Sample records for measuring practice appendix
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49 CFR Appendix B to Part 222 - Alternative Safety Measures
2010-10-01
.... 222, App. B Appendix B to Part 222—Alternative Safety Measures Introduction A public authority seeking... requirements associated with an SSM as listed in appendix A is revised or deleted, data or analysis supporting...); d. Photographic or video equipment deployed to capture images sufficient to document the violation...
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17 CFR Appendix B to Part 3 - Statement of Acceptable Practices With Respect to Ethics Training
2010-04-01
... Practices With Respect to Ethics Training B Appendix B to Part 3 Commodity and Securities Exchanges... Practices With Respect to Ethics Training (a) The provisions of Section 4p(b) of the Act (7 U.S.C. 6p(b... ethics training sessions within six months of registration, and all registrants to attend such training...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption of Dehumidifiers X Appendix X to Subpart B of Part 430 Energy DEPARTMENT OF ENERGY ENERGY... Appendix X to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of...
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16 CFR Appendix E to Part 305 - Room Air Conditioners
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Room Air Conditioners E Appendix E to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE... Appendix E to Part 305—Room Air Conditioners Range Information Manufacturer's rated cooling capacity in Btu...
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International Nuclear Information System (INIS)
Cox, J.
1971-01-01
This book is in two parts. The first is a Code of Practice for the Safe Operation of Critical Assemblies and Research Reactors, prepared as a result of a meeting of experts which took place in Vienna on 20-24 May 1968. The Code has been prepared by the International Atomic Energy Agency in co-operation with the World Health Organization, and its publication is sponsored by both organizations. In addition, the Code was approved by the Board of Governors of the International Atomic Energy Agency on 16 December 1968 as part of the Agency's safety standards, which are applied to operations undertaken by Member States with the assistance of the Agency. The Board, in approving the publication of the present book, also recommended Member States to take the Code into account in the formulation of national regulations and recommendations. The second part of the book is a Technical Appendix to give information and illustrative samples that would be helpful in implementing the Code of Practice. This second part, although published under the same cover, is not part of the Code. An extensive Bibliography, amplifying the Technical Appendix, is included at the end.
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16 CFR Appendix G6 to Part 305 - Boilers-Gas (Steam)
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Boilers-Gas (Steam) G6 Appendix G6 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE... Appendix G6 to Part 305—Boilers—Gas (Steam) Manufacturer's rated heating capacities (Btu's/hr.) Range of...
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16 CFR Appendix G5 to Part 305 - Boilers-Gas (Except Steam)
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Boilers-Gas (Except Steam) G5 Appendix G5 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE... Appendix G5 to Part 305—Boilers—Gas (Except Steam) Manufacturer's rated heating capacities (Btu's/hr...
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16 CFR Appendix D5 to Part 305 - Water Heaters-Heat Pump
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Water Heaters-Heat Pump D5 Appendix D5 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE... Appendix D5 to Part 305—Water Heaters—Heat Pump Range Information CAPACITY FIRST HOUR RATING Range of...
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ONE OF THE LONGEST APPENDIX: A RARE CASE REPORT
Directory of Open Access Journals (Sweden)
Venkat Rao
2015-03-01
Full Text Available The vermiform appendix is an organ that can have variable sizes. We are prompted to report here one of the longest appendix removed, measuring about 16cm in length. INTRODUCTION : The vermiform appendix is an organ that can vary in size, site, and presence, as well as in other clinical and functional aspects. We describe here one of the longest appendix removed, measuring about 16cm in length in a case of acute appendicitis
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Directory of Open Access Journals (Sweden)
Seung-Whan Cha
Full Text Available Shear wave elastography (SWE has not been studied for diagnosing appendicitis. We postulated that an inflamed appendix would become stiffer than a normal appendix. We evaluated the elastic modulus values (EMV by SWE in healthy volunteers, patients without appendicitis, and patients with appendicitis. We also evaluated diagnostic ability of SWE for differentiating an inflamed from a normal appendix in patients with suspected appendicitis.Forty-one patients with clinically suspected acute appendicitis and 11 healthy volunteers were prospectively enrolled. Gray-scale ultrasonography (US, SWE and multi-slice computed tomography (CT were performed. The EMV was measured in the anterior, medial, and posterior appendiceal wall using SWE, and the highest value (kPa was recorded.Patients were classified into appendicitis (n = 30 and no appendicitis groups (n = 11. One case of a negative appendectomy was detected. The median EMV was significantly higher in the appendicitis group (25.0 kPa compared to that in the no appendicitis group (10.4 kPa or in the healthy controls (8.3 kPa (p<0.001. Among SWE and other US and CT features, CT was superior to any conventional gray-scale US feature or SWE. Either the CT diameter criterion or combined three CT features predicted true positive in 30 and true negative in 11 cases and yielded 100% sensitivity and 100% specificity. An EMV of 12.5 kPa for the stiffest region of the appendix predicted true positive in 28, true negative in 11, and false negative in two cases. The EMV (≥12.5 kPa yielded 93% sensitivity and 100% specificity.Our results suggest that EMV by SWE helps distinguish an inflamed from a normal appendix. Given that SWE has high specificity, quantitative measurement of the elasticity of the appendix may provide complementary information, in addition to morphologic features on gray-scale US, in the diagnosis of appendicitis.
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Nondestructive verification and assay systems for spent fuels. Technical appendixes
International Nuclear Information System (INIS)
Cobb, D.D.; Phillips, J.R.; Baker, M.P.
1982-04-01
Six technical appendixes are presented that provide important supporting technical information for the study of the application of nondestructive measurements to spent-fuel storage. Each appendix addresses a particular technical subject in a reasonably self-contained fashion. Appendix A is a comparison of spent-fuel data predicted by reactor operators with measured data from reprocessors. This comparison indicates a rather high level of uncertainty in previous burnup calculations. Appendix B describes a series of nondestructive measurements at the GE-Morris Operation Spent-Fuel Storage Facility. This series of experiments successfully demonstrated a technique for reproducible positioning of fuel assemblies for nondestructive measurement. The experimental results indicate the importance of measuring the axial and angular burnup profiles of irradiated fuel assemblies for quantitative determination of spent-fuel parameters. Appendix C is a reasonably comprehensive bibliography of reports and symposia papers on spent-fuel nondestructive measurements to April 1981. Appendix D is a compendium of spent-fuel calculations that includes isotope production and depletion calculations using the EPRI-CINDER code, calculations of neutron and gamma-ray source terms, and correlations of these sources with burnup and plutonium content. Appendix E describes the pulsed-neutron technique and its potential application to spent-fuel measurements. Although not yet developed, the technique holds the promise of providing separate measurements of the uranium and plutonium fissile isotopes. Appendix F describes the experimental program and facilities at Los Alamos for the development of spent-fuel nondestructive measurement systems. Measurements are reported showing that the active neutron method is sensitive to the replacement of a single fuel rod with a dummy rod in an unirradiated uranium fuel assembly
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16 CFR Appendix E to Part 698 - Summary of Consumer Identity Theft Rights
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Summary of Consumer Identity Theft Rights E Appendix E to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. E Appendix E to Part 698—Summary of Consumer Identity Theft Rights...
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19 CFR Appendix A to Part 210 - Adjudication and Enforcement
2010-04-01
... 19 Customs Duties 3 2010-04-01 2010-04-01 false Adjudication and Enforcement A Appendix A to Part 210 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Pt. 210, App. A Appendix A to Part 210—Adjudication and...
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International Nuclear Information System (INIS)
Ashwin, P.J.; Becker, F.L.; Latiolais, C.L.; Spanner, J.C.
1996-01-01
To provide the US nuclear industry with a uniform implementation of the Performance Demonstration requirements within the 1989 edition of ASME Section XI, Appendix VIII, representatives from all US nuclear utilities formed the Performance Demonstration Initiative (PDI). The PDI recognized the potential benefits that Appendix VIII offered the nuclear industry and initiated a proactive approach to implement the requirements. In doing so it was expected that performance demonstration of ultrasonic examination procedures would allow for improvement in the efficiency and credibility of inservice inspection to be realized. Explicit within the performance demonstration requirements of Appendix VIII is the need for a Performance Demonstration Administrator, a difficult requirement to fulfill. Not only must the administrator exhibit the attributes of understanding the demonstration requirements, but also have solid technical knowledge, integrity and be able to interface with the industry at all levels, from operations to regulatory. For the nuclear industry, the EPRI NDE Center is an obvious choice to fulfill this position. This paper provides a brief background of the PDI, a nuclear industry-wide initiative to implement the performance demonstration requirements of Appendix VIII. Even though the consensus approach adopted by the PDI is discussed, the paper's primary objective is to provide examples of the lessons learned by the Center through the specific requirements of Appendix VIII
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2010-01-01
.... A bank subject to this appendix must have a risk management system that meets the following minimum... management and is independent from business trading units. (2) The bank's internal risk measurement model... its risk measurement and risk management systems at least annually. (c) Market risk factors. The bank...
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16 CFR Appendix A to Part 436 - Sample Item 10 Table-Summary of Financing Offered
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 10 Table-Summary of Financing Offered A Appendix A to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Pt. 436, App. A Appendix A to Part 436—Sample...
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16 CFR Appendix I to Part 305 - Heating Performance and Cost for Central Air Conditioners
2010-01-01
... RULEâ) Pt. 305, App. I Appendix I to Part 305—Heating Performance and Cost for Central Air Conditioners... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Heating Performance and Cost for Central Air Conditioners I Appendix I to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC...
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16 CFR Appendix F to Part 436 - Sample Item 20(5) Table-Projected New Franchised Outlets
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 20(5) Table-Projected New Franchised Outlets F Appendix F to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Pt. 436, App. F Appendix F to Part...
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16 CFR Appendix C to Part 436 - Sample Item 20(2) Table-Transfers of Franchised Outlets
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 20(2) Table-Transfers of Franchised Outlets C Appendix C to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Pt. 436, App. C Appendix C to Part...
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Electrical measurements in the laboratory practice
Bartiromo, Rosario
2016-01-01
This book covers the basic theory of electrical circuits, describes analog and digital instrumentation, and applies modern methods to evaluate uncertainties in electrical measurements. It is comprehensive in scope and is designed specifically to meet the needs of students in physics and electrical engineering who are attending laboratory classes in electrical measurements. The topics addressed in individual chapters include the analysis of continuous current circuits; sources of measurement uncertainty and their combined effect; direct current measurements; analysis of alternating current circuits; special circuits including resonant circuits, frequency filters and impedance matching networks; alternating current measurements; analog and digital oscilloscopes; non-sinusoidal waveforms and circuit excitation by pulses; distributed parameter components and transmission lines. Each chapter is equipped with a number of problems. A special appendix describes a series of nine experiments, in each case providing a p...
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Guidance notes : safe practice for the use of nuclear density meters
International Nuclear Information System (INIS)
2000-06-01
These 'Guidance notes' have been written to provide information for owners and users on the safe care and use of instruments containing radioactive materials used for the measurement of moisture content and/or density of materials. They give practical guidance on compliance with the requirements of radiation protection legislation and the 'Code of safe practice for the use of nuclear density meters, NRL C15'. Some of these instruments have been known as 'soil moisture gauges' and others as 'nuclear density meters' or just 'NDMs'. For simplicity, these 'Guidance notes' will follow industry terminology and use the term 'nuclear density meter'. Some parts of these 'Guidance notes' and of the 'Code, NRL C15' are relevant for users of asphalt gauges containing radioactive sources. These are normally laboratory bench instruments, and are not portable field instruments. Nevertheless, the radioactive sources used are similar to those used for moisture measurement and the safety implications are similar. The units of measurement of radioactivity and radiation dose are discussed in Appendix 1. Appendix 2 contains consent application forms while sample transport forms can be found in Appendix 3. (author). 10 refs
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16 CFR Appendix D2 to Part 305 - Water Heaters-Electric
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Water Heaters-Electric D2 Appendix D2 to... PRODUCTS REQUIRED UNDER THE ENERGY POLICY AND CONSERVATION ACT (âAPPLIANCE LABELING RULEâ) Pt. 305, App. D2 Appendix D2 to Part 305—Water Heaters—Electric Range Information CAPACITY FIRST HOUR RATING Range of...
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National Endowment for the Arts, 2012
2012-01-01
This paper presents two appendices supporting the "How Art Works: The National Endowment for the Arts' Five-Year Research Agenda, with a System Map and Measurement Model" report. In Appendix A, brief descriptions of relevant studies and datasets for each node in the "How Art Works" system map are presented. This appendix is meant to supply…
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Measurement error in CT assessment of appendix diameter
Energy Technology Data Exchange (ETDEWEB)
Trout, Andrew T.; Towbin, Alexander J. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, MLC 5031, Cincinnati, OH (United States); Zhang, Bin [Cincinnati Children' s Hospital Medical Center, Department of Biostatistics and Epidemiology, Cincinnati, OH (United States)
2016-12-15
Appendiceal diameter continues to be cited as an important criterion for diagnosis of appendicitis by computed tomography (CT). To assess sources of error and variability in appendiceal diameter measurements by CT. In this institutional review board-approved review of imaging and medical records, we reviewed CTs performed in children <18 years of age between Jan. 1 and Dec. 31, 2010. Appendiceal diameter was measured in the axial and coronal planes by two reviewers (R1, R2). One year later, 10% of cases were remeasured. For patients who had multiple CTs, serial measurements were made to assess within patient variability. Measurement differences between planes, within and between reviewers, within patients and between CT and pathological measurements were assessed using correlation coefficients and paired t-tests. Six hundred thirty-one CTs performed in 519 patients (mean age: 10.9 ± 4.9 years, 50.8% female) were reviewed. Axial and coronal measurements were strongly correlated (r = 0.92-0.94, P < 0.0001) with coronal plane measurements significantly larger (P < 0.0001). Measurements were strongly correlated between reviewers (r = 0.89-0.9, P < 0.0001) but differed significantly in both planes (axial: +0.2 mm, P=0.003; coronal: +0.1 mm, P=0.007). Repeat measurements were significantly different for one reviewer only in the axial plane (0.3 mm difference, P<0.05). Within patients imaged multiple times, measured appendix diameters differed significantly in the axial plane for both reviewers (R1: 0.5 mm, P = 0.031; R2: 0.7 mm, P = 0.022). Multiple potential sources of measurement error raise concern about the use of rigid diameter cutoffs for the diagnosis of acute appendicitis by CT. (orig.)
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The Uncertainty of Measurement Results
Energy Technology Data Exchange (ETDEWEB)
Ambrus, A. [Hungarian Food Safety Office, Budapest (Hungary)
2009-07-15
Factors affecting the uncertainty of measurement are explained, basic statistical formulae given, and the theoretical concept explained in the context of pesticide formulation analysis. Practical guidance is provided on how to determine individual uncertainty components within an analytical procedure. An extended and comprehensive table containing the relevant mathematical/statistical expressions elucidates the relevant underlying principles. Appendix I provides a practical elaborated example on measurement uncertainty estimation, above all utilizing experimental repeatability and reproducibility laboratory data. (author)
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CT appearance of the normal appendix in adults
International Nuclear Information System (INIS)
Tamburrini, Stefania; Brunetti, Arturo; Brown, Michele; Sirlin, Claude B.; Casola, Giovanna
2005-01-01
The aims of this study were to identify (1) the normal range of the appendix on computed tomography (CT), (2) the correlation of patient age and sex with the visibility and appearance of the appendix on CT, and (3) the normal variations in wall thickness, intraluminal content, and location of the appendix. Three hundred seventy-two outpatients underwent abdominopelvic CT. The scans were reviewed on the picture archiving and communication system and appendiceal outer-to-outer wall diameter, wall thickness, location, content and its correlation with appendix diameter were analyzed. The appendix was visualized in 305/372 patients. Its location relative to the cecum was highly variable. The diameter range was 3-10 mm; in 42% of cases the diameter was greater than 6 mm. When the intraluminal content (185/305) was visualized, the diameter was slightly superior to the mean (p=0.0156). In 329 CT scans in which oral contrast material was given, the appendix was filled by contrast material in 74/329 patients. The appendix wall thickness was measurable in 22/305 patients (average 0.15 cm). There is significant overlap between the normal and abnormal CT appearance of the appendix. Consequently the diagnosis of acute appendicitis should be based not only on the appearance of the appendix but also on the presence of secondary signs. (orig.)
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2010-01-01
... evaluation of its own practices, consumer reporting agency practices of which the furnisher is aware... Accuracy and Integrity of Information Furnished to Consumer Reporting Agencies A Appendix A to Part 660... INFORMATION TO CONSUMER REPORTING AGENCIES (eff. 07-01-10) Pt. 660, App. A Appendix A to Part 660—Interagency...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption... Appendix Q to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of Fluorescent... reference; see § 430.3). The test for measuring standby mode energy consumption of fluorescent lamp ballasts...
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16 CFR Appendix G2 to Part 305 - Furnaces-Electric
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Furnaces-Electric G2 Appendix G2 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE CONCERNING... Part 305—Furnaces—Electric Manufacturer's rated heating capacities (Btu's/hr.) Range of annual fuel...
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16 CFR Appendix G8 to Part 305 - Boilers-Electric
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Boilers-Electric G8 Appendix G8 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE CONCERNING... Part 305—Boilers—Electric Manufacturer's rated heating capacities (Btu's/hr.) Range of annual fuel...
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16 CFR Appendix G3 to Part 305 - Furnaces-Oil
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Furnaces-Oil G3 Appendix G3 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE CONCERNING... Part 305—Furnaces—Oil Manufacturer's rated heating capacities (Btu's/hr.) Range of annual fuel...
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16 CFR Appendix G7 to Part 305 - Boilers-Oil
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Boilers-Oil G7 Appendix G7 to Part 305 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS RULE CONCERNING... Part 305—Boilers—Oil Manufacturer's rated heating capacities (Btu's/hr.) Range of annual fuel...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption... Appendix N to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of Furnaces... average burner operating hours, average annual fuel energy consumption and average annual auxiliary...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Water Consumption of... Appendix S to Subpart B of Part 430—Uniform Test Method for Measuring the Water Consumption of Faucets and... water consumption value shall be rounded to one decimal place for non-metered faucets, or two decimal...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption..., App. G Appendix G to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of... energy consumption for primary electric heaters. For primary electric heaters, calculate the annual...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Water Consumption of... Appendix T to Subpart B of Part 430—Uniform Test Method for Measuring the Water Consumption of Water... previous step. The final water consumption value shall be rounded to one decimal place. b. The test...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption... Appendix V to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of Ceiling Fan... the final energy consumption value to a whole number as follows: (i) A fractional number at or above...
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2010-01-01
... identify the consumer. (l) Conducting a periodic evaluation of its own practices, consumer reporting agency... and Integrity of Information Furnished to Consumer Reporting Agencies E Appendix E to Part 41 Banks... Furnished to Consumer Reporting Agencies Effective Date Note: At 74 FR 31512, July 1, 2009, appendix E was...
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A STUDY ON GROSS FEATURES AND DIFFERENT POSITIONS OF ADULTS VERMIFORM APPENDIX
Directory of Open Access Journals (Sweden)
Kasukurthy Ashalatha
2016-07-01
Full Text Available BACKGROUND Appendix is derived from a Latin word (Pendere meaning at the end. It is a narrow worm-like tubular diverticulum, which arises from the posteromedial wall of caecum about 2 cms below the ileocaecal junction and is suspended by a peritoneal fold known as mesoappendix. The body of appendix is kinked on itself where the free border of mesoappendix ends. Hence, it is coiled like a worm and so is named the ‘Vermiform Appendix’. The appendix is taken up for study in view of its different positions, varying anatomical relations, and the clinical complications when pathologically affected. The relations, measurements, positions, and arterial supply were studied by gross dissection in 61 specimens (Adults – 33 and foetuses – 28 from the population of Krishna and Warangal districts of Andhra Pradesh. MATERIALS AND METHODS The present study was done on 31 adult specimens, out the length of the appendix, the diameter of the appendix at base, length of the caecum, length of ascending colon were measured. The position of the appendix was classified as per Datta’s classification. Mesenteric attachment to the vermiform appendix were noted. Even arterial supply of the appendix was studied. RESULTS Length of the appendix in adults varied from 2.00 to 25.00 cm as described by different authors, the average being 3.00 to 12.50 cm. The length of the caecum in adults were ranging from 5 to 8 cm. In the present study, the length of appendix was 14.4 cm The origin of the appendicular artery was from inferior division of ileocolic artery. A single appendicular artery is observed in all the specimens almost coinciding with studies of Michels et al. In the present study, in adults, the mesoappendix was extending to the tip in 19 specimens and extending to a variable extent in 14 specimens. Regarding the positions, in adults, they were retrocaecal, retrocolic, and subcaecal positions were 21.21% and splenic, promontory, and pelvic positions were 78
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Lengths and Positions of the Vermiform Appendix among Sudanese Cadavers
Directory of Open Access Journals (Sweden)
Ehab I. El-Amin
2015-08-01
Full Text Available Background/objective: The anatomy of vermiform appendix displays great variations in length and position between different populations. The reports relating these variations to a specific etiological factor are few. This study aims to describe the positions and lengths of vermiform appendix among Sudanese cadavers. Methods: This descriptive study was carried out in Omdurman Teaching Hospital Morgue and Omdurman Islamic University-Sudan. Sixty Sudanese cadavers (30 male and 30 female, were dissected in the period from June 2013 to June 2014. The positions and the lengths of vermiform appendix were measured in millimeters. The data was analyzed by SPSS version 20. Results: The cadavers’ age ranged between 20 to 80 years according to their medico-legal reports. Retrocaecal position was mainly observed in 60%, pelvic in 35%, post-ileal in 3.3%, and pre-ileal in 1.7%. The lengths of the appendix was found < 69 mm in 23.3%, 70-110 mm in 60%, and > 110 mm in 16.7%, also the study showed insignificant difference between the lengths and ages (p < 0.08, and between males and females (p = 0.23. Age was the influencing factor for the positions of vermiform appendixes (p = 0.04. Conclusion: The study showed that the commonest lengths of the appendix were 70-110 mm while the common position was retrocaecal regardless to age or gender. This data should be considered in surgical removal of the inflamed appendix.
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Blanc, P; Delacoste, F; Chevassus, P; Espin, A; Kadam, A; Atger, J
2007-01-01
Appendiceal intussusception (the inside-out appendix) was often practiced in pediatric surgery when the appendectomy was performed during laparotomy. Complications are exceptional. We report the first case of appendiceal intussusception in an adult appendectomized by this procedure during childhood, reviewing the radiological aspect, pathogenesis, and treatment. This delayed complication of appendiceal intussusception should be known to the surgeon. Treatment during colonoscopy is possible. This inflammation of the vaginated appendix can be prevented by coagulating the appendicular vessels to the serous membrane before turning it inside-out.
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Graf, Rudolf F
1996-01-01
This series of circuits provides designers with a quick source for measuring circuits. Why waste time paging through huge encyclopedias when you can choose the topic you need and select any of the specialized circuits sorted by application?This book in the series has 250-300 practical, ready-to-use circuit designs, with schematics and brief explanations of circuit operation. The original source for each circuit is listed in an appendix, making it easy to obtain additional information.Ready-to-use circuits.Grouped by application for easy look-up.Circuit source listings
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Appendix A : literature review.
2013-03-01
This appendix contains a review of the literature and other background information : germane to the experimental and analytical research presented in subsequent appendices. Table : 1 lists the sections and topics contained in this appendix and those ...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption.... Note: Appendix J does not provide a means for determining the energy consumption of a clothes washer... divided by the total clothes washer energy consumption per cycle, with such energy consumption expressed...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption of Medium Base Compact Fluorescent Lamps W Appendix W to Subpart B of Part 430 Energy DEPARTMENT OF... the previous step. Round the final energy consumption value, as applicable, to the nearest decimal...
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2010-01-01
... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption... Energy Consumption of Automatic and Semi-Automatic Clothes Washers The provisions of this appendix J1... means for determining the energy consumption of a clothes washer with an adaptive control system...
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Ohio State Dept. of Education, Columbus. Div. of Vocational Education.
This training manual for emergency medical technicians, one of 14 modules that comprise the Emergency Victim Care textbook, contains appendixes, a glossary, and an index. The first appendix is an article on communicating with deaf and hearing-impaired patients. Appendix 2, the largest section in this manual, is an introduction to medical…
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Case report: liver abscess pyogenic after peritonitis appendix perforation
Damanik, E. H.; Ginting, F.
2018-03-01
Two of the most common liver abscess is anamoebic liver abscess and pyogenic liver abscess (PLA). PLA could be as singular or multiple abscesses. It is usually caused by Klebsiella pneumonia and Escherichia coli. Historically, PLA is usually caused by acute appendicitis, but with developed of surgical practice and microbiology, the number of events has decreased. Here we present a case of a39-year-old woman that developed a PLA after she had an appendectomy about six months ago. An ultrasonogram and abdominal scan showed an abscess in the right lobe. We performed paracentesis, and the result from the pus culturewas positive for Escherichia coli with Extended-Spectrum Beta-Lactamase (ESBL) (+) that showed the same as the culture from lesion taken from her appendix. This report emphasizes the fact that, nowadays we still found Pyogenic liver abscess after peritonitis appendix perforation.
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Optimizing US examination to detect the normal and abnormal appendix in children
International Nuclear Information System (INIS)
Peletti, Adriana B.; Baldisserotto, Matteo
2006-01-01
US detection of a normal appendix can safely rule out appendicitis. However, there is a wide range of accuracy in detection of a normal appendix. To optimize US examination to detect the normal and the abnormal appendix according to the potential positions of the appendix. This prospective study included 107 children who underwent gray-scale US scanning. Noncompressive and compressive graded sonography was performed to detect normal and abnormal appendices according to their potential positions. The maximum transverse diameter of the appendices was measured. Of the 107 children examined, 56 had a histologic diagnosis of acute appendicitis. Sonography had a sensitivity of 100% and specificity of 98% for the diagnosis of appendicitis. A normal appendix was visualized in 44 (86.2%) of the 51 patients without acute appendicitis, and of these 44, 43 were true-negative and 1 was false-positive. Normal and abnormal appendices, respectively, were positioned as follows: 54.4% and 39.3% were mid-pelvic; 27.2% and 28.6% were retrocecal; 11.4% and 17.8% were deep pelvic; and 6.8% and 14.3% were abdominal. US scanning according to the potential positions of the appendix was useful in the detection of normal appendices in children suspected of having appendicitis. (orig.)
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Quality measures for nurse practitioner practice evaluation.
Kleinpell, Ruth; Kapu, April N
2017-08-01
Evaluating the impact of nurse practitioner (NP) practice has become a priority area of focus for demonstrating outcomes. A number of quality measures are available to enable practice-specific evaluation of NP roles and initiatives. This article reviews sources of quality measures that can be used to facilitate quantifying the outcomes of NP practice as part of an overall evaluation agenda. National resources and published literature on NP quality measures were reviewed. Various resources and toolkits exist to assist NPs in identifying outcomes of practice using quality measures. The need to demonstrate outcomes of NP practice remains an ongoing priority area regardless of the clinical practice setting. A variety of sources of quality measures exist that can be used to showcase the effect of NP care. The use of quality measures can be effectively integrated into evaluation of NP role and NP-directed initiatives to demonstrate impact, and enhance the conduct of an NP outcomes assessment. The use of organizational, NP-specific, and national-related quality measures can help to showcase how NP care improves the quality, safety, and costs of health care. ©2017 American Association of Nurse Practitioners.
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16 CFR Appendix D to Part 436 - Sample Item 20(3) Table-Status of Franchise Outlets
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 20(3) Table-Status of Franchise Outlets D Appendix D to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES... Item 20(3) Table—Status of Franchise Outlets Status of Franchise Outlets For years 2004 to 2006 Column...
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International Nuclear Information System (INIS)
Park, Noh Hyuck; Song, Soon Young; Lee, En Ja; Kim, Mi Sung; Park, Chan Sup; Oh, Hwa En; Yang, Geun Seok
2004-01-01
To identify the characteristic ultrasonographic findings of the normal appendix in children in order to detect it more easily and so to exclude acute appendicitis from a diagnosis with more confidence. Among 64 patients presenting with right lower quadrant pain, 44 patients, excluding 15 patients diagnosed as acute appendicitis and 5 patients with non-visualization of the appendix due to severe ileus and obesity, were evaluated for the point of incidence, the thickness and the presence of folding of the inner hypoechoic band of the normal appendix. The age of the patients ranged from 3 to 15 years with a mean age of 6.5 years. Two patients were operated on and we correlated the preoperative ultrasonographic findings with the histologic findings. In all the cases of the 44 patients with normal appendix, the inner hypoechoic band was discovered, which was seen as a linear structure without folding along the whole length of appendix. This measured as 0.75 mm (0.3-1.5 mm) for the mean thickness. The inner hypoechoic band corresponded to the mucosal layer that had abundant lymphoid tissue on the histologic examination. For the pediatric normal appendix, the inner hypoechoic band without folding is present, and this corresponds to the mucosal layer with abundant lymphoid tissue
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Energy Technology Data Exchange (ETDEWEB)
Park, Noh Hyuck; Song, Soon Young; Lee, En Ja; Kim, Mi Sung; Park, Chan Sup; Oh, Hwa En [College of Medicine, Kwandong Univ., Koyang (Korea, Republic of); Yang, Geun Seok [College of Medicine, Dongkook Univ., Gyeongju (Korea, Republic of)
2004-12-01
To identify the characteristic ultrasonographic findings of the normal appendix in children in order to detect it more easily and so to exclude acute appendicitis from a diagnosis with more confidence. Among 64 patients presenting with right lower quadrant pain, 44 patients, excluding 15 patients diagnosed as acute appendicitis and 5 patients with non-visualization of the appendix due to severe ileus and obesity, were evaluated for the point of incidence, the thickness and the presence of folding of the inner hypoechoic band of the normal appendix. The age of the patients ranged from 3 to 15 years with a mean age of 6.5 years. Two patients were operated on and we correlated the preoperative ultrasonographic findings with the histologic findings. In all the cases of the 44 patients with normal appendix, the inner hypoechoic band was discovered, which was seen as a linear structure without folding along the whole length of appendix. This measured as 0.75 mm (0.3-1.5 mm) for the mean thickness. The inner hypoechoic band corresponded to the mucosal layer that had abundant lymphoid tissue on the histologic examination. For the pediatric normal appendix, the inner hypoechoic band without folding is present, and this corresponds to the mucosal layer with abundant lymphoid tissue.
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Measuring Changes in the Economics of Medical Practice.
Fleming, Christopher; Rich, Eugene; DesRoches, Catherine; Reschovsky, James; Kogan, Rachel
2015-08-01
For the latter third of the twentieth century, researchers have estimated production and cost functions for physician practices. Today, those attempting to measure the inputs and outputs of physician practice must account for many recent changes in models of care delivery. In this paper, we review practice inputs and outputs as typically described in research on the economics of medical practice, and consider the implications of the changing organization of medical practice and nature of physician work. This evolving environment has created conceptual challenges in what are the appropriate measures of output from physician work, as well as what inputs should be measured. Likewise, the increasing complexity of physician practice organizations has introduced challenges to finding the appropriate data sources for measuring these constructs. Both these conceptual and data challenges pose measurement issues that must be overcome to study the economics of modern medical practice. Despite these challenges, there are several promising initiatives involving data sharing at the organizational level that could provide a starting point for developing the needed new data sources and metrics for physician inputs and outputs. However, additional efforts will be required to establish data collection approaches and measurements applicable to smaller and single specialty practices. Overcoming these measurement and data challenges will be key to supporting policy-relevant research on the changing economics of medical practice.
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16 CFR Appendix F to Part 698 - General Summary of Consumer Rights
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false General Summary of Consumer Rights F... FORMS AND DISCLOSURES Pt. 698, App. F Appendix F to Part 698—General Summary of Consumer Rights The... consumer. ER30NO04.002 ER30NO04.003 [69 FR 69787, Nov. 30, 2004] ...
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Primary minute mucinous adenocarcinoma of vermiform appendix arising from appendiceal diverticulosis
Directory of Open Access Journals (Sweden)
Tadashi Terada, MD, PhD
2015-03-01
Full Text Available Primary mucinous adenocarcinoma (MA of vermiform appendix is extremely rare; only three cases have been reported in the English literature. A 77-year-old man presented with abdominal pain, and was diagnosed with acute appendicitis. Appendectomy was performed. The resected appendix showed submucosal swelling measuring 0.7×0.6×0.6 cm in the tip of appendix. The appendix showed inflammation and numerous diverticuloses. Microscopically, the submucosal swelling was a mucin lake in which adenocarcinoma cells were floating. The adenocarcinoma cells were MA in 80% and signet-ring cell carcinoma in 20%. The carcinoma cells were located in the submucosa, muscular layer and subserosa, sparing the mucosa. No apparent lymphovascular permeation was seen. The surgical margins were negative for tumor cells. The non-tumorous appendix shows numerous diverticulosis, diverticulitis, and appendicitis. Immunohistochemically, the tumor cells were positive for CK CAM5.2, CK AE1/3, CK8, CK18, CK19, CK20, EMA, CEA, CA19-9, MUC1, MUC2, MUC5AC, MUC6, NCAM, p53 and Ki-67 (labeling index = 23%. The tumor cells were negative for CK34BE12, CD5, CK6, CK7, NSE, chromogranin, synaptophysin, CA125, KIT, and PDGFRA. No metastasis has been seen 2.5 years after the operation.
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Energy Technology Data Exchange (ETDEWEB)
1992-04-07
This report contains the following appendices: Appendix A - Requirements for Undergraduate Level; Appendix B - Requirements for Graduate Level; Appendix C - Graduate Degree In Environmental Engineering; Appendix D - Non-degree Certificate Program; Appendix E - Curriculum for Associate Degree Program; Appendix F - Curriculum for NCC Program; Appendix G - Information 1991 Teleconference Series; Appendix H - Information on 1992 Teleconference Series; Appendix I - WERC interactive Television Courses; Appendix J - WERC Research Seminar Series; Appendix K - Sites for Hazardous/Radioactive Waste Management Series; Appendix L- Summary of Technology Development of the Second Year; Appendix M - List of Major Publications Resulting from WERC; Appendix N - Types of Equipment at WERC Laboratories.
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Hallmarks of the Professional Nursing Practice Environment. AACN White Paper.
Journal of Professional Nursing, 2002
2002-01-01
This white paper from the American Association of Colleges of Nursing depicts the current environment of nursing practice, including supply and demand. It describes work environments that support professional practice and outlines eight indicators for the practice environment. Contains 48 references and an appendix with suggested questions for…
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DEFF Research Database (Denmark)
Nielsen, Carsten Fogh
2017-01-01
The Appendix to Kant’s Toward perpetual peace is commonly viewed as an explication of the systematic relations between political practice and normative political theory. This paper provides an alternative interpretation to Kant’s main aim in the Apendix which is to provide an argument against...... that Kant’s argument against the practical man is based on a proto-phenomenological analysis of moral experience. The practical man’s attempt to describe political practice in purely non-normative terms is, Kant believes, necessarily self-undermining because it denies one of the most basic aspects of human...
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Measures for assessing practice change in medical practitioners.
Hakkennes, Sharon; Green, Sally
2006-12-06
There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228) formed the sample for this study. Using a standardised data extraction form, one reviewer (SH), extracted the relevant information from the methods and/or results sections of the trials. Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively). Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change in practice, resulted in a change in the ultimate end-point of
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Measures for assessing practice change in medical practitioners
Directory of Open Access Journals (Sweden)
Green Sally
2006-12-01
Full Text Available Abstract Background There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. Methods The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228 formed the sample for this study. Using a standardised data extraction form, one reviewer (SH, extracted the relevant information from the methods and/or results sections of the trials. Results Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively. Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Conclusion Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change
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Standard practice for instrumented indentation testing
American Society for Testing and Materials. Philadelphia
2007-01-01
1.1 This practice defines the basic steps of Instrumented Indentation Testing (IIT) and establishes the requirements, accuracies, and capabilities needed by an instrument to successfully perform the test and produce the data that can be used for the determination of indentation hardness and other material characteristics. IIT is a mechanical test that measures the response of a material to the imposed stress and strain of a shaped indenter by forcing the indenter into a material and monitoring the force on, and displacement of, the indenter as a function of time during the full loading-unloading test cycle. 1.2 The operational features of an IIT instrument, as well as requirements for Instrument Verification Annex A1), Standardized Reference Blocks (Annex A2) and Indenter Requirements (Annex A3) are defined. This practice is not intended to be a complete purchase specification for an IIT instrument. 1.3 With the exception of the non-mandatory Appendix X4, this practice does not define the analysis necessary...
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Evaluating measurement accuracy a practical approach
Rabinovich, Semyon G
2013-01-01
The goal of Evaluating Measurement Accuracy: A Practical Approach is to present methods for estimating the accuracy of measurements performed in industry, trade, and scientific research. From developing the theory of indirect measurements to proposing new methods of reduction, transformation, and enumeration, this work encompasses the full range of measurement data processing. It includes many examples that illustrate the application of general theory to typical problems encountered in measurement practice. As a result, the book serves as an inclusive reference work for data processing of all types of measurements: single and multiple, combined and simultaneous, direct (both linear and nonlinear), and indirect (both dependent and independent). It is a working tool for experimental scientists and engineers of all disciplines who work with instrumentation. It is also a good resource for natural science and engineering students and for technicians performing measurements in industry. A key feature of the book is...
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2010-01-01
... (LE), Color Rendering Index (CRI), and Correlated Color Temperature (CCT) of Electric Lamps R Appendix R to Subpart B of Part 430 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Test Procedures Pt. 430, Subpt. B, App. R Appendix R to Subpart B of Part...
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NEOPLASTIC LESIONS OF THE APPENDIX
Directory of Open Access Journals (Sweden)
Piotr Bryk
2013-11-01
Full Text Available The aim of the research was to present the clinical observations of neoplastic lesions of the appendix (one carcinoid and two mucous cysts and to discuss various manners of treatment and prognosis. Material and methods: The authors of the following paper present a description of three cases of appendix tumours, two patients with a mucous cyst and a patient with carcinoid, against the background of all the appendectomies performed at the Clinical Department of General, Endocrine and Oncological Surgery of the Provincial Polyclinical Hospital in Kielce in the years 2005–2011. Results : Within the 7-year period, a total of 11 719 surgical operations have been performed, where 834 (7.1% were that of appendectomy. Among all of the removed vermiform appendixes, neoplastic lesions occurred in three cases constituting a mere 0.3% of all of the appendectomies performed within that period. In two of the cases there was a suspicion of mucous cysts before the surgical operation. In none of the above-mentioned cases was is possible to ultimately establish the diagnosis before the operation. The patients were subjected to a simple appendectomy. The patients are in good clinical health, with no signs of relapse. Conclusions : The presented cases of patients with appendix tumours illustrate the difficulty of preoperative detection of a neoplastic lesion. This is mainly due to a scantily symptomatic course or symptoms typical of appendicitis. In light of this, histopathological examination of each appendix should be treated as obligatory.
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Endometriosis of the meso-appendix mimicking appendicitis: A case ...
African Journals Online (AJOL)
urine examination were both negative. A diagnosis of appendicitis was entertained; however, in light of her gynaecological history, a computed tomography (CT) scan was performed. The CT scan revealed a mildly enlarged appendix (measuring 8.2 mm in cross- section), with rim enhancement and minimal surrounding fat.
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Hughitt, Brian; Generazio, Edward (Principal Investigator); Nichols, Charles; Myers, Mika (Principal Investigator); Spencer, Floyd (Principal Investigator); Waller, Jess (Principal Investigator); Wladyka, Jordan (Principal Investigator); Aldrin, John; Burke, Eric; Cerecerez, Laura;
2016-01-01
NASA-STD-5009 requires that successful flaw detection by NDE methods be statistically qualified for use on fracture critical metallic components, but does not standardize practices. This task works towards standardizing calculations and record retention with a web-based tool, the NNWG POD Standards Library or NPSL. Test methods will also be standardized with an appropriately flexible appendix to -5009 identifying best practices. Additionally, this appendix will describe how specimens used to qualify NDE systems will be cataloged, stored and protected from corrosion, damage, or loss.
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T1 bright appendix sign to exclude acute appendicitis in pregnant women
International Nuclear Information System (INIS)
Shin, Ilah; An, Chansik; Lim, Joon Seok; Kim, Myeong-Jin; Chung, Yong Eun
2017-01-01
To evaluate the diagnostic value of the T1 bright appendix sign for the diagnosis of acute appendicitis in pregnant women. This retrospective study included 125 pregnant women with suspected appendicitis who underwent magnetic resonance (MR) imaging. The T1 bright appendix sign was defined as a high intensity signal filling more than half length of the appendix on T1-weighted imaging. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the T1 bright appendix sign for normal appendix identification were calculated in all patients and in those with borderline-sized appendices (6-7 mm). The T1 bright appendix sign was seen in 51% of patients with normal appendices, but only in 4.5% of patients with acute appendicitis. The overall sensitivity, specificity, PPV, and NPV of the T1 bright appendix sign for normal appendix diagnosis were 44.9%, 95.5%, 97.6%, and 30.0%, respectively. All four patients with borderline sized appendix with appendicitis showed negative T1 bright appendix sign. The T1 bright appendix sign is a specific finding for the diagnosis of a normal appendix in pregnant women with suspected acute appendicitis. (orig.)
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T1 bright appendix sign to exclude acute appendicitis in pregnant women
Energy Technology Data Exchange (ETDEWEB)
Shin, Ilah; An, Chansik; Lim, Joon Seok; Kim, Myeong-Jin; Chung, Yong Eun [Yonsei University College of Medicine, Department of Radiology, Research Institute of Radiological Science, Severance Hospital, 50-1 Yonsei-ro, Seodaemun-gu, Seoul (Korea, Republic of)
2017-08-15
To evaluate the diagnostic value of the T1 bright appendix sign for the diagnosis of acute appendicitis in pregnant women. This retrospective study included 125 pregnant women with suspected appendicitis who underwent magnetic resonance (MR) imaging. The T1 bright appendix sign was defined as a high intensity signal filling more than half length of the appendix on T1-weighted imaging. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the T1 bright appendix sign for normal appendix identification were calculated in all patients and in those with borderline-sized appendices (6-7 mm). The T1 bright appendix sign was seen in 51% of patients with normal appendices, but only in 4.5% of patients with acute appendicitis. The overall sensitivity, specificity, PPV, and NPV of the T1 bright appendix sign for normal appendix diagnosis were 44.9%, 95.5%, 97.6%, and 30.0%, respectively. All four patients with borderline sized appendix with appendicitis showed negative T1 bright appendix sign. The T1 bright appendix sign is a specific finding for the diagnosis of a normal appendix in pregnant women with suspected acute appendicitis. (orig.)
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T1 bright appendix sign to exclude acute appendicitis in pregnant women.
Shin, Ilah; An, Chansik; Lim, Joon Seok; Kim, Myeong-Jin; Chung, Yong Eun
2017-08-01
To evaluate the diagnostic value of the T1 bright appendix sign for the diagnosis of acute appendicitis in pregnant women. This retrospective study included 125 pregnant women with suspected appendicitis who underwent magnetic resonance (MR) imaging. The T1 bright appendix sign was defined as a high intensity signal filling more than half length of the appendix on T1-weighted imaging. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the T1 bright appendix sign for normal appendix identification were calculated in all patients and in those with borderline-sized appendices (6-7 mm). The T1 bright appendix sign was seen in 51% of patients with normal appendices, but only in 4.5% of patients with acute appendicitis. The overall sensitivity, specificity, PPV, and NPV of the T1 bright appendix sign for normal appendix diagnosis were 44.9%, 95.5%, 97.6%, and 30.0%, respectively. All four patients with borderline sized appendix with appendicitis showed negative T1 bright appendix sign. The T1 bright appendix sign is a specific finding for the diagnosis of a normal appendix in pregnant women with suspected acute appendicitis. • Magnetic resonance imaging is increasingly used in emergency settings. • Acute appendicitis is the most common cause of acute abdomen. • Magnetic resonance imaging is widely used in pregnant population. • T1 bright appendix sign can be a specific sign representing normal appendix.
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16 CFR Appendix A to Part 306 - Summary of Labeling Requirements for Biodiesel Fuels
2010-01-01
... Biodiesel Fuels A Appendix A to Part 306 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER... Part 306—Summary of Labeling Requirements for Biodiesel Fuels (Part 1 of 2) Fuel type Blends of 5 percent or less Blends of more than 5 but not more than 20 percent Header Text Color Biodiesel No label...
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18 CFR Appendix B to Subpart H of... - Appendix B to Subpart H of Part 35
2010-04-01
... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Appendix B to Subpart H of Part 35 B Appendix B to Subpart H of Part 35 Conservation of Power and Water Resources FEDERAL... SCHEDULES AND TARIFFS Wholesale Sales of Electric Energy, Capacity and Ancillary Services at Market-Based...
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18 CFR Appendix A to Subpart H of... - Appendix A to Subpart H of Part 35
2010-04-01
... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Appendix A to Subpart H of Part 35 A Appendix A to Subpart H of Part 35 Conservation of Power and Water Resources FEDERAL... SCHEDULES AND TARIFFS Wholesale Sales of Electric Energy, Capacity and Ancillary Services at Market-Based...
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2010-01-01
... arrangements; significant incidents involving identity theft and management's response; and recommendations for... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Interagency Guidelines on Identity Theft... THE FAIR CREDIT REPORTING ACT IDENTITY THEFT RULES Pt. 681, App. A Appendix A to Part 681—Interagency...
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14 CFR Appendix C to Part 420 - Risk Analysis
2010-01-01
.... Downrange from 100 nm beyond the launch point, world population data are available from: Total landmass area... appendix B. This appendix also provides an applicant options to simplify the method where population at... and, for an appendix B flight corridor, trajectory information. (2) Population data. Total population...
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Mucinous cystadenoma of the appendix: a case report | Alese ...
African Journals Online (AJOL)
Tumours of the appendix are emerging as diseases of increasing concern due to a rising incidence1. We present a case of mucinous cystadenoma of the appendix in an elderly patient. To our knowledge, this is the first report of mucinous cystadenoma of the appendix from Nigeria. Key Words: Appendiceal tumour, ...
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40 CFR Appendix A to Part 63 - Test Methods
2010-07-01
... 40 Protection of Environment 14 2010-07-01 2010-07-01 false Test Methods A Appendix A to Part 63... to Part 63—Test Methods Method 301—Field Validation of Pollutant Measurement Methods from Various Waste Media 1. Applicability and principle 1.1Applicability. This method, as specified in the applicable...
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49 CFR Appendix B to Part 172 - Trefoil Symbol
2010-10-01
... 49 Transportation 2 2010-10-01 2010-10-01 false Trefoil Symbol B Appendix B to Part 172... SECURITY PLANS Pt. 172, App. B Appendix B to Part 172—Trefoil Symbol 1. Except as provided in paragraph 2 of this appendix, the trefoil symbol required for RADIOACTIVE labels and placards and required to be...
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16 CFR Appendix H to Part 305 - Cooling Performance and Cost for Central Air Conditioners
2010-01-01
... RULEâ) Pt. 305, App. H Appendix H to Part 305—Cooling Performance and Cost for Central Air Conditioners... Split System Units Central Air Conditioners (Cooling Only): All capacities 10.9 23.0 Heat Pumps (Cooling... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Cooling Performance and Cost for Central Air...
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DEFF Research Database (Denmark)
Christensen, F. A.; Brincker, Rune
1999-01-01
In this appendix the failure behaviour of lightly reinforced concrete beams is investigated. A numerical model based on the fictitious crack approach according to Hillerborg [1] is established in order to estimate the load-deflection curve for lightly reinforced concrete beams. The debonding...
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Management of appendix mass in a Nigerian rural district | Umunna ...
African Journals Online (AJOL)
Background: The traditional management of an appendix mass is conservative, followed by interval appendicectomy. Interval appendicectomy is now controversial. Aim: To present an experience with the management of appendix mass among a rural people in Nigeria. Methods: Patients presenting with appendix masses ...
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Physical quantities, their role and treatment in gasflow measurement techniques
International Nuclear Information System (INIS)
Narjes, L.
1977-06-01
We begin by taking a closer look at the concepts physical quantity, dimension and unit of measurement. Then a survey is given of the physical quantities applied in gasflow measurement techniques. Here the volume-, as well as the mass-flow rate, as derived quantities are of particular interest. The application of these quantities in relation to the legal units of measurement is specifically described. In addition the quantity equation and further the quantity equation adapted to the use of suitable units and their modes of application are compared. In the appendix four examples clarify these modes. Special attention is paid to the quantity equation adapted to practically oriented units. The applications of this type of equation in VDI regulations, standards and other technical guidelines for measurement of flow are mentioned. Moreover, the meaning of the standard state for the comparison of flows of gaseous fluids is illustrated. The difficulties concerning an international agreement on uniform standard temperature are explained. Starting from there, the advantages of the fundamental quantity 'amount of substance' applied to the measurement of flow are described. The use of this quantity for the thermodynamic state of ideal and real gases, respectively gas mixtures, is demonstrated in the appendix by an example. (orig.) [de
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Verifying seismic design of nuclear reactors by testing. Volume 2: appendix, theoretical discussions
International Nuclear Information System (INIS)
1979-01-01
Theoretical discussions on seismic design testing are presented under the following appendix headings: system functions, pulse optimization program, system identification, and motion response calculations from inertance measurements of a nuclear power plant
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49 CFR Appendix F to Part 240 - Medical Standards Guidelines
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false Medical Standards Guidelines F Appendix F to Part 240 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD.... F Appendix F to Part 240—Medical Standards Guidelines (1) The purpose of this appendix is to provide...
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Interval Appendicectomy and Management of Appendix Mass ...
African Journals Online (AJOL)
A wholly conservative management without interval appendicectomy was instituted for 13 patients diagnosed as having appendix mass between 1998 and 2002 in the University of Benin Teaching Hospital, Benin City, Nigeria. Within three days of admission, one patient developed clinical features of ruptured appendix and ...
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TORSION OF THE VERMIFORM APPENDIX: A CASE REPORT
Directory of Open Access Journals (Sweden)
Dr. Imtiaz Wani
2009-07-01
Full Text Available Torsion of the vermiform appendix is a rare condition with few cases reported in the literature. Various factors predispose to torsion. Various factors predispose to torsion. We report a case of primary torsion of the vermiform appendix. The clinical presentation was indistinguishable from acute appendicitis and the diagnosis was made at operation. Appendix was preileal in position and the direction of torsion was anticlockwise. There was intrinsic torsion with no obvious factor for torsion identified. Appendectomy was performed.
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DEFF Research Database (Denmark)
Christensen, F. A.; Henriksen, M. S.; Brincker, Rune
1999-01-01
In this appendix a model is formulated for the rotational capacity of reinforced concrete beams assuming rebar tension failure. The model is based on a classical approach and establishes the load-deflection curve of a reinforced concrete beam. The rotational capacity is then obtained as the area ...
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DEFF Research Database (Denmark)
Henriksen, M. S.; Brincker, Rune; Heshe, Gert
1999-01-01
In this appendix a brief summary of experiments on reinforced concrete beams in three-point bending performed at Aalborg University is given. The aim of the investigation is to determine the full load-deflection curves for different beam sizes, different types of concrete and different amounts...
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Proceedings: The Appendix 'K' relief workshop
International Nuclear Information System (INIS)
1989-11-01
The licensing and operation of commercial LWRs were impacted significantly when Appendix 'K' requirements for loss-of-coolant accident (LOCA) and emergency core cooling systems (ECCS) analyses were implemented in 1974. The Appendix K requirements included both criteria and mandatory assumptions for LOCA analysis. Plants must meet these criteria, using analysis methods that have included very conservative assumptions, such as estimating decay heat energy as 20% greater than the 1971 American Nuclear Society standard. Additional constraints were placed on the application of specific models and correlations. The Appendix K requirements had a significant impact on licensing, analysis, fuel design, reload management, plant operation, and some supporting equipment. The overall impact of Appendix K could be translated into increased costs of millions of dollars per year to utilities. The Appendix 'K' Relief Workshop provided an improved understanding of the trade-offs -- both benefits and efforts required -- inherent in continuing to use existing analysis methods or adopting BE analysis under revised NRC rule. A range of options is available to each utility. The workshop explored options and benefits to the utility industry from LOCA/ECCS rule change. A forum for complete and open discussion of the issues germaine to the question of BE methodology versus existing methodology in view of LOCA/ECCS rule changes was incorporated. Both regulatory and utility perspectives on the implementation of proposed changes were discussed. Existing and planned efforts in developing and implementing BE uncertainty methodologies for plant-licensing application have been included. The individual papers have been cataloged separately
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32 CFR Appendix B to Part 275 - Obtaining Customer Authorization
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false Obtaining Customer Authorization B Appendix B to... OF 1978 Pt. 275, App. B Appendix B to Part 275—Obtaining Customer Authorization A. A DoD law... feasible, obtain the customer's consent. B. Any authorization obtained under paragraph A. of this appendix...
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12 CFR Appendix D to Part 41 - [Reserved
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false [Reserved] D Appendix D to Part 41 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR CREDIT REPORTING Appendix D to Part 41[Reserved] ...
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Leiomyoma of the appendix: a case report
Energy Technology Data Exchange (ETDEWEB)
Kim, Seong Hoon; Cho, Hyun Cheol; Son, Mi Young [Dae-Gu Veterans Hospital, Daegu (Korea, Republic of)
2007-05-15
Leiomyomas of the appendix are rare and most are encountered incidentally during exploration of the abdomen for some other disease, during postmortem examination, or in the course of routine pathologic examinations of surgical specimens. We report here the findings of ultrasonography, CT and surgery of a case of leiomyoma that arose from the appendix; this lesion was pathologically confirmed.
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Patient Satisfaction Measurement in Occupational and Environmental Medicine Practice.
Drury, David L; Adamo, Philip; Cloeren, Marianne; Hegmann, Kurt T; Martin, Douglas W; Levine, Michael J; Olson, Shawn M; Pransky, Glenn S; Tacci, James A; Thiese, Matthew
2018-05-01
: High patient satisfaction is a desirable goal in medical care. Patient satisfaction measures are increasingly used to evaluate and improve quality in all types of medical practices. However, the unique aspects of occupational and environmental medicine (OEM) practice require development of OEM-specific measures and thoughtful interpretation of results. The American College of Occupational and Environmental Medicine has developed and recommends a set of specific questions to measure patient satisfaction in OEM, designed to meet anticipated regulatory requirements, facilitate quality improvement of participating OEM practices, facilitate case-management review, and offer fair and accurate assessment of OEM physicians.
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Ethical practice in Telehealth and Telemedicine.
Chaet, Danielle; Clearfield, Ron; Sabin, James E; Skimming, Kathryn
2017-10-01
This article summarizes the report of the American Medical Association's (AMA) Council on Ethical and Judicial Affairs (CEJA) on ethical practice in telehealth and telemedicine. Through its reports and recommendations, CEJA is responsible for maintaining and updating the AMA Code of Medical Ethics (Code). CEJA reports are developed through an iterative process of deliberation with input from multiple stakeholders; report recommendations, once adopted by the AMA House of Delegates, become ethics policy of the AMA and are issued as Opinions in the Code. To provide enduring guidance for the medical profession as a whole, CEJA strives to articulate expectations for conduct that are as independent of specific technologies or models of practice as possible. The present report, developed at the request of the House of Delegates, provides broad guidance for ethical conduct relating to key issues in telehealth/telemedicine. The report and recommendations were debated at meetings of the House in June and November 2015; recommendations were adopted in June 2016 and published as Opinion E-1.2.12, Ethical Practice in Telemedicine, in November 2016. A summary of the key points of the recommendations can be found in Appendix A (online), and the full text of the opinion can be found in Appendix B (online).
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14 CFR Appendix D to Part 25 - Appendix D to Part 25
2010-01-01
... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Pt. 25, App. D Appendix D to Part 25 Criteria for... any compartment. (7) The degree of automation provided in the aircraft systems to afford (after...
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Visualization of the normal appendix with MR enterography in children
Energy Technology Data Exchange (ETDEWEB)
Kovanlikaya, Arzu; Rosenbaum, Daniel; Brill, Paula W. [Weill Cornell Medical College, New York Presbyterian Hospital, Department of Radiology, New York, NY (United States); Mazumdar, Madhu; Dunning, Allison [Division of Biostatistics and Epidemiology, Weill Cornell Medical College, Department of Public Health, New York, NY (United States)
2012-08-15
Magnetic resonance (MR) imaging may provide a radiation-sparing alternative to CT in diagnosing appendicitis in children in whom US is equivocal. However, comparability with CT in the detection of the appendix remains to be established. To determine the detection rate of the normal appendix in children on oral and IV contrast-enhanced MRI. MR imaging of 58 patients who had previously undergone MR enterography was retrospectively reviewed. Detection rate, body mass index, age and gender were recorded. The normal appendix was detected in 28 cases (48 %), with greatest detection rate on the axial fast imaging employing steady-state acquisition (FIESTA) sequence. Children in whom the appendix was detected had significantly higher BMI compared to children in whom the appendix was not seen. Neither age nor gender demonstrated a significant association with detection rate. The detection rate of the normal appendix in children on oral and IV contrast-enhanced MRI was 48 %, which is comparable to detection rates on CT, as well as to previously reported detection rates on MR imaging with neither oral nor IV contrast agents. These findings may serve to guide the development of MRI protocols for pediatric appendicitis. (orig.)
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29 CFR Appendix F to Part 825 - [Reserved
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false [Reserved] F Appendix F to Part 825 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Appendix F to Part 825 [Reserved] ...
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Pathways for School Finance in California. Technical Appendix
Rose, Heather; Sonstelie, Jon; Weston, Margaret
2010-01-01
This is a technical appendix for the report, "Pathways for School Finance in California" (ED515651). "Pathways for School Finance in California" simulates alternatives to California's current school finance system. This appendix provides more information about the revenues used in those simulations. The first section describes…
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ENDOMETRIOSIS OF APPENDIX IN WOMEN PRESENTING WITH RIGHT LOWER ABDOMINAL PAIN
Directory of Open Access Journals (Sweden)
Radha Bai Prabhu T, Velayudam DA, Jayalakshmi M
2015-07-01
Full Text Available Endometriosis is a well known gynaecological condition associated with infertility and chronic pelvic pain. Review of literature shows that endometriosis can affect any tissue in the body, including the appendix. Here we report a case of pelvic endometriosis involving the vermiform appendix in a 45 years old multiparous woman. When women of the reproductive age present with recurrent lower abdominal pain on the right side, endometriosis of the appendix should also be considered. At the time of surgery appendix should be inspected and removed; especially in the presence of pelvic endometriosis.
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36 CFR Appendix D to Part 1191 - Technical
2010-07-01
... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Technical D Appendix D to Part 1191 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE...; ARCHITECTURAL BARRIERS ACT (ABA) ACCESSIBILITY GUIDELINES Pt. 1191, App. D Appendix D to Part 1191—Technical...
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48 CFR Appendix to Part 1252 - Tar Matrix
2010-10-01
... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Tar Matrix Appendix to Part 1252 Federal Acquisition Regulations System DEPARTMENT OF TRANSPORTATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Pt. 1252, App. Appendix to Part 1252—Tar Matrix ER27DE05.000...
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Construction safety program for the National Ignition Facility, Appendix A
International Nuclear Information System (INIS)
Cerruti, S.J.
1997-01-01
Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction
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Construction safety program for the National Ignition Facility, Appendix A
Energy Technology Data Exchange (ETDEWEB)
Cerruti, S.J.
1997-06-26
Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction.
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Regulatory inspection practices on fuel elements and core lay-out at NPPs
International Nuclear Information System (INIS)
Van Binnebeek, J.J.; Liuhto, Pekka; Badel, D.; Klonk, H.; Seidel, F.; Fichtinger, G.; Manzella, P.; Koizumi, Hiroyoshi; Delgado, Jose Luis; Gutierrez Ruiz, Luis Miguel; Bouvrie, E. des; Gil, J.; Forsberg, Staffan; Wand, H.; Warren, Tom; Gallo, R.
1998-01-01
The basic description of the reactor core of a nuclear power plant (NPP) is an important part of the Safety Analysis Report in all countries. Due to increased interest by regulatory authorities in the Member countries, in 1996 WGIP proposed looking at inspection aspects on fuel elements and core lay-out at nuclear power plants. The CNRA subsequently approved proceeding with this report. The report deals primarily with inspection practices and inspection requirements during nuclear power plant (NPP) operation with special emphasis on refuelling procedures. All license related topics, such as fuel and core design (mechanical, neutronic, thermal-hydraulic), as well as inspection philosophy and practices on fuel fabrication are included as appropriate serving as background information and may not be completely described. WGIP members describe their country's inspection programme according to the structure of a questionnaire (appendix 1). The individual contributions are contained in the appendix 2 and are compiled within the main chapters (1 through 3). Report Structure: 1. Licensing and Quality Assurance (QA) requirements for nuclear fuel; 2. Regulatory inspection programme during NPP operation and refuelling outages; 3. Procedures for inspection practices and inspection programme. Appendix: Questionnaire and Country specific contributions. Contributions are presented by Belgium, Finland, France, Germany, Hungary, Italy, Japan, Mexico, The Netherlands, Spain, Sweden, Switzerland, United Kingdom, USA
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Descriptions of reference LWR facilities for analysis of nuclear fuel cycles. Appendixes
International Nuclear Information System (INIS)
Schneider, K.J.; Kabele, T.J.
1979-09-01
The appendixes present the calculations that were used to derive the release factors discussed for each fuel cycle facility in Volume I. Appendix A presents release factor calculations for a surface mine, underground mine, milling facility, conversion facility, diffusion enrichment facility, fuel fabrication facility, PWR, BWR, and reprocessing facility. Appendix B contains additional release factors calculated for a BWR, PWR, and a reprocessing facility. Appendix C presents release factors for a UO 2 fuel fabrication facility
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[Perforation of the appendix and observation of Enterobius vermicularis].
Schou-Jensen, Katrine; Antipina, Elena Nikolaevna; Brisling, Steffen Kirstein; Azawi, Nessn
2014-12-15
A nine-year-old girl was admitted to the paediatric ward due to fever and lower abdomen pain through a day. Acute laparoscopic exploration showed a large necrotic perforation at the distal end of the appendix. During the appendectomy multiple small, live Enterobius vermicularis (pinworms) were observed. The patient was admitted for three days of observation and received relevant treatment with intravenous antibiotics and antihelminthic treatment. The histology showed numerous pinworms in the lumen of the appendix and invasion of the pinworms of the submucosal layer and the wall of the appendix.
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MORPHOLOGIC CHARACTERISTICS OF THE VERMIFORM APPENDIX DURING THE PRENATAL PERIOD IN MAN
Directory of Open Access Journals (Sweden)
Vladimir Živković
2012-01-01
Full Text Available In the literature, there are different data about the morphologic characteristics and variations of the appendix during the postnatal period in man, but the information about its characteristics in the prenatal period is scarce. In our study, the characteristics of the appendix in prenatal period of development were studied on the fetal material. We used the fetuses from the collection of the Institute of Anatomy, Faculty of Medicine in Niš, 100 of them in total, formalin-fixed, of both genders, in their second and third trimester of intrauterine development. Regarding anatomical variations, we found a missing appendix in one case and a double appendix in another. The appendical opening into the cecum was located on the inner, posterior, outer, and anterior walls of the cecum, always below the ileal opening. The origin from the inferior, lowest part of the cecum was also observed. The appendix ran in preileal, retroileal, prececal, retrocecal, and retrocolic directions. The appendix had tubular shape, with one or two bends, being rarely straight. The length of the appendix varied from very short to very long, descending from the inferior edge of the liver to the right iliac fossa. The morphologic characteristics of the appendix in fetus, observed in our study, in the literature have been described to exist in the postnatal human life as well.
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12 CFR Appendixes A-B to Part 41 - [Reserved
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false [Reserved] A Appendixes A-B to Part 41 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR CREDIT REPORTING Appendixes A-B to Part 41 [Reserved] ...
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36 CFR Appendix A to Part 14 - Appendix A to Part 14
2010-07-01
... obtain the benefits of _____(Cite statute); and I further certify that the right-of-way herein described... RIGHTS-OF-WAY Pt. 14, App. A Appendix A to Part 14 Where necessary, these forms should be modified so as...
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2010-10-01
... 47 Telecommunication 2 2010-10-01 2010-10-01 false A Procedure for Calculating PCS Signal Levels...—A Procedure for Calculating PCS Signal Levels at Microwave Receivers (Appendix E of the Memorandum... receiver from the PCS operation. This appendix describes a procedure for computing this PCS level. In...
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Autoamputation of the Appendix in a Chronic Adnexal Abscess
Directory of Open Access Journals (Sweden)
C. Michele Markey
2018-01-01
Full Text Available Autoamputation of the appendix has rarely been described in the literature. We present a case of a pelvic mass, thought to be a dermoid cyst based on preoperative imaging. After surgical removal and pathological examination, the mass was found to be a chronic pelvic abscess containing the right adnexa as well as an autoamputated vermiform appendix. Differentiating between gynecologic and gastrointestinal disease preoperatively can be difficult and often a definitive diagnosis cannot be made until surgical exploration and pathological review. However, to our knowledge, this is the first described case of a chronic pelvic abscess containing an autoamputated vermiform appendix.
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Appendix to Power Dissipation in Division
DEFF Research Database (Denmark)
Liu, Wei; Nannarelli, Alberto
This document is an appendix to the paper: Wei Liu and Alberto Nannarelli, ”Power Dissipation in Division”, Proc. of 42nd Asilomar Conference on Signals, Systems, and Computers, October 2008. The purpose of the document is to provide the necessary information for the implementation of the archite......This document is an appendix to the paper: Wei Liu and Alberto Nannarelli, ”Power Dissipation in Division”, Proc. of 42nd Asilomar Conference on Signals, Systems, and Computers, October 2008. The purpose of the document is to provide the necessary information for the implementation...
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In vivo location of the vermiform appendix in multidetector CT
Energy Technology Data Exchange (ETDEWEB)
Lee, Su Lim; Ku, Young Mi [Dept. of Radiology, Uijeongbu St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu (Korea, Republic of); Choi, Byung Gil; Byun, Jae Young [Dept. of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)
2014-04-15
To provide a more detailed classification system regarding the position of the vermiform appendix within the right lower quadrant, as seen on multidetector computed tomography (MDCT) and to investigate the relative differences in frequency of appendiceal position according to patient gender and the pathologic state of appendix. Between January 2008 and December 2010, 1157 patients were included in our final analysis: 542 patients with preoperative MDCT and subsequent appendectomy and 615 patients with visible appendix seen on MDCT performed as part of a health checkup. We classified the appendix according to its position relative to the cecum, the terminal ileum, and the external iliac vessels: type 1: antececal; type 2: preileal; type 3: postileal; type 4: subileal; type 5: subcecal; type 6: deep pelvic; type 7: retrocecal; and type 8: paracecal. The relative incidence of various positions of the appendix found in all of our study patients was: type 1: 3.5%; type 2: 1.7%; type 3: 9.0%; type 4: 12.9%; type 5: 42.3%; type 6: 16.2%; type 7: 10.9%; and type 8: 3.0%. According to patient gender, type 1 (male: 3.7% vs. female: 3.3%), type 3 (8.6% vs. 9.8%), type 4 (14.3% vs. 9.8%), type 5 (47.5% vs. 32.7%), type 7 (9.2% vs. 14.4%), and type 8 (3.4% vs. 2.2%) positions showed a statistically significant male predominance. In terms of the inflamed state, type 2 preileal (normal: 0.8% vs. inflamed: 2.8%), type 3 (10.2% vs. 7.6%), type 4 (14.0% vs. 11.6%), and type 5 (14.1% vs. 18.5%) positions showed a statistically significant difference. Contrary to the common assumption that the retrocecal appendix is the most common position, the in vivo appendix is seen more often on MDCT in the subcecal and deep pelvic positions. The relative frequency of various positions of the appendix can also differ according to patient gender and the pathologic state.
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Practical applications of the routine measuring program
International Nuclear Information System (INIS)
Busl, G.; Dehos, R.; Erl, S.; Kohl, R.; Pieper, H.; Winkovich, J.
1989-01-01
The colloquium participants were primarily concerned with discussing the tasks defined by Paragraph 3 of the Preventive Radiation Protection Act (StrVG). There are 23 papers in the proceedings focussing on the various tasks and their practical aspects, such as sampling, sample preparation, measurement and measuring techniques, data evaluation, and reporting and documentation. (HP) [de
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Mucinous Cystadenoma of the Appendix in a Patient with Systemic Lupus Erthematosus
Directory of Open Access Journals (Sweden)
Debrah A Wirtzfeld
1998-01-01
Full Text Available A 38-year-old female with systemic lupus erythematosus presented with abdominal pain, diarrhea and iron-deficient anemia. Computed tomogram showed a 2x4 cm inhomogeneous lesion of the right adnexa. An unusual mass was identified extending from the appendiceal orifice at colonoscopy, and an 8 cm tubular appendix, apparently prolapsed into the cecum, was identified at celiotomy. An appendectomy with cecectomy was performed. On cut section, mucin was extruded from the lumen of the appendix. A mucinous neoplasm of the appendix with mucinous dissection to the serosal surface was reported at the time of frozen section. No gross ovarian pathology or peritoneal implants were noted. Cystadenoma with associated mucocele formation was verified by permanent histology. Mucocele of the vermiform appendix is a rare condition associated with neoplastic transformation in approximately 75% of all cases. Benign mucinous cystadenoma of the appendix should be differentiated from cystadenocarcinoma by frozen section at the time of celiotomy to ensure appropriate treatment. While systemic lupus erythematosus can lead to cutaneous mucinosis, an association with mucinous cystadenoma of the appendix has not been previously reported. Surveillance for metachronous colonic neoplasms is warranted in patients diagnosed with a mucinous neoplasm of the appendix.
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12 CFR Appendix B to Part 716 - SAMPLE CLAUSES
2010-01-01
...-dealers, and insurance agents”]; • Non-financial companies, such as [provide illustrative examples, such... CONSUMER FINANCIAL INFORMATION Pt. 716, App. B Appendix B to Part 716—SAMPLE CLAUSES This appendix only... disclose nonpublic personal information about you to the following types of third parties: • Financial...
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Walker, Lorraine O; Kirby, Russell S
2010-11-01
Early parenting practices are significant to public health because of their linkages to child health outcomes. This paper focuses on the current state of the science regarding conceptual frameworks that incorporate early parenting practices in epidemiologic research and evidence supporting reliability and validity of self-report measures of such practices. Guided by a provisional definition of early parenting practices, literature searches were conducted using PubMed and Sociological Abstracts. Twenty-five published studies that included parent-report measures of early parenting practices met inclusion criteria. Findings on conceptual frameworks were analyzed qualitatively, whereas evidence of reliability and validity were organized into four domains (safety, feeding and oral health, development promotion, and discipline) and summarized in tabular form. Quantitative estimates of measures of reliability and validity were extracted, where available. We found two frameworks incorporating early parenting: one a program theory and the other a predictive model. We found no reported evidence of the reliability or validity of parent-report measures of safety or feeding and oral health practices. Evidence for reliability and validity were reported with greater frequency for development promotion and discipline practices, but report of the most pertinent type of reliability estimation, test-retest reliability, was rare. Failure to examine associations of early parenting practices with any child outcomes within most studies resulted in missed opportunities to indirectly estimate validity of parenting practice measures. Stronger evidence concerning specific measurement properties of early parenting practices is important to advancing maternal-child research, surveillance, and practice.
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17 CFR Appendix B to Part 160 - Sample Clauses
2010-04-01
... as [provide illustrative examples, such as “mortgage bankers”]; • Non-financial companies, such as... FINANCIAL INFORMATION Pt. 160, App. B Appendix B to Part 160—Sample Clauses This appendix only applies to privacy notices provided before January 1, 2011. Financial institutions, including a group of financial...
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29 CFR Appendix A to Part 825-Index - [Reserved
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false [Reserved] A Appendix A to Part 825-Index Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Appendix A to Part 825—Index [Reserved] ...
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On the Current Measurement Practices in Agile Software Development
Javdani, Taghi; Zulzalil, Hazura; Ghani, Abdul Azim Abd; Sultan, Abu Bakar Md; Parizi, Reza Meimandi
2013-01-01
Agile software development (ASD) methods were introduced as a reaction to traditional software development methods. Principles of these methods are different from traditional methods and so there are some different processes and activities in agile methods comparing to traditional methods. Thus ASD methods require different measurement practices comparing to traditional methods. Agile teams often do their projects in the simplest and most effective way so, measurement practices in agile metho...
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32 CFR Appendix to Part 395 - Delegations of Authority
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false Delegations of Authority Appendix to Part 395...) ORGANIZATIONAL CHARTERS DEFENSE LEGAL SERVICES AGENCY Pt. 395, App. Appendix to Part 395—Delegations of Authority... terminate the service, of an employee in the interest of national security. 2. Authorize and approve...
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Significance of acquired diverticular disease of the vermiform appendix
DEFF Research Database (Denmark)
Kallenbach, Klaus; Hjorth, Sofie Vetli; Engel, Ulla
2012-01-01
To assess the prevalence of acquired diverticulum of the appendix (DA), including incipient forms and its possible significance as a marker of local/regional neoplasms.......To assess the prevalence of acquired diverticulum of the appendix (DA), including incipient forms and its possible significance as a marker of local/regional neoplasms....
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A Practical Device for Measuring the Luminance Distribution
Directory of Open Access Journals (Sweden)
Thijs Kruisselbrink
2017-06-01
Full Text Available Various applications in building lighting such as automated daylight systems, dynamic lighting control systems, lighting simulations, and glare analyzes can be optimized using information on the actual luminance distributions of the surroundings. Currently, commercially available luminance distribution measurement devices are often not suitable for these kind of applications or simply too expensive for broad application. This paper describes the development of a practical and autonomous luminance distribution measurement device based on a credit card-sized single-board computer and a camera system. The luminance distribution was determined by capturing High Dynamic Range images and translating the RGB information to the CIE XYZ color space. The High Dynamic Range technology was essential to accurately capture the data needed to calculate the luminance distribution because it allows to capture luminance ranges occurring in real scenarios. The measurement results were represented in accordance with established methods in the field of daylighting. Measurements showed that the accuracy of the luminance distribution measurement device ranged from 5% to 20% (worst case which was deemed acceptable for practical measurements and broad applications in the building realm.
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12 CFR Appendix A to Part 233 - Model Notice
2010-01-01
... FUNDING OF UNLAWFUL INTERNET GAMBLING (REGULATION GG) Part 233, App. A Appendix A to Part 233—Model Notice... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Model Notice A Appendix A to Part 233 Banks and... that your institution processed payments through our facilities for Internet gambling transactions...
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49 CFR Appendix E to Part 40 - SAP Equivalency Requirements for Certification Organizations
2010-10-01
... TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Pt. 40, App. E Appendix E to Part 40—SAP Equivalency... requirement. The test must accurately measure the application of the knowledge, skills, and abilities... information is being accepted by the certifying agency. 9. Code of Ethics: Certified counselors must pledge to...
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2010-01-01
... PROGRAM FOR CONSUMER PRODUCTS Test Procedures Pt. 430, Subpt. B, App. I Appendix I to Subpart B of Part... between the center and the corners of the conventional gas oven on the diagonals of a horizontal plane...
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Crohn's disease limited to the vermiform appendix
DEFF Research Database (Denmark)
Bak, Martin; Andersen, J C
1987-01-01
Thirteen cases of Crohn's disease confined to the vermiform appendix were seen during a 12-year period. They constituted 16.9% of patients with primary resection of the bowel for Crohn's disease in the same period, but only 0.4% of the cases of acute appendicitis. In 10 of the 13 cases there was ......Thirteen cases of Crohn's disease confined to the vermiform appendix were seen during a 12-year period. They constituted 16.9% of patients with primary resection of the bowel for Crohn's disease in the same period, but only 0.4% of the cases of acute appendicitis. In 10 of the 13 cases...... to approach that of recurrence after resection in other parts of the intestines. Collective review of this and three other relatively large case series gave an estimated recurrence rate of 3.5%. We conclude that in Crohn's disease initially confined to the appendix the course appears to be indolent....
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Factors influencing the use of outcome measures in physical therapy practice.
Wedge, Frances M; Braswell-Christy, Jennifer; Brown, Cynthia J; Foley, Kathleen T; Graham, Cecilia; Shaw, Sharon
2012-02-01
Use of outcome measures in physical therapy practice is central to evaluating the effectiveness of treatment interventions, providing accountability and addressing quality of physical therapy programs. There is limited discussion on barriers and facilitators to using outcome measures in physical therapy practice. The purpose of this study was to identify factors that influence a physical therapist when deciding to use outcome measures in clinical practice. Participants were 21 physical therapists, seven each from skilled nursing facilities, outpatient clinics, and inpatient rehabilitation facilities. A grounded theory approach was used for interview and data collection. Common themes were determined from the data and a theory developed to explain the rationale behind physical therapists' decisions to use or not use outcome measures in clinical practice. Three overlapping themes related to (1) concepts of time, (2) knowledge, and (3) facility culture were indentified as factors influencing the use of outcome measures. A fourth encompassing theme, professionalism, identified the value placed on the use of outcome measures in practice. Data revealed that therapists require more information on the outcome measures available, and this information needs to be easily accessible within the workplace. Therapists value information generated by using outcome measures in the clinical setting, but need information on what measures are available and psychometric properties. Information must be easily accessible and measures easy to use. Newer graduates and recent learners have a foundation in the use of outcome measures, but more needs to be done in the clinic and through continuing education to promote increased use and understanding.
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31 CFR Appendix A to Subpart C of... - Examples
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Examples A Appendix A to Subpart C of... A to Subpart C of Part 29—Examples This appendix contains sample calculations of Federal Benefit Payments in a variety of situations. Optional Retirement Examples Example 1: No Unused Sick Leave A. In...
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2010-01-01
... dishwasher means a dishwasher that has a capacity of less than eight place settings plus six serving pieces... than eight place settings plus six serving pieces as specified in ANSI/AHAM DW-1 (Incorporated by... load of eight place settings plus six serving pieces, as specified in section 2.7 of this Appendix. If...
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The evolution and development of an instrument to measure essential professional nursing practices.
Kramer, Marlene; Brewer, Barbara B; Halfer, Diana; Hnatiuk, Cynthia Nowicki; MacPhee, Maura; Schmalenberg, Claudia
2014-11-01
Nursing continues to evolve from a task-oriented occupation to a holistic professional practice. Increased professionalism requires accurate measurement of care processes and practice. Nursing studies often omit measurement of the relationship between structures in the work environment and processes of care or between processes of care and patient outcomes. Process measurement is integral to understanding and improving nursing practice. This article describes the development of an updated Essentials of Magnetism process measurement instrument for clinical nurses (CNs) practicing on inpatient units in hospitals. It has been renamed Essential Professional Nursing Practices: CN.
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12 CFR Appendix A to Part 563e - Ratings
2010-01-01
... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Ratings A Appendix A to Part 563e Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY COMMUNITY REINVESTMENT Pt. 563e, App. A Appendix A to Part 563e—Ratings (a) Ratings in general. (1) In assigning a rating, the OTS evaluates a...
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31 CFR Appendix A to Part 132 - Model Notice
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Model Notice A Appendix A to Part 132 Money and Finance: Treasury Regulations Relating to Money and Finance PROHIBITION ON FUNDING OF UNLAWFUL INTERNET GAMBLING Pt. 132, App. A Appendix A to Part 132—Model Notice [Date] [Name of foreign sender or...
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12 CFR Appendix B to Part 345 - CRA Notice
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false CRA Notice B Appendix B to Part 345 Banks and... REINVESTMENT Pt. 345, App. B Appendix B to Part 345—CRA Notice (a) Notice for main offices and, if an... Community Reinvestment Act (CRA), the Federal Deposit Insurance Corporation (FDIC) evaluates our record of...
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12 CFR Appendix B to Part 228 - CRA Notice
2010-01-01
... 12 Banks and Banking 3 2010-01-01 2010-01-01 false CRA Notice B Appendix B to Part 228 Banks and... REINVESTMENT (REGULATION BB) Pt. 228, App. B Appendix B to Part 228—CRA Notice (a) Notice for main offices and... Federal Community Reinvestment Act (CRA), the Federal Reserve Board (Board) evaluates our record of...
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12 CFR Appendix B to Part 25 - CRA Notice
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false CRA Notice B Appendix B to Part 25 Banks and... DEPOSIT PRODUCTION REGULATIONS Pt. 25, App. B Appendix B to Part 25—CRA Notice (a) Notice for main offices... the Federal Community Reinvestment Act (CRA), the Comptroller of the Currency evaluates our record of...
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43 CFR Appendix A to Part 10 - Sample Summary
2010-10-01
... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Sample Summary A Appendix A to Part 10... REPATRIATION REGULATIONS Pt. 10, App. A Appendix A to Part 10—Sample Summary The following is a generic sample and should be used as a guideline for preparation of summaries tailoring the information to the...
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41 CFR Appendix A to Subpart B of... - 3-Key Points and Principles
2010-07-01
... Principles A Appendix A to Subpart B of Part 102 Public Contracts and Property Management Federal Property.... B, App. A Appendix A to Subpart B of Part 102-3—Key Points and Principles This appendix provides... principles that may be applied to situations not covered elsewhere in this subpart. The guidance follows: Key...
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41 CFR Appendix A to Subpart A of... - 3-Key Points and Principles
2010-07-01
... Principles A Appendix A to Subpart A of Part 102 Public Contracts and Property Management Federal Property..., Subpt. A, App. A Appendix A to Subpart A of Part 102-3—Key Points and Principles This appendix provides... principles that may be applied to situations not covered elsewhere in this subpart. The guidance follows: Key...
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Radioactivity measurements principles and practice
Mann, W B; Spernol, A
2012-01-01
The authors have addressed the basic need for internationally consistent standards and methods demanded by the new and increasing use of radioactive materials, radiopharmaceuticals and labelled compounds. Particular emphasis is given to the basic and practical problems that may be encountered in measuring radioactivity. The text provides information and recommendations in the areas of radiation protection, focusing on quality control and the precautions necessary for the preparation and handling of radioactive substances. New information is also presented on the applications of both traditiona
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International Nuclear Information System (INIS)
Lee, Eun Joo; Kim, Soon; Oh, Yeon Hee; Kim, Seung Hyeon; Lee, Sung Woo
2004-01-01
To evaluate the usefulness and limitations of measurement of the outer diameter of the vermiform appendix in men and women patients suspected of acute appendicitis on ultrasonography (US). Retrospectively, the review of the outer diameter of the appendix measured in 197 adult patients, 70 men and 127 women (age ranged from 16 to 83 years), suspected of acute appendicitis on sustained-compression US was done. The measured outer diameters were categorized into two groups according to the patient's sex, and relationships between categoric variables were analyzed by calculating sensitivity, specificity, positive and negative predictive values and accuracy. Data analyses were performed using MedCalc for windows version 7.1.0.1. The outer appendiceal diameters in men ranged between 3.2 and 15 mm, while those in women, between 3.4 and 17 mm. The diameters of acute inflamed appendices ranged from 6 to 17 mm. In men, a diameter equal to or larger than 6 mm was confirmed as acute appendicitis with the sensitivity, specificity and positive and negative predictive values of 100%, 57.6%, 70.2% and 100%, respectively. Meanwhile, in women, a diameter of ≥ 6 mm was confirmed as acute appendicitis with the sensitivity, specificity and positive and negative predictive values of 98%, 55.8%, 68.9% and 96.5%, respectively. The accuracy in women (67.7%) was lower than in men(75.7%), but no statistically significant difference (p=0.395) was seen between men and women. The outer appendiceal diameter of ≥ 6 mm as a sign of acute appendicitis provides a high sensitivity and negative predictive values. This diagnostic criterion is more useful in excluding acute appendicitis than confirming it. There was no statistically significant difference in the accuracy between men and women.
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Energy Technology Data Exchange (ETDEWEB)
Lee, Eun Joo; Kim, Soon; Oh, Yeon Hee; Kim, Seung Hyeon; Lee, Sung Woo [Gyeong Ju Hospital, Dongguk University School of Medicine, Gyeongju (Korea, Republic of)
2004-03-15
To evaluate the usefulness and limitations of measurement of the outer diameter of the vermiform appendix in men and women patients suspected of acute appendicitis on ultrasonography (US). Retrospectively, the review of the outer diameter of the appendix measured in 197 adult patients, 70 men and 127 women (age ranged from 16 to 83 years), suspected of acute appendicitis on sustained-compression US was done. The measured outer diameters were categorized into two groups according to the patient's sex, and relationships between categoric variables were analyzed by calculating sensitivity, specificity, positive and negative predictive values and accuracy. Data analyses were performed using MedCalc for windows version 7.1.0.1. The outer appendiceal diameters in men ranged between 3.2 and 15 mm, while those in women, between 3.4 and 17 mm. The diameters of acute inflamed appendices ranged from 6 to 17 mm. In men, a diameter equal to or larger than 6 mm was confirmed as acute appendicitis with the sensitivity, specificity and positive and negative predictive values of 100%, 57.6%, 70.2% and 100%, respectively. Meanwhile, in women, a diameter of {>=} 6 mm was confirmed as acute appendicitis with the sensitivity, specificity and positive and negative predictive values of 98%, 55.8%, 68.9% and 96.5%, respectively. The accuracy in women (67.7%) was lower than in men(75.7%), but no statistically significant difference (p=0.395) was seen between men and women. The outer appendiceal diameter of {>=} 6 mm as a sign of acute appendicitis provides a high sensitivity and negative predictive values. This diagnostic criterion is more useful in excluding acute appendicitis than confirming it. There was no statistically significant difference in the accuracy between men and women.
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2010-01-01
... on âHow To Safely Install Your CB Base Station Antennaâ I Appendix I to Part 1402 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS CB BASE STATION... Outline for Instruction Booklet on “How To Safely Install Your CB Base Station Antenna” I. Required...
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Torsion of the vermiform appendix: A case report | Wani | Internet ...
African Journals Online (AJOL)
Torsion of the vermiform appendix is a rare condition with few cases reported in the literature. Various factors predispose to torsion. Various factors predispose to torsion. We report a case of primary torsion of the vermiform appendix. The clinical presentation was indistinguishable from acute appendicitis and the diagnosis ...
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10 CFR Appendix B to Part 600 - Audit Report Distributees
2010-01-01
... 10 Energy 4 2010-01-01 2010-01-01 false Audit Report Distributees B Appendix B to Part 600 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS FINANCIAL ASSISTANCE RULES Pt. 600, App. B Appendix B to Part 600—Audit Report Distributees Distributee: Manager, Eastern Region, Office of Inspector...
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Primary Adenocarcinoma of the Vermiform Appendix. A Case Report
Directory of Open Access Journals (Sweden)
Luis Antonio Revuelta Pérez
2014-11-01
Full Text Available Primary adenocarcinoma of the vermiform appendix is the least common carcinoma of this organ; its exact frequency is unknown. Primary malignant tumors of the appendix are rare; they are generally found in 1 to 2% of all appendices examined. Most appendiceal malignancies arise from a primary tumor in the adjacent organs, and in some cases, may be metastases from distant tumors. The case of a 43-year-old patient with a history of emergency surgery who was presumptively diagnosed with acute appendicitis is presented. The presence of an adenocarcinoma at the base of the appendix was reported by the pathology department. Because of the rarity of the condition, the publication of this case is considered scientifically important.
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DEFF Research Database (Denmark)
Duis, Karen; Holbech, Henrik; Velasco-Santamaría, Yohana M.
Within a project funded by the German Federal Environment Agency, the practicability of Appendix 7.8-5 of REACH guidance document R.7b was evaluated using three case study substances. Shortcomings in the guidance were identified. An assessment of potential endocrine activity in aquatic vertebrates...
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Measurement Errors and Uncertainties Theory and Practice
Rabinovich, Semyon G
2006-01-01
Measurement Errors and Uncertainties addresses the most important problems that physicists and engineers encounter when estimating errors and uncertainty. Building from the fundamentals of measurement theory, the author develops the theory of accuracy of measurements and offers a wealth of practical recommendations and examples of applications. This new edition covers a wide range of subjects, including: - Basic concepts of metrology - Measuring instruments characterization, standardization and calibration -Estimation of errors and uncertainty of single and multiple measurements - Modern probability-based methods of estimating measurement uncertainty With this new edition, the author completes the development of the new theory of indirect measurements. This theory provides more accurate and efficient methods for processing indirect measurement data. It eliminates the need to calculate the correlation coefficient - a stumbling block in measurement data processing - and offers for the first time a way to obtain...
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Johnson, Jill W. (Compiler)
2015-01-01
This Corrective Measures Implementation (CMI) Progress Report documents: (i) activities conducted as part of supplemental assessment activities completed from June 2009 through November 2014; (ii) Engineering Evaluation (EE) Advanced Data Packages (ADPs); and (iii) recommendations for future activities related to corrective measures at the Site. Applicable meeting minutes are provided as Appendix A. The following EE ADPs for CRHE are included with this CMI Progress Report: center dot Supplemental Site Characterization ADP (Step 1 EE) (Appendix B) center dot Site Characterization ADP (Step 1 EE) for Hot Spot 1 (HS1) (Appendix C) center dot Remedial Alternatives Evaluation (Step 2 EE) ADP for HS1 (Appendix D) center dot Interim Measures Work Plan (Step 3 EE) ADP for HS1 (Appendix E) center dot Site Characterization ADP (Step 1 EE) ADP for Hot Spot 2 (HS2), High Concentration Plume (HCP), and Low Concentration Plume (LCP) (Appendix F) A summary of direct-push technology (DPT) and groundwater monitoring well sampling results are provided in Appendices G and H, respectively. The Interim Land Use Control Implementation Plan (LUCIP) is provided as Appendix I. Monitoring well completion reports, other applicable field forms, survey data, and analytical laboratory reports are provided as Appendices J through M, respectively, in the electronic copy of this document. Selected Site photographs are provided in Appendix N. The interim groundwater monitoring plan and document revision log are included as Appendices O and P, respectively. KSC Electronic Data Deliverable (KEDD) files are provided on the attached compact disk.
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Haglund, James
2007-01-01
This book contains detailed descriptions of the many exciting recent developments in the combinatorics of the space of diagonal harmonics, a topic at the forefront of current research in algebraic combinatorics. These developments led in turn to some surprising discoveries in the combinatorics of Macdonald polynomials, which are described in Appendix A. The book is appropriate as a text for a topics course in algebraic combinatorics, a volume for self-study, or a reference text for researchers in any area which involves symmetric functions or lattice path combinatorics. The book contains expository discussions of some topics in the theory of symmetric functions, such as the practical uses of plethystic substitutions, which are not treated in depth in other texts. Exercises are interspersed throughout the text in strategic locations, with full solutions given in Appendix C.
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Yaghmai, Vahid; Aghaei-Lasboo, Anahita; Brandwein, Warren M; Tochetto, Sandra; Mafi, John N; Miller, Frank H; Nikolaidis, Paul
2011-01-01
We compared the effect of low-density barium sulfate neutral oral contrast agent on the diameter of normal appendix and its luminal content versus that of water on multidetector-row CT. CT scans of 24 patients who had been imaged on two separate occasions for the evaluation of pancreatic pathology, once with water and subsequently with low-density barium sulfate as the neutral oral contrast agent were evaluated (total of 48 scans). Studies were randomized and reviewed in consensus on a workstation in the stack mode by two radiologists blinded to the type of oral contrast. The appendix was measured at baseline and 10 days later to obtain an average diameter. Results of the water and low-density barium sulfate groups were compared using paired t test. Contents of the appendiceal lumen were also noted (gas, fluid, mixed, and collapsed appendix). The average diameter of the appendix for scans obtained with water and low-density barium sulfate was 4.09 ± 0.87 mm (median, 4.22 mm; range, 2.50-5.65 mm) and 4.13 ± 0.93 mm (median, 4 mm, range, 2.2-5.65 mm), respectively. This difference was not statistically significant (P = 0.69). There was no statistically significant difference in the appendiceal content when water or low-density barium sulfate were used as oral contrast (χ (2) = 4.25, P = 0.89). Low-density barium sulfate does not affect appendiceal content or diameter and, therefore, should not adversely affect evaluation of the appendix on multidetector row CT.
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12 CFR Appendix A to Part 411 - Certification Regarding Lobbying
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Certification Regarding Lobbying A Appendix A to Part 411 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING Pt. 411, App. A Appendix A to Part 411—Certification Regarding Lobbying Certification for Contracts...
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49 CFR Appendix B to Part 37 - FTA Regional Offices
2010-10-01
... 49 Transportation 1 2010-10-01 2010-10-01 false FTA Regional Offices B Appendix B to Part 37 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Pt. 37, App. B Appendix B to Part 37—FTA Regional Offices Region I, Federal Transit...
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25 CFR Appendix B to Part 276 - Financial Reporting Requirements
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Financial Reporting Requirements B Appendix B to Part 276...—Financial Reporting Requirements A. Purpose and scope. This appendix prescribes requirements for grantee to report financial information to the Bureau and to request advances and reimbursement when a letter-of...
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Radiation practices and radiation measurements
International Nuclear Information System (INIS)
2008-03-01
The guide presents the principal requirements on accuracy of radiation measurements and on the approval, calibration and operating condition inspections of radiation meters, together with requirements for dosimetric services measuring the individual radiation doses of workers engaged in radiation work (approved dosimetric services). The Guide also sets out the definitions of quantities and units used in radiation measurements. The radiation protection quantities used for assessing the harmful effects of radiation and for expressing the maximum values for radiation exposure (equivalent dose and effective dose) are set out in Guide ST 7.2. This Guide concerns measurements of ionizing radiation involved in radiation practices, the results of which are used for determining the radiation exposure of workers engaged in radiation work and members of the public, and of patients subject to the use of radiation in health services, or upon the basis of which compliance with safety requirements of appliances currently in use and of their premises of use or of the workplaces of workers is ensured. The Guide also concerns measurements of the radon concentration of inhaled air in both workplaces and dwellings. The Guide does not apply to determining the radiation exposure of aircrews, determination of exposure caused by internal radiation, or measurements made to protect the public in the event of, or in preparation for abnormal radiation conditions
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14 CFR Appendix J to Part 23 - HIRF Environments and Equipment HIRF Test Levels
2010-01-01
... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false HIRF Environments and Equipment HIRF Test Levels J Appendix J to Part 23 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF.... 23, App. J Appendix J to Part 23—HIRF Environments and Equipment HIRF Test Levels This appendix...
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Computed tomography of the normal appendix and acute appendicitis
International Nuclear Information System (INIS)
Ghiatas, A.A.; Chopra, S.; Chintapalli, K.N.; Esola, C.C.; Daskalogiannaki, M.; Dodd, G.D. III; Gourtsoyiannis, N.
1997-01-01
The aim of this article is to present pictorially the spectrum of appearances of the appendix and appendicitis on CT. The images presented were selected from the database of our hospitals. The various appearances of the normal appendix on CT are shown. Appendicitis can be divided into four categories on the basis of CT findings. Examples of each category are shown. (orig.). With 14 figs
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31 CFR Appendix to Part 341 - Tables of Redemption Values
2010-07-01
... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Tables of Redemption Values Appendix... RETIREMENT PLAN BONDS Pt. 341, App. Appendix to Part 341—Tables of Redemption Values Table of Redemption Values Providing an Investment Yield of 33/4 Percent per Annum for Bonds Bearing Issue Dates Beginning...
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22 CFR Appendix A to Part 311 - Certification Regarding Lobbying
2010-04-01
... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Certification Regarding Lobbying A Appendix A to Part 311 Foreign Relations PEACE CORPS NEW RESTRICTIONS ON LOBBYING Pt. 311, App. A Appendix A to Part...,” in accordance with its instructions. (3) The undersigned shall require that the language of this...
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32 CFR Appendix C to Part 45 - DD Form 215
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false DD Form 215 C Appendix C to Part 45 National... CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (DD FORM 214/5 SERIES) Pt. 45, App. C Appendix C to Part 45—DD Form 215 EC21OC91.050 ...
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12 CFR Appendix A to Part 343 - Consumer Grievance Process
2010-01-01
... POLICY CONSUMER PROTECTION IN SALES OF INSURANCE Pt. 343, App. A Appendix A to Part 343—Consumer... Consumer Protection (DSC), Federal Deposit Insurance Corporation, at the following address: 550 17th Street... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Consumer Grievance Process A Appendix A to Part...
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49 CFR Appendix D to Part 599 - CARS Purchaser Survey
2010-10-01
... 49 Transportation 7 2010-10-01 2010-10-01 false CARS Purchaser Survey D Appendix D to Part 599 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY... RECYCLE AND SAVE ACT PROGRAM Pt. 599, App. D Appendix D to Part 599—CARS Purchaser Survey ER29JY09.008 ...
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Measures of rheumatoid arthritis disease activity in Australian clinical practice.
Taylor, Andrew; Bagga, Hanish
2011-01-01
Objectives. To investigate which rheumatoid arthritis (RA) disease activity measures are being collected in patients receiving glucocorticoids, non-biologic or biologic disease-modifying antirheumatic drugs (DMARDs) in Australian rheumatology practice. Methods. A retrospective audit of medical records was conducted from eight rheumatology practices around Australia. Each rheumatologist recruited 30 consecutive eligible patients into the review, 10 of whom must have been receiving a biological agent for rheumatoid arthritis. Disease activity measures and radiographic assessments were collected from each patient's last consultation. For biologic patients, disease activity measures were also collected from when the patient was first initiated on the biological agent. Results. At last consultation, the disease measures that were recorded most often were ESR (89.2%), haemoglobin (87.5%), and CRP (84.2%). DAS28 was infrequently recorded (16.3%). The rate of recording disease activity measures for patients receiving biologic DMARDs decreased over time (mean 27 months). Conclusion. This review has shown inconsistency of RA activity measures being recorded in Australian rheumatology clinical practice. An accurate assessment of the disease process is necessary to effectively target rheumatoid arthritis patients to treat in order to achieve optimal outcomes.
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Appendix F - Sample Contingency Plan
This sample Contingency Plan in Appendix F is intended to provide examples of contingency planning as a reference when a facility determines that the required secondary containment is impracticable, pursuant to 40 CFR §112.7(d).
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12 CFR Appendix A to Part 536 - Consumer Grievance Process
2010-01-01
... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Consumer Grievance Process A Appendix A to Part 536 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY CONSUMER PROTECTION IN SALES OF INSURANCE Pt. 536, App. A Appendix A to Part 536—Consumer Grievance Process Any consumer who...
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12 CFR Appendix A to Part 14 - Consumer Grievance Process
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Consumer Grievance Process A Appendix A to Part 14 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY CONSUMER PROTECTION IN SALES OF INSURANCE Pt. 14, App. A Appendix A to Part 14—Consumer Grievance Process Any consumer who...
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32 CFR Appendix B to Part 231 - In-Store Banking
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false In-Store Banking B Appendix B to Part 231.... 231, App. B Appendix B to Part 231—In-Store Banking A. Selection Process. The purpose of this guidance... provide in-store banking services when such services are desired and approved by the installation...
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Biosafety in the Laboratory: Prudent Practices for the Handling and Disposal of Infectious Materials
1989-03-01
psittacosis, lymphogranuloma animal disease diagnostic laboratory). Biosafety Level venereum (LGV), and trachoma are documented APPENDIX A I11 hazards and...127 see also Facilities Lymphogranuloma venereum , 110-111 Laboratory practices academic laboratories, 68-69 M Biosafety Level 1, 90 Biosafety Level
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40 CFR Appendix F to Part 75 - Conversion Procedures
2010-07-01
... procedures of section 5.5.3 of this appendix shall not be used to determine heat input from a coal unit that... 5.5.3.1-5.5.3.3 of this appendix to determine the heat input from coal for each 24-hour period. (All... equivalent to the applicable ASTM methods under §§ 75.23 and 75.66. 5.5.3.3Calculate the heat input from coal...
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12 CFR Appendix C to Part 360 - Deposit File Structure
2010-01-01
.... • STATE = State government. • COMM = Commercial. • CORP = Corporate. • BANK = Bank Owned. • DUE TO = Other... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Deposit File Structure C Appendix C to Part 360... RESOLUTION AND RECEIVERSHIP RULES Pt. 360, App. C Appendix C to Part 360—Deposit File Structure This is the...
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12 CFR Appendix F to Part 360 - Customer File Structure
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Customer File Structure F Appendix F to Part... POLICY RESOLUTION AND RECEIVERSHIP RULES Pt. 360, App. F Appendix F to Part 360—Customer File Structure This is the structure of the data file to provide to the FDIC information related to each customer who...
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41 CFR Appendix A to Part 102 - 37-Miscellaneous Donation Statutes
2010-07-01
... Donation Statutes A Appendix A to Part 102 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION PERSONAL PROPERTY 37-DONATION OF SURPLUS PERSONAL PROPERTY Pt. 102-37, App. A Appendix A to Part 102-37—Miscellaneous Donation Statutes The...
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40 CFR Appendix B to Part 425 - Modified Monier-Williams Method
2010-07-01
... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Modified Monier-Williams Method B Appendix B to Part 425 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS LEATHER TANNING AND FINISHING POINT SOURCE CATEGORY Pt. 425, App. B Appendix B to...
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14 CFR Appendix E to Part 91 - Airplane Flight Recorder Specifications
2010-01-01
... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Airplane Flight Recorder Specifications E Appendix E to Part 91 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... Appendix E to Part 91—Airplane Flight Recorder Specifications Parameters Range Installed system 1 minimum...
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14 CFR Appendix B to Part 135 - Airplane Flight Recorder Specifications
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane Flight Recorder Specifications B Appendix B to Part 135 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION.... B Appendix B to Part 135—Airplane Flight Recorder Specifications Parameters Range Installed system 1...
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Ingested razor blades within the appendix: A rare case report
Directory of Open Access Journals (Sweden)
Jason Cui
Full Text Available Introduction: Foreign body ingestion is a common clinical presentation with less than 1% of the cases requiring surgical intervention. In this report, we present a rare case of razor blades lodged in the appendix as a result of intentional ingestion. Presentation of case: A 25 year old male prisoner presented to our hospital with persistent right iliac fossa pain after razor blade ingestion. After 5 days of conservative management, there was no sign of transition on serial X-Rays. Laparoscopy with intraoperative image intensification confirmed the presence of the razor blades in the appendix and appendicectomy was subsequently performed without complications. Discussion: Most ingested objected with diameter less than 2.5 cm and length less than 6 cm can pass through the gastrointestinal tract spontaneously in less than one week. The entry of foreign objects into the appendix is thought to be due to relative low motility of the caecum, the dependent position of the appendix and the size of the appendiceal orifice. Radiographic localisation to the appendiceal lumen was complicated by metallic artefact, but was consistent with failure to transit. Appendicectomy was felt to be the safest mode of retrieval. Conclusion: Ingested foreign body lodged in the appendix is a rare event. Once the exact location is confirmed, a simple laparoscopic appendicectomy can be performed to facilitate the removal. Keywords: Appendicitis, Laparoscopy, Appendicectomy, Foreign body ingestion, Razor blades, Case report
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Secondary Torsion of Vermiform Appendix with Mucinous Cystadenoma
Directory of Open Access Journals (Sweden)
Maki Kitagawa
2007-06-01
Full Text Available Torsion of the vermiform appendix is a rare disorder, which causes abdominal symptoms indistinguishable from acute appendicitis. We report a case (a 34-year-old male of secondary torsion of the vermiform appendix with mucinous cystadenoma. This case was characterized by mild inflammatory responses, pentazocine-resistant abdominal pain, and appendiceal tumor, which was not enhanced by the contrast medium on computed tomography presumably because of reduced blood flow by the torsion. These findings may be helpful for the preoperative diagnosis of secondary appendiceal torsion.
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Practical disarmament measures to consolidate peace in post-conflict environments
International Nuclear Information System (INIS)
Mason, M.
1998-01-01
At the 51st Session of the United Nations General Assembly, one of the many resolutions passed was entitled 'Consolidation of peace through practical disarmament measures'. The resolution stresses the relevance of certain practical disarmament measures - such as the control of small arms and light weapons, confidence building measures and the demobilization and reintegration of former combatants - for the consolidation of peace in areas that have suffered conflict. With the intention of building on this promising beginning, the United Nations Disarmament Commission (UNDC), at its 1997 session, began the first of a three-year effort to formulate guidelines for a comprehensive approach to the development and implementation of such practical measures. As a co-sponsor of the General Assembly resolution and a strong supporter of the UNDC follow up activity, Canada made available a Background Paperi on the design and implementation of an effective disarmament, demobilization and reintegration programme in post-conflict environments, in an effort to facilitate discussions in the Disarmament Commission. Once completed and circulated, it led to the tabling of a formal Canadian Working Paper, containing the principle findings and recommendations from the Background Paper. It is the purpose of this paper to discuss the subject of practical disarmament, demobilization, and reintegration measures to consolidate peace in post-conflict environments by (1) drawing from the Background Paper and updating where necessary; (2) reviewing other recent developments in the subject area and (3) identifying future policy action, especially relevant research needs. (author)
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Excel 2013 for biological and life sciences statistics a guide to solving practical problems
Quirk, Thomas J; Horton, Howard F
2015-01-01
This is the first book to show the capabilities of Microsoft Excel to teach biological and life sciences statistics effectively. It is a step-by-step exercise-driven guide for students and practitioners who need to master Excel to solve practical science problems. If understanding statistics isn’t your strongest suit, you are not especially mathematically-inclined, or if you are wary of computers, this is the right book for you. Each chapter explains statistical formulas and directs the reader to use Excel commands to solve specific, easy-to-understand science problems. Practice problems are provided at the end of each chapter with their solutions in an appendix. Separately, there is a full Practice Test (with answers in an Appendix) that allows readers to test what they have learned. Includes 164 illustrations in color Suitable for undergraduates or graduate student Prof. Tom Quirk is currently a Professor of Marketing at The Walker School of Business and Technology at Webster University in St....
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Appendiceal diameter: CT versus sonographic measurements
Energy Technology Data Exchange (ETDEWEB)
Orscheln, Emily S. [University of Cincinnati Medical Center, Department of Radiology, Cincinnati, OH (United States); Trout, Andrew T. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)
2016-03-15
Ultrasound and CT are the dominant imaging modalities for assessment of suspected pediatric appendicitis, and the most commonly applied diagnostic criterion for both modalities is appendiceal diameter. The classically described cut-off diameter for the diagnosis of appendicitis is 6 mm when using either imaging modality. To demonstrate the fallacy of using the same cut-off diameter for both CT and US in the diagnosis of appendicitis. We conducted a retrospective review of patients younger than 18 years who underwent both US and CT of the appendix within 24 h. The shortest transverse dimension of the appendix was measured at the level of the proximal, mid and distal appendix on US and CT images. We compared mean absolute difference in appendiceal diameter between US and CT, using the paired t-test. We reviewed exams of 155 children (58.7% female) with a mean age of 11.3 ± 4.2 years; 38 of the children (24.5%) were diagnosed with appendicitis. The average time interval between US and CT was 7.0 ± 5.4 h. Mean appendiceal diameter measured by CT was significantly larger than that measured by US in cases without appendicitis (5.3 ± 1.0 mm vs. 4.7 ± 1.1 mm, P < 0.0001) and in cases with appendicitis (8.3 ± 2.2 mm vs. 7.0 ± 2.0 mm, P < 0.0001). Mean absolute diameter difference at any location along the appendix was 1.3-1.4 mm in normal appendices and 2 mm in cases of appendicitis. Measured appendiceal diameter differs between US and CT by 1-2 mm, calling into question use of the same diameter cut-off (6 mm) for both modalities for the diagnosis of appendicitis. (orig.)
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Appendiceal diameter: CT versus sonographic measurements
International Nuclear Information System (INIS)
Orscheln, Emily S.; Trout, Andrew T.
2016-01-01
Ultrasound and CT are the dominant imaging modalities for assessment of suspected pediatric appendicitis, and the most commonly applied diagnostic criterion for both modalities is appendiceal diameter. The classically described cut-off diameter for the diagnosis of appendicitis is 6 mm when using either imaging modality. To demonstrate the fallacy of using the same cut-off diameter for both CT and US in the diagnosis of appendicitis. We conducted a retrospective review of patients younger than 18 years who underwent both US and CT of the appendix within 24 h. The shortest transverse dimension of the appendix was measured at the level of the proximal, mid and distal appendix on US and CT images. We compared mean absolute difference in appendiceal diameter between US and CT, using the paired t-test. We reviewed exams of 155 children (58.7% female) with a mean age of 11.3 ± 4.2 years; 38 of the children (24.5%) were diagnosed with appendicitis. The average time interval between US and CT was 7.0 ± 5.4 h. Mean appendiceal diameter measured by CT was significantly larger than that measured by US in cases without appendicitis (5.3 ± 1.0 mm vs. 4.7 ± 1.1 mm, P < 0.0001) and in cases with appendicitis (8.3 ± 2.2 mm vs. 7.0 ± 2.0 mm, P < 0.0001). Mean absolute diameter difference at any location along the appendix was 1.3-1.4 mm in normal appendices and 2 mm in cases of appendicitis. Measured appendiceal diameter differs between US and CT by 1-2 mm, calling into question use of the same diameter cut-off (6 mm) for both modalities for the diagnosis of appendicitis. (orig.)
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Yoshimura, Mayumi; Terai, Yoshito; Konishi, Hiromi; Tanaka, Yoshimichi; Tanaka, Tomohito; Sasaki, Hiroshi; Ohmichi, Masahide
2013-01-01
Primary carcinoma of the vermiform appendix is a rare disease with few clinical symptoms. Accordingly, preoperative diagnosis of appendiceal cancer is challenging because of the lack of specific symptoms. We herein report a case of appendicular adenocarcinoma found unexpectedly during laparoscopic surgery in a 69-year-old Japanese female patient diagnosed with serous papillary adenocarcinoma, in order to determine whether optimal cytoreduction could successfully be achieved at the time of primary surgery. We performed diagnostic laparoscopic surgery in order to make a correct diagnosis based on the histological tissue. The vermiform appendix was found to contain a tumor measuring 1.5 cm wide and 4.5 cm long. Laparoscopic appendectomy, partial omentectomy, and partial resection of the lesion in the peritoneum were performed. The histological diagnosis was mucinous adenocarcinoma of the vermiform appendix, and the stage was T4NxM1. The patient received adjuvant chemotherapy with mFOLFOX 6 (5FU, leucovorin, and oxaliplatin). She achieved stable disease and was alive with disease eleven months after surgery. We therefore recommend that gynecologists should not rule out the possibility of appendiceal cancer, even in cases with preoperative findings similar to those of serous papillary adenocarcinoma of the peritoneum with peritoneal disseminated tumors.
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2010-01-01
... Efficiency of Electric Motors B Appendix B to Subpart B of Part 431 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY EFFICIENCY PROGRAM FOR CERTAIN COMMERCIAL AND INDUSTRIAL EQUIPMENT Electric Motors Pt. 431... Efficiency of Electric Motors 1. Definitions. Definitions contained in §§ 431.2 and 431.12 are applicable to...
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Exposition concerning small windmills. Appendix to main report. Volume 1
International Nuclear Information System (INIS)
1992-12-01
This appendix to the main report entitled ''Exposition Concerning Small Windmills'' includes background information on the report, profiles of the participating companies and of those visited in Denmark and abroad, questionnaires and interview schemes sent to the participating companies, surveys of producers of Danish and foreign producers of small windmills and an appendix to the economical calculations found within the report. (AB)
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Acute torsion and ischemia of the appendix in a young child
Directory of Open Access Journals (Sweden)
Dhruvin H. Hirpara
2018-04-01
Full Text Available Torsion of the vermiform appendix is a rare diagnosis; its clinical and radiographic presentation can mimic that of acute appendicitis. We report the case of a two-year-old boy presenting with a one day history of lower abdominal pain and serial ultrasound examinations suspicious for atypical acute appendicitis. Operative findings revealed a necrotic and engorged appendix with a 720° clockwise torsion at its base. Final pathology was consistent with ischemic necrosis in the setting of lymphoid hyperplasia. A brief update on the current body of literature regarding pediatric torsion of the vermiform appendix is provided. Keywords: Appendicitis, Volvulus, Torsion
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Practical measurement of affordability: An application to medicines
L.M. Niëns (Laurens); E. Van de Poel (Ellen); A. Cameron (ALexandra); M. Ewen (Margaret); R. Laing (Richard); W.B.F. Brouwer (Werner)
2012-01-01
markdownabstract__Objective:__ To develop two practical methods for measuring the affordability of medicines in developing countries. __Methods:__ The proposed methods - catastrophic and impoverishment methods - rely on easily accessible aggregated expenditure data and take into account a
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2 CFR Appendix B to Part 230 - Selected Items of Cost
2010-01-01
... PRINCIPLES FOR NON-PROFIT ORGANIZATIONS (OMB CIRCULAR A-122) Pt. 230, App. B Appendix B to Part 230—Selected... use of patents and copyrights 45. Selling and marketing 46. Specialized service facilities 47. Taxes... of this appendix provide principles to be applied in establishing the allowability of certain items...
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30 CFR Appendix I to Subpart M of... - National Consensus Standards
2010-07-01
... 30 Mineral Resources 1 2010-07-01 2010-07-01 false National Consensus Standards I Appendix I to... Machinery and Equipment Pt. 56, Subpt. M, App. I Appendix I to Subpart M of Part 56—National Consensus... object protective structures (FOPS) may consult the following national consensus standards, as applicable...
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29 CFR Appendix B to Subpart L of... - National Consensus Standards
2010-07-01
... 29 Labor 5 2010-07-01 2010-07-01 false National Consensus Standards B Appendix B to Subpart L of... Appendix B to Subpart L of Part 1910—National Consensus Standards The following table contains a cross-reference listing of those current national consensus standards which contains information and guidelines...
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40 CFR Appendix E to Subpart A of... - Article 5 Parties
2010-07-01
... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Article 5 Parties E Appendix E to Subpart A of Part 82 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... Appendix E to Subpart A of Part 82—Article 5 Parties Afghanistan, Albania, Algeria, Angola, Antigua...
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49 CFR Appendix B to Part 178 - Alternative Leakproofness Test Methods
2010-10-01
... 49 Transportation 2 2010-10-01 2010-10-01 false Alternative Leakproofness Test Methods B Appendix... FOR PACKAGINGS Pt. 178, App. B Appendix B to Part 178—Alternative Leakproofness Test Methods In addition to the method prescribed in § 178.604 of this subchapter, the following leakproofness test methods...
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Friedberg, Mark W; Coltin, Kathryn L; Safran, Dana Gelb; Dresser, Marguerite; Zaslavsky, Alan M; Schneider, Eric C
2009-10-06
Recent proposals to reform primary care have encouraged physician practices to adopt such structural capabilities as performance feedback and electronic health records. Whether practices with these capabilities have higher performance on measures of primary care quality is unknown. To measure associations between structural capabilities of primary care practices and performance on commonly used quality measures. Cross-sectional analysis. Massachusetts. 412 primary care practices. During 2007, 1 physician from each participating primary care practice (median size, 4 physicians) was surveyed about structural capabilities of the practice (responses representing 308 practices were obtained). Data on practice structural capabilities were linked to multipayer performance data on 13 Healthcare Effectiveness Data and Information Set (HEDIS) process measures in 4 clinical areas: screening, diabetes, depression, and overuse. Frequently used multifunctional electronic health records were associated with higher performance on 5 HEDIS measures (3 in screening and 2 in diabetes), with statistically significant differences in performance ranging from 3.1 to 7.6 percentage points. Frequent meetings to discuss quality were associated with higher performance on 3 measures of diabetes care (differences ranging from 2.3 to 3.1 percentage points). Physician awareness of patient experience ratings was associated with higher performance on screening for breast cancer and cervical cancer (1.9 and 2.2 percentage points, respectively). No other structural capabilities were associated with performance on more than 1 measure. No capabilities were associated with performance on depression care or overuse. Structural capabilities of primary care practices were assessed by physician survey. Among the investigated structural capabilities of primary care practices, electronic health records were associated with higher performance across multiple HEDIS measures. Overall, the modest magnitude and
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Effective enforcement of the forest practices code
Energy Technology Data Exchange (ETDEWEB)
NONE
1995-12-31
The British Columbia Forest Practices Code establishes a scheme to guide and direct forest harvesting and other forest uses in concert with other related acts. The Code is made up of the Forest Practices Code of British Columbia Act, regulations, standards, and guidebooks. This document provides information on Code enforcement. It reviews the roles of the three provincial resource ministries and the Attorney General in enforcing the code, the various activities undertaken to ensure compliance (including inspections, investigations, and responses to noncompliance), and the role of the public in helping to enforce the Code. The appendix contains a list of Ministry of Forests office locations and telephone numbers.
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2010-01-01
... of Room Air Conditioners F Appendix F to Subpart B of Part 430 Energy DEPARTMENT OF ENERGY ENERGY... Conditioners 1. Test method. The test method for testing room air conditioners shall consist of application of the methods and conditions in American National Standard (ANS) Z234.1-1972, “Room Air Conditioners...
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Measuring Student Teachers' Practices and Beliefs about Teaching Mathematics Using the Rasch Model
Kaspersen, Eivind; Pepin, Birgit; Sikko, Svein Arne
2017-01-01
Several attempts have been made to measure and categorize beliefs and practices of mathematics teachers [Swan, M. 2006. "Designing and Using Research Instruments to Describe the Beliefs and Practices of Mathematics Teachers." "Research in Education" 75 (1): 58-70]. One of the reasons for measuring both beliefs and practices is…
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32 CFR Appendix G to Part 623 - Continental US Army Boundaries
2010-07-01
... 32 National Defense 3 2010-07-01 2010-07-01 true Continental US Army Boundaries G Appendix G to Part 623 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY SUPPLIES AND EQUIPMENT LOAN OF ARMY MATERIEL Pt. 623, App. G Appendix G to Part 623—Continental US Army Boundaries...
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29 CFR Appendix A to Part 4022 - Lump Sum Mortality Rates
2010-07-01
... 29 Labor 9 2010-07-01 2010-07-01 false Lump Sum Mortality Rates A Appendix A to Part 4022 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY CORPORATION COVERAGE AND BENEFITS BENEFITS PAYABLE IN TERMINATED SINGLE-EMPLOYER PLANS Pt. 4022, App. A Appendix A to Part 4022—Lump Sum Mortality...
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ISO 9000 and 10CFR50, appendix B-one, both, or neither?
International Nuclear Information System (INIS)
Nau, D.C.; Hunt, G.L.
1993-01-01
The evolution of quality system requirements has led to the development of standards that either have been tailored for use in specific industries (as in the case of 10CFR50, Appendix B) or have been made generic for use in commercial operations (as in the case of the ISO 9000 series of standards). The elements of many quality systems are shared to a large degree, and the requirements of the standards only generally differ in certification, training, and documentation requirements. The proof of conformance to the requirements of 10CFR50, Appendix B, and ISO 9001 is in large part identical. Table I provides an example of the quality elements common between 10CFR50, Appendix B, and ISO 9001. Substantive proof that a supplier's qualification system meets the requirements of 10CFR50, Appendix B, can substantially be used as proof of conformance to ISO 9001
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MRI of the normal appendix in children: data toward a new reference standard
Energy Technology Data Exchange (ETDEWEB)
Swenson, David W. [Alpert Medical School of Brown University and Rhode Island Hospital, Department of Diagnostic Imaging, Providence, RI (United States); Schooler, Gary R. [Duke University Medical Center, Department of Radiology, Durham, NC (United States); Stamoulis, Catherine; Lee, Edward Y. [Boston Children' s Hospital and Harvard Medical School, Department of Radiology, Boston, MA (United States)
2016-06-15
Magnetic resonance imaging (MRI) might prove useful in the diagnostic evaluation of pediatric appendicitis in the effort to avoid exposing children to the ionizing radiation of CT, yet there is a paucity of literature describing the normal range of appearances of the pediatric appendix on MRI. To investigate MRI characteristics of the normal appendix to aid in establishing a reference standard in the pediatric population. We conducted a retrospective study of children and young adults (≤18 years of age) who underwent lumbar spine or pelvis MRI between Jan. 1, 2013, and Dec. 31, 2013, for indications unrelated to appendicitis. Two board-certified radiologists independently reviewed all patients' MRI examinations for appendix visualization, diameter, intraluminal content signal, and presence of periappendiceal inflammation or free fluid. We used the Cohen kappa statistic and Spearman correlation coefficient to assess reader agreement on qualitative and quantitative data, respectively. Three hundred forty-six patients met inclusion criteria. Both readers visualized the appendix in 192/346 (55.5%) patients (kappa = 0.88, P < 0.0001). Estimated median appendix diameter was 5 mm for reader 1 and 6 mm for reader 2 ([25th, 75th] quartiles = [5, 6] mm; range, 2-11 mm; r = 0.81, P < 0.0001). Appendix intraluminal signal characteristics were variable. Periappendiceal inflammation was present in 0/192 (0%) and free fluid in 6/192 (3.1%) MRI examinations (kappa = 1.0). The normal appendix was seen on MRI in approximately half of pediatric patients, with a mean diameter of ∝5-6 mm, variable intraluminal signal characteristics, no adjacent inflammatory changes, and rare surrounding free fluid. (orig.)
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Appendix E - Sample Production Facility Plan
This sample Spill Prevention, Control and Countermeasure (SPCC) Plan in Appendix E is intended to provide examples and illustrations of how a production facility could address a variety of scenarios in its SPCC Plan.
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Appendectomy: Surgical Removal of the Appendix
... blocked opening can be from an illness, thick mucus, hard stool, or a tumor. Appendix Large intestine ... any thing over 10 pounds. A gallon of milk weighs 9 pounds. 6 Your Recovery and Discharge ...
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Accounting in Agriculture: Measurement practices of listed firms
Rute Gonçalves; Patrícia Lopes
2015-01-01
Based on the International Accounting Standard (IAS) 41 – Agriculture, this paper examines measurement practices of biological assets and their drivers, under accounting choice theory, given data from 2012. Taking into consideration 324 listed firms worldwide that have adopted International Financial Reporting Standards (IFRS) until 2011, the empirical evidence supports that while a large number of firms measures biological assets at fair value, there are others that refute the presumption of...
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32 CFR Appendix J to Part 275 - Format for Customer Authorization
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false Format for Customer Authorization J Appendix J... OF 1978 Pt. 275, App. J Appendix J to Part 275—Format for Customer Authorization Pursuant to section 3404(a) of the Right to Financial Privacy Act of 1978, I, [Name of customer], having read the...
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32 CFR Appendix B to Part 45 - DD Form 214ws
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false DD Form 214ws B Appendix B to Part 45 National... CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (DD FORM 214/5 SERIES) Pt. 45, App. B Appendix B to Part 45—DD Form 214ws EC23OC91.007 ...
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40 CFR Appendix II to Part 1039 - Steady-State Duty Cycles
2010-07-01
... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Steady-State Duty Cycles II Appendix... Appendix II to Part 1039—Steady-State Duty Cycles (a) The following duty cycles apply for constant-speed engines: (1) The following duty cycle applies for discrete-mode testing: D2 mode number Engine speed...
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46 CFR Appendix A to Part 404 - Ratemaking Analyses and Methodology
2010-10-01
... of the following form: Line Ratemaking projections for basic pilotage 1. + Revenue (from step 3) 2... 46 Shipping 8 2010-10-01 2010-10-01 false Ratemaking Analyses and Methodology A Appendix A to Part... RATEMAKING Pt. 404, App. A Appendix A to Part 404—Ratemaking Analyses and Methodology Step 1: Projection of...
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Directory of Open Access Journals (Sweden)
Kwang Baek Kim
2015-01-01
Full Text Available Ultrasound examination (US does a key role in the diagnosis and management of the patients with clinically suspected appendicitis which is the most common abdominal surgical emergency. Among the various sonographic findings of appendicitis, outer diameter of the appendix is most important. Therefore, clear delineation of the appendix on US images is essential. In this paper, we propose a new intelligent method to extract appendix automatically from abdominal sonographic images as a basic building block of developing such an intelligent tool for medical practitioners. Knowing that the appendix is located at the lower organ area below the bottom fascia line, we conduct a series of image processing techniques to find the fascia line correctly. And then we apply fuzzy ART learning algorithm to the organ area in order to extract appendix accurately. The experiment verifies that the proposed method is highly accurate (successful in 38 out of 40 cases in extracting appendix.
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Mucinous adenocarcinona of the appendix
Directory of Open Access Journals (Sweden)
Milton Roberto Furst Crenitte
2013-06-01
Full Text Available Diagnosis of malignancy in the vermiform appendix is quite rare. The most common histological malignant neoplasia found in this tiny portion of the gastrointestinal tract is represented by the mucinous adenocarcinoma. This entity predominates in males around 50 years of age, and clinical presentation usually mimics or occurs along with an acute appendicitis. Early diagnosis is outside the rule since most cases at this stage are symptomless. The authors present the case of a 59-year-old female patient who looked for medical attention complaining of abdominal pain. Physical examination and laboratory workup were poor in diagnostic findings. The computed tomography images were compatible with the diagnosis of appendicitis and/or appendiceal neoplasia. The patient underwent a laparotomy and right hemicolectomy. The histological examination disclosed a moderately differentiated mucinous adenocarcinoma of the appendix stage T4a, N0, M0. The patient outcome was uneventful and was referred to an oncological center.
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Development and Assessment of the Appendix K Version of RELAP5-3D for LOCA Licensing Analysis
International Nuclear Information System (INIS)
Liang, Thomas K.S.; Chang, C.-J.; Hung, H.-J.
2002-01-01
In light water reactors, particularly the pressurized water reactor (PWR), the severity of a loss-of-coolant accident (LOCA) would limit how high the reactor power can operate. Although the best-estimate LOCA licensing methodology can provide the greatest margin on the peak cladding temperature (PCT) evaluation during a LOCA, it generally takes much more resources to develop. Instead, implementation of evaluation models required by Appendix K of 10CFR50 on an advanced thermal-hydraulic platform such as RELAP5, TRAC, etc., also can gain significant margin for the PCT calculation. Through compliance evaluation against Appendix K of 10CFR50, all of the required evaluation models have been implemented in RELAP5-3D. To verify and assess the development of the Appendix K version of RELAP5-3D, nine kinds of separate-effects experiments and eight sets of LOCA integral experiments were adopted. Through the assessments against separate-effects experiments, the success of the code modification in accordance with Appendix K of 10CFR50 was demonstrated. Besides, one set of a typical integral large-break LOCA from Loss-of-Fluid Test Facility experiments (L2-5) has also been applied to preliminarily evaluate the integral performance of the Appendix K version of RELAP5-3D. The PCT predicted by the evaluation models is greater than the one from best-estimate calculation in the whole LOCA history with the conservatism of 150 K, and the measured PCTs of L2-5 are also well bounded by the evaluation model calculation. Another seven sets of integral-effect experiments will be further applied in the next step to ensure the reasonable integral conservatism of the newly developed LOCA licensing analysis code (RELAP5-3DK/INER), which can cover all the phases of both large- and small LOCA in one code
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40 CFR Appendix II to Part 1042 - Steady-State Duty Cycles
2010-07-01
... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Steady-State Duty Cycles II Appendix..., App. II Appendix II to Part 1042—Steady-State Duty Cycles (a) The following duty cycles apply as specified in § 1042.505(b)(1): (1) The following duty cycle applies for discrete-mode testing: E3 mode No...
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Foreign body causing perforation of the appendix in an African boy ...
African Journals Online (AJOL)
Abstract. Foreign bodies in the appendix are a rare but well described clinical entity and may cause perforation. Presented here is the case of a 13yr old Ugandan boy who had features of acute appendicitis, was sent for appendicectomy and during the operation was found to have perforation of the appendix due to a seed.
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International Nuclear Information System (INIS)
Bullington, J.S.
1996-01-01
This proposed standard features guidance for dealing with the combination of fissile material and moderators in moderator control areas. The main points include nuclear criticality safety practices, encompassing administrative practices and process evaluations, and engineering practices, encompassing moderator control area barriers, equipment and containers, penetrations, fire prevention and suppression, and active engineered controls. Four appendixes follow the standard; the subject of these appendixes are typical moderating materials, potential sources of moderators, moderator control measurements, and engineered barriers to control moderators
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49 CFR Appendix A to Part 1035 - Uniform Straight Bill of Lading
2010-10-01
... 49 Transportation 8 2010-10-01 2010-10-01 false Uniform Straight Bill of Lading A Appendix A to Part 1035 Transportation Other Regulations Relating to Transportation (Continued) SURFACE... Appendix A to Part 1035—Uniform Straight Bill of Lading Uniform Straight Bill of Lading Original—Not...
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Feuerstein, Joseph D; Castillo, Natalia E; Siddique, Sana S; Lewandowski, Jeffrey J; Geissler, Kathy; Martinez-Vazquez, Manuel; Thukral, Chandrashekhar; Leffler, Daniel A; Cheifetz, Adam S
2016-03-01
Quality measures are used to standardize health care and monitor quality of care. In 2011, the American Gastroenterological Association established quality measures for inflammatory bowel disease (IBD), but there has been limited documentation of compliance from different practice settings. We reviewed charts from 367 consecutive patients with IBD seen at academic practices, 217 patients seen at community practices, and 199 patients seen at private practices for compliance with 8 outpatient measures. Records were assessed for IBD history, medications, comorbidities, and hospitalizations. We also determined the number of patient visits to gastroenterologists in the past year, whether patients had a primary care physician at the same institution, and whether they were seen by a specialist in IBD or in conjunction with a trainee, and reviewed physician demographics. A univariate and multivariate statistical analysis was performed to determine which factors were associated with compliance of all core measures. Screening for tobacco abuse was the most frequently assessed core measure (89.6% of patients; n = 701 of 783), followed by location of IBD (80.3%; n = 629 of 783), and assessment for corticosteroid-sparing therapy (70.8%; n = 275 of 388). The least-frequently evaluated measures were pneumococcal immunization (16.7% of patients; n = 131 of 783), bone loss (25%; n = 126 of 505), and influenza immunization (28.7%; n = 225 of 783). Only 5.8% of patients (46 of 783) had all applicable core measures documented (24 in academic practice, none in clinical practice, and 22 in private practice). In the multivariate model, year of graduation from fellowship (odds ratio [OR], 2.184; 95% confidence interval [CI], 1.522-3.134; P measures. We found poor documentation of IBD quality measures in academic, clinical, and private gastroenterology practices. Interventions are necessary to improve reporting of quality measures. Copyright © 2016 AGA Institute. Published by Elsevier Inc
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Stirling Space Engine Program. Volume 2; Appendixes A, B, C and D
Dhar, Manmohan
1999-01-01
The objective of this program was to develop the technology necessary for operating Stirling power converters in a space environment and to demonstrate this technology in full-scale engine tests. Volume 2 of the report includes the following appendices: Appendix A: Heater Head Development (Starfish Heater Head Program, 1/10th Segment and Full-Scale Heat Pipes, and Sodium Filling and Processing); Appendix B: Component Test Power Converter (CTPC) Component Development (High-temperature Organic Materials, Heat Exchanger Fabrication, Beryllium Issues, Sodium Issues, Wear Couple Tests, Pressure Boundary Penetrations, Heating System Heaters, and Cooler Flow Test); Appendix C: Udimet Testing (Selection of the Reference Material for the Space Stirling Engine Heater Head, Udimet 720LI Creep Test Result Update, Final Summary of Space Stirling Endurance Engine Udimet 720L1 Fatigue Testing Results, Udimet 720l1 Weld Development Summary, and Udimet 720L1 Creep Test Final Results Summary), and Appendix D: CTPC Component Development Photos.
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Practical application of the theory of errors in measurement
International Nuclear Information System (INIS)
Anon.
1991-01-01
This chapter addresses the practical application of the theory of errors in measurement. The topics of the chapter include fixing on a maximum desired error, selecting a maximum error, the procedure for limiting the error, utilizing a standard procedure, setting specifications for a standard procedure, and selecting the number of measurements to be made
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Using data to improve medical practice by measuring processes and outcomes of care.
Nelson, E C; Splaine, M E; Godfrey, M M; Kahn, V; Hess, A; Batalden, P; Plume, S K
2000-12-01
The purpose of this article is to help clinicians expand their use of data to improve medical practice performance and to do improvement research. Clinical practices can be viewed as small, complex organizations (microsystems) that produce services for specific patient populations. These services can be greatly improved by embedding measurement into the flow of daily work in the practice. WHY DO IT?: Four good reasons to build measures into daily medical practice are to (1) diagnose strengths and weaknesses in practice performance; (2) improve and innovate in providing care and services using improvement research; (3) manage patients and the practice; and (4) evaluate changes in results over time. It is helpful to have a "physiological" model of a medical practice to analyze the practice, to manage it, and to improve it. One model views clinical practices as microsystems that are designed to generate desired health outcomes for specific subsets of patients and to use resources efficiently. This article provides case study examples to show what an office-based practice might look like if it were using front-line measurement to improve care and services most of the time and to conduct clinical improvement research some of the time. WHAT ARE THE PRINCIPLES FOR USING DATA TO IMPROVE PROCESSES AND OUTCOMES OF CARE?: Principles reflected in the case study examples--such as "Keep Measurement Simple. Think Big and Start Small" and "More Data Is Not Necessarily Better Data. Seek Usefulness, Not Perfection, in Your Measures"--may help guide the development of data to study and improve practice. HOW CAN A PRACTICE START TO USE DATA TO IMPROVE CARE AND CONDUCT IMPROVEMENT RESEARCH?: Practical challenges are involved in starting to use data for enhancing care and improvement research. To increase the odds for success, it would be wise to use a change management strategy to launch the startup plan. Other recommendations include "Establish a Sense of Urgency. (Survival Is Not
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14 CFR Appendix A to Part 415 - FAA/USSPACECOM Launch Notification Form
2010-01-01
... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false FAA/USSPACECOM Launch Notification Form A Appendix A to Part 415 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LAUNCH LICENSE Pt. 415, App. A Appendix A to Part 415—FAA...
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38 CFR Appendix C to Part 200 - Actions Requiring Environmental Impact Statement
2010-07-01
... Environmental Impact Statement C Appendix C to Part 200 Pensions, Bonuses, and Veterans' Relief ARMED FORCES RETIREMENT HOME COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT Pt. 200, App. C Appendix C to Part 200—Actions Requiring Environmental Impact Statement The following actions are considered to be major Federal...
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20 CFR 404.1569 - Listing of Medical-Vocational Guidelines in appendix 2.
2010-04-01
... § 404.1569 Listing of Medical-Vocational Guidelines in appendix 2. The Dictionary of Occupational Titles... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Listing of Medical-Vocational Guidelines in appendix 2. 404.1569 Section 404.1569 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE...
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Appendix vermiformis as a left pyelo-ureteral substitute in a 6-month ...
African Journals Online (AJOL)
Extensive ureteral loss in early childhood is a rare but dramatic event. We present the case of a 6-monthold girl with a iatrogenic extensive pyelo-ureteral loss and solitary kidney. She successfully underwent left ureteral substitution using the appendix vermiformis. Left ureteral reconstruction using the appendix vermiformis ...
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12 CFR Appendix IV to Part 27 - Home Loan Data Submission
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Home Loan Data Submission IV Appendix IV to Part 27 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR HOUSING HOME LOAN DATA SYSTEM Pt. 27, App. IV Appendix IV to Part 27—Home Loan Data Submission ER21JN94.003 ER21JN94...
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Appendix C: safety design rationale
International Nuclear Information System (INIS)
Ghose, S.
1985-01-01
A brief discussion of the rationale for safety design of fusion plants is presented in the main text. Further detail safety considerations are presented in this appendix in the form of charts and tables. The author present some of the major safety criteria and other criteria used in blanket selection here
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32 CFR Appendix A to Part 45 - DD Form 214
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false DD Form 214 A Appendix A to Part 45 National... CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (DD FORM 214/5 SERIES) Pt. 45, App. A Appendix A to Part 45—DD Form 214 EC23OC91.003 EC23OC91.004 EC23OC91.005 EC23OC91.006 [54 FR 9985, Mar. 9, 1989] ...
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Practical Use of the Braking Attributes Measurements Results
Directory of Open Access Journals (Sweden)
Ondruš Ján
2017-01-01
Full Text Available This contribution deals with issues of braking the passenger car. The measurement of braking deceleration of the vehicle Kia Cee´d 1,6 16 V was carried out by an optical device Correvit system. The measurement was carried out on the airport of the village of Rosina located close to Zilina. 10 drivers of different age, praxis, and kilometers driven participated in the measurement. The measured process was the vehicle full braking with the service brake of the initial speed of approximately 50 km.h-1. Each of the drivers had 10 attempts. In the closure of this contribution the results of the performed measurements, their evaluation and comparison are presented. Practical result from the contribution is mainly the measurement set of braking deceleration of the respective vehicle during intensive braking.
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Long-term outcome of simple inversion of the appendix as an alternativeto incidental appendectomy
International Nuclear Information System (INIS)
Al-Masad, J.K.; Daoud, Faiez S.
2008-01-01
Inversion of the appendix is an alternative to incidental appendectomy toprevent future appendicitis. This study investigated outcome andcomplications in a group of patients who underwent simple inversion of theappendix. Inversion of the appendix was performed in 41 patients, including21 women (51%) and 20 men (49%) (mean age, 48.7 year; range 12-85 years). Asimple inversion technique was used in 65% of patients. Twenty-nine patientshad colonoscopy between 3 to 44 months after surgery (mean, 8 months), nonefor the sake of study. During the follow-up, none of the patients developedintussusceptions or rectal bleeding. Colonoscopy demonstrated an absentappendix in 9 patients (31%). In the remaining 20 patients (69%), theinverted appendix persisted with no obvious change on visualized mucosa.Neither intussusception nor hemorrhage was observed after simple inversion.In our view, persistence of the appendix is a welcome event since thepresence of the appendix may carry several benefits as it continues to workas a specialized organ, exerting an important physiological role infacilitating forward passage of colon contents, providing antibacterialfunctions and possibly playing a preventive role against development of colonand other cancers. (author)
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12 CFR Appendix G to Part 360 - Deposit-Customer Join File Structure
2010-01-01
..._Code Relationship CodeThe code indicating how the customer is related to the account. Possible values... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Deposit-Customer Join File Structure G Appendix... GENERAL POLICY RESOLUTION AND RECEIVERSHIP RULES Pt. 360, App. G Appendix G to Part 360—Deposit-Customer...
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10 CFR Appendix M to Part 110 - Categorization of Nuclear Material d
2010-01-01
... 10 Energy 2 2010-01-01 2010-01-01 false Categorization of Nuclear Material d M Appendix M to Part 110 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) EXPORT AND IMPORT OF NUCLEAR EQUIPMENT AND MATERIAL Pt. 110, App. M Appendix M to Part 110—Categorization of Nuclear Material d [From IAEA INFCIRC/225...
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Errors in practical measurement in surveying, engineering, and technology
International Nuclear Information System (INIS)
Barry, B.A.; Morris, M.D.
1991-01-01
This book discusses statistical measurement, error theory, and statistical error analysis. The topics of the book include an introduction to measurement, measurement errors, the reliability of measurements, probability theory of errors, measures of reliability, reliability of repeated measurements, propagation of errors in computing, errors and weights, practical application of the theory of errors in measurement, two-dimensional errors and includes a bibliography. Appendices are included which address significant figures in measurement, basic concepts of probability and the normal probability curve, writing a sample specification for a procedure, classification, standards of accuracy, and general specifications of geodetic control surveys, the geoid, the frequency distribution curve and the computer and calculator solution of problems
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Preliminary results from a numerical study on the appendix gap losses in a Stirling engine
DEFF Research Database (Denmark)
Andersen, Stig Kildegård; Carlsen, Henrik; Thomsen, Per Grove
2005-01-01
Analytical expressions for the losses in the displacer clearance gap, a.k.a. the appendix gap, have been refined during the last decades. But most real life Stirling engines violate the assumptions behind these expressions and hence the expressions may not be applicable. In this study the gap has...... been included directly into a one dimensional Stirling engine model. Practical aspects of the method, such as handling the moving wall in the gap while achieving an energy conserving model formulation and handling discontinuous derivatives in the equations, are discussed. A study on the convergence...... output of the engine....
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20 CFR 220.134 - Medical-vocational guidelines in appendix 2 of this part.
2010-04-01
... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Medical-vocational guidelines in appendix 2... THE RAILROAD RETIREMENT ACT DETERMINING DISABILITY Vocational Considerations § 220.134 Medical-vocational guidelines in appendix 2 of this part. (a) The Dictionary of Occupational Titles includes...
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7 CFR Appendix C to Part 226 - Child Nutrition (CN) Labeling Program
2010-01-01
...). EC17SE91.009 (c) The CN label statement includes the following: (1) The product identification number... 7 Agriculture 4 2010-01-01 2010-01-01 false Child Nutrition (CN) Labeling Program C Appendix C to.... C Appendix C to Part 226—Child Nutrition (CN) Labeling Program 1. The Child Nutrition (CN) Labeling...
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7 CFR Appendix C to Part 225 - Child Nutrition (CN) Labeling Program
2010-01-01
...). EC17SE91.006 (c) The CN label statement includes the following: (1) The product identification number... 7 Agriculture 4 2010-01-01 2010-01-01 false Child Nutrition (CN) Labeling Program C Appendix C to... Appendix C to Part 225—Child Nutrition (CN) Labeling Program 1. The Child Nutrition (CN) Labeling Program...
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30 CFR Appendix II to Subpart D of... - Appendix II to Subpart D of Part 18
2010-07-01
... LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Machines Assembled With Certified or Explosion-Proof Components, Field Modifications of Approved Machines, and Permits To Use Experimental Equipment Pt. 18, Subpt. D, App. II Appendix II to Subpart D of...
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Carcinoid tumor of the cecal appendix
International Nuclear Information System (INIS)
Collazo Mauri, Gilberto
2012-01-01
The carcinoid tumors of the cecal appendix are the most frequent of all appendicular tumors, with no clinical manifestations in general. The general objective of this paper was to present an interesting case of carcinoid tumor found in a 26 years-old woman, whose clinical picture was diagnosed as subacute appendicitis. She was hospitalized and treated with antibiotics with good recovery and discharged 10 days later. She had no abdominal tumors confirmed clinically and echographically at that time. Three months later, the patient was operated on and underwent cecal appendicectomy. The pathological anatomy analysis yielded argentaffinoma in the distal third of the cecal appendix with mucosal infiltration. She was referred to the oncology service to be followed up. She has been free from any complication with good recovery for 10 years. The annual ultrasound and the CT scan show that there is neither regional adenopathy nor hepatic metastasis
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Al-Katib, Sayf; Sokhandon, Farnoosh; Farah, Michael
2016-12-01
The primary objective of this study was to determine the clinical outcomes in cases of appendix nonvisualization with MRI in pregnant patients with suspected appendicitis and the implications of appendix nonvisualization for excluding appendicitis. Fifty-eight pregnant patients with suspected appendicitis evaluated with MRI at three centers from a single institution were retrospectively reviewed by three radiologists with varying levels of abdominal imaging experience. All scans were performed on a 1.5-Tesla Siemens unit. Cases were evaluated for diagnostic quality, visualization of the appendix, presence of appendicitis, and alternate diagnoses. Clinical outcomes were gathered from the electronic medical record. Of the 58 patients who underwent MRI for suspected appendicitis, 50 cases were considered adequate diagnostic quality by all three radiologists. The rate of appendix visualization among the three radiologists ranged from 60 to 76% (p = 0.44). The appendix was nonvisualized by at least one of the three radiologists in 25 cases (50%). Of these, none had a final diagnosis of appendicitis including one patient who underwent appendectomy. MRI suggested an alternate diagnosis in 6 (24%) patients with appendix nonvisualization. For the three reviewers, the agreement level on whether or not the appendix was visualized on the MRI had a Light's kappa value of 0.526, indicating a "moderate" level of agreement (p value appendicitis confers a significant reduction in the risk of appendicitis compared to all comers as long as the study is adequate diagnostic quality and there are no secondary signs of appendicitis present.
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Energy Technology Data Exchange (ETDEWEB)
Keuneke, Rita; Dumont, Ulrich [Ingenieurbuero Floecksmuehle, Aachen (Germany)
2011-11-15
The contribution under consideration is the first appendix to the environmental research plan of the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (Berlin, Federal Republic of Germany) on ''Hydropower and Water Framework Directive''. This appendix contains a description of the locations in the tributaries of the German river Weser.
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12 CFR Appendix I to Part 27 - Monthly Home Loan Activity Format
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Monthly Home Loan Activity Format I Appendix I to Part 27 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR HOUSING HOME LOAN DATA SYSTEM Pt. 27, App. I Appendix I to Part 27—Monthly Home Loan Activity Format EC22SE91...
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12 CFR Appendix A to Subpart A of... - Federal Home Loan Banks
2010-01-01
... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Federal Home Loan Banks A Appendix A to Subpart... Board Pt. 905, Subpt. A, App. A Appendix A to Subpart A of Part 905—Federal Home Loan Banks Federal Home Loan Bank District 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont) Federal...
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Columbia River final environmental impact statement. Appendix B: Air quality
International Nuclear Information System (INIS)
1995-11-01
The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. This appendix consists of eight chapters. Chapter 1 describes the air quality issues that were raised in the SOR scoping process and provides an overview of the study process used to evaluate air quality effects from various system operation alternatives. Chapter 2 describes the Federal, state, and local programs that regulate air quality and discusses the air quality standards that are relevant to the analysis. It also gives an overview of the limatology of the region and the existing air quality in the Columbia River Basin, including areas of non-attainment for relevant air quality standards. Chapter 3 presents the methods this study uses for the analysis of air quality and for the evaluation of human health effects from air pollutants. Chapter 4 provides the study results for the System Operating Strategy (SOS) alternatives and potential mitigation measures. Chapter 5 compares impacts on air quality and human health across alternatives, and discusses mitigation measures and cumulative effects. Chapters 6, 7, and 8 contain the list of preparers, glossary, and references, respectively. Technical exhibits supporting the analysis are also included
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The environmental survey manual: Appendix D
International Nuclear Information System (INIS)
1987-08-01
The purpose of this manual is to provide guidance to the Survey and Sampling and Analysis teams that conduct the one-time Environmental Survey of the major US Department of Energy operating facilities. This appendix contains procedures for chemical analysis of organics, inorganics, and radioisotopes
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Torsion of the Vermiform Appendix: A Case Report and Review of Literature
Hassan, Wan Amir Wan; Tay, Yeng Kwang; Ghadiri, Marjan
2018-01-01
Patient: Male, 30 Final Diagnosis: Torsion of appendix Symptoms: Abdominal pain • anorexia • nausea Medication: — Clinical Procedure: Laparoscopic appendicectomy Specialty: Surgery Objective: Rare disease Background: Torsion of the vermiform appendix is a rare condition that presents with symptoms analogous to those of common acute appendicitis; therefore, it is often diagnosed during surgery. It was first described by Payne et al. in 1918. Since then, there has been wide recognition of a primary and a secondary form of the condition, affecting both the pediatric and adult populations. We present a case of an adult patient and conducted a literature review in the adult demographic. Case Report: We report the case of a 30-year-old man who presented with clinically acute appendicitis. Laparoscopically, we diagnosed a torsion of the vermiform appendix secondary to a mucocele process. Histology confirmed a low-grade mucinous cystoadenoma, with a hemorrhagic necrosis of the wall, in keeping with torsion. Conclusions: Torsion of the vermiform appendix is a rare condition that presents similar to acute appendicitis, and therefore is often diagnosed intraoperatively. Since first described, 33 cases in adults were identified in the English literature, and recognition of a primary or secondary form has emerged. Preoperative radiological imaging is rarely useful in diagnosis. To the best of our knowledge, this is the eighth reported case in the English literature of a torsion of the vermiform appendix secondary to a mucinous cystoadenoma. PMID:29588439
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Process-oriented performance indicators for measuring ecodesign management practices
DEFF Research Database (Denmark)
Rodrigues, Vinicius Picanco; Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.
2016-01-01
In order to support ecodesign performance measurement from a business perspective, this paper performs an exploration of available process-oriented indicators to be applied to ecodesign management practices. With the Ecodesign Maturity Model as a background framework, a systematic literature review...... coupled with a cross-content analysis was carried out to assign proper indicators to the practices. Results show that the currently available indicators do not fully reflect the characteristics of ecodesign and there is significant room for improving the development of tailor-made indicators....
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17 CFR Appendix A to Part 37 - Guidance on Compliance With Registration Criteria
2010-04-01
... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Guidance on Compliance With Registration Criteria A Appendix A to Part 37 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION DERIVATIVES TRANSACTION EXECUTION FACILITIES Pt. 37, App. A Appendix A to Part 37—Guidance on...
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40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose
2010-07-01
... SPENT NUCLEAR FUEL, HIGH-LEVEL AND TRANSURANIC RADIOACTIVE WASTES Pt. 191, App. B Appendix B to Part 191... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Calculation of Annual Committed Effective Dose B Appendix B to Part 191 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED...
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Measures of Rheumatoid Arthritis Disease Activity in Australian Clinical Practice
Taylor, Andrew; Bagga, Hanish
2011-01-01
Objectives. To investigate which rheumatoid arthritis (RA) disease activity measures are being collected in patients receiving glucocorticoids, non-biologic or biologic disease-modifying antirheumatic drugs (DMARDs) in Australian rheumatology practice. Methods. A retrospective audit of medical records was conducted from eight rheumatology practices around Australia. Each rheumatologist recruited 30 consecutive eligible patients into the review, 10 of whom must have been receiving a biological...
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Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
Directory of Open Access Journals (Sweden)
Celia Laur
2016-10-01
Full Text Available Understanding the knowledge, attitudes, and practices (KAP of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1 and assess the administration and discriminative potential (study 2 of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5, and tested for reliability (n = 35. Kappa and Intraclass Correlation (ICC were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189. Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA and the practice (P subscales are reliable (KA: ICC = 0.69 95% CI 0.45–0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68−0.92, F = 11.12, p < 0.0001. Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51–124 with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital.
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Zhu, Jason; Zhang, Tian; Shah, Radhika; Kamal, Arif H; Kelley, Michael J
2015-12-01
Quality improvement measures are uniformly applied to all oncology providers, regardless of their roles. Little is known about differences in adherence to these measures between oncology fellows, advance practice providers (APP), and attending physicians. We investigated conformance across Quality Oncology Practice Initiative (QOPI) measures for oncology fellows, advance practice providers, and attending physicians at the Durham Veterans Affairs Medical Center (DVAMC). Using data collected from the Spring 2012 and 2013 QOPI cycles, we abstracted charts of patients and separated them based on their primary provider. Descriptive statistics and the chi-square test were calculated for each QOPI measure between fellows, advanced practice providers (APPs), and attending physicians. A total of 169 patients were reviewed. Of these, 31 patients had a fellow, 39 had an APP, and 99 had an attending as their primary oncology provider. Fellows and attending physicians performed similarly on 90 of 94 QOPI metrics. High-performing metrics included several core QOPI measures including documenting consent for chemotherapy, recommending adjuvant chemotherapy when appropriate, and prescribing serotonin antagonists when prescribing emetogenic chemotherapies. Low-performing metrics included documentation of treatment summary and taking action to address problems with emotional well-being by the second office visit. Attendings documented the plan for oral chemotherapy more often (92 vs. 63%, P=0.049). However, after the chart audit, we found that fellows actually documented the plan for oral chemotherapy 88% of the time (p=0.73). APPs and attendings performed similarly on 88 of 90 QOPI measures. The quality of oncology care tends to be similar between attendings and fellows overall; some of the significant differences do not remain significant after a second manual chart review, highlighting that the use of manual data collection for QOPI analysis is an imperfect system, and there may
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Codifference as a practical tool to measure interdependence
Wyłomańska, Agnieszka; Chechkin, Aleksei; Gajda, Janusz; Sokolov, Igor M.
2015-03-01
Correlation and spectral analysis represent the standard tools to study interdependence in statistical data. However, for the stochastic processes with heavy-tailed distributions such that the variance diverges, these tools are inadequate. The heavy-tailed processes are ubiquitous in nature and finance. We here discuss codifference as a convenient measure to study statistical interdependence, and we aim to give a short introductory review of its properties. By taking different known stochastic processes as generic examples, we present explicit formulas for their codifferences. We show that for the Gaussian processes codifference is equivalent to covariance. For processes with finite variance these two measures behave similarly with time. For the processes with infinite variance the covariance does not exist, however, the codifference is relevant. We demonstrate the practical importance of the codifference by extracting this function from simulated as well as real data taken from turbulent plasma of fusion device and financial market. We conclude that the codifference serves as a convenient practical tool to study interdependence for stochastic processes with both infinite and finite variances as well.
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Validation of an instrument to measure inter-organisational linkages in general practice.
Amoroso, Cheryl; Proudfoot, Judith; Bubner, Tanya; Jayasinghe, Upali W; Holton, Christine; Winstanley, Julie; Beilby, Justin; Harris, Mark F
2007-12-03
Linkages between general medical practices and external services are important for high quality chronic disease care. The purpose of this research is to describe the development, evaluation and use of a brief tool that measures the comprehensiveness and quality of a general practice's linkages with external providers for the management of patients with chronic disease. In this study, clinical linkages are defined as the communication, support, and referral arrangements between services for the care and assistance of patients with chronic disease. An interview to measure surgery-level (rather than individual clinician-level) clinical linkages was developed, piloted, reviewed, and evaluated with 97 Australian general practices. Two validated survey instruments were posted to patients, and a survey of locally available services was developed and posted to participating Divisions of General Practice (support organisations). Hypotheses regarding internal validity, association with local services, and patient satisfaction were tested using factor analysis, logistic regression and multilevel regression models. The resulting General Practice Clinical Linkages Interview (GP-CLI) is a nine-item tool with three underlying factors: referral and advice linkages, shared care and care planning linkages, and community access and awareness linkages. Local availability of chronic disease services has no affect on the comprehensiveness of services with which practices link, however, comprehensiveness of clinical linkages has an association with patient assessment of access, receptionist services, and of continuity of care in their general practice. The GP-CLI may be useful to researchers examining comparable health care systems for measuring the comprehensiveness and quality of linkages at a general practice-level with related services, possessing both internal and external validity. The tool can be used with large samples exploring the impact, outcomes, and facilitators of high
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Directory of Open Access Journals (Sweden)
Ahmad Ghorbani
2014-01-01
Full Text Available Vermiform appendix has diverse anatomical positions, lengths, and conditions of mesoappendix. Knowing the exact anatomical position of vermiform appendix is important in view of surgeons for on-time diagnosis and management of acute appendicitis. The aim of present study is determination of these characteristics of vermiform appendix among Iranian population. The present study was conducted on 200 bodies, selected from the dead bodies that had been referred to local bureau of legal medicine, Zenjan province, Iran, for medicolegal autopsy since 21 Mar 2010 to 21 Mar 2011. According to the results, the anatomical positions of the appendix were pelvic, subcecal, retroileal, retrocecal, ectopic, and preileal in 55.8%, 19%, 12.5%, 7%, 4.2%, and 1.5% of the bodies, respectively. The mean length of vermiform appendix was 91.2 mm and 80.3 mm in men and women, respectively. Mesoappendix was complete in 79.5% of the bodies. No association was found between sex and anatomical position of vermiform appendix. Anterior anatomical position was the most common position for vermiform appendix. It is inconsistent with most related reports from western countries. It might be possible that some factors, such as race, geographical changes, and dietary habits, play roles in determining the position of vermiform appendix.
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12 CFR Appendix B to Part 411 - Disclosure Form To Report Lobbying
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Disclosure Form To Report Lobbying B Appendix B to Part 411 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING Pt. 411, App. B Appendix B to Part 411—Disclosure Form To Report Lobbying EC23SE91.003 EC23SE91.004...
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15 CFR Appendix A to Chapter Xx - Administration of the Trade Agreements Program
2010-01-01
... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Administration of the Trade Agreements Program A Appendix A to Chapter XX Commerce and Foreign Trade Regulations Relating to Foreign Trade Agreements OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE Ch. XX, App. A Appendix A to Chapter XX...
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40 CFR Appendix A to Subpart E of... - Plans for Selective Enforcement Auditing
2010-07-01
... Auditing A Appendix A to Subpart E of Part 1068 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Auditing Pt. 1068, Subpt. E, App. A Appendix A to Subpart E of Part 1068—Plans for Selective Enforcement Auditing The following tables describe sampling plans for selective enforcement audits, as described in...
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24 CFR Appendix A to Part 1000 - Indian Housing Block Grant Formula Mechanics
2010-04-01
... Mechanics A Appendix A to Part 1000 Housing and Urban Development Regulations Relating to Housing and Urban... Housing Block Grant Formula Mechanics This appendix shows the different components of the IHBG formula... is the greater of a tribe's Allowable Expense Level (AEL) or Fair Market Rent (FMR) factor, where the...
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10 CFR Appendix A to Part 20 - Assigned Protection Factors for Respirators a
2010-01-01
... internal dose due to inhalation may, in addition, present external exposure hazards at higher... 10 Energy 1 2010-01-01 2010-01-01 false Assigned Protection Factors for Respirators a A Appendix A..., App. A Appendix A to Part 20—Assigned Protection Factors for Respirators a Operating mode Assigned...
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41 CFR Appendix A to Subpart C of... - 3-Key Points and Principles
2010-07-01
... Principles A Appendix A to Subpart C of Part 102 Public Contracts and Property Management Federal Property... 102-3—Key Points and Principles This appendix provides additional guidance in the form of answers to frequently asked questions and identifies key points and principles that may be applied to situations not...
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Thermal shock experiment analysis, the use of crack arrest toughness measurements
International Nuclear Information System (INIS)
Miannay, D.; Pellissier-Tanon, A.; Chavaillard, J.P.
1984-06-01
The main purpose of thermal shock experiment is to assess the procedure codified in the ASME XI appendix 1 or RCC-M-B appendix ZG, and allow comparisons with numerical simulations. The analysis of the integrity of the PWR vessel belt line under accidental transients is based on reference curves. The test-piece is a cylinder of SA 508 cl.3 steel. Arrest toughness measured agrees with reference curve
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Use of standardized outcome measures in physical therapist practice: perceptions and applications.
Jette, Diane U; Halbert, James; Iverson, Courtney; Miceli, Erin; Shah, Palak
2009-02-01
Standardized instruments for measuring patients' activity limitations and participation restrictions have been advocated for use by rehabilitation professionals for many years. The available literature provides few recent reports of the use of these measures by physical therapists in the United States. The primary purpose of this study was to determine: (1) the extent of the use of standardized outcome measures and (2) perceptions regarding their benefits and barriers to their use. A secondary purpose was to examine factors associated with their use among physical therapists in clinical practice. The study used an observational design. A survey questionnaire comprising items regarding the use and perceived benefits and barriers of standardized outcome measures was sent to 1,000 randomly selected members of the American Physical Therapy Association (APTA). Forty-eight percent of participants used standardized outcome measures. The majority of participants (>90%) who used such measures believed that they enhanced communication with patients and helped direct the plan of care. The most frequently reported reasons for not using such measures included length of time for patients to complete them, length of time for clinicians to analyze the data, and difficulty for patients in completing them independently. Use of standardized outcome measures was related to specialty certification status, practice setting, and the age of the majority of patients treated. The limitations included an unvalidated survey for data collection and a sample limited to APTA members. Despite more than a decade of development and testing of standardized outcome measures appropriate for various conditions and practice settings, physical therapists have some distance to go in implementing their use routinely in most clinical settings. Based on the perceived barriers, alterations in practice management strategies and the instruments themselves may be necessary to increase their use.
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Insightful practice: a reliable measure for medical revalidation
Guthrie, Bruce; Sullivan, Frank M; Mercer, Stewart W; Russell, Andrew; Bruce, David A
2012-01-01
Background Medical revalidation decisions need to be reliable if they are to reassure on the quality and safety of professional practice. This study tested an innovative method in which general practitioners (GPs) were assessed on their reflection and response to a set of externally specified feedback. Setting and participants 60 GPs and 12 GP appraisers in the Tayside region of Scotland, UK. Methods A feedback dataset was specified as (1) GP-specific data collected by GPs themselves (patient and colleague opinion; open book self-evaluated knowledge test; complaints) and (2) Externally collected practice-level data provided to GPs (clinical quality and prescribing safety). GPs' perceptions of whether the feedback covered UK General Medical Council specified attributes of a ‘good doctor’ were examined using a mapping exercise. GPs' professionalism was examined in terms of appraiser assessment of GPs' level of insightful practice, defined as: engagement with, insight into and appropriate action on feedback data. The reliability of assessment of insightful practice and subsequent recommendations on GPs' revalidation by face-to-face and anonymous assessors were investigated using Generalisability G-theory. Main outcome measures Coverage of General Medical Council attributes by specified feedback and reliability of assessor recommendations on doctors' suitability for revalidation. Results Face-to-face assessment proved unreliable. Anonymous global assessment by three appraisers of insightful practice was highly reliable (G=0.85), as were revalidation decisions using four anonymous assessors (G=0.83). Conclusions Unlike face-to-face appraisal, anonymous assessment of insightful practice offers a valid and reliable method to decide GP revalidation. Further validity studies are needed. PMID:22653078
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Slotboom, T.; Hamminga, J. T. H.; Hofker, H. S.; Heineman, E.; Haveman, J. W.
2014-01-01
Background: Diagnostic laparoscopy is the ultimate tool to evaluate the appendix. However, the intraoperative evaluation of the appendix is difficult, as the negative appendectomy rate remains 12%-18%. The aim of this study is to analyze the intraoperative motive for performing a laparoscopic
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39 CFR Appendix A to Part 121 - Tables Depicting Service Standard Day Ranges
2010-07-01
... 39 Postal Service 1 2010-07-01 2010-07-01 false Tables Depicting Service Standard Day Ranges A Appendix A to Part 121 Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES [DOMESTIC MAIL] SERVICE STANDARDS FOR MARKET-DOMINANT MAIL PRODUCTS Pt. 121, App. A Appendix A to Part 121—Tables...
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41 CFR Appendix A to Subpart D of... - 3-Key Points and Principles
2010-07-01
... Principles A Appendix A to Subpart D of Part 102 Public Contracts and Property Management Federal Property... Subpart D of Part 102-3—Key Points and Principles This appendix provides additional guidance in the form of answers to frequently asked questions and identifies key points and principles that may be applied...
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Primary lymphoma of appendix: Ultrasound finding
International Nuclear Information System (INIS)
Sotillos Parra, V.E.; Belda Serrano, J.; Mota Castilla, A.; Falomir Gil, G.; Abreu Maqueda, V.; Trigueris Sanchez, M.; Hernandez Barcelo, J.E.; Martinez Diaz, F.
1994-01-01
We present an uncommon case of primary lymphoma of the appendix in a patient who complained of discomfort in lower right quadrant. The findings revealed by ultrasound, barium enema and CT scan are reported and the diagnostic aspects of this appendiceal tumor and others are discussed. (Author) 6 refs
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Appendix - A small scale research review
DEFF Research Database (Denmark)
Larsen, Lea Lund
over two questions asked in the abstract concerning workshop C - Effects of teacher training in lifelong learning - at the current ASEM conference. At first it is asked what do we already know about teacher training effects in relation to adult learners? This will be identified by a search...... for systematic reviews in the international This will be identified by a search for systematic reviews in the international clearinghouses and afterwards by a small scale mapping done in the pedagogic databaseERIC. The second question sounds: which methods can be used to measure the effects of teacher...... training? This will be illustrated by describing a research design in progress at the National Centre of Competence Development, DK, regarding a program where teachers are taught Cooperative Learning as a pedagogical and didactical method. This appendix concerns the first question. In search for empiric results concerning: What do...
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Measuring Cutaneous Lesions: Trends in Clinical Practice.
Zhang, Shali; Blalock, Travis W
2018-03-01
Knowing the size of a cutaneous lesion can be important for tracking its progression over time, selecting the proper treatment modality, surgical planning, determining prognosis, and accurate billing. However, providers vary in their consistency, accuracy, and methods of measuring cutaneous lesions. To investigate the clinical practices of US dermatologists and dermatologic surgeons regarding how they determine the size of cutaneous lesions. A survey was electronically distributed to members of the American Society for Dermatologic Surgery. Four hundred twenty-six dermatologists completed the online survey. When a lesion is suspected to be malignant, 85% of respondents obtained exact measurements most, if not all, of the time; however, only 8% did for benign lesions. Most providers determined lesion sizes themselves rather than delegating to staff. When performing visual estimation, approximately three-quarters believed that they were accurate to within 1 to 2 mm. The top reasons for obtaining exact measurements were for tracking atypical pigmented lesions, determining treatment pathways, and accurate billing. The majority of respondents believed that lesion size affected management decisions; however, the need for exact measurement remains controversial, particularly for benign lesions. Future studies may investigate whether taking exact versus estimated measurements has an effect on outcomes.
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Practical course on reactor instrumentation
International Nuclear Information System (INIS)
Boeck, H.; Villa, M.
2004-06-01
This course is based on the description of the instrumentation of the TRIGA-reactor Vienna, which is used for training research and isotope production. It comprises the following chapters: 1. instrumentation, 2. calibration of the nuclear channels, 3. rod drop time of the control rods, 4. neutron flux density measurements using compensated ionization, 5. neutron flux density measurement with fission chambers (FC), 6. neutron flux density measurement with self-powered neutron detectors (SPND), 7. pressurized water reactor simulator, 8. verification of the radiation level during reactor operation. There is one appendix about neutron-sensitive thermocouples. (nevyjel)
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42 CFR Appendix A to Part 130 - Definition of HIV Infection or HIV
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Definition of HIV Infection or HIV A Appendix A to... PAYMENTS RICKY RAY HEMOPHILIA RELIEF FUND PROGRAM Pt. 130, App. A Appendix A to Part 130—Definition of HIV Infection or HIV ER31MY00.000 ER31MY00.001 ...
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45 CFR Appendix B to Part 73 - Code of Ethics for Government Service
2010-10-01
... 45 Public Welfare 1 2010-10-01 2010-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...
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Directory of Open Access Journals (Sweden)
Şükrü Şanlı
2014-03-01
Full Text Available Acute appendicitis is one of the more common surgical emergencies, and it is one of the most common causes of acute abdominal pain. Intestinal lipomatosis is a rare condition particularly the isolated form of lipomatosis of the appendix which may mimic or present as an acute appendicitis, that frequently requires the surgical exploration.In this paper, we report computed tomography findings of a case wıth isolated form of submucosal lipomatosis of appendix.
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Validation of an instrument to measure inter-organisational linkages in general practice
Directory of Open Access Journals (Sweden)
Cheryl Amoroso
2007-11-01
Full Text Available Purpose: Linkages between general medical practices and external services are important for high quality chronic disease care. The purpose of this research is to describe the development, evaluation and use of a brief tool that measures the comprehensiveness and quality of a general practice’s linkages with external providers for the management of patients with chronic disease. In this study, clinical linkages are defined as the communication, support, and referral arrangements between services for the care and assistance of patients with chronic disease. Methods: An interview to measure surgery-level (rather than individual clinician-level clinical linkages was developed, piloted, reviewed, and evaluated with 97 Australian general practices. Two validated survey instruments were posted to patients, and a survey of locally available services was developed and posted to participating Divisions of General Practice (support organisations. Hypotheses regarding internal validity, association with local services, and patient satisfaction were tested using factor analysis, logistic regression and multilevel regression models. Results: The resulting General Practice Clinical Linkages Interview (GP-CLI is a nine-item tool with three underlying factors: referral and advice linkages, shared care and care planning linkages, and community access and awareness linkages. Local availability of chronic disease services has no affect on the comprehensiveness of services with which practices link, however comprehensiveness of clinical linkages has an association with patient assessment of access, receptionist services, and of continuity of care in their general practice. Conclusions: The GP-CLI may be useful to researchers examining comparable health care systems for measuring the comprehensiveness and quality of linkages at a general practice-level with related services, possessing both internal and external validity. The tool can be used with large samples
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Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
Directory of Open Access Journals (Sweden)
Markus Gass
2013-01-01
Full Text Available The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.
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Caries preventive measures used in orthodontic practices: an evidence-based decision?
Derks, A.; Kuijpers-Jagtman, A.M.; Frencken, J.E.F.M.; Hof, M.A. van 't; Katsaros, C.
2007-01-01
INTRODUCTION: Although it is well known that treatment with fixed appliances increases the risk of enamel demineralization, little information is available about preventive measures that orthodontists actually use. This study was executed to survey measures used in orthodontic practices to prevent
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Charter of good practices in industrial radiography
International Nuclear Information System (INIS)
2010-01-01
This document describes good practices in the field of industrial radiography. After having presented the main prevention and radiation protection principles, the actors inside and outside of the company, and actors intervening during an operation subcontracting in industrial radiography, this report analyzes the activity: prerequisites for work preparation, prevention coordination, work preparation, transportation, work achievement, return on experience. It addresses personnel training and information, and the dosimetric and medical monitoring of technicians in industrial radiography. Some aspects are addressed in appendix: principles (justification, optimization, and limitation), regulations, intervention form, exposure form, and so on
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Sahami, S.; Kooij, I. A.; Meijer, S. L.; van den Brink, G. R.; Buskens, C. J.; te Velde, A. A.
2016-01-01
The human appendix has long been considered as a vestigial organ, an organ that has lost its function during evolution. In recent years, however, reports have emerged that link the appendix to numerous immunological functions in humans. Evidence has been presented for an important role of the
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Energy 21. Preconditions and results. Appendix
Energy Technology Data Exchange (ETDEWEB)
NONE
1998-03-01
This appendix comprises the following 5 scenarios: Reference scenario for electricity and district heating supply; Action plan scenario for electricity and district heat supply; Energy balances for reference and action plan scenarios; Investments and operating costs for user installations; Projection of CO{sub 2} emissions from the transport sector. (EG)
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Energy Technology Data Exchange (ETDEWEB)
Davis, John; Kopelman, Tammy R. [Maricopa Integrated Health System, Maricopa Medical Center Department of Surgery, Phoenix, AZ (United States); Roh, Albert T.; Matz, Samantha L.; Gridley, Daniel G.; Connell, Mary J. [Maricopa Integrated Health System, Maricopa Medical Center Department of Radiology, Phoenix, AZ (United States); Petterson, Matthew B. [University of Arizona College of Medicine, Phoenix, AZ (United States)
2017-03-15
Computed tomography (CT) is commonly used to evaluate suspected acute appendicitis. Although very effective, CT uses ionizing radiation, exposing patients to an increased risk of cancer. This study assessed the potential for decreasing the field of view of the CT (and therefore the dose to the patient) in the evaluation of suspected acute appendicitis in children. This study was a retrospective review of prospectively collected data from 212 consecutive patients who underwent CT for suspected acute appendicitis. The most superior aspect of the appendix with respect to vertebral bodies was recorded. Age, gender and diagnosis (negative, acute appendicitis or alternative diagnosis) were noted. The appendix was visualized in 190 of 212 subjects (89.6%). Overall, all visualized appendixes were located at or below the level of L1. Sixty-three of the subjects (29.7%) were diagnosed with acute appendicitis via CT imaging. All appendixes in patients with acute appendicitis were located at or below the level of the L3 vertebral body, predominating at the level of L5. Six subjects (3.1%) received alternative diagnoses, including pneumonia, pyelonephritis, small bowel obstruction and infected urachal cyst. There were no differences in appendix location with regard to diagnosis, gender, or age (P=0.664, 0.748 and 0.705, respectively). CT field of view may be decreased to the level of L1 or L3 superiorly, decreasing radiation dose without affecting the rate of appendix visualization. (orig.)
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1993 Pacific Northwest Loads and Resources Study, Technical Appendix: Volume 2, Book 1, Energy.
Energy Technology Data Exchange (ETDEWEB)
United States. Bonneville Power Administration.
1993-12-01
The 1993 Pacific Northwest Loads and Resources Study establishes the Bonneville Power Administration`s (BPA) planning basis for supplying electricity to BPA customers. The Loads and Resources Study is presented in three documents: (1) this technical appendix detailing loads and resources for each major Pacific and Northwest generating utility, (2) a summary of Federal system and Pacific Northwest region loads and resources, and (3) a technical appendix detailing forecasted Pacific Northwest economic trends and loads. This analysis updates the 1992 Pacific Northwest Loads and Resources Study Technical Appendix published in December 1992. This technical appendix provides utility-specific information that BPA uses in its long-range planning. It incorporates the following for each utility (1) Electrical demand firm loads; (2) Generating resources; and (3) Contracts both inside and outside the region. This document should be used in combination with the 1993 Pacific Northwest Loads and Resources Study, published in December 1993, because much of the information in that document is not duplicated here.
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Performance Demonstration Initiative U.S. implementation of ASME B and PV code section 11 Appendix 8
International Nuclear Information System (INIS)
Becker, F.L.; Ammirato, F.; Huffman, K.
1994-01-01
New requirements have now been added to Section 11 as mandatory Appendix 8, ''Performance Demonstration Requirements for Ultrasonic Examination systems''. The appendix was recently published and incorporates performance demonstration requirements for ultrasonic examination equipment, procedures, and personnel. These new requirements will have far reaching and significant impact on the conduct of ISI at all nuclear power plants. For the first time since Section 11 was issued in 1970, the effectiveness of ultrasonic examination procedures and the proficiency of examiners must be demonstrated on reactor pressure vessel (RPV), piping, and bolting markups containing real flaws, Recognizing the importance and complexity of Appendix 8 implementation, representatives from all US nuclear utilities have formed the Performance Demonstration Initiative (PDI) to implement Appendix 8 to provide for uniform implementation
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Eapen, Zubin J; Tang, Fengming; Jones, Phil G; Maddox, Thomas M; Oetgen, William J; Spertus, John A; Rumsfeld, John S; Heidenreich, Paul A; Peterson, Eric D; Drozda, Joseph P
2015-06-01
Million Hearts is a national initiative to prevent 1 million heart attacks and strokes over 5 years by improving cardiovascular prevention. An important tool in the success of programs like Million Hearts is public ranking on the quality of practices, yet different measures may provide different rankings, so the true quality of practices is difficult to discern. We evaluated the quality of ambulatory cardiology care using performance measure metrics. We compared rankings of practices participating in the National Cardiovascular Data Registry's Practice Innovation and Clinical Excellence Registry using measures from (1) the physician quality reporting system and (2) the American College of Cardiology/American Heart Association/Physician Consortium for Performance Improvement. We compared achievement rates for measures between the 2 frameworks and determined correlations in rankings using Spearman correlation coefficients. From January 1, 2008 to December 31, 2012, there were 1,711,326 patients enrolled from 111 US practices. Among eligible patients, the physician quality reporting system and American College of Cardiology/American Heart Association/Physician Consortium for Performance Improvement measures were achieved in 76.1% versus 77.4% for antiplatelet prescription (P performance and failing to achieve public health goals. Copyright © 2015 Elsevier Inc. All rights reserved.
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14 CFR Appendix H to Part 36 - Noise Requirements For Helicopters Under Subpart H
2010-01-01
... Subpart H H Appendix H to Part 36 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT NOISE STANDARDS: AIRCRAFT TYPE AND AIRWORTHINESS CERTIFICATION Pt. 36, App. H Appendix H to Part 36—Noise Requirements For Helicopters Under Subpart H part a—reference conditions Sec. H36...
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49 CFR Appendix E to Part 26 - Individual Determinations of Social and Economic Disadvantage
2010-10-01
... Disadvantage E Appendix E to Part 26 Transportation Office of the Secretary of Transportation PARTICIPATION BY... Appendix E to Part 26—Individual Determinations of Social and Economic Disadvantage The following guidance... disadvantage determinations (see 13 CFR 124.103(c) and 124.104). Social Disadvantage I. Socially disadvantaged...
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29 CFR Appendix II to Part 1918 - Tables for Selected Miscellaneous Auxiliary Gear (Mandatory)
2010-07-01
... 29 Labor 7 2010-07-01 2010-07-01 false Tables for Selected Miscellaneous Auxiliary Gear (Mandatory) II Appendix II to Part 1918 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND.... 1918, App. II Appendix II to Part 1918—Tables for Selected Miscellaneous Auxiliary Gear (Mandatory...
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Ohio State Univ., Columbus. National Center for Research in Vocational Education.
Twenty-five appendixes from a study attempting to match capabilities of the handicapped to the human attribute requirements of three jobs (general secretary, automotive mechanic, and business data programmer) are presented. Appendixes include information on such topics as data analysis for identification of key tasks; job descriptions for the…
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Safety measuring for sodium handling
Energy Technology Data Exchange (ETDEWEB)
Jeong, Ji Young; Jeong, K C; Kim, T J; Kim, B H; Choi, J H
2001-09-01
This is the report for the safety measures of sodium handling. These contents are prerequisites for the development of sodium technology and thus the workers participate in sodium handling and experiments have to know them perfectly. As an appendix, the relating parts of the laws are presented.
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Safety standards, legislation and codes of practice for fuel cell manufacture and operation
Energy Technology Data Exchange (ETDEWEB)
Wilcox, C.P.
1999-07-01
This report examines safety standards, legislation and codes of practice for fuel cell manufacture and operation in the UK, Europe and internationally. Management of health and safety in the UK is discussed, and the characteristics of phosphoric acid (PAFC), proton exchange membrane (PEM), molten carbonate (MCFC), solid oxide (SOFC) fuel cells are described. Fuel cell power plant standards and manufacture in the UK, design and operational considerations, end of life disposal, automotive fuel cell system, and fuelling and vehicular concerns are explored, and standards, legislation and codes of practice are explained in the appendix.
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32 CFR Appendix to Part 162 - Reporting Procedures
2010-07-01
... ENHANCING CAPITAL INVESTMENT (PECI) Pt. 162, App. A Appendix to Part 162—Reporting Procedures A. General The.... Total Projected Life-Cycle Cost Avoidance. 4. PIA Post-Investment assessments, articles, pictures, and...
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Adenocarcinoid of the vermiform appendix. A clinicopathologic study of 20 cases
DEFF Research Database (Denmark)
Bak, Martin; Asschenfeldt, P
1988-01-01
Adenocarcinoid of the appendix is a tumor that shares the histologic features of both carcinoids and adenocarcinomas. The metastatic ability of the tumor is uncertain. Twenty consecutive cases of adenocarcinoids were compared with 88 cases of conventional appendiceal carcinoids. Metastatic tumor...... by hemicolectomy. Adenocarcinoids showing moderate or severe nuclear atypia, a mitotic count of two or more mitoses/10 high power fields, or spread beyond the appendix should be treated by hemicolectomy. If these features are not present, simple appendectomy is adequate....
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First case of a vermiform appendix duplication type A volvulus: A very rare cause of acute abdomen
Directory of Open Access Journals (Sweden)
Gustavo H. Peniche González
2015-09-01
Full Text Available The duplication of the vermiform appendix is a rare anatomical variant. Most of the cases reported with symptomatology of appendicitis and the finding of a duplication of vermiform appendix. A seven year old female, with abdominal septic shock, plain abdominal radiography with distended transverse intestinal loop with air-fluid levels and absence of air in distal colon and rectal ampula. Emergency laparotomy was performed finding a blind loop with secondary necrosis volvulus, with the torsion being at the base of the duplication, connected at the middle portion of the vermiform appendix; desvolvulus and resection was performed in a block fashion with Parker-Kerr technique using a 4-0 polyglactin suture. There are 100 cases of duplication of appendix reported worldwide. In our case, a duplication of the vermiform appendix type A was presented, shown by the surgical findings and corroborated by pathology samples of intestinal tissue featuring smooth muscle tissue and transmural necrosis and fibrinopurulent exudate in serous.
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Practical aspects of tritium measurement in ground and surface waters
Energy Technology Data Exchange (ETDEWEB)
Nitzsche, O [Technische Univ. Bergakademie Freiberg (Germany). Inst. fuer Angewandte Physik; Hebert, D [Technische Univ. Bergakademie Freiberg (Germany). Inst. fuer Angewandte Physik
1997-03-01
Tritium measurements are a powerful tool in hydrological and hydrogeological investigations for detecting mean residence times of several water reservoirs. Due to the low tritium activities in precipitation, ground and surface waters a low level measurement is necessary. Therefore often the liquid scintillation counting after an electrolytic enrichment of water is used. In this paper some practical aspects and problems of measurement are discussed and the problem of contamination in low level laboratories is shown. (orig.)
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OSART mission highlights 2001-2003. Operational safety practices in nuclear power plants
International Nuclear Information System (INIS)
2005-05-01
; Part III lists the good practices that were identified in the period covered. At the end of Part III is a summary of the good practices that were observed in the different review areas and of the contributions of individual NPPs to good practices for the period covered. Each part of the report is intended for different levels of management in the operating and regulatory organizations, but not exclusively so. Part I is primarily directed at the executive management level; Part II at middle managers and Part III at those involved in operational experience feedback. Individual findings varied considerably in scope and significance. However, the findings do reflect some common strengths and opportunities for improvement. Appendix I presents information on the database which collects the results of OSART missions (OSMIR), which can be valuable for user programmes that deal with operational experience feedback. Appendix II reviews the IAEA programme on education and training in nuclear safety. Appendix III covers the IAEA programme on education and training in radiation protection, transport and waste safety. Finally, Appendix IV presents the IAEA programme on ageing and long term operation which aim to increase the qualification of NPP specialists in different areas of nuclear and radiation safety and needs for long term operation
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Energy Technology Data Exchange (ETDEWEB)
Whitley, S. [Sunnybrook Health Sciences Center, Toronto, Ontario (Canada); Barts and the Royal London, Royal London Hospital, Whitechapel, London (United Kingdom)], E-mail: siobhanwhitley@yahoo.co.uk; Sookur, P.; McLean, A.; Power, N. [Barts and the Royal London, Royal London Hospital, Whitechapel, London (United Kingdom)
2009-02-15
Appendicitis can be a difficult clinical diagnosis to make. A negative appendicectomy rate of 20% has traditionally been accepted as the consequences of appendiceal perforation can be grave. Cross-sectional imaging is increasingly being employed in the investigation of adults with suspected appendicitis. This review will demonstrate the appearance of the normal appendix on computed tomography (CT) and its appearance in a range of inflammatory and neoplastic processes including appendicitis, Crohn's disease, infections, and benign and malignant tumour000.
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Ruel, Marie T
2017-01-01
The publication of the WHO Infant and Young Child Feeding (IYCF) indicators in 2008 equipped the nutrition and broader development community with an invaluable tool for measuring, documenting, and advocating for faster progress in improving these practices in low- and middle-income countries (LMICs). The indicators, with 5 of them focusing on complementary feeding (CF) practices, were originally designed for population level assessment, targeting, monitoring, and evaluation. This chapter takes stock of where we are with the existing CF indicators: it reviews how the indicators have been used, what we have learned, and what their strengths and limitations are, and it suggests a way forward. We find that the indicators have been used extensively for population level assessments and country comparisons, and to track progress. They have also been adopted by researchers in program impact evaluations and in research seeking to understand the determinants and consequences of poor CF practices for child growth and development outcomes. In addition to generating a wealth of knowledge and unveiling the severity of the global problem of poor CF practices in LMICs, the indicators have been an invaluable tool to raise awareness and call for urgent action on improving CF practices at scale. The indicators have strengths and limitations, which are summarized in this chapter. Although enormous progress has been achieved since the indicators were released in 2008, we feel it is time to reflect and revisit the CF indicators, improve them, develop new ones, and promote their appropriate use. Better indicators are critically important to stimulate action and investments in improving CF practices at scale. © 2017 Nestec Ltd., Vevey/S. Karger AG, Basel.
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44 CFR Appendix A to Part 9 - Decision-making Process for E.O. 11988
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Decision-making Process for E.O. 11988 A Appendix A to Part 9 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT..., App. A Appendix A to Part 9—Decision-making Process for E.O. 11988 EC02FE91.074 ...
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Directory of Open Access Journals (Sweden)
Harris Ruth
2011-06-01
Full Text Available Abstract Background Informal carers frequently suffer adverse consequences from caring. General practice teams are well positioned to support them. However, what carers of stroke survivors want and expect from general practice, and the practical support measures they might like, remain largely unexplored. The aims of this study are twofold. Firstly it explores both the support stroke carers would like from general practice and their reactions to the community based support proposed in the New Deal. Secondly, perceptions of a general practice team are investigated covering similar topics to carer interviews but from their perspective. Methods Semi-structured interviews were conducted with 13 stroke carers and 10 members of a general practice team. Carers' experiences and expectations of general practice and opinions of support measures from recent government policy were explored. General practice professionals were asked about their perceived role and their perceptions of carers' support needs. Interviews were content analysed. Results Carers' expectations of support from general practice were low and they neither received nor expected much support for themselves. General practice was seen as reactive primarily because of time constraints. Some carers would appreciate emotional support but others did not want additional services. Responses to recent policy initiatives were mixed with carers saying these might benefit other carers but not themselves. General practice professionals' opinions were broadly similar. They recognise carers' support needs but see their role as reactive, focussed on stroke survivors, rather than carers. Caring was recognised as challenging. Providing emotional support and referral were seen as important but identification of carers was considered difficult. Time constraints limit their support. Responses to recent policy initiatives were positive. Conclusions Carers' expectations of support from general practice for
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Gonçalves, Pedro D; Hagenbeek, Marie Louise; Vissers, Jan M H
2013-11-13
Although research interest in hospital process orientation (HPO) is growing, the development of a measurement tool to assess process orientation (PO) has not been very successful yet. To view a hospital as a series of processes organized around patients with a similar demand seems to be an attractive proposition, but it is hard to operationalize this idea in a measurement tool that can actually measure the level of PO. This research contributes to HPO from an operations management (OM) perspective by addressing the alignment, integration and coordination of activities within patient care processes. The objective of this study was to develop and practically test a new measurement tool for assessing the degree of PO within hospitals using existing tools. Through a literature search we identified a number of constructs to measure PO in hospital settings. These constructs were further operationalized, using an OM perspective. Based on five dimensions of an existing questionnaire a new HPO-measurement tool was developed to measure the degree of PO within hospitals on the basis of respondents' perception. The HPO-measurement tool was pre-tested in a non-participating hospital and discussed with experts in a focus group. The multicentre exploratory case study was conducted in the ophthalmic practices of three different types of Dutch hospitals. In total 26 employees from three disciplines participated. After filling in the questionnaire an interview was held with each participant to check the validity and the reliability of the measurement tool. The application of the HPO-measurement tool, analysis of the scores and interviews with the participants resulted in the possibility to identify differences of PO performance and the areas of improvement--from a PO point of view--within each hospital. The result of refinement of the items of the measurement tool after practical testing is a set of 41 items to assess the degree of PO from an OM perspective within hospitals. The
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Primary signet ring cell carcinoma of the appendix mimicking acute appendicitis
Directory of Open Access Journals (Sweden)
Mario Fusari
2012-10-01
Full Text Available Primary signet ring cell carcinoma of the appendix is a very rare neoplasm that usually presents with signs and symptoms of acute appendicitis and in particular with a right lower abdominal pain. Preoperative imaging detection of appendiceal adenocarcinoma has an important value because it may result in an appropriate surgical procedure. We report a rare case of primary signet ring cell carcinoma of the vermiform appendix in an 80-year-old man who was misdiagnosed on computed tomography (CT scan as acute appendicitis.
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Complete invagination of vermiform appendix with adenocarcinoma: case report
International Nuclear Information System (INIS)
Seo, Young Lan; Choi, Chul Soon; Kim, Ho Chul; Bae Sang Hoon; Kim, Duck Hwan
2000-01-01
Appendiceal intussusception is a very rare pathological condition, an incidence, as revealed by appendectomy specimens, of only 0.01 percent. There are various types among which complete invagination of the appendix is very rare. We encountered a case of intussusception of the appendix with complete invagination induced by appendiceal adenocarcinoma. A preoperative diagnosis of appendiceal adenocarcinoma and intussusception was not possible, but a final pathological report confirmed these conditions and retrospective analysis of a barium enema showed a finger-like filling defect of the cecum, a relatively specific finding in such cases. We describe a case involving a 39-year old man who one month earlier had noted the onset of pain in the right lower abdomen. (author)
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Complete invagination of vermiform appendix with adenocarcinoma: case report
Energy Technology Data Exchange (ETDEWEB)
Seo, Young Lan; Choi, Chul Soon; Kim, Ho Chul; Bae Sang Hoon; Kim, Duck Hwan [Kang Dong Sacred Heart Hospital, Collge of Medicine, Hallym University, Seoul (Korea, Republic of)
2000-09-01
Appendiceal intussusception is a very rare pathological condition, an incidence, as revealed by appendectomy specimens, of only 0.01 percent. There are various types among which complete invagination of the appendix is very rare. We encountered a case of intussusception of the appendix with complete invagination induced by appendiceal adenocarcinoma. A preoperative diagnosis of appendiceal adenocarcinoma and intussusception was not possible, but a final pathological report confirmed these conditions and retrospective analysis of a barium enema showed a finger-like filling defect of the cecum, a relatively specific finding in such cases. We describe a case involving a 39-year old man who one month earlier had noted the onset of pain in the right lower abdomen. (author)
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10 CFR Appendix D to Part 52 - Design Certification Rule for the AP1000 Design
2010-01-01
... severe accident mitigation design alternatives in appendix 1B of the generic DCD are not part of this... issues concerning severe accident mitigation design alternatives associated with the information in the... appendix whose site parameters are within those specified in the severe accident mitigation design...
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AAN Epilepsy Quality Measures in clinical practice: a survey of neurologists.
Wasade, Vibhangini S; Spanaki, Marianna; Iyengar, Revathi; Barkley, Gregory L; Schultz, Lonni
2012-08-01
Epilepsy Quality Measures (EQM) were developed by the American Academy of Neurology (AAN) to convey standardization and eliminate gaps and variations in the delivery of epilepsy care (Fountain et al., 2011 [1]). The aim of this study was to identify adherence to these measures and other emerging practice standards in epilepsy care. A 15-item survey was mailed to neurologists in Michigan, USA, inquiring about their practice patterns in relation to EQM. One hundred thirteen of the 792 surveyed Michigan Neurologists responded (14%). The majority (83% to 94%) addressed seizure type and frequency, reviewed EEG and MRI, and provided pregnancy counseling to women of childbearing potential. Our survey identified gaps in practice patterns such as counseling about antiepileptic drug (AED) side effects and knowledge about referral for surgical therapy of intractable epilepsy. Statistical significance in the responses on the AAN EQM was noted in relation to number of years in practice, number of epilepsy patients seen, and additional fellowship training in epilepsy. Practice patterns assessment in relation to other comorbidities revealed that although bone health and sudden unexplained death in epilepsy are addressed mainly in patients at risk, depression is infrequently discussed. The findings in this study indicate that additional educational efforts are needed to increase awareness and to improve quality of epilepsy care at various points of health care delivery. Copyright © 2012 Elsevier Inc. All rights reserved.
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A REVIEW ON LEGAL TRACEABILITY OF GNSS MEASUREMENTS IN THE MALAYSIAN CADASTRAL PRACTICE
Directory of Open Access Journals (Sweden)
J. Gill
2016-09-01
Full Text Available As the dependency on Global Navigation Satellite System (GNSS in surveying has been growing over the years, the need for legal traceability of GNSS measurements has become a significant matter. In Malaysia, with the advent of the Malaysia Real-time Kinematic Network (MyRTKnet, GNSS surveying has revolutionised land survey and mapping. Correspondingly, the Department of Survey and Mapping Malaysia (DSMM amended and published standard regulations and guidelines concerning cadastral survey, i.e., Cadastral Survey Regulations 2009, to include GNSS measurements. However, these regulations and guidelines has not comprehensively incorporated legal traceability of GNSS measurements; which is a prerequisite for cadastral surveys as it requires reliable and conclusive evidence for issues such as boundary disputes. The first objective of this paper is to review and discuss the legal traceability of GNSS measurements. Secondly, it will highlight the current practice and issues, i.e., with regard to legal traceability, within the present Malaysian cadastral regulation and guidelines, in relation to the prevalently adopted Network RTK (N-RTK technique, GNSS instrument calibrations, and reference stations’ accuracy. Lastly, a rudimentary best practice guideline for GNSS surveying in cadastral survey for Malaysia is proposed. It is expected that this paper will contribute to the implementation of a best practice guideline, which is inclusive of legal traceability of GNSS measurements, for the Malaysian cadastral practice.
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12 CFR Appendix III to Part 27 - Fair Housing Lending Inquiry/Application Log Sheet
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Fair Housing Lending Inquiry/Application Log Sheet III Appendix III to Part 27 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR HOUSING HOME LOAN DATA SYSTEM Pt. 27, App. III Appendix III to Part 27—Fair Housing Lending...
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31 CFR Appendix K to Subpart C of... - Federal Law Enforcement Training Center
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Federal Law Enforcement Training Center K Appendix K to Subpart C of Part 1 Money and Finance: Treasury Office of the Secretary of the Treasury DISCLOSURE OF RECORDS Privacy Act Pt. 1, Subpt. C, App. K Appendix K to Subpart C of Part 1—Federal Law Enforcement Training Center 1. In...
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31 CFR Appendix K to Subpart A of... - Federal Law Enforcement Training Center
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Federal Law Enforcement Training Center K Appendix K to Subpart A of Part 1 Money and Finance: Treasury Office of the Secretary of the Treasury DISCLOSURE OF RECORDS Freedom of Information Act Pt. 1, Subpt. A, App. K Appendix K to Subpart A of Part 1—Federal Law Enforcement Training...
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2010-01-01
... Operators in the State of Hawaii A Appendix A to Part 136 Aeronautics and Space FEDERAL AVIATION... Appendix A to Part 136—Special Operating Rules for Air Tour Operators in the State of Hawaii Section 1... flights conducted in the State of Hawaii under 14 CFR parts 91, 121, and 135. This appendix does not apply...
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Yucel, Ahmet Fikret; Pergel, Ahmet; Kocakusak, Ahmet; Aydin, Ibrahim; Bagci, Pelin; Sahin, Dursun Ali
2011-11-01
Congenital anomalies of the appendix are extremely rare. They are usually found incidentally during operations other than appendectomies. Congenital appendix diverticula are even less frequent. Congenital caeco-appendiceal fistulae have not been reported until today. Herein, we present real diverticula of the appendix with multiple caeco-appendiceal fistulae which, to our knowledge, is the first in the literature.
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Appendix : airborne incidents : an econometric analysis of severity
2014-12-19
This is the Appendix for Airborne Incidents: An Econometric Analysis of Severity Report. : Airborne loss of separation incidents occur when an aircraft breaches the defined separation limit (vertical and/or horizontal) with another aircraft or terrai...
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Ingested metallic foreign body lodged in the appendix
Directory of Open Access Journals (Sweden)
R R Sarkar
2011-01-01
Full Text Available An 8-year-old child ingested a metallic screw 3 months prior to admission. At laparotomy, the foreign body was found to be lodged inside the vermiform appendix, and was removed by appendicectomy.
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40 CFR Appendix A to Subpart A of... - State Regulation of Nonroad Internal Combustion Engines
2010-07-01
... 40 Protection of Environment 20 2010-07-01 2010-07-01 false State Regulation of Nonroad Internal Combustion Engines A Appendix A to Subpart A of Part 89 Protection of Environment ENVIRONMENTAL PROTECTION... Nonroad Internal Combustion Engines This appendix sets forth the Environmental Protection Agency's (EPA's...
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2010-01-01
... Adjacent to the Monterey Bay National Marine Sanctuary D Appendix D to Subpart M of Part 922 Commerce and... SANCTUARY PROGRAM REGULATIONS Monterey Bay National Marine Sanctuary Pt. 922, Subpt. M, App. D Appendix D to... Sanctuary [Coordinates in this appendix are unprojected (Geographic Coordinate System) and are calculated...
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2010-07-01
... Ambient Air Quality Standards for Oxides of Nitrogen (Nitrogen Dioxide) S Appendix S to Part 50 Protection... National Ambient Air Quality Standards for Oxides of Nitrogen (Nitrogen Dioxide) 1. General (a) This... national ambient air quality standards for oxides of nitrogen as measured by nitrogen dioxide (“NO2 NAAQS...
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Energy Technology Data Exchange (ETDEWEB)
Keuneke, Rita; Dumont, Ulrich [Ingenieurbuero Floecksmuehle, Aachen (Germany)
2011-11-15
The contribution under consideration contains the appendices 2 to 4 to the environmental research plan of the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (Berlin, Federal Republic of Germany) on ''Hydropower and Water Framework Directive''. Appendix 2 reports on the fundamentals for the design of fish bypass facilities, fish protection and fish migration facilities, minimum outflow in discharge lines, water ecologic evaluation, determination of less generation of hydroelectric power plants. Appendix 3 contains illustrations. Appendix 4 presents an extract from the final report.
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Best practices for measuring students' attitudes toward learning science.
Lovelace, Matthew; Brickman, Peggy
2013-01-01
Science educators often characterize the degree to which tests measure different facets of college students' learning, such as knowing, applying, and problem solving. A casual survey of scholarship of teaching and learning research studies reveals that many educators also measure how students' attitudes influence their learning. Students' science attitudes refer to their positive or negative feelings and predispositions to learn science. Science educators use attitude measures, in conjunction with learning measures, to inform the conclusions they draw about the efficacy of their instructional interventions. The measurement of students' attitudes poses similar but distinct challenges as compared with measurement of learning, such as determining validity and reliability of instruments and selecting appropriate methods for conducting statistical analyses. In this review, we will describe techniques commonly used to quantify students' attitudes toward science. We will also discuss best practices for the analysis and interpretation of attitude data.
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Simultaneous serous cystadenoma of the pancreas and mucinous cystadenoma of the appendix.
Alrefaie, Waddah; Katz, Matthew H; Easter, David W; Yi, Eunhee S; Weidner, Noel; Savides, Thomas J; Moossa, Abdool R; Bouvet, Michael
2004-03-01
Serous cystadenoma of the pancreas and mucinous tumors of the vermiform appendix are rare. To our knowledge, the simultaneous occurrence of these two tumors has not been reported. Here, we report an adult female who presented with signs and symptoms of appendicitis. A preoperative CT scan confirmed the findings of appendicitis and also showed an incidental large mass in the head of the pancreas. The patient underwent uneventful appendectomy. Her pathology revealed an acutely inflamed appendix with a benign mucinous cystadenoma at the tip. Several months after her recovery, a Whipple procedure was performed. Pathologic examination showed a 5x5 cm serous cystadenoma of the head of the pancreas without evidence of malignancy. Two years later, the patient is alive and well without evidence of tumor recurrence. Cystadenomas of the pancreas and appendix are unusual and their simultaneous occurrence is a rare event.
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32 CFR Appendix E to Part 623 - Surety Bond (DA Form 4881-3-R)
2010-07-01
... 32 National Defense 3 2010-07-01 2010-07-01 true Surety Bond (DA Form 4881-3-R) E Appendix E to Part 623 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY SUPPLIES AND EQUIPMENT LOAN OF ARMY MATERIEL Pt. 623, App. E Appendix E to Part 623—Surety Bond (DA Form 4881-3-R...
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21 CFR Appendix C to Part 101 - Nutrition Facts for Raw Fruits and Vegetables
2010-04-01
... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Nutrition Facts for Raw Fruits and Vegetables C Appendix C to Part 101 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Pt. 101, App. C Appendix C to Part 101—Nutrition Facts...
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29 CFR Appendix A to Subpart W to... - Figures W-14 through W-28
2010-07-01
... 29 Labor 8 2010-07-01 2010-07-01 false Figures W-14 through W-28 A Appendix A to Subpart W to part 1926 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION...; Overhead Protection Pt. 1926, Subpt. W, App. A Appendix A to Subpart W to part 1926—Figures W-14 through W...
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10 CFR Appendix II to Part 1050 - DOE Form 3735.3-Foreign Travel Statement
2010-01-01
... is official agency business. Spouses and dependents may accept such travel and expenses only when... 10 Energy 4 2010-01-01 2010-01-01 false DOE Form 3735.3-Foreign Travel Statement II Appendix II to.... II Appendix II to Part 1050—DOE Form 3735.3—Foreign Travel Statement EC01OC91.041 Statement...
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2010-01-01
... Sanctuary Boundary Coordinates A Appendix A to Subpart G of Part 922 Commerce and Foreign Trade Regulations..., DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Channel Islands National Marine Sanctuary Pt. 922, Subpt. G, App. A Appendix A to Subpart G of Part 922...
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2010-01-01
... Sanctuary Boundary Coordinates A Appendix A to Subpart N of Part 922 Commerce and Foreign Trade Regulations..., DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Stellwagen Bank National Marine Sanctuary Pt. 922, Subpt. N, App. A Appendix A to Subpart N of Part 922...
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15 CFR Appendix A to Subpart O of... - Olympic Coast National Marine Sanctuary Boundary Coordinates
2010-01-01
... Sanctuary Boundary Coordinates A Appendix A to Subpart O of Part 922 Commerce and Foreign Trade Regulations..., DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Olympic Coast National Marine Sanctuary Pt. 922, Subpt. O, App. A Appendix A to Subpart O of Part 922...
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Measuring the Physical Activity Practices Used by Parents of Preschool Children
Vaughn, Amber; Hales, Derek; Ward, Dianne S.
2013-01-01
Parents play a critical role in shaping children’s attitudes, beliefs and behaviors, including those around physical activity and inactivity. Our ability to identify which practices effectively promote children’s physical activity and limit inactivity is limited by existing measurement instruments. This project will present a newly developed physical activity parenting practices survey, the psychometric properties of this survey’s scales, and their association with child physical activity and...
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Practical quantitative measures of ALARA
International Nuclear Information System (INIS)
Kathren, R.L.; Larson, H.V.
1982-06-01
Twenty specific quantitative measures to assist in evaluating the effectiveness of as low as reasonably achievable (ALARA) programs are described along with their applicability, practicality, advantages, disadvantages, and potential for misinterpretation or dortion. Although no single index or combination of indices is suitable for all facilities, generally, these five: (1) mean individual dose equivalent (MIDE) to the total body from penetrating radiations; (2) statistical distribution of MIDE to the whole body from penetrating radiations; (3) cumulative penetrating whole body dose equivalent; (4) MIDE evaluated by job classification; and (5) MIDE evaluated by work location-apply to most programs. Evaluation of other programs may require other specific dose equivalent based indices, including extremity exposure data, cumulative dose equivalent to organs or to the general population, and nonpenetrating radiation dose equivalents. Certain nondose equivalent indices, such as the size of the radiation or contamination area, may also be used; an airborne activity index based on air concentration, room volume, and radiotoxicity is developed for application in some ALARA programs
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Directory of Open Access Journals (Sweden)
mojtaba Ahmadi Nejad
2010-02-01
Full Text Available Appendix carcinoid tumors are of rare cases. Their commonest place is in digestive system in appendix intensine and rectom respectively. They have no symptoms and they are detected along with laparotomy or inflation in appendix. The aim of the present study was to determine the frequency of carcinoid tumor in appendix and its prognosis in a period of 3 to 8 years in Shohada hospital in khorramabad. Materials and Methods: The present study is a cross – sectional which was carried out on 2845 patients with appendectomy in Shohada hospital in khorramabad in 2003-2006. The needed data were collected through a questionnaire from the pationts files who had the tumor operation in the hospital. The data were analyzed using descriptive statistics. Then the patients prognosis was determind. Results: The results showed that among all the cases with tumors, three out of five were carcdinoids, one was mucucell, one was mucucell associated lymphoid tissue. In adition to these cases, one case was colon carcinoid related to metastatic΄s deodenom, but no adenocarcinoma tumor was observed. After pathological analysis, the results showed that none of the patients with carcinoid appendix needed any treatment in 3-8 years follow up program and there was no recurrent growth for the disease. Conclusion: As carcinoid in appendix can be malignant and spread over other tissues and causes short life, it needs special care and follow and the patients should be referred to the specialist to complete treatment. Carcinoid appendix should be considerd as a neoplasm since it has the special power of spreading and metastasis over distant tissues.
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Practice and experience in traceability of radioactivity measurements of environmental samples
International Nuclear Information System (INIS)
Huang Zhijian
1990-01-01
This paper discusses some aspects on radioactivity measurement traceability and summarizes the work on quality assurance of radioactivity measurements of environmental samples in the laboratory, including transfer of standards, preparation of reference materials, and calibration of efficiency for volumse surces with Ge(Li) spectrometer. Some practical activitis regarding intercomparison of radioactivity measurements and other traceabillity-related activities are also described. Some sugestions relating to performing quality assurance are made
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2010-07-01
... Correspodent Accounts for Foreign Banks B Appendix B to Subpart I of Part 103 Money and Finance: Treasury Regulations Relating to Money and Finance FINANCIAL RECORDKEEPING AND REPORTING OF CURRENCY AND FOREIGN TRANSACTIONS Anti-Money Laundering Programs Pt. 103, Subpt. I, App. B Appendix B to Subpart I of Part 103...
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2010-07-01
... Accounts for Foreign Banks A Appendix A to Subpart I of Part 103 Money and Finance: Treasury Regulations Relating to Money and Finance FINANCIAL RECORDKEEPING AND REPORTING OF CURRENCY AND FOREIGN TRANSACTIONS Anti-Money Laundering Programs Pt. 103, Subpt. I, App. A Appendix A to Subpart I of Part 103...
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24 CFR Appendix C to Part 3500 - Instructions for Completing Good Faith Estimate (GFE) Form
2010-04-01
.... 3500, App. C Appendix C to Part 3500—Instructions for Completing Good Faith Estimate (GFE) Form The... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Instructions for Completing Good Faith Estimate (GFE) Form C Appendix C to Part 3500 Housing and Urban Development Regulations Relating...
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15 CFR Appendix C to Subpart M of... - Dredged Material Disposal Sites Within the Sanctuary
2010-01-01
... the Sanctuary C Appendix C to Subpart M of Part 922 Commerce and Foreign Trade Regulations Relating to... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Monterey Bay National Marine Sanctuary Pt. 922, Subpt. M, App. C Appendix C to Subpart M of Part 922—Dredged Material...
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Deighton, Jessica; Croudace, Tim; Fonagy, Peter; Brown, Jeb; Patalay, Praveetha; Wolpert, Miranda
2014-01-01
There is a growing appetite for mental health and wellbeing outcome measures that can inform clinical practice at individual and service levels, including use for local and national benchmarking. Despite a varied literature on child mental health and wellbeing outcome measures that focus on psychometric properties alone, no reviews exist that appraise the availability of psychometric evidence and suitability for use in routine practice in child and adolescent mental health services (CAMHS) including key implementation issues. This paper aimed to present the findings of the first review that evaluates existing broadband measures of mental health and wellbeing outcomes in terms of these criteria. The following steps were implemented in order to select measures suitable for use in routine practice: literature database searches, consultation with stakeholders, application of inclusion and exclusion criteria, secondary searches and filtering. Subsequently, detailed reviews of the retained measures' psychometric properties and implementation features were carried out. 11 measures were identified as having potential for use in routine practice and meeting most of the key criteria: 1) Achenbach System of Empirically Based Assessment, 2) Beck Youth Inventories, 3) Behavior Assessment System for Children, 4) Behavioral and Emotional Rating Scale, 5) Child Health Questionnaire, 6) Child Symptom Inventories, 7) Health of the National Outcome Scale for Children and Adolescents, 8) Kidscreen, 9) Pediatric Symptom Checklist, 10) Strengths and Difficulties Questionnaire, 11) Youth Outcome Questionnaire. However, all existing measures identified had limitations as well as strengths. Furthermore, none had sufficient psychometric evidence available to demonstrate that they could reliably measure both severity and change over time in key groups. The review suggests a way of rigorously evaluating the growing number of broadband self-report mental health outcome measures against
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Fear of birth in clinical practice: A structured review of current measurement tools.
Richens, Yana; Smith, Debbie M; Lavender, Dame Tina
2018-06-01
To identify measurement tools which screen for the presence of fear of birth (FOB) and to determine the most effective tool/s for use in clinical practice. Fear or birth (FOB) is internationally recognised as a cause for increasing concern, despite a lack of consensus on a definition or optimal measure of assessment. There is a wide array of FOB measurement tools, however little clarity on which tool should be used to screen for FOB in clinical practice. This review explores the use of tools that are used to screen for FOB and discusses the perceived effectiveness of such tools. A structured literature review was undertaken. Electronic databases were searched in July 2017 and manuscripts reviewed for quality. The review included 46 papers. The majority of studies were undertaken in Scandinavia (n = 29) and a range of tools were used to measure FOB. The most widely used tool was the Wijma Delivery Expectancy Experience Questionnaire' (W-DEQ). Inconsistencies were found in the way this tool was used, including variations in assessment cut-off points, implementation and use across a range of cultural settings and women of varying gestations. Moreover, the tool may be too lengthy to use in clinical practice. The Fear of Birth Scale (FOBS) has been shown to be as effective as W-DEQ but has the advantage of being short and easy to administer. The inconsistencies in tools reflect the difficulties in defining FOB. A clear consensus definition of FOB would aid comparisons across practice and research. The W-DEQ is not used in clinical practice; this may be due to its length and complexity. The FOBS is likely to be a more versatile tool that can be used in clinical practice. Copyright © 2018 Elsevier B.V. All rights reserved.
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32 CFR Appendix F to Part 505 - Example of a System of Records Notice
2010-07-01
... 32 National Defense 3 2010-07-01 2010-07-01 true Example of a System of Records Notice F Appendix... AUTHORITIES AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM Pt. 505, App. F Appendix F to Part 505—Example of a... number, for example, A0025-55, where “A” indicates “Army,” the next number represents the publication...
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Hummel, Riët; Bruers, Josef; van der Galiën, Onno; van der Sanden, Wil; van der Heijden, Geert
2017-10-05
It is well known that treatment variation exists in oral healthcare, but the consequences for oral health are unknown as the development of outcome measures is still in its infancy. The aim of this study was to identify and develop outcome measures for oral health and explore their performance using health insurance claims records and clinical data from general dental practices. The Dutch healthcare insurance company Achmea collaborated with researchers, oral health experts, and general dental practitioners (GDPs) in a proof of practice study to test the feasibility of measures in general dental practices. A literature search identified previously described outcome measures for oral healthcare. Using a structured approach, identified measures were (i) prioritized, adjusted and added to after discussion and then (ii) tested for feasibility of data collection, their face validity and discriminative validity. Data sources were claims records from Achmea, clinical records from dental practices, and prospective, pre-determined clinical assessment data obtained during routine consultations. In total eight measures (four on dental caries, one on tooth wear, two on periodontal health, one on retreatment) were identified, prioritized and tested. The retreatment measure and three measures for dental caries were found promising as data collection was feasible, they had face validity and discriminative validity. Deployment of these measures demonstrated variation in clinical practices of GDPs. Feedback of this data to GDPs led to vivid discussions on best practices and quality of care. The measure 'tooth wear' was not considered sufficiently responsive; 'changes in periodontal health score' was considered a controversial measure. The available data for the measures 'percentage of 18-year-olds with no tooth decay' and 'improvement in gingival bleeding index at reassessment' was too limited to provide accurate estimates per dental practice. The evaluated measures 'time to first
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29 CFR Appendix C to Part 4022 - Lump Sum Interest Rates for Private-Sector Payments
2010-07-01
... 29 Labor 9 2010-07-01 2010-07-01 false Lump Sum Interest Rates for Private-Sector Payments C Appendix C to Part 4022 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY... Appendix C to Part 4022—Lump Sum Interest Rates for Private-Sector Payments [In using this table: (1) For...
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32 CFR Appendix A to Part 1290 - Preparation Guide for DD Form 1805, Violation Notice
2010-07-01
... 32 National Defense 6 2010-07-01 2010-07-01 false Preparation Guide for DD Form 1805, Violation Notice A Appendix A to Part 1290 National Defense Other Regulations Relating to National Defense DEFENSE.... DISTRICT COURTS Pt. 1290, App. A Appendix A to Part 1290—Preparation Guide for DD Form 1805, Violation...
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29 CFR Appendix III to Part 1918 - The Mechanics of Conventional Cargo Gear (Non-mandatory)
2010-07-01
... 29 Labor 7 2010-07-01 2010-07-01 false The Mechanics of Conventional Cargo Gear (Non-mandatory.... 1918, App. III Appendix III to Part 1918—The Mechanics of Conventional Cargo Gear (Non-mandatory) Note: This appendix is non-mandatory and provides an explanation of the mechanics in the correct spotting of...
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Semi-spontaneous oral text production: measurements in clinical practice.
Lind, Marianne; Kristoffersen, Kristian Emil; Moen, Inger; Simonsen, Hanne Gram
2009-12-01
Functionally relevant assessment of the language production of speakers with aphasia should include assessment of connected speech production. Despite the ecological validity of everyday conversations, more controlled and monological types of texts may be easier to obtain and analyse in clinical practice. This article discusses some simple measurements for the analysis of semi-spontaneous oral text production by speakers with aphasia. Specifically, the measurements are related to the production of verbs and nouns, and the realization of different sentence types. The proposed measurements should be clinically relevant, easily applicable, and linguistically meaningful. The measurements have been applied to oral descriptions of the 'Cookie Theft' picture by eight monolingual Norwegian speakers, four with an anomic type of aphasia and four without any type of language impairment. Despite individual differences in both the clinical and the non-clinical group, most of the measurements seem to distinguish between speakers with and without aphasia.
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International Nuclear Information System (INIS)
1978-01-01
This appendix is a part of the interim report documentation for the Global Spent Fuel Logistics System (GSFLS) study. This appendix provides the legal/regulatory reference material, supportive of Volume 2 - GSFLS Visit Finding and Evaluations; and certain background material on British Nuclear Fuel Limited
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Practical precision measurement
International Nuclear Information System (INIS)
Kwak, Ho Chan; Lee, Hui Jun
1999-01-01
This book introduces basic knowledge of precision measurement, measurement of length, precision measurement of minor diameter, measurement of angles, measurement of surface roughness, three dimensional measurement, measurement of locations and shapes, measurement of screw, gear testing, cutting tools testing, rolling bearing testing, and measurement of digitalisation. It covers height gauge, how to test surface roughness, measurement of plan and straightness, external and internal thread testing, gear tooth measurement, milling cutter, tab, rotation precision measurement, and optical transducer.
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Parental feeding practices in Mexican American families: initial test of an expanded measure
2013-01-01
Background Although obesity rates are high among Latino children, relatively few studies of parental feeding practices have examined Latino families as a separate group. Culturally-based approaches to measurement development can begin to identify parental feeding practices in specific cultural groups. This study used qualitative and quantitative methods to develop and test the Parental Feeding Practices (PFP) Questionnaire for use with Mexican American parents. Items reflected both parent’s use of control over child eating and child-centered feeding practices. Methods In the qualitative phase of the research, 35 Latino parents participated in focus groups. Items for the PFP were developed from focus group discussions, as well as adapted from existing parent feeding practice measures. Cognitive interviews were conducted with 37 adults to evaluate items. In the quantitative phase, mothers and fathers of 174 Mexican American children ages 8–10 completed the PFP and provided demographic information. Anthropometric measures were obtained on family members. Results Confirmatory factor analyses identified four parental feeding practice dimensions: positive involvement in child eating, pressure to eat, use of food to control behavior, and restriction of amount of food. Factorial invariance modeling suggested equivalent factor meaning and item response scaling across mothers and fathers. Mothers and fathers differed somewhat in their use of feeding practices. All four feeding practices were related to child body mass index (BMI) percentiles, for one or both parents. Mothers reporting more positive involvement had children with lower BMI percentiles. Parents using more pressure to eat had children with lower BMI percentiles, while parents using more restriction had children with higher BMI percentiles. Fathers using food to control behavior had children with lower BMI percentiles. Conclusions Results indicate good initial validity and reliability for the PFP. It can be
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Parental feeding practices in Mexican American families: initial test of an expanded measure
Directory of Open Access Journals (Sweden)
Tschann Jeanne M
2013-01-01
Full Text Available Abstract Background Although obesity rates are high among Latino children, relatively few studies of parental feeding practices have examined Latino families as a separate group. Culturally-based approaches to measurement development can begin to identify parental feeding practices in specific cultural groups. This study used qualitative and quantitative methods to develop and test the Parental Feeding Practices (PFP Questionnaire for use with Mexican American parents. Items reflected both parent’s use of control over child eating and child-centered feeding practices. Methods In the qualitative phase of the research, 35 Latino parents participated in focus groups. Items for the PFP were developed from focus group discussions, as well as adapted from existing parent feeding practice measures. Cognitive interviews were conducted with 37 adults to evaluate items. In the quantitative phase, mothers and fathers of 174 Mexican American children ages 8–10 completed the PFP and provided demographic information. Anthropometric measures were obtained on family members. Results Confirmatory factor analyses identified four parental feeding practice dimensions: positive involvement in child eating, pressure to eat, use of food to control behavior, and restriction of amount of food. Factorial invariance modeling suggested equivalent factor meaning and item response scaling across mothers and fathers. Mothers and fathers differed somewhat in their use of feeding practices. All four feeding practices were related to child body mass index (BMI percentiles, for one or both parents. Mothers reporting more positive involvement had children with lower BMI percentiles. Parents using more pressure to eat had children with lower BMI percentiles, while parents using more restriction had children with higher BMI percentiles. Fathers using food to control behavior had children with lower BMI percentiles. Conclusions Results indicate good initial validity and
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Krumm, Andrew E.; Beattie, Rachel; Takahashi, Sola; D'Angelo, Cynthia; Feng, Mingyu; Cheng, Britte
2016-01-01
This paper outlines the development of practical measures of productive persistence using digital learning system data. Practical measurement refers to data collection and analysis approaches originating from improvement science; productive persistence refers to the combination of academic and social mindsets as well as learning behaviours that…
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Calibration of solar radiation measuring instruments. Final report
Energy Technology Data Exchange (ETDEWEB)
Bahm, R J; Nakos, J C
1979-11-01
A review of solar radiation measurement of instruments and some types of errors is given; and procedures for calibrating solar radiation measuring instruments are detailed. An appendix contains a description of various agencies who perform calibration of solar instruments and a description of the methods they used at the time this report was prepared. (WHK)
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Bunting, Robert F; Siegal, Dana
2017-10-01
Because quality measures are ubiquitous, health care risk management leaders often use them as a proxy for risk management measures. While certain quality measures adequately reflect some aspects of risk management, they are neither a perfect nor complete substitute for well-developed and comprehensive risk management measures. Using a comprehensive approach consisting of quality measures, risk measures, and measures that are less amenable to classification would be the best approach. Identifying the most powerful and informative measures, designing the most appropriate dashboards, and incorporating visual best practices are crucial steps required for evaluating the effectiveness and value of an enterprise risk management program. The authors explain the terms and concepts, review the measures available in the literature, propose new measures, discuss visual best practices, and provide sample dashboard components. © 2017 American Society for Healthcare Risk Management of the American Hospital Association.
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29 CFR 1918.97 - First aid and lifesaving facilities. (See appendix V of this part).
2010-07-01
... 29 Labor 7 2010-07-01 2010-07-01 false First aid and lifesaving facilities. (See appendix V of... LONGSHORING General Working Conditions. § 1918.97 First aid and lifesaving facilities. (See appendix V of this... injury, regardless of severity, to the employer. (b) First aid. A first aid kit shall be available at or...
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Achieve, Inc., 2010
2010-01-01
This appendix accompanies the report "Taking the Lead in Science Education: Forging Next-Generation Science Standards. International Science Benchmarking Report," a study conducted by Achieve to compare the science standards of 10 countries. This appendix includes the following: (1) PISA and TIMSS Assessment Rankings; (2) Courses and…
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Development and Trial of a Two Year Program of String Instruction. Appendix F, Music. Final Report.
Illinois Univ., Urbana. School of Music.
This appendix contains music for the violin, viola, and cello, as well as rhythm games. The three parts of the appendix are: I. Tunes for the String Player, II. Our First Exercises, and III. Sight Reading. See TE 499 832 for the final report proper. (DB)
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Energy Technology Data Exchange (ETDEWEB)
None
1978-01-31
This appendix is a part of the interim report documentation for the Global Spent Fuel Logistics System (GSFLS) study. This appendix provides the legal/regulatory reference material, supportive of Volume 2 - GSFLS Visit Finding and Evaluations; and certain background material on British Nuclear Fuel Limited (BNFL).
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40 CFR Appendix Vii to Part 266 - Health-Based Limits for Exclusion of Waste-Derived Residues*
2010-07-01
... Waste-Derived Residues* VII Appendix VII to Part 266 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR THE MANAGEMENT OF SPECIFIC HAZARDOUS WASTES AND SPECIFIC TYPES OF HAZARDOUS WASTE MANAGEMENT FACILITIES Pt. 266, App. VII Appendix VII to Part 266—Health...
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Energy Technology Data Exchange (ETDEWEB)
Shukunami, K.-I.; Kaneshima, M.; Kotsuji, F. [Fukui Medical Univ., Dept. of Obstetrics and Gynecology, Matsuoka-Cho, Yoshida-Gun, Fukui (Japan)
2000-10-01
Mucocele of the vermiform appendix is rarely diagnosed before surgery, although radiologic and ultrasonographic (US) findings have been reported. To our knowledge, there have been no previous reports of 2 different radiologic images of the cyst in the same patient during the preoperative period. We present 2 different shapes and locations of a freely movable mucocele of the appendix as it appeared before surgery. (author)
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Mucocele of the Appendix: Reports of a case for TAC
International Nuclear Information System (INIS)
Patino Osorio, Maria Olga
1992-01-01
The Mucocele of the appendix is a not very frequent entity and its diagnose pre-operative it is strange. To make diagnose in early form, it is important since lagoons of these lesions are wicked and their quick identification reduces the incidence of pseudo mixoma peritonea. Classically the diagnosis of the mucocele of the appendix is made by laparotomy when being suspected a appendicitis process inflammatory. They have been used for their diagnosis the simple badge of the abdomen, the colon for enema, the ultrasound, the computerized tomography and the gammagraphy with gallium-67 among others. This article describes a case, where the impression pre-operative diagnostic was made and in way non invasive
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Hafner, Brian J; Spaulding, Susan E; Salem, Rana; Morgan, Sara J; Gaunaurd, Ignacio; Gailey, Robert
2017-06-01
Continuing education is intended to facilitate clinicians' skills and knowledge in areas of practice, such as administration and interpretation of outcome measures. To evaluate the long-term effect of continuing education on prosthetists' confidence in administering outcome measures and their perceptions of outcomes measurement in clinical practice. Pretest-posttest survey methods. A total of 66 prosthetists were surveyed before, immediately after, and 2 years after outcomes measurement education and training. Prosthetists were grouped as routine or non-routine outcome measures users, based on experience reported prior to training. On average, prosthetists were just as confident administering measures 1-2 years after continuing education as they were immediately after continuing education. In all, 20% of prosthetists, initially classified as non-routine users, were subsequently classified as routine users at follow-up. Routine and non-routine users' opinions differed on whether outcome measures contributed to efficient patient evaluations (79.3% and 32.4%, respectively). Both routine and non-routine users reported challenges integrating outcome measures into normal clinical routines (20.7% and 45.9%, respectively). Continuing education had a long-term impact on prosthetists' confidence in administering outcome measures and may influence their clinical practices. However, remaining barriers to using standardized measures need to be addressed to keep practitioners current with evolving practice expectations. Clinical relevance Continuing education (CE) had a significant long-term impact on prosthetists' confidence in administering outcome measures and influenced their clinical practices. In all, approximately 20% of prosthetists, who previously were non-routine outcome measure users, became routine users after CE. There remains a need to develop strategies to integrate outcome measurement into routine clinical practice.
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Energy Technology Data Exchange (ETDEWEB)
None
1980-01-01
This volume contains chapter 4 and Appendix 4A which include descriptions of use of adjacent land and water (within miles of the proposed site), baseline ecology, air quality, meteorology, noise, hydrology, water quality, geology, soils and socio-economic factors. Appendix 4A includes detailed ecological surveys made in the area including the methods used. (LTN)
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31 CFR Appendix J to Subpart A of... - Office of the Comptroller of the Currency
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Office of the Comptroller of the Currency J Appendix J to Subpart A of Part 1 Money and Finance: Treasury Office of the Secretary of the Treasury DISCLOSURE OF RECORDS Freedom of Information Act Pt. 1, Subpt. A, App. J Appendix J to Subpart A...
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Sibley, Kathryn M.; Straus, Sharon E.; Inness, Elizabeth L.; Salbach, Nancy M.
2011-01-01
Background Balance impairment is a significant problem for older adults, as it can influence daily functioning. Treating balance impairment in this population is a major focus of physical therapist practice. Objective The purpose of this study was to document current practices in clinical balance assessment and compare components of balance assessed and measures used across practice areas among physical therapists. Design This was a cross-sectional study. Methods A survey questionnaire was mailed to 1,000 practicing physical therapists in Ontario, Canada. Results Three hundred sixty-nine individuals completed the survey questionnaire. More than 80% of respondents reported that they regularly (more than 60% of the time) assessed postural alignment, static and dynamic stability, functional balance, and underlying motor systems. Underlying sensory systems, cognitive contributions to balance, and reactive control were regularly assessed by 59.6%, 55.0%, and 41.2% of the respondents, respectively. The standardized measures regularly used by the most respondents were the single-leg stance test (79.1%), the Berg Balance Scale (45.0%), and the Timed “Up & Go” Test (27.6%). There was considerable variation in the components of balance assessed and measures used by respondents treating individuals in the orthopedic, neurologic, geriatric, and general rehabilitation populations. Limitations The survey provides quantitative data about what is done to assess balance, but does not explain the factors influencing current practice. Conclusions Many important components of balance and standardized measures are regularly used by physical therapists to assess balance. Further research, however, is needed to understand the factors contributing to the relatively lower rates of assessing reactive control, the component of balance most directly responsible for avoiding a fall. PMID:21868613
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International Nuclear Information System (INIS)
Schaefer, B.; Hoedl, P.
1999-01-01
The textbook contains an introduction to radiotherapy for radiographers. The nineteen chapters and the appendix cover all aspects essential for radiographers, starting with a survey of the basic theory and the physics and biology aspects, and explaining in great detail and on the basis of examples taken from practice the various applications and their specific techniques and requirements. The book is a practical guide and source of reference for radiographers beginning their professional career. (orig./CB)
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49 CFR Appendix E to Part 512 - Consumer Assistance to Recycle and Save (CARS) Class Determinations
2010-10-01
... 49 Transportation 6 2010-10-01 2010-10-01 false Consumer Assistance to Recycle and Save (CARS) Class Determinations E Appendix E to Part 512 Transportation Other Regulations Relating to... CONFIDENTIAL BUSINESS INFORMATION Pt. 512, App. E Appendix E to Part 512—Consumer Assistance to Recycle and...
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2010-01-01
...-End Credit Transactions J Appendix J to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. J Appendix J to Part 226—Annual Percentage Rate Computations for Closed-End Credit Transactions (a...
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2010-01-01
... Sanctuary Boundary Coordinates A Appendix A to Subpart L of Part 922 Commerce and Foreign Trade Regulations..., DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Flower Garden Banks National Marine Sanctuary Pt. 922, Subpt. L, App. A Appendix A to Subpart L of Part...
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International Nuclear Information System (INIS)
1997-03-01
This quality assurance (QA) plan defines the QA requirements for the dismantlement and removal of Building 3004 at Oak Ridge National Laboratory (ORNL). The building is a four-story wooden trained structure with wooden siding, which resides approximately 150 ft west of the Bulk Shielding Reactor, and only several feet away from the visitors entrance to the Graphite Reactor museum. Complete descriptions and sketches are in the Performance Specification document for this project. This project is being conducted as a non-CERCLA maintenance action. This plan is an appendix to the QA plan for the ORNL Environmental Restoration (ER) Program. ORNL/ER-225, which is the source of the project QA requirements, tailors those QA requirements to the specific needs of this project as defined in ORNL/ER-225. Project-specific description and organization are also provided in this plan. Appendix B, Records Management Plan, is included
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32 CFR Appendix to Part 281 - Claims Description
2010-07-01
... advance decision functions for claims under the following statutes: (a) 31 U.S.C. 3702, concerning claims... SETTLING PERSONNEL AND GENERAL CLAIMS AND PROCESSING ADVANCE DECISION REQUESTS Pt. 281, App. Appendix to... Personnel Management performs these functions for claims involving civilian employees' compensation and...
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Bearman, Sarah Kate; Garland, Ann F; Schoenwald, Sonja K
2014-04-01
Fidelity measurement methods have traditionally been used to develop and evaluate the effects of psychosocial treatments and, more recently, their implementation in practice. The fidelity measurement process can also be used to operationally define and specify components of emerging but untested practices outside the realm of conventional treatment. Achieving optimal fidelity measurement effectiveness (scientific validity and reliability) and efficiency (feasibility and relevance in routine care contexts) is challenging. The purpose of this paper is to identify strategies to address these challenges in child welfare system practices. To illustrate the challenges, and operational steps to address them, we present a case example using the "Team Decisionmaking" (TDM; Annie E. Casey Foundation) intervention. This intervention has potential utility for decreasing initial entry into and time spent in foster care and increasing rates of reunification and relative care. While promising, the model requires rigorous research to refine knowledge regarding the relationship between intervention components and outcomes-research that requires fidelity measurement. The intent of this paper is to illustrate how potentially generalizable steps for developing effective and efficient fidelity measurement methods can be used to more clearly define and test the effects of child welfare system practices.
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49 CFR Appendix A to Part 531 - Example of Calculating Compliance Under § 531.5(c)
2010-10-01
... 49 Transportation 6 2010-10-01 2010-10-01 false Example of Calculating Compliance Under § 531.5(c) A Appendix A to Part 531 Transportation Other Regulations Relating to Transportation (Continued... FUEL ECONOMY STANDARDS Pt. 531, App. A Appendix A to Part 531—Example of Calculating Compliance Under...
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Wilson, Kenneth C; Merli, Geno J
2011-10-01
Venous thromboembolism (VTE) is a common complication during and after hospitalization for acute medical illness or surgery. Despite the existence of evidence-based guidelines for VTE prevention, real-world prescribing practices are frequently suboptimal. Specific performance measures relating to VTE prevention and treatment have been developed by US health care organizations to increase adherence with best-practice recommendations and ultimately reduce the number of preventable VTE events. Two measures developed by the Surgical Care Improvement Project have been endorsed by the National Quality Forum (NQF) and focus on VTE prevention. In addition, six measures have been developed recently by The Joint Commission in collaboration with the NQF; three measures relate to VTE prevention and three focus on treatment. To attain widespread achievement of these performance goals, it is essential to raise awareness of their existence and specifications. It is also imperative that hospitals develop and implement effective VTE protocols. The use of multiple, active strategies, such as computer decision support systems with regular audit and feedback, may be particularly valuable approaches to improve current practices within an integrated quality improvement program. During practical implementation of VTE protocols at Norton Healthcare (Kentucky's largest healthcare system), strong leadership, physician engagement, and caregiver accountability were identified as key factors influencing the process. As such, more hospitals may be able to increase adherence with guidelines, improve achievement of quality goals, and help to reduce the substantial burden associated with avoidable VTE.
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Energy Technology Data Exchange (ETDEWEB)
NONE
2000-03-01
It is recommended that the Lithuanian Gas Industry considers: (1) To adopt a base temperature (T{sub b}) of 15 deg. C in order to uniform with the European preferable base temperature [cf. clause. 3.1]. (2) To use TC domestic gas meters at outdoor located gas meters and even when the gas meter is located just inside the exterior wall, in order to avoid too large error on the annual volume measured. Such TC meters should comply with EN 1359 clause B.23 (or alternatively the more strictly Danish type approval requirements) [cf. clause 3.2]. (3) To carry out supplementary high pressure calibration on turbine gas meters intended to be used at operating pressures of 3 or 6 bar in order to check if used makes and types are sensible to Reynolds number. If so, it would result in a measuring error at operating pressures higher than as determined by calibration with air at atmospheric pressure [cf. clause 3.3]. Similar tests should be considered for the existing Vortex gas meters. (4) To adopt the Danish legislation on legal metrology on gas meters in absence of a similar Lithuanian one due to its up to date requirements towards the distribution companies [cf. clause 3.4]. The first step towards such adoption would require a draft translation of the Danish legislation, at least into English. (5) To adopt the Danish in sevice inspection programme on domestic gas meters and on larger gas meters and gas measuring systems as well as on in-situ check of gas-volume electronic conversion devices [cf. clause 3.5.2 - 2.5.4]. The first step towards such adoption would require a draft translation of the 3 existing Danish manuals on calibration and in-situ check programmes, at least into English. Another approach would be a visit at HNG by 2-3 people from the Lithuanian Gas Industry in order to get acquainted with the Danish practice on laboratory calibration and in-situ check of gas-volume electronic conversion devices. However, it should be noticed that in-situ check measuring
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Liu, Gui-Bao; Mao, Yuan-Yuan; Yang, Chang-Ping; Cao, Jin-Lin
2018-03-01
The best method to ligate the arteries during laparoscopic cholecystectomy or appendectomy remains controversy. The aim of this study is to introduce a new approach during laparoscopic combined cholecystectomy and appendectomy using a monopolar electrocautery to seal the cystic and appendix arteries. We retrospectively reviewed data from 57 patients who underwent laparoscopic combined cholecystectomy and appendectomy between December 2006 and June 2016. Each laparoscopic combined cholecystectomy and appendectomy was performed by coagulating and sealing the cystic and appendix arteries. Absorbable clip or coils were then used to ligate the proximal of cystic duct and the stump of appendix. The other side of the cystic duct and appendix which subsequently were to be removed from abdomen were used titanium clips or silk ligature. Of the 57 patients, 3 patients (5.3%) were converted to open surgery due to severe abdominal adhesions or gallbladder perforation. The mean operative time was 56 minutes (range, 40-80 minutes). Mean blood loss was 12 mL (range, 5-120 mL), and the mean postoperative hospital stay was 3.0 days (range, 2-5 days). No postoperative bleeding, biliary leakage, infection, or mortality occurred. Monopolar electrocautery to seal the cystic and appendix arteries is a safe, effective, and economical surgical procedure during laparoscopic combined cholecystectomy and appendectomy. Further randomized controlled clinical trials are required to validate our findings.
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31 CFR Appendix J to Subpart C of... - Office of the Comptroller of the Currency
2010-07-01
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Office of the Comptroller of the Currency J Appendix J to Subpart C of Part 1 Money and Finance: Treasury Office of the Secretary of the Treasury DISCLOSURE OF RECORDS Privacy Act Pt. 1, Subpt. C, App. J Appendix J to Subpart C of Part 1—Office...
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32 CFR Appendix F to Part 623 - Power of Attorney (DA Form 4881-4-R)
2010-07-01
... 32 National Defense 3 2010-07-01 2010-07-01 true Power of Attorney (DA Form 4881-4-R) F Appendix F to Part 623 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY SUPPLIES AND EQUIPMENT LOAN OF ARMY MATERIEL Pt. 623, App. F Appendix F to Part 623—Power of Attorney (DA Form 4881-4-R...
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Measuring the Impact of Communities of Practice: A Conceptual model
dr. Donald Ropes
2011-01-01
Communities of practice (CoPs) impact different actors in different ways. Because using a singular approach would not do justice to the complexity that surrounds CoPs, a multi-disciplinary and pluralistic approach is used here to develop a model for measuring the impact CoPs may have on individuals,
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Measuring Parenting Practices among Parents of Elementary School-Age Youth
Randolph, Karen A.; Radey, Melissa
2011-01-01
Objectives: The objective of this study is to establish the factor structure of the Alabama Parenting Questionnaire (APQ), an instrument designed to measure parenting practices among parents of elementary school children. Methods: Exploratory (EFA) and confirmatory factor analytic (CFA) procedures are used to validate the APQ with 790 parents of…
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SolarProTeam - Appendix; Solar production technology melts architects
Energy Technology Data Exchange (ETDEWEB)
2010-07-01
The goal of the project was to provide the basis for eliminating the multiplication costs for specialised solar cell modules. The appendix presents examples of architectural designs for multiple function modules for use in a city. (ln)
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2010-07-01
... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Example Regulations for Prevention of Air Pollution Emergency Episodes L Appendix L to Part 51 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Pt. 51, App. L Appendix L to Par...
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29 CFR Appendix D to Part 825 - Notice of Eligibility and Rights & Responsibilities (Form WH-381)
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false Notice of Eligibility and Rights & Responsibilities (Form WH-381) D Appendix D to Part 825 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. D Appendix...
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Appendix to the report from the low-residue soldering task force: Phase 2 results
Energy Technology Data Exchange (ETDEWEB)
Iman, R.L.; Anderson, D.J.; Huffman, D.D. [and others
1995-12-01
The LRSTF report for Phase I of its evaluation of low-residue soldering was issued in June 1995. This Appendix summarizes the results of follow-on testing performed in Phase II and compares electrical test results for both phases. Deliberate decisions were made by the LRSTF in Phase I to challenge the design guideline limits in MILSTD-275, Printed Wiring for Electronic Equipment The LRSTF considered this approach to produce a ``worst case`` design and provide useful information about the robustness of LR soldering processes. As such, good design practices were sometimes deliberately violated in designing the LRSTF board. This approach created some anomalies for both LR boards and RMA/cleaned controls. Phase II testing verified that problems that affected both RMA/cleaned and LR boards in Phase I were design related.
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International Nuclear Information System (INIS)
Kim, Bong Jae; Seo, Jung Wook; Lee, Byung Hoon
2009-01-01
To evaluate the ultrasound (US) findings that can help differentiate lymphoid hyperplasia in the appendix from acute appendicitis. A total of 1230 patients (below 20 years old) suspected of having appendicitis received an appendectomy between November, 1999, and March, 2008, with US findings in 27 patients with pathologically proven lymphoid hyperplasia of the appendix. Of 167 patients that received an appendectomy from January, 2007, to December, 2007, 52 patients with acute appendicitis were retrospectively reviewed as a control group. Retrospective review of US images was performed by two radiologists who were blinded to the pathologic results. The review was based on 12 ultrasonographic criteria derived from reports on the diagnostic findings of the appendicitis. Compared with acute appendicitis, lymphoid hyperplasia in appendix had a smaller diameter (7.14±1.22 mm vs 9.37±1.80 mm, p < 0.001) and less wall thickening(1.38±0.36 mm vs 1.74 ± 0.56 mm, p =0.001). Periappendicular inflammation (p < 0.001), intraluminal air (p = 0.006), round shape in transverse scan (p = 0.002),increased blood flow on color Doppler US (p = 0.03) were also different. US is a useful modality to differentiate lymphoid hyperplasia in the appendix from acute appendicitis
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Energy Technology Data Exchange (ETDEWEB)
Kim, Bong Jae; Seo, Jung Wook; Lee, Byung Hoon [Inje University Ilsan Paik Hospital, Koyang (Korea, Republic of)
2009-12-15
To evaluate the ultrasound (US) findings that can help differentiate lymphoid hyperplasia in the appendix from acute appendicitis. A total of 1230 patients (below 20 years old) suspected of having appendicitis received an appendectomy between November, 1999, and March, 2008, with US findings in 27 patients with pathologically proven lymphoid hyperplasia of the appendix. Of 167 patients that received an appendectomy from January, 2007, to December, 2007, 52 patients with acute appendicitis were retrospectively reviewed as a control group. Retrospective review of US images was performed by two radiologists who were blinded to the pathologic results. The review was based on 12 ultrasonographic criteria derived from reports on the diagnostic findings of the appendicitis. Compared with acute appendicitis, lymphoid hyperplasia in appendix had a smaller diameter (7.14{+-}1.22 mm vs 9.37{+-}1.80 mm, p < 0.001) and less wall thickening(1.38{+-}0.36 mm vs 1.74 {+-} 0.56 mm, p =0.001). Periappendicular inflammation (p < 0.001), intraluminal air (p = 0.006), round shape in transverse scan (p = 0.002),increased blood flow on color Doppler US (p = 0.03) were also different. US is a useful modality to differentiate lymphoid hyperplasia in the appendix from acute appendicitis
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Lambert, Jean-Christopher
As a contribution to the implementation of the Global Earth Observation System of Systems (GEOSS), the Committee on Earth Observation Satellites (CEOS) is developing a data quality strategy for satellite measurements. To achieve GEOSS requirements of consistency and interoperability (e.g. for comparison and for integrated interpretation) of the measurements and their derived data products, proper uncertainty assessment is essential and needs to be continuously monitored and traceable to standards. Therefore, CEOS has undertaken the task to establish a set of best practices and guidelines for satellite validation, starting with current practices that could be improved with time. Best practices are not intended to be imposed as firm requirements, but rather to be suggested as a baseline for comparing against, which could be used by the widest community and provide guidance to newcomers. The present paper reviews the current development of best practices and guidelines for the validation of atmospheric composition satellites. Terminologies and general principles of validation are reminded. Going beyond elementary definitions of validation like the assessment of uncertainties, the specific GEOSS context calls also for validation of individual service components and against user requirements. This paper insists on two important aspects. First one, the question of the "collocation". Validation generally involves comparisons with "reference" measurements of the same quantities, and the question of what constitutes a valid comparison is not the least of the challenges faced. We present a tentative scheme for defining the validity of a comparison and of the necessary "collocation" criteria. Second focus of this paper: the information content of the data product. Validation against user requirements, or the verification of the "fitness for purpose" of both the data products and their validation, needs to identify what information, in the final product, is contributed really
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Oosterkamp, B C M; van der Sanden, W J M; Frencken, J E F M; Kuijpers-Jagtman, A M
2016-02-01
White spot lesions (WSLs) are a side effect of orthodontic treatment, causing esthetic problems and a risk of deeper enamel and dentine lesions. Many strategies have been developed for preventing WSLs, but great variability exists in preventive measures between orthodontists. This study developed statements on which a clinical practice guideline (CPG) can be developed in order to help orthodontists select preventive measures based on the best available evidence. A nominal group technique (RAND-e modified Delphi procedure) was used. A multidisciplinary expert panel rated 264 practice- and evidence-based statements related to the management of WSLs. To provide panel members with the same knowledge, a total of six articles obtained from a systematic review of the literature were read by the panel in preparation of three consensus rounds. According to the technique, a threshold of 75% of all ratings within any 3-point section of the 9-point scale regarding a specific statement was accepted as consensus. After the first and second consensus rounds, consensus was reached on 37.5 and 31.1% of statements, respectively. For the remaining 31.4% of statements, consensus was reached during a 4-h consensus meeting. Statements on the management of WSLs derived from a systematic literature review combined with expert opinion were formally integrated toward consensus through a nominal group technique. These statements formed the basis for developing a CPG on the management of WSLs before and during orthodontic treatment. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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12 CFR Appendix B to Part 216 - Sample Clauses
2010-01-01
... CONSUMER FINANCIAL INFORMATION (REGULATION P) Pt. 216, App. B Appendix B to Part 216—Sample Clauses Link to..., such as “call the following toll-free number: (insert number)”]. A-7—Confidentiality and security (all...
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International Nuclear Information System (INIS)
2017-01-01
This appendix provides the complete compilation of responses received to the questionnaire issued in conjunction with the workshop announcements. The responses are provided as received, with changes made only to the formatting. The OECD Nuclear Energy Agency (NEA) Committee on Nuclear Regulatory Activities (CNRA) Working Group on Inspection Practices (WGIP) sponsored the 13. International Workshop on Nuclear Regulatory Inspection Activities. The workshop was hosted by the Bel V and FANC, in Bruges, Belgium on 17 -21 April 2016. The three workshop topics that were addressed were as follows: - Inspection Activities During the Transition from an Operating Reactor to a De-fueled Status with a Commitment to Cease Power Operation; - Inspection of Modifications; - The Inspectors' Role in the Enforcement Process. Each of the respondents was given the following instructions in relation to their response: - Only one response per country is required. If more than one person from your country is participating, please co-ordinate the responses accordingly. - Responses must be provided on separate sheet with clear identification of the questionnaire part and topic. For preparation of the workshop, participants were invited to supply their national inspection approaches used in inspection of events and incidents according to the surveys. Actual issues that were discussed during the workshop were generated by the topic leaders based on the responses submitted by participants with their registration forms. This formats helped to ensure that issues considered most important by the workshop participants were covered during the group discussions
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American Society for Testing and Materials. Philadelphia
2005-01-01
1.1 These practices cover procedures and requirements for the calibration and verification of displacement measuring systems by means of standard calibration devices for static and quasi-static testing machines. This practice is not intended to be complete purchase specifications for testing machines or displacement measuring systems. Displacement measuring systems are not intended to be used for the determination of strain. See Practice E83. 1.2 These procedures apply to the verification of the displacement measuring systems associated with the testing machine, such as a scale, dial, marked or unmarked recorder chart, digital display, etc. In all cases the buyer/owner/user must designate the displacement-measuring system(s) to be verified. 1.3 The values stated in either SI units or inch-pound units are to be regarded separately as standard. The values stated in each system may not be exact equivalents; therefore, each system shall be used independently of the other. Combining values from the two systems m...
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Quadrant III RFI draft report: Appendix J, Baseline risk assessment
International Nuclear Information System (INIS)
1992-12-01
In accordance with the Risk Assessment Guidance for Superfund (U. S.EPA 1989), which states that background risk should be calculated separately from site-related risk in order to provide important information to the risk manager, this appendix assesses the human health risks associated with background levels of naturally occurring compounds in soil at the Portsmouth Gaseous Diffusion Plant (PORTS). This appendix is organized as follows: Background Conditions, in which the results of Geraghty ampersand Miller's work on characterizing background levels of naturally occurring compounds in soils is summarized; Identification of Exposure Pathways; Estimation of Environmental Concentrations; Estimation of Human Intake; Toxicity Assessment, and Risk Characterization, in which numerical estimates of carcinogenic and noncarcinogenic risk are calculated for each naturally occurring compound and potential exposure pathway
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Synchrotron radiation: appendix to the Daresbury annual report 1990/91
International Nuclear Information System (INIS)
1991-01-01
This Appendix to the Annual Report of the Daresbury Laboratory of the United Kingdom Science and Engineering Research Council contains the 1990 Annual Report of the Synchrotron Radiation Facilities Committee, specifications for the beamlines and stations, the index for the synchrotron radiation user reports, the reports themselves and the list of publications detailing work performed on the Synchrotron Radiation Source. By far the largest part of the Appendix is taken up with the user reports for the period 1990 to 1991. They include reports on structural determination of sodium methyl, an investigation of DNA-Binding Proteins, monitoring of vital processes in live cells, the structure of semiconductor interfaces, the structure and properties of glasses and soft x-ray absorption spectroscopy of liquid samples. (author)
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29 CFR Appendix A to Subpart S of... - Decompression Tables
2010-07-01
..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Underground Construction, Caissons, Cofferdams and Compressed Air Pt. 1926, Subpt. S, App. A Appendix A to Subpart S of Part 1926...
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Real time programming environment for Windows, Appendix A
Energy Technology Data Exchange (ETDEWEB)
NONE
1998-04-05
This appendix contains all source code for the RTProE system. The following file contents are included: pdb.h; hgen.l; hgen.y; igen.l; igen.y; pdm.l; pdm.y; rtdata.l; rtdata.y; framegen.c; librt.c; librt.h; rtsched.c; build.tsh; sde.tcl; rtsched.def.
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43 CFR Appendix C to Part 2 - Fee Schedule
2010-10-01
... to requests made under the Privacy Act. Fees will not be charged under either the FOIA or the Privacy... are posted on DOI's FOIA home page (see Appendix B). If you do not have access to the Internet, please...
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International Nuclear Information System (INIS)
Penzo, Silvia
2006-03-01
The work reviews the topics concerning the problem of the indoor radon and its measurement. The initial stage deals with the general features of radon, from the historical remarks about its discovery to the formation mechanisms in the soil, then passing to describe the transport processes that lead the radon to enter into the buildings. The mean radon concentration distribution among the Italian regions is reported and compared with the situation in the other countries of the world. A particular importance is given to present the national law concerning the radioprotection from the natural sources of ionizing radiations; a paragraph is completely devoted to this argument and to discuss the differences between the Italian approach and the regulations applied in the Test of Europe for both workplaces and dwellings. Chapter 3 describes the different detectors and methods to measure the radon and its short mean live decay products concentrations, together with the operative procedures and guides provided by the Italian law and by the international bodies. As an example of typical radon passive measurement device. the new ENEA detector developed at the Institute of Radioprotection is presented and discussed. Appendix 1 is entirely devoted to discuss the main remedial actions for decreasing the radon indoor concentration both for old and new buildings; appendix 2 reports the main quantities related to radon and radioprotection [it
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[Do you measure gait speed in your daily clinical practice? A review].
Inzitari, Marco; Calle, Alicia; Esteve, Anna; Casas, Álvaro; Torrents, Núria; Martínez, Nicolás
Gait speed (GS), measured at usual pace, is an easy, quick, reliable, non-expensive and informative measurement. With a standard chronometer, like those that currently found in mobile phones, and with two marks on the floor, trained health professionals obtain a more objective and quick measurement compared with many geriatric scales used in daily practice. GS is one of the pillars of the frailty phenotype, and is closely related to sarcopenia. It is a powerful marker of falls incidence, disability and death, mostly useful in the screening of older adults that live in the community. In recent years, the evidence is reinforcing the usefulness of GS in acute care and post-surgical patients. Its use in patients with cognitive impairment is suggested, due to the strong link between cognitive and physical function. Although GS meets the criteria for a good geriatric screening tool, it is not much used in clinical practice. Why? This review has different aims: (i)disentangling the relationship between GS and frailty; (ii)reviewing the protocols to measure GS and the reference values; (iii)reviewing the evidence in different clinical groups (older adults with frailty, with cognitive impairment, with cancer or other pathologies), and in different settings (community, acute care, rehabilitation), and (iv)speculating about the reasons for its poor use in clinical practice and about the gaps to be filled. Copyright © 2016 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.
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2010-01-01
... Sanctuary Boundary Coordinates A Appendix A to Subpart H of Part 922 Commerce and Foreign Trade Regulations..., DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Gulf of the Farallones National Marine Sanctuary Pt. 922, Subpt. H, App. A Appendix A to Subpart H of...
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12 CFR Appendix 1 to Part 24 - CD-1-National Bank Community Development (Part 24) Investments
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false CD-1-National Bank Community Development (Part 24) Investments 1 Appendix 1 To Part 24 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF... PUBLIC WELFARE INVESTMENTS Pt. 24, App. 1 Appendix 1 To Part 24—CD-1—National Bank Community Development...
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A Carcinoid Tumor of the Appendix in a Child: A Case Report
Directory of Open Access Journals (Sweden)
Laleh Vahedi Larijani
2018-01-01
Full Text Available The appendix is one of the most common sites for carcinoid tumors. Most carcinoids are found in appendices removed incidentally at laparotomy for conditions unrelated to acute appendicitis. We describe the case of a 13-year-old female who presented with abdominal pain in the right lower quadrant (RLQ, with nausea and decreased appetite for the previous 2 days. A physical examination favoreda diagnosis of acute appendicitis. A carcinoid tumor was diagnosed based on the histological examination of the removed appendix. The patient underwent an isolated appendectomy due to the small size of the lesion.
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12 CFR Appendix B to Part 573 - Sample Clauses
2010-01-01
... INFORMATION Pt. 573, App. B Appendix B to Part 573—Sample Clauses Link to an amendment published at 74 FR..., such as “call the following toll-free number: (insert number)”]. A-7—Confidentiality and security (all...
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report appendix | 1-Overview | 5-Publications | Indian Academy of ...
Indian Academy of Sciences (India)
Report on University Science Education. APPENDIX: LIST OF 1994 PANEL MEMBERS. V. G. Bhide (now deceased); J. Chandrasekhar; M. K. Chandrashekaran; S. Datta Gupta; B. M. Deb; R. Gadagkar; N. Mukunda; A. Sitaram; V. Srinivas; R. Srinivasan; M. Vidyasagar ...
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Byrnes, Hilary F; Miller, Brenda A; Johnson, Mark B; Voas, Robert B
2014-12-01
Electronic music and dance events in nightclubs attract patrons with heavy alcohol/drug use. Public health concerns are raised from risks related to these behaviors. Practices associated with increased risk in these club settings need to be identified. The relationship between club management practices and biological measures of patrons' alcohol/drug use is examined. Observational data from 25 events across six urban clubs were integrated with survey data (N = 738 patrons, 42.8% female) from patrons exiting these events, 2010-2012. Five indicators of club management practices were examined using mixed model regressions: club security, bar crowding, safety signs, serving intoxicated patrons, and isolation. Analyses revealed that serving intoxicated patrons and safety signs were related to substance use. Specifically, serving intoxicated patrons was related to heavy alcohol and drug use at exit, while safety signs were marginally related to less exit drug use. CONCLUSIONS/IMPORTANCE: Findings indicate observable measures in nightclubs provide important indicators for alcohol/drug use, suggesting practices to target. Study strengths include the use of biological measures of substance use on a relatively large scale. Limitations and future directions are discussed.
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Energy Technology Data Exchange (ETDEWEB)
Dietlmeier, W.; Gossner, S.; Gueldner, W.; Hoertner, H.; von Linden, J.; Preischl, W.; Reichart, G.; Spindler, H.; Volmer, G.; Zipf, G.
1981-01-01
Based on the event tree analysis as documented in the Appendix 1, the failure probabilities of the system functions required to control the initiating events are evaluated in this Appendix 2. The reliability investigations necessary for the evaluation of the event sequences are performed mostly by means of the fault tree analysis. The methods of the reliability analysis, the composition and function of the systems important to safety and the functional tests performed on these systems are dealt with in detail. The comprehensive documentation of the reliability analyses as performed for the internal events necessitated a division of this Appendix 2 into two volumes.
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Wang, Tao; Huang, Peng; Zhou, Yingming; Liu, Weiqi; Zeng, Guihua
2018-01-01
In a practical continuous-variable quantum key distribution (CVQKD) system, real-time shot-noise measurement (RTSNM) is an essential procedure for preventing the eavesdropper exploiting the practical security loopholes. However, the performance of this procedure itself is not analyzed under the real-world condition. Therefore, we indicate the RTSNM practical performance and investigate its effects on the CVQKD system. In particular, due to the finite-size effect, the shot-noise measurement at the receiver's side may decrease the precision of parameter estimation and consequently result in a tight security bound. To mitigate that, we optimize the block size for RTSNM under the ensemble size limitation to maximize the secure key rate. Moreover, the effect of finite dynamics of amplitude modulator in this scheme is studied and its mitigation method is also proposed. Our work indicates the practical performance of RTSNM and provides the real secret key rate under it.
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32 CFR Appendix to Part 145 - Legal Representation
2010-07-01
... COOPERATION WITH THE OFFICE OF SPECIAL COUNSEL OF THE MERIT SYSTEMS PROTECTION BOARD Pt. 145, App. Appendix to... Defense Agency (other than the DLA), or by the General Counsel of a Military Department or the General... cognizant DoD officials to approve a represented employee's request for travel, per diem, witness...
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32 CFR Appendix A to Part 153 - Guidelines
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false Guidelines A Appendix A to Part 153 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE REGULATIONS PERTAINING TO MILITARY...—Guidelines (a) Civilians employed by the Armed Forces outside the United States who commit felony offenses...
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Primary adenocarcinoma of the appendix: A review | Agu ...
African Journals Online (AJOL)
Adenocarcinoma of the vermiform appendix is rare constituting less than 0.5 % of all gastrointestinal tumours. It is most commonly seen after the fifth decade of life with a slight male preponderance. It stains positive for cytokeratin 20 which is utilized in immunohistochemical diagnosis. The commonest clinical presentation is ...
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15 CFR Appendix A to Part 950 - Schedule of User Fees for Access to NOAA Environmental Data
2010-01-01
... NOAA Environmental Data A Appendix A to Part 950 Commerce and Foreign Trade Regulations Relating to..., App. A Appendix A to Part 950—Schedule of User Fees for Access to NOAA Environmental Data Name of product/data/publication/information/service Current fee New fee NOAA National Data Centers Standard User...
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2010-07-01
... Enforcement Auditing of Marine Engines A Appendix A to Subpart G of Part 91 Protection of Environment...-IGNITION ENGINES Selective Enforcement Auditing Regulations Pt. 91, Subpt. G, App. A Appendix A to Subpart G of Part 91—Sampling Plans for Selective Enforcement Auditing of Marine Engines Table 1—Sampling...
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40 CFR Appendix R to Part 50 - Interpretation of the National Ambient Air Quality Standards for Lead
2010-07-01
... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Interpretation of the National Ambient Air Quality Standards for Lead R Appendix R to Part 50 Protection of Environment ENVIRONMENTAL.... 50, App. R Appendix R to Part 50—Interpretation of the National Ambient Air Quality Standards for...
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International Nuclear Information System (INIS)
1995-11-01
The System Operation Review (SOR) is a study and environmental compliance process being used by the three Federal agencies to analyze future operations of the system and river use issues. The goal of the SOR is to achieve a coordinated system operation strategy for the river that better meets the needs of all river users. This technical appendix addresses only the effects of alternative system operating strategies for managing the Columbia River system. This appendix documents the public and agency review of the SOR Draft EIS and how the SOR agencies used the review to formulate the FINAL EIS. The appendix includes a summary of the review process, a discussion of the nature of the comments, a list of all commentors, reproductions of comment letters, and responses to all comments. Changes in the EIS text in response to comments are noted in the responses
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Directory of Open Access Journals (Sweden)
Kaushik Majumdar
2012-01-01
Full Text Available Inflammatory myofibroblastic tumor (IMT has been described as a pseudosarcomatous proliferation of spindled myofibroblasts admixed with lymphoplasmacytic cells. The various terminologies like inflammatory pseudotumor, plasma cell granuloma, and inflammatory myofibrohistiocytic proliferation, used to describe this entity, highlight the controversial etiopathogenesis of this relatively indolent neoplasm. IMT has now been described in different anatomic locations. However, cases occurring in the gastrointestinal tract are rare with very few cases described in the appendix. We present a case of inflammatory myofibroblastic tumor appendix with mucosal dysplasia in a 41-year-old male, presenting with abdominal pain and lump in the right iliac fossa. Aspiration cytology yielded few atypical epithelial cells and spindle cells in a mucinous background, suggesting the possibility of pseudomyxoma peritonei. Awareness of IMT appendix with rare presence of mucosal dysplasia may help in preventing overzealous resection, especially in situations that on preoperative evaluation may suggest malignancy.
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Final report on Risoe measuring program in connection with Chernobyl accident
International Nuclear Information System (INIS)
Aarkrog, A.
1987-01-01
The present report deals with the measurements of Chernobyl debris carried out in Denmark, the Faroe Islands and Greenland in the perioed May-Sept. 1986. The results are presented in details in appendix II, but summarized in tables and figures in the main report, which is in Danish. Appendix I is the samples programme, also in Danish. It is concluded that the dose equivalent commitment to an adult Dane from consumption of foodstuffs in the first year after the accident (May 1986-April 1987) is 17 μ Sv, corresponding to approximately 1% of a years background radiation. (author)
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A practical system for the measurement of flows in a nuclear reactor
International Nuclear Information System (INIS)
Carrion V, F.J.
1980-01-01
With the purpose of making practical the neutron flux map in a nuclear reactor, the traditional foils are replaced by calibrated wires, and the activity rates through the wire are maked with a directional detector coupled to a collimator and to a servomechanism that moves the wire, to make the measurements through it. The servomechanism can be automatically controlled, and the information can be stored in a multichannel or directly pass to a plotter according to the continued or step by step measurements through the wire. For the system design it was necessary to fix the collimator dimensions according to the detector and the wire characteristics. In conclusion, this method is practical and exact, and their automation allows time economy. (author)
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International Nuclear Information System (INIS)
Carlsson, T.; Muurinen, A.
2008-12-01
This report reviews the state-of-the-art with regard to redox measurements, especially in compacted water saturated bentonite, but also in natural systems like sediments and ground waters. Both theoretical and practical aspects of redox measurements are discussed, as well as some basic concepts like terminal electron-accepting processes (TEAPs) and oxidative capacity (OXC). The problems associated with the interpretation of measured electrode potentials are treated. Despite many practical and theoretical difficulties, redox measurements continue to be carried out by researchers all over the world. The over-all conclusion from the literature survey is that fruitful redox-measurements can be performed in compacted bentonite. Irrespective of whether the measured redox potentials are absolute or not, the use of electrodes provide a valuable tool for studying, e.g., long-term changes in the pore water of compacted bentonite and/or the diffusion of oxygen into a bentonite. (orig.)
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Unusual Presentations of Actinomycosis; Anterior Abdominal Wall and Appendix: Report of Three Cases
Directory of Open Access Journals (Sweden)
Faruk Karateke
2013-09-01
Full Text Available Background: Primary actinomycosis of the anterior abdominal wall and appendix are very rare clinical entities. An accurate diagnosis is generally obtained by histological examination, and treatment often requires surgical resection. Case Report: In this study we presented two cases of primary actinomycosis involving the anterior abdominal wall and a third one located in the appendix. Conclusion: Actinomyces Israelii can involve all anatomic structures of the abdomen. Although preoperative diagnosis is difficult, the combination of surgery and antibiotic treatment results in complete treatment in the majority of cases.
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50 CFR Appendix A to Part 622 - Species Tables
2010-10-01
... Table 2 of Appendix A to Part 622—Caribbean Reef Fish Lutjanidae—Snappers Unit 1 Silk snapper, Lutjanus... adscensionis Graysby, Epinephelus cruentatus Creole-fish, Paranthias furcifer Unit 4 Red grouper, Epinephelus... striatus Redspotted hawkfish, Amblycirrhitus pinos Flying gurnard, Dactylopterus volitans Atlantic...
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Technology transfer from biomedical research to clinical practice: measuring innovation performance.
Balas, E Andrew; Elkin, Peter L
2013-12-01
Studies documented 17 years of transfer time from clinical trials to practice of care. Launched in 2002, the National Institutes of Health (NIH) translational research initiative needs to develop metrics for impact assessment. A recent White House report highlighted that research and development productivity is declining as a result of increased research spending while the new drugs output is flat. The goal of this study was to develop an expanded model of research-based innovation and performance thresholds of transfer from research to practice. Models for transfer of research to practice have been collected and reviewed. Subsequently, innovation pathways have been specified based on common characteristics. An integrated, intellectual property transfer model is described. The central but often disregarded role of research innovation disclosure is highlighted. Measures of research transfer and milestones of progress have been identified based on the Association of University Technology Managers 2012 performance reports. Numeric milestones of technology transfer are recommended at threshold (top 50%), target (top 25%), and stretch goal (top 10%) performance levels. Transfer measures and corresponding target levels include research spending to disclosure (0.81), patents to start-up (>0.1), patents to licenses (>2.25), and average per license income (>$48,000). Several limitations of measurement are described. Academic institutions should take strategic steps to bring innovation to the center of scholarly discussions. Research on research, particularly on pathways to disclosures, is needed to improve R&D productivity. Researchers should be informed about the technology transfer performance of their institution and regulations should better support innovators.
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40 CFR Appendix A to Subpart L of... - Operating Coke Oven Batteries as of April 1, 1992
2010-07-01
... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Operating Coke Oven Batteries as of April 1, 1992 A Appendix A to Subpart L of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION... SOURCE CATEGORIES National Emission Standards for Coke Oven Batteries Pt. 63, Subpt. L, App. A Appendix A...
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2010-07-01
... Enforcement Auditing of Nonroad Engines A Appendix A to Subpart F of Part 89 Protection of Environment... NONROAD COMPRESSION-IGNITION ENGINES Selective Enforcement Auditing Pt. 89, Subpt. F, App. A Appendix A to Subpart F of Part 89—Sampling Plans for Selective Enforcement Auditing of Nonroad Engines Table 1—Sampling...
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49 CFR Appendix A to Part 533 - Example of Calculating Compliance Under § 533.5 Paragraph (g)
2010-10-01
... 49 Transportation 6 2010-10-01 2010-10-01 false Example of Calculating Compliance Under § 533.5 Paragraph (g) A Appendix A to Part 533 Transportation Other Regulations Relating to Transportation... ECONOMY STANDARDS Pt. 533, App. A Appendix A to Part 533—Example of Calculating Compliance Under § 533.5...
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Potential thermal margin available from changes in the appendix K rule
International Nuclear Information System (INIS)
Cadek, F.F.; Gresham, J.A.; Hochreiter, L.E.; McIntyre, B.A.
1984-01-01
Over a decade of research has been completed on light water reactor safety. This research was the result of the 1972 core cooling hearing in the United States which resulted in the Appendix K rule for evaluating safety system performance. The objectives of the research were to confirm that the Appendix K rule was conservative, determine and quantify the amount of conservatism such that the excess conservatism could be reviewed by future rule changes, and provide a basis for future rule changes. The lightwater reactor research for the large break LOCA has, in the main, been completed and the first two objectives of the research program have been achieved. Presently there are ongoing efforts in the United States to find methods of factoring into the licensing process the results of this research. This paper discusses the impact on the W safety analysis if some of the Appendix K requirements could be relaxed. Calculations are presented with revised models which have been shown, by the LWR program, to be more accurate and which have the identified excessive conservatisms removed. LOCA calculations are presented to show the increased power capability, as well as power peaking margin which can result from such changes. These calculations are also compared with best estimate calculations using more mechanistic computer codes
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Callahan, Michael J; Kleinman, Patricia L; Strauss, Keith J; Bandos, Andriy; Taylor, George A; Tsai, Andy; Kleinman, Paul K
2015-01-01
The purpose of this study was to develop a departmental practice quality improvement project to systematically reduce CT doses for the evaluation of suspected pediatric appendicitis by introducing computer-generated gaussian noise. Two hundred MDCT abdominopelvic examinations of patients younger than 20 years performed with girth-based scanning parameters for suspected appendicitis were reviewed. Two judges selected 45 examinations in which the diagnosis of appendicitis was excluded (14, appendix not visualized; 31, normal appendix visualized). Gaussian noise was introduced into axial image series, creating five additional series acquired at 25-76% of the original dose. Two readers reviewed 270 image series for appendix visualization (4-point Likert scale and arrow localization). Volume CT dose index (CTDIvol) and size-specific dose estimate (SSDE) were calculated by use of patient girth. Confidence ratings and localization accuracy were analyzed with mixed models and nonparametric bootstrap analysis at a 0.05 significance level. The mean baseline SSDE for the 45 patients was 16 mGy (95% CI, 12-20 mGy), and the corresponding CTDIvol was 10 mGy (95% CI, 4-16 mGy). Changes in correct appendix localization frequencies were minor. There was no substantial trend with decreasing simulated dose level (p = 0.46). Confidence ratings decreased with increasing dose reduction (p = 0.007). The average decreases were -0.27 for the 25% simulated dose (p = 0.01), -0.17 for 33% (p = 0.03), and -0.03 for 43% (p = 0.65). Pediatric abdominal MDCT can be performed with 43% of the original dose (SSDE, 7 mGy; CTDIvol, 4.3 mGy) without substantially affecting visualization of a normal appendix.
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A measure to evaluate classroom teaching practices in nursing.
Herinckx, Heidi; Munkvold, Julia Paschall; Winter, Elisabeth; Tanner, Christine A
2014-01-01
The Oregon Consortium for Nursing Education (OCNE) Classroom Teaching Fidelity Scale was created to measure the implementation of the OCNE curriculum and its related pedagogy. OCNE is a partnership of eight community colleges and the five-campus state-supported university. OCNE developed a shared competency-based curriculum and pedagogical practices. An essential part of the OCNE evaluation was to measure the extent the curriculum and pedagogical model were implemented on each partner campus. The scale was developed using a multistep methodology, including review of the literature and OCNE guidelines and materials, frequent consultation with local and national advisory boards, and multiple observations of OCNE classrooms over a two-year period. Fidelity scores are reported for 10 OCNE colleges observed in 2009. CONCLUSlON: The creation and use of this fidelity scale and similar measures may contribute to the emerging science of nursing education by more clearly documenting educational reform efforts..
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Energy Technology Data Exchange (ETDEWEB)
Souei-Mhiri, M.; Tlili-Graies, K.; Ben Cherita, L.; Jeddi, M.; Derbel, F.; Dahmen, Y. [Hopital Sahloul, Sousse (Tunisia); Hmissa, S. [Hopital F Hached, Sousse (Tunisia)
2001-04-01
The purpose of our work was to assess the value of abdominal sonography (US) and computed tomography (CT) in the preoperative diagnosis of appendiceal mucocele. We retrospectively reviewed 10 cases of mucocele of the appendix, 7 cases without pseudo myxoma peritonei, and 3 cases with pseudo-myxoma peritonei. All cases were investigated radiologically by plain film and US, barium enema was performed in 3 cases and CT in 5 cases. Mucoceles of the appendix are rare and their clinical presentation is not specific. US confirms the appendicular involvement, but often poses the differential diagnosis with acute inflammation, abscess or localized appendicular peritonitis. CT appears as a mandatory examination since it allows accurate preoperative diagnosis period. In this series, the diagnosis was made preoperatively in the 5 cases where CT had been performed. US is useful to confirm the abnormal pattern of the appendix but does not allow accurate diagnosis of mucocele. CT is more specific and accurate for diagnosis of mucocele of the appendix. (authors)
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32 CFR Appendix C to Part 77 - DD Form 2581-1, Public and Community Service Organization Validation
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false DD Form 2581-1, Public and Community Service Organization Validation C Appendix C to Part 77 National Defense Department of Defense OFFICE OF THE SECRETARY..., App. C Appendix C to Part 77—DD Form 2581-1, Public and Community Service Organization Validation...
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32 CFR Appendix D to Part 113 - Sample DD Form 2654, “Involuntary Allotment Notice and Processing”
2010-07-01
... 32 National Defense 1 2010-07-01 2010-07-01 false Sample DD Form 2654, âInvoluntary Allotment Notice and Processingâ D Appendix D to Part 113 National Defense Department of Defense OFFICE OF THE..., App. D Appendix D to Part 113—Sample DD Form 2654, “Involuntary Allotment Notice and Processing...
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48 CFR Appendix I to Chapter 2 - Policy and Procedures for the DOD Pilot Mentor-Protege Program
2010-10-01
... the DOD Pilot Mentor-Protege Program I Appendix I to Chapter 2 Federal Acquisition Regulations System... and Procedures for the DOD Pilot Mentor-Protege Program I-100Purpose. (a) This Appendix I to 48 CFR Chapter 2 implements the Pilot Mentor-Protégé Program (hereafter referred to as the “Program”) established...
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International Nuclear Information System (INIS)
Siskind, B.; Cowgill, M.G.
1992-01-01
As part of its technical assistance to the Nuclear Regulatory Commission (NRC), Brookhaven National Laboratory (BNL) developed a background document for the cement stabilization appendix, Appendix A, to Rev. 1 of the Technical Position on Waste Form (TP). Here we present an overview of this background document, which provides technical justification for the stability tests to be performed on cement-stabilized waste forms and for the criteria posed in each test, especially for those tests which have been changed from their counterparts in the May 1983 Rev. 0 TP. We address guidelines for procedures from Appendix A which are considered in less detail or not at all in the Rev. 0 of the TP, namely, qualification specimen preparation (mixing, curing, storage), statistical sampling and analysis, process control program specimen preparation and examination, and surveillance specimens. For each waste form qualification test, criterion or procedural guidelines, we consider the reason for its inclusion in Appendix A, the changes from Rev. 0 of the TP (if applicable), and a discussion of the justification or rationale for these changes
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International Nuclear Information System (INIS)
Siskind, B.; Cowgill, M.G.
1992-01-01
As part of its technical assistance to the Nuclear Regulatory Commission (NRC), Brookhaven National Laboratory (BNL) developed a background document for the cement stabilization appendix. Appendix A, to Rev. 1 of the Technical Position on Waste Form (TP). Here we present an overview of this background document, which provides technical justification for the stability tests to be performed on cement-stabilized waste forms and for the criteria posed in each test) especially for those tests which have been changed from their counterparts in the May 1983 Rev. 0 TP. We address guidelines for procedures from Appendix A which are considered in less detail or not at all in the Rev. 0 of the TP, namely, qualification specimen preparation (mixing, curing, storage), statistical sampling and analysis, process control program specimen preparation and examination, and surveillance specimens. For each waste form qualification test, criterion or procedural guideline, we consider the reason for its inclusion in Appendix A, the changes from Rev. 0 of the TP (if applicable), and a discussion of the justification or rationale for these changes. (author)
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Measuring Effects on the Clinical Practice from a Configured EHR
DEFF Research Database (Denmark)
Møller-Jensen, John; Simonsen, Jesper; K. Iversen, Rikke
2006-01-01
during a series of workshops with the clinicians after which the XML configuration files were written and deployed. In parallel with this, the participants from the University specified a number of effects related to the clinical practice to be measured. Measurements were focused on the requested effects......The objective of the project was to measure the clinical usability of an EHR configured by use of participatory design with clinicians from a neurological stroke unit in order to get input to the County’s future strategy for incremental implementation of EHR. The content of the EHR was defined...... and acquired using various techniques including questionnaires, interviews, observations, and Task Load Index (TLX) ratings. In total, 15 nursing handovers, 8 ward rounds, and 11 patient conferences involving a total of 35 patients and more than 20 clinicians were included in the measurements. Data from...
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Why quality of life measurement is important in dermatology clinical practice
DEFF Research Database (Denmark)
Finlay, A Y; Salek, M S; Abeni, D
2017-01-01
The aim of this study was to describe the many ways in which quality of life (QoL) measurement may potentially be advantageous in routine clinical dermatology practice. Thirteen members of the EADV Task Force on Quality of Life, eight dermatologists, three health psychologists, one epidemiologist...
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Goal Attainment Scaling in paediatric rehabilitation practice : a useful outcome measure
Steenbeek, D.
2010-01-01
The main aim of this thesis was to investigate the use of a 6-point Goal Attainment Scaling (GAS) system to measure change over time in interdisciplinary rehabilitation practice for children with Cerebral Palsy (CP). GAS is a generic individualized evaluative criterion-referenced instrument. It can
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Neale, Anne Victoria; Bowman, Marjorie A; Seehusen, Dean A
Ringing in the new year 2017! This may finally be the year of real practice improvement after many false starts. Research into practice transformation has informed both local work and national policy. Human factors and payment structures are key. And payment structures depend on how quality is measured. Large gaps between practicing physician recommendations for the most important quality measures and those currently imposed externally are exposed in this issue. Also see information on in-practice social work consultations and their outcomes and recommendations from innovators in integrated care, and for chronic opioid therapy management based on visits to many family medicine offices. Visit entropy is negative for hospital readmissions. Another article reaffirms the importance of family physicians in rural obstetrics, including Cesarean deliveries. Two articles address changing Latino health care access. New Mexico's innovative health extension agent implementation now includes research in ways that benefit all. And a glass half-full: the growth in the diversity of family medicine faculty is above average, but is not occurring as quickly as in the general population. © Copyright 2017 by the American Board of Family Medicine.
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An Unusual Cause of Abdominal Pain: Three Lead Pellets within the Appendix Vermiformis
Directory of Open Access Journals (Sweden)
Orhan Veli Ozkan
2015-01-01
Full Text Available Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old male visited our clinic complaining of a 4-month history of abdominal pain. The patient inquiry revealed that he had eaten hunted rabbit meat on numerous occasions and had unintentionally ingested three lead pellets. Plain abdominal films and a barium enema showed foreign bodies in the right lower abdominal quadrant. Since the lead pellets were thought to have migrated extraluminally, they were removed through laparotomy under fluoroscopic guidance. An appendectomy was performed. Pathologically, three lead pellets were embedded in the appendix, which showed signs of intramucosal inflammation. Foreign bodies causing appendicitis are rare. However, if stiff or pointed objects enter the appendicular lumen, there is a high risk of appendicitis, perforation, or abdominal pain. An appendectomy was required to remove the ingested lead pellets in the appendix.
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Amyand's hernia-a vermiform appendix presenting in an inguinal hernia: a case series
Directory of Open Access Journals (Sweden)
Pavlidis Theodoros
2011-09-01
Full Text Available Abstract Introduction A vermiform appendix in an inguinal hernia, inflamed or not, is known as Amyand's hernia. Here we present a case series of four men with Amyand's hernia. Case presentations We retrospectively studied 963 Caucasian patients with inguinal hernia who were admitted to our surgical department over a 12-year period. Four patients presented with Amyand's hernia (0.4%. A 32-year-old Caucasian man had an inflamed vermiform appendix in his hernial sac (acute appendicitis, presenting as an incarcerated right groin hernia, and underwent simultaneous appendectomy and Bassini suture hernia repair. Two patients, Caucasian men aged 36 and 43 years old, had normal appendices in their sacs, which clinically appeared as non-incarcerated right groin hernias. Both underwent a plug-mesh hernia repair without appendectomy. The fourth patient, a 25-year-old Caucasian man with a large but not inflamed appendix in his sac, had a plug-mesh hernia repair with appendectomy. Conclusion A hernia surgeon may encounter unexpected intraoperative findings, such as Amyand's hernia. It is important to be prepared and apply the appropriate treatment.
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COMMUNITY PRACTICE, THE MILLENNIUM DEVELOPMENT GOALS AND CIVIL SOCIETY MEASURES IN BRAZIL
Directory of Open Access Journals (Sweden)
Caru Bowns
2011-07-01
Most of the MDGs literature focuses on the first six Goals. Comparatively little research considers the interface between MDG7 Targets and community practice, i.e. those organizational and participatory measures integral to most civil society efforts to implement MDGs objectives. This study provides a discussion of the MDGs from an environmental design perspective pertaining to substandard urban environments and the importance of community practices to facilitate participation in decisions for sustainable development. A Brazil case study serves to exemplify urban poverty in one developing country and the civil society institutions that foster “grassroots” participation in Brazil. The conclusion addresses the potential of environmental design’s community practices to expand civic participation in implementing the MDGs.
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Directory of Open Access Journals (Sweden)
Lane Mariella M
2005-05-01
Full Text Available Abstract Health-related quality of life (HRQOL measurement has emerged as an important health outcome in clinical trials, clinical practice improvement strategies, and healthcare services research and evaluation. HRQOL measures are also increasingly proposed for use in clinical practice settings to inform treatment decisions. In settings where HRQOL measures have been utilized with adults, physicians report such measures as useful, some physicians alter their treatment based on patient reports on such instruments, and patients themselves generally feel the instruments to be helpful. However, there is a dearth of studies evaluating the clinical utility of HRQOL measurement in pediatric clinical practice. This paper provides an updated review of the literature and proposes a precept governing the application of pediatric HRQOL measurement in pediatric clinical practice. Utilizing HRQOL measurement in pediatric healthcare settings can facilitate patient-physician communication, improve patient/parent satisfaction, identify hidden morbidities, and assist in clinical decision-making. Demonstrating the utility of pediatric HRQOL measurement in identifying children with the greatest needs, while simultaneously demonstrating the cost advantages of providing timely, targeted interventions to address those needs, may ultimately provide the driving force for incorporating HRQOL measurement in pediatric clinical practice.
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32 CFR Appendix E to Part 286 - DD Form 2564, “Annual Report Freedom of Information Act”
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false DD Form 2564, âAnnual Report Freedom of Information Actâ E Appendix E to Part 286 National Defense Department of Defense (Continued) OFFICE OF THE... REGULATION Pt. 286, App. E Appendix E to Part 286—DD Form 2564, “Annual Report Freedom of Information Act...
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29 CFR Appendix E to Part 825 - Designation Notice to Employee of FMLA Leave (Form WH-382)
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false Designation Notice to Employee of FMLA Leave (Form WH-382) E Appendix E to Part 825 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. E Appendix E to Part...
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29 CFR Appendix C to Part 825 - Notice to Employees Of Rights Under FMLA (WH Publication 1420)
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false Notice to Employees Of Rights Under FMLA (WH Publication 1420) C Appendix C to Part 825 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. C Appendix C to Part...
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Best practices in selecting performance measures and standards for effective asset management.
2011-06-01
"This report assesses and provides guidance on best practices in performance measurement, management and standards : setting for effective Transportation Asset Management (TAM). The study is conducted through a literature review, a : survey of the 50...
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Practical experience with measurement of diesel engine smoke pursuant to ECE-R 24
Energy Technology Data Exchange (ETDEWEB)
Dittrich, W
1975-01-01
Since the ECE regulation 24 demands that diesel smoke of automobiles be measured with opacimeters or units yielding equivalent results, the smoke density of diesel engines was measured with opacimeters and filter units for comparison. Conversion tables, comparative curves, and calculations are provided permitting the conversion of grey tones into opacity units with an accuracy sufficient for practical use. The correlation of measurements obtained with the filters and opacimeters was studied during operation at constant full load and at free acceleration. A relationship could be found in most cases; however, it provided no basis for setting up correlations. Finally, smoke characteristics of induction diesel engines were compared with supercharged engines at different geographical altitudes, based upon practical road tests in the Grossglockner mountains. A linear smoke increase with increasing altitude or decreasing air density was observed.
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Measures to Improve Diagnostic Safety in Clinical Practice.
Singh, Hardeep; Graber, Mark L; Hofer, Timothy P
2016-10-20
Timely and accurate diagnosis is foundational to good clinical practice and an essential first step to achieving optimal patient outcomes. However, a recent Institute of Medicine report concluded that most of us will experience at least one diagnostic error in our lifetime. The report argues for efforts to improve the reliability of the diagnostic process through better measurement of diagnostic performance. The diagnostic process is a dynamic team-based activity that involves uncertainty, plays out over time, and requires effective communication and collaboration among multiple clinicians, diagnostic services, and the patient. Thus, it poses special challenges for measurement. In this paper, we discuss how the need to develop measures to improve diagnostic performance could move forward at a time when the scientific foundation needed to inform measurement is still evolving. We highlight challenges and opportunities for developing potential measures of "diagnostic safety" related to clinical diagnostic errors and associated preventable diagnostic harm. In doing so, we propose a starter set of measurement concepts for initial consideration that seem reasonably related to diagnostic safety and call for these to be studied and further refined. This would enable safe diagnosis to become an organizational priority and facilitate quality improvement. Health-care systems should consider measurement and evaluation of diagnostic performance as essential to timely and accurate diagnosis and to the reduction of preventable diagnostic harm.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
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22 CFR Appendix A to Part 226 - Contract Provisions
2010-04-01
... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Pt. 226, App. A Appendix A to Part 226—Contract Provisions All contracts, awarded by... Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any...
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40 CFR Appendix A to Subpart C of... - References
2010-07-01
...) AMBIENT AIR MONITORING REFERENCE AND EQUIVALENT METHODS Procedures for Determining Comparability Between Candidate Methods and Reference Methods Pt. 53, Subpt. C, App. A Appendix A to Subpart C of Part 53... 3005, Milwaukee, WI 53202 (http://qualitypress.asq.org). (2) Quality Assurance Guidance Document 2.12...
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32 CFR Appendix C to Part 86 - State Information
2010-07-01
... CRIMINAL HISTORY BACKGROUND CHECKS ON INDIVIDUALS IN CHILD CARE SERVICES Pt. 86, App. C Appendix C to Part.... State of Massachusetts, Executive Office of Public Safety, Criminal History Systems Board, 1010.... L. required, name check, COMM: 609-882-2000. State of New Mexico, Department of Public Safety...
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36 CFR Appendix A to Part 1210 - Contract Provisions
2010-07-01
... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Contract Provisions A Appendix A to Part 1210 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION... market, or contracts for transportation or transmission of intelligence. 5. Rights to Inventions Made...
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Materials and methods appendix for valuation of ecosystem services of green infrastructure in Oslo
Barton, David Nicholas; Vågnes Traaholt, Nora; Blumentrath, Stefan
2015-01-01
The material in this report constitutes a Methods and Materials appendix for two reports dis-seminating the results to a wider audience in English and Norwegian. We recommend that readers start with one of the cited reports below, using the appendix as a companion report to look up specifics: Barton, D.N. , N. Vågnes Traaholt, S. Blumentrath (2015) Naturen i Oslo verdt milliarder. Verd-setting av urbane økosystem-tjenester fra grønn infrastruktur. NINA Report 1113. Barton, D.N., E. Stan...
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Merino-de la Hoz, Felicitas; Durá-Ros, María Jesús; Rodríguez-Martín, Elías; González-Gómez, Silvia; Mariano López-López, Luis; Abajas-Bustillo, Rebeca; de la Horra-Gutiérrez, Inmaculada
2010-01-01
To identify the degree of knowledge and performance of bio-safety measures by nursing students and knowing the type of biological accidents suffered during their clinical practice. A cross-sectional study was conducted on the students of three Nursing courses held in May of 2008. Data was collected by an anonymous self-administered questionnaire, with a return of 54%. A total of 97% of students seemed to know the standard biosafety measures, and all of them (100%) stated that those measures must be applied to every patient. However, the reality of clinical practice shows that biosafety measures are only partially applied. An average of 60.2% implement the personal hygiene measures, 66.1% use physical barriers, and 44% use sharp materials safely. Around 32.25% of the students have suffered some biological accident, with a greater incidence in the second year: administering injections (24%), drawing blood samples with Venojet needles (18%) and recapping used needles (17%). The high level of knowledge shown by the students on standard precautions is not always shown in clinical practice. There are significant deficiencies in student safety practices: recapping of used needles continues to be one of the most common risk practices carried out. Copyright (c) 2009 Elsevier España, S.L. All rights reserved.
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RMP Guidance for Warehouses - Appendix D: OSHA Guidance on PSM
This text is taken directly from OSHA's appendix C to the Process Safety Management standard (29 CFR 1910.119). Compiled information required by this standard, including material safety data sheets (MSDS), is essential to process hazards analysis (PHA).
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2010-01-01
... 960—Application of the System and Technical Guidelines During the Siting Process 1. This appendix... 10 Energy 4 2010-01-01 2010-01-01 false Application of the System and Technical Guidelines During the Siting Process III Appendix III to Part 960 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE...
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2010-01-01
... and Access Routes Within the Sanctuary E Appendix E to Subpart M of Part 922 Commerce and Foreign... ADMINISTRATION, DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Monterey Bay National Marine Sanctuary Pt. 922, Subpt. M, App. E Appendix E to Subpart M of Part...
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Nuclear physics: appendix to the Daresbury annual report 1990/91
International Nuclear Information System (INIS)
1991-01-01
This nuclear physics chapter of the Annual Report of the Daresbury Laboratory of the United Kingdom Science and Engineering Research Council describes the work of the Nuclear Structure Facility. In the limited space available it necessarily provides only a broad outline of the facility, its development and a flavour of the research in a selection of a few highlighted topics. This appendix complements the first volume of the Report reproducing users' short camera ready scientific reports. These describe the progress and results of each experimental proposal. Reports are grouped in five sections: research into nuclear structure with contributions ordered in increasing Z number of the nuclei studies; investigations of nuclear reaction mechanisms; nuclear theory; atomic physics; and accelerator operations, developments and instrumentation. The appendix forms a compact record of the work of the Nuclear Structure Facility for the year 1990/91. (author)
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Measurable benefits on brain activity from the practice of educational leisure.
Requena, Carmen; López, Verónica
2014-01-01
Even if behavioral studies relate leisure practices to the preservation of memory in old persons, there is unsubstantial evidence of the import of leisure on brain activity. This study was to compare the brain activity of elderly retired people who engage in different types of leisure activities. Quasi-experimental study over a sample of 60 elderly, retired subjects distributed into three groups according to the leisure activities they practised: educational leisure (G1), memory games (G2), and card games (G3). Applied measures include the conceptual distinction between free time and leisure, the test of the organization of free time measuring 24 clock divisions, and EEG register during 12 word list memorizing. The results show that the type of leisure activity is associated with significant quantitative differences regarding the use of free time. G1 devotes more time to leisure activities than G2 (p = 0.007) and G3 (p = 0.034). G1 rests more actively than the other two groups (p = 0.001). The electrical localization of brain activity indicated a reverse tendency of activation according to the bands and groups. Engaging in educational leisure activities is a useful practice to protect healthy brain compensation strategies. Future longitudinal research may verify the causal relation between practicing educational leisure activities and functional brain aging.
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Measurable benefits on brain activity from the practice of educational leisure
Directory of Open Access Journals (Sweden)
Carmen eRequena
2014-03-01
Full Text Available Even if behavioural studies relate leisure practices to the preservation of memory in old persons, there is unsubstantial evidence of the import of leisure on brain activity. Aim of this study was to compare the brain activity of elderly retired people who engage in different types of leisure activities. Methods: quasi-experimental study over a sample of 60 elderly, retired subjects distributed into three groups according to the leisure activities they practised: educational leisure (G1, memory games (G2 and card games (G3. Applied measures include the conceptual distinction between free time and leisure, the Test of Organization of Free Time (TOFT measuring 24 clock divisions, and EEG register during 12 word list memorizing. The results show that the type of leisure activity is associated with significant quantitative differences regarding the use of free time. G1 devotes more time to leisure activities than G2 (p = 0.007 and G3 (p = 0.034. G1 rests more actively than the other two groups (p=0.001. The electrical localization of brain activity indicated a reverse tendency of activation according to the bands and groups. Discussion. Engaging in educational leisure activities is a useful practice to protect healthy brain compensation strategies. Future longitudinal research may verify the causal relation between practicing educational leisure activities and functional brain aging.
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The comprehensive care project: measuring physician performance in ambulatory practice.
Holmboe, Eric S; Weng, Weifeng; Arnold, Gerald K; Kaplan, Sherrie H; Normand, Sharon-Lise; Greenfield, Sheldon; Hood, Sarah; Lipner, Rebecca S
2010-12-01
To investigate the feasibility, reliability, and validity of comprehensively assessing physician-level performance in ambulatory practice. Ambulatory-based general internists in 13 states participated in the assessment. We assessed physician-level performance, adjusted for patient factors, on 46 individual measures, an overall composite measure, and composite measures for chronic, acute, and preventive care. Between- versus within-physician variation was quantified by intraclass correlation coefficients (ICC). External validity was assessed by correlating performance on a certification exam. Medical records for 236 physicians were audited for seven chronic and four acute care conditions, and six age- and gender-appropriate preventive services. Performance on the individual and composite measures varied substantially within (range 5-86 percent compliance on 46 measures) and between physicians (ICC range 0.12-0.88). Reliabilities for the composite measures were robust: 0.88 for chronic care and 0.87 for preventive services. Higher certification exam scores were associated with better performance on the overall (r = 0.19; pmeasures and by sampling feasible numbers of patients for each condition. © Health Research and Educational Trust.
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International Nuclear Information System (INIS)
Currie, L.A.
1984-09-01
A manual is provided to define and illustrate a proposed use of the Lower Limit of Detection (LLD) for Radiological Effluent and Environmental Measurements. The manual contains a review of information regarding LLD practices gained from site visits; a review of the literature and a summary of basic principles underlying the concept of detection in Nuclear and Analytical Chemistry; a detailed presentation of the application of LLD principles to a range of problem categories (simple counting to multinuclide spectroscopy), including derivations, equations, and numerical examples; and a brief examination of related issues such as reference samples, numerical quality control, and instrumental limitations. An appendix contains a summary of notation and terminology, a bibliography, and worked-out examples. 100 references, 10 figures, 7 tables
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Teacher Competency in Classroom Testing, Measurement Preparation, and Classroom Testing Practices.
Newman, Dorothy C.; Stallings, William M.
An assessment instrument and a questionnaire (Appendices A and B) were developed to determine how well teachers understand classroom testing principles and to gain information on the measurement preparation and classroom practices of teachers. Two hundred ninety-four inservice teachers, grades 1 through 12, from three urban school systems in…
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Pharmacy Service Orientation: a measure of organizational culture in pharmacy practice sites.
Clark, Bartholomew E; Mount, Jeanine K
2006-03-01
The importance of organizational culture in shaping everyday organizational life is well accepted, but little work has focused on organizational culture in pharmacy. Examining new pharmacists' experiences at various practice sites may help us to understand how these shape their professional ethos and practice habits. (1) Present development and assessment of the Pharmacy Service Orientation (PSO) measure, a tool for assessing pharmacists' impressions of pharmacy practice sites. (2) Use data gathered from a sample of new pharmacists to explore potential predictors of PSO, including type of practice site, type of pharmacy work experience, and type of pharmacy degree. Mail survey of randomly selected class of 1999 pharmacy graduates within 3 months of graduation (response rate: 259 of 1,850; 14%), each of whom reported on up to 6 different pharmacy practice sites for a total of 1,192 pharmacy observations. Pharmacy Service Orientation is scored on a 1-10 semantic differential scale and reliability was assessed using Cronbach's alpha. Predictors of PSO were explored using t test and ordinary least squares regression procedures. Reliability of the PSO across all observations was 0.86. When divided according to recency of experience and type of experience, reliabilities ranged from 0.78 to 0.87. Analysis of potential predictors of PSO showed that non-corporate-community sites had significantly greater pharmaceutical care-oriented cultures (mean PSOs of 7.42 and 5.13, respectively; PService Orientation is a reliable measure. Statistically significant differences in PSO comparisons by degree and by experience type are explained by significant differences between the PSOs of corporate-community and non-corporate-community sites.
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Appendix B - GPRA06 biomass program documentation
Energy Technology Data Exchange (ETDEWEB)
None, None
2009-01-18
This appendix discusses the assumptions and methods employed in the biomass benefits analysis that is part of the fiscal year 2006 GPRA benefits analysis for all of the Department of Energy’s Energy Efficiency and Renewable Energy (EERE) research and deployment programs. The biomass benefits analysis focuses on the benefits of future achievements by the program and excludes retrospective benefits and benefits resulting from industry’s own initiative and funding.
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Directory of Open Access Journals (Sweden)
Tadashi Terada, MD, PhD
2014-03-01
Full Text Available Primary signet-ring cell carcinoma (SRCC of vermiform appendix is extremely rare; only three cases have been reported in the English literature. An 89-year-old man suddenly presented right lower abdominal pain, and transferred to a hospital, where he was diagnosed with acute appendicitis by physical data, blood data, and CT. He was further transferred to our hospital for emergency operation. Physical examination showed positive abdominal pain, Blunberg sign, and Rosenstein sign. Blood test showed leukocytosis and increased C-reactive protein. An appendectomy was performed. Gross examination during operation showed inflamed appendix, appendiceal adhesion, and acute peritonitis. Gross pathological examination showed no apparent tumor, but the proximal appendix showed wall thickening and luminal occlusion. The appendix was cut into three sections, and was observed under microscopically. Nests of carcinoma cells were seen in the proximal appendix. The carcinoma was composed of SRCC (70% and mucinous carcinoma (30%. The size of carcinoma was 6 × 7 mm. The carcinoma cells invaded into muscular layer. No lymphovascular permeation was seen. The cut margins were negative for carcinoma cells. Immunohistochemically, SRCC cells were positive for cytokeratin (CK AE1/3, CK CAM5.2, CK8, CK18, CK19, CK20, EMA, CEA, CA19-9, p53, Ki-67 (labeling = 30%, CDX2, MUC2, and MUC5AC. They were negative for CK34PE1, CK5/6, CK7, CK14, p63, vimentin, TTF-1, MUC1, MUC 5AC, NSE, synaptophysin, chromogranin, and CD56. No further treatments were performed, because the appendiceal carcinoma was small, the surgical margins were negative and the patient was very old. He was followed up by various imaging modalities. No recurrence or metastasis is found 17 months after the operation.
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Measuring public health practice and outcomes in chronic disease: a call for coordination.
Porterfield, Deborah S; Rogers, Todd; Glasgow, LaShawn M; Beitsch, Leslie M
2015-04-01
A strategic opportunity exists to coordinate public health systems and services researchers' efforts to develop local health department service delivery measures and the efforts of divisions within the Centers for Disease Control and Prevention's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) to establish outcome indicators for public health practice in chronic disease. Several sets of outcome indicators developed by divisions within NCCDPHP and intended for use by state programs can be tailored to assess outcomes of interventions within smaller geographic areas or intervention settings. Coordination of measurement efforts could potentially allow information to flow from the local to the state to the federal level, enhancing program planning, accountability, and even subsequent funding for public health practice.
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Inra, Jennifer A; Nayor, Jennifer; Rosenblatt, Margery; Mutinga, Muthoka; Reddy, Sarathchandra I; Syngal, Sapna; Kastrinos, Fay
2017-04-01
Quality performance measures for screening colonoscopy vary among endoscopists. The impact of practice setting is unknown. We aimed to (1) compare screening colonoscopy performance measures among three different US practice settings; (2) evaluate factors associated with adenoma detection; and (3) assess a scorecard intervention on performance metrics. This multi-center prospective study compared patient, endoscopist, and colonoscopy characteristics performed at a tertiary care hospital (TCH), community-based hospital (CBH), and private practice group (PPG). Withdrawal times (WT), cecal intubation, and adenoma detection rates (ADR) were compared by site at baseline and 12 weeks following scorecard distribution. Generalized linear mixed models identified factors associated with adenoma detection. Twenty-eight endoscopists performed colonoscopies on 1987 asymptomatic, average-risk individuals ≥50 years. Endoscopist and patient characteristics were similar across sites. The PPG screened more men (TCH: 42.8%, CBH: 45.0%, PPG: 54.2%; p scorecard distribution. Adenoma detection was associated with increasing patient age, male gender, WT, adequate preparation, but not practice setting. Each practice performed high-quality screening colonoscopy. Scorecards did not improve performance metrics. Preparation quality varies among practice settings and can be modified to improve adenoma detection.
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2010-07-01
... Enforcement Auditing of Small Nonroad Engines A Appendix A to Subpart F of Part 90 Protection of Environment...-IGNITION ENGINES AT OR BELOW 19 KILOWATTS Selective Enforcement Auditing Pt. 90, Subpt. F, App. A Appendix A to Subpart F of Part 90—Sampling Plans for Selective Enforcement Auditing of Small Nonroad Engines...
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2010-04-01
... 23 Highways 1 2010-04-01 2010-04-01 false National Reference Energy Mean Emission Levels as a Function of Speed A Appendix A to Part 772 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... NOISE Pt. 772, App. A Appendix A to Part 772—National Reference Energy Mean Emission Levels as a...
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2010-10-01
... of Pharmacy Professional(s) F Appendix F to Part 5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF..., App. F Appendix F to Part 5—Criteria for Designation of Areas Having Shortages of Pharmacy... of pharmacy professional(s) if the following three criteria are met: 1. The area is a rational area...
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2010-10-01
... of Veterinary Professional(s) G Appendix G to Part 5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT... Pt. 5, App. G Appendix G to Part 5—Criteria for Designation of Areas Having Shortages of Veterinary Professional(s) Part I—Geographic Areas A. Criteria for Food Animal Veterinary Shortage. A geographic area will...
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Sibley, Kathryn M; Straus, Sharon E; Inness, Elizabeth L; Salbach, Nancy M; Jaglal, Susan B
2013-03-20
Balance impairment is common in multiple clinical populations, and comprehensive assessment is important for identifying impairments, planning individualized treatment programs, and evaluating change over time. However, little information is available regarding whether clinicians who treat balance are satisfied with existing assessment tools. In 2010 we conducted a cross-sectional survey of balance assessment practices among physiotherapists in Ontario, Canada, and reported on the use of standardized balance measures (Sibley et al. 2011 Physical Therapy; 91: 1583-91). The purpose of this study was to analyse additional survey data and i) evaluate satisfaction with current balance assessment practices and standardized measures among physiotherapists who treat adult or geriatric populations with balance impairment, and ii) identify factors associated with satisfaction. The questionnaire was distributed to 1000 practicing physiotherapists. This analysis focuses on questions in which respondents were asked to rate their general perceptions about balance assessment, the perceived utility of individual standardized balance measures, whether they wanted to improve balance assessment practices, and why. Data were summarized with descriptive statistics and utility of individual measures was compared across clinical practice areas (orthopaedic, neurological, geriatric or general rehabilitation). The questionnaire was completed by 369 respondents, of which 43.4% of respondents agreed that existing standardized measures of balance meet their needs. In ratings of individual measures, the Single Leg Stance test and Berg Balance Scale were perceived as useful for clinical decision-making and evaluating change over time by over 70% of respondents, and the Timed Up-and-Go test was perceived as useful for decision-making by 56.9% of respondents and useful for evaluating change over time by 62.9% of respondents, but there were significant differences across practice groups. Seventy
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International Nuclear Information System (INIS)
1996-10-01
This document contains the appendixes for the remedial investigation and feasibility study for the David Witherspoon, Inc., 901 site in Knoxville, Tennessee. The following topics are covered in the appendixes: (A) David Witherspoon, Inc., 901 Site Historical Data, (B) Fieldwork Plans for the David Witherspoon, Inc., 901 Site, (C) Risk Assessment, (D) Remediation Technology Discussion, (E) Engineering Support Documentation, (F) Applicable or Relevant and Appropriate Requirements, and (G) Cost Estimate Documentation
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Energy Technology Data Exchange (ETDEWEB)
NONE
1996-10-01
This document contains the appendixes for the remedial investigation and feasibility study for the David Witherspoon, Inc., 901 site in Knoxville, Tennessee. The following topics are covered in the appendixes: (A) David Witherspoon, Inc., 901 Site Historical Data, (B) Fieldwork Plans for the David Witherspoon, Inc., 901 Site, (C) Risk Assessment, (D) Remediation Technology Discussion, (E) Engineering Support Documentation, (F) Applicable or Relevant and Appropriate Requirements, and (G) Cost Estimate Documentation.
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Characteristics of dosemeter types for skin dose measurements in practice
International Nuclear Information System (INIS)
Van, D. J.; Bosmans, H.; Marchal, G.; Wambersie, A.
2005-01-01
A growing number of papers report deterministic effects in the skin of patients who have undergone interventional radiological procedures. Dose measurements, and especially skin dose measurements, are therefore increasingly important. Methods and acceptable dosemeters are, however, not clearly defined. This paper is the result of a literature overview with regard to assessing the entrance skin dose during radiological examinations by putting a dosemeter on the patient's skin. The relevant intrinsic characteristics, as well as some examples of clinical use of the different detector types, are presented. In this respect, thermoluminescence, scintillation, semiconductor and film dosemeters are discussed and compared with respect to their practical use. (authors)
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31 CFR Appendix A to Part 500 - Qualifying International Institutions
2010-07-01
... Pt. 500, App. A Appendix A to Part 500—Qualifying International Institutions Asian Development Bank (ADB) Food and Agricultural Organization (FAO) International Bank for Reconstruction and Development (IBRD, the “World Bank”) International Civil Aviation Organization (ICAO) International Development...
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17 CFR Appendix B to Subpart A of... - Sample Clauses
2010-04-01
... Information Pt. 248, Subpt. A, App. B Appendix B to Subpart A of Part 248—Sample Clauses Link to an amendment..., such as “call the following toll-free number: (insert number)”]. A-7—Confidentiality and Security (All...
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32 CFR Appendix to Part 277 - Program Fraud Civil Remedies
2010-07-01
... this appendix. B. Definitions 1. Adequate Evidence Information sufficient to support the reasonable... statements, anything of value, including but not limited to any advantage, preference, privilege, license....C., chapter 33, pursuant to the competitive examination process applicable to administrative law...
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2010-01-01
... Equipment and Components Under NRC Export Licensing Authority H Appendix H to Part 110 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) EXPORT AND IMPORT OF NUCLEAR EQUIPMENT AND MATERIAL Pt. 110, App. H Appendix H to Part 110—Illustrative List of Electromagnetic Enrichment Plant Equipment and Components Under...
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2010-01-01
..., Plants and Equipment Under NRC's Export Licensing Authority N Appendix N to Part 110 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) EXPORT AND IMPORT OF NUCLEAR EQUIPMENT AND MATERIAL Pt. 110, App. N Appendix N to Part 110—Illustrative List of Lithium Isotope Separation Facilities, Plants and Equipment...
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Fuijkschot, J.; Wijnen, R.M.H.; Gerrits, G.P.J.M.; Dubois, S.V.; Rieu, P.N.M.A.
2006-01-01
Neonatal umbilical anomalies usually represent remains of the vitelline duct or the allantois. We describe a case of an umbilical appendix in a neonate. The vermiform appendix was found to be positioned in the umbilical cord. In a brief literature review we found eight other reports concerning
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Kahn, Jeremy M; Gould, Michael K; Krishnan, Jerry A; Wilson, Kevin C; Au, David H; Cooke, Colin R; Douglas, Ivor S; Feemster, Laura C; Mularski, Richard A; Slatore, Christopher G; Wiener, Renda Soylemez
2014-05-01
Many health care performance measures are either not based on high-quality clinical evidence or not tightly linked to patient-centered outcomes, limiting their usefulness in quality improvement. In this report we summarize the proceedings of an American Thoracic Society workshop convened to address this problem by reviewing current approaches to performance measure development and creating a framework for developing high-quality performance measures by basing them directly on recommendations from well-constructed clinical practice guidelines. Workshop participants concluded that ideally performance measures addressing care processes should be linked to clinical practice guidelines that explicitly rate the quality of evidence and the strength of recommendations, such as the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process. Under this framework, process-based performance measures would only be developed from strong recommendations based on high- or moderate-quality evidence. This approach would help ensure that clinical processes specified in performance measures are both of clear benefit to patients and supported by strong evidence. Although this approach may result in fewer performance measures, it would substantially increase the likelihood that quality-improvement programs based on these measures actually improve patient care.
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Lawrence Berkeley National Laboratory 1995 site environmental report: Volume 2, Data appendix
International Nuclear Information System (INIS)
1996-07-01
Ernest Orlando Lawrence Berkeley National Laboratory presents Volume II, Data Appendix as a reference document to supplement the 1995 Site Environmental Report. Volume II contains the raw environmental monitoring and sampling data used to generate many of the summary results included in the main report. Supplemental data is provided for sitewide activities involving the media of stack and ambient air quality, rainwater, surface water, stormwater, wastewater, and soil and sediment. Volume II also contains supplemental data on the special preoperational monitoring study for the new Hazardous Waste Handling Facility. The Table of Contents provides a cross-reference to the data tables of the main report and this appendix. Data are given in System International (SI) units
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International Nuclear Information System (INIS)
Witte, M.; Prassinos, P.; Kenneally, R.; Chokshi, N.
1991-01-01
Part 100 of Title 10 of the Code of Federal Regulations (10CFR100) describes criteria which guide the commission in its evaluation of the suitability of proposed sites for nuclear power plants. Appendix A of this part describes seismic and geologic siting criteria for nuclear power plants. Some engineering design aspects of nuclear power plants are also briefly addressed in Appendix A. These include: definition of the operating basis earthquake (OBE) and the safe shutdown earthquake (SSE), definitions of safety related structures, systems and components, ratio of OBE to SSE, identification of acceptable analytical methods, and definition of vibratory ground motion. One of the interpretations of the regulations on the selection of the two earthquake design levels, the SSE and OBE, was that the SSE would control the design of all safety related systems while the OBE would be applied to the remaining systems required for continued power operation. In practice, however, with the load factors, damping, and service limits, the OBE, rather than the SSE, has controlled the design for some systems. The work in progress at Lawrence Livermore National Laboratory and at the Nuclear Regulatory Commission will develop the technical basis to support engineering related changes to Appendix A. Included in this effort are the following: investigation of the impact of removing the OBE from design considerations with regard to safety options and review of possible strategies regarding the definition and requirements of the OBE for future reactors. This paper reports on the status and results of studies performed to date in support of this project. These include a study to identify components that are important to plant safety and also are affected by OBE designs; a study to evaluate the impact on ASME BPVC Section 3 Division 1 of eliminating the OBE; and a study to evaluate the impact on design margins if the OBE is eliminated from design
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Strangulated small bowel gangrene due to torsioned gangrenous appendix in an old man: a case report
Directory of Open Access Journals (Sweden)
Ardavan Shahbazi
2016-11-01
Full Text Available Background: Torsion of the appendix is a rare entity and divided into two categories: primary and secondary. The primary mode is due to an abnormality in either appendix anatomy or its meso or both and is more common in children. The secondary forms happen in adults which can be associated with appendiceal tumor, appendiceal mucocele, fecal impaction, volvulus of ovarian cyctadenoma. Adynamic small bowel obstruction or ileus is seen frequently with all forms of peritoneal inflammation. However, Anatomical small intestinal obstruction or gangrene due to torsioned appendix is a rare condition and few cases reported in the literature. Method: Here we have a 83-year-old man patient with small bowel obstruction and localized right lower quadrant peritonitis who undergo emergency laparotomy to eliminate small bowel obstruction and peritonitis. Preoperative abdominal radiography showed multiple dilated small bowel loops with empty colon. Results: During exploration necrosis of the terminal 40cm of the ileum due to a twisted and gangrenous appendix was discovered. Other parts were normal. Conclusion: it may be useful to recommend early midline exploratory laparotomy for patients with small bowel obstruction even in the presence symptoms of local appendicitis. This operation can be both diagnostic and therapeutic.
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29 CFR Appendix A to Subpart X of... - Ladders
2010-07-01
... 29 Labor 8 2010-07-01 2010-07-01 false Ladders A Appendix A to Subpart X of Part 1926 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... designed and built in accordance with the applicable national consensus standards, as set forth below, will...
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Case Report: Endometriosis of the Appendix | Al Oulaqi | African ...
African Journals Online (AJOL)
Endometriosis is a well known cause of infertility. Endometriosis of the appendix is a very rare condition. To highlight this rare entity, we are reporting a case of a young lady who was admitted with recurrent attacks of lower abdominal pain associated with primary infertility. Preoperative diagnosis was acute appendicitis.
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7 CFR Appendix to Subpart F of... - Unknown Title
2010-01-01
... and Human Nutrition Research and Extension Program. 7 U.S.C. 3171 et seq. 30. Animal Health and... 7 Agriculture 1 2010-01-01 2010-01-01 false Appendix to Subpart F of Part 15a Agriculture Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM...
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14 CFR Appendix J to Part 25 - Emergency Evacuation
2010-01-01
... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Pt. 25, App. J Appendix J to Part 25—Emergency Evacuation...-candles prior to the activation of the airplane emergency lighting system. The source(s) of the initial... airplane emergency lighting system. (b) The airplane must be in a normal attitude with landing gear...
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2 CFR Appendix A to Part 230 - General Principles
2010-01-01
... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false General Principles A Appendix A to Part 230 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET CIRCULARS AND GUIDANCE Reserved COST PRINCIPLES FOR... Principles General Principles Table of Contents A. Basic Considerations 1. Composition of total costs 2...
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2010-07-01
... Methodology for the Development of Wildlife Criteria D Appendix D to Part 132 Protection of Environment... Development of Wildlife Criteria Great Lakes States and Tribes shall adopt provisions consistent with (as protective as) this appendix. I. Introduction A. A Great Lakes Water Quality Wildlife Criterion (GLWC) is the...
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Probabilistic measure of factors contributing to social media practices among Facebook users
Directory of Open Access Journals (Sweden)
Jandryle U. Trondillo
2016-01-01
Full Text Available Social media is the most popular tool to communicate and interact with people nowadays and offers easy access to connect with people anywhere in the globe. This study was conducted to develop a construct about social media practice and explore the probabilistic measure of the factors contributing to social media practices among selected Facebook users. Data was gathered utilizing a structured online survey form from selected 162 online Facebook users who consented to participate in this study. Most of the respondents are male, from 21 to 30 age group, employed and with average social media use of 1 to 4 hours in a day. Out of 30 items in the structured questionnaire, 19 items where retained with eight new factors that served as construct for social media practice (KMO= Bartlett's test of Sphericity= 2109.530, p=0.000,<0.01. Proposed model was significant 99% (p=0.002,<0.01, chi-square of 19.25 which can explain 6.4% to 13.3% of the variation in social media practice. Eight new components were found to simulate respondent’s social media practices. Social media practice varies between males and females while characteristics of age, occupational status and average number of hours spent in social media in a day have no variation.
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A new method of measuring the adoption of soil conservation practices : theory and applications
Castaño, J.; Meulenberg, M.T.G.; Tilburg, van A.
2002-01-01
This paper presents a new methodology for measuring the adoption of sustainable agricultural practices that attempts to integrate positive features of earlier approaches. It measures the degree of sustainability observed by the farmer and, at the same time, is straightforward and efficient in
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46 CFR Appendix II to Part 150 - Explanation of Figure 1
2010-10-01
... COMPATIBILITY OF CARGOES Pt. 150, App. II Appendix II to Part 150—Explanation of Figure 1 Definition of a..., aromatic hydrocarbons or paraffins. Others will form hazardous combinations with many groups: For example...
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32 CFR Appendix G to Part 505 - Management Control Evaluation Checklist
2010-07-01
... CIVIL AUTHORITIES AND PUBLIC RELATIONS ARMY PRIVACY ACT PROGRAM Pt. 505, App. G Appendix G to Part 505—Management Control Evaluation Checklist (a) Function. The function covered by this checklist is DA Privacy...
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Construction safety program for the National Ignition Facility, Appendix B
Energy Technology Data Exchange (ETDEWEB)
Cerruti, S.J.
1997-06-26
This Appendix contains material from the LLNL Health and Safety Manual as listed below. For sections not included in this list, please refer to the Manual itself. The areas covered are: asbestos, lead, fire prevention, lockout, and tag program confined space traffic safety.
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45 CFR Appendix A to Part 1210 - Standard for Examiners
2010-10-01
... SERVICE VISTA TRAINEE DESELECTION AND VOLUNTEER EARLY TERMINATION PROCEDURES Pt. 1210, App. A Appendix A... administrative, managerial, professional, investigative, or technical work which has demonstrated the possession... and confidence of others. (iii) A good working knowledge of: —The relationship between Volunteer...
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Construction safety program for the National Ignition Facility, Appendix B
International Nuclear Information System (INIS)
Cerruti, S.J.
1997-01-01
This Appendix contains material from the LLNL Health and Safety Manual as listed below. For sections not included in this list, please refer to the Manual itself. The areas covered are: asbestos, lead, fire prevention, lockout, and tag program confined space traffic safety
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Strategic analysis for safeguards systems: a feasibility study. Volume 2. Appendix
International Nuclear Information System (INIS)
Goldman, A.J.
1984-12-01
This appendix provides detailed information regarding game theory (strategic analysis) and its potential role in safeguards to supplement the main body of this report. In particualr, it includes an extensive, though not comprehensive review of literature on game theory and on other topics that relate to the formulation of a game-theoretic model (e.g. the payoff functions). The appendix describes the basic form and components of game theory models, and the solvability of various models. It then discusses three basic issues related to the use of strategic analysis in material accounting: (1) its understandability; (2) its viability in regulatory settings; and (3) difficulties in the use of mixed strategies. Each of the components of a game theoretic model are then discussed and related to the present context
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Strategic analysis for safeguards systems: a feasibility study. Volume 2. Appendix
Energy Technology Data Exchange (ETDEWEB)
Goldman, A J
1984-12-01
This appendix provides detailed information regarding game theory (strategic analysis) and its potential role in safeguards to supplement the main body of this report. In particualr, it includes an extensive, though not comprehensive review of literature on game theory and on other topics that relate to the formulation of a game-theoretic model (e.g. the payoff functions). The appendix describes the basic form and components of game theory models, and the solvability of various models. It then discusses three basic issues related to the use of strategic analysis in material accounting: (1) its understandability; (2) its viability in regulatory settings; and (3) difficulties in the use of mixed strategies. Each of the components of a game theoretic model are then discussed and related to the present context.
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Mäenpää, Helena; Autti-Rämö, Ilona; Varho, Tarja; Forsten, Wivi; Haataja, Leena
2017-03-01
To develop a national consensus on outcome measures that define functional ability in children with cerebral palsy (CP) according to the International Classification of Functioning, Disability and Health (ICF) framework. The project started in 2008 in neuropaediatric units of two university hospitals and one outpatient clinic. Each professional group selected representatives to be knowledge brokers for their own specialty. Based on the evidence, expert opinion, and the ICF framework, multiprofessional teams selected the most valid measures used in clinical practice (2009-2010). Data from 269 children with CP were analysed, classified by the Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System, and evaluated. The process aimed at improving and unifying clinical practice in Finland through a national consensus on the core set of measures. The selected measures were presented by professional groups, and consensus was reached on the recommended core set of measures to be used in all hospitals treating children with CP in Finland. A national consensus on relevant and feasible measures is essential for identifying differences in the effectiveness of local practices, and for conducting multisite intervention studies. This project showed that multiprofessional rehabilitation practices can be improved through respect for and inclusion of everyone involved. © 2016 Mac Keith Press.
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7 CFR Appendix H to Subpart E of... - Suggested Format for the Opinion of the Lender's Legal Counsel
2010-01-01
... 7 Agriculture 14 2010-01-01 2009-01-01 true Suggested Format for the Opinion of the Lender's Legal Counsel H Appendix H to Subpart E of Part 1980 Agriculture Regulations of the Department of Agriculture... Industrial Loan Program Pt. 1980, Subpt. E, App. H Appendix H to Subpart E of Part 1980—Suggested Format for...
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2010-07-01
... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Pt. 112, App. E Appendix E... boundary lines defined in 46 CFR part 7, except in the Gulf of Mexico. In the Gulf of Mexico, it means the... meet the requirements for arrival on-scene in accordance with section 5.3 of this appendix. An on-water...
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Appendix D-12A Building 332C Waste Accumulation Area
International Nuclear Information System (INIS)
Chase, D
2005-01-01
This appendix is designed to provide information specific to the Building 332C Waste Accumulation Area (B-332C WAA), a waste storage area. This appendix is not designed to be used as a sole source of information. All general information that is not specific to the B-332C WAA is included in the Contingency Plan for Waste Accumulation Areas, dated July 2004, and should be referenced. The B-332C WAA is located in the southwest quadrant of the LLNL Main Site in Building 332, Room 1330. Hazardous and mixed wastes may be stored at the B-332C WAA for 90 days or less, until transferred to the appropriate Radioactive and Hazardous Waste Management (RHWM) facility or other permitted treatment, storage or disposal facility (TSDF). Radioactive waste may also be stored at the WAA. The design storage capacity of this WAA is 2,200 gallons
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Endometrial Adenocarcinoma and Mucocele of the Appendix: An Unusual Coexistence
Directory of Open Access Journals (Sweden)
Ioannis Kalogiannidis
2013-01-01
Full Text Available Appendiceal mucocele is a rare clinical entity, which is however quite often associated with mucinous ovarian tumor. The coexistence of mucinous cystadenoma of the appendix and endometrial adenocarcinoma has not been reported before. A 49-year-old woman presented to our clinic with postmenopausal bleeding and no other symptom. Endometrial biopsy revealed endometrial adenocarcinoma of endometrioid type (grade I. Preoperative CT scanning revealed an appendiceal mucocele, and a colonoscopy confirmed the diagnosis. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and appendectomy. The final histopathological examination showed a mucinous cystadenoma of the appendix and confirmed the diagnosis of endometrioid endometrial adenocarcinoma. The coexistence of appendiceal mucocele and female genital tract pathology is rare. However, gynecologists should keep a high level of suspicion for such possible coexistence. Both the diagnostic approach and the therapeutic management should be multidisciplinary, most importantly with the involvement of general surgeons.
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49 CFR Appendix C to Part 591 - Power of Attorney and Agreement
2010-10-01
... TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) IMPORTATION OF VEHICLES AND EQUIPMENT SUBJECT TO FEDERAL SAFETY, BUMPER AND THEFT PREVENTION STANDARDS Pt. 591, App. C Appendix C to...
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Endometriosis of the Vermiform Appendix within a Hernia Sac Infiltrating the Pubic Bone
Directory of Open Access Journals (Sweden)
Damian Ziaja
2015-01-01
Full Text Available Purpose. Appendicular endometriosis mimicking appendicitis is a rare finding. Inguinal tumor in the course of appendicular endometriosis located within an inguinal hernia sac and infiltrating the periosteum of the pubic bone has not yet been described. Case Report. This paper describes a case of a rapidly enlarging, solid, unmovable, very painful upon palpation inguinal tumor, in a 36-year-old nulliparous woman. During surgery, a hard (approximately 4 cm in diameter tumor infiltrating the periosteum of the right pubic bone and continuous with the inguinal hernia sac was dissected. The distal segment of the vermiform appendix was an element of the dissected tumor. Histological examination revealed endometriosis of the distal vermiform appendix. After 6 months of hormone treatment, she was referred for reoperation due to tumor recurrence. Once again histological examination of the resected tissue revealed endometriosis. There was no further recurrence of the disease with goserelin therapy. In addition to the case report, we present a review of the literature about endometriosis involving the vermiform appendix and the inguinal canal (Amyand’s hernia. Conclusion. This case expands the list of differential diagnoses of nodules found in the inguinal region of women.
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Pseudomyxoma peritonei originating from appendix tumors
Directory of Open Access Journals (Sweden)
Tatiana Maria Fernandes Moreira Marques
2018-04-01
Full Text Available Background: Appendix tumors represent about 1% of all gastrointestinal neoplasia, in other words they are quite rare. However, there is a specific type of appendiceal neoplasms (mucinous adenocarcinoma that spreads to the peritoneum and in almost 20% of the cases, resulting in a disease called pseudomyxoma peritonei. Although, it is a very rare condition, it is nonetheless a very severe one and therefore it is crucial to know how to correctly diagnose and treat it. Objective: This study provides updated data on how to diagnose, classify and treat pseudomyxoma peritonei that originates from appendix tumors. Methods: A bibliographic research was performed on PubMed database, including articles published since 2000, as well as, cross-referencing with the initial research. Discussion: In the past, patients diagnosed with pseudomyxoma peritonei would only undergo palliative measures, so their overall survival rate was greatly reduced. Over the years pseudomyxoma peritonei treatment has evolved and patients are now undergoing treatment which is a combination of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. This new therapy has allowed an increase of survival chances of up to 5 years in those patients with values between 53% and 88%, depending on the type of tumor. Conclusion: Despite the great progress we have witnessed in recent years, which have led to a large increase in survival rates, more research needs to be done, on what to do when the disease is in an unresectable stage. Finding a less aggressive therapy than cytoreductive surgery + hyperthermic intraperitoneal chemotherapy will be an important step forward. Resumo: Introdução: As neoplasias do apêndice são bastante raras, representando atualmente cerca de 1% de todas as neoplasias gastrointestinais. O adenocarcinoma mucinoso é um dos subtipos de neoplasia do apêndice e caracteriza-se por metastizar para o peritoneu, em 20% dos casos, facto que se manifesta sob
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2010-10-01
..., App. H Appendix H to Part 40—DOT Drug and Alcohol Testing Management Information System (MIS) Data... 49 Transportation 1 2010-10-01 2010-10-01 false DOT Drug and Alcohol Testing Management Information System (MIS) Data Collection Form H Appendix H to Part 40 Transportation Office of the Secretary...
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49 CFR Appendix A to Part 591 - Section 591.5(f) Bond for the Entry of a Single Vehicle
2010-10-01
... VEHICLES AND EQUIPMENT SUBJECT TO FEDERAL SAFETY, BUMPER AND THEFT PREVENTION STANDARDS Pt. 591, App. A Appendix A to Part 591—Section 591.5(f) Bond for the Entry of a Single Vehicle Department of Transportation... Vehicle A Appendix A to Part 591 Transportation Other Regulations Relating to Transportation (Continued...