Functional genetic polymorphisms in CYP2C19 gene in relation to cardiac side effects and treatment dose in a methadone maintenance cohort.

Science.gov (United States)

Wang, Sheng-Chang; Ho, Ing-Kang; Tsou, Hsiao-Hui; Liu, Sheng-Wen; Hsiao, Chin-Fu; Chen, Chia-Hui; Tan, Happy Kuy-Lok; Lin, Linen; Wu, Chi-Shin; Su, Lien-Wen; Huang, Chieh-Liang; Yang, Yi-Hong; Liu, Ming-Lun; Lin, Keh-Ming; Liu, Shu Chih; Wu, Hsiao-Yu; Kuo, Hsiang-Wei; Chen, Andrew C H; Chang, Yao-Sheng; Liu, Yu-Li

2013-10-01

Abstract Methadone maintenance therapy is an established treatment for heroin dependence. This study tested the influence of functional genetic polymorphisms in CYP2C19 gene encoding a CYP450 enzyme that contributes to methadone metabolism on treatment dose, plasma concentration, and side effects of methadone. Two single nucleotide polymorphisms (SNPs), rs4986893 (exon 4) and rs4244285 (exon 5), were selected and genotyped in 366 patients receiving methadone maintenance therapy in Taiwan. The steady-state plasma concentrations of both methadone and its EDDP metabolite enantiomers were measured. SNP rs4244285 allele was significantly associated with the corrected QT interval (QTc) change in the electrocardiogram (p=0.021), and the Treatment Emergent Symptom Scale (TESS) total score (p=0.021) in patients who continued using heroin, as demonstrated with a positive urine opiate test. Using the gene dose (GD) models where the CYP2C19 SNPs were clustered into poor (0 GD) versus intermediate (1 GD) and extensive (2 GD) metabolizers, we found that the extensive metabolizers required a higher dose of methadone (p=0.035), and showed a lower plasma R-methadone/methadone dose ratio (p=0.007) in urine opiate test negative patients, as well as a greater QTc change (p=0.008) and higher total scores of TESS (p=0.018) in urine opiate test positive patients, than poor metabolizers. These results in a large study sample from Taiwan suggest that the gene dose of CYP2C19 may potentially serve as an indicator for the plasma R-methadone/methadone dose ratio and cardiac side effect in patients receiving methadone maintenance therapy. Further studies of pharmacogenetic variation in methadone pharmacokinetics and pharmacodynamics are warranted in different world populations.

The influence of VKORC1 and CYP2C9 gene sequence variants on the stability of maintenance phase warfarin treatment

DEFF Research Database (Denmark)

Skov, Jane; Bladbjerg, Else-Marie; Leppin, Anja

2013-01-01

alleles require lower doses and have increased risk of overanticoagulation. METHODS: We investigated the influence of the above sequence variants on stability of maintenance phase warfarin therapy in a prospective study of 300 consecutive patients followed for one year at an anticoagulant clinic. RESULTS...... of common gene sequence variants in CYP2C9 and VKORC1 on stability of maintenance phase warfarin therapy. Patients attending an anticoagulant clinic using computer-assisted dosage were safely monitored regardless of these sequence variants, but for the small subgroup of patients with the CYP2C9 genotype *2...

Adalimumab Dose Tapering in Psoriasis: Predictive Factors for Maintenance of Complete Clearance.

Science.gov (United States)

Hansel, Katharina; Bianchi, Leonardo; Lanza, Francesco; Bini, Vittorio; Stingeni, Luca

2017-03-10

Psoriasis can be managed successfully with long-term biologics. Real-life clinical practice may require dose tapering as a therapeutic option to reduce the risk of drug-exposure and to increase cost-effectiveness. The responsiveness to extended intervals between adalimumab doses and the possible predictive factors of maintenance of complete clearance were studied in a retrospective 7-year single-centre analysis. Thirty patients who achieved complete clearance with adalimumab underwent dose tapering, progressively extending between-dose intervals (to 21-28 days). Sixty percent of subjects (group A) maintained complete clearance, whereas 40.0% (group B) relapsed and were switched back to the standard dosage to re-achieve complete clearance. Body mass index (BMI) and time to achieve Psoriasis Area Severity Index (PASI-100) with adalimumab standard treatment before dose tapering were significantly lower in group A than in group B (multi-variate Cox regression: p < 0.05, Kaplan-Meier analysis: p < 0.001, respectively). This study suggests that patients with lower BMI and shorter time to achieve PASI-100 with adalimumab standard dose were significantly more likely to be candidates for dose tapering.

The dose effects of short-term dronabinol (oral THC) maintenance in daily cannabis users.

Science.gov (United States)

Vandrey, Ryan; Stitzer, Maxine L; Mintzer, Miriam Z; Huestis, Marilyn A; Murray, Jeannie A; Lee, Dayong

2013-02-01

Prior studies have separately examined the effects of dronabinol (oral THC) on cannabis withdrawal, cognitive performance, and the acute effects of smoked cannabis. A single study examining these clinically relevant domains would benefit the continued evaluation of dronabinol as a potential medication for the treatment of cannabis use disorders. Thirteen daily cannabis smokers completed a within-subject crossover study and received 0, 30, 60 and 120mg dronabinol per day for 5 consecutive days. Vital signs and subjective ratings of cannabis withdrawal, craving and sleep were obtained daily; outcomes under active dose conditions were compared to those obtained under placebo dosing. On the 5th day of medication maintenance, participants completed a comprehensive cognitive performance battery and then smoked five puffs of cannabis for subjective effects evaluation. Each dronabinol maintenance period occurred in a counterbalanced order and was separated by 9 days of ad libitum cannabis use. Dronabinol dose-dependently attenuated cannabis withdrawal and resulted in few adverse side effects or decrements in cognitive performance. Surprisingly, dronabinol did not alter the subjective effects of smoked cannabis, but cannabis-induced increases in heart rate were attenuated by the 60 and 120mg doses. Dronabinol's ability to dose-dependently suppress cannabis withdrawal may be therapeutically beneficial to individuals trying to stop cannabis use. The absence of gross cognitive impairment or side effects in this study supports safety of doses up to 120mg/day. Continued evaluation of dronabinol in targeted clinical studies of cannabis treatment, using an expanded range of doses, is warranted. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Correlation between Colon Transit Time Test Value and Initial Maintenance Dose of Laxative in Children with Chronic Functional Constipation

Science.gov (United States)

Kim, Mock Ryeon; Park, Hye Won; Son, Jae Sung; Lee, Ran

2016-01-01

Purpose To evaluate the correlation between colon transit time (CTT) test value and initial maintenance dose of polyethylene glycol (PEG) 4000 or lactulose. Methods Of 415 children with chronic functional constipation, 190 were enrolled based on exclusion criteria using the CTT test, defecation diary, and clinical chart. The CTT test was performed with prior disimpaction. The laxative dose for maintenance was determined on the basis of the defecation diary and clinical chart. The Shapiro-Wilk test and Pearson's and Spearman's correlations were used for statistical analysis. Results The overall group median value and interquartile range of the CTT test was 43.8 (31.8) hours. The average PEG 4000 dose for maintenance in the overall group was 0.68±0.18 g/kg/d; according to age, the dose was 0.73±0.16 g/kg/d (encopresis, abnormal CTT test subtype) for either laxative. Even in the largest group (overall, n=109, younger than 8 years and on PEG 4000), the correlation was weak (Pearson's correlation coefficient [R]=0.268, p=0.005). Within the abnormal transit group, subgroup (n=73, younger than 8 years and on PEG 4000) correlation was weak (R=0.267, p=0.022). Conclusion CTT test value cannot predict the initial maintenance dose of PEG 4000 or lactulose with linear correlation. PMID:27738600

Methadone dose increase and abstinence reinforcement for treatment of continued heroin use during methadone maintenance.

Science.gov (United States)

Preston, K L; Umbricht, A; Epstein, D H

2000-04-01

Although methadone maintenance is an effective therapy for heroin dependence, some patients continue to use heroin and may benefit from therapeutic modifications. This study evaluated a behavioral intervention, a pharmacological intervention, and a combination of both interventions. Throughout the study all patients received daily methadone hydrochloride maintenance (initially 50 mg/d orally) and weekly counseling. Following baseline treatment patients who continued to use heroin were randomly assigned to 1 of 4 interventions: (1) contingent vouchers for opiate-negative urine specimens (n = 29 patients); (2) methadone hydrochloride dose increase to 70 mg/d (n = 31 patients); (3) combined contingent vouchers and methadone dose increase (n = 32 patients); and (4) neither intervention (comparison standard; n = 28 patients). Methadone dose increases were double blind. Vouchers had monetary value and were exchangeable for goods and services. Groups not receiving contingent vouchers received matching vouchers independent of urine test results. Primary outcome measure was opiate-negative urine specimens (thrice weekly urinalysis). Contingent vouchers and a methadone dose increase each significantly increased the percentage of opiate-negative urine specimens during intervention. Contingent vouchers, with or without a methadone dose increase, increased the duration of sustained abstinence as assessed by urine screenings. Methadone dose increase, with or without contingent vouchers, reduced self-reported frequency of use and self-reported craving. In patients enrolled in a methadone-maintainence program who continued to use heroin, abstinence reinforcement and a methadone dose increase were each effective in reducing use. When combined, they did not dramatically enhance each other's effects on any 1 outcome measure, but they did seem to have complementary benefits.

Dose-related difference in progression rates of cytomegalovirus retinopathy during foscarnet maintenance therapy. AIDS Clinical Trials Group Protocol 915 Team.

Science.gov (United States)

Holland, G N; Levinson, R D; Jacobson, M A

1995-05-01

A previous dose-ranging study of foscarnet maintenance therapy for cytomegalovirus retinopathy showed a positive relationship between dose and survival but could not confirm a relationship between dose and time to first progression. This retrospective analysis of data from that study was undertaken to determine whether there was a relationship between dose and progression rates, which reflects the amount of retina destroyed when progression occurs. Patients were randomly given one of two foscarnet maintenance therapy doses (90 mg/kg of body weight/day [FOS-90 group] or 120 mg/kg of body weight/day [FOS-120 group] after induction therapy. Using baseline and follow-up photographs and pre-established definitions and methodology in a masked analysis, posterior progression rates and foveal proximity rates for individual lesions, selected by prospectively defined criteria, were calculated in each patient. Rates were compared between groups. The following median rates were greater for the FOS-90 group (N = 8) than for the FOS-120 group (N = 10): greatest maximum rate at which lesions enlarged in a posterior direction (43.5 vs 12.5 microns/day; P = .002); posterior progression rate for lesions closest to the fovea (42.8 vs 5.5 microns/day; P = .010); and maximum foveal proximity rate for either eye (32.3 vs 3.4 microns/day; P = .031). Patients receiving higher doses of foscarnet have slower rates of progression and therefore less retinal tissue damage during maintenance therapy. A foscarnet maintenance therapy dose of 120 mg/kg of body weight/day instead of 90 mg/kg of body weight/day may help to preserve vision in patients with cytomegalovirus retinopathy.

Use of Influence Diagrams and Fuzzy Theory to Develop Assessment Method of Organizational Influences on Component Maintenance

International Nuclear Information System (INIS)

Yoonik Kim; Kwang-Won Ahn; Chang-Hyun Chung; Kil Yoo Kim; Joon-Eon Yang

2002-01-01

Organization can make influences on all the systems. Especially in case of nuclear power plants in which safety is established to be one of the most important operating goals, there have been a lot of research efforts for the hardware advancement. However in recent years, it has been widely recognized that organizational factors in nuclear power plants have an important influence on the safety attitudes and the safe behavior of individuals. Until now, any means to include assessments of organizational structure in probabilistic risk assessments have not been universally accepted. The objective of this work is to develop a method to assess organizational influences on component maintenance. Influence diagrams are introduced in this method as a decision making tool and fuzzy theory is used to reflect the vagueness in considering relevance of human activities in maintenance tasks. Introducing fuzzy theory to assess the organizational factors is deemed to a somewhat new trial, which makes it possible to convert linguistic vague descriptions into mathematical ones. Fuzzy linguistic descriptions offer an alternative and often complementary language to conventional, i.e., analytic approaches to modeling systems. Among the existing methodologies to assess organizational factors, the concept of the ω-factor model is utilized and the mechanism that organizational factors have influences on component maintenance is evaluated through composing influence diagrams. These influences go to failure rates and eventually affect component unavailability. Further study will make it possible that the influences of organizational factors on human error probabilities are incorporated into human reliability analysis and furthermore probabilistic safety assessment. (authors)

Budesonide/formoterol maintenance plus reliever therapy

DEFF Research Database (Denmark)

Bisgaard, Hans; Le Roux, Pascal; Bjåmer, Ditlef

2006-01-01

on ICS investigated whether a novel regimen using budesonide/formoterol for maintenance and reliever therapy (Symbicort maintenance and relief therapy [SMART]) [Symbicort; AstraZeneca R&D, Lund, Sweden] could reduce exacerbations. METHODS: Patients received SMART (budesonide/formoterol 80/4.5 microg qd...... maintenance plus additional inhalations for symptom relief), budesonide/formoterol 80/4.5 microg qd for maintenance (fixed combination), or higher-dose budesonide 320 microg qd (fixed-dose budesonide). Blinded as-needed medication (terbutaline 0.4 microg) was provided in both fixed-dose groups. RESULTS: SMART...... prolonged the time to first exacerbation vs fixed-dose budesonide (p = 0.02) and fixed-dose combination (p SMART vs fixed-dose budesonide and fixed-dose combination (0.08/patient vs 0.28/patient and 0.40/patient...

Prediction of warfarin maintenance dose in Han Chinese patients using a mechanistic model based on genetic and non-genetic factors.

Science.gov (United States)

Lu, Yuan; Yang, Jinbo; Zhang, Haiyan; Yang, Jin

2013-07-01

Many attempts have been made to predict the warfarin maintenance dose in patients beginning warfarin therapy using a descriptive model based on multiple linear regression. Here we report the first attempt to develop a comprehensive mechanistic model integrating in vitro-in vivo extrapolation (IVIVE) with a pharmacokinetic-pharmacodynamic model to predict the warfarin maintenance dose in Han Chinese patients. The model incorporates demographic factors [sex, age, body weight (BW)] and the genetic polymorphisms of cytochrome P450 (CYP) 2C9 (CYP2C9) and vitamin K epoxide reductase complex subunit 1 (VKORC1). Information on the various factors, mean warfarin daily dose and International Normalized Ratio (INR) was available for a cohort of 197 Han Chinese patients. Based on in vitro enzyme kinetic parameters for S-warfarin metabolism, demographic data for Han Chinese and some scaling factors, the S-warfarin clearance (CL) was predicted for patients in the cohort with different CYP2C9 genotypes using IVIVE. The plasma concentration of S-warfarin after a single oral dose was simulated using a one-compartment pharmacokinetic model with first-order absorption and a lag time and was combined with a mechanistic coagulation model to simulate the INR response. The warfarin maintenance dose was then predicted based on the demographic data and genotypes of CYP2C9 and VKORC1 for each patient and using the observed steady-state INR (INRss) as a target value. Finally, sensitivity analysis was carried out to determine which factor(s) affect the warfarin maintenance dose most strongly. The predictive performance of this mechanistic model is not inferior to that of our previous descriptive model. There were significant differences in the mean warfarin daily dose in patients with different CYP2C9 and VKORC1 genotypes. Using IVIVE, the predicted mean CL of S-warfarin for patients with CYP2C9*1/*3 (0.092 l/h, n = 11) was 57 % less than for those with wild-type *1/*1 (0.215 l/h, n

Influencing factors for condition-based maintenance in railway tracks using knowledge-based approach

NARCIS (Netherlands)

Jamshidi, A.; Hajizadeh, S.; Naeimi, M.; Nunez Vicencio, Alfredo; Li, Z.

2017-01-01

In this paper, we present a condition-based maintenance decision method using
knowledge-based approach for rail surface defects. A railway track may contain a considerable number of surface defects which influence track maintenance decisions. The proposed method is based on two sets of

Exposure control during high maintenance jobs

International Nuclear Information System (INIS)

Hinson, C.S.; Wigginton, J.E.

1991-01-01

Occupational radiation doses at US light-water-cooled reactors (LWRs) have been decreasing every year since 1983. In 1989, the LWR average dose per reactor reached its lowest point since 1973. Historically, maintenance-related activities have accounted for between 70 and 75% of the total occupational doses at US LWRs, and most of this maintenance-related dose is accrued during plant outages. This paper will focus on high dose maintenance jobs such as steam generator replacement, recirculation pipe replacement/crack repair, induction heating stress improvement, and steam generator tube plugging/sleeving and will discuss how the doses associated with these jobs have declined over the past several years through the implementation of various ALARA techniques

Pneumocystis jiroveci pneumonia prophylaxis during maintenance therapy influences methotrexate/6-mercaptopurine dosing but not event-free survival for childhood acute lymphoblastic leukemia

DEFF Research Database (Denmark)

Levinsen, Mette; Shabaneh, Diana; Bohnstedt, Cathrine

2012-01-01

of maintenance therapy. The TMP/SMX2–7 group received lower oral 6MP doses than TMP/SMXnever patients (50.6 vs. 63.9 mg/m2/d; P ANC) (median 1.7 vs. 2.0 × 109/L; P ANC levels (P = 0.04) and male gender (P = 0.......06) were related to reduced EFS. ANC had no effect on EFS among TMP/SMX2–7 patients (P = 0.40) but did for TMP/SMXnever patients (P = 0.02). The difference in the effect on EFS between TMP/SMX2–7 and TMP/SMXnever patients was not significant (P = 0.46). EFS did not differ between TMP/SMX2–7 and TMP...

Evaluation of dose reduction versus standard dosing for maintenance of remission in patients with spondyloarthritis and clinical remission with anti-TNF (REDES-TNF): study protocol for a randomized controlled trial.

Science.gov (United States)

Pontes, Caridad; Gratacós, Jordi; Torres, Ferran; Avendaño, Cristina; Sanz, Jesús; Vallano, Antoni; Juanola, Xavier; de Miguel, Eugenio; Sanmartí, Raimon; Calvo, Gonzalo

2015-08-20

Dose reduction schedules of tumor necrosis factor antagonists (anti-TNF) as maintenance therapy in patients with spondyloarthritis are used empirically in clinical practice, despite the lack of clinical trials providing evidence for this practice. To address this issue the Spanish Society of Rheumatology (SER) and Spanish Society of Clinical Pharmacology (SEFC) designed a 3-year multicenter, randomized, open-label, controlled clinical trial (2 years for inclusion and 1 year of follow-up). The study is expected to include 190 patients with axial spondyloarthritis on stable maintenance treatment (≥4 months) with any anti-TNF agent at doses recommended in the summary of product characteristics. Patients will be randomized to either a dose reduction arm or maintenance of the dosing regimen as per the official labelling recommendations. Randomization will be stratified according to the anti-TNF agent received before study inclusion. Patient follow-up, visit schedule, and examinations will be maintained as per normal clinical practice recommendations according to SER guidelines. The study aims to test the hypothesis of noninferiority of the dose reduction strategy compared with standard treatment. The first patients were recruited in July 2012, and study completion is scheduled for the end of April 2015. The REDES-TNF study is a pragmatic clinical trial that aims to provide evidence to support a medical decision now made empirically. The study results may help inform clinical decisions relevant to both patients and healthcare decision makers. EudraCT 2011-005871-18 (21 December 2011).

Mechanisms of lower maintenance dose of tacrolimus in obese patients.

Science.gov (United States)

Sawamoto, Kazuki; Huong, Tran T; Sugimoto, Natsumi; Mizutani, Yuka; Sai, Yoshimichi; Miyamoto, Ken-ichi

2014-01-01

A retrospective analysis suggested that blood tacrolimus concentrations were consistent among patients with a body mass index (BMI) that was lean (maintenance dose of tacrolimus in patients with BMI ≥ 25 was significantly lower compared with that in patients with a BMI of less than 25. Lean and obese Zucker rats fed a normal diet were given tacrolimus intravenously or orally. The blood concentrations of tacrolimus in obese rats were significantly higher than those in lean rats after administration via both routes. The moment analysis has suggested that CLtot and Vdss of tacrolimus were not significantly different between lean and obese rats. The bioavailability was higher in obese rats, compared with that in lean rats. The protein expression of Cyp3a2 in the liver was significantly decreased in obese rats, compared with lean rats, while P-gp in the small intestine was also significantly decreased in obese rats. These results suggested that the steady-state trough concentration of tacrolimus in obese patients was well maintained by a relatively low dose compared with that in normal and lean patients, presumably due to increased bioavailability.

VKORC1 polymorphisms and warfarin maintenance dose in population of Sakha (Yakuts).

Science.gov (United States)

Chertovskikh, Y V; Malova, E U; Maksimova, N R; Popova, N V; Sychev, D A

2015-01-01

Vitamin K antagonists are effective in the prevention and treatment of thromboembolic disorders. Warfarin is one of the most widely prescribed vitamin K antagonists in the world [1, 2]. It has a narrow therapeutic range and a given dose may result in a large inter-individual variation of response. Insufficient dose may fail to prevent thromboembolism, while an overdose increases the risk of bleeding. Patient-specific factors (e.g., age, body size, race, concurrent diseases, and medications) explain some of the variability in warfarin dosage, but genetic factors influencing warfarin response explain a significantly higher proportion of this variability [3]. Molecular analysis of the gene that encodes the target enzyme vitamin K epoxide reductase complex 1 (VKORC1) strongly suggests that its genetic variations greatly affect the individual response to oral anticoagulants [4-7]. To evaluate effects of VKORC1 polymorphisms on warfarin dose excess anticoagulation (INR >4.0) in the population of Sakha (S) patients. 53 patients (29-women, 24-men) with atrial fibrillation (68%), congestive heart failure (60%), hypertension (49%) and cardiac valve replacement (26%) were recruited. The age range was 26-80 years, with a mean age of 62.87 ± 12.57 years.International normalized ratio and plasma warfarin concentrations were determined. Genotyping was carried out by RT-PCR (real-time PCR). The three genetic polymorphisms of the gene VKORC1 G3673A (rs9923231) were studied: normal (GG), heterozygous (GA) and homozygous (AA). Fisher exact probability test and chi-square test (with Yates correction) were applied to compare data among the AA and GG + GA groups; also Mann-Whitney test was used. The median maintenance daily dose of warfarin among AA carriers was 3.0 mg/day [1.25-7.5 mg], while in GG and GA patients it was 3.13 mg/day [1.88-7.92 mg]. The mean daily warfarin dosage was higher in GG and GA genotype carriers 4.05 mg/day (SD ± 1.7) than in patients with AA genotype 3

Population-Level Density Dependence Influences the Origin and Maintenance of Parental Care.

Science.gov (United States)

Reyes, Elijah; Thrasher, Patsy; Bonsall, Michael B; Klug, Hope

2016-01-01

Parental care is a defining feature of animal breeding systems. We now know that both basic life-history characteristics and ecological factors influence the evolution of care. However, relatively little is known about how these factors interact to influence the origin and maintenance of care. Here, we expand upon previous work and explore the relationship between basic life-history characteristics (stage-specific rates of mortality and maturation) and the fitness benefits associated with the origin and the maintenance of parental care for two broad ecological scenarios: the scenario in which egg survival is density dependent and the case in which adult survival is density dependent. Our findings suggest that high offspring need is likely critical in driving the origin, but not the maintenance, of parental care regardless of whether density dependence acts on egg or adult survival. In general, parental care is more likely to result in greater fitness benefits when baseline adult mortality is low if 1) egg survival is density dependent or 2) adult mortality is density dependent and mutant density is relatively high. When density dependence acts on egg mortality, low rates of egg maturation and high egg densities are less likely to lead to strong fitness benefits of care. However, when density dependence acts on adult mortality, high levels of egg maturation and increasing adult densities are less likely to maintain care. Juvenile survival has relatively little, if any, effect on the origin and maintenance of egg-only care. More generally, our results suggest that the evolution of parental care will be influenced by an organism's entire life history characteristics, the stage at which density dependence acts, and whether care is originating or being maintained.

Population-Level Density Dependence Influences the Origin and Maintenance of Parental Care.

Directory of Open Access Journals (Sweden)

Elijah Reyes

Full Text Available Parental care is a defining feature of animal breeding systems. We now know that both basic life-history characteristics and ecological factors influence the evolution of care. However, relatively little is known about how these factors interact to influence the origin and maintenance of care. Here, we expand upon previous work and explore the relationship between basic life-history characteristics (stage-specific rates of mortality and maturation and the fitness benefits associated with the origin and the maintenance of parental care for two broad ecological scenarios: the scenario in which egg survival is density dependent and the case in which adult survival is density dependent. Our findings suggest that high offspring need is likely critical in driving the origin, but not the maintenance, of parental care regardless of whether density dependence acts on egg or adult survival. In general, parental care is more likely to result in greater fitness benefits when baseline adult mortality is low if 1 egg survival is density dependent or 2 adult mortality is density dependent and mutant density is relatively high. When density dependence acts on egg mortality, low rates of egg maturation and high egg densities are less likely to lead to strong fitness benefits of care. However, when density dependence acts on adult mortality, high levels of egg maturation and increasing adult densities are less likely to maintain care. Juvenile survival has relatively little, if any, effect on the origin and maintenance of egg-only care. More generally, our results suggest that the evolution of parental care will be influenced by an organism's entire life history characteristics, the stage at which density dependence acts, and whether care is originating or being maintained.

ANALYSIS OF DOSE RATES DURING REPLACEMENT OF MANIPULATORS IN THE FFTF INTERIM EXAMINATION and MAINTENANCE (IEM) CELL

International Nuclear Information System (INIS)

NELSON, J.V.

2002-01-01

Replacement of a master-slave manipulator in the Interim Examination and Maintenance Cell at the Fast Flux Test Facility was carried out in August 2001. This operation created a 178-mm opening in the thick concrete wall of the hot cell. To aid in radiological work planning, dose rates outside the penetration in the wall were predicted using MCNP(trademark) photon transport calculations. The predicted dose rate was 7.7 mrem/h, which was reasonably close to the value of 10.4 mrem/h inferred from measurements

Modeling of preventive maintenance changes influence upon flight safety indexes

Directory of Open Access Journals (Sweden)

А.В. Гончаренко

2004-03-01

Full Text Available  It is considered a simplified model of connection between the catastrophic events flow frequency and both preventive maintenance changes periodicity and diagnosis depth of aviation equipment. It is deduced specific formulas for computing the changes and diagnostics parameters influence upon the values of both the catastrophic events flow frequency and technical-economical control factor criterion of flight safety levels.

Competitive Position of Dependent Passenger Car Maintenance Companies – Influences, Developments and Challenges in the German Market

Directory of Open Access Journals (Sweden)

Werdich Karl

2015-06-01

Full Text Available The presented paper concerns itself with passenger car maintenance companies and their competitiveness. Internal and external influences, change drivers and general changes in the companies and their organisation were identified and analysed. The influence of the development of technology and the diffusion of innovations are highlighted in particular. Under consideration of the competitiveness factors, current and future challenges for the passenger car maintenance companies were worked out. Based on these analyses, future tasks, problem statements and challenges were compiled for passenger car maintenance companies from which other subjects of scientific investigation in area of strategic and economic importance arose.

Maintenance Management Update.

Science.gov (United States)

Sternloff, Robert E.

1987-01-01

Current trends in park maintenance are overviewed, including maintenance impact statements, avoidance of cost through efficient use and national resource conservation, horticultural accomplishments that influence maintenance management, and vandalism prevention. (CB)

Application of estimating effective dose from external radiation using two dosimeters during maintenance periods at KNPPS

International Nuclear Information System (INIS)

Kim, Hee Geun; Kong, Tae Young

2008-01-01

The application of a two-dosimeter and its algorithm and a test of its use in an inhomogeneous high radiation field are described. The goal was to develop an improved method for estimating the effective dose during maintenance periods at Korean nuclear power plants (NPPs). The use of the method in domestic and international NPPs including USA, Canada and Japan was also investigated. The algorithms used by the Canadian Ontario Power Generation (OPG) and American ANSI HPS N13.41, Lakshmanan, NCRP, EPRI and Texas A and M University were extensively analyzed as two-dosimeter algorithms. The possibility of their application to NPPs was evaluated using data for each algorithm from two-dosimeter results for an inhomogeneous high radiation field during maintenance periods at Korean NPPs. (author)

Population-Level Density Dependence Influences the Origin and Maintenance of Parental Care

OpenAIRE

Reyes, Elijah; Thrasher, Patsy; Bonsall, Michael B.; Klug, Hope

2016-01-01

Parental care is a defining feature of animal breeding systems. We now know that both basic life-history characteristics and ecological factors influence the evolution of care. However, relatively little is known about how these factors interact to influence the origin and maintenance of care. Here, we expand upon previous work and explore the relationship between basic life-history characteristics (stage-specific rates of mortality and maturation) and the fitness benefits associated with the...

Study of distribution of doses in maintenance operations and interventions in restricted areas of IPEN's radiopharmacy center, Brazil

International Nuclear Information System (INIS)

Machado, Jessica S.; Souza, Daiane C.; Rodrigues Junior, Orlando; Gerulis, Eduardo; Todo, Alberto S.

2013-01-01

This research was developed at the Radiopharmacy Center of the Nuclear and Energy Research Institute - IPEN/CNEN/SP, Brazil, that performs the production of radiopharmaceuticals with isotopes of the 131 I, 123 I, 201 Tl, 67 Ga, 18 F and 99 Mo for use in nuclear medicine. The radioisotopes are produced on an industrial scale and the installation was designed to meet radiation safety standards and quality control requirements. To ensure the production, there are skilled professionals who perform the tasks of maintenance of the equipment and instruments, installed in the cells of processing of radiopharmaceuticals, without which it is not possible to conduct the work with safety and quality. This study was done a survey called Survey of Variables, based on the maintenance operations and interventions in restricted areas of the Centre of Radiopharmacy and in the survey of the distribution of doses in these tasks, carried out during the period from 2005 to 2011. This research aims to identify and determine the main variables that have an impact on the worker's dose. The results are presented for the Occupationally Exposed Individual variable, variable operation, variable area/Cell, task and Feature variable and variable duration of operation, depending on the Dose variable. It is intended in this way to contribute to improvements in operations in restricted areas that may result in lower individual doses without causing significant changes in the routine of work

Maintenance therapy of childhood acute lymphoblastic leukemia revisited-Should drug doses be adjusted by white blood cell, neutrophil, or lymphocyte counts?

Science.gov (United States)

Schmiegelow, Kjeld; Nersting, Jacob; Nielsen, Stine Nygaard; Heyman, Mats; Wesenberg, Finn; Kristinsson, Jon; Vettenranta, Kim; Schrøeder, Henrik; Weinshilboum, Richard; Jensen, Katrine Lykke; Grell, Kathrine; Rosthoej, Susanne

2016-12-01

6-Mercaptopurine (6MP) and methotrexate (MTX) based maintenance therapy is a critical phase of childhood acute lymphoblastic leukemia treatment. Wide interindividual variations in drug disposition warrant frequent doses adjustments, but there is a lack of international consensus on dose adjustment guidelines. To identify relapse predictors, we collected 28,255 data sets on drug doses and blood counts (median: 47/patient) and analyzed erythrocyte (Ery) levels of cytotoxic 6MP/MTX metabolites in 9,182 blood samples (median: 14 samples/patient) from 532 children on MTX/6MP maintenance therapy targeted to a white blood cell count (WBC) of 1.5-3.5 × 10 9 /l. After a median follow-up of 13.8 years for patients in remission, stepwise Cox regression analysis did not find age, average doses of 6MP and MTX, hemoglobin, absolute lymphocyte counts, thrombocyte counts, or Ery levels of 6-thioguanine nucleotides or MTX (including its polyglutamates) to be significant relapse predictors. The parameters significantly associated with risk of relapse (N = 83) were male sex (hazard ratio [HR] 2.0 [1.3-3.1], P = 0.003), WBC at diagnosis (HR = 1.04 per 10 × 10 9 /l rise [1.00-1.09], P = 0.048), the absolute neutrophil count (ANC; HR = 1.7 per 10 9 /l rise [1.3-2.4], P = 0.0007), and Ery thiopurine methyltransferase activity (HR = 2.7 per IU/ml rise [1.1-6.7], P = 0.03). WBC was significantly related to ANC (Spearman correlation coefficient, r s  = 0.77; P best hematological target for dose adjustments of maintenance therapy. © 2016 Wiley Periodicals, Inc.

Myelotoxicity after high-dose methotrexate in childhood acute leukemia is influenced by 6-mercaptopurine dosing but not by intermediate thiopurine methyltransferase activity

DEFF Research Database (Denmark)

Levinsen, Mette; Rosthøj, Susanne; Nygaard, Ulrikka

2015-01-01

Purpose: Through enhancement of 6-mercaptopurine (6MP) bioavailability and inhibition of purine de novo synthesis, high-dose methotrexate (HD-MTX) may increase incorporation into DNA of 6-thioguanine nucleotides, the cytotoxic metabolites of 6MP. Patients with intermediate activity of thiopurine...... methyltransferase (TPMTIA) have higher cytosol 6-thioguanine nucleotide levels. We investigated toxicity following HD-MTX during MTX/6MP maintenance therapy in relation to 6MP and TPMT. Methods: Using linear mixed models, we explored myelo- and hepatotoxicity in relation to 6MP dosage and TPMT phenotype following 1......,749 HD-MTX courses to 411 children with acute lymphoblastic leukemia on maintenance therapy. Results: The degree of myelosuppression following HD-MTX was similar for patients with TPMTIA and patients with high TPMT activity (TPMTHA), when HD-MTX started with same blood counts and 6MP doses. However...

Buprenorphine/Naloxone Maintenance Therapy: an Observational Retrospective Report on the Effect of Dose on 18 months Retention in an Office-Based Treatment Program

Directory of Open Access Journals (Sweden)

Theodore V Parran

2017-10-01

Full Text Available Context and objective: Buprenorphine has been available with few reports of the dose range necessary to adequately maintain patients. We report on the effect of 8 mg/d versus 16 mg/d of buprenorphine on long-term patient retention in office-based opioid maintenance (OBOMT. Design, setting, and participants: Case series, at an urban hospital-based primary care clinic providing OBOMT to 157 opiate-dependent, low socioeconomic status, uninsured, nonhomeless patients. Intervention: The OBOMT program operated by a comprehensive sobriety treatment program experienced State funding cuts. Thus, after 2 years, the program was required by the State funder to decrease the buprenorphine maintenance dose from 16 to 8 mg/d for all new admissions. We report on patient retention before and after dose reduction. Main outcome measures: The primary outcomes of this study were to measure and compare patient retention in the 2 cohorts at each point of treatment transition over the 18 months following OBOMT initiation. Results: No significant differences in patient retention were observed between the 16 and 8 mg/d patient cohorts. Lower dose buprenorphine maintenance (8 mg/d in uninsured patients enrolled in publicly funded long-term OBOMT combined with comprehensive sobriety counseling was as effective as higher dose therapy (16 mg/d in promoting patient retention throughout the study period. This lower dose resulted in a substantial saving to the public funding agency. Conclusions: In an observational retrospective report, retention in treatment of opiate-addicted patients was the same at 8 and 16 mg/d buprenorphine doses after 18 months. These data have implications for public and managed care funding of OBOMT, for the general prescribing of buprenorphine in outpatient care, and may be instructive in the ongoing debate about the relationship between buprenorphine dose.

Influence of dosing volume on the neurotoxicity of bifenthrin.

Science.gov (United States)

Wolansky, M J; McDaniel, K L; Moser, V C; Crofton, K M

2007-01-01

Pyrethroids are pesticides with high insecticidal activity and relatively low potency in mammals. The influence of dosing volume on the neurobehavioral syndrome following oral acute exposure to the Type-I pyrethroid insecticide bifenthrin in corn oil was evaluated in adult male Long Evans rats. We tested bifenthrin effects at 1 and 5 ml/kg, two commonly used dose volumes in toxicological studies. Two testing times (4 and 7 h) were used in motor activity and functional observational battery (FOB) assessments. Four to eight doses were examined at either dosing condition (up to 20 or 26 mg/kg, at 1 and 5 ml/kg, respectively). Acute oral bifenthrin exposure produced toxic signs typical of Type I pyrethroids, with dose-related increases in fine tremor, decreased motor activity and grip strength, and increased pawing, head shaking, click response, and body temperature. Bifenthrin effects on motor activity and pyrethroid-specific clinical signs were approximately 2-fold more potent at 1 ml/kg than 5 ml/kg. This difference was clearly evident at 4 h and slightly attenuated at 7 h post-dosing. Benchmark dose (BMD) modeling estimated similar 2-fold potency differences in motor activity and pyrethroid-specific FOB data. These findings demonstrate that dose volume, in studies using corn oil as the vehicle influences bifenthrin potency. Further, these data suggest that inconsistent estimates of pyrethroid potency between laboratories are at least partially due to differences in dosing volume.

Dose-Dependent Effects of Methadone on QT interval in Patients under Methadone Maintenance Treatment

Directory of Open Access Journals (Sweden)

Farzad Gheshlaghi

2013-03-01

Full Text Available Background: The role of methadone in QTc prolongation, Torsades de Pointes (TdP arrhythmia and sudden cardiac death has been debated. Because of widespread use of methadone in methadone maintenance treatment (MMT centers, we aimed to study dose-related effects of methadone on QTc prolongation. Methods: In a comparative observational study, 90 patients who were under MMT were evaluated. Patients were divided into three groups according to methadone daily dose (G1: 0-59 mg, G2: 60-109 mg, G3: 110-150 mg. Twelve-lead electrocardiograms (ECG were performed at baseline and two months later, after reaching the maximum daily dose of methadone. The QTc were calculated for each patient. Comparison of mean QTc and mean QTc prolongation between baseline and follow up ECGs were analyzed. Results: In total, mean (SD age was 32.4 (8.5. TdP was not detected in any patients. Mean QTc was 405.2 (17.0 and 418.5 (23.1 msec before and two months after MMT respectively. There was a significant difference between mean QTc in each group before and after treatment (P

Efficacy and Safety of a Colistin Loading Dose, High-Dose Maintenance Regimen in Critically Ill Patients With Multidrug-Resistant Gram-Negative Pneumonia.

Science.gov (United States)

Elefritz, Jessica L; Bauer, Karri A; Jones, Christian; Mangino, Julie E; Porter, Kyle; Murphy, Claire V

2017-09-01

Emergence of multidrug-resistant (MDR) gram-negative (GN) pathogens and lack of novel antibiotics have increased the use of colistin, despite unknown optimal dosing. This study aimed to evaluate the safety and efficacy of a colistin loading dose, high-dose (LDHD) maintenance regimen in patients with MDR-GN pneumonia. A retrospective cohort analysis was performed comparing critically ill patients with MDR-GN pneumonia pre- and postimplementation of a colistin LDHD guideline with a primary outcome of clinical cure. Safety was assessed using incidence of acute kidney injury (AKI) based on RIFLE (risk, injury, failure, loss, end-stage renal disease) criteria. Seventy-two patients met the inclusion criteria (42 preimplementation and 30 postimplementation). Clinical cure was achieved in 23 (55%) patients in the preimplementation group and 20 (67%) patients in the postimplementation group ( P = .31). AKI occurred in 50% of the patients during the preimplementation period and 58% during the postimplementation period ( P = .59) with no difference in initiation rates of renal replacement therapy. The increased clinical cure rate after implementation of the colistin LDHD guideline did not reach statistical significance. The LDHD guideline, however, was not associated with an increased incidence of AKI, despite higher intravenous colistin doses. Opportunity exists to optimize colistin dosage while balancing toxicity, but larger studies are warranted.

Influence of CYP3A5 genetic variation on everolimus maintenance dosing after cardiac transplantation.

Science.gov (United States)

Lesche, Dorothea; Sigurdardottir, Vilborg; Setoud, Raschid; Englberger, Lars; Fiedler, Georg M; Largiadèr, Carlo R; Mohacsi, Paul; Sistonen, Johanna

2015-12-01

Everolimus (ERL) has become an alternative to calcineurin inhibitors (CNIs) due to its renal-sparing properties, especially in heart transplant (HTx) recipients with kidney dysfunction. However, ERL dosing is challenging due to its narrow therapeutic window combined with high interindividual pharmacokinetic variability. Our aim was to evaluate the effect of clinical and genetic factors on ERL dosing in a pilot cohort of 37 HTx recipients. Variants in CYP3A5, CYP3A4, CYP2C8, POR, NR1I2, and ABCB1 were genotyped, and clinical data were retrieved from patient charts. While ERL trough concentration (C0 ) was within the targeted range for most patients, over 30-fold variability in the dose-adjusted ERL C0 was observed. Regression analysis revealed a significant effect of the non-functional CYP3A5*3 variant on the dose-adjusted ERL C0 (p = 0.031). ERL dose requirement was 0.02 mg/kg/d higher in patients with CYP3A5*1/*3 genotype compared to patients with CYP3A5*3/*3 to reach the targeted C0 (p = 0.041). ERL therapy substantially improved estimated glomerular filtration rate (28.6 ± 6.6 mL/min/1.73 m(2)) in patients with baseline kidney dysfunction. Everolimus pharmacokinetics in HTx recipients is highly variable. Our preliminary data on patients on a CNI-free therapy regimen suggest that CYP3A5 genetic variation may contribute to this variability. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

What Predicts Exercise Maintenance and Well-Being? Examining The Influence of Health-Related Psychographic Factors and Social Media Communication.

Science.gov (United States)

Zhou, Xin; Krishnan, Archana

2018-01-26

Habitual exercising is an important precursor to both physical and psychological well-being. There is, thus, a strong interest in identifying key factors that can best motivate individuals to sustain regular exercise regimen. In addition to the importance of psychographic factors, social media use may act as external motivator by allowing users to interact and communicate about exercise. In this study, we examined the influence of health consciousness, health-oriented beliefs, intrinsic motivation, as willingness to communicate about health on social media, social media activity on exercise, and online social support on exercise maintenance and well-being on a sample of 532 American adults. Employing structural equation modeling, we found that health-oriented beliefs mediated the effect of health consciousness on intrinsic motivation which in turn was a significant predictor of exercise maintenance. Exercise maintenance significantly predicted both physical and psychological well-being. Extrinsic motivators, as measured by willingness to communicate about health on social media, social media activity on exercise, and online social support did not however significantly influence exercise maintenance. These findings have implications for the design and implementation of exercise-promoting interventions by identifying underlying factors that influence exercise maintenance.

Influence of random setup error on dose distribution

International Nuclear Information System (INIS)

Zhai Zhenyu

2008-01-01

Objective: To investigate the influence of random setup error on dose distribution in radiotherapy and determine the margin from ITV to PTV. Methods: A random sample approach was used to simulate the fields position in target coordinate system. Cumulative effect of random setup error was the sum of dose distributions of all individual treatment fractions. Study of 100 cumulative effects might get shift sizes of 90% dose point position. Margins from ITV to PTV caused by random setup error were chosen by 95% probability. Spearman's correlation was used to analyze the influence of each factor. Results: The average shift sizes of 90% dose point position was 0.62, 1.84, 3.13, 4.78, 6.34 and 8.03 mm if random setup error was 1,2,3,4,5 and 6 mm,respectively. Univariate analysis showed the size of margin was associated only by the size of random setup error. Conclusions: Margin of ITV to PTV is 1.2 times random setup error for head-and-neck cancer and 1.5 times for thoracic and abdominal cancer. Field size, energy and target depth, unlike random setup error, have no relation with the size of the margin. (authors)

Analysis on the gamma dose distribution by major corrosion products during preventive maintenance period in nuclear power plant

International Nuclear Information System (INIS)

Ha, Wi Ho

2006-02-01

The information on dose distribution inside the containment building is an essential requirement to make a reduction of radiation exposure as well as effective operation and design of nuclear power plant. After reactor shutdown, radiation exposure to workers mainly occurs during preventive maintenance period due to inspection or repair works of major components. During that period, gamma doses are induced by major corrosion products in the primary coolant system. The radiation exposure to workers has been assessed by using the measurements. The measurements are, of course, a basic and reliable assessment. But the measurement has defect such as limitation of detecting area. In order to improve the defect of the measurements, system for assessment of gamma dose distribution during preventive maintenance period by using computational code was suggested in this study. First, activity of major corrosion products was calculated by using modified CRUDSIM code. Original CRUDSIM code was modified to add evaluation of other major corrosion products besides cobalt isotopes. Modeling of containment building for YGN Unit 3 was then performed. Gamma dose distribution by major corrosion products inside the containment building was calculated by using MCNPX code. Finally, the calculations were mapped for whole space inside the containment building and were compared with the measurements. As a result of this study, the defect of the measurement are supplemented by using computational calculation system, and it is expected that workers can make an effective work plan through providing dose distribution inside the containment building in advance. In addition, this study can be applied to technology development to make an effective containment shielding design of the next generation reactor as well as an improvement of the safety for workers in nuclear power plant

External exposure dose of car mechanics during the maintenance of the cars from the risk cautionary area

International Nuclear Information System (INIS)

Kawakami, Hiroto; Yamada, Norikazu; Sasaki, Satoru; Kawasaki, Satoru

2011-12-01

At the request of the Local Nuclear Emergency Response Headquarters, JNES has estimated the effective external exposure dose of car mechanics during the maintenance of the cars from the risk cautionary area. JNES investigated the contamination of the cars from the risk cautionary area and of the average cars at Fukushima city cooperated by the Japan Automobile Dealers Association. Data of screed cars by the Local Nuclear Emergency Response Headquarters is also considered in. Effective external exposure dose of car mechanics treating the cars screened with the emergency situation screening level is estimated to be less than 1 mSv/y under the conservative conditions. This result shows that particular health concern isn't necessary for them. (author)

The long-term effects of switching from active intravenous bisphosphonate treatment to low-dose maintenance therapy in children with osteogenesis imperfecta.

Science.gov (United States)

Biggin, Andrew; Zheng, Linda; Briody, Julie N; Coorey, Craig P; Munns, Craig F

2015-01-01

Intravenous bisphosphonate therapy is the first-line treatment in moderate-to-severe osteogenesis imperfecta (OI), but there are varied treatment protocols with little data on long-term efficacy. This study evaluates the clinical outcomes when transitioning from active bisphosphonate treatment to maintenance therapy. A retrospective review was conducted on 17 patients before treatment, following active treatment (zoledronate 0.05 mg/kg 6-monthly or pamidronate 6-9 mg/kg/year) and after establishment on maintenance treatment for more than 2 years (zoledronate 0.025 mg/kg 6-monthly or pamidronate lean tissue mass increased during active treatment. These improvements were maintained during the period of maintenance treatment. Vertebral height improved in fractured thoracic vertebrae from pre-treatment to active therapy and improved further during maintenance treatment. Metacarpal cortical thickness and relative cortical area also increased over the treatment periods. Maintenance intravenous bisphosphonate therapy preserved the beneficial effects of active treatment at the doses stated above. Further studies are required to determine the optimal bisphosphonate treatment regimen in the management of children with OI. © 2015 S. Karger AG, Basel.

Collection of radiation resistant characteristics reports for instruments and materials in high dose rate environment

International Nuclear Information System (INIS)

Kusano, Joichi

2008-03-01

This document presents the collected official reports of radiation irradiation study for the candidate materials to be used in high dose rate environment as J-PARC facility. The effect of radiation damage by loss-beam or secondary particle beam of the accelerators influences the performance and the reliability of various instruments. The knowledge on the radiation resistivity of the materials is important to estimate the life of the equipments, the maintenance interval and dose evaluation for the personnel at the maintenance period. The radiation damage consists with mechanical property, electrical property and gas-evolution property. (author)

Organizational Culture Influence On Total Productive Maintenance (TPM and Operational Performance Using RASCH Model Analysis

Directory of Open Access Journals (Sweden)

Mohd Norhasni Mohd Asaad

2014-02-01

Full Text Available Abstract. Market globalization, competitive product and services, high economic crises are the most critical factors that influence the success of the manufacturing companies in global market. Therefore it is critical to the manufacturing companies to be efficient in production and lean tool may used to achieve that.  The most frequently used is the Total Preventive Maintenance (TPM, even though there are many studies have been conducted in relation to the TPM but there is limited research in investigating the effects of the TPM on operational performance. However, the result of the studies was not consistent, where TPM practice may have positive and negative impact on operational performance. Among the reason is the culture of the organization that influenced the implementation of TPM and operational performance. Due to that this study attempts to investigate the influence of organizational culture on the TPM implementation and operational performance.  Rasch model is used in this study due to its ability in interpreting and analyzing the ability of respondents in performing the difficult items. The online questionnaires were distributed to 63 randomly selected automotive companies located at Northern Region of Malaysia.  Results of the study revealed that the organizational culture has influenced on the successful implementation of TPM and operational performance. Therefore by the implementation of TPM in outstanding organizational culture can improve operational performance.   Keyword: Total Preventive Maintenance (TPM, Lean manufacturing, Operational performance, Organizational culture, Rasch modeldoi:10.12695/ajtm.2013.6.2.2How to cite this article:Mohd Asaad, M.N and Yusoff, R.Z. (2013. Organizational Culture Influence On Total Productive Maintenance (TPM and Operational Performance Using RASCH Model Analysis . The Asian Journal of Technology Management 6 (2: 72-81. Print ISSN: 1978-6956; Online ISSN: 2089-791X.  doi:10.12695/ajtm

Salmeterol/fluticasone stable-dose treatment compared with formoterol/budesonide adjustable maintenance dosing: impact on health-related quality of life

Directory of Open Access Journals (Sweden)

Williams Angela E

2007-07-01

Full Text Available Abstract Background Improving patients' health-related quality of life (HRQoL is recognized as a fundamental part of asthma management. The aims of this study were to evaluate the long-term efficacy (including symptom-free days and exacerbations and impact on HRQoL of a stable-dose regimen of salmeterol/fluticasone propionate (SAL/FP and an adjustable maintenance dosing (AMD regimen of formoterol/budesonide (FOR/BUD where treatment is adjusted based on symptoms [SAM40056]. Methods A total of 688 outpatients with asthma receiving regular low-dose inhaled corticosteroids (ICS plus a long-acting β2-agonist, or medium dose ICS alone participated in this randomized, double-blind, double-dummy, parallel-group, 1-year trial, which was conducted in 91 centers in 15 countries. Patients were randomized to receive 1 inhalation of SAL/FP 50/250 μg BID or 2 inhalations of FOR/BUD 6/200 μg BID during Weeks 1–4. For Weeks 5–52, patients meeting strict continuation criteria for stable asthma at Week 4 received AMD with FOR/BUD or stable-dose SAL/FP. Results The percentage of symptom-free days was significantly greater (58.8% vs 52.1%; p = 0.034 and the annual exacerbation rate was significantly lower (47%; p = 0.008 with stable-dose SAL/FP compared with FOR/BUD AMD. A total of 568 patients completed the Asthma Quality of Life Questionnaire (AQLQ at least once during the study. The mean change from baseline in AQLQ overall score was numerically greater with SAL/FP than FOR/BUD at week 28 and week 52, but did not reach statistical significance (p = 0.121 at Week 52. However, in a post hoc logistic regression analyses for any AQLQ improvement, significant benefits with SAL/FP were seen at both time points (p = 0.038 and p = 0.009, respectively. The minimally important difference of ≥ 0.5-point improvement in AQLQ overall score was achieved by a significantly greater number of patients receiving SAL/FP at Week 28 (68% vs 60%; p = 0.049; a trend for this

Developmental Differences in the Influence of Distractors on Maintenance in Spatial Working Memory

Science.gov (United States)

Schutte, Anne R.; Keiser, Brian A.; Beattie, Heidi L.

2017-01-01

This study examined whether attention to a location plays a role in the maintenance of locations in spatial working memory in young children as it does in adults. This study was the first to investigate whether distractors presented during the delay of a spatial working-memory task influenced young children's memory responses. Across 2…

Late biological effects of ionizing radiation as influenced by dose, dose rate, age at exposure, and genetic sensitivity to neoplastic transformation

International Nuclear Information System (INIS)

Spalding, J.F.; Prine, J.R.; Tietjen, G.L.

1978-01-01

A most comprehensive investigation is in progress at the Los Alamos Scientific Laboratory to study the late biological effects of whole-body exposure to gamma irradiation as they may be influenced by total dose, dose rate, age at exposure, and genetic background. Strain C57B1/6J mice of four age groups (newborn, 2, 6, and 15 months) were given five doses (20, 60, 180, 540, and 1620 rad) of gamma rays, with each dose being delivered at six dose rates (0.7, 2.1, 6.3, 18.9, 56.7 rad/day and 25 rad/min). Forty to sixty mice were used in each of the approximately 110 dose/dose-rate and age combinations. The study was done in two replications with an equal number of mice per replication. Strain RF/J mice were used in a companion study to investigate the influence of genetic background on the type and magnitude of effect. Results of the first and second replications of the 15-month-old age group and data on the influence of genetic background on biological response have been completed, and the results show no significant life shortening within the dose and dose-rate range used

Treatment of a long-acting anticoagulant rodenticide poisoning cohort with vitamin K1 during the maintenance period

Science.gov (United States)

Long, Jianhai; Peng, Xiaobo; Luo, Yuan; Sun, Yawei; Lin, Guodong; Wang, Yongan; Qiu, Zewu

2016-01-01

Abstract Currently, there are few guidelines for the use of vitamin K1 in the maintenance treatment of long-acting anticoagulant rodenticide (LAAR) poisonings. We explored factors in the treatment of LAAR poisoning during the maintenance period in order to suggest feasible treatment models. Data from 24 cases of anticoagulant rodenticide poisoning in our hospital were collected from January 2013 to May 2016. The patients’ sex, age, coagulation function, total time from poisoning to treatment with vitamin K1 (prehospital time), vitamin K1 sustained treatment time (VKSTT), anticoagulant rodenticide category, and specific poison dosage were collected. Multivariate analysis was used to evaluate the correlation between vitamin K1 dosage and other factors during the maintenance period. Only VKSTT (partial regression coefficient −1.133, 0.59, P = 0.035) had an obvious influence on the therapeutic dose of vitamin K1 required during the maintenance period. After an initial pulse therapy, the bleeding and coagulation functions were stabilized, and the patients were subsequently treated with vitamin K1 during the maintenance period. Over time, the maintenance dose of vitamin K1 (10–120 mg/d, intravenous drip) was gradually decreased and was not related to toxicant concentration. PMID:28002326

Rural settlements: social and ecological factors influencing on internal dose formation

International Nuclear Information System (INIS)

Visenberg, Yu.V; Vlasova, N.G.

2008-01-01

Full text: The aim of the present study is to reveal the reasons of difference in average internal doses in rural population living in the rural settlements situated on territories with equal levels of soil contamination; to show by clear examples that forming of internal dose is not only influenced directly by the contamination of the territory but also by number of factors of non-radiation origin. There were used data on internal doses as a result of WBC-measurements in rural inhabitants. Method of the study: there was applied the statistical analysis of the internal dose in rural population depending on the number of factors: radio-ecological represented by the transfer factor of radionuclides from soil to milk; environmental - closeness to the forest which, in its turn, determines intake of its resources by rural population; social - the number of population. There were selected settlements for the investigation whose residents had been WBC-measured for the period of 1990-2005's and their doses were evaluated. Thus, the conducted analysis shows that each of indirect (non-radiation) factors contributes in different way into formation of internal dose. The most significant of them is the social factor as follows from the results of the conducted analysis, represented by the number of inhabitants in a settlement. The internal dose depends not only on the level of contamination of the territory but also on the number of other factors: environmental, social, and radio-ecological. The influence of these factors on the process of dose formation in settlements should be considered simultaneously since neither of them is the leading one. Probably, there are other factors influencing on dose formation. Their investigation must be continued. (author)

Optimization of radiation protection of cell maintenance of radiopharmaceutical production

International Nuclear Information System (INIS)

Machado, Jessica S.; Gerulis, Eduardo; Todo, Alberto S.; Rodrigues Junior, Orlando

2011-01-01

This paper performs a study of maintenance tasks realized in production cells to suggest improvements related to the occupational doses based on the optimization principle of the radioprotection. A data survey has been realized of the doses received by the workers during the maintenance. The average values of effective doses are lower than the limits established in the regulations, however can be optimized

Patient perception of methadone dose adequacy in methadone maintenance treatment: The role of perceived participation in dosage decisions.

Science.gov (United States)

Trujols, Joan; González-Saiz, Francisco; Manresa, María José; Alcaraz, Saul; Batlle, Francesca; Duran-Sindreu, Santiago; Pérez de Los Cobos, José

2017-05-01

In clinical practice, methadone maintenance treatment (MMT) entails tailoring the methadone dose to the patient's specific needs, thereby individualizing treatment. The aim of this study was to identify the independent factors that may significantly explain methadone dose adequacy from the patient's perspective. Secondary analysis of data collected in a treatment satisfaction survey carried out among a representative sample of MMT patients (n=122) from the region of La Rioja (Spain). As part of the original study protocol, participants completed a comprehensive battery to assess satisfaction with MMT, psychological distress, opinion of methadone as a medication, participation in dosage decisions, and perception of dose adequacy. Multivariate binary logistic regression showed that the only variable independently associated with the likelihood of a patient perceiving methadone dose as inadequate was the variable perceived-participation in methadone dosage decisions (OR=0.538, 95% CI=0.349-0.828). Patient participation in methadone dosage decisions was predictive of perceived adequacy of methadone dose beyond the contribution of other socio-demographic, clinical, and MMT variables. Patient participation in methadone dosage decision-making is valuable for developing a genuinely patient-centred MMT. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Maintenance therapy of childhood acute lymphoblastic leukemia revisited—Should drug doses be adjusted by white blood cell, neutrophil, or lymphocyte counts?

DEFF Research Database (Denmark)

Schmiegelow, Kjeld; Nersting, Jacob; Nielsen, Stine Nygaard

2016-01-01

BACKGROUND: 6-Mercaptopurine (6MP) and methotrexate (MTX) based maintenance therapy is a critical phase of childhood acute lymphoblastic leukemia treatment. Wide interindividual variations in drug disposition warrant frequent doses adjustments, but there is a lack of international consensus on dose...... levels of 6-thioguanine nucleotides or MTX (including its polyglutamates) to be significant relapse predictors. The parameters significantly associated with risk of relapse (N = 83) were male sex (hazard ratio [HR] 2.0 [1.3-3.1], P = 0.003), WBC at diagnosis (HR = 1.04 per 10 × 10(9) /l rise [1...

Neutron organ dose and the influence of adipose tissue

Science.gov (United States)

Simpkins, Robert Wayne

Neutron fluence to dose conversion coefficients have been assessed considering the influences of human adipose tissue. Monte Carlo code MCNP4C was used to simulate broad parallel beam monoenergetic neutrons ranging in energy from thermal to 10 MeV. Simulated Irradiations were conducted for standard irradiation geometries. The targets were on gender specific mathematical anthropomorphic phantoms modified to approximate human adipose tissue distributions. Dosimetric analysis compared adipose tissue influence against reference anthropomorphic phantom characteristics. Adipose Male and Post-Menopausal Female Phantoms were derived introducing interstitial adipose tissue to account for 22 and 27 kg additional body mass, respectively, each demonstrating a Body Mass Index (BMI) of 30. An Adipose Female Phantom was derived introducing specific subcutaneous adipose tissue accounting for 15 kg of additional body mass demonstrating a BMI of 26. Neutron dose was shielded in the superficial tissues; giving rise to secondary photons which dominated the effective dose for Incident energies less than 100 keV. Adipose tissue impact on the effective dose was a 25% reduction at the anterior-posterior incidence ranging to a 10% increase at the lateral incidences. Organ dose impacts were more distinctive; symmetrically situated organs demonstrated a 15% reduction at the anterior-posterior Incidence ranging to a 2% increase at the lateral incidences. Abdominal or asymmetrically situated organs demonstrated a 50% reduction at the anterior-posterior incidence ranging to a 25% increase at the lateral incidences.

Influence of dose distribution homogeneity on the tumor control probability in heavy-ion radiotherapy

International Nuclear Information System (INIS)

Wen Xiaoqiong; Li Qiang; Zhou Guangming; Li Wenjian; Wei Zengquan

2001-01-01

In order to estimate the influence of the un-uniform dose distribution on the clinical treatment result, the Influence of dose distribution homogeneity on the tumor control probability was investigated. Basing on the formula deduced previously for survival fraction of cells irradiated by the un-uniform heavy-ion irradiation field and the theory of tumor control probability, the tumor control probability was calculated for a tumor mode exposed to different dose distribution homogeneity. The results show that the tumor control probability responding to the same total dose will decrease if the dose distribution homogeneity gets worse. In clinical treatment, the dose distribution homogeneity should be better than 95%

Late biological effects of ionizing radiation as influenced by dose, dose rate, age at exposure and genetic sensitivity to neoplastic transformation

International Nuclear Information System (INIS)

Spalding, J.F.; Prine, J.R.; Tietjen, G.L.

1978-01-01

A most comprehensive investigation is in progress at the Los Alamos Scientific Laboratory to study the late biological effects of whole-body exposure to gamma irradiation as they may be influenced by total dose, dose rate, age at exposure and genetic background. Strain C57B1/6J mice of four age groups (newborn, 2, 6 and l5 months) were given five doses (20, 60, 180, 540, and 1620 rads) of gamma rays, with each dose being delivered at six dose rates (0.7, 2.1, 6.3, 18.9, 56.7 rads/day and 25 rads/min). Forty to sixty mice were used in each of the approximately 119 dose/dose-rate and age combinations. The study was done in two replications with an equal number of mice per replicaton. Strain RF/J mice were used in a companion study to investigate the influence of genetic background on the type and magnitude of effect. Results of the first and second replications of the l5-month-old age group and data on the influence of genetic background on biological response have been completed, and the results show no significant life shortening within the dose and dose-rate range used. It was also concluded that radiaton-induced neoplastic transformaton was significantly greater in mice with a known genetic sensitivity to neoplastic disease than in mammals which do not normally have a significant incidence of tumours. (author)

Which genetic determinants should be considered for tacrolimus dose optimization in kidney transplantation?

DEFF Research Database (Denmark)

Bruckmueller, H; Werk, Anneke Nina; Renders, Lutz

2014-01-01

). In addition, there are further polymorphic genes, possibly influencing CYP3A activity (pregnan x receptor NR1I2, P450 oxidoreductase POR and peroxisome proliferator-activator receptor alpha PPRA). We aimed to investigate combined effects of these gene variants on tacrolimus maintenance dose and PK in stable...

A COMPARISON OF TWO DIFFERENT DOSES OF DEXMEDETOMIDINE INFUSION DURING MAINTENANCE OF GENERAL ANAESTHESIA IN PATIENTS UNDERGOING SPINE SURGERIES, FUNCTIONAL ENDOSCOPIC SINUS SURGERY AND MIDDLE EAR SURGERIES

Directory of Open Access Journals (Sweden)

Bijay

2016-03-01

Full Text Available BACKGROUND This study is undertaken to compare the hemodynamic effects and reduction in the doses of volatile anaesthetics and muscle relaxants using two different doses of dexmedetomidine infusion during maintenance of anaesthesia in spine, functional endoscopic sinus surgery and middle ear surgeries. METHODS Sixty patients are randomly divided into 2 groups of 30 each. After shifting to the operation theatre baseline vitals were recorded. Anesthesia induced with thiopentone sodium and intubation done with the help of succinylcholine and maintained with oxygen, nitrous oxide and isoflurane. After 1 min of intubation, maintenance infusion of dexmedetomidine (0.4 mcg/kg/hr and 0.7 mcg/kg/hr for patients allotted in 2 separate groups was started and stopped 15 min before end of surgery. Hemodynamic parameters and any reduction in the doses of volatile anaesthetics and muscle relaxants was noted. RESULTS Dexmedetomidine infusion (0.4 mcg/kg/hr and 0.7 mcg/kg/hr in both groups reduced the requirements of muscle relaxants and volatile anaesthetics. Hemodynamic stability was better in the group receiving 0.4 mcg/kg/hr. Patients receiving 0.7 mcg/kg/hr had higher incidence of hypotension, bradycardia and delayed emergence from anaesthesia. CONCLUSION Dexmedetomidine infusion at 0.4 mcg/kg/hr during maintenance of anaesthesia in spine surgery, FESS and middle ear surgery would be good option to reduce the requirements of volatile anaesthetics, muscle relaxants and for better hemodynamic stability. OBJECTIVE OF STUDY: Primary Objective To compare and evaluate the hemodynamic effects and reduction in requirements of volatile anaesthetics and muscle relaxants with two different doses of dexmedetomidine infusion during maintenance of general anaesthesia in patients undergoing spine, FESS and middle ear surgeries.

The Influence of Academic Culture on Quality Management System ISO 9001 Maintenance within Malaysian Universities

Science.gov (United States)

Basir, Siti Arni; Davies, John; Douglas, Jacqueline; Douglas, Alexander

2017-01-01

This study investigates the influence of the elements of academic culture on quality management system ISO 9001 maintenance within Malaysian universities. There is a dearth of empirical studies on maintaining ISO 9001, particularly in the higher education context. From the literature review, academic culture was classified according to four…

Doses from portable gauges

International Nuclear Information System (INIS)

Linauskas, S.H.

1988-08-01

Field studies to measure actual radiation exposures of operators of commercial moisture-density gauges were undertaken in several regions of Canada. Newly developed bubble detector dosimeter technology and conventional dosimetry such as thermoluminescent dosimeters (TLDs), integrating electronic dosimeters (DRDs), and CR-39 neutron track-etch detectors were used to estimate the doses received by 23 moisture-density gauge operators and maintenance staff. These radiation dose estimates were supported by mapping radiation fields and accounting for the time an operator was near a gauge. Major findings indicate that gauge maintenance and servicing workers were more likely than gauge operators to receive exposures above the level of 5 mSv, and that neutron doses were roughly the same as gamma doses. Gauge operators receive approximately 75% of their dose when transporting and carrying the gauge. Dose to their hands is similar to the dose to their trunks, but the dose to their feet area is 6 to 30 times higher. Gamma radiation is the primary source of radiation contributing to operator dose

Radon-222 related influence on ambient gamma dose.

Science.gov (United States)

Melintescu, A; Chambers, S D; Crawford, J; Williams, A G; Zorila, B; Galeriu, D

2018-04-03

Ambient gamma dose, radon, and rainfall have been monitored in southern Bucharest, Romania, from 2010 to 2016. The seasonal cycle of background ambient gamma dose peaked between July and October (100-105 nSv h -1 ), with minimum values in February (75-80 nSv h -1 ), the time of maximum snow cover. Based on 10 m a.g.l. radon concentrations, the ambient gamma dose increased by around 1 nSv h -1 for every 5 Bq m -3 increase in radon. Radon variability attributable to diurnal changes in atmospheric mixing contributed less than 15 nSv h -1 to the overall variability in ambient gamma dose, a factor of 4 more than synoptic timescale changes in air mass fetch. By contrast, precipitation-related enhancements of the ambient gamma dose were 15-80 nSv h -1 . To facilitate routine analysis, and account in part for occasional equipment failure, an automated method for identifying precipitation spikes in the ambient gamma dose was developed. Lastly, a simple model for predicting rainfall-related enhancement of the ambient gamma dose is tested against rainfall observations from events of contrasting duration and intensity. Results are also compared with those from previously published models of simple and complex formulation. Generally, the model performed very well. When simulations underestimated observations the absolute difference was typically less than the natural variability in ambient gamma dose arising from atmospheric mixing influences. Consequently, combined use of the automated event detection method and the simple model of this study could enable the ambient gamma dose "attention limit" (which indicates a potential radiological emergency) to be reduced from 200 to 400% above background to 25-50%. Copyright © 2018 Elsevier Ltd. All rights reserved.

Influence of dose and its distribution in time on dose-response relationships for low-LET radiation

International Nuclear Information System (INIS)

Anon.

1980-01-01

This book examines the influence of dose rate and magnitude on the genetic and carcinogenic effects of radiation exposure in animals and man. It systematically examines a broad range of biological effects in simple systems, plants, laboratory animals, and man with special attention given to the effects of prenatal irradiation, changes in life span, and tumorigenesis. An enormous volume of data is provided about human tumorigenesis and the data and shortcomings are summarized. There is an extended general discussion of the consideration in quantitative dose and dose rate relationships and of the limitations of the data and analyses which have led to a linear interpolation of risk at low doses and dose rates. An argument is made for dose rate dependence in tumorigenesis as being consistent with all other radiation effects and for the applicability of Dose Rate Effectiveness Factors (DREF) in providing a more realistic assessment of the risk of radiation carcinogenesis. The report is documented with 24 pages of references. There are numerous graphs and tables, all clear and to the point. This book is a superb review and summary of the data on radiation risks

Influence of Routine MV CBCT Usage on Dose Distribution in Pelvic Radiotherapy

International Nuclear Information System (INIS)

Faj, D.; Kasabasic, M.; Ivkovic, A.; Tomas, I.; Jurkovic, S.

2013-01-01

The pelvic radiotherapy is a standard treatment for patients with cervical, uterine and rectal carcinomas. During radiation treatment open tabletop device or bellyboard is used to reduce the side effects of healthy surrounding tissue. Patients are continually adjusting to the bellyboard during the treatment which causes geometrical and dosage uncertainties and influences the results of the treatment. Therefore, to reduce these uncertainties, megavoltage cone-beam computed tomography (MV CBCT) system is used. The objective of this research was to evaluate the image acquisition dose delivered to patients from MV CBCT. MV CBCT imaging was simulated on 15 patients using 3D treatment planning software XiO (CMS Inc., St. Louis, MO). The influence of the routine MV CBCT usage on treatment plan was investigated by analyzing the changes in dose volume histograms, mean values and maximum doses in the planning volumes. Simulations have shown that daily usage of MV CBCT causes differences in the dose volume histograms. Moreover, for every patient mean value exceeded prescribed tolerance (±1% of the prescribed dose) and maximum value exceeded recommended maximum of 107% of the prescribed dose. The results have shown that MV CBCT dose to the patient should be a part of the RT plan.(author)

Dose rate influence in the response of the amber 3042 perspex Dosimeter, batch l

International Nuclear Information System (INIS)

Prieto Miranda, E. F.; Barrera Gonzalez, G.

2001-01-01

The answer of the dosimetry systems is affected by several factors , as the temperature, humidity, light, concentration of oxygen, dose rate, energy spectrum and one can also add the technological conditions of the irradiation process. It should be known as these factors influence in each one of the different dosimetry systems and this way to minimize their effect in the value of the absorbed dose and to obtain exact values . The objective of this paper is to know the influence of the dose rate in the value of the absorbed dose in the Amber 3042 Perspex dosimeters, Batch L, for different measurement wavelengths, as well as, the relation between the post-irradiation time and the induced specific absorbance value in function of the absorbed dose

Influence of radiation dose and dose-rate on modification of barley seed radiosensitivity by post-treatment with caffeine

International Nuclear Information System (INIS)

Sharma, G.J.

1987-01-01

Influence of radiation doses (100, 150 and 200 Gy) and dose-rates (1.27-0.023 Gy/Sec) on the modification of oxic and anoxic radiation damage by caffeine at different concentrations has been investigated using metabolizing barley seeds as test system. As the radiation dose increases from 100 to 200 Gy, the magnitude of oxic and anoxic damages increase at all the dose-rates. Caffeine is able to afford partial radioprotection against the oxic damage, at the same time potentiating the anoxic damage. However, caffeine effect against the oxic and anoxic components of damage depend largely upon the dose of radiation applied and also on the dose-rate used. The possible mechanism of action of caffeine in bringing about the differential modification of oxic and anoxic damages has been discussed. 19 refs., 2 tables. (author)

QT response after a test dose and during maintenance therapy with AZD1305 in patients with atrial fibrillation: a double-blind, randomized, placebo-controlled trial

DEFF Research Database (Denmark)

Egstrup, Kenneth; Bergfeldt, Lennart; Duris, Tibor

2011-01-01

AZD1305 is an investigational antiarrhythmic agent that prolongs refractoriness through combined potassium and sodium channel inhibition. This study aimed to explore the utility of a test dose in predicting QT interval corrected according to Fridericia's formula (QTcF) during subsequent maintenance...

CONSERVAÇÃO DE INFLORESCÊNCIAS DE HELICÔNIAS PREVIAMENTE ADUBADAS COM DOSES CRESCENTES DE NITROGÊNIO E POTÁSSIO

Directory of Open Access Journals (Sweden)

GENILDA CANUTO AMARAL

2015-01-01

Full Text Available The post-harvest of floral stems is one of the main features observed in the production of flowers for cutting, becoming a prerequisite for product quality and successful marketing. In this sense, the objective was to evaluate the conservation of heliconias inflorescences with or without renewal of the water maintenance, previously fertilized with increasing doses of nitrogen and potassium. Inflorescences of Heliconia psittacorum x H. spathocircinata cultivar Golden Torch were used and grown in open conditions in the Floriculture area at UFPI, city of Bom Jesus, Piauí State under increasing doses of fertilization with N and K. The stems were harvested in the morning, standardized and placed in containers with 500 mL of water. The design was a randomized block in factorial 4 x 4 x 2, corresponding to: i N doses (0, 120, 180, and 240 g N hole-1 , ii K doses (0, 120, 180, and 240 g K2O hole-1 , and iii renewing the water maintenance in vase (with and without renewal with three replicates of three stems each. Some evaluations were observed during the Study, such as: the water uptake by the flower stems; loss of fresh weight of the flower stems, dry weight of the flower stems and post-harvest longevity. The dose of 180 g hole-1 both as N and K provided the longevity of the flower stems with quality maintenance. The absorption of water by the flower stems and its dry mass after harvesting are influenced by previous fertilizer N and K. The renewal of the water maintenance also positively influence the longevity of flower stems and its a management indicated to maintain quality post-harvest.

Influence of burn-in on total-ionizing-dose effect of SRAM device

International Nuclear Information System (INIS)

Liu Minbo; Yao Zhibin; Huang Shaoyan; He Baoping; Sheng Jiangkun

2014-01-01

The influence of Burn-in on the total-ionizing-dose (TID) effect of SRAM device was investigated. SRAM devices of three different feature sizes were selected and irradiated by "6"0Co source with or without pre-irradiation Burn-in. Some parameters for radiation effect of SRAM device such as upset data, were measured, and the influence on the TID effect of different feature size SRAM devices with or without pre-irradiation Burn-in was obtained. The influence of different temperature Burn-in on radiation resistant capability of SRAM device was studied for 0.25 μm SRAM device. The results show that the smaller the device feature size is, the better the radiation-resistant capability of SRAM device is and the weaker the influence of Burn-in is. And the higher Burn-in temperature is, the more serious the influence of Burn-in on the total-dose radiation effect is. (authors)

Weldon Spring historical dose estimate

International Nuclear Information System (INIS)

Meshkov, N.; Benioff, P.; Wang, J.; Yuan, Y.

1986-07-01

This study was conducted to determine the estimated radiation doses that individuals in five nearby population groups and the general population in the surrounding area may have received as a consequence of activities at a uranium processing plant in Weldon Spring, Missouri. The study is retrospective and encompasses plant operations (1957-1966), cleanup (1967-1969), and maintenance (1969-1982). The dose estimates for members of the nearby population groups are as follows. Of the three periods considered, the largest doses to the general population in the surrounding area would have occurred during the plant operations period (1957-1966). Dose estimates for the cleanup (1967-1969) and maintenance (1969-1982) periods are negligible in comparison. Based on the monitoring data, if there was a person residing continually in a dwelling 1.2 km (0.75 mi) north of the plant, this person is estimated to have received an average of about 96 mrem/yr (ranging from 50 to 160 mrem/yr) above background during plant operations, whereas the dose to a nearby resident during later years is estimated to have been about 0.4 mrem/yr during cleanup and about 0.2 mrem/yr during the maintenance period. These values may be compared with the background dose in Missouri of 120 mrem/yr

Weldon Spring historical dose estimate

Energy Technology Data Exchange (ETDEWEB)

Meshkov, N.; Benioff, P.; Wang, J.; Yuan, Y.

1986-07-01

This study was conducted to determine the estimated radiation doses that individuals in five nearby population groups and the general population in the surrounding area may have received as a consequence of activities at a uranium processing plant in Weldon Spring, Missouri. The study is retrospective and encompasses plant operations (1957-1966), cleanup (1967-1969), and maintenance (1969-1982). The dose estimates for members of the nearby population groups are as follows. Of the three periods considered, the largest doses to the general population in the surrounding area would have occurred during the plant operations period (1957-1966). Dose estimates for the cleanup (1967-1969) and maintenance (1969-1982) periods are negligible in comparison. Based on the monitoring data, if there was a person residing continually in a dwelling 1.2 km (0.75 mi) north of the plant, this person is estimated to have received an average of about 96 mrem/yr (ranging from 50 to 160 mrem/yr) above background during plant operations, whereas the dose to a nearby resident during later years is estimated to have been about 0.4 mrem/yr during cleanup and about 0.2 mrem/yr during the maintenance period. These values may be compared with the background dose in Missouri of 120 mrem/yr.

A study on measurement on artificial radiation dose rate using the response matrix method

International Nuclear Information System (INIS)

Kidachi, Hiroshi; Ishikawa, Yoichi; Konno, Tatsuya

2004-01-01

We examined accuracy and stability of estimated artificial dose contribution which is distinguished from natural background gamma-ray dose rate using Response Matrix method. Irradiation experiments using artificial gamma-ray sources indicated that there was a linear relationship between observed dose rate and estimated artificial dose contribution, when irradiated artificial gamma-ray dose rate was higher than about 2 nGy/h. Statistical and time-series analyses of long term data made it clear that estimated artificial contribution showed almost constant values under no artificial influence from the nuclear power plants. However, variations of estimated artificial dose contribution were infrequently observed due to of rainfall, detector maintenance operation and occurrence of calibration error. Some considerations on the factors to these variations were made. (author)

Influence of clouds on the cosmic radiation dose rate on aircraft

International Nuclear Information System (INIS)

Pazianotto, Mauricio T.; Carlson, Brett V.; Federico, Claudio A.; Goncalez, Odair L.; Cortes-Giraldo, Miguel A.; Quesada, Jose Manuel M.; Palomo, Francisco R.; Pinto, Marcos Luiz de A.

2014-01-01

Flight missions were made in Brazilian territory in 2009 and 2011 with the aim of measuring the cosmic radiation dose rate incident on aircraft in the South Atlantic Magnetic Anomaly and to compare it with Monte Carlo simulations. During one of these flights, small fluctuations were observed in the vicinity of the aircraft with formation of Cumulonimbus clouds. Motivated by these observations, in this work, the authors investigated the relationship between the presence of clouds and the neutron flux and dose rate incident on aircraft using computational simulation. The Monte Carlo simulations were made using the MCNPX and Geant4 codes, considering the incident proton flux at the top of the atmosphere and its propagation and neutron production through several vertically arranged slabs, which were modelled according to the ISO specifications. The paper presents first-order calculation about the influence of Cumulonimbus clouds on the flux and dose rate due to cosmic neutrons in the atmosphere, at aircraft flight altitudes. The simulations show variations of the order of 5.5 % in the neutrons flux and 3.6 % of the dose rate due to the presence of the cloud. Such variations can extend up to ∼1.5 km from the edge of the cloud. The spectrum of neutrons within a cloud formation was observed undergo changes due to the neutron absorption and scattering processes with the water content inside the cloud. To accomplish these simulations, it is important to have a proper knowledge of the data libraries and nuclear models to be applied, since the simulation processes are strongly dependent on these factors. These results emphasise the importance of conducting more detailed studies on this topic, since the influence of clouds can change the dose and flux on aircraft overflying such formations, as well as could explain some of the fluctuations in the experimental dose rate data obtained in aircraft flights. Future studies should extend such simulations to different types of

Influence on dose coefficients for workers of the new metabolic models

International Nuclear Information System (INIS)

Gomez Parada, I.M.; Rojo, A.M.

1998-01-01

The International Commission on Radiological Protection (ICRP) has recently reviewed the biokinetic models used in the internal contamination dose assessment. ICRP has adopted a new model for the human respiratory tract and has updated, in ICRP Publications 56, 67 and 69, some of the biokinetic models of ICRP Publication 30. In this paper, the dose coefficients for some selected radionuclides issued in ICRP Publication 68 are compared with those obtained using the software LUPED (LUng Dose Evaluation Program). The former were calculated using the new systemic models, while the latter are based on the old metabolic models. The aim is to know to what extent the new models for systematic retention influence the dose coefficients for workers. (author) [es

Maintenance planning for nuclear power plants

International Nuclear Information System (INIS)

Mattu, R.K.; Cooper, S.E.; Lauderdale, J.R.

2004-01-01

Maintenance planning for nuclear power plants is similar to that in other industrial plants but it is heavily influenced by regulatory rules, with consequent costs of compliance. Steps by the nuclear industry and the Nuclear Regulatory Commission to address that problem include development of guidelines for maintenance of risk-critical equipment, using PRA-based techniques to select a set of equipment that requires maintenance and reliability-centered maintenance (RCM) approaches for determining what maintenance is required. The result of the process is a program designed to ensure effective maintenance of the equipment most critical to plant safety. (author)

Maintenance considerations of the Starfire Commercial Tokamak

International Nuclear Information System (INIS)

Trachael, C.A.; Zahn, H.S.; Field, R.E.; Stevens, H.C.

1979-01-01

An initial reactor design has been developed for the Starfire Tokamak reactor that incorporates maintenance features to permit reactor and plant operation with a 75% availability. All components of the reactor can be replaced utilizing highly automated remote maintenance techniques. Provisions for contact maintenance are included but would only be utilized on a contingency basis since it is believed that allowable dose rates will be decreased in future years. A modular design approach is used for the reactor and auxiliary subsystems to permit efficient use of remote maintenance. The modular approach minimizes the number of different maintenance operations required and can result in use of simple tasks such as push, pull, turn, etc., maneuvers for module removal. Fault isolation is provided for each replaceable module

Aging irradiation of polymers. Dose-rate and test sequence influence

International Nuclear Information System (INIS)

Alba, C.; Carlin, F.; Chenion, J.; Lemaire, F.; Le Meur, M.; Petitjean, M.

1984-05-01

This work brings up results of the irradiation dose-rate influence on mechanical and electrical properties of technical polymer materials evolution. Polymer samples were subjected to 3.3.10 -2 Gy.s -1 and 2.8.10 -1 Gy.s -1 dose-rate. Heat and radiation simultaneous action is usualy simulated sequentialy. The hardest simulation on the polymer is the sequence of irradiation followed by thermal aging not the reverse. This study was carried out on eight polymer materials among those used in the electrical appliances for P.W.R. nuclear power plants [fr

Compact and maintenance-free radio probes for environmental surveillance of the gamma dose rate

International Nuclear Information System (INIS)

Genrich, V.

1998-01-01

The author reports on his experience with the operation of radio data networks for the continuous observation of the gamma dose rate in nuclear installations. Practically at every location (within) the installation the hermetically sealed probes can record the measurement values. Moreover, the probes have proved successful in environmental surveillance where they typically work in the form of measurement rings in 10 to 30 km distance. All measurement data are organized in the form of a data base. They can be disposed of in the form of an SQL-server in the computer network (LAN) of the power plant or the institution in charge of environmental surveillance. In comparison to conventional, e.g. cable-bound measurement networks with the new radio transmission technology there are numerous advantages: - minimal cost for projection - minimal cost for installation due to simple fixing - quasi-mobile use with highest possible flexibility - maintenance-free operation and high degree of operating reliability. (orig.) [de

Comparative influence of dose rate and radiation nature, on lethality after big mammals irradiation

International Nuclear Information System (INIS)

Destombe, C.; Le Fleche, Ph.; Grasseau, A.; Reynal, A.

1997-01-01

For the same dose and the 30 days lethality as biological criterion, the dose rate influence is more important than the radiation nature on the results of an big mammals total body irradiation. (authors)

Quantitative Analysis of Criteria in University Building Maintenance in Malaysia

Directory of Open Access Journals (Sweden)

Olanrewaju Ashola Abdul-Lateef

2010-10-01

Full Text Available University buildings are a significant part of university assets and considerable resources are committed to their design, construction and maintenance. The core of maintenance management is to optimize productivity and user satisfaction with optimum resources. An important segment in the maintenance management system is the analysis of criteria that influence building maintenance. Therefore, this paper aims to identify quantify, rank and discuss the criteria that influence maintenance costs, maintenance backlogs, productivity and user satisfaction in Malaysian university buildings. The paper reviews the related literature and presents the outcomes of a questionnaire survey. Questionnaires were administered on 50 university maintenance organizations. Thirty-one criteria were addressed to the university maintenance organizations to evaluate the degree to which each of the criteria influences building maintenance management. With a 66% response rate, it was concluded that the consideration of the criteria is critical to the university building maintenance management system. The quality of components and materials, budget constraints and the age of the building were found to be the most influential criteria but information on user performance satisfaction, problems associated with in-house workforce and shortage of materials and components were the least influential criteria. The paper also outlined that maintenance management is a strategic function in university administration.

Dose control during decommissioning stage 1.2 of decommissioning SGHWR facility

Energy Technology Data Exchange (ETDEWEB)

Rodgers, M.J. [AEA Technology (United Kingdom)

1995-12-31

Dose control during decommissioning stage 1.2 of the SGHWR facility, i.e preparation for an extended period of care and maintenance, is discussed. The method of control of dose uptake is described and also the systems of dose uptake review, the use of dose restraint objections and other tools for limitation of dose uptake. Dose uptake data are presented for periods of maintenance shutdowns. Finally the option of chemical clearing of the circuit following shutdown is considered. (UK).

Influence of Daily Set-Up Errors on Dose Distribution During Pelvis Radiotherapy

International Nuclear Information System (INIS)

Kasabasic, M.; Ivkovic, A.; Faj, D.; Rajevac, V.; Sobat, H.; Jurkovic, S.

2011-01-01

An external beam radiotherapy (EBRT) using megavoltage beam of linear accelerator is usually the treatment of choice for the cancer patients. The goal of EBRT is to deliver the prescribed dose to the target volume, with as low as possible dose to the surrounding healthy tissue. A large number of procedures and different professions involved in radiotherapy process, uncertainty of equipment and daily patient set-up errors can cause a difference between the planned and delivered dose. We investigated a part of this difference caused by daily patient set-up errors. Daily set-up errors for 35 patients were measured. These set-up errors were simulated on 5 patients, using 3D treatment planning software XiO (CMS Inc., St. Louis, MO). The differences in dose distributions between the planned and shifted ''geometry'' were investigated. Additionally, an influence of the error on treatment plan selection was checked by analyzing the change in dose volume histograms, planning target volume conformity index (CI P TV) and homogeneity index (HI). Simulations showed that patient daily set-up errors can cause significant differences between the planned and actual dose distributions. Moreover, for some patients those errors could influence the choice of treatment plan since CI P TV fell under 97 %. Surprisingly, HI was not as sensitive as CI P TV on set-up errors. The results showed the need for minimizing daily set-up errors by quality assurance programme. (author)

Comparison of C-reactive protein levels with delivered dose of Kt/V in patients with end-stage renal disease on maintenance hemodialysis

Directory of Open Access Journals (Sweden)

Humayun Rashid

2015-01-01

Full Text Available The objective of our study is to compare the C-reactive protein (CRP levels with the delivered dose of dialysis in terms of Kt/V in patients undergoing maintenance hemodialysis (HD. This is a comparative, cross-sectional survey. The study was conducted at the HD unit of the Shaikh Zayed Hospital, Lahore, Pakistan. Patients who fulfilled the inclusion and exclusion criteria were enrolled in this study. The delivered dose of HD (Kt/V was assessed by an online clearance module (OCM in Fresenius machines at the end of every dialysis session and the weekly Kt/V was determined by adding all three Kt/V values. The serum CRP sample was taken after each session of HD and the mean CRP was calculated and considered elevated if it was >6 mg/dL. Both weekly Kt/V and CRP values were entered in a pre-designed proforma. Data were analyzed by using statistical software SPSS and P-value £0.05 was considered significant. Of 100 patients on maintenance HD, high serum CRP level (>6 mg/dL was found in 38 patients. When the Kt/V was compared with the CRP level, there was a negative correlation between the two parameters (r = 0.212, P = 0.032. Low Kt/V means dialysis inadequacy, which is associated with chronic inflammatory state, resulting in high CRP levels. We suggest that the quality of life of dialysis patients can be improved by offering an adequate dose of HD reflected by Kt/V ≥3.6/week.

Influence of tube voltage on CT attenuation, radiation dose, and image quality: phantom study

International Nuclear Information System (INIS)

Li Fengtan; Li Dong; Zhang Yunting

2013-01-01

Objective: To assess the influence of tube current and tube voltage on the CT attenuation, radiation dose, and image quality. Methods: A total of 113 saline solutions with decreasing dilution of contrast medium (370 mg I/ml) was produced. MDCT scan was performed with 15 series of different settings of tube current and tube voltage. CT attenuations with 15 series of different settings were all measured, and influence of tube current and tube voltage on CT attenuations was analyzed. CT dose index (CTDIvol) was recorded. The CT attenuations with different tube voltage and current were compared with one-way ANOVA and Kruskal-Wallis rank sum test. The correlation of CT attenuation with different tube voltage and the influence of tube voltage and current on radiation dose and image quality were tested by correlation analysis. Results: Tube current (250, 200, 150, 100, and 50 mA) had no significant effect on CT attenuation (F = 0.001, 0.008, 0.075, P > 0.05), while tube voltage (120, 100, and 80 kV) had significant effect (H = 17.906, 17.906, 13.527, 20.124, 23.563, P < 0.05). The correlation between CT attenuation and tube voltage was determined with equation: CT attenuatio N_1_0_0 _k_V = 1.561 × CT attenuatio N_1_2_0 _k_v + 4.0818, CT attenuatio N_8_0 _k_v = 1.2131 × CT attenuatio N_1_2_0 _k_v + 0.9283. The influence of tube voltage on radiation dose and image quality was also analyzed, and equations were also obtained: N_1_2_0 -k_v = -5.9771 Ln (D_1_2_0 kv) + 25.412, N_1_0_0 _k_v = -10.544 Ln (D_1_0_0 _k_v) + 36.262, N_8_0 _k_v = -25.326 Ln (D_8_0 _k_v) + 62.816. According to the results of relationship among CT attenuation, radiation dose, and image quality, lower tube voltage with higher tube current can reduce the radiation dose. Conclusions: Lower tube voltage can reduce the radiation dose. However, CT attenuation was influenced, and correction should be done with the equations. (authors)

Identification of dose-reduction techniques for BWR and PWR repetitive high-dose jobs

International Nuclear Information System (INIS)

Dionne, B.J.; Baum, J.W.

1984-01-01

As a result of concern about the apparent increase in collective radiation dose to workers at nuclear power plants, this project will provide information to industry in preplanning for radiation protection during maintenance operations. This study identifies Boiling Water Reactor (BWR) and Pressurized Water Reactor (PWR) repetitive jobs, and respective collective dose trends and dose reduction techniques. 3 references, 2 tables

Unmasking of Partial Diabetes Insipidus during Stress but Not Maintenance Dosing of Glucocorticoids in an Infant with Septo-Optic Dysplasia

Directory of Open Access Journals (Sweden)

Loechner KarenJ

2011-03-01

Full Text Available Background. It is well acknowledged that glucocorticoid (GC replacement can unmask diabetes insipidus (DI in subjects with hypopituitarism. Objective. To increase the awareness and monitoring for transient and symptomatic DI in children with partial hypopituitarism during periods in which increased GC needs are required. Methods/Case. A 2-month-old female infant with septo-optic dysplasia (SOD; on thyroid and maintenance GC replacement therapy at 8 mg/m2/day developed transient DI during 2 separate episodes of stress (one hypothermia, one febrile when stress dosing of GC (25 mg/m2/day was instituted. Conclusion. Children not diagnosed with DI during initial evaluation for hypopituitarism may benefit from rescreening of serum sodium levels during acute periods of stress that demand "stress" GC dosing. This will permit treatment and/or increased vigilance for ensuing permanent DI.

State of human genome at low-doses ecological influences

International Nuclear Information System (INIS)

Mel'nov, S.B.; Rytik, P.G.; Kruchinskij, N.G.; Kovalev, V.A.; Palamar, L.A.; Senyuk, O.F.

2005-01-01

The results of analysis of the state of genome (amounts of single strand breaks in DNA) of the persons exposed to influence of complex 'Chernobyl factor' in remote terms after a failure on ChNPP are resulted. Findings allowed to expose the increase of level of single strand breaks in DNA at the chronically irradiated persons mainly carry adaptive character and probably can be related to instability of genome. Thus at organism level growth of mutational pressure and strengthening of instability of cellular genome is related to the change of spectrum of biological characteristics, in particular individual reaction of somatic cells of victims on additional mutagens influences. The indicated changes can testify to existence of potential risk of remote genetic consequences of long-term irradiation influence in low doses

Using adaptive model predictive control to customize maintenance therapy chemotherapeutic dosing for childhood acute lymphoblastic leukemia.

Science.gov (United States)

Noble, Sarah L; Sherer, Eric; Hannemann, Robert E; Ramkrishna, Doraiswami; Vik, Terry; Rundell, Ann E

2010-06-07

Acute lymphoblastic leukemia (ALL) is a common childhood cancer in which nearly one-quarter of patients experience a disease relapse. However, it has been shown that individualizing therapy for childhood ALL patients by adjusting doses based on the blood concentration of active drug metabolite could significantly improve treatment outcome. An adaptive model predictive control (MPC) strategy is presented in which maintenance therapy for childhood ALL is personalized using routine patient measurements of red blood cell mean corpuscular volume as a surrogate for the active drug metabolite concentration. A clinically relevant mathematical model is developed and used to describe the patient response to the chemotherapeutic drug 6-mercaptopurine, with some model parameters being patient-specific. During the course of treatment, the patient-specific parameters are adaptively identified using recurrent complete blood count measurements, which sufficiently constrain the patient parameter uncertainty to support customized adjustments of the drug dose. While this work represents only a first step toward a quantitative tool for clinical use, the simulated treatment results indicate that the proposed mathematical model and adaptive MPC approach could serve as valuable resources to the oncologist toward creating a personalized treatment strategy that is both safe and effective. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Renewal and maintenance of a nuclear structure data file used for the calculations of dose conversion factors

International Nuclear Information System (INIS)

Togawa, Orihiko; Yamaguchi, Yukichi

1996-02-01

The ENSDF decay data are used as fundamental data to compute radiation data in the DOSDAC code system, which was developed at JAERI, for the calculation of dose conversion factors. The ENSDF decay data have been periodically revised by reviewing new experimental data in the literature under an international network. The use of this data file enables us to calculate radiation data from information which is the newest and internationally recognized. In spite of this advantage, the decay data file is seldom used in applied fields. This is due to some problems to be solved from a viewpoint of the calculation of radiation data, as well as its complicated structure. This report describes methods for renewal and maintenance of the ENSDF decay data used for the calculation of dose conversion factors. In case that the decay data are used directly, attention should be sometimes paid to some problems, for example defects in data. In renewing and using the ENSDF decay data, the DOSDAC code system tries to avoid wrong calculations of radiation data by check and modification of defects in data through four supporting computer codes. (author)

Warfarin Dosing Algorithms Underpredict Dose Requirements in Patients Requiring ≥7 mg Daily: A Systematic Review and Meta-analysis.

Science.gov (United States)

Saffian, S M; Duffull, S B; Wright, Dfb

2017-08-01

There is preliminary evidence to suggest that some published warfarin dosing algorithms produce biased maintenance dose predictions in patients who require higher than average doses. We conducted a meta-analysis of warfarin dosing algorithms to determine if there exists a systematic under- or overprediction of dose requirements for patients requiring ≥7 mg/day across published algorithms. Medline and Embase databases were searched up to September 2015. We quantified the proportion of over- and underpredicted doses in patients whose observed maintenance dose was ≥7 mg/day. The meta-analysis included 47 evaluations of 22 different warfarin dosing algorithms from 16 studies. The meta-analysis included data from 1,492 patients who required warfarin doses of ≥7 mg/day. All 22 algorithms were found to underpredict warfarin dosing requirements in patients who required ≥7 mg/day by an average of 2.3 mg/day with a pooled estimate of underpredicted doses of 92.3% (95% confidence interval 90.3-94.1, I 2 = 24%). © 2017 American Society for Clinical Pharmacology and Therapeutics.

Lung doses from radon in dwellings and influencing factors

International Nuclear Information System (INIS)

Stranden, E.

1980-01-01

The radon concentration in Norwegian dwellings and the lung doses received by the Norwegian population are reported. The biological effects of these doses are discussed. The mean value of radon-daughters in Norwegian dwellings was found to be about 7x10 -3 WL (working levels). This corresponds to an annual exposure of about 0.3 WLM (working level months). From studies of the lung cancer statistics of Norway, this exposure may account for about 10% of the annual lung cancer cases in Norway. The variations in the radon concentration inside dwellings are discussed, and the influence of exhalation, ventilation and meteorological parameters upon the respiratory dosage is studied. From the risk estimates performed, the consequences of an increased indoor radon concentration due to reduced ventilation or introduction of building materials with high radium concentrations are discussed. From comparison of the population doses from different sources of radiation, it is evident that a possible future increase in the radon concentration in dwellings is one of the most serious radiation protection problems of our time. (author)

Organizational Culture Influence on Total Productive Maintenance (TPM) and Operational Performance Using RASCH Model Analysis

OpenAIRE

Mohd Asaad, Mohd Norhasni; Yusoff, Rushami Zien

2013-01-01

Abstract. Market globalization, competitive product and services, high economic crises are the most critical factors that influence the success of the manufacturing companies in global market. Therefore it is critical to the manufacturing companies to be efficient in production and lean tool may used to achieve that.  The most frequently used is the Total Preventive Maintenance (TPM), even though there are many studies have been conducted in relation to the TPM but there is limited research i...

Influence of phantom and tube voltage in fluoroscopy on image intensifier (I.I.) incident dose rate

International Nuclear Information System (INIS)

Seguchi, Shigenobu; Ishikawa, Yoshinobu; Kuwahara, Kazuyoshi; Morita, Miki; Mizuno, Shouta; Nakamura, Akio

1999-01-01

We examined the influence of phantoms and tube voltage in fluoroscopy on the image intensifier (I.I.) conversion factor. We used 20-cm-thick acrylic resin, 20 mm aluminum, and 1.5 mm copper, which are generally used as phantoms in the measurement of I.I. incident dose rate. We measured I.I. incident dose rate and conversion factor under conditions in which the range of tube voltage was from 60 kV to 120 kV. The result showed that the conversion factor is influenced by the type of phantom, with copper showing the highest value, aluminum second, and acrylic the smallest under the same condition of aluminum at half value layer. It was determined that conversion factor depends on tube voltage and has peaks from 80-100 kV. The location and height of the peak are influenced by the type of phantom. Therefore, I.I. incident dose rate is influenced by both the type of phantom and tube voltage under automatic brightness control fluoroscopy. Unification of phantoms and tube voltage is necessary for long-term evaluation of I.I. incident dose rate. (author)

Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?

Science.gov (United States)

Swanson, Vivien; Keely, Alice; Denison, Fiona C

2017-09-01

been studied in relation to breastfeeding maintenance. What does this study add This article examines the influence of body image on obese and healthy-weight women's breastfeeding maintenance at 6-8 weeks. Different aspects of body image mediated but did not moderate the relationship between weight status and breastfeeding maintenance, but in multivariate regression, maternal education level was the most significant predictor. Obese women had poorer body image and were less likely to maintain breastfeeding; however, for all women, body image became more negative in this postpartum period. Interventions should normalize positive aspects of women's postnatal bodies, including function rather than form. Addressing body concerns could encourage new mothers to maintain breastfeeding, irrespective of weight status. © 2017 The British Psychological Society.

Influence of Flat-Panel Fluoroscopic Equipment Variables on Cardiac Radiation Doses

International Nuclear Information System (INIS)

Nickoloff, Edward L.; Lu Zhengfeng; Dutta, Ajoy; So, James; Balter, Stephen; Moses, Jeffrey

2007-01-01

Purpose. To assess the influence of physician-selectable equipment variables on the potential radiation dose reductions during cardiac catheterization examinations using modern imaging equipment. Materials. A modern bi-plane angiography unit with flat-panel image receptors was used. Patients were simulated with 15-30 cm of acrylic plastic. The variables studied were: patient thickness, fluoroscopy pulse rates, record mode frame rates, image receptor field-of-view (FoV), automatic dose control (ADC) mode, SID/SSD geometry setting, automatic collimation, automatic positioning, and others. Results. Patient radiation doses double for every additional 3.5-4.5 cm of soft tissue. The dose is directly related to the imaging frame rate; a decrease from 30 pps to 15 pps reduces the dose by about 50%. The dose is related to [(FoV) -N ] where 2.0 < N < 3.0. Suboptimal positioning of the patient can nearly double the dose. The ADC system provides three selections that can vary the radiation level by 50%. For pediatric studies (2-5 years old), the selection of equipment variables can result in entrance radiation doses that range between 6 and 60 cGy for diagnostic cases and between 15 and 140 cGy for interventional cases. For adult studies, the equipment variables can produce entrance radiation doses that range between 13 and 130 cGy for diagnostic cases and between 30 and 400 cGy for interventional cases. Conclusions. Overall dose reductions of 70-90% can be achieved with pediatric patients and about 90% with adult patients solely through optimal selection of equipment variables

Study of distribution of doses in maintenance operations and interventions in restricted areas of IPEN's radiopharmacy center, Brazil; Estudo da distribuicao de doses em operacoes de manutencao e intervencao em areas restritas no Centro de Radiofarmacia do IPEN

Energy Technology Data Exchange (ETDEWEB)

Machado, Jessica S.; Souza, Daiane C.; Rodrigues Junior, Orlando; Gerulis, Eduardo; Todo, Alberto S., E-mail: jsmachado@ipen.br, E-mail: dcsouza@ipen.br, E-mail: rodrijr@ipen.br, E-mail: egerulis@ipen.br, E-mail: astodo@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (lPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2013-07-01

This research was developed at the Radiopharmacy Center of the Nuclear and Energy Research Institute - IPEN/CNEN/SP, Brazil, that performs the production of radiopharmaceuticals with isotopes of the {sup 131}I, {sup 123}I, {sup 201}Tl, {sup 67}Ga, {sup 18}F and {sup 99}Mo for use in nuclear medicine. The radioisotopes are produced on an industrial scale and the installation was designed to meet radiation safety standards and quality control requirements. To ensure the production, there are skilled professionals who perform the tasks of maintenance of the equipment and instruments, installed in the cells of processing of radiopharmaceuticals, without which it is not possible to conduct the work with safety and quality. This study was done a survey called Survey of Variables, based on the maintenance operations and interventions in restricted areas of the Centre of Radiopharmacy and in the survey of the distribution of doses in these tasks, carried out during the period from 2005 to 2011. This research aims to identify and determine the main variables that have an impact on the worker's dose. The results are presented for the Occupationally Exposed Individual variable, variable operation, variable area/Cell, task and Feature variable and variable duration of operation, depending on the Dose variable. It is intended in this way to contribute to improvements in operations in restricted areas that may result in lower individual doses without causing significant changes in the routine of work.

Dose-Dependent and Lasting Influences of Intranasal Vasopressin on Face Processing in Men

Directory of Open Access Journals (Sweden)

Daniel Price

2017-09-01

Full Text Available Arginine vasopressin (AVP and related peptides have diverse effects on social behaviors in vertebrates, sometimes promoting affiliative interactions and sometimes aggressive or antisocial responses. The type of influence, in at least some species, depends on social contexts, including the sex of the individuals in the interaction and/or on the levels of peptide within brain circuits that control the behaviors. To determine if AVP promotes different responses to same- and other-sex faces in men, and if those effects are dose dependent, we measured the effects of two doses of AVP on subjective ratings of male and female faces. We also tested if any influences persist beyond the time of drug delivery. When AVP was administered intranasally on an initial test day, 20 IU was associated with decreased social assessments relative to placebo and 40 IU, and some of the effects persisted beyond the initial drug delivery and appeared to generalize to novel faces on subsequent test days. In single men, those influences were most pronounced, but not exclusive, for male faces, whereas in coupled men they were primarily associated with responses to female faces. Similar influences were not observed if AVP was delivered after placebo on a second test day. In a preliminary analysis, the differences in social assessments observed between men who received 20 and 40 IU, which we suggest primarily reflect lowered social assessments induced by the lower dose, appeared most pronounced in subjects who carry what has been identified as a risk allele for the V1a receptor gene. Together, these results suggest that AVP’s effects on face processing, and possibly other social responses, differ according to dose, depend on relationship status, and may be more prolonged than previously recognized.

Dose rate and total dose dependence of the 1/f noise performance of a GaAs operational amplifier during irradiation

International Nuclear Information System (INIS)

Hiemstra, D.M.

1995-01-01

A pictorial of a sectioned view of the torus of the International Thermonuclear Experimental Reactor (ITER) is shown. Maintenance and inspection of the reactor are required to be performed remotely. This is due to the high gamma radiation environment in vessel during inspection and maintenance activities. The custom GaAs operational amplifier is to be used to readout sensors on the in-vessel manipulator and inspection equipment. The gamma dose rate during maintenance and inspection is anticipated to be 3 Mrad(GaAs)/hour. Here, dose rate and total dose dependence of the 1/f noise performance of a custom GaAs MESFET operational amplifier during irradiation are presented. Dose rate dependent 1/f noise degradation during irradiation is believed to be due to electron trapping in deep levels, enhanced by backgating and shallow traps excited during irradiation. The reduction of this affect with accumulated total dose is believed to be due a reduction of deep level site concentration associated with substitutional oxygen. Post irradiation 1/f noise degradation is also presented.The generation-recombination noise observed post irradiation can be attributed to the production of shallow traps due to ionizing radiation

Influence of Non-safety Important Component on Maintenance Rule

International Nuclear Information System (INIS)

Ju, Tae Young; Kim, Wang Bae

2016-01-01

The Maintenance Rule (MR) programs in KHNP have been implemented since Jan 2009. KHNP is currently developing MR program for new built plant which has been constructed from December 2011. It is required to utilize plant-specific probabilistic safety analysis (PSA) result as risk significant criteria to determine which components are significantly important to safety. The criteria consist of three PSA risk values which are risk reduction worth (RRW), risk achievement worth (RAW) and core damage frequency (CDF) contribution. Most safety related components are classified as high risk significant, and non-safety related components as low safety significant in MR program. This paper presents the influence of the non-safety related component which has high PSA risk value on MR program of new built plant. It is considered that safety related system has at least one or more safety functions and some non-safety functions, but non-safety system doesn't have any safety function. The safety functions are defined as three functions which are required to maintain 1) integrity of reactor coolant pressure boundary, 2) capability to shut-down the reactor and maintain it in a safe shutdown, and 3) capability to prevent or mitigate the accident that could result in potential offsite exposure. The Maintenance Rule program is developed based on PSA result. Safety functions have high risk value in PSA program and considered HSS function in MR program. On the contrary, non-safety functions are generally has low risk value in PSA program and they are determined as LSS function in MR program. The AAC DG and its supporting systems are designed as non-safety systems which mean they don't have any safety function. But, AAC DG is treated as an important measure to mitigate accident in PSA program. It is determined as HSS function in MR program because it has high risk value in PSA program. AAC DG supporting systems does not have high risk value in operating plant's PSA program

Two factors influencing dose reconstruction in low dose range: the variability of BKG intensity on one individual and water content

International Nuclear Information System (INIS)

Zhang, Tengda; Zhang, Wenyi; Zhao, Zhixin; Zhang, Haiying; Ruan, Shuzhou; Jiao, Ling

2016-01-01

A fast and accurate retrospective dosimetry method for the triage is very important in radiation accidents. Electron paramagnetic resonance (EPR) fingernail dosimetry is a promising way to estimate radiation dose. This article presents two factors influencing dose reconstruction in low dose range: the variability of background signal (BKG) intensity on one individual and water content. Comparing the EPR spectrum of dried and humidified fingernail samples, it is necessary to add a procedure of dehydration before EPR measurements, so as to eliminate the deviation caused by water content. Besides, the BKGs of different fingers' nails are not the same as researchers thought previously, and the difference between maximum and minimum BKG intensities of one individual can reach 55.89 %. Meanwhile, the variability of the BKG intensity among individuals is large enough to impact precise dose reconstruction. Water within fingernails and instability of BKG are two reasons that cause the inaccuracy of radiation dose reconstruction in low-dosage level. (authors)

Maintenance system improvement in cast iron foundry

Directory of Open Access Journals (Sweden)

S. Kukla

2011-07-01

Full Text Available The work presents the issue of technical equipment management in an iron foundry basing on the assumptions of the TPM system (Total Productive Maintenance. Exploitation analysis of automatic casting lines has been carried out and their work’s influence on the whole production system’s functioning has been researched. Within maintenance system improvement, implementation of autonomic service and planned lines’ review have been proposed in order to minimize the time of breakdown stoppages. The SMED method was used to optimize changeover time, and the OEE (Overall Equipment Effectiveness was applied to evaluate the level of resources usage before and after implementing changes. Further, the influence of the maintenance strategy of casting devices’ efficiency on own costs of casting manufac- ture was estimated.

The influence of stakeholder groups in operation and maintenance services of offshore wind farms

DEFF Research Database (Denmark)

Ahsan, Dewan; Pedersen, Søren

2018-01-01

One of the prime challenges in offshore wind is to manage and coordinate with the various stakeholders involved in the operation and maintenance (O&M) phase. Therefore the aims of this paper are: i) to map the stakeholder groups involved in O&M of Offshore Wind Farm (OWF), ii) to assess...... the identified stakeholder group's interest and power to influence O&M, iii) to evaluate the relationship between different stakeholder groups and iv) to highlight potential strategies to manage the stakeholder groups. In this article, the stakeholder analysis approach is used. The results reveal that eleven key...

Recommendations to designers aimed at minimizing radiation dose incurred in operation, maintenance, inspection and repair of light-water reactors

International Nuclear Information System (INIS)

1978-01-01

In the framework of the exchange of experience between nuclear power plant operators organized by the services of the Commission of the European Communities an ad-hoc working party elaborated recommendations particularly directed to those concerned with design of light water reactor plants. The necessary design measures which should be followed to minimize radiation dose incurred in operation, maintenance, inspection and repair of such reactors are listed. The recommendations are based on recent views expressed by operating utilities within the Community. It is intended to revise these recommendations at suitable intervals in order to make use of the most recent experience and to keep the report up to date with the actual state of art in nuclear technology

Environmental favourable foundries through maintenance activities

Directory of Open Access Journals (Sweden)

A. Saniuk

2015-10-01

Full Text Available Maintenance today contributes to the aim of sustainable development in society, including environmental and energy saving, safety and economical aspects. The main purpose of the paper is to present the role of maintenance in the realization of sustainable developing practices in a foundry industry. Maintenance offers numerous opportunities to reduce the influence of foundry processes on the natural environment and utilize resources more efficiently. Maintenance activities can help to reduce losses and thereby improve the efficiency of the processes used in the production of resources (e.g. raw materials, energy, etc., especially in areas such as: the choice of an appropriate strategy for the maintenance of machinery and equipment (e.g. reactive, preventive, proactive; inventory management of spare parts; lubrication management and management of technology media.

Occupational dose reduction developments and data collected at nuclear power plants

International Nuclear Information System (INIS)

Dionne, B.J.; Baum, J.W.

1984-01-01

Occupational dose reduction developments and data collected at nuclear power plants have been described. Written descriptions of repetitive high dose jobs, their collective dose equivalent ranges and list of dose reduction techniques will aid in reducing collective dose equivalents from these dose-reduction targets. Knowing which components contribute to high maintenance or repair dose will aid in reducing routine maintenance collective dose equivalents. The radwaste dose reduction improvements will aid in reducing radwaste operations collective dose equivalent and reduce the number of radwaste workers who exceed their administrative dose limits. The identification and rating of managers' and workers' ALARA incentives will provide the basis for recommendations to improve dose reduction incentives. Lastly, the identification and rating of the key components of an ALARA program will aid in the development and coordination of the nuclear station ALARA programs

Design of casks: incorporating operational feedback from maintenance

Energy Technology Data Exchange (ETDEWEB)

Bimet, F.; Hartenstein, M. [COGEMA Logistics, Saint Quentin (France)

2004-07-01

Casks are designed to conform to regulations and to client specifications. Essential areas such as easy operation, low costs of maintenance, low operation and maintenance doses, limited waste, are not explicitly covered. Notwithstanding, COGEMA LOGISTICS uses all feedback available, so that casks are designed to be easy, safe and economical to operate and maintain. Maintenance is an activity where you do spot items that old-time designers could have made better, and things that users should not have done. Thanks to quality assurance, there are a number of data available, waiting to be collected and exploited; they have to be identified, located, retrieved, and analysed. Using information such as wear, damage, use of spare parts, access problems helps to make casks ever better. It leads to more efficient concepts, and to upgrades on existing designs; it also allows to integrate environmental considerations, inter alia in the choice of materials and in maintenance methods. It is necessary for the designer to interact with the users, the cask owners, the maintenance providers, in order to gather all relevant information and events. This is made easier when all these actors are ''under one roof'', or have very close ties. This paper presents COGEMA LOGISTICS methods for collecting and analysing all these experiences waiting to be used. It explains our process for analysing data, preparing yearly reports that are made available to our designers. It describes how each new design is subject to a maintainability study, using this feedback, so that the cask safety is always assured, that radiological doses are kept to a minimum, and that operating and maintenance costs will remain as low as possible.

Design of casks: incorporating operational feedback from maintenance

International Nuclear Information System (INIS)

Bimet, F.; Hartenstein, M.

2004-01-01

Casks are designed to conform to regulations and to client specifications. Essential areas such as easy operation, low costs of maintenance, low operation and maintenance doses, limited waste, are not explicitly covered. Notwithstanding, COGEMA LOGISTICS uses all feedback available, so that casks are designed to be easy, safe and economical to operate and maintain. Maintenance is an activity where you do spot items that old-time designers could have made better, and things that users should not have done. Thanks to quality assurance, there are a number of data available, waiting to be collected and exploited; they have to be identified, located, retrieved, and analysed. Using information such as wear, damage, use of spare parts, access problems helps to make casks ever better. It leads to more efficient concepts, and to upgrades on existing designs; it also allows to integrate environmental considerations, inter alia in the choice of materials and in maintenance methods. It is necessary for the designer to interact with the users, the cask owners, the maintenance providers, in order to gather all relevant information and events. This is made easier when all these actors are ''under one roof'', or have very close ties. This paper presents COGEMA LOGISTICS methods for collecting and analysing all these experiences waiting to be used. It explains our process for analysing data, preparing yearly reports that are made available to our designers. It describes how each new design is subject to a maintainability study, using this feedback, so that the cask safety is always assured, that radiological doses are kept to a minimum, and that operating and maintenance costs will remain as low as possible

Maintenance of BWR control rod drive mechanisms

International Nuclear Information System (INIS)

Greene, R.H.

1991-01-01

Control rod drive mechanism (CRDM) replacement and rebuilding is one of the highest dose, most physically demanding, and complicated maintenance activities routinely accomplished by BWR utilities. A recent industry workshop sponsored by the Oak Ridge National Laboratory, which dealt with the effects of CRDM aging, revealed enhancements in maintenance techniques and tooling which have reduced ALARA, improved worker comfort and productivity, and have provided revised guidelines for CRDM changeout selection. Highlights of this workshop and ongoing research on CRDM aging are presented in this paper

Mutational influences of low-dose and high let ionizing radiation in drosophila melanogaster

Science.gov (United States)

Lei, Huang; Fanjun, Kong; Sun, Yeqing

For cosmic environment consists of a varying kinds of radiation particles including high Z and energy ions which was charactered with low-dose and high RBE, it is important to determine the possible biofuctions of high LET radiation on human beings. To analyse the possible effectes of mutational influences of low-dose and high-LET ionizing radiation, wild fruit flies drosophila melanogaster were irradiated by 12C6+ ions in two LET levels (63.3 and 30 keV/µum) with different low doses from 2mGy to 2000mGy (2, 20, 200, 2000mGy) in HIRFL (Heavy ion radiation facility laboratory, lanzhou, China).In the same LET value group, the average polymorphic frequency was elevated along with adding doses of irradation, the frequency in 2000 mGy dose samples was significantly higher than other samples (p<0.01).These results suggest that genomic DNA sequence could be effected by low-dose and high-LET ionizing radiation, the irradiation dose is an important element in genomic mutation frequency origination.

Robotic stereotactic radioablation of breast tumors: Influence of beam size on the absorbed dose distributions

International Nuclear Information System (INIS)

Garnica-Garza, H.M.

2016-01-01

Robotic stereotactic radioablation (RSR) therapy for breast tumors has been shown to be an effective treatment strategy when applied concomitantly with chemotherapy, with the purpose of reducing the tumor volume thus making it more amenable for breast conserving surgery. In this paper we used Monte Carlo simulation within a realistic patient model to determine the influence that the variation in beam collimation radius has on the resultant absorbed dose distributions for this type of treatment. Separate optimized plans were obtained for treatments using 300 circular beams with radii of 0.5 cm, 0.75 cm, 1.0 cm and 1.5 cm. Cumulative dose volume histograms were obtained for the gross, clinical and planning target volumes as well as for eight organs and structures at risk. Target coverage improves as the collimator size is increased, at the expense of increasing the volume of healthy tissue receiving mid-level absorbed doses. Interestingly, it is found that the maximum dose imparted to the skin is highly dependent on collimator size, while the dosimetry of other structures, such as both the ipsilateral and contralateral lung tissue are basically unaffected by a change in beam size. - Highlights: • Stereotactic body radiation therapy of breast tumors is analyzed using Monte Carlo simulation. • The influence of beam collimation on the absorbed dose distributions is determined. • Large field sizes increase target dose uniformity and midlevel doses to healthy structures. • Skin dose is greatly affected by changes in beam collimation.

The influence of patient positioning uncertainties in proton radiotherapy on proton range and dose distributions

Energy Technology Data Exchange (ETDEWEB)

Liebl, Jakob, E-mail: jakob.liebl@medaustron.at [EBG MedAustron GmbH, 2700 Wiener Neustadt (Austria); Francis H. Burr Proton Therapy Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114 (United States); Department of Therapeutic Radiology and Oncology, Medical University of Graz, 8036 Graz (Austria); Paganetti, Harald; Zhu, Mingyao; Winey, Brian A. [Francis H. Burr Proton Therapy Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114 (United States)

2014-09-15

Purpose: Proton radiotherapy allows radiation treatment delivery with high dose gradients. The nature of such dose distributions increases the influence of patient positioning uncertainties on their fidelity when compared to photon radiotherapy. The present work quantitatively analyzes the influence of setup uncertainties on proton range and dose distributions. Methods: Thirty-eight clinical passive scattering treatment fields for small lesions in the head were studied. Dose distributions for shifted and rotated patient positions were Monte Carlo-simulated. Proton range uncertainties at the 50%- and 90%-dose falloff position were calculated considering 18 arbitrary combinations of maximal patient position shifts and rotations for two patient positioning methods. Normal tissue complication probabilities (NTCPs), equivalent uniform doses (EUDs), and tumor control probabilities (TCPs) were studied for organs at risk (OARs) and target volumes of eight patients. Results: The authors identified a median 1σ proton range uncertainty at the 50%-dose falloff of 2.8 mm for anatomy-based patient positioning and 1.6 mm for fiducial-based patient positioning as well as 7.2 and 5.8 mm for the 90%-dose falloff position, respectively. These range uncertainties were correlated to heterogeneity indices (HIs) calculated for each treatment field (38% < R{sup 2} < 50%). A NTCP increase of more than 10% (absolute) was observed for less than 2.9% (anatomy-based positioning) and 1.2% (fiducial-based positioning) of the studied OARs and patient shifts. For target volumes TCP decreases by more than 10% (absolute) occurred in less than 2.2% of the considered treatment scenarios for anatomy-based patient positioning and were nonexistent for fiducial-based patient positioning. EUD changes for target volumes were up to 35% (anatomy-based positioning) and 16% (fiducial-based positioning). Conclusions: The influence of patient positioning uncertainties on proton range in therapy of small lesions

Skin dose variation: influence of energy

International Nuclear Information System (INIS)

Cheung, T.; Yu, P.K.N.; Butson, M.J.; Cancer Services, Wollongong, NSW

2004-01-01

Full text: This research aimed to quantitatively evaluate the differences in percentage dose of maximum for 6MV and 18MV x-ray beams within the first lcm of interactions. Thus provide quantitative information regarding the basal, dermal and subcutaneous dose differences achievable with these two types of high-energy x-ray beams. Percentage dose of maximum build up curves are measured for most clinical field sizes using 6MV and 18MV x-ray beams. Calculations are performed to produce quantitative results highlighting the percentage dose of maximum differences delivered to various depths within the skin and subcutaneous tissue region by these two beams Results have shown that basal cell layer doses are not significantly different for 6MV and 18Mv x-ray beams At depths beyond the surface and basal cell layer there is a measurable and significant difference in delivered dose. This variation increases to 20% of maximum and 22% of maximum at Imm and 1cm depths respectively. The percentage variations are larger for smaller field sizes where the photon in phantom component of the delivered dose is the most significant contributor to dose By producing graphs or tables of % dose differences in the build up region we can provide quantitative information to the oncologist for consideration (if skin and subcutaneous tissue doses are of importance) during the beam energy selection process for treatment. Copyright (2004) Australasian College of Physical Scientists and Engineers in Medicine

Mechanical configuration and maintenance

International Nuclear Information System (INIS)

Brown, T.G.; Casini, G.; Churakov, G.F.

1982-01-01

The INTOR engineering design has been strongly influenced by considerations for assembly and maintenance. A maintenance philosophy was established at the outset of the conceptual design to insure that the tokamak configuration would be developed to accommodate maintenance requirements. The main features of the INTOR design are summarized in this paper with primary emphasis on the impact of maintenance considerations. The most apparent configuration design feature is the access provided for torus maintenance. Particular attention was given to the size and location of superconducting magnets and the location of vacuum boundaries. All of the poloidal field (PF) coils are placed outside of the bore of the toroidal field (TF) coils and located above and below an access opening between adjacent TF coils through which torus sectors are removed. A magnet structural configuration consisting of mechanically attached reinforcing members has been designed which facilitates the open access space for torus sector removal. For impurity control, a single null poloidal divertor was selected over a double null design in order to maintain sufficient access for pumping and maintenance of the collector. A double null divertor was found to severely limit access to the torus with the addition of divertor collectors and pumping at the top. For this reason, a single null concept was selected in spite of the more difficult design problems associated with the required asymmetric PF system and higher particle loadings

Influence of low dose ionizing radiation on amplification and antitumor activity of LAK/TIL cells

International Nuclear Information System (INIS)

Liu Wei; Hou Dianjun; Qiao Jianwei; Shang Ximei; Li Jieqing

2000-01-01

Objective: To study the influence of low dose ionization on amplification and antitumor activity of LAK/TIL cells. Methods: TIL cells isolated from Lewis lung cancer tissues and LAK cells from spleen of tumor-bearing mouse were irradiated with different low doses of X-rays and were cultured after irradiation. Results: Low dose ionizing radiation improved the amplification volume of LAK/TIL cells, decreased the cell death ratio in amplification process, and increased the toxicity of LAK/TIL cells, Conclusions: Low dose ionizing radiation can result in amplification of biologically activated lymphocytes, and decreases the death ratio of the cells in amplification process

EHV transmission maintenance. A total asset strategy

International Nuclear Information System (INIS)

Bronsdon, J.A.N.

1996-01-01

For countries whose economies are rapidly expanding, the demand for power, and in particular electricity, is resulting in rapid expansions of the generation, transmission and distribution of electricity. This means that a new plant is being installed which, apart from some minor post commissioning problems, will be free from major maintenance for several years to come. Consequently, in such cases, maintenance is confined to basic annual shutdown checks and routine online monitoring. As equipment and plant age it is important to commence planning for additional maintenance over and above these basic annual checks; to monitor performance; to monitor faults and defects and to use that information to engineer out design faults, to influence current maintenance techniques and to influence future procurement specifications. Also, provided that sufficient information is available, informed decisions can be taken as to when a power plant should be decommissioned or refurbished. This process can be described as a total asset management strategy covering all decisions from procurement through to commissioning, ongoing maintenance, refurbishment, decommissioning and reappraisal of specifications for future procurement. Based upon the author's experience within the United Kingdom Electricity Supply industry, a total asset strategy will be proposed for EHV transmission plant that will optimise current and future expenditure while maximizing reliability and minimising downtime. 1 ref., 5 figs

Remote assembly and maintenance of fusion reactors

International Nuclear Information System (INIS)

Becquet, M.C.; Farfaletti-Casali, F.

1991-01-01

This paper intend to present the state of the art in the field of remote assembly and maintenance, including system analysis design and operation for controlled fusion device such as JET, and the next NET and ITER reactors. The operational constraints of fusion reactors with respect to temperature, radiations dose rates and cumulated doses are considered with the resulting design requirements. Concepts like articulated boom, in-vessel vehicle and blanket handling device are presented. The close relations between computer simulations and experimental validation of those concepts are emphasized to ensure reliability of the operational behavior. Mockups and prototypes in reduced and full scale, as operating machines are described to illustrate the progress in remote operations for fusion reactors. The developments achieved at the Institute for System Engineering and Informatics of the Joint Research Center, in the field of remote blanket maintenance, reliability assessment of RH systems and remote cut and welding of lips joints are considered. (author)

Buspirone maintenance does not alter the reinforcing, subjective, and cardiovascular effects of intranasal methamphetamine.

Science.gov (United States)

Reynolds, Anna R; Strickland, Justin C; Stoops, William W; Lile, Joshua A; Rush, Craig R

2017-12-01

Medications development efforts for methamphetamine-use disorder have targeted central monoamines because these systems are directly involved in the effects of methamphetamine. Buspirone is a dopamine autoreceptor and D3 receptor antagonist and partial agonist at serotonin 1A receptors, making it a logical candidate medication for methamphetamine-use disorder. Buspirone effects on abuse-related behaviors of methamphetamine have been mixed in clinical and preclinical studies. Experimental research using maintenance dosing, which models therapeutic use, is limited. This study evaluated the influence of buspirone maintenance on the reinforcing effects of methamphetamine using a self-administration procedure, which has predictive validity for clinical efficacy. The impact of buspirone maintenance on the subjective and cardiovascular response to methamphetamine was also determined. Eight research participants (1 female) reporting recent illicit stimulant use completed a placebo-controlled, crossover, double-blind protocol in which the pharmacodynamic effects of intranasal methamphetamine (0, 15, and 30mg) were assessed after at least 6days of buspirone (0 and 45mg/day) maintenance. Intranasal methamphetamine functioned as a reinforcer and produced prototypical stimulant-like subjective (e.g., increased ratings of Good Effects and Like Drug) and cardiovascular (e.g., elevated blood pressure) effects. These effects of methamphetamine were similar under buspirone and placebo maintenance conditions. Maintenance on buspirone was well tolerated and devoid of effects when administered alone. These data suggest that buspirone is unlikely to be an effective pharmacotherapy for methamphetamine-use disorder. Given the central role of monoamines in methamphetamine-use disorder, it is reasonable for future studies to continue to target these systems. Copyright © 2017 Elsevier B.V. All rights reserved.

TPX remote maintenance and shielding

International Nuclear Information System (INIS)

Rennich, M.J.; Nelson, B.E.

1994-01-01

The Tokamak Physics Experiment machine design incorporates comprehensive planning for efficient and safe component maintenance. Three programmatic decisions have been made to insure the successful implementation of this objective. First, the tokamak incorporates radiation shielding to reduce activation of components and limit the dose rate to personnel working on the outside of the machine. This allows most of the ex-vessel equipment to be maintained through conventional ''hands-on'' procedures. Second, to the maximum extent possible, low activation materials will be used inside the shielding volume. This resulted in the selection of Titanium (Ti-6Al-4V) for the vacuum vessel and PFC structures. The third decision stipulated that the primary in-vessel components will be replaced or repaired via remote maintenance tools specifically provided for the task. The component designers have been given the responsibility of incorporating maintenance design and for proving the maintainability of the design concepts in full-scale mockup tests prior to the initiation of final fabrication. Remote maintenance of the TPX machine is facilitated by general purpose tools provided by a special purpose design team. Major tools will include an in-vessel transporter, a vessel transfer system and a large component transfer container. In addition, tools such as manipulators and remotely operable impact wrenches will be made available to the component designers by this group. Maintenance systems will also provide the necessary controls for this equipment

Protocol of source shielding maintenance in a level measurement systems

International Nuclear Information System (INIS)

Gonzales, E.; Figueroa, J.

1996-01-01

Maintenance labor of the source shielding and locking system is not performed in many Venezuelan enterprises that employ radioactive level gauge in large container. The lack of maintenance and the ambient long lasting action have produced impairment of many devices and their given parts rise to economical and radiological protection problems. In order to help to solve the mentioned problems, principally to reduce the unjustified dose to workers, the IVIC Health Physics Service worked out a protocol to perform, in a safety way, the maintenance of source shielding and its locking system. This protocol is presented in this paper. (authors)

Factors influencing botulinum toxin dose instability in spasmodic dysphonia patients.

Science.gov (United States)

Rosow, David E; Pechman, Amanda; Saint-Victor, Sandra; Lo, Kaming; Lundy, Donna S; Casiano, Roy R

2015-05-01

Many patients with spasmodic dysphonia (SD) see consistent effects from botulinum toxin (BTX) injections of the same dose, whereas others require dosage changes over time. We sought to determine whether demographics (age and gender) or environmental factors (smoking) affect the long-term stability of BTX dosing in these patients. Retrospective review. Charts of all patients undergoing BTX injection for adductor SD were reviewed. Dosage change, defined as whether there was any difference in total dosage used between two beneficial injections, was used as a measure of dosing stability. Beneficial injections were indicated by a voice rating score of at least three of four and any non-zero duration of improved voice. Logistic regression analysis was performed to determine whether age, gender, smoking status, or duration of treatment correlated with odds of having a dosage change. A total of 211 patients were ultimately included. Age, gender, and smoking status were all found to have no correlative effect on dosing stability. The only factor that was predictive of dose stability was the number of previous beneficial injections, as every additional injection led to decreased odds of a change in dosage for the next injection (odds ratio=0.964; 95% confidence interval=0.947-0.981). Dosage of BTX injections for long-term treatment of SD has a significant propensity to remain stable over time. Factors such as age, gender, and smoking status do not appear to influence the dosage stability. These findings should allow for better patient counseling regarding expectations for their long-term treatment. Copyright © 2015 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

Experiences of occupational dose reduction at the Fugen nuclear power station

International Nuclear Information System (INIS)

Suzuki, Kazuya; Nakao, Hiromi; Naoi, Yohsuke; Takei, Hiroaki

1992-01-01

Occupational radiation dose has been effectively suppressed by efforts against both internal and external exposure in the Fugen nuclear power station. The tritium internal dose is completely suppressed by developments of high sensitivity tritium monitors with hollow fiber radon filters, comfortable tritium protection suits, and established working procedure for equipment maintenance of the heavy water system. The internal occupational dose has been suppressed to a negligible level comparing to the external dose. The external occupational dose had increased with dose rates of the primary cooling system. Establishment of radiation work procedure for maintenance works and development of chemical decontamination has been effectively saving the external occupational dose. The chemical decontaminations carried out in 1989 and 1991 are the first applications to the whole primary cooling system of operating power stations in Japan. This paper describes these efforts and effects on occupational dose reduction in Fugen. (author)

Optimizing preventive maintenance with maintenance templates

International Nuclear Information System (INIS)

Dozier, I.J.

1996-01-01

Rising operating costs has caused maintenance professionals to rethink their strategy for preventive maintenance (PM) programs. Maintenance Templates are pre-engineered PM task recommendations for a component type based on application of the component. Development of the maintenance template considers the dominant failure cause of the component and the type of preventive maintenance that can predict or prevent the failure from occurring. Maintenance template development also attempts to replace fixed frequency tasks with condition monitoring tasks such as vibration analysis or thermography. For those components that have fixed frequency PM intervals, consideration is given to the maintenance drivers such as criticality, environment and usage. This helps to maximize the PM frequency intervals and maximize the component availability. Maintenance Templates have been used at PECO Energy's Limerick Generating Station during the Reliability Centered Maintenance (RCM) Process to optimize their PM program. This paper describes the development and uses of the maintenance templates

Optimization of radiation protection of cell maintenance of radiopharmaceutical production; Otimizacao da radioprotecao em manutencoes de celas de producao de radiofarmacos

Energy Technology Data Exchange (ETDEWEB)

Machado, Jessica S.; Gerulis, Eduardo; Todo, Alberto S.; Rodrigues Junior, Orlando, E-mail: jsmachado@ipen.b, E-mail: egerulis@ipen.b, E-mail: astodo@ipen.b, E-mail: rodrijr@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), SP (Brazil)

2011-10-26

This paper performs a study of maintenance tasks realized in production cells to suggest improvements related to the occupational doses based on the optimization principle of the radioprotection. A data survey has been realized of the doses received by the workers during the maintenance. The average values of effective doses are lower than the limits established in the regulations, however can be optimized

Influence of radiation dose on positive surgical margins in women undergoing breast conservation therapy

International Nuclear Information System (INIS)

DiBiase, Steven J.; Komarnicky, Lydia T.; Heron, Dwight E.; Schwartz, Gordon F.; Mansfield, Carl M.

2002-01-01

Purpose: Positive surgical margins adversely influence local tumor control in breast conservation therapy (BCT). However, reports have conflicted regarding whether an increased radiation dose can overcome this poor prognostic factor. In this study, we evaluated the influence of an increased radiation dose on tumor control in women with positive surgical margins undergoing BCT. Methods and Materials: Between 1978 and 1994, 733 women with pathologic Stage I-II breast cancer and known surgical margin status were treated at Thomas Jefferson University Hospital with BCT. Of these 733 patients, 641 women had a minimal tumor bed dose of 60 Gy and had documentation of their margin status; 509 had negative surgical margins, and 132 had positive surgical margins before definitive radiotherapy. Complete gross excision of the tumor and axillary lymph node sampling was obtained in all patients. The median radiation dose to the primary site was 65.0 Gy (range 60-76). Of the women with positive margins (n=132), the influence of higher doses of radiotherapy was evaluated. The median follow-up time was 52 months. Results: The local tumor control rate for patients with negative margins at 5 and 10 years was 94% and 88%, respectively, compared with 85% and 67%, respectively, for those women with positive margins (p=0.001). The disease-free survival rate for the negative margin group at 5 and 10 years was 91% and 82%, respectively, compared with 76% and 71%, respectively, for the positive margin group (p = 0.001). The overall survival rate of women with negative margins at 5 and 10 years was 95% and 90%, respectively. By comparison, for women with positive surgical margins, the overall survival rate at 5 and 10 years was 86% and 79%, respectively (p=0.008). A comparison of the positive and negative margin groups revealed that an increased radiation dose (whether entered as a dichotomous or a continuous variable) >65.0 Gy did not improve local tumor control (p=0.776). On Cox

Performance indicators, practices and maintenance costs in tires management of a transport company

Directory of Open Access Journals (Sweden)

Marcos Dario

2014-12-01

Full Text Available There are three operational costs that are more expressive for PSL: vehicle maintenance, tires and fuel. In studies of maintenance has been little researched the concept of tire management, technical maintenance and performance together. In this context, this study aims at identifying the practices and performance indicators in the area of maintenance and tire management also analyze the influence of costs applied to the tires on the total cost of maintenance. We conducted a case study of exploratory and descriptive. The main instruments of data collection were on-site observation, unstructured interviews, document analysis and reports results indicators. Data were analyzed by correlation analysis and multiple regression. It was revealed that among the performance indicators in the management of tire maintenance costs applied to the tires have a higher correlation with the total cost of maintenance. The ANOVA indicated that tire maintenance costs influence in 54% of the variations in the total cost of maintenance. We clarified the concepts of maintenance techniques specific tire management, and identify performance indicators in the area of tire managent.

A simple method to calculate the influence of dose inhomogeneity and fractionation in normal tissue complication probability evaluation

International Nuclear Information System (INIS)

Begnozzi, L.; Gentile, F.P.; Di Nallo, A.M.; Chiatti, L.; Zicari, C.; Consorti, R.; Benassi, M.

1994-01-01

Since volumetric dose distributions are available with 3-dimensional radiotherapy treatment planning they can be used in statistical evaluation of response to radiation. This report presents a method to calculate the influence of dose inhomogeneity and fractionation in normal tissue complication probability evaluation. The mathematical expression for the calculation of normal tissue complication probability has been derived combining the Lyman model with the histogram reduction method of Kutcher et al. and using the normalized total dose (NTD) instead of the total dose. The fitting of published tolerance data, in case of homogeneous or partial brain irradiation, has been considered. For the same total or partial volume homogeneous irradiation of the brain, curves of normal tissue complication probability have been calculated with fraction size of 1.5 Gy and of 3 Gy instead of 2 Gy, to show the influence of fraction size. The influence of dose distribution inhomogeneity and α/β value has also been simulated: Considering α/β=1.6 Gy or α/β=4.1 Gy for kidney clinical nephritis, the calculated curves of normal tissue complication probability are shown. Combining NTD calculations and histogram reduction techniques, normal tissue complication probability can be estimated taking into account the most relevant contributing factors, including the volume effect. (orig.) [de

Discussion on allowed outage time at online maintenance in Japan

International Nuclear Information System (INIS)

Kobayashi, Masahide

2009-01-01

The purpose of this report is clarification of the handling of online maintenance in important system for nuclear safety of nuclear power plant in Japan, and discusses future tasks of online maintenance in Japan. Now, online maintenance is limited few cases in Japan. But, the needs and importance of online maintenance will be increase near future. It is necessary to evaluate safety at the online maintenance, and if necessary PSA results were used. It will be safety to do online maintenance within AOT, but safety of repetition of online maintenance must be evaluated. And, it is necessary to evaluate the influence to which the man-power during year is leveled by OLM. (author)

Dose management: weighing up the costs and benefits of remote maintenance

International Nuclear Information System (INIS)

Lefaure, C.; Lochard, J.; Blain, A.

1989-01-01

Reducing occupational exposure during maintenance, while at the same time preserving the economic viability of nuclear power plants, will be one of the major challenges to be faced by the industry over the next decade. Increased use of robotics is a possibility. The costs and benefits are examined in this paper. (author)

A Grounded Theory Study of Aircraft Maintenance Technician Decision-Making

Science.gov (United States)

Norcross, Robert

Aircraft maintenance technician decision-making and actions have resulted in aircraft system errors causing aircraft incidents and accidents. Aircraft accident investigators and researchers examined the factors that influence aircraft maintenance technician errors and categorized the types of errors in an attempt to prevent similar occurrences. New aircraft technology introduced to improve aviation safety and efficiency incur failures that have no information contained in the aircraft maintenance manuals. According to the Federal Aviation Administration, aircraft maintenance technicians must use only approved aircraft maintenance documents to repair, modify, and service aircraft. This qualitative research used a grounded theory approach to explore the decision-making processes and actions taken by aircraft maintenance technicians when confronted with an aircraft problem not contained in the aircraft maintenance manuals. The target population for the research was Federal Aviation Administration licensed aircraft and power plant mechanics from across the United States. Nonprobability purposeful sampling was used to obtain aircraft maintenance technicians with the experience sought in the study problem. The sample population recruitment yielded 19 participants for eight focus group sessions to obtain opinions, perceptions, and experiences related to the study problem. All data collected was entered into the Atlas ti qualitative analysis software. The emergence of Aircraft Maintenance Technician decision-making themes regarding Aircraft Maintenance Manual content, Aircraft Maintenance Technician experience, and legal implications of not following Aircraft Maintenance Manuals surfaced. Conclusions from this study suggest Aircraft Maintenance Technician decision-making were influenced by experience, gaps in the Aircraft Maintenance Manuals, reliance on others, realizing the impact of decisions concerning aircraft airworthiness, management pressures, and legal concerns

Potential influence of new doses of A-bomb after re-evaluation of epidemiological research

International Nuclear Information System (INIS)

Maruyama, T.

1983-01-01

Since the peaceful use of atomic energy appears essential for future human existence, we must provide risk estimates from low-dose exposures to human beings. The largest body of human data has been derived from the studies of atomic bomb survivors in Hiroshima and Nagasaki. Recently, it was proposed by an Oak Ridge National Laboratory group that the current free-in-air doses of atomic bombs are significantly different from the doses recalculated on the basis of the new output spectra of neutrons and gamma rays from the atomic bombs which were declassified by the US Department of Energy in 1976. A joint commission on dose re-evaluation of the United States of America and Japan was established in 1981 to pursue the dose reassessment programme between US and Japanese research groups and to decide an agreed best estimate of organ or tissue doses in survivors as soon as possible. The paper reviews the physical concepts of the re-evaluation of atomic bomb doses and discusses the potential influence of new dosimetric parameters on the epidemiological studies of the atomic bomb survivors in future, although the re-assessment programme is still in progress. (author)

Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps

Directory of Open Access Journals (Sweden)

Östlund Ollie

2011-04-01

Full Text Available Abstract Background Adjusting medication for uncontrolled asthma involves selecting one of several options from the same or a higher treatment step outlined in asthma guidelines. We examined the relative benefit of introducing budesonide/formoterol (BUD/FORM maintenance and reliever therapy (Symbicort SMART® Turbuhaler® in patients previously prescribed treatments from Global Initiative for Asthma (GINA Steps 2, 3 or 4. Methods This is a post hoc analysis of the results of five large clinical trials (>12000 patients comparing BUD/FORM maintenance and reliever therapy with other treatments categorised by treatment step at study entry. Both current clinical asthma control during the last week of treatment and exacerbations during the study were examined. Results At each GINA treatment step, the proportion of patients achieving target levels of current clinical control were similar or higher with BUD/FORM maintenance and reliever therapy compared with the same or a higher fixed maintenance dose of inhaled corticosteroid/long-acting β2-agonist (ICS/LABA (plus short-acting β2-agonist [SABA] as reliever, and rates of exacerbations were lower at all treatment steps in BUD/FORM maintenance and reliever therapy versus same maintenance dose ICS/LABA (P Conclusions BUD/FORM maintenance and reliever therapy may be a preferable option for patients on Steps 2 to 4 of asthma guidelines requiring a more effective treatment and, compared with other fixed dose alternatives, is most effective in the higher treatment steps.

Estimation of dynamic treatment strategies for maintenance therapy of children with acute lymphoblastic leukaemia: an application of history-adjusted marginal structural models

DEFF Research Database (Denmark)

Rosthøj, Susanne; Keiding, Niels; Schmiegelow, Kjeld

2012-01-01

Childhood acute lymphoblastic leukaemia is treated with long-term intensive chemotherapy. During the latter part of the treatment, the maintenance therapy, the patients receive oral doses of two cytostatics. The doses are tailored to blood counts measured on a weekly basis, and the treatment is t...... of the methods in relation to the formulation of alternative dosing strategies for the maintenance therapy....

Mercaptopurine/Methotrexate Maintenance Therapy of Childhood Acute Lymphoblastic Leukemia: Clinical Facts and Fiction

Science.gov (United States)

Nielsen, Stine N.; Frandsen, Thomas L.; Nersting, Jacob

2014-01-01

The antileukemic mechanisms of 6-mercaptopurine (6MP) and methotrexate (MTX) maintenance therapy are poorly understood, but the benefits of several years of myelosuppressive maintenance therapy for acute lymphoblastic leukemia are well proven. Currently, there is no international consensus on drug dosing. Because of significant interindividual and intraindividual variations in drug disposition and pharmacodynamics, vigorous dose adjustments are needed to obtain a target degree of myelosuppression. As the normal white blood cell counts vary by patients’ ages and ethnicity, and also within age groups, identical white blood cell levels for 2 patients may not reflect the same treatment intensity. Measurements of intracellular levels of cytotoxic metabolites of 6MP and MTX can identify nonadherent patients, but therapeutic target levels remains to be established. A rise in serum aminotransferase levels during maintenance therapy is common and often related to high levels of methylated 6MP metabolites. However, except for episodes of hypoglycemia, serious liver dysfunction is rare, the risk of permanent liver damage is low, and aminotransferase levels usually normalize within a few weeks after discontinuation of therapy. 6MP and MTX dose increments should lead to either leukopenia or a rise in aminotransferases, and if neither is experienced, poor treatment adherence should be considered. The many genetic polymorphisms that determine 6MP and MTX disposition, efficacy, and toxicity have precluded implementation of pharmacogenomics into treatment, the sole exception being dramatic 6MP dose reductions in patients who are homozygous deficient for thiopurine methyltransferase, the enzyme that methylates 6MP and several of its metabolites. In conclusion, maintenance therapy is as important as the more intensive and toxic earlier treatment phases, and often more challenging. Ongoing research address the applicability of drug metabolite measurements for dose adjustments

Maintenance-based prognostics of nuclear plant equipment for long-term operation

Energy Technology Data Exchange (ETDEWEB)

Welz, Zachary; Coble, Jamie; Upadhyaya, Belle; Hines, Wes [University of Tennessee, Knoxville (United States)

2017-08-15

While industry understands the importance of keeping equipment operational and well maintained, the importance of tracking maintenance information in reliability models is often overlooked. Prognostic models can be used to predict the failure times of critical equipment, but more often than not, these models assume that all maintenance actions are the same or do not consider maintenance at all. This study investigates the influence of integrating maintenance information on prognostic model prediction accuracy. By incorporating maintenance information to develop maintenance-dependent prognostic models, prediction accuracy was improved by more than 40% compared with traditional maintenance-independent models. This study acts as a proof of concept, showing the importance of utilizing maintenance information in modern prognostics for industrial equipment.

Parasites and deleterious mutations: interactions influencing the evolutionary maintenance of sex.

Science.gov (United States)

Park, A W; Jokela, J; Michalakis, Y

2010-05-01

The restrictive assumptions associated with purely genetic and purely ecological mechanisms suggest that neither of the two forces, in isolation, can offer a general explanation for the evolutionary maintenance of sex. Consequently, attention has turned to pluralistic models (i.e. models that apply both ecological and genetic mechanisms). Existing research has shown that combining mutation accumulation and parasitism allows restrictive assumptions about genetic and parasite parameter values to be relaxed while still predicting the maintenance of sex. However, several empirical studies have shown that deleterious mutations and parasitism can reduce fitness to a greater extent than would be expected if the two acted independently. We show how interactions between these genetic and ecological forces can completely reverse predictions about the evolution of reproductive modes. Moreover, we demonstrate that synergistic interactions between infection and deleterious mutations can render sex evolutionarily stable even when there is antagonistic epistasis among deleterious mutations, thereby widening the conditions for the evolutionary maintenance of sex.

Probabilistic approach to rationalization of plants maintenance

International Nuclear Information System (INIS)

Kasai, Masao; Notoya, Junichi; Uchimoto, Tetsuya; Miya, Kenzo

2001-01-01

Since there are a lot of equipments in large plants, their safety and reliability cannot be kept as high level as designed without maintenance activities. Then preventive maintenance is intensively executed in some large plants. However, it will be inefficient to perform the preventive maintenance blindly. To make maintenance activities effective, it is essential to identify the critical equipments influencing plant safety and/or reliability and carry out the maintenance by focusing attentions on these equipments. It needs quantitative analyses to identify the critical equipments based on the data of failure rates. However, complete data set of failure rates cannot necessarily be available for some plants such as nuclear power plants. In this study, we carry out the reliability analysis for generic LNG plant and calculate various quantitative risk importance measures for each equipment. We propose rather qualitative representations for some quantitative measures, considering the situation without complete data set and conclude that it is possible to rationalize maintenance procedure by using these rather qualitative measures, though the level of rationalization is of course limited. (author)

Preventive maintenance and reliability-centered maintenance

International Nuclear Information System (INIS)

Anderson, J.G.

1989-01-01

In the recent past, the primary function of the preventive maintenance program at a nuclear power plant was to maintain the operability and reliability of the plant. Reducing overall maintenance costs by performing effective preventive maintenance, instead of more costly and disruptive corrective maintenance, instead of more costly and disruptive corrective maintenance, was a secondary consideration. In today's operating environment, the preventive maintenance program must meet the test of cost-effectiveness as well as many new standards for performance that are being required by rate regulators. The preventive maintenance program must be able to withstand the challenge of independent audit to a new standard of technical adequacy and compliance with recommendations from component vendors. In this new environment, the standard that is being applied at the San Onofre nuclear generating station (SONGS) is that the preventive maintenance program must meet the test of cost-effectiveness, improve equipment performance, support increased plant availability, and (a) literally implement the recommendations of the vendor, (b) provide other compensation for the vendor recommendation, or (c) provide technical justification for the deviation. The subject of this paper is the way that reliability-centered maintenance (RCM) is helping SONGS meet these challenges

Opportune maintenance and predictive maintenance decision support

OpenAIRE

Thomas , Edouard; Levrat , Eric; Iung , Benoît; Cocheteux , Pierre

2009-01-01

International audience; Conventional maintenance strategies on a single component are being phased out in favour of more predictive maintenance actions. These new kinds of actions are performed in order to control the global performances of the whole industrial system. They are anticipative in nature, which allows a maintenance expert to consider non-already-planned maintenance actions. Two questions naturally emerge: when to perform a predictive maintenance action; how a maintenance expert c...

Study of the influence of the time temperature profile on the minimum detectable dose of TLD-100

Energy Technology Data Exchange (ETDEWEB)

Meireles, Leonardo S.; Lacerda, Marco Aurelio S.; Meira-Belo, Luiz C.; Ferreira, Hudson R., E-mail: meirelesls@cdtn.br, E-mail: masl@cdtn.br, E-mail: lcmb@cdtn.br, E-mail: hrf@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

2013-07-01

Monitoring of workers and workplaces is an integral part of any radiation protection programme (RPP). It is essential to demonstrate compliance with regulations that limit the allowable dose to the public from manmade sources and to enable the responsible of the installations to verify compliance with the legal dose limits to the workers and ALARA goals. Thermoluminescent dosemeters (TLDs) are generally employed to assess the environmental and personnel doses. To completely characterize a TLD dosimetry system is fundamental to determine the Lowest Dose that the system is capable of measuring. As the amount of the light emitted by TLD material is a function of the time temperature profile (TTP), in the present study, the influence of the TTP on the Detection Threshold (MDD) of the LiF:Mg,Ti (TLD-100) detectors was evaluated. Eighteen different TTPs were tested for two different annealing processes: (I) utilization of the TTP itself and; (II) a microprocessor controlled oven annealing procedure. Results showed that TTP choice can influence significantly in the MDD values. The worst results were generally found for TLDs annealed by the TTP itself. The lack of pattern or the unexpected behavior to the influence of some parameters of the TTP on the calculated MDDs must be carefully investigated. Greater variations on the TTP parameters must be undertaken. Special attention must be also done on the methodology of calculating the MDDs. (author)

Study of the influence of the time temperature profile on the minimum detectable dose of TLD-100

International Nuclear Information System (INIS)

Meireles, Leonardo S.; Lacerda, Marco Aurelio S.; Meira-Belo, Luiz C.; Ferreira, Hudson R.

2013-01-01

Monitoring of workers and workplaces is an integral part of any radiation protection programme (RPP). It is essential to demonstrate compliance with regulations that limit the allowable dose to the public from manmade sources and to enable the responsible of the installations to verify compliance with the legal dose limits to the workers and ALARA goals. Thermoluminescent dosemeters (TLDs) are generally employed to assess the environmental and personnel doses. To completely characterize a TLD dosimetry system is fundamental to determine the Lowest Dose that the system is capable of measuring. As the amount of the light emitted by TLD material is a function of the time temperature profile (TTP), in the present study, the influence of the TTP on the Detection Threshold (MDD) of the LiF:Mg,Ti (TLD-100) detectors was evaluated. Eighteen different TTPs were tested for two different annealing processes: (I) utilization of the TTP itself and; (II) a microprocessor controlled oven annealing procedure. Results showed that TTP choice can influence significantly in the MDD values. The worst results were generally found for TLDs annealed by the TTP itself. The lack of pattern or the unexpected behavior to the influence of some parameters of the TTP on the calculated MDDs must be carefully investigated. Greater variations on the TTP parameters must be undertaken. Special attention must be also done on the methodology of calculating the MDDs. (author)

A radioisotope production cyclotron designed to minimize dose

International Nuclear Information System (INIS)

Szlavik, F.F.; Moritz, L.E.

1992-01-01

This paper describes a radioisotope production cyclotron which has been designed to minimize the dose to personnel during operation and maintenance. The design incorporates lessons learned from the operation of a CP42 cyclotron and has resulted in a reduction of the dose by a factor of more than 10. (author)

Occupational doses and ALARA - recent developments in Sweden

Energy Technology Data Exchange (ETDEWEB)

Godas, T.; Viktorsson, C. [Swedish Radiation Protection Institute, Stockholm (Sweden)

1995-03-01

Sweden has traditionally experienced very slow doses to workers in the nuclear industry. However, this trend has since last year been broken mainly due to significant maintenance and repair work. This paper will describe occupational dose trends in Sweden and discuss actions that are being implemented to control this new situation.

Mercaptopurine/Methotrexate Maintenance Therapy of Childhood Acute Lymphoblastic Leukemia

DEFF Research Database (Denmark)

Schmiegelow, K.; Nielsen, Stine N; Frandsen, Thomas L

2014-01-01

implementation of pharmacogenomics into treatment, the sole exception being dramatic 6MP dose reductions in patients who are homozygous deficient for thiopurine methyltransferase, the enzyme that methylates 6MP and several of its metabolites. In conclusion, maintenance therapy is as important as the more...

9th International conference on CANDU maintenance

International Nuclear Information System (INIS)

2011-01-01

The 9th International Conference on CANDU Maintenance was held in Toronto, Ontario, Canada on December 4-6, 2011. The conference focused on Nuclear plant reliability and maintenance. Equipment reliability is a critical factor in achieving safe and reliable Nuclear Power Plant operations for many reasons. For one it reduces the challenges upon the operating staff and allows station personnel to 'go on the offence' instead of having to play defense in a reactive mode. Plant reliability ensures that there is time to study the issues in detail and develop solutions for long-term success. Let us not forget that the owner carries the burden of demonstrating the return on investment, and plant reliability goes a long way in helping to make the case for plant life extension. A good reputation for plant reliability provides the public capital necessary to build confidence and facilitate the licensing process. The proceedings papers and presentations given at the 9th International Conference on Candu Maintenance covered topics that include: Managing Worker; Radiation Dose; Full Life Cycle Management; Managing Maintenance Refurbishment; Designing for Maintainability; Inspection Techniques; and, Mitigating Degradation.

A randomized controlled trial of interim methadone maintenance.

Science.gov (United States)

Schwartz, Robert P; Highfield, David A; Jaffe, Jerome H; Brady, Joseph V; Butler, Carol B; Rouse, Charles O; Callaman, Jason M; O'Grady, Kevin E; Battjes, Robert J

2006-01-01

Effective alternatives to long waiting lists for entry into methadone hydrochloride maintenance treatment are needed to reduce the complications of continuing heroin dependence and to increase methadone treatment entry. To compare the effectiveness of interim methadone maintenance with that of the usual waiting list condition in facilitating methadone treatment entry and reducing heroin and cocaine use and criminal behavior. Randomized, controlled, clinical trial using 2 conditions, with treatment assignment on a 3:2 basis to interim maintenance-waiting list control. A methadone treatment program in Baltimore. A total of 319 individuals meeting the criteria for current heroin dependence and methadone maintenance treatment. Participants were randomly assigned to either interim methadone maintenance, consisting of an individually determined methadone dose and emergency counseling only for up to 120 days, or referral to community-based methadone treatment programs. Entry into comprehensive methadone maintenance therapy at 4 months from baseline; self-reported days of heroin use, cocaine use, and criminal behavior; and number of urine drug test results positive for heroin and cocaine at the follow-up interview conducted at time of entry into comprehensive methadone treatment (or at 4 months from baseline for participants who did not enter regular treatment). Significantly more participants assigned to the interim methadone maintenance condition entered comprehensive methadone maintenance treatment by the 120th day from baseline (75.9%) than those assigned to the waiting list control condition (20.8%) (Pmethadone maintenance results in a substantial increase in the likelihood of entry into comprehensive treatment, and is an effective means of reducing heroin use and criminal behavior among opioid-dependent individuals awaiting entry into a comprehensive methadone treatment program.

Control-limit preventive maintenance policies for components subject to imperfect preventive maintenance and variable operational conditions

International Nuclear Information System (INIS)

You Mingyi; Li Hongguang; Meng Guang

2011-01-01

This paper develops two component-level control-limit preventive maintenance (PM) policies for systems subject to the joint effect of partial recovery PM acts (imperfect PM acts) and variable operational conditions, and investigates the properties of the proposed policies. The extended proportional hazards model (EPHM) is used to model the system failure likelihood influenced by both factors. Several numerical experiments are conducted for policy property analysis, using real lifetime and operational condition data and typical characterization of imperfect PM acts and maintenance durations. The experimental results demonstrate the necessity of considering both factors when they do exist, characterize the joint effect of the two factors on the performance of an optimized PM policy, and explore the influence of the loading sequence of time-varying operational conditions on the performance of an optimized PM policy. The proposed policies extend the applicability of PM optimization techniques.

Budesonide/formoterol maintenance and reliever therapy versus conventional best practice

DEFF Research Database (Denmark)

Demoly, Pascal; Louis, Renaud; Søes-Petersen, Ulrik

2009-01-01

Budesonide/formoterol maintenance and reliever therapy (Symbicort SMART) reduces asthma exacerbations and symptoms versus fixed-dose regimens plus short-acting beta(2)-agonists (SABA) in double-blind trials. Information is lacking regarding its effectiveness versus conventional best practice (CBP...

Dental radiography technique and equipment: How they influence the radiation dose received at the level of the thyroid gland

Energy Technology Data Exchange (ETDEWEB)

Rush, E.R. [School of Health Sciences, University of Ulster, Shore Road, Newtownabbey, Belfast BT37 0QB (United Kingdom)]. E-mail: emmaroserush@hotmail.com; Thompson, N.A. [School of Health Sciences, University of Ulster, Shore Road, Newtownabbey, Belfast BT37 0QB (United Kingdom)

2007-08-15

Purpose: The aim of this study was to investigate the influence that collimator and technique choice had on the radiation dose detected at the thyroid gland position, during intra-oral examinations of the upper and lower teeth. Radiation dose reduction from a different perspective, other than the application of lead-rubber shielding, was addressed. Methods: A study was performed at a regional dental school with the use of a phantom head/neck and a radiation dosemeter, to measure the radiation dose detected at the thyroid gland position. The radiation dose was assessed for two intra-oral techniques (paralleling and bisecting angle), and two collimators (rectangular and circular). The radiation dose was also assessed with and without the application of a thyroid shield. Standard descriptive statistics, followed by inferential statistics were applied to the data. Results: There was a significant reduction in the radiation dose detected at the thyroid gland position, when employing the paralleling technique (66.7%) and rectangular collimator (45.5%). Other factors, for example the tooth/teeth under examination, were also found to influence the radiation dose detected. Conclusion: Radiation dose reductions using the paralleling technique and rectangular collimator were outlined. The use of this low dose combination within dental practices remains limited, therefore, continued awareness and acceptance of radiation hazards need to be addressed.

Dental radiography technique and equipment: How they influence the radiation dose received at the level of the thyroid gland

International Nuclear Information System (INIS)

Rush, E.R.; Thompson, N.A.

2007-01-01

Purpose: The aim of this study was to investigate the influence that collimator and technique choice had on the radiation dose detected at the thyroid gland position, during intra-oral examinations of the upper and lower teeth. Radiation dose reduction from a different perspective, other than the application of lead-rubber shielding, was addressed. Methods: A study was performed at a regional dental school with the use of a phantom head/neck and a radiation dosemeter, to measure the radiation dose detected at the thyroid gland position. The radiation dose was assessed for two intra-oral techniques (paralleling and bisecting angle), and two collimators (rectangular and circular). The radiation dose was also assessed with and without the application of a thyroid shield. Standard descriptive statistics, followed by inferential statistics were applied to the data. Results: There was a significant reduction in the radiation dose detected at the thyroid gland position, when employing the paralleling technique (66.7%) and rectangular collimator (45.5%). Other factors, for example the tooth/teeth under examination, were also found to influence the radiation dose detected. Conclusion: Radiation dose reductions using the paralleling technique and rectangular collimator were outlined. The use of this low dose combination within dental practices remains limited, therefore, continued awareness and acceptance of radiation hazards need to be addressed

Dose-associated changes in safety and efficacy parameters observed in a 24-week maintenance trial of olanzapine long-acting injection in patients with schizophrenia

Directory of Open Access Journals (Sweden)

Watson Susan B

2011-02-01

Full Text Available Abstract Background In a recently published 24-week maintenance study of olanzapine long-acting injection (LAI in schizophrenia (Kane et al., 2010, apparent dose-associated changes were noted in both efficacy and safety parameters. To help clinicians balance safety and efficacy when choosing a dose of olanzapine LAI, we further studied these changes. Methods Outpatients with schizophrenia who had maintained stability on open-label oral olanzapine for 4 to 8 weeks were randomly assigned to "low" (150 mg/2 weeks; N = 140, "medium" (405 mg/4 weeks; N = 318, or "high" (300 mg/2 weeks; N = 141 dosages of olanzapine LAI for 24 weeks. Potential relationships between dose and several safety or efficacy measures were examined via regression analysis, the Jonckheere-Terpstra test (continuous data, or the Cochran-Armitage test (categorical data. Results Safety parameters statistically significantly related to dose were mean weight change (low: +0.67 [SD = 4.38], medium: +0.89 [SD = 3.87], high: +1.70 [SD = 4.14] kg, p = .024; effect size [ES] = 0.264 high vs. low dose, mean change in prolactin (low: -5.61 [SD = 12.49], medium: -2.76 [SD = 19.02], high: +3.58 [SD = 33.78] μg/L, p = .001; ES = 0.410 high vs. low dose, fasting triglycerides change from normal at baseline to high (low: 3.2%, medium: 6.0%, high: 18.9%, p = .001; NNT = 7 high vs. low dose and fasting high-density lipoprotein cholesterol change from normal at baseline to low (low: 13.8%, medium: 19.6%, high: 30.7%, p = .019; NNT = 6 high vs. low dose. Efficacy measures significantly related to dose included Positive and Negative Syndrome Scale total score mean change (low: +2.66 [SD = 14.95], medium: -0.09 [SD = 13.47], high: -2.19 [SD = 13.11], p Conclusions Analyses of several safety and efficacy parameters revealed significant associations with dose of olanzapine LAI, with the highest dose generally showing greater efficacy as well as greater adverse changes in metabolic safety measures. When

The impact of benzodiazepine use on methadone maintenance treatment outcomes.

Science.gov (United States)

Brands, Bruna; Blake, Joan; Marsh, David C; Sproule, Beth; Jeyapalan, Renuka; Li, Selina

2008-01-01

The purposes of this study were to examine predictors of benzodiazepine use among methadone maintenance treatment patients, to determine whether baseline benzodiazepine use influenced ongoing use during methadone maintenance treatment, and to assess the effect of ongoing benzodiazepine use on treatment outcomes (i.e., opioid and cocaine use and treatment retention). A retrospective chart review of 172 methadone maintenance treatment patients (mean age = 34.6 years; standard deviation = 8.5 years; 64% male) from January 1997 to December 1999 was conducted. At baseline, 29% were "non-users" (past year) of benzodiazepine, 36% were "occasional users," and 35% were "regular/problem users." Regular/problem users were more likely to have started opioid use with prescription opioids, experienced more overdoses, and reported psychiatric comorbidity. Being female, more years of opioid use, and a history of psychiatric treatment were significant predictors of baseline benzodiazepine use. Ongoing benzodiazepine users were more likely to have opioid-positive and cocaine-positive urine screens during methadone maintenance treatment. Only ongoing cocaine use was negatively related to retention. Benzodiazepine use by methadone maintenance treatment patients is associated with a more complex clinical picture and may negatively influence treatment outcomes.

Remote handling design for moderator-reflector maintenance in JSNS

International Nuclear Information System (INIS)

Teshigawara, Makoto; Aizawa, Hideyuki; Harada, Masahide; Kinoshita, Hidetaka; Meigo, Shinichiro; Maekawa, Fujio; Kaminaga, Masanori; Kato, Takashi; Ikeda, Yujiro

2005-05-01

This report introduces the present design status of remote-handling devices for activated and used components such as moderator and reflector in a spallation neutron source of the Material and Life Science Facility (MLF) at J-PARC (Japan Proton Accelerator Research Complex). The design concept and maintenance scenario are also mentioned. A key maintenance scenario adopts that the used components should be taken out from the MLF to the other storage facility after the volume reduction of them. Almost full remote handling is available to the maintenance work except for the connection/disconnection pipes of the cooling water. Remote handling for the cooling water system is under designing and it will be prepared before being significant radiation dose by accumulation of beryllium ( 7 Be) in future. Total six remote handling devices are used for moderator-reflector maintenance. They are also available to the proton beam window and muon target maintenance. Maintenance scenario is separated into two works. One is to replace used components to new ones during beam-stop and the other is dispose used components during beam operation. Required period of replacement work is estimated to be ∼15 days, on the other hand, the disposal work is ∼26 days after dry up work (∼30 days), respectively. Study of the maintenance scenario and the remote handling design brings about the reasonable procedures and period of the maintenance work. (author)

Significance of Building Maintenance Management Systems towards Sustainable Development

Directory of Open Access Journals (Sweden)

M.A. Othuman Mydin

2014-05-01

Full Text Available Building maintenance management is an organized and effective system of maintenance operations which is set up to deal with problems related to the upkeep of a building. Its goal, aside from locating and remedying a building’s deficiencies, is to effectively minimize the overall costs of maintenance and is also an effort to maximize the gain and benefits from the savings. There are a few factors that influence decisions to undertake maintenance work. The principal goal of maintenance is to protect a building in the early stage of issues as they arise. Some major reasons for maintaining a building include retaining its reputation and value of investments, maintaining the building in a condition which allows it to accomplish its purpose, and presenting a good outer shell. This paper will review and discuss some of the major elements of building maintenance towards achieving sustainable buildings.

Influence of γ-radiation doses on the properties of TeOx: (x=2-3) thin film

International Nuclear Information System (INIS)

Dewan, Namrata; Sreenivas, K.; Gupta, Vinay

2007-01-01

The influence of γ-ray doses (10-50 Gy) on the optical and electrical properties of radio-frequency sputtered tellurium dioxide (TeO x ) thin film was studied. The composition of the as-deposited TeO x films deposited under 25% oxygen and 100% oxygen in the sputtering gas mixture (Ar+O 2 ) was x=2 and 3, respectively. TeO 3 films were found to be highly sensitive to the γ-radiation doses and the value of optical band gap decrease from 4.18 to 3.56 eV with increasing radiation dose from 10 to 50 Gy. Current-voltage characteristics of the films showed an increase in the value of conductivity with increasing radiation doses. Monotonic decrease in the values of dielectric constant for the deposited films with increase in radiation dose was observed. The effect of γ-ray doses on the properties of TeO x film has been correlated with the rearrangement of the bipyramidal structure of amorphous TeO x thin film

Engine Management : A Decision Support Tool for Strategic Engine Maintenance Planning

NARCIS (Netherlands)

Mayordomo, A.F.; Ghobbar, A.A.; Ghijs, S.S.A.; Cator, E.

2010-01-01

This paper presents a model that helps engine management make cost saving decisions. The model is developed around airline-influenced factors that have an impact on engine Maintenance Repair & Overhaul (MRO): Operations, maintenance philosophy, contract type, and fleet age. Within the model a

The possible role of maintenance treatment for primary central nervous system lymphoma.

Science.gov (United States)

Bairey, Osnat; Siegal, Tali

2018-03-11

Primary central nervous system lymphoma (PCNSL) is a rare and aggressive brain tumor. The prognosis is poor, with high rates of relapse and disease progression after treatment. In addition, PCNSL affects a largely older population, so that a significant proportion of patients are ineligible for intensive therapies and high-dose chemotherapy. The elderly patients are also susceptible to the accelerated and detrimental cognitive side effects of whole-brain irradiation which is an alternative consolidation to high-dose chemotherapy. Maintenance therapy has been shown to be a promising strategy to prolong remission time in other hematopoietic malignancies. Herein, we discuss the place of maintenance treatment in PCNSL in view of perspective obtained from hematological malignancies and non-Hodgkin's lymphoma. Copyright © 2018 Elsevier Ltd. All rights reserved.

Empirical analysis of selected nuclear power plant maintenance factors and plant safety

International Nuclear Information System (INIS)

Olson, J.; Osborn, R.N.; Thurber, J.A.; Sommers, P.E.; Jackson, D.H.

1985-07-01

This report contains a statistical analysis of the relationship between selected aspects of nuclear power plant maintenance programs and safety related performance. The report identifies a large number of maintenance resources which can be expected to influence maintenance performance and subsequent plant safety performance. The resources for which data were readily available were related statistically to two sets of performance indicators: maintenance intermediate safety indicators and final safety performance indicators. The results show that the administrative structure of the plant maintenance program is a significant predictor of performance on both sets of indicators

Influence of dosing times on cisplatin-induced peripheral neuropathy in rats

International Nuclear Information System (INIS)

Seto, Yoshihiro; Okazaki, Fumiyasu; Horikawa, Keiji; Zhang, Jing; Sasaki, Hitoshi; To, Hideto

2016-01-01

Although cis-diamminedichloro-platinum (CDDP) exhibits strong therapeutic effects in cancer chemotherapy, its adverse effects such as peripheral neuropathy, nephropathy, and vomiting are dose-limiting factors. Previous studies reported that chronotherapy decreased CDDP-induced nephropathy and vomiting. In the present study, we investigated the influence of dosing times on CDDP-induced peripheral neuropathy in rats. CDDP (4 mg/kg) was administered intravenously at 5:00 or 17:00 every 7 days for 4 weeks to male Sprague–Dawley rats, and saline was given to the control group. To assess the dosing time dependency of peripheral neuropathy, von-Frey test and hot-plate test were performed. In order to estimate hypoalgesia, the hot-plate test was performed in rats administered CDDP weekly for 4 weeks. On day 28, the withdrawal latency to thermal stimulation was significantly prolonged in the 17:00-treated group than in the control and 5:00-treated groups. When the von-Frey test was performed to assess mechanical allodynia, the withdrawal threshold was significantly lower in the 5:00 and 17:00-treated groups than in the control group on day 6 after the first CDDP dose. The 5:00-treated group maintained allodynia throughout the experiment with the repeated administration of CDDP, whereas the 17:00-treated group deteriorated from allodynia to hypoalgesia. It was revealed that the severe of CDDP-induced peripheral neuropathy was inhibited in the 5:00-treated group, whereas CDDP-treated groups exhibited mechanical allodynia. These results suggested that the selection of an optimal dosing time ameliorated CDDP-induced peripheral neuropathy. The online version of this article (doi:10.1186/s12885-016-2777-0) contains supplementary material, which is available to authorized users

A maintenance time prediction method considering ergonomics through virtual reality simulation.

Science.gov (United States)

Zhou, Dong; Zhou, Xin-Xin; Guo, Zi-Yue; Lv, Chuan

2016-01-01

Maintenance time is a critical quantitative index in maintainability prediction. An efficient maintenance time measurement methodology plays an important role in early stage of the maintainability design. While traditional way to measure the maintenance time ignores the differences between line production and maintenance action. This paper proposes a corrective MOD method considering several important ergonomics factors to predict the maintenance time. With the help of the DELMIA analysis tools, the influence coefficient of several factors are discussed to correct the MOD value and the designers can measure maintenance time by calculating the sum of the corrective MOD time of each maintenance therbligs. Finally a case study is introduced, by maintaining the virtual prototype of APU motor starter in DELMIA, designer obtains the actual maintenance time by the proposed method, and the result verifies the effectiveness and accuracy of the proposed method.

Influence of dose history on thermoluminescence response of Ge-doped silica optical fibre dosimeters

International Nuclear Information System (INIS)

Moradi, F.; Mahdiraji, G.A.; Dermosesian, E.; Khandaker, M.U.; Ung, N.M.; Mahamd Adikan, F.R.; Amin, Y.M.

2017-01-01

Nowadays, silica based optical fibres show enough potential to be used as TL dosimeters in different applications. Reuse of optical fibre as a practical dosimeter demands to complete removal of accumulated doses via previous irradiations. This work investigates the existence and/or effect of remnant doses in fibre dosimeter from the previous irradiations, and proposes a method to control this artifact. A single mode Ge-doped optical fibre is used as TL radiation sensor, while a well calibrated Gammacell with 60 Co source is used for irradiations. The effect of irradiation history on the TL response of optical fibres is surveyed extensively for doses ranged from 1 to 1000 Gy. The results show that the absorbed dose history in a fibre affects its response in the next irradiation cycles. It is shown that a dose history of around 100 Gy can increase the response of optical fibre by a factor of 1.72. The effect of annealing at higher temperatures on stabilizing the fibre response is also examined and results revealed that another alteration in the structure of trapping states occurs in glass medium which can change the sensitivity of fibres. Preservation of the sensitivity during successive irradiation cycles can be achieved by a proper annealing procedure accompanied by a pre-dose treatment. - Highlights: • Influence of dose history on TL characteristics of fibre dosimeter is explored. • The phenomenon behind the TL variation caused by dose history is discussed. • Effect of annealing temperature on performance of fibre dosimeter is studied. • Pre-treatment methods for mitigating variation in reproducibility are proposed.

The influence of x-ray energy on lung dose uniformity in total-body irradiation

International Nuclear Information System (INIS)

Ekstrand, Kenneth; Greven, Kathryn; Wu Qingrong

1997-01-01

Purpose: In this study we examine the influence of x-ray energy on the uniformity of the dose within the lung in total-body irradiation treatments in which partial transmission blocks are used to control the lung dose. Methods and Materials: A solid water phantom with a cork insert to simulate a lung was irradiated by x-rays with energies of either 6, 10, or 18 MV. The source to phantom distance was 3.9 meters. The cork insert was either 10 cm wide or 6 cm wide. Partial transmission blocks with transmission factors of 50% were placed anterior to the cork insert. The blocks were either 8 or 4 cm in width. Kodak XV-2 film was placed in the midline of the phantom to record the dose. Midplane dose profiles were measured with a densitometer. Results: For the 10 cm wide cork insert the uniformity of the dose over 80% of the block width varied from 6.6% for the 6 MV x-rays to 12.2% for the 18 MV x-rays. For the 6 cm wide cork insert the uniformity was comparable for all three x-ray energies, but for 18 MV the central dose increased by 9.4% compared to the 10 cm wide insert. Conclusion: Many factors must be considered in optimizing the dose for total-body irradiation. This study suggests that for AP/PA techniques lung dose uniformity is superior with 6 MV irradiation. The blanket recommendation that the highest x-ray energy be used in TBI is not valid for all situations

Verifying elementary ITER maintenance actions with the MS2 benchmark product

NARCIS (Netherlands)

Heemskerk, C. J. M.; Elzendoorn, B. S. Q.; Magielsen, A. J.; Schropp, G. Y. R.

2011-01-01

A new facility has been taken in operation to investigate the influence of visual and haptic feedback on the performance of remotely executed ITER RH maintenance tasks. A reference set of representative ITER remote handling maintenance tasks was included the master slave manipulator system (MS2)

Developing and evaluating stereotactic lung RT trials: what we should know about the influence of inhomogeneity corrections on dose

International Nuclear Information System (INIS)

Schuring, Danny; Hurkmans, Coen W

2008-01-01

To investigate the influence of inhomogeneity corrections on stereotactic treatment plans for non-small cell lung cancer and determine the dose delivered to the PTV and OARs. For 26 patients with stage-I NSCLC treatment plans were optimized with unit density (UD), an equivalent pathlength algorithm (EPL), and a collapsed-cone (CC) algorithm, prescribing 60 Gy to the PTV. After optimization the first two plans were recalculated with the more accurate CC algorithm. Dose parameters were compared for the three different optimized plans. Dose to the target and OARs was evaluated for the recalculated plans and compared with the planned values. For the CC algorithm dose constraints for the ratio of the 50% isodose volume and the PTV, and the V 20 Gy are harder to fulfill. After recalculation of the UD and EPL plans large variations in the dose to the PTV were observed. For the unit density plans, the dose to the PTV varied from 42.1 to 63.4 Gy for individual patients. The EPL plans all overestimated the PTV dose (average 48.0 Gy). For the lungs, the recalculated V 20 Gy was highly correlated to the planned value, and was 12% higher for the UD plans (R 2 = 0.99), and 15% lower for the EPL plans (R 2 = 0.96). Inhomogeneity corrections have a large influence on the dose delivered to the PTV and OARs for SBRT of lung tumors. A simple rescaling of the dose to the PTV is not possible, implicating that accurate dose calculations are necessary for these treatment plans in order to prevent large discrepancies between planned and actually delivered doses to individual patients

The influence of social psychological factors on behaviour, stress and dose in Chernobyl affected areas

International Nuclear Information System (INIS)

Murphy, M.; Allen, P.

1998-01-01

During the 12 years since the Chernobyl nuclear accident, people in the affected areas have lived day to day with the risks of radiation. During these 12 years many countermeasures have been applied to minimise dose and thus reduce the threat to the health of the affected populations. Some of these countermeasures are aimed at changing daily life; for example, advice and restrictions on behaviours relating to the forest, consumption of forest produce and the consumption of private milk. In order to be effective, these countermeasures require action, or compliance, on the part of the affected populations. How have people in these areas responded to this risk and to the countermeasures employed to minimise the risk? A number of social psychological factors may be involved in peoples responses to this situation, including their perceptions of threat, the perceived costs and benefits of the behaviours involved, and the influence of other people. We examine the influence of these various social psychological factors on compliance behaviour, dose, and stress related health through a survey of people in the affected areas using quantitative questionnaire measures. SPARPA or Social psychological aspects of radiation protection after accidents, is a European Commission-sponsored project (F14C-CT96-0010) involving U. Surrey, Symlog and NRPB as well as partners in the CIS. Specific objectives include: to characterise, using quantitative methods, the nature and psychological impact of countermeasures and the influence of behaviour on dose, and to develop, guidance on the implementation of countermeasures, taking account of the social and psychological context. (authors)

JRR-3 maintenance program utilizing accumulated maintenance data

International Nuclear Information System (INIS)

Izumo, Hironobu; Kato, Tomoaki; Kinase, Masami; Torii, Yoshiya; Murayama, Yoji

2007-07-01

JRR-3(Japan Research Reactor No.3) has been operated for more than 15 years after the modification, without significant troubles by carrying out maintenance such as the preventive maintenance (mainly time-based maintenance) for the safety-grade equipments and the breakdown maintenance for the non-safety-grade equipments. Unscheduled shutdowns causes by aged non-safety-grade equipments have been increasing, and the resources such as budgets have been decreasing year by year. In this situation, JRR-3 maintenance program was reviewed about safety, reliability and economic efficiency. This report offers the policy of the maintenance review and the future direction of maintenance programs. (author)

Principles of MONJU maintenance. Characteristic of MONJU maintenance and reflection of LWR maintenance experience to FBR

International Nuclear Information System (INIS)

Nakai, Satoru; Nishio, Ryuichi; Uchihashi, Masaya; Kaneko, Yoshihisa; Yamashita, Hironobu; Yamaguchi, Atsunori; Aoki, Takayuki

2014-01-01

A sodium cooled fast breeder reactor (FBR) has unique systems and components and different degradation mechanism from light water reactor (LWR) so that need to establish maintenance technology in accordance with its features. The examination of the FBR maintenance technology is carried out in the special committee for considering the maintenance for Monju established in the Japan Society of Maintenology (JSM). As a result of the study such as extraction of Monju maintenance feature, maintenance technology benchmark between Monju and LWR components and survey of LWR maintenance experience, it is clear that principles of maintenance are same as LWR, necessity of LWR maintenance experience reflection and points to be considered in Monju maintenance. The road map to establish a FBR maintenance technology in the technical aspect became clear and it is vital to acquire operation and maintenance experience of the plant to implement this road map, and to establish a fast reactor maintenance. (author)

Dose reduction and optimization studies (ALARA) at nuclear power facilities

International Nuclear Information System (INIS)

Baum, J.W.; Meinhold, C.B.

1983-01-01

Brookhaven National Laboratory (BNL) has been commissioned by the Nuclear Regulatory Commission (NRC) to study dose-reduction techniques and effectiveness of as low as reasonably achievable (ALARA) planning at LWR plants. These studies have the following objectives: identify high-dose maintenance tasks; identify dose-reduction techniques; examine incentives for dose reduction; evaluate cost-effectiveness and optimization of dose-reduction techniques; and compile an ALARA handbook on data, engineering modifications, cost-effectiveness calculations, and other information of interest to ALARA practioners

Establishment of a networked national occupational dose registry system (NODRS)

International Nuclear Information System (INIS)

Mayya, Y.S.

2010-01-01

Maintenance of occupational dose data of radiation workers is a mandatory requirement of the Indian Protection Program. It is now planned to introduce online fingerprint comparison, for a quick and easy identification of an existing radiation worker. An analysis of occupational dose trends in the non-DAE sector has been initiated to help in improvement of work practices so that doses received by the workers are kept well below the dose limits

Conflict, negative emotion, and reports of partners' relationship maintenance in same-sex couples.

Science.gov (United States)

Ogolsky, Brian G; Gray, Christine R

2016-03-01

The literature on relationship maintenance has focused primarily on the beneficial outcomes of maintenance, and, as a result, little is known about relational processes that may interfere with reports of partners' maintenance. The authors examine how daily conflict influences individuals' reports of their partners' maintenance, and how a constructive communication style buffers this influence by reducing negative emotion on conflict days. In a daily diary study of 98 same-sex couples in romantic relationships, they found that the negative association between conflict and reports of a partner's relationship maintenance was mediated by negative emotion. That is, there was an indirect effect by which daily conflict was associated with higher levels of daily negative emotion, which was associated with reports of lower levels of partners' relationship maintenance. This indirect effect was moderated by couples' overall level of constructive communication such that higher levels diminished the degree to which couples experienced negative emotion on days with episodes of relational conflict. The authors discuss results in the context of interpersonal theory and provide implications for clinicians and practitioners. (c) 2016 APA, all rights reserved).

Remanent dose rates around the collimators of the LHC beam cleaning insertions

International Nuclear Information System (INIS)

Brugger, M.; Roesler, S.

2005-01-01

The LHC will require an extremely powerful and unprecedented collimation system. As ∼30% of the LHC beam is lost in the cleaning insertions, these will become some of the most radioactive locations around the entire LHC ring. Thus, remanent dose rates to be expected during later repair or maintenance interventions must be considered in the design phase itself. As a consequence, the beam cleaning insertions form a unique test bed for a recently developed approach to calculate remanent dose rates. A set of simulations, different in complexity, is used in order to evaluate methods for the estimation of remanent dose rates. The scope, as well as the restrictions, of the omega-factor method are shown and compared with the explicit simulation approach. The latter is then used to calculate remanent dose rates in the beam cleaning insertions. Furthermore, a detailed example for maintenance dose planning is given. (authors)

Remanent dose rates around the collimators of the LHC beam cleaning insertions.

Science.gov (United States)

Brugger, M; Roesler, S

2005-01-01

The LHC will require an extremely powerful and unprecedented collimation system. As approximately 30% of the LHC beam is lost in the cleaning insertions, these will become some of the most radioactive locations around the entire LHC ring. Thus, remanent dose rates to be expected during later repair or maintenance interventions must be considered in the design phase itself. As a consequence, the beam cleaning insertions form a unique test bed for a recently developed approach to calculate remanent dose rates. A set of simulations, different in complexity, is used in order to evaluate methods for the estimation of remanent dose rates. The scope, as well as the restrictions, of the omega-factor method are shown and compared with the explicit simulation approach. The latter is then used to calculate remanent dose rates in the beam cleaning insertions. Furthermore, a detailed example for maintenance dose planning is given.

Maintenance in sustainable manufacturing

Directory of Open Access Journals (Sweden)

Vladimir Stuchly

2014-09-01

Full Text Available Background: Sustainable development is about reaching a balance between economic, social, and environmental goals, as well as people's participation in the planning process in order to gain their input and support. For a company, sustainable development means adoption of such business strategy and actions that contribute to satisfying present needs of company and stakeholders, as well as simultaneous protection, maintenance and strengthening of human and environmental potential which will be needed in the future. This new approach forces manufacturing companies to change their previous management paradigms. New management paradigm should include new issues and develop innovative methods, practices and technologies striving for solving problem of shortages of resources, softening environment overload and enabling development of environment-friendly lifecycle of products. Hence, its realization requires updating existing production models as they are based on previously accepted paradigm of unlimited resources and unlimited regeneration capabilities. Maintenance plays a crucial role because of its impact on availability, reliability, quality and life cycle cost, thus it should be one of the main pillars of new business running model.  Material and methods: The following paper is a result of research on the literature and observation of practices undertaken by a company within maintenance area. Results and conclusions: The main message is that considering sustainable manufacturing requires considerable expanding range of analysis and focusing on supporting processes. Maintenance offers numerous opportunities of decreasing influence of business processes on natural environment and more efficient resources utilization. The goal of maintenance processes realizing sustainable development strategy is increased profitability of exploitation and optimization of total lifecycle cost without disturbing safety and environmental issues. 

Field-relevant doses of the systemic insecticide fipronil and fungicide pyraclostrobin impair mandibular and hypopharyngeal glands in nurse honeybees (Apis mellifera).

Science.gov (United States)

Zaluski, Rodrigo; Justulin, Luis Antonio; Orsi, Ricardo de Oliveira

2017-11-09

Global decreases in bee populations emphasize the importance of assessing how environmental stressors affect colony maintenance, especially considering the extreme task specialization observed in honeybee societies. Royal jelly, a protein secretion essential to colony nutrition, is produced by nurse honeybees, and development of bee mandibular glands, which comprise a reservoir surrounded by secretory cells and hypopharyngeal glands that are shaped by acini, is directly associated with production of this secretion. Here, we examined individual and combined effects of the systemic fungicide pyraclostrobin and insecticide fipronil in field-relevant doses (850 and 2.5 ppb, respectively) on mandibular and hypopharyngeal glands in nurse honeybees. Six days of pesticide treatment decreased secretory cell height in mandibular glands. When pyraclostrobin and fipronil were combined, the reservoir volume in mandibular glands also decreased. The total number of acini in hypopharyngeal glands was not affected, but pesticide treatment reduced the number of larger acini while increasing smaller acini. These morphological impairments appeared to reduce royal jelly secretion by nurse honeybees and consequently hampered colony maintenance. Overall, pesticide exposure in doses close to those experienced by bees in the field impaired brood-food glands in nurse honeybees, a change that could negatively influence development, survival, and colony maintenance.

Human factor analysis and preventive countermeasures of maintenance in nuclear power plant

International Nuclear Information System (INIS)

Zhang Li; Hu Chao

2008-01-01

Based on the human error analysis theory and the characteristics of maintenance in a nuclear power plant, human factors of maintenance in NPP are divided into three different areas: human, technology, and organization, in which human refers to the individual factors, mainly including psychological quality, physiological characteristic, state of health, knowledge, skill level, and interpersonal relationship. Technology includes the maintenance technology, maintenance strategy, maintenance tool, maintenance interface, maintenance regulation, and work environment. Organization includes task arrangement, information communication, training, personnel external environment, team construction, and leadership. The analysis also reveals that the organization factors, which can indirectly influence personnel performance, are the primary initiators of human error. Based on these, some countermeasures are brought forward in order to reduce human errors. (authors)

SU-F-T-600: Influence of Acuros XB and AAA Dose Calculation Algorithms On Plan Quality Metrics and Normal Lung Doses in Lung SBRT

International Nuclear Information System (INIS)

Yaparpalvi, R; Mynampati, D; Kuo, H; Garg, M; Tome, W; Kalnicki, S

2016-01-01

Purpose: To study the influence of superposition-beam model (AAA) and determinant-photon transport-solver (Acuros XB) dose calculation algorithms on the treatment plan quality metrics and on normal lung dose in Lung SBRT. Methods: Treatment plans of 10 Lung SBRT patients were randomly selected. Patients were prescribed to a total dose of 50-54Gy in 3–5 fractions (10?5 or 18?3). Doses were optimized accomplished with 6-MV using 2-arcs (VMAT). Doses were calculated using AAA algorithm with heterogeneity correction. For each plan, plan quality metrics in the categories- coverage, homogeneity, conformity and gradient were quantified. Repeat dosimetry for these AAA treatment plans was performed using AXB algorithm with heterogeneity correction for same beam and MU parameters. Plan quality metrics were again evaluated and compared with AAA plan metrics. For normal lung dose, V_2_0 and V_5 to (Total lung- GTV) were evaluated. Results: The results are summarized in Supplemental Table 1. PTV volume was mean 11.4 (±3.3) cm"3. Comparing RTOG 0813 protocol criteria for conformality, AXB plans yielded on average, similar PITV ratio (individual PITV ratio differences varied from −9 to +15%), reduced target coverage (−1.6%) and increased R50% (+2.6%). Comparing normal lung doses, the lung V_2_0 (+3.1%) and V_5 (+1.5%) were slightly higher for AXB plans compared to AAA plans. High-dose spillage ((V105%PD - PTV)/ PTV) was slightly lower for AXB plans but the % low dose spillage (D2cm) was similar between the two calculation algorithms. Conclusion: AAA algorithm overestimates lung target dose. Routinely adapting to AXB for dose calculations in Lung SBRT planning may improve dose calculation accuracy, as AXB based calculations have been shown to be closer to Monte Carlo based dose predictions in accuracy and with relatively faster computational time. For clinical practice, revisiting dose-fractionation in Lung SBRT to correct for dose overestimates attributable to algorithm

SU-F-T-600: Influence of Acuros XB and AAA Dose Calculation Algorithms On Plan Quality Metrics and Normal Lung Doses in Lung SBRT

Energy Technology Data Exchange (ETDEWEB)

Yaparpalvi, R; Mynampati, D; Kuo, H; Garg, M; Tome, W; Kalnicki, S [Montefiore Medical Center, Bronx, NY (United States)

2016-06-15

Purpose: To study the influence of superposition-beam model (AAA) and determinant-photon transport-solver (Acuros XB) dose calculation algorithms on the treatment plan quality metrics and on normal lung dose in Lung SBRT. Methods: Treatment plans of 10 Lung SBRT patients were randomly selected. Patients were prescribed to a total dose of 50-54Gy in 3–5 fractions (10?5 or 18?3). Doses were optimized accomplished with 6-MV using 2-arcs (VMAT). Doses were calculated using AAA algorithm with heterogeneity correction. For each plan, plan quality metrics in the categories- coverage, homogeneity, conformity and gradient were quantified. Repeat dosimetry for these AAA treatment plans was performed using AXB algorithm with heterogeneity correction for same beam and MU parameters. Plan quality metrics were again evaluated and compared with AAA plan metrics. For normal lung dose, V{sub 20} and V{sub 5} to (Total lung- GTV) were evaluated. Results: The results are summarized in Supplemental Table 1. PTV volume was mean 11.4 (±3.3) cm{sup 3}. Comparing RTOG 0813 protocol criteria for conformality, AXB plans yielded on average, similar PITV ratio (individual PITV ratio differences varied from −9 to +15%), reduced target coverage (−1.6%) and increased R50% (+2.6%). Comparing normal lung doses, the lung V{sub 20} (+3.1%) and V{sub 5} (+1.5%) were slightly higher for AXB plans compared to AAA plans. High-dose spillage ((V105%PD - PTV)/ PTV) was slightly lower for AXB plans but the % low dose spillage (D2cm) was similar between the two calculation algorithms. Conclusion: AAA algorithm overestimates lung target dose. Routinely adapting to AXB for dose calculations in Lung SBRT planning may improve dose calculation accuracy, as AXB based calculations have been shown to be closer to Monte Carlo based dose predictions in accuracy and with relatively faster computational time. For clinical practice, revisiting dose-fractionation in Lung SBRT to correct for dose overestimates

Influence of environmental factors on some high dose dosimeter responses in Yazd Radiation Processing Center

International Nuclear Information System (INIS)

Ziaie, F.; Tahami, S.M.; Zareshahi, H.; Lanjanian, H.; Durrani, S.A.

2008-01-01

In this paper attempt has been made to study the influence of temperature and UV light (exist in laboratory due to the fluorescent light or diffused sunlight) on some high dose dosimetry responses that are being used in Yazd Radiation Processing Center (YRPC). The CTA, FWT and B3 film dosimeters were used for this investigation. The correction of the read response of the dosimeters to the real absorbed dose values is very important especially while we need to measure the precise dose values in the medical devices and in foodstuff materials. Yazd city is near to the desert, and so temperature and UV light due to the sun are very different in compare to other cities. Therefore, we tried to investigate the temperature and UV light effects on the dosimeter response in different doses and obtain its variation as a function of temperature (up to ∼60 0 C) and exposure time (up to ∼1 year), respectively

Evaluation of the dose uniformity for double-plane high dose rate interstitial breast implants with the use of dose reference points and dose non-uniformity ratio

International Nuclear Information System (INIS)

MAjor, T.; Polgar, C.; Somogyi, A.; Nemeth, G.

2000-01-01

This study investigated the influence of dwell time optimizations on dose uniformity characterized by dose values in dose points and dose non-uniformity ratio (DNR) and analyzed which implant parameters have influence on the DNR. Double-plane breast implants with catheters arranged in triangular pattern were used for the calculations. At a typical breast implant, dose values in dose reference points inside the target volume and volumes enclosed by given isodose surfaces were calculated and compared for non-optimized and optimized implants. The same 6-cm treatment length was used for the comparisons. Using different optimizations plots of dose non-uniformity ratio as a function of catheter separation, source step size, number of catheters, length of active sections were drawn and the minimum DNR values were determined. Optimization resulted in less variation in dose values over dose points through the whole volume and in the central plane only compared to the non-optimized case. At implant configurations consisting of seven catheters with 15-mm separation, 5-mm source step size and various active lengths adapted according to the type of optimization, the no optimization, geometrical (volume mode) and dose point (on dose points and geometry) optimization resulted in similar treatment volumes, but an increased high dose volume was observed due to the optimization. The dose non-uniformity ratio always had the minimum at average dose over dose normalization points, defined in the midpoints between the catheters through the implant volume. The minimum value of DNR depended on catheter separation, source step size, active length and number of catheters. The optimization had only a small influence on DNR. In addition to the reference points in the central plane only, dose points positioned in the whole implant volume can be used for evaluating the dose uniformity of interstitial implants. The dose optimization increases not only the dose uniformity within the implant but

Assessment of influence of OSL dosimeters in the skin dose in radiotherapy: study for Monte Carlo simulation; Avaliacao da influencia de dosimetros OSL na dose na pele em radioterapia: estudo por simulacao Monte Carlo

Energy Technology Data Exchange (ETDEWEB)

Schuch, Franciely F.; Nicolucci, Patricia, E-mail: franschuch@yahoo.com.br [Universidade de Sao Paulo (USP), Ribeiraoo Preto, SP (Brazil)

2017-11-01

The interest in optically stimulated luminescence (OSL) dosimetry materials is growing due to its potential use in quality control in Radiotherapy. The use of these dosimeters for in vivo dosimetry, however, may influence the dose to the skin and deeper tissues in the patient. The goal of this study is to evaluate the influence of the OSL Al{sub 2}O{sub 3} material in dose deposited in the skin and deep in Radiotherapy. Monte Carlo simulation is used to evaluate this purpose when OSL dosimeters of Al{sub 2}O{sub 3} are positioned on the skin surface of the patient. Percentage depth dose curves for clinical beams of 6 and 10 MV were simulated with and without the presence of the dosimeter on the surface of a water phantom. The results showed a decrease of doses in regions close to the surface of the skin. In the build-up region, the maximum decreases of dose produced by the presence of the dosimeters were 52,5% and 47,5% for the 6 and 10 MV beams, respectively. After the build-up region, there are not significant changes in the doses for any of the used beams. The differences of doses found are due to the influence of the dosimetric material on the relative fluence of electrons near the end surface of the dosimeter. Thus, the results showed that the presence of the dosimetric material on the surface interferes on the skin dose. However, these dosimeters do not cause dose variations in depths of clinical interest, allowing its application in routine in vivo dosimetry in Radiotherapy. (author)

SU-E-T-324: The Influence of Patient Positioning Uncertainties in Proton Radiotherapy On Proton Range and Dose Distributions

Energy Technology Data Exchange (ETDEWEB)

Liebl, J [EBG MedAustron GmbH, Wiener Neustadt (Austria); Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (United States); Medical University of Graz, Graz (Austria); Paganetti, H; Winey, B [Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (United States)

2014-06-01

Purpose: Proton radiotherapy allows radiation treatment delivery with high dose gradients. The nature of such dose distributions increases the influence of patient positioning uncertainties on their fidelity when compared to photon radiotherapy. The present work quantitatively analyzes the influence of setup uncertainties on proton range and dose distributions. Methods: 38 clinical passive scattering treatment fields for small lesions in the head were studied. Dose distributions for shifted and rotated patient positions were Monte Carlo-simulated. Proton range uncertainties at the 50% and 90%-dose falloff position were calculated considering 18 arbitrary combinations of maximal patient position shifts and rotations for two patient positioning methods. Normal tissue complication probabilities (NTCPs), equivalent uniform doses (EUDs) and tumor control probabilities (TCPs) were studied for organs at risk (OARs) and target volumes of eight patients. Results: We identified a median 1σ proton range uncertainty at the 50%-dose falloff of 2.8 mm for anatomy-based patient positioning and 1.6 mm for fiducial-based patient positioning as well as 7.2 mm and 5.8 mm for the 90%-dose falloff position respectively. These range uncertainties were correlated to heterogeneity indices (HIs) calculated for each treatment field (38% < R{sup 2} < 50%). A NTCP increase of more than 10% (absolute) was observed for less than 2.9% (anatomy-based positioning) and 1.2% (fiducial-based positioning) of the studied OARs and patient shifts. TCP decreases larger than 10% (absolute) were seen for less than 2.2% of the target volumes or non-existent. EUD changes were up to 178% for OARs and 35% for target volumes. Conclusion: The influence of patient positioning uncertainties on proton range in therapy of small lesions in the human brain and target and OAR dosimetry were studied. Observed range uncertainties were correlated with HIs. The clinical practice of using multiple compensator

Cost-effectiveness of budesonide/formoterol for maintenance and reliever asthma therapy in Denmark--cost-effectiveness analysis based on five randomised controlled trials

DEFF Research Database (Denmark)

Wickstrøm, Jannie; Dam, Nanna; Malmberg, Irena

2009-01-01

Budesonide/formoterol maintenance and reliever therapy (Symbicort SMART) is an effective asthma-management regime where patients use budesonide/formoterol both as maintenance treatment and as additional doses as needed to improve overall asthma control by reducing symptoms and exacerbations....... The aim of this study was to determine the cost-effectiveness of the Symbicort SMART regime in Denmark vs higher dose inhaled corticosteroid (ICS) plus reliever medication, similar dose inhaled corticosteroid/long-acting beta(2)-agonist (ICS/LABA) combination therapy plus reliever medication or higher...

Developing and evaluating stereotactic lung RT trials: what we should know about the influence of inhomogeneity corrections on dose

Directory of Open Access Journals (Sweden)

Hurkmans Coen W

2008-07-01

Full Text Available Abstract Purpose To investigate the influence of inhomogeneity corrections on stereotactic treatment plans for non-small cell lung cancer and determine the dose delivered to the PTV and OARs. Materials and methods For 26 patients with stage-I NSCLC treatment plans were optimized with unit density (UD, an equivalent pathlength algorithm (EPL, and a collapsed-cone (CC algorithm, prescribing 60 Gy to the PTV. After optimization the first two plans were recalculated with the more accurate CC algorithm. Dose parameters were compared for the three different optimized plans. Dose to the target and OARs was evaluated for the recalculated plans and compared with the planned values. Results For the CC algorithm dose constraints for the ratio of the 50% isodose volume and the PTV, and the V20 Gy are harder to fulfill. After recalculation of the UD and EPL plans large variations in the dose to the PTV were observed. For the unit density plans, the dose to the PTV varied from 42.1 to 63.4 Gy for individual patients. The EPL plans all overestimated the PTV dose (average 48.0 Gy. For the lungs, the recalculated V20 Gy was highly correlated to the planned value, and was 12% higher for the UD plans (R2 = 0.99, and 15% lower for the EPL plans (R2 = 0.96. Conclusion Inhomogeneity corrections have a large influence on the dose delivered to the PTV and OARs for SBRT of lung tumors. A simple rescaling of the dose to the PTV is not possible, implicating that accurate dose calculations are necessary for these treatment plans in order to prevent large discrepancies between planned and actually delivered doses to individual patients.

Influence of lung parameter values for the Brazilian population on inhalation dose

International Nuclear Information System (INIS)

Reis, Arlene A.; Lopes, Ricardo T.

2009-01-01

The Human Respiratory Tract Model (HRTM) proposed by the ICRP Publication 66 accounts for the morphology and physiology of the respiratory tract. The ICRP 66 presents deposition fraction in the respiratory tract regions considering reference values from Caucasian man. However, in order to obtain a more accurate assessment of intake and dose the ICRP recommends the use of specific information when they are available. The main objective of this study is to evaluate the influence in dose calculation to each region of the respiratory tract when physiological parameters from samples of Brazilian population, in different levels of exercise, are applied in the deposition model.The dosimetric model of HRTM was implemented in the software EXCEL for Windows and committed equivalent dose was determined for each respiratory tract region. First it was calculated the total number of nuclear transformations considering the fractional deposition of activity in each source tissue obtained by application of physiological and morphological Brazilian parameters in the deposition model and then it was calculated the total energy absorbed per unit mass in the target tissue.The variation in the fractional deposition in the compartments of the respiratory tract in changing the physiological parameters from Caucasian to Brazilian adult man causes variation in the number of total transformations and also in the equivalent dose in each region of the respiratory tract. The variations are not the same for all regions of the respiratory tract and depend on levels of exercise. (author)

Measurements of dose on build-up region, surface dose and outlet dose by a 10 MeV Linear accelerator

International Nuclear Information System (INIS)

Souza, C.N. de; Khoury, H.J.

1987-01-01

The dose on buildup region and the surface dose for a 10 MeV photon beam from a linear acelerator (Mevatrom-74, Siemens) is studied. The influence of the tray of polycarbonate on the surface dose is determined. (M.A.C.) [pt

Aircraft Maintenance Engineering: Factors Impacting Airlines E-Maintenance Technologies, Authoring and Illustrations

Science.gov (United States)

Karayianes, Frank

The purpose of this research was to evaluate factors influencing acceptance and use of technologies in the field of aircraft maintenance authoring, graphics, and documentation. Maintenance engineering authors convert complex engineering used in aircraft production and transform that data using technology (tools) into usable technical publications data. While the current literature includes a large volume of research in technology acceptance in various domains of industry and business, the problem is that no such studies exist with respect to the aircraft maintenance engineering authoring, allowing any number of tools to be used and acceptance to be unsure. The study was based on theoretical approaches of the Technology Acceptance Model and the associated hypothesis related to eight research questions. A survey questionnaire was developed for data collection from a selected population of aircraft maintenance engineering authors. Data collected from 148 responses were exposed to a range of statistical methods and analyses. Analysis of data were performed within the structural equation model using exploratory factor analysis, confirmatory factor analysis, and a range of regression methods. The analyses generally provided results consistent with prior literature. Two survey questions yielded unexpected results contrary to similar studies. The relationship between prior experience and job level did not show a significant relationship with perceived usefulness or perceived ease of use. Other results included the significant relationship between Perceived Usefulness and Perceived Ease of Use with Technology acceptance. Recommendations include understanding how Technology Acceptance can be improved for the industry and the need for further research not covered to refine recommendations for technology acceptance related to the aviation industry.

Managed maintenance, the next step in power plant maintenance

International Nuclear Information System (INIS)

Butterworth, G.; Anderson, T.M.

1984-01-01

The Westinghouse Nuclear Services Integration Division managed maintenance services are described. Essential to the management and control of a total plant maintenance programme is the development of a comprehensive maintenance specification. During recent years Westinghouse has jointly developed total plant engineering-based maintenance specifications with a number of utilities. The process employed and the experience to date are described. To efficiently implement the maintenance programme Westinghouse has developed a computer software program specifically designed for day to day use at the power plant by maintenance personnel. This program retains an equipment maintenance history, schedules maintenance activities, issues work orders and performs a number of sophisticated analyses of the maintenance backlog and forecast, equipment failure rates, etc. The functions of this software program are described and details of Westinghouse efforts to support the utilities in reducing outage times through development of predefined outage plans for critical report maintenance activities are given. Also described is the experience gained in the training of specialized maintenance personnel, employing competency-based training techniques and equipment mock-ups, and the benefits experienced, in terms of improved quality and productivity of maintenance performed. The success experienced with these methods has caused Westinghouse to expand the use of these training techniques to the more routine skill areas of power plant maintenance. A significant reduction in the operating costs of nuclear power plants will only be brought about by a significant improvement in the quality of maintenance. Westinghouse intends to effect this change by expanding its international service capabilities and to make major investments in order to promote technological developments in the area of power plant maintenance. (author)

Caffeine Citrate Dosing Adjustments to Assure Stable Caffeine Concentrations in Preterm Neonates.

Science.gov (United States)

Koch, Gilbert; Datta, Alexandre N; Jost, Kerstin; Schulzke, Sven M; van den Anker, John; Pfister, Marc

2017-12-01

To identify dosing strategies that will assure stable caffeine concentrations in preterm neonates despite changing caffeine clearance during the first 8 weeks of life. A 3-step simulation approach was used to compute caffeine doses that would achieve stable caffeine concentrations in the first 8 weeks after birth: (1) a mathematical weight change model was developed based on published weight distribution data; (2) a pharmacokinetic model was developed based on published models that accounts for individual body weight, postnatal, and gestational age on caffeine clearance and volume of distribution; and (3) caffeine concentrations were simulated for different dosing regimens. A standard dosing regimen of caffeine citrate (using a 20 mg/kg loading dose and 5 mg/kg/day maintenance dose) is associated with a maximal trough caffeine concentration of 15 mg/L after 1 week of treatment. However, trough concentrations subsequently exhibit a clinically relevant decrease because of increasing clearance. Model-based simulations indicate that an adjusted maintenance dose of 6 mg/kg/day in the second week, 7 mg/kg/day in the third to fourth week and 8 mg/kg/day in the fifth to eighth week assures stable caffeine concentrations with a target trough concentration of 15 mg/L. To assure stable caffeine concentrations during the first 8 weeks of life, the caffeine citrate maintenance dose needs to be increased by 1 mg/kg every 1-2 weeks. These simple adjustments are expected to maintain exposure to stable caffeine concentrations throughout this important developmental period and might enhance both the short- and long-term beneficial effects of caffeine treatment. Copyright © 2017 Elsevier Inc. All rights reserved.

An evaluation of high-dose jobs for ALARA improvement

International Nuclear Information System (INIS)

Mun, J. H.; Kim, H. S.

1997-01-01

It is well known that about 70 percent of occupational dose have incurred from maintenance jobs at outage period. To reduce occupational dose, first, the high-dose jobs at the outage period should be identified and evaluated. For this, the database program is used, which contains the ORE data of reference plants, Kori Units 3 and 4. As a result, it is found that the jobs related to steam generator are the highest dose jobs in terms of collective ORE dose. From the analysis of the job procedures of those jobs, the ALARA improvements are also derived

An open randomized active-controlled clinical trial with low-dose SKA cytokines versus DMARDs evaluating low disease activity maintenance in patients with rheumatoid arthritis

Directory of Open Access Journals (Sweden)

Martin-Martin LS

2017-03-01

Full Text Available LS Martin-Martin,1 F Giovannangeli,2 E Bizzi,2 U Massafra,2 E Ballanti,2 M Cassol,3 A Migliore2 1Department of Internal Medicine, Regina Apostolorum Hospital, 2Operative Unit of Rheumatology, 3Department of Internal Medicine, San Pietro Fatebenefratelli Hospital, Rome, Italy Background: Biologic agents are currently the strongest immunosuppressive drugs able to induce remission in rheumatoid arthritis (RA. One of the objectives of the medical scientific community now is how to maintain remission or low disease activity (LDA. The aim of this trial is to evaluate the contribution of low-dose sequential kinetic activation (SKA IL-4, IL-10, and anti-IL-1 antibodies (10 fg/mL in patients affected by RA in maintaining LDA or remission obtained after biological therapy. Method: This is a randomized, open, active-controlled, prospective, Phase IV trial. Disease activity score (DAS28, clinical disease activity index, simplified disease activity index, erythrocyte sedimentation rate and C-reactive protein levels, global health assessment, and pain visual analog scale were evaluated at baseline visit and then every 3 months together with an assessment of side effects till 12 months. Thirty-nine RA patients were enrolled and randomized to continue disease-modifying antirheumatic drugs (DMARDs therapy or to receive a combination of SKA low-dose cytokines formulated in concentration of 10 fg/mL orally administered at a dose of 20 drops/d for 12 consecutive months. Results: The rate of maintenance of LDA at 12 months was superior in the group treated with low-dose cytokines compared with patients treated with DMARDs, 66.7% and 42.1%, respectively; however, the difference between the groups was not statistically significant. No side effects were reported in both groups. Conclusion: This is the first study using a combination of three low-dose cytokines in RA, after data published on psoriasis. These data suggest that the use of a combination of low-dose SKA

Oil coastal tanker maintenance and availability

Energy Technology Data Exchange (ETDEWEB)

Goldsztejn, Eduardo; Gomez Haedo, Juan Carlos [Government' s Oil Company of Uruguay (ANCAP), Montivideo (Uruguay)

2008-07-01

ANCAP (Government's Oil Company of Uruguay) owns a 4000 DWT oil coastal tanker which is mainly used for oil transport in the River Plate, Uruguay and Parana rivers. Availability of the ship is critical because of shortage of available vessels in the region. Full maximum draught of the vessel is 4m , so it can navigate in very shallow waters as it is the case of some places in the Uruguay and Parana rivers. Although the ship was built in 1979, it is a complete double hull, powered by two twin main engines and propellers. Since 1994, several changes in maintenance management have been introduced, in order to increase the availability, thus increasing the total oil volume yearly transported. These changes affected several maintenance items and they also included a modification in the design of part of the cargo tank floors of the ship. As a result of these changes, an increase of 60% of the oil derivatives volume transported yearly was achieved. In this paper, some of the important improvements on maintenance practises and management are described, together with a quantification of their influence on vessel's availability and overall maintenance costs. (author)

Operations and Maintenance Cost for Stratified Buildings: A Critical Review

Directory of Open Access Journals (Sweden)

Che-Ghani Nor Zaimah

2016-01-01

Full Text Available Building maintenance is essential in preserving buildings’ appearance and performance. It needs to upkeep the building performance to prolong its value and building life cycle. Malaysia is still lacking in managing cost for building operation and maintenance. It has been found that the cost for housing maintenance is high due to poor maintenance practices. In order to get better understanding on how to manage the cost, this study reviews the contributing factors that affecting operation and maintenance cost of stratified buildings in Malaysia. The research first identified the factors through extensive literature review and scrutinize on factors that affecting and can minimize operation and maintenance cost. This literature review offers insight into building maintenance scenario in Malaysia focusing on the issues and challenges. The study also finds that operation and maintenance cost for housing in Malaysia is still in poor state. Interestingly, this paper revealed that operation and maintenance cost is also influenced by three significant factors like expectation of tenants, building characteristics and building defects. Measures to reduce the housing operation and maintenance cost are also highlighted so that this study can be a stepping stone towards proposing efficient and effective facilities management strategies for affordable housing in future.

Program integration of predictive maintenance with reliability centered maintenance

International Nuclear Information System (INIS)

Strong, D.K. Jr; Wray, D.M.

1990-01-01

This paper addresses improving the safety and reliability of power plants in a cost-effective manner by integrating the recently developed reliability centered maintenance techniques with the traditional predictive maintenance techniques of nuclear power plants. The topics of the paper include a description of reliability centered maintenance (RCM), enhancing RCM with predictive maintenance, predictive maintenance programs, condition monitoring techniques, performance test techniques, the mid-Atlantic Reliability Centered Maintenance Users Group, test guides and the benefits of shared guide development

Budesonide/formoterol combination therapy as both maintenance and reliever medication in asthma

DEFF Research Database (Denmark)

O'Byrne, Paul M; Bisgaard, Hans; Godard, Philippe P

2005-01-01

with as-needed bud/form would provide rapid symptom relief and simultaneous adjustment in antiinflammatory therapy, thereby reducing exacerbations. In this double-blind, randomized, parallel-group study, 2,760 patients with asthma aged 4-80 years (FEV1 60-100% predicted) received either terbutaline 0.4 mg...... as SABA with bud/form 80/4.5 microg twice a day (bud/form + SABA) or bud 320 microg twice a day (bud + SABA) or bud/form 80/4.5 microg twice a day with 80/4.5 microg as-needed (bud/form maintenance + relief). Children used a once-nocte maintenance dose. Bud/form maintenance + relief prolonged time...... to first severe exacerbation (p relief also prolonged...

CY 1995 radiation dose reconciliation report and resulting CY 1996 dose estimate for the 324 nuclear facility

International Nuclear Information System (INIS)

Landsman, S.D.; Thornhill, R.E.; Peterson, C.A.

1996-04-01

In this report, the dose estimate for CY 1995 is reconciled by month wih actual doses received. Results of the reconciliation were used to revise estimates of worker dose for CY 1996. Resulting dose estimate for the facility is also included. Support for two major programs (B-Cell Cleanout and Surveillance and Maintenance) accounts for most of the exposure received by workers in the faility. Most of the expousre received by workers comes from work in the Radiochemical Engineering Complex airlock. In spite of schedule and work scope changes during CY 1995, dose estimates were close to actual exposures received. A number of ALARA measures were taken throughout the year; exposure reduction due to those was 20.6 Man-Rem, a 28% reduction from the CY 1995 estimate. Baseline estimates for various tasks in the facility were used to compile the CY 1996 dose estimate of 45.4 Man-Rem; facility goal for CY 1996 is to reduce worker dose by 20%, to 36.3 Man-Rem

Tools to support maintenance strategies under soft soil conditions

Directory of Open Access Journals (Sweden)

J. W. M. Lambert

2015-11-01

Full Text Available Costs for maintenance of infrastructure in municipalities with soft soil underground conditions, are estimated to be almost 40 % higher than in others. As a result, these municipalities meet financial problems that cause overdue maintenance. In some cases municipalities are even afraid to be unable to offer a minimum service level in future. In common, traditional practice, roads and sewerage systems have been constructed in trenches that consist of sandy material that replaces the upper meters of the soft soil. Under influence of its weight, this causes accelerated settlements of the construction. A number of alternative constructions have been developed, e.g. using light-weight materials to limit settlement velocity. In order to limit future maintenance costs, improvement of maintenance strategies is desired. Tools have been and will be developed to support municipalities in improving their maintenance strategies and save money by doing that. A model (BALANS that weighs the attractiveness of alternative solutions under different soil, environmental and economic circumstances, will be presented.

Occupational dose estimates for a monitored retrievable storage facility

International Nuclear Information System (INIS)

Harty, R.; Stoetzel, G.A.

1986-06-01

Occupational doses were estimated for radiation workers at the monitored retrievable storage (MRS) facility. This study provides an estimate of the occupational dose based on the current MRS facility design, examines the extent that various design parameters and assumptions affect the dose estimates, and identifies the areas and activities where exposures can be reduced most effectively. Occupational doses were estimated for both the primary storage concept and the alternate storage concept. The dose estimates indicate the annual dose to all radiation workers will be below the 5 rem/yr federal dose equivalent limit. However, the estimated dose to most of the receiving and storage crew (the workers responsible for the receipt, storage, and surveillance of the spent fuel and its subsequent retrieval), to the crane maintenance technicians, and to the cold and remote maintenance technicians is above the design objective of 1 rem/yr. The highest annual dose is received by the riggers (4.7 rem) in the receiving and storage crew. An indication of the extent to which various design parameters and assumptions affect the dose estimates was obtained by changing various design-based assumptions such as work procedures, background dose rates in radiation zones, and the amount of fuel received and stored annually. The study indicated that a combination of remote operations, increased shielding, and additional personnel (for specific jobs) or changes in operating procedures will be necessary to reduce worker doses below 1.0 rem/yr. Operations that could be made at least partially remote include the removal and replacement of the tiedowns, impact limiters, and personnel barriers from the shipping casks and the removal or installation of the inner closure bolts. Reductions of the background dose rates in the receiving/shipping and the transfer/discharge areas may be accomplished with additional shielding

[Addictive behavior after starting buprenorphine maintenance treatment].

Science.gov (United States)

Fanello, Serge; Daoud, Sidi; Panici, Jean Yves; Parot, Elsa; Hitoto, Hicombo; Garnier, François

2006-02-01

This study of a cohort of drug addicts receiving buprenorphine maintenance treatment in a district in western France focused on changes in their drug use and their social and work lives. It also looked at the health consequences of their drug use before and after maintenance treatment (mean: four years). From the files of an agency providing services to drug addicts, we randomly selected 180 of the 236 patients receiving buprenorphine maintenance treatment (BMT). Usable questionnaires were returned by 118 subjects (66% response rate). This self-administered questionnaire included 32 items. The respondents accounted for half the population receiving drug maintenance treatment and were representative of the population for age and sex. The mean age was 30 +/- 5 years, mean BMT dose 6,5 mg/day, and mean duration of drug maintenance treatment 47 +/- 27 months. Other drug use diminished during the four years of maintenance treatment: three of every four heroin users had stopped, opiate users dropped from 31% to 5% of the population, and cocaine use followed a similar trend. Benzodiazepine use also fell, but remained relatively frequent (27%, compared with 68% four years earlier). Drinking patterns changed from strongly alcoholic beverages to lower-proof drinks. Arrest rates dropped from 70% to 25%. The percentage of persons seropositive for HIV (4%) and HCV (33%) remained low, but too many subjects had not been screened (35%). Roughly 10% of these subjects had returned to work, mainly those who had cut their drug use most. While our survey reveals some positive points, especially a reduction in illegal drug use, several negative observations appeared, including combined use of cannabis and benzodiazepines, inadequate screening, and misuse of BMD. These results underline how important it is for care providers to focus simultaneously on medical treatment and identification of co-morbidities and to provide social work when necessary. The employment rate remains too low.

Influence of radiation dose and iterative reconstruction algorithms for measurement accuracy and reproducibility of pulmonary nodule volumetry: A phantom study.

Science.gov (United States)

Kim, Hyungjin; Park, Chang Min; Song, Yong Sub; Lee, Sang Min; Goo, Jin Mo

2014-05-01

To evaluate the influence of radiation dose settings and reconstruction algorithms on the measurement accuracy and reproducibility of semi-automated pulmonary nodule volumetry. CT scans were performed on a chest phantom containing various nodules (10 and 12mm; +100, -630 and -800HU) at 120kVp with tube current-time settings of 10, 20, 50, and 100mAs. Each CT was reconstructed using filtered back projection (FBP), iDose(4) and iterative model reconstruction (IMR). Semi-automated volumetry was performed by two radiologists using commercial volumetry software for nodules at each CT dataset. Noise, contrast-to-noise ratio and signal-to-noise ratio of CT images were also obtained. The absolute percentage measurement errors and differences were then calculated for volume and mass. The influence of radiation dose and reconstruction algorithm on measurement accuracy, reproducibility and objective image quality metrics was analyzed using generalized estimating equations. Measurement accuracy and reproducibility of nodule volume and mass were not significantly associated with CT radiation dose settings or reconstruction algorithms (p>0.05). Objective image quality metrics of CT images were superior in IMR than in FBP or iDose(4) at all radiation dose settings (pvolumetry can be applied to low- or ultralow-dose chest CT with usage of a novel iterative reconstruction algorithm without losing measurement accuracy and reproducibility. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Object and operation supported maintenance for mining equipment

Directory of Open Access Journals (Sweden)

Walter Bartelmus

2014-09-01

Full Text Available The paper aroused in answer to discussion in Mining Magazine (MM September 2011 and July/August 2013. The paper shows that discussion given in the MM issue July/August 2013 does not fulfill expectations expressed in MM issue 2011. The presented paper is the review on maintenance that is based on condition monitoring as tool for detection of faults and failure prevention. Fault and failure are regarded as inevitable during the machine operation as the process of wear and the process of degradation. The question is, if one can influence the wear and degradation process, using condition monitoring. The paper will present technology (in reference to cited papers which demonstrates that the use of the proper method can influence the wear and machine degradation process, using proper condition monitoring techniques and knowing scenarios of wear and degradation process, the maintenance can be rationalized. The presented paper shows possible improvements which are needed to fulfill expectations expressed in MM September 2011 and they are not taken into consideration in MM July/August 3013. These improvements can be fulfilling on the bases of object and operation supported maintenance.

Pancreatic enzyme replacement therapy in cystic fibrosis: dose, variability and coefficient of fat absorption

Directory of Open Access Journals (Sweden)

Joaquim Calvo-Lerma

Full Text Available Objectives: Pancreatic enzyme replacement therapy (PERT remains a backbone in the nutritional treatment of cystic fibrosis. Currently, there is a lack of an evidence-based tool that allows dose adjustment. To date, no studies have found an association between PERT dose and fat absorption. Therefore, the aim of the study was to assess the influence of both the PERT dose and the variability in this dose on the coefficient of fat absorption (CFA. Methods: This is a retrospective longitudinal study of 16 pediatric patients (192 food records with three consecutive visits to the hospital over a twelve-month period. Dietary fat intake and PERT were assessed via a four-day food record and fat content in stools was determined by means of a three-day stool sample collection. A beta regression model was built to explain the association between the CFA and the interaction between the PERT dose (lipase units [LU]/g dietary fat and the variability in the PERT dose (standard deviation [SD]. Results: The coefficient of fat absorption increased with the PERT dose when the variability in the dose was low. In contrast, even at the highest PERT dose values, the CFA decreased when the variability was high. The confidence interval suggested an association, although the analysis was not statistically significant. Conclusion: The variability in the PERT dose adjustment should be taken into consideration when performing studies on PERT efficiency. A clinical goal should be the maintenance of a constant PERT dose rather than trying to obtain an optimal value.

Pancreatic enzyme replacement therapy in cystic fibrosis: dose, variability and coefficient of fat absorption.

Science.gov (United States)

Calvo-Lerma, Joaquim; Martínez-Barona, Sandra; Masip, Etna; Fornés, Victoria; Ribes-Koninckx, Carmen

2017-10-01

Pancreatic enzyme replacement therapy (PERT) remains a backbone in the nutritional treatment of cystic fibrosis. Currently, there is a lack of an evidence-based tool that allows dose adjustment. To date, no studies have found an association between PERT dose and fat absorption. Therefore, the aim of the study was to assess the influence of both the PERT dose and the variability in this dose on the coefficient of fat absorption (CFA). This is a retrospective longitudinal study of 16 pediatric patients (192 food records) with three consecutive visits to the hospital over a twelve-month period. Dietary fat intake and PERT were assessed via a four-day food record and fat content in stools was determined by means of a three-day stool sample collection. A beta regression model was built to explain the association between the CFA and the interaction between the PERT dose (lipase units [LU]/g dietary fat) and the variability in the PERT dose (standard deviation [SD]). The coefficient of fat absorption increased with the PERT dose when the variability in the dose was low. In contrast, even at the highest PERT dose values, the CFA decreased when the variability was high. The confidence interval suggested an association, although the analysis was not statistically significant. The variability in the PERT dose adjustment should be taken into consideration when performing studies on PERT efficiency. A clinical goal should be the maintenance of a constant PERT dose rather than trying to obtain an optimal value.

Six Sigma methodology as a road to intelligent maintenance

Directory of Open Access Journals (Sweden)

Michał Zasadzień

2017-06-01

Full Text Available An enterprise which is managed in a modern way should be based on the concept of knowledge management. It is particularly important in the case of processes related to facility maintenance, where the efficiency and effectiveness of work is directly connected with the employees’ knowledge. Improvement of processes involved in facility maintenance has a real influence on the productivity of a manufacturing enterprise. High accessibility of technical equipment and its correct functioning influence not only production efficiency but also the quality of products and the safety of operators. The article is a description of an attempt to implement one of quality engineering methods for improving the facility maintenance process. The author decided to use the 8D method to shorten the duration of downtimes caused by breakdowns. Owing to the conducted analysis and the implementation of the improvement and preventive actions, we were able to shorten the duration of a downtime of a machine having a crucial importance for the company. Investigations and implementation were conducted in one of Silesian production plants.

Acinetobacter Prosthetic Joint Infection Treated with Debridement and High-Dose Tigecycline.

Science.gov (United States)

Vila, Andrea; Pagella, Hugo; Amadio, Claudio; Leiva, Alejandro

2016-12-01

Prosthesis retention is not recommended for multidrug-resistant Acinetobacter prosthetic joint infection due to its high failure rate. Nevertheless, replacing the prosthesis implies high morbidity and prolonged hospitalization. Although tigecycline is not approved for the treatment of prosthetic joint infection due to multidrug resistant Acinetobacter baumannii, its appropriate use may preclude prosthesis exchange. Since the area under the curve divided by the minimum inhibitory concentration is the best pharmacodynamic predictor of its efficacy, we used tigecycline at high dose, in order to optimize its efficacy and achieve implant retention in 3 patients who refused prosthesis exchange. All patients with prosthetic joint infections treated at our Institution are prospectively registered in a database. Three patients with early prosthetic joint infection of total hip arthroplasty due to multidrug resistant A. baumannii were treated with debridement, antibiotics and implant retention, using a high maintenance dose of tigecycline (100 mg every 12 hours). The cases were retrospectively reviewed. All patients signed informed consent for receiving off-label use of tigecycline. Tigecycline was well tolerated, allowing its administration at high maintenance dose for a median of 40 days (range 30-60). Two patients were then switched to minocycline at standard doses for a median of 3.3 months in order to complete treatment. Currently, none of the patients showed relapse. Increasing the dose of tigecycline could be considered as a means to better attain pharmacodynamic targets in patients with severe or difficult-to-treat infections. Tigecycline at high maintenance dose might be useful when retention of the implant is attempted for treatment for prosthetic joint infections due to multidrug resistant Acinetobacter. Although this approach might be promising, off-label use of tigecycline should be interpreted cautiously until prospective data are available. Tigecycline is

Robustness evaluation of cutting tool maintenance planning for soft ground tunneling projects

Directory of Open Access Journals (Sweden)

Alena Conrads

2018-03-01

Full Text Available Tunnel boring machines require extensive maintenance and inspection effort to provide a high availability. The cutting tools of the cutting wheel must be changed timely upon reaching a critical condition. While one possible maintenance strategy is to change tools only when it is absolutely necessary, tools can also be changed preventively to avoid further damages. Such different maintenance strategies influence the maintenance duration and the overall project performance. However, determine downtime related to a particular maintenance strategy is still a challenging task. This paper shows an analysis of the robustness to achieve the planned project performance of a maintenance strategy considering uncertainties of wear behavior of the cutting tools. A simulation based analysis is presented, implementing an empirical wear prediction model. Different strategies of maintenance planning are compared by performing a parameter variation study including Monte-Carlo simulations. The maintenance costs are calculated and evaluated with respect to their robustness. Finally, an improved and robust maintenance strategy has been determined. Keywords: Mechanized tunneling, Maintenance, Wear of cutting tools, Process simulation, Robustness, Uncertainty modeling

Effective maintenance practices to manage system aging

International Nuclear Information System (INIS)

Chockie, A.; Bjorkelo, K.

1992-01-01

For a variety of economic and technical reasons, there has been a growing concern with the aging of complex systems and components and the role that maintenance can play in reducing this degradation. A study for the Nuclear Regulatory Commission was recently undertaken to identify effective maintenance practices that could be adapted by the nuclear industry in the United States to assist in managing the aging degradation of plant systems and components. Four organizations were examined to assess the influence that their maintenance programs have on their ability to address the systems and component aging degradation issues. An effective maintenance program was found to be essential to the management of system and component aging. The four key elements of an effective maintenance program that are important to an aging management program were identified. These are: the selection of critical systems and components; the development of an understanding of aging through the collection and analysis of equipment performance information; the development of appropriate preventive and predictive maintenance tasks to manage equipment and system aging degradation; the use of feedback mechanisms to continuously improve the management of aging systems and components. These elements were found to be common to all four organizations. In examining how the four organizations have structured their maintenance programs to include these key elements provides valuable lessons not only for the nuclear power industry, but also for any industrial organization that is concerned with the management of system and component aging degradation. This document provides detail, of these studies

Dose rate in the reactor room and environment during maintenance in fusion reactors

International Nuclear Information System (INIS)

Maki, Koichi; Satoh, Satoshi; Takatsu, Hideyuki; Seki, Yasushi

1995-01-01

According to the International Thermonuclear Experimental Reactor (ITER) conceptual design activity, after reactor shutdown, damaged segments are pulled up from the reactor and hung from the reactor room ceiling by a remote handling device. The dose rate in the reactor room and the environment is estimated for this situation, and the following results are obtained. First, the dose rate in the room is > 10 8 μSv/h. Since this dose rate is 10 7 times greater than the biological radiation shielding design limit of 25 μSv/h, workers cannot enter the room. Second, lenses and optical fiber composed of glass that is radiation resistant up to 10 6 Gy would be damaged after <100 h near the segment, and devices using semiconductors could not work after several hours or so in the aforementioned dose-rate conditions. Third, during suspension of one blanket segment from the ceiling, the dose rate in the site boundary can be reduced by one order by a 23-cm-thicker reactor building roof. To reduce dose rate in public exposure to a value that is less than one-tenth of the public exposure radiation shielding design limit of 100 μSv/yr, the distance of the site boundary from the reactor must be greater than 200 m for a reactor building with a 160-cm-thick concrete roof. 9 refs., 6 figs., 2 tabs

Research on Application of FMECA in Missile Equipment Maintenance Decision

Science.gov (United States)

Kun, Wang

2018-03-01

Fault mode effects and criticality analysis (FMECA) is a method widely used in engineering. Studying the application of FMEA technology in military equipment maintenance decision-making, can help us build a better equipment maintenance support system, and increase the using efficiency of weapons and equipment. Through Failure Modes, Effects and Criticality Analysis (FMECA) of equipment, known and potential failure modes and their causes are found out, and the influence on the equipment performance, operation success, personnel security are determined. Furthermore, according to the synthetical effects of the severity of effects and the failure probability, possible measures for prevention and correction are put forward. Through replacing or adjusting the corresponding parts, corresponding maintenance strategy is decided for preventive maintenance of equipment, which helps improve the equipment reliability.

Flight Crew Health Maintenance

Science.gov (United States)

Gullett, C. C.

1970-01-01

The health maintenance program for commercial flight crew personnel includes diet, weight control, and exercise to prevent heart disease development and disability grounding. The very high correlation between hypertension and overweight in cardiovascular diseases significantly influences the prognosis for a coronary prone individual and results in a high rejection rate of active military pilots applying for civilian jobs. In addition to physical fitness the major items stressed in pilot selection are: emotional maturity, glucose tolerance, and family health history.

Maintaining occupational dose ALARA through work management

International Nuclear Information System (INIS)

Khan, A. H.

1999-01-01

Canadian philosophy in keeping occupational dose ALARA has been to train staff in radiation safety so that they can be fully responsible for participating in minimizing the risks associated with the hazardous work. Senior managers actively promote high standards of performance in dose reduction techniques as a means for integrating ALARA into the operation and maintenance of the station by all personnel. Minimizing radiation dose is accomplished by applying cost effective work management techniques such as Job Safety Analysis, pre-job briefings and establishing and achieving radiation dose goals. Radiation dose goals are used as a management tool for involving all work groups in reducing doses as well as providing a means of assessing the effectiveness of dose reduction actions. ALARA, along with conventional safety, is used as a lever to raise the standard of quality of work and to overall build a safety culture. (author). 4 figs

Computed tomography-based treatment planning for high-dose-rate brachytherapy using the tandem and ring applicator: influence of applicator choice on organ dose and inter-fraction adaptive planning

Directory of Open Access Journals (Sweden)

Vishruta A. Dumane

2017-06-01

Full Text Available Three dimensional planning for high-dose-rate (HDR brachytherapy in cervical cancer has been highly recommended by consensus guidelines such as the American Brachytherapy Society (ABS and the Groupe Européen de Curiethérapie – European Society for Radiotherapy and Oncology (GEC-ESTRO. In this document, we describe our experience with computed tomography (CT-based planning using the tandem/ring applicator. We discuss the influence of applicator geometry on doses to organs at risk (OARs, namely the bladder, rectum, and sigmoid. Through example cases with dose prescribed to point A, we demonstrate how adaptive planning can help achieve constraints to the OARs as per guidelines.

Influence of nuclear interactions in body tissues on tumor dose in carbon-ion radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Inaniwa, T., E-mail: taku@nirs.go.jp; Kanematsu, N. [Medical Physics Research Program, Research Center for Charged Particle Therapy, National Institute of Radiological Sciences, Anagawa 4-9-1, Inage-ku, Chiba 263-8555 (Japan); Tsuji, H.; Kamada, T. [Hospital, Research Center for Charged Particle Therapy, National Institute of Radiological Sciences, 4-9-1 Anagawa, Inage-ku, Chiba 263-8555 (Japan)

2015-12-15

Purpose: In carbon-ion radiotherapy treatment planning, the planar integrated dose (PID) measured in water is applied to the patient dose calculation with density scaling using the stopping power ratio. Since body tissues are chemically different from water, this dose calculation can be subject to errors, particularly due to differences in inelastic nuclear interactions. In recent studies, the authors proposed and validated a PID correction method for these errors. In the present study, the authors used this correction method to assess the influence of these nuclear interactions in body tissues on tumor dose in various clinical cases. Methods: Using 10–20 cases each of prostate, head and neck (HN), bone and soft tissue (BS), lung, liver, pancreas, and uterine neoplasms, the authors first used treatment plans for carbon-ion radiotherapy without nuclear interaction correction to derive uncorrected dose distributions. The authors then compared these distributions with recalculated distributions using the nuclear interaction correction (corrected dose distributions). Results: Median (25%/75% quartiles) differences between the target mean uncorrected doses and corrected doses were 0.2% (0.1%/0.2%), 0.0% (0.0%/0.0%), −0.3% (−0.4%/−0.2%), −0.1% (−0.2%/−0.1%), −0.1% (−0.2%/0.0%), −0.4% (−0.5%/−0.1%), and −0.3% (−0.4%/0.0%) for the prostate, HN, BS, lung, liver, pancreas, and uterine cases, respectively. The largest difference of −1.6% in target mean and −2.5% at maximum were observed in a uterine case. Conclusions: For most clinical cases, dose calculation errors due to the water nonequivalence of the tissues in nuclear interactions would be marginal compared to intrinsic uncertainties in treatment planning, patient setup, beam delivery, and clinical response. In some extreme cases, however, these errors can be substantial. Accordingly, this correction method should be routinely applied to treatment planning in clinical practice.

Appropriate zinc addition management into PWR primary coolant after the plant long-term maintenance

International Nuclear Information System (INIS)

Hirose, Atsushi; Matsui, Ryo; Imamura, Haruki; Takahashi, Akira; Shimizu, Yuichi; Kogawa, Noritaka; Nagamine, Kunitaka

2014-01-01

Zinc addition into the PWR primary coolant is known as an effective method to reduce the radioactivity build up. The reduction effect has been confirmed by actual plant experience of the Genkai Nuclear Power Plant Unit 1 to 4 and the Sendai Nuclear Power Plant Unit 1 to 2 which are operated by Kyushu Electric Power Co. in Japan. Zinc addition is suspended at shut-down, and is resumed after heat up or arrival at full power. In usual maintenance, the period when zinc addition is not applied is short; thus it is considered that suspension of zinc addition does not have practical influence on the corrosion and the radioactivity buildup in the oxide layer of surface for the primary equipment and piping. On the other hand, in case the maintenance period is much longer, the new oxide which does not contain zinc has grown, and then the structure of the oxide layer may be changed. Therefore, it is considered that zinc addition suspension in long-term period has possibilities to deteriorate the dose reduction effect. In order to verify the effect of long-term suspension of zinc addition upon oxide layer, the lab experiment was carried out using TT690 alloy which is the constitution material of the steam generator tubes under the conditions of long-term and the subsequent resuming operations. After the experiment, the specimens were analyzed by IMA and chemical analysis. These measurement results suggest the difference of the oxide layer is little or none between long-term suspension of zinc addition and short-term suspension of zinc suspension. Hence it is considered that influence of long-term maintenance on the oxide layer is small. Furthermore, in this study, in order to evaluate the influence of the suspension of zinc addition in the operation period, specimens of oxide film formed with zinc were carried out the corrosion test in the simulated RCS condition without zinc. These measurement results indicate the effect of reduction of the activity build up will become less

Maintenance, outages and chemistry really can be compatible

International Nuclear Information System (INIS)

Roberts, J.G.; Deaconescu, R.

2006-01-01

'Full text:' In their address to the Canadian Nuclear Society, Bruce Power's Chemistry Design staff will describe how maintenance and outages can impact negatively on chemistry control and asset protection. Considerations of material impacts and material condition have significant influences on the approach to, and control of, chemistry. This applies equally to operation as it does during unit and/or system outages. Ideas will be presented as to how to facilitate making maintenance, outages and chemistry compatible. It will be shown how the lack of such an approach can lead to disastrous results. (author)

TECHNICAL MAINTENANCE EFFICIENCY OF THE AIRCRAFT MAINTENANCE-FREE ON-BOARD SYSTEM BETWEEN SCHEDULED MAINTENANCES

Directory of Open Access Journals (Sweden)

A. M. Bronnikov

2017-01-01

Full Text Available The avionics concept of the maintenance-free on-board equipment implies the absence of necessity to maintain onboard systems between scheduled maintenance, preserving the required operational and technical characteristics; it should be achieved by automatic diagnosis of the technical condition and the application of active means of ensuring a failsafe design, allowing to change the structure of the system to maintain its functions in case of failure. It is supposed that such equipment will reduce substantially and in the limit eliminate traditional maintenance of aircraft between scheduled maintenance, ensuring maximum readiness for use, along with improving safety. The paper proposes a methodology for evaluating the efficiency of maintenance-free between scheduled maintenance aircraft system with homogeneous redundancy. The excessive redundant elements allow the system to accumulate failures which are repaired during the routine maintenance. If the number of failures of any reserve is approaching a critical value, the recovery of the on-board system (elimination of all failures is carried out between scheduled maintenance by conducting rescue and recovery operations. It is believed that service work leads to the elimination of all failures and completely updates the on-board system. The process of system operational status changes is described with the discrete-continuous model in the flight time. The average losses in the sorties and the average cost of operation are used as integrated efficiency indicators of system operation. For example, the evaluation of the operation efficiency of formalized on-board system with homogeneous redundancy demonstrates the efficiency of the proposed methodology and the possibility of its use while analyzing the efficiency of the maintenance-free operation equipment between scheduled periods. As well as a comparative analysis of maintenance-free operation efficiency of the on-board system with excessive

Influence of control group therapy on the benefit from dose-dense chemotherapy in early breast cancer: a systemic review and meta-analysis.

Science.gov (United States)

Goldvaser, Hadar; Majeed, Habeeb; Ribnikar, Domen; Šeruga, Boštjan; Ocaña, Alberto; Cescon, David W; Amir, Eitan

2018-02-08

Results from clinical trials of adjuvant dose-dense chemotherapy in patients with breast cancer are inconsistent. A systematic search of MEDLINE identified studies comparing the efficacy of dose-dense adjuvant chemotherapy to a standard treatment. The primary analysis included studies that used identical regimens in the experimental and control groups, but varied only dose density. A secondary analysis included studies that used either different drugs or doses in the experimental and the control groups. Hazard ratios (HRs) and 95% confidence intervals were computed for disease-free survival (DFS) and overall survival (OS) and pooled in a meta-analysis. Subgroup analyses and meta-regression explored drug schedules utilized in control groups and the influence of clinicopathologic variables on benefit from dose-dense therapy. The primary analysis included 5 studies comprising 9819 patients while the secondary analysis included 6 studies comprising 9679 patients. Dose-dense treatment significantly improved DFS (HR 0.85, p benefit was observed in pre-menopausal women and those with nodal involvement, but there was no influence of hormone receptor status on results. Adjuvant dose-dense regimens improve breast cancer outcomes. It remains uncertain whether the observed benefit reflects the impact of dose density or the inferiority of paclitaxel every 3 weeks as a control group.

Operation and maintenance of the RB reactor, Annual report for 1978

International Nuclear Information System (INIS)

Sotic, O.; Vranic, S.

1978-01-01

The annual report for 1978 includes the following: utilization of the RB reactor; producing the new safety report; improvement of experimental possibilities of the RB reactor; state of the reactor equipment; dosimetry and radiation protection; reactor staff. Four annexes to this report are concerned with: operation of the reactor at higher power levels; performance of the instrumentation, radiation doses during operation; gamma radiation doses after reactor shutdown; properties of the neutron converter (optimization of the rector-converter coupling; maintenance of the reactor equipment; purchase of new equipment

Influence of radiation dose and iterative reconstruction algorithms for measurement accuracy and reproducibility of pulmonary nodule volumetry: A phantom study

International Nuclear Information System (INIS)

Kim, Hyungjin; Park, Chang Min; Song, Yong Sub; Lee, Sang Min; Goo, Jin Mo

2014-01-01

Purpose: To evaluate the influence of radiation dose settings and reconstruction algorithms on the measurement accuracy and reproducibility of semi-automated pulmonary nodule volumetry. Materials and methods: CT scans were performed on a chest phantom containing various nodules (10 and 12 mm; +100, −630 and −800 HU) at 120 kVp with tube current–time settings of 10, 20, 50, and 100 mAs. Each CT was reconstructed using filtered back projection (FBP), iDose 4 and iterative model reconstruction (IMR). Semi-automated volumetry was performed by two radiologists using commercial volumetry software for nodules at each CT dataset. Noise, contrast-to-noise ratio and signal-to-noise ratio of CT images were also obtained. The absolute percentage measurement errors and differences were then calculated for volume and mass. The influence of radiation dose and reconstruction algorithm on measurement accuracy, reproducibility and objective image quality metrics was analyzed using generalized estimating equations. Results: Measurement accuracy and reproducibility of nodule volume and mass were not significantly associated with CT radiation dose settings or reconstruction algorithms (p > 0.05). Objective image quality metrics of CT images were superior in IMR than in FBP or iDose 4 at all radiation dose settings (p < 0.05). Conclusion: Semi-automated nodule volumetry can be applied to low- or ultralow-dose chest CT with usage of a novel iterative reconstruction algorithm without losing measurement accuracy and reproducibility

Influence of radiation dose and iterative reconstruction algorithms for measurement accuracy and reproducibility of pulmonary nodule volumetry: A phantom study

Energy Technology Data Exchange (ETDEWEB)

Kim, Hyungjin, E-mail: khj.snuh@gmail.com [Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Park, Chang Min, E-mail: cmpark@radiol.snu.ac.kr [Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Cancer Research Institute, Seoul National University, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Song, Yong Sub, E-mail: terasong@gmail.com [Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Lee, Sang Min, E-mail: sangmin.lee.md@gmail.com [Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Goo, Jin Mo, E-mail: jmgoo@plaza.snu.ac.kr [Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of); Cancer Research Institute, Seoul National University, 101, Daehangno, Jongno-gu, Seoul 110-744 (Korea, Republic of)

2014-05-15

Purpose: To evaluate the influence of radiation dose settings and reconstruction algorithms on the measurement accuracy and reproducibility of semi-automated pulmonary nodule volumetry. Materials and methods: CT scans were performed on a chest phantom containing various nodules (10 and 12 mm; +100, −630 and −800 HU) at 120 kVp with tube current–time settings of 10, 20, 50, and 100 mAs. Each CT was reconstructed using filtered back projection (FBP), iDose{sup 4} and iterative model reconstruction (IMR). Semi-automated volumetry was performed by two radiologists using commercial volumetry software for nodules at each CT dataset. Noise, contrast-to-noise ratio and signal-to-noise ratio of CT images were also obtained. The absolute percentage measurement errors and differences were then calculated for volume and mass. The influence of radiation dose and reconstruction algorithm on measurement accuracy, reproducibility and objective image quality metrics was analyzed using generalized estimating equations. Results: Measurement accuracy and reproducibility of nodule volume and mass were not significantly associated with CT radiation dose settings or reconstruction algorithms (p > 0.05). Objective image quality metrics of CT images were superior in IMR than in FBP or iDose{sup 4} at all radiation dose settings (p < 0.05). Conclusion: Semi-automated nodule volumetry can be applied to low- or ultralow-dose chest CT with usage of a novel iterative reconstruction algorithm without losing measurement accuracy and reproducibility.

Maintenance methods

International Nuclear Information System (INIS)

Sanchis, H.; Aucher, P.

1990-01-01

The maintenance method applied at the Hague is summarized. The method was developed in order to solve problems relating to: the different specialist fields, the need for homogeneity in the maintenance work, the equipment diversity, the increase of the materials used at the Hague's new facilities. The aim of the method is to create a knowhow formalism, to facilitate maintenance, to ensure the running of the operations and to improve the estimation of the maintenance cost. One of the method's difficulties is the demonstration of the profitability of the maintenance operations [fr

Influence of hydrazine primary water chemistry on corrosion of fuel cladding and primary circuit components

International Nuclear Information System (INIS)

Iourmanov, V.; Pashevich, V.; Bogancs, J.; Tilky, P.; Schunk, J.; Pinter, T.

1999-01-01

Earlier at Paks 1-4 NPP standard ammonia chemistry was in use. The following station performance indicators were improved when hydrazine primary water chemistry was introduced: occupational radiation exposures of personnel; gamma-radiation dose rates near primary system components during refuelling and maintenance outages. The reduction of radiation exposures and radiation fields were achieved without significant expenses. Recent results of experimental studies allowed to explain the mechanism of hydrazine dosing influence on: corrosion rate of structure materials in primary coolant; behaviour of soluble and insoluble corrosion products including long-life corrosion-induced radionuclides in primary system during steady-state and transient operation modes; radiolytic generation of oxidising radiolytic products in core and its corrosion activity in primary system; radiation situation during refuelling and maintenance outages; foreign material degradation and removal (including corrosion active oxidant species) from primary system during abnormal events. Operational experience and experimental data have shown that hydrazine primary water chemistry allows to reduce corrosion wear and thereby makes it possible to extend the life-time of plant components in primary system. (author)

Interval of Routine Maintenance and Maintenance Performance: A Literature Review

Directory of Open Access Journals (Sweden)

Au-Yong Cheong Peng

2016-01-01

Full Text Available In high-rise residential buildings, the quality of facilities management services is significant to the normal operation of the facilities. Unfortunately, lack of concern towards building maintenance, especially preventive maintenance, happens in domestic housing industry in Malaysia. Majority of the maintenance operations of condominiums suffer from lack of planning, lack of proactive maintenance plan, and lack of proper implementation. Thus, this paper reviews the implementation of preventive maintenance strategy, routine maintenance in specific. An extensive review of literature published in 1987 to 2014 is performed for the purpose of this research. The publications are sourced from journal articles, conference proceedings and books. The literature analysis confirms that the routine maintenance of facilities and building services is vital and it can be influential towards the maintenance performance. Subsequently, a theoretical framework is developed, which shows the relationship between routine maintenance of building facilities & services and maintenance performance. The building facilities & services are divided into two categories. They are essential facilities & services that ensure the safety, health, habitability, and operability of buildings; while value-added facilities & services deal with property value, return on investment, and quality living of buildings. Based on the findings, a future research is proposed, which aims to identify the appropriate routine of maintenance for the facilities and services in high-rise residential buildings to improve the maintenance performance.

Influence of high dose irradiation on core structural and fuel materials in advanced reactors

International Nuclear Information System (INIS)

1998-08-01

The IAEA International Working Group on Fast Reactors (IWGFR) periodically organizes meeting to discuss and review important aspects of fast reactor technology. The fifth meeting held in Obninsk, Russian Federation, 16-19 June 1997, was devoted to the influence of high dose irradiation on the mechanical properties of reactor core structural and fuel materials. The proceedings includes the papers submitted at this meeting each with a separate abstract

The influence of dose fractionation and dose rate on normal tissue responses

International Nuclear Information System (INIS)

Barendsen, G.W.

1982-01-01

An analysis of responses of a variety of normal tissues in animals to fractionated irradiations has been made with the aim of developing a formalism for the prediction of tolerance doses as a function of the dose per fraction and the overall treatment time. An important feature of the formalism is that it is directly based on radiological insights and therefore provides a logical concept to account for the diversity of tissue responses. (Auth.)

A condition-based maintenance policy for multi-component systems with Lévy copulas dependence

International Nuclear Information System (INIS)

Li, Heping; Deloux, Estelle; Dieulle, Laurence

2016-01-01

In this paper, we propose a new condition-based maintenance policy for multi-component systems taking into account stochastic and economic dependences. The stochastic dependence between components due to common environment is modelled by Lévy copulas. Its influence on the maintenance optimization is investigated with different dependence degrees. On the issue of economic dependence providing opportunities to group maintenance activities, a new maintenance decision rule is proposed which permits maintenance grouping. In order to evaluate the performance of the proposed maintenance policy, we compare it to the classical maintenance policies. - Highlights: • A new adaptive maintenance policy for grouping maintenance actions is proposed. • The impacts of both economic and stochastic dependences are investigated. • The performance of the proposed maintenance policy is evaluated under different system configurations. • The stochastic dependence is modelled by Lévy copulas. • The proposed maintenance decision rule can take full advantage of economic and stochastic dependences.

Influence of Different Implant Geometry in Clinical Longevity and Maintenance of Marginal Bone: A Systematic Review.

Science.gov (United States)

Lovatto, Sabrina Telles; Bassani, Rafaela; Sarkis-Onofre, Rafael; Dos Santos, Mateus Bertolini Fernandes

2018-03-26

To assess, through a systematic review, the influence of different implant geometries on clinical longevity and maintenance of marginal bone tissue. An electronic search was conducted in MEDLINE, Scopus, and Web of Science databases, limited to studies written in English from 1996 to 2017 using specific search strategies. Only randomized controlled trials (RCTs) that compared dental implants and their geometries were included. Two reviewers independently selected studies, extracted data, and assessed the risk of bias of included studies. From the 4006 references identified by the search, 24 were considered eligible for full-text analysis, after which 10 studies were included in this review. A similar behavior of marginal bone loss between tapered and cylindrical geometries was observed; however, implants that had micro-threads in the neck presented a slight decrease of marginal bone loss compared to implants with straight or smooth neck. Success and survival rates were high, with cylindrical implants presenting higher success and survival rates than tapered ones. Implant geometry seems to have little influence on marginal bone loss (MBL) and survival and success rates after 1 year of implant placement; however, the evidence in this systematic review was classified as very low due to limitations such as study design, sample size, and publication bias. Thus, more well-designed RCTs should be conducted to provide evidence regarding the influence of implant geometry on MBL and survival and success rates after 1 year of implant placement. © 2018 by the American College of Prosthodontists.

Influence of low dose irradiation on differentiation, maturation and T-cell activation of human dendritic cells

Energy Technology Data Exchange (ETDEWEB)

Jahns, Jutta [Department of Radiotherapy and Radiation Oncology, University of Leipzig, Stephanstrasse 21, 04103 Leipzig (Germany); Anderegg, Ulf; Saalbach, Anja [Department for Dermatology, Venerology and Allergology, University of Leipzig, Johannisallee 30, 04103 Leipzig (Germany); Rosin, Britt; Patties, Ina; Glasow, Annegret [Department of Radiotherapy and Radiation Oncology, University of Leipzig, Stephanstrasse 21, 04103 Leipzig (Germany); Kamprad, Manja [Institute for Clinical Immunology and Transfusion Medicine, University of Leipzig, Johannisallee 30, 04103 Leipzig (Germany); Scholz, Markus [Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Haertelstr. 16-18, 04103 Leipzig (Germany); Hildebrandt, Guido, E-mail: Guido.Hildebrandt@uni-rostock.de [Department of Radiotherapy and Radiation Oncology, University of Rostock, Suedring 75, 18059 Rostock (Germany); Department of Radiotherapy and Radiation Oncology, University of Leipzig, Stephanstrasse 21, 04103 Leipzig (Germany)

2011-05-10

Ionizing irradiation could act directly on immune cells and may induce bystander effects mediated by soluble factors that are released by the irradiated cells. This is the first study analyzing both the direct effect of low dose ionizing radiation (LDIR) on the maturation and cytokine release of human dendritic cells (DCs) and the functional consequences for co-cultured T-cells. We showed that irradiation of DC-precursors in vitro does not influence surface marker expression or cytokine profile of immature DCs nor of mature DCs after LPS treatment. There was no difference of single dose irradiation versus fractionated irradiation protocols on the behavior of the mature DCs. Further, the low dose irradiation did not change the capacity of the DCs to stimulate T-cell proliferation. But the irradiation of the co-culture of DCs and T-cells revealed significantly lower proliferation of T-cells with higher doses. Summarizing the data from approx. 50 DC preparations there is no significant effect of low dose ionizing irradiation on the cytokine profile, surface marker expression and maturation of DCs in vitro although functional consequences cannot be excluded.

A randomized trial using motivational interviewing for maintenance of blood pressure improvements in a community-engaged lifestyle intervention: HUB city steps

Science.gov (United States)

Landry, Alicia; Madson, Michael; Thomson, Jessica; Zoellner, Jamie; Connell, Carol; Yadrick, Kathleen

2015-01-01

Little is known about the effective dose of motivational interviewing for maintaining intervention-induced health outcome improvements. The purpose of this study was to compare effects of two doses of motivational interviewing for maintaining blood pressure improvements in a community-engaged lifestyle intervention conducted with African-Americans. Participants were tracked through a 12-month maintenance phase following a 6-month intervention targeting physical activity and diet. For the maintenance phase, participants were randomized to receive a low (4) or high (10) dose of motivational interviewing delivered via telephone by trained research staff. Generalized linear models were used to test for group differences in blood pressure. Blood pressure significantly increased during the maintenance phase. No differences were apparent between randomized groups. Results suggest that 10 or fewer motivational interviewing calls over a 12-month period may be insufficient to maintain post-intervention improvements in blood pressure. Further research is needed to determine optimal strategies for maintaining changes. PMID:26590242

Investigation of the influence of the working procedure on patient dose in angiography of the lower limbs

International Nuclear Information System (INIS)

Struelens, L.; Vanhavere, F.; Bosmans, H.

2002-01-01

This document presents dose measurements on patients in the field of interventional angiography. We have restricted this study to a common IR procedure, namely diagnostic angiography of the lower limbs. In this examination, radiographs are made over 6 adjoining standard regions from abdomen to feet. The RX tube is moved from one region to another under fluoroscopic guidance. To visualise the arteries, contrast media is injected through a catheter that has been inserted in the abdominal artery. The positioning of the catheter is also controlled by fluoroscopy. Only typical procedures (without medical complications) in male and female patients were considered in this study. Within the scope of the optimisation of patient doses, we looked for the influence of both the working procedure and the exposure parameters on patient dose. Examinations as performed by different operators and in different hospitals were included in the study. The effective dose E is calculated with the use of calculated derived conversion factors, which link practical dose measurements under well-defined conditions with estimates of the effective dose. Measurements in 4 different hospitals, 2 university hospitals and 2 peripheral hospitals are compared

Influence of duration and dose of metformin on cobalamin deficiency in type 2 diabetes patients using metformin

NARCIS (Netherlands)

Beulens, Joline W J; Hart, Huberta E.; Kuijs, Ron; Kooijman-Buiting, Antoinette M J; Rutten, Guy E H M

2015-01-01

Metformin use is associated with cobalamin (vitamin B12) deficiency. However, the influence of both duration and dose of metformin is unclear. Studies using holotranscobalamin, a marker for cellular cobalamin deficiency, are scarce. We therefore investigated the prevalence of cobalamin deficiency in

Dose-rate effects in external beam radiotherapy redux

International Nuclear Information System (INIS)

Ling, C. Clifton; Gerweck, Leo E.; Zaider, Marco; Yorke, Ellen

2010-01-01

Recent developments in external beam radiotherapy, both in technical advances and in clinical approaches, have prompted renewed discussions on the potential influence of dose-rate on radio-response in certain treatment scenarios. We consider the multiple factors that influence the dose-rate effect, e.g. radical recombination, the kinetics of sublethal damage repair for tumors and normal tissues, the difference in α/β ratio for early and late reacting tissues, and perform a comprehensive literature review. Based on radiobiological considerations and the linear-quadratic (LQ) model we estimate the influence of overall treatment time on radio-response for specific clinical situations. As the influence of dose-rate applies to both the tumor and normal tissues, in oligo-fractionated treatment using large doses per fraction, the influence of delivery prolongation is likely important, with late reacting normal tissues being generally more sensitive to the dose-rate effect than tumors and early reacting tissues. In conventional fractionated treatment using 1.8-2 Gy per fraction and treatment times of 2-10 min, the influence of dose-rate is relatively small. Lastly, the dose-rate effect in external beam radiotherapy is governed by the overall beam-on-time, not by the average linac dose-rate, nor by the instantaneous dose-rate within individual linac pulses which could be as high as 3 x 10 6 MU/min.

Influence of intravenous opioid dose on postoperative ileus.

Science.gov (United States)

Barletta, Jeffrey F; Asgeirsson, Theodor; Senagore, Anthony J

2011-07-01

Intravenous opioids represent a major component in the pathophysiology of postoperative ileus (POI). However, the most appropriate measure and threshold to quantify the association between opioid dose (eg, average daily, cumulative, maximum daily) and POI remains unknown. To evaluate the relationship between opioid dose, POI, and length of stay (LOS) and identify the opioid measure that was most strongly associated with POI. Consecutive patients admitted to a community teaching hospital who underwent elective colorectal surgery by any technique with an enhanced-recovery protocol postoperatively were retrospectively identified. Patients were excluded if they received epidural analgesia, developed a major intraabdominal complication or medical complication, or had a prolonged workup prior to surgery. Intravenous opioid doses were quantified and converted to hydromorphone equivalents. Classification and regression tree (CART) analysis was used to determine the dosing threshold for the opioid measure most associated with POI and define high versus low use of opioids. Risk factors for POI and prolonged LOS were determined through multivariate analysis. The incidence of POI in 279 patients was 8.6%. CART analysis identified a maximum daily intravenous hydromorphone dose of 2 mg or more as the opioid measure most associated with POI. Multivariate analysis revealed maximum daily hydromorphone dose of 2 mg or more (p = 0.034), open surgical technique (p = 0.045), and days of intravenous narcotic therapy (p = 0.003) as significant risk factors for POI. Variables associated with increased LOS were POI (p POI and prolonged LOS, particularly when the maximum hydromorphone dose per day exceeds 2 mg. Clinicians should consider alternative, nonopioid-based pain management options when this occurs.

High-dose buprenorphine: perioperative precautions and management strategies.

Science.gov (United States)

Roberts, D M; Meyer-Witting, M

2005-02-01

Buprenorphine has been in clinical use in anaesthesia for several decades. Recently, the high-dose sublingual formulation (Subutex, Reckitt Benckiser, Slough, U.K.) has been increasingly used as maintenance therapy in opioid dependence, as an alternative to methadone and other pharmacological therapies. Buprenorphine has unique pharmacological properties making it well suited for use as a maintenance therapy in opioid dependence. However, these same properties may cause difficulty in the perioperative management of pain. Buprenorphine is a partial opioid agonist, attenuating the effects of supplemental illicit or therapeutic opioid agonists. As a result of its high receptor affinity, supplemental opioids do not readily displace buprenorphine from the opioid receptor in standard doses. High-dose buprenorphine has an extended duration of action that prolongs both of these effects. The perioperative management of patients stabilized on high-dose buprenorphine and undergoing surgery requires consideration of the likely analgesic requirements. Where possible the buprenorphine should be continued. Pain management should focus on maximizing non-opioid analgesia, local anaesthesia and non-pharmacological techniques. Where pain may not be adequately relieved by these methods, the addition of a full opioid agonist such as fentanyl or morphine at appropriate doses should be considered, accompanied by close monitoring in a high dependency unit. In situations where this regimen is unlikely to be effective, preoperative conversion to morphine or methadone may be an option. Where available, liaison with a hospital-based alcohol and drug service should always be considered.

Key Performance Indicators for Maintenance Management Effectiveness of Public Hospital Building

Directory of Open Access Journals (Sweden)

Farhana Omar Mardhiah

2017-01-01

Full Text Available Effectiveness of management in maintenance aspect holds the key element in influencing the performance of overall maintenance management. Similarly, public hospital building needs an effective maintenance management as this type of building in nature is one of the most complex issues in the field of maintenance. Improper building maintenance management adopted by the organization significantly will interrupt the overall operation of the building. Therefore, this paper is aim to identifying the key performance indicator (KPI of effectiveness of maintenance management for the public hospital building. A total of 32 set of questionnaires were distributed to the maintenance manager for each hospital in the northern region of peninsular Malaysia by using self-administration strategy. The survey answer was analyzed by performing descriptive analysis in SPSS. Overall, the result of descriptive analysis shows that all the ten factors of effectiveness of maintenance management are accepted as KPI since the mean value is at least 3.93 which classified as important and significant. The most significant factor of effectiveness of maintenance management is task planning and scheduling with the mean score of 4.35. While less significant factor is identify as maintenance approach with the value of mean score is 3.93. The both results indicates that the management need to have well-structured planning for the maintenance works and also need to embrace the exact strategy of maintenance approach in order to achieved better overall performance of maintenance management. This study may draw a standard practice for the government in assessing the performance of public facilities in terms of maintenance management.

Cost-effectiveness of budesonide/formoterol for maintenance and reliever asthma therapy in Denmark--cost-effectiveness analysis based on five randomised controlled trials

DEFF Research Database (Denmark)

Wickstrøm, Jannie; Dam, Nanna; Malmberg, Irena

2009-01-01

Budesonide/formoterol maintenance and reliever therapy (Symbicort SMART) is an effective asthma-management regime where patients use budesonide/formoterol both as maintenance treatment and as additional doses as needed to improve overall asthma control by reducing symptoms and exacerbations...

Assessment of a maintenance model for a multi-deteriorating mode system

International Nuclear Information System (INIS)

Ponchet, Amelie; Fouladirad, Mitra; Grall, Antoine

2010-01-01

This paper deals with maintenance policies for stochastically deteriorating systems which are subject to sudden changes in their degradation processes. The main aim is to assess the interest of using change mode monitoring information from a maintenance decision making point of view. Two condition-based maintenance policies are considered and compared, each of them adapted to a specific level of available information, with or without change mode monitoring. Numerical examples show that the time distribution of the change of deterioration rate and the difference between the two possible deterioration rates strongly influence the choice of the best decision rule structure.

Assessment of a maintenance model for a multi-deteriorating mode system

Energy Technology Data Exchange (ETDEWEB)

Ponchet, Amelie, E-mail: amelie.ponchet@utt.f [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France); Fouladirad, Mitra [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France); Grall, Antoine, E-mail: antoine.grall@utt.f [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France)

2010-11-15

This paper deals with maintenance policies for stochastically deteriorating systems which are subject to sudden changes in their degradation processes. The main aim is to assess the interest of using change mode monitoring information from a maintenance decision making point of view. Two condition-based maintenance policies are considered and compared, each of them adapted to a specific level of available information, with or without change mode monitoring. Numerical examples show that the time distribution of the change of deterioration rate and the difference between the two possible deterioration rates strongly influence the choice of the best decision rule structure.

Preventive maintenance-A countermeasure to plant aging

International Nuclear Information System (INIS)

Hlubek, W.

1985-01-01

The aging of power plants is caused by manifold and different influences. For instance, mechanical and thermal stress, radiation exposure, denting or wastage can considerably affect the aging of plant components and thus cause premature failures of components. In this presentation, the term 'Plant Aging' in nuclear power plants is to be understood more comprehensively than wear on components and material fatigue. In addition, nuclear power plants are to be adjusted to the advancing state of the science and technology (state-of-the-art) in order to guarantee safe operation at all times. The preventive maintenance - as a countermeasure to plant aging - comprises the systematic checks and servicing of the plant systems in operation and follows aging by inspection and tests. Experience with Rheinisch-Westfaelisches Elektrizitaetswerk AG (RWE) preventive maintenance program at the Biblis NNP (1300 MW, PWR) is discussed. The concept of an 'Integrated Maintenance System' as a means to avoid 'Plant Aging' is presented

Maintenance, outages and chemistry really can be compatible

Energy Technology Data Exchange (ETDEWEB)

Roberts, J.G.; Deaconescu, R. [Bruce Power, Tiverton, Ontario (Canada)

2006-07-01

'Full text:' In their address to the Canadian Nuclear Society, Bruce Power's Chemistry Design staff will describe how maintenance and outages can impact negatively on chemistry control and asset protection. Considerations of material impacts and material condition have significant influences on the approach to, and control of, chemistry. This applies equally to operation as it does during unit and/or system outages. Ideas will be presented as to how to facilitate making maintenance, outages and chemistry compatible. It will be shown how the lack of such an approach can lead to disastrous results. (author)

Adaptive designs for dose-finding in non-cancer phase II trials: influence of early unexpected outcomes.

Science.gov (United States)

Resche-Rigon, Matthieu; Zohar, Sarah; Chevret, Sylvie

2008-01-01

In non-cancer phase II trials, dose-finding trials are usually carried out using fixed designs, in which several doses including a placebo are randomly distributed to patients. However, in certain vulnerable populations, such as neonates or infants, there is an heightened requirement for safety, precluding randomization. To estimate the minimum effective dose of a new drug from a non-cancer phase II trial, we propose the use of adaptive designs like the Continual Reassessment Method (CRM). This approach estimates the dose closest to some target response, and has been shown to be unbiased and efficient in cancer phase I trials. Based on a motivating example, we point out the individual influence of first outliers in this setting. A weighted version of the CRM is proposed as a theoretical benchmark to control for these outliers. Using simulations, we illustrate how this approach provides further insight into the behavior of the CRM. When dealing with low targets like a 10% failure rate, the CRM appears unable to rapidly overcome an early unexpected outcome. This behavior persisted despite changing the inference (Bayesian or likelihood), underlying dose-response model (though slightly improved using the power model), and the number of patients enrolled at each dose level. The choices for initial guesses of failure rates, the vague prior for the model parameter, and the log-log shape of weights can appear somewhat arbitrary. In phase II dose-finding studies in which failure targets are below 20%, the CRM appears quite sensitive to first unexpected outcomes. Using a power model for dose-response improves some behavior if the trial is started at the first dose level and includes at least three to five patients at the starting dose before applying the CRM allocation rule.

Influence of dose reduction and iterative reconstruction on CT calcium scores : a multi-manufacturer dynamic phantom study

NARCIS (Netherlands)

van der Werf, N R; Willemink, M J; Willems, T P; Greuter, M J W; Leiner, T

To evaluate the influence of dose reduction in combination with iterative reconstruction (IR) on coronary calcium scores (CCS) in a dynamic phantom on state-of-the-art CT systems from different manufacturers. Calcified inserts in an anthropomorphic chest phantom were translated at 20 mm/s

Experimental determination of foetal doses received during conventional X rays explorations of troncus. Influence of the lead apron

International Nuclear Information System (INIS)

Pifarre, X.; Brualla, L.; Ruiz, J.; Escalada, C.; Planes, D.; Paredes, M.C.

2001-01-01

The aim of this paper is to assess the real doses received by pregnant women during some X rays conventional explorations of thorax and abdomen. The procedure that has been used is the measurement of doses by the use of thermoluminescent dosimeters located on the uterus position of a Random Phantom, and simulating different conventional X rays explorations. The results of such measurements are compared with other data published in ICRP 34, which were our reference. We have obtained smaller doses with the measurements than those derived from ICRP 34. The causes of these differences are analysed. The influence of the use of lead apron to protect abdomen during thorax examination is also analysed, computing the real value of this protection. We conclude that it seems interesting to obtain measurements of theses doses with our own equipment and techniques, because it offers a more realistic approximation to real doses received by patients. (author)

Cytosolic calcium ions exert a major influence on the firing rate and maintenance of pacemaker activity in guinea-pig sinus node.

Directory of Open Access Journals (Sweden)

Rebecca Anne Capel

2015-02-01

Full Text Available The sino-atrial node (SAN provides the electrical stimulus to initiate every heart beat. Cellular processes underlying this activity have been debated extensively, especially with regards to the role of intracellular calcium. We have used whole-cell application of 1,2-bis(o-aminophenoxyethane-N,N,N',N'-tetraacetic acid (BAPTA, a rapid calcium chelator, to guinea pig isolated SAN myocytes to assess the effect of rapid reduction of intracellular calcium on SAN cell electrical activity. High-dose (10 mM BAPTA induced rapid and complete cessation of rhythmic action potential (AP firing (time to cessation 5.5±1.7 s. Over a range of concentrations, BAPTA induced slowing of action potential firing and disruption of rhythmic activity, which was dose-dependent in its time of onset. Exposure to BAPTA was associated with stereotyped action potential changes similar to those previously reported in the presence of ryanodine, namely depolarisation of the most negative diastolic potential, prolongation of action potentials and a reduction in action potential amplitude. These experiments are consistent with the view that cytosolic calcium is essential to the maintenance of rhythmic pacemaker activity.

Twelfth biennial conference on reactor operating experience maintenance and modifications for availability and efficiency

International Nuclear Information System (INIS)

1985-01-01

Separate abstracts were prepared for the papers presented in the following topical sessions: (1) Formal Availability Improvement Programs; (2) Maintenance Aids and Diagnostics; (3) Nuclear Plant Inspection and Testing; (4) Secondary Cycle Improvement to Programs; (5) Recent Plant Experiences; (6) Training, Research, and Test Reactors; (7) Impact of Plant Maintenance on Availability; (8) Intragranular Stress Corrosion Cracking: Repair, Inspection, and Mitigating Techniques; (9) Availability Improvement - Recent Development and Trends; (10) Water Chemistry and Corrosion Control; and (11) ALARA: Experiences with Dose Reduction

Regulatory issues in the maintenance of Argentine nuclear power plants

International Nuclear Information System (INIS)

Castro, E.; Caruso, G.

1997-01-01

The influence of maintenance activities upon nuclear safety and their relevance as means to detect and prevent aging make them play an outstanding role among the fields of interest of the Argentine nuclear regulatory body (ENREN). Such interest is reinforced by the fact that the data obtained during maintenance are used - among other - as inputs in the Probabilistic Safety Analyses required for those nuclear power plants. This paper provides a brief description of the original requirements by the regulatory body concerning maintenance, of the factors that led to review the criteria involved in such requirements and of the key items identified during the reviewing process. The latter shall be taken into account in the maintenance regulatory policy, for the consequent issue of new requirements from the utilities and for the eventual publication of a specific regulatory standard. (author)

Patient positioning and its influence on dose distribution

International Nuclear Information System (INIS)

Morrissey, J.; Moss, R.; Watkins, P.

2000-01-01

In comparison to conventional radiotherapy, the positioning of a patient for BNCT treatment has some unique aspects. In particular, the neutron beam coming from the core of a nuclear research reactor is fixed and horizontal. In particular, a head fixation mask, which is prepared at the patient referral hospital, is included in the CT images. The mask allows reproducible positioning for use during the treatment. Fiducial markers placed on the mask before imaging, provide reference points. The INEEL treatment planning code used in Petten produces a beam angle, and beam line entrance and exit co-ordinates. These are related to the fiducial marker co-ordinates. A spreadsheet, named COSINE, developed at Petten produces positioning co-ordinates from the data produced by the rtt MC code. These co-ordinates are related to a positioning frame, which allows the marking of the beams on the mask. In order to have reliable treatment data, the influence of small deviations of angle or target point on dose distribution must be known. To demonstrate this, a number of beams have been calculated with the Petten beam, with slight variations and compared with an approved plan. (author)

Cost assessment of demo fusion reactor with considering maintenance

International Nuclear Information System (INIS)

Hashizume, Hidetoshi; Kitagoh, Kazutoshi

2003-01-01

The purpose of this study is to perform cost assessment of nuclear fusion reactors in order to draw up commercial plants. A fusion reactor may have a complex configuration to achieve high beta value, which leads to low and instable availability when maintenance is taken into account. Therefore, reactor's availability must be evaluated with considering the influence of the configuration complexity. Furthermore the availability has the strong impact on COE (Cost of Electricity), that is, a fusion reactor with low availability will not be accepted as a commercial plant. Therefore, we developed a new method to calculate availabilities with random numbers, in which the complexity of reactor's configuration could become considered. In addition, we considered the reduction of superconducting coil's maintenance time by introducing remountable magnet system because the coil maintenance requires quite long time in the present technology. The results show that the availability becomes relatively large if the short maintenance time of coils could be achieved, for example, by remountable magnetic systems. (author)

Radiological implications of contact maintenance: Impacts on facility design

International Nuclear Information System (INIS)

Brown, R.C.

1994-01-01

The purpose of this document is to provide an initial, rough order of magnitude, evaluation of the relationship between the concentrations of selected radionuclides in process streams of a chemical process plant and the required degree of protective features for plant operations personnel. The evaluation provided in this document specifies ''trigger level'' concentrations of 90 Sr, 137 Cs, and transuranics (TRU) for ''contact maintenance'' activities. Concentrations above the ''trigger levels'' can be accommodated provided offsetting design features are incorporated (e.g., improved shielding partial to total confinement, etc.). This information will assist in defining the degree of reduction of concentrations of radionuclides required for the feed used in a low-level liquid waste processing plant to utilize a contact maintenance design concept. Offsetting design features that influence maintenance personnel exposures in a contact maintenance situation are identified. All concentrations are expressed in terms of actual process fluids before any flushing and decontamination steps

Influence of bone and fat on dose distribution in electron beams in a semi-infinite medium

International Nuclear Information System (INIS)

Sordo, A.

1983-12-01

Hitherto, physical and theoretical aspects of the influence of heterogeneities in radiotherapy by electron beams had not been enough considered. We have developped an experimental method which permitted us to analyze the effect of the hard bone and the fat on the depth dose distributions when an infinite medium is irradiated by high energy electron beams. We have incorporated the KR. HOGSTROM's algorithm in a treatment planning system (TP11; AECL). This algorithm sums the dose distribution of individual pencil beams. A comparison between calculated and measured isodose lines obtained in a heterogeneous medium, shows us the performance and limits of this algorithm [fr

Neutron induced activation in the EVEDA accelerator materials: Implications for the accelerator maintenance

International Nuclear Information System (INIS)

Sanz, J.; Garcia, M.; Sauvan, P.; Lopez, D.; Moreno, C.; Ibarra, A.; Sedano, L.

2009-01-01

The Engineering Validation and Engineering Design Activities (EVEDA) phase of the International Fusion Materials Irradiation Facility project should result in an accelerator prototype for which the analysis of the dose rates evolution during the beam-off phase is a necessary task for radioprotection and maintenance feasibility purposes. Important aspects of the computational methodology to address this problem are discussed, and dose rates for workers inside the accelerator vault are assessed and found to be not negligible.

Neutron induced activation in the EVEDA accelerator materials: Implications for the accelerator maintenance

Energy Technology Data Exchange (ETDEWEB)

Sanz, J. [Department of Power Engineering, Universidad Nacional de Educacion a Distancia (UNED), C/Juan del Rosal 12, 28040 Madrid (Spain); Institute of Nuclear Fusion, UPM, 28006 Madrid (Spain)], E-mail: jsanz@ind.uned.es; Garcia, M.; Sauvan, P.; Lopez, D. [Department of Power Engineering, Universidad Nacional de Educacion a Distancia (UNED), C/Juan del Rosal 12, 28040 Madrid (Spain); Institute of Nuclear Fusion, UPM, 28006 Madrid (Spain); Moreno, C.; Ibarra, A.; Sedano, L. [CIEMAT, 28040 Madrid (Spain)

2009-04-30

The Engineering Validation and Engineering Design Activities (EVEDA) phase of the International Fusion Materials Irradiation Facility project should result in an accelerator prototype for which the analysis of the dose rates evolution during the beam-off phase is a necessary task for radioprotection and maintenance feasibility purposes. Important aspects of the computational methodology to address this problem are discussed, and dose rates for workers inside the accelerator vault are assessed and found to be not negligible.

Preventative maintenance of straddle carriers

Directory of Open Access Journals (Sweden)

Si Li

2015-04-01

Objectives: The purpose of this industry-driven study is to model preventative maintenance (PM influences on the operational effectiveness of straddle carriers. Method: The study employs historical data consisting of 21 273 work orders covering a 27-month period. Two models are developed, both of which forecast influences of PM regimes for different types of carrier. Results: The findings of the study suggest that the reliability of the straddle fleet decreases with increased intervals of PM services. The study also finds that three factors – namely resources, number of new straddles, and the number of new lifting work centres – influence the performances of straddles. Conclusion: The authors argue that this collaborative research exercise makes a significant contribution to existing supply chain management literature, particularly in the area of operations efficiency. The study also serves as an avenue to enhance relevant management practice.

The Influence of Dosing Modes of Coagulate on Arsenic Removal

Directory of Open Access Journals (Sweden)

Zhibin Zhang

2014-01-01

Full Text Available Three different dosing modes, including one single dosing mode and two sequential dosing modes, were applied in high-arsenic contaminated water treatment. The results illustrated that the As (V soluble and the As (V nonspecifically sorbed were the insignificant species from Fe-As (V samples in the sequential dosing mode, while they were higher in the single dosing mode. However, it could be further concluded that the mobility of the Fe-As (V in sequential dosing mode was greater than that in single dosing mode. Besides, the main arsenic speciation governing the arsenic-borne coagulates was the As (V associated with poorly crystalline hydrous oxides of Fe in sequential or single dosing mode. Moreover, the particle size distribution analysis indicated that the sequential dosing mode was more prevalent in neutralizing and adsorbing the As (V compared with the single dosing mode. In the FT-IR spectra, the presence of arsenic was highlighted by a well resolved band at 825–829 cm−1. The positions of the As–O stretching vibration bands were shifted gradually as the dosing mode changed from the single to the sequential. This result could be related to the distribution of arsenic speciation in different dosing modes.

Ex-vessel remote maintenance design for the Compact Ignition Tokamak

International Nuclear Information System (INIS)

Spampinato, P.T.; Macdonald, D.

1987-01-01

The use of deuterium-tritium (D-T) fuel for operation of the Compact Ignition Tokamak (CIT) imposes a requirement for remote handling technology for ex-vessel maintenance operations on auxiliary machine components. These operations consist of repairing and replacing components such as diagnostic, radio-frequency (rf) heating, and fueling systems using remotely operated maintenance equipment in the test cell. In addition, ex-vessel maintenance design also includes developing hot cell facilities for equipment decontamination, repair, and solid radioactive waste handling. The test cell maintenance philosophy is markedly influenced by the neutron/gamma shield surrounding the machine that allows personal access into the test cell one day after shutdown. Hence, maintenance operations can be performed hands-on in the test cell with the shield intact and must be remotely performed when the shield is disassembled for machine access. The constricted access to the auxiliary components of the machine affect the design requirements for the maintenance equipment and impose major spatial constraints. Several major areas of the maintenance system design are being addressed in fiscal year 1987. These include conceptual design of the manipulator system, preliminary remote equipment research and development, and definition of the hot cell, decontamination, and equipment repair facility requirements. The manipulator work includes investigating transporters and viewing/lighting subsystems. 2 figs

Influence of length of interval between pulses in PDR brachytherapy (PDRBT on value of Biologically Equivalent Dose (BED in healthy tissues

Directory of Open Access Journals (Sweden)

Tomasz Piotrowski

2010-07-01

Full Text Available Purpose: Different PDR treatment schemas are used in clinical practice, however optimal length of interval between pulses still remains unclear. The aim of this work was to compare value of BED doses measured in surrounded healthy tissues according to different intervals between pulses in PDRBT. Influence of doses optimization on BED values was analyzed.Material and methods: Fifty-one patients treated in Greater Poland Cancer Centre were qualified for calculations.Calculations of doses were made in 51 patients with head and neck cancer, brain tumor, breast cancer, sarcoma, penis cancer and rectal cancer. Doses were calculated with the use of PLATO planning system in chosen critical points in surrounded healthy tissues. For all treatment plans the doses were compared using Biologically Equivalent Dose formula.Three interval lengths (1, 2 and 4 hours between pulses were chosen for calculations. For statistical analysis Friedman ANOVA test and Kendall ratio were used.Results: The median value of BED in chosen critical points in healthy tissues was statistically related to the length of interval between PDR pulses and decreased exponentially with 1 hour interval to 4 hours (Kendall = from 0.48 to 1.0; p = from 0.002 to 0.00001.Conclusions: Prolongation of intervals between pulses in PDR brachytherapy was connected with lower values of BED doses in healthy tissues. It seems that longer intervals between pulses reduced the risk of late complications, but also decreased the tumour control. Furthermore, optimization influenced the increase of doses in healthy tissues.

Maintenance and material aspects of DREAM reactor

International Nuclear Information System (INIS)

Ueda, S.; Nishio, S.; Yamada, R.; Seki, Y.; Kurihara, R.; Adachi, J.; Yamazaki, S.

2000-01-01

A concept of a commercial fusion power reactors (Fusion Power: 5.5 GW, electric output: 2.7 GW) having high environmental safety, high thermal efficiency and high availability has been studied in JAERI. The gross reactor configuration was designed to achieve good maintainability, high performance breeding blanket, high efficient power generation system and little radwastes. Design was based on the use of low activation structural material (SiC/SiC composites) and helium as a coolant. In this paper, maintenance and material aspects of DREAM reactor design is discussed. The concluding remarks are as follows. (1) The difficulty of development of maintenance tool is alleviated by sector replacement and the radiation dose environment less than 10 Gy/h in a reactor chamber. (2) Design requirement and present status of SiC/SiC composites was investigated. (3) The SiC/SiC composite development program is planned to satisfy the requirements of DREAM reactor

Maintenance management for nuclear power plant 'Integrated valve maintenance'

International Nuclear Information System (INIS)

Gerner, P.; Zanner, G.

2001-01-01

The deregulation of Europe's power market does force many utilities, and especially nuclear power plant operators, to introduce extensive cost-cutting measures in order to be able to compete within this new environment. The optimization of plant outages provides considerable potential for raising plant availability but can also lower operating costs by reducing e.g. expenditure on maintenance. Siemens Nuclear Power GmbH, in cooperation with plant operators, is currently implementing new and improved service concepts which can have a major effect on the way in which maintenance will be performed in the future. Innovative service packages for maintenance in nuclear power plants are available which can be used to perform a time- and cost-effective maintenance. The concepts encompass optimization of the overall sequence from planning in advance to the individual measures including reduction of the scope of maintenance activities, identification of cost cutting potential and bundling of maintenance activities. The main features of these maintenance activities are illustrated here using the examples of outage planning and integrated valve maintenance. In nuclear power plants approx. 5000 valves are periodically preventively, condition-based or breakdown-based maintained. Because of this large number of valves to be maintained a high potential of improvements and cost reductions can be achieved by performing an optimized, cost-effective maintenance based on innovative methods and tools. Siemens Nuclear Power GmbH has developed and qualified such tools which allow to reduce service costs while maintaining high standards of safety and availability. By changing from preventive to predictive (condition-based) maintenance - the number of valves to be maintained may be reduced considerably. The predictive maintenance is based on the Siemens Nuclear Power GmbH diagnostic and evaluation method (ADAM). ADAM is used to monitor the operability of valves by analytical verification of

A Framework to Determine the Effectiveness of Maintenance Strategies Lean Thinking Approach

Directory of Open Access Journals (Sweden)

Alireza Irajpour

2014-01-01

Full Text Available The purpose of this paper is to provide a framework that can identify and evaluate the effectiveness of a given maintenance strategy and to rank components of maintenance system. The framework is developed using DEMATEL method on maintenance strategy as a guideline. To gain a richer understanding of the framework, a questionnaire is constructed and answered by experts. Then the DEMATEL method is applied to analyze the importance of criteria and the casual relations among the criteria are constructed. The scope of the paper is limited to performance measurement of maintenance strategies. It is found that the framework is applicable and useful for the strategic management of the maintenance function. It is observed that the influencing and preferred infrastructures for designing Learning and Training are three components, that is, optimal maintenance, CMMS, and RCM which are interdependent on each other and are the fundamental components to realize the designed goals of maintenance process. This paper provides an overview of research and developments in the measurement of maintenance performance. Many tools and techniques have been developed in other fields. However, the applicability of those tools to maintenance function has never been tried. In that respect this topic is novel. It helps in managing maintenance more effectively.

Niraparib Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer

DEFF Research Database (Denmark)

Mirza, Mansoor R; Monk, Bradley J; Herrstedt, Jørn

2016-01-01

Background Niraparib is an oral poly(adenosine diphosphate [ADP]-ribose) polymerase (PARP) 1/2 inhibitor that has shown clinical activity in patients with ovarian cancer. We sought to evaluate the efficacy of niraparib versus placebo as maintenance treatment for patients with platinum-sensitive, ......Background Niraparib is an oral poly(adenosine diphosphate [ADP]-ribose) polymerase (PARP) 1/2 inhibitor that has shown clinical activity in patients with ovarian cancer. We sought to evaluate the efficacy of niraparib versus placebo as maintenance treatment for patients with platinum...... or 4 adverse events that were reported in the niraparib group were thrombocytopenia (in 33.8%), anemia (in 25.3%), and neutropenia (in 19.6%), which were managed with dose modifications. Conclusions Among patients with platinum-sensitive, recurrent ovarian cancer, the median duration of progression...

Building a maintenance policy through a multi-criterion decision-making model

Science.gov (United States)

Faghihinia, Elahe; Mollaverdi, Naser

2012-08-01

A major competitive advantage of production and service systems is establishing a proper maintenance policy. Therefore, maintenance managers should make maintenance decisions that best fit their systems. Multi-criterion decision-making methods can take into account a number of aspects associated with the competitiveness factors of a system. This paper presents a multi-criterion decision-aided maintenance model with three criteria that have more influence on decision making: reliability, maintenance cost, and maintenance downtime. The Bayesian approach has been applied to confront maintenance failure data shortage. Therefore, the model seeks to make the best compromise between these three criteria and establish replacement intervals using Preference Ranking Organization Method for Enrichment Evaluation (PROMETHEE II), integrating the Bayesian approach with regard to the preference of the decision maker to the problem. Finally, using a numerical application, the model has been illustrated, and for a visual realization and an illustrative sensitivity analysis, PROMETHEE GAIA (the visual interactive module) has been used. Use of PROMETHEE II and PROMETHEE GAIA has been made with Decision Lab software. A sensitivity analysis has been made to verify the robustness of certain parameters of the model.

The maintenance management framework models and methods for complex systems maintenance

CERN Document Server

Crespo Márquez, Adolfo

2010-01-01

“The Maintenance Management Framework” describes and reviews the concept, process and framework of modern maintenance management of complex systems; concentrating specifically on modern modelling tools (deterministic and empirical) for maintenance planning and scheduling. It will be bought by engineers and professionals involved in maintenance management, maintenance engineering, operations management, quality, etc. as well as graduate students and researchers in this field.

Improving the TRIGA facility maintenance by predictive maintenance techniques

International Nuclear Information System (INIS)

Preda, M.; Sabau, C.; Barbalata, E.

1997-01-01

This work deals with the specific operation of equipment in radioactive environment or in conditions allowing radioactive contamination. The requirements of remote operation ensuring the operators' protection are presented. Also, the requirements of international standards issued by IAEA-Vienna are reviewed. The organizational withdraws of the maintenance activities, based on the standards and maintenance and repair directives still in force, are shown. It is emphasized the fact that this type of maintenance was adequate to a given level of technical development, characteristic for pre-computerized industry, but, at present, it is obsolete and uneconomic both in utilization and maintenance. Such a system constitutes already a burden hindering the efforts of maximizing the availability, maintenance, prolongation the service life of equipment and utilities, finally, of increasing the efficiency of complex installations. Moreover, the predictive maintenance techniques are strongly requested by the character of radioactive installations precluding the direct access in given zones (a potential risk of irradiation or radioactive contamination) of installations during operation. The results obtained by applying the predictive maintenance techniques in the operation of the double circuit irradiation loop, used in the TRIGA reactors, are presented

Industrial Maintenance Strategies

International Nuclear Information System (INIS)

Sajjad Akbar

2006-01-01

Industrial plants have become more complex due to technological advancement. This has made the task of maintenance more difficult. The maintenance costs in terms of resources and downtime loss are so high that maintenance function has become a critical factor in a plant's profitability. Industry should devote as much forethought to the management of maintenance function as to production. Maintenance has grown from an art to a precise, technical engineering science. Planning, organizing scheduling and control of maintenance using modern techniques pays dividends in the form of reduced costs and increased reliability. The magnitude and the dimension of maintenance have multiplied due to development in the engineering technologies. Production cost and capacities are directly affected by the breakdown time. Total operating cost including the maintenance cost plays an important role in replacement dimension. The integrated system approach would bring forth the desired results of high maintenance standards. The standards once achieved and sustained, would add to the reliability of the plan and relieve heavy stresses and strains on the engineering logistic support. (author)

Dose calculations for the concrete water tunnels at 190-C Area, Hanford Site

International Nuclear Information System (INIS)

Kamboj, S.; Yu, C.

1997-01-01

The RESRAD-BUILD code was used to calculate the radiological dose from the contaminated concrete water tunnels at the 190-C Area at the Hanford Site. Two exposure scenarios, recreationist and maintenance worker, were considered. A residential scenario was not considered because the material was assumed to be left intact (i.e., the concrete would not be rubbleized because the location would not be suitable for construction of a house). The recreationist was assumed to use the tunnel for 8 hours per day for 1 week as an overnight shelter. The maintenance worker was assumed to spend 20 hours per year working in the tunnel. Six exposure pathways were considered in calculating the dose. Three external exposure pathways involved penetrating radiation emitted directly from the contaminated tunnel floor, emitted from radioactive particulates deposited on the tunnel floor, and resulting from submersion in airborne radioactive particulates. Three internal exposure pathways involved inhalation of airborne radioactive particulates; inadvertent direct ingestion of removable, contaminated material on the tunnel floor; and inadvertent indirect ingestion of airborne particulates deposited on the tunnel floor. The gradual removal of surface contamination over time and the ingrowth of decay products were considered in calculating the dose at different times. The maximum doses were estimated to be 1.5 mrem/yr for the recreationist and 0.34 mrem/yr for the maintenance worker

Dynamics of Implementation and Maintenance of Organizational Health Interventions.

Science.gov (United States)

Jalali, Mohammad S; Rahmandad, Hazhir; Bullock, Sally Lawrence; Ammerman, Alice

2017-08-15

In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

Dose received during work in the active zone of the BIBLIS power plant, instalment A, 1977

International Nuclear Information System (INIS)

Kallmeyer, D.; Ambros, R.; Schroeder, H.J.; Kausch, S.

1978-01-01

In the Biblis station, instalment A, of the Rheinisch-Wesfaelisches-Elektrizitaetswerk, a study was conducted in 1977 to determine the doses received as a function of work carried out. The aim was to establish in a general study the dose which appears in each case during work on systems (or components of systems) in the active zone. An attempt was made as far as possible to relate the doses to specific occupations. This correlation is governed in two ways by conditions inherent in the organisation of the Biblis station a) maintenance and repair work are carried out under work contracts; the dose can be related to this work by the order number of the contract in question. b) Some activities, apart from maintenance and repair may be carried out without a contract. The dose which then appears is related to the type of activity concerned

Knowledge based maintenance

Energy Technology Data Exchange (ETDEWEB)

Sturm, A [Hamburgische Electacitaets-Werke AG Hamburg (Germany)

1998-12-31

The establishment of maintenance strategies is of crucial significance for the reliability of a plant and the economic efficiency of maintenance measures. Knowledge about the condition of components and plants from the technical and business management point of view therefore becomes one of the fundamental questions and the key to efficient management and maintenance. A new way to determine the maintenance strategy can be called: Knowledge Based Maintenance. A simple method for determining strategies while taking the technical condition of the components of the production process into account to the greatest possible degree which can be shown. A software with an algorithm for Knowledge Based Maintenance leads the user during complex work to the determination of maintenance strategies for this complex plant components. (orig.)

Knowledge based maintenance

Energy Technology Data Exchange (ETDEWEB)

Sturm, A. [Hamburgische Electacitaets-Werke AG Hamburg (Germany)

1997-12-31

The establishment of maintenance strategies is of crucial significance for the reliability of a plant and the economic efficiency of maintenance measures. Knowledge about the condition of components and plants from the technical and business management point of view therefore becomes one of the fundamental questions and the key to efficient management and maintenance. A new way to determine the maintenance strategy can be called: Knowledge Based Maintenance. A simple method for determining strategies while taking the technical condition of the components of the production process into account to the greatest possible degree which can be shown. A software with an algorithm for Knowledge Based Maintenance leads the user during complex work to the determination of maintenance strategies for this complex plant components. (orig.)

Maintaining close relationships: gratitude as a motivator and a detector of maintenance behavior.

Science.gov (United States)

Kubacka, Kaska E; Finkenauer, Catrin; Rusbult, Caryl E; Keijsers, Loes

2011-10-01

This research examined the dual function of gratitude for relationship maintenance in close relationships. In a longitudinal study among married couples, the authors tested the dyadic effects of gratitude over three time points for approximately 4 years following marriage. They found that feelings of gratitude toward a partner stem from the partner's relationship maintenance behaviors, partly because such behaviors create the perception of responsiveness to one's needs. In turn, gratitude motivates partners to engage in relationship maintenance. Hence, the present model emphasizes that gratitude between close partners (a) originates from partners' relationship maintenance behaviors and the perception of a partner's responsiveness and (b) promotes a partner's reciprocal maintenance behaviors. Thus, the authors' findings add credence to their model, in that gratitude contributes to a reciprocal process of relationship maintenance, whereby each partner's maintenance behaviors, perceptions of responsiveness, and feelings of gratitude feed back on and influence the other's behaviors, perceptions, and feelings.

Protection of lethally irradiated mice with allogeneic fetal liver cells: influence of irradiation dose on immunologic reconstitution

International Nuclear Information System (INIS)

Tulunay, O.; Good, R.A.; Yunis, E.J.

1975-01-01

After lethal irradiation long-lived, immunologically vigorous C3Hf mice were produced by treatment with syngeneic fetal liver cells or syngeneic newborn or adult spleen cells. Treatment of lethally irradiated mice with syngeneic or allogeneic newborn thymus cells or allogeneic newborn or adult spleen cells regularly led to fatal secondary disease or graft-versus-host reactions. Treatment of the lethally irradiated mice with fetal liver cells regularly yielded long-lived, immunologically vigorous chimeras. The introduction of the fetal liver cells into the irradiated mice appeared to be followed by development of immunological tolerance of the donor cells. The findings suggest that T-cells at an early stage of differentiation are more susceptible to tolerance induction than are T-lymphocytes at later stages of differentiation. These investigations turned up a perplexing paradox which suggests that high doses of irradiation may injure the thymic stroma, rendering it less capable of supporting certain T-cell populations in the peripheral lymphoid tissue. Alternatively, the higher and not the lower dose of irradiation may have eliminated a host cell not readily derived from fetal liver precursors which represents an important helper cell in certain cell-mediated immune functions, e.g., graft-versus-host reactions, but which is not important in others, e.g., allograft rejections. The higher dose of lethal irradiation did not permit development or maintenance of a population of spleen cells that could initiate graft-versus-host reactions but did permit the development of a population of donor cells capable of achieving vigorous allograft rejection

DEPDOSE: An interactive, microcomputer based program to calculate doses from exposure to radionuclides deposited on the ground

International Nuclear Information System (INIS)

Beres, D.A.; Hull, A.P.

1991-12-01

DEPDOSE is an interactive, menu driven, microcomputer based program designed to rapidly calculate committed dose from radionuclides deposited on the ground. The program is designed to require little or no computer expertise on the part of the user. The program consisting of a dose calculation section and a library maintenance section. These selections are available to the user from the main menu. The dose calculation section provides the user with the ability to calculate committed doses, determine the decay time needed to reach a particular dose, cross compare deposition data from separate locations, and approximate a committed dose based on a measured exposure rate. The library maintenance section allows the user to review and update dose modifier data as well as to build and maintain libraries of radionuclide data, dose conversion factors, and default deposition data. The program is structured to provide the user easy access for reviewing data prior to running the calculation. Deposition data can either be entered by the user or imported from other databases. Results can either be displayed on the screen or sent to the printer

Maintenance optimization of the Ignalina NPP safety systems

International Nuclear Information System (INIS)

Zuokas, D.; Augutis, J.

2000-01-01

This paper represents some theses and mathematical approach to optimization of technical specification problems of the diesel generators system (DGS) at the Ignalina NPP (INPP) in Lithuania. Analysis unites three chapters, each attributed to the solving of related problems: dependency of the Core Damage Frequency (CDF) on DGS test interval (Chapter 2), analysis and comparison of two different maintenance strategies for DGS (Chapter 3), DGS test interval's optimisation (averaged loss function minimisation) taking into consideration maintenance and DGS failure's consequence costs (Chapter 4). The mathematical model was developed which lets to estimate DGS failure probability, the averaged loss function value and study the influence of different parameters into final results. (author)

Skin dose rate conversion factors after contamination with radiopharmaceuticals: influence of contamination area, epidermal thickness and percutaneous absorption

International Nuclear Information System (INIS)

Covens, P; Berus, D; Caveliers, V; Struelens, L; Vanhavere, F; Verellen, D

2013-01-01

Skin contamination with radiopharmaceuticals can occur during biomedical research and daily nuclear medicine practice as a result of accidental spills, after contact with bodily fluids of patients or by inattentively touching contaminated materials. Skin dose assessment should be carried out by repeated quantification to map the course of the contamination together with the use of appropriate skin dose rate conversion factors. Contamination is generally characterised by local spots on the palmar surface of the hand and complete decontamination is difficult as a result of percutaneous absorption. This specific issue requires special consideration as to the skin dose rate conversion factors as a measure for the absorbed dose rate to the basal layer of the epidermis. In this work we used Monte Carlo simulations to study the influence of the contamination area, the epidermal thickness and the percutaneous absorption on the absorbed skin dose rate conversion factors for a set of 39 medical radionuclides. The results show that the absorbed dose to the basal layer of the epidermis can differ by up to two orders of magnitude from the operational quantity H p (0.07) when using an appropriate epidermal thickness in combination with the effect of percutaneous absorption. (paper)

Factors influencing changes in levels of radiation doses received by patients during gastroduodenal series procedures in the Hospital Dr. Max Peralta de Cartago

International Nuclear Information System (INIS)

Guzman Campos, Jeremy; Vargas Navarro, Jonnathan

2009-01-01

A measurement was made of the number of radiation doses emitted by fluoroscopy equipment used in Hospital Dr. Max Peralta, specifically at the Centro de Deteccion de Cancer Gastrico. The analysis has included the factors could be influencing on increase of the total dose to the patient, by means of indicators that directly affect the unnecessary increase in dose, such as: the procedure, sequences of images, indicators of dosage levels, varying conditions of actual studies, variations dose levels and production process factors. [es

Prednisolone dose-dependently influences inflammation and coagulation during human endotoxemia

NARCIS (Netherlands)

de Kruif, Martijn D.; Lemaire, Lucienne C.; Giebelen, Ida A.; van Zoelen, Marieke A. D.; Pater, Jennie M.; van den Pangaart, Petra S.; Groot, Angelique P.; de Vos, Alex F.; Elliott, Peter J.; Meijers, Joost C. M.; Levi, Marcel; van der Poll, Tom

2007-01-01

The effects of steroids on the outcome of sepsis are dose dependent. Low doses appear to be beneficial, but high doses do not improve outcome for reasons that are insufficiently understood. The effects of steroids on systemic inflammation as a function of dose have not previously been studied in

Radiation doses in pediatric radiology: influence of regulations and standards

International Nuclear Information System (INIS)

Suleiman, O.H.

2004-01-01

The benefits of X-ray examinations contribute to the quality of modern medicine; however the risk of using X-rays, a carcinogen, has always been a concern. This concern is heightened for pediatric patients, who have a much greater sensitivity to the carcinogenic effects of radiation than adults. The principle of as low as reasonably achievable, or ALARA, is essential for minimizing the radiation dose patients receive, especially for pediatric patients. In order to keep radiation doses ALARA, one must know the dose patients receive. The determination of radiation dose in a standard way is therefore necessary so that these doses can be compared with practice, and for meaningful comparison against voluntary standards. In extreme situations, where public health needs may require mandatory standards, or regulations, the quantitative measurement and calculation of radiation dose becomes essential. How some radiation dose metrics and standards have evolved, including the value of different metrics such as entrance air kerma, organ dose, and effective dose will be presented. Recent pediatric X-ray studies, whether or not dedicated pediatric equipment is necessary, and recent initiatives by the Food and Drug Administration for pediatric population will be discussed. (orig.)

Perencanaan Kegiatan Maintenance Dengan Metode Reability Centered Maintenance (Rcm) II

OpenAIRE

Rachmad Hidayat; Nachnul Ansori; Ali Imron

2010-01-01

Maintenance Activity Planning by Reability Centered Maintenance (RCM) II Method. This research discussmaintenance activity by using RCM II method to determine failure function risk at compresor screw. Calculation isgiven to magnitude optimum time maintenance interval by considering the cost maintenance and the cost reparation.From the research results with RPN points out that critical component that needs to get main priority in givemaintenance on compresor screw are bust logistic on timeworn...

Chromatin replication and epigenome maintenance

DEFF Research Database (Denmark)

Alabert, Constance; Groth, Anja

2012-01-01

Stability and function of eukaryotic genomes are closely linked to chromatin structure and organization. During cell division the entire genome must be accurately replicated and the chromatin landscape reproduced on new DNA. Chromatin and nuclear structure influence where and when DNA replication...... initiates, whereas the replication process itself disrupts chromatin and challenges established patterns of genome regulation. Specialized replication-coupled mechanisms assemble new DNA into chromatin, but epigenome maintenance is a continuous process taking place throughout the cell cycle. If DNA...

Dose reduction and cost-benefit analysis at Japan's Tokai No. 2 Plant

International Nuclear Information System (INIS)

Humamoto, Hisao; Suzuki, Seishiro; Taniguchi, Kazufumi

1995-01-01

In the Tokai No. 2 power plant of the Japan Atomic Power Company, about 80% of the annual dose equivalent is received during periodic maintenance outages. A project group for dose reduction was organized at the company's headquarters in 1986; in 1988, they proposed a five-year program to reduce by half the collective dose of 4 person-Sv per normal outage work. To achieve the target dose value, some dose-reduction measures were undertaken, namely, permanent radiation shielding, decontamination, automatic, operating machines, and ALARA organization. As the result, the collective dose from normal outage work was 1.6 person-Sv in 1992, which was less than the initial target value

Gene-guided Gefitinib switch maintenance therapy for patients with advanced EGFR mutation-positive Non-small cell lung cancer: an economic analysis

International Nuclear Information System (INIS)

Zhu, Jun; Li, Te; Wang, Xiaohui; Ye, Ming; Cai, Jian; Xu, Yuejuan; Wu, Bin

2013-01-01

Maintenance therapy with gefitinib notably improves survival in patients with advanced non-small cell lung cancer (NSCLC) and EGFR mutation-positive tumors, but the economic impact of this practice is unclear. A decision-analytic model was developed to simulate 21-day patient transitions in a 10-year time horizon. The clinical data were primarily obtained from the results of a pivotal phase III trial that assessed gefitinib maintenance treatment in patients with advanced NSCLC. The cost data were derived from the perspective of the Chinese health care system. The primary outcome was the incremental cost-effectiveness ratio (ICER) at a willingness-to-pay (WTP) threshold of 3 times the per capita GDP of China. Sensitivity analyses were used to explore the impact of uncertainty regarding the results. The impact of the gefitinib patient assistance program (GPAP) was evaluated. After EGFR genotyping, gefitinib maintenance treatment for advanced NSCLC with EGFR mutations increased the life expectancy by 0.74 years and 0.46 QALYs compared with routine follow-up at an additional cost of $26,149.90 USD ($7,178.20 with the GPAP). The ICER for gefitinib maintenance was $57,066.40 and $15,664.80 per QALY gained (at a 3% discount rate) without and with the GPAP, respectively. The utility of progression free survival, the hazard ratio of progression-free survival for gefitinib treatment and the cost of gefitinib per dose were the three factors that had the greatest influence on the results. These results indicate that gene-guided maintenance therapy with gefitinib with the GPAP might be a cost-effective treatment option

Gene-guided Gefitinib switch maintenance therapy for patients with advanced EGFR mutation-positive Non-small cell lung cancer: an economic analysis

Directory of Open Access Journals (Sweden)

Zhu Jun

2013-01-01

Full Text Available Abstract Background Maintenance therapy with gefitinib notably improves survival in patients with advanced non-small cell lung cancer (NSCLC and EGFR mutation-positive tumors, but the economic impact of this practice is unclear. Methods A decision-analytic model was developed to simulate 21-day patient transitions in a 10-year time horizon. The clinical data were primarily obtained from the results of a pivotal phase III trial that assessed gefitinib maintenance treatment in patients with advanced NSCLC. The cost data were derived from the perspective of the Chinese health care system. The primary outcome was the incremental cost-effectiveness ratio (ICER at a willingness-to-pay (WTP threshold of 3 times the per capita GDP of China. Sensitivity analyses were used to explore the impact of uncertainty regarding the results. The impact of the gefitinib patient assistance program (GPAP was evaluated. Results After EGFR genotyping, gefitinib maintenance treatment for advanced NSCLC with EGFR mutations increased the life expectancy by 0.74 years and 0.46 QALYs compared with routine follow-up at an additional cost of $26,149.90 USD ($7,178.20 with the GPAP. The ICER for gefitinib maintenance was $57,066.40 and $15,664.80 per QALY gained (at a 3% discount rate without and with the GPAP, respectively. The utility of progression free survival, the hazard ratio of progression-free survival for gefitinib treatment and the cost of gefitinib per dose were the three factors that had the greatest influence on the results. Conclusions These results indicate that gene-guided maintenance therapy with gefitinib with the GPAP might be a cost-effective treatment option.

Analytical method for optimization of maintenance policy based on available system failure data

International Nuclear Information System (INIS)

Coria, V.H.; Maximov, S.; Rivas-Dávalos, F.; Melchor, C.L.; Guardado, J.L.

2015-01-01

An analytical optimization method for preventive maintenance (PM) policy with minimal repair at failure, periodic maintenance, and replacement is proposed for systems with historical failure time data influenced by a current PM policy. The method includes a new imperfect PM model based on Weibull distribution and incorporates the current maintenance interval T 0 and the optimal maintenance interval T to be found. The Weibull parameters are analytically estimated using maximum likelihood estimation. Based on this model, the optimal number of PM and the optimal maintenance interval for minimizing the expected cost over an infinite time horizon are also analytically determined. A number of examples are presented involving different failure time data and current maintenance intervals to analyze how the proposed analytical optimization method for periodic PM policy performances in response to changes in the distribution of the failure data and the current maintenance interval. - Highlights: • An analytical optimization method for preventive maintenance (PM) policy is proposed. • A new imperfect PM model is developed. • The Weibull parameters are analytically estimated using maximum likelihood. • The optimal maintenance interval and number of PM are also analytically determined. • The model is validated by several numerical examples

Lean Maintenance Applied to Improve Maintenance Efficiency in Thermoelectric Power Plants

Directory of Open Access Journals (Sweden)

Orlando Duran

2017-10-01

Full Text Available Thermoelectric power plants consist of a set of critical equipment that require high levels of availability and reliability. Due to this, maintenance of these physical assets is gaining momentum in industry. Maintenance is considered as an activity that contributes to improving the availability, efficiency and productivity of each piece of equipment. Several techniques have been used to achieve greater efficiencies in maintenance, among which we can find the lean maintenance philosophy. Despite the wide diffusion of lean maintenance, there is no structured method that supports the prescription of lean tools applied to the maintenance function. This paper presents the experience gathered in two lean maintenance projects in thermoelectric power plants. The application of lean techniques was based on using a previously developed multicriterial decision making process that uses the Fuzzy Analytic Hierarchy Process (AHP methodology to carry out a diagnosis and prescription tasks. That methodology allowed the prescription of the appropriated lean techniques to resolve the main deficiencies in maintenance function. The results of applying such lean tools show that important results can be obtained, making the maintenance function in thermoelectric power plants more efficient and lean.

Wireless monitoring system for personal dose

International Nuclear Information System (INIS)

Kobayashi, Hironobu; Kawamura, Takeshi; Inoue, Takayuki

2000-01-01

Fuji Electric has developed a system for the higher radiation controlled area in nuclear power plants, in which exposure dose data measured on the wearer's chest, hands, and legs are transferred by wireless to the data control equipment so that the exposure dose can be controlled in real time. The system using a specified low-power radio wave causes no interference to the other types of dosimeters. The data control equipment automatically saves data received from the dosimeters and also has functions of calibration of dosimeters and maintenance of the wireless system. This paper describes the wireless monitoring system that consists of chest and parts dosimeters and data control equipment. (author)

Measuring robustness of port plug maintenance schedules in fusion remote handling

Energy Technology Data Exchange (ETDEWEB)

Schoen, P.W., E-mail: p.w.schoen@heemskerk-innovative.nl [Heemskerk Innovative Technology, Sassenheim (Netherlands); Thomas, J. [CCFE EURATOM/CCFE Fusion Association, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Boessenkool, H. [FOM Institute DIFFER, Association EURATOM-FOM, Partner in the Trilateral Euregio Cluster, PO Box 1207, 3430 BE Nieuwegein (Netherlands); Heemskerk, C.J.M. [Heemskerk Innovative Technology, Sassenheim (Netherlands)

2015-12-15

Unexpected events during maintenance operations of a fusion plant like JET or ITER may require rescheduling, suspending the execution of the current procedure to pick it up later. In this paper, we look at how the introduction of slack influences the port plug maintenance schedule robustness. We introduce a metrics to measure the robustness. Simulating disruptions we evaluate the effect on a schedule. Finally, we show how the robustness is affected when introducing different amounts of slack.

Measuring robustness of port plug maintenance schedules in fusion remote handling

International Nuclear Information System (INIS)

Schoen, P.W.; Thomas, J.; Boessenkool, H.; Heemskerk, C.J.M.

2015-01-01

Unexpected events during maintenance operations of a fusion plant like JET or ITER may require rescheduling, suspending the execution of the current procedure to pick it up later. In this paper, we look at how the introduction of slack influences the port plug maintenance schedule robustness. We introduce a metrics to measure the robustness. Simulating disruptions we evaluate the effect on a schedule. Finally, we show how the robustness is affected when introducing different amounts of slack.

Influence of limestone doses in the Manganese absorption by Brachiaria decumbens

International Nuclear Information System (INIS)

Armelin, Maria Jose A.; Fulas, Paulo M.M.; Saiki, Mitiko; Primavesi, Odo; Primavesi, Ana C.

2005-01-01

To restore a degraded pasture of Brachiaria decumbens, located in Sao Carlos - SP, Southeastern Brazil, under tropical climate, an experiment was carried out to study the influence of different methods of the limestone doses application on manganese absorption by the aboveground part of the forage, during 3 years of treatment. The experimental design was randomized block, with 6 replications and 8 treatments. The 100m 2 blocks were established in the pasture. Each block received a sequence of limestone doses (0, 1, 2, 4, and 8 t/ha) applied on soil surface with NK and, 2 t/ha applied on soil surface with plus one annual application of 1t/ha and NK, 4t/ha buried in the soil with NK, 4t/ha applied on soil surface without NK. Forages samples were collected 14 cm above soil surface. Instrumental neutron activation analysis (INAA) followed by gamma-ray spectrometry was the analytical method used to determine manganese content. The statistical analysis showed some significant variations of this element absorption by the plant with regard to the treatments, but anything that could compromise the mineral nutrition of forage. Moreover, the quality of forage for the animal feeding showed suitable agreement to manganese requirement. INAA showed that it can be an alternative option for agronomical researches that require the knowledge of the manganese concentration. (author)

Regulatory requirements related to risk-based inspection and maintenance

International Nuclear Information System (INIS)

Schroeder, H.C.; Kauer, R.

2003-01-01

By asking the question why new inspection and maintenance strategies have to be developed one can often be made aware that there is always a continue demand for cost reduction and optimisation. In this framework, general trends involving staff reduction, outsourcing, benchmarking etc. can often be observed nearly everywhere. Since inspection and maintenance are amongst the few cost factors, which could be actively influenced in the short term, and in combination with the recent regulatory fundamental changes (e.g. PED) yielding to considerably greater responsibilities for the operator of a plant, also the demand for documentation and comprehensibility of measures will increase. (orig.)

Maintenance management systems

International Nuclear Information System (INIS)

Rohan, M. de

1989-01-01

This paper is concerned principally with Maintenance Management systems and their effective introduction into organisations. Maintenance improvement is basically a problem of managing the maintenance department in the broadest sense. Improvement does not only lie in the area of special techniques, systems or procedures; although they are valuable tools, but rather in a balanced attack, carefully guided by management. Over recent years, maintenance systems have received the major emphasis and in many instances the selection of the system has become a pre-occupation, whereas the importance of each maintenance function must be recognised and good management practices applied to all maintenance activities. The ingredients for success in the implementation of maintenance management systems are summarised as: having a management committee, clear objectives, project approach using project management techniques and an enthusiastic leader, user managed and data processing supported project, realistic budget and an understanding of the financial audit requirements. (author)

Influence of image slice thickness on rectal dose-response relationships following radiotherapy of prostate cancer

Science.gov (United States)

Olsson, C.; Thor, M.; Liu, M.; Moissenko, V.; Petersen, S. E.; Høyer, M.; Apte, A.; Deasy, J. O.

2014-07-01

When pooling retrospective data from different cohorts, slice thicknesses of acquired computed tomography (CT) images used for treatment planning may vary between cohorts. It is, however, not known if varying slice thickness influences derived dose-response relationships. We investigated this for rectal bleeding using dose-volume histograms (DVHs) of the rectum and rectal wall for dose distributions superimposed on images with varying CT slice thicknesses. We used dose and endpoint data from two prostate cancer cohorts treated with three-dimensional conformal radiotherapy to either 74 Gy (N = 159) or 78 Gy (N = 159) at 2 Gy per fraction. The rectum was defined as the whole organ with content, and the morbidity cut-off was Grade ≥2 late rectal bleeding. Rectal walls were defined as 3 mm inner margins added to the rectum. DVHs for simulated slice thicknesses from 3 to 13 mm were compared to DVHs for the originally acquired slice thicknesses at 3 and 5 mm. Volumes, mean, and maximum doses were assessed from the DVHs, and generalized equivalent uniform dose (gEUD) values were calculated. For each organ and each of the simulated slice thicknesses, we performed predictive modeling of late rectal bleeding using the Lyman-Kutcher-Burman (LKB) model. For the most coarse slice thickness, rectal volumes increased (≤18%), whereas maximum and mean doses decreased (≤0.8 and ≤4.2 Gy, respectively). For all a values, the gEUD for the simulated DVHs were ≤1.9 Gy different than the gEUD for the original DVHs. The best-fitting LKB model parameter values with 95% CIs were consistent between all DVHs. In conclusion, we found that the investigated slice thickness variations had minimal impact on rectal dose-response estimations. From the perspective of predictive modeling, our results suggest that variations within 10 mm in slice thickness between cohorts are unlikely to be a limiting factor when pooling multi-institutional rectal dose data that include slice thickness

Evaluation of the influence of double and triple Gaussian proton kernel models on accuracy of dose calculations for spot scanning technique.

Science.gov (United States)

Hirayama, Shusuke; Takayanagi, Taisuke; Fujii, Yusuke; Fujimoto, Rintaro; Fujitaka, Shinichiro; Umezawa, Masumi; Nagamine, Yoshihiko; Hosaka, Masahiro; Yasui, Keisuke; Omachi, Chihiro; Toshito, Toshiyuki

2016-03-01

The main purpose in this study was to present the results of beam modeling and how the authors systematically investigated the influence of double and triple Gaussian proton kernel models on the accuracy of dose calculations for spot scanning technique. The accuracy of calculations was important for treatment planning software (TPS) because the energy, spot position, and absolute dose had to be determined by TPS for the spot scanning technique. The dose distribution was calculated by convolving in-air fluence with the dose kernel. The dose kernel was the in-water 3D dose distribution of an infinitesimal pencil beam and consisted of an integral depth dose (IDD) and a lateral distribution. Accurate modeling of the low-dose region was important for spot scanning technique because the dose distribution was formed by cumulating hundreds or thousands of delivered beams. The authors employed a double Gaussian function as the in-air fluence model of an individual beam. Double and triple Gaussian kernel models were also prepared for comparison. The parameters of the kernel lateral model were derived by fitting a simulated in-water lateral dose profile induced by an infinitesimal proton beam, whose emittance was zero, at various depths using Monte Carlo (MC) simulation. The fitted parameters were interpolated as a function of depth in water and stored as a separate look-up table. These stored parameters for each energy and depth in water were acquired from the look-up table when incorporating them into the TPS. The modeling process for the in-air fluence and IDD was based on the method proposed in the literature. These were derived using MC simulation and measured data. The authors compared the measured and calculated absolute doses at the center of the spread-out Bragg peak (SOBP) under various volumetric irradiation conditions to systematically investigate the influence of the two types of kernel models on the dose calculations. The authors investigated the difference

The influence of tube voltage and phantom size in computed tomography on the dose-response relationship of dicentrics in human blood samples

International Nuclear Information System (INIS)

Jost, G; Pietsch, H; Lengsfeld, P; Voth, M; Schmid, E

2010-01-01

The aim of this study was to investigate the dose response relationship of dicentrics in human lymphocytes after CT scans at tube voltages of 80 and 140 kV. Blood samples from a healthy donor placed in tissue equivalent abdomen phantoms of standard, pediatric and adipose sizes were exposed at dose levels up to 0.1 Gy using a 64-slice CT scanner. It was found that both the tube voltage and the phantom size significantly influenced the CT scan-induced linear dose-response relationship of dicentrics in human lymphocytes. Using the same phantom (standard abdomen), 80 kV CT x-rays were biologically more effective than 140 kV CT x-rays. However, it could also be determined that the applied phantom size had much more influence on the biological effectiveness. Obviously, the increasing slopes of the CT scan-induced dose response relationships of dicentrics in human lymphocytes obtained in a pediatric, a standard and an adipose abdomen have been induced by scattering effects of photons, which strongly increase with increasing phantom size.

The influence of tube voltage and phantom size in computed tomography on the dose-response relationship of dicentrics in human blood samples

Energy Technology Data Exchange (ETDEWEB)

Jost, G; Pietsch, H [TRG Diagnostic Imaging, Bayer Schering Pharma AG, Berlin (Germany); Lengsfeld, P; Voth, M [Global Medical Affairs Diagnostic Imaging, Bayer Schering Pharma AG, Berlin (Germany); Schmid, E, E-mail: Ernst.Schmid@lrz.uni-muenchen.d [Institute for Cell Biology, Center for Integrated Protein Science, University of Munich (Germany)

2010-06-07

The aim of this study was to investigate the dose response relationship of dicentrics in human lymphocytes after CT scans at tube voltages of 80 and 140 kV. Blood samples from a healthy donor placed in tissue equivalent abdomen phantoms of standard, pediatric and adipose sizes were exposed at dose levels up to 0.1 Gy using a 64-slice CT scanner. It was found that both the tube voltage and the phantom size significantly influenced the CT scan-induced linear dose-response relationship of dicentrics in human lymphocytes. Using the same phantom (standard abdomen), 80 kV CT x-rays were biologically more effective than 140 kV CT x-rays. However, it could also be determined that the applied phantom size had much more influence on the biological effectiveness. Obviously, the increasing slopes of the CT scan-induced dose response relationships of dicentrics in human lymphocytes obtained in a pediatric, a standard and an adipose abdomen have been induced by scattering effects of photons, which strongly increase with increasing phantom size.

Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories.

Science.gov (United States)

Kwasnicka, Dominika; Dombrowski, Stephan U; White, Martin; Sniehotta, Falko

2016-09-01

Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.

Advanced maintenance research programs

International Nuclear Information System (INIS)

Marston, T.U.; Gelhaus, F.; Burke, R.

1985-01-01

The purpose of this paper is to provide the reader with an idea of the advanced maintenance research program at the Electric Power Research Institute (EPRI). A brief description of the maintenance-related activities is provided as a foundation for the advanced maintenance research projects. The projects can be divided into maintenance planning, preventive maintenance program development and implementation, predictive (or conditional) maintenance, and innovative maintenance techniques. The projects include hardware and software development, human factors considerations, and technology promotion and implementation. The advanced concepts include: the incorporation of artificial intelligence into outage planning; turbine and pump maintenance; rotating equipment monitoring and diagnostics with the aid of expert systems; and the development of mobile robots for nuclear power plant maintenance

Development of predictive models for estimating warfarin maintenance dose based on genetic and clinical factors.

Science.gov (United States)

Yang, Lu; Linder, Mark W

2013-01-01

In this chapter, we use calculation of estimated warfarin maintenance dosage as an example to illustrate how to develop a multiple linear regression model to quantify the relationship between several independent variables (e.g., patients' genotype information) and a dependent variable (e.g., measureable clinical outcome).

Epidural Labor Analgesia-Fentanyl Dose and Breastfeeding Success: A Randomized Clinical Trial.

Science.gov (United States)

Lee, Amy I; McCarthy, Robert J; Toledo, Paloma; Jones, Mary Jane; White, Nancy; Wong, Cynthia A

2017-10-01

Breastfeeding is an important public health concern. High cumulative doses of epidural fentanyl administered for labor analgesia have been reported to be associated with early termination of breastfeeding. We tested the hypothesis that breastfeeding success is adversely influenced by the cumulative epidural fentanyl dose administered for labor analgesia. The study was a randomized, double-blind, controlled trial of parous women at greater than 38 weeks gestation who planned to breastfeed, had successfully breastfed a prior infant, and who received neuraxial labor analgesia. Participants were randomized to receive one of three epidural maintenance solutions for labor analgesia (bupivacaine 1 mg/ml, bupivacaine 0.8 mg/ml with fentanyl 1 μg/ml, or bupivacaine 0.625 mg/ml with fentanyl 2 μg/ml). The primary outcome was the proportion of women breastfeeding at 6 weeks postpartum. Maternal and umbilical venous blood fentanyl and bupivacaine concentration at delivery were measured. A total of 345 women were randomized and 305 had complete data for analysis. The frequency of breastfeeding at 6 weeks was 97, 98, and 94% in the groups receiving epidural fentanyl 0, 1, and 2 μg/ml, respectively (P = 0.34). The cumulative fentanyl dose (difference: 37 μg [95% CI of the difference, -58 to 79 μg], P = 0.28) and maternal and umbilical cord venous fentanyl and bupivacaine concentrations did not differ between women who discontinued breastfeeding and those who were still breastfeeding at 6 weeks postpartum. Labor epidural solutions containing fentanyl concentrations as high as 2 μg/ml do not appear to influence breastfeeding rates at 6 weeks postpartum.

The influence of small dose radiation on some molecular and genetic parameters of peripheral blood lymphocytes

International Nuclear Information System (INIS)

Mel'nov, S.B.; Morozik, P.M.

2001-01-01

About 70% of Chernobyl radionuclide fallout was spread on the territory of Belarus. As a result, 2,5 million people now are living in contaminated areas under the pressure of the additional influence of low dose radiation. The aim of the current research is to definite the effects of this factor on some molecular and genetic characteristics of the children - prominent residents of the contaminated areas

Influence of radioactive contaminants on absorbed dose estimates for radiopharmaceuticals

International Nuclear Information System (INIS)

Watson, E.E.; Stabin, M.G.

1986-01-01

Several popular radiopharmaceutical products contain low levels of radioactive contaminants. These contaminants increase the radiation absorbed dose to the patient without any increased benefit and, in some cases, with a decrease in image quality. The importance of a contaminant to the radiation dosimetry picture is a function of 1) the contaminant level, 2) the physical half-life of the contaminant, 3) the organ uptake and the biological half-time of the contaminant in the various body systems, and 4) the decay mode, energy, etc. of the contaminant. The general influence of these parameters is discussed in this paper; families of curves are included that reflect the changing importance of contaminant dosimetry with respect to the primary radionuclide as a function of these variables. Several specific examples are also given of currently used radiopharmaceutical products which can contain radioactive contaminants (I-123, In-111, Tl-201, Ir-191m, Rb-82, Au-195m). 7 references, 8 figures, 4 tables

Maternal methadone dosing schedule and fetal neurobehavior

Science.gov (United States)

Jansson, Lauren M.; DiPietro, Janet A.; Velez, Martha; Elko, Andrea; Knauer, Heather; Kivlighan, Katie T.

2008-01-01

Objective Daily methadone maintenance is the standard of care for opiate dependency during pregnancy. Previous research has indicated that single-dose maternal methadone administration significantly suppresses fetal neurobehaviors. The purpose of this study was to determine if split-dosing would have less impact on fetal neurobehavior than single-dose administration. Methods Forty methadone-maintained women were evaluated at peak and trough maternal methadone levels on single- and split-dosing schedules. Monitoring sessions occurred at 36 and 37 weeks gestation in a counterbalanced study design. Fetal measures included heart rate, variability, accelerations, motor activity and fetal movement-heart rate coupling (FM-FHR). Maternal measures included heart period, variability, skin conductance, respiration and vagal tone. Repeated measure analysis of variance was used to evaluate within-subject changes between split- and single-dosing regimens. Results All fetal neurobehavioral parameters were suppressed by maternal methadone administration, regardless of dosing regimen. Fetal parameters at peak were significantly lower during single vs. split methadone administration. FM-FHR coupling was less suppressed from trough to peak during split-dosing vs. single-dosing. Maternal physiologic parameters were generally unaffected by dosing condition. Conclusion Split- dosed fetuses displayed less neurobehavioral suppression from trough to peak maternal methadone levels as compared to single-dosed fetuses. Split-dosing may be beneficial for methadone-maintained pregnant women. PMID:19085624

Influence of genetic polymorphisms on the effect of high- and standard-dose clopidogrel after percutaneous coronary intervention: the GIFT (Genotype Information and Functional Testing) study.

Science.gov (United States)

Price, Matthew J; Murray, Sarah S; Angiolillo, Dominick J; Lillie, Elizabeth; Smith, Erin N; Tisch, Rebecca L; Schork, Nicholas J; Teirstein, Paul S; Topol, Eric J

2012-05-29

This study sought to evaluate the influence of single nucleotide polymorphisms (SNPs) on the pharmacodynamic effect of high- or standard-dose clopidogrel after percutaneous coronary intervention (PCI). There is a lack of prospective, multicenter data regarding the effect of different genetic variants on clopidogrel pharmacodynamics over time in patients undergoing PCI. The GRAVITAS (Gauging Responsiveness with A VerifyNow assay-Impact on Thrombosis And Safety) trial screened patients with platelet function testing after PCI and randomly assigned those with high on-treatment reactivity (OTR) to either high- or standard-dose clopidogrel; a cohort of patients without high OTR were also followed. DNA samples obtained from 1,028 patients were genotyped for 41 SNPs in 17 genes related to platelet reactivity. After adjusting for clinical characteristics, the associations between the SNPs and OTR using linear regression were evaluated. CYP2C19*2 was significantly associated with OTR at 12 to 24 h (R(2) = 0.07, p = 2.2 × 10(-15)), 30 days (R(2) = 0.10, p = 1.3 × 10(-7)), and 6 months after PCI (R(2) = 0.07, p = 1.9 × 10(-11)), whereas PON1, ABCB1 3435 C→T, and other candidate SNPs were not. Carriers of 1 and 2 reduced-function CYP2C19 alleles were significantly more likely to display persistently high OTR at 30 days and 6 months, irrespective of treatment assignment. The portion of the risk of persistently high OTR at 30 days attributable to reduced-function CYP2C19 allele carriage was 5.2% in the patients randomly assigned to high-dose clopidogrel. CYP2C19, but not PON1 or ABCB1, is a significant determinant of the pharmacodynamic effects of clopidogrel, both early and late after PCI. In patients with high OTR identified by platelet function testing, the CYP2C19 genotype provides limited incremental information regarding the risk of persistently high reactivity with clopidogrel 150-mg maintenance dosing. (Genotype Information and Functional Testing Study [GIFT]; NCT

Optimizing lithium dosing in hemodialysis

DEFF Research Database (Denmark)

Bjarnason, N H; Munkner, R; Kampmann, J P

2006-01-01

We studied a 62-year-old female hemodialysis patient during initiation and maintenance of lithium carbonate therapy. Three different methods were applied to estimate the regimen: a scenario based on volume of distribution (V(d)), a scenario based on glomerular filtration rate (GFR), and a scenario...... estimates. Furthermore, the maintenance dose estimated from the central compartment (V1) led to plasma concentrations within the therapeutic range. Thus, a regimen where 12.2 mmol lithium was given after each hemodialysis session resulted in stable between-dialysis plasma lithium concentrations...... in this patient with no residual kidney function. We did not observe adverse effects related to this regimen, which was monitored from 18 days to 8 months of therapy, and the patient experienced relief from her severe depressive disorder. In conclusion, dialysis patients may be treated with lithium administrated...

Influence of whole-body irradiation on calcium and phosphate homeostasis in the rat

International Nuclear Information System (INIS)

Pento, J.T.; Kenny, A.D.

1975-01-01

Previous irradiation studies have revealed marked alterations in calcium metabolism. Moreover, the maintenance of calcium homeostasis with parathyroid hormone or calcium salts has been reported to reduce radiation lethality. Therefore, the present study was designed to evaluate the influence of irradiation on calcium homeostasis in the rat. Nine hundred rad of whole-body irradiation produced a significant depression of both plasma calcium and phosphate at 4 days postirradiation. This effect of irradiation was observed to be dose-dependent over a range of 600 to 1200 rad, and possibly related to irradiation-induced anorexia. The physiological significance of these observations is discussed

Predictive maintenance technology development at G.A. Siwabessy multipurpose reactor

Energy Technology Data Exchange (ETDEWEB)

Jupiter Sitorus Pane; Imron, M.; Sapto Hartoko; Sentot Alibasya Harahap [Multipurpose Research Reactor G.A. Siwabessy, National Nuclear Energy Agency (Indonesia)

1999-10-01

Safe operation of reactor is certainly influenced by condition of system and component equipped to the reactor's system. In order to maintain the condition of that systems and components, RSG-GAS has arranged maintenance program with time-basis. All 6 (six) groups of reactor systems are maintained within interval of weekly, monthly, three monthly, six-monthly, yearly, five-yearly appropriately. The experience showed that event though the maintenance was performed persistently, the condition of system and component are still not able to determine exactly. The possibility of accidental failure is open since the failure factor are varied and complicated. In order to limit an uncertainty of the component condition a based maintenance shall be introduced. An infrared investigation and manual vibration analysis had been used to diagnose the condition of some RSG-GAS' components. In addition, other alternative technology for predictive maintenance was developed. It is started by computerizing the database maintenance and doing historical review for its aging management, and developing data acquisition and processing equipment using Lab View computer program for collecting and processing signal data from dynamics system. This paper describes briefly the status of those development results. (author)

Predictive maintenance technology development at G.A. Siwabessy multipurpose reactor

International Nuclear Information System (INIS)

Jupiter Sitorus Pane; Imron, M.; Sapto Hartoko; Sentot Alibasya Harahap

1999-01-01

Safe operation of reactor is certainly influenced by condition of system and component equipped to the reactor's system. In order to maintain the condition of that systems and components, RSG-GAS has arranged maintenance program with time-basis. All 6 (six) groups of reactor systems are maintained within interval of weekly, monthly, three monthly, six-monthly, yearly, five-yearly appropriately. The experience showed that event though the maintenance was performed persistently, the condition of system and component are still not able to determine exactly. The possibility of accidental failure is open since the failure factor are varied and complicated. In order to limit an uncertainty of the component condition a based maintenance shall be introduced. An infrared investigation and manual vibration analysis had been used to diagnose the condition of some RSG-GAS' components. In addition, other alternative technology for predictive maintenance was developed. It is started by computerizing the database maintenance and doing historical review for its aging management, and developing data acquisition and processing equipment using Lab View computer program for collecting and processing signal data from dynamics system. This paper describes briefly the status of those development results. (author)

Computed tomography: influence of varying tube current on patient dose and correctness of effective dose calculations; Computertomografie: Einfluss des variablen Roehrenstroms auf die Patientendosis und die Genauigkeit von Berechnungen der effektiven Dosis

Energy Technology Data Exchange (ETDEWEB)

Hietschold, V. [Inst. und Poliklinik fuer Radiologische Diagnostik, Universitaetsklinikum Carl-Gustav-Carus der TU Dresden (Germany); Koch, A.; Laniado, M.; Abolmaali, N.D. [OncoRay, Molecular Imaging, TU Dresden (Germany)

2008-05-15

Purpose: determination of the influence of tube currents varying during a CT scan on organ doses and on the effective dose as a function of patient constitution. Evaluation of the accuracy of effective dose calculations based on summarizing parameters (effective mAs, dose length product [DLP]) compared to calculations based on slice-specific tube currents. Materials and methods: investigation of the CT datasets of 806 patients acquired from the skull base to the proximal thigh with respect to the body mass index (BMI). The effective dose was calculated by means of slice-specific as well as region-specific conversion factors. Results: dose optimization by means of variable tube current resulted in a reduction of the gonad dose in patients with BMI {<=} 20.. 21 kg/m{sup 2} and of the effective dose in patients with BMI {<=} 26 kg/m{sup 2}. Effective dose values calculated with the DLP for 90% of the patients are within an interval of {+-} 20% of the values calculated using slice-specific tube currents. Conclusion: if tube current optimization during the CT scan was applied, for the scan region under investigation, at a BMI already below the German mean value, an increased effective dose was observed. Calculations of the effective dose on the basis of summarizing values such as DLP or effective mAs are of sufficient accuracy. (orig.)

Factors influencing completion of multi-dose vaccine schedules in adolescents: a systematic review

Directory of Open Access Journals (Sweden)

K. E. Gallagher

2016-02-01

Full Text Available Abstract Background Completion of multiple dose vaccine schedules is crucial to ensure a protective immune response, and maximise vaccine cost-effectiveness. While barriers and facilitators to vaccine uptake have recently been reviewed, there is no comprehensive review of factors influencing subsequent adherence or completion, which is key to achieving vaccine effectiveness. This study identifies and summarises the literature on factors affecting completion of multi-dose vaccine schedules by adolescents. Methods Ten online databases and four websites were searched (February 2014. Studies with analysis of factors predicting completion of multi-dose vaccines were included. Study participants within 9–19 years of age were included in the review. The defined outcome was completion of the vaccine series within 1 year among those who received the first dose. Results Overall, 6159 abstracts were screened, and 502 full texts were reviewed. Sixty one studies were eligible for this review. All except two were set in high-income countries. Included studies evaluated human papillomavirus vaccine, hepatitis A, hepatitis B, and varicella vaccines. Reported vaccine completion rates, among those who initiated vaccination, ranged from 27 % to over 90 %. Minority racial or ethnic groups and inadequate health insurance coverage were risk factors for low completion, irrespective of initiation rates. Parental healthcare seeking behaviour was positively associated with completion. Vaccine delivery in schools was associated with higher completion than delivery in the community or health facilities. Gender, prior healthcare use and socio-economic status rarely remained significant risks or protective factors in multivariate analysis. Conclusions Almost all studies investigating factors affecting completion have been carried out in developed countries and investigate a limited range of variables. Increased understanding of barriers to completion in adolescents will

Instrumentation maintenance

International Nuclear Information System (INIS)

Mack, D.A.

1976-09-01

It is essential to any research activity that accurate and efficient measurements be made for the experimental parameters under consideration for each individual experiment or test. Satisfactory measurements in turn depend upon having the necessary instruments and the capability of ensuring that they are performing within their intended specifications. This latter requirement can only be achieved by providing an adequate maintenance facility, staffed with personnel competent to understand the problems associated with instrument adjustment and repair. The Instrument Repair Shop at the Lawrence Berkeley Laboratory is designed to achieve this end. The organization, staffing and operation of this system is discussed. Maintenance policy should be based on studies of (1) preventive vs. catastrophic maintenance, (2) records indicating when equipment should be replaced rather than repaired and (3) priorities established to indicate the order in which equipment should be repaired. Upon establishing a workable maintenance policy, the staff should be instructed so that they may provide appropriate scheduled preventive maintenance, calibration and corrective procedures, and emergency repairs. The education, training and experience of the maintenance staff is discussed along with the organization for an efficient operation. The layout of the various repair shops is described in the light of laboratory space and financial constraints

Operation and maintenance of the RB reactor, Annual report for 1980

International Nuclear Information System (INIS)

Sotic, O.; Vranic, S.; Markovic, H.; Zivkovic, B.; Gogdanovic, M.; Petronijevic, M.

1980-12-01

This report includes data concerned with reactor operation and utilization, status of reactor components and equipment, refurbishment of the equipment, dosimetry and radiation protection, reactor staff, financing. It includes 9 Annexes as follows: Utilization of the RB reactor from 1976 - 1980; program of reactor utilization from 1981-1985; contents of the RB reactor safety report; maintenance of the reactor components and equipment in 1980; verification of reactor reliability after the earthquake (May 18 1980); refurbishment of equipment in 1980, and purchasing new equipment from 1981-1985; review of radiation doses in the reactor building and exposure doses for the reactor staff; personnel data and financial data

Systematic maintenance analysis with decision support method and tool for optimizing maintenance programme

International Nuclear Information System (INIS)

Laakso, K.; Simola, K.; Dorrepaal, J.; Skogberg, P.

1999-01-01

This report describes an approach to evaluate the effectiveness of test and maintenance programs of technical systems used during several years. The method combines an analysis of the historical data on faults and repairs with an analysis of the history of periodic testing and preventive maintenance action programs. The application of the maintenance analysis from the methodological point of view in the reliability centered maintenance (RCM) project for Barsebaeck nuclear power plant is described. In order to limit the analysis resources, a method for ranking of objects for maintenance analysis is needed. Preliminary suggestions for changes in maintenance action programs are based on signals from simple maintenance indicators and qualitative analysis of underlying data on failures and maintenance. To facilitate generation of maintenance indicators, and make the maintenance analysis more efficient, a powerful and suitable data treatment tool is needed for analysis of the work order history. In the final maintenance decisions, additional decision criteria must be taken into account, and thus a more formal decision analysis is often needed for decision support. (au)

Design of movable fixed area γ dose rate monitor

International Nuclear Information System (INIS)

Li Dongyu; Cheng Wen; Li Jikai; Huang Hong; Shen Qiming; Zhang Qiang; Liu Zhengshan

2005-10-01

Movable fixed area γ dose rate monitor has not only the characteristics of fixed area γ dose rate monitor, but that of portable meter as well. Its main function is to monitor the areas where dose rate would change without orderliness to prevent unplanned radiation exposure accidents from happening. The design way of the monitor, the main indicators description, the working principle and the comprising of software and hardware are briefly introduced. The monitor has the characteristics of simple installation, easy maintenance, little power consumption, wide range, notability of visual and audible alarm and so on. Its design and technique have novelty and advancement. (authors)

Radiosensitivity of Arabidopsis thaliana L. in condition of influence of low ionizing radiation doses

International Nuclear Information System (INIS)

Shershunova, V.I.

2000-01-01

Arabidopsis thaliana is a convenient genetic object. This work represents the date of laboratory experiments concerning research of influence of chronic γ-irradiation on plants of arabidopsis at rosette stage (short stemmed mutant Lansberg Erecta). The findings contribute to the high sensitivity of rosette stage of arabidopsis to irradiation by γ-rays in low doses (0.67-10.0 cGy). It is shown in depressing effects of ionising radiation on growth, development, vitality and bearing of plants, but also in hightened output morphological anomalies of plants and embryonic lethalities in pods. (authors)

What is correct: equivalent dose or dose equivalent

International Nuclear Information System (INIS)

Franic, Z.

1994-01-01

In Croatian language some physical quantities in radiation protection dosimetry have not precise names. Consequently, in practice either terms in English or mathematical formulas are used. The situation is even worse since the Croatian language only a limited number of textbooks, reference books and other papers are available. This paper compares the concept of ''dose equivalent'' as outlined in International Commission on Radiological Protection (ICRP) recommendations No. 26 and newest, conceptually different concept of ''equivalent dose'' which is introduced in ICRP 60. It was found out that Croatian terminology is both not uniform and unprecise. For the term ''dose equivalent'' was, under influence of Russian and Serbian languages, often used as term ''equivalent dose'' even from the point of view of ICRP 26 recommendations, which was not justified. Unfortunately, even now, in Croatia the legal unit still ''dose equivalent'' defined as in ICRP 26, but the term used for it is ''equivalent dose''. Therefore, in Croatian legislation a modified set of quantities introduced in ICRP 60, should be incorporated as soon as possible

With a re-engineering of maintenance to a profitably oriented maintenance

International Nuclear Information System (INIS)

Angelevska, Silvana; Jolevski, Tome

2000-01-01

This paper presents an overview of effectiveness of the profit centered maintenance as a contemporary way of the maintenance management concept. Such redesign of a maintenance procedure results in significant gains in cost reduction and increase of the profitability and competitiveness of energy. The business process re engineering - a modern management control theory that is important aspect of the profit centered maintenance is summarized

OPTIMALISASI KINERJA PERSEDIAAN SUKU CADANG UNTUK PELAKSANAAN MAINTENANCE REPAIR OVERHAUL (MRO DENGAN PENERAPAN COMPUTERIZED MAINTENANCE MANAGEMENT SYSTEMS (CMMS (Studi Kasus di PT. Indonesia Asahan Aluminium

Directory of Open Access Journals (Sweden)

Sutrisno Sutrisno

2015-04-01

Full Text Available PT.Inalum is a manufacturing company engaged in the aluminum smelting industry. PT.Inalum pengendaliaan system requires an inventory of spare parts to conduct maintenance, repair and overhaul (MRO. CMMS (Computerized Maintenance Management System is a computerized maintenance system running on a LAN (Local Area Network. CMMS is influenced by three variables, namely an integrated maintenance, inventory and procurement so as to create a good maintenance should be supported by the inventory control of spare parts used in maintenance. CMMS aims to make the work more efficient and effective, especially in matters relating to maintenance. That as a benchmark to measure the performance of CMMs for spare parts inventory control is a key performance indicator (KPI. This study aims to evaluate and compare key performance indicators before and after implementation of CMMS for the implementation of MRO activities. Another goal to be achieved is to determine the factors that affect the value of the inventory of spare parts. Based on the results of data processing and analysis can be seen that by looking at a comparison of before and after implementation of CMMS on key performance indicators, it appears that there is an improvement in every parameter, one of which is the value of the inventory prior to the implementation of CMMS for $ 34,790,000.00 compared to after the application of the inventory value fell to $ 19,632,000.00. Factors that affect the value of the inventory is the inventory of spare parts, maintenance, procurement, and human resources.

Predictive maintenance: A new approach in maintenance of nuclear power plants

International Nuclear Information System (INIS)

Benvenuto, F.; Ferrari, L.

2005-01-01

The maintenance services for a Nuclear Power Plant are in general aimed at reaching the following goals: - Increase component availability and consequently decrease intervention frequency; - Reduce unexpected costs from unexpected repairs; - Progressively decrease the time of each intervention; - Improve the spare parts supply efficiency; - Improve spare parts and consumable warehouse managing; - Decrease maintenance costs. Most of the currently used maintenance activities refer to run-to-failure or preventive approaches: - Run-to-failure or Corrective Maintenance means that work is only carried out when a component or system is faulty and unable to perform its critical function. Non critical components such as filters or components with spare may be maintained in this way; - Preventive or Scheduled Maintenance involves a regular pre-set schedule programme of maintenance work. Programme outlined by the manufacturer of the component in question based on the design life of the component and based on past experience by operation. One step further than Preventive Maintenance is represented by Predictive Maintenance. Whereas Preventive Maintenance bases its schedules on past performance data, a predictive system acquires condition data from the machine to be maintained whilst the machine is in operation. The information obtained from this analysis indicates the condition in real time, provides a diagnosis of wear and shows any trend towards critical conditions. Predictive maintenance mainly consists of the following interventions: - Lubricant analysis; - Collection / analysis of functional parameters, such as motor absorption, flow rate, pressure, temperature, noise, vibration of rotating equipment, thermal efficiency, etc; - Periodical test of lifting systems; - Other operations to acquire sensitive equipment parameters. Predictive Maintenance can reduce the accidental intervention and extend the components life, and, in the end, is increasing the global availability

Road Maintenance and Rehabilitation Program Using Functional and Structural Assessment

Science.gov (United States)

Setianingsih, A. I.; Sangaji, S.; Setyawan, A.

2017-02-01

Road sector development policy in Bangka Belitung emphasis on equitable development, which is opening up new areas for industrial development zones of potential marine and coastal tourism, so that having an impact on the budget priority to build a new road. This led to a minimal budget provided for the maintenance of the existing road. This study aimed to evaluate the condition of the pavement both functionally and structurally, the growth of traffic density and the availability of existing road maintenance costs. Then, to analyze the influence of existing road conditions, traffic density and road maintenance costs to the type of road maintenance management. The results are compared with the results of the existing maintenance conducted by the Public Works Department of Bangka Belitung province. Evaluation of pavement conditions consists of visual assessment of pavement condition using IRI, pavement condition assessment functionally with deflection method using test data tool Benkelman Beam (BB) and the actual traffic load. IRI value, deflections and traffic growth gained from years 2011-2015 subsequently created regression models to obtain the relationship and the correlation coefficient. The analysis showed that using the same relative magnitude of the budget from 2011 to 2015, giving priority to the maintenance of the road with good conditions capable of providing the road with a steady state of 100%. Recommendations can be given that maintain the road with good conditions reflecting that preservation provide maximum results with the more efficient maintenance cost.

Assessing maintenance contracts when preventive maintenance is outsourced

International Nuclear Information System (INIS)

Wu Shaomin

2012-01-01

In some companies, corrective maintenance is conducted in-house but preventive maintenance might be outsourced. This raises a need to optimise some parameters such as the number of contracts from a perspective of the equipment owner. This paper considers a maintenance policy for such a situation, analyses the roles of the parameters in a PM model, proposes approaches to defining bonus functions, and finally discusses special cases of both the PM policy and the bonus function. Numerical examples are also given to explore the impact of parameters on the expected lifecycle cost rate.

Fluxo difusivo de fósforo em função de doses e da umidade do solo Influence of phosphorus doses and soil moisture on diffusion flow

Directory of Open Access Journals (Sweden)

José P. V. da Costa

2006-12-01

Full Text Available A difusão é o mecanismo mais expressivo do transporte do fósforo no solo e depende de vários fatores, como o conteúdo volumétrico de água, a interação fósforo-colóide do solo, a distância da fonte às raízes, o teor e a temperatura do solo. Avaliaram-se os efeitos do conteúdo volumétrico de água e de doses de fósforo no seu fluxo difusivo no solo, em amostras da camada superficial de cinco solos. O experimento consistiu do arranjo fatorial 5 x 8 x 5, referente a cinco materiais de solo, oito níveis de umidade e cinco doses de fósforo, dispostos em blocos ao acaso, com quatro repetições. Como unidade experimental foram utilizados anéis de PVC com volume útil de 360 cm³, que serviram como câmara de difusão. Para avaliação do fluxo difusivo de fósforo nas amostras foram utilizadas lâminas de resina de troca aniônica (IONICS 204UZRA. Pelos resultados, constatou-se que o fluxo difusivo sofre influência da umidade do solo e das doses de fósforo aplicadas.The main phosphorus transport mechanism in the soil is diffusion, which is influenced by several soil factors, such as volumetric water content, phosphorus-colloid interaction, distance between source and roots, content and temperature. The effects of the soil water content and phosphorus doses on the diffusion flow into soil were assessed in samples from the superficial layers of five soils. The treatments were arranged in a 5 x 8 x 5 factorial design corresponding, respectively, to five soils, eight moisture levels and five phosphorus doses. A completely randomized block design with four replications was used. The experimental unit was a PVC ring with a volume of 360 cm³, which acted as a diffusion chamber. Anionic exchange resin slides (IONICS 204UZRA were utilized to assess the phosphorus diffusion flow. Results indicated that the diffusion flow was influenced by phosphorus doses and moisture content.

Intra-voxel heterogeneity influences the dose prescription for dose-painting with radiotherapy: a modelling study

NARCIS (Netherlands)

Petit, S.F.; Dekker, A.L.A.J.; Seigneuric, R.; Murrer, L.H.P.; Riel, van N.A.W.; Nordsmark, M.; Overgaard, J.; Lambin, Ph.; Wouters, B.G.

2009-01-01

The purpose of this study was to increase the potential of dose redistribution by incorporating estimates of oxygen heterogeneity within imaging voxels for optimal dose determination. Cellular oxygen tension (pO2) distributions were estimated for imaging-size-based voxels by solving oxygen

Managing nuclear maintenance

International Nuclear Information System (INIS)

Anon.

1990-01-01

For utilities operating nuclear powerplants, the rules of the game continue to change. Conflicting regulatory pressures and a tougher competitive environment will make management's job more complicated and difficult in the 1990s. Dealing with these pressures successfully requires greater attention to maintenance effectiveness. Utilities can help shape their future environment by developing a well-planned strategy to guide their actions. Parts of the strategy that are discussed include developing a sound maintenance philosophy, selecting a service company, radiation exposure, and managing spare parts. This article also addresses the Swedish experience in maintenance, German philosophy regarding maintenance and the current maintenance practices of the Electricite de France

AIRCRAFT MAINTENANCE HANGAR

Directory of Open Access Journals (Sweden)

GEAMBASU Gabriel George

2017-05-01

Full Text Available The paper presents the maintenance process that is done on an airplane, at a certain period of time, or after a number of flight hours or cycles and describes the checks performed behind each inspection. The first part of research describes the aircraft maintenance process that has to be done after an updated maintenance manual according with aircraft type, followed by a short introduction about maintenance hangar. The second part of the paper presents a hangar design with a foldable roof and walls, which can be folded or extended, over an airplane when a maintenance process is done, or depending on weather condition.

Maintenance Business Plans.

Science.gov (United States)

Adams, Matt

2002-01-01

Discusses maintenance business plans, statements which provide accountability for facilities maintenance organizations' considerable budgets. Discusses the plan's components: statement of plan objectives, macro and detailed description of the facility assets, maintenance function descriptions, description of key performance indicators, milestone…

Optimal scheduling of biocide dosing for seawater-cooled power and desalination plants

KAUST Repository

Mahfouz, Abdullah Bin

2011-02-13

Thermal desalination systems are typically integrated with power plants to exploit the excess heat resulting from the power-generation units. Using seawater in cooling the power plant and the desalination system is a common practice in many parts of the world where there is a shortage of freshwater. Biofouling is one of the major problems associated with the usage of seawater in cooling systems. Because of the dynamic variation in the power and water demands as well as the changes in the characteristics of seawater and the process, there is a need to develop an optimal policy for scheduling biocide usage and cleaning maintenance of the heat exchangers. The objective of this article is to introduce a systematic procedure for the optimization of scheduling the dosing of biocide and dechlorination chemicals as well as cleaning maintenance for a power production/thermal desalination plant. A multi-period optimization formulation is developed and solved to determine: the optimal levels of dosing and dechlorination chemicals; the timing of maintenance to clean the heat-exchange surfaces; and the dynamic dependence of the biofilm growth on the applied doses, the seawater-biocide chemistry, the process conditions, and seawater characteristics for each time period. The technical, economic, and environmental considerations of the system are accounted for. A case study is solved to elucidate the applicability of the developed optimization approach. © 2011 Springer-Verlag.

North American nuclear maintenance best practices compared to Japanese utility maintenance practices

International Nuclear Information System (INIS)

Harazim, M.L.; Ferguson, B.J.

2003-01-01

The purpose of this paper is to compare the best practices in North America concerning Preventive Maintenance, Predictive Maintenance and Reliability Centered Maintenance (RCM) or Preventive Maintenance Optimization (PMO) with the time-directed maintenance philosophies utilized by Japanese utilities, and how the Japanese utilities are considering (and some have begun) adopting North American ways of doing business. Preventive Maintenance Living Programs are also discussed, along with the Institute of Nuclear Power Operations AP-913 process, Equipment Reliability Process. Also, a cost benefit analysis will be demonstrated showing how major cost savings can be achieved by shifting from a predominantly time-directed maintenance philosophy to a predominantly predictive strategy utilizing vibration analysis, lubricating oil analysis, thermography and other predictive technologies to better utilize resources, reduce spare part consumption and to minimize maintenance induced errors. As a result of the strides made while incorporating these new philosophies, we no longer advocate tearing apart perfectly good equipment. (author)

Influence of the dose rate on the proliferation capacity of haematopoietic elementary cells in vivo after partial body irradiation

International Nuclear Information System (INIS)

Sauer, R.

1977-01-01

During direct irradiation of the bone marrow, the dose rate effect was so paradoxical that a temporally protracted exposure has a stronger influence on the proliferation capacity of the elementary cells than one with high dose performance. During the recreation process, the elementary cells proliferated in the sense of a rebound-phaenomenon. This was also referred to the observation that in the non-irradiated bone marrow of animals exposed to partial body irradiation, an activation of the elementary cells started. The results have consequences for the oncological radiotherapy. (orig.) [de

Maintenance and improvement of dairy feed quality by radiation for distribution system

International Nuclear Information System (INIS)

Kobayashi, Ryoei; Kawamoto, Hidenori; Uegaki, Ryuichi; Tanaka, Osamu; Ando, Sada; Akiyama, Noriaki; Yamada, Akio

1997-01-01

With an aim to improve the quality of crude feed and its maintenance, γ-ray radiation was carried out during the steps of preparation and storage of feed and the effects on the fermentation of silage crude feed and mixed feed were investigated. Of the γ-ray radiation significant effects on general constituents in the silage were not observed immediately after the radiation, but it was clear that the contents of fibrous components were apt to increase one month later. The ratio, VBN/TN in the silage decreased with the elevation of radiation dose. Further it was found that radiation at 16 Gy or more is needed to prevent butyric acid fermentation in the silage and aerobic deterioration. In addition, the amount of peroxide lipids was not increased by the γ-radiation, suggesting that no adverse effects on the quality of the feed in silage might be caused by radiation. Thus, it was concluded that γ-radiation in appropriate conditions has favorable influence on silage fermentation. (M.N.)

A moderate dose of alcohol does not influence experience of social ostracism in hazardous drinkers

Directory of Open Access Journals (Sweden)

Joseph OL Buckingham

2016-04-01

Full Text Available Anecdotal and correlational evidence suggests a relationship between social ostracism and alcohol dependence. Furthermore, a recent fMRI investigation found differences in the neural correlates associated with ostracism in people with alcohol dependence compared to healthy controls. We predicted that acutely administered alcohol would reduce the negative effects of social ostracism. Alcohol (0.4g/kg or matched placebo was administered to a sample of 32 hazardous drinkers over two sessions in a randomized, double-blind, cross-over design. In each session, participants were exposed to an ostracism event via the computerized ball passing game, Cyberball. In order to quantify the effects of ostracism, the fundamental needs questionnaire was completed twice on each testing session; immediately after (i social inclusion and (ii social exclusion. Ostracism caused robust changes to scores on the fundamental needs questionnaire, in line with previous literature. Alcohol administration did not influence the effects of simulated social ostracism, which was supported by a Bayesian analysis. Exploratory analyses revealed a negative relationship between age and ostracism induced fundamental needs threat across both sessions. In conclusion, a moderate dose of alcohol did not influence experience of simulated social ostracism in hazardous drinkers. Further research is needed to establish the effects of alcohol administration on social ostracism using different doses and populations of alcohol users.

The influence of dose per fraction on repair kinetics

International Nuclear Information System (INIS)

Rojas, A.; Joiner, M.C.

1989-01-01

The use of multiple fractions per day (MFD) in radiotherapy requires information about the rate of repair of radiation injury. It is important to know the minimum interval between fractions necessary for maximum sparing of normal tissue damage, whether rate of repair is dependent on the size of dose per fraction and if it is different in early and late responding tissues and in tumours. To address these questions, the rate of repair between radiation dose fractions was measured in mouse skin (acute damage), mouse kidney (late damage) and a mouse tumour (carcinoma NT). Skin and kidney measurements were made using multiple split doses of X-rays, followed by a neutron top-up. For skin, faster recovery was obtained with 4.4 Gy fractions (t1/2 = 3.46 ± 0.88 h). In contrast kidney showed slower recovery at a low dose per fraction of 2 Gy (t1/2 = 1.69 ± 0.39 h) than at a higher dose of 7 Gy per fraction (t1/2 = 0.92 ± 0.1h). These data show that repair rate is dependent on the size of dose per fraction, but not in a simple way. T1/2 values now available for many different tissues generally lie in the range of 1-2h, and are not correlated with proliferation status or early versus late response to treatment. At the doses used currently in clinical MFD treatments, these data indicate that damage in almost all normal tissues would increase if interfraction intervals less than 6 h were used. The t1/2 for CaNT (0.31 ± 0.15 h) is less than for any normal tissue. This underlines that the excess morbidity resulting from interfraction intervals < 6 h will not be paralleled by an increased effect in tumours. (author). 25 refs.; 7 figs

Optimal maintenance of a multi-unit system under dependencies

Science.gov (United States)

Sung, Ho-Joon

The availability, or reliability, of an engineering component greatly influences the operational cost and safety characteristics of a modern system over its life-cycle. Until recently, the reliance on past empirical data has been the industry-standard practice to develop maintenance policies that provide the minimum level of system reliability. Because such empirically-derived policies are vulnerable to unforeseen or fast-changing external factors, recent advancements in the study of topic on maintenance, which is known as optimal maintenance problem, has gained considerable interest as a legitimate area of research. An extensive body of applicable work is available, ranging from those concerned with identifying maintenance policies aimed at providing required system availability at minimum possible cost, to topics on imperfect maintenance of multi-unit system under dependencies. Nonetheless, these existing mathematical approaches to solve for optimal maintenance policies must be treated with caution when considered for broader applications, as they are accompanied by specialized treatments to ease the mathematical derivation of unknown functions in both objective function and constraint for a given optimal maintenance problem. These unknown functions are defined as reliability measures in this thesis, and theses measures (e.g., expected number of failures, system renewal cycle, expected system up time, etc.) do not often lend themselves to possess closed-form formulas. It is thus quite common to impose simplifying assumptions on input probability distributions of components' lifetime or repair policies. Simplifying the complex structure of a multi-unit system to a k-out-of-n system by neglecting any sources of dependencies is another commonly practiced technique intended to increase the mathematical tractability of a particular model. This dissertation presents a proposal for an alternative methodology to solve optimal maintenance problems by aiming to achieve the

Optimization of Reliability Centered Maintenance Bassed on Maintenance Costs and Reliability with Consideration of Location of Components

Directory of Open Access Journals (Sweden)

Mahdi Karbasian

2011-03-01

Full Text Available The reliability of designing systems such as electrical and electronic circuits, power generation/ distribution networks and mechanical systems, in which the failure of a component may cause the whole system failure, and even the reliability of cellular manufacturing systems that their machines are connected to as series are critically important. So far approaches for improving the reliability of these systems have been mainly based on the enhancement of inherent reliability of any system component or increasing system reliability based on maintenance strategies. Also in some of the resources, only the influence of the location of systems' components on reliability is studied. Therefore, it seems other approaches have been rarely applied. In this paper, a multi criteria model has been proposed to perform a balance among a system's reliability, location costs, and its system maintenance. Finally, a numerical example has been presented and solved by the Lingo software.

A proactive condition-based maintenance strategy with both perfect and imperfect maintenance actions

International Nuclear Information System (INIS)

Do, Phuc; Voisin, Alexandre; Levrat, Eric; Iung, Benoit

2015-01-01

This paper deals with a proactive condition-based maintenance (CBM) considering both perfect and imperfect maintenance actions for a deteriorating system. Perfect maintenance actions restore completely the system to the ‘as good as new’ state. Their related cost are however often high. The first objective of the paper is to investigate the impacts of imperfect maintenance actions. In fact, both positive and negative impacts are considered. Positive impact means that the imperfect maintenance cost is usually low. Negative impact implies that (i) the imperfect maintenance restores a system to a state between good-as-new and bad-as-old and (ii) each imperfect preventive action may accelerate the speed of the system's deterioration process. The second objective of the paper is to propose an adaptive maintenance policy which can help to select optimally maintenance actions (perfect or imperfect actions), if needed, at each inspection time. Moreover, the time interval between two successive inspection points is determined according to a remaining useful life (RUL) based-inspection policy. To illustrate the use of the proposed maintenance policy, a numerical example finally is introduced. - Highlights: • A new imperfect maintenance model for deterioration system is proposed. • Both positive and negative impacts of an imperfect maintenance action are investigated. • An adaptive condition-based maintenance policy is introduced. • The optimal number of useful imperfect maintenance actions for each life cycle is optimally provided

Study on Significant Mechanisms of Maintenance Culture Among Public Building Users in Malaysia

Directory of Open Access Journals (Sweden)

Binti Rusli Ezzatul Aifa

2014-01-01

Full Text Available Malaysia, a country in Asia, is a fast-growing developing country in its construction so as to fulfil the demands of today. Many buildings, infrastructures and facilities were constructed; however, the necessary support required after construction was disregarded. Maintenance is the key for the system, and culture is the main point of attitude and behaviour towards the maintenance culture. Becoming one of the first class infrastructures in the world is the vision that Malaysia is striving to achieve, and a third mentality from society and organisations should be avoided. However, to achieve this vision, proper maintenance is not enough; a maintenance culture should be applied. Developing a maintenance culture will help obtain the vision quickly and increase the quality of productivity in maintenance. It will also reduce the repair cost and increase responsibility. Malaysia is becoming a first class infrastructure, which is the vision for today; therefore, it needs to avoid a third mentality. Concerning this matter, decisive components of the maintenance culture were studied to identify the types of components that influence the maintenance culture among public building users. The decisive components of maintenance were uncertainty awareness and responsibility; personality/human behaviour and attitude; mind-set/motivation; training; knowledge and learning process; culture trends; management commitment; management of organisation; leadership; fundamental and policy; operating system organisation; the enforcement; laws and rules; and current practice of maintenance methods.

Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories

Science.gov (United States)

Kwasnicka, Dominika; Dombrowski, Stephan U; White, Martin; Sniehotta, Falko

2016-01-01

ABSTRACT Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance. PMID:26854092

Competence within Maintenance

OpenAIRE

Nerland, Annette Smørholm

2010-01-01

Maintenance can be a contributing factor to unwanted events, as well as desired events and states. Human competence can be defined as the ability to perform a specific task, action or function successfully, and is therefore a key factor to proper execution of maintenance tasks. Hence,maintenance will have negative consequences if done wrong, and give positive results when done right. The purpose of this report is to study the many aspects of maintenance competence. Endeavoring to improve ...

Random maintenance policies

CERN Document Server

Nakagawa, Toshio

2014-01-01

Exploring random maintenance models, this book provides an introduction to the implementation of random maintenance, and it is one of the first books to be written on this subject.  It aims to help readers learn new techniques for applying random policies to actual reliability models, and it provides new theoretical analyses of various models including classical replacement, preventive maintenance and inspection policies. These policies are applied to scheduling problems, backup policies of database systems, maintenance policies of cumulative damage models, and reliability of random redundant systems. Reliability theory is a major concern for engineers and managers, and in light of Japan’s recent earthquake, the reliability of large-scale systems has increased in importance. This also highlights the need for a new notion of maintenance and reliability theory, and how this can practically be applied to systems. Providing an essential guide for engineers and managers specializing in reliability maintenance a...

The Steroids in the Maintenance of Remission of Proliferative Lupus Nephritis (SIMPL Pilot Trial

Directory of Open Access Journals (Sweden)

Lauren Galbraith

2014-11-01

Full Text Available Background: Patients with proliferative lupus nephritis are at risk of frequent relapses. Whether low- dose prednisone prevents relapses is uncertain. Objectives: We undertook a pilot RCT to determine the feasibility of a larger trial. Design: Pilot randomized controlled trial. Setting: Single center Canadian outpatient nephrology clinic. Patients: Participants with systemic lupus erythematosus (SLE and a history of class III or IV lupus nephritis that achieved at least partial remission and remained on prednisone were eligible. Measurements: Feasibility: proportion of eligible patients randomized and adherence to tapering regimen. Clinical: occurrence of renal or major non-renal flare of SLE. Methods: We conducted a blinded, two-parallel-group randomized controlled trial of prednisone 7.5 mg/day (continuation compared to a matching placebo (withdrawal. Results: Of nineteen eligible patients screened, 15 (79% were recruited and randomized; 8 to prednisone continuation and seven to withdrawal. All participants adhered to the tapering protocol to their assigned withdrawal or low-dose maintenance target. Over 36 months, the primary outcome occurred in four (50% patients in the continuation group (three renal and one major non-renal flare, compared with one patient (14% in the withdrawal group (one renal flare. Three participants (38% in the continuation group had minor flares, while no patients in the withdrawal group did. Limitations: This pilot RCT was small and not designed to assess the efficacy or safety of maintenance with low-dose prednisone. Conclusions: The high proportion of eligible patients recruited, and success of protocol adherence suggest a large trial of prednisone maintenance therapy compared to withdrawal is feasible. Trial registration: Current Controlled Trials ISRCTN31327267.

Plant Maintenance. The Licensee's Viewpoint

Energy Technology Data Exchange (ETDEWEB)

Ungi, T. [Heysham 2 Power Station, Nuclear Electric LTD (United Kingdom)

1997-07-01

Plant maintenance is a very complex process which requires considerable effort from both within the maintenance process and also many support activities. It is important that the plant maintenance policy is translated into a maintenance programme which will define all relevant aspects of the maintenance. An aspect of this maintenance programme will be a maintenance catalogue which will define the maintenance activities to be carried out and at what frequencies. This paper is aimed at discussing the maintenance philosophy and resulting maintenance catalogues currently adopted in Nuclear Electric Ltd, and in particular at Heysham 2 Power Station. It goes on to consider whether these maintenance catalogues contain the optimum maintenance and if not should they be changed. If change is required, the process by which this change will be brought about is also discussed. (author)

Equipment Maintenance management support system based on statistical analysis of maintenance history data

International Nuclear Information System (INIS)

Shimizu, S.; Ando, Y.; Morioka, T.

1990-01-01

Plant maintenance is recently becoming important with the increase in the number of nuclear power stations and in plant operating time. Various kinds of requirements for plant maintenance, such as countermeasures for equipment degradation and saving maintenance costs while keeping up plant reliability and productivity, are proposed. For this purpose, plant maintenance programs should be improved based on equipment reliability estimated by field data. In order to meet these requirements, it is planned to develop an equipment maintenance management support system for nuclear power plants based on statistical analysis of equipment maintenance history data. The large difference between this proposed new method and current similar methods is to evaluate not only failure data but maintenance data, which includes normal termination data and some degree of degradation or functional disorder data for equipment and parts. So, it is possible to utilize these field data for improving maintenance schedules and to evaluate actual equipment and parts reliability under the current maintenance schedule. In the present paper, the authors show the objectives of this system, an outline of this system and its functions, and the basic technique for collecting and managing of maintenance history data on statistical analysis. It is shown, from the results of feasibility tests using simulation data of maintenance history, that this system has the ability to provide useful information for maintenance and the design enhancement

Lean Maintenance Applied to Improve Maintenance Efficiency in Thermoelectric Power Plants

OpenAIRE

Orlando Duran; Andrea Capaldo; Paulo Andrés Duran Acevedo

2017-01-01

Thermoelectric power plants consist of a set of critical equipment that require high levels of availability and reliability. Due to this, maintenance of these physical assets is gaining momentum in industry. Maintenance is considered as an activity that contributes to improving the availability, efficiency and productivity of each piece of equipment. Several techniques have been used to achieve greater efficiencies in maintenance, among which we can find the lean maintenance philosophy. Despi...

Dose Escalation and Healthcare Resource Use among Ulcerative Colitis Patients Treated with Adalimumab in English Hospitals: An Analysis of Real-World Data.

Directory of Open Access Journals (Sweden)

Christopher M Black

Full Text Available To describe the real-world use of adalimumab for maintenance treatment of ulcerative colitis (UC and associated healthcare costs in English hospitals.Retrospective cohort study.Analysis of NHS Hospital Episode Statistics linked with pharmacy dispensing data in English hospitals.Adult UC patients receiving ≥240mg during adalimumab treatment induction, subsequently maintained on adalimumab.Frequency and pattern of adalimumab use and dose escalation during maintenance treatment and associated healthcare costs (prescriptions and hospital visits.191 UC patients completed adalimumab treatment induction. 83 (43.46% dose escalated during maintenance treatment by ≥100% (equivalent to weekly dosing (median time to dose escalation: 139 days. 56 patients (67.47% subsequently de-escalated by ≥50% (median time to dose de-escalation: 21 days. Mean all-cause healthcare costs for all patients ≤12 months of index were £13,892. Dose escalators incurred greater mean healthcare costs than non-escalators ≤12 months of index (£14,596 vs. £13,351. Prescriptions accounted for 96.49% of UC-related healthcare costs (£11,090 of £11,494 in all patients.Within the cohort, 43.46% of UC patients escalated their adalimumab dose by ≥100% and incurred greater costs than non-escalators. The apparent underestimation of adalimumab dose escalation in previous studies may have resulted in underestimated costs in healthcare systems.

Radiological investigation in the boiler's maintenance operations in a Coal-Fired power plant

International Nuclear Information System (INIS)

Robles, Beatriz; Mora, Juan C.; Cancio, David; Baeza, Antonio; Corbacho, Jose A.

2008-01-01

As part of a study being performed in the four biggest coal-fired power plants in Spain, the formation of scales of radioisotopes in parts of the heat recovery system was investigated. This effect should be more important in the case of 210 Po and 210 Pb. Thereby, it is likely in given specific chemical conditions that scales could be formed with a high concentration of 210 Pb, probably in secular equilibrium with 210 Po and 210 Bi. Those scales could reach activity concentrations of some hundreds of Bq g -1 . In order to study within the boiler this scale formation, an investigation during the maintenance operations programmed in the 'Compostilla' coal-fired power plant (Ponferrada-Spain) was carried out. Those operations are performed each 2-3 years and last for around 30 or 40 days. Measurements of ambient dose equivalent (H * (10)) in the boiler before and after the entrance of the operators, together with beta surface contamination on the bottom ashes attached in the walls and on the tubes, were performed. The last measurements were carried out for screening purposes in order to select those areas on the tubes which could present Po scales. Even if chemical conditions are in general oxidising within the boiler, since conditions are not homogeneous, some zones were localized in which surface contamination was measured. In these spots, samples were collected and then measured in the laboratory. Moreover, an analysis of maintenance tasks, used personal protection equipment, working times and other important parameters was also carried out. This analysis is important in order to perform radiological evaluations, as realistic as possible, of the effective doses that could be received by maintenance operators. In the present study, the values of the measurements performed and the results of the assessment of the effective doses for the workers are presented. (author)

Influence of dose rate on the induction of simple and complex chromosome exchanges by gamma rays.

Science.gov (United States)

Loucas, Bradford D; Eberle, Richard; Bailey, Susan M; Cornforth, Michael N

2004-10-01

Single-color painting of whole chromosomes, or protocols in which only a few chromosomes are distinctively painted, will always fail to detect a proportion of complex exchanges because they frequently produce pseudosimple painting patterns that are indistinguishable from those produced by bona fide simple exchanges. When 24-color multi-fluor FISH (mFISH) was employed for the purpose of distinguishing (truly) simple from pseudosimple exchanges, it was confirmed that the acute low-LET radiation dose-response relationship for simple exchanges lacked significant upward curvature. This result has been interpreted to indicate that the formation of simple exchanges requires only one chromosome locus be damaged (e.g. broken) by radiation to initiate an exchange-not two, as classical cytogenetic theory maintains. Because a one-lesion mechanism implies single-track action, it follows that the production of simple exchanges should not be influenced by changes in dose rate. To examine this prediction, we irradiated noncycling primary human fibroblasts with graded doses of (137)Cs gamma rays at an acute dose rate of 1.10 Gy/min and compared, using mFISH, the yield of simple exchanges to that observed after exposure to the same radiation delivered at a chronic dose rate of 0.08 cGy/min. The shape of the dose response was found to be quasi-linear for both dose rates, but, counter to providing support for a one-lesion mechanism, the yield of simple aberrations was greatly reduced by protracted exposure. Although chronic doses were delivered at rates low enough to produce damage exclusively by single-track action, this did not altogether eliminate the formation of complex aberrations, an analysis of which leads to the conclusion that a single track of low-LET radiation is capable of inducing complex exchanges requiring up to four proximate breaks for their formation. For acute exposures, the ratio of simple reciprocal translocations to simple dicentrics was near unity.

Using the system maintenance datastore to characterize lifetime maintenance for PLiM

International Nuclear Information System (INIS)

Watson, P.; Dam, R.; Nickerson, J.

2004-01-01

A comprehensive Plant Life Management (PLiM) program involves evaluating a large amount of information. For any plant, there are numerous maintenance, surveillance and inspection programs for the important systems, structures and components. There is extensive industry experience on component failure modes, degradation mechanisms and recommended maintenance practices. This information forms the basis of the aging assessment work, through which improvements to these plant programs are identified. AECL has developed several tools to manage the quantities of information required in aging assessment studies, such as the SYSTMS (SYtematic approach for the development of STrategy for Maintenance and Surveillance) tool and the System Maintenance Datastore (SMD). The SMD has been developed to serve as a hub to a Systematic based Adaptive Maintenance Program (SAMP), by storing maintenance resource requirements for recommended maintenance tasks for use by the other processes in a SAMP. The SMD can be used to (a) quantify the savings or cost of optimising a maintenance program, (b) characterize and understand long term trends in condition-based maintenance due to component aging, (c) quantify the resource savings due to optimum timing of component replacement or general plant refurbishment, and (d) provide aging assessment cost information for input to plant asset evaluation. The SMD contains data for regular maintenance program tasks, plant condition assessment recommendations, and equipment refurbishment costs. A prototype SMD has been developed with data tables populated with information from operating CANDU stations. The SMD is now available to be used either with a SYSTMS evaluation or with a plant's database of maintenance tasks. (author)

Influence of high-dose gamma radiation and particle size on antioxidant properties of Maize ( Zea mays L.) flour

International Nuclear Information System (INIS)

Nawaz, Haq; Shad, Muhammad Aslam; Rehman, Tanzila; Ramzan, Ayesha

2016-01-01

Influence of high-dose gamma radiation and particle size on antioxidant properties of maize (Zea mays L.) flour was studied using response surface methodology. A central composite design based on three levels of each of particle size, in terms of mesh number (40, 60 and 80 meshes), and gamma radiation dose (25, 50 and 75 kGy) was constructed. A statistically significant dose-dependent decrease (p<0.05) in antioxidant properties of gamma irradiated flour was observed. However, an increase in the mesh number (decrease in particle size of flour) resulted in an increase in antioxidant properties. The optimum level of radiation dose to achieve maximum value of responses was found to be 50 kGy for Trolox equivalent total antioxidant activity (TETAOA), 25 kGy for iron chelating ability (ICA), 25 kGy for reducing power (RP) and 75 kGy for linoleic acid reduction capacity (LARC). However, the optimum level of mesh number to achieve desired levels of TETAOA, ICA, RP and LARC was found to be 80 meshes. (author)

Influence of high-dose gamma radiation and particle size on antioxidant properties of Maize ( Zea mays L.) flour

Energy Technology Data Exchange (ETDEWEB)

Nawaz, Haq; Shad, Muhammad Aslam; Rehman, Tanzila; Ramzan, Ayesha, E-mail: haqnawaz@bzu.edu.pk [Bahauddin Zakariya University, Multan (Pakistan)

2016-10-15

Influence of high-dose gamma radiation and particle size on antioxidant properties of maize (Zea mays L.) flour was studied using response surface methodology. A central composite design based on three levels of each of particle size, in terms of mesh number (40, 60 and 80 meshes), and gamma radiation dose (25, 50 and 75 kGy) was constructed. A statistically significant dose-dependent decrease (p<0.05) in antioxidant properties of gamma irradiated flour was observed. However, an increase in the mesh number (decrease in particle size of flour) resulted in an increase in antioxidant properties. The optimum level of radiation dose to achieve maximum value of responses was found to be 50 kGy for Trolox equivalent total antioxidant activity (TETAOA), 25 kGy for iron chelating ability (ICA), 25 kGy for reducing power (RP) and 75 kGy for linoleic acid reduction capacity (LARC). However, the optimum level of mesh number to achieve desired levels of TETAOA, ICA, RP and LARC was found to be 80 meshes. (author)

Two Different Maintenance Strategies in the Hospital Environment: Preventive Maintenance for Older Technology Devices and Predictive Maintenance for Newer High-Tech Devices.

Science.gov (United States)

Sezdi, Mana

2016-01-01

A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two different strategies to increase the efficiency of device management: preventive maintenance for older technology devices and predictive maintenance for newer high-tech devices. For preventive maintenance development, 589 older technology devices were subjected to performance verification and safety testing (PVST). For predictive maintenance development, the manufacturers' recommendations were used for 134 high-tech devices. These strategies were evaluated in terms of device reliability. This study recommends the use of two different maintenance strategies for old and new devices at hospitals in developing countries. Thus, older technology devices that applied only corrective maintenance will be included in maintenance like high-tech devices.

Review of occupational radiation exposures in all biennial shutdown maintenance of Kaiga generating station

International Nuclear Information System (INIS)

Murukan, E.K.; Vinod Kumar, T.; Austine, N.X.; Soumia Menon, M.; Girish Kumar, K.; Rao, M.M.L.N.; Venkataramana, K.

2008-01-01

Full text: Kaiga generating station 1 and 2 consists of twin units of 220 M We pressurized heavy water reactors located in Karnataka, India. Major maintenance activities of one of the twin units are taken up once in two years (biennial shutdown) to execute system maintenance, system up gradation, surveillance and in-service inspection (ISI) jobs. BSDs are mandatory activities to comply with regulatory requirement to ensure the safety and reliability of plant system equipment. More than 65% of the station collective dose is contributed by biennial shutdown (BSD) jobs. It is observed that the man rem consumed during normal operation of the plant is less than 35% of the total man rem consumed. Since BSD jobs contributes significantly to station collective dose, an effective implementation of radiation protection programme specific to BSD is the key to control the occupational exposure. Various improvements in the field of radiation protection practices and process systems are adopted to achieve lowest collective dose at par with international standards. The key areas identified for application of various strategies to achieve ALARA were Man rem budgeting, Radiological condition monitoring, Radiation protection practices, Identification of critical jobs and Work groups, Work planning and execution, and Radioactive waste management. Review of collective doses of all the BSD jobs performed in the station since year 2004 and various measures incorporated to achieve ALARA exposures to plant personnel are briefly discussed in this paper. (author)

Improving Naval Aviation Maintenance Quality Management Processes at the Organizational Maintenance Level: The Influences of the International Standards Organization (ISO) 9000 Quality Management System on the Naval Aviation Maintenance Program (NAMP)

National Research Council Canada - National Science Library

Couch, Christopher

1999-01-01

... to make them consistent with the ISO 9000 QMS. The NAMP is Naval aviation's overall guiding document that outlines command, administrative, and management relationships, and assigns maintenance policy and procedure responsibilities...

Policy for equipment’s leasing period extension with minimum cost of maintenance

Science.gov (United States)

Lestari, C.; Kurniati, N.

2018-04-01

The cost structure for equipment investment including purchase cost and maintenance cost is getting more expensive. The company considers to lease the equipment instead of purchase it under a contractual agreement. Offering to extend the lease period, following to the base lease period, will provide more benefits for both the lessor (owner) and the lessee (user). Whenever the lease period extension offered at the beginning of the contract, there are some risks in finance e.g. uncertainty of the equipment performance and lessor responsibility. Therefore, this research attempts to model the optimal maintenance policy for lease period extension offered at the end of the contract. Minimal repair is performed to rectify a failed equipment, while imperfect preventive maintenance is conducted to improve the operational state of the equipment when reaches a certain control limit to avoid failures. The mathematical model is constructed to determine the optimal control limit, the number and degree of preventive maintenance, and the multiplication number of the lease period extension. Finally, numerical examples are given to illustrate the influences of the optimal length of the extended lease and the maintenance policy to minimize the maintenance cost.

Efficacy and safety of budesonide/formoterol single inhaler therapy versus a higher dose of budesonide in moderate to severe asthma

NARCIS (Netherlands)

Scicchitano, R; Aalbers, R; Ukena, D; Manjra, A; Fouquert, L; Centanni, S; Boulet, LP; Naya, IP; Hultquist, C

Objectives:This study evaluated the efficacy and safety of a novel asthma management strategy - budesonide/formoterol for both maintenance and symptom relief (Symbicort Single Inhaler Therapy*) - compared with a higher maintenance dose of budesonide in patients with moderate to severe asthma.

Integrated maintenance program (IMP)

International Nuclear Information System (INIS)

Zemdegs, R.T.; Chout, Q.B.

1998-01-01

Approaches to the maintenance of nuclear power plants have undergone significant change in the past several decades. The traditional breakdown approach has been displaced by preventive (calendar-based) maintenance and more recently, by condition-based maintenance (CBM). This is largely driven by the fact that traditional maintenance programs, derived primarily from equipment vendor recommendations, are generally unsuccessful in controlling maintenance costs or equipment failures. Many advances in the maintenance field have taken place since the maintenance plans for Ontario Hydro's nuclear plants were initially established. Ontario Hydro nuclear plant operating costs can be substantially reduced and Incapability Factor improved with the application of modern maintenance processes and tools. Pickering is designated as the lead station for IMP. Of immediate concern is the fact that Pickering Nuclear Division has been experiencing a significant backlog of Operating Preventive Maintenance Callups. This backlog, over 2000, is unacceptable to both station management and the nuclear regulator, the Atomic Energy Control Board. In addition there are over 500 callups in various stages of revision (in hyperspace) without an adequate control nor reporting system to manage their completion. There is also considerable confusion about the classification of l icensing c allups, e.g. callups which are mandatory as a result of legal requirements. Furthermore the ineffectiveness of the Preventive Maintenance (PM) has been the subject of peer audits and Atomic Energy Control Board (AECB) findings over the past several years. The current preventive maintenance ratio PM2 /(PM+CM3) at Pickering ND is less than 20%, due to the current high load of equipment breakdown. This past summer, an Independent Integrated Performance Assessment (IIPA) review at Ontario Hydro confirmed these concerns. Over the past several years, Ontario Hydro nuclear staff have evaluated several programs to improve

Efficacy and Tolerability of High-Dose Escitalopram in Posttraumatic Stress Disorder.

Science.gov (United States)

Qi, Wei; Gevonden, Martin; Shalev, Arieh

2017-02-01

Open-label trials suggest that escitalopram (up to 20 mg/d) is an effective treatment for some, but not all posttraumatic stress disorder (PTSD) patients. Higher doses of escitalopram effectively reduced major depression symptoms in patients who had not responded to regular doses. The current study examines the efficacy, tolerability, and adherence to high-dose escitalopram in PTSD. Forty-five PTSD patients received 12 weeks of gradually increasing doses of escitalopram reaching 40 mg daily at 4 weeks. Among those, 12 participants received regular doses of antidepressants at study onset including escitalopram (n = 7). The Clinician-Administered PTSD Scale (CAPS) evaluated PTSD symptoms severity before treatment, at 3 months (upon treatment termination), and at 6 months (maintenance effect). A 20% reduction in CAPS scores was deemed clinically significant. Adverse events and medication adherence were monitored at each clinical session. Linear mixed-models analysis showed a significant reduction of mean CAPS scores (11.5 ± 18.1 points) at 3 months and maintenance of gains by 6 months (F2,34.56 = 8.15, P = 0.001). Eleven participants (34.3%) showed clinically significant improvement at 3 months. Only 9 participants (20%) left the study. There were no serious adverse events and few mild ones with only 2 adverse events (diarrhea, 11.1%; drowsiness, 11.1%) reported by more than 10% of participants. High doses of escitalopram are tolerable and well adhered to in PTSD. Their beneficial effect at a group level is due to a particularly good response in a subset of patients.Variability in prior pharmacological treatment precludes a definite attribution of the results to high doses of escitalopram.

Maintenance work management system

International Nuclear Information System (INIS)

Kanai, T.; Takahashi, Y.; Takahashi, K.; Nishino, M.; Takeshige, R.

2000-01-01

The maintenance work management system supports the efficient drawing up of various documents for the maintenance work at nuclear power stations and the speeding up of the permission procedure. In addition, it improves the quality assurance of the safety and reliability of the maintenance work. Key merits of the system are: 1. Efficiently drawing up various documents for the maintenance work by using the stored data for the previous maintenance work and the pipe and instrument diagram (P and ID) data. 2. Supporting the management work for the completion of maintenance work safety by using the isolation information stored on the computer system. 3. Speeding up the permission procedure by electronic mail and electronic permission. 4. Displaying additional information such as the specifications of equipment, maintenance result, and maintenance plan by linking up with the database of another system. 5. Reducing the cost of hardware devices by using client/server network configurations of personal computers and a personal computer server. (author)

Phosphorus-32 in polycythemia vera with and without maintenance treatment. Intermediate follow-up results

International Nuclear Information System (INIS)

Najean, Y.; Rain, J.D.

1995-01-01

Three-hundred and seventy-two patients with polycythemia vera, aged 65 years or more or with a high risk of vascular complications, were openly treated between 1979 and 1994 with 32 P or a combination of 32 P plus a small maintenance dose (7,5 mg/kg/day) of hydroxy urea. Although only a small number of patients was followed long enough to allow definite conclusions, some results are already significant in this intermediary study performed in November 1994. Maintenance treatment with hydroxy urea led to a significant prolongation of the intervals between 32 P administrations and to a decreased annual mean dose of radiophosphorus. Median survival does not differ between to the two treatment groups, 10,7 years compared to 10,0 years. The rate of vascular complications did not differ between groups. At 10 years follow-up, the risk of developing (epithelial) cancer was increased in the group of patients who received maintenance treatment, 30% compared to 10%. Similarly, development of myelodysplasia, acute leukemia or lymphoma was more common in patients receiving hydroxy urea, 25% compared to 12%. Myeloid transformation of the spleen occurred with the same frequency. Our intermediate follow-up results show that addition of hydroxy urea to 32 P treatment does not change survival or vascular complications in polycythemia vera patients, but probably increases the risk of developing cancer or leukemia. (authors). 2 refs., 4 figs

Radiation dose optimization in pediatric temporal bone computed tomography: influence of tube tension on image contrast and image quality

International Nuclear Information System (INIS)

Nauer, Claude Bertrand; Zubler, Christoph; Weisstanner, Christian; Stieger, Christof; Senn, Pascal; Arnold, Andreas

2012-01-01

The purpose of this experimental study was to investigate the effect of tube tension reduction on image contrast and image quality in pediatric temporal bone computed tomography (CT). Seven lamb heads with infant-equivalent sizes were scanned repeatedly, using four tube tensions from 140 to 80 kV while the CT-Dose Index (CTDI) was held constant. Scanning was repeated with four CTDI values from 30 to 3 mGy. Image contrast was calculated for the middle ear as the Hounsfield unit (HU) difference between bone and air and for the inner ear as the HU difference between bone and fluid. The influence of tube tension on high-contrast detail delineation was evaluated using a phantom. The subjective image quality of eight middle and inner ear structures was assessed using a 4-point scale (scores 1-2 = insufficient; scores 3-4 = sufficient). Middle and inner ear contrast showed a near linear increase with tube tension reduction (r = -0.94/-0.88) and was highest at 80 kV. Tube tension had no influence on spatial resolution. Subjective image quality analysis showed significantly better scoring at lower tube tensions, with highest image quality at 80 kV. However, image quality improvement was most relevant for low-dose scans. Image contrast in the temporal bone is significantly higher at low tube tensions, leading to a better subjective image quality. Highest contrast and best quality were found at 80 kV. This image quality improvement might be utilized to further reduce the radiation dose in pediatric low-dose CT protocols. (orig.)

Proposal of challenges in sociology of maintenance. The role of mass media in the society dependent on technologies

International Nuclear Information System (INIS)

Hattori, Shigeo

2009-01-01

'Sociology of Maintenance' is a very unique field of activity in the JSM compared to the other academic organizations. Since the JSM is dealing with maintenance activities of people on large scale infra-systems, it is necessary to study and to systematically clarify the interface/interaction between the maintenance activities and related society. In this session, the recent discussions in the Sociology of Maintenance Workshop in JSM on the nature of special atmosphere surrounding nuclear power maintenance and influence of mass media on the atmosphere are discussed by showing actual examples of the course of accident/affair. (author)

Maintenance Production Demand and Capacity Analysis of Third Maintenance Battalion

Science.gov (United States)

2017-12-01

Delivery T/E Table of Equipment TFSMS Total Force Structure Management System TFSP Total Force Structure Process TM Technical Manual T/O Table of...exercises each year, both on Okinawa and throughout the Pacific theater. When equipment requires maintenance beyond the organizational -level...demand was analyzed based on customer cycle time (i.e., time that equipment was in Third Maintenance Battalion custody), maintenance cycle time during

Influence of drug load and physical form of cinnarizine in new SNEDDS dosing regimens

DEFF Research Database (Denmark)

Siqueira, Scheyla D V S; Müllertz, Anette; Gräeser, Kirsten

2017-01-01

The aim of this work was to evaluate the influence of drug load and physical form of cinnarizine (CIN) in self-nanoemulsifying drug delivery systems (SNEDDS) on absorption in rats. Further, the predictivity of the dynamic in vitro lipolysis model was evaluated. The following dosing regimens were......, compared to the aqueous suspension. Since the drug level in the aqueous phase is traditionally considered as the fraction available for absorption, a lack of in vitro-in vivo relation was observed. This study revealed that the physical form of CIN in the current SNEDDS does not affect CIN absorption...

Dose reduction and cost-benefit analysis at Japan`s Tokai No. 2 Plant

Energy Technology Data Exchange (ETDEWEB)

Humamoto, Hisao; Suzuki, Seishiro; Taniguchi, Kazufumi [Japan Atomic Power Co., Otemachi (Japan)

1995-03-01

In the Tokai No. 2 power plant of the Japan Atomic Power Company, about 80% of the annual dose equivalent is received during periodic maintenance outages. A project group for dose reduction was organized at the company`s headquarters in 1986; in 1988, they proposed a five-year program to reduce by half the collective dose of 4 person-Sv per normal outage work. To achieve the target dose value, some dose-reduction measures were undertaken, namely, permanent radiation shielding, decontamination, automatic, operating machines, and ALARA organization. As the result, the collective dose from normal outage work was 1.6 person-Sv in 1992, which was less than the initial target value.

Shielding effect of building to natural radiation and its influence to population dose evaluation

International Nuclear Information System (INIS)

Nakamura, Takashi; Itoh, Kazuo; Yoshimura, Toshiaki.

1980-01-01

This work investigated the shielding effect of the building which is indispensable for the accurate evaluation of the population dose of external exposure from natural radiation. At first, the attenuation coefficients of various building materials were measured and found to agree with the calculated values within 10% errors. The shielding factors of these materials were calculated from the calculated attenuation coefficients and buildup factors. The shielding factors of the wall, window, roof and floor were calculated separately by settling the model houses and combining the shielding factors of the building materials used, and then the shielding factor of the whole building was obtained by use of the opening fraction of the wall and the fractions of the wall, roof and floor areas to the total floor area. The influence of the shielding effect of the building is well represented by the occupancy factor which is the ratio of the group doses including that shielding effect to those excluding it. The occupancy factor lies between 0.9 and 1.0 for four specified districts, Tokyo, Osaka, Ibaraki and Nagano. (author)

VERSHINA – A POLISH VILLAGE IN SIBERIA. FACTORS INFLUENCING LANGUAGE MAINTENANCE UNDER CHANGING SOCIAL, CULTURAL, ECONOMIC AND POLITICAL CONDITIONS

Directory of Open Access Journals (Sweden)

Michał Głuszkowski

2011-01-01

Full Text Available The article discusses factors influencing language maintenance under changing social, cultural, economic and political conditions of Polish minority in Siberia. The village of Vershina was founded in 1910 by Polish voluntary settlers from Little Poland.During its first three decades Vershina preserved Polish language,traditions, farming methods and machines and also the Roman Catholic religion. The changes came to a village in taiga in the1930s. Vershina lost its ethnocultural homogeneity because of Russian and Buryat workers in the local kolkhoz. Nowadays the inhabitants of Vershina regained their minority rights: religious, educational and cultural. However, during the years of sovietization and ateization, their culture and customs became much more similar to other Siberian villages. Polish language in Vershina is under strong influence of Russian, which is the language of education,administration, and surrounding villages. Children from Polish-Russian families become monolingual and use Polish very rare, only asa school subject and in contacts with grandparents. The process of abandoning mother tongue in Vershina is growing rapidly. However,there are some factors which may hinder the actual changes:the activity of local Polish organisations and Roman Catholic parish as well as folk group “Jazhumbek”.

Study on radioactive waste management scenarios in regular maintenance of a fusion reactor

International Nuclear Information System (INIS)

Someya, Youji; Tobita, Kenji; Yanagihara, Satoshi

2015-01-01

Low-level radioactive waste is generated in large amounts in the operation of a fusion reactor. For this reason, there are needs for the study of radioactive waste management scenarios, as well as the clarification of the function of waste handling facilities in the design phase. This paper describes the management scenarios with a focus on the radioactive waste generated at the time of scheduled maintenance of a nuclear fusion prototype reactor. Based on the temporal change of the residual heat and dose rate of the blanket and diverter, as the furnace equipment associated with induced radioactivity, management period was determined. At this time, the attenuation rate of dose rate and the like of each device are different. So, if maintenance cycle is established for each device and thus storage area is minimized, the control area can be optimized. Based on the 'principle for minimizing radioactive waste,' the reuse of devices is effective in reducing waste. So, in view of a commercial reactor, research and development is required for the establishment of reuse process under high-dose. Since the commitment to radioactive waste is considered to be an important factor in the future for the social acceptance of nuclear fusion reactor development, comprehensive study including the disposal of waste and the reuse of equipment is important. (A.O.)

Radiobiological influence of megavoltage electron pulses of ultra-high pulse dose rate on normal tissue cells.

Science.gov (United States)

Laschinsky, Lydia; Karsch, Leonhard; Leßmann, Elisabeth; Oppelt, Melanie; Pawelke, Jörg; Richter, Christian; Schürer, Michael; Beyreuther, Elke

2016-08-01

Regarding the long-term goal to develop and establish laser-based particle accelerators for a future radiotherapeutic treatment of cancer, the radiobiological consequences of the characteristic short intense particle pulses with ultra-high peak dose rate, but low repetition rate of laser-driven beams have to be investigated. This work presents in vitro experiments performed at the radiation source ELBE (Electron Linac for beams with high Brilliance and low Emittance). This accelerator delivered 20-MeV electron pulses with ultra-high pulse dose rate of 10(10) Gy/min either at the low pulse frequency analogue to previous cell experiments with laser-driven electrons or at high frequency for minimizing the prolonged dose delivery and to perform comparison irradiation with a quasi-continuous electron beam analogue to a clinically used linear accelerator. The influence of the different electron beam pulse structures on the radiobiological response of the normal tissue cell line 184A1 and two primary fibroblasts was investigated regarding clonogenic survival and the number of DNA double-strand breaks that remain 24 h after irradiation. Thereby, no considerable differences in radiation response were revealed both for biological endpoints and for all probed cell cultures. These results provide evidence that the radiobiological effectiveness of the pulsed electron beams is not affected by the ultra-high pulse dose rates alone.

Radiobiological influence of megavoltage electron pulses of ultra-high pulse dose rate on normal tissue cells

International Nuclear Information System (INIS)

Laschinsky, Lydia; Karsch, Leonhard; Schuerer, Michael; Lessmann, Elisabeth; Beyreuther, Elke; Oppelt, Melanie; Pawelke, Joerg; Richter, Christian

2016-01-01

Regarding the long-term goal to develop and establish laser-based particle accelerators for a future radiotherapeutic treatment of cancer, the radiobiological consequences of the characteristic short intense particle pulses with ultra-high peak dose rate, but low repetition rate of laser-driven beams have to be investigated. This work presents in vitro experiments performed at the radiation source ELBE (Electron Linac for beams with high Brilliance and low Emittance). This accelerator delivered 20-MeV electron pulses with ultra-high pulse dose rate of 10"1"0 Gy/min either at the low pulse frequency analogue to previous cell experiments with laser-driven electrons or at high frequency for minimizing the prolonged dose delivery and to perform comparison irradiation with a quasi-continuous electron beam analogue to a clinically used linear accelerator. The influence of the different electron beam pulse structures on the radiobiological response of the normal tissue cell line 184A1 and two primary fibroblasts was investigated regarding clonogenic survival and the number of DNA double-strand breaks that remain 24 h after irradiation. Thereby, no considerable differences in radiation response were revealed both for biological endpoints and for all probed cell cultures. These results provide evidence that the radiobiological effectiveness of the pulsed electron beams is not affected by the ultra-high pulse dose rates alone. (orig.)

Properties of cellulose triacetate dose meter

International Nuclear Information System (INIS)

Tamura, N.; Tanaka, R.; Mitomo, S.; Matsuda, K.; Nagai, S.

1981-01-01

Several clear plastics and dyed plastics are commercially available for dosimetry in intense radiation field, especially for radiation processing applications. Among these dose meters cellulose triacetate (CTA) dose meter has two advantages for routine uses; (1) it has linear response in mega-rad dose region and (2) the main product form is long tape. However, the manufacture of Numelec CTA film so far used had been discontinued, and for this reason we developed a new film for dosimetry uses. To determine the manufacturing conditions of the film, we examined the influence of additives, triphenylphosphate (TPP) and others, and film thickness on the dosimetric properties, since these two conditions remarkably influence the sensitivity of the dose meter. It is necessary for the reliability of plastic dose meters that the radiation induced colorations should be understood as radiation chemical processes. In this paper we describe the determination of the manufacturing conditions of the new film, the feature of the new dose meter, and the coloration mechanism. (author)

A Situational Maintenance Model

DEFF Research Database (Denmark)

Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

1997-01-01

An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

Grounds Maintenance Equipment and Procedures. Building Maintenance. Module VI. Instructor's Guide.

Science.gov (United States)

Crank, Virgil

This curriculum guide, one of six modules keyed to the building maintenance competency profile developed by industry and education professionals, provides materials for two units on grounds maintenance equipment and procedures. The first unit deals with grounds maintenance equipment and includes the following lessons: safety; changing oil/filter…

[Maintenance Treatment With Antipsychotics for Adult Patients Diagnosed With Schizophrenia].

Science.gov (United States)

Gómez-Restrepo, Carlos; Bohórquez Peñaranda, Adriana Patricia; de la Hoz Bradford, Ana María; Tamayo Martínez, Nathalie; García Valencia, Jenny; Jaramillo González, Luis Eduardo

2014-01-01

To determine the effectiveness and security of the antipsychotics available for the management of adult patients with schizophrenia in the maintenance phase. To develop recommendations of treatment for the maintenance phase of the disease. A clinical practice guideline was elaborated under the parameters of the Methodological Guide of the Ministerio de Salud y Protección Social to identify, synthesize and evaluate the evidence and make recommendations about the treatment and follow-up of adult patients with schizophrenia. The evidence of NICE guide 82 was adopted and updated. The evidence was presented to the Guideline Developing Group and recommendations, employing the GRADE system, were produced. 18 studies were included to evaluate the effectiveness and / or safety of different antipsychotic drugs first and second generation. Overall, antipsychotics (AP) showed superiority over placebo in relapse rate over 12 months (RR 0.59 95% CI 0.42, 0.82) and hospitalization rate over 24 months of follow-up (RR 0.38 95% 0.27, 0.55); its use is associated with increased risk of treatment dropout (RR 0.53 95% CI 0.46, 0.61) and adverse events such as weight gain, dystonia, extrapyramidal symptoms and sedation. There was no difference in the outcome of re hospitalizations, comparisons on quality of life, negative symptoms or weight gain between AP first and second generation. Continuous or standard dose regimens appear to be superior to intermittent or low doses in reducing the risk of abandonment of treatment regimes. Adult patients diagnosed with schizophrenia should receive maintenance treatment with antipsychotics. The medication of choice will depend on the management of the acute phase, the patient's tolerance to it and the presentation of adverse events. Copyright © 2014 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Site Maintenance Plan: Part 2, Site Maintenance Action Plan for FY 1994

Energy Technology Data Exchange (ETDEWEB)

Fisk, E.L.

1994-06-01

This Fiscal Year (FY) 1994 Site Maintenance Action Plan (SMAP) is Part II of the Site Maintenance Plan, and has been written by Westinghouse Hanford Company (WHC) to outline the requirements stated in DOE Order 4330.4B, Maintenance Management Program, Chapter 1, Paragraph 3.3.1. The SMAP provides an annual status of maintenance initiatives completed and planned, a summary of performance indicators, a summary of maintenance backlog, a listing of real property and capital equipment maintenance cost estimates that were used to create the FY 1996 infrastructure and maintenance budget input, and a listing of proposed line item and general plant projects. Additionally, assumptions for various Site programs are listed to bring the Site Maintenance Plan into focus with overall Site activities. The primary mission at Hanford is to clean up the Site. In this cleanup process WHC will provide scientific and technological expertise to meet global needs, and partnership with stakeholders in the region to develop regional economic diversification. Other missions at the Hanford Site include energy research and development, and waste management and disposal activities. Their primary mission has a 30-year projected life span and will direct the shutting down and cleanup of defense production facilities and the Fast Flux Test Facility. This long-term mission requires continuous maintenance and in many instances, replacement of existing basic infrastructure, support facilities, and utilities. Without adequate maintenance and capital funding these infrastructure, support facilities, and utilities will continue to deteriorate causing an increase in backlogged work.

Site Maintenance Plan: Part 2, Site Maintenance Action Plan for FY 1994

International Nuclear Information System (INIS)

Fisk, E.L.

1994-06-01

This Fiscal Year (FY) 1994 Site Maintenance Action Plan (SMAP) is Part II of the Site Maintenance Plan, and has been written by Westinghouse Hanford Company (WHC) to outline the requirements stated in DOE Order 4330.4B, Maintenance Management Program, Chapter 1, Paragraph 3.3.1. The SMAP provides an annual status of maintenance initiatives completed and planned, a summary of performance indicators, a summary of maintenance backlog, a listing of real property and capital equipment maintenance cost estimates that were used to create the FY 1996 infrastructure and maintenance budget input, and a listing of proposed line item and general plant projects. Additionally, assumptions for various Site programs are listed to bring the Site Maintenance Plan into focus with overall Site activities. The primary mission at Hanford is to clean up the Site. In this cleanup process WHC will provide scientific and technological expertise to meet global needs, and partnership with stakeholders in the region to develop regional economic diversification. Other missions at the Hanford Site include energy research and development, and waste management and disposal activities. Their primary mission has a 30-year projected life span and will direct the shutting down and cleanup of defense production facilities and the Fast Flux Test Facility. This long-term mission requires continuous maintenance and in many instances, replacement of existing basic infrastructure, support facilities, and utilities. Without adequate maintenance and capital funding these infrastructure, support facilities, and utilities will continue to deteriorate causing an increase in backlogged work

Proceedings of an international workshop on historic dose experience and dose reduction (ALARA) at nuclear power plants

International Nuclear Information System (INIS)

Horan, J.R.; Baum, J.W.; Dionne, B.J.

1985-06-01

Dose reduction data and experience from 28 foreign and 10 US nuclear power plants was examined to determine causes for the wide variations in occupational dose from country to country. Major topics discussed were: steam generator and refueling maintenance problems; utility and supplier ALARA programs; effectiveness of dose-reduction modifications; attitudes and training; current and future dose-reduction research. While many parameters contribute to differences of occupational doses between plants from different nations, it is clear that most US plants have higher collective dose equivalent per reactor per megawatt-year than most other countries, even for plants of similar size and age. Worldwide, Finnish and Swedish plants, both PWR and BWR, have achieved the lowest values. Major factors which contribute to low doses include: (1) minimization of cobalt in primary system components exposed to water; (2) careful plant design, layout and component segregation and shielding; (3) plant standardization; (4) selection of components and systems for increased reliability; (5) management interest and commitment; (6) minimum number of workers and in-depth worker training; (7) careful control of primary system oxygen and pH; (8) good primary system water purity to minimize corrosion product formation; (9) use of special tools and robotics; (10) decontamination and passivation of primary systems and components; and (11) extent of backfitting and mandated inspections

Maintenance-Ready Web Application Development

Directory of Open Access Journals (Sweden)

Ion IVAN

2016-01-01

Full Text Available The current paper tackles the subject of developing maintenance-ready web applications. Maintenance is presented as a core stage in a web application’s lifecycle. The concept of maintenance-ready is defined in the context of web application development. Web application maintenance tasks types are enunciated and suitable task types are identified for further analysis. The research hypothesis is formulated based on a direct link between tackling maintenance in the development stage and reducing overall maintenance costs. A live maintenance-ready web application is presented and maintenance related aspects are highlighted. The web application’s features, that render it maintenance-ready, are emphasize. The cost of designing and building the web-application to be maintenance-ready are disclosed. The savings in maintenance development effort facilitated by maintenance ready features are also disclosed. Maintenance data is collected from 40 projects implemented by a web development company. Homogeneity and diversity of collected data is evaluated. A data sample is presented and the size and comprehensive nature of the entire dataset is depicted. Research hypothesis are validated and conclusions are formulated on the topic of developing maintenance-ready web applications. The limits of the research process which represented the basis for the current paper are enunciated. Future research topics are submitted for debate.

Joint optimization of LORA and spares stocks considering corrective maintenance time

Institute of Scientific and Technical Information of China (English)

Linhan Guo; Jiujiu Fan; Meilin Wen; Rui Kang

2015-01-01

Level of repair analysis (LORA) is an important method of maintenance decision for establishing systems of operation and maintenance in the equipment development period. Currently, the research on equipment of repair level focuses on economic analy-sis models which are used to optimize costs and rarely considers the maintenance time required by the implementation of the main-tenance program. In fact, as to the system requiring high mission complete success, the maintenance time is an important factor which has a great influence on the availability of equipment sys-tems. Considering the relationship between the maintenance time and the spares stocks level, it is obvious that there are contra-dictions between the maintenance time and the cost. In order to balance these two factors, it is necessary to build an optimization LORA model. To this end, the maintenance time representing per-formance characteristic is introduced, and on the basis of spares stocks which is traditional y regarded as a decision variable, a de-cision variable of repair level is added, and a multi-echelon multi-indenture (MEMI) optimization LORA model is built which takes the best cost-effectiveness ratio as the criterion, the expected num-ber of backorder (EBO) as the objective function and the cost as the constraint. Besides, the paper designs a convex programming algorithm of multi-variable for the optimization model, provides solutions to the non-convex objective function and methods for improving the efficiency of the algorithm. The method provided in this paper is proved to be credible and effective according to the numerical example and the simulation result.

Maintenance on naltrexone+amphetamine decreases cocaine-vs.-food choice in male rhesus monkeys.

Science.gov (United States)

Moerke, Megan J; Banks, Matthew L; Cheng, Kejun; Rice, Kenner C; Negus, S Stevens

2017-12-01

Cocaine use disorder remains a significant public health issue for which there are no FDA-approved pharmacotherapies. Amphetamine maintenance reduces cocaine use in preclinical and clinical studies, but the mechanism of this effect is unknown. Previous studies indicate a role for endogenous opioid release and subsequent opioid receptor activation in some amphetamine effects; therefore, the current study examined the role of mu-opioid receptor activation in d-amphetamine treatment effects in an assay of cocaine-vs-food choice. Adult male rhesus monkeys with double-lumen intravenous catheters responded for concurrently available food pellets and cocaine injections (0-0.1mg/kg/injection) during daily sessions. Cocaine choice and overall reinforcement rates were evaluated during 7-day treatments with saline or test drugs. During saline treatment, cocaine maintained a dose-dependent increase in cocaine-vs.-food choice. The mu-opioid receptor agonist morphine (0.032-0.32mg/kg/h) dose-dependently increased cocaine choice and decreased rates of reinforcement. A dose of the mu-selective opioid receptor antagonist naltrexone (0.0032mg/kg/h) that completely blocked morphine effects had no effect on cocaine choice when it was administered alone, but it enhanced the effectiveness of a threshold dose of 0.032mg/kg/h amphetamine to decrease cocaine choice without also enhancing nonselective behavioral disruption by this dose of amphetamine. Conversely, the kappa-selective opioid antagonist norbinalorphimine did not enhance amphetamine effects on cocaine choice. These results suggest that amphetamine maintenance produces mu opioid-receptor mediated effects that oppose its anti-cocaine effects. Co-administration of naltrexone may selectively enhance amphetamine potency to decrease cocaine choice without increasing amphetamine potency to produce general behavioral disruption. Copyright © 2017 Elsevier B.V. All rights reserved.

Performance Assessment of Maintenance Practices in Government Office Buildings: Case Study of Parcel E, Putrajaya

Directory of Open Access Journals (Sweden)

Awg Husaini A.I.

2014-03-01

Full Text Available Building maintenance practices must be taken into consideration by building facility managers or building owners. They involve daily operations to ensure that end users can work or live comfortably and safely. Through effective maintenance practices, the functions of the existing building facilities can be maintained and meet the needs of the building users. Maintenance practices must be effective in aspects such as planning, organization and supervision in order to maintain the building at a satisfactory level of performance all the time. A study was conducted on a Federal government office building in Parcel E, Putrajaya to determine the maintenance aspects of the management of the facility. To achieve the objectives of this study a questionnaire survey was used to obtain the required data. The outcomes indicate that the aspects of building maintenance practice and the effectiveness of the maintenance management in government office buildings can influence the satisfaction of the end user. However, some aspects of the current building maintenance practices seem to need improvements in order to enhance the building maintenance management. The recommendations of this study will help in the effective management of the facility and maintenance management practices.

Lessons learned from operating experience, maintenance procedures and training measures

International Nuclear Information System (INIS)

Guttner, K.; Gronau, D.

2003-01-01

Training programmes for nuclear facility personnel as a result of the developing phase of SAT have to be approved in the subsequent implementation and evaluation phases with the consequence of several feedback activities in the whole training process. The effectiveness of this procedure has to be evaluated especially with respect to an improvement of safety culture, shorter outage times or better plant performance, resulting in a smaller number of incidents due to human failures. The first two arguments are directly connected with all types of maintenance work in a nuclear power plant and the related preparatory training measures. The reduction of incidents due to human failures is the result of different influences, i.e. training of the operational as well as of the maintenance personnel together with changes of the operating procedures or system design. Though an evaluation of the training process should always be based on a clear definition of criteria by which the fulfilment of the learning objectives can be measured directly, the real effectiveness of training is proven by the behaviour and attitude of the personnel which can only be taken from indirect indicators. This is discussed in more detail for some examples being partly related to the above mentioned arguments. An excellent plant performance, representing a general objective of all activities, can be analysed by the changed number and reasons of incidents in a plant during its operation time. Two further examples are taken from the reactor service field where there is a tendency to reduce the individual dose rates by changed devices and/or procedures as an output from training experience with mockups. Finally the rationalisation of refresher training for operational personnel by the use of interactive teaching programs (Computer Based Training - CBT) is presented which integrate learning objectives together with a test module. (author)

Building relationships for better maintenance.

Science.gov (United States)

Lee, Hackman Hon Yin; Scott, David

2009-02-01

Effective management of building maintenance is a vital ingredient in ensuring a high quality built environment for any building's occupiers. However, maintenance is not high on the list of priorities for most organisations. Communication between top management personnel looking at maintenance issues from a strategic standpoint and maintenance staff considering them at an operational level is often not as good as it should be. When planning maintenance activities maintenance personnel often draw too heavily on their technical experience and expertise without taking sufficient account of wider organisational objectives or consulting effectively with top management. Senior managers also regularly complain about lack of managerial input from maintenance departments. Such barriers contribute to communication difficulties between top management at a strategic level and maintenance personnel at an operational level. Identifying where the key differences lie in senior managers' and maintenance personnel's viewpoints on maintenance strategy can prove invaluable in achieving some convergence of opinions and optimising the efficiency of the overall building maintenance process.

A framework to practical predictive maintenance modeling for multi-state systems

International Nuclear Information System (INIS)

Cher Ming Tan; Raghavan, Nagarajan

2008-01-01

A simple practical framework for predictive maintenance (PdM)-based scheduling of multi-state systems (MSS) is developed. The maintenance schedules are derived from a system-perspective using the failure times of the overall system as estimated from its performance degradation trends. The system analyzed in this work is a flow transmission water pipe system. The various factors influencing PdM-based scheduling are identified and their impact on the system reliability and performance are quantitatively studied. The estimated times to replacement of the MSS may also be derived from the developed model. The results of the model simulation demonstrate the significant impact of maintenance quality and the criteria for the call for maintenance (user demand) on the system reliability and mean performance characteristics. A slight improvement in maintenance quality is found to postpone the system replacement time by manifold. The consistency in the quality of maintenance work with minimal variance is also identified as a very important factor that enhances the system's future operational and downtime event predictability. The studies also reveal that in order to reduce the frequency of maintenance actions, it is necessary to lower the minimum user demand from the system if possible, ensuring at the same time that the system still performs its intended function effectively. The model proposed can be utilized to implement a PdM program in the industry with a few modifications to suit the individual industrial systems' needs

Reactor Coolant Pump Motor Maintenance Experience in Krsko NPP

International Nuclear Information System (INIS)

Vukovic, J.; Besirevic, A.; Boljat, Z.

2016-01-01

After thirty years of service as well as maintenance in Krsko NPP both original Reactor Coolant Pump (RCP) motors are remanufactured by original vendor Westinghouse and a new one was purchased. Design function of the RCP motor is to drive Reactor Coolant Pump and for coast-down feature during Design Basis Accident. This paper will give a view on maintenance issues of RCP motor during the thirty years of service and maintenance in Krsko NPP to be kept functionally operational. During the processes of remanufacturing inspection and disassembly it was made possible to get a deeper perspective in the motor condition and the wear or fatigue of the motor parts. Parameters like bearing & winding temperature, absolute and relative vibration greatly affect motor operation if not kept inside design margins. Rotational speed causes heat generation at the bearings which is then associated with oil temperatures and as a consequence bearing temperatures. That is why the most critical parts of the motor are the components of upper and lower bearing assembly. The condition of motor stator and rotor assembly technical characteristics shall be explained with respect to influence of demanding environmental conditions that the motor is exposed. Assessment shall be made how does the wear of critical RCP motor parts can influence reliable performance of the motor if not maintained in proper way. Information on upgrades that were done on RCP motor shall be shared: Oil Spillage Protection System (OSPS), Stator upgrades, Dynamic Port, etc. (author).

Influence Diagrams for Optimal Maintenance Planning

DEFF Research Database (Denmark)

Friis-Hansen, Andreas

2000-01-01

Over the last two decades Bayesian networks and influence diagrams have received notable attention within the field of artificial intelligence and expert systems. During the last few years the technology has been further developed for problem solving within other engineering fields. The objective...... of this study is to present a conceptual bayesian network model for probabilistic prediction of fatigue crack growth in welded steel tubes. It is shown that despite discretization of the variable domain, the prediction is in good agreement with results obtained by the well-established structural reliability...

Influence of model based iterative reconstruction algorithm on image quality of multiplanar reformations in reduced dose chest CT

International Nuclear Information System (INIS)

Barras, Heloise; Dunet, Vincent; Hachulla, Anne-Lise; Grimm, Jochen; Beigelman-Aubry, Catherine

2016-01-01

Model-based iterative reconstruction (MBIR) reduces image noise and improves image quality (IQ) but its influence on post-processing tools including maximal intensity projection (MIP) and minimal intensity projection (mIP) remains unknown. To evaluate the influence on IQ of MBIR on native, mIP, MIP axial and coronal reformats of reduced dose computed tomography (RD-CT) chest acquisition. Raw data of 50 patients, who underwent a standard dose CT (SD-CT) and a follow-up RD-CT with a CT dose index (CTDI) of 2–3 mGy, were reconstructed by MBIR and FBP. Native slices, 4-mm-thick MIP, and 3-mm-thick mIP axial and coronal reformats were generated. The relative IQ, subjective IQ, image noise, and number of artifacts were determined in order to compare different reconstructions of RD-CT with reference SD-CT. The lowest noise was observed with MBIR. RD-CT reconstructed by MBIR exhibited the best relative and subjective IQ on coronal view regardless of the post-processing tool. MBIR generated the lowest rate of artefacts on coronal mIP/MIP reformats and the highest one on axial reformats, mainly represented by distortions and stairsteps artifacts. The MBIR algorithm reduces image noise but generates more artifacts than FBP on axial mIP and MIP reformats of RD-CT. Conversely, it significantly improves IQ on coronal views, without increasing artifacts, regardless of the post-processing technique

Maintenance improvement program

International Nuclear Information System (INIS)

Derbonne, D.R.; Plunkett, T.F.; Simpson, J.R.

1989-01-01

During fuel cycle 1 at River Bend station, considerable effort was expended to reduce corrective maintenance work orders (MWOs) to <1,000. This was done by complementing the plant staff with costly contract personnel. Coming out of the first refueling outage, most contract personnel were released. The change in MWO backlog started a steady rise. It became readily apparent that to avoid costly contract staff time, a maintenance improvement program (MIP) was necessary. The MIP Was primarily directed at two areas: crew efficiency improvements and improved preplanned MWO packages. The overall effect of the MIP was to achieve significant productivity improvements with reduced operation and maintenance cost by providing frequent accountability to all levels of maintenance supervision. The MIP also produced a feeling of pride among the maintenance department employees that had not really existed before. This was the best benefit of all

Influence of dose and dose rate on the physical properties of commercial papers commonly used in libraries and archives

International Nuclear Information System (INIS)

Area, María C.; Calvo, Ana M.; Felissia, Fernando E.; Docters, Andrea; Miranda, María V.

2014-01-01

The aim of this study was to evaluate the effects of dose and dose rate of gamma irradiation on the physical properties of commercial papers commonly used in libraries and archives to optimize the irradiation conditions. Three different brands of paper of different fiber compositions were treated, using a 3 2 factorial design with four replicates of the center point, with doses ranging from 2 to 11 kGy and dose rates between 1 and 11 kGy/h. Chemical, mechanical and optical properties were determined on the samples. With some differences between the different kinds of papers, tensile strength, elongation, TEA, and air resistance were in general, unaffected by the treatment. The minimum loss of tear resistance and brightness were obtained with doses in the range 4–6 kGy at any dose rate for all three kinds of paper. These conditions are ideal to remove insects and sufficient to eliminate fungus. - Highlights: • Gamma irradiation is a valid option to remove mold from books and documents. • We studied the effect of irradiation dose and dose rate on the physical properties of papers. • We found an optimum combination of dose and dose rate

Modern electronic maintenance principles

CERN Document Server

Garland, DJ

2013-01-01

Modern Electronic Maintenance Principles reviews the principles of maintaining modern, complex electronic equipment, with emphasis on preventive and corrective maintenance. Unfamiliar subjects such as the half-split method of fault location, functional diagrams, and fault finding guides are explained. This book consists of 12 chapters and begins by stressing the need for maintenance principles and discussing the problem of complexity as well as the requirements for a maintenance technician. The next chapter deals with the connection between reliability and maintenance and defines the terms fai

Predicting maintenance of attendance at walking groups: testing constructs from three leading maintenance theories.

Science.gov (United States)

Kassavou, Aikaterini; Turner, Andrew; Hamborg, Thomas; French, David P

2014-07-01

Little is known about the processes and factors that account for maintenance, with several theories existing that have not been subject to many empirical tests. The aim of this study was to test how well theoretical constructs derived from the Health Action Process Approach, Rothman's theory of maintenance, and Verplanken's approach to habitual behavior predicted maintenance of attendance at walking groups. 114 participants, who had already attended walking groups in the community for at least 3 months, completed a questionnaire assessing theoretical constructs regarding maintenance. An objective assessment of attendance over the subsequent 3 months was gained. Multilevel modeling was used to predict maintenance, controlling for clustering within walking groups. Recovery self-efficacy predicted maintenance, even after accounting for clustering. Satisfaction with social outcomes, satisfaction with health outcomes, and overall satisfaction predicted maintenance, but only satisfaction with health outcomes significantly predicted maintenance after accounting for clustering. Self-reported habitual behavior did not predict maintenance despite mean previous attendance being 20.7 months. Recovery self-efficacy, and satisfaction with health outcomes of walking group attendance appeared to be important for objectively measured maintenance, whereas self-reported habit appeared not to be important for maintenance at walking groups. The findings suggest that there is a need for intervention studies to boost recovery self-efficacy and satisfaction with outcomes of walking group attendance, to assess impact on maintenance.

Inhaler technique maintenance: gaining an understanding from the patient's perspective.

Science.gov (United States)

Ovchinikova, Ludmila; Smith, Lorraine; Bosnic-Anticevich, Sinthia

2011-08-01

The aim of this study was to determine the patient-, education-, and device-related factors that predict inhaler technique maintenance. Thirty-one community pharmacists were trained to deliver inhaler technique education to people with asthma. Pharmacists evaluated (based on published checklists), and where appropriate, delivered inhaler technique education to patients (participants) in the community pharmacy at baseline (Visit 1) and 1 month later (Visit 2). Data were collected on participant demographics, asthma history, current asthma control, history of inhaler technique education, and a range of psychosocial aspects of disease management (including adherence to medication, motivation for correct technique, beliefs regarding the importance of maintaining correct technique, and necessity and concern beliefs regarding preventer therapy). Stepwise backward logistic regression was used to identify the predictors of inhaler technique maintenance at 1 month. In total 145 and 127 participants completed Visits 1 and 2, respectively. At baseline, 17% of patients (n = 24) demonstrated correct technique (score 11/11) which increased to 100% (n = 139) after remedial education by pharmacists. At follow-up, 61% (n = 77) of patients demonstrated correct technique. The predictors of inhaler technique maintenance based on the logistic regression model (X(2) (3, N = 125) = 16.22, p = .001) were use of a dry powder inhaler over a pressurized metered-dose inhaler (OR 2.6), having better asthma control at baseline (OR 2.3), and being more motivated to practice correct inhaler technique (OR 1.2). Contrary to what is typically recommended in previous research, correct inhaler technique maintenance may involve more than repetition of instructions. This study found that past technique education factors had no bearing on technique maintenance, whereas patient psychosocial factors (motivation) did.

Risk-Based Operation and Maintenance Planning for Offshore Wind Turbines

DEFF Research Database (Denmark)

Nielsen, Jannie Jessen; Sørensen, John Dalsgaard

2010-01-01

Operation and maintenance (O&M) are large contributors to the cost of energy for offshore wind turbines. Optimal planning of O&M should include use of inspections and monitoring results to make decisions that minimize the expected costs through the lifetime of the structures. For offshore...... structures it is especially important because of the dependence on weather windows for inspections and repairs to be possible. A model has been developed to estimate the expected costs to corrective and condition based maintenance for a wind turbine with a single component. The deterioration of the component...... is simulated, and the expected costs are found for different strategies. An application example shows that condition based maintenance has the potential of reducing the costs, and a risk based approach can be used to find the optimal strategy for O&M. Further the influence of failure rate and damage parameters...

Solubility of hot fuel particles from Chernobyl--influencing parameters for individual radiation dose calculations.

Science.gov (United States)

Garger, Evgenii K; Meisenberg, Oliver; Odintsov, Oleksiy; Shynkarenko, Viktor; Tschiersch, Jochen

2013-10-15

Nuclear fuel particles of Chernobyl origin are carriers of increased radioactivity (hot particles) and are still present in the atmosphere of the Chernobyl exclusion zone. Workers in the zone may inhale these particles, which makes assessment necessary. The residence time in the lungs and the transfer in the blood of the inhaled radionuclides are crucial for inhalation dose assessment. Therefore, the dissolution of several kinds of nuclear fuel particles from air filters sampled in the Chernobyl exclusion zone was studied. For this purpose filter fragments with hot particles were submersed in simulated lung fluids (SLFs). The activities of the radionuclides (137)Cs, (90)Sr, (239+240)Pu and (241)Am were measured in the SLF and in the residuum of the fragments by radiometric methods after chemical treatment. Soluble fractions as well as dissolution rates of the nuclides were determined. The influence of the genesis of the hot particles, represented by the (137)Cs/(239+240)Pu ratio, on the availability of (137)Cs was demonstrated, whereas the dissolution of (90)Sr, (239+240)Pu and (241)Am proved to be independent of genesis. No difference in the dissolution of (137)Cs and (239+240)Pu was observed for the two applied types of SLF. Increased solubility was found for smaller hot particles. A two-component exponential model was used to describe the dissolution of the nuclides as a function of time. The results were applied for determining individual inhalation dose coefficients for the workers at the Chernobyl construction site. Greater dose coefficients for the respiratory tract and smaller coefficients for the other organs were calculated (compared to ICRP default values). The effective doses were in general lower for the considered radionuclides, for (241)Am even by one order of magnitude. © 2013 Elsevier B.V. All rights reserved.

Remote maintenance considerations for swimming pool tokamak reactor

International Nuclear Information System (INIS)

Niikura, S.; Yamada, M.; Kasai, M.

1983-01-01

Swimming Pool Tokamak Reactor (SPTR) is one of the candidate devices which are expected to demonstrate physical and engineering feasibility for fusion power reactors. In SPTR, water shield is adopted instead of solid shield structures. Among the advantages of SPTR are, from viewpoint of remote maintenance, small handling weight and high space availability between TF coils and a vacuum vessel. On the other hand, high dose rate during reactor repair and adverse effects on remote maintenance equipment by the shielding water might be the disadvantage of SPTR, where it is assumed that the shielding water is drained during reactor repair. Since the design of SPTR is still at the preliminary stage, for remote maintenance, much effort has been directed to clarification of design conditions such as environment and handling weight. As for the remote maintenance system concepts, studies have been focussed on those for a vacuum vessel and its internal structure (blanket, divertor and protection walls) expected to be repaired more frequently. The vacuum vessel assembly is divided into 21 sectors and number of TF coils is 14. A pair of TF coils are connected with each other by antitorque beams on the whole side surface. Vacuum vessel cassettes and associated blanket, divertor and protection walls are replaced through seven windows between TF coils pairs. Therefore each vacuum vessel cassette is required moving mechanisms in toroidal and radial directions. Options for slide mechanisms are wheels, balls, rollers and water bearings. Options for driving the cassette are self-driving by hydraulic motors and external driving by rack-pinion, wires or specific vehicles. As a result of studies, the moving mechanism with wheels and hydraulic motors has been selected for the reference design, and the system with water bearings and rack-pinion as an alternative. Furthermore typical concepts have been obtained for remote maintenance equipment such as wall-mounted manipulators, tools for

Condition based maintenance in the context of opportunistic maintenance

NARCIS (Netherlands)

Koochaki, Javid; Bokhorst, Jos A. C.; Wortmann, Hans; Klingenberg, Warse

2012-01-01

Condition based maintenance (CBM) uses the operating condition of a component to predict a failure event. Compared to age based replacement (ABR), CBM usually results in higher availability and lower maintenance costs, since it tries to prevent unplanned downtime and avoid unnecessary preventive

EPR design for maintenance

International Nuclear Information System (INIS)

Krugmann, U.

1998-01-01

Preventive maintenance is very important in achieving high plant availability. For the European Pressurized Reactor (EPR) preventive maintenance has been carefully addressed in the design stage. This is particularly necessary because of the traditionally different maintenance strategies employed in France and Germany. This paper emphasizes the following features introduced in the ERP design to minimize the duration of the refueling outage: (1) containment accessibility during power operation; (2) overall plant layout to facilitate inspections and maintenances within the containment; and (3) safety system design for enabling preventive maintenance during power operation. (author)

AGING FACILITY WORKER DOSE ASSESSMENT

International Nuclear Information System (INIS)

R.L. Thacker

2005-01-01

The purpose of this calculation is to estimate radiation doses received by personnel working in the Aging Facility performing operations to transfer aging casks to the aging pads for thermal and logistical management, stage empty aging casks, and retrieve aging casks from the aging pads for further processing in other site facilities. Doses received by workers due to aging cask surveillance and maintenance operations are also included. The specific scope of work contained in this calculation covers both collective doses and individual worker group doses on an annual basis, and includes the contributions due to external and internal radiation from normal operation. There are no Category 1 event sequences associated with the Aging Facility (BSC 2004 [DIRS 167268], Section 7.2.1). The results of this calculation will be used to support the design of the Aging Facility and to provide occupational dose estimates for the License Application. The calculations contained in this document were developed by Environmental and Nuclear Engineering of the Design and Engineering Organization and are intended solely for the use of the Design and Engineering Organization in its work regarding facility operation. Yucca Mountain Project personnel from the Environmental and Nuclear Engineering should be consulted before use of the calculations for purposes other than those stated herein or use by individuals other than authorized personnel in Environmental and Nuclear Engineering

Advances in safety related maintenance

International Nuclear Information System (INIS)

2000-03-01

The maintenance of systems, structures and components in nuclear power plants (NPPs) plays an important role in assuring their safe and reliable operation. Worldwide, NPP maintenance managers are seeking to reduce overall maintenance costs while maintaining or improving the levels of safety and reliability. Thus, the issue of NPP maintenance is one of the most challenging aspects of nuclear power generation. There is a direct relation between safety and maintenance. While maintenance alone (apart from modifications) will not make a plant safer than its original design, deficient maintenance may result in either an increased number of transients and challenges to safety systems or reduced reliability and availability of safety systems. The confidence that NPP structures, systems and components will function as designed is ultimately based on programmes which monitor both their reliability and availability to perform their intended safety function. Because of this, approaches to monitor the effectiveness of maintenance are also necessary. An effective maintenance programme ensures that there is a balance between the improvement in component reliability to be achieved and the loss of component function due to maintenance downtime. This implies that the safety level of an NPP should not be adversely affected by maintenance performed during operation. The nuclear industry widely acknowledges the importance of maintenance in NPP safety and operation and therefore devotes great efforts to develop techniques, methods and tools to aid in maintenance planning, follow-up and optimization, and in assuring the effectiveness of maintenance

Cognitive Reserve and Brain Maintenance: Orthogonal Concepts in Theory and Practice.

Science.gov (United States)

Habeck, C; Razlighi, Q; Gazes, Y; Barulli, D; Steffener, J; Stern, Y

2017-08-01

Cognitive Reserve and Brain Maintenance have traditionally been understood as complementary concepts: Brain Maintenance captures the processes underlying the structural preservation of the brain with age, and might be assessed relative to age-matched peers. Cognitive Reserve, on the other hand, refers to how cognitive processing can be performed regardless of how well brain structure has been maintained. Thus, Brain Maintenance concerns the "hardware," whereas Cognitive Reserve concerns "software," that is, brain functioning explained by factors beyond mere brain structure. We used structural brain data from 368 community-dwelling adults, age 20-80, to derive measures of Brain Maintenance and Cognitive Reserve. We found that Brain Maintenance and Cognitive were uncorrelated such that values on one measure did not imply anything about the other measure. Further, both measures were positively correlated with verbal intelligence and education, hinting at formative influences of the latter to both measures. We performed extensive split-half simulations to check our derived measures' statistical robustness. Our approach enables the out-of-sample quantification of Brain Maintenance and Cognitive Reserve for single subjects on the basis of chronological age, neuropsychological performance and structural brain measures. Future work will investigate the prognostic power of these measures with regard to future cognitive status. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

The influence of folate pathway polymorphisms on high-dose methotrexaterelated toxicity and survival in children with non-Hodgkin malignant lymphoma

Directory of Open Access Journals (Sweden)

Erculj Nina

2014-09-01

Full Text Available Background. We evaluated the influence of folate pathway polymorphisms on high-dose methotrexate (HD-MTX related toxicity in paediatric patients with T-cell non-Hodgkin lymphoma (NHL. Patients and methods. In total, 30 NHL patients were genotyped for selected folate pathway polymorphisms.

Evaluation of patient dose in imaging using a cone-beam CT dosimetry by X-ray films for radiotherapeutic dose

International Nuclear Information System (INIS)

Yoshida, Yuri; Morita, Yasuhiko; Honda, Eiichi; Tomotake, Yoritoki; Ichikawa, Tetsuo

2008-01-01

A limited cone-beam X-ray CT (3DX multi-image micro CT; 3DX-FPD) is widely used in dentistry because it provides a lower cost, smaller size, and higher spatial resolution than a CT for medicine. Our recent research suggested that the patient dose of 3DX-FPD was less than 7/10 of that of CT, and it was several to 10 times more than that of dental or panoramic radiography. The purpose of this study was to evaluate the spatial dose distribution from 3DX-FPD and to estimate the influence of dose by positioning of the region of interest. Dosimetry of the organs and the tissues was performed using an anthropomorphic Alderson Rando phantom and X-ray films for measurement of radiotherapeutic dose. Measurements of dose distribution were performed using a cylinder-type tank of water made of acrylic resin imitating the head and X-ray films. The results are summarized as follows: The dose was higher as the ratio of the air region included in the region of interest increased. The dose distribution was not homogeneous and the dose was highest in the skin region. The dose was higher for several seconds after the beginning of exposure. It was concluded that patient positioning, as well as exposure conditions including the size of the exposure field and tube current, could greatly influence the patient dose in 3DX-FPD. In addition, it is necessary to consider the influence of image quality for the treatment of dental implants. (author)