satisfaction with the integrative medicine consultancy service and state long-term treatment goals. Hence, long-term treatment with integrative medicine methods should be taken into consideration.

  11. An assessment of the role mass market demand response could play in contributing to the management of variable generation integration issues

    International Nuclear Information System (INIS)

    Cappers, Peter; Mills, Andrew; Goldman, Charles; Wiser, Ryan; Eto, Joseph H.

    2012-01-01

    The penetration of wind and solar generating resources is expected to dramatically increase in the United States over the coming years. It is widely understood that large scale deployment of these types of renewable energy sources (e.g., wind, solar) that have variable and less predictable production characteristics than traditional thermal resources poses integration challenges for bulk power system operators. At present, bulk power system operators primarily utilize strategies that rely on existing thermal generation resources and improved wind and solar energy production forecasts to manage this uncertainty; a host of additional options are also envisioned for the near future including demand response (DR). There are well-established bodies of research that examine variable generation integration issues as well as demand response potential; but, the existing literature that provides a comparative assessment of the two neither treats this topic comprehensively nor in a highly integrated fashion. Thus, this paper seeks to address these missing pieces by considering the full range of opportunities and challenges for mass market DR rates and programs to support integration of variable renewable generation. - Highlights: ► Mass market demand response can help manage the integration of renewable resources. ► To be more effective, retail electricity rates must apply contemporaneous prices. ► Demand response programs will require shorter duration and more frequent events. ► Mass market customers will likely need to accept control technology. ► Market rules and regulatory policies must change to expand demand response's role.

  12. Comparison of third and second generation parathyroid hormone assays and their use in chronic hemdialysis patients

    Directory of Open Access Journals (Sweden)

    Alexis Muryan

    2017-06-01

    Full Text Available Introduction: This work’s objective is to compare third and second generation assays in patients with normal kidney function and in chronic hemodialysis patients, and the implications on the latter. Methods: 60 chronic hemodialysis patients and 40 patients with normal kidney function were studied and their PTH levels were measured for both assays. Results: In patients population with normal kidney function the average on PTH was 51.8 and 45.6 pg/ml with second and third generation assays respectively. In chronic hemodialysis patients the average PTH was 193.9 and 137.1 pg/ml with second and third generation assays respectively. The difference between assays was 11.3% and 29.3% in patients with normal kidney function and in hemodialysis patients respectively. Third generation assay caused a variation in the amount of patients that fall over seve ral PTH ranges according to KDIGO guidelines, for a lesser value of 2 times the reference upper limit: it changes from 20 to 25 patients, between 2 and 9 times: it changes from 31 to 32 patients, and more than 9 times: it changes from 9 to 3 patients. Conclusions: When PTH concentration increases the difference between both assays also increases, for this reason we cannot use them indiscriminately in a chronic hemodialysis patient population. With third generation assays 11 patients (18.3% changed their classification according to KDIGO guidelines, which will result in a change of treatment.

  13. Precision medicine for cancer with next-generation functional diagnostics.

    Science.gov (United States)

    Friedman, Adam A; Letai, Anthony; Fisher, David E; Flaherty, Keith T

    2015-12-01

    Precision medicine is about matching the right drugs to the right patients. Although this approach is technology agnostic, in cancer there is a tendency to make precision medicine synonymous with genomics. However, genome-based cancer therapeutic matching is limited by incomplete biological understanding of the relationship between phenotype and cancer genotype. This limitation can be addressed by functional testing of live patient tumour cells exposed to potential therapies. Recently, several 'next-generation' functional diagnostic technologies have been reported, including novel methods for tumour manipulation, molecularly precise assays of tumour responses and device-based in situ approaches; these address the limitations of the older generation of chemosensitivity tests. The promise of these new technologies suggests a future diagnostic strategy that integrates functional testing with next-generation sequencing and immunoprofiling to precisely match combination therapies to individual cancer patients.

  14. Steam generator tube integrity program. Semiannual report, August 1995--March 1996

    International Nuclear Information System (INIS)

    Diercks, D.R.; Bakhtiari, S.; Chopra, O.K.

    1997-04-01

    This report summarizes work performed by Argonne National Laboratory on the Steam Generator Tube Integrity Program from the inception of that program in August 1995 through March 1996. The program is divided into five tasks, namely (1) Assessment of Inspection Reliability, (2) Research on ISI (in-service-inspection) Technology, (3) Research on Degradation Modes and Integrity, (4) Development of Methodology and Technical Requirements for Current and Emerging Regulatory Issues, and (5) Program Management. Under Task 1, progress is reported on the preparation of and evaluation of nondestructive evaluation (NDE) techniques for inspecting a mock-up steam generator for round-robin testing, the development of better ways to correlate burst pressure and leak rate with eddy current (EC) signals, the inspection of sleeved tubes, workshop and training activities, and the evaluation of emerging NDE technology. Under Task 2, results are reported on closed-form solutions and finite element electromagnetic modeling of EC probe response for various probe designs and flaw characteristics. Under Task 3, facilities are being designed and built for the production of cracked tubes under aggressive and near-prototypical conditions and for the testing of flawed and unflawed tubes under normal operating, accident, and severe accident conditions. In addition, crack behavior and stability are being modeled to provide guidance on test facility design, to develop an improved understanding of the expected rupture behavior of tubes with circumferential cracks, and to predict the behavior of flawed and unflawed tubes under severe accident conditions. Task 4 is concerned with the cracking and failure of tubes that have been repaired by sleeving, and with a review of literature on this subject

  15. Multicurie, transportable, integrally shielded 123Xe → 123I generator and processing system for high-purity iodine-123 production

    International Nuclear Information System (INIS)

    Lagunas-Solar, M.C.; Thibeau, H.L.; Goodart, C.E.; Little, F.E.; Navarro, N.J.; Hartnett, D.E.

    1985-01-01

    An integrally shielded 123 Xe → 123 I generator system has been designed and tested under production conditions for its suitability as a multicurie handling device from which to produce radiopharmaceutical-quality high-purity no-carrier-added (NCA) 123 I. The 123 Xe → 123 I generator system is expected to provide an alternative to current techniques and to increase the availability and reliability of high-purity 123 I made via the 127 I(p,5n) 123 Xe → 123 I nuclear reaction. The generator system is based on the Crocker Nuclear Laboratory's continuous-flow production system which has been operating since 1974 for the multicurie production of 123 I. The generator system, which consists of an integrally shielded xenon trap and separate loading and processing apparatuses, is simple and reliable to operate, can be adapted to computerized control, and provides a safe working environment for the repeated handling of multicurie amounts of Xe-I radioactivities

  16. Safety provisions for steam generator in Mochovce nuclear power plant. BO CI 04 Integrity of primary collectors of VVER 440 steam generators

    International Nuclear Information System (INIS)

    Cikryt, F.; Bednarek, L.; Matocha, K.; Vejvoda, S.

    1997-01-01

    This paper dealt with the identification of possible damaging mechanism of the collector of the WWER 440 steam generator, cracking of primary collectors, corrosion damage of the protective coat of the primary collector circumferential weld, cracking of breathing space in the region of blinding effect by corrosion and strain, leaking of disassembling joint of the primary collector lid and with the integrity of heat exchanging tubes

  17. Changes in carbon footprint when integrating production of filamentous fungi in 1st generation ethanol plants.

    Science.gov (United States)

    Brancoli, Pedro; Ferreira, Jorge A; Bolton, Kim; Taherzadeh, Mohammad J

    2018-02-01

    Integrating the cultivation of edible filamentous fungi in the thin stillage from ethanol production is presently being considered. This integration can increase the ethanol yield while simultaneously producing a new value-added protein-rich biomass that can be used for animal feed. This study uses life cycle assessment to determine the change in greenhouse gas (GHG) emissions when integrating the cultivation of filamentous fungi in ethanol production. The result shows that the integration performs better than the current scenario when the fungal biomass is used as cattle feed for system expansion and when energy allocation is used. It performs worse if the biomass is used as fish feed. Hence, integrating the cultivation of filamentous fungi in 1st generation ethanol plants combined with proper use of the fungi can lead to a reduction of GHG emissions which, considering the number of existing ethanol plants, can have a significant global impact. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. A novel solar energy integrated low-rank coal fired power generation using coal pre-drying and an absorption heat pump

    International Nuclear Information System (INIS)

    Xu, Cheng; Bai, Pu; Xin, Tuantuan; Hu, Yue; Xu, Gang; Yang, Yongping

    2017-01-01

    Highlights: •An improved solar energy integrated LRC fired power generation is proposed. •High efficient and economic feasible solar energy conversion is achieved. •Cold-end losses of the boiler and condenser are reduced. •The energy and exergy efficiencies of the overall system are improved. -- Abstract: A novel solar energy integrated low-rank coal (LRC) fired power generation using coal pre-drying and an absorption heat pump (AHP) was proposed. The proposed integrated system efficiently utilizes the solar energy collected from the parabolic trough to drive the AHP to absorb the low-grade waste heat of the steam cycle, achieving larger amount of heat with suitable temperature for coal’s moisture removal prior to the furnace. Through employing the proposed system, the solar energy could be partially converted into the high-grade coal’s heating value and the cold-end losses of the boiler and the steam cycle could be reduced simultaneously, leading to a high-efficient solar energy conversion together with a preferable overall thermal efficiency of the power generation. The results of the detailed thermodynamic and economic analyses showed that, using the proposed integrated concept in a typical 600 MW LRC-fired power plant could reduce the raw coal consumption by 4.6 kg/s with overall energy and exergy efficiencies improvement of 1.2 and 1.8 percentage points, respectively, as 73.0 MW th solar thermal energy was introduced. The cost of the solar generated electric power could be as low as $0.044/kW h. This work provides an improved concept to further advance the solar energy conversion and utilisation in solar-hybrid coal-fired power generation.

  19. Wireless Data Transmission at Terahertz Carrier Waves Generated from a Hybrid InP-Polymer Dual Tunable DBR Laser Photonic Integrated Circuit.

    Science.gov (United States)

    Carpintero, Guillermo; Hisatake, Shintaro; de Felipe, David; Guzman, Robinson; Nagatsuma, Tadao; Keil, Norbert

    2018-02-14

    We report for the first time the successful wavelength stabilization of two hybrid integrated InP/Polymer DBR lasers through optical injection. The two InP/Polymer DBR lasers are integrated into a photonic integrated circuit, providing an ideal source for millimeter and Terahertz wave generation by optical heterodyne technique. These lasers offer the widest tuning range of the carrier wave demonstrated to date up into the Terahertz range, about 20 nm (2.5 THz) on a single photonic integrated circuit. We demonstrate the application of this source to generate a carrier wave at 330 GHz to establish a wireless data transmission link at a data rate up to 18 Gbit/s. Using a coherent detection scheme we increase the sensitivity by more than 10 dB over direct detection.

  20. Integrating patient satisfaction into performance measurement to meet improvement challenges.

    Science.gov (United States)

    Smith, J E; Fisher, D L; Endorf-Olson, J J

    2000-05-01

    A Value Compass has been proposed to guide health care data collection. The "compass corners" represent the four types of data needed to meet health care customer expectations: appropriate clinical outcomes, improved functional status, patient satisfaction, and appropriate costs. Collection of all four types of data is necessary to select processes in need of improvement, guide improvement teams, and monitor the success of improvement efforts. INTEGRATED DATA AT BRYANLGH: BryanLGH Medical Center in Lincoln, Nebraska, has adopted multiple performance measurement systems to collect clinical outcome, financial, and patient satisfaction data into integrated databases. Data integration allows quality professionals at BryanLGH to identify quality issues from multiple perspectives and track the interrelated effects of improvement efforts. A CASE EXAMPLE: Data from the fourth quarter of 1997 indicated the need to improve processes related to cesarean section (C-section) deliveries. An interdisciplinary team was formed, which focused on educating nurses, physicians, and the community about labor support measures. Physicians were given their own rates of C-section deliveries. The C-section rate decreased from 27% to 19%, but per-case cost increased. PickerPLUS+ results indicated that BryanLGH obstetric patients reported fewer problems with receiving information than the Picker norm, but they reported more problems with the involvement of family members and friends. The data collected so far have indicated a decrease in the C-section rate and a need to continue to work on cost and psychosocial issues. A complete analysis of results was facilitated by integrated performance management systems. Successes have been easily tracked over time, and the need for further work on related processes has been clearly identified.

  1. Clinician perceptions and patient experiences of antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa.

    Science.gov (United States)

    Mathibe, Maphuthego D; Hendricks, Stephen J H; Bergh, Anne-Marie

    2015-10-02

    Primary Health Care (PHC) clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions and experiences of integrated care and the management of people living with HIV and AIDS in PHC facilities is necessary for successful implementation and sustainability of integration. This study explored clinician perceptions and patient experiences of integration of antiretroviral treatment in PHC clinics. An exploratory, qualitative study was conducted in four city of Tshwane PHC facilities. Two urban and two rural facilities following different models of integration were included. A self-administered questionnaire with open-ended items was completed by 35 clinicians and four focus group interviews were conducted with HIV-positive patients. The data were coded and categories were grouped into sub-themes and themes. Workload, staff development and support for integration affected clinicians' performance and viewpoints. They perceived promotion of privacy, reduced discrimination and increased access to comprehensive care as benefits of service integration. Delays, poor patient care and patient dissatisfaction were viewed as negative aspects of integration. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, whilst the reverse was true in the facility with separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation was viewed negatively, as well as poor staff attitudes, poor communication and long waiting times. Although a fully integrated service model is preferable, aspects that need further attention are management support from health authorities for health facilities, improved working conditions and appropriate staff development opportunities.

  2. Practical Integration-Free Episomal Methods for Generating Human Induced Pluripotent Stem Cells.

    Science.gov (United States)

    Kime, Cody; Rand, Tim A; Ivey, Kathryn N; Srivastava, Deepak; Yamanaka, Shinya; Tomoda, Kiichiro

    2015-10-06

    The advent of induced pluripotent stem (iPS) cell technology has revolutionized biomedicine and basic research by yielding cells with embryonic stem (ES) cell-like properties. The use of iPS-derived cells for cell-based therapies and modeling of human disease holds great potential. While the initial description of iPS cells involved overexpression of four transcription factors via viral vectors that integrated within genomic DNA, advances in recent years by our group and others have led to safer and higher quality iPS cells with greater efficiency. Here, we describe commonly practiced methods for non-integrating induced pluripotent stem cell generation using nucleofection of episomal reprogramming plasmids. These methods are adapted from recent studies that demonstrate increased hiPS cell reprogramming efficacy with the application of three powerful episomal hiPS cell reprogramming factor vectors and the inclusion of an accessory vector expressing EBNA1. Copyright © 2015 John Wiley & Sons, Inc.

  3. Optical superimposed vortex beams generated by integrated holographic plates with blazed grating

    Science.gov (United States)

    Zhang, Xue-Dong; Su, Ya-Hui; Ni, Jin-Cheng; Wang, Zhong-Yu; Wang, Yu-Long; Wang, Chao-Wei; Ren, Fei-Fei; Zhang, Zhen; Fan, Hua; Zhang, Wei-Jie; Li, Guo-Qiang; Hu, Yan-Lei; Li, Jia-Wen; Wu, Dong; Chu, Jia-Ru

    2017-08-01

    In this paper, we demonstrate that the superposition of two vortex beams with controlled topological charges can be realized by integrating two holographic plates with blazed grating. First, the holographic plate with blazed grating was designed and fabricated by laser direct writing for generating well-separated vortex beam. Then, the relationship between the periods of blazed grating and the discrete angles of vortex beams was systemically investigated. Finally, through setting the discrete angle and different revolving direction of the holographic plates, the composite fork-shaped field was realized by the superposition of two vortex beams in a particular position. The topological charges of composite fork-shaped field (l = 1, 0, 3, and 4) depend on the topological charges of compositional vortex beams, which are well agreed with the theoretical simulation. The method opens up a wide range of opportunities and possibilities for applying in optical communication, optical manipulations, and photonic integrated circuits.

  4. Generation Expansion Planning Considering Integrating Large-scale Wind Generation

    DEFF Research Database (Denmark)

    Zhang, Chunyu; Ding, Yi; Østergaard, Jacob

    2013-01-01

    necessitated the inclusion of more innovative and sophisticated approaches in power system investment planning. A bi-level generation expansion planning approach considering large-scale wind generation was proposed in this paper. The first phase is investment decision, while the second phase is production...... optimization decision. A multi-objective PSO (MOPSO) algorithm was introduced to solve this optimization problem, which can accelerate the convergence and guarantee the diversity of Pareto-optimal front set as well. The feasibility and effectiveness of the proposed bi-level planning approach and the MOPSO...

  5. Patient-generated subjective global assessment : innovation from paper to digital app

    NARCIS (Netherlands)

    Ottery, Faith D.; Isenring, Elizabeth; Kasenic, Suzanne; DeBolt, Susan P.; Sealy, Martine; Jager-Wittenaar, Harriët

    2015-01-01

    Purpose: The Patient-Generated Subjective Global Assessment (PG-SGA), including the PG-SGA Short Form (SF, aka ‘abridged’), was originally developed in the mid 1990’s as a scored, patient self-report, paperbased instrument and has been widely validated. The PG-SGA (SF) has been used for screening,

  6. Patient-generated subjective global assessment : Innovation from paper to digital app

    NARCIS (Netherlands)

    Faith D. Ottery; Suzanne Kasenic; Martine J. Sealy; Susan P. DeBolt; Elizabeth Isenring; Dr. Harriët Jager-Wittenaar

    2015-01-01

    Purpose: The Patient-Generated Subjective Global Assessment (PG-SGA), including the PG-SGA Short Form (SF, aka ‘abridged’), was originally developed in the mid 1990’s as a scored, patient self-report, paperbased instrument and has been widely validated. The PG-SGA (SF) has been used for screening,

  7. WWER-1000 steam generator integrity. A publication of the extrabudgetary programme on the safety of WWER and RBMK nuclear power plants

    International Nuclear Information System (INIS)

    1997-07-01

    Programme was initiated by IAEA in 1990 with the aim to assist the countries of Central and Eastern Europe and former Soviet Union in evaluating the safety of their first generation WWER-440/230 nuclear power plants. The main objectives were: to identify major design and operational safety issues; to establish international consensus on priorities for safety improvements; and to provide assistance in the review of the competence and and adequacy of safety improvement programs. The scope was extended in 1992 ro include RBMK, WWER-440/312 and WWER-1000 plants in operation and under construction. Based on the operational experience of more than 90 reactor years of WWER-1000 NPPs having 80 steam generators in operation or under construction the steam generator integrity was recognized as an important issue of high safety concern. The purpose of this report is to integrate available information on the issue of WWER-1000 steam generator integrity with the focus on the steam generator cold collector damage in particular. This information covers the status of stem generators at operating plants, cause analysis of collector cracking, the damage mechanisms involved, operational aspects and corrective measures developed and implemented. Consideration is given to material, design and fabrication related aspects, operational conditions, system solutions, and in-service inspection. Detailed conclusions and recommendations are provided for each of these aspects

  8. Torque Split Strategy for Parallel Hybrid Electric Vehicles with an Integrated Starter Generator

    OpenAIRE

    Fu, Zhumu; Gao, Aiyun; Wang, Xiaohong; Song, Xiaona

    2014-01-01

    This paper presents a torque split strategy for parallel hybrid electric vehicles with an integrated starter generator (ISG-PHEV) by using fuzzy logic control. By combining the efficiency map and the optimum torque curve of the internal combustion engine (ICE) with the state of charge (SOC) of the batteries, the torque split strategy is designed, which manages the ICE within its peak efficiency region. Taking the quantified ICE torque, the quantified SOC of the batteries, and the quantified I...

  9. Developing a Patient Care Co-ordination Centre in Trafford, England: lessons from the International Foundation for Integrated Care (IFIC/Advancing Quality Alliance integrated care fellowship experience

    Directory of Open Access Journals (Sweden)

    Michael Gregory

    2015-05-01

    Full Text Available The NHS and Social Care in England are facing one of the biggest financial challenges for a generation. Commissioners and providers need to work on collaborative schemes to manage the increasing demand on health and social care within a period of financial constraint. Different forms of care co-ordination have been developed at different levels across the world.In the north-west of England, the Trafford health and social care economy have been working through a competitive dialogue process with industry to develop an innovative and dynamic solution to deliver seamless co-ordination for all patients and service users. The strategy is to develop a new Patient Care Co-ordination Centre, which will be responsible for the delivery of co-ordinated, quality care. The Patient Care Co-ordination Centre will work at clinical, service, functional and community levels across multiple providers covering risk stratification, preventative, elective and unscheduled care.I am the clinical lead for the Patient Care Co-ordination Centre and during my year as an Advancing Quality Alliance Integrated Care Fellow, I have had the opportunity to study examples of care coordination from UK and international sites. The learning from these visits has been assimilated into the design process of the Patient Care Co-ordination Centre.

  10. Developing a Patient Care Co-ordination Centre in Trafford, England: lessons from the International Foundation for Integrated Care (IFIC)/Advancing Quality Alliance integrated care fellowship experience.

    Science.gov (United States)

    Gregory, Michael

    2015-01-01

    The NHS and Social Care in England are facing one of the biggest financial challenges for a generation. Commissioners and providers need to work on collaborative schemes to manage the increasing demand on health and social care within a period of financial constraint. Different forms of care co-ordination have been developed at different levels across the world. In the north-west of England, the Trafford health and social care economy have been working through a competitive dialogue process with industry to develop an innovative and dynamic solution to deliver seamless co-ordination for all patients and service users. The strategy is to develop a new Patient Care Co-ordination Centre, which will be responsible for the delivery of co-ordinated, quality care. The Patient Care Co-ordination Centre will work at clinical, service, functional and community levels across multiple providers covering risk stratification, preventative, elective and unscheduled care. I am the clinical lead for the Patient Care Co-ordination Centre and during my year as an Advancing Quality Alliance Integrated Care Fellow, I have had the opportunity to study examples of care coordination from UK and international sites. The learning from these visits has been assimilated into the design process of the Patient Care Co-ordination Centre.

  11. Developing a Patient Care Co-ordination Centre in Trafford, England: lessons from the International Foundation for Integrated Care (IFIC/Advancing Quality Alliance integrated care fellowship experience

    Directory of Open Access Journals (Sweden)

    Michael Gregory

    2015-05-01

    Full Text Available The NHS and Social Care in England are facing one of the biggest financial challenges for a generation. Commissioners and providers need to work on collaborative schemes to manage the increasing demand on health and social care within a period of financial constraint. Different forms of care co-ordination have been developed at different levels across the world. In the north-west of England, the Trafford health and social care economy have been working through a competitive dialogue process with industry to develop an innovative and dynamic solution to deliver seamless co-ordination for all patients and service users. The strategy is to develop a new Patient Care Co-ordination Centre, which will be responsible for the delivery of co-ordinated, quality care. The Patient Care Co-ordination Centre will work at clinical, service, functional and community levels across multiple providers covering risk stratification, preventative, elective and unscheduled care. I am the clinical lead for the Patient Care Co-ordination Centre and during my year as an Advancing Quality Alliance Integrated Care Fellow, I have had the opportunity to study examples of care coordination from UK and international sites. The learning from these visits has been assimilated into the design process of the Patient Care Co-ordination Centre.

  12. Audiovisual Integration of Speech in a Patient with Broca’s Aphasia

    DEFF Research Database (Denmark)

    Andersen, Tobias; Starrfelt, Randi

    2015-01-01

    perception. While these studies have focused on auditory speech perception other studies have shown that Broca's area is activated by visual speech perception. Furthermore, one preliminary report found that a patient with Broca's aphasia did not experience the McGurk illusion suggesting that an intact Broca......Lesions to Broca's area cause aphasia characterized by a severe impairment of the ability to speak, with comparatively intact speech perception. However, some studies have found effects on speech perception under adverse listening conditions, indicating that Broca's area is also involved in speech......'s area is necessary for audiovisual integration of speech. Here we describe a patient with Broca's aphasia who experienced the McGurk illusion. This indicates that an intact Broca's area is not necessary for audiovisual integration of speech. The McGurk illusions this patient experienced were atypical...

  13. Mild-temperature dilute acid pretreatment for integration of first and second generation ethanol processes.

    Science.gov (United States)

    Nair, Ramkumar B; Kalif, Mahdi; Ferreira, Jorge A; Taherzadeh, Mohammad J; Lennartsson, Patrik R

    2017-12-01

    The use of hot-water (100°C) from the 1st generation ethanol plants for mild-temperature lignocellulose pretreatment can possibly cut down the operational (energy) cost of 2nd generation ethanol process, in an integrated model. Dilute-sulfuric and -phosphoric acid pretreatment at 100°C was carried out for wheat bran and whole-stillage fibers. Pretreatment time and acid type influenced the release of sugars from wheat bran, while acid-concentration was found significant for whole-stillage fibers. Pretreatment led up-to 300% improvement in the glucose yield compared to only-enzymatically treated substrates. The pretreated substrates were 191-344% and 115-300% richer in lignin and glucan, respectively. Fermentation using Neurospora intermedia, showed 81% and 91% ethanol yields from wheat bran and stillage-fibers, respectively. Sawdust proved to be a highly recalcitrant substrate for mild-temperature pretreatment with only 22% glucose yield. Both wheat bran and whole-stillage are potential substrates for pretreatment using waste heat from the 1st generation process for 2nd generation ethanol. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Generation and periodontal differentiation of human gingival fibroblasts-derived integration-free induced pluripotent stem cells

    Energy Technology Data Exchange (ETDEWEB)

    Yin, Xiaohui [Department of Periodontology, School and Hospital of Stomatology, Peking University, 22 South Avenue Zhong-Guan-Cun, Beijing 100081 (China); Peking University Stem Cell Research Center and Department of Cell Biology, School of Basic Medical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191 (China); Li, Yang [Peking University Stem Cell Research Center and Department of Cell Biology, School of Basic Medical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191 (China); Li, Jingwen [Department of Periodontology, School and Hospital of Stomatology, Peking University, 22 South Avenue Zhong-Guan-Cun, Beijing 100081 (China); Li, Peng [Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong SAR (China); Liu, Yinan [Peking University Stem Cell Research Center and Department of Cell Biology, School of Basic Medical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191 (China); Wen, Jinhua, E-mail: jhwen@bjmu.edu.cn [Peking University Stem Cell Research Center and Department of Cell Biology, School of Basic Medical Sciences, Peking University, 38 Xueyuan Road, Beijing 100191 (China); Luan, Qingxian, E-mail: kqluanqx@126.com [Department of Periodontology, School and Hospital of Stomatology, Peking University, 22 South Avenue Zhong-Guan-Cun, Beijing 100081 (China)

    2016-05-06

    Induced pluripotent stem cells (iPSCs) have been recognized as a promising cell source for periodontal tissue regeneration. However, the conventional virus-based reprogramming approach is associated with a high risk of genetic mutation and limits their therapeutic utility. Here, we successfully generated iPSCs from readily accessible human gingival fibroblasts (hGFs) through an integration-free and feeder-free approach via delivery of reprogramming factors of Oct4, Sox2, Klf4, L-myc, Lin28 and TP53 shRNA with episomal plasmid vectors. The iPSCs presented similar morphology and proliferation characteristics as embryonic stem cells (ESCs), and expressed pluripotent markers including Oct4, Tra181, Nanog and SSEA-4. Additionally, these cells maintained a normal karyotype and showed decreased CpG methylation ratio in the promoter regions of Oct4 and Nanog. In vivo teratoma formation assay revealed the development of tissues representative of three germ layers, confirming the acquisition of pluripotency. Furthermore, treatment of the iPSCs in vitro with enamel matrix derivative (EMD) or growth/differentiation factor-5 (GDF-5) significantly up-regulated the expression of periodontal tissue markers associated with bone, periodontal ligament and cementum respectively. Taken together, our data demonstrate that hGFs are a valuable cell source for generating integration-free iPSCs, which could be sequentially induced toward periodontal cells under the treatment of EMD and GDF-5. - Highlights: • Integration-free iPSCs are successfully generated from hGFs via an episomal approach. • EMD promotes differentiation of the hGFs-derived iPSCs toward periodontal cells. • GDF-5 promotes differentiation of the hGFs-derived iPSCs toward periodontal cells. • hGFs-derived iPSCs could be a promising cell source for periodontal regeneration.

  15. Generation and periodontal differentiation of human gingival fibroblasts-derived integration-free induced pluripotent stem cells

    International Nuclear Information System (INIS)

    Yin, Xiaohui; Li, Yang; Li, Jingwen; Li, Peng; Liu, Yinan; Wen, Jinhua; Luan, Qingxian

    2016-01-01

    Induced pluripotent stem cells (iPSCs) have been recognized as a promising cell source for periodontal tissue regeneration. However, the conventional virus-based reprogramming approach is associated with a high risk of genetic mutation and limits their therapeutic utility. Here, we successfully generated iPSCs from readily accessible human gingival fibroblasts (hGFs) through an integration-free and feeder-free approach via delivery of reprogramming factors of Oct4, Sox2, Klf4, L-myc, Lin28 and TP53 shRNA with episomal plasmid vectors. The iPSCs presented similar morphology and proliferation characteristics as embryonic stem cells (ESCs), and expressed pluripotent markers including Oct4, Tra181, Nanog and SSEA-4. Additionally, these cells maintained a normal karyotype and showed decreased CpG methylation ratio in the promoter regions of Oct4 and Nanog. In vivo teratoma formation assay revealed the development of tissues representative of three germ layers, confirming the acquisition of pluripotency. Furthermore, treatment of the iPSCs in vitro with enamel matrix derivative (EMD) or growth/differentiation factor-5 (GDF-5) significantly up-regulated the expression of periodontal tissue markers associated with bone, periodontal ligament and cementum respectively. Taken together, our data demonstrate that hGFs are a valuable cell source for generating integration-free iPSCs, which could be sequentially induced toward periodontal cells under the treatment of EMD and GDF-5. - Highlights: • Integration-free iPSCs are successfully generated from hGFs via an episomal approach. • EMD promotes differentiation of the hGFs-derived iPSCs toward periodontal cells. • GDF-5 promotes differentiation of the hGFs-derived iPSCs toward periodontal cells. • hGFs-derived iPSCs could be a promising cell source for periodontal regeneration.

  16. Structural integrity assessment of steam generator tubes deteriorated through primary water stress corrosion cracking in transition region of tube expansion

    International Nuclear Information System (INIS)

    Silveira, Helvecio Carlos Klinke da

    2002-01-01

    In PWR plants, steam generator tube degradation has been one of the most important economical concerns, besides causing operational safety problems. In this work, a survey of steam generator tube degradation modes is done. Degradation mechanisms and influence factors are introduced and discussed. The importance of stress corrosion cracking, especially in transition region of tube expansion zone, is underlined. The actual steam generator tube plugging criteria are conservative. Proposed alternative criteria are introduced and discussed. Distinction is done to structural integrity assessment of defective tubes. Real data of tube defect indications of axial cracks in expansion transition zone due to primary water stress corrosion cracking are used in analysis. Results allow discussing application aspects of deterministic and probabilistic criteria on structural integrity assessment of tubes with defect indications. Applied models are specifics, but the application of concept may be extended to other steam generator tube degradation modes. (author)

  17. Integration of permanent magnet synchronous generator wind turbines into power grid

    Science.gov (United States)

    Abedini, Asghar

    , integrating energy storage systems with wind farms has attracted a lot of attention. These two subjects are addressed in this dissertation in detail. Permanent Magnet Synchronous Generators (PMSG) are used in variable speed wind turbines. In this thesis, the dynamic of the PMSG is investigated and a power electronic converter is designed to integrate the wind turbine to the grid. The risks of PMSG wind turbines such as low voltage ride through and short circuits, are assessed and the methods of mitigating the risks are discussed. In the second section of the thesis, various methods of smoothing wind turbine output power are explained and compared. Two novel methods of output power smoothing are analyzed: Rotor inertia and Super capacitors. The advantages and disadvantages of each method are explained and the dynamic model of each method is developed. The performance of the system is evaluated by simulating the wind turbine system in each method. The concepts of the methods of smoothing wind power can be implemented in other types of wind turbines such as Doubly Fed Induction Generator (DFIG) wind turbines.

  18. Clinician perceptions and patient experiences of antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa

    Directory of Open Access Journals (Sweden)

    Maphuthego D. Mathibe

    2015-10-01

    Full Text Available Background: Primary Health Care (PHC clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions and experiences of integrated care and the management of people living with HIV and AIDS in PHC facilities is necessary for successful implementation and sustainability of integration. Objective: This study explored clinician perceptions and patient experiences of integration of antiretroviral treatment in PHC clinics. Method: An exploratory, qualitative study was conducted in four city of Tshwane PHC facilities. Two urban and two rural facilities following different models of integration were included. A self-administered questionnaire with open-ended items was completed by 35 clinicians and four focus group interviews were conducted with HIV-positive patients. The data were coded and categories were grouped into sub-themes and themes. Results: Workload, staff development and support for integration affected clinicians’ performance and viewpoints. They perceived promotion of privacy, reduced discrimination and increased access to comprehensive care as benefits of service integration. Delays, poor patient care and patient dissatisfaction were viewed as negative aspects of integration. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, whilst the reverse was true in the facility with separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation was viewed negatively, as well as poor staff attitudes, poor communication and long waiting times. Conclusion: Although a fully integrated service model is preferable, aspects that need further attention are management support from health authorities for health facilities, improved working conditions and appropriate staff development opportunities.

  19. Integration of Bromine and Cyanogen Bromide Generators for the Continuous-Flow Synthesis of Cyclic Guanidines.

    Science.gov (United States)

    Glotz, Gabriel; Lebl, René; Dallinger, Doris; Kappe, C Oliver

    2017-10-23

    A continuous-flow process for the in situ on-demand generation of cyanogen bromide (BrCN) from bromine and potassium cyanide that makes use of membrane-separation technology is described. In order to circumvent the handling, storage, and transportation of elemental bromine, a continuous bromine generator using bromate-bromide synproportionation can optionally be attached upstream. Monitoring and quantification of BrCN generation was enabled through the implementation of in-line FTIR technology. With the Br 2 and BrCN generators connected in series, 0.2 mmol BrCN per minute was produced, which corresponds to a 0.8 m solution of BrCN in dichloromethane. The modular Br 2 /BrCN generator was employed for the synthesis of a diverse set of biologically relevant five- and six-membered cyclic amidines and guanidines. The set-up can either be operated in a fully integrated continuous format or, where reactive crystallization is beneficial, in semi-batch mode. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. Structural integrity assessments of steam generator tubes using the FAD methodology

    Energy Technology Data Exchange (ETDEWEB)

    Bergant, Marcos A., E-mail: marcos.bergant@cab.cnea.gov.ar [Gerencia CAREM, Centro Atómico Bariloche (CNEA), Av. Bustillo 9500, San Carlos de Bariloche 8400 (Argentina); Yawny, Alejandro A., E-mail: yawny@cab.cnea.gov.ar [División Física de Metales, Centro Atómico Bariloche (CNEA)/CONICET, Av. Bustillo 9500, San Carlos de Bariloche 8400 (Argentina); Perez Ipiña, Juan E., E-mail: juan.perezipina@fain.uncoma.edu.ar [Grupo Mecánica de Fractura, Universidad Nacional del Comahue/CONICET, Buenos Aires 1400, Neuquén 8300 (Argentina)

    2015-12-15

    Highlights: • The Failure Assessment Diagram (FAD) is used to assess cracked steam generator tubes. • Typical loading conditions and reported tensile and fracture properties are used. • The FAD is capable to predict the failure mode for different cracks and loads. • The FAD can be used to reduce the conservatism of the current plugging criteria. • Appropriate tensile and fracture properties at operating conditions are required. - Abstract: Steam generator tubes (SGTs) represents up to 60% of the total primary pressure retaining boundary area of a nuclear power plant. They have been found susceptible to diverse degradation mechanisms during service. Due to the significance of a SGT failure on the plant safe operation, nuclear regulatory authorities have established tube plugging or repairing criteria which are based on the defect depth. The widespreadly used “40% criterion” proposed in the 70s is an example whose use is still recommended in the last editions of the ASME Boiler and Pressure Vessel Code. In the present work, an alternative, more realistic and less conservative methodology for SGT integrity evaluation is proposed. It is based on the Failure Assessment Diagram (FAD) and takes advantage of the recent developments in non-destructive techniques which allow a more comprehensive characterization of tube defects, i.e., depth, length, orientation and type. The proposed approach has been applied to: the study of the influence of primary and secondary stresses on tube integrity; the prediction of failure mode (i.e., ductile fracture or plastic collapse) of defective SGTs for varied crack geometries and loading conditions; the analysis of the sensibility of tensile and fracture properties with temperature. The potentiality of the FAD as a comprehensive methodology for predicting the failure loads and failure modes of flawed SGTs is highlighted.

  1. Structural integrity assessments of steam generator tubes using the FAD methodology

    International Nuclear Information System (INIS)

    Bergant, Marcos A.; Yawny, Alejandro A.; Perez Ipiña, Juan E.

    2015-01-01

    Highlights: • The Failure Assessment Diagram (FAD) is used to assess cracked steam generator tubes. • Typical loading conditions and reported tensile and fracture properties are used. • The FAD is capable to predict the failure mode for different cracks and loads. • The FAD can be used to reduce the conservatism of the current plugging criteria. • Appropriate tensile and fracture properties at operating conditions are required. - Abstract: Steam generator tubes (SGTs) represents up to 60% of the total primary pressure retaining boundary area of a nuclear power plant. They have been found susceptible to diverse degradation mechanisms during service. Due to the significance of a SGT failure on the plant safe operation, nuclear regulatory authorities have established tube plugging or repairing criteria which are based on the defect depth. The widespreadly used “40% criterion” proposed in the 70s is an example whose use is still recommended in the last editions of the ASME Boiler and Pressure Vessel Code. In the present work, an alternative, more realistic and less conservative methodology for SGT integrity evaluation is proposed. It is based on the Failure Assessment Diagram (FAD) and takes advantage of the recent developments in non-destructive techniques which allow a more comprehensive characterization of tube defects, i.e., depth, length, orientation and type. The proposed approach has been applied to: the study of the influence of primary and secondary stresses on tube integrity; the prediction of failure mode (i.e., ductile fracture or plastic collapse) of defective SGTs for varied crack geometries and loading conditions; the analysis of the sensibility of tensile and fracture properties with temperature. The potentiality of the FAD as a comprehensive methodology for predicting the failure loads and failure modes of flawed SGTs is highlighted.

  2. Integrating patient preferences in efficiency frontier analyses using the analytical hierarchy process

    NARCIS (Netherlands)

    Hummel, J. Marjan; van Til, Janine Astrid; Steuten, Lotte Maria Gertruda; IJzerman, Maarten Joost

    2010-01-01

    OBJECTIVES: In comparative effectiveness research and economic evaluations, benefits of technologies are measured using multiple outcomes measures. Information lacks however about the importance of these endpoints for patients. We propose a new methodology to integrate patient weighted outcomes in a

  3. The influence of generation mix on the wind integrating capability of North China power grids: A modeling interpretation and potential solutions

    International Nuclear Information System (INIS)

    Yu Dayang; Zhang Bo; Liang Jun; Han Xueshan

    2011-01-01

    The large-scale wind power development in China has reached a bottleneck of grid integrating capability. As a result, excess wind electricity has to be rejected in the nighttime low demand hours, when the wind power is ramping up. To compensate for the fluctuation of wind power, new coal-fired power plants are being constructed along with the big wind projects in the North China grids. This study analyzed why adding coal-fired generation cannot remove the bottleneck of wind integration by modeling the operating problem of the wind integration. The peak-load adjusting factor of the regional grid is defined. Building more coal-fired power plants will not increase the adjusting factor of the current grid. Although it does help to increase the total integrated wind power in the short term, it will add difficulties to the long-term wind integration. Alternatively, the coordinated resource utilization is then suggested with the discussion of both the effective pumped hydro storage and the potential electric vehicle storage. - Highlights: → Adjusting factors indicate the grid wind integrating capability. → Building coal-fired generation restrains long-term wind integration. → HVDC and nuclear projects should be planned integrated with the wind. → Pumped storage and electric vehicles provide potential solutions.

  4. Integrated assessment of IGCC power generation technology with carbon capture and storage (CCS)

    International Nuclear Information System (INIS)

    Cormos, Calin-Cristian

    2012-01-01

    IGCC (Integrated Gasification Combined Cycle) is a power generation technology in which the solid feedstock is partially oxidized with oxygen and steam to produce syngas. In a conventional IGCC design without carbon capture, the syngas is purified for dust and hydrogen sulphide removal and then it is sent to a CCGT (Combined Cycle Gas Turbine) for power generation. CCS (Carbon capture and storage) technologies are expected to play a significant role in the coming decades for reducing the greenhouse gas emissions. IGCC is one of the power generation technologies having the highest potential to capture CO 2 with low penalties in term of plant energy efficiency, capital and operational costs. This paper investigates the most important techno-economic and environmental indicators (e.g. power output, ancillary consumption, energy efficiency, CW consumption, normalised mass and energy balances and plant construction materials, capital and O and M (operational and maintenance) costs, specific CO 2 emissions, cost of electricity, CO 2 removal and avoidance costs etc.) for IGCC with CCS. Coal-based IGCC cases produce around 400–450 MW net electricity with 90% carbon capture rate. Similar IGCC plants without CCS were presented as references. Future IGCC developments for energy vectors poly-generation were also presented. -- Highlights: ► Techno-economical evaluations of coal-based IGCC power generation with CCS. ► Model development for capital, O and M, CO 2 capture costs and cash flow estimations. ► Technical and economic investigations of key plant design characteristics. ► Evaluations of carbon capture options for IGCC power generation technology.

  5. Audiovisual Integration of Speech in a Patient with Broca’s Aphasia

    Directory of Open Access Journals (Sweden)

    Tobias Søren Andersen

    2015-04-01

    Full Text Available Lesions to Broca’s area cause aphasia characterised by a severe impairment of the ability to speak, with comparatively intact speech perception. However, some studies have found effects on speech perception under adverse listening conditions, indicating that Broca’s area is also involved in speech perception. While these studies have focused on auditory speech perception other studies have shown that Broca’s area is activated by visual speech perception. Furthermore, one preliminary report found that a patient with Broca’s aphasia did not experience the McGurk illusion suggesting that an intact Broca’s area is necessary for audiovisual integration of speech. Here we describe a patient with Broca’s aphasia who experienced the McGurk illusion. This indicates that an intact Broca’s area is not necessary for audiovisual integration of speech. The McGurk illusions this patient experienced were atypical, which could be due to Broca’s area having a more subtle role in audiovisual integration of speech. The McGurk illusions of a control subject with Wernicke’s aphasia were, however, also atypical. This indicates that the atypical McGurk illusions were due to deficits in speech processing that are not specific to Broca’s aphasia.

  6. The second generation turbosteamer.Vehicle integration as a key for an effective utilization of waste heat; Der Turbosteamer der 2. Generation. Fahrzeugintegration als Schluessel zur effizienten Abwaermenutzung

    Energy Technology Data Exchange (ETDEWEB)

    Horst, Tilmann Abbe; Seifert, Marco; Schmidt, Christian [BMW Forschung und Technik GmbH, Muenchen (Germany); Zuck, Bernhard [BMW AG, Muenchen (Germany); Spliethoff, Hartmut [Technische Univ. Muenchen (Germany). Lehrstuhl fuer Energiesysteme

    2012-11-01

    Waste heat recovery is a promising approach for achieving further reductions in fuel consumption and, as a result, exhaust emissions. In 2005, the potential of a system based on the Rankine cycle was demonstrated for the first time with the BMW Turbosteamer. For the second generation, the system design has been thoroughly simplified. In the current setup, heat is taken in from the exhaust gas of the engine and the heat from condensation is transferred to the existing cooling system. Steam expansion is accomplished by an impulse turbine with high power density. Integration of this system into the thermal management of the engine poses a great challenge. Interactions between the exhaust system, the cooling system and the waste heat recovery system have to be considered to enable efficient operation in a passenger car. For example, the operation range is limited by the exhaust gas backpressure that is generated in the evaporator. Another consideration is that additional heat rejection to the cooling system may not affect the thermal safety of the engine. In this paper, the second generation Turbosteamer and the latest findings regarding system design, development of the key components and vehicle integration are presented. Analysis of the interactions with the engine thermal management leads to a recommendation for the optimal operating range and strategy of the waste heat recovery system. The influence of the integration effects on the system efficiency are evaluated on this basis. (orig.)

  7. Prototype testing and analysis of a novel internal combustion linear generator integrated power system

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Zhaoping; Chang, Siqin [School of Mechanical Engineering, Nanjing University of Science and Technology, Nanjing 210094 (China)

    2010-04-15

    A novel four-stroke free-piston engine equipped with a linear electric generator (namely internal combustion linear generator integrated power system) is proposed in this paper to achieve efficient energy conversion from fuel to electricity. Unique features of the novel power system are presented and their effects on the continuous running are discussed, along with potential advantages and disadvantages compared to conventional engines. A single cylinder, gasoline and spark ignition prototype is fabricated with reference to the geometric and control parameters of an existing conventional four-stroke engine. Stable running of the prototype is realized, and a 2.2 kW average output power with the generating efficiency of 32% has been obtained up to now. The feasibility and performance of the proposed design are verified. Detailed testing results from the continuous running prototype are analyzed in this paper for giving insight into the performance and dynamic behaviors of the novel power system. (author)

  8. Generation of an iPS cell line via a non-integrative method using urine-derived cells from a patient with USH2A-associated retinitis pigmentosa

    Directory of Open Access Journals (Sweden)

    Yonglong Guo

    2018-05-01

    Full Text Available We have established an induced pluripotent stem (iPS cell line using urine-derived cells from a 27-year-old male patient with retinitis pigmentosa associated with point mutations in the USH2A gene. Feeder-free culture conditions and the integration-free CytoTune™-iPS 2.0 Sendai Reprogramming Kit were used.

  9. Integrated scheduling of renewable generation and electric vehicles parking lot in a smart microgrid

    International Nuclear Information System (INIS)

    Honarmand, Masoud; Zakariazadeh, Alireza; Jadid, Shahram

    2014-01-01

    Highlights: • Integrated operation of renewable generation and electric vehicles is presented. • The capability of electric vehicles in providing reserve has been analyzed. • A new electric vehicles charging/discharging management system is proposed. • The technical features of electric vehicle’s batteries are considered. - Abstract: Integration of Electric Vehicles (EVs) and Renewable Energy Sources (RESs) into the electric power system may bring up many technical issues. The power system may put at risk the security and reliability of operation due to intermittent nature of renewable generation and uncontrolled charging/discharging procedure of EVs. In this paper, an energy resources management model for a microgrid (MG) is proposed. The proposed method considers practical constraints, renewable power forecasting errors, spinning reserve requirements and EVs owner satisfaction. A case study with a typical MG including 200 EVs is used to illustrate the performance of the proposed method. The results show that the proposed energy resource scheduling method satisfies financial and technical goals of parking lot as well as the security and economic issues of MG. Moreover, EV owners could earn profit by discharging their vehicles’ batteries or providing the reserve capacity and finally have desired State Of Charge (SOC) in the departure time

  10. Next-generation phage display: integrating and comparing available molecular tools to enable cost-effective high-throughput analysis.

    Directory of Open Access Journals (Sweden)

    Emmanuel Dias-Neto

    2009-12-01

    Full Text Available Combinatorial phage display has been used in the last 20 years in the identification of protein-ligands and protein-protein interactions, uncovering relevant molecular recognition events. Rate-limiting steps of combinatorial phage display library selection are (i the counting of transducing units and (ii the sequencing of the encoded displayed ligands. Here, we adapted emerging genomic technologies to minimize such challenges.We gained efficiency by applying in tandem real-time PCR for rapid quantification to enable bacteria-free phage display library screening, and added phage DNA next-generation sequencing for large-scale ligand analysis, reporting a fully integrated set of high-throughput quantitative and analytical tools. The approach is far less labor-intensive and allows rigorous quantification; for medical applications, including selections in patients, it also represents an advance for quantitative distribution analysis and ligand identification of hundreds of thousands of targeted particles from patient-derived biopsy or autopsy in a longer timeframe post library administration. Additional advantages over current methods include increased sensitivity, less variability, enhanced linearity, scalability, and accuracy at much lower cost. Sequences obtained by qPhage plus pyrosequencing were similar to a dataset produced from conventional Sanger-sequenced transducing-units (TU, with no biases due to GC content, codon usage, and amino acid or peptide frequency. These tools allow phage display selection and ligand analysis at >1,000-fold faster rate, and reduce costs approximately 250-fold for generating 10(6 ligand sequences.Our analyses demonstrates that whereas this approach correlates with the traditional colony-counting, it is also capable of a much larger sampling, allowing a faster, less expensive, more accurate and consistent analysis of phage enrichment. Overall, qPhage plus pyrosequencing is superior to TU-counting plus Sanger

  11. Integrated assessment of national power generation technologies by using the AHP technique

    International Nuclear Information System (INIS)

    Kim, Tae Woon; Kim, Seong Ho; Ha, Jae Joo

    2007-01-01

    In the present work, various national electricity generating systems associated with conventional as well as renewable energy resources are comparatively assessed in view of life-cycle multi-criteria (economic, environmental, health, and social) spaces. The essential objectives of the study are (1) to comprehensively compare the options for an electricity supply, (2) to complementarily support nuclear power's role in a national energy sector, and (3) to contribute to sustainability-oriented research and development in the energy and power sectors. Here, various national power sources including conventional as well as renewable energy systems are comparatively assessed in view of multi-criteria decision-making (MCDM) spaces. Previous MCDM approaches for energy mix policies are mostly based on risk factors or environmental factors. In the ExternE project, environmental aspects are quantified from the point of view of an externality of an energy development cycle. National energy mix policies of individual countries are still based on economic points such as power generation cost, fuel import cost, land availability, etc. In this paper a multiple aspects approach for making decisions on the selection energy generation technologies is considered. The framework of the decision making process for the energy mix alternatives in this study considered the environmental aspects, health aspects, risk aspects, social aspects, and economical aspects collectively. The AHP (analytical hierarchy process) is considered in this paper and it is demonstrated through an example work for an energy mix alternatives framework. Power source alternatives under consideration are the conventional systems such as nuclear and fossil-fuelled (coal-fired, heavy oil-fired, LNG) as well as the new and renewable energy systems (hydropower, wind power, solar photovoltaic (PV) power). These seven options are evaluated in terms of several conflicting criteria representing the generation cost, land use

  12. The current trend of administering a patient-generated index in the oncological setting: a systematic review.

    Science.gov (United States)

    Tang, Jessica A; Oh, Taemin; Scheer, Justin K; Parsa, Andrew T

    2014-03-17

    The patient-generated index (PGI) is a more novel approach to evaluating health-related quality of life (HRQOL) that allows patients to formulate their own responses in an open-ended format in order to measure HRQOL based on each patient's own stated goals and expectations. To date the use of PGI in the setting of patients diagnosed with cancer remains relatively less common compared to other health conditions. This systematic review primarily aims to identify current literature in which PGI has been used as a tool to assess quality of life in cancer patients. A systematic review using the MEDLINE database from January 1990 to July 2013 was performed with the following search terms to identify the implementation of PGI in oncology settings: (PGI OR patient generated index OR patient-generated OR patient-reported OR patient generated OR patient reported) AND (cancer OR oncology OR tumor OR neoplasm OR malignancy). Of the 2167 papers initially identified, 10 papers evaluated quality of life in oncology patients by collecting free-form responses from the patient, 4 of which actually used PGI. An overarching theme observed in these studies highlighted the concerns mentioned by patients that were not targeted or detected by standardized quality of life measures. While implementing the PGI may require slightly more investment of resources in the beginning, the potential implications of allowing patients to characterize their quality of life on their own terms are tremendous.

  13. Patient Care Planning: An Interdisciplinary Approach

    OpenAIRE

    Prophet, Colleen M.

    1989-01-01

    The INFORMM Patient Care Planning System provides interdepartmental communication and individualized patient care plans based upon current standards of care. This interdisciplinary system facilitates the identification of patient problems and nursing diagnoses as well as patient care orders. The selected nurses' and physicians' orders are integrated and organized by care plan categories in printouts. As a system by-product, Patient Care Planning automatically generates and calculates patient ...

  14. Integrated Design Engineering Analysis (IDEA) Environment Automated Generation of Structured CFD Grids using Topology Methods

    Science.gov (United States)

    Kamhawi, Hilmi N.

    2012-01-01

    This report documents the work performed from March 2010 to March 2012. The Integrated Design and Engineering Analysis (IDEA) environment is a collaborative environment based on an object-oriented, multidisciplinary, distributed framework using the Adaptive Modeling Language (AML) as a framework and supporting the configuration design and parametric CFD grid generation. This report will focus on describing the work in the area of parametric CFD grid generation using novel concepts for defining the interaction between the mesh topology and the geometry in such a way as to separate the mesh topology from the geometric topology while maintaining the link between the mesh topology and the actual geometry.

  15. Integrating best evidence into patient care: a process facilitated by a seamless integration with informatics tools.

    Science.gov (United States)

    Giuse, Nunzia B; Williams, Annette M; Giuse, Dario A

    2010-07-01

    The Vanderbilt University paper discusses how the Eskind Biomedical Library at Vanderbilt University Medical Center transitioned from a simplistic approach that linked resources to the institutional electronic medical record system, StarPanel, to a value-added service that is designed to deliver highly relevant information. Clinical teams formulate complex patient-specific questions via an evidence-based medicine literature request basket linked to individual patient records. The paper transitions into discussing how the StarPanel approach acted as a springboard for two additional projects that use highly trained knowledge management librarians with informatics expertise to integrate evidence into both order sets and a patient portal, MyHealth@Vanderbilt.

  16. Assessment and protection of esophageal mucosal integrity in patients with heartburn without esophagitis.

    Science.gov (United States)

    Woodland, Philip; Lee, Chung; Duraisamy, Yasotha; Duraysami, Yasotha; Farré, Ricard; Dettmar, Peter; Sifrim, Daniel

    2013-04-01

    Intact esophageal mucosal integrity is essential to prevent symptoms during gastroesophageal reflux events. Approximately 70% of patients with heartburn have macroscopically normal esophageal mucosa. In patients with heartburn, persistent functional impairment of esophageal mucosal barrier integrity may underlie remaining symptoms. Topical protection of a functionally vulnerable mucosa may be an attractive therapeutic strategy. We aimed to evaluate esophageal mucosal functional integrity in patients with heartburn without esophagitis, and test the feasibility of an alginate-based topical mucosal protection. Three distal esophageal biopsies were obtained from 22 patients with heartburn symptoms, and 22 control subjects. In mini-Ussing chambers, the change in transepithelial electrical resistance (TER) of biopsies when exposed to neutral, weakly acidic, and acidic solutions was measured. The experiment was repeated in a further 10 patients after pretreatment of biopsies with sodium alginate, viscous control, or liquid control "protectant" solutions. Biopsy exposure to neutral solution caused no change in TER. Exposure to weakly acidic and acidic solutions caused a greater reduction in TER in patients than in controls (weakly acid -7.2% (95% confidence interval (CI) -9.9 to -4.5) vs. 3.2% (-2.2 to 8.6), Pheartburn without esophagitis shows distinct vulnerability to acid and weakly acidic exposures. Experiments in vitro suggest that such vulnerable mucosa may be protected by application of an alginate-containing topical solution.

  17. Visualization of the Eastern Renewable Generation Integration Study: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Gruchalla, Kenny; Novacheck, Joshua; Bloom, Aaron

    2016-12-01

    The Eastern Renewable Generation Integration Study (ERGIS), explores the operational impacts of the wide spread adoption of wind and solar photovoltaics (PV) resources in the U.S. Eastern Interconnection and Quebec Interconnection (collectively, EI). In order to understand some of the economic and reliability challenges of managing hundreds of gigawatts of wind and PV generation, we developed state of the art tools, data, and models for simulating power system operations using hourly unit commitment and 5-minute economic dispatch over an entire year. Using NREL's high-performance computing capabilities and new methodologies to model operations, we found that the EI, as simulated with evolutionary change in 2026, could balance the variability and uncertainty of wind and PV at a 5-minute level under a variety of conditions. A large-scale display and a combination of multiple coordinated views and small multiples were used to visually analyze the four large highly multivariate scenarios with high spatial and temporal resolutions. state of the art tools, data, and models for simulating power system operations using hourly unit commitment and 5-minute economic dispatch over an entire year. Using NRELs high-performance computing capabilities and new methodologies to model operations, we found that the EI, as simulated with evolutionary change in 2026, could balance the variability and uncertainty of wind and PV at a 5-minute level under a variety of conditions. A large-scale display and a combination of multiple coordinated views and small multiples were used to visually analyze the four large highly multivariate scenarios with high spatial and temporal resolutions.

  18. Evaluating and Predicting Patient Safety for Medical Devices With Integral Information Technology

    Science.gov (United States)

    2005-01-01

    323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R...errors are due to inappropriate designs for user interactions, rather than mechanical failures. Evaluating and predicting patient safety in medical ...the users on the identified trouble spots in the devices. We developed two methods for evaluating and predicting patient safety in medical devices

  19. The current trend of administering a patient-generated index in the oncological setting: a systematic review

    Directory of Open Access Journals (Sweden)

    Jessica A. Tang

    2014-06-01

    Full Text Available The patient-generated index (PGI is a more novel approach to evaluating health-related quality of life (HRQOL that allows patients to formulate their own responses in an open-ended format in order to measure HRQOL based on each patient’s own stated goals and expectations. To date the use of PGI in the setting of patients diagnosed with cancer remains relatively less common compared to other health conditions. This systematic review primarily aims to identify current literature in which PGI has been used as a tool to assess quality of life in cancer patients. A systematic review using the MEDLINE database from January 1990 to July 2013 was performed with the following search terms to identify the implementation of PGI in oncology settings: (PGI OR patient generated index OR patient-generated OR patient-reported OR patient generated OR patient reported AND (cancer OR oncology OR tumor OR neoplasm OR malignancy. Of the 2167 papers initially identified, 10 papers evaluated quality of life in oncology patients by collecting free-form responses from the patient, 4 of which actually used PGI. An overarching theme observed in these studies highlighted the concerns mentioned by patients that were not targeted or detected by standardized quality of life measures. While implementing the PGI may require slightly more investment of resources in the beginning, the potential implications of allowing patients to characterize their quality of life on their own terms are tremendous.

  20. An integrated automatic system for the eddy-current testing of the steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Woo, Hee Gon; Choi, Seong Su [Korea Electric Power Corp. (KEPCO), Taejon (Korea, Republic of). Research Center

    1995-12-31

    This research project was focused on automation of steam generator tubes inspection for nuclear power plants. ECT (Eddy Current Testing) inspection process in nuclear power plants is classified into 3 subprocesses such as signal acquisition process, signal evaluation process, and inspection planning and data management process. Having been automated individually, these processes were effectively integrated into an automatic inspection system, which was implemented in HP workstation with expert system developed (author). 25 refs., 80 figs.

  1. An integrated automatic system for the eddy-current testing of the steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Woo, Hee Gon; Choi, Seong Su [Korea Electric Power Corp. (KEPCO), Taejon (Korea, Republic of). Research Center

    1996-12-31

    This research project was focused on automation of steam generator tubes inspection for nuclear power plants. ECT (Eddy Current Testing) inspection process in nuclear power plants is classified into 3 subprocesses such as signal acquisition process, signal evaluation process, and inspection planning and data management process. Having been automated individually, these processes were effectively integrated into an automatic inspection system, which was implemented in HP workstation with expert system developed (author). 25 refs., 80 figs.

  2. Integrated O&M for energy generation and exchange facilities; O&M integral para instalaciones de generación e intercambio de energía

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-07-01

    Ingeteam Service, part of the Ingeteam Group, is a leading company in the provision of integrated O&M services at energy generation and exchange facilities worldwide. From its head office in the Albacete Science and Technology Park, it manages the work of the 1,300 employees that make up its global workforce, rendering services to wind farms, PV installations and power generation plants. In addition, it maintains an active participation strategy in a range of R&D+i programmes that improve the existing technologies and are geared towards new production systems and new diagnostic techniques, applied to renewables installation maintenance. (Author)

  3. Half-dose non-contrast CT in the investigation of urolithiasis: image quality improvement with third-generation integrated circuit CT detectors.

    Science.gov (United States)

    Wang, Jun; Kang, Tony; Arepalli, Chesnal; Barrett, Sarah; O'Connell, Tim; Louis, Luck; Nicolaou, Savvakis; McLaughlin, Patrick

    2015-06-01

    The objective of this study is to establish the effect of third-generation integrated circuit (IC) CT detector on objective image quality in full- and half-dose non-contrast CT of the urinary tract. 51 consecutive patients with acute renal colic underwent non-contrast CT of the urinary tract using a 128-slice dual-source CT before (n = 24) and after (n = 27) the installation of third-generation IC detectors. Half-dose images were generated using projections from detector A using the dual-source RAW data. Objective image noise in the liver, spleen, right renal cortex, and right psoas muscle was compared between DC and IC cohorts for full-dose and half-dose images reconstructed with FBP and IR algorithms using 1 cm(2) regions of interest. Presence and size of obstructing ureteric calculi were also compared for full-dose and half-dose reconstructions using DC and IC detectors. No statistical difference in age and lateral body size was found between patients in the IC and DC cohorts. Radiation dose, as measured by size-specific dose estimates, did not differ significantly either between the two cohorts (10.02 ± 4.54 mGy IC vs. 12.28 ± 7.03 mGy DC). At full dose, objective image noise was not significantly lower in the IC cohort as compared to the DC cohort for the liver, spleen, and right psoas muscle. At half dose, objective image noise was lower in the IC cohort as compared to DC cohort at the liver (21.32 IC vs. 24.99 DC, 14.7% decrease, p 0.05 for all comparisons). Third-generation IC detectors result in lower objective image noise at full- and half-radiation dose levels as compared with traditional DC detectors. The magnitude of noise reduction was greater at half-radiation dose indicating that the benefits of using novel IC detectors are greater in low and ultra-low-dose CT imaging.

  4. Methodology for the optimal design of an integrated first and second generation ethanol production plant combined with power cogeneration.

    Science.gov (United States)

    Bechara, Rami; Gomez, Adrien; Saint-Antonin, Valérie; Schweitzer, Jean-Marc; Maréchal, François

    2016-08-01

    The application of methodologies for the optimal design of integrated processes has seen increased interest in literature. This article builds on previous works and applies a systematic methodology to an integrated first and second generation ethanol production plant with power cogeneration. The methodology breaks into process simulation, heat integration, thermo-economic evaluation, exergy efficiency vs. capital costs, multi-variable, evolutionary optimization, and process selection via profitability maximization. Optimization generated Pareto solutions with exergy efficiency ranging between 39.2% and 44.4% and capital costs from 210M$ to 390M$. The Net Present Value was positive for only two scenarios and for low efficiency, low hydrolysis points. The minimum cellulosic ethanol selling price was sought to obtain a maximum NPV of zero for high efficiency, high hydrolysis alternatives. The obtained optimal configuration presented maximum exergy efficiency, hydrolyzed bagasse fraction, capital costs and ethanol production rate, and minimum cooling water consumption and power production rate. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. MANAGEMENT OF SOLID WASTE GENERATED BY THE INTEGRATED STEELWORKS ACTIVITY AND SOLUTIONS TO REDUCE THE ENVIRONMENTAL IMPACT

    Directory of Open Access Journals (Sweden)

    Anişoara CIOCAN

    2010-05-01

    Full Text Available The development of steel industry is subject to solve major problems arising from industry-nature relationship, strictly targeted on pollution control and protection of natural resources and energy. In this paper we discussed about the management of solid waste generated by an integrated steelwork located near a major urban area and the adopted solutions for the reduction of environmental impact. There are summarized technical solutions that are currently applied and were proposed some solutions that can be applied in accordance with the environmental legislations. The new solutions are proposed for integrated management of solid wastes in accordance with: the exact quantification (quantitative, qualitative and the generation sources of emissions and solid wastes; controlled storage; minimization of the wastes and its harmfulness; transformation of the wastes into valuable by-products used directly by the company in a subsequent process, or by external down-stream user.

  6. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients

    Directory of Open Access Journals (Sweden)

    Mercier Pierre

    2009-08-01

    Full Text Available Abstract Background Adolescent idiopathic scoliosis is characterized by a three-dimensional deviation of the vertebral column and its etiopathogenesis is unknown. Various factors cause idiopathic scoliosis, and among these a prominent role has been attributed to the vestibular system. While the deficits in sensorimotor transformations have been documented in idiopathic scoliosis patients, little attention has been devoted to their capacity to integrate vestibular information for cognitive processing for space perception. Seated idiopathic scoliosis patients and control subjects experienced rotations of different directions and amplitudes in the dark and produced saccades that would reproduce their perceived spatial characteristics of the rotations (vestibular condition. We also controlled for possible alteration of the oculomotor and vestibular systems by measuring the subject's accuracy in producing saccades towards memorized peripheral targets in absence of body rotation and the gain of their vestibulo-ocular reflex. Results Compared to healthy controls, the idiopathic scoliosis patients underestimated the amplitude of their rotations. Moreover, the results revealed that idiopathic scoliosis patients produced accurate saccades to memorized peripheral targets in absence of body rotation and that their vestibulo-ocular reflex gain did not differ from that of control participants. Conclusion Overall, results of the present study demonstrate that idiopathic scoliosis patients have an alteration in cognitive integration of vestibular signals. It is possible that severe spine deformity developed partly due to impaired vestibular information travelling from the cerebellum to the vestibular cortical network or alteration in the cortical mechanisms processing the vestibular signals.

  7. Modeling and Control System Design for an Integrated Solar Generation and Energy Storage System with a Ride-Through Capability: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Wang, X.; Yue, M.; Muljadi, E.

    2012-09-01

    This paper presents a generic approach for PV panel modeling. Data for this modeling can be easily obtained from manufacturer datasheet, which provides a convenient way for the researchers and engineers to investigate the PV integration issues. A two-stage power conversion system (PCS) is adopted in this paper for the PV generation system and a Battery Energy Storage System (BESS) can be connected to the dc-link through a bi-directional dc/dc converter. In this way, the BESS can provide some ancillary services which may be required in the high penetration PV generation scenario. In this paper, the fault ride-through (FRT) capability is specifically focused. The integrated BESS and PV generation system together with the associated control systems is modeled in PSCAD and Matlab platforms and the effectiveness of the controller is validated by the simulation results.

  8. Measuring patient satisfaction with medical services using social media generated data.

    Science.gov (United States)

    Geletta, Simon

    2018-03-12

    Purpose The purpose of this paper is to discuss the results of an effort to use social media generated data for measuring patient satisfaction with medical care services. Traditionally, scientifically designed patient satisfaction surveys are used to provide such measurements. The goal here is to evaluate the possibility of supplementing patient satisfaction surveys with social media generated patient satisfaction measurements such that the later can be used either as validation or replacement for the former. Although surveys are scientifically designed to yield dependable results, recent studies have revealed multiple factors relating to the methods currently used for survey data collection, that may be contributing to the limitations of many survey results. In light of such criticisms, this study explored the possibility of using the increasing popular and proactively generated consumer ratings through the pervasive social media as data source for satisfaction measurement. The average satisfaction scores created from such data are then used to compare levels of satisfaction among five types of health service businesses. Design/methodology/approach The data used in this research are garnered from the consumer review social media site called "Yelp!". Ratings and reviews that are related to health and medical services were extracted from the "Yelp!" The types of services that are identified by consumers are standardized to typologies that are traditionally used in health service research. Five types of services were targeted - general practice physician offices, physician specialty services, dentists, hospitals and physical therapy services. The "five-star" rating systems were re-coded to form a five-point ordinal scale variable to represent "satisfaction score". Findings The Yelp! data-based measurement of patient satisfaction produced an overall satisfaction score of 3.8 (SD=1.7) for the sampled services. The average satisfaction score per type of service ranged

  9. Integration of coal gasification and packed bed CLC for high efficiency and near-zero emission power generation

    NARCIS (Netherlands)

    Spallina, V.; Romano, M.C.; Chiesa, P.; Gallucci, F.; Sint Annaland, van M.; Lozza, G.

    2014-01-01

    A detailed thermodynamic analysis has been carried out of large-scale coal gasification-based power plant cycles with near zero CO2 emissions, integrated with chemical looping combustion (CLC). Syngas from coal gasification is oxidized in dynamically operated packed bed reactors (PBRs), generating a

  10. Design and process integration of organic Rankine cycle utilizing biomass for power generation

    Science.gov (United States)

    Ependi, S.; Nur, T. B.

    2018-02-01

    Indonesia has high potential biomass energy sources from palm oil mill industry activities. The growing interest on Organic Rankine Cycle (ORC) application to produce electricity by utilizing biomass energy sources are increasingly due to its successfully used for generating electricity from rejected waste heat to the environment in industrial processes. In this study, the potential of the palm oil empty fruit bunch, and wood chip have been used as fuel for biomass to generate electricity based ORC with combustion processes. The heat from combustion burner was transfer by thermal oil heater to evaporate ORC working fluid in the evaporator unit. The Syltherm-XLT thermal oil was used as the heat carrier from combustion burner, while R245fa was used as the working fluid for ORC unit. Appropriate designs integration from biomass combustion unit to ORC unit have been analyzed and proposed to generate expander shaft-work. Moreover, the effect of recuperator on the total system efficiency has also been investigated. It was observed that the fuel consumption was increased when the ORC unit equipped recuperator operated until certain pressure and decreased when operated at high pressure.

  11. Multi-objective Generation Expansion Planning for Integrating Largescale Wind Generation

    DEFF Research Database (Denmark)

    Zhang, Chunyu; Ding, Yi; Kang, Chongqing

    2013-01-01

    Due to the growth of energy consumption, the extensive use of conventional fossil fuels from the exhaustible resources and the environmental concerns, high penetration of renewable energy resources is considerably observed worldwide. Wind power generation is holding the first rank in terms...... of utilization and importance. In the last decade, the growth rate of the global installed wind capacity has been about 30% per annum. Denmark, Germany, and Spain are the first few countries generating 20% of their electricity from wind turbines....

  12. Integration of Descending Command Systems for the Generation of Context-Specific Locomotor Behaviors

    Directory of Open Access Journals (Sweden)

    Linda H. Kim

    2017-10-01

    Full Text Available Over the past decade there has been a renaissance in our understanding of spinal cord circuits; new technologies are beginning to provide key insights into descending circuits which project onto spinal cord central pattern generators. By integrating work from both the locomotor and animal behavioral fields, we can now examine context-specific control of locomotion, with an emphasis on descending modulation arising from various regions of the brainstem. Here we examine approach and avoidance behaviors and the circuits that lead to the production and arrest of locomotion.

  13. A New Second-Order Generalized Integrator Based Quadrature Signal Generator With Enhanced Performance

    DEFF Research Database (Denmark)

    Xin, Zhen; Qin, Zian; Lu, Minghui

    2016-01-01

    Due to the simplicity and flexibility of the structure of the Second-Order Generalized Integrator based Quadrature Signal Generator (SOGI-QSG), it has been widely used over the past decade for many applications such as frequency estimation, grid synchronization, and harmonic extraction. However......, the SOGI-QSG will produce errors when its input signal contains a dc component or harmonic components with unknown frequencies. The accuracy of the signal detection methods using it may hence be compromised. To overcome the drawback, the First-Order System (FOS) concept is first used to illustrate...

  14. HPV integration hijacks and multimerizes a cellular enhancer to generate a viral-cellular super-enhancer that drives high viral oncogene expression

    Science.gov (United States)

    Redmond, Catherine J.; Dooley, Katharine E.; Fu, Haiqing; Gillison, Maura L.; Akagi, Keiko; Symer, David E.; Aladjem, Mirit I.

    2018-01-01

    Integration of human papillomavirus (HPV) genomes into cellular chromatin is common in HPV-associated cancers. Integration is random, and each site is unique depending on how and where the virus integrates. We recently showed that tandemly integrated HPV16 could result in the formation of a super-enhancer-like element that drives transcription of the viral oncogenes. Here, we characterize the chromatin landscape and genomic architecture of this integration locus to elucidate the mechanisms that promoted de novo super-enhancer formation. Using next-generation sequencing and molecular combing/fiber-FISH, we show that ~26 copies of HPV16 are integrated into an intergenic region of chromosome 2p23.2, interspersed with 25 kb of amplified, flanking cellular DNA. This interspersed, co-amplified viral-host pattern is frequent in HPV-associated cancers and here we designate it as Type III integration. An abundant viral-cellular fusion transcript encoding the viral E6/E7 oncogenes is expressed from the integration locus and the chromatin encompassing both the viral enhancer and a region in the adjacent amplified cellular sequences is strongly enriched in the super-enhancer markers H3K27ac and Brd4. Notably, the peak in the amplified cellular sequence corresponds to an epithelial-cell-type specific enhancer. Thus, HPV16 integration generated a super-enhancer-like element composed of tandem interspersed copies of the viral upstream regulatory region and a cellular enhancer, to drive high levels of oncogene expression. PMID:29364907

  15. Hypersensitivity to acid is associated with impaired esophageal mucosal integrity in patients with gastroesophageal reflux disease with and without esophagitis.

    Science.gov (United States)

    Weijenborg, Pim W; Smout, André J P M; Verseijden, Caroline; van Veen, Henk A; Verheij, Joanne; de Jonge, Wouter J; Bredenoord, Albert J

    2014-08-01

    Increased esophageal sensitivity and impaired mucosal integrity have both been described in patients with gastroesophageal reflux disease, but the relationship between hypersensitivity and mucosal integrity is unclear. The aim of the present study was to investigate acid sensitivity in patients with erosive and nonerosive reflux disease and control subjects to determine the relation with functional esophageal mucosal integrity changes as well as to investigate cellular mechanisms of impaired mucosal integrity in these patients. In this prospective experimental study, 12 patients with nonerosive reflux disease, 12 patients with esophagitis grade A or B, and 11 healthy control subjects underwent an acid perfusion test and upper endoscopy. Mucosal integrity was measured during endoscopy by electrical tissue impedance spectroscopy and biopsy specimens were analyzed in Ussing chambers for transepithelial electrical resistance, transepithelial permeability and gene expression of tight junction proteins and filaggrin. Patients with nonerosive reflux disease and esophagitis were more sensitive to acid perfusion compared with control subjects, having a shorter time to perception of heartburn and higher perceived intensity of heartburn. In reflux patients, enhanced acid sensitivity was associated with impairment of in vivo and vitro esophageal mucosal integrity. Mucosal integrity was significantly impaired in patients with esophagitis, displaying higher transepithelial permeability and lower extracellular impedance. Although no significant differences in the expression of tight junction proteins were found in biopsies among patient groups, mucosal integrity parameters in reflux patients correlated negatively with the expression of filaggrin. In conclusion, sensitivity to acid is enhanced in patients with gastroesophageal reflux disease, irrespective of the presence of erosions, and is associated with impaired esophageal mucosal integrity. Mucosal integrity of the esophagus

  16. Next Generation Space Telescope Integrated Science Module Data System

    Science.gov (United States)

    Schnurr, Richard G.; Greenhouse, Matthew A.; Jurotich, Matthew M.; Whitley, Raymond; Kalinowski, Keith J.; Love, Bruce W.; Travis, Jeffrey W.; Long, Knox S.

    1999-01-01

    The Data system for the Next Generation Space Telescope (NGST) Integrated Science Module (ISIM) is the primary data interface between the spacecraft, telescope, and science instrument systems. This poster includes block diagrams of the ISIM data system and its components derived during the pre-phase A Yardstick feasibility study. The poster details the hardware and software components used to acquire and process science data for the Yardstick instrument compliment, and depicts the baseline external interfaces to science instruments and other systems. This baseline data system is a fully redundant, high performance computing system. Each redundant computer contains three 150 MHz power PC processors. All processors execute a commercially available real time multi-tasking operating system supporting, preemptive multi-tasking, file management and network interfaces. These six processors in the system are networked together. The spacecraft interface baseline is an extension of the network, which links the six processors. The final selection for Processor busses, processor chips, network interfaces, and high-speed data interfaces will be made during mid 2002.

  17. Demographic characteristics of patients using a fully integrated psychosocial support service for cancer patients

    Directory of Open Access Journals (Sweden)

    Hope Teresa

    2009-12-01

    Full Text Available Abstract Background Psychosocial support services are an important component of modern cancer treatment. A major challenge for all psychosocial services is the achievement of equity of use. Previous studies in the UK have found that women of higher socio-economic status with breast cancer were over-represented amongst those accessing support services. People with other cancer diagnoses, those from socio-economically deprived areas, and men, were under-represented. Findings The Oncology Health Service, Kingston Upon Hull, UK, delivers fully integrated psychosocial support and interventions. To assess equity of access in this service, a cross-sectional study of all patients with cancer accessing the service during a 5 day period was carried out. One hundred and forty-five patients attended. Forty four percent were male, and the types of cancer were broadly in the proportions expected on the basis of population prevalence (breast cancer 22%, colorectal cancer 21%, lung cancer 16%. Sixty six percent came from the three most deprived quintiles of the Townsend deprivation Index. Conclusions The fully integrated Oncology Health Service in Hull is accessed by a more diverse range of patients than previously reported for other services, and is an example of a model of service by which socially equitable use of psychosocial support in the National Health Service might be achieved.

  18. Optoelectronic cross-injection locking of a dual-wavelength photonic integrated circuit for low-phase-noise millimeter-wave generation.

    Science.gov (United States)

    Kervella, Gaël; Van Dijk, Frederic; Pillet, Grégoire; Lamponi, Marco; Chtioui, Mourad; Morvan, Loïc; Alouini, Mehdi

    2015-08-01

    We report on the stabilization of a 90-GHz millimeter-wave signal generated from a fully integrated photonic circuit. The chip consists of two DFB single-mode lasers whose optical signals are combined on a fast photodiode to generate a largely tunable heterodyne beat note. We generate an optical comb from each laser with a microwave synthesizer, and by self-injecting the resulting signal, we mutually correlate the phase noise of each DFB and stabilize the beatnote on a multiple of the frequency delivered by the synthesizer. The performances achieved beat note linewidth below 30 Hz.

  19. Generic model of a community-based microgrid integrating wind turbines, photovoltaics and CHP generations

    International Nuclear Information System (INIS)

    Ma, Xiandong; Wang, Yifei; Qin, Jianrong

    2013-01-01

    Highlights: ► Proposes a generic microgrid model comprising hybrid distributed generation units. ► Examines DG performance due to both environmental condition changes and electrical faults. ► Addresses island and grid connected modes of operation for DG units. ► We demonstrate the feasibility of the proposed residential microgrid system. - Abstract: Development and deployment of low-carbon energy technologies has been a national strategy of both the UK and China for a number of years, including the use of renewable generation technologies and the improvement of energy efficiency of operations and activities. The paper addresses several issues of generic importance to a residential microgrid system such as network modelling, advanced control and integration of intelligent monitoring techniques. The system, comprising representative distributed generation technologies of photovoltaics, wind turbines and combined heat and power, has been simulated by PSCAD/EMTDC under different operational scenarios. Studies include the effect of environmental condition changes, control systems and power electronics on wind turbines and PV cells, and the mixture of wind/solar/CHP energy generation under dominance of each technology. The performance and dynamics of the system are examined against symmetrical and asymmetrical electrical faults to seek an optimal isolation and restoration of the distributed generation unit from the connected grid system. Modelling these system interactions has demonstrated the feasibility of the proposed residential microgrid system

  20. Integrating natural language processing expertise with patient safety event review committees to improve the analysis of medication events.

    Science.gov (United States)

    Fong, Allan; Harriott, Nicole; Walters, Donna M; Foley, Hanan; Morrissey, Richard; Ratwani, Raj R

    2017-08-01

    Many healthcare providers have implemented patient safety event reporting systems to better understand and improve patient safety. Reviewing and analyzing these reports is often time consuming and resource intensive because of both the quantity of reports and length of free-text descriptions in the reports. Natural language processing (NLP) experts collaborated with clinical experts on a patient safety committee to assist in the identification and analysis of medication related patient safety events. Different NLP algorithmic approaches were developed to identify four types of medication related patient safety events and the models were compared. Well performing NLP models were generated to categorize medication related events into pharmacy delivery delays, dispensing errors, Pyxis discrepancies, and prescriber errors with receiver operating characteristic areas under the curve of 0.96, 0.87, 0.96, and 0.81 respectively. We also found that modeling the brief without the resolution text generally improved model performance. These models were integrated into a dashboard visualization to support the patient safety committee review process. We demonstrate the capabilities of various NLP models and the use of two text inclusion strategies at categorizing medication related patient safety events. The NLP models and visualization could be used to improve the efficiency of patient safety event data review and analysis. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Identification of mechanisms enabling integrated care for patients with chronic diseases: a literature review

    Directory of Open Access Journals (Sweden)

    Denise van der Klauw

    2014-07-01

    Full Text Available Introduction: Notwithstanding care for chronically ill patients requires a shift towards care that is well coordinated and focused on prevention and self-care, the concept of integrated care lacks specificity and clarity. This article presents a literature review to identify mechanisms for achieving integrated care objectives.Theory and methods: Existing models often present a large variety of dimensions, archetypes and categories of integration without specifying them. Models and programmes describing integrated care for chronic diseases were reviewed. Data were extracted related to objectives and clusters of mechanisms of integration.Results: Thirty-four studies presented four objectives: functional, organisational, professional and service integration. We categorised approaches and interventions to achieve these objectives by strategy and clusters of ‘mechanisms of integration’: degree, patient centredness and normative aspects.Conclusions and discussion: The clarification of mechanisms to achieve objectives of integrated care as presented may be used as starting point for the development and refinement of integrated care programmes, including methodological grounding of their evaluation. Given that most studies reviewed lack both empirical data and descriptions of the methods used, future research needs to close these gaps. Validation of the findings by a large panel of experts is suggested as recommendation to work towards a grounded framework.

  2. An optimization framework for the integrated planning of generation and transmission expansion in interconnected power systems

    International Nuclear Information System (INIS)

    Guerra, Omar J.; Tejada, Diego A.; Reklaitis, Gintaras V.

    2016-01-01

    Highlights: • A novel optimization framework for the design and planning of interconnected power systems is proposed. • The framework integrates generation and transmission capacity expansion planning. • Reserve and emission constraints are included. • Business as usual and CO_2 mitigation policy scenarios are evaluated. • Reconfiguration of existing power generation technologies is the most cost-effective option for CO_2 emissions mitigation. - Abstract: Energy, and particularly electricity, has played and will continue to play a very important role in the development of human society. Electricity, which is the most flexible and manageable energy form, is currently used in a variety of activities and applications. For instance, electricity is used for heating, cooling, lighting, and for operating electronic appliances and electric vehicles. Nowadays, given the rapid development and commercialization of technologies and devices that rely on electricity, electricity demand is increasing faster than overall primary energy supply. Consequently, the design and planning of power systems is becoming a progressively more important issue in order to provide affordable, reliable and sustainable energy in timely fashion, not only in developed countries but particularly in developing economies where electricity demand is increasing even faster. Power systems are networks of electrical devices, such as power plants, transformers, and transmission lines, used to produce, transmit, and supply electricity. The design and planning of such systems require the selection of generation technologies, along with the capacity, location, and timing of generation and transmission capacity expansions to meet electricity demand over a long-term horizon. This manuscript presents a comprehensive optimization framework for the design and planning of interconnected power systems, including the integration of generation and transmission capacity expansion planning. The proposed

  3. Sharing human-generated observations by integrating HMI and the Semantic Sensor Web.

    Science.gov (United States)

    Sigüenza, Alvaro; Díaz-Pardo, David; Bernat, Jesús; Vancea, Vasile; Blanco, José Luis; Conejero, David; Gómez, Luis Hernández

    2012-01-01

    Current "Internet of Things" concepts point to a future where connected objects gather meaningful information about their environment and share it with other objects and people. In particular, objects embedding Human Machine Interaction (HMI), such as mobile devices and, increasingly, connected vehicles, home appliances, urban interactive infrastructures, etc., may not only be conceived as sources of sensor information, but, through interaction with their users, they can also produce highly valuable context-aware human-generated observations. We believe that the great promise offered by combining and sharing all of the different sources of information available can be realized through the integration of HMI and Semantic Sensor Web technologies. This paper presents a technological framework that harmonizes two of the most influential HMI and Sensor Web initiatives: the W3C's Multimodal Architecture and Interfaces (MMI) and the Open Geospatial Consortium (OGC) Sensor Web Enablement (SWE) with its semantic extension, respectively. Although the proposed framework is general enough to be applied in a variety of connected objects integrating HMI, a particular development is presented for a connected car scenario where drivers' observations about the traffic or their environment are shared across the Semantic Sensor Web. For implementation and evaluation purposes an on-board OSGi (Open Services Gateway Initiative) architecture was built, integrating several available HMI, Sensor Web and Semantic Web technologies. A technical performance test and a conceptual validation of the scenario with potential users are reported, with results suggesting the approach is sound.

  4. Comparing thrombin generation in patients with hemophilia A and patients on vitamin K antagonists.

    Science.gov (United States)

    de Koning, M L Y; Fischer, K; de Laat, B; Huisman, A; Ninivaggi, M; Schutgens, R E G

    2017-05-01

    Essentials It is unknown if hemophilia patients with atrial fibrillation need anticoagulation. Endogenous thrombin potentials (ETP) in hemophilia patients and patients on coumarins were compared. Severe hemophilia patients had comparable ETP to therapeutic international normalized ratio (INR). In non-severe hemophilia, 33% had higher ETP than therapeutic INR and may need anticoagulation. Click to hear Dr Negrier's perspective on global assays for assessing coagulation SUMMARY: Background It is unknown whether patients with hemophilia A with atrial fibrillation require treatment with vitamin K antagonists (VKAs) to the same extent as the normal population. Objective To compare hemostatic potential in hemophilia patients and patients on VKAs using thrombin generation (TG). Methods In this cross-sectional study, TG, initiated with 1pM tissue factor, was measured in 133 patients with severe (FVIII hemophilia A, 97 patients on a VKA with an international normalized ratio (INR) ≥ 1.5 and healthy controls. Endogenous thrombin potential (ETP) (nm*min) was compared according to FVIII level (hemophilia patients and patients on VKAs had lower median ETPs at 304 (196-449) and 176 (100-250), respectively. ETP was quite similar in severe hemophilia patients (185 [116-307]) and patients with a therapeutic INR (156 [90-225]). Compared with patients with therapeutic INR, ETP in patients with FVIII 1-19% and patients with FVIII 20-50% was higher at 296 (203-430) and 397 (219-632), respectively. All patients with therapeutic INR had an ETP hemophilia patients, 70% of patients with FVIII 1-19% and 52% of patients with FVIII 20-50% had an ETP hemophilia patients, TG was comparable to that in patients with a therapeutic INR. In one-third of non-severe hemophilia patients, TG was higher. These results suggest that anticoagulation therapy should be considered in a substantial proportion of non-severe hemophilia patients. © 2017 International Society on Thrombosis and Haemostasis.

  5. Operational control and maintenance integrity of typical and atypical coil tube steam generating systems

    Energy Technology Data Exchange (ETDEWEB)

    Beardwood, E.S.

    1999-07-01

    Coil tube steam generators are low water volume to boiler horsepower (bhp) rating, rapid steaming units which occupy substantially less space per boiler horsepower than equivalent conventional tire tube and water tube boilers. These units can be retrofitted into existing steam systems with relative ease and are more efficient than the generators they replace. During the early 1970's they became a popular choice for steam generation in commercial, institutional and light to medium industrial applications. Although these boiler designs do not require skilled or certified operators, an appreciation for a number of the operational conditions that result in lower unscheduled maintenance, increased reliability and availability cycles would be beneficial to facility owners, managers, and operators. Conditions which afford lower operating and maintenance costs will be discussed from a practical point of view. An overview of boiler design and operation is also included. Pitfalls are provided for operational and idle conditions. Water treatment application, as well as steam system operations not conducive to maintaining long term system integrity; with resolutions, will be addressed.

  6. Study of the integration of distributed generation systems in the grid: application in micro-grids

    International Nuclear Information System (INIS)

    Gaztanaga Arantzamendi, H.

    2006-12-01

    The present PhD deals with an original micro-grid concept and its application as a Renewable Energy Source's (RES) grid integration scheme. This micro-grid is composed of RES generators as well as support systems that incorporate additional functionalities in order to improve RES integration into the grid. According to this concept, two practical micro-grid applications have been studied in detail: a residential micro-grid and a wind farm supported by DFACTS systems (STATCOM and DVR). In both applications, the control structures which are implemented at different levels and applied to the different micro-grid elements have been developed, analyzed by means of off-line simulations and finally validated in real-time conditions with physical reduced-scale prototypes. (author)

  7. A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

    Directory of Open Access Journals (Sweden)

    Justin Shmalberg

    2015-01-01

    Full Text Available Integrative veterinary medicine, the combination of complementary and alternative therapies with conventional care, is increasingly prevalent in veterinary practice and a focus of clinical instruction in many academic teaching institutions. However, the presenting complaints, therapeutic modalities, and patient population in an integrative medicine service have not been described. A retrospective analysis of 5,195 integrative patient treatment sessions in a veterinary academic teaching hospital demonstrated that patients most commonly received a combination of therapeutic modalities (39% of all treatment sessions. The 274 patients receiving multiple modalities were most frequently treated for neurologic and orthopedic disease (50.7% versus 49.6% of all presenting complaints, resp.. Older neutered or spayed dogs (mean age = 9.0 years and Dachshunds were treated more often than expected based on general population statistics. Acupuncture, laser therapy, electroacupuncture, and hydrotherapy were frequently administered (>50% patients. Neurologic patients were more likely to receive acupuncture, electroacupuncture, and therapeutic exercises but less likely than orthopedic patients to receive laser, hydrotherapy, or therapeutic ultrasound treatments (P<0.05. The results suggest that the application of these specific modalities to orthopedic and neurologic diseases should be subjected to increased evidence-based investigations. A review of current knowledge in core areas is presented.

  8. Oscillations and concentrations generated by A-free mappings and weak lower semicontinuity of integral functionals

    Czech Academy of Sciences Publication Activity Database

    Fonseca, I.; Kružík, Martin

    Roč.16, č. 2 (2010), s. 472-502 ISSN 1262-3377 R&D Projects: GA AV ČR IAA1075402 Institutional research plan: CEZ:AV0Z10750506 Keywords : oscillations * concentrations Subject RIV: BA - General Mathematics Impact factor: 1.084, year: 2009 http://library.utia.cas.cz/separaty/2009/MTR/kruzik-oscillations and concentrations generated by a-free mappings and weak lower semicontinuity of integral functionals.pdf

  9. Protein Nano-Object Integrator: Generating atomic-style objects for use in molecular biophysics

    Science.gov (United States)

    Smith, Nicholas David Fenimore

    As researchers obtain access to greater and greater amounts of computational power, focus has shifted towards modeling macroscopic objects while still maintaining atomic-level details. The Protein Nano-Object Integrator (ProNOI) presented here has been designed to provide a streamlined solution for creating and designing macro-scale objects with atomic-level details to be used in molecular simulations and tools. To accomplish this, two different interfaces were developed: a Protein Data Bank (PDB), PDB-focused interface for generating regularly-shaped three-dimensional atomic objects and a 2D image-based interface for tracing images with irregularly shaped objects and then extracting three-dimensional models from these images. Each interface is dependent upon the C++ backend utility for generating the objects and ensures that the output is consistent across each program. The objects are exported in a standard PDB format which allows for the visualization and manipulation of the objects via standard tools available in Molecular Computational Biophysics.

  10. Integrated Simulation Development and Decision Support Tool-Set for Utility Market and Distributed Solar Power Generation Electricore, Inc.

    Energy Technology Data Exchange (ETDEWEB)

    Daye, Tony [Green Power Labs (GPL), San Diego, CA (United States)

    2013-09-30

    This project will enable utilities to develop long-term strategic plans that integrate high levels of renewable energy generation, and to better plan power system operations under high renewable penetration. The program developed forecast data streams for decision support and effective integration of centralized and distributed solar power generation in utility operations. This toolset focused on real time simulation of distributed power generation within utility grids with the emphasis on potential applications in day ahead (market) and real time (reliability) utility operations. The project team developed and demonstrated methodologies for quantifying the impact of distributed solar generation on core utility operations, identified protocols for internal data communication requirements, and worked with utility personnel to adapt the new distributed generation (DG) forecasts seamlessly within existing Load and Generation procedures through a sophisticated DMS. This project supported the objectives of the SunShot Initiative and SUNRISE by enabling core utility operations to enhance their simulation capability to analyze and prepare for the impacts of high penetrations of solar on the power grid. The impact of high penetration solar PV on utility operations is not only limited to control centers, but across many core operations. Benefits of an enhanced DMS using state-of-the-art solar forecast data were demonstrated within this project and have had an immediate direct operational cost savings for Energy Marketing for Day Ahead generation commitments, Real Time Operations, Load Forecasting (at an aggregate system level for Day Ahead), Demand Response, Long term Planning (asset management), Distribution Operations, and core ancillary services as required for balancing and reliability. This provided power system operators with the necessary tools and processes to operate the grid in a reliable manner under high renewable penetration.

  11. Integrative practices in hospitals and their impact on patient flow

    NARCIS (Netherlands)

    Drupsteen, J.; van der Vaart, T.; van Donk, D.P.

    2013-01-01

    Purpose - The aim of this paper is to investigate which integrative planning and control practices are used in hospitals and what their effects are on patient flow. Design/methodology/approach - The study is based on a three-hospital multi-case study carried out in The Netherlands. The main findings

  12. Analysis of T-DNA integration and generative segregation in transgenic winter triticale (x Triticosecale Wittmack

    Directory of Open Access Journals (Sweden)

    Hensel Goetz

    2012-09-01

    Full Text Available Abstract Background While the genetic transformation of the major cereal crops has become relatively routine, to date only a few reports were published on transgenic triticale, and robust data on T-DNA integration and segregation have not been available in this species. Results Here, we present a comprehensive analysis of stable transgenic winter triticale cv. Bogo carrying the selectable marker gene HYGROMYCIN PHOSPHOTRANSFERASE (HPT and a synthetic green fluorescent protein gene (gfp. Progeny of four independent transgenic plants were comprehensively investigated with regard to the number of integrated T-DNA copies, the number of plant genomic integration loci, the integrity and functionality of individual T-DNA copies, as well as the segregation of transgenes in T1 and T2 generations, which also enabled us to identify homozygous transgenic lines. The truncation of some integrated T-DNAs at their left end along with the occurrence of independent segregation of multiple T-DNAs unintendedly resulted in a single-copy segregant that is selectable marker-free and homozygous for the gfp gene. The heritable expression of gfp driven by the maize UBI-1 promoter was demonstrated by confocal laser scanning microscopy. Conclusions The used transformation method is a valuable tool for the genetic engineering of triticale. Here we show that comprehensive molecular analyses are required for the correct interpretation of phenotypic data collected from the transgenic plants.

  13. Next Generation Integrated Environment for Collaborative Work Across Internets

    Energy Technology Data Exchange (ETDEWEB)

    Harvey B. Newman

    2009-02-24

    We are now well-advanced in our development, prototyping and deployment of a high performance next generation Integrated Environment for Collaborative Work. The system, aimed at using the capability of ESnet and Internet2 for rapid data exchange, is based on the Virtual Room Videoconferencing System (VRVS) developed by Caltech. The VRVS system has been chosen by the Internet2 Digital Video (I2-DV) Initiative as a preferred foundation for the development of advanced video, audio and multimedia collaborative applications by the Internet2 community. Today, the system supports high-end, broadcast-quality interactivity, while enabling a wide variety of clients (Mbone, H.323) to participate in the same conference by running different standard protocols in different contexts with different bandwidth connection limitations, has a fully Web-integrated user interface, developers and administrative APIs, a widely scalable video network topology based on both multicast domains and unicast tunnels, and demonstrated multiplatform support. This has led to its rapidly expanding production use for national and international scientific collaborations in more than 60 countries. We are also in the process of creating a 'testbed video network' and developing the necessary middleware to support a set of new and essential requirements for rapid data exchange, and a high level of interactivity in large-scale scientific collaborations. These include a set of tunable, scalable differentiated network services adapted to each of the data streams associated with a large number of collaborative sessions, policy-based and network state-based resource scheduling, authentication, and optional encryption to maintain confidentiality of inter-personal communications. High performance testbed video networks will be established in ESnet and Internet2 to test and tune the implementation, using a few target application-sets.

  14. Integrating environmental equity, energy and sustainability: A spatial-temporal study of electric power generation

    Science.gov (United States)

    Touche, George Earl

    The theoretical scope of this dissertation encompasses the ecological factors of equity and energy. Literature important to environmental justice and sustainability are reviewed, and a general integration of global concepts is delineated. The conceptual framework includes ecological integrity, quality human development, intra- and inter-generational equity and risk originating from human economic activity and modern energy production. The empirical focus of this study concentrates on environmental equity and electric power generation within the United States. Several designs are employed while using paired t-tests, independent t-tests, zero-order correlation coefficients and regression coefficients to test seven sets of hypotheses. Examinations are conducted at the census tract level within Texas and at the state level across the United States. At the community level within Texas, communities that host coal or natural gas utility power plants and corresponding comparison communities that do not host such power plants are tested for compositional differences. Comparisons are made both before and after the power plants began operating for purposes of assessing outcomes of the siting process and impacts of the power plants. Relationships between the compositions of the hosting communities and the risks and benefits originating from the observed power plants are also examined. At the statewide level across the United States, relationships between statewide composition variables and risks and benefits originating from statewide electric power generation are examined. Findings indicate the existence of some limited environmental inequities, but they do not indicate disparities that confirm the general thesis of environmental racism put forth by environmental justice advocates. Although environmental justice strategies that would utilize Title VI of the 1964 Civil Rights Act and the disparate impact standard do not appear to be applicable, some findings suggest potential

  15. Evaluation of How Integrative Oncology Services Are Valued between Hematology/Oncology Patients and Hematologists/Oncologists at a Tertiary Care Center

    Directory of Open Access Journals (Sweden)

    D. M. Hansra

    2018-01-01

    Full Text Available Evidence regarding opinions on integrative modalities by patients and physicians is lacking. Methods. A survey study was conducted assessing how integrative modalities were valued among hematology/oncology patients and hematologists and oncologists at a major tertiary medical center. Results. 1008 patients and 55 physicians were surveyed. With the exception of support groups, patients valued nutrition services, exercise therapy, spiritual/religious counseling, supplement/herbal advice, support groups, music therapy, and other complimentary medicine services significantly more than physicians (P≤0.05. Conclusion. With the exception of support groups, patients value integrative modalities more than physicians. Perhaps with increasing education, awareness, and acceptance by providers and traditional institutions, integrative modalities could be equally valued between patients and providers. It is possible that increased availability and utilization of integrative oncology modalities at tertiary hospital sites could improve patient satisfaction, quality of life, and other clinical endpoints.

  16. Integral dose conservation in radiotherapy

    International Nuclear Information System (INIS)

    Reese, Adam S.; Das, Shiva K.; Curle, Charles; Marks, Lawrence B.

    2009-01-01

    Treatment planners frequently modify beam arrangements and use IMRT to improve target dose coverage while satisfying dose constraints on normal tissues. The authors herein analyze the limitations of these strategies and quantitatively assess the extent to which dose can be redistributed within the patient volume. Specifically, the authors hypothesize that (1) the normalized integral dose is constant across concentric shells of normal tissue surrounding the target (normalized to the average integral shell dose), (2) the normalized integral shell dose is constant across plans with different numbers and orientations of beams, and (3) the normalized integral shell dose is constant across plans when reducing the dose to a critical structure. Using the images of seven patients previously irradiated for cancer of brain or prostate cancer and one idealized scenario, competing three-dimensional conformal and IMRT plans were generated using different beam configurations. Within a given plan and for competing plans with a constant mean target dose, the normalized integral doses within concentric ''shells'' of surrounding normal tissue were quantitatively compared. Within each patient, the normalized integral dose to shells of normal tissue surrounding the target was relatively constant (1). Similarly, for each clinical scenario, the normalized integral dose for a given shell was also relatively constant regardless of the number and orientation of beams (2) or degree of sparing of a critical structure (3). 3D and IMRT planning tools can redistribute, rather than eliminate dose to the surrounding normal tissues (intuitively known by planners). More specifically, dose cannot be moved between shells surrounding the target but only within a shell. This implies that there are limitations in the extent to which a critical structure can be spared based on the location and geometry of the critical structure relative to the target.

  17. Effect of automated tube voltage selection, integrated circuit detector and advanced iterative reconstruction on radiation dose and image quality of 3rd generation dual-source aortic CT angiography: An intra-individual comparison.

    Science.gov (United States)

    Mangold, Stefanie; De Cecco, Carlo N; Wichmann, Julian L; Canstein, Christian; Varga-Szemes, Akos; Caruso, Damiano; Fuller, Stephen R; Bamberg, Fabian; Nikolaou, Konstantin; Schoepf, U Joseph

    2016-05-01

    To compare, on an intra-individual basis, the effect of automated tube voltage selection (ATVS), integrated circuit detector and advanced iterative reconstruction on radiation dose and image quality of aortic CTA studies using 2nd and 3rd generation dual-source CT (DSCT). We retrospectively evaluated 32 patients who had undergone CTA of the entire aorta with both 2nd generation DSCT at 120kV using filtered back projection (FBP) (protocol 1) and 3rd generation DSCT using ATVS, an integrated circuit detector and advanced iterative reconstruction (protocol 2). Contrast-to-noise ratio (CNR) was calculated. Image quality was subjectively evaluated using a five-point scale. Radiation dose parameters were recorded. All studies were considered of diagnostic image quality. CNR was significantly higher with protocol 2 (15.0±5.2 vs 11.0±4.2; p<.0001). Subjective image quality analysis revealed no significant differences for evaluation of attenuation (p=0.08501) but image noise was rated significantly lower with protocol 2 (p=0.0005). Mean tube voltage and effective dose were 94.7±14.1kV and 6.7±3.9mSv with protocol 2; 120±0kV and 11.5±5.2mSv with protocol 1 (p<0.0001, respectively). Aortic CTA performed with 3rd generation DSCT, ATVS, integrated circuit detector, and advanced iterative reconstruction allow a substantial reduction of radiation exposure while improving image quality in comparison to 120kV imaging with FBP. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. A Home Integral Telecare System for HIV/AIDS Patients.

    Science.gov (United States)

    Caceres, Cesar; Gomez, Enrique J; Garcia, Felipe; Chausa, Paloma; Guzman, Jorge; Del Pozo, Francisco; Gatell, Jose Maria

    2005-01-01

    VIHrtual Hospital is a telemedicine web system for improving home integral care of chronic HIV patients through the Internet. Using the videoconference, chat or messaging tools included in the system, patients can visit their healthcare providers (physician, psychologist, nurse, psychiatrist, pharmacist, and social worker), having these access to the Electronic Patient Record. The system also provides a telepharmacy service that controls treatment adherence and side effects, sending the medication to the patient's home by courier. A virtual community has been created, facilitating communication between patients and improving the collaboration between professionals, creating a care plan for each patient. As a complement, there is a virtual library where users can find validated HIV/AIDS information helping to enhance prevention. This system has been developed using low cost technologies in order to extend the number of patients involved in its trial. Thus, VIHrtual Hospital is now on trial in the Hospital Clinic (Barcelona, Spain) involving a hundred patients and twenty healthcare professionals during two years.Although we are still waiting for the final results of the trial, we can already say that the use of telemedicine systems developed ad hoc for a chronic disease, like HIV/AIDS, improve the quality of care of the patients and their care team. The system described is a good example of the possibilities that technologies are offering to create new chronic patient care models based on telemedicine.

  19. Turbo-Electric Compressor/Generator Using Halbach Arrays

    Science.gov (United States)

    Kloesel, Kurt J. (Inventor)

    2016-01-01

    The present invention is a turbojet design that integrates power generation into the turbojet itself, rather than use separate generators attached to the turbojet for power generation. By integrating the power generation within the jet engine, the weight of the overall system is significantly reduced, increasing system efficiency. Also, by integrating the power generating elements of the system within the air flow of the jet engine, the present invention can use the heat generated by the power generating elements (which is simply expelled waste heat in current designs) to increase the engine performance.

  20. An Innovative Reconfigurable Integrated Converter Topology Suitable for Distributed Generation

    Directory of Open Access Journals (Sweden)

    Renato Rizzo

    2012-09-01

    Full Text Available The electricity market and environmental concerns, with wide utilization of renewable sources, have improved the diffusion of distributed generation units changing the operations of distribution grids from passive networks to microgrids. A microgrid includes a cluster of electrical loads, energy storage devices and microsources, which provide both power and heat to their local area. A microgrid has usually one connection point to the utility grid through power electronic converters placed at customers’ sites. This paper analyses a Reconfigurable Integrated Converter (RIC used for a domestic microgrid with inputs from the AC mains and photovoltaic arrays, and two DC outputs at different voltage levels. A RIC as a dual-boost DC-DC converter is proposed, modelled and analysed in the paper. The advantages of such a topology in comparison with traditional boost converters are outlined. Reported simulations results give evidence on the controllability of this converter and the capability of achieving the desired voltage outputs with reduced ripple.

  1. On the integration of wind generators on weak grids and island grids

    International Nuclear Information System (INIS)

    Laverdure, N.

    2005-12-01

    Wind energy is now an energy that can not be ignored. Because of intrinsic characteristics (scattered primary energy, generators with different technologies, use of power electronics interface), wind energy system integration in distribution grids leads to real problems in terms of impacts. With recent standard changes, it is necessary to study the possibilities of each technology of wind turbines to answer or not to these new constraints. This PhD thesis focuses on a comparison of the main present wind turbines concerning three points of discussion: energy quality, fault ride through, ancillary services (voltage and frequency). It insists on the possibilities in terms of control laws for variable speed wind turbines. (author)

  2. Assessment of nutritional status using abridged scored patient-generated subjective global assessment in cancer patient.

    Science.gov (United States)

    Shahvazi, Simin; Onvani, Shokouh; Heydari, Marziyeh; Mehrzad, Valiollah; Nadjarzadeh, Azadeh; Fallahzadeh, Hosseyn

    2017-01-01

    Malnutrition is a common problem among cancer patients, usually occurs due to poor appetite, low food intake, and changes in body metabolism. The aim of this study is to determine the prevalence of malnutrition in patients receiving chemotherapy on an outpatient basis. This cross-sectional study conducted on 300 cancer patients referred to hospital. The prevalence of malnutrition among patients was assessed using the abridged scored patient-generated subjective global assessment (abPG-SGA) standard questionnaire. Moreover, patient's weight and 24 h dietary recall were measured. Descriptive statistics were used to present characteristics of patients and dietary recalls. For revealing the correlation, Spearman correlation was used. The average abPG-SGA score was 7.6 (standard deviation [SD] = 5.4) and 60.7% of patients were malnourished and required nutritional intervention. Patients mean age and mean duration of illness were 54.2 (SD = 14.7(years, 25 months, respectively. The most common complaint of patients included fatigue (51.3%), anorexia (43.3%), and dry mouth (41%). Reduction in food intake in past month was reported by 41.7% of patients. According to the high prevalence of cancers and increasing growth of them in recent years with regard to outpatient treatment development for cancer patients, using the abPG-SGA standard questionnaire by nutritionist or nurses can be effective to detect malnourished patients and reduce complications caused by disease.

  3. Glucoregulation in normal weight schizophrenia patients treated by first generation antipsychotics

    Directory of Open Access Journals (Sweden)

    Marić Nađa

    2008-01-01

    Full Text Available Introduction Schizophrenia patients are at greater risk of obesity, diabetes mellitus (DM, lipid abnormalities and cardiovascular disorders. The metabolic complications in patients are associated with several risk factors: family history of DM, lifestyle, smoking, dietary habits, physical inactivity, but also with antipsychotic medication. In literature, most publications have been focused on the effects of the second generation antipsychotics (SGA on glucose metabolism. However, less attention has been paid to abnormality in glucoregulation, patients with schizophrenia treated with the first generation antipsychotics (FGA. Objective The present study evaluated glucose metabolism in normal weight schizophrenia patients treated with FGA. METHOD The cross-sectional study included 18 patients (FGA treated and 20 healthy controls with neither group differences in sex distribution, age, nor in BMI. Inclusion criteria were normal BMI (20-25 kg/m2. The glucose levels, insulin levels and growth hormone levels during oral glucose tolerance test (OGTT were measured. Results Fasting glucose and insulin levels did not differ significantly between groups. Groups differed in OGTT glucose and insulin peak and area under curve (AUC, level of significance p<0.05 (patients vs. controls: glucose peak 8.3±0.4 vs.6.9±0.5 mmol/l, glucose AUC 758±28 vs. 640±36 mU/l/120 min; insulin peak in patients 92.7±15.6 mU/l; insulin AUC 6060±1016 mU/l/120 min, insulin peak in controls 47.9±6.5 mU/l; insulin AUC 2597±256 mU/l/120 min. Conclusion Patients with schizophrenia, although with normal body mass index, are at high risk of abnormal glucose regulation. Not only SGA increase the risk of impaired glucoregulation and metabolic syndrome, but this may also be due to FGA or schizophrenia per se. .

  4. A randomised multicentre trial of integrated versus standard treatment for patients with a first episode of psychotic illness

    DEFF Research Database (Denmark)

    Petersen, Lone; Jeppesen, Pia; Thorup, Anne

    2005-01-01

    To evaluate the effects of integrated treatment for patients with a first episode of psychotic illness.......To evaluate the effects of integrated treatment for patients with a first episode of psychotic illness....

  5. Generation of Patient-Specific induced Pluripotent Stem Cell from Peripheral Blood Mononuclear Cells by Sendai Reprogramming Vectors.

    Science.gov (United States)

    Quintana-Bustamante, Oscar; Segovia, Jose C

    2016-01-01

    Induced pluripotent stem cells (iPSC) technology has changed preclinical research since their generation was described by Shinya Yamanaka in 2006. iPSCs are derived from somatic cells after being reprogrammed back to an embryonic state by specific combination of reprogramming factors. These reprogrammed cells resemble all the characteristic of embryonic stem cells (ESC). The reprogramming technology is even more valuable to research diseases biology and treatment by opening gene and cell therapies in own patient's iPSC. Patient-specific iPSC can be generated from a large variety of patient cells by any of the myriad of reprogramming platforms described. Here, we describe the generation of patient-specific iPSC from patient peripheral blood mononuclear cells by Sendai Reprogramming vectors.

  6. Fine-Tuning Neural Patient Question Retrieval Model with Generative Adversarial Networks.

    Science.gov (United States)

    Tang, Guoyu; Ni, Yuan; Wang, Keqiang; Yong, Qin

    2018-01-01

    The online patient question and answering (Q&A) system attracts an increasing amount of users in China. Patient will post their questions and wait for doctors' response. To avoid the lag time involved with the waiting and to reduce the workload on the doctors, a better method is to automatically retrieve the semantically equivalent question from the archive. We present a Generative Adversarial Networks (GAN) based approach to automatically retrieve patient question. We apply supervised deep learning based approaches to determine the similarity between patient questions. Then a GAN framework is used to fine-tune the pre-trained deep learning models. The experiment results show that fine-tuning by GAN can improve the performance.

  7. Evaluation of angular integrals in the generation of transfer matrices for multigroup transport codes

    International Nuclear Information System (INIS)

    Garcia, R.D.M.

    1985-01-01

    The generalization of a semi-analytical technique for the evaluation of angular integrals that appear in the generation of elastic and discrete inelastic tranfer matrices for transport codes is carried out. In contrast to the generalized series expansions which are found to be too complex and thus of little practical value, when compared to the Gaussian quadrature technique, the recursion relations developed in this work are superior to the quadrature scheme, for those cases where the round-off error propagation is not significant. (Author) [pt

  8. Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care.

    Science.gov (United States)

    Miller, Benjamin F; Ross, Kaile M; Davis, Melinda M; Melek, Stephen P; Kathol, Roger; Gordon, Patrick

    2017-01-01

    The patient-centered medical home (PCMH) is a promising framework for the redesign of primary care and more recently specialty care. As defined by the Agency for Healthcare Research and Quality, the PCMH framework has 5 attributes: comprehensive care, patient-centered care, coordinated care, accessible services, and quality and safety. Evidence increasingly demonstrates that for the PCMH to best achieve the Triple Aim (improved outcomes, decreased cost, and enhanced patient experience), treatment for behavioral health (including mental health, substance use, and life stressors) must be integrated as a central tenet. However, challenges to implementing the PCMH framework are compounded for real-world practitioners because payment reform rarely happens concurrently. Nowhere is this more evident than in attempts to integrate behavioral health clinicians into primary care. As behavioral health clinicians find opportunities to work in integrated settings, a comprehensive understanding of payment models is integral to the dialogue. This article describes alternatives to the traditional fee for service (FFS) model, including modified FFS, pay for performance, bundled payments, and global payments (i.e., capitation). We suggest that global payment structures provide the best fit to enable and sustain integrated behavioral health clinicians in ways that align with the Triple Aim. Finally, we present recommendations that offer specific, actionable steps to achieve payment reform, complement PCMH, and support integration efforts through policy. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  9. A new repair criterion for steam generator tubes with axial cracks based on probabilistic integrity assessment

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun-Su; Oh, Chang-Kyun [KEPCO Engineering and Construction Company, Inc., 269, Hyeoksin-ro, Gimcheon, Gyeongsangbuk-do 39660 (Korea, Republic of); Chang, Yoon-Suk, E-mail: yschang@khu.ac.kr [Department of Nuclear Engineering, College of Engineering, Kyung Hee University, 1732 Deokyoungdaero, Giheung, Yongin, Gyeonggi 446-701 (Korea, Republic of)

    2017-03-15

    Highlights: • Probabilistic assessment was performed for axially cracked steam generator tubes. • The threshold crack sizes were determined based on burst pressures of the tubes. • A new repair criterion was suggested as a function of operation time. - Abstract: Steam generator is one of the major components in a nuclear power plant, and it consists of thousands of thin-walled tubes. The operating record of the steam generators has indicated that a number of axial cracks due to stress corrosion have been frequently detected in the tubes. Since the tubes are closely related to the safety and also the efficiency of a nuclear power plant, an establishment of the appropriate repair criterion for the defected tubes and its applications are necessary. The objective of this paper is to develop an accurate repair criterion for the tubes with axial cracks. To do this, a thorough review is performed on the key parameters affecting the tube integrity, and then the probabilistic integrity assessment is carried out by considering the various uncertainties. In addition, the sizes of critical crack are determined by comparing the burst pressure of the cracked tube with the required performance criterion. Based on this result, the new repair criterion for the axially cracked tubes is defined from the reasonably conservative value such that the required performance criterion in terms of the burst pressure is able to be met during the next operating period.

  10. Evaluation of the Effect of Operating Parameters on Thermal Performance of an Integrated Starter Generator in Hybrid Electric Vehicles

    Directory of Open Access Journals (Sweden)

    Moo-Yeon Lee

    2015-08-01

    Full Text Available The belt-driven-type integrated starter generator motor in a hybrid electric vehicle is vulnerable to thermal problems owing to its high output power and proximity to the engine. These problems may cause demagnetization and insulation breakdown, reducing the performance and durability of the motor. Hence, it is necessary to evaluate the thermal performance and enhance the cooling capacity of the belt-driven type Integrated Starter Generator. In this study, the internal temperature variations of the motor were investigated with respect to the operating parameters, particularly the rotation speed and environment temperature. At a maximum ambient temperature of 105 °C and rotation speed (motor design point of 4500 rpm, the coil of the motor was heated to approximately 189 °C in generating mode. The harsh conditions of the starting mode were analyzed by assuming that the motor operates during the start-up time at a maximum ambient temperature of 105 °C and rotation speed (motor design point of 800 rpm; the coil was heated to approximately 200 °C, which is close to the insulation temperature limit. The model for analyzing the thermal performance of the ISG was verified by comparing its results with those obtained through a generating-mode-based experiment

  11. Reliability assessment of distribution system with the integration of renewable distributed generation

    International Nuclear Information System (INIS)

    Adefarati, T.; Bansal, R.C.

    2017-01-01

    Highlights: • Addresses impacts of renewable DG on the reliability of the distribution system. • Multi-objective formulation for maximizing the cost saving with integration of DG. • Uses Markov model to study the stochastic characteristics of the major components. • The investigation is done using modified RBTS bus test distribution system. • Proposed approach is useful for electric utilities to enhance the reliability. - Abstract: Recent studies have shown that renewable energy resources will contribute substantially to future energy generation owing to the rapid depletion of fossil fuels. Wind and solar energy resources are major sources of renewable energy that have the ability to reduce the energy crisis and the greenhouse gases emitted by the conventional power plants. Reliability assessment is one of the key indicators to measure the impact of the renewable distributed generation (DG) units in the distribution networks and to minimize the cost that is associated with power outage. This paper presents a comprehensive reliability assessment of the distribution system that satisfies the consumer load requirements with the penetration of wind turbine generator (WTG), electric storage system (ESS) and photovoltaic (PV). A Markov model is proposed to access the stochastic characteristics of the major components of the renewable DG resources as well as their influence on the reliability of a conventional distribution system. The results obtained from the case studies have demonstrated the effectiveness of using WTG, ESS and PV to enhance the reliability of the conventional distribution system.

  12. Wind turbine integrated multipole permanent magnet generator (PMG)

    Energy Technology Data Exchange (ETDEWEB)

    Vilsboell, N.; Pinegin, A.; Goussarov, D.

    1996-01-01

    Designed permanent magnet generator (PMG - 20 kW) possesses a number of advantages: it makes possible to replace gearbox, the generator and possibly the hub of the wind turbine by combining wind rotor with external rotor of the generator; use of rare earth magnets Nd-Fe-B allows to reduce mass and dimensions of the generator; use of the PMG for wind turbines increases the reliability of the construction during the life time, comparing to the conventional design (gearbox, asynchronous generator). The test of the PMG -20 kW informs that design method, developed for calculation of multipole permanent magnet generators is correct in general and meets engineering requirements. The calculation uncertainty of the magnetic system and output characteristics does not exceed 2-3%. The test shows, that the maximum efficiency of the PGM - 20 kW with full load can be achieved as high as 90-91.5% and excels the efficiency of the traditional system `generator-gearbox` by 4-5.5%. Designing permanent magnet generator, it is recommended to take into account voltage stabilization (capacitance). Efficiency is expected to be higher, mass and production cost of the generator can be reduced by 25-30%. The frequency converter shall be used not only for control of rotational speed, but also to obtain sinusoidal capacitive current on the generator side. For PMG - 20 kW the angle between voltage and current should be within the range 0-23%. (au)

  13. The institutional logic of integrated care: an ethnography of patient transitions.

    Science.gov (United States)

    Shaw, James A; Kontos, Pia; Martin, Wendy; Victor, Christina

    2017-03-20

    Purpose The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service. Design/methodology/approach The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community "hub" meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents. Analysis was iterative and informed by theory on institutional logics and institutional entrepreneurship. Findings Organizational leaders at the meso-level of health and social care promoted a partnership logic of integrated care in response to conflicting institutional ideas found within a key macro-level policy enacted in 2003 (The Community Care (Delayed Discharges) Act). Through institutional entrepreneurship at the micro-level, the partnership logic became manifest in the form of relationship work among health and social care providers; they sought to build strong interpersonal relationships to enact more integrated transitional care. Originality/value This study has three key implications. First, efforts to promote integrated care should strategically include institutional entrepreneurs at the organizational and clinical levels. Second, integrated care initiatives should emphasize relationship-building among health and social care providers. Finally, theoretical development on institutional logics should further examine the role of interpersonal relationships in facilitating the "spread" of logics between macro-, meso-, and micro-level influences on inter-organizational change.

  14. Exhausted implanted pulse generator in sacral nerve stimulation for faecal incontinence: What next in daily practice for patients?

    Science.gov (United States)

    Duchalais, Emilie; Meurette, Guillaume; Perrot, Bastien; Wyart, Vincent; Kubis, Caroline; Lehur, Paul-Antoine

    2016-02-01

    The efficacy of sacral nerve stimulation in faecal incontinence relies on an implanted pulse generator known to have a limited lifespan. The long-term use of sacral nerve stimulation raises concerns about the true lifespan of generators. The aim of the study was to assess the lifespan of sacral nerve stimulation implanted pulse generators in daily practice, and the outcome of exhausted generator replacement, in faecal incontinent patients. Faecal incontinent patients with pulse generators (Medtronic Interstim™ or InterstimII™) implanted in a single centre from 2001 to 2014 were prospectively followed up. Generator lifespan was measured according to the Kaplan-Meier method. Patients with a generator explanted/turned off before exhaustion were excluded. Morbidity of exhausted generator replacement and the outcome (Cleveland Clinic Florida Faecal Incontinence (CCF-FI) and Faecal Incontinence Quality of Life (FIQL) scores) were recorded. Of 135 patients with an implanted pulse generator, 112 (InterstimII 66) were included. Mean follow-up was 4.9 ± 2.8 years. The generator reached exhaustion in 29 (26%) cases. Overall median lifespan of an implanted pulse generator was approximately 9 years (95% CI 8-9.2). Interstim and InterstimII 25th percentile lifespan was 7.2 (CI 6.4-8.3) and 5 (CI 4-not reached) years, respectively. After exhaustion, generators were replaced, left in place or explanted in 23, 2 and 4 patients, respectively. Generator replacement was virtually uneventful. CCF-FI/FIQL scores remained unchanged after generator replacement (CCF-FI 8 ± 2 vs 7 ± 3; FIQL 3 ± 0.6 vs 3 ± 0.5; p = ns). In this study, the implanted pulse generator observed median lifespan was 9 years. After exhaustion, generators were safely and efficiently replaced. The study also gives insight into long-term needs and costs of sacral nerve stimulation (SNS) therapy.

  15. SDN-NGenIA, a software defined next generation integrated architecture for HEP and data intensive science

    Science.gov (United States)

    Balcas, J.; Hendricks, T. W.; Kcira, D.; Mughal, A.; Newman, H.; Spiropulu, M.; Vlimant, J. R.

    2017-10-01

    The SDN Next Generation Integrated Architecture (SDN-NGeNIA) project addresses some of the key challenges facing the present and next generations of science programs in HEP, astrophysics, and other fields, whose potential discoveries depend on their ability to distribute, process and analyze globally distributed Petascale to Exascale datasets. The SDN-NGenIA system under development by Caltech and partner HEP and network teams is focused on the coordinated use of network, computing and storage infrastructures, through a set of developments that build on the experience gained in recently completed and previous projects that use dynamic circuits with bandwidth guarantees to support major network flows, as demonstrated across LHC Open Network Environment [1] and in large scale demonstrations over the last three years, and recently integrated with PhEDEx and Asynchronous Stage Out data management applications of the CMS experiment at the Large Hadron Collider. In addition to the general program goals of supporting the network needs of the LHC and other science programs with similar needs, a recent focus is the use of the Leadership HPC facility at Argonne National Lab (ALCF) for data intensive applications.

  16. Patient-generated subjective global assessment: Innovation from paper to digital app

    OpenAIRE

    Ottery, Faith D.; Kasenic, Suzanne; Sealy, Martine J.; DeBolt, Susan P.; Isenring, Elizabeth; Jager-Wittenaar, Harriët

    2015-01-01

    Purpose: The Patient-Generated Subjective Global Assessment (PG-SGA), including the PG-SGA Short Form (SF, aka ‘abridged’), was originally developed in the mid 1990’s as a scored, patient self-report, paperbased instrument and has been widely validated. The PG-SGA (SF) has been used for screening, assessment and monitoring, triageing for multimodal intervention and for evaluation of clinical and health economic outcomes. There have been ad hoc translations, often with permission of the origin...

  17. Steam Generator Maintenance Measures as Part of an Integrated Management in PWRs

    International Nuclear Information System (INIS)

    Weiss, S.; Drexler, A.; Fandrich, J.

    2012-01-01

    The Steam generator condition is a key factor for plant performance, high plant availability, possible life time extension and plant safety. Its major safety function is to act as a barrier between the radioactive primary side and the non-radioactive secondary side of pressurized water reactors. Any degradation mechanism, which impairs this barrier function, is a significant safety concern. The main reason for SG tube failure is known to be the accumulation of deposits contributing to formation of local aggressive conditions. Furthermore deposits on primary as well as secondary side of SG tubes reduce the heat transfer performance. A SG cleanliness management program is therefore mandatory to ensure high plant performance regarding efficiency as well as component integrity. Cleaning measures of steam generator are essential parts of the cleanliness management program. Mechanical cleaning, e.g. tubesheet and inner bundle lancing or upper bundle flushing are efficient methods for removal of local loose deposits. But a chemical cleaning is the only method to remove deposits from the complete SG. AREVA is providing with its C 3 (customized chemical cleaning) concept a tool box of chemical cleaning methods, to adapt to plant specific needs and requirements. (author)

  18. Comparison of Heat Transfer Fluid and Direct Steam Generation technologies for Integrated Solar Combined Cycles

    International Nuclear Information System (INIS)

    Rovira, Antonio; Montes, María José; Varela, Fernando; Gil, Mónica

    2013-01-01

    At present time and in the medium term, Solar Thermal Power Plants are going to share scenario with conventional energy generation technologies, like fossil and nuclear. In such a context, Integrated Solar Combined Cycles (ISCCs) may be an interesting choice since integrated designs may lead to a very efficient use of the solar and fossil resources. In this work, different ISCC configurations including a solar field based on parabolic trough collectors and working with the so-called Heat Transfer Fluid (HTF) and Direct Steam Generation (DSG) technologies are compared. For each technology, four layouts have been studied: one in which solar heat is used to evaporate part of the high pressure steam of a bottoming Rankine cycle with two pressure levels, another that incorporates a preheating section to the previous layout, the third one that includes superheating instead of preheating and the last one including both preheating and superheating in addition to the evaporation. The analysis is made with the aim of finding out which of the different layouts reaches the best performance. For that purpose, three types of comparisons have been performed. The first one assesses the benefits of including a solar steam production fixed at 50 MW th . The second one compares the configurations with a standardised solar field size instead of a fixed solar steam production. Finally, the last one consists on an even more homogeneous comparison considering the same steam generator size for all the configurations as well as standardised solar fields. The configurations are studied by mean of exergy analyses. Several figures of merit are used to correctly assess the configurations. Results reveal that the only-evaporative DSG configuration becomes the best choice, since it benefits of both low irreversibility at the heat recovery steam generator and high thermal efficiency in the solar field. Highlights: ► ISCC configurations with DSG and HTF technologies are compared. ► Four

  19. Knowledge mobilization in bridging patient-practitioner-researcher boundaries: A systematic integrative review protocol.

    Science.gov (United States)

    Cowdell, Fiona; Booth, Andrew; Appleby, Ben

    2017-11-01

    To review published literature to identify when and how patients and healthcare practitioners have been involved in knowledge mobilization activity and the impact this may have had on their care. Improving patient outcomes, satisfaction and quality of care is increasingly reliant on shared decision-making between health professionals and patients. Knowledge mobilization, at its simplest: "moving knowledge to where it can be most useful" is a growing field of academic study. To date, it appears that much effort has focused on moving knowledge from researchers to healthcare practitioners. Knowledge mobilization to patients is currently under-researched. Integrative review. Methods of integrative review will be used to address the review problem. PRISMA guidelines were used as a general framework to guide structuring and reporting the review. Elements of method-specific reporting guidelines for specific streams of evidence will be used as required. This review will aim to provide a broad and deep understanding of patient-practitioner-researcher engagement in knowledge mobilization activity. This synthesis of the extant literature should offer insights into the optimum characteristics of methods for bridging patient-practitioner-researcher boundaries in knowledge mobilization action. © 2017 John Wiley & Sons Ltd.

  20. Panel perception of facial appearance of cleft patients generated by use of a morphing technique.

    Science.gov (United States)

    Yildirim, Vedat; Hemprich, Alexander; Gründl, Martin; Pausch, Niels Christian

    2014-09-01

    Perception of the facial appearance of cleft patients has, until now, been evaluated on the basis of photographs of the patients. Research based on photographs generated by use of a morphing technique has not yet been reported. The purpose of this study was to investigate female and male raters' panel perception with regard to the following: (1) patient age, (2) attractiveness, (3) gender appearance, and (4) likeability of faces of cleft patients generated by the use of a morphing technique. The study was conducted at the Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, University Hospital of Leipzig, Germany. We used photographs of 32 adult German nonsyndromic cleft patients, mean age 18.9 ± 1.3 years, and surveyed 93 students, mean age 25.3 ± 3.2 years, by use of a standardized questionnaire. All respondents rated the mean age of cleft patients equally in unmorphed and morphed pictures. For all respondents, attractiveness of morphed patient pictures was rated significantly higher than for unmorphed pictures (mean 4.8 ± 1.0 vs. 6.4 ± 2.4; p morphed pictures of eight patients were rated. Female respondents rated attractiveness significantly higher than did males, especially for pictures of female patients. Facial morphing of patient pictures is a suitable method for creation of standard cleft faces. Despite the modification of the pictures, the faces generated remain human and assessable by panel members. Perception of faces of cleft patients' depended on raters' gender.

  1. Generation of Transplantable Beta Cells for Patient-Specific Cell Therapy

    Directory of Open Access Journals (Sweden)

    Xiaojie Wang

    2012-01-01

    Full Text Available Islet cell transplantation offers a potential cure for type 1 diabetes, but it is challenged by insufficient donor tissue and side effects of current immunosuppressive drugs. Therefore, alternative sources of insulin-producing cells and isletfriendly immunosuppression are required to increase the efficiency and safety of this procedure. Beta cells can be transdifferentiated from precursors or another heterologous (non-beta-cell source. Recent advances in beta cell regeneration from somatic cells such as fibroblasts could circumvent the usage of immunosuppressive drugs. Therefore, generation of patient-specific beta cells provides the potential of an evolutionary treatment for patients with diabetes.

  2. Generation of a human induced pluripotent stem cell line from urinary cells of a patient with primary congenital glaucoma using integration free Sendai technology.

    Science.gov (United States)

    Zhang, Jingxue; Wu, Shen; Hu, Man; Liu, Qian

    2018-04-09

    We have generated a human induced pluripotent stem cell (iPSC) line derived from urinary cells of a 10years old patient with primary congenital glaucoma (PCG). The cells were reprogrammed with the human OSKM transcription factors using the Sendai-virus delivery system and shown to have full differentiation potential. The line is available and registered in the human pluripotent stem cell registry as BIOi001-A. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

  3. Integrated Diabetes Care Delivered by Patients – A Case Study from Bulgaria

    Directory of Open Access Journals (Sweden)

    Verena Struckmann

    2017-03-01

    Full Text Available Introduction: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian ‘Diabetic care’ non-profit (DCNPO programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight ‘high potential’ programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU project, covering 31 European countries. Data was first gathered with a questionnaire after which semi-structured interviews with project staff and participants were conducted during a site visit. Results: The programme trains diabetic patients to act as carers, case managers, self-management trainers and health system navigators for diabetic patients and their family. The programme improved care coordination and patient-centered care by offering free care delivered by a multidisciplinary team. It facilitates the collaboration between patients, volunteers, health providers and the community. Internal evaluations demonstrate reduced hospital admissions and avoidable amputations, with consequent cost savings for the health care system. Conclusion: Integrated care provided by volunteering patients can empower people suffering from diabetes and their co-morbidities and address health and social inequalities in resource-poor settings. It can also contribute to an increased trust and improved satisfaction among vulnerable patients with complex care needs.

  4. Delivering care to oncology patients in the community: an innovative integrated approach.

    LENUS (Irish Health Repository)

    Hanan, Terry

    2014-08-01

    A community oncology nursing programme was developed in Ireland between the hospital and community health services for patients receiving systemic cancer therapy, in response to a service need. A robust evaluation of the pilot programme was undertaken, which found that defined clinical procedures traditionally undertaken in hospitals were safely undertaken in the patient\\'s home with no adverse effects. There was a dramatic decrease in hospital attendances for these defined clinical procedures, and hospital capacity was consequently freed up. Patients valued having aspects of their care delivered at home and reported that it improved their quality of life, including reduced hospital visits and travel time. Community nurses expanded their scope of practice and became partners with oncology day-ward nurses in caring for these patients. Community nurses developed the competence and confidence to safely deliver cancer care in the community. This initiative shows that defined elements of acute cancer care can be safely delivered in the community so long as the training and support are provided. The findings and recommendations of the evaluation resulted in university accreditation and approval for national roll-out of the programme. Integration of services between primary and secondary care is a key priority. This innovative programme is a good example of shared integrated care that benefits both patients and health-care providers.

  5. Specification and Generation of Adapters for System Integration

    NARCIS (Netherlands)

    Mooij, A.J.; Voorhoeve, M.

    2013-01-01

    Large systems-of-systems are developed by integrating several smaller systems that have been developed independently. System integration often requires adaptation mechanisms for bridging any technical incompatibilities between the systems. In order to develop adapters in a faster way, we study ways

  6. Realizing Relevance: The Influence of Domain-Specific Information on Generation of New Knowledge through Integration in 4- to 8-Year-Old Children

    Science.gov (United States)

    Bauer, Patricia J.; Larkina, Marina

    2017-01-01

    In accumulating knowledge, direct modes of learning are complemented by productive processes, including self-generation based on integration of separate episodes. Effects of the number of potentially relevant episodes on integration were examined in 4- to 8-year-olds (N = 121; racially/ethnically heterogeneous sample, English speakers, from large…

  7. XML-Based Generator of C++ Code for Integration With GUIs

    Science.gov (United States)

    Hua, Hook; Oyafuso, Fabiano; Klimeck, Gerhard

    2003-01-01

    An open source computer program has been developed to satisfy a need for simplified organization of structured input data for scientific simulation programs. Typically, such input data are parsed in from a flat American Standard Code for Information Interchange (ASCII) text file into computational data structures. Also typically, when a graphical user interface (GUI) is used, there is a need to completely duplicate the input information while providing it to a user in a more structured form. Heretofore, the duplication of the input information has entailed duplication of software efforts and increases in susceptibility to software errors because of the concomitant need to maintain two independent input-handling mechanisms. The present program implements a method in which the input data for a simulation program are completely specified in an Extensible Markup Language (XML)-based text file. The key benefit for XML is storing input data in a structured manner. More importantly, XML allows not just storing of data but also describing what each of the data items are. That XML file contains information useful for rendering the data by other applications. It also then generates data structures in the C++ language that are to be used in the simulation program. In this method, all input data are specified in one place only, and it is easy to integrate the data structures into both the simulation program and the GUI. XML-to-C is useful in two ways: 1. As an executable, it generates the corresponding C++ classes and 2. As a library, it automatically fills the objects with the input data values.

  8. Beyond xMOOCs in healthcare education: study of the feasibility in integrating virtual patient systems and MOOC platforms.

    Science.gov (United States)

    Stathakarou, Natalia; Zary, Nabil; Kononowicz, Andrzej A

    2014-01-01

    Background. Massive Open Online Courses (MOOCs) are an emerging trend in online learning. However, their technology is not yet completely adjusted to the needs of healthcare education. Integration of Virtual Patients within MOOCs to increase interactivity and foster clinical reasoning skills training, has been discussed in the past, but not verified by a practical implementation. Objective. To investigate the technical feasibility of integrating MOOCs with Virtual Patients for the purpose of enabling further research into the potential pedagogical benefits of this approach. Methods. We selected OpenEdx and Open Labyrinth as representative constituents of a MOOC platform and Virtual Patient system integration. Based upon our prior experience we selected the most fundamental technical requirement to address. Grounded in the available literature we identified an e-learning standard to guide the integration. We attempted to demonstrate the feasibility of the integration by designing a "proof-of-concept" prototype. The resulting pilot implementation was subject of verification by two test cases. Results. A Single Sign-On mechanism connecting Open Labyrinth with OpenEdx and based on the IMS LTI standard was successfully implemented and verified. Conclusion. We investigated the technical perspective of integrating Virtual Patients with MOOCs. By addressing this crucial technical requirement we set a base for future research on the educational benefits of using virtual patients in MOOCs. This provides new opportunities for integrating specialized software in healthcare education at massive scale.

  9. Beyond xMOOCs in healthcare education: study of the feasibility in integrating virtual patient systems and MOOC platforms

    Directory of Open Access Journals (Sweden)

    Natalia Stathakarou

    2014-11-01

    Full Text Available Background. Massive Open Online Courses (MOOCs are an emerging trend in online learning. However, their technology is not yet completely adjusted to the needs of healthcare education. Integration of Virtual Patients within MOOCs to increase interactivity and foster clinical reasoning skills training, has been discussed in the past, but not verified by a practical implementation.Objective. To investigate the technical feasibility of integrating MOOCs with Virtual Patients for the purpose of enabling further research into the potential pedagogical benefits of this approach.Methods. We selected OpenEdx and Open Labyrinth as representative constituents of a MOOC platform and Virtual Patient system integration. Based upon our prior experience we selected the most fundamental technical requirement to address. Grounded in the available literature we identified an e-learning standard to guide the integration. We attempted to demonstrate the feasibility of the integration by designing a “proof-of-concept” prototype. The resulting pilot implementation was subject of verification by two test cases.Results. A Single Sign-On mechanism connecting Open Labyrinth with OpenEdx and based on the IMS LTI standard was successfully implemented and verified.Conclusion. We investigated the technical perspective of integrating Virtual Patients with MOOCs. By addressing this crucial technical requirement we set a base for future research on the educational benefits of using virtual patients in MOOCs. This provides new opportunities for integrating specialized software in healthcare education at massive scale.

  10. The Eastern Renewable Generation Integration Study: Insights on System Stress: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Bloom, Aaron; Novacheck, Josh

    2017-04-12

    The Eastern Renewable Generation Integration Study (ERGIS) explores the operational impacts of the wide spread adoption of wind and solar photovoltaics (PV) resources in North America's Eastern and Quebec Interconnections. We explore the impact of large scale adoption of wind and solar generation on the unit commitment and economic dispatch of the largest coordinated power system in the world by simulating hourly and five-minute operations. Using NREL's high-performance computing capabilities and new methodologies to model operations, we found that the modeled system, as simulated with evolutionary change in 2026, could balance the variability and uncertainty of wind and solar PV at a five-minute level under a variety of conditions. Our simulations achieve instantaneous penetrations that exceed 50% of load while meeting an annual penetration of 30% on an energy basis. The system meets balanced load and supply in all intervals, with modest curtailment, using technologies and practices that are widely available today. However, a variety of the conditions present in these simulations deviate substantially from historical practice. In this work, we analyze potentially stressful system conditions that occur in the simulations and identify opportunities for innovation, regulatory reform, and changes in operating practices that require further analysis to enable the transition to a system with more wind and solar PV.

  11. The effect of integration of hospitals and post-acute care providers on Medicare payment and patient outcomes.

    Science.gov (United States)

    Konetzka, R Tamara; Stuart, Elizabeth A; Werner, Rachel M

    2018-02-07

    In this paper we examine empirically the effect of integration on Medicare payment and rehospitalization. We use 2005-2013 data on Medicare beneficiaries receiving post-acute care (PAC) in the U.S. to examine integration between hospitals and the two most common post-acute care settings: skilled nursing facilities (SNFs) and home health agencies (HHA), using two measures of integration-formal vertical integration and informal integration representing preferential relationships between providers without formal relationships. Our identification strategy is twofold. First, we use longitudinal models with a fixed effect for each hospital-PAC pair in a market to test how changes in integration impact patient outcomes. Second, we use an instrumental variable approach to account for patient selection into integrated providers. We find that vertical integration between hospitals and SNFs increases Medicare payments and reduces rehospitalization rates. However, vertical integration between hospitals and HHAs has little effect, nor does informal integration between hospitals and either PAC setting. Copyright © 2018 The Author(s). Published by Elsevier B.V. All rights reserved.

  12. Third-Generation Fatty Emulsions as Part of Parenteral Feeding in Operated Cancer Patients

    Directory of Open Access Journals (Sweden)

    S. V. Lomidze

    2010-01-01

    Full Text Available Objective: to study the efficacy of third- versus secondary-generation fatty emulsions as part of parenteral nutrition in patients operated on for gastric cancer. Subjects and methods. Envelope randomization was used to make up two groups, each comprising 10 patients, operated on for gastric cancer in the scope of gastrectomy. A control group received parenteral nutrition having the following components: Lipofundin MST/LST 20%, (500 ml daily + Nutriflex 48/150 (B. Braun (1000 ml daily, 1744 kcal/day. The study group patients were given Lipoplus 20% (500 ml daily + Nutriflex 48/150 (1000 ml daily, 1745 kcal/day. Parenteral nutrition was used on postoperative days 1 to 5. Results. Nutritional status evaluation revealed a significant increase in the concentration of total protein and albumin in the control and study group patients on postoperative day 6. The use of both second- and third-generation fatty emulsions caused a significant increase in the concentration of triglycerides on day 6 after surgery; no differences were found between the groups. On day 6 following surgery, there was a significant decrease in IL-4 in both groups (p<0.05. At the same time the Lipofundin MST/LST group showed a significantly lower concentration of IL-4 than did the study group (p<0.05. After termination of a parenteral nutrition course, the study and control groups showed a significant decrease in one of the major pro-inflammatory cytokines — IL-6. Conclusion. In the study group, the serum anti-inflammatory activity of IL-4 was more evident than that in the control group and the proinflammatory activity (IL-6 concentration decreased, which can support that as compared with the second-generation fatty emulsions, third-generation ones with a balanced omega 3 to omega-6 fatty acid ratio (1:2.7 had a normalizing effect on systemic inflammatory processes and cytokine balance with increased anti-inflammatory and reduced proinflammatory activities. Key words: third-generation

  13. Torque Split Strategy for Parallel Hybrid Electric Vehicles with an Integrated Starter Generator

    Directory of Open Access Journals (Sweden)

    Zhumu Fu

    2014-01-01

    Full Text Available This paper presents a torque split strategy for parallel hybrid electric vehicles with an integrated starter generator (ISG-PHEV by using fuzzy logic control. By combining the efficiency map and the optimum torque curve of the internal combustion engine (ICE with the state of charge (SOC of the batteries, the torque split strategy is designed, which manages the ICE within its peak efficiency region. Taking the quantified ICE torque, the quantified SOC of the batteries, and the quantified ICE speed as inputs, and regarding the output torque demanded on the ICE as an output, a fuzzy logic controller (FLC with relevant fuzzy rules has been developed to determine the optimal torque distribution among the ICE, the ISG, and the electric motor/generator (EMG effectively. The simulation results reveal that, compared with the conventional torque control strategy which uses rule-based controller (RBC in different driving cycles, the proposed FLC improves the fuel economy of the ISG-PHEV, increases the efficiency of the ICE, and maintains batteries SOC within its operation range more availably.

  14. Relationship between neural rhythm generation disorders and physical disabilities in Parkinson's disease patients' walking.

    Science.gov (United States)

    Ota, Leo; Uchitomi, Hirotaka; Ogawa, Ken-ichiro; Orimo, Satoshi; Miyake, Yoshihiro

    2014-01-01

    Walking is generated by the interaction between neural rhythmic and physical activities. In fact, Parkinson's disease (PD), which is an example of disease, causes not only neural rhythm generation disorders but also physical disabilities. However, the relationship between neural rhythm generation disorders and physical disabilities has not been determined. The aim of this study was to identify the mechanism of gait rhythm generation. In former research, neural rhythm generation disorders in PD patients' walking were characterized by stride intervals, which are more variable and fluctuate randomly. The variability and fluctuation property were quantified using the coefficient of variation (CV) and scaling exponent α. Conversely, because walking is a dynamic process, postural reflex disorder (PRD) is considered the best way to estimate physical disabilities in walking. Therefore, we classified the severity of PRD using CV and α. Specifically, PD patients and healthy elderly were classified into three groups: no-PRD, mild-PRD, and obvious-PRD. We compared the contributions of CV and α to the accuracy of this classification. In this study, 45 PD patients and 17 healthy elderly people walked 200 m. The severity of PRD was determined using the modified Hoehn-Yahr scale (mH-Y). People with mH-Y scores of 2.5 and 3 had mild-PRD and obvious-PRD, respectively. As a result, CV differentiated no-PRD from PRD, indicating the correlation between CV and PRD. Considering that PRD is independent of neural rhythm generation, this result suggests the existence of feedback process from physical activities to neural rhythmic activities. Moreover, α differentiated obvious-PRD from mild-PRD. Considering α reflects the intensity of interaction between factors, this result suggests the change of the interaction. Therefore, the interaction between neural rhythmic and physical activities is thought to plays an important role for gait rhythm generation. These characteristics have

  15. Securing health sensing using integrated circuit metric.

    Science.gov (United States)

    Tahir, Ruhma; Tahir, Hasan; McDonald-Maier, Klaus

    2015-10-20

    Convergence of technologies from several domains of computing and healthcare have aided in the creation of devices that can help health professionals in monitoring their patients remotely. An increase in networked healthcare devices has resulted in incidents related to data theft, medical identity theft and insurance fraud. In this paper, we discuss the design and implementation of a secure lightweight wearable health sensing system. The proposed system is based on an emerging security technology called Integrated Circuit Metric (ICMetric) that extracts the inherent features of a device to generate a unique device identification. In this paper, we provide details of how the physical characteristics of a health sensor can be used for the generation of hardware "fingerprints". The obtained fingerprints are used to deliver security services like authentication, confidentiality, secure admission and symmetric key generation. The generated symmetric key is used to securely communicate the health records and data of the patient. Based on experimental results and the security analysis of the proposed scheme, it is apparent that the proposed system enables high levels of security for health monitoring in resource optimized manner.

  16. Patient-centered care in cancer treatment programs: the future of integrative oncology through psychoeducation.

    Science.gov (United States)

    Garchinski, Christina M; DiBiase, Ann-Marie; Wong, Raimond K; Sagar, Stephen M

    2014-12-01

    The reciprocal relationship between the mind and body has been a neglected process for improving the psychosocial care of cancer patients. Emotions form an important link between the mind and body. They play a fundamental role in the cognitive functions of decision-making and symptom control. Recognizing this relationship is important for integrative oncology. We define psychoeducation as the teaching of self-evaluation and self-regulation of the mind-body process. A gap exists between research evidence and implementation into clinical practice. The patients' search for self-empowerment through the pursuit of complementary therapies may be a surrogate for inadequate psychoeducation. Integrative oncology programs should implement psychoeducation that helps patients to improve both emotional and cognitive intelligence, enabling them to better negotiate cancer treatment systems.

  17. Integration of naturopathic medicine into acute inpatient care: An approach for patient-centred medicine under diagnosis-related groups.

    Science.gov (United States)

    Romeyke, Tobias; Nöhammer, Elisabeth; Scheuer, Hans Christoph; Stummer, Harald

    2017-08-01

    The integration of naturopathic methods into acute inpatient care has been the subject of very few scientific studies. Patient expectations of the service received in hospital are increasing, and the integration of naturopathy into clinical practice can serve as Unique Selling Proposition. The present study was conducted over a period of two years. In total, over 1700 patients were included in the study. The setting is an acute hospital specialising in a multimodal, patient-centred approach to treatment. Patient satisfaction with the use of holistic care, patient perception of adherence to treatment and the amount of time care staff spend with patients were all investigated. The patients' principal diagnoses were also recorded using the DRG classification system, as were the number of concomitant diseases and the length of their stay in hospital. The majority of patients rate the integration of complementary care in the acute hospital very positively. The effects on patient perception of adherence to treatment and the amount of time care staff spend with patients are also assessed positively. At the same time, we can see that patients who receive patient-centred care in this study predominantly suffer from diseases and disorders of the musculoskeletal system and connective tissue, diseases of the nervous system and mental diseases and disorders. They also have numerous concomitant diseases. It could be shown that patients are very satisfied with the combination of naturopathy and academic medicine and with approaches that take patient preferences into account. Integrating naturopathy can be considered for multimorbid patients, in particular. Moreover, patient-centred care can improve staff satisfaction levels. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Using patient lists to add value to integrated data repositories.

    Science.gov (United States)

    Wade, Ted D; Zelarney, Pearlanne T; Hum, Richard C; McGee, Sylvia; Batson, Deborah H

    2014-12-01

    Patient lists are project-specific sets of patients that can be queried in integrated data repositories (IDR's). By allowing a set of patients to be an addition to the qualifying conditions of a query, returned results will refer to, and only to, that set of patients. We report a variety of use cases for such lists, including: restricting retrospective chart review to a defined set of patients; following a set of patients for practice management purposes; distributing "honest-brokered" (deidentified) data; adding phenotypes to biosamples; and enhancing the content of study or registry data. Among the capabilities needed to implement patient lists in an IDR are: capture of patient identifiers from a query and feedback of these into the IDR; the existence of a permanent internal identifier in the IDR that is mappable to external identifiers; the ability to add queryable attributes to the IDR; the ability to merge data from multiple queries; and suitable control over user access and de-identification of results. We implemented patient lists in a custom IDR of our own design. We reviewed capabilities of other published IDRs for focusing on sets of patients. The widely used i2b2 IDR platform has various ways to address patient sets, and it could be modified to add the low-overhead version of patient lists that we describe. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. F-band millimeter-wave signal generation for wireless link data transmission using on-chip photonic integrated dual-wavelength sources

    NARCIS (Netherlands)

    Guzman, Robinson; Carpintero, G.; Gordon Gallegos, Carlos; Lawniczuk, Katarzyna; Leijtens, Xaveer

    2015-01-01

    Millimeter-waves (30-300 GHz) have interest due to the wide bandwidths available for carrying information, enabling broadband wireless communications. Photonics is a key technology for millimeter wave signal generation, recently demonstrating the use of photonic integration to reduce size and cost.

  20. Creating a YouTube-Like Collaborative Environment in Mathematics: Integrating Animated Geogebra Constructions and Student-Generated Screencast Videos

    Science.gov (United States)

    Lazarus, Jill; Roulet, Geoffrey

    2013-01-01

    This article discusses the integration of student-generated GeoGebra applets and Jing screencast videos to create a YouTube-like medium for sharing in mathematics. The value of combining dynamic mathematics software and screencast videos for facilitating communication and representations in a digital era is demonstrated herein. We share our…

  1. Integrated Framework for Patient Safety and Energy Efficiency in Healthcare Facilities Retrofit Projects.

    Science.gov (United States)

    Mohammadpour, Atefeh; Anumba, Chimay J; Messner, John I

    2016-07-01

    There is a growing focus on enhancing energy efficiency in healthcare facilities, many of which are decades old. Since replacement of all aging healthcare facilities is not economically feasible, the retrofitting of these facilities is an appropriate path, which also provides an opportunity to incorporate energy efficiency measures. In undertaking energy efficiency retrofits, it is vital that the safety of the patients in these facilities is maintained or enhanced. However, the interactions between patient safety and energy efficiency have not been adequately addressed to realize the full benefits of retrofitting healthcare facilities. To address this, an innovative integrated framework, the Patient Safety and Energy Efficiency (PATSiE) framework, was developed to simultaneously enhance patient safety and energy efficiency. The framework includes a step -: by -: step procedure for enhancing both patient safety and energy efficiency. It provides a structured overview of the different stages involved in retrofitting healthcare facilities and improves understanding of the intricacies associated with integrating patient safety improvements with energy efficiency enhancements. Evaluation of the PATSiE framework was conducted through focus groups with the key stakeholders in two case study healthcare facilities. The feedback from these stakeholders was generally positive, as they considered the framework useful and applicable to retrofit projects in the healthcare industry. © The Author(s) 2016.

  2. Structural and leakage integrity assessment of WWER steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Splichal, K.; Otruba, J. [Nuclear Research Inst., Rez (Switzerland)

    1997-12-31

    The integrity of heat exchange tubes may influence the life-time of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirement is to assure a very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evolution and heat exchange tubes plugging based on eddy current test inspection. The stress corrosion cracking and pitting are the main corrosion damage of WWER heat exchange tubes and are initiated from the outer surface. They are influenced by water chemistry, temperature and tube wall stress level. They take place under crevice corrosion condition and are indicated especially (1) under the tube support plates, where up to 90-95 % of defects detected by the ECT method occur, and (2) on free spans under tube deposit layers. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through-wall cracks, oriented above all in the axial direction. 10 refs.

  3. Structural and leakage integrity assessment of WWER steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Splichal, K; Otruba, J [Nuclear Research Inst., Rez (Switzerland)

    1998-12-31

    The integrity of heat exchange tubes may influence the life-time of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirement is to assure a very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evolution and heat exchange tubes plugging based on eddy current test inspection. The stress corrosion cracking and pitting are the main corrosion damage of WWER heat exchange tubes and are initiated from the outer surface. They are influenced by water chemistry, temperature and tube wall stress level. They take place under crevice corrosion condition and are indicated especially (1) under the tube support plates, where up to 90-95 % of defects detected by the ECT method occur, and (2) on free spans under tube deposit layers. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through-wall cracks, oriented above all in the axial direction. 10 refs.

  4. Structural and leakage integrity assessment of WWER steam generator tubes

    International Nuclear Information System (INIS)

    Splichal, K.; Otruba, J.

    1997-01-01

    The integrity of heat exchange tubes may influence the life-time of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirement is to assure a very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evolution and heat exchange tubes plugging based on eddy current test inspection. The stress corrosion cracking and pitting are the main corrosion damage of WWER heat exchange tubes and are initiated from the outer surface. They are influenced by water chemistry, temperature and tube wall stress level. They take place under crevice corrosion condition and are indicated especially (1) under the tube support plates, where up to 90-95 % of defects detected by the ECT method occur, and (2) on free spans under tube deposit layers. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through-wall cracks, oriented above all in the axial direction

  5. Status and integration of the gas generation studies performed for the Hydrogen Safety Program

    International Nuclear Information System (INIS)

    Pederson, L.R.; Strachan, D.M.

    1993-02-01

    Waste in Tank 241-SY-101 on the Hanford Site generates and periodically releases hydrogen, nitrous oxide, and nitrogen gases. Studies have been conducted at several laboratories to determine the chemical mechanisms for the gas generation and release. Results from these studies are presented and integrated in an attempt to describe current understanding of the physical properties of the waste and the mechanisms of gas generation and retention. Existing tank data are consistent with the interpretation that gases are uniformly generated in the tank, released continuously from the convecting layer, and stored in the nonconvecting layer. Tank temperature measurements suggest that the waste consists of ''gobs'' of material that reach neutral buoyancy at different times. The activation energy of the rate limiting step of the gas generating process was calculated to be about 7 kJ/mol but measured in the laboratory at 80 to 100 kJ/mol. Based on observed temperature changes in the tank the activation energy is probably not higher than about 20 kJ/mol. Several simulated waste compositions have been devised for use in laboratory studies in the place of actual waste from Tank 241-SY-101. Data from these studies can be used to predict how the actual waste might behave when heated or diluted. Density evaluations do not confirm that heating waste at the bottom of the tank would induce circulation within the waste; however, heating may release gas bubbles by dissolving the solids to which the bubbles adhere. Gas generation studies on simulated wastes indicated that nitrous oxide and hydrogen yields are not particularly coupled. Solubility studies of nitrous oxide, the most soluble of the principal gaseous products, indicate it is unlikely that dissolved gases contribute substantially to the quantity of gas released during periodic events

  6. Knowledge-based immunosuppressive therapy for kidney transplant patients--from theoretical model to clinical integration.

    Science.gov (United States)

    Seeling, Walter; Plischke, Max; de Bruin, Jeroen S; Schuh, Christian

    2015-01-01

    Immunosuppressive therapy is a risky necessity after a patient received a kidney transplant. To reduce risks, a knowledge-based system was developed that determines the right dosage of the immunosuppresive agent Tacrolimus. A theoretical model, to classify medication blood levels as well as medication adaptions, was created using data from almost 500 patients, and over 13.000 examinations. This model was then translated into an Arden Syntax knowledge base, and integrated directly into the hospital information system of the Vienna General Hospital. In this paper we give an overview of the construction and integration of such a system.

  7. Geothermal electricity generation and desalination: an integrated process design to conserve latent heat with operational improvements

    KAUST Repository

    Missimer, Thomas M.; Ng, Kim Choon; Thuw, Kyaw; Wakil Shahzad, Muhammad

    2016-01-01

    A new process combination is proposed to link geothermal electricity generation with desalination. The concept involves maximizing the utilization of harvested latent heat by passing the turbine exhaust steam into a multiple effect distillation system and then into an adsorption desalination system. Processes are fully integrated to produce electricity, desalted water for consumer consumption, and make-up water for the geothermal extraction system. Further improvements in operational efficiency are achieved by adding a seawater reverse osmosis system to the site to utilize some of the generated electricity and using on-site aquifer storage and recovery to maximize water production with tailoring of seasonal capacity requirements and to meet facility maintenance requirements. The concept proposed conserves geothermally harvested latent heat and maximizes the economics of geothermal energy development. Development of a fully renewable energy electric generation-desalination-aquifer storage campus is introduced within the framework of geothermal energy development. © 2016 The Author(s). Published by Taylor & Francis

  8. Geothermal electricity generation and desalination: an integrated process design to conserve latent heat with operational improvements

    KAUST Repository

    Missimer, Thomas M.

    2016-02-05

    A new process combination is proposed to link geothermal electricity generation with desalination. The concept involves maximizing the utilization of harvested latent heat by passing the turbine exhaust steam into a multiple effect distillation system and then into an adsorption desalination system. Processes are fully integrated to produce electricity, desalted water for consumer consumption, and make-up water for the geothermal extraction system. Further improvements in operational efficiency are achieved by adding a seawater reverse osmosis system to the site to utilize some of the generated electricity and using on-site aquifer storage and recovery to maximize water production with tailoring of seasonal capacity requirements and to meet facility maintenance requirements. The concept proposed conserves geothermally harvested latent heat and maximizes the economics of geothermal energy development. Development of a fully renewable energy electric generation-desalination-aquifer storage campus is introduced within the framework of geothermal energy development. © 2016 The Author(s). Published by Taylor & Francis

  9. Adherence predicts symptomatic and psychosocial remission in schizophrenia: Naturalistic study of patient integration in the community.

    Science.gov (United States)

    Bernardo, Miguel; Cañas, Fernando; Herrera, Berta; García Dorado, Marta

    Psychosocial functioning in patients with schizophrenia attended in daily practice is an understudied aspect. The aim of this study was to assess the relationship between symptomatic and psychosocial remission and adherence to treatment in schizophrenia. This cross-sectional, non-interventional, and multicenter study assessed symptomatic and psychosocial remission and community integration of 1,787 outpatients with schizophrenia attended in Spanish mental health services. Adherence to antipsychotic medication in the previous year was categorized as≥80% vs.<80%. Symptomatic remission was achieved in 28.5% of patients, and psychosocial remission in 26.1%. A total of 60.5% of patients were classified as adherent to antipsychotic treatment and 41% as adherent to non-pharmacological treatment. During the index visit, treatment was changed in 28.4% of patients, in 31.1% of them because of low adherence (8.8% of the total population). Adherent patients showed higher percentages of symptomatic and psychosocial remission than non-adherent patients (30.5 vs. 25.4%, P<.05; and 32 vs. 17%, P<.001, respectively). Only 3.5% of the patients showed an adequate level of community integration, which was also higher among adherent patients (73.0 vs. 60.1%, P<.05). Adherence to antipsychotic medication was associated with symptomatic and psychosocial remission as well as with community integration. Copyright © 2016 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Treatment outcomes in patients with third-generation cephalosporin-resistant Enterobacter bacteremia.

    Science.gov (United States)

    O'Neal, Catherine S; O'Neal, Hollis R; Daniels, Titus L; Talbot, Thomas R

    2012-10-01

    Infections with resistant Enterobacter spp. are increasingly described, yet data on outcomes associated with these infections are limited. A retrospective cohort study was conducted to investigate outcomes of hospitalized patients with third-generation cephalosporin-resistant (CR) Enterobacter bacteremia. Cephalosporin resistance was detected using cefotaxime and cefpodoxime. Patients with Enterobacter spp. bacteremia from January 2006 through February 2008 defined the population. We defined cases as those with CR isolates; controls were patients with bacteremia due to non-CR isolates. Treatment failure was defined as persistence of the presenting signs of infection 72 h after initial culture collection. Of the 95 Enterobacter cases identified, 31 (33%) were CR. CR cases were significantly associated with treatment failure (odds ratio (OR) 2.81, 95% confidence interval (CI) 1.14-6.94). This association was not seen after adjustment for age, simplified acute physiology score (SAPS II), and inappropriate empiric antibiotic therapy. Inappropriate empiric therapy (adjusted OR 3.86, 95% CI 1.32-11.31) and SAPS II score (adjusted OR 1.09, 95% CI 1.02-1.16) were significantly associated with treatment failure in the multivariate analysis. Third-generation cephalosporin-resistant Enterobacter bacteremia is associated with treatment failure due to receipt of inappropriate empiric antibiotic therapy and severity of illness.

  11. Characteristics of cancer patients presenting to an integrative medicine practice-based research network.

    Science.gov (United States)

    Edman, Joel S; Roberts, Rhonda S; Dusek, Jeffery A; Dolor, Rowena; Wolever, Ruth Q; Abrams, Donald I

    2014-09-01

    To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM) care in cancer patients presenting to IM clinical practices. A survey of 3940 patients was conducted at 8 IM sites. Patient reported outcome measures were collected and clinicians provided health status data. This analysis compares 353 participants self-identified as cancer patients with the larger noncancer cohort. Mean age of the cancer cohort was 55.0 years. Participants were predominantly white (85.9%), female (76.4%), and well educated (80.5% completed college). For 15.2% of cancer patients, depression scores were consistent with depressive symptoms, and average scores for perceived stress were higher than normal, but neither were significantly different from noncancer patients. The most prevalent comorbid symptoms were chronic pain (39.8%), fatigue (33.5%), and insomnia (23.3%). In the cancer cohort, perceived stress was significantly associated with depression, fatigue, insomnia, pain, and QOL. Cancer patients who chose an IM clinical practice "seeking healthcare settings that address spirituality as an aspect of care" had significantly higher levels of perceived stress, depression, and pain than those not selecting this reason. Demographic characteristics, depression scores, perceived stress scores, and reasons for seeking integrative cancer care were not significantly different between cancer patients and noncancer patients. Perceived stress may be an important indicator of QOL. The association of perceived stress, depression and pain with seeking spirituality suggests that providing IM interventions, such as effective stress management techniques and pastoral or spiritual counseling, may be helpful to patients living with cancer. © The Author(s) 2014.

  12. Executing Medical Guidelines on the Web: Towards Next Generation Healthcare

    Science.gov (United States)

    Argüello, M.; Des, J.; Fernandez-Prieto, M. J.; Perez, R.; Paniagua, H.

    There is still a lack of full integration between current Electronic Health Records (EHRs) and medical guidelines that encapsulate evidence-based medicine. Thus, general practitioners (GPs) and specialised physicians still have to read document-based medical guidelines and decide among various options for managing common non-life-threatening conditions where the selection of the most appropriate therapeutic option for each individual patient can be a difficult task. This paper presents a simulation framework and computational test-bed, called V.A.F. Framework, for supporting simulations of clinical situations that boosted the integration between Health Level Seven (HL7) and Semantic Web technologies (OWL, SWRL, and OWL-S) to achieve content layer interoperability between online clinical cases and medical guidelines, and therefore, it proves that higher integration between EHRs and evidence-based medicine can be accomplished which could lead to a next generation of healthcare systems that provide more support to physicians and increase patients' safety.

  13. Next-Generation Pathology.

    Science.gov (United States)

    Caie, Peter D; Harrison, David J

    2016-01-01

    The field of pathology is rapidly transforming from a semiquantitative and empirical science toward a big data discipline. Large data sets from across multiple omics fields may now be extracted from a patient's tissue sample. Tissue is, however, complex, heterogeneous, and prone to artifact. A reductionist view of tissue and disease progression, which does not take this complexity into account, may lead to single biomarkers failing in clinical trials. The integration of standardized multi-omics big data and the retention of valuable information on spatial heterogeneity are imperative to model complex disease mechanisms. Mathematical modeling through systems pathology approaches is the ideal medium to distill the significant information from these large, multi-parametric, and hierarchical data sets. Systems pathology may also predict the dynamical response of disease progression or response to therapy regimens from a static tissue sample. Next-generation pathology will incorporate big data with systems medicine in order to personalize clinical practice for both prognostic and predictive patient care.

  14. Integrative Reiki for cancer patients: a program evaluation.

    Science.gov (United States)

    Fleisher, Kimberly A; Mackenzie, Elizabeth R; Frankel, Eitan S; Seluzicki, Christina; Casarett, David; Mao, Jun J

    2014-01-01

    This mixed methods study sought to evaluate the outcomes of an integrative Reiki volunteer program in an academic medical oncology center setting. We used de-identified program evaluation data to perform both quantitative and qualitative analyses of participants' experiences of Reiki sessions. The quantitative data were collected pre- and postsession using a modified version of the distress thermometer. The pre- and postsession data from the distress assessment were analyzed using a paired Student's : test. The qualitative data were derived from written responses to open-ended questions asked after each Reiki session and were analyzed for key words and recurring themes. Of the 213 pre-post surveys of first-time sessions in the evaluation period, we observed a more than 50% decrease in self-reported distress (from 3.80 to 1.55), anxiety (from 4.05 to 1.44), depression (from 2.54 to 1.10), pain (from 2.58 to 1.21), and fatigue (from 4.80 to 2.30) with P Reiki, we found 176 (82.6%) of participants liked the Reiki session, 176 (82.6%) found the Reiki session helpful, 157 (73.7%) plan to continue using Reiki, and 175 (82.2%) would recommend Reiki to others. Qualitative analyses found that individuals reported that Reiki induced relaxation and enhanced spiritual well-being. An integrative Reiki volunteer program shows promise as a component of supportive care for cancer patients. More research is needed to evaluate and understand the impact that Reiki may have for patients, caregivers, and staff whose lives have been affected by cancer.

  15. Widespread reductions of white matter integrity in patients with long-term remission of Cushing's disease

    Directory of Open Access Journals (Sweden)

    Steven J.A. van der Werff

    2014-01-01

    Conclusion: Patients with a history of endogenous hypercortisolism in present remission show widespread changes of white matter integrity in the brain, with abnormalities in the integrity of the uncinate fasciculus being related to the severity of depressive symptoms, suggesting persistent structural effects of hypercortisolism.

  16. Steam generator with integral downdraft dryer

    Energy Technology Data Exchange (ETDEWEB)

    Hochmuth, F.W.

    1992-02-01

    On June 30, 1989, a financial assistance award was granted by the United State Department of Energy, the purpose of which was to study and evaluate the technical aspect, the economic viability, and commercial possibilities of a new furnace design for burning high moisture cellulose type fuels. The new design is an invention by F.W. Hochmuth, P.Eng. and has received United States Patents Nos. 4,480, 557 and 4,502,397. It was conceived as a method to improve the general operation and efficiency of waste wood burning boilers, to avoid the use of stabilizing fuels such as oil or gas, and to reduce objectionable stack emissions. A further objective was to obtain such benefits at relatively low cost by integrating all new material requirements within the furnace itself thereby avoiding the need for costly external equipment. The proposed integral down-draft dryer avoids the use of external dryer systems that are very expensive, have high power consumption, and require a large amount of maintenance. This document provides the details of this invention.

  17. [The impact of patient identification on an integrated program of palliative care in Basque Country].

    Science.gov (United States)

    Larrañaga, Igor; Millas, Jesús; Soto-Gordoa, Myriam; Arrospide, Arantzazu; San Vicente, Ricardo; Irizar, Marisa; Lanzeta, Itziar; Mar, Javier

    2017-12-05

    Evaluate the process and the economic impact of an integrated palliative care program. Comparative cross-sectional study. Integrated Healthcare Organizations of Alto Deba and Goierri Alto-Urola, Basque Country. Patients dead due to oncologic and non-oncologic causes in 2012 (control group) and 2015 (intervention group) liable to need palliative care according to McNamara criteria. Identification as palliative patients in primary care, use of common clinical pathways in primary and secondary care and arrange training courses for health professionals. Change in the resource use profile of patients in their last 3 months. Propensity score by genetic matching method was used to avoid non-randomization bias. The groups were compared by univariate analysis and the relationships between variables were analysed by logistic regressions and generalized linear models. One thousand and twenty-three patients were identified in 2012 and 1,142 patients in 2015. In 2015 doubled the probability of being identify as palliative patient in deaths due to oncologic (19-33%) and non-oncologic causes (7-16%). Prescriptions of opiates rise (25-68%) and deaths in hospital remained stable. Contacts per patient with primary care and home hospitalization increased, while contacts with hospital admissions decreased. Cost per patient rise 26%. The integrated palliative care model increased the identification of the target population. Relationships between variables showed that the identification had a positive impact on prescription of opiates, death outside the hospital and extension to non-oncologic diseases. Although the identification decreased admissions in hospital, costs per patient had a slight increase due to home hospitalizations. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  18. Integrity of high-velocity water slug generated by an impacting technique

    Science.gov (United States)

    Dehkhoda, Sevda; Bourne, Neil

    2013-06-01

    A pulsed water jet is a series of discrete water slugs travelling at high velocity. Immediately after striking a target, these slugs apply high-intensity, short-duration transient stress known as the water hammer pressure, followed by low-intensity, long-duration stationary stress at the stagnation pressure. The magnitude and duration of the water hammer and stagnation pressures are controlled by the size and quality of the water slugs. The use of water jets for rock cutting in mining operations is a centuries-old technology; however, practical methods for producing high-energy water slugs repeatedly have proven difficult. This can be partly due to the fact that the geometrical properties of a jet and so its effectiveness in creating damage is controlled and influenced by the method that is employed to generate the water slugs. This paper investigates the integrity of a single water slug produced using an impacting technique where a hammer strikes a piston, resting on top of a water-filled chamber. The coherence of the generated water pulse was of concern in this study. If repeated shock reflections within the chamber were transmitted or were carried into the internal geometry of nozzle, the emerging jet could pulsate. The impact impulse of the formed water jet was measured in a Kel-F target material using an embedded PVDF (Polyvinylidene fluoride) shock gauge. The recorded stress waveform was then used to study the quality and endurance of the water pulse stream as it travelled through air.

  19. The effect of an integrated education model on anxiety and uncertainty in patients undergoing cervical disc herniation surgery.

    Science.gov (United States)

    Chuang, Mei-Fang; Tung, Heng-Hsin; Clinciu, Daniel L; Huang, Jing-Shan; Iqbal, Usman; Chang, Chih-Ju; Su, I-Chang; Lai, Fu-Chih; Li, Yu-Chuan

    2016-09-01

    Educating patients about receiving surgical procedures is becoming an important issue, as it can reduce anxiety and uncertainty while helping to hasten decisions for undergoing time sensitive surgeries. We evaluated a new integrated education model for patients undergoing cervical disc herniation surgery using a quasi-experimental design. The participants were grouped into either the new integrated educational model (n = 32) or the standard group (n = 32) on the basis of their ward numbers assigned at admission. Anxiety, uncertainty, and patient satisfaction were measured before (pre-test) and after the educational intervention (post-test-1) and post-surgery (post-test-2) to assess the effectiveness of the model in this intervention. We found that the generalized estimating equation modeling demonstrated this new integrated education model was more effective than the conventional model in reducing patients' anxiety and uncertainty (p approach to individual health. This novel systemic educational model enhances patient's understanding of the medical condition and surgery while promoting patient-caregiver interaction for optimal patient health outcomes. We present a comprehensive and consistent platform for educational purposes in patients undergoing surgery as well as reducing the psychological burden from anxiety and uncertainty. Integrating medicine, nursing, and new technologies into an e-practice and e-learning platform offers the potential of easier understanding and usage. It could revolutionize patient education in the future. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. [Psychotherapy of patients with brain lesions: an integrative model based on neuropsychological and psychodynamic perspectives].

    Science.gov (United States)

    Ouss-Ryngaert, Lisa

    2010-12-01

    Our model of psychotherapy for patients with brain lesions is based on an integrative approach of psychobehavioral symptoms, especially from the neuropsychological and psychodynamic perspectives. Adjustment of technical modalities and aims of psychoanalytical therapy is required for these patients. The analysis of the influence of cognitive disorders on transference and contre-transference plays a major role, including the role of procedural processes in changes in the intersubjective relationship between the patient and the therapist. Two vignettes are presented to illustrate our model, which respects the integrity of the cognitive and psychodynamic approaches and can be implemented by only one therapist, using alternatively each lecture, or by a working team bringing to light the different aspects of the same symptom.

  1. Toward New-Generation Intelligent Manufacturing

    Directory of Open Access Journals (Sweden)

    Ji Zhou

    2018-02-01

    Full Text Available Intelligent manufacturing is a general concept that is under continuous development. It can be categorized into three basic paradigms: digital manufacturing, digital-networked manufacturing, and new-generation intelligent manufacturing. New-generation intelligent manufacturing represents an in-depth integration of new-generation artificial intelligence (AI technology and advanced manufacturing technology. It runs through every link in the full life-cycle of design, production, product, and service. The concept also relates to the optimization and integration of corresponding systems; the continuous improvement of enterprises’ product quality, performance, and service levels; and reduction in resources consumption. New-generation intelligent manufacturing acts as the core driving force of the new industrial revolution and will continue to be the main pathway for the transformation and upgrading of the manufacturing industry in the decades to come. Human-cyber-physical systems (HCPSs reveal the technological mechanisms of new-generation intelligent manufacturing and can effectively guide related theoretical research and engineering practice. Given the sequential development, cross interaction, and iterative upgrading characteristics of the three basic paradigms of intelligent manufacturing, a technology roadmap for “parallel promotion and integrated development” should be developed in order to drive forward the intelligent transformation of the manufacturing industry in China. Keywords: Advanced manufacturing, New-generation intelligent manufacturing, Human-cyber-physical system, New-generation AI, Basic paradigms, Parallel promotion, Integrated development

  2. Distributed plasticity of locomotor pattern generators in spinal cord injured patients.

    Science.gov (United States)

    Grasso, Renato; Ivanenko, Yuri P; Zago, Myrka; Molinari, Marco; Scivoletto, Giorgio; Castellano, Vincenzo; Macellari, Velio; Lacquaniti, Francesco

    2004-05-01

    Recent progress with spinal cord injured (SCI) patients indicates that with training they can recover some locomotor ability. Here we addressed the question of whether locomotor responses developed with training depend on re-activation of the normal motor patterns or whether they depend on learning new motor patterns. To this end we recorded detailed kinematic and EMG data in SCI patients trained to step on a treadmill with body-weight support (BWST), and in healthy subjects. We found that all patients could be trained to step with BWST in the laboratory conditions, but they used new coordinative strategies. Patients with more severe lesions used their arms and body to assist the leg movements via the biomechanical coupling of limb and body segments. In all patients, the phase-relationship of the angular motion of the different lower limb segments was very different from the control, as was the pattern of activity of most recorded muscles. Surprisingly, however, the new motor strategies were quite effective in generating foot motion that closely matched the normal in the laboratory conditions. With training, foot motion recovered the shape, the step-by-step reproducibility, and the two-thirds power relationship between curvature and velocity that characterize normal gait. We mapped the recorded patterns of muscle activity onto the approximate rostrocaudal location of motor neuron pools in the human spinal cord. The reconstructed spatiotemporal maps of motor neuron activity in SCI patients were quite different from those of healthy subjects. At the end of training, the locomotor network reorganized at both supralesional and sublesional levels, from the cervical to the sacral cord segments. We conclude that locomotor responses in SCI patients may not be subserved by changes localized to limited regions of the spinal cord, but may depend on a plastic redistribution of activity across most of the rostrocaudal extent of the spinal cord. Distributed plasticity underlies

  3. Spiritual care of cancer patients by integrated medicine in urban green space: a pilot study.

    Science.gov (United States)

    Nakau, Maiko; Imanishi, Jiro; Imanishi, Junichi; Watanabe, Satoko; Imanishi, Ayumi; Baba, Takeshi; Hirai, Kei; Ito, Toshinori; Chiba, Wataru; Morimoto, Yukihiro

    2013-01-01

    Psycho-oncological care, including spiritual care, is essential for cancer patients. Integrated medicine, a therapy combining modern western medicine with various kinds of complementary and alternative medicine, can be appropriate for the spiritual care of cancer because of the multidimensional characteristics of the spirituality. In particular, therapies that enable patients to establish a deeper contact with nature, inspire feelings of life and growth of plants, and involve meditation may be useful for spiritual care as well as related aspects such as emotion. The purpose of the present study was to examine the effect of spiritual care of cancer patients by integrated medicine in a green environment. The present study involved 22 cancer patients. Integrated medicine consisted of forest therapy, horticultural therapy, yoga meditation, and support group therapy, and sessions were conducted once a week for 12 weeks. The spirituality (the Functional Assessment of Chronic Illness Therapy-Spiritual well-being), quality of life (Short Form-36 Health Survey Questionnaire), fatigue (Cancer Fatigue Scale), psychological state (Profile of Mood States, short form, and State-Trait Anxiety Inventory) and natural killer cell activity were assessed before and after intervention. In Functional Assessment of Chronic Illness Therapy-Spiritual well-being, there were significant differences in functional well-being and spiritual well-being pre- and postintervention. This program improved quality of life and reduced cancer-associated fatigue. Furthermore, some aspects of psychological state were improved and natural killer cell activity was increased. It is indicated that integrated medicine performed in a green environment is potentially useful for the emotional and spiritual well-being of cancer patients. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. Network integration of distributed power generation

    Science.gov (United States)

    Dondi, Peter; Bayoumi, Deia; Haederli, Christoph; Julian, Danny; Suter, Marco

    The world-wide move to deregulation of the electricity and other energy markets, concerns about the environment, and advances in renewable and high efficiency technologies has led to major emphasis being placed on the use of small power generation units in a variety of forms. The paper reviews the position of distributed generation (DG, as these small units are called in comparison with central power plants) with respect to the installation and interconnection of such units with the classical grid infrastructure. In particular, the status of technical standards both in Europe and USA, possible ways to improve the interconnection situation, and also the need for decisions that provide a satisfactory position for the network operator (who remains responsible for the grid, its operation, maintenance and investment plans) are addressed.

  5. Development of a computer-aided clinical patient education system to provide appropriate individual nursing care for psychiatric patients.

    Science.gov (United States)

    Tseng, Kuan-Jui; Liou, Tsan-Hon; Chiu, Hung-Wen

    2012-06-01

    A lot of researches have proven that health education can help patients to maintain and improve their health. And it also shortens the time staying in hospital to save medication resource. Because the patients are willing to get healthcare knowledge to enhance the ability of self-care, they pay more attention to the health education. In Taiwan, the clinical nurses play an important role in patient education, and the health education take most time in their daily work. Such work includes the collection, production and delivery of education materials. To generate the correct and customized health education material is the key of success of patient education. In this study, we established a computer-aided health education contents generating system for psychiatric patients by integrating the databases for disease, medicine and nursing knowledge to assist nurse generating the customized health education document suitable for different patients. This system was evaluated by clinical nurses in usability and feasibility. This system is helpful for nurse to carry out the clinical health education to patients and further to encourage patient to pay attention to self-health.

  6. On the accuracy and reproducibility of a novel probabilistic atlas-based generation for calculation of head attenuation maps on integrated PET/MR scanners.

    Science.gov (United States)

    Chen, Kevin T; Izquierdo-Garcia, David; Poynton, Clare B; Chonde, Daniel B; Catana, Ciprian

    2017-03-01

    To propose an MR-based method for generating continuous-valued head attenuation maps and to assess its accuracy and reproducibility. Demonstrating that novel MR-based photon attenuation correction methods are both accurate and reproducible is essential prior to using them routinely in research and clinical studies on integrated PET/MR scanners. Continuous-valued linear attenuation coefficient maps ("μ-maps") were generated by combining atlases that provided the prior probability of voxel positions belonging to a certain tissue class (air, soft tissue, or bone) and an MR intensity-based likelihood classifier to produce posterior probability maps of tissue classes. These probabilities were used as weights to generate the μ-maps. The accuracy of this probabilistic atlas-based continuous-valued μ-map ("PAC-map") generation method was assessed by calculating the voxel-wise absolute relative change (RC) between the MR-based and scaled CT-based attenuation-corrected PET images. To assess reproducibility, we performed pair-wise comparisons of the RC values obtained from the PET images reconstructed using the μ-maps generated from the data acquired at three time points. The proposed method produced continuous-valued μ-maps that qualitatively reflected the variable anatomy in patients with brain tumor and agreed well with the scaled CT-based μ-maps. The absolute RC comparing the resulting PET volumes was 1.76 ± 2.33 %, quantitatively demonstrating that the method is accurate. Additionally, we also showed that the method is highly reproducible, the mean RC value for the PET images reconstructed using the μ-maps obtained at the three visits being 0.65 ± 0.95 %. Accurate and highly reproducible continuous-valued head μ-maps can be generated from MR data using a probabilistic atlas-based approach.

  7. On the accuracy and reproducibility of a novel probabilistic atlas-based generation for calculation of head attenuation maps on integrated PET/MR scanners

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Kevin T. [Massachusetts General Hospital and Harvard Medical School, Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Charlestown, MA (United States); Massachusetts Institute of Technology, Division of Health Sciences and Technology, Cambridge, MA (United States); Izquierdo-Garcia, David; Catana, Ciprian [Massachusetts General Hospital and Harvard Medical School, Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Charlestown, MA (United States); Poynton, Clare B. [Massachusetts General Hospital and Harvard Medical School, Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Charlestown, MA (United States); Massachusetts General Hospital, Department of Psychiatry, Boston, MA (United States); University of California, San Francisco, Department of Radiology and Biomedical Imaging, San Francisco, CA (United States); Chonde, Daniel B. [Massachusetts General Hospital and Harvard Medical School, Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Charlestown, MA (United States); Harvard University, Program in Biophysics, Cambridge, MA (United States)

    2017-03-15

    To propose an MR-based method for generating continuous-valued head attenuation maps and to assess its accuracy and reproducibility. Demonstrating that novel MR-based photon attenuation correction methods are both accurate and reproducible is essential prior to using them routinely in research and clinical studies on integrated PET/MR scanners. Continuous-valued linear attenuation coefficient maps (''μ-maps'') were generated by combining atlases that provided the prior probability of voxel positions belonging to a certain tissue class (air, soft tissue, or bone) and an MR intensity-based likelihood classifier to produce posterior probability maps of tissue classes. These probabilities were used as weights to generate the μ-maps. The accuracy of this probabilistic atlas-based continuous-valued μ-map (''PAC-map'') generation method was assessed by calculating the voxel-wise absolute relative change (RC) between the MR-based and scaled CT-based attenuation-corrected PET images. To assess reproducibility, we performed pair-wise comparisons of the RC values obtained from the PET images reconstructed using the μ-maps generated from the data acquired at three time points. The proposed method produced continuous-valued μ-maps that qualitatively reflected the variable anatomy in patients with brain tumor and agreed well with the scaled CT-based μ-maps. The absolute RC comparing the resulting PET volumes was 1.76 ± 2.33 %, quantitatively demonstrating that the method is accurate. Additionally, we also showed that the method is highly reproducible, the mean RC value for the PET images reconstructed using the μ-maps obtained at the three visits being 0.65 ± 0.95 %. Accurate and highly reproducible continuous-valued head μ-maps can be generated from MR data using a probabilistic atlas-based approach. (orig.)

  8. An integrative variant analysis suite for whole exome next-generation sequencing data

    Directory of Open Access Journals (Sweden)

    Challis Danny

    2012-01-01

    Full Text Available Abstract Background Whole exome capture sequencing allows researchers to cost-effectively sequence the coding regions of the genome. Although the exome capture sequencing methods have become routine and well established, there is currently a lack of tools specialized for variant calling in this type of data. Results Using statistical models trained on validated whole-exome capture sequencing data, the Atlas2 Suite is an integrative variant analysis pipeline optimized for variant discovery on all three of the widely used next generation sequencing platforms (SOLiD, Illumina, and Roche 454. The suite employs logistic regression models in conjunction with user-adjustable cutoffs to accurately separate true SNPs and INDELs from sequencing and mapping errors with high sensitivity (96.7%. Conclusion We have implemented the Atlas2 Suite and applied it to 92 whole exome samples from the 1000 Genomes Project. The Atlas2 Suite is available for download at http://sourceforge.net/projects/atlas2/. In addition to a command line version, the suite has been integrated into the Genboree Workbench, allowing biomedical scientists with minimal informatics expertise to remotely call, view, and further analyze variants through a simple web interface. The existing genomic databases displayed via the Genboree browser also streamline the process from variant discovery to functional genomics analysis, resulting in an off-the-shelf toolkit for the broader community.

  9. Three-dimensional image acquisition and reconstruction system on a mobile device based on computer-generated integral imaging.

    Science.gov (United States)

    Erdenebat, Munkh-Uchral; Kim, Byeong-Jun; Piao, Yan-Ling; Park, Seo-Yeon; Kwon, Ki-Chul; Piao, Mei-Lan; Yoo, Kwan-Hee; Kim, Nam

    2017-10-01

    A mobile three-dimensional image acquisition and reconstruction system using a computer-generated integral imaging technique is proposed. A depth camera connected to the mobile device acquires the color and depth data of a real object simultaneously, and an elemental image array is generated based on the original three-dimensional information for the object, with lens array specifications input into the mobile device. The three-dimensional visualization of the real object is reconstructed on the mobile display through optical or digital reconstruction methods. The proposed system is implemented successfully and the experimental results certify that the system is an effective and interesting method of displaying real three-dimensional content on a mobile device.

  10. [Patients with gastric cancer submitted to gastrectomy: an integrative review].

    Science.gov (United States)

    Mello, Bruna Schroeder; Lucena, Amália de Fátima; Echer, Isabel Cristina; Luzia, Melissa de Freitas

    2010-12-01

    This study aims to analyze the scientific production about patients with gastric cancer submitted to gastrectomy and describe important aspects of nursing guidelines for these patients. An integrative review was carried out using Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases; twenty two articles were analyzed. Retrospective cross-sectional studies were the most frequent. The scientific production of nursing is numerically small in relation to the medical area. The results show that approaches related to pre and post-operative in gastrectomy for gastric cancer resection subsidize the knowledge of issues essential for nurses to promote efficient intervention for the recovery of such patients. There is still the need for further research on the practice of nursing in the guidelines of this kind of surgery.

  11. Modeling the impact of integrating HIV and outpatient health services on patient waiting times in an urban health clinic in Zambia.

    Directory of Open Access Journals (Sweden)

    Sarang Deo

    Full Text Available Rapid scale up of HIV treatment programs in sub-Saharan Africa has refueled the long-standing health policy debate regarding the merits and drawbacks of vertical and integrated system. Recent pilots of integrating outpatient and HIV services have shown an improvement in some patient outcomes but deterioration in waiting times, which can lead to worse health outcomes in the long run.A pilot intervention involving integration of outpatient and HIV services in an urban primary care facility in Lusaka, Zambia was studied. Data on waiting time of patients during two seven-day periods before and six months after the integration were collected using a time and motion study. Statistical tests were conducted to investigate whether the two observation periods differed in operational details such as staffing, patient arrival rates, mix of patients etc. A discrete event simulation model was constructed to facilitate a fair comparison of waiting times before and after integration. The simulation model was also used to develop alternative configurations of integration and to estimate the resulting waiting times.Comparison of raw data showed that waiting times increased by 32% and 36% after integration for OPD and ART patients respectively (p<0.01. Using simulation modeling, we found that a large portion of this increase could be explained by changes in operational conditions before and after integration such as reduced staff availability (p<0.01 and longer breaks between consecutive patients (p<0.05. Controlling for these differences, integration of services, per se, would have resulted in a significant decrease in waiting times for OPD and a moderate decrease for HIV services.Integrating health services has the potential of reducing waiting times due to more efficient use of resources. However, one needs to ensure that other operational factors such as staff availability are not adversely affected due to integration.

  12. Corrosion Product Measurements to ensure integrity of the Steam Generators in Beznau NPP

    International Nuclear Information System (INIS)

    Mailand, Irene; Franz, Patrick; Venz, Hartmut

    2012-09-01

    The Nuclear Power Plant Beznau comprises two identical 380 MWe PWR units with two loops each, commissioned in 1969 and 1971. Westinghouse was responsible for the primary part of the plant and BBC/ABB for the secondary circuit. The original materials used in the secondary systems were made of several copper-based alloys, such as for the Condensers, the Low Pressure Pre-heaters and the Moisture Separator Re-heater. The original Steam Generator Tubes were made of Inconel 600 MA. Regarding its age, the NPP Beznau has to be qualified as an old plant. However, in fact particularly in the last 20 years the plant has undergone an extensive modernisation programme in which about 1.5 billion Swiss Francs have been invested. Important measures were the replacements of the Steam Generators with tubes comprising Inconel 690 TT which was realized at unit 1 in 1993 and at unit 2 in 1999. Copper was completely banished from the secondary system and replaced by stainless and chromium steel. The Condensers were fitted with titanium tubes. The secondary water chemistry had to be changed by these replacements and moved step by step from Low-AVT with a pH of about 9.3 to High-AVT with a pH of 9.8 to 9.9, currently. To ensure the integrity of the new Steam Generators as well as of the whole Secondary System a corrosion product programme was introduced at the end of the Nineties. Several investigations which are performed periodically are represented by analyses of corrosion products, measurements of sludge mass and composition in the Steam Generators, Hide-Out-Return- and mass balance measurements of corrosion products in the whole circuit. Objectives of these investigations are assessments of the efficiency of the water chemistry and trend considerations regarding to the transport of corrosion products and pollutants into the Steam Generator, as well as of the potential danger of deposits and stored or absorbed pollutants. The main target of all measures is to avoid any chemical

  13. A Multiagent System-Based Protection and Control Scheme for Distribution System With Distributed-Generation Integration

    DEFF Research Database (Denmark)

    Liu, Z.; Su, Chi; Hoidalen, Hans

    2017-01-01

    In this paper, a multi agent system (MAS) based protection and control scheme is proposed to deal with diverse operation conditions in distribution system due to distributed generation (DG) integration. Based on cooperation between DG controller and relays, an adaptive protection and control...... algorithm is designed on converter based wind turbine DG to limit the influence of infeed fault current. With the consideration of DG control modes, an adaptive relay setting strategy is developed to help protective relays adapt suitable settings to different operation conditions caused by the variations...

  14. Integration of RNA-Seq and RPPA data for survival time prediction in cancer patients.

    Science.gov (United States)

    Isik, Zerrin; Ercan, Muserref Ece

    2017-10-01

    Integration of several types of patient data in a computational framework can accelerate the identification of more reliable biomarkers, especially for prognostic purposes. This study aims to identify biomarkers that can successfully predict the potential survival time of a cancer patient by integrating the transcriptomic (RNA-Seq), proteomic (RPPA), and protein-protein interaction (PPI) data. The proposed method -RPBioNet- employs a random walk-based algorithm that works on a PPI network to identify a limited number of protein biomarkers. Later, the method uses gene expression measurements of the selected biomarkers to train a classifier for the survival time prediction of patients. RPBioNet was applied to classify kidney renal clear cell carcinoma (KIRC), glioblastoma multiforme (GBM), and lung squamous cell carcinoma (LUSC) patients based on their survival time classes (long- or short-term). The RPBioNet method correctly identified the survival time classes of patients with between 66% and 78% average accuracy for three data sets. RPBioNet operates with only 20 to 50 biomarkers and can achieve on average 6% higher accuracy compared to the closest alternative method, which uses only RNA-Seq data in the biomarker selection. Further analysis of the most predictive biomarkers highlighted genes that are common for both cancer types, as they may be driver proteins responsible for cancer progression. The novelty of this study is the integration of a PPI network with mRNA and protein expression data to identify more accurate prognostic biomarkers that can be used for clinical purposes in the future. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Autocapture compatibility in patients with the MembraneEX lead and Affinity pulse generators.

    Science.gov (United States)

    Schuchert, A; Voitk, J; Liu, B; Kolk, R; Stammwitz, E; Beiras, J

    2001-10-01

    The first Autocapture generation worked well with all recommended leads. The newer Autocapture generation provides a more sensitive resolution for evoked response testing and its implementation in a dual-chamber device. The purpose of the study was to evaluate the performance of the Affinity SR/DR pacemaker with the new Autocapture algorithm in combination with the small surface area pacing lead MembraneEX in 129 patients. Autocapture ventricular threshold, sensing threshold, lead impedance, evoked response (ER) and polarization signals were determined at implantation and discharge, as well as after 1 and 3 months. Autocapture recommendation rate was based on the ER sensitivity test. The median pacing threshold was 0.38, 0.50, 0.75, 0.75 V at implant, discharge, 1 and 3 months post-implant, respectively. The respective data for median lead impedance were 744, 605, 649 and 691 ohms; median sensing threshold was 12.5 mV at all visits. The median ER amplitude was 9.0, 10.1, 9.9 and 10.1 mV and the median polarization signal 0.39 mV at all visits. The frequency of recommended Autocapture activation was 98.3%, 99.2%, 98.3% and 96.2% of all patients at implant, at discharge, 1 and 3 months post-implant respectively. In conclusion, the studied pulse generator enabled, in combination with this pacing lead, in >95% of all patients activation of Autocapture.

  16. Integrated economics

    International Nuclear Information System (INIS)

    Bratton, T.J.

    1992-01-01

    This article offers ideas for evaluating integrated solid waste management systems through the use of a conceptual cost overview. The topics of the article include the integrated solid waste management system; making assumptions about community characteristics, waste generation rates, waste collection responsibility, integrated system components, sizing and economic life of system facilities, system implementation schedule, facility ownership, and system administration; integrated system costs; integrated system revenues; system financing; cost projections; and making decisions

  17. Patient experience in a coordinated care model featuring diabetes self-management education integrated into the patient-centered medical home.

    Science.gov (United States)

    Janiszewski, Debra; O'Brian, Catherine A; Lipman, Ruth D

    2015-08-01

    The purpose of this study is to gain insight about patient experience of diabetes self-management education in a patient-centered medical home. Six focus groups consisting of 37 people with diabetes, diverse in race and ethnicity, were conducted at 3 sites. Participants described their experience in the program and their challenges in diabetes self-management; they also suggested services to meet their diabetes care needs. The most common theme was ongoing concerns about care and support. There was much discussion about the value of the support provided by health navigators integrated in the diabetes health care team. Frequent concerns expressed by participants centered on personal challenges in engaging in healthy lifestyle behaviors. Ongoing programmatic support of self-management goals was widely valued. Individuals who received health care in a patient-centered medical home and could participate in diabetes self-management education with integrated support valued both activities. The qualitative results from this study suggest need for more formalized exploration of effective means to meet the ongoing support needs of people with diabetes. © 2015 The Author(s).

  18. Activating chronic kidney disease patients and family members through the Internet to promote integration of care

    Directory of Open Access Journals (Sweden)

    Michael Trisolini

    2004-10-01

    Full Text Available Purpose: To describe the potential role of the Internet as a vehicle for improving integration of care through activating chronic kidney disease patients and their family members. Also, to describe how that potential is being developed through a website sponsored by the Medicare program in the United States. Background: The Internet is expanding at a rapid rate, and health-related websites are one of its most popular features. Efforts to promote integration of care have focused mainly on providers up to now, and more emphasis is needed on the potential roles of patients. Chronically ill patients have particular needs for improved education about their conditions and enhanced involvement in care planning and treatment decisions. Medicare developed the Dialysis Facility Compare website to serve those goals for people with chronic kidney disease. Methods: We conducted qualitative research with 140 chronic kidney disease patients and family members, and 130 renal care professionals to evaluate and improve the Dialysis Facility Compare website. A series of 19 focus groups, 13 triads (small focus groups, and 56 individual interviews were conducted in four regions of the United States and by telephone. Results: We found that the Dialysis Facility Compare website has the potential to improve integration of care for people with chronic kidney disease in at least three ways. First: by expanding the roles of patients as members of the multi-disciplinary team of caregivers treating their disease. Second: through better integration of the informal care provided in the home and community with the formal care provided by health professionals. Third: by improving coordination of between care provided in the pre-dialysis and dialysis phases of the disease. Discussion: We developed recommendations for revising and enhancing the Dialysis Facility Compare website in a number of ways to better promote patient activation and integration of care. The unique features

  19. [Consensus document: a model of integrated management of patients with psycomotor agitation].

    Science.gov (United States)

    2016-01-01

    Psychomotor agitation (PMA) is a heterogeneous clinical syndrome associated with a widenumber of pathological conditions. The currently available recommendations and guidelines on PMA correct assessment and management are significantly dishomogeneous and suffer from a lack of standardization, especially regarding pharmacological interventions. Based on this deficiency, and on multidisciplinary nature of PMA, that includes factors shared by different health professionals other than pharmacoeconomic and risk management aspects, we started a project aimed to elaborate a shared model of integrated management for PMA patients. The model, developed by a scientific board and a multidisciplinary panel using the consensus Delphi-RAND method, aims to give indications of good clinical practice for the management of these patients. The present document reports the results of this consensus process, whose main principles are the centrality of the patient, as an active and collaborating subject, the importance of prompt and not coercive interventions able to block the escalation to violence and to allow a correct diagnostic and therapeutic workup, the appropriate use of pharmacological interventions based on the severity of symptoms and the importance of an integrated and harmonized approach by the different professionals involved in PMA management.

  20. Cleaner generation, free-riders, and environmental integrity: clean development mechanism and the power sector

    Energy Technology Data Exchange (ETDEWEB)

    Bernow, Stephen; Kartha, Sivan; Lazarus, Michael; Page, Tom [Tellus Institute and Stockholm Environmental Institute-Boston Center, Boston, MA (United States)

    2001-06-01

    This article provides a first-cut estimate of the potential impacts of the clean development mechanism (CDM) on electricity generation and carbon emissions in the power sector of non-Annex 1 countries. We construct four illustrative CDM regimes that represent a range of approaches under consideration within the climate community. We examine the impact of these CDM regimes on investments in new generation, under illustrative carbon trading prices of US$ 10 and 100/tC. In the cases that are most conductive to CDM activity, roughly 94% of new generation investments remains identical to the without-CDM situation, with only 6% shifting from higher to lower carbon intensity technologies. We estimate that the CDM would bolster renewable energy generation by as little as 15% at US$ 10/tC, or as much as 300% at US$ 100/tC. A striking finding comes from our examination of the potential magnitude of the 'free-rider' problem, i.e. crediting of activities that will occur even in the absence of the CDM. The CDM is intended to be globally carbon-neutral --- a project reduces emissions in the host country but generates credits that increase emissions in the investor country. However, to the extent that unwarranted credits are awarded to non-additional projects, the CDM would increase global carbon emissions above the without-CDM emissions level. Under two of the CDM regimes considered, cumulative free-riders credits total 250-600MtC through the end of the first budget period in 2012. This represents 10-23% of the likely OECD emissions reduction requirement during the first budget period. Since such a magnitude of free-rider credits from non-additional CDM projects could threaten the environmental integrity of the Kyoto protocol, it is imperative that policy makers devise CDM rules that encourage legitimate projects, while effectively screening out non-additional activities. (Author)

  1. Overcoming challenges integrating patient-generated data into the clinical EHR: lessons from the CONtrolling Disease Using Inexpensive IT--Hypertension in Diabetes (CONDUIT-HID) Project.

    Science.gov (United States)

    Marquard, Jenna L; Garber, Lawrence; Saver, Barry; Amster, Brian; Kelleher, Michael; Preusse, Peggy

    2013-10-01

    The CONDUIT-HID intervention integrates patients' electronic blood pressure measurements directly into the clinical EHR using Microsoft HealthVault as an intermediary data store. The goal of this paper is to describe generalizable categories of patient and technical challenges encountered in the development and implementation of this inexpensive, commercial off-the-shelf consumer health informatics intervention, examples of challenges within each category, and how the example challenges were resolved prior to conducting an RCT of the intervention. The research team logged all challenges and mediation strategies during the technical development of the intervention, conducted home visits to observe patients using the intervention, and conducted telephone calls with patients to understand challenges they encountered. We then used these data to iteratively refine the intervention. The research team identified a variety of generalizable categories of challenges associated with patients uploading data from their homes, patients uploading data from clinics because they did not have or were not comfortable using home computers, and patients establishing the connection between HealthVault and the clinical EHR. Specific challenges within these categories arose because: (1) the research team had little control over the device and application design, (2) multiple vendors needed to coordinate their actions and design changes, (3) the intervention use cases were not anticipated by the device and application designers, (4) PHI accessed on clinic computers needed to be kept secure, (5) the research team wanted the data in the clinical EHR to be valid and reliable, (6) patients needed the ability to share only the data they wanted, and (7) the development of some EHR functionalities were new to the organization. While these challenges were varied and complex, the research team was able to successfully resolve each one prior to the start of the RCT. By identifying these

  2. A Parametric Empirical Bayesian framework for the EEG/MEG inverse problem: generative models for multisubject and multimodal integration

    Directory of Open Access Journals (Sweden)

    Richard N Henson

    2011-08-01

    Full Text Available We review recent methodological developments within a Parametric Empirical Bayesian (PEB framework for reconstructing intracranial sources of extracranial electroencephalographic (EEG and magnetoencephalographic (MEG data under linear Gaussian assumptions. The PEB framework offers a natural way to integrate multiple constraints (spatial priors on this inverse problem, such as those derived from different modalities (e.g., from functional magnetic resonance imaging, fMRI or from multiple replications (e.g., subjects. Using variations of the same basic generative model, we illustrate the application of PEB to three cases: 1 symmetric integration (fusion of MEG and EEG; 2 asymmetric integration of MEG or EEG with fMRI, and 3 group-optimisation of spatial priors across subjects. We evaluate these applications on multimodal data acquired from 18 subjects, focusing on energy induced by face perception within a time-frequency window of 100-220ms, 8-18Hz. We show the benefits of multi-modal, multi-subject integration in terms of the model evidence and the reproducibility (over subjects of cortical responses to faces.

  3. Evaluation of material integrity on electricity generator water steam cycles component (Main Steam Pipe)

    International Nuclear Information System (INIS)

    Sudardjo; Histori; Triyadi, Ari

    1998-01-01

    The evaluation of material integrity on electricity generator component has been done. That component was main steam pipe of Unit II Suralaya Coal Fired Power Plant. evaluation was done by replication technique. The damage was found are two porosity's, from two point samples of six points sample population. Based on cavity evaluation in steels, which proposed by Neubauer and Wedel that porosity's still at class A damage. For class A damage, its means no remedial action would be required until next major scheduled maintenance outage. That porosity's was grouped on isolated cavities and not need ti repair that main steam pipe component less than three year after replication test

  4. Securing Health Sensing Using Integrated Circuit Metric

    Science.gov (United States)

    Tahir, Ruhma; Tahir, Hasan; McDonald-Maier, Klaus

    2015-01-01

    Convergence of technologies from several domains of computing and healthcare have aided in the creation of devices that can help health professionals in monitoring their patients remotely. An increase in networked healthcare devices has resulted in incidents related to data theft, medical identity theft and insurance fraud. In this paper, we discuss the design and implementation of a secure lightweight wearable health sensing system. The proposed system is based on an emerging security technology called Integrated Circuit Metric (ICMetric) that extracts the inherent features of a device to generate a unique device identification. In this paper, we provide details of how the physical characteristics of a health sensor can be used for the generation of hardware “fingerprints”. The obtained fingerprints are used to deliver security services like authentication, confidentiality, secure admission and symmetric key generation. The generated symmetric key is used to securely communicate the health records and data of the patient. Based on experimental results and the security analysis of the proposed scheme, it is apparent that the proposed system enables high levels of security for health monitoring in resource optimized manner. PMID:26492250

  5. Securing Health Sensing Using Integrated Circuit Metric

    Directory of Open Access Journals (Sweden)

    Ruhma Tahir

    2015-10-01

    Full Text Available Convergence of technologies from several domains of computing and healthcare have aided in the creation of devices that can help health professionals in monitoring their patients remotely. An increase in networked healthcare devices has resulted in incidents related to data theft, medical identity theft and insurance fraud. In this paper, we discuss the design and implementation of a secure lightweight wearable health sensing system. The proposed system is based on an emerging security technology called Integrated Circuit Metric (ICMetric that extracts the inherent features of a device to generate a unique device identification. In this paper, we provide details of how the physical characteristics of a health sensor can be used for the generation of hardware “fingerprints”. The obtained fingerprints are used to deliver security services like authentication, confidentiality, secure admission and symmetric key generation. The generated symmetric key is used to securely communicate the health records and data of the patient. Based on experimental results and the security analysis of the proposed scheme, it is apparent that the proposed system enables high levels of security for health monitoring in resource optimized manner.

  6. Chronic exposure to dopamine agonists affects the integrity of striatal D2 receptors in Parkinson's patients

    Directory of Open Access Journals (Sweden)

    Marios Politis

    2017-01-01

    Full Text Available We aimed to investigate the integrity and clinical relevance of striatal dopamine receptor type-2 (D2R availability in Parkinson's disease (PD patients. We studied 68 PD patients, spanning from early to advanced disease stages, and 12 healthy controls. All participants received one [11C]raclopride PET scan in an OFF medication condition for quantification of striatal D2R availability in vivo. Parametric images of [11C]raclopride non-displaceable binding potential were generated from the dynamic [11C]raclopride scans using implementation of the simplified reference tissue model with cerebellum as the reference tissue. PET data were interrogated for correlations with clinical data related to disease burden and dopaminergic treatment. PD patients showed a mean 16.7% decrease in caudate D2R and a mean 3.5% increase in putaminal D2R availability compared to healthy controls. Lower caudate [11C]raclopride BPND correlated with longer PD duration. PD patients on dopamine agonist treatment had 9.2% reduced D2R availability in the caudate and 12.8% in the putamen compared to PD patients who never received treatment with dopamine agonists. Higher amounts of lifetime dopamine agonist therapy correlated with reduced D2Rs availability in both caudate and putamen. No associations between striatal D2R availability and levodopa treatment and dyskinesias were found. In advancing PD the caudate and putamen D2R availability are differentially affected. Chronic exposure to treatment with dopamine agonists, but no levodopa, suppresses striatal D2R availability, which may have relevance to output signaling to frontal lobes and the occurrence of executive deficits, but not dyskinesias.

  7. An Integrated Model of Patient and Staff Satisfaction Using Queuing Theory.

    Science.gov (United States)

    Komashie, Alexander; Mousavi, Ali; Clarkson, P John; Young, Terry

    2015-01-01

    This paper investigates the connection between patient satisfaction, waiting time, staff satisfaction, and service time. It uses a variety of models to enable improvement against experiential and operational health service goals. Patient satisfaction levels are estimated using a model based on waiting (waiting times). Staff satisfaction levels are estimated using a model based on the time spent with patients (service time). An integrated model of patient and staff satisfaction, the effective satisfaction level model, is then proposed (using queuing theory). This links patient satisfaction, waiting time, staff satisfaction, and service time, connecting two important concepts, namely, experience and efficiency in care delivery and leading to a more holistic approach in designing and managing health services. The proposed model will enable healthcare systems analysts to objectively and directly relate elements of service quality to capacity planning. Moreover, as an instrument used jointly by healthcare commissioners and providers, it affords the prospect of better resource allocation.

  8. Integral transform solution of natural convection in a square cavity with volumetric heat generation

    Directory of Open Access Journals (Sweden)

    C. An

    2013-12-01

    Full Text Available The generalized integral transform technique (GITT is employed to obtain a hybrid numerical-analytical solution of natural convection in a cavity with volumetric heat generation. The hybrid nature of this approach allows for the establishment of benchmark results in the solution of non-linear partial differential equation systems, including the coupled set of heat and fluid flow equations that govern the steady natural convection problem under consideration. Through performing the GITT, the resulting transformed ODE system is then numerically solved by making use of the subroutine DBVPFD from the IMSL Library. Therefore, numerical results under user prescribed accuracy are obtained for different values of Rayleigh numbers, and the convergence behavior of the proposed eigenfunction expansions is illustrated. Critical comparisons against solutions produced by ANSYS CFX 12.0 are then conducted, which demonstrate excellent agreement. Several sets of reference results for natural convection with volumetric heat generation in a bi-dimensional square cavity are also provided for future verification of numerical results obtained by other researchers.

  9. Generation, genome edition and characterization of iPSC lines from a patient with coenzyme Q10 deficiency harboring a heterozygous mutation in COQ4 gene

    Directory of Open Access Journals (Sweden)

    Damià Romero-Moya

    2017-10-01

    Full Text Available We report the generation, CRISPR/Cas9-edition and characterization of induced pluripotent stem cell (iPSC lines from a patient with coenzyme Q10 deficiency harboring the heterozygous mutation c.483G > C in the COQ4 gene. iPSCs were generated using non-integrative Sendai Viruses containing the reprogramming factors OCT4, SOX2, KLF4 and C-MYC. The iPSC lines carried the c.483G > C COQ4 mutation, silenced the OKSM expression and were mycoplasma-free. They were bona fide pluripotent cells as characterized by morphology, immunophenotype/gene expression for pluripotent-associated markers/genes, NANOG and OCT4 promoter demethylation, karyotype and teratoma formation. The COQ4 mutation was CRISPR/Cas9 edited resulting in isogenic, diploid and off-target free COQ4-corrected iPSCs.

  10. Clinical experience of integrative cancer immunotherapy with GcMAF.

    Science.gov (United States)

    Inui, Toshio; Kuchiike, Daisuke; Kubo, Kentaro; Mette, Martin; Uto, Yoshihiro; Hori, Hitoshi; Sakamoto, Norihiro

    2013-07-01

    Immunotherapy has become an attractive new strategy in the treatment of cancer. The laboratory and clinical study of cancer immunotherapy is rapidly advancing. However, in the clinical setting, the results of cancer immunotherapy are mixed. We therefore contend that cancer immunotherapy should be customized to each patient individually based on their immune status and propose an integrative immunotherapy approach with second-generation group-specific component macrophage activating factor (GcMAF)-containing human serum. The standard protocol of our integrative cancer immunotherapy is as follows: i) 0.5 ml GcMAF-containing human serum is administered intramuscularly or subcutaneously once or twice per week for the duration of cancer therapy until all cancer cells are eradicated; ii) hyper T/natural killer (NK) cell therapy is given once per week for six weeks; iii) high-dose vitamin C is administered intravenously twice per week; iv) alpha lipoic acid (600 mg) is administered orally daily; v) vitamin D3 (5,000-10,000 IU) is administered orally daily. By March 2013, Saisei Mirai have treated over 345 patients with GcMAF. Among them we here present the cases of three patients for whom our integrative immunotherapy was remarkably effective. The results of our integrative immunotherapy seem hopeful. We also plan to conduct a comparative clinical study.>

  11. Clinical fMRI of language function in aphasic patients: Reading paradigm successful, while word generation paradigm fails

    International Nuclear Information System (INIS)

    Engstroem, Maria; Landtblom, Anne-Marie; Ragnehed, Mattias; Lundberg, Peter; Karlsson, Marie; Crone, Marie; Antepohl, Wolfram

    2010-01-01

    Background: In fMRI examinations, it is very important to select appropriate paradigms assessing the brain function of interest. In addition, the patients' ability to perform the required cognitive tasks during fMRI must be taken into account. Purpose: To evaluate two language paradigms, word generation and sentence reading for their usefulness in examinations of aphasic patients and to make suggestions for improvements of clinical fMRI. Material and Methods: Five patients with aphasia after stroke or trauma sequelae were examined by fMRI. The patients' language ability was screened by neurolinguistic tests and elementary pre-fMRI language tests. Results: The sentence-reading paradigm succeeded to elicit adequate language-related activation in perilesional areas whereas the word generation paradigm failed. These findings were consistent with results on the behavioral tests in that all patients showed very poor performance in phonemic fluency, but scored well above mean at a reading comprehension task. Conclusion: The sentence-reading paradigm is appropriate to assess language function in this patient group, while the word-generation paradigm seems to be inadequate. In addition, it is crucial to use elementary pre-fMRI language tests to guide the fMRI paradigm decision.

  12. Clinical fMRI of language function in aphasic patients: Reading paradigm successful, while word generation paradigm fails

    Energy Technology Data Exchange (ETDEWEB)

    Engstroem, Maria; Landtblom, Anne-Marie; Ragnehed, Mattias; Lundberg, Peter (Center for Medical Image Science and Visualization (CMIV), Linkoeping Univ., Linkoeping (Sweden)), e-mail: maria.engstrom@liu.se; Karlsson, Marie; Crone, Marie (Dept. of Clinical and Experimental Medicine/Logopedics, Linkoeping Univ., Linkoeping (Sweden)); Antepohl, Wolfram (Dept. of Clinical and Experimental Medicine/Rehabilitation, Linkoeping Univ., Linkoeping (Sweden))

    2010-07-15

    Background: In fMRI examinations, it is very important to select appropriate paradigms assessing the brain function of interest. In addition, the patients' ability to perform the required cognitive tasks during fMRI must be taken into account. Purpose: To evaluate two language paradigms, word generation and sentence reading for their usefulness in examinations of aphasic patients and to make suggestions for improvements of clinical fMRI. Material and Methods: Five patients with aphasia after stroke or trauma sequelae were examined by fMRI. The patients' language ability was screened by neurolinguistic tests and elementary pre-fMRI language tests. Results: The sentence-reading paradigm succeeded to elicit adequate language-related activation in perilesional areas whereas the word generation paradigm failed. These findings were consistent with results on the behavioral tests in that all patients showed very poor performance in phonemic fluency, but scored well above mean at a reading comprehension task. Conclusion: The sentence-reading paradigm is appropriate to assess language function in this patient group, while the word-generation paradigm seems to be inadequate. In addition, it is crucial to use elementary pre-fMRI language tests to guide the fMRI paradigm decision.

  13. Barriers to Integration of Traditional and Complementary Medicine in Supportive Cancer Care of Arab Patients in Northern Israel

    Directory of Open Access Journals (Sweden)

    Eran Ben-Arye

    2012-01-01

    Full Text Available In 2008, an Integrative Oncology Program (IOP, aiming to improve patients’ quality of life during chemotherapy and advanced cancer, was launched within the Clalit Health Organization's oncology service at the Lin Medical Center, Haifa, Israel. The IOP clinical activity is documented using a research-based registry protocol. In this study, we present an analysis of the registry protocol of 15 Arab patients with cancer who were referred to the IOP. Analysis of patients’ reported outcomes using the Edmonton Symptom Assessment Scale suggests that integrative medicine care improves fatigue (=0.024, nausea (=0.043, depression (=0.012, anxiety (=0.044, appetite (=0.012, and general well-being (=0.031. Barriers to integration of traditional and complementary medicine in supportive care of Arab patients are discussed followed by six practical recommendations aimed at improving accessibility of patients to integrative supportive care, as well as compliance with treatments.

  14. Ultrafast pulse generation in integrated arrays of anapole nanolasers

    KAUST Repository

    Gongora, J. S. Totero; Miroshnichenko, Andrey E.; Kivshar, Yuri S.; Fratalocchi, Andrea

    2017-01-01

    via external active components, such as, e.g., Q-switch or saturable absorbers. Consequently, the required optical setups are complex and difficult to integrate on-chip. To address these difficulties, we propose a novel type of integrated source based

  15. Dutch Patient-Generated Subjective Global Assessment (PG-SGA): training improves scores for comprehensibility and difficulty

    NARCIS (Netherlands)

    Danique Haven; Martine J. Sealy; Jan Roodenburg; Dr. C.P. van der Schans; Dr. Harriët Jager-Wittenaar; Anne van der Braak; Faith Ottery

    2015-01-01

    The Patient-Generated Subjective Global Assessment (PG-SGA) is a validated instrument to assess and monitor malnutrition. The PG-SGA consists of both patient-reported and professional-reported items. A professional should be able to correctly interpret all items. Untrained professionals may

  16. Integration of Multi-Modal Biomedical Data to Predict Cancer Grade and Patient Survival.

    Science.gov (United States)

    Phan, John H; Hoffman, Ryan; Kothari, Sonal; Wu, Po-Yen; Wang, May D

    2016-02-01

    The Big Data era in Biomedical research has resulted in large-cohort data repositories such as The Cancer Genome Atlas (TCGA). These repositories routinely contain hundreds of matched patient samples for genomic, proteomic, imaging, and clinical data modalities, enabling holistic and multi-modal integrative analysis of human disease. Using TCGA renal and ovarian cancer data, we conducted a novel investigation of multi-modal data integration by combining histopathological image and RNA-seq data. We compared the performances of two integrative prediction methods: majority vote and stacked generalization. Results indicate that integration of multiple data modalities improves prediction of cancer grade and outcome. Specifically, stacked generalization, a method that integrates multiple data modalities to produce a single prediction result, outperforms both single-data-modality prediction and majority vote. Moreover, stacked generalization reveals the contribution of each data modality (and specific features within each data modality) to the final prediction result and may provide biological insights to explain prediction performance.

  17. Phelan-McDermid syndrome data network: Integrating patient reported outcomes with clinical notes and curated genetic reports.

    Science.gov (United States)

    Kothari, Cartik; Wack, Maxime; Hassen-Khodja, Claire; Finan, Sean; Savova, Guergana; O'Boyle, Megan; Bliss, Geraldine; Cornell, Andria; Horn, Elizabeth J; Davis, Rebecca; Jacobs, Jacquelyn; Kohane, Isaac; Avillach, Paul

    2017-09-01

    The heterogeneity of patient phenotype data are an impediment to the research into the origins and progression of neuropsychiatric disorders. This difficulty is compounded in the case of rare disorders such as Phelan-McDermid Syndrome (PMS) by the paucity of patient clinical data. PMS is a rare syndromic genetic cause of autism and intellectual deficiency. In this paper, we describe the Phelan-McDermid Syndrome Data Network (PMS_DN), a platform that facilitates research into phenotype-genotype correlation and progression of PMS by: a) integrating knowledge of patient phenotypes extracted from Patient Reported Outcomes (PRO) data and clinical notes-two heterogeneous, underutilized sources of knowledge about patient phenotypes-with curated genetic information from the same patient cohort and b) making this integrated knowledge, along with a suite of statistical tools, available free of charge to authorized investigators on a Web portal https://pmsdn.hms.harvard.edu. PMS_DN is a Patient Centric Outcomes Research Initiative (PCORI) where patients and their families are involved in all aspects of the management of patient data in driving research into PMS. To foster collaborative research, PMS_DN also makes patient aggregates from this knowledge available to authorized investigators using distributed research networks such as the PCORnet PopMedNet. PMS_DN is hosted on a scalable cloud based environment and complies with all patient data privacy regulations. As of October 31, 2016, PMS_DN integrates high-quality knowledge extracted from the clinical notes of 112 patients and curated genetic reports of 176 patients with preprocessed PRO data from 415 patients. © 2017 The Authors. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics Published by Wiley Periodicals, Inc.

  18. Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study.

    Science.gov (United States)

    Sharma, Dibyendu; Kannan, Ravi; Tapkire, Ritesh; Nath, Soumitra

    2015-01-01

    Cancer patients frequently experience malnutrition. Cancer and cancer therapy effects nutritional status through alterations in the metabolic system and reduction in food intake. In the present study, fifty seven cancer patients were selected as subjects from the oncology ward of Cachar Cancer Hospital and Research Centre, Silchar, India. Evaluation of nutritional status of cancer patients during treatment was carried out by scored Patient-Generated Subjective Global Assessment (PG-SGA). The findings of PG-SGA showed that 15.8% (9) were well nourished, 31.6% (18) were moderately or suspected of being malnourished and 52.6% (30) were severely malnourished. The prevalence of malnutrition was highest in lip/oral (33.33%) cancer patients. The study showed that the prevalence of malnutrition (84.2%) was high in cancer patients during treatment.

  19. Integrated care: an Information Model for Patient Safety and Vigilance Reporting Systems.

    Science.gov (United States)

    Rodrigues, Jean-Marie; Schulz, Stefan; Souvignet, Julien

    2015-01-01

    Quality management information systems for safety as a whole or for specific vigilances share the same information types but are not interoperable. An international initiative tries to develop an integrated information model for patient safety and vigilance reporting to support a global approach of heath care quality.

  20. Integration of Hybrid PV/Wind Generation System Using Fuzzy MPPT in Grid Connected System for Remote Area

    Directory of Open Access Journals (Sweden)

    Soedibyo

    2016-01-01

    Full Text Available Photovoltaic and wind are renewable energy resources that widely used and grow rapidly in fulfilling electricity demand. Powers from both technologies depend on sunlight intensity and wind speed. For small scale power generation, DC voltage from both technologies is low and requires step-up converter to raise DC voltage ratio before converted into AC voltage. To optimize this system, step-up converter must have high ratio and efficiency to a distance of wide voltage input. This paper proposed an operation simulation and arrangement of DC-DC converter along with DC-AC from hybrid source PV-Wind which integrated to grid utilities without using storage device. High Gain Integrated Cascade Boost (HGICB is DC-DC converter that has quadratic voltage ratio and used in this research. Then DC link connected to Voltage Source Inverter (VSI which interconnected with utility grid and controlled by current control method. The total installed capacity of hybrid source is 4.4 kW. Wind turbine uses PMSG along with full bridge rectifier. To maximize and stabilize the generated power, MPPT fuzzy is used. Result from the simulation shows that converter capable to maintain maximum power whether from PV and wind turbine which canalized to utility grid in various irradiation condition, wind speed, and grid load alteration.

  1. A view from Riggs: treatment resistance and patient authority-IX. Integrative psychodynamic treatment of psychotic disorders.

    Science.gov (United States)

    Tillman, Jane G

    2008-01-01

    Psychotic spectrum disorders present treatment challenges for patients, families, and clinicians. This article addresses the history of the dualism in the field between biological and psychological approaches to mental disorders, and surveys the contemporary literature about the etiology and treatment of psychotic spectrum disorders. An integrative approach to treatment derived from work at Austen Riggs with previously treatment refractory patients with psychotic spectrum disorders is described that combines individual psycho- dynamic psychotherapy, psychopharmacology, family systems approaches, and intensive psychosocial engagement. Helping patients develop their own authority to join the treatment, use relationships for learning, and understand the meaning of their symptoms is central to the treatment at Austen Riggs. An extended case vignette of a patient diagnosed with a schizoaffective disorder is presented illustrating this integrative psychodynamic treatment approach.

  2. Integrated multiperiod power generation and transmission expansion planning with sustainability aspects in a stochastic environment

    International Nuclear Information System (INIS)

    Seddighi, Amir Hossein; Ahmadi-Javid, Amir

    2015-01-01

    This paper presents a multistage stochastic programming model to address sustainable power generation and transmission expansion planning. The model incorporates uncertainties about future electricity demand, fuel prices, greenhouse gas emissions, as well as possible disruptions to which the power system is subject. A number of sustainability regulations and policies are considered to establish a framework for the social responsibility of the power system. The proposed model is applied to a real-world case, and several sensitivity analyses are carried out to provide managerial insights into different aspects of the model. The results emphasize the important role played by sustainability policies on the configuration of the power grid. - Highlights: • This paper considers integrated power generation and transmission expansion planning. • Sustainability aspects are incorporated into a multiperiod stochastic setting. • A stochastic mathematical programming model is developed to address the problem. • The model is applied to a real-world case and numerical studies are carried out

  3. Millennials at Work: Investigating the Specificity of Generation Y versus Other Generations

    Directory of Open Access Journals (Sweden)

    Florina PÎNZARU

    2016-06-01

    Full Text Available The present study intends to discuss the psychological profile of Generation Y versus other generations.The differences between Millennials and other generations are addressed in terms of values, personality characteristics, and reactions under stress. The topicality and relevance of the research theme are supported by the fact that most of the people who are currently employed in companies all over the world are members of the Generation Y. This situation requires a proper investigation of the characteristics and specificity of the so-called Millennials with a view to provide organizations with pertinent inputs for designing well-informed policies and for smoothly integrating Millennials in the workplace. To this end, Hogan Assessments personality inventories were applied online to more than 1000 persons from Generation Y (up to 29 years old and more than 3000 persons from other generations (above 29 years old. Among others, the findings show that Millennials are motivated by recognition, public acknowledgment, instant and frequent positive feedback and gratification. As they need balance between personal and professional life, as well as a comfortable environment, they require a flexible work schedule, resent staying after hours. Being motivated to become part of various social networks, work in various teams, Millennials are able to easily find satisfaction in missions that involve interactions with new persons coming from different cultures and geographical areas. They are motivated by work in a nonconformist environment without strict rules and traditional work approaches, they tend to challenge the status quo and they will not be patient to keep the same job many years.

  4. New approach in electricity network regulation: an issue on effective integration of distributed generation in electricity supply systems

    International Nuclear Information System (INIS)

    Scheepers, Martin J.J.; Wals, Adrian F.

    2003-11-01

    Technological developments and EU targets for penetration of renewable energy sources (RES) and greenhouse gas (GHG) reduction are decentralising the electricity infrastructure and services. Although, the liberalisation and internationalisation of the European electricity market has resulted in efforts to harmonise transmission pricing and regulation, hardly any initiative exists to consider the opening up and regulation of distribution networks to ensure effective participation of RES and distributed generation (DG) in the internal market. The SUSTELNET project has been created in order to close this policy gap. Its main objective is to develop regulatory roadmaps for the transition to an electricity market and network structure that creates a level playing field between centralised and decentralised generation and that facilitates the integration of RES, within the framework of the liberalisation of the EU electricity market. By analysing the technical, socio-economic and institutional dynamics of the European electricity system and markets, the project identifies the underlying patterns that provide the boundary conditions and levers for policy development to reach long term RES and GHG targets (2020-2030 time frame). This paper presents results of this analytical phase of the SUSTELNET project. Furthermore, preliminary results of the current work in progress are presented. Principles and criteria for a regulatory framework for sustainable electricity systems are discussed, as well as the development of medium to long-term transition strategies/roadmaps for network regulation and market transformation to facilitate the integration of RES and decentralised electricity generating systems.

  5. Generative Adversarial Networks Based Heterogeneous Data Integration and Its Application for Intelligent Power Distribution and Utilization

    Directory of Open Access Journals (Sweden)

    Yuanpeng Tan

    2018-01-01

    Full Text Available Heterogeneous characteristics of a big data system for intelligent power distribution and utilization have already become more and more prominent, which brings new challenges for the traditional data analysis technologies and restricts the comprehensive management of distribution network assets. In order to solve the problem that heterogeneous data resources of power distribution systems are difficult to be effectively utilized, a novel generative adversarial networks (GANs based heterogeneous data integration method for intelligent power distribution and utilization is proposed. In the proposed method, GANs theory is introduced to expand the distribution of completed data samples. Then, a so-called peak clustering algorithm is proposed to realize the finite open coverage of the expanded sample space, and repair those incomplete samples to eliminate the heterogeneous characteristics. Finally, in order to realize the integration of the heterogeneous data for intelligent power distribution and utilization, the well-trained discriminator model of GANs is employed to check the restored data samples. The simulation experiments verified the validity and stability of the proposed heterogeneous data integration method, which provides a novel perspective for the further data quality management of power distribution systems.

  6. Assessment of nursing care using indicators generated by software

    Directory of Open Access Journals (Sweden)

    Ana Paula Souza Lima

    2015-04-01

    Full Text Available OBJECTIVE: to analyze the efficacy of the Nursing Process in an Intensive Care Unit using indicators generated by software. METHOD: cross-sectional study using data collected for four months. RNs and students daily registered patients, took history (at admission, performed physical assessments, and established nursing diagnoses, nursing plans/prescriptions, and assessed care delivered to 17 patients using software. Indicators concerning the incidence and prevalence of nursing diagnoses, rate of effectiveness, risk diagnoses, and rate of effective prevention of complications were computed. RESULTS: the Risk for imbalanced body temperature was the most frequent diagnosis (23.53%, while the least frequent was Risk for constipation (0%. The Risk for Impaired skin integrity was prevalent in 100% of the patients, while Risk for acute confusion was the least prevalent (11.76%. Risk for constipation and Risk for impaired skin integrity obtained a rate of risk diagnostic effectiveness of 100%. The rate of effective prevention of acute confusion and falls was 100%. CONCLUSION: the efficacy of the Nursing Process using indicators was analyzed because these indicators reveal how nurses have identified patients' risks and conditions, and planned care in a systematized manner.

  7. Steam generator tubes integrity: In-service-inspection

    International Nuclear Information System (INIS)

    Comby, R.J.

    1997-01-01

    The author's approach to tube integrity is in terms of looking for flaws in tubes. The basis for this approach is that no simple rules can be fixed to adopt a universal inspection methodology because of various concepts related to experience, leak acceptance, leak before break approach, etc. Flaw specific management is probably the most reliable approach as a compromise between safety, availability and economic issues. In that case, NDE capabilities have to be in accordance with information required by structural integrity demonstration. The author discusses the types of probes which can be used to search for flaws in addition to the types of flaws which are being sought, with examples of specific analysis experiences. The author also discusses the issue of a reporting level as it relates to avoiding false calls, classifying faults, and allowing for automation in analysis

  8. Wind power integration into the automatic generation control of power systems with large-scale wind power

    DEFF Research Database (Denmark)

    Basit, Abdul; Hansen, Anca Daniela; Altin, Müfit

    2014-01-01

    Transmission system operators have an increased interest in the active participation of wind power plants (WPP) in the power balance control of power systems with large wind power penetration. The emphasis in this study is on the integration of WPPs into the automatic generation control (AGC......) of the power system. The present paper proposes a coordinated control strategy for the AGC between combined heat and power plants (CHPs) and WPPs to enhance the security and the reliability of a power system operation in the case of a large wind power penetration. The proposed strategy, described...... and exemplified for the future Danish power system, takes the hour-ahead regulating power plan for generation and power exchange with neighbouring power systems into account. The performance of the proposed strategy for coordinated secondary control is assessed and discussed by means of simulations for different...

  9. Distributed generation induction and permanent magnet generators

    CERN Document Server

    Lai, L

    2007-01-01

    Distributed power generation is a technology that could help to enable efficient, renewable energy production both in the developed and developing world. It includes all use of small electric power generators, whether located on the utility system, at the site of a utility customer, or at an isolated site not connected to the power grid. Induction generators (IGs) are the cheapest and most commonly used technology, compatible with renewable energy resources. Permanent magnet (PM) generators have traditionally been avoided due to high fabrication costs; however, compared with IGs they are more reliable and productive. Distributed Generation thoroughly examines the principles, possibilities and limitations of creating energy with both IGs and PM generators. It takes an electrical engineering approach in the analysis and testing of these generators, and includes diagrams and extensive case study examples o better demonstrate how the integration of energy sources can be accomplished. The book also provides the ...

  10. Analysis of silicon-based integrated photovoltaic-electrochemical hydrogen generation system under varying temperature and illumination

    Institute of Scientific and Technical Information of China (English)

    Vishwa Bhatt; Brijesh Tripathi; Pankaj Yadav; Manoj Kumar

    2017-01-01

    Last decade witnessed tremendous research and development in the area of photo-electrolytic hydrogen generation using chemically stable nanostructured photo-cathode/anode materials.Due to intimately coupled charge separation and photo-catalytic processes,it is very difficult to optimize individual components of such system leading to a very low demonstrated solar-to-fuel efficiency (SFE) of less than 1%.Recently there has been growing interest in an integrated photovoltaic-electrochemical (PV-EC) system based on GaAs solar cells with the demonstrated SFE of 24.5% under concentrated illumination condition.But a high cost of GaAs based solar cells and recent price drop of poly-crystalline silicon (pc-Si) solar cells motivated researchers to explore silicon based integrated PV-EC system.In this paper a theoretical framework is introduced to model silicon-based integrated PV-EC device.The theoretical framework is used to analyze the coupling and kinetic losses of a silicon solar cell based integrated PV-EC water splitting system under varying temperature and illumination.The kinetic loss occurs in the range of 19.1%-27.9% and coupling loss takes place in the range of 5.45%-6.74% with respect to varying illumination in the range of 20-100 mW/cm2.Similarly,the effect of varying temperature has severe impact on the performance of the system,wherein the coupling loss occurs in the range of 0.84%-21.51% for the temperature variation from 25 to 50 ℃.

  11. Integrating the New Generation Science Standards (NGSS) into K- 6 teacher training and curricula

    Science.gov (United States)

    Pinter, S.; Carlson, S. J.

    2017-12-01

    The Next Generation Science Standards is an initiative, adopted by 26 states, to set national education standards that are "rich in content and practice, arranged in a coherent manner across disciplines and grades to provide all students an internationally benchmarked science education." Educators now must integrate these standards into existing curricula. Many grade-school (K-6) teachers face a particularly daunting task, as they were traditionally not required to teach science or only at a rudimentary level. The majority of K-6 teachers enter teaching from non-science disciplines, making this transition even more difficult. Since the NGSS emphasizes integrated and coherent progression of knowledge from grade to grade, prospective K-6 teachers must be able to deliver science with confidence and enthusiasm to their students. CalTeach/MAST (Mathematics and Science Teaching Program) at the University of California Davis, has created a two-quarter sequence of integrated science courses for undergraduate students majoring in non-STEM disciplines and intending to pursue multiple-subject K-6 credentials. The UCD integrated science course provides future primary school teachers with a basic, but comprehensive background in the physical and earth/space sciences. Key tools are taught for improving teaching methods, investigating complex science ideas, and solving problems relevant to students' life experiences that require scientific or technological knowledge. This approach allows prospective K-6 teachers to explore more effectively the connections between the disciplinary core ideas, crosscutting concepts, and scientific and engineering practices, as outlined in the NGSS. In addition, they develop a core set of science teaching skills based on inquiry activities and guided lab discussions. With this course, we deliver a solid science background to prospective K-6 teachers and facilitate their ability to teach science following the standards as articulated in the NGSS.

  12. ‘Standard’ incentive regulation hinders the integration of renewable energy generation

    International Nuclear Information System (INIS)

    Nykamp, Stefan; Andor, Mark; Hurink, Johann L.

    2012-01-01

    The connection and distribution of growing, decentralized electricity generation from renewable energy sources (RES-E) is leading to massive investment needs. Besides investing in additional ‘conventional’ assets (e.g. cables), grid operators can also invest in innovative ‘smart solutions’ like local storage capacities or voltage regulation appliances, which may be a more suitable way of integrating RES-E. This paper investigates the influence of incentive regulation on the investment decision of grid operators to integrate RES-E. We describe the technical and regulatory background, explain the advantages of ‘smart solutions’ and present an approach for comparing investment scenarios. As an example, we calculate the profitability of investments in a case study of the German electricity market. We apply Data Envelopment Analysis (DEA) and Stochastic Frontier Analysis (SFA) to show the influence of the investment alternatives on grid operator efficiency objectives. We demonstrate that under current ‘standard’ incentive regulation, the grid operators gain profitability by avoiding investments and – if they are forced to invest – by not implementing ‘smart solutions’. The results highlight the need to consider innovation in the regulation design. Further research should investigate specific instruments that can be used to account for innovation. Our brief discussion of such instruments provides a starting point. - Highlights: ► We measure the influence of investments on efficiency by applying DEA and SFA. ► We compare the profitability of alternative investments under incentive regulation. ► Incentive regulation gives incentives to refuse investment at all. ► If DSOs are forced to invest, reinforcement is preferable to smart solutions. ► Ways to consider innovation in incentive regulations are required and discussed.

  13. Hypersensitivity to acid is associated with impaired esophageal mucosal integrity in patients with gastroesophageal reflux disease with and without esophagitis

    NARCIS (Netherlands)

    Weijenborg, Pim W.; Smout, André J. P. M.; Verseijden, Caroline; van Veen, Henk A.; Verheij, Joanne; de Jonge, Wouter J.; Bredenoord, Albert J.

    2014-01-01

    Increased esophageal sensitivity and impaired mucosal integrity have both been described in patients with gastroesophageal reflux disease, but the relationship between hypersensitivity and mucosal integrity is unclear. The aim of the present study was to investigate acid sensitivity in patients with

  14. Thermal Performance of Motor and Inverter in an Integrated Starter Generator System for a Hybrid Electric Vehicle

    OpenAIRE

    Sung Chul Kim

    2013-01-01

    If the integrated starter generator (ISG) motor and inverter operate under continuously high loading conditions, the system’s performance and durability will decrease and the heat dissipation requirements will increase. Therefore, in this study, we developed two cooling designs for the ISG motor and inverter, and then carried out both a model analysis and an experiment on the fluid flow and thermal characteristics of the system under various operating conditions. As the outdoor temperature in...

  15. Corrosion Evaluation and Corrosion Control of Steam Generators

    International Nuclear Information System (INIS)

    Maeng, W. Y.; Kim, U. C.; Sung, K. W.; Na, J. W.; Lee, Y. H.; Lee, D. H.; Kim, K. M.

    2008-06-01

    Corrosion damage significantly influences the integrity and efficiency of steam generator. Corrosion problems of steam generator are unsolved issues until now even though much effort is made around world. Especially the stress corrosion cracking of heat exchange materials is the first issue to be solved. The corrosion protection method of steam generator is important and urgent for the guarantee of nuclear plant's integrity. The objectives of this study are 1) to evaluate the corrosion properties of steam generator materials, 2) to optimize the water chemistry of steam generator and 3) to develop the corrosion protection method of primary and secondary sides of steam generator. The results will be reflected to the water chemistry guideline for improving the integrity and efficiency of steam generator in domestic power plants

  16. Optical pulse generation using fiber lasers and integrated optics

    International Nuclear Information System (INIS)

    Wilcox, R.B.; Browning, D.F.; Burkhart, S.C.; VanWonterghem, B.W.

    1995-01-01

    We have demonstrated an optical pulse forming system using fiber and integrated optics, and have designed a multiple-output system for a proposed fusion laser facility. Our approach is an advancement over previous designs for fusion lasers, and an unusual application of fiber lasers and integrated optics

  17. WE-G-207-06: 3D Fluoroscopic Image Generation From Patient-Specific 4DCBCT-Based Motion Models Derived From Physical Phantom and Clinical Patient Images

    International Nuclear Information System (INIS)

    Dhou, S; Cai, W; Hurwitz, M; Rottmann, J; Myronakis, M; Cifter, F; Berbeco, R; Lewis, J; Williams, C; Mishra, P; Ionascu, D

    2015-01-01

    Purpose: Respiratory-correlated cone-beam CT (4DCBCT) images acquired immediately prior to treatment have the potential to represent patient motion patterns and anatomy during treatment, including both intra- and inter-fractional changes. We develop a method to generate patient-specific motion models based on 4DCBCT images acquired with existing clinical equipment and used to generate time varying volumetric images (3D fluoroscopic images) representing motion during treatment delivery. Methods: Motion models are derived by deformably registering each 4DCBCT phase to a reference phase, and performing principal component analysis (PCA) on the resulting displacement vector fields. 3D fluoroscopic images are estimated by optimizing the resulting PCA coefficients iteratively through comparison of the cone-beam projections simulating kV treatment imaging and digitally reconstructed radiographs generated from the motion model. Patient and physical phantom datasets are used to evaluate the method in terms of tumor localization error compared to manually defined ground truth positions. Results: 4DCBCT-based motion models were derived and used to generate 3D fluoroscopic images at treatment time. For the patient datasets, the average tumor localization error and the 95th percentile were 1.57 and 3.13 respectively in subsets of four patient datasets. For the physical phantom datasets, the average tumor localization error and the 95th percentile were 1.14 and 2.78 respectively in two datasets. 4DCBCT motion models are shown to perform well in the context of generating 3D fluoroscopic images due to their ability to reproduce anatomical changes at treatment time. Conclusion: This study showed the feasibility of deriving 4DCBCT-based motion models and using them to generate 3D fluoroscopic images at treatment time in real clinical settings. 4DCBCT-based motion models were found to account for the 3D non-rigid motion of the patient anatomy during treatment and have the potential

  18. Patient-Specific Computational Modeling

    CERN Document Server

    Peña, Estefanía

    2012-01-01

    This book addresses patient-specific modeling. It integrates computational modeling, experimental procedures, imagine clinical segmentation and mesh generation with the finite element method (FEM) to solve problems in computational biomedicine and bioengineering. Specific areas of interest include cardiovascular problems, ocular and muscular systems and soft tissue modeling. Patient-specific modeling has been the subject of serious research over the last seven years and interest in the area is continually growing and this area is expected to further develop in the near future.

  19. [An integrated model for examination of aphasic patients and evaluation of treatment results].

    Science.gov (United States)

    Ansink, B J; Vanneste, J A; Endtz, L J

    1980-02-01

    This article is an overview of the literature on integrated, multidisciplinar examination of aphasic patients, its consequences for treatment and the evaluation of the results thereof; the need of virtually standardized methods of investigation for each language is stressed.

  20. Distributed Generation Integration in the Electric Grid: Energy Storage System for Frequency Control

    Directory of Open Access Journals (Sweden)

    Maurizio Delfanti

    2014-01-01

    Full Text Available During the last few years generation from renewable energy sources (RESs has grown considerably in European electrical networks. Transmission system operators are greatly concerned about the impact of RESs on the operational security and efficiency of their networks and more in general of the ENTSO-E interconnected system. Grid codes are to be revised in order to harmonise the rules regarding the connection of RES power plants. A main issue concerns frequency control: frequency is greatly affected by RESs intermittency and its deviations must be limited as much as possible in order to guarantee a suitable level of power quality. To improve frequency stability, in the future, Grid codes could extend frequency control requirements also to RES units, whereas today they are applied only to conventional power plants. Energy storage systems can be a possible solution to increase the flexibility and performance of RES power plants: they allow generators to modulate their power injections without wasting renewable energy. In this paper, the authors studied the suitability of extending frequency control to RES units integrating them with energy storage systems. In particular, the paper focuses on the impact of frequency control on the storage lifetime by analysing the power charge/discharge in response to real frequency oscillations.

  1. ViralORFeome: an integrated database to generate a versatile collection of viral ORFs.

    Science.gov (United States)

    Pellet, J; Tafforeau, L; Lucas-Hourani, M; Navratil, V; Meyniel, L; Achaz, G; Guironnet-Paquet, A; Aublin-Gex, A; Caignard, G; Cassonnet, P; Chaboud, A; Chantier, T; Deloire, A; Demeret, C; Le Breton, M; Neveu, G; Jacotot, L; Vaglio, P; Delmotte, S; Gautier, C; Combet, C; Deleage, G; Favre, M; Tangy, F; Jacob, Y; Andre, P; Lotteau, V; Rabourdin-Combe, C; Vidalain, P O

    2010-01-01

    Large collections of protein-encoding open reading frames (ORFs) established in a versatile recombination-based cloning system have been instrumental to study protein functions in high-throughput assays. Such 'ORFeome' resources have been developed for several organisms but in virology, plasmid collections covering a significant fraction of the virosphere are still needed. In this perspective, we present ViralORFeome 1.0 (http://www.viralorfeome.com), an open-access database and management system that provides an integrated set of bioinformatic tools to clone viral ORFs in the Gateway(R) system. ViralORFeome provides a convenient interface to navigate through virus genome sequences, to design ORF-specific cloning primers, to validate the sequence of generated constructs and to browse established collections of virus ORFs. Most importantly, ViralORFeome has been designed to manage all possible variants or mutants of a given ORF so that the cloning procedure can be applied to any emerging virus strain. A subset of plasmid constructs generated with ViralORFeome platform has been tested with success for heterologous protein expression in different expression systems at proteome scale. ViralORFeome should provide our community with a framework to establish a large collection of virus ORF clones, an instrumental resource to determine functions, activities and binding partners of viral proteins.

  2. An eFTD-VP framework for efficiently generating patient-specific anatomically detailed facial soft tissue FE mesh for craniomaxillofacial surgery simulation.

    Science.gov (United States)

    Zhang, Xiaoyan; Kim, Daeseung; Shen, Shunyao; Yuan, Peng; Liu, Siting; Tang, Zhen; Zhang, Guangming; Zhou, Xiaobo; Gateno, Jaime; Liebschner, Michael A K; Xia, James J

    2018-04-01

    Accurate surgical planning and prediction of craniomaxillofacial surgery outcome requires simulation of soft tissue changes following osteotomy. This can only be achieved by using an anatomically detailed facial soft tissue model. The current state-of-the-art of model generation is not appropriate to clinical applications due to the time-intensive nature of manual segmentation and volumetric mesh generation. The conventional patient-specific finite element (FE) mesh generation methods are to deform a template FE mesh to match the shape of a patient based on registration. However, these methods commonly produce element distortion. Additionally, the mesh density for patients depends on that of the template model. It could not be adjusted to conduct mesh density sensitivity analysis. In this study, we propose a new framework of patient-specific facial soft tissue FE mesh generation. The goal of the developed method is to efficiently generate a high-quality patient-specific hexahedral FE mesh with adjustable mesh density while preserving the accuracy in anatomical structure correspondence. Our FE mesh is generated by eFace template deformation followed by volumetric parametrization. First, the patient-specific anatomically detailed facial soft tissue model (including skin, mucosa, and muscles) is generated by deforming an eFace template model. The adaptation of the eFace template model is achieved by using a hybrid landmark-based morphing and dense surface fitting approach followed by a thin-plate spline interpolation. Then, high-quality hexahedral mesh is constructed by using volumetric parameterization. The user can control the resolution of hexahedron mesh to best reflect clinicians' need. Our approach was validated using 30 patient models and 4 visible human datasets. The generated patient-specific FE mesh showed high surface matching accuracy, element quality, and internal structure matching accuracy. They can be directly and effectively used for clinical

  3. Low-Power, Rad-hard Reconfigurable, Bi-directional Flexfet™ Level Shifter ReBiLS for Multiple Generation Technology Integration for Space Exploration, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — The many different generations of integrated circuit (IC) technologies required for new space exploration systems demand designs operate at multiple and often...

  4. Patient centredness in integrated care: results of a qualitative study based on a systems theoretical framework

    Directory of Open Access Journals (Sweden)

    Daniel Lüdecke

    2014-11-01

    Full Text Available Introduction: Health care providers seek to improve patient-centred care. Due to fragmentation of services, this can only be achieved by establishing integrated care partnerships. The challenge is both to control costs while enhancing the quality of care and to coordinate this process in a setting with many organisations involved. The problem is to establish control mechanisms, which ensure sufficiently consideration of patient centredness. Theory and methods: Seventeen qualitative interviews have been conducted in hospitals of metropolitan areas in northern Germany. The documentary method, embedded into a systems theoretical framework, was used to describe and analyse the data and to provide an insight into the specific perception of organisational behaviour in integrated care. Results: The findings suggest that integrated care partnerships rely on networks based on professional autonomy in the context of reliability. The relationships of network partners are heavily based on informality. This correlates with a systems theoretical conception of organisations, which are assumed autonomous in their decision-making. Conclusion and discussion: Networks based on formal contracts may restrict professional autonomy and competition. Contractual bindings that suppress the competitive environment have negative consequences for patient-centred care. Drawbacks remain due to missing self-regulation of the network. To conclude, less regimentation of integrated care partnerships is recommended.

  5. Patient centredness in integrated care: results of a qualitative study based on a systems theoretical framework

    Directory of Open Access Journals (Sweden)

    Daniel Lüdecke

    2014-11-01

    Full Text Available Introduction: Health care providers seek to improve patient-centred care. Due to fragmentation of services, this can only be achieved by establishing integrated care partnerships. The challenge is both to control costs while enhancing the quality of care and to coordinate this process in a setting with many organisations involved. The problem is to establish control mechanisms, which ensure sufficiently consideration of patient centredness.Theory and methods: Seventeen qualitative interviews have been conducted in hospitals of metropolitan areas in northern Germany. The documentary method, embedded into a systems theoretical framework, was used to describe and analyse the data and to provide an insight into the specific perception of organisational behaviour in integrated care.Results: The findings suggest that integrated care partnerships rely on networks based on professional autonomy in the context of reliability. The relationships of network partners are heavily based on informality. This correlates with a systems theoretical conception of organisations, which are assumed autonomous in their decision-making.Conclusion and discussion: Networks based on formal contracts may restrict professional autonomy and competition. Contractual bindings that suppress the competitive environment have negative consequences for patient-centred care. Drawbacks remain due to missing self-regulation of the network. To conclude, less regimentation of integrated care partnerships is recommended.

  6. Wind Energy Management System Integration Project Incorporating Wind Generation and Load Forecast Uncertainties into Power Grid Operations

    Energy Technology Data Exchange (ETDEWEB)

    Makarov, Yuri V.; Huang, Zhenyu; Etingov, Pavel V.; Ma, Jian; Guttromson, Ross T.; Subbarao, Krishnappa; Chakrabarti, Bhujanga B.

    2010-09-01

    features make this work a significant step forward toward the objective of incorporating of wind, solar, load, and other uncertainties into power system operations. In this report, a new methodology to predict the uncertainty ranges for the required balancing capacity, ramping capability and ramp duration is presented. Uncertainties created by system load forecast errors, wind and solar forecast errors, generation forced outages are taken into account. The uncertainty ranges are evaluated for different confidence levels of having the actual generation requirements within the corresponding limits. The methodology helps to identify system balancing reserve requirement based on a desired system performance levels, identify system “breaking points”, where the generation system becomes unable to follow the generation requirement curve with the user-specified probability level, and determine the time remaining to these potential events. The approach includes three stages: statistical and actual data acquisition, statistical analysis of retrospective information, and prediction of future grid balancing requirements for specified time horizons and confidence intervals. Assessment of the capacity and ramping requirements is performed using a specially developed probabilistic algorithm based on a histogram analysis incorporating all sources of uncertainty and parameters of a continuous (wind forecast and load forecast errors) and discrete (forced generator outages and failures to start up) nature. Preliminary simulations using California Independent System Operator (California ISO) real life data have shown the effectiveness of the proposed approach. A tool developed based on the new methodology described in this report will be integrated with the California ISO systems. Contractual work is currently in place to integrate the tool with the AREVA EMS system.

  7. Generational, Cultural, and Linguistic Integration for Literacy Learning and Teaching in Uganda: Pedagogical Possibilities, Challenges, and Lessons from One NGO

    Science.gov (United States)

    Ngaka, Willy; Graham, Ross; Masaazi, Fred Masagazi; Anyandru, Elly Moses

    2016-01-01

    This qualitative case study focuses on a volunteer-led local NGO in Uganda to examine how integrating generations, cultures, and languages is enhancing literacy learning to help ethnically and linguistically diverse rural communities survive in the prevailing globally competitive neoliberal environment. Immersing the study in the social practices…

  8. Interorganisational Integration

    DEFF Research Database (Denmark)

    Lyngsø, Anne Marie; Godtfredsen, Nina Skavlan; Frølich, Anne

    2016-01-01

    INTRODUCTION: Despite many initiatives to improve coordination of patient pathways and intersectoral cooperation, Danish health care is still fragmented, lacking intra- and interorganisational integration. This study explores barriers to and facilitators of interorganisational integration...... at a university hospital in the Capital Region of Denmark. RESULTS AND DISCUSSION: Our results can be grouped into five influencing areas for interorganisational integration: communication/information transfer, committed leadership, patient engagement, the role and competencies of the general practitioner...... and organisational culture. Proposed solutions to barriers in each area hold the potential to improve care integration as experienced by individuals responsible for supporting and facilitating it. Barriers and facilitators to integrating care relate to clinical, professional, functional and normative integration...

  9. Integration of virtual and real scenes within an integral 3D imaging environment

    Science.gov (United States)

    Ren, Jinsong; Aggoun, Amar; McCormick, Malcolm

    2002-11-01

    The Imaging Technologies group at De Montfort University has developed an integral 3D imaging system, which is seen as the most likely vehicle for 3D television avoiding psychological effects. To create real fascinating three-dimensional television programs, a virtual studio that performs the task of generating, editing and integrating the 3D contents involving virtual and real scenes is required. The paper presents, for the first time, the procedures, factors and methods of integrating computer-generated virtual scenes with real objects captured using the 3D integral imaging camera system. The method of computer generation of 3D integral images, where the lens array is modelled instead of the physical camera is described. In the model each micro-lens that captures different elemental images of the virtual scene is treated as an extended pinhole camera. An integration process named integrated rendering is illustrated. Detailed discussion and deep investigation are focused on depth extraction from captured integral 3D images. The depth calculation method from the disparity and the multiple baseline method that is used to improve the precision of depth estimation are also presented. The concept of colour SSD and its further improvement in the precision is proposed and verified.

  10. Implementation of a next-generation electronic nursing records system based on detailed clinical models and integration of clinical practice guidelines.

    Science.gov (United States)

    Min, Yul Ha; Park, Hyeoun-Ae; Chung, Eunja; Lee, Hyunsook

    2013-12-01

    The purpose of this paper is to describe the components of a next-generation electronic nursing records system ensuring full semantic interoperability and integrating evidence into the nursing records system. A next-generation electronic nursing records system based on detailed clinical models and clinical practice guidelines was developed at Seoul National University Bundang Hospital in 2013. This system has two components, a terminology server and a nursing documentation system. The terminology server manages nursing narratives generated from entity-attribute-value triplets of detailed clinical models using a natural language generation system. The nursing documentation system provides nurses with a set of nursing narratives arranged around the recommendations extracted from clinical practice guidelines. An electronic nursing records system based on detailed clinical models and clinical practice guidelines was successfully implemented in a hospital in Korea. The next-generation electronic nursing records system can support nursing practice and nursing documentation, which in turn will improve data quality.

  11. Generation of induced pluripotent stem cells from a patient with X-linked juvenile retinoschisis

    Directory of Open Access Journals (Sweden)

    Chi-Hsien Peng

    2018-05-01

    Full Text Available X-linked juvenile retinoschisis (XLRS is a hereditary retinal dystrophy manifested as splitting of anatomical layers of retina. In this report, we generated a patient-specific induced pluripotent stem cell (iPSC line, TVGH-iPSC-013-05, from the peripheral blood mononuclear cells of a male patient with XLRS by using the Sendai-virus delivery system. We believe that XLRS patient-specific iPSCs provide a powerful in vitro model for evaluating the pathological phenotypes of the disease.

  12. Corrosion Evaluation and Corrosion Control of Steam Generators

    Energy Technology Data Exchange (ETDEWEB)

    Maeng, W. Y.; Kim, U. C.; Sung, K. W.; Na, J. W.; Lee, Y. H.; Lee, D. H.; Kim, K. M

    2008-06-15

    Corrosion damage significantly influences the integrity and efficiency of steam generator. Corrosion problems of steam generator are unsolved issues until now even though much effort is made around world. Especially the stress corrosion cracking of heat exchange materials is the first issue to be solved. The corrosion protection method of steam generator is important and urgent for the guarantee of nuclear plant's integrity. The objectives of this study are 1) to evaluate the corrosion properties of steam generator materials, 2) to optimize the water chemistry of steam generator and 3) to develop the corrosion protection method of primary and secondary sides of steam generator. The results will be reflected to the water chemistry guideline for improving the integrity and efficiency of steam generator in domestic power plants.

  13. Integrity of the oral tissues in patients with solid-organ transplants.

    Science.gov (United States)

    Rojas, Gonzalo; Bravo, Loreto; Cordero, Karina; Sepúlveda, Luis; Elgueta, Leticia; Díaz, Juan Carlos; Urzúa, Blanca; Morales, Irene

    2012-01-01

    The relationship between the use of immunosuppressants in solid-organ transplant patients and oral tissue abnormalities has been recognized. The objective of this study was to determine the state of oral tissue integrity in renal, heart, and liver transplant patients who are on continuous medical and dental control. Forty patients of both sexes were clinically evaluated at the Clinical Hospital of the University of Chile to identify pathologies of oral mucosa, gingival enlargement (GE), decayed, missing, filled teeth (DMFT) index, and salivary flow. The average age of the transplant subjects was 49.4 years, and the age range was 19 to 69 years. Most subjects maintained a good level of oral hygiene, and the rate mean of DMFT was 14.7. The degree of involvement of the oral mucosa and GE was low (10%). Unlike other studies, the frequency of oral mucosal diseases and GE was low despite the fact that these patients were immunosuppressed. Care and continuous monitoring seem to be of vital importance in maintaining the oral health of transplant patients.

  14. Integrity of the Oral Tissues in Patients with Solid-Organ Transplants

    Directory of Open Access Journals (Sweden)

    Gonzalo Rojas

    2012-01-01

    Full Text Available The relationship between the use of immunosuppressants in solid-organ transplant patients and oral tissue abnormalities has been recognized. The objective of this study was to determine the state of oral tissue integrity in renal, heart, and liver transplant patients who are on continuous medical and dental control. Forty patients of both sexes were clinically evaluated at the Clinical Hospital of the University of Chile to identify pathologies of oral mucosa, gingival enlargement (GE, decayed, missing, filled teeth (DMFT index, and salivary flow. The average age of the transplant subjects was 49.4 years, and the age range was 19 to 69 years. Most subjects maintained a good level of oral hygiene, and the rate mean of DMFT was 14.7. The degree of involvement of the oral mucosa and GE was low (10%. Unlike other studies, the frequency of oral mucosal diseases and GE was low despite the fact that these patients were immunosuppressed. Care and continuous monitoring seem to be of vital importance in maintaining the oral health of transplant patients.

  15. Power Generation for River and Tidal Generators

    Energy Technology Data Exchange (ETDEWEB)

    Muljadi, Eduard [National Renewable Energy Lab. (NREL), Golden, CO (United States); Wright, Alan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gevorgian, Vahan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Donegan, James [Ocean Renewable Power Company (ORPC), Portland, ME (United States); Marnagh, Cian [Ocean Renewable Power Company (ORPC), Portland, ME (United States); McEntee, Jarlath [Ocean Renewable Power Company (ORPC), Portland, ME (United States)

    2016-06-01

    Renewable energy sources are the second largest contributor to global electricity production, after fossil fuels. The integration of renewable energy continued to grow in 2014 against a backdrop of increasing global energy consumption and a dramatic decline in oil prices during the second half of the year. As renewable generation has become less expensive during recent decades, and it becomes more accepted by the global population, the focus on renewable generation has expanded from primarily wind and solar to include new types with promising future applications, such as hydropower generation, including river and tidal generation. Today, hydropower is considered one of the most important renewable energy sources. In river and tidal generation, the input resource flow is slower but also steadier than it is in wind or solar generation, yet the level of water turbulent flow may vary from one place to another. This report focuses on hydrokinetic power conversion.

  16. An integrated computer aided system for integrated design of chemical processes

    DEFF Research Database (Denmark)

    Gani, Rafiqul; Hytoft, Glen; Jaksland, Cecilia

    1997-01-01

    In this paper, an Integrated Computer Aided System (ICAS), which is particularly suitable for solving problems related to integrated design of chemical processes; is presented. ICAS features include a model generator (generation of problem specific models including model simplification and model ...... form the basis for the toolboxes. The available features of ICAS are highlighted through a case study involving the separation of binary azeotropic mixtures. (C) 1997 Elsevier Science Ltd....

  17. Integration of Research for an Exhaust Thermoelectric Generator and the Outer Flow Field of a Car

    Science.gov (United States)

    Jiang, T.; Su, C. Q.; Deng, Y. D.; Wang, Y. P.

    2017-05-01

    The exhaust thermoelectric generator (TEG) can generate electric power from a car engine's waste heat. It is important to maintain a sufficient temperature difference across the thermoelectric modules. The radiator is connected to the cooling units of the thermoelectric modules and used to take away the heat from the TEG system. This paper focuses on the research for the integration of a TEG radiator and the flow field of the car chassis, aiming to cool the radiator by the high speed flow around the chassis. What is more, the TEG radiator is designed as a spoiler to optimize the flow field around the car chassis and even reduce the aerodynamic drag. Concentrating on the flow pressure of the radiator and the aerodynamic drag force, a sedan model with eight different schemes of radiator configurations are studied by computational fluid dynamics simulation. Finally, the simulation results indicate that a reasonable radiator configuration can not only generate high flow pressure to improve the cooling performance, which provides a better support for the TEG system, but also acts as a spoiler to reduce the aerodynamic drag force.

  18. Real-time integration of optimal generation scheduling with MPC for the energy management of a renewable hydrogen-based microgrid

    International Nuclear Information System (INIS)

    Petrollese, Mario; Valverde, Luis; Cocco, Daniele; Cau, Giorgio; Guerra, José

    2016-01-01

    Highlights: • Energy management strategy for a renewable hydrogen-based microgrid. • Integration of optimal generation scheduling with a model predictive control. • Experimental tests are carried out simulating typical summer and winter days. • Effective improvement in performance and reduction in microgrid operating cost are achieved. - Abstract: This paper presents a novel control strategy for the optimal management of microgrids with high penetration of renewable energy sources and different energy storage systems. The control strategy is based on the integration of optimal generation scheduling with a model predictive control in order to achieve both long and short-term optimal planning. In particular, long-term optimization of the various microgrid components is obtained by the adoption of an optimal generation scheduling, in which a statistical approach is used to take into account weather and load forecasting uncertainties. The real-time management of the microgrid is instead entrusted to a model predictive controller, which has the important feature of using the results obtained by the optimal generation scheduling. The proposed control strategy was tested in a laboratory-scale microgrid present at the University of Seville, which is composed of an electronic power source that emulates a photovoltaic system, a battery bank and a hydrogen production and storage system. Two different experimental tests that simulate a summer and a winter day were carried out over a 24-h period to verify the reliability and performance enhancement of the control system. Results show an effective improvement in performance in terms of reduction of the microgrid operating cost and greater involvement of the hydrogen storage system for the maintenance of a spinning reserve in batteries.

  19. Large scale renewable power generation advances in technologies for generation, transmission and storage

    CERN Document Server

    Hossain, Jahangir

    2014-01-01

    This book focuses on the issues of integrating large-scale renewable power generation into existing grids. It includes a new protection technique for renewable generators along with the inclusion of current status of smart grid.

  20. Multi-objective dynamic economic emission dispatch of electric power generation integrated with game theory based demand response programs

    International Nuclear Information System (INIS)

    Nwulu, Nnamdi I.; Xia, Xiaohua

    2015-01-01

    Highlights: • In this work, a game theory based DR program is integrated into the DEED problem. • Objectives are to minimize fuel and emissions costs and maximize the DR benefit. • Optimal generator output, customer load and customer incentive are determined. • Developed model is tested with two different scenarios. • Model provides superior results than independent optimization of DR or DEED. - Abstract: The dynamic economic emission dispatch (DEED) of electric power generation is a multi-objective mathematical optimization problem with two objective functions. The first objective is to minimize all the fuel costs of the generators in the power system, whilst the second objective seeks to minimize the emissions cost. Both objective functions are subject to constraints such as load demand constraint, ramp rate constraint, amongst other constraints. In this work, we integrate a game theory based demand response program into the DEED problem. The game theory based demand response program determines the optimal hourly incentive to be offered to customers who sign up for load curtailment. The game theory model has in built mechanisms to ensure that the incentive offered the customers is greater than the cost of interruption while simultaneously being beneficial to the utility. The combined DEED and game theoretic demand response model presented in this work, minimizes fuel and emissions costs and simultaneously determines the optimal incentive and load curtailment customers have to perform for maximal power system relief. The developed model is tested on two test systems with industrial customers and obtained results indicate the practical benefits of the proposed model