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Sample records for operations brookhaven medical

  1. Radiation dosimetry for NCT facilities at the Brookhaven Medical Research Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Holden, N.E.; Hu, J.P.; Greenberg, D.D.; Reciniello, R.N.

    1998-12-31

    Brookhaven Medical Research Reactor (BMRR) is a 3 mega-watt (MW) heterogeneous, tank-type, light water cooled and moderated, graphite reflected reactor, which was designed for medical and biological studies and became operational in 1959. Over time, the BMRR was modified to provide thermal and epithermal neutron beams suitable for research studies. NCT studies have been performed at both the epithermal neutron irradiation facility (ENIF) on the east side of the BMRR reactor core and the thermal neutron irradiation facility (TNIF) on the west side of the core. Neutron and gamma-ray dosimetry performed from 1994 to the present in both facilities are described and the results are presented and discussed.

  2. Physics design for the Brookhaven Medical Research Reactor epithermal neutron source.

    Science.gov (United States)

    Wheeler, F J; Parsons, D K; Nigg, D W; Wessol, D E; Miller, L G; Fairchild, R G

    1990-01-01

    A collaborative effort by researchers at the Idaho National Engineering Laboratory and the Brookhaven National Laboratory has resulted in the design and implementation of an epithermal-neutron source at the Brookhaven Medical Research Reactor (BMRR). Large aluminum containers, filled with aluminum oxide tiles and aluminum spacers, were tailored to pre-existing compartments on the animal side of the reactor facility. A layer of cadmium was used to minimize the thermal-neutron component. Additional bismuth was added to the pre-existing bismuth shield to minimize the gamma component of the beam. Lead was also added to reduce gamma streaming around the bismuth. The physics design methods are outlined in this paper. Information available to date shows close agreement between calculated and measured beam parameters. The neutron spectrum is predominantly in the intermediate energy range (0.5 eV - 10 keV). The peak flux intensity is 6.4E + 12 n/(m2.s.MW) at the center of the beam on the outer surface of the final gamma shield. The corresponding neutron current is 3.8E + 12 n/(m2.s.MW). Presently, the core operates at a maximum of 3 MW. The fast-neutron KERMA is 3.6E-15 cGy/(n/m2) and the gamma KERMA is 5.0E-16 cGY/(n/m2) for the unperturbed beam. The neutron intensity falls off rapidly with distance from the outer shield and the thermal flux realized in phantom or tissue is strongly dependent on the beam-delimiter and target geometry.

  3. Brookhaven highlights

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Cohen, A.; Greenberg, D.; Seubert, L. (eds.)

    1992-01-01

    This publication provides a broad overview of the research programs and efforts being conducted, built, designed, and planned at Brookhaven National Laboratory. This work covers a broad range of scientific disciplines. Major facilities include the Alternating Gradient Synchrotron (AGS), with its newly completed booster, the National Synchrotron Light Source (NSLS), the High Flux Beam Reactor (HFBR), and the RHIC, which is under construction. Departments within the laboratory include the AGS department, accelerator development, physics, chemistry, biology, NSLS, medical, nuclear energy, and interdepartmental research efforts. Research ranges from the pure sciences, in nuclear physics and high energy physics as one example, to environmental work in applied science to study climatic effects, from efforts in biology which are a component of the human genome project to the study, production, and characterization of new materials. The paper provides an overview of the laboratory operations during 1992, including staffing, research, honors, funding, and general laboratory plans for the future.

  4. Reliable operation of the Brookhaven EBIS for highly charged ion production for RHIC and NSRL

    Energy Technology Data Exchange (ETDEWEB)

    Beebe, E., E-mail: beebe@bnl.gov; Alessi, J., E-mail: beebe@bnl.gov; Binello, S., E-mail: beebe@bnl.gov; Kanesue, T., E-mail: beebe@bnl.gov; McCafferty, D., E-mail: beebe@bnl.gov; Morris, J., E-mail: beebe@bnl.gov; Okamura, M., E-mail: beebe@bnl.gov; Pikin, A., E-mail: beebe@bnl.gov; Ritter, J., E-mail: beebe@bnl.gov; Schoepfer, R., E-mail: beebe@bnl.gov [Brookhaven National Laboratory, Upton, NY 11973 (United States)

    2015-01-09

    An Electron Beam Ion Source for the Relativistic Heavy Ion Collider (RHIC EBIS) was commissioned at Brookhaven in September 2010 and since then it routinely supplies ions for RHIC and NASA Space Radiation Laboratory (NSRL) as the main source of highly charged ions from Helium to Uranium. Using three external primary ion sources for 1+ injection into the EBIS and an electrostatic injection beam line, ion species at the EBIS exit can be switched in 0.2 s. A total of 16 different ion species have been produced to date. The length and the capacity of the ion trap have been increased by 20% by extending the trap by two more drift tubes, compared with the original design. The fraction of Au{sup 32+} in the EBIS Au spectrum is approximately 12% for 70-80% electron beam neutralization and 8 pulses operation in a 5 Hertz train and 4-5 s super cycle. For single pulse per super cycle operation and 25% electron beam neutralization, the EBIS achieves the theoretical Au{sup 32+} fractional output of 18%. Long term stability has been very good with availability of the beam from RHIC EBIS during 2012 and 2014 RHIC runs approximately 99.8%.

  5. Reliable operation of the Brookhaven EBIS for highly charged ion production for RHIC and NSRL

    Science.gov (United States)

    Beebe, E.; Alessi, J.; Binello, S.; Kanesue, T.; McCafferty, D.; Morris, J.; Okamura, M.; Pikin, A.; Ritter, J.; Schoepfer, R.

    2015-01-01

    An Electron Beam Ion Source for the Relativistic Heavy Ion Collider (RHIC EBIS) was commissioned at Brookhaven in September 2010 and since then it routinely supplies ions for RHIC and NASA Space Radiation Laboratory (NSRL) as the main source of highly charged ions from Helium to Uranium. Using three external primary ion sources for 1+ injection into the EBIS and an electrostatic injection beam line, ion species at the EBIS exit can be switched in 0.2 s. A total of 16 different ion species have been produced to date. The length and the capacity of the ion trap have been increased by 20% by extending the trap by two more drift tubes, compared with the original design. The fraction of Au32+ in the EBIS Au spectrum is approximately 12% for 70-80% electron beam neutralization and 8 pulses operation in a 5 Hertz train and 4-5 s super cycle. For single pulse per super cycle operation and 25% electron beam neutralization, the EBIS achieves the theoretical Au32+ fractional output of 18%. Long term stability has been very good with availability of the beam from RHIC EBIS during 2012 and 2014 RHIC runs approximately 99.8%.

  6. Department of Energy’s ARM Climate Research Facility External Data Center Operations Plan Located At Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Cialella, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Gregory, L. [Brookhaven National Lab. (BNL), Upton, NY (United States); Lazar, K. [Brookhaven National Lab. (BNL), Upton, NY (United States); Liang, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Ma, L. [Brookhaven National Lab. (BNL), Upton, NY (United States); Tilp, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Wagener, R. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2015-05-01

    The External Data Center (XDC) Operations Plan describes the activities performed to manage the XDC, located at Brookhaven National Laboratory (BNL), for the Department of Energy’s Atmospheric Radiation Measurement (ARM) Climate Research Facility. It includes all ARM infrastructure activities performed by the Data Management and Software Engineering Group (DMSE) at BNL. This plan establishes a baseline of expectation within the ARM Operations Management for the group managing the XDC.

  7. Interactive radiopharmaceutical facility between Yale Medical Center and Brookhaven National Laboratory. Progress report, October 1976-June 1979

    Energy Technology Data Exchange (ETDEWEB)

    Gottschalk, A.

    1979-01-01

    DOE Contract No. EY-76-S-02-4078 was started in October 1976 to set up an investigative radiochemical facility at the Yale Medical Center which would bridge the gap between current investigation with radionuclides at the Yale School of Medicine and the facilities in the Chemistry Department at the Brookhaven National Laboratory. To facilitate these goals, Dr. Mathew L. Thakur was recruited who joined the Yale University faculty in March of 1977. This report briefly summarizes our research accomplishments through the end of June 1979. These can be broadly classified into three categories: (1) research using indium-111 labelled cellular blood components; (2) development of new radiopharmaceuticals; and (3) interaction with Dr. Alfred Wolf and colleagues in the Chemistry Department of Brookhaven National Laboratory.

  8. Brookhaven highlights - Brookhaven National Laboratory 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    This report highlights research conducted at Brookhaven National Laboratory in the following areas: alternating gradient synchrotron; physics; biology; national synchrotron light source; department of applied science; medical; chemistry; department of advanced technology; reactor; safety and environmental protection; instrumentation; and computing and communications.

  9. Optimization of the Epithermal Neutron Beam for Boron Neutron Capture Therapy at the Brookhaven Medical Research Reactor

    Science.gov (United States)

    Hu, Jih-Perng; Rorer, David C.; Reciniello, Richard N.; Holden, Norman E.

    2003-06-01

    Clinical trials of Boron Neutron Capture Therapy for patients with malignant brain tumor had been carried out for half a decade, using an epithermal neutron beam at the Brookhaven Medical Reactor. The decision to permanently close this reactor in 2000 cut short the efforts to implement a new conceptual design to optimize this beam in preparation for use with possible new protocols. Details of the conceptual design to produce a higher intensity, more forward-directed neutron beam with less contamination from gamma rays, fast and thermal neutrons are presented here for their potential applicability to other reactor facilities. Monte Carlo calculations were used to predict the flux and absorbed dose produced by the proposed design. The results were benchmarked by the dose rate and flux measurements taken at the facility then in use.

  10. Optimization of the epithermal neutron beam for Boron Neutron Capture Therapy at the Brookhaven Medical Research Reactor.

    Science.gov (United States)

    Hu, Jih-Perng; Reciniello, Richard N; Holden, Norman E

    2004-05-01

    The use of epithermal neutron beam in clinical trials of Boron Neutron Capture Therapy for patients with malignant brain tumors had been carried out for half a decade at the Brookhaven's Medical Reactor. The decision to permanently close this reactor in 2000 cut short the efforts to implement a new conceptual design to optimize this beam in preparation for use with possible new BNCT protocols. Details of the conceptual design to produce a highly intensified and focused neutron beam with less gamma and neutron contamination in tissues are presented here for their potential applicability to other reactor facilities. Neutron-photon coupled Monte Carlo calculations were used to predict the flux, current, heating, and absorbed dose produced by the proposed design. The results were benchmarked by the dose rate and flux measurements taken at the facility then in use.

  11. Design of a high-flux epithermal neutron beam using 235U fission plates at the Brookhaven Medical Research Reactor.

    Science.gov (United States)

    Liu, H B; Brugger, R M; Rorer, D C; Tichler, P R; Hu, J P

    1994-10-01

    Beams of epithermal neutrons are being used in the development of boron neutron capture therapy for cancer. This report describes a design study in which 235U fission plates and moderators are used to produce an epithermal neutron beam with higher intensity and better quality than the beam currently in use at the Brookhaven Medical Research Reactor (BMRR). Monte Carlo calculations are used to predict the neutron and gamma fluxes and absorbed doses produced by the proposed design. Neutron flux measurements at the present epithermal treatment facility (ETF) were made to verify and compare with the computed results where feasible. The calculations indicate that an epithermal neutron beam produced by a fission-plate converter could have an epithermal neutron intensity of 1.2 x 10(10) n/cm2.s and a fast neutron dose per epithermal neutron of 2.8 x 10(-11) cGy.cm2/nepi plus being forward directed. This beam would be built into the beam shutter of the ETF at the BMRR. The feasibility of remodeling the facility is discussed.

  12. Investigation of ISIS and Brookhaven National Laboratory ion source electrodes after extended operation

    Energy Technology Data Exchange (ETDEWEB)

    Lettry, J.; Gerardin, A.; Pereira, H.; Sgobba, S. [CERN, 1211 Geneva 23 (Switzerland); Alessi, J. [BNL, P.O. Box 5000, Upton, New York 11973-5000 (United States); Faircloth, D. [RAL, Harwell Oxford, Didcot OX11 0QX (United Kingdom); Kalvas, T. [University of Jyvaskyla, P.O.Box 35, FI-40014 (Finland)

    2012-02-15

    Linac4 accelerator of Centre Europeen de Recherches Nucleaires is under construction and a RF-driven H{sup -} ion source is being developed. The beam current requirement for Linac4 is very challenging: 80 mA must be provided. Cesiated plasma discharge ion sources such as Penning or magnetron sources are also potential candidates. Accelerator ion sources must achieve typical reliability figures of 95% and above. Investigating and understanding the underlying mechanisms involved with source failure or ageing is critical when selecting the ion source technology. Plasma discharge driven surface ion sources rely on molybdenum cathodes. Deformation of the cathode surfaces is visible after extended operation periods. A metallurgical investigation of an ISIS ion source is presented. The origin of the deformation is twofold: Molybdenum sputtering by cesium ions digs few tenths of mm cavities while a growth of molybdenum is observed in the immediate vicinity. The molybdenum growth under hydrogen atmosphere is hard and loosely bound to the bulk. It is, therefore, likely to peel off and be transported within the plasma volume. The observation of the cathode, anode, and extraction electrodes of the magnetron source operated at BNL for two years are presented. A beam simulation of H{sup -}, electrons, and Cs{sup -} ions was performed with the IBSimu code package to qualitatively explain the observations. This paper describes the operation conditions of the ion sources and discusses the metallurgical analysis and beam simulation results.

  13. Investigation of ISIS and Brookhaven National Laboratory ion source electrodes after extended operation

    Energy Technology Data Exchange (ETDEWEB)

    Lettry J.; Alessi J.; Faircloth, D.; Gerardin, A.; Kalvas, T.; Pereira, H.; Sgobba, S.

    2012-02-23

    Linac4 accelerator of Centre Europeen de Recherches Nucleaires is under construction and a RF-driven H{sup -} ion source is being developed. The beam current requirement for Linac4 is very challenging: 80 mA must be provided. Cesiated plasma discharge ion sources such as Penning or magnetron sources are also potential candidates. Accelerator ion sources must achieve typical reliability figures of 95% and above. Investigating and understanding the underlying mechanisms involved with source failure or ageing is critical when selecting the ion source technology. Plasma discharge driven surface ion sources rely on molybdenum cathodes. Deformation of the cathode surfaces is visible after extended operation periods. A metallurgical investigation of an ISIS ion source is presented. The origin of the deformation is twofold: Molybdenum sputtering by cesium ions digs few tenths of mm cavities while a growth of molybdenum is observed in the immediate vicinity. The molybdenum growth under hydrogen atmosphere is hard and loosely bound to the bulk. It is, therefore, likely to peel off and be transported within the plasma volume. The observation of the cathode, anode, and extraction electrodes of the magnetron source operated at BNL for two years are presented. A beam simulation of H{sup -}, electrons, and Cs{sup -} ions was performed with the IBSimu code package to qualitatively explain the observations. This paper describes the operation conditions of the ion sources and discusses the metallurgical analysis and beam simulation results.

  14. Investigation of ISIS and Brookhaven National Laboratory ion source electrodes after extended operation.

    Science.gov (United States)

    Lettry, J; Alessi, J; Faircloth, D; Gerardin, A; Kalvas, T; Pereira, H; Sgobba, S

    2012-02-01

    Linac4 accelerator of Centre Européen de Recherches Nucléaires is under construction and a RF-driven H(-) ion source is being developed. The beam current requirement for Linac4 is very challenging: 80 mA must be provided. Cesiated plasma discharge ion sources such as Penning or magnetron sources are also potential candidates. Accelerator ion sources must achieve typical reliability figures of 95% and above. Investigating and understanding the underlying mechanisms involved with source failure or ageing is critical when selecting the ion source technology. Plasma discharge driven surface ion sources rely on molybdenum cathodes. Deformation of the cathode surfaces is visible after extended operation periods. A metallurgical investigation of an ISIS ion source is presented. The origin of the deformation is twofold: Molybdenum sputtering by cesium ions digs few tenths of mm cavities while a growth of molybdenum is observed in the immediate vicinity. The molybdenum growth under hydrogen atmosphere is hard and loosely bound to the bulk. It is, therefore, likely to peel off and be transported within the plasma volume. The observation of the cathode, anode, and extraction electrodes of the magnetron source operated at BNL for two years are presented. A beam simulation of H(-), electrons, and Cs(-) ions was performed with the IBSimu code package to qualitatively explain the observations. This paper describes the operation conditions of the ion sources and discusses the metallurgical analysis and beam simulation results.

  15. Medication Use Before Your Operation

    Science.gov (United States)

    ... Surgical Support Groups Recursos en Español (Spanish Resources) Medication Use Before Your Operation Your medications may have ... restart taking these drugs. (See list.) List of medications that affect blood clotting:* Antiplatelet Medication: Anagrelide (Agrylin®), ...

  16. Brookhaven Linac Isotope Producer

    Data.gov (United States)

    Federal Laboratory Consortium — The Brookhaven Linac Isoptope Producer (BLIP)—positioned at the forefront of research into radioisotopes used in cancer treatment and diagnosis—produces commercially...

  17. Brookhaven National Laboratory

    Science.gov (United States)

    ... Science About Departments Partner With Us Careers News Feedback Directory BNL People a passion for discovery justincase02@ ... can partner with BNL to commercialize our diverse portfolio of licensable technologies. | More Outlook Web Access Brookhaven ...

  18. Brookhaven National Laboratory site environmental report for calendar year 1994

    Energy Technology Data Exchange (ETDEWEB)

    Naidu, J.R.; Royce, B.A. [eds.

    1995-05-01

    This report documents the results of the Environmental Monitoring Program at Brookhaven National Laboratory and presents summary information about environmental compliance for 1994. To evaluate the effect of Brookhaven National Laboratory`s operations on the local environment, measurements of direct radiation, and a variety of radionuclides and chemical compounds in ambient air, soil, sewage effluent, surface water, groundwater, fauna and vegetation were made at the Brookhaven National Laboratory site and at sites adjacent to the Laboratory.

  19. Electronic Procedures for Medical Operations

    Science.gov (United States)

    2015-01-01

    Electronic procedures are replacing text-based documents for recording the steps in performing medical operations aboard the International Space Station. S&K Aerospace, LLC, has developed a content-based electronic system-based on the Extensible Markup Language (XML) standard-that separates text from formatting standards and tags items contained in procedures so they can be recognized by other electronic systems. For example, to change a standard format, electronic procedures are changed in a single batch process, and the entire body of procedures will have the new format. Procedures can be quickly searched to determine which are affected by software and hardware changes. Similarly, procedures are easily shared with other electronic systems. The system also enables real-time data capture and automatic bookmarking of current procedure steps. In Phase II of the project, S&K Aerospace developed a Procedure Representation Language (PRL) and tools to support the creation and maintenance of electronic procedures for medical operations. The goal is to develop these tools in such a way that new advances can be inserted easily, leading to an eventual medical decision support system.

  20. Brookhaven National Laboratory site environmental report for calendar year 1996

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, G.L.; Paquette, D.E.; Naidu, J.R.; Lee, R.J.; Briggs, S.L.K.

    1998-01-01

    This report documents the results of the Environmental Monitoring Program at Brookhaven National Laboratory and summarizes information about environmental compliance for 1996. To evaluate the effect of Brookhaven National Laboratory`s operations on the local environment, measurements of direct radiation, and of a variety of radionuclides and chemical compounds in the ambient air, soil, sewage effluent, surface water, groundwater, fauna, and vegetation were made at the Brookhaven National Laboratory site and at adjacent sites. The report also evaluates the Laboratory`s compliance with all applicable guides, standards, and limits for radiological and non-radiological emissions and effluents to the environment.

  1. Radiological environmental monitoring report for Brookhaven National Laboratory 1967--1970

    Energy Technology Data Exchange (ETDEWEB)

    Meinhold, C.B.; Hull, A.P.

    1998-10-01

    Brookhaven National Laboratory (BNL) was established in 1947 on the former Army Camp Upton site located in central Long Island, New York. From the very beginning, BNL has monitored the environment on and around the Laboratory site to assess the effects of its operations on the environment. This document summarizes the environmental data collected for the years 1967, 1968, 1969, and 1970. Thus, it fills a gap in the series of BNL annual environmental reports beginning in 1962. The data in this document reflect measurements for those four years of concentrations and/or amounts of airborne radioactivity, radioactivity in streams and ground water, and external radiation levels in the vicinity of BNL. Also included are estimates, made at that time, of BNL`s contribution to radioactivity in the environment. Among the major scientific facilities operated at BNL are the High Flux Beam Reactor, Medical Research Reactor, Brookhaven Graphite Research Reactor, Alternating Gradient Synchrotron, and the 60-inch Cyclotron.

  2. Brookhaven highlights for fiscal year 1991, October 1, 1990--September 30, 1991

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Cohen, A.; Greenberg, D.; Seubert, L.; Kuper, J.B.H.

    1991-01-01

    This report highlights Brookhaven National Laboratory's activities for fiscal year 1991. Topics from the four research divisions: Computing and Communications, Instrumentation, Reactors, and Safety and Environmental Protection are presented. The research programs at Brookhaven are diverse, as is reflected by the nine different scientific departments: Accelerator Development, Alternating Gradient Synchrotron, Applied Science, Biology, Chemistry, Medical, National Synchrotron Light Source, Nuclear Energy, and Physics. Administrative and managerial information about Brookhaven are also disclosed. (GHH)

  3. Brookhaven highlights for fiscal year 1991, October 1, 1990--September 30, 1991

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Cohen, A.; Greenberg, D.; Seubert, L.; Kuper, J.B.H.

    1991-12-31

    This report highlights Brookhaven National Laboratory`s activities for fiscal year 1991. Topics from the four research divisions: Computing and Communications, Instrumentation, Reactors, and Safety and Environmental Protection are presented. The research programs at Brookhaven are diverse, as is reflected by the nine different scientific departments: Accelerator Development, Alternating Gradient Synchrotron, Applied Science, Biology, Chemistry, Medical, National Synchrotron Light Source, Nuclear Energy, and Physics. Administrative and managerial information about Brookhaven are also disclosed. (GHH)

  4. Medical supply on contingency military operations: experience from Operation GRITROCK.

    Science.gov (United States)

    Robinson, J P; Reeves, P

    2015-01-01

    Medical supply during military operations has the ability to affect the efficacy of the operation being undertaken, either negatively or positively. An appropriately-managed maritime platform with a robust medical supply chain during transit and on arrival in theatre is the main aim. A secure supply chain will reduce any implications that logistics may have with regard to capability, and negate the effects of deficiencies of short shelf life items occurring over time and during use in high tempo operations.

  5. The doctrinal basis for medical stability operations.

    Science.gov (United States)

    Baker, Jay B

    2010-01-01

    This article describes possible roles for the military in the health sector during stability operations, which exist primarily when security conditions do not permit the free movement of civilian actors. This article reviews the new U.S. Army Field Manuals (FMs) 3-24, Counterinsurgency and FM 3-07, Stability Operations, in the context of the health sector. Essential tasks in medical stability operations are identified for various logical lines of operation including information operations, civil security, civil control, support to governance, support to economic development, and restoration of essential services. Restoring essential services is addressed in detail including coordination, assessment, actions, and metrics in the health sector. Coordination by the military with other actors in the health sector including host nation medical officials, other United States governmental agencies, international governmental organizations (IGOs), and nongovernment organizations (NGOs) is key to success in medical stability operations.

  6. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Electronic procedures are currently being used to document the steps in performing medical operations for the Space Shuttle and/or the International Space Station...

  7. Brookhaven leak reactor to close

    CERN Multimedia

    MacIlwain, C

    1999-01-01

    The DOE has announced that the High Flux Beam Reactor at Brookhaven is to close for good. Though the news was not unexpected researchers were angry the decision had been taken before the review to assess the impact of reopening the reactor had been concluded (1 page).

  8. Technical Safety Appraisal of the Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    1990-12-01

    The purpose of the Technical Safety Appraisal (TSA) was to assess the effectiveness of representative safety and health programs at the Brookhaven National Laboratory (BNL) through the evaluation of activities at selected facilities and in selected safety disciplines. The TSA was conducted in accordance with established procedures. The following BNL safety and health program elements were reviewed as a part of this TSA: Organization and Administration, Operations, Maintenance, Training and Certification, Nuclear Criticality Safety, Auxiliary Systems, Technical Support, Site/Facility Safety Review, Emergency Preparedness, Radiological Protection, Industrial Hygiene, Occupational Safety, Fire Protection, Quality Verification, and Medical Services. The TSA was conducted from March 26--April 12, 1990. The evaluation was conducted by a team of experts assembled by EH, Office of Safety Appraisals (OSA). TSAs are operationally focused. As such, in terms of safety, health, and quality verification, the site and selected facilities were appraised relative to operations, and the condition of equipment and facilities. The evaluation thus addresses whether current operations are being conducted within the operational safety procedures established for specific facilities and activities.

  9. Brookhaven Highlights, January 1982-March 1983

    Energy Technology Data Exchange (ETDEWEB)

    Kuper, J.B.H.; Rustad, M.C. (eds.)

    1983-01-01

    Research at Brookhaven National Laboratory is summarized. Major headings are high energy physics, physics and chemistry, life sciences, applied energy science, support activities and administration. (GHT)

  10. SPACE MEDICINE and Medical Operations Overview

    Science.gov (United States)

    Dervay, Joe

    2009-01-01

    This presentation is an overview of the function of the work of the Space Medicine & Health Care Systems Office. The objective of the medical operations is to ensure the health, safety and well being of the astronaut corps and ground support team during all phases of space flight. There are many issues that impact the health of the astronauts. Some of them are physiological, and others relate to behavior, psychological issues and issues of the environment of space itself. Reviews of the medical events that have affected both Russian, and Americans while in space are included. Some views of shuttle liftoff, and ascent, the medical training aboard NASA's KC-135 and training in weightlessness, the Shuttle Orbiter Medical system (SOMS), and some of the medical equipment are included. Also included are a graphs showing Fluid loading countermeasures, and vertical pursuit tracking with head and eye. The final views are representations of the future crew exploration vehicle (CEV) approaching the International Space Station, and the moon, and a series of perspective representations of the earth in comparison to the other planets and the Sun, the Sun in relation to other stars, and a view of where in the galaxy the Sun is.

  11. Medical Operations Support for ISS Operations - The Role of the BME Operations Team Leads

    Science.gov (United States)

    Janney, Rob; Sabatier, Veronica

    2010-01-01

    This slide presentation reviews the role of the biomedical flight controllers (BMEs), and BME Operations Team Leads (OTLs) in providing medical support for personnel on the International Space Station. This presentation will concentrate on role of the BME OTLs, who provide the integration function across the integration function across all Crew Health Care System (CHeCS) disciplines for operational products and medical procedures.

  12. Brookhaven National Laboratory site environmental report for calendar year 1995

    Energy Technology Data Exchange (ETDEWEB)

    Naidu, J.R.; Paquette, D.E.; Schroeder, G.L. [eds.] [and others

    1996-12-01

    This report documents the results of the Environmental Monitoring Program at Brookhaven National Laboratory and summarizes information about environmental compliance for 1995. To evaluate the effect of Brookhaven National Laboratory`s operations on the local environment, measurements of direct radiation, and of a variety of radionuclides and chemical compounds in the ambient air, soil, sewage effluent, surface water, groundwater, fauna, and vegetation were made at the Brookhaven National Laboratory site and at adjacent sites. The report also evaluates the Laboratory`s compliance with all applicable guides, standards, and limits for radiological and nonradiological emissions and effluents to the environment. Areas of known contamination are subject to Remedial Investigation/Feasibility Studies under the Inter Agency Agreement established by the Department of Energy, Environmental Protection Agency and the New York Department of Environmental Conservation. Except for identified areas of soil and groundwater contamination, the environmental monitoring data has continued to demonstrate that compliance was achieved with the applicable environmental laws and regulations governing emission and discharge of materials to the environment. Also, the data show that the environmental impacts at Brookhaven National Laboratory are minimal and pose no threat to the public nor to the environment. This report meets the requirements of Department of Energy Orders 5484.1, Environmental Protection, Safety, and Health Protection Information reporting requirements and 5400.1, General Environmental Protection Programs.

  13. BROOKHAVEN NATIONAL LABORATORY WILDLIFE MANAGEMENT PLAN.

    Energy Technology Data Exchange (ETDEWEB)

    NAIDU,J.R.

    2002-10-22

    The purpose of the Wildlife Management Plan (WMP) is to promote stewardship of the natural resources found at the Brookhaven National Laboratory (BNL), and to integrate their protection with pursuit of the Laboratory's mission.

  14. BROOKHAVEN NATIONAL LABORATORY INSTITUTIONAL PLAN FY2003-2007.

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-06-10

    This document presents the vision for Brookhaven National Laboratory (BNL) for the next five years, and a roadmap for implementing that vision. Brookhaven is a multidisciplinary science-based laboratory operated for the U.S. Department of Energy (DOE), supported primarily by programs sponsored by the DOE's Office of Science. As the third-largest funding agency for science in the U.S., one of the DOE's goals is ''to advance basic research and the instruments of science that are the foundations for DOE's applied missions, a base for U.S. technology innovation, and a source of remarkable insights into our physical and biological world, and the nature of matter and energy'' (DOE Office of Science Strategic Plan, 2000 http://www.osti.gov/portfolio/science.htm). BNL shapes its vision according to this plan.

  15. H particle searches at Brookhaven

    Energy Technology Data Exchange (ETDEWEB)

    Chrien, R.E. [Brookhaven National Lab., Upton, NY (United States). Physics Dept.

    1997-09-01

    Following the suggestion by R.L. Jaffe twenty years ago, researchers have been trying to establish the existence of a six-quark object, termed the H dibaryon, predicted by the phenomenological quark bag model. This object quickly became the focus of experimental searches at several locations, including the AGS. This search still continues, with perhaps the most active program being carried out at the 2.0 GeV/c beam line at the BNL-AGS. The research was considerably enhanced by the writing of two notable papers at BNL by Aerts and Dover, which gave quantitative predictions for H-production cross sections in two very different reaction mechanisms. One of these, the formation of cascade atomic deuterium to form the H by fusion, had been first suggested by P.D. Barnes. The 2.0 GeV/c line at the AGS was specifically designed to provide an adequate kaon flux for double strangeness and charge exchange reactions. It has been used for two H searches, E813 and E836, as well as for several {Lambda}{Lambda} searches, E885 and E906. These four experiments are setting significant limits on H-production. The results of these experiments are discussed, and descriptions of related H searches at Brookhaven are given.

  16. ATLAS Overview Week at Brookhaven

    CERN Multimedia

    Pilcher, J

    Over 200 ATLAS participants gathered at Brookhaven National Laboratory during the first week of June for our annual overview week. Some system communities arrived early and held meetings on Saturday and Sunday, and the detector interface group (DIG) and Technical Coordination also took advantage of the time to discuss issues of interest for all detector systems. Sunday was also marked by a workshop on the possibilities for heavy ion physics with ATLAS. Beginning on Monday, and for the rest of the week, sessions were held in common in the well equipped Berkner Hall auditorium complex. Laptop computers became the norm for presentations and a wireless network kept laptop owners well connected. Most lunches and dinners were held on the lawn outside Berkner Hall. The weather was very cooperative and it was an extremely pleasant setting. This picture shows most of the participants from a view on the roof of Berkner Hall. Technical Coordination and Integration issues started the reports on Monday and became a...

  17. Brookhaven buildings energy conservation optimization model

    Energy Technology Data Exchange (ETDEWEB)

    Carhart, S C; Mulherkar, S S; Sanborn, Y

    1978-01-01

    The Brookhaven Buildings Energy Conservation Optimization Model is a linear programming representation of energy use in buildings. Starting with engineering and economic data on cost and performance of energy technologies used in buildings, including both conversion devices (such as heat pumps) and structural improvements, the model constructs alternative flows for energy through the technologies to meet demands for space heating, air conditioning, thermal applications, and electric lighting and appliances. Alternative paths have different costs and efficiencies. Within constraints such as total demand for energy services, retirement of existing buildings, seasonal operation of certain devices, and others, the model calculates an optimal configuration of energy technologies in buildings. The penetration of the various basic technologies within this configuration is specified in considerable detail, covering new and retrofit markets for nine building types in four regions. Each market may choose from several appropriate conversion devices and four levels each of new and retrofit structural improvement. The principal applications for which the model was designed described briefly.

  18. Brookhaven highlights. [Fiscal year 1992, October 1, 1991--September 30, 1992

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Cohen, A.; Greenberg, D.; Seubert, L. [eds.

    1992-12-31

    This publication provides a broad overview of the research programs and efforts being conducted, built, designed, and planned at Brookhaven National Laboratory. This work covers a broad range of scientific disciplines. Major facilities include the Alternating Gradient Synchrotron (AGS), with its newly completed booster, the National Synchrotron Light Source (NSLS), the High Flux Beam Reactor (HFBR), and the RHIC, which is under construction. Departments within the laboratory include the AGS department, accelerator development, physics, chemistry, biology, NSLS, medical, nuclear energy, and interdepartmental research efforts. Research ranges from the pure sciences, in nuclear physics and high energy physics as one example, to environmental work in applied science to study climatic effects, from efforts in biology which are a component of the human genome project to the study, production, and characterization of new materials. The paper provides an overview of the laboratory operations during 1992, including staffing, research, honors, funding, and general laboratory plans for the future.

  19. BROOKHAVEN NATIONAL LABORATORY SITE ENVIRONMENTAL REPORT FOR CALENDAR YEAR 1994.

    Energy Technology Data Exchange (ETDEWEB)

    NAIDU,J.R.; ROYCE,B.A.

    1995-05-01

    This report documents the results of the Environmental Monitoring Program at Brookhaven National Laboratory and presents summary information about environmental compliance for 1994. To evaluate the effect of Brookhaven National Laboratory's operations on the local environment, measurements of direct radiation, and a variety of radionuclides and chemical compounds in ambient air, soil, sewage effluent, surface water, groundwater, fauna and vegetation were made at the Brookhaven National Laboratory site and at sites adjacent to the Laboratory. Brookhaven National Laboratory's compliance with all applicable guides, standards, and limits for radiological and nonradiological emissions and effluents to the environment were evaluated. Among the permitted facilities, two instances of pH exceedances were observed at recharge basins, possibly related to rain-water run-off to these recharge basins. Also, the discharge from the Sewage Treatment Plant to the Peconic River exceeded. on ten occasions, one each for fecal coliform and 5-day Biochemical Oxygen Demand (avg.) and eight for ammonia nitrogen. The ammonia and Biochemical Oxygen Demand exceedances were attributed to the cold winter and the routine cultivation of the sand filter beds which resulted in the hydraulic overloading of the filter beds and the possible destruction of nitrifying bacteria. The on-set of warm weather and increased aeration of the filter beds via cultivation helped to alleviate this condition. The discharge of fecal coliform may also be linked to this occurrence, in that the increase in fecal coliform coincided with the increased cultivation of the sand filter beds. The environmental monitoring data has identified site-specific contamination of groundwater and soil. These areas are subject to Remedial Investigation/Feasibility Studies under the Inter Agency Agreement. Except for the above, the environmental monitoring data has continued to demonstrate that compliance was achieved with

  20. Medical Operations Decision Support System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Risks associated with possible medical events during space missions are challenging to identify and manage. Resources must be applied judiciously and risk must not...

  1. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose an alternative to using Microsoft Word for representing medical procedures that will make the procedures easier to construct and maintain, particularly...

  2. Medical Operations Decision Support System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Determining the probability of specific medical events on a given space mission is difficult. Yet, it is important to have reasonable estimates of these...

  3. Medical Equipment Used to Support Operations in Southwest Asia

    Science.gov (United States)

    2009-09-30

    Microbiology Psychiatry/Mental Health Pediatrics Radiology* Prosthesis Trauma Surgery (General, Orthopedic, Urologic, Obstetrics and Gynecology...because they lacked Class VIII supply systems integration. (The Class VIII medical commodity group includes pharmaceutical, medical-surgical, dental ...Scanners Chemistry Analyzers C-Arms Hematology Analyzers Fluid Warmers Lab Analyzers Operating Room Lights Dental Operating Units Dental Compressors

  4. Distributed Automated Medical Robotics to Improve Medical Field Operations

    Science.gov (United States)

    2010-04-01

    and through animal and human cadaveric studies in collaboration with anesthesiologists and trauma surgeons at the Massachusetts General Hospital...Medical Robotics and Computer Assisted Surgery. 2009;5(2):136-46. [12] Hanly EJ, Marohn MR, Schenkman NS, Miller BE, Moses GR, Marchessault R

  5. Brookhaven National Laboratory site environmental report for calendar year 1991

    Energy Technology Data Exchange (ETDEWEB)

    Naidu, J.R.; Royce, B.A.; Miltenberger, R.P.

    1992-09-01

    This publication presents the results of BNL`s environmental monitoring and compliance effort and provides an assessment of the impact of Brookhaven National Laboratory (BNL) operations on the environment. This document is the responsibility of the Environmental Protection Section of the Safety and Envirorunental Protection Division. Within this Section, the Environmental Monitoring Group (EMG) sample the environment, interpreted the results, performed the impact analysis of the emissions from BNL, and compiled the information presented here. In this effort, other groups of the Section: Compliance; Analytical; Ground Water; and Quality played a key role in addressing the regulatory aspects and the analysis and documentation of the data, respectively.

  6. Brookhaven National Laboratory site environmental report for calendar year 1991

    Energy Technology Data Exchange (ETDEWEB)

    Naidu, J.R.; Royce, B.A.; Miltenberger, R.P.

    1992-09-01

    This publication presents the results of BNL's environmental monitoring and compliance effort and provides an assessment of the impact of Brookhaven National Laboratory (BNL) operations on the environment. This document is the responsibility of the Environmental Protection Section of the Safety and Envirorunental Protection Division. Within this Section, the Environmental Monitoring Group (EMG) sample the environment, interpreted the results, performed the impact analysis of the emissions from BNL, and compiled the information presented here. In this effort, other groups of the Section: Compliance; Analytical; Ground Water; and Quality played a key role in addressing the regulatory aspects and the analysis and documentation of the data, respectively.

  7. Applied programs at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    1991-09-01

    This document overviews the areas of current research at Brookhaven National Laboratory. Technology transfer and the user facilities are discussed. Current topics are presented in the areas of applied physics, chemical science, material science, energy efficiency and conservation, environmental health and mathematics, biosystems and process science, oceanography, and nuclear energy. (GHH)

  8. Brookhaven highlights, October 1979-September 1980

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    Highlights are given for the research areas of the Brookhaven National Laboratory. These areas include high energy physics, physics and chemistry, life sciences, applied energy science (energy and environment, and nuclear energy), and support activities (including mathematics, instrumentation, reactors, and safety). (GHT)

  9. Dr. Praveen Chaudhari named director of Brookhaven National Laboratory

    CERN Document Server

    2003-01-01

    "Brookhaven Science Associates announced today the selection of Dr. Praveen Chaudhari as Director of the U.S. Department of Energy's Brookhaven National Laboratory. Dr. Chaudhari, who will begin his new duties on April 1, joins Brookhaven Lab after 36 years of distinguished service at IBM as a scientist and senior manager of research" (1 page).

  10. Biometrics in support of special forces medical operations.

    Science.gov (United States)

    Kershner, Michael R

    2012-01-01

    Recommendations on ways in which the ODA can leverage biometrics in medical operations to improve their security, improve relations with indigenous personnel, and contribute to the larger theater biometrics program.

  11. Medical Information Technology in Support of the Operational Commander.

    Science.gov (United States)

    2007-11-02

    There are numerous factors that have driven the. need for medical information technology in the operational setting. Two of the primary driving...through retirement. The FHP strategy thrusts preventive medicine and information technology into the forefront of operational health support...paper will deal with the medical information technology portion of the Force Health Protection program. This paper will discuss the pros and cons of

  12. The Amtex DAMA Project: The Brookhaven contribution

    Energy Technology Data Exchange (ETDEWEB)

    Peskin, A.M.

    1995-01-01

    The Amtex Partnership organized in 1993 as a Technology Transfer Collaboration among members of the integrated textile industry, the DOE National Laboratories, a number of universities, and several research/education/technology transfer organizations (RETTs). Under the Amtex umbrella organization, a number of technology areas were defined and individual projects were launched addressing various aspects of improving the health and competitiveness of the American textile industry. The first and, to date, the largest of these has been the computer-based Demand Activated Manufacturing Architecture (DAMA) project. Brookhaven National Laboratory became involved in DAMA beginning in March of 1993 and remained an active participant through January of 1995. It was staffed almost exclusively with personnel of the Computing and Communications Division. This document summarizes the activities and accomplishments of the Brookhaven team in working with the larger collaboration. Detailed information about the Amtex Partnership, the DAMA Project, and specific BNL contributions are documented elsewhere.

  13. The Amtex DAMA Project: The Brookhaven contribution

    Energy Technology Data Exchange (ETDEWEB)

    Peskin, A.M.

    1995-01-01

    The Amtex Partnership organized in 1993 as a Technology Transfer Collaboration among members of the integrated textile industry, the DOE National Laboratories, a number of universities, and several research/education/technology transfer organizations (RETTs). Under the Amtex umbrella organization, a number of technology areas were defined and individual projects were launched addressing various aspects of improving the health and competitiveness of the American textile industry. The first and, to date, the largest of these has been the computer-based Demand Activated Manufacturing Architecture (DAMA) project. Brookhaven National Laboratory became involved in DAMA beginning in March of 1993 and remained an active participant through January of 1995. It was staffed almost exclusively with personnel of the Computing and Communications Division. This document summarizes the activities and accomplishments of the Brookhaven team in working with the larger collaboration. Detailed information about the Amtex Partnership, the DAMA Project, and specific BNL contributions are documented elsewhere.

  14. The Brookhaven electron analogue, 1953--1957

    Energy Technology Data Exchange (ETDEWEB)

    Plotkin, M.

    1991-12-18

    The following topics are discussed on the Brookhaven electron analogue: L.J. Haworth and E.L. VanHorn letters; Original G.K. Green outline for report; General description; Parameter list; Mechanical Assembly; Alignment; Degaussing; Vacuum System; Injection System; The pulsed inflector; RF System; Ferrite Cavity; Pick-up electrodes and preamplifiers; Radio Frequency power amplifier; Lens supply; Controls and Power; and RF acceleration summary.

  15. Brookhaven National Laboratory Institutional Plan FY2001--FY2005

    Energy Technology Data Exchange (ETDEWEB)

    Davis, S.

    2000-10-01

    Brookhaven National Laboratory is a multidisciplinary laboratory in the Department of Energy National Laboratory system and plays a lead role in the DOE Science and Technology mission. The Laboratory also contributes to the DOE missions in Energy Resources, Environmental Quality, and National Security. Brookhaven strives for excellence in its science research and in facility operations and manages its activities with particular sensitivity to environmental and community issues. The Laboratory's programs are aligned continuously with the goals and objectives of the DOE through an Integrated Planning Process. This Institutional Plan summarizes the portfolio of research and capabilities that will assure success in the Laboratory's mission in the future. It also sets forth BNL strategies for our programs and for management of the Laboratory. The Department of Energy national laboratory system provides extensive capabilities in both world class research expertise and unique facilities that cannot exist without federal support. Through these national resources, which are available to researchers from industry, universities, other government agencies and other nations, the Department advances the energy, environmental, economic and national security well being of the US, provides for the international advancement of science, and educates future scientists and engineers.

  16. Teaming with Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Yang, G. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2017-06-06

    BNL has started growing CdZnTeSe crystals for room-temperature radiation detector applications. The addition of Se to CdTe reduces the concentration of secondary phases and sub-grain boundary networks. The addition of Zn increases the energy band gap. Material characterization to understand the limiting factors of radiation detection material and to improve the properties continues to be a core element of an extensive R&D program at the LBNL’s ALS and BNL’s NSLS-II synchrotron facilities. ALS’s Beamline 3.3.2 is available for 60% of its beamtime and allows us to perform both White Beam X-ray Diffraction Topography and Micron Scale X-ray Detector Mapping. The latter technique is extremely useful when measuring scintillators because it allows us to subtract contributions from the variability in the counting statistics, and also the fluctuations due to delta electrons, and non-proportionality. BNL has recently developed a new type of thermal neutron detector using pad technology in combination with 3He gas operated in ionization mode. The new detector is used for coded aperture thermal neutron imaging.

  17. Medical System Concept of Operations for Mars Exploration Missions

    Science.gov (United States)

    Urbina, Michelle; Rubin, D.; Hailey, M.; Reyes, D.; Antonsen, Eric

    2017-01-01

    Future exploration missions will be the first time humanity travels beyond Low Earth Orbit (LEO) since the Apollo program, taking us to cis-lunar space, interplanetary space, and Mars. These long-duration missions will cover vast distances, severely constraining opportunities for emergency evacuation to Earth and cargo resupply opportunities. Communication delays and blackouts between the crew and Mission Control will eliminate reliable, real-time telemedicine consultations. As a result, compared to current LEO operations onboard the International Space Station, exploration mission medical care requires an integrated medical system that provides additional in-situ capabilities and a significant increase in crew autonomy. The Medical System Concept of Operations for Mars Exploration Missions illustrates how a future NASA Mars program could ensure appropriate medical care for the crew of this highly autonomous mission. This Concept of Operations document, when complete, will document all mission phases through a series of mission use case scenarios that illustrate required medical capabilities, enabling the NASA Human Research Program (HRP) Exploration Medical Capability (ExMC) Element to plan, design, and prototype an integrated medical system to support human exploration to Mars.

  18. Coordinating medical civil military operations in Multinational Division-North.

    Science.gov (United States)

    Smyrski, John A; Rainey, McKinley; Roach, Shane; Stevens, Mark; Hernandez, Gloria; Vargo, Ruth

    2010-11-01

    Medical civil military operations (MCMO) are part of military civil capacity-building efforts within the full spectrum of military operations, from war to military operations other than war. In 2008-2009 during Operation Iraqi Freedom, the Division Surgeon's Section (DSS) of the 25th Infantry Division (25ID) and Multinational Division-North developed an innovative MCMO program in northern Iraq. The program centered on understanding and mapping key relationships, empowering brigade-level programs, and leveraging technology to identify and share best practices. The DSS mapped the critical relationships within and between the three entities affecting MCMO: the government of Iraq (GOI), Department of State (DOS), and the Department of Defense (DOD). A division MCMO working group was then created along with processes to facilitate MCMO project execution and program management. The structure and organization of the 25ID MCMO program lend themselves to other operational environments requiring synchronization of medical capacity-building efforts.

  19. Accidental falls involving medical implant re-operation.

    Science.gov (United States)

    Ong, Kevin L; Lau, Edmund; Moore, Tara; Heller, Michelle F

    2009-10-01

    Implantation of medical devices is becoming more prevalent, and as a result, a greater number of patients who fall accidentally are expected to have a medical implant. The Nationwide Inpatient Sample (NIS) was used to evaluate hospital admissions following accidental falls involving re-operation of existing medical implants (hip, knee, spine, and fracture fixation) from 1990 to 2005. From 1990 to 2005, hospitalisations due to accidental falls on level surfaces increased by 306%, and hospitalisations due to falls from stairs increased by 310%. Falls involving orthopaedic revision surgery (re-operation) are relatively rare, but the incidence has increased by approximately 35%. Hospital stays after falls on level surfaces involving re-operation were 1.0 day (median) longer and cost 50% (median) more than those that did not involve re-operation in 2005. After staircase falls, hospital stays for patients undergoing re-operations were 2.0 days (median) longer and cost 108% (median) more. The greater hospital costs and hospital stay for patients needing re-operations indicate that additional medical treatment was required.

  20. Brookhaven highlights, October 1, 1989--September 30, 1990

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Cohen, A.; Greenberg, D.; Seubert, L.; Kuper, J.B.H. (eds.)

    1990-01-01

    This report discusses research being conducted at Brookhaven National Laboratory. Highlights from all the department are illustrated. The main topics are on accelerator development and applications. (LSP)

  1. Medical support for law enforcement-extended operations incidents.

    Science.gov (United States)

    Levy, Matthew J; Tang, Nelson

    2014-01-01

    As the complexity and frequency of law enforcement-extended operations incidents continue to increase, so do the opportunities for adverse health and well-being impacts on the responding officers. These types of clinical encounters have not been well characterized nor have the medical response strategies which have been developed to effectively manage these encounters been well described. The purpose of this article is to provide a descriptive epidemiology of the clinical encounters reported during extended law enforcement operations, as well as to describe a best practices approach for their effective management. This study retrospectively examined the clinical encounters of the Maryland State Police (MSP) Tactical Medical Unit (TMU) during law enforcement extended operations incidents lasting 8 or more hours. In addition, a qualitative analysis was performed on clinical data collected by federal law enforcement agencies during their extended operations. Forty-four percent of missions (455/1,047) supported by the MSP TMU lasted 8 or more hours. Twenty-six percent of these missions (117/455) resulted in at least one patient encounter. Nineteen percent of patient chief complaints (45/238) were related to heat illness/ dehydration. Fifteen percent of encounters (36/238) were for musculoskeletal injury/pain. Eight percent of patients (19/238) had nonspecific sick call (minor illness) complaints. The next most common occurring complaints were cold-related injuries, headache, sinus congestion, and wound/laceration, each of which accounted for 7 percent of patients (16/238), respectively. Analysis of federal law enforcement agencies' response to such events yielded similar clinical encounters. A wide range of health problems are reported by extended law enforcement operations personnel. Timely and effective treatment of these problems can help ensure that the broader operations mission is not compromised. An appropriate operational strategy for managing health complaints

  2. Deriving cleanup guidelines for radionuclides at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Meinhold, A.F.; Morris, S.C.; Dionne, B.; Moskowitz, P.D.

    1997-01-01

    Past activities at Brookhaven National Laboratory (BNL) resulted in soil and groundwater contamination. As a result, BNL was designated a Superfund site under the Comprehensive Environmental Response Compensation and Liability Act (CERCLA). BNL`s Office of Environmental Restoration (OER) is overseeing environmental restoration activities at the Laboratory. With the exception of radium, there are no regulations or guidelines to establish cleanup guidelines for radionuclides in soils at BNL. BNL must derive radionuclide soil cleanup guidelines for a number of Operable Units (OUs) and Areas of Concern (AOCs). These guidelines are required by DOE under a proposed regulation for radiation protection of public health and the environment as well as to satisfy the requirements of CERCLA. The objective of this report is to propose a standard approach to deriving risk-based cleanup guidelines for radionuclides in soil at BNL. Implementation of the approach is briefly discussed.

  3. Towards automated assistance for operating home medical devices.

    Science.gov (United States)

    Gao, Zan; Detyniecki, Marcin; Chen, Ming-Yu; Wu, Wen; Hauptmann, Alexander G; Wactlar, Howard D

    2010-01-01

    To detect errors when subjects operate a home medical device, we observe them with multiple cameras. We then perform action recognition with a robust approach to recognize action information based on explicitly encoding motion information. This algorithm detects interest points and encodes not only their local appearance but also explicitly models local motion. Our goal is to recognize individual human actions in the operations of a home medical device to see if the patient has correctly performed the required actions in the prescribed sequence. Using a specific infusion pump as a test case, requiring 22 operation steps from 6 action classes, our best classifier selects high likelihood action estimates from 4 available cameras, to obtain an average class recognition rate of 69%.

  4. Brookhaven highlights. Report on research, October 1, 1992--September 30, 1993

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, M.S.; Belford, M.; Cohen, A.; Greenberg, D.; Seubert, L. [eds.

    1993-12-31

    This report highlights the research activities of Brookhaven National Laboratory during the period dating from October 1, 1992 through September 30, 1993. There are contributions to the report from different programs and departments within the laboratory. These include technology transfer, RHIC, Alternating Gradient Synchrotron, physics, biology, national synchrotron light source, applied science, medical science, advanced technology, chemistry, reactor physics, safety and environmental protection, instrumentation, and computing and communications.

  5. Dioxins from medical waste incineration: Normal operation and transient conditions.

    Science.gov (United States)

    Chen, Tong; Zhan, Ming-xiu; Yan, Mi; Fu, Jian-ying; Lu, Sheng-yong; Li, Xiao-dong; Yan, Jian-hua; Buekens, Alfons

    2015-07-01

    Polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) are key pollutants in waste incineration. At present, incinerator managers and official supervisors focus only on emissions evolving during steady-state operation. Yet, these emissions may considerably be raised during periods of poor combustion, plant shutdown, and especially when starting-up from cold. Until now there were no data on transient emissions from medical (or hospital) waste incineration (MWI). However, MWI is reputed to engender higher emissions than those from municipal solid waste incineration (MSWI). The emission levels in this study recorded for shutdown and start-up, however, were significantly higher: 483 ± 184 ng Nm(-3) (1.47 ± 0.17 ng I-TEQ Nm(-3)) for shutdown and 735 ng Nm(-3) (7.73 ng I-TEQ Nm(-3)) for start-up conditions, respectively. Thus, the average (I-TEQ) concentration during shutdown is 2.6 (3.8) times higher than the average concentration during normal operation, and the average (I-TEQ) concentration during start-up is 4.0 (almost 20) times higher. So monitoring should cover the entire incineration cycle, including start-up, operation and shutdown, rather than optimised operation only. This suggestion is important for medical waste incinerators, as these facilities frequently start up and shut down, because of their small size, or of lacking waste supply. Forthcoming operation should shift towards much longer operating cycles, i.e., a single weekly start-up and shutdown.

  6. The new Brookhaven $(g-2)_{\\mu}$ experiment

    CERN Document Server

    Hertzog, D W; Bunce, G M; Carey, R M; Cushman, P B; Danby, G T; Debevec, P T; Deng, H; Deninger, W J; Dhawan, S K; Druzhinin, V P; Duong, L; Earle, W; Efstathiadis, E F; Farley, Francis J M; Fedotovich, G V; Giron, S; Gray, F; Grosse-Perdekamp, M; Grossmann, A; Haeberlen, U; Hare, M; Hazen, E S; Hughes, V W; Iwassaki, M; Jungmann, Klaus; Kawall, D; Kawamura, M; Khazin, B I; Kindem, J; Krienen, F; Kronkvist, I J; Larsen, R; Lee, Y Y; Liu, W; Logashenko, I B; McNabb, R; Meng, W; Mi, J L; Miller, J P; Morse, W M; Onderwater, Gerco; Orlov, Yu F; Pai, C; Polly, C; Pretz, J; Prigl, R; zu Putlitz, Gisbert; Redin, S I; Rind, O; Roberts, B L; Ryskulov, N M; Sanders, R; Sedykh, S N; Semertzidis, Y K; Serednyakov, S I; Shatunov, Yu M; Solodov, E P; Sossong, M; Steinmetz, A; Sulak, Lawrence R; Timmermans, C; Trofimov, A V; Urner, D; Warburton, D; Winn, D; Xu, Q; Yamamoto, A; Zimmerman, D

    1999-01-01

    A new assault on the muon's anomalous magnetic moment has begun with a vigorous effort by the Brookhaven E821 collaboration. The present group has refined the design used in a series of successful CERN experiments in order to lower the systematic uncertainties. Consequently it will be possible to take advantage of the greatly increased muon flux provided for at the AGS. Several novel techniques are employed, of which the most significant is a direct muon injection scheme. Upon reaching the goal of the experiment, comparison with theory will offer sensitive teats of both the electroweak corrections and physics beyond the standard model. At the time of this symposium, data from the first engineering run has been analyzed, yielding a result whose precision and value are comparable to those generated by the last CERN effort. (23 refs).

  7. SET OPERATOR-BASED METHOD OF DENOISING MEDICAL VOLUME DATA

    Institute of Scientific and Technical Information of China (English)

    程兵; 郑南宁; 袁泽剑

    2002-01-01

    Objective To investigate impulsive noise suppression of medical volume data. Methods The volume data is represented as level sets and a special set operator is defined and applied to filtering it. The small connected components, which are likely to be produced by impulsive noise, are eliminated after the filtering process. A fast algorithm that uses a heap data structure is also designed. Results Compared with traditional linear filters such as a Gaussian filter, this method preserves the fine structure features of the medical volume data while removing noise, and the fast algorithm developed by us reduces memory consumption and improves computing efficiency. The experimental results given illustrate the efficiency of the method and the fast algorithm. Conclusion The set operator-based method shows outstanding denoising properties in our experiment, especially for impulsive noise. The method has a wide variety of applications in the areas of volume visualization and high dimensional data processing.

  8. Medical Command and Control in Sea-Based Operations

    Science.gov (United States)

    2006-01-01

    AND CONTROL IN SEA-BASED OPERATIONS Captain Arthur M. Smith, MC, U.S. Navy Reserve (Retired), and Captain Harold R. Bohman, MC, U.S. Navy Medical...Operation Desert Storm: Full Army Capability Not Achieved, GAO/NSIAD 92-175 (Washington, D.C.: 1992), p. 47. See also Arthur M. Smith, “Integrated...September 1976), pp. 694–703; Ron R. Rozin and Y. Kleinman , “Surgical Priorities of Abdominal Wounded in a Combat Situation,” Journal of Trauma 27, no. 6

  9. Tiger Team assessment of the Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    1990-06-01

    This report documents the results of the Department of Energy's (DOE's) Tiger Team Assessment conducted at Brookhaven National Laboratory (BNL) in Upton, New York, between March 26 and April 27, 1990. The BNL is a multiprogram laboratory operated by the Associated Universities, Inc., (AUI) for DOE. The purpose of the assessment was to provide the status of environment, safety, and health (ES H) programs at the Laboratory. The scope of the assessment included a review of management systems and operating procedures and records; observations of facility operations; and interviews at the facilities. Subteams in four areas performed the review: ES H, Occupational Safety and Health, and Management and Organization. The assessment was comprehensive, covering all areas of ES H activities and waste management operations. Compliance with applicable Federal, State, and local regulations; applicable DOE Orders; and internal BNL requirements was assessed. In addition, the assessment included an evaluation of the adequacy and effectiveness of the DOE and the site contractor, Associated Universities, Inc. (AUI), management, organization, and administration of the ES H programs at BNL.

  10. Tiger Team assessment of the Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    1990-06-01

    This report documents the results of the Department of Energy's (DOE's) Tiger Team Assessment conducted at Brookhaven National Laboratory (BNL) in Upton, New York, between March 26 and April 27, 1990. The BNL is a multiprogram laboratory operated by the Associated Universities, Inc., (AUI) for DOE. The purpose of the assessment was to provide the status of environment, safety, and health (ES H) programs at the laboratory. The scope of the assessment included a review of management systems and operating procedures and records; observations of facility operations; and interviews at the facilities. Subteams in four areas performed the review: ES H, Occupational Safety and Health, and Management and Organization. The assessment was comprehensive, covering all areas of ES H activities and waste management operations. Compliance with applicable Federal, State, and local regulations; applicable DOE Orders; and internal BNL requirements was assessed. In addition, the assessment included an evaluation of the adequacy and effectiveness of the DOE and the site contractor, Associated Universities, Inc. (AUI), management, organization, and administration of the ES H programs at BNL. This volume contains appendices.

  11. Decommissioning of the High Flux Beam Reactor at Brookhaven Lab

    Energy Technology Data Exchange (ETDEWEB)

    Hu, J. P. [Brookhaven National Lab. (BNL), Upton, NY (United States); Reciniello, R. N. [Brookhaven National Lab. (BNL), Upton, NY (United States); Holden, N. E. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2011-05-27

    The High Flux Beam Reactor at the Brookhaven National Laboratory was a heavy water cooled and moderated reactor that achieved criticality on October 31, 1965. It operated at a power level of 40 mega-watts. An equipment upgrade in 1982 allowed operations at 60 mega-watts. After a 1989 reactor shutdown to reanalyze safety impact of a hypothetical loss of coolant accident, the reactor was restarted in 1991 at 30 mega-watts. The HFBR was shutdown in December 1996 for routine maintenance and refueling. At that time, a leak of tritiated water was identified by routine sampling of ground water from wells located adjacent to the reactor’s spent fuel pool. The reactor remained shutdown for almost three years for safety and environmental reviews. In November 1999 the United States Department of Energy decided to permanently shutdown the HFBR. The decontamination and decommissioning of the HFBR complex, consisting of multiple structures and systems to operate and maintain the reactor, were complete in 2009 after removing and shipping off all the control rod blades. The emptied and cleaned HFBR dome which still contains the irradiated reactor vessel is presently under 24/7 surveillance for safety. Details of the HFBR cleanup conducted during 1999-2009 will be described in the paper.

  12. Decommissioning of the high flux beam reactor at Brookhaven Lab

    Energy Technology Data Exchange (ETDEWEB)

    Hu, J.P. [National Synchrotron Light Source, Brookhaven Laboratory, Upton, NY 11973 (United States); Reciniello, R.N. [Radiological Control Div., Brookhaven Laboratory, Upton, NY 11973 (United States); Holden, N.E. [National Nuclear Data Center, Brookhaven Laboratory, Upton, NY 11973 (United States)

    2011-07-01

    The high-flux beam reactor (HFBR) at the Brookhaven National Laboratory was a heavy water cooled and moderated reactor that achieved criticality on Oct. 31, 1965. It operated at a power level of 40 megawatts. An equipment upgrade in 1982 allowed operations at 60 megawatts. After a 1989 reactor shutdown to reanalyze safety impact of a hypothetical loss of coolant accident, the reactor was restarted in 1991 at 30 megawatts. The HFBR was shut down in December 1996 for routine maintenance and refueling. At that time, a leak of tritiated water was identified by routine sampling of groundwater from wells located adjacent to the reactor's spent fuel pool. The reactor remained shut down for almost three years for safety and environmental reviews. In November 1999 the United States Dept. of Energy decided to permanently shut down the HFBR. The decontamination and decommissioning of the HFBR complex, consisting of multiple structures and systems to operate and maintain the reactor, were complete in 2009 after removing and shipping off all the control rod blades. The emptied and cleaned HFBR dome, which still contains the irradiated reactor vessel, is presently under 24/7 surveillance for safety. Detailed dosimetry performed for the HFBR decommissioning during 1996-2009 is described in the paper. (authors)

  13. Operational and design aspects of accelerators for medical applications

    Science.gov (United States)

    Schippers, Jacobus Maarten; Seidel, Mike

    2015-03-01

    Originally, the typical particle accelerators as well as their associated beam transport equipment were designed for particle and nuclear physics research and applications in isotope production. In the past few decades, such accelerators and related equipment have also been applied for medical use. This can be in the original physics laboratory environment, but for the past 20 years also in hospital-based or purely clinical environments for particle therapy. The most important specific requirements of accelerators for radiation therapy with protons or ions will be discussed. The focus will be on accelerator design, operational, and formal aspects. We will discuss the special requirements to reach a high reliability for patient treatments as well as an accurate delivery of the dose at the correct position in the patient using modern techniques like pencil beam scanning. It will be shown that the technical requirements, safety aspects, and required reliability of the accelerated beam differ substantially from those in a nuclear physics laboratory. It will be shown that this difference has significant implications on the safety and interlock systems. The operation of such a medical facility should be possible by nonaccelerator specialists at different operating sites (treatment rooms). The organization and role of the control and interlock systems can be considered as being the most crucially important issue, and therefore a special, dedicated design is absolutely necessary in a facility providing particle therapy.

  14. New Brookhaven chief seeks cross-cutting research

    CERN Multimedia

    Jones, D

    2003-01-01

    Brookhaven National Laboratory will pursue opportunities for promoting commercial development of energy systems and other technologies while focusing on the lab's primary mission of basic science research, according to the incoming BNL director, Praveen Chaudhari (1 page).

  15. Geothermal materials development at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Kukacka, L.E.

    1997-06-01

    As part of the DOE/OGT response to recommendations and priorities established by industrial review of their overall R and D program, the Geothermal Materials Program at Brookhaven National Laboratory (BNL) is focusing on topics that can reduce O and M costs and increase competitiveness in foreign and domestic markets. Corrosion and scale control, well completion materials, and lost circulation control have high priorities. The first two topics are included in FY 1997 BNL activities, but work on lost circulation materials is constrained by budgetary limitations. The R and D, most of which is performed as cost-shared efforts with US geothermal firms, is rapidly moving into field testing phases. FY 1996 and 1997 accomplishments in the development of lightweight CO{sub 2}-resistant cements for well completions; corrosion resistant, thermally conductive polymer matrix composites for heat exchange applications; and metallic, polymer and ceramic-based corrosion protective coatings are given in this paper. In addition, plans for work that commenced in March 1997 on thermally conductive cementitious grouting materials for use with geothermal heat pumps (GHP), are discussed.

  16. Geothermal materials development at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Kukacka, L.E. [Brookhaven National Lab., Upton, NY (United States)

    1997-12-31

    As part of the DOE/OGT response to recommendations and priorities established by industrial review of their overall R&D program, the Geothermal Materials Program at Brookhaven National Laboratory (BNL) is focusing on topics that can reduce O&M costs and increase competitiveness in foreign and domestic markets. Corrosion and scale control, well completion materials, and lost circulation control have high priorities. The first two topics are included in FY 1997 BNL activities, but work on lost circulation materials is constrained by budgetary limitations. The R&D, most of which is performed as cost-shared efforts with U.S. geothermal firms, is rapidly moving into field testing phases. FY 1996 and 1997 accomplishments in the development of lightweight CO{sub 2}-resistant cements for well completions; corrosion resistant, thermally conductive polymer matrix composites for heat exchange applications; and metallic, polymer and ceramic-based corrosion protective coatings are given in this paper. In addition, plans for work that commenced in March 1997 on thermally conductive cementitious grouting materials for use with geothermal heat pumps (GHP), are discussed.

  17. Report on the Brookhaven Solar Neutrino Experiment

    Science.gov (United States)

    Davis, R. Jr.; Evans, J. C. Jr.

    1976-09-22

    This report is intended as a brief statement of the recent developments and results of the Brookhaven Solar Neutrino Experiment communicated through Professor G. Kocharov to the Leningrad conference on active processes on the sun and the solar neutrino problem. The report summarizes the results of experiments performed over a period of 6 years, from April 1970 to January 1976. Neutrino detection depends upon the neutrino capture reaction /sup 37/Cl(..nu..,e/sup -/)/sup 37/Ar producing the isotope /sup 37/Ar (half life of 35 days). The detector contains 3.8 x 10/sup 5/ liters of C/sub 2/Cl/sub 4/ (2.2 x 10/sup 30/ atoms of /sup 37/Cl) and is located at a depth of 4400 meters of water equivalent (m.w.e.) in the Homestake Gold Mine at Lead, South Dakota, U.S.A. The procedures for extracting /sup 37/Ar and the counting techniques used were described in previous reports. The entire recovered argon sample was counted in a small gas proportional counter. Argon-37 decay events were characterized by the energy of the Auger electrons emitted following the electron capture decay and by the rise-time of the pulse. Counting measurements were continued for a period sufficiently long to observe the decay of /sup 37/Ar.

  18. WILDLAND FIRE MANAGEMENT PLAN FOR BROOKHAVEN NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    ENVIRONMENTAL AND WASTE MANAGEMENT SERVICES DIVISION

    2003-09-01

    This Wildland Fire Management Plan (FMP) for Brookhaven National Lab (BNL) and the Upton Ecological and Research Reserve (Upton Reserve) is based on the U.S. Fish & Wildlife Service (FWS) fire management planning procedures and was developed in cooperation with the Department of Energy (DOE) by Brookhaven Science Associates. As the Upton Reserve is contained within the BNL 5,265-acre site, it is logical that the plan applies to both the Upton Reserve and BNL. The Department of the Interior policy for managing wildland fires requires that all areas managed by FWS that can sustain fire must have an FMP that details fire management guidelines for operational procedures and specifies values to be protected or enhanced. Fire management plans provide guidance on fire preparedness, fire prevention, wildfire suppression, and the use of controlled, ''prescribed'' fires and mechanical means to control the amount of available combustible material. Values reflected in the BNL/Upton Reserve Wildland FMP include protecting life and public safety; Lab properties, structures and improvements; cultural and historical sites; neighboring private and public properties; and endangered and threatened species and species of concern. Other values supported by the plan include the enhancement of fire-dependent ecosystems at BNL and the Upton Reserve. This FMP will be reviewed periodically to ensure the fire program advances and evolves with the missions of FWS, BNL, and the Upton Reserve. This Fire Management Plan is a modified version of the Long Island National Wildlife Refuge Complex Fire plan (updated in 2000), which contains all FWS fire plan requirements and is presented in the format specified by the national template for fire management plans adopted under the National Fire Plan. The DOE is one of the signatory agencies on the National Fire Plan. FWS shall be, through an Interagency Agreement dated November 2000 (Appendix C), responsible for coordinating and

  19. Design of the beryllium window for Brookhaven Linac Isotope Producer

    Energy Technology Data Exchange (ETDEWEB)

    Nayak, S. [Brookhaven National Lab. (BNL), Upton, NY (United States); Mapes, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Raparia, D. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2015-11-01

    In the Brookhaven Linac Isotope Producer (BLIP) beam line, there were two Beryllium (Be) windows with an air gap to separate the high vacuum upstream side from low vacuum downstream side. There had been frequent window failures in the past which affected the machine productivity and increased the radiation dose received by workers due to unplanned maintenance. To improve the window life, design of Be window is reexamined. Detailed structural and thermal simulations are carried out on Be window for different design parameters and loading conditions to come up with better design to improve the window life. The new design removed the air gap and connect the both beam lines with a Be window in-between. The new design has multiple advantages such as 1) reduces the beam energy loss (because of one window with no air gap), 2) reduces air activation due to nuclear radiation and 3) increased the machine reliability as there is no direct pressure load during operation. For quick replacement of this window, an aluminum bellow coupled with load binder was designed. There hasn’t been a single window failure since the new design was implemented in 2012.

  20. Environmental Survey preliminary report, Brookhaven National Laboratory, Upton, New York

    Energy Technology Data Exchange (ETDEWEB)

    1988-06-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy (DOE) Brookhaven National Laboratory (BNL) conducted April 6 through 17, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with BNL. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at BNL, and interviews with site personnel. The Survey team developed a Sampling and Analysis Plan to assist in further assessing specific environmental problems identified during its on-site activities. The Sampling and Analysis Plan will be executed by Oak Ridge National Laboratory. When completed, the results will be incorporated into the BNL Environmental Survey Interim Report. The Interim Report will reflect the final determinations of the BNL Survey. 80 refs., 24 figs., 48 tabs.

  1. Allied Medical Publication AMedP-7.6(A), Commander’s Guide to Medical Operations in Support of CBRN Defensive Operations: Study Draft 1

    Science.gov (United States)

    2015-07-01

    degradation of operational capability due to use of physical protection. While assuming a protected posture (Mission Oriented Protective Posture ... hygiene measures (e.g., limits on physical contact) Guidance on issues requiring operational-level coordination, advice, assessment SOPs for movement...Information and Coordination System MOPP Mission Oriented Protective Posture MRIIT Medical Radiation Incident Investigation Team MTF Medical Treatment

  2. To the point: teaching the obstetrics and gynecology medical student in the operating room.

    Science.gov (United States)

    Hampton, Brittany S; Craig, LaTasha B; Abbott, Jodi F; Buery-Joyner, Samantha D; Dalrymple, John L; Forstein, David A; Hopkins, Laura; McKenzie, Margaret L; Page-Ramsey, Sarah M; Pradhan, Archana; Wolf, Abigail; Graziano, Scott C

    2015-10-01

    This article, from the "To the Point" series that is prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, is a review of considerations for teaching the medical student in the operating room during the obstetrics/gynecology clerkship. The importance of the medical student operating room experience and barriers to learning in the operating room are discussed. Specific considerations for the improvement of medical student learning and operating room experience, which include the development of operating room objectives and specific curricula, an increasing awareness regarding role modeling, and faculty development, are reviewed.

  3. Brookhaven National Laboratory site environmental report for calendar year 1993

    Energy Technology Data Exchange (ETDEWEB)

    Naidu, J.R.; Royce, B.A. [eds.

    1994-05-01

    This report documents the results of the Environmental Monitoring Program at BNL and presents summary information about environmental compliance for 1993. To evaluate the effect of BNL operations on the local environment, measurements of direct radiation, and a variety of radionuclides and chemical compounds in ambient air, soil, sewage effluent, surface water, ground water and vegetation were made at the BNL site and at sites adjacent to the Laboratory. Brookhaven National Laboratory`s compliance with all applicable guides, standards, and limits for radiological and nonradiological emissions to the environment were evaluated. Among the permitted facilities, two instances, of pH exceedances were observed at recharge basins, possible related to rain-water run-off to these recharge basins. Also, the discharge from the Sewage Treatment Plant (STP) to the Peconic River exceeded on five occasions, three for residual chlorine and one each for iron and ammonia nitrogen. The chlorine exceedances were related to a malfunctioning hypochlorite dosing pump and ceased when the pump was repaired. While the iron and ammonia-nitrogen could be the result of disturbances to the sand filter beds during maintenance. The environmental monitoring data has identified site-specific contamination of ground water and soil. These areas are subject to Remedial Investigation/Feasibility Studies (RI/FS) under the Inter Agency Agreement (IAG). Except for the above, the environmental monitoring data has continued to demonstrate that compliance was achieved with applicable environmental laws and regulations governing emission and discharge of materials to the environment, and that the environmental impacts at BNL are minimal and pose no threat to the public or to the environment. This report meets the requirements of DOE Orders 5484. 1, Environmental Protection, Safety, and Health Protection Information reporting requirements and 5400.1, General Environmental Protection Programs.

  4. Guidelines for implementing medical operations in the Counterinsurgency (COIN) fight: a framework for engagement.

    Science.gov (United States)

    Hamid, Simon

    2011-01-01

    Several articles have been published over the last decade that describe the current role of medical operations (variously known as MEDCAPS- Medical Civic Action Programs, CMEs- Co-Operative Medical Engagements, etc.) in COIN and stability operations. Many of these articles focus on the experiences of healthcare and support personnel and their observations of inappropriately used U.S. Military healthcare resources. These medical assets were often used to provide fragmented and direct patient care to local populations. These operations were conducted in a non-sustainable fashion.2 Most importantly, poorly organized efforts damage COIN efforts and alienate local populations. Effective medical operations must be nested within the larger realm of overall COIN actions. In this paper, a fundamental framework is presented to align medical operations within COIN missions.

  5. Brookhaven Lab and Argonne Lab scientists invent a plasma valve

    CERN Multimedia

    2003-01-01

    Scientists from Brookhaven National Laboratory and Argonne National Laboratory have received U.S. patent number 6,528,948 for a device that shuts off airflow into a vacuum about one million times faster than mechanical valves or shutters that are currently in use (1 page).

  6. Brookhaven National Laboratory moves to the fast lane

    CERN Multimedia

    2006-01-01

    "The U.S. Department of Energy's energy sciences network (ESnet) continues to roll out its next-generation architecture on schedule with the March 14 completion of the Long Island Metropolitan Area Network, connecting Brookhaven National Laboratory (BNL) to the ESnet point of presente (PO) 60 miles away in New York City." (1 page)

  7. Vertical velocity variances and Reynold stresses at Brookhaven

    DEFF Research Database (Denmark)

    Busch, Niels E.; Brown, R.M.; Frizzola, J.A.

    1970-01-01

    Results of wind tunnel tests of the Brookhaven annular bivane are presented. The energy transfer functions describing the instrument response and the numerical filter employed in the data reduction process have been used to obtain corrected values of the normalized variance of the vertical wind v...... velocity component....

  8. The Founding of the Brookhaven National Laboratory - Associated Universities, Inc.

    Energy Technology Data Exchange (ETDEWEB)

    BROOKHAVEN NATIONAL LABORATORY

    1948-01-15

    At the end of the war it became apparent that the teamwork of government and scientific institutions, which had been so effective in wartime work, must somehow be perpetuated in order to insure the continued progress of nuclear science in peace time. The enormous expense of the tools needed to pursue the next steps in this research -- nuclear reactors and high energy accelerators -- and the shortage of scientifically trained personnel pointed towards the establishment of a cooperative laboratory. Such a laboratory, using government funds, could carry out a comprehensive research program that would benefit the many interested research groups throughout the country. As a result of the wartime programs under the Manhattan District, centers of research in nuclear science were already active at the Radiation Laboratory in Berkeley, California, at Los Alamos in New Mexico, at the Clinton Laboratories in Oak Ridge, Tennessee and at the Argonne Laboratory in Chicago. No analogous nuclear research laboratories, however, had developed in the Northeast, and since so much of the nation's scientific talent and industrial activities are concentrated in the northeastern states, it was proposed that a new laboratory be established near New York City. As a result of this plan, the Brookhaven National Laboratory is now in operation at Upton, Long Island. The work of this Laboratory is performed under a contract between the Atomic Energy Commission (AEC) and a corporation, Associated Universities, Inc. (AUI) , formed by representatives of nine of the larger private universities in the northeast: Columbia, Cornell, Harvard, Johns Hopkins, the Massachusetts Institute of Technology, the University of Pennsylvania, Princeton, the University of Rochester, and Yale. The purpose of this laboratory is the advancement of knowledge in the fundamentals of nuclear science, the extension of its application to other fields, and the training of young scientists in these new subjects. This

  9. This is Africa: an introduction to medical operations on the African continent.

    Science.gov (United States)

    Givens, Melissa L; Lynch, James H

    2014-01-01

    This article regarding Special Operations Forces (SOF) medical operations in Africa is an introduction to a follow-on series of articles that will address in more detail pertinent medical topics which pertain to operations on the African continent. Medical operations in Africa require dynamic and systematic approaches that consider the myriad challenges, yet offer flexible solutions applied as situations and environments dictate. We believe this series of articles will be of high interest to readers and provide key information that will be germane to future SOF operations.

  10. Organization, Management and Function of International Space Station (ISS) Multilateral Medical Operations

    Science.gov (United States)

    Duncan, James M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

    2007-01-01

    Long duration crews have inhabited the ISS since November of 2000. The favorable medical outcomes of its missions can be largely attributed to sustained collective efforts of all ISS Partners medical organizations. In-flight medical monitoring and support, although crucial, is just a component of the ISS system of Joint Medical Operations. The goal of this work is to review the principles, design, and function of the multilateral medical support of the ISS Program. The governing documents, which describe the relationships among all ISS partner medical organizations, were evaluated, followed by analysis of the roles, responsibilities, and decision-making processes of the ISS medical boards, panels, and working groups. The degree of integration of the medical support system was evaluated by reviewing the multiple levels of the status reviews and mission assurance activities carried out throughout the last six years. The Integrated Medical Group, consisting of physicians and other essential personnel in the mission control centers represents the front-line medical support of the ISS. Data from their day-to-day activities are presented weekly at the Space Medicine Operations Team (SMOT), where known or potential concerns are addressed by an international group of physicians. A broader status review is conducted monthly to project the state of crew health and medical support for the following month, and to determine measures to return to nominal state. Finally, a comprehensive readiness review is conducted during preparations for each ISS mission. The Multilateral Medical Policy Board (MMPB) issues medical policy decisions and oversees all health and medical matters. The Multilateral Space Medicine Board (MSMB) certifies crewmembers and visitors for training and space flight to the Station, and physicians to practice space medicine for the ISS. The Multilateral Medical Operations Panel (MMOP) develops medical requirements, defines and supervises implementation of

  11. Wildland Fire Management Plan for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Green,T.

    2009-10-23

    This Wildland Fire Management Plan (FMP) for Brookhaven National Lab (BNL) updates the 2003 plan incorporating changes necessary to comply with DOE Order 450.1 and DOE P 450.4, Federal Wildland Fire Management Policy and Program Review; Wildland and Prescribed Fire Management Policy and implementation Procedures Reference Guide. This current plan incorporates changes since the original draft of the FMP that result from new policies on the national level. This update also removes references and dependence on the U.S. Fish & Wildlife Service and Department of the Interior, fully transitioning Wildland Fire Management responsibilities to BNL. The Department of Energy policy for managing wildland fires requires that all areas, managed by the DOE and/or its various contractors, that can sustain fire must have a FMP that details fire management guidelines for operational procedures associated with wild fire, operational, and prescribed fires. Fire management plans provide guidance on fire preparedness, fire prevention, wildfire suppression, and the use of controlled, 'prescribed' fires and mechanical means to control the amount of available combustible material. Values reflected in the BNL Wildland FMP include protecting life and public safety; Lab properties, structures and improvements; cultural and historical sites; neighboring private and public properties; and endangered, threatened, and species of concern. Other values supported by the plan include the enhancement of fire-dependent ecosystems at BNL. This FMP will be reviewed periodically to ensure the fire program advances and evolves with the missions of the DOE and BNL. This Fire Management Plan is presented in a format that coverers all aspects specified by DOE guidance documents which are based on the national template for fire management plans adopted under the National Fire Plan. The DOE is one of the signatory agencies on the National Fire Plan. This FMP is to be used and implemented for the

  12. Development of medical engagement training toolkits to support special operations military assistance programs in austere environments.

    Science.gov (United States)

    Boedeker, Ben H; Boedeker, David; Tate, Charmaine

    2012-01-01

    The Medical Seminar (MEDSEM) is a medical operation that shares culturally appropriate medical information with a defined indigenous population based upon a "train the trainer" concept. This work describes the development of a hand washing training toolkit designed to support a MEDSEM action in Afghanistan.

  13. Linear accelerator development at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Batchelor, K

    1976-01-01

    A description is given of operating experience on the 200 MeV Proton Injector Linace of the A.G.S. emphasizing developments in field phase and amplitude control and beam diagnostics. Developments in auxilliary use of the machine are also described.

  14. Lessons Learned: Employment and Tactical Use of The Combat Medic During Stability Support Operations.

    Science.gov (United States)

    Eldred, Michael S

    2016-01-01

    It is the intent of this article to define the strategy by which Combat Medics have been employed in contemporary stability operations and counterinsurgency conflicts. This article describes the advances in training based on Tactical Combat Casualty Care and how training evolved into an evidence-based model. Training platforms evolved with shifts in mission requirements, new technology, improved medical techniques, and changing protocols. The last portion of this article details recommendations in doctrine, materiel, and training that could enable optimal sustainment standards while retaining operational capability across a wide variety of combat and peace operations. Lessons learned and changes adapted for Medics that are addressed: (1) advances in training and employment of the Combat Medic necessitated by tactics and strategy of current conflicts, (2) Combat Medic regulatory requirements and centralized, just-in-time training, and (3) changes in sustainment training driven by certification requirements and use of medical simulation training centers.

  15. General Duties Medical Officer Role 1 remote supervision in the era of Army Contingency Operations.

    Science.gov (United States)

    Martin-Bates, Alexander James; Jefferys, S E

    2016-08-01

    The return to contingency after Operation HERRICK (2002-2014 Afghanistan conflict) has seen an emerging trend for small-scale rapidly developing expeditionary operations. The associated small, remote medical footprint for such operations, often within a coalition construct, reliant on host nation support is in direct conflict with the General Medical Council (GMC) guidelines for junior doctor supervision in an 'approved practice setting'. If a General Duties Medical Officer (GDMO) is nominated to support future operations, the provision of assured patient care and supervision within GMC guidelines, while ensuring career progression and ongoing education, may prove a challenge. Recently published British Army Policy aims to provide a framework to meet these challenges. The authors' first-hand experience in implementing this policy is explored further. The deployment of a remotely supervised GDMO, in line with British Army Policy, is both suitable and safe. This should assure quality medical care delivery during the era of Army Contingency Operations.

  16. Medical Logistics Lessons Observed During Operations Enduring Freedom and Iraqi Freedom.

    Science.gov (United States)

    Dole, Mark J; Kissane, Jonathan M

    2016-01-01

    Medical Logistics (MEDLOG) is a function of the Army's integrated System for Health that provides the medical products and specialized logistics services required to deliver health protection and care under all operational conditions. In unified land operations, MEDLOG is an inherent function of Health Service Support (HSS), which also includes casualty care and medical evacuation. This paper focuses on a few key lessons observed during Operations Enduring Freedom and Iraqi Freedom with direct implications for the support of HSS in future operations as envisioned in the Army Operating Concept and the Joint Concept for Health Services. It also examines a few key enablers that helped mitigate these challenges that are not yet fully acknowledged in Army Medical Department doctrine, policy, and planning.

  17. What Every Airman Needs to Know about Medical Stability Operations

    Science.gov (United States)

    2012-01-01

    organizations (NGO). Thus, military health services contribute to social , political, and economic stability. JP 3-29, Foreign Humanitarian Assistance, 17...deployed for the health protection of US forces. Developing graceful, noncontroversial rede - ployments from humanitarian operations and an MSO exit...physi- cians from 15 nearby nations. Course graduates from several countries later deployed together to an earthquake response in Pisco, Peru , where

  18. Brookhaven highlights, October 1978-September 1979. [October 1978 to September 1979

    Energy Technology Data Exchange (ETDEWEB)

    1979-01-01

    These highlights present an overview of the major research and development achievements at Brookhaven National Laboratory from October 1978 to September 1979. Specific areas covered include: accelerator and high energy physics programs; high energy physics research; the AGS and improvements to the AGS; neutral beam development; heavy ion fusion; superconducting power cables; ISABELLE storage rings; the BNL Tandem accelerator; heavy ion experiments at the Tandem; the High Flux Beam Reactor; medium energy physics; nuclear theory; atomic and applied physics; solid state physics; neutron scattering studies; x-ray scattering studies; solid state theory; defects and disorder in solids; surface physics; the National Synchrotron Light Source ; Chemistry Department; Biology Department; Medical Department; energy sciences; environmental sciences; energy technology programs; National Center for Analysis of Energy Systems; advanced reactor systems; nuclear safety; National Nuclear Data Center; nuclear materials safeguards; Applied Mathematics Department; and support activities. (GHT)

  19. A Call for Innovation: Reflective Practices and Clinical Curricula of US Army Special Operations Forces Medics.

    Science.gov (United States)

    Rocklein, Kate

    2014-01-01

    Special Operations Forces (SOF) medics have written and published numerous practice reflections that intricately describe their practice environments, clinical dilemmas, and suggestions for teaching and practice. The lack of translation of SOF medics experiential evidence to their curriculum has created a gap in evidence-based curriculum development. This study analyzed SOF medics learning and practice patterns and compared it to the evidence in the interdisciplinary clinical literature. After framing the problem, the literature was reviewed to determine appropriate tools by which perceptions and attitudes toward reflection-centered curricula could be measured. A recognizable practice reflection was extracted from the published SOF clinical literature and presented in writing to self-identified SOF medics and medic instructors via a descriptive crossover design, to ensure possible biases were mitigated. To measure SOF medics perceptions of reflection-based curricula, the Dundee Ready Education Environment Measure survey instrument was used, as it has validated psychometric properties and is used worldwide. SOF medics averaged scores of perceptions of their medic education indicated positive but not completely statistically significant preferences toward reflection-based curricula over traditional curriculum. Special Operations, medics, reflective practice, curricula BACKGROUND Special Operations Forces (SOF) medics practice in environments that are violent, austere, clandestine, and far removed from definitive hospital facilities. What was true almost 20 years ago?". . . academic demands of [Special Forces medic training] are roughly equivalent to those of an upper-level undergraduate curriculum in science or perhaps to those of first year medical school"?is even more challenging today. During this study, medics, physicians, and educators within the SOF medical community publicly and privately (ergo, names were redacted) expressed the need for curricular changes to

  20. How does venture capital operate in medical innovation?

    Science.gov (United States)

    Lehoux, P; Miller, F A; Daudelin, G

    2016-07-01

    While health policy scholars wish to encourage the creation of technologies that bring more value to healthcare, they may not fully understand the mandate of venture capitalists and how they operate. This paper aims to clarify how venture capital operates and to illustrate its influence over the kinds of technologies that make their way into healthcare systems. The paper draws on the international innovation policy scholarship and the lessons our research team learned throughout a 5-year fieldwork conducted in Quebec (Canada). Current policies support the development of technologies that capital investors identify as valuable, and which may not align with important health needs. The level of congruence between a given health technology-based venture and the mandate of venture capital is highly variable, explaining why some types of innovation may never come into existence. While venture capitalists' mandate and worldview are extraneous to healthcare, they shape health technologies in several, tangible ways. Clinical leaders and health policy scholars could play a more active role in innovation policy. Because certain types of technology are more likely than others to help tackle the intractable problems of healthcare systems, public policies should be equipped to promote those that address the needs of a growing elderly population, support patients who are afflicted by chronic diseases and reduce health disparities.

  1. Organization and Management of the International Space Station (ISS) Multilateral Medical Operations

    Science.gov (United States)

    Duncan, J. M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

    2007-01-01

    The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.

  2. 1995 Annual epidemiologic surveillance report for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    The US Department of Energy`s (DOE) conduct of epidemiologic surveillance provides an early warning system for health problems among workers. This program monitors illnesses and health conditions that result in an absence of five or more consecutive workdays, occupational injuries and illnesses, and disabilities and deaths among current workers. This report summarizes epidemiologic surveillance data collected from Brookhaven National Laboratory (BNL) from January 1, 1995 through December 31, 1995. The data were collected by a coordinator at BNL and submitted to the Epidemiologic Surveillance Data Center, located at Oak Ridge Institute for Science and Education, where quality control procedures and data analyses were carried out.

  3. A Database for modeling the Brookhaven AGS Booster

    Energy Technology Data Exchange (ETDEWEB)

    Auerbach, E.H.

    1991-01-01

    A Database has been developed for Brookhaven's Alternating Gradient Synchrotron (AGS) Booster and its ancillary lines which contain both design and measured physical data for the accelerator lattice and its magnets and other components. This database may then be connected to programs for modeling, permitting the programs to use any degree of desired detail from the available data with a view toward increasingly model-based control of the accelerator. These methods are expandable to include the other machines in the AGS complex.

  4. Brookhaven National Laboratory site report for calendar year 1988

    Energy Technology Data Exchange (ETDEWEB)

    Miltenberger, R.P.; Royce, B.A.; Naidu, J.R.

    1989-06-01

    Brookhaven National Laboratory (BNL) is managed by Associated Universities Inc. (AUI). AUI was formed in 1946 by a group of nine universities whose purpose was to create and manage a laboratory in the Northeast in order to advance scientific research in areas of interest to universities, industry, and government. On January 31, 1947, the contract for BNL was approved by the Manhattan District of the Army Corps of Engineers and BNL was established on the former Camp Upton army camp. 54 refs., 21 figs., 78 tabs.

  5. Comparison of the ocular perfusion pressure fluctuation between medically controlled and operated eyes with glaucoma

    Directory of Open Access Journals (Sweden)

    Carolina Engelbrecht

    2014-04-01

    Full Text Available Purpose: To compare the fluctuation of the OPP between eyes treated with glaucoma medication and eyes with a functioning filtering bleb. Design: cross-sectional controlled paired-eye design. Methods: Fourteen patients with POAG with one eye operated on (trabeculectomy and the fellow eye treated with medication enrolled the study. Blood pressure and intraocular pressure were measured at 7 a.m., 1 p.m., and 7 p.m. Systolic, diastolic and mean OPP were calculated for the three time points and the fluctuation (range between the highest and the lowest values compared between the eyes. Results: Mean values of the mean OPP fluctuation were 7.2 ± 3.9 mmHg and 8.5 ± 4.0 mmHg, for operated eyes and medically treated eyes, respectively (P = 0.149; mean systolic OPP fluctuation was 20.7 ± 11.2 mmHg for operated eyes and 21.2 ± 11.7 mmHg for medically treated eyes (P = 0.478; the mean diastolic OPP fluctuation was 8.4 ± 4.4 mmHg for operated eyes and 10.5 ± 5.4 mmHg for medically treated eyes (P= 0.085. Conclusion: In this small cohort of patients with POAG the mean, systolic and diastolic OPP fluctuation did not differ between the operated eyes and medically treated ones. Financial disclosure: none.

  6. Medical Support for Aircraft Disaster Search and Recovery Operations at Sea: the RSN Experience.

    Science.gov (United States)

    Teo, Kok Ann Colin; Chong, Tse Feng Gabriel; Liow, Min Han Lincoln; Tang, Kong Choong

    2016-06-01

    The maritime environment presents a unique set of challenges to search and recovery (SAR) operations. There is a paucity of information available to guide provision of medical support for SAR operations for aircraft disasters at sea. The Republic of Singapore Navy (RSN) took part in two such SAR operations in 2014 which showcased the value of a military organization in these operations. Key considerations in medical support for similar operations include the resultant casualty profile and challenges specific to the maritime environment, such as large distances of area of operations from land, variable sea states, and space limitations. Medical support planning can be approached using well-established disaster management life cycle phases of preparedness, mitigation, response, and recovery, which all are described in detail. This includes key areas of dedicated training and exercises, force protection, availability of air assets and chamber support, psychological care, and the forensic handling of human remains. Relevant lessons learned by RSN from the Air Asia QZ8501 search operation are also included in the description of these key areas. Teo KAC , Chong TFG , Liow MHL , Tang KC . Medical support for aircraft disaster search and recovery operations at sea: the RSN experience. Prehosp Disaster Med. 2016; 31(3):294-299.

  7. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    Science.gov (United States)

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital.

  8. Structural biology facilities at Brookhaven National Laboratory`s high flux beam reactor

    Energy Technology Data Exchange (ETDEWEB)

    Korszun, Z.R.; Saxena, A.M.; Schneider, D.K. [Brookhaven National Laboratory, Upton, NY (United States)

    1994-12-31

    The techniques for determining the structure of biological molecules and larger biological assemblies depend on the extent of order in the particular system. At the High Flux Beam Reactor at the Brookhaven National Laboratory, the Biology Department operates three beam lines dedicated to biological structure studies. These beam lines span the resolution range from approximately 700{Angstrom} to approximately 1.5{Angstrom} and are designed to perform structural studies on a wide range of biological systems. Beam line H3A is dedicated to single crystal diffraction studies of macromolecules, while beam line H3B is designed to study diffraction from partially ordered systems such as biological membranes. Beam line H9B is located on the cold source and is designed for small angle scattering experiments on oligomeric biological systems.

  9. Skylab IMSS checklist application study for emergency medical care. [emergency medical care operations involving the use and operation of the portable ambulance module

    Science.gov (United States)

    Carl, J. G.; Furukawa, S.

    1975-01-01

    A manual is presented that provides basic technical documentation to support the operation and utilization of the Portable Ambulance Module (PAM) in the field. The PAM is designed to be used for emergency resuscitation and victim monitoring. The functions of all the controls, displays, and stowed equipment of the unit are defined. Supportive medical and physiological data in those areas directly related to the uses of the PAM unit are presented.

  10. The application of digital medical 3D printing technology on tumor operation

    Science.gov (United States)

    Chen, Jimin; Jiang, Yijian; Li, Yangsheng

    2016-04-01

    Digital medical 3D printing technology is a new hi-tech which combines traditional medical and digital design, computer science, bio technology and 3D print technology. At the present time there are four levels application: The printed 3D model is the first and simple application. The surgery makes use of the model to plan the processing before operation. The second is customized operation tools such as implant guide. It helps doctor to operate with special tools rather than the normal medical tools. The third level application of 3D printing in medical area is to print artificial bones or teeth to implant into human body. The big challenge is the fourth level which is to print organs with 3D printing technology. In this paper we introduced an application of 3D printing technology in tumor operation. We use 3D printing to print guide for invasion operation. Puncture needles were guided by printed guide in face tumors operation. It is concluded that this new type guide is dominantly advantageous.

  11. [The reprocessing of medical products: from regulatory polices to operational practices].

    Science.gov (United States)

    Costa, Eliana Auxiliadora Magalhães; Costa, Ediná Alves

    2011-12-01

    The number of technological resources used in health care interventions is growing and continually expanding with the introduction of new products and articles. Problems associated with the reutilization of medical products, both reusable and of single use, affect policies and related technical-operational, economic, political, ethical, legal, and environmental matters. This study aims to contextualize the regulatory systems of medical products, and analyze the subsequent operational implications for Brazilian hospital practices. The article consists of a bibliographic review, carried out without time and language restriction, utilizing the Web of Science, Bireme, Scielo and Lilacs databases, with the support of specific descriptors. This study uses the contextualization of regulatory plans for medical products across the world and in Brazil and the existing condition of standardization of the reprocessing of these products as the assessment sources with which to analyze the operational implications for these practices in Brazilian hospitals.

  12. Implications of Surgical Training on Operating Room Throughput at Wilford Hall Medical Center

    Science.gov (United States)

    2008-06-26

    its physician specialists, 85 percent of dental specialists, and a full spectrum of other training. The medical center’s fourth mission is clinical...dedicated to training dental officers of the three services in one facility. The medical center’s support of San Antonio’s emergency medicine structure...P. (2006). Resident teaching versus the operating room schedule: An independent observer- based study of 1558 cases. Anesthesia and Analgesia , 103

  13. Medical capability team: the clinical microsystem for combat healthcare delivery in counterinsurgency operations.

    Science.gov (United States)

    Clark, Susz; Van Steenvort, Jon K

    2008-01-01

    Today's operational environment in the support of counterinsurgency operations requires greater tactical and operational flexibility and diverse medical capabilities. The skills and organizations required for full spectrum medical operations are different from those of the past. Combat healthcare demands agility and the capacity for rapid change in clinical systems and processes to better support the counterinsurgency environment. This article proposes the Army Medical Department (AMEDD) develop and implement the medical capability team (MCT) for combat healthcare delivery. It discusses using the concept of the brigade combat team to develop medical capability teams as the unit of effectiveness to transform frontline care; provides a theoretical overview of the MCT as a "clinical microsystem"; discusses MCT leadership, training, and organizational support, and the deployment and employment of the MCT in a counterinsurgency environment. Additionally, this article proposes that the AMEDD initiate the development of an AMEDD Combat Training Center of Excellence to train and validate the MCTs. The complexity of combat healthcare demands an agile and campaign quality AMEDD with joint expeditionary capability in order to promote the best patient outcomes in a counterinsurgency environment.

  14. Closed-loop approach for situation awareness of medical devices and operating room infrastructure

    Directory of Open Access Journals (Sweden)

    Rockstroh Max

    2015-09-01

    Full Text Available In recent years, approaches for information and control integration in the digital operating room have emerged. A major step towards an intelligent operating room and a cooperative technical environment would be autonomous adaptation of medical devices and systems to the surgical workflow. The OR staff should be freed from information seeking and maintenance tasks. We propose a closed-loop concept integrating workflow monitoring, processing and (semi-automatic interaction to bridge the gap between OR integration of medical devices and workflow-related information management.

  15. Rule-based medical device adaptation for the digital operating room.

    Science.gov (United States)

    Franke, Stefan; Neumuth, Thomas

    2015-08-01

    A workflow-driven cooperative operating room needs to be established in order to successfully unburden the surgeon and the operating room staff very time-consuming information-seeking and configuration tasks. We propose an approach towards the integration of intraoperative surgical workflow management and integration technologies. The concept of rule-based behavior is adapted to situation-aware medical devices. A prototype was implemented and experiments with sixty recorded brain tumor removal procedures were conducted to test the proposed approach. An analysis of the recordings indicated numerous applications, such as automatic display configuration, room light adaptation and pre-configuration of medical devices and systems.

  16. High field magnet program at Brookhaven National Laboratory

    CERN Document Server

    Ghosh, A; Muratore, J; Parker, B; Sampson, W; Wanderer, P J; Willen, E

    2000-01-01

    The magnet program at Brookhaven National Laboratory (BNL) is focussed on superconducting magnets for particle accelerators. The effort includes magnet production at the laboratory and in industry, magnet R&D, and test facilities for magnets and superconductors. Nearly 2000 magnets-dipoles, quadrupoles, sextupoles and correctors for the arc and insertion regions-were produced for the Relativistic Heavy Ion Collider (RHIC), which is being commissioned. Currently, production of helical dipoles for the polarized proton program at RHIC, insertion region dipoles for the Large Hadron Collider (LHC) at CERN, and an insertion magnet system for the Hadron-Elektron-Ring- Analage (HERA) collider at Deutsches Elektronen-Synchrotron (DESY) is underway. The R&D effort is exploring dipoles with fields above 10 T for use in post-LHC colliders. Brittle superconductors-Nb/sub 3/Sn or HTS-are being used for these magnets. The superconductor test facility measures short-sample currents and other characteristics of sample...

  17. Summary of failure analysis activities at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Cowgill, M.G.; Czajkowski, C.J.; Franz, E.M.

    1996-10-01

    Brookhaven National Laboratory has for many years conducted examinations related to the failures of nuclear materials and components. These examinations included the confirmation of root cause analyses, the determination of the causes of failure, identification of the species that accelerate corrosion, and comparison of the results of nondestructive examinations with those obtained by destructive examination. The results of those examinations, which had previously appeared in various formats (formal and informal reports, journal articles, etc.), have been collected together and summarized in the present report. The report is divided into sections according to the general subject matter (for example, corrosion, fatigue, etc.). Each section presents summaries of the information contained in specific reports and publications, all of which are fully identified as to title, authors, report number or journal reference, date of publication, and FIN number under which the work was performed.

  18. The Role of the Operating Room in Medical Student Education: Differing Perspectives of Learners and Educators.

    Science.gov (United States)

    O'Neill, Rebecca; Shapiro, Michael; Merchant, Aziz

    2017-07-13

    The surgical clerkship is an integral part of third-year medical student education. The operating room (OR) is a heavily used setting, but it is unclear whether this setting is as effective as possible. To determine the role of the OR and potential improvements, it is necessary to analyze the perspectives of those involved, including surgeons, residents, and medical students. An electronic survey was distributed to the surgeons, surgical residents, and third-year medical students associated with Rutgers New Jersey Medical School. The questions were a combination of 5-point Likert scale questions and qualitative responses. The questions assessed the role of the OR, the information taught in the OR, the quality of the teaching and environment, and potential improvements. Attending surgeons and residents generally rated the OR more positively than medical students did. Medical students desired more hands-on participation and a greater focus on learning technical skills. In addition, most medical students rated the feedback and direct instruction in the OR as "poor." Furthermore, the attending surgeons and medical students disagreed about the main roles of the OR as well as the effectiveness of teaching in the OR. The medical students reported experiencing anxiety and intimidation in the OR and suggested several improvements, such as decreasing the length of the surgical clerkship. There is significant disagreement between the surgeons and residents and the medical students regarding the roles and effectiveness of learning in the OR. This may help explain the reported medical student dissatisfaction and frustrations with the surgical clerkship. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. Operating theatre related syncope in medical students: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Fitzgerald JEF

    2009-03-01

    Full Text Available Abstract Background Observing surgical procedures is a beneficial educational experience for medical students during their surgical placements. Anecdotal evidence suggests that operating theatre related syncope may have detrimental effects on students' views of this. Our study examines the frequency and causes of such syncope, together with effects on career intentions, and practical steps to avoid its occurrence. Methods All penultimate and final year students at a large UK medical school were surveyed using the University IT system supplemented by personal approach. A 20-item anonymous questionnaire was distributed and results were analysed using the Statistical Package for Social Sciences, version 15.0 (Chicago, Illinois, USA. Results Of the 630 clinical students surveyed, 77 responded with details of at least one near or actual operating theatre syncope (12%. A statistically significant gender difference existed for syncopal/near-syncopal episodes (male 12%; female 88%, p Conclusion Our study shows that operating theatre related syncope among medical students is common, and we establish useful risk factors and practical steps that have been used to prevent its occurrence. Our study also highlights the detrimental effect of this on the career intentions of medical students interested in surgery. Based on these findings, we recommend that dedicated time should be set aside in surgical teaching to address this issue prior to students attending the operating theatre.

  20. Summary update of the Brookhaven tritium toxicity program with emphasis on recent cytogenetic and lifetime-shortening studies

    Energy Technology Data Exchange (ETDEWEB)

    Carsten, A.L.; Benz, R.D.; Hughes, W.P.; Ichimasa, Yusuke; Ikushima, Takaji; Tezuka, Hideo

    1988-01-01

    A number of years ago a multiparameter program to evaluate the toxicity of tritiated water (HTO) was undertaken in the Medical Department at Brookhaven National Laboratory. The results of most of these studies have been published and will receive brief attention. Emphasis will be placed on the unpublished studies involving the induction of sister chromatid exchanges (SCE's) in bone marrow of mice, new biochemical information, and preliminary results on lifetime-shortening and carcinogenesis. In brief, male Hale-Stoner Brookhaven (HSB) mice maintained on HTO concentrations ranging from 3.0 to 30.0 ..mu..Ci/ml exhibited essentially the same number of SCE's per cell throughout their lifetime. Control mice showed a decrease in number of SCE's with age. The lack of a dose-response effect and the constant level of SCE's in HTO mice as compared to controls will be discussed. In the carcinogenesis study C57BL/6J male mice received various x-ray or HTO regimens. Mortality data from these and other studies in which CBA/Ca/BNL mice received single x-ray exposures or equivalent integrated dose exposures by single HTO injections will be discussed. 25 refs., 4 figs.

  1. Operating theatre related syncope in medical students: a cross sectional study.

    Science.gov (United States)

    Jamjoom, A A B; Nikkar-Esfahani, A; Fitzgerald, J E F

    2009-03-10

    Observing surgical procedures is a beneficial educational experience for medical students during their surgical placements. Anecdotal evidence suggests that operating theatre related syncope may have detrimental effects on students' views of this. Our study examines the frequency and causes of such syncope, together with effects on career intentions, and practical steps to avoid its occurrence. All penultimate and final year students at a large UK medical school were surveyed using the University IT system supplemented by personal approach. A 20-item anonymous questionnaire was distributed and results were analysed using the Statistical Package for Social Sciences, version 15.0 (Chicago, Illinois, USA). Of the 630 clinical students surveyed, 77 responded with details of at least one near or actual operating theatre syncope (12%). A statistically significant gender difference existed for syncopal/near-syncopal episodes (male 12%; female 88%), p course students with the remaining 78% undergraduate. Mean age was 23-years (range 20 - 45). Of the 77 reactors, 44 (57%) reported an intention to pursue a surgical career. Of this group, 7 (9%) reported being discouraged by syncopal episodes in the operating theatre. The most prevalent contributory factors were reported as hot temperature (n = 61, 79%), prolonged standing (n = 56, 73%), wearing a surgical mask (n = 36, 47%) and the smell of diathermy (n = 18, 23%). The most frequently reported measures that students found helpful in reducing the occurrence of syncopal episodes were eating and drinking prior to attending theatre (n = 47, 61%), and moving their legs whilst standing (n = 14, 18%). Our study shows that operating theatre related syncope among medical students is common, and we establish useful risk factors and practical steps that have been used to prevent its occurrence. Our study also highlights the detrimental effect of this on the career intentions of medical students interested in surgery. Based on these

  2. Proto-2, an ALICE detector prototype, part of the STAR experiment at the Brookhaven National Laboratory

    CERN Multimedia

    2002-01-01

    Proto-2, an LAICE detector prototype, overcame its prototype status to become a real part of the SDTAR, epxeriment at the US Brookhaven National Laboratory. After more than two years across the ocean, it has just arrived back at CERN.

  3. Scientists at Brookhaven contribute to the development of a better electron accelerator

    CERN Multimedia

    2004-01-01

    Scientists working at Brookhaven have developed a compact linear accelerator called STELLA (Staged Electron Laser Acceleration). Highly efficient, it may help electron accelerators become practical tools for applications in industry and medicine, such as radiation therapy (1 page)

  4. BESTIA (Brookhaven Experimental Supra-Terawatt Infrared at ATF) laser: A status report

    Science.gov (United States)

    Polyanskiy, Mikhail N.; Babzien, Marcus; Pogorelsky, Igor V.

    2017-03-01

    Development of a next-generation CO2 laser aiming at 100 TW peak power at a wavelength of 10 µm ts underway at the Brookhaven Accelerator Test Facility (ATF). A new laser facility is being deployed as part of the ATF-II upgrade. New high-pressure power amplifiers are being fabricated and assembled, while R&D continues with ATF's present 2 TW CO2 laser system. Our plan for increasing the peak laser power envisions several discrete steps in the upgrade. First will be demonstration of a 10 TW capability utilizing chirped pulse amplification, with an extended power amplifier chain filled with high-pressure isotopic gas. Further development aimed at a demonstration of 25 TW operation will require the addition of a nonlinear compressor system to shrink the pulse width below the nominal gain-bandwidth limit. These upgrades will then enable a longer-term R&D effort to achieve the 100 TW goal. Over the last two years, significant R&D effort has been focused on the development of chirped-pulse amplification, the study of the behavior of optical materials under the action of high-peak-power mid-IR pulses, and the optimization of the beam quality, which is required for nonlinear pulse compression. The results of this R&D have been implemented into the ongoing operation of the ATF's CO2 laser and have already benefited our users in their experimental programs.

  5. CULTURAL RESOURCE MANAGEMENT PLAN FOR BROOKHAVEN NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    DAVIS, M.

    2005-04-01

    The Cultural Resource Management Plan (CRMP) for Brookhaven National Laboratory (BNL) provides an organized guide that describes or references all facets and interrelationships of cultural resources at BNL. This document specifically follows, where applicable, the format of the U.S. Department of Energy (DOE) Environmental Guidelines for Development of Cultural Resource Management Plans, DOE G 450.1-3 (9-22-04[m1]). Management strategies included within this CRMP are designed to adequately identify the cultural resources that BNL and DOE consider significant and to acknowledge associated management actions. A principal objective of the CRMP is to reduce the need for additional regulatory documents and to serve as the basis for a formal agreement between the DOE and the New York State Historic Preservation Officer (NYSHPO). The BNL CRMP is designed to be a ''living document.'' Each section includes identified gaps in the management plan, with proposed goals and actions for addressing each gap. The plan will be periodically revised to incorporate new documentation.

  6. In vivo neutron activation facility at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Ma, R.; Yasumura, Seiichi; Dilmanian, F.A.

    1997-11-01

    Seven important body elements, C, N, Ca, P, K, Na, and Cl, can be measured with great precision and accuracy in the in vivo neutron activation facilities at Brookhaven National Laboratory. The facilities include the delayed-gamma neutron activation, the prompt-gamma neutron activation, and the inelastic neutron scattering systems. In conjunction with measurements of total body water by the tritiated-water dilution method several body compartments can be defined from the contents of these elements, also with high precision. In particular, body fat mass is derived from total body carbon together with total body calcium and nitrogen; body protein mass is derived from total body nitrogen; extracellular fluid volume is derived from total body sodium and chlorine; lean body mass and body cell mass are derived from total body potassium; and, skeletal mass is derived from total body calcium. Thus, we suggest that neutron activation analysis may be valuable for calibrating some of the instruments routinely used in clinical studies of body composition. The instruments that would benefit from absolute calibration against neutron activation analysis are bioelectric impedance analysis, infrared interactance, transmission ultrasound, and dual energy x-ray/photon absorptiometry.

  7. HOM identification by bead pulling in the Brookhaven ERL cavity

    CERN Document Server

    Hahn, H; Jain, Puneet; Johnson, Elliott C; Xu, Wencan

    2014-01-01

    Exploratory measurements of the Brookhaven Energy Recovery Linac (ERL) cavity at superconducting temperature produced a long list of high order modes (HOMs). The niobium 5-cell cavity is terminated at each end with HOM ferrite dampers that successfully reduce the Q-factors to levels required to avoid beam break up (BBU) instabilities. However, a number of un-damped resonances with Q≥106 were found at 4 K and their mode identification forms the focus of this paper. The approach taken here consists of bead pulling on a copper (Cu) replica of the ERL cavity with dampers involving various network analyzer measurements. Several different S21 transmission measurements are used, including those taken from the fundamental input coupler to the pick-up probe across the cavity, others between beam-position monitor probes in the beam tubes, and also between probes placed into the cells. The bead pull technique suitable for HOM identification with a metallic needle or dielectric bead is detailed. This paper presents the...

  8. Brookhaven National Laboratory 2008 Site Environment Report Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Brookhaven National Laboratory

    2009-10-01

    Brookhaven National Laboratory (BNL) prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1A, Environment, Safety and Health Reporting of the U.S. Department of Energy. The report is written to inform the public, regulators, employees, and other stakeholders of the Laboratory's environmental performance during the calendar year in review. Volume I of the SER summarizes environmental data; environmental management performance; compliance with applicable DOE, federal, state, and local regulations; and performance in restoration and surveillance monitoring programs. BNL has prepared annual SERs since 1971 and has documented nearly all of its environmental history since the Laboratory's inception in 1947. Volume II of the SER, the Groundwater Status Report, also is prepared annually to report on the status of and evaluate the performance of groundwater treatment systems at the Laboratory. Volume II includes detailed technical summaries of groundwater data and its interpretation, and is intended for internal BNL users, regulators, and other technically oriented stakeholders. A brief summary of the information contained in Volume II is included in this volume in Chapter 7, Groundwater Protection. Both reports are available in print and as downloadable files on the BNL web page at http://www.bnl.gov/ewms/ser/. An electronic version on compact disc is distributed with each printed report. In addition, a summary of Volume I is prepared each year to provide a general overview of the report, and is distributed with a compact disc containing the full report.

  9. Pollution, contamination and future land use at Brookhaven National Laboratory.

    Science.gov (United States)

    Burger, J; Gochfeld, M; Shukla, S; Jeitner, C; Ramos, R; Tsipoura, Nellie; Donio, M

    2008-10-01

    Scientists interested in contamination normally deal only with pollution itself, not with people's perceptions of pollution or the relationship between pollution and land use. The overall objective of this article was to examine the relationship between people's perceptions of pollution and their views on future land use. People were interviewed at an Earth Day Festival near the Department of Energy's Brookhaven National Laboratory (BNL) on Long Island, New York. On an open-ended question, people thought that BNL should be left as it is, or maintained as a preserve, park or conservation area, or used for environmental research. Almost no one thought that it should be used for housing or industrial purposes. When asked to rate a list of possible future land uses, maintaining BNL as a National Environmental Research Park for research and for recreation were rated the highest (nuclear storage was rated the lowest). This was consistent with the subjects' views that pollution was the greatest concern about BNL. The congruence between perceptions about concerns or problems and future land use preferences suggests a unified view of management of contaminated sites, such as BNL, at least among a group of people whose environmental interests were evident by their presence at the event.

  10. Production of platinum radioisotopes at Brookhaven Linac Isotope Producer (BLIP

    Directory of Open Access Journals (Sweden)

    Smith Suzanne V.

    2017-01-01

    Full Text Available The accelerator production of platinum isotopes was investigated at the Brookhaven Linac Isotope Producer (BLIP. In this study high purity natural platinum foils were irradiated at 53.2, 65.7, 105.2, 151.9, 162.9 and 173.3.MeV. The irradiated foils were digested in aqua regia and then converted to their hydrochloride salt with concentrated hydrochloric acid before analyzing by gamma spectrometry periodically for at least 10 days post end of bombardment. A wide range of platinum (Pt, gold (Au and iridium (Ir isotopes were identified. Effective cross sections at BLIP for Pt-188, Pt-189, Pt-191 and Pt-195m were compared to literature and theoretical cross sections determined using Empire-3.2. The majority of the effective cross sections (<70 MeV confirm those reported in the literature. While the absolute values of the theoretical cross sections were up to a factor of 3 lower, Empire 3.2 modeled thresholds and maxima correlated well with experimental values. Preliminary evaluation into a rapid separation of Pt isotopes from high levels of Ir and Au isotopes proved to be a promising approach for large scale production. In conclusion, this study demonstrated that with the use of isotopically enriched target material accelerator production of selected platinum isotopes is feasible over a wide proton energy range.

  11. Development and Evaluation of the Habitat Demonstration Unit Medical Operations Workstation and Opportunities for Future Research

    Science.gov (United States)

    Howard, Robert L., Jr.

    2012-01-01

    As NASA develops missions to leave Earth orbit and explore distant destinations (Mars, Moon, Asteroids) it is necessary to rethink human spaceflight paradigms in the life sciences. Standards developed for low earth orbit human spaceflight may not be fully applicable and in-space research may be required to develop new standards. Preventative and emergency medical care may require new capabilities never before used in space. Due to spacecraft volume limitations, this work area may also be shared with various animal and plant life science research. This paper explores the prototype Medical Operations Workstation within the NASA Habitat Demonstration Unit and discusses some of the lessons learned from field analogue missions involving the workstation. Keywords: Exploration, medical, health, crew, injury emergency, biology, animal, plant, science, preventative, emergency.

  12. Innovation in internship preparation: an operative anatomy course increases senior medical students' knowledge and confidence.

    Science.gov (United States)

    Tocco, Nikki; Brunsvold, Melissa; Kabbani, Loay; Lin, Jules; Stansfield, Brent; Mueller, Dean; Minter, Rebecca M

    2013-08-01

    An operative anatomy course was developed within the construct of a surgical internship preparatory curriculum. This course provided fourth-year medical students matching into a surgical residency the opportunity to perform intern-level procedures on cadavers under the guidance of surgical faculty members. Senior medical students performed intern-level procedures on cadavers with the assistance of faculty surgeons. Students' confidence, anxiety, and procedural knowledge were evaluated both preoperatively and postoperatively. Preoperative and postoperative data were compared both collectively and based on individual procedures. Student confidence and procedural knowledge significantly increased and anxiety significantly decreased when preoperative and postoperative data were compared (P < .05). Students reported moderate to significant improvement in their ability to perform a variety of surgical tasks. The consistent improvement in confidence, knowledge, and anxiety justifies further development of an operative anatomy course, with future assessment of the impact on performance in surgical residency. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. Medical computing in the 1980s. Operating system and programming language issues.

    Science.gov (United States)

    Greenes, R A

    1983-06-01

    Operating systems and programming languages differ widely in their suitability for particular applications. The diversity of medical computing needs demands a diversity of solutions. Compounding this diversity if the decentralization caused by evolution of local computing systems for local needs. Relevant current trends in computing include increased emphasis on decentralization, growing capabilities for interconnection of diverse systems, and development of common data base and file server capabilities. In addition, standardization and hardware in dependence of operating systems, as well as programming languages and development of programmerless systems, continue to widen application opportunities.

  14. Doses delivered to normal brain under different treatment protocols at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Capala, J.; Coderre, J.A.; Liu, H.B. [and others

    1996-12-31

    As of October 31, 1996, 23 glioblastoma multiforme patients underwent BNCT under several treatment protocols at the Brookhaven Medical Research Reactor. For treatment planning and dosimetry purposes, these protocols may be divided into four groups. The first group comprises protocols that used an 8-cm collimator and allowed a peak normal brain dose of 10.5 Gy-Eq to avolume of 1 cm{sup 3} were the thermal neutron flux was maximal (even if it happened to be in the tumor volume). The second group differs from the first in that it allowed a peak normal brain dose of 12.6 Gy-Eq. The protocols of the third and fourth groups allowed the prescribed peak normal brain dose of 12.6 Gy-Eq to be outside of the tumor volume, used a 12-cm collimator and, respectively, uni- or bilateral irradiations. We describe the treatment planning procedures and report the doses delivered to various structures of the brain.

  15. A JURIDICAL-ADMINISTRATIVE COMPARISON BETWEEN THE MILITARY AND THE MEDICAL OPERATION

    Directory of Open Access Journals (Sweden)

    Georgel RUSU

    2016-03-01

    Full Text Available To bring together the word operation and opera and/or accomplishing an opera is not at all improper. Defining a (military operation as ”the total amount of the military actions performed by large operative and strategic units, according to an unique plan, for attaining an operative or strategic objective....”[1], coldly and exhaustively developed along almost two pages, may provide sufficient arguments for correctly anchoring the action within the domain of military practice, in spite of the shortcoming of not having a more synthetic form, with valid landmarks for other disciplines, as well. Frequently, both the medical and the military operations exceed their routine, deserving artistic appreciations. It is not accidental that analysis and preparation of any military combat includes the field of military art, defined as ”a compounding part of the military science, a specialized domain of organization and management of armed conflicts. It includes both the principles, methods, procedures and rules for the preparation and development of military actions, and the personal endowments (talent, mastership, skill expected from the part of leaders and troops for attaining success in the battle...”[2] More than that, the operative art is defined as ”a component of military art ... created and developed as an intermediary domain between strategy and tactics...”[3]. Continuing to lay stress on the parallelism to which the study is devoted, the author considers that actions that may be related to or may be appreciated as possessing artistic characteristics occur even beyond the field of aesthetic or reparatory surgery. The definitions provided by medical dictionaries do not eliminate, yet encourage similarities. The operation is ”s.f./operation, (Lat. operatio, -onis = work, operation, derived from operari = to work, and opus, operis = labour, work, a medical act performed by the surgeon with his hands, by means of adequate instruments, for

  16. Modifying Post-Operative Medical Care after EBV Implant May Reduce Pneumothorax Incidence.

    Directory of Open Access Journals (Sweden)

    Dominik Herzog

    Full Text Available Endoscopic lung volume reduction (ELVR with valves has been shown to improve COPD patients with severe emphysema. However, a major complication is pneumothoraces, occurring typically soon after valve implantation, with severe consequences if not managed promptly. Based on the knowledge that strain activity is related to a higher risk of pneumothoraces, we asked whether modifying post-operative medical care with the inclusion of strict short-term limitation of strain activity is associated with a lower incidence of pneumothorax.Seventy-two (72 emphysematous patients without collateral ventilation were treated with bronchial valves and included in the study. Thirty-two (32 patients received standard post-implantation medical management (Standard Medical Care (SMC, and 40 patients received a modified medical care that included an additional bed rest for 48 hours and cough suppression, as needed (Modified Medical Care (MMC.The baseline characteristics were similar for the two groups, except there were more males in the SMC cohort. Overall, ten pneumothoraces occurred up to four days after ELVR, eight pneumothoraces in the SMC, and only two in the MMC cohorts (p=0.02. Complicated pneumothoraces and pneumothoraces after upper lobe treatment were significantly lower in MMC (p=0.02. Major clinical outcomes showed no significant differences between the two cohorts.In conclusion, modifying post-operative medical care to include bed rest for 48 hours after ELVR and cough suppression, if needed, might reduce the incidence of pneumothoraces. Prospective randomized studies with larger numbers of well-matched patients are needed to confirm the data.

  17. Access and usability to medications: a proposal for an operational definition

    OpenAIRE

    2014-01-01

    Research about accessibility to medicines through household surveys is very important in order to verify the reality and effectiveness of interventions done to increase the access of the population to the medications. Unfortunately, such studies, on top of being very few, have methodological problems, which mostly result from a lack of uniformity in the operational definitions of access and the differentiation with the dimensions of accessibility. The aim of this paper is to propose setti...

  18. Building a Smooth Medical Service for Operating Room Using RFID Technologies

    Directory of Open Access Journals (Sweden)

    Lun-Ping Hung

    2014-01-01

    Full Text Available Due to the information technology advancement, the feasibility for the establishment of mobile medical environments has been strengthened. Using RFID to facilitate the tracing of patients’ mobile position in hospital has attracted more attentions from researchers due to the demand on advanced features. Traditionally, the management of surgical treatment is generally manually operated and there is no consistent operating procedure for patients transferring among wards, surgery waiting rooms, operating rooms, and recovery rooms, resulting in panicky and urgent transferring work among departments and, thus, leading to delays and errors. In this paper, we propose a new framework using radio frequency identification (RFID technology for a mobilized surgical process monitoring system. Through the active tag, an application management system used before, during, and after the surgical processes has been proposed. The concept of signal level matrix, SLM, was proposed to accurately identify patients and dynamically track patients’ location. By updating patient’s information real-time, the preprocessing time needed for various tasks and incomplete transfers among departments can be reduced, the medical resources can be effectively used, unnecessary medical disputes can be reduced, and more comprehensive health care environment can be provided. The feasibility and effectiveness of our proposed system are demonstrated with a number of experimental results.

  19. A service-based SLA (Service Level Agreement) for the RACF (RHIC and ATLAS computing facility) at brookhaven national lab

    Science.gov (United States)

    Karasawa, Mizuka; Chan, Tony; Smith, Jason

    2010-04-01

    The RACF provides computing support to a broad spectrum of scientific programs at Brookhaven. The continuing growth of the facility, the diverse needs of the scientific programs and the increasingly prominent role of distributed computing requires the RACF to change from a system to a service-based SLA with our user communities. A service-based SLA allows the RACF to coordinate more efficiently the operation, maintenance and development of the facility by mapping out a matrix of system and service dependencies and by creating a new, configurable alarm management layer that automates service alerts and notification of operations staff. This paper describes the adjustments made by the RACF to transition to a service-based SLA, including the integration of its monitoring software, alarm notification mechanism and service ticket system at the facility to make the new SLA a reality.

  20. NATO Special Operations Forces Medical Engagements and Partnering Course: Initial Curriculum Recommendations from the NSHQ SOFMEP Committee.

    Science.gov (United States)

    Alderman, Shawn M; Arvidsson, C Jimmy; Boedecker, Ben H; Durck, Craig H; Ferguson, Jason L; Harreld, Chad E; House, John H; Irizarry, Daniel J; Oshiki, Michael S; Sanchack, Kristian E; Torres, John E

    2012-01-01

    Military partnering operations and military engagements with host nation civil infrastructure are fundamental missions for NATO Special Operations Forces (SOF) conducting military assistance operations. Unit medical advisors are frequently called upon to support partnering operations and execute medical engagements with host nation health systems. As a primary point of NATO SOF medical capability development and coordination, the NATO Special Operations Headquarters (NSHQ) sought to create a practical training opportunity in which medical advisors are taught how to prepare for, plan, and execute these complex military assistance operations. An international committee of SOF medical advisors, planners and teachers was assembled to research and develop the curriculum for the first NSHQ SOF Medical Engagement and Partnering (SOFMEP) course. The committee found no other venues offering the necessary training. Furthermore, a lack of a common operating language and inadequate outcome metrics were identified as sources of knowledge deficits that create confusion and inhibit process improvement. These findings provided the foundation of this committee?s curricular recommendations. The committee constructed operational definitions to improve understanding and promote dialogue between medical advisors and commanders. Active learning principles were used to construct a curriculum that engages learners and enhances retention of new material. This article presents the initial curriculum recommendations for the SOFMEP course, which is currently scheduled for October 2012.

  1. Higher-order-mode absorbers for energy recovery linac cryomodules at Brookhaven National Laboratory

    Directory of Open Access Journals (Sweden)

    H. Hahn

    2010-12-01

    Full Text Available Several future accelerator projects at Brookhaven for the Relativistic Heavy Ion Collider (RHIC are based on energy recovery linacs (ERLs with high-charge high-current electron beams. Their stable operation mandates effective higher-order-mode (HOM damping. The development of HOM dampers for these projects is pursued actively at this laboratory. Strong HOM damping was experimentally demonstrated both at room and at superconducting (SC temperatures in a prototype research and development (R&D five-cell niobium superconducting rf (SRF cavity with ferrite dampers. Two room-temperature mock-up five-cell copper cavities were used to study various damper configurations with emphasis on capacitive antenna dampers. An innovative type of ferrite damper over a ceramic break for an R&D SRF electron gun also was developed. For future SRF linacs longer cryomodules comprised of multiple superconducting cavities with reasonably short intercavity transitions are planned. In such a configuration, the dampers, located closer to the cavities, will be at cryogenic temperatures; this will impose additional constraints and complications. This paper presents the results of simulations and measurements of several damper configurations.

  2. High brightness, high current injector design for the ATF upgrade at Brookhaven National Laboratory

    Science.gov (United States)

    Stratakis, Diktys

    2015-04-01

    Brookhaven National Accelerator Test Facility (BNL ATF) is in the process of moving to a new place and upgrading its major capabilities: The electron beam energy and CO2 laser power. Specifically, the maximum electron beam energy will be first projected to 100-150 MeV and then upgraded to 500 MeV while at the same time the laser power will increase 100 fold, thus making the new ATF a powerful tool in advanced accelerator concept research. The bright electron bunch produced by the new state-of-the-art photocathode rf gun will be accelerated and optionally delivered to multiple beamlines. The injector is a key element of this accelerator upgrade. It must deliver a high average current beam with very small transverse and longitudinal emittances, at a sufficiently high energy that space charge effects are under control. We review here the detailed injector design and present first results from beam dynamics simulations. We give emphasis in the production of compressed flat beams which have important applications in novel light-source concepts and could possibly alleviate the need for damping rings in lepton colliders. We present a theoretical model and with the aid of simulation examine the influence of space charge, bunch compression and suggest a operating regime with minimal phase space dilutions.

  3. Effect of the solenoid in various conditions of the laser ion source at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Ikeda, S., E-mail: ikeda.s.ae@m.titech.ac.jp [Interdisciplinary Graduate School of Science and Engineering, Tokyo Institute of Technology, Yokohama, Kanagawa 216-8502 (Japan); Nishina Center for Accelerator-Based Science, RIKEN, Wako, Saitama 351-0108 (Japan); Kumaki, M. [Nishina Center for Accelerator-Based Science, RIKEN, Wako, Saitama 351-0108 (Japan); Kanesue, T.; Okamura, M. [Collider-Accelerator Department, Brookhaven National Laboratory, Upton, New York 11973-5000 (United States)

    2016-02-15

    In the laser ion source (LIS) at the Brookhaven National Laboratory (BNL), a solenoid is used to guide the laser ablation plasma and modulate the extracted beam current. Many types of ion species are guided. In some cases, the plasma plume is injected into the solenoid away from the solenoidal axis. To investigate the effects of the solenoid on the beam extracted from the plasma that has different properties, the beam current was measured in the setup of the LIS at the BNL. The beam current of Li, Al, Si, Fe, and Au increased when the magnetic field was applied. For most of the species the peak current and the total charge within a single beam pulse increased around 10 times with a magnetic field less than 100 G. In addition, for some species the rate of increase of the peak currents became smaller when the magnetic flux densities were larger than certain values depending on the species. In this case, the current waveforms were distorted. At the same magnetic field value, the field was more effective on lighter species than on heavier ones. When plasma was injected offset from the axis of the solenoid, peak current and total charge became half of those without offset. The experimental data are useful for the operation of the LIS at the BNL.

  4. Effect of the solenoid in various conditions of the laser ion source at Brookhaven National Laboratory

    Science.gov (United States)

    Ikeda, S.; Kumaki, M.; Kanesue, T.; Okamura, M.

    2016-02-01

    In the laser ion source (LIS) at the Brookhaven National Laboratory (BNL), a solenoid is used to guide the laser ablation plasma and modulate the extracted beam current. Many types of ion species are guided. In some cases, the plasma plume is injected into the solenoid away from the solenoidal axis. To investigate the effects of the solenoid on the beam extracted from the plasma that has different properties, the beam current was measured in the setup of the LIS at the BNL. The beam current of Li, Al, Si, Fe, and Au increased when the magnetic field was applied. For most of the species the peak current and the total charge within a single beam pulse increased around 10 times with a magnetic field less than 100 G. In addition, for some species the rate of increase of the peak currents became smaller when the magnetic flux densities were larger than certain values depending on the species. In this case, the current waveforms were distorted. At the same magnetic field value, the field was more effective on lighter species than on heavier ones. When plasma was injected offset from the axis of the solenoid, peak current and total charge became half of those without offset. The experimental data are useful for the operation of the LIS at the BNL.

  5. NATURAL RESOURCE MANAGEMENT PLAN FOR BROOKHAVEN NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    GREEN,T.ET AL.

    2003-12-31

    Brookhaven National Laboratory (BNL) is located near the geographic center of Long Island, New York. The Laboratory is situated on 5,265 acres of land composed of Pine Barrens habitat with a central area developed for Laboratory work. In the mid-1990s BNL began developing a wildlife management program. This program was guided by the Wildlife Management Plan (WMP), which was reviewed and approved by various state and federal agencies in September 1999. The WMP primarily addressed concerns with the protection of New York State threatened, endangered, or species of concern, as well as deer populations, invasive species management, and the revegetation of the area surrounding the Relativistic Heavy Ion Collider (RHIC). The WMP provided a strong and sound basis for wildlife management and established a basis for forward motion and the development of this document, the Natural Resource Management Plan (NRMP), which will guide the natural resource management program for BNL. The body of this plan establishes the management goals and actions necessary for managing the natural resources at BNL. The appendices provide specific management requirements for threatened and endangered amphibians and fish (Appendices A and B respectively), lists of actions in tabular format (Appendix C), and regulatory drivers for the Natural Resource Program (Appendix D). The purpose of the Natural Resource Management Plan is to provide management guidance, promote stewardship of the natural resources found at BNL, and to integrate their protection with pursuit of the Laboratory's mission. The philosophy or guiding principles of the NRMP are stewardship, adaptive ecosystem management, compliance, integration with other plans and requirements, and incorporation of community involvement, where applicable.

  6. Accreditation Council for Graduate Medical Education (ACGME) Surgery Resident Operative Logs: The Last Quarter Century.

    Science.gov (United States)

    Drake, Frederick Thurston; Aarabi, Shahram; Garland, Brandon T; Huntington, Ciara R; McAteer, Jarod P; Richards, Morgan K; Zern, Nicole Kansier; Gow, Kenneth W

    2017-05-01

    To describe secular trends in operative experience for surgical trainees across an extended period using the most comprehensive data available, the Accreditation Council for Graduate Medical Education (ACGME) case logs. Some experts have expressed concern that current trainees are inadequately prepared for independent practice. One frequently mentioned factor is whether duty hours' restrictions (DHR) implemented in 2003 and 2004 contributed by reducing time spent in the operating room. A dataset was generated from annual ACGME reports. Operative volume for total major cases (TMC), defined categories, and four index laparoscopic procedures was evaluated. TMC dropped after implementation of DHR but rebounded after a transition period (949 vs 946 cases, P = nonsignificance). Abdominal cases increased from 22% of overall cases to 31%. Alimentary cases increased from 21% to 26%. Trauma and vascular surgery substantially decreased. For trauma, this drop took place well before DHR. The decrease in vascular surgery also began before DHR but continued afterward as well: 148 cases/resident in the late 1990s to 107 currently. Although total operative volume rebounded after implementation of DHR, diversity of operative experienced narrowed. The combined increase in alimentary and abdominal cases is nearly 13%, over a half-year's worth of operating in 5-year training programs. Bedrock general surgery cases-trauma, vascular, pediatrics, and breast-decreased. Laparoscopic operations have steadily increased. If the competence of current graduates has, in fact, diminished. Our analysis suggests that operative volume is not the problem. Rather, changing disease processes, subspecialization, reductions in resident autonomy, and technical innovation challenge how today's general surgeons are trained.

  7. Does the Need Exist to Change the Existing Medical Assemblage Lifecycle Management Process in Order to Successfully Operate in Full-Spectrum Operations

    Science.gov (United States)

    2007-11-02

    expressed inconsistent availability of oral contraceptive pills in the theater of operations. Many women who were using oral contraceptive ...APPENDIX A. OEF AND OIF MEDICAL ASSEMBLAGE RISK ASSESSMENTS ...65 REFERENCE LIST...operational entity that has all the capabilities to maximize support while minimizing risk (Donahue 2002, 3-4). The Army Surgeon General, Lieutenant

  8. Natural Resource Management Plan for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    green, T.

    2011-08-15

    This comprehensive Natural Resource Management Plan (NRMP) for Brookhaven National Laboratory (BNL) was built on the successful foundation of the Wildlife Management Plan for BNL, which it replaces. This update to the 2003 plan continues to build on successes and efforts to better understand the ecosystems and natural resources found on the BNL site. The plan establishes the basis for managing the varied natural resources located on the 5,265 acre BNL site, setting goals and actions to achieve those goals. The planning of this document is based on the knowledge and expertise gained over the past 10 years by the Natural Resources management staff at BNL in concert with local natural resource agencies including the New York State Department of Environmental Conservation, Long Island Pine Barrens Joint Planning and Policy Commission, The Nature Conservancy, and others. The development of this plan is an attempt at sound ecological management that not only benefits BNL's ecosystems but also benefits the greater Pine Barrens habitats in which BNL is situated. This plan applies equally to the Upton Ecological and Research Reserve (Upton Reserve). Any difference in management between the larger BNL area and the Upton Reserve are noted in the text. The purpose of the Natural Resource Management Plan (NRMP) is to provide management guidance, promote stewardship of the natural resources found at BNL, and to sustainably integrate their protection with pursuit of the Laboratory's mission. The philosophy or guiding principles of the NRMP are stewardship, sustainability, adaptive ecosystem management, compliance, integration with other plans and requirements, and the incorporation of community involvement, where applicable. The NRMP is periodically reviewed and updated, typically every five years. This review and update was delayed to develop documents associated with a new third party facility, the Long Island Solar Farm. This two hundred acre facility will result in

  9. [Intelligent operating room suite : From passive medical devices to the self-thinking cognitive surgical assistant].

    Science.gov (United States)

    Kenngott, H G; Wagner, M; Preukschas, A A; Müller-Stich, B P

    2016-12-01

    Modern operating room (OR) suites are mostly digitally connected but until now the primary focus was on the presentation, transfer and distribution of images. Device information and processes within the operating theaters are barely considered. Cognitive assistance systems have triggered a fundamental rethinking in the automotive industry as well as in logistics. In principle, tasks in the OR, some of which are highly repetitive, also have great potential to be supported by automated cognitive assistance via a self-thinking system. This includes the coordination of the entire workflow in the perioperative process in both the operating theater and the whole hospital. With corresponding data from hospital information systems, medical devices and appropriate models of the surgical process, intelligent systems could optimize the workflow in the operating theater in the near future and support the surgeon. Preliminary results on the use of device information and automatically controlled OR suites are already available. Such systems include, for example the guidance of laparoscopic camera systems. Nevertheless, cognitive assistance systems that make use of knowledge about patients, processes and other pieces of information to improve surgical treatment are not yet available in the clinical routine but are urgently needed in order to automatically assist the surgeon in situation-related activities and thus substantially improve patient care.

  10. Radar Wind Profiler for Cloud Forecasting at Brookhaven National Laboratory (BNL) Field Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, M. P. [Brookhaven National Laboratory (BNL), Upton, NY (United States); Giangrande, S. E. [Brookhaven National Laboratory (BNL), Upton, NY (United States); Bartholomew, M. J. [Brookhaven National Laboratory (BNL), Upton, NY (United States)

    2016-04-01

    The Radar Wind Profiler for Cloud Forecasting at Brookhaven National Laboratory (BNL) [http://www.arm.gov/campaigns/osc2013rwpcf] campaign was scheduled to take place from 15 July 2013 through 15 July 2015 (or until shipped for the next U.S. Department of Energy Atmospheric Radiation Measurement [ARM] Climate Research Facility first Mobile Facility [AMF1] deployment). The campaign involved the deployment of the AMF1 Scintec 915 MHz Radar Wind Profiler (RWP) at BNL, in conjunction with several other ARM, BNL and National Weather Service (NWS) instruments. The two main scientific foci of the campaign were: 1) To provide profiles of the horizontal wind to be used to test and validate short-term cloud advection forecasts for solar-energy applications and 2) to provide vertical profiling capabilities for the study of dynamics (i.e., vertical velocity) and hydrometeors in winter storms. This campaign was a serendipitous opportunity that arose following the deployment of the RWP at the Two-Column Aerosol Project (TCAP) campaign in Cape Cod, Massachusetts and restriction from participation in the Green Ocean Amazon 2014/15 (GoAmazon 2014/15) campaign due to radio-frequency allocation restriction for international deployments. The RWP arrived at BNL in the fall of 2013, but deployment was delayed until fall of 2014 as work/safety planning and site preparation were completed. The RWP further encountered multiple electrical failures, which eventually required several shipments of instrument power supplies and the final amplifier to the vendor to complete repairs. Data collection began in late January 2015. The operational modes of the RWP were changed such that in addition to collecting traditional profiles of the horizontal wind, a vertically pointing mode was also included for the purpose of precipitation sensing and estimation of vertical velocities. The RWP operated well until the end of the campaign in July 2015 and collected observations for more than 20 precipitation

  11. Active implantable medical device EMI assessment for wireless power transfer operating in LF and HF bands

    Science.gov (United States)

    Hikage, Takashi; Nojima, Toshio; Fujimoto, Hiroshi

    2016-06-01

    The electromagnetic interference (EMI) imposed on active implantable medical devices by wireless power transfer systems (WPTSs) is discussed based upon results of in vitro experiments. The purpose of this study is to present comprehensive EMI test results gathered from implantable-cardiac pacemakers and implantable cardioverter defibrillators exposed to the electromagnetic field generated by several WPTSs operating in low-frequency (70 kHz-460 kHz) and high-frequency (6.78 MHz) bands. The constructed in vitro experimental test system based upon an Irnich’s flat torso phantom was applied. EMI test experiments are conducted on 14 types of WPTSs including Qi-compliant system and EV-charging WPT system mounted on current production EVs. In addition, a numerical simulation model for active implantable medical device (AIMD) EMI estimation based on the experimental test system is newly proposed. The experimental results demonstrate the risk of WPTSs emitting intermittent signal to affect the correct behavior of AIMDs when operating at very short distances. The proposed numerical simulation model is applicable to obtain basically the EMI characteristics of various types of WPTSs.

  12. Governance of Academic Medical Centers Is Indeed a Complex and Unique Operation.

    Science.gov (United States)

    Guzick, David S; Wilson, Donald E

    2017-09-12

    As academic medical centers (AMCs) have extended their operations into their communities, partnered with new organizations, and developed new modes of operation to achieve their missions, new governance approaches are required. Chari and colleagues, in this issue of Academic Medicine, describe the development and application of criteria to evaluate governance options for the University of California (UC), which has a number of public AMCs, almost all of which are components of individual UC universities. Although many of these criteria may also be applicable to smaller AMCs, a more individual approach to governance is required-that is, one must step back and first ask about the organization, structure, and goals of the entities to be governed. The major nonfederal and nonspecialty teaching hospitals in the United States are about evenly split between those that are university owned or controlled and those having an independent relationship with their associated medical school. However, the challenges, obstacles, and desired end points are similar. The development of a successful governance structure will require identifying and appreciating many factors.

  13. The other healthcare market. Doctors' offices and medical clinics are a profitable and growing market niche for some operators.

    Science.gov (United States)

    Ashmore, N J

    1991-11-01

    The healthcare market doesn't just mean hospitals anymore. For some textile rental operators, doctors' offices and medical clinics are a profitable and growing niche. On the positive side, this market offers growth, low abuse, good prices, and light soil. But operators also must weigh the cons--scattered deliveries, low volume, small stops, and medical waste management. Is the "other" healthcare market for you?

  14. A woman like you: Women scientists and engineers at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Benkovitz, Carmen; Bernholc, Nicole; Cohen, Anita; Eng, Susan; Enriquez-Leder, Rosario; Franz, Barbara; Gorden, Patricia; Hanson, Louise; Lamble, Geraldine; Martin, Harriet; Mastrangelo, Iris; McLane, Victoria; Villela, Maria-Alicia; Vivirito, Katherine; Woodhead, Avril

    1991-01-01

    This publication by the women in Science and Engineering introduces career possibilities in science and engineering. It introduces what work and home life are like for women who have already entered these fields. Women at Brookhaven National Laboratory work in a variety of challenging research roles -- from biologist and environmental scientist to safety engineer, from patent lawyer to technician. Brookhaven National Laboratory is a multi-program laboratory which carries out basic and applied research in the physical, biomedical and environmental sciences and in selected energy technologies. The Laboratory is managed by Associated University, Inc., under contract with the US Department of Energy. Brookhaven and the other national laboratories, because of their enormous research resources, can play a critical role in a education and training of the workforce.

  15. A woman like you: Women scientists and engineers at Brookhaven National Laboratory. Careers in action

    Energy Technology Data Exchange (ETDEWEB)

    1991-12-31

    This publication by the women in Science and Engineering introduces career possibilities in science and engineering. It introduces what work and home life are like for women who have already entered these fields. Women at Brookhaven National Laboratory work in a variety of challenging research roles -- from biologist and environmental scientist to safety engineer, from patent lawyer to technician. Brookhaven National Laboratory is a multi-program laboratory which carries out basic and applied research in the physical, biomedical and environmental sciences and in selected energy technologies. The Laboratory is managed by Associated University, Inc., under contract with the US Department of Energy. Brookhaven and the other national laboratories, because of their enormous research resources, can play a critical role in a education and training of the workforce.

  16. Education and Training of Emergency Medical Teams: Recommendations for a Global Operational Learning Framework.

    Science.gov (United States)

    Amat Camacho, Nieves; Hughes, Amy; Burkle, Frederick M; Ingrassia, Pier Luigi; Ragazzoni, Luca; Redmond, Anthony; Norton, Ian; von Schreeb, Johan

    2016-10-21

    An increasing number of international emergency medical teams are deployed to assist disaster-affected populations worldwide. Since Haiti earthquake those teams have been criticised for ill adapted care, lack of preparedness in addition to not coordinating with the affected country healthcare system. The Emergency Medical Teams (EMTs) initiative, as part of the Word Health Organization's Global Health Emergency Workforce program, aims to address these shortcomings by improved EMT coordination, and mechanisms to ensure quality and accountability of national and international EMTs. An essential component to reach this goal is appropriate education and training. Multiple disaster education and training programs are available. However, most are centred on individuals' professional development rather than on the EMTs operational performance. Moreover, no common overarching or standardised training frameworks exist. In this report, an expert panel review and discuss the current approaches to disaster education and training and propose a three-step operational learning framework that could be used for EMTs globally. The proposed framework includes the following steps: 1) ensure professional competence and license to practice, 2) support adaptation of technical and non-technical professional capacities into the low-resource and emergency context and 3) prepare for an effective team performance in the field. A combination of training methodologies is also recommended, including individual theory based education, immersive simulations and team training. Agreed curriculum and open access training materials for EMTs need to be further developed, ideally through collaborative efforts between WHO, operational EMT organizations, universities, professional bodies and training agencies.  Keywords: disasters; education; emergencies; global health; learning.

  17. Aberration-Coreected Electron Microscopy at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Zhu,Y.; Wall, J.

    2008-04-01

    The last decade witnessed the rapid development and implementation of aberration correction in electron optics, realizing a more-than-70-year-old dream of aberration-free electron microscopy with a spatial resolution below one angstrom [1-9]. With sophisticated aberration correctors, modern electron microscopes now can reveal local structural information unavailable with neutrons and x-rays, such as the local arrangement of atoms, order/disorder, electronic inhomogeneity, bonding states, spin configuration, quantum confinement, and symmetry breaking [10-17]. Aberration correction through multipole-based correctors, as well as the associated improved stability in accelerating voltage, lens supplies, and goniometers in electron microscopes now enables medium-voltage (200-300kV) microscopes to achieve image resolution at or below 0.1nm. Aberration correction not only improves the instrument's spatial resolution but, equally importantly, allows larger objective lens pole-piece gaps to be employed thus realizing the potential of the instrument as a nanoscale property-measurement tool. That is, while retaining high spatial resolution, we can use various sample stages to observe the materials response under various temperature, electric- and magnetic- fields, and atmospheric environments. Such capabilities afford tremendous opportunities to tackle challenging science and technology issues in physics, chemistry, materials science, and biology. The research goal of the electron microscopy group at the Dept. of Condensed Matter Physics and Materials Science and the Center for Functional Nanomaterials, as well as the Institute for Advanced Electron Microscopy, Brookhaven National Laboratory (BNL), is to elucidate the microscopic origin of the physical- and chemical-behavior of materials, and the role of individual, or groups of atoms, especially in their native functional environments. We plan to accomplish this by developing and implementing various quantitative

  18. 76 FR 70456 - Decision To Evaluate a Petition To Designate a Class of Employees From Brookhaven National...

    Science.gov (United States)

    2011-11-14

    ... evaluation, is as follows: Facility: Brookhaven National Laboratory. Location: Upton, New York. Job Titles... HUMAN SERVICES Decision To Evaluate a Petition To Designate a Class of Employees From Brookhaven...: Notice. SUMMARY: HHS gives notice as required by 42 CFR 83.12(e) of a decision to evaluate a petition to...

  19. In-flight medical emergencies during airline operations: a survey of physicians on the incidence, nature, and available medical equipment.

    Science.gov (United States)

    Hinkelbein, Jochen; Neuhaus, Christopher; Böhm, Lennert; Kalina, Steffen; Braunecker, Stefan

    2017-01-01

    Data on the incidence of in-flight medical emergencies on-board civil aircraft are uncommon and rarely published. Such data could provide information regarding required medical equipment on-board aircraft and requisite training for cabin crew. The aim of the present study was to gather data on the incidences, nature, and medical equipment for in-flight medical emergencies by way of a survey of physician members of a German aerospace medical society. Using unipark.de (QuestBack GmbH, Cologne, Germany), an online survey was developed and used to gather specific information. Members of the German Society for Aviation and Space Medicine (Deutsche Gesellschaft für Luft- und Raumfahrtmedizin e.V.; DGLRM) were invited to participate in the survey during a 4-week period (21 March 2015 to 20 April 2015). Chi-square test was used for statistical analysis (pairline flights per year (median). Cardiovascular (40.0%) and neurological disorders (17.8%) were the most frequent diagnoses. The medical equipment (78.7%) provided was sufficient. An emergency diversion was undertaken in 10.6% of the cases. Although using a different method of data acquisition, this survey confirms previous data on the nature of emergencies and gives plausible numbers. Our data strongly argue for the establishment of a standardized database for recording the incidence and nature of in-flight medical emergencies. Such a database could inform on required medical equipment and cabin crew training.

  20. Pre-deployment training recommendations for Special Forces Medical Sergeants based on recent Operation Enduring Freedom experiences.

    Science.gov (United States)

    Hughes, John; Hughes, Teresa

    2009-01-01

    Retrospective analysis of patient records from two 1st Battalion, 7th Special Forces Group combat rotations in Operation Enduring Freedom reveals a high volume of medical activity over a wide range of medical issues managed by Special Forces Medical Sergeants (MOS 18Ds). The initial training curriculum for 18Ds has been modified to provide graduating 18Ds with a refresher course and updated credentialing before reporting to their first unit. However, due to the high operational tempo, subsequent biannual refresher training has proven difficult for at least one Special Forces unit. Units must plan ahead between deployments to balance medic recredentialing with unit pre-mission training and individual non-medical training.

  1. 915-MHz Wind Profiler for Cloud Forecasting at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Bartholomew, M. J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Giangrande, S. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2016-03-01

    When considering the amount of shortwave radiation incident on a photovoltaic solar array and, therefore, the amount and stability of the energy output from the system, clouds represent the greatest source of short-term (i.e., scale of minutes to hours) variability through scattering and reflection of incoming solar radiation. Providing estimates of this short-term variability is important for determining and regulating the output from large solar arrays as they connect with the larger power infrastructure. In support of the installation of a 37-MW solar array on the grounds of Brookhaven National Laboratory (BNL), a study of the impacts of clouds on the output of the solar array has been undertaken. The study emphasis is on predicting the change in surface solar radiation resulting from the observed/forecast cloud field on a 5-minute time scale. At these time scales, advection of cloud elements over the solar array is of particular importance. As part of the BNL Aerosol Life Cycle Intensive Operational Period (IOP), a 915-MHz Radar Wind Profiler (RWP) was deployed to determine the profile of low-level horizontal winds and the depth of the planetary boundary layer. The initial deployment mission of the 915-MHz RWP for cloud forecasting has been expanded the deployment to provide horizontal wind measurements for estimating and constraining cloud advection speeds. A secondary focus is on the observation of dynamics and microphysics of precipitation during cold season/winter storms on Long Island. In total, the profiler was deployed at BNL for 1 year from May 2011 through May 2012.

  2. 915-Mhz Wind Profiler for Cloud Forecasting at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, M. [Brookhaven National Laboratory (BNL), Upton, NY (United States); Bartholomew, M. J. [Brookhaven National Laboratory (BNL), Upton, NY (United States); Giangrande, S. [Brookhaven National Laboratory (BNL), Upton, NY (United States)

    2016-03-01

    When considering the amount of shortwave radiation incident on a photovoltaic solar array and, therefore, the amount and stability of the energy output from the system, clouds represent the greatest source of short-term (i.e., scale of minutes to hours) variability through scattering and reflection of incoming solar radiation. Providing estimates of this short-term variability is important for determining and regulating the output from large solar arrays as they connect with the larger power infrastructure. In support of the installation of a 37-MW solar array on the grounds of Brookhaven National Laboratory (BNL), a study of the impacts of clouds on the output of the solar array has been undertaken. The study emphasis is on predicting the change in surface solar radiation resulting from the observed/forecast cloud field on a 5-minute time scale. At these time scales, advection of cloud elements over the solar array is of particular importance. As part of the BNL Aerosol Life Cycle Intensive Operational Period (IOP), a 915-MHz Radar Wind Profiler (RWP) was deployed to determine the profile of low-level horizontal winds and the depth of the planetary boundary layer. The initial deployment mission of the 915-MHz RWP for cloud forecasting has been expanded the deployment to provide horizontal wind measurements for estimating and constraining cloud advection speeds. A secondary focus is on the observation of dynamics and microphysics of precipitation during cold season/winter storms on Long Island. In total, the profiler was deployed at BNL for 1 year from May 2011 through May 2012.

  3. First operation of the medical research facility at the NSLS for coronary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Thomlinson, W.; Gmuer, N.; Chapman, D.; Garrett, R.; Lazarz, N.; Moulin, H. (Brookhaven National Lab., Upton, NY (United States)); Thompson, A.C. (Lawrence Berkeley Lab., CA (United States)); Zeman, H.D. (Dept. of Biomedical Engineering, University of Tennessee, Memphis, Tennessee, 38163 (US)); Brown, G.S. (Stanford Univ., CA (United States). Stanford Synchrotron Radiation Lab.); Morrison, J.; Reiser, P

    1991-01-01

    The Synchrotron Medical Research Facility (SMERF) at the National Synchrotron Light Source has been completed and is operational for human coronary angiography experiments. The imaging system and hardware have been brought to SMERF from the Stanford Synchrotron Radiation Laboratory where prior studies were carried out. SMERF consists of a suite of rooms at the end of the high field superconducting wiggler X17 beamline and is classified as an Ambulatory health Care Facility. Since October of 1990 the coronary arteries of five patients have been imaged. Continuously improving image quality has shown that a large part of both the right coronary artery and the left anterior descending coronary artery can be imaged following a venous injection of contrast agent. 16 refs., 4 figs.

  4. Dental emergency rates at two expeditionary medical support facilities supporting operations enduring and Iraqi Freedom.

    Science.gov (United States)

    Dunn, William J; Langsten, Robert E; Flores, Salvador; Fandell, Jay E

    2004-07-01

    This study reports dental emergency rates and distribution of causes of dental emergencies at two expeditionary medical support facilities supporting operations Enduring Freedom/ Iraqi Freedom. A retrospective cohort analysis of 9948 soldiers deployed to Prince Sultan Air Base, Kingdom of Saudi Arabia, and 1467 soldiers at Baghdad International Airport, Iraq, was accomplished from a phased deployment from January 2003 to September 2003. Procedures were divided into 11 categories: endodontic, extraction of teeth other than third molars, extraction of third molar teeth, restoration of teeth (caries), restoration of broken teeth (not caries), orthodontic bracket/wire problem, sensitive teeth, temperomandibular pain, periodontal, oral pathology, and prosthodontic. The dental emergency rates for Prince Sultan Air Base and Baghdad International Airport were 153 and 145 dental emergencies per 1000 soldiers per year, respectively. Most of the emergencies were because of dental caries. Pain from third molars was the second most common reason for visiting the dental clinic.

  5. In-flight medical emergencies during airline operations: a survey of physicians on the incidence, nature, and available medical equipment

    Directory of Open Access Journals (Sweden)

    Hinkelbein J

    2017-02-01

    Full Text Available Jochen Hinkelbein,1,2 Christopher Neuhaus,2,3 Lennert Böhm,1 Steffen Kalina,1 Stefan Braunecker1,2 1Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, 2Working group “Emergency Medicine and Air Rescue”, German Society for Aviation and Space Medicine (DGLRM, Munich, 3Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany Background: Data on the incidence of in-flight medical emergencies on-board civil aircraft are uncommon and rarely published. Such data could provide information regarding required medical equipment on-board aircraft and requisite training for cabin crew. The aim of the present study was to gather data on the incidences, nature, and medical equipment for in-flight medical emergencies by way of a survey of physician members of a German aerospace medical society.Materials and methods: Using unipark.de (QuestBack GmbH, Cologne, Germany, an online survey was developed and used to gather specific information. Members of the German Society for Aviation and Space Medicine (Deutsche Gesellschaft für Luft- und Raumfahrtmedizin e.V.; DGLRM were invited to participate in the survey during a 4-week period (21 March 2015 to 20 April 2015. Chi-square test was used for statistical analysis (p<0.05 was considered significant.Results: Altogether, 121 members of the society responded to the survey (n=335 sent out. Of the 121 respondents, n=54 (44.6% of the participants (89.9% male and 10.1% female; mean age, 54.1 years; n=121 were involved in at least one in-flight medical emergency. Demographic parameters in this survey were in concordance with the society members’ demographics. The mean duration of flights was 5.7 hours and the respondents performed 7.1 airline flights per year (median. Cardiovascular (40.0% and neurological disorders (17.8% were the most frequent diagnoses. The medical equipment (78.7% provided was sufficient. An emergency diversion was

  6. Dental emergency rates at an expeditionary medical support facility supporting Operation Enduring Freedom.

    Science.gov (United States)

    Dunn, William Jackson

    2004-05-01

    The purpose of this study was to report the dental emergency rate and the distribution of cause of dental emergencies at an Expeditionary Medical Support +25 medical facility during a 6-month deployment in support of Operation Enduring Freedom. A retrospective cohort analysis of 1,972 soldiers stationed at Seeb Air Base, Sultanate of Oman, was accomplished from a phased deployment from March to September 2002. Procedures were divided into 11 categories: endodontic, extraction of teeth other than third molars, extraction of third molar teeth, restoration of teeth (caries), restoration of broken teeth (not caries), orthodontic bracket/wire problem, sensitive teeth, temperomandibular pain, periodontal, oral pathology, and prosthodontic. One hundred thirty-five dental emergency visits were recorded, corresponding to a rate of 137 dental emergencies per 1,000 soldiers per year. Most of the emergencies (34.8%) were due to caries. Pain from third molars was the second most common reason for visiting the dental clinic (19.3%).

  7. T.D. LEE: RELATIVISTIC HEAVY ION COLLISIONS AND THE RIKEN BROOKHAVEN CENTER.

    Energy Technology Data Exchange (ETDEWEB)

    MCLERRAN,L.; SAMIOS, N.

    2006-11-24

    This paper presents the history of Professor T. D. Lee's seminal work on the theory of relativistic heavy ion collisions, and the founding and development of the Riken Brookhaven Center. A number of anecdotes are given about Prof. Lee, and his strong positive effect on his colleagues, particularly young physicists.

  8. Brookhaven highlights, fiscal year 1985, October 1, 1984-September 30, 1985

    Energy Technology Data Exchange (ETDEWEB)

    1985-01-01

    Activities at Brookhaven National Laboratory are briefly discussed. These include work at the National Synchrotron Light Source, the High Flux Beam Reactor, and the Alternating Gradient Synchrotron. Areas of research include heavy ion reactions, neutrino oscillations, low-level waste, nuclear data, medicine, biology, chemistry, parallel computing, optics. Also provided are general and administrative news, a financial report. (LEW)

  9. Brookhaven Lab physicist William Willis wins the 2003 W.K.H. Panofsky prize

    CERN Document Server

    2003-01-01

    William Willis, a senior physicist Brookhaven National Laboratory, has won the American Physical Society's 2003 W.K.H. Panofsky Prize in Experimental Particle Physics. He received the prize, which consists of $5,000 and a certificate citing his contributions to physics, at the APS meeting in Philadelphia on April 6 (1 page).

  10. Telementoring systems in the operating room: a new approach in medical training

    Directory of Open Access Journals (Sweden)

    Juan P. Wachs

    2013-12-01

    Full Text Available This paper discusses the challenges and innovations related to the use of telementoring systems in the operating room. Most of the systems presented leverage on three types of interaction channels: audio, visual and physical. The audio channel enables the mentor to verbally instruct the trainee, and allows the trainee to ask questions. The visual channel is used to deliver annotations, alerts and other messages graphically to the trainee during the surgery. These visual representations are often displayed through a telestrator. The physical channel has been used in laparoscopic procedures by partially controlling the laparoscope through force-feedback. While in face to face instruction, the mentor produces gestures to convey certain aspects of the surgical instruction, there is not equivalent of this form of physical interaction between the mentor and trainee in open surgical procedures in telementoring systems. Even that the trend is to perform more minimally invasive surgery (MIS, trauma surgeries are still necessary, where initial resuscitation and stabilization of the patient in a timely manner is crucial. This paper presents a preliminary study conducted at the Indiana University Medical School and Purdue University, where initial lexicons of surgical instructive gestures (SIGs were determined through systematic observation when mentor and trainee operate together. The paper concludes with potential ways to convey gestural information through surgical robots.

  11. Telementoring systems in the operating room: a new approach in medical training.

    Science.gov (United States)

    Wachs, Juan P; Gomez, Gerardo

    2013-01-01

    This paper discusses the challenges and innovations related to the use of telementoring systems in the operating room. Most of the systems presented leverage on three types of interaction channels: audio, visual and physical. The audio channel enables the mentor to verbally instruct the trainee, and allows the trainee to ask questions. The visual channel is used to deliver annotations, alerts and other messages graphically to the trainee during the surgery. These visual representations are often displayed through a telestrator. The physical channel has been used in laparoscopic procedures by partially controlling the laparoscope through force-feedback. While in face to face instruction, the mentor produces gestures to convey certain aspects of the surgical instruction, there is not equivalent of this form of physical interaction between the mentor and trainee in open surgical procedures in telementoring systems. Even that the trend is to perform more minimally invasive surgery (MIS), trauma surgeries are still necessary, where initial resuscitation and stabilization of the patient in a timely manner is crucial. This paper presents a preliminary study conducted at the Indiana University Medical School and Purdue University, where initial lexicons of surgical instructive gestures (SIGs) were determined through systematic observation when mentor and trainee operate together. The paper concludes with potential ways to convey gestural information through surgical robots.

  12. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Science.gov (United States)

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  13. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Directory of Open Access Journals (Sweden)

    Chin-Sheng Tang

    Full Text Available To prevent surgical site infection (SSI, the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH, and carbon dioxide (CO2, suspended particulate matter (PM, and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18% and traumatic surgery room (8%. The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  14. Air Quality Monitoring of the Post-Operative Recovery Room and Locations Surrounding Operating Theaters in a Medical Center in Taiwan

    Science.gov (United States)

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers. PMID:23573296

  15. Comparison of octreotide LAR and lanreotide autogel as post-operative medical treatment in acromegaly.

    Science.gov (United States)

    Tutuncu, Yasemin; Berker, Dilek; Isik, Serhat; Ozuguz, Ufuk; Akbaba, Gulhan; Kucukler, Ferit Kerim; Aydin, Yusuf; Guler, Serdar

    2012-09-01

    Long-acting somatostatin analogs are frequently used as adjuvant treatment of acromegaly patients after noncurative surgery. This sudy aims to compare the efficacy of octreotide long-acting release (OCT) and lanreotide Autogel (LAN) in acromegaly patients. Sixty-eight patients not cured by transsphenoidal endoscopic or microscopic pituitary surgery between 2003 and 2009 were retrospectively analyzed (25 men; 43 women; mean age 41.1 ± 10.9 years [range 18-65 years]). The patients were assigned randomly to OCT (n = 36) and LAN (n = 32) groups. Evaluations included insulin-like growth factor I (IGF-I) and growth hormone (GH) after oral glucose tolerance test (OGTT) 3, 6, 12 and 18 months after starting medical treatment; pituitary magnetic resonance imaging was performed before treatment and after 3 and 12 months. Patients achieving IGF-I levels within the age and gender normal range and GH level <1 μg/l following OGTT were considered a 'biochemical cure'. Mean IGF-I and GH values and tumor volumes (cm(3)) in the LAN and OCT groups were similar in the post-operative period before initiation of medical treatment. A statistically significant decrease in GH and IGF-I levels was obtained for both treatment groups at each follow-up visit compared to the previous value. Tumor shrinkage after 12 months of treatment was statistically significant in both groups but the percentage tumor shrinkage (28.5% vs. 34.9%, P = 0.166) and rate of patients achieving biochemical cure (63.9 and 78.1%, P = 0.454) were similar between OCT and LAN groups, respectively. OCT and LAN treatment options have similar efficacy for ensuring biochemical cure and tumor shrinkage in acromegaly patients who had noncurative surgery.

  16. Geant4 simulations on medical Linac operation at 18 MV: Experimental validation based on activation foils

    Science.gov (United States)

    Vagena, E.; Stoulos, S.; Manolopoulou, M.

    2016-03-01

    The operation of a medical linear accelerator was simulated using the Geant4 code regarding to study the characteristics of an 18 MeV photon beam. Simulations showed that (a) the photon spectrum at the isocenter is not influenced by changes of the primary electron beam's energy distribution and spatial spread (b) 98% of the photon energy fluence scored at the isocenter is primary photons that have only interacted with the target (c) the number of contaminant electrons is not negligible since it fluctuated around 5×10-5 per primary electron or 2.40×10-3 per photon at the isocenter (d) the number of neutrons that are created by (γ, n) reactions is 3.13×10-6 per primary electron or 1.50×10-3 per photon at the isocenter (e) a flattening filter free beam needs less primary electrons in order to deliver the same photon fluence at the isocenter than a normal flattening filter operation (f) there is no significant increase of the surface dose due to the contaminant electrons by removing the flattening filter (g) comparing the neutron fluences per incident electron for the flattened and unflattened beam, the neutron fluencies is 7% higher for the unflattened beams. To validate the simulations results, the total neutron and photon fluence at the isocenter field were measured using nickel, indium, and natural uranium activation foils. The percentage difference between simulations and measurements was 1.26% in case of uranium and 2.45% in case of the indium foil regarding photon fluencies while for neutrons the discrepancy is higher up to 8.0%. The photon and neutron fluencies of the simulated experiments fall within a range of ±1 and ±2 sigma error, respectively, compared to the ones obtained experimentally.

  17. Proceedings of the 2010 AFMS Medical Research Symposium. Volume 2. Operational and Medical Track: Abstracts and Presentations.

    Science.gov (United States)

    2011-03-15

    care systems and delivery of care in a developing country and practice empiricism -based medicine while being exposed to unique medical conditions not...i.e., AWACS, JSTARS). Yet, concerns regarding negative changes in psychological health effecting performance and readiness are abundant. However...no empirical studies have been conducted to officially screen for PTSD, clinical levels of psychological distress, and other changes in psychological

  18. Challenge Team Report: Brookhaven National Laboratory Environmental Restoration Program

    Energy Technology Data Exchange (ETDEWEB)

    T. L. Page; M. S. Montgomery

    1999-07-19

    The overall conclusion is that the BNL ER program has accomplished much and is well positioned to move aggressively towards closure. Seven removal actions have been completed. A record of decision (ROD) has been reached on Operable Unit IV, and interim soil cleanup has been completed. The remaining three RODs are under negotiation now.

  19. Brookhaven National Laboratory meteorological services instrument calibration plan and procedures

    Energy Technology Data Exchange (ETDEWEB)

    Heiser .

    2013-02-16

    This document describes the Meteorological Services (Met Services) Calibration and Maintenance Schedule and Procedures, The purpose is to establish the frequency and mechanism for the calibration and maintenance of the network of meteorological instrumentation operated by Met Services. The goal is to maintain the network in a manner that will result in accurate, precise and reliable readings from the instrumentation.

  20. A PERSPECTIVE ON MILITARY MEDICAL SERVICE ROLE IN STABILIZATION OPERATIONS: EXPANSION OF AIR FORCE MEDICAL SERVICE CAPABILITIES INMEDICAL DIPLOMACY

    Science.gov (United States)

    2017-04-06

    freedom to conduct their operations. Yet in asymmetric warfare, civilian health workers will be restricted and therefore require more constant...active International Health Specialist Program which provides the organizational structure needed to meet the currently outlined mission required for...Fulfillment of the Graduation Requirements Advisor: Dr. Stephen F. Burgess Maxwell Air Force Base, Alabama April 6, 2017 DISTRIBUTION A

  1. Wildland Fire Management Plan for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Schwager, K.; Green, T. M.

    2014-10-01

    The DOE policy for managing wildland fires requires that all areas managed by DOE and/or Its various contractors which can sustain fire must have a FMP that details fire management guidelines for operational procedures associated with wildland fire, operational, and prescribed fires. FMPs provide guidance on fire preparedness, fire prevention, wildfire suppression, and the use of controlled ''prescribed'' fires and mechanical means to control the amount of available combustible material. Values reflected in the BNL Wildland FMP include protecting life and public safety; Lab properties, structures and improvements; cultural and historical sites; neighboring private and public properties; and endangered, threatened, and species of concern. Other values supported by the plan include the enhancement of fire-dependent ecosystems at BNL. The plan will be reviewed periodically to ensure fire program advances and will evolve with the missions of DOE and BNL.

  2. First magnet constructed for the LHC by Brookhaven National Laboratory, USA

    CERN Multimedia

    Maximilien Brice

    2003-01-01

    CERN has taken delivery of the first US-built contribution to the LHC. The 25-tonne interaction-region dipole magnet, which will guide the LHC´s two counter-rotating beams of protons into collision, was built at the US Brookhaven National Laboratory. It is the first of 20 that the laboratory will ultimately provide and took nine months for more than 100 scientists, engineers and technicians to construct. Brookhaven´s Superconducting Magnet Division is now building the remaining 19 magnets, which will be shipped to CERN later this year. They are provided for the LHC under the terms of a 1998 agreement between CERN and the US Department of Energy and National Science Foundation.

  3. Boron neutron capture therapy of malignant brain tumors at the Brookhaven Medical Research Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Joel, D.D.; Coderre, J.A.; Chanana, A.D. [Brookhaven National Lab., Upton, NY (United States). Medical Dept.

    1996-12-31

    Boron neutron capture therapy (BNCT) is a bimodal form of radiation therapy for cancer. The first component of this treatment is the preferential localization of the stable isotope {sup 10}B in tumor cells by targeting with boronated compounds. The tumor and surrounding tissue is then irradiated with a neutron beam resulting in thermal neutron/{sup 10}B reactions ({sup 10}B(n,{alpha}){sup 7}Li) resulting in the production of localized high LET radiation from alpha and {sup 7}Li particles. These products of the neutron capture reaction are very damaging to cells, but of short range so that the majority of the ionizing energy released is microscopically confined to the vicinity of the boron-containing compound. In principal it should be possible with BNCT to selectively destroy small nests or even single cancer cells located within normal tissue. It follows that the major improvements in this form of radiation therapy are going to come largely from the development of boron compounds with greater tumor selectivity, although there will certainly be advances made in neutron beam quality as well as the possible development of alternative sources of neutron beams, particularly accelerator-based epithermal neutron beams.

  4. Boron neutron capture therapy of malignant brain tumors at the Brookhaven Medical Research Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Joel, D.D.; Coderre, J.A.; Chanana, A.D. [Brookhaven National Lab., Upton, NY (United States). Medical Dept.

    1996-12-31

    Boron neutron capture therapy (BNCT) is a bimodal form of radiation therapy for cancer. The first component of this treatment is the preferential localization of the stable isotope {sup 10}B in tumor cells by targeting with boronated compounds. The tumor and surrounding tissue is then irradiated with a neutron beam resulting in thermal neutron/{sup 10}B reactions ({sup 10}B(n,{alpha}){sup 7}Li) resulting in the production of localized high LET radiation from alpha and {sup 7}Li particles. These products of the neutron capture reaction are very damaging to cells, but of short range so that the majority of the ionizing energy released is microscopically confined to the vicinity of the boron-containing compound. In principal it should be possible with BNCT to selectively destroy small nests or even single cancer cells located within normal tissue. It follows that the major improvements in this form of radiation therapy are going to come largely from the development of boron compounds with greater tumor selectivity, although there will certainly be advances made in neutron beam quality as well as the possible development of alternative sources of neutron beams, particularly accelerator-based epithermal neutron beams.

  5. Qualitative risk evaluation of environmental restoration programs at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.

    1996-05-01

    This report documents the evaluation of risks associated with environmental restoration activities at Brookhaven National Laboratory using two tools supplied by DOE to provide a consistent set of risk estimates across the DOE complex: Risk Data Sheets (RDS) and Relative Risk Ranking. The tools are described, the process taken characterized, results provided and discussed. The two approaches are compared and recommendations provided for continuing improvement of the process.

  6. 2003 Brookhaven National Laboratory Annual Illness and Injury Surveillance Report, Revised September 2007

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, Office of Health, Safety and Security, Office of Illness and Injury Prevention Programs

    2007-10-02

    Annual Illness and Injury Surveillance Program report for 2003 for Brookhaven National Lab. The U.S. Department of Energy’s (DOE) commitment to assuring the health and safety of its workers includes the conduct of epidemiologic surveillance activities that provide an early warning system for health problems among workers. The IISP monitors illnesses and health conditions that result in an absence of workdays, occupational injuries and illnesses, and disabilities and deaths among current workers.

  7. Development and Operation of a Modern Information Portal for the ISS Medical Groups

    Science.gov (United States)

    Damann, V.; Johnson, MaGee; Sargsyan, Ashot; McDonald, P. Vernon; Armstrong, C.; Scheer, M.; Duncan, J. Michael

    2007-01-01

    This viewgraph presentation begins with a review of some of the problems inherent in running medical services for the International Space Station. Part of the solution for the problems is the development of the information portal for the ISS medical groups. The presentation shows the tools that have been developed to assist in collaboration for the medical services, the security system and the capabilities of the portal.

  8. A Medical Logistics Officer Training Needs Assessment Utilizing Feedback from Operation Iraqi Freedom

    Science.gov (United States)

    2004-01-01

    focused on honing and expanding the skill set of medical logistics officers to ensure they possess the most current tools required to accomplish their...Linkages). 60 1. Medical Chemical Defense Materiels ( MCDM ) and Weapons of Mass Destruction 2. Logistical Information Management ie. CAD, CALS, ECAT, LIDS

  9. Building Magnets at Brookhaven National Laboratory - An Account

    Energy Technology Data Exchange (ETDEWEB)

    Willen, E. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2017-06-01

    The development of superconducting wire and cable in the late 20th century enabled high field magnets and thus much higher beam collision energies in accelerators. These higher collision energies have allowed experiments to probe further into the structure of matter at the most fundamental, subatomic level. The behavior of the early universe, where these high energies prevailed, and its evolution over time are what these experiments seek to investigate. The subject has aroused the curiosity of not only scientists but of the public as well and has facilitated the support needed to build and operate such expensive machines and experiments. The path forward has not been easy, however. Success in most projects has been mixed with failure, progress with ineptitude. The building of high energy accelerators is mostly a story of capable people doing their best to develop new and unusual technology toward some defined goal, with success and failure in uneven measure along the way. It is also a story of administrative imperatives that have had unpredictable effects on a project’s success, depending mostly on the people in the administrative roles and the decisions that they have made.

  10. Building Magnets at Brookhaven National Laboratory: A Condensed Account

    Science.gov (United States)

    Willen, Erich

    2017-09-01

    The development of superconducting wire and cable in the late twentieth century enabled high-field magnets and thus much higher beam-collision energies in accelerators. These higher collision energies have allowed experimentalists to probe further into the structure of matter at the most fundamental, subatomic level. The behavior of the early universe, where these high energies prevailed, and its evolution over time are the realm their experiments seek to investigate. The subject has aroused the curiosity of the public as well as scientists and has facilitated the support needed to build and operate such expensive machines and experiments. The path forward has not been easy, however. Success in most projects has been mixed with failure, progress with ineptitude. The building of high energy accelerators is mostly a story of capable people doing their best to develop new and unusual technology toward some defined goal, facing both success and failure along the way. It is also a story of administrative imperatives that had unpredictable effects on a project's success, depending mostly on the people in the administrative roles and the decisions that they made.

  11. Associated Roles of Perioperative Medical Directors and Anesthesia: Hospital Agreements for Operating Room Management.

    Science.gov (United States)

    Dexter, Franklin; Epstein, Richard H

    2015-12-01

    As reviewed previously, decision making can be made systematically shortly before the day of surgery based on reducing the hours of overutilized operating room (OR) time and tardiness of case starts (i.e., patient waiting). We subsequently considered in 2008 that such decision making depends on rational anesthesia-hospital agreements specifying anesthesia staffing. Since that prior study, there has been a substantial increase in understanding of the timing of decision making to reduce overutilized OR time. Most decisions substantively influencing overutilized OR time are those made within 1 workday before the day of surgery and on the day of surgery, because only then are ORs sufficiently full that case scheduling and staff assignment decisions affect overutilized OR time. Consequently, anesthesiologists can easily be engaged in such decisions, because generally they must be involved to ensure that the corresponding anesthesia staff assignments are appropriate. Despite this, at hospitals with >8 hours of OR time used daily in each OR, computerized recommendations are superior to intuition because of cognitive biases. Decisions need to be made by a Perioperative Medical Director who has knowledge of the principles of perioperative managerial decision making published in the scientific literature rather than by a committee lacking this competency. Education in the scientific literature, and when different analytical methods should be used, is important. The addition that we make in this article is to show that an agreement between an anesthesia group and a hospital can both reduce overutilized OR time and patient waiting: The anesthesia group and hospital will ensure, hourly, that, when there are case(s) waiting to start, the number of ORs in use for each service will be at least the number that maximizes the efficiency of use of OR time. Neither the anesthesia group nor the hospital will be expected to run more than that number of ORs without mutual agreement

  12. Similarities and differences of doctor-patient co-operated evidence-based medical record of treating digestive system diseases with integrative medicine compared with traditional medical records

    Institute of Scientific and Technical Information of China (English)

    Bo Li; Wen-Hong Shao; Yan-Da Li; Ying-Pan Zhao; Qing-Na Li; Zhao Yang; Hong-Cai Shang

    2016-01-01

    Objective: To establish the model of doctor-patient cooperated record, based on the concepts of narrative evidence-based medicine and related theories on Doctor-Patient Co-operated Evidence-Based Medical Record. Methods: We conducted a literature search from Pubmed, following the principles of narrative evidence-based medicine, and refer to the advice of experts of digestive system and EBM in both traditional Chinese medicine and Western medicine. Result: This research is a useful attempt to discuss the establishment of doctor-patient co-operated evidence-based medical record guided by narrative evidence-based medicine. Conclusion:Doctor-patient co-operated medical record can become a key factor of the curative effect evaluation methodology system of integrated therapy of tradition Chinese medicine and Western medicine on spleen and stomach diseases.%遵循叙事循证医学理念,咨询中西医消化内科及循证医学专家,凝练医患共建式病历的理论,建立医患共建式病历的范本,对比医患共建式病历与传统病历记录的不同,分析医患共建式病历的优缺点。思考与展望:医患共建式病历有可能成为中西医合作治疗脾胃病疗效评价方法学体系的一个要素。

  13. Storyboard for the Medical System Concept of Operations for Mars Exploration Missions

    Science.gov (United States)

    Antonsen, Eric; Hailey, Melinda; Reyes, David; Rubin, David; Urbina, Michelle

    2017-01-01

    This storyboard conceptualizes one scenario of an integrated medical system during a Mars exploration mission. All content is for illustrative purposes only and neither defines nor implies system design requirement.

  14. COMMON LEVELS OF CO-OPERATION BETWEEN MEDICAL SPECIALISTS, BIOMEDICAL ENGINEERS, AND BIOCYBERNETICS

    OpenAIRE

    Emilia Mikołajewska; Dariusz Mikołajewski

    2013-01-01

    There is a dominant opinion that the cooperation of medical personnel and engineers is unappreciated and its significant positive influence on the results of therapy has not been sufficiently investigated. The aim of this paper is an attempt to assess the state of cooperation between medical specialists and biomedical engineers and biocybernetics specialists on the basis of the opinions published up to this point in literature. A survey of the literature in reviewed articles indexed i...

  15. Impact of North Atlantic Treaty Organization Policies and Procedures on Combined Medical Operations: Food and Water Safety and Veterinary Support.

    Science.gov (United States)

    Stevenson, Timothy H; Chevalier, Nicole A; Scher, Gregory R; Burke, Ronald L

    2016-01-01

    Effective multilateral military operations such as those conducted by the North Atlantic Treaty Organization (NATO) require close cooperation and standardization between member nations to ensure interoperability. Failure to standardize policies, procedures, and doctrine prior to the commencement of military operations will result in critical interoperability gaps, which jeopardize the health of NATO forces and mission success. To prevent these gaps from occurring, US forces must be actively involved with NATO standardization efforts such as the Committee of the Chiefs of Medical Services to ensure US interests are properly represented when NATO standards are developed and US doctrine and procedures will meet the established NATO requirements.

  16. Surveillance of zoonotic and infectious diseases in Ecuador: implications for special operations forces medical operations, personnel, and canines.

    Science.gov (United States)

    McCown, Michael; Monterroso, Victor H; Grzeszak, Benjamin

    2011-01-01

    Vector-borne diseases (VBD) make up a large number of emerging infectious and zoonotic diseases. Ticks, fleas, and mosquitoes are effective vectors parasitizing canines, making dogs adequate reservoirs for zoonoses. The U.S. military deploys personnel and government-owned animals around the world with possible risk of exposure to VBD. Canine VBD have veterinary and public health significance for the host nations as well as for the U.S. troops and its working animals deployed in the theater of operations. These factors make disease surveillance a great importance. The objective of this work was to survey canines from the cities of Manta and Guayaquil in Ecuador to determine prevalence of heartworm disease (D. immitis), ehrlichi os is (E. canis), Lyme disease (B. burgdorf eri), and anapl asmosis (A. phagocytophilum). Canine blood samples (1-3ml) collected from the cities of Manta (n=50) and Guayaquil (n=50) were tested on site using a SNAPR 4DxR Test Kit. Prevalence for single or multiple disease status was calculated for each city. In the city of Manta the overall prevalence of diseases was 78%; 52% for E. canis alone, and 26% for co-infection with E. canis and A. phagocytophilum. The overall prevalence for the city of Guayaquil was 88%; 40% for E. canis alone, 22% for A. phagocytophilum alone, and 26% for co-infection with E. canis and A. phagocytophilum. Neither heartworm disease nor Lyme disease was detected in any samp le. In conclusion, this study showed the extensive presence of E. canis and A. phagocytophilum in both cities in Ecuador, emphasizing the value of surveillance for zoonotic diseases to determine disease prevalence and risk assessments, as well as to implement control measures.

  17. Ethics surrounding the medical evacuation of catastrophically injured individuals from an operational theatre of war.

    Science.gov (United States)

    Bennett, Rebecca A

    2016-10-01

    Although prolonging life is usually in the best interests of patients, the British Medical Association states that it is not appropriate to prolong life with no regard to its quality. Medical advances both on the battlefield and within the field hospitals have resulted in the unexpected survival of a number of British personnel, and in some cases, soldiers are being repatriated with injuries categorised as 'catastrophic'. This paper considers medical ethics based on the Beauchamp and Childress Four Principles framework with regard to whether catastrophically injured individuals should be repatriated without any prior advanced directive and without evaluation of future quality of life. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  18. COMMON LEVELS OF CO-OPERATION BETWEEN MEDICAL SPECIALISTS, BIOMEDICAL ENGINEERS, AND BIOCYBERNETICS

    Directory of Open Access Journals (Sweden)

    Emilia Mikołajewska

    2013-11-01

    Full Text Available There is a dominant opinion that the cooperation of medical personnel and engineers is unappreciated and its significant positive influence on the results of therapy has not been sufficiently investigated. The aim of this paper is an attempt to assess the state of cooperation between medical specialists and biomedical engineers and biocybernetics specialists on the basis of the opinions published up to this point in literature. A survey of the literature in reviewed articles indexed in the main literature databases was carried out using specific keywords and unambiguous criteria for inclusion and omission. Further study is necessary which will determine the state of cooperation between medical specialists and biomedical engineers and biocybernetics specialists, the factors which determine it and any guidelines for clinical practice.

  19. Effective optimization of medical exposure: co-operation between radiation users and authorities

    Energy Technology Data Exchange (ETDEWEB)

    Parkkinen, R.; Jarvinen, H. [Radiation and Nuclear Safety Authority STUK, Helsinki (Finland)

    2006-07-01

    For the optimization of medical exposure in special radiological practices like in paediatric radiology, orthopaedics and cardiology, the Radiation and Nuclear Safety Authority (S.T.U.K.) in Finland has used a six step model to achieve the aims of the Medical Exposure Directive (97/43/EURATOM). The basis is to introduce the regulation and to meet the needs of the users for education and training. The aim is to educate some specialists to distribute information and good practices among their own professional groups. S.T.U.K. makes continuous verification on site visits and improves the process. (authors)

  20. Risk-based priority scoring for Brookhaven National Laboratory environmental restoration programs

    Energy Technology Data Exchange (ETDEWEB)

    Morris, S.C.; Meinhold, A.F.

    1995-05-01

    This report describes the process of estimating the risk associated with environmental restoration programs under the Brookhaven National Laboratory Office of Environmental Restoration. The process was part of an effort across all Department of Energy facilities to provide a consistent framework to communicate risk information about the facilities to senior managers in the DOE Office of Environmental Management to foster understanding of risk activities across programs. the risk evaluation was a qualitative exercise. Categories considered included: Public health and safety; site personnel safety and health; compliance; mission impact; cost-effective risk management; environmental protection; inherent worker risk; environmental effects of clean-up; and social, cultural, political, and economic impacts.

  1. Assessment of Energy Efficiency Project Financing Alternatives for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, W. D.; Hail, John C.; Sullivan, Gregory P.

    2000-02-14

    This document provides findings and recommendations that resulted from an assessment of the Brookhaven National Laboratory by a team from Pacific Northwest National Laboratory to assess the site's potential for various alternative financing options as a means to implement energy-efficiency improvements. The assessment looked for life-cycle cost-effective energy-efficiency improvement opportunities, and through a series of staff interviews, evaluated the various methods by which these opportunities may be financed, while considering availability of funds, staff, and available financing options. This report summarizes the findings of the visit and the resulting recommendations.

  2. Applications of nuclear techniques for in vivo body composition studies at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Cohn, S.H.; Ellis, K.J.; Vartsky, D.; Vaswani, A.N.; Wielopolski, L.

    1981-01-01

    A series of technical developments and their clinical applications in various nuclear technologies at Brookhaven National Laboratory is described. These include the development of a portable neutron activation facility for measuring cadmium in vivo in kidney and liver, a technique for the measurement of body iron utilizing nuclear resonant scattering of gamma rays, a non-invasive measure of the skeletal levels of lead by an x-ray fluorescence technique, and the development of a pulsed Van de Graaff generator as a source of pulsed neutrons for the measurement of lung silicon. (ACR)

  3. Laser ion source with solenoid for Brookhaven National Laboratory-electron beam ion source.

    Science.gov (United States)

    Kondo, K; Yamamoto, T; Sekine, M; Okamura, M

    2012-02-01

    The electron beam ion source (EBIS) preinjector at Brookhaven National Laboratory (BNL) is a new heavy ion-preinjector for relativistic heavy ion collider (RHIC) and NASA Space Radiation Laboratory (NSRL). Laser ion source (LIS) is a primary ion source provider for the BNL-EBIS. LIS with solenoid at the plasma drift section can realize the low peak current (∼100 μA) with high charge (∼10 nC) which is the BNL-EBIS requirement. The gap between two solenoids does not cause serious plasma current decay, which helps us to make up the BNL-EBIS beamline.

  4. Laser ion source with solenoid for Brookhaven National Laboratory-electron beam ion sourcea)

    Science.gov (United States)

    Kondo, K.; Yamamoto, T.; Sekine, M.; Okamura, M.

    2012-02-01

    The electron beam ion source (EBIS) preinjector at Brookhaven National Laboratory (BNL) is a new heavy ion-preinjector for relativistic heavy ion collider (RHIC) and NASA Space Radiation Laboratory (NSRL). Laser ion source (LIS) is a primary ion source provider for the BNL-EBIS. LIS with solenoid at the plasma drift section can realize the low peak current (˜100 μA) with high charge (˜10 nC) which is the BNL-EBIS requirement. The gap between two solenoids does not cause serious plasma current decay, which helps us to make up the BNL-EBIS beamline.

  5. Summary of proposed approach for deriving cleanup guidelines for radionuclides in soil at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Meinhold, A.F.; Morris, S.C.; Dionne, B.; Moskowitz, P.D.

    1996-11-01

    Past activities at Brookhaven National Laboratory (BNL) resulted in soil and groundwater contamination. As a result, BNL was designated a Superfund site under the Comprehensive Environmental Response Compensation and Liability Act (CERCLA). BNL`s Office of Environmental Restoration (OER) is overseeing environmental restoration activities at the Laboratory, carried out under an Interagency Agreement (IAG) with the United States Department of Energy (DOE), the United States Environmental Protection Agency (EPA) and the New York State Department of Environmental Conservation (NYSDEC). The objective of this paper is to propose a standard approach to deriving risk-based cleanup guidelines for radionuclides in soil at BNL.

  6. Proceedings of Brookhaven National Laboratory's fusion/synfuel workshop

    Energy Technology Data Exchange (ETDEWEB)

    Fillo, J.A.; Powell, J.R. (eds.)

    1979-01-01

    The fusion synfuels workshop held at Brookhaven National Laboratory (BNL) on August 27-29, 1979 examined the current status of candidate synfuel processes and the R and D required to develop the capability for fusion synfuel production. Participants divided into five working groups, covering the following areas: (1) economics and applications; (2) high-temperature electrolysis; (3) thermochemical processes (including hybrid thermo-electrochemical); (4) blanket and materials; and (5) high-efficiency power cycles. Each working group presented a summary of their conclusions and recommendations to all participants during the third day of the Workshop. These summaries are given.

  7. Determination of floor response spectra for the Brookhaven HFBR reactor building structure

    Energy Technology Data Exchange (ETDEWEB)

    Subudhi, M.; Goradia, H.

    1978-11-01

    In order to perform the dynamic analysis of various structural components of the HFBR reactor building at Brookhaven National Laboratory (BNL) subjected to seismic disturbances, it is necessary to obtain the floor response spectra of the primary structure. The mathematical model includes the four floor levels of the internal structure, the dome, and soil spring effects. The standard time history analysis is adopted to obtain the response spectrum for each floor of the internal structure. This report summarizes the results both in tabular and graphical form for various damping values.

  8. Sedative medications outside the operating room and the pharmacology of sedatives

    DEFF Research Database (Denmark)

    Hansen, Tom G

    2015-01-01

    PURPOSE OF REVIEW: There is a growing medical demand for suitable sedatives and analgesics to support the ongoing progress in diagnostic procedures and imaging techniques. This review provides an update of the pharmacology of the most commonly used drugs used for these procedures and shortly...

  9. Duration and predictors of emergency surgical operations - basis for medical management of mass casualty incidents

    Directory of Open Access Journals (Sweden)

    Huber-Wagner S

    2009-12-01

    Full Text Available Abstract Background Hospitals have a critically important role in the management of mass causality incidents (MCI, yet there is little information to assist emergency planners. A significantly limiting factor of a hospital's capability to treat those affected is its surgical capacity. We therefore intended to provide data about the duration and predictors of life saving operations. Methods The data of 20,815 predominantly blunt trauma patients recorded in the Trauma Registry of the German-Trauma-Society was retrospectively analyzed to calculate the duration of life-saving operations as well as their predictors. Inclusion criteria were an ISS ≥ 16 and the performance of relevant ICPM-coded procedures within 6 h of admission. Results From 1,228 patients fulfilling the inclusion criteria 1,793 operations could be identified as life-saving operations. Acute injuries to the abdomen accounted for 54.1% followed by head injuries (26.3%, pelvic injuries (11.5%, thoracic injuries (5.0% and major amputations (3.1%. The mean cut to suture time was 130 min (IQR 65-165 min. Logistic regression revealed 8 variables associated with an emergency operation: AIS of abdomen ≥ 3 (OR 4,00, ISS ≥ 35 (OR 2,94, hemoglobin level ≤ 8 mg/dL (OR 1,40, pulse rate on hospital admission 120/min (OR 1,39, blood pressure on hospital admission Conclusions The mean operation time of 130 min calculated for emergency life-saving surgical operations provides a realistic guideline for the prospective treatment capacity which can be estimated and projected into an actual incident admission capacity. Knowledge of predictive factors for life-saving emergency operations helps to identify those patients that need most urgent operative treatment in case of blunt MCI.

  10. [Information analytical support of the US Armed Forces Medical Service at the theater of operations (review of foreign online publications)].

    Science.gov (United States)

    Agapitov, A A; Golota, A S; Krassiĭ, A B; Kuvakin, V I

    2013-05-01

    The current article is dedicated to the modern state of information analytical support of the US Armed Forces Medical Service at the theater of operations. It is shown that at the present time for that purpose it is employed the Joint Theater Medical Information Program (TMIP) which integrates all medically significant information in a single system. The described program covers the whole evacuation chain, specifically, wounded registration on the battle field, treatment conduction at the stages of evacuation, including the aeromobile evacuation, treatment and rehabilitation at specialized establishments in the United States, subsequent veteran care after retirement. It also provides paperless documents circulation and telemedicine needs, takes into consideration the certain Armed Forces components peculiarities, satisfies the information analytical requirements of the commanding body of the medical service. The main TMIP subprograms are introduced, namely: AHLTA, TMDS, MSAT, TMIP-M, MMM, TC2, NCAT, and the basic providing and supporting unit DHIMS is described. Finally, it is mentioned that currently the TMIP project starts to be used not only on the battlefield but at the garrisons as well and it is supposed that it will gradually expand to the entire national health care system.

  11. Set up and operation for medical radiation exposure quality control system of health promotion center

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Su; Kim, Jung Min [Korea University,Seoul (Korea, Republic of); Jung, Hae Kyoung [Dept. of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, Sungnam (Korea, Republic of)

    2016-03-15

    In this study, standard model of medical radiation dosage quality control system will be suggested and the useful of this system in clinical field will be reviewed. Radiation dosage information of modalities are gathered from digital imaging and communications in medicine(DICOM) standard data(such as DICOM dose SR and DICOM header) and stored in database. One CT scan, two digital radiography modalities and two mammography modalities in one health promotion center in Seoul are used to derive clinical data for one month. After 1 months research with 703 CT scans, the study shows CT 357.9 mGy·cm in abdomen and pelvic CT, 572.4 mGy·cm in brain without CT, 55.9 mGy·cm in calcium score/heart CT, screening CT at 54 mGy·cm in chest screening CT(low dose screening CT scan), 284.99 mGy·cm in C-spine CT and 341.85 mGy·cm in L-spine CT as health promotion center reference level of each exam. And with 1955 digital radiography cases, it shows 274.0 mGy·cm{sup 2} and for mammography 6.09 mGy is shown based on 536 cases. The use of medical radiation shall comply with the principles of justification and optimization. This quality management of medical radiation exposure must be performed in order to follow the principle. And the procedure to reduce the radiation exposure of patients and staff can be achieved through this. The results of this study can be applied as a useful tool to perform the quality control of medical radiation exposure.

  12. Review of CBRN Medical and Operational Terminologies in NATO CBRN Publications

    Science.gov (United States)

    2016-08-01

    authorities at all levels with timely and adequate data to plan , direct and control their activities. [15] COMPOSITE INJURY PROFILE: Profile: an Injury...IDA) under contract HQ0045-14-D-0001, project CA-6-3079, “CBRN Casualty Estimation and Support to the Medical CBRN Defense Planning & Response...Amberlee Mabe -Stanberry for producing this document. Copyright Notice © 2016 Institute for Defense Analyses 4850 Mark Center Drive, Alexandria

  13. [Operation of a school adaptation program considering the interpersonal needs of medical freshmen].

    Science.gov (United States)

    Hur, Yera; Cho, A Ra; Kim, Sun

    2014-12-01

    We examined two overarching topics: What are the Fundamental Interpersonal Relations Orientation-Behavior (FIRO-B), Perceived Stress Scale (PSS), and Self-rating Depression Scale (SDS) scores in medical students? Do their interpersonal needs correlate with stress and depression? FIRO-B, PSS-10, and SDS were administered to 82 freshmen in College of Medicine, The Catholic University of Korea in 2014. The data were analyzed by descriptive statistics, frequency, two-way analysis of variance, independent t-test, and Pearson correlation analysis using SPSS version 21.0 (IBM Corp.). The level of interpersonal needs was medium range (mean, 24.52). The mean perceived stress score was 18.6. Also, 59.8% and 40.2% of students had normal range (<20) and high stress (≥20). The mean score for depression was 36.3. Further, 97.6% and 2.4% of students had normal range (≤49) and mild depression (≤59). Wanted behavior correlated with stress (r=0.056) and depression (r=0.021). Expressed behavior correlated negatively with stress (r=-0.206) and depression (r=-0.301). The interpersonal needs of medical freshmen are related to stress and depression. These results can be used effectively in school adaptation programs for medical students to improve their quality of life.

  14. Doing More with Less: Cost-effective, Compact Particle Accelerators (489th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Trbojevic, Dejan [BNL Collider-Accelerator Department

    2013-10-22

    Replace a 135-ton magnet used for cancer-fighting particle therapies with a magnet that weighs only two tons? Such a swap is becoming possible thanks to new particle accelerator advances being developed by researchers at Brookhaven Lab. With an approach that combines techniques used by synchrotron accelerators with the ability to accept more energy, these new technologies could be used for more than fighting cancer. They could also decrease the lifecycle of byproducts from nuclear power plants and reduce costs for eRHIC—a proposed electron-ion collider for Brookhaven Lab that researchers from around the world would use to explore the glue that holds together the universe’s most basic building blocks and explore the proton-spin puzzle. During this lecture, Dr. Trbojevic provides an overview of accelerator technologies and techniques—particularly a non-scaling, fixed-focused alternating gradient—to focus particle beams using fewer, smaller magnets. He discusses how these technologies will benefit eRHIC and other applications, including particle therapies being developed to combat cancer.

  15. Manipulating Light to Understand and Improve Solar Cells (494th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Eisaman, Matthew [BNL, Sustainable Energy Technologies Department

    2014-04-16

    Energy consumption around the world is projected to approximately triple by the end of the century, according to the 2005 Report from the U.S. Department of Energy's Basic Energy Sciences Workshop on Solar Energy Utilization. Much will change in those next 86 years, but for all the power the world needs—for everything from manufacturing and transportation to air conditioning and charging cell phone batteries—improved solar cells will be crucial to meet this future energy demand with renewable energy sources. At Brookhaven Lab, scientists are probing solar cells and exploring variations within the cells—variations that are so small they are measured in billionths of a meter—in order to make increasingly efficient solar cells and ultimately help reduce the overall costs of deploying solar power plants. Dr. Eisaman will discuss DOE's Sunshot Initiative, which aims to reduce the cost of solar cell-generated electricity by 2020. He will also discuss how he and collaborators at Brookhaven Lab are probing different material compositions within solar cells, measuring how efficiently they collect electrical charge, helping to develop a new class of solar cells, and improving solar-cell manufacturing processes.

  16. Is Overeating Behavior Similar to Drug Addiction? (427th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Gene-Jack

    2007-09-27

    The increasing number of obese individuals in the U.S. and other countries world-wide adds urgency to the need to understand the mechanisms underlying pathological overeating. Research by the speaker and others at Brookhaven National Laboratory and elsewhere is compiling evidence that the brain circuits disrupted in obesity are similar to those involved in drug addiction. Using positron emission tomography (PET), the speaker and his colleagues have implicated brain dopamine in the normal and the pathological intake of food by humans. During the 427th Brookhaven Lecture, speaker will review the findings and implications of PET studies of obese subjects and then compare them to PET research involving drug-addicted individuals. For example, in pathologically obese subjects, it was found that reductions in striatal dopamine D2 receptors are similar to those observed in drug-addicted subjects. The speaker and his colleagues have postulated that decreased levels of dopamine receptors predisposed subjects to search for strongly rewarding reinforcers, be it drugs for the drug-addicted or food for the obese, as a means to compensate for decreased sensitivity of their dopamine-regulated reward circuits. As the speaker will summarize, multiple but similar brain circuits involved in reward, motivation, learning and inhibitory control are disrupted both in drug addiction and obesity, resulting in the need for a multimodal approach to the treatment of obesity.

  17. Preventive Medicine and Its Role in the Special Operation Forces Medical Team.

    Science.gov (United States)

    Agudelo, Juan J

    2015-01-01

    Throughout history, Soldiers in wartime have been especially vulnerable to infectious diseases, which have devastated and decimated entire armies, causing suspension and, in some cases, complete cancellation of military operations. Dr. William Foege,1 a renowned Harvard epidemiologist, and his colleagues claim that throughout history, infectious diseases have killed more Soldiers than have weapons. Reality shows that it does not matter if your Soldiers had the best training available with the best equipment and top of the world intelligence: if your personnel get sick, they become more of a liability than an asset for a combat operation. This article presents some of the key findings that continue to affect our Special Operations Forces (SOF) and how the use of specifically designed new products can help in controlling short- and long-term consequences of infectious diseases.

  18. An Assessment of the Electric Power Quality and Electrical Installation Impacts on Medical Electrical Equipment Operations at Health Care Facilities

    Directory of Open Access Journals (Sweden)

    Mário C.G. Ramos

    2009-01-01

    Full Text Available Problem statement: Medical electrical equipments at health care facilities presented malfunction and wrong medical information due to poor electric power quality and to inadequate electrical Installations. Some equipment such as X-ray, computerized axial tomography and magnetic resonance imaging are considered as polluting ones due to their high amount of harmonics and voltage transients produced on the electrical power supply when in operation, while other equipments, connected to the same power supply, are considered sensitive or victim ones, presenting failure or producing wrong. Approach: The effects on some sensitive medical electrical equipment were verified in a controlled environment at energy quality technological center of the technical school of the University of Sao Paulo. A heart monitor, pulmonary ventilator and pulse oxymeter equipment types were submitted to a controlled voltage supply with high harmonic content and voltage sags. The test methodology used simulated conditions based on Brazilian NBR standards, ANSI/IEEE Std. 519, IEC 60601 and IEC 61000-4-11 standards. Results: The results of the polluting equipment current consumption measurements as well as the three sensitive equipments tested were presented and discussed. The pulmonary ventilator presented problems that range from stoppage to expiratory valve blockage and alarm system failures. The pulse oxymeter presented display malfunctions and it was extremely sensitive to voltage sags. The heart monitor maintained steady operation in all test cases. Conclusion/Recommendations: In spite of several existing recommendations and standards for testing medical electrical equipments, there is a lack of standard related to test cases considering the effects of high harmonic and voltage sags. The quality of electrical installation in health care facilities needs to be improved to reduce risks to the patients and to provide better health treatment.

  19. The application of additive technologies in creation a medical simulator-trainer of the human head operating field

    Science.gov (United States)

    Kashapov, L. N.; Kashapov, N. F.; Kashapov, R. N.; Pashaev, B. Y.

    2016-06-01

    The aim of the work was to determine the possible application of additive manufacturing technology during the manufacturing process as close as possible to reality of medical simulator-trainers. In work were used some additive manufacturing technologies: selective laser sintering (SLS), fused deposition modeling (FDM), binder Jetting. As a result, a prototype of simulator-trainer of the human head operating field, which based on the CT real patient, was manufactured and conducted its tests. It was found that structure, which is obtained with the use of 3D-printers ProJet 160, most appropriate and closest to the real properties of the bone.

  20. Maintaining an Operational U.S. Army Reserve through Medical Readiness

    Science.gov (United States)

    2012-03-07

    sometimes referred to as “flagged” vaccines are those required for one’s occupation (e.g., rabies, typhoid , hepatitis B, etc.) or specific for a planned...operation due to location or threat (e.g., anthrax, smallpox, Japanese encephalitis, yellow fever , etc.). While important, these will not be

  1. Feasibility Assessment of Performing Surgery in a Deployable Medical System Operating Room

    Science.gov (United States)

    2002-05-01

    Nosocomial infections are easily prevented if the hospital and its staff follow well-recognized sanitation and hygiene protocols. The Guidelines for...instance, frequent hand washing has been shown to significantly lessen the incidence of nosocomial infections . In addition, improved operating room...risk management. 26 Criteria included the following: noise exposure, nosocomial infections , environmental controls, air exchanges, and electrical

  2. A Study of the Operating Room Scheduling System at Tripler Army Medical Center, Hawaii

    Science.gov (United States)

    1981-08-01

    operating theatre are many, and the benefits to the patients and staff great . However, there would also be some disadvantages which need to be...Standard Mean Standard Average Standard Deviation ’ Devid -ion E_ irror Cataract Extraction 1:49 32 1:14 39 1:40 28 W/.IOL Cataract Extraction 1:33 29 58 25 1

  3. Fatal and Non-Fatal Electrocution Injuries at U.S. Marine Corps Forward Medical Facilities During Operation Enduring Freedom and Operation Iraqi Freedom.

    Science.gov (United States)

    Williams, Bradley; Deaton, Travis; Galarneau, Mike; Dye, Judy; Zieber, Tara; Auten, Jonathan

    2017-09-01

    Death from electrocution is rare and generally an accidental occurrence. In contrast to civilian patterns of electrocution injury, the military work environment suffers from a greater percentage of fatal high-voltage electrocutions. This study compared U.S. and international electrocution case fatality rates to rates among deployed military personnel presenting for care at expeditionary medical care facilities. We also sought to identify potential risk factors for fatal electrocution injury among deployed military personnel. A retrospective analysis was performed on electrocution injuries presenting to U.S. Marine Corps forward deployed medical facilities in Iraq and Afghanistan between January 2004 and December 2012. Descriptive statistics were used to describe the study population and compare fatal and nonfatal electrocutions. Fatality rates were reported in cases per 1,000,000 people per year. A total of 38 patients were identified; all were males with a mean (SD) age of 25.3 (5.3) years. Most electrocutions occurred on base (68%), whereas a smaller number (21%) occurred while conducting operations outside of the base. A majority of fatal cases (80%) occurred while outside of base on foot or vehicle mounted patrol. The rate of fatal electrocutions among U.S. Marine Corps personnel during this period was 37 per 1,000,000 people per year, 7-fold higher than the international electrocution fatality rate of 5.4 per 1,000,000 people per year and nearly three-fold above the U.S. utility and construction worker's fatality rate of 14 per 1,000,000 people per year. Electrocution injuries occurring during foot or vehicle mounted patrols seem to account for findings of higher case fatality rates among deployed military personnel than those found in international or high risk civilian occupational settings. Basic life support training for medical and nonmedical military personnel is critical to optimizing care delivered at the scene of these injuries. Reprint & Copyright

  4. Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures.

    Science.gov (United States)

    Byrum, Russell; Keith, Lauren; Bartos, Christopher; St Claire, Marisa; Lackemeyer, Matthew G; Holbrook, Michael R; Janosko, Krisztina; Barr, Jason; Pusl, Daniela; Bollinger, Laura; Wada, Jiro; Coe, Linda; Hensley, Lisa E; Jahrling, Peter B; Kuhn, Jens H; Lentz, Margaret R

    2016-10-03

    Medical imaging using animal models for human diseases has been utilized for decades; however, until recently, medical imaging of diseases induced by high-consequence pathogens has not been possible. In 2014, the National Institutes of Health, National Institute of Allergy and Infectious Diseases, Integrated Research Facility at Fort Detrick opened an Animal Biosafety Level 4 (ABSL-4) facility to assess the clinical course and pathology of infectious diseases in experimentally infected animals. Multiple imaging modalities including computed tomography (CT), magnetic resonance imaging, positron emission tomography, and single photon emission computed tomography are available to researchers for these evaluations. The focus of this article is to describe the workflow for safely obtaining a CT image of a live guinea pig in an ABSL-4 facility. These procedures include animal handling, anesthesia, and preparing and monitoring the animal until recovery from sedation. We will also discuss preparing the imaging equipment, performing quality checks, communication methods from "hot side" (containing pathogens) to "cold side," and moving the animal from the holding room to the imaging suite.

  5. Effect of Pre-Operative Use of Medications on the Risk of Surgical Site Infections in Patients Undergoing Cardiac Surgery.

    Science.gov (United States)

    Eton, Vic; Sinyavskaya, Liliya; Langlois, Yves; Morin, Jean François; Suissa, Samy; Brassard, Paul

    2016-10-01

    Median sternotomy, the most common means of accessing the heart for cardiac procedures, is associated with higher risk of surgical site infections (SSIs). A limited number of studies reporting the impact of medication use prior to cardiac surgery on the subsequent risk of SSIs usually focused on antibacterial prophylaxis. The objective of the current study was to evaluate the effect of medications prescribed commonly to cardiac patients on the risk of incident SSIs. The study analyzed data on consecutive cardiac surgery patients undergoing median sternotomy at a McGill University teaching hospital between April 1, 2011 and October 31, 2013. Exposure of interest was use of medications for heart disease and cardiovascular conditions in the seven days prior to surgery and those for comorbid conditions. The main outcome was SSIs occurring within 90 d after surgery. Univariate and multivariate logistic regression (adjusted odds ratio [AOR]) was used to evaluate the effect. The cohort included 1,077 cardiac surgery patients, 79 of whom experienced SSIs within 90 d of surgery. The rates for sternal site infections and harvest site infections were 5.8 (95% confidence interval [CI]: 4.4-7.3) and 2.5 (95% CI: 1.4-3.7) per 100 procedures, respectively. The risk of SSI was increased with the pre-operative use of immunosuppressors/steroids (AOR 3.47, 95% CI: 1.27-9.52) and α-blockers (AOR 3.74, 95% CI: 1.21-1.47). Our findings support the effect of immunosuppressors/steroids on the risk of SSIs and add evidence to the previously reported association between the use of anti-hypertensive medications and subsequent development of infection/sepsis.

  6. Brookhaven Lab physicists Edward Beebe and Alexander Pikin win 'Brightness Award' for achievement in ion source physics and technology

    CERN Multimedia

    2003-01-01

    "Edward Beebe and Alexander Pikin, physicists at the U.S. Department of Energy's Brookhaven National Laboratory, have been awarded the Ion Source Prize, known as the "Brightness Award," which recognizes and encourages innovative and significant recent achievements in the fields of ion source physics and technology" (1 page).

  7. Accidental nuclear excursion recuplex operation 234-5 facility: Final medical report

    Energy Technology Data Exchange (ETDEWEB)

    Fuqua, P. A.

    1962-04-07

    The April 7, 1962 criticality accident involving human exposures was the first to have occurred in any production facility at Hanford. The accidental nuclear excursion did not result in any mechanical damage or spread of contamination. Three employees received over-exposure to gamma and neutron radiation. None were fatally exposed and in each case the over-exposure was recognized promptly. Following an initial period of medical observation and testing, the men were released to work. They continued to be followed clinically. Clinical studies performed were hematological procedures including leukocyte chromosome aberrations, morphologically aberrant blood cells, bone marrow evaluations, blood chemistry determinations, amino acid excretion studies, seminal fluid, urinary gonadotropins and estrogen excretion studies, testicular biopsies and crystalline lens examinations. These studies, along with a brief description of the accident and of the dosimetry, are summarized in this report by those participating in the studies. In view of the dose ranges received in these cases, both the negative and positive findings are considered to be of unusual interest due to the lack of knowledge of effects following human exposures at these levels.

  8. Self-Assembly by Instruction: Designing Nanoscale Systems Using DNA-Based Approaches (474th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Gang, Oleg [Center for Functional Nanomaterials

    2012-01-18

    In the field of nanoscience, if you can control how nanoparticles self-assemble in particular structures — joining each other, for example, as molecules can form, atom-by-atom — you can design new materials that have unique properties that industry needs. Nature already uses the DNA genetic code to instruct the building of specific proteins and whole organisms in both plants and people. Taking a cue from nature, scientists at BNL devised a way of using strands of synthetic DNA attached to the surface of nanoparticles to instruct them to self-assemble into specific nanoscale structures, clusters, and three-dimensional organizations. Novel materials designed and fabricated this way promise use in photovoltaics, energy storage, catalysis, cell-targeted systems for more effective medical treatments, and biomolecular sensing for environmental monitoring and medical applications. To find out more about the rapid evolution of this nanoassembly method and its applications, join Physicist Oleg Gang of the Center for Functional Nanomaterials (CFN) as he gives the 474th Brookhaven Lecture, titled “Self-Assembly by Instruction: Designing Nanoscale Systems Using DNA-Based Approaches." Gang, who has led this work at the CFN, will explain the rapid evolution of this nanoassembly method, and discuss its present and future applications in highly specific biosensors, optically active nano-materials, and new ways to fabricate complex architectures in a rational manner via self-assembly. Gang and his colleagues used the CFN and the National Synchrotron Light Source (NSLS) facilities to perform their groundbreaking research. At the CFN, the scientists used electron microscopes and optical methods to visualize the clusters that they fabricated. At the NSLS, they applied x-rays to study a particles-assembly process in solution, DNA’s natural environment. Gang earned a Ph.D. in soft matter physics from Bar-Ilan University in 2000, and he was a Rothschild Fellow at Harvard

  9. Highway accident involving radiopharmaceuticals near Brookhaven, Mississippi on December 3, 1983

    Energy Technology Data Exchange (ETDEWEB)

    Mohr, P.B.; Mount, M.E.; Schwartz, M.W.

    1985-04-01

    A rear-end collision occurred between a passenger automobile and a luggage trailer carrying 84 packages, 76 of which contained radiopharmaceuticals, on US Highway 84 near Brookhaven, Mississippi on the afternoon of December 3, 1983. The purpose of this report is to document the mechanical circumstances of the accident, confirm the nature and quantity of radioactive materials involved, and assess the nature of the physical environment to which the packages were exposed and the response of the packages. The report consists of three major sections. The first deals wth the nature and circumstances of the accident and findings of fact. The second gives an accounting and description of the materials involved and the consequences of their exposure. The third gives an assessment and analysis of the mechanisms of damage and the conclusions which may be drawn from the investigation. 4 refs., 24 figs., 4 tabs.

  10. Brookhaven National Laboratory/Dale W. Jorgenson Associates long-term energy/economy reference projection

    Energy Technology Data Exchange (ETDEWEB)

    Dorosh, P.A.; Groncki, P.J.; Goettle, R.J. IV; Hudson, E.A.; Lewis, J.A.; Tingley, R.M.; Van Valkenburg, K.

    1981-07-01

    This report summarizes a detailed projection of the growth and structure of the US energy and economic systems for the period 1980 to 2000. The projection originates through use of a combined model system that simulates energy and economic activity under a comprehensive set of assumptions. These assumptions cover a range of demographic, economic, and energy conditions that define the circumstances and constraints influencing the directions of private and public decisions. Accordingly, many of the provisions of current public policy are included among these inputs. The framework employed in this analysis is provided by the linked energy-economy model system of Brookhaven National Laboratory (BNL) and Dale W. Jorgenson Associates (DJA). This projection provides a point of reference for the quantitative analysis of proposed policy measures, research directions, and possible energy and economic contingencies.

  11. Medical Screen Operations: How Head-Mounted Displays Transform Action and Perception in Surgical Practice

    Directory of Open Access Journals (Sweden)

    Moritz Queisner

    2016-09-01

    Full Text Available Based on case studies in minimally invasive surgery, this paper investigates how head-mounted displays (HMDs transform action and perception in the operating theatre. In particular, it discusses the methods and addresses the obstacles that are linked to the attempt to eliminate the divide between vision and visualization by augmenting the surgeon’s field of view with images. First, it analyzes how HMDs change the way images are integrated into the surgical workflow by looking at the modalities of image production, transmission, and reception in HMDs. Second, through an analysis of screen architecture and design, it examines how HMDs affect the locations and situations in which images are used. And third, it discuss the consequences of HMD-based practice as applied to action, perception, and decision-making, with attention to how HMDs challenge the existing techniques and routines of surgical practice and, therefore, necessitate a new type of image and application-based expertise.

  12. Assessment of Clinical Stressful Factors Among Academic Students of Nursing and Operating Room of Dezful University of Medical Sciences (2015

    Directory of Open Access Journals (Sweden)

    Mojtaba Raji

    2016-07-01

    Full Text Available Background and Objective: Nursing students are exposed to clinical environmental stresses in addition to educational environmental stresses. The aim of this study was to assessment of clinical stressful factors among Academic Students of Nursing and Operating Room of Dezful University of Medical Sciences in 2015.Materials and Methods: This study was a description-analytical study with 234 students of nursing and operation room up to two semesters for enrolled. Data was using a self-made researcher Questionnaire consisted of demographic information and clinical stressful factors. Data analysis was performed by descriptive and inferential statistics using SPSS-PC (v.20.Results: The findings showed that the main stressors in students of nursing and operation room were unpleasant emotions and least stressful areas were interpersonal communication in a clinical environment. The results showed that the average score of the field of education and humiliating experiences using Spearman correlation test (P=0/045 (r=0/16.Conclusion: Study showed, the mean stress is the moderate level. Stressful areas obtained in the four areas of personal communication, clinical practice stressful, unpleasant feelings and humiliating experience that fortunately, in many cases reform and change.

  13. Risk contracting and operational capabilities in large medical groups during national healthcare reform.

    Science.gov (United States)

    Mechanic, Robert E; Zinner, Darren

    2016-06-01

    Little is known about the scope of alternative payment models outside of Medicare. This study measures the full complement of public and private payment arrangements in large, multi-specialty group practices as a barometer of payment reform among advanced organizations. We collected information from 33 large, multi-specialty group practices about the proportion of their total revenue in 7 payment models, physician compensation strategies, and the implementation of selected performance management initiatives. We grouped respondents into 3 categories based on the proportion of their revenue in risk arrangements: risk-based (45%-100%), mixed (10%-35%), and fee-for-service (FFS) (0%-10%). We analyzed changes in contracting and operating characteristics between 2011 and 2013. In 2013, 68% of groups' total patient revenue was from FFS payments and 32% was from risk arrangements (unweighted average). Risk-based groups had 26% FFS revenue, whereas mixed-payment and FFS groups had 75% and 98%, respectively. Between 2011 and 2013, 9 groups increased risk contract revenue by about 15 percentage points and 22 reported few changes. Risk-based groups reported more advanced implementation of performance management strategies and were more likely to have physician financial incentives for quality and patient experience. The groups in this study are well positioned to manage risk-based contracts successfully, but less than one-third receive a majority of their revenue from risk arrangements. The experience of these relatively advanced groups suggests that expanding risk-based arrangements across the US health system will likely be slower and more challenging than many people assume.

  14. Autonomy and objectivity as political operators in the medical world: twenty years of public controversy about AIDS treatments in France.

    Science.gov (United States)

    Dodier, Nicolas; Barbot, Janine

    2008-09-01

    The article is based on the controversies relating to conducting experiments and licensing AIDS treatments in France in the 1980s and 1990s. We have identified two political operators, i.e. two issues around which tensions have grown between the different generations of actors involved in these controversies: 1) the way of thinking about patient autonomy, and 2) the way in which objectivity regarding medical decisions is built. The article shows that there are several regimes of objectivity and autonomy, and that it is at the meeting point of the two dimensions that very different political forms of medicine have developed. In the case of AIDS, the article identifies four of these forms (liberal and conservative clinical traditions and therapeutic modernity--enclosed, then participative) and analyzes the dynamics of their emergence and opposition. We discuss an "objectivity/autonomy" diagram as a conceptual framework which enables us (above and beyond AIDS) to think about changes in contemporary medicine.

  15. Expanding a professional dental care system: experiences of Task Force 261 Multifunctional Medical Battalion during Operation Iraqi Freedom 07-09.

    Science.gov (United States)

    Christopher, Frank L; Smith, Gregory M; Cobb, James W; Patterson, Craig G; Smith, Mark A; Pollard, Jennifer A

    2008-01-01

    During Operation Iraqi Freedom 07-09, Task Force 261 Multifunctional Medical Battalion managed an extensive dental care system stretching throughout the Iraq theater of operations. We illustrate several of the unique challenges faced by Task Force 261's headquarters and its dental and area support companies, and describe the remedies emplaced by the Task Force. Personnel structure, the evacuation chain, supply and facility management, dental civil-military operations, detainee care, information technology applications, and public health initiatives are discussed in detail.

  16. A Review of Supplementary Medical Aspects of Post-Cold War UN Peacekeeping Operations: Trends, Lessons Learned, Courses of Action, and Recommendations.

    Science.gov (United States)

    Johnson, Ralph J

    2015-01-01

    Post-Cold War United Nations Peace Keeping Operations (UN PKOs) have been increasingly involved in dangerous areas with ill-defined boundaries, harsh and remote geographies, simmering internecine armed conflict, and disregard on the part of some local parties for peacekeepers' security and role. In the interest of force protection and optimizing operations, a key component of UN PKOs is healthcare and medical treatment. The expectation is that UN PKO medical support will adjust to the general intent and structure of UN PKOs. To do so requires effective policies and planning informed by a review of all medical aspects of UN PKO operations, including those considered supplementary, that is, less crucial but contributing nonetheless. Medical aspects considered paramount and key to UN PKOs have received relatively thorough treatment elsewhere. The intent of this article is to report on ancillary and supplemental medical aspects practical to post-Cold War UN PKO operations assembled through an iterative inquiry of open-source articles. Recommendations are made about possible courses of action in terms of addressing trends found in such medical aspects of PKOs and relevance of US/NATO/European Union models and research.

  17. Initial experience with an 11 MeV self-shielded medical cyclotron on operation and radiation safety

    Directory of Open Access Journals (Sweden)

    Pant G

    2007-01-01

    Full Text Available A self-shielded medical cyclotron (11 MeV was commissioned at our center, to produce positron emitters, namely, 18 F, 15 O, 13 N and 11 C for positron emission tomography (PET imaging. Presently the cyclotron has been exclusively used for the production of 18 F - for 18 F-FDG imaging. The operational parameters which influence the yield of 18 F - production were monitored. The radiation levels in the cyclotron and radiochemistry laboratory were also monitored to assess the radiation safety status in the facility. The target material, 18 O water, is bombarded with proton beam from the cyclotron to produce 18 F - ion that is used for the synthesis of 18 F-FDG. The operational parameters which influence the yield of 18 F - were observed during 292 production runs out of a total of more than 400 runs. The radiation dose levels were also measured in the facility at various locations during cyclotron production runs and in the radiochemistry laboratory during 18 F-FDG syntheses. It was observed that rinsing the target after delivery increased the number of production runs in a given target, as well as resulted in a better correlation between the duration of bombardment and the end of bombardment 18 F - activity with absolutely clean target after being rebuilt. The radiation levels in the cyclotron and radiochemistry laboratory were observed to be well within prescribed limits with safe work practice.

  18. What can be done with expired pharmaceuticals? A review of literature as it pertains to special operations force?s medics.

    Science.gov (United States)

    Culbertson, Nicholas T

    2011-01-01

    Over the past decade, increasing evidence suggests that pharmaceuticals may continue to be potent beyond their date of expiration. Despite this evidence, we have not yet experienced a change in United States federal policy that would recommend usage of expired pharmaceuticals. While the scientific community and federal regulators continue to study the matter, the medical community is often guilty of misunderstanding the nuances of the issue. As a result, many healthcare professionals misinform their peers and their patients on either the appropriateness or inappropriateness of taking expired medications. Even though both the American Medical Association (AMA) and the Food and Drug Administration (FDA) do not recommend the dosing of expired pharmaceuticals at this time, discussion of the issue is warranted in order to understand the potential behind some expired drugs and to encourage further research. This discussion is particularly relevant to the Special Operations medical community, since Special Operations Force's (SOF) medics frequently encounter expired medication overseas. Given their unique skill set and working environment, the SOF medic should be familiar with the potential applications of expired medications, including their drawbacks. 2011.

  19. IA-D3: An Assessment Process for Military Health Support in Stability Operations (MSOs), Enabling Medical Diplomacy for Countering Irregular Threats

    Science.gov (United States)

    2011-05-05

    health, pediatrics , tropical medicine, geriatrics])?. (2) Do medical persom1el have training or experience in CMO (language/cultural skills, civil...34Developing Future Command Surgeons and Staff for Joint Operations and Assignments." JCOA Journal (Summer 2010): 51. 34 APPENDIX A - HSSChecklist...health, pediatrics , adequate number of female providers, etc.)? (3) .Will other MNF (multinational force) nations conduct or support medical civil

  20. Analytical summary of experimental data from two years of hourly sequential precipitation samples at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Raynor, G.S.; Hayes, J.V.

    1979-05-01

    Hourly precipitation samples were collected at Brookhaven National Laboratory from June 1976 through May 1978 with the Brookhaven Automatic Sequential Precipitation Sampler. Conventional meteorological data were recorded for each sample period. The samples were analyzed for pH, conductivity, and concentrations of sulfate, nitrogen, ammonium, sodium, and chloride ions. Ratios of selected ions, excess conductivity above the H/sup +/ contribution, and excess sulfate and chloride above the seawater ratio were calculated and treated as additional variables. Statistical analyses were performed of the relationships between selected chemical variables and between them and meteorological conditions. Rainfall rate was also analyzed in terms of other meteorological variables. Because a number of units were changed after publication of an earlier report (BNL 50826), the results (presented in a series of tables) are given for each year separately and for both years jointly.

  1. Application of the SmartSampling Methodology to the Evaluation of Contaminated Landscape Soils at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    RAUTMAN,CHRISTOPHER A.

    2000-08-01

    Portions of the SmartSampling{trademark} analysis methodology have been applied to the evaluation of radioactive contaminated landscape soils at Brookhaven National Laboratory. Specifically, the spatial, volumetric distribution of cesium-137 ({sup 137}Cs) contamination within Area of Concern 16E-1 has been modeled probabilistically using a geostatistical methodology, with the purpose of identifying the likelihood of successfully reducing, with respect to a pre-existing, baseline remediation plan, the volume of soil that must be disposed of offsite during clean-up. The principal objective of the analysis was to evaluate the likelihood of successful deployment of the Segmented Gate System (SGS), a novel remediation approach that emphasizes real-time separation of clean from contaminated materials during remediation operations. One primary requirement for successful application of the segmented gate technology investigated is that a variety of contaminant levels exist at the deployment site, which would enable to the SGS to discriminate material above and below a specified remediation threshold value. The results of this analysis indicate that there is potential for significant volume reduction with respect to the baseline remediation plan at a threshold excavation level of 23 pCi/g {sup 137}Cs. A reduction of approximately 50%, from a baseline volume of approximately 1,064.7 yd{sup 3} to less than 550 yd{sup 3}, is possible with acceptance of only a very small level of engineering risk. The vast majority of this volume reduction is obtained by not excavating almost all of levels 3 and 4 (from 12 to 24 inches in depth), which appear to be virtually uncontaminated, based on the available data. Additional volume reductions related to soil materials on levels 1 (depths of 0--6 inches) and 2 (6--12 inches) may be possible, specifically through use of the SGS technology. Level-by-level evaluation of simulation results suggests that as much as 26 percent of level 1 and as

  2. The Relativistic Heavy Ion Collider (rhic) Cryogenic System at Brookhaven National Laboratory: Review of the Modifications and Upgrades Since 2002 and Planned Improvements

    Science.gov (United States)

    Than, R.; Tuozzolo, J.; Sidi-Yekhlef, A.; Ganni, V.; Knudsen, P.; Arenius, D.

    2008-03-01

    Brookhaven National Laboratory continues its multi-year program to improve the operational efficiency, reliability, and stability of the cryogenic system, which also resulted in an improved beam availability of the Relativistic Heavy Ion Collider (RHIC). This paper summarizes the work and changes made after each phase over the past four years to the present, as well as proposed future improvements. Power usage dropped from an initial 9.4 MW to the present 5.1 MW and is expected to drop below 5 MW after the completion of the remaining proposed improvements. The work proceeded in phases, balancing the Collider's schedule of operation, time required for the modifications and budget constraints. The main changes include process control, compressor oil removal and management, elimination of the use of cold compressors and two liquid-helium storage tanks, insulation of the third liquid-helium storage tank, compressor-bypass flow reduction and the addition of a load turbine (Joule-Thomson expander) with associated heat exchangers at the cold end of the plant. Also, liquid helium pumps used for forced circulation of the sub-cooled helium through the magnet loops were eliminated by an accelerator supply flow reconfiguration. Planned future upgrades include the resizing of expanders 5 and 6 to increase their efficiencies.

  3. 野战医疗所平时信息管理系统%Peacetime Information Management System of Field Operation Medical Treatment Clinique

    Institute of Scientific and Technical Information of China (English)

    王景明; 苏小刚; 陈恒年; 翟树悦; 刘登凯; 范水平

    2001-01-01

    本文介绍了野战医疗所信息管理系统的功能、特点和使用,为加速野战医疗所平时信息管理的开发和研究提供经验。%In this article, it is introduced that the function, characteristic and utilizing of the Peacetime Information Management System of Field Operation Medical Treatment Clinique, the experience should be provided for accelerating the exploitation and research of the Peacetime Information Management System of Field Operation Medical Treatment Clinique.

  4. A Really Good Hammer: Quantification of Mass Transfer Using Perfluorocarbon Tracers (475th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Watson, Tom [BNL Environmental Sciences, Tracer Technology Group

    2012-02-15

    Brookhaven Lab’s perfluorocarbon tracer (PFT) technology can be viewed as a hammer looking for nails. But, according to Tom Watson, leader of the Lab’s Tracer Technology Group in the Environmental Research and Technology Division (ERTD), “It’s a really good hammer!” The colorless, odorless and safe gases have a number of research uses, from modeling how airborne contaminants might move through urban canyons to help first responders plan their response to potential terrorist attacks and accidents to locating leaks in underground gas pipes. Their extremely low background level — detectable at one part per quadrillion — allows their transport to be easily tracked. Lab researchers used PFTs during the 2005 Urban Dispersion Program field studies in New York City, gathering data to help improve models of how a gas or chemical release might move around Manhattan’s tall buildings and canyons. Closer to home, scientists also used PFTs to make ventilation measurements in Bldg. 400 on the Lab site to provide data to test air flow models used in determining the effects of passive and active air exchange on the levels of indoor and outdoor air pollution, and to determine the effects of an accidental or intentional release of hazardous substances in or around buildings.

  5. Status of high current R&D Energy Recovery LINAC at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Kayran, D.; Altinbas Z.; Beavis D.; Ben-Zvi I.; Calaga R.; Gassner D.M.; Hahn H.; Hammons L.; Jain A.; Jamilkowski J.; Lambiase R.; Lederle D.; Litvinenko V.N.; Laloudakis N.; Mahler G.; McIntyre G.; Meng W.; Oerter B.; Pate D.; Phillips D.; Reich J.; Roser T.; Schultheiss C.; Seda T.; Sheehy B.; Srinivasan-Rao T.; Than R.; Tuozzolo J.; Weiss D.; Xu W.; Zaltsman A.

    2011-03-28

    An ampere class 20 MeV superconducting Energy Recovery Linac (ERL) is under construction at Brookhaven National Laboratory (BNL) for testing of concepts relevant for high-energy coherent electron cooling and electron-ion colliders. One of the goals is to demonstrate an electron beam with high charge per bunch ({approx} 5 nC) and low normalized emittance ({approx} 5 mm-mrad) at an energy of 20 MeV. Flexible lattice of ERL loop provides a test-bed for investigating issues of transverse and longitudinal instabilities, and diagnostics for intense CW e-beam. The superconducting 703 MHz RF photoinjector is considered as an electron source for such a facility. We will start with a straight pass (gun - 5 cell cavity - beam stop) test for the SRF Gun performance studies. Later, we will install and test a novel injection line concept for emittance preservation in a lower energy merger. In this paper we present the status and our plans for construction and commissioning of this facility.

  6. What Goes Up Must Come Down: The Lifecycle of Convective Clouds (492nd Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, Michael [BNL Environmental Sciences

    2014-02-19

    Some clouds look like cotton balls and others like anvils. Some bring rain, some snow and sleet, and others, just shade. But, whether big and billowy or dark and stormy, clouds affect far more than the weather each day. Armed with measurements of clouds’ updrafts and downdrafts—which resemble airflow in a convection oven—and many other atmospheric interactions, scientists from Brookhaven Lab and other institutions around the world are developing models that are crucial for understanding Earth’s climate and forecasting future climate change. During his lecture, Dr. Jensen provides an overview of the importance of clouds in the Earth’s climate system before explaining how convective clouds form, grow, and dissipate. His discussion includes findings from the Midlatitude Continental Convective Clouds Experiment (MC3E), a major collaborative experiment between U.S. Department of Energy (DOE) and NASA scientists to document precipitation, clouds, winds, and moisture in 3-D for a holistic view of convective clouds and their environment.

  7. Brookhaven solar-heat-pump simulator: technical description and experimental results

    Energy Technology Data Exchange (ETDEWEB)

    Catan, M.

    1982-07-01

    The series solar-assisted heat pump (SAHP) system has the potential to deliver heat with very high seasonal coefficients of performance (coefficient of performance or COP is the ratio of useful heat delivered to electrical power consumed). This potential rests on the ability of the heat-pump component to use the high source temperatures available from the solar-collector component to deliver heat with a COP which rises monotonically with source temperature. The Brookhaven National Laboratory (BNL) Heat Pump Simulator has played an important role in a program aimed at demonstrating the feasibility of building simple potentially inexpensive heat pumps for use in SAHP systems. Basically the work described here consists of the following: (1) The construction and testing of a laboratory heat pump built from conventional components and characterized by a very desirable COP versus source temperature profile. (2) The testing of two prototype SAHPs built by heat-pump manufacturers under contract to DOE. (3) Detailed component and control tests aimed at establishing improvements in the SAHP prototypes. The paper describes, in some detail, the BNL Heat Pump Simulator, a versatile instrument used to test heat pumps and heat-pump subcomponents under transient and steady-state conditions.

  8. In-situ containment of buried waste at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Dwyer, B.P. [Sandia National Labs., Albuquerque, NM (United States); Heiser, J. [Brookhaven National Lab., Upton, NY (United States); Stewart, W.; Phillips, S. [Applied Geotechnical Engineering and Construction, Inc., Richland, WA (United States)

    1997-12-31

    The primary objective of this project was to further develop close-coupled barrier technology for the containment of subsurface waste or contaminant migration. A close-coupled barrier is produced by first installing a conventional cement grout curtain followed by a thin inner lining of a polymer grout. The resultant barrier is a cement polymer composite that has economic benefits derived from the cement and performance benefits from the durable and chemically resistant polymer layer. The technology has matured from a regulatory investigation of issues concerning barriers and barrier materials to a pilot-scale, multiple individual column injections at Sandia National Labs (SNL) to full scale demonstration. The feasibility of this barrier concept was successfully proven in a full scale {open_quotes}cold test{close_quotes} demonstration at Hanford, WA. Consequently, a full scale deployment of the technology was conducted at an actual environmental restoration site at Brookhaven National Lab (BNL), Long Island, NY. This paper discusses the installation and performance of a technology deployment implemented at OU-1 an Environmental Restoration Site located at BNL.

  9. The Shape and Flow of Heavy Ion Collisions (490th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Schenke, Bjoern [BNL Physics Department

    2014-12-18

    The sun can’t do it, but colossal machines like the Relativistic Heavy Ion Collider (RHIC) at Brookhaven Lab and Large Hadron Collider (LHC) in Europe sure can. Quarks and gluons make up protons and neutrons found in the nucleus of every atom in the universe. At heavy ion colliders like RHIC and the LHC, scientists can create matter more than 100,000 times hotter than the center of the sun—so hot that protons and neutrons melt into a plasma of quarks and gluons. The particle collisions and emerging quark-gluon plasma hold keys to understanding how these fundamental particles interact with each other, which helps explain how everything is held together—from atomic nuclei to human beings to the biggest stars—how all matter has mass, and what the universe looked like microseconds after the Big Bang. Dr. Schenke discusses theory that details the shape and structure of heavy ion collisions. He will also explain how this theory and data from experiments at RHIC and the LHC are being used to determine properties of the quark-gluon plasma.

  10. 医疗联合体运行模式探析%Medical Consortium Operating Mode Analysis

    Institute of Scientific and Technical Information of China (English)

    叶晶晶

    2015-01-01

    Objective To study the medical consortium operating mode. Methods The selection of a medical association in anhui province as research object, it contains a total of 10 members of the unit, stratified sampling investigation, now materials is re-viewed.Results 400 cases selectived examination subjects, nursing staff, 120 cases, accounting for 30%; The doctor 240 cases, ac-counting for 60%;Management personnel 40 cases, accounting for 10%.Male 260 cases, accounting for 65%;Women, 140 (35%). Senior titles, 100 cases, accounting for 25%; Secondary vocational 260 cases, accounting for 65%; Primary 40 cases, accounting for 10%.Tertiary hospital in 200 cases, 100 cases of both secondary and primary hospital. A basic understanding of 230 cases, ac-counting for 57.5%;Association of unclear concepts and 170 cases (42.5%). Identification of regional health resources integration 225 cases, accounting for 56.3%;Don't agree with 135 cases, accounting for 33.8%;There is no 40 cases, accounting for 10%.Ac-cording to association of medical work and alleviate the situation of difficulty and high cost of the public open, press 1 to 5 points, general average by the statistics for (3.85±0.52). Different job title, occupation, the hospital level object ratings, have obvious dif-ference (P<0.05). Conclusion At present, the medical staff of medical association of identity is not strong, poor condition, should focus on the bottleneck problem set solutions, a unified standard referral, establishing the medical level, further improve the medi-cal association medical level, attaches great importance to the informatization construction, and better service to the public.%目的:探讨医疗联合体运行模式价值。方法该研究选取安徽省一家医疗联合体作调查对象,其含有的成员单位共10个,分层抽样调查,现就资料加以回顾。结果共抽查研究对象400例,护理人员120例,占30%;医生240例,占60%;管理人员40例,占10%。男260

  11. A Fast, Versatile Nanoprobe for Complex Materials: The Sub-micron Resolution X-ray Spectroscopy Beamline at NSLS-II (491st Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Thieme, Juergen [BNL Photon Sciences Directorate

    2014-02-06

    Time is money and for scientists who need to collect data at research facilities like Brookhaven Lab’s National Synchrotron Light Source (NSLS), “beamtime” can be a precious commodity. While scanning a complex material with a specific technique and standard equipment today would take days to complete, researchers preparing to use brighter x-rays and the new sub-micron-resolution x-ray spectroscopy (SRX) beamline at the National Synchrotron Light Source II (NSLS-II) could scan the same sample in greater detail with just a few hours of beamtime. Talk about savings and new opportunities for researchers! Users will rely on these tools for locating trace elements in contaminated soils, developing processes for nanoparticles to deliver medical treatments, and much more. Dr. Thieme explains benefits for next-generation research with spectroscopy and more intense x-rays at NSLS-II. He discusses the instrumentation, features, and uses for the new SRX beamline, highlighting its speed, adjustability, and versatility for probing samples ranging in size from millimeters down to the nanoscale. He will talk about complementary beamlines being developed for additional capabilities at NSLS-II as well.

  12. Historical events associated with fallout from Bravo Shot-Operation castle and 25 y of medical findings

    Energy Technology Data Exchange (ETDEWEB)

    Cronkite, E.P.; Conard, R.A.; Bond, V.P. [Brookhaven National Labs., Upton, NY (United States)

    1997-07-01

    The events prior to Bravo Shot-Operation Castle that led to a decision not to evacuate the Marshallese prior to testing the thermonuclear bombs are presented as are the actions taken after the fallout incident in evacuating the exposed Marshallese and the military personnel. The initial medical effects (findings during first 6 wk after exposure) are briefly described and are followed by description of long term effects, namely, induction of one case or fatal acute myeloid leukemia and a large number of thyroid tumors (benign and malignant) in addition to hypothyroidism in adults and children and two cases of cretinism. The hypothyroidism and cretinism responded well to administration of oral thyroxine. During the first 25 y, there was also much unrest and political agitation initiated by exposed and unexposed Marshallese who were very unhappy as a result of relocation and inability to return to their homelands and feeling that all illness and deaths were due to the mysterious radiation, which they understandably did not understand. The difficulties in part were ameliorated by financial aid from the U.S. Congress. In view of one of us (EPC), no one agency or person in the U.S. Government was willing to take the responsibility for care of the Marshallese and its financing. The exposed and non-exposed Marshallese had their lifestyle changed, some of their homelands made uninhabitable for several years and could aptly be called {open_quotes}nuclear nomads,{close_quotes} an expression coined by others. 14 refs., 3 tabs.

  13. The Potential Linkage between Emergency Medical Services Systems and Health Systems Agencies to Civil Defense Related Health and Medical Care Plans and Operations.

    Science.gov (United States)

    1980-07-01

    Objective 10 B. Study Methodology 10 IV. E 7SS/HSA LINKAGE TO CIVIL DEFEN SE 13 V. HEALTH AND MEDICAL PLANNING FUNCIONS 31 A. Primarily Non-Health...Department Responsibilities 31 B. Primarily Health Department Responsibilities 41 VI. DISASTER MEDICAL PLANNING IN THE SAN FRANCISCO BAY AREA 62 VII...Agency B-i APPENDIX C - State Emergency Health Service Planning Functions: Potential Agency Input C-i APPENDIX D - San Francisco Bay Area Planning D

  14. Discussion on operation training and assessment of medical equipment%医疗设备使用人员培训与考核体系探讨

    Institute of Scientific and Technical Information of China (English)

    金鑫; 龚纯贵

    2015-01-01

    Objective:To elaborate the operation training process and assessment mechanism of medical equipment, emphasizing the medical device operation should be people-oriented, the use of advanced medical equipment must be after through the improvement training and strict examination, adhere to standardized processes, flexible thinking and methods to operating the medical equipment. So that, makes medical equipment to achieve the desired functionality. Methods: By dividing the kind of related personnel of medical equipment, to illustrate the corresponding training and assessment standards level of each staff. Fully mobilize the working enthusiasm of staff, make them pay attention to the normative operation, and change the values of medical equipment for medical staffs, by using the appropriate rewards and punishment system.Results: The medical equipment operation of operating personnel who participate the appropriate training and grade evaluation could conform to the assessment standards. Conclusion: The safety and effectiveness of medical equipment can be effectively improved by upgrade the operating levels of using staffs, it is effectively extending the medical equipment service life and saving the medical equipment cost while upgrading the overall quality of medical cared by the hospital. It makes further sustainable development of hospital.%目的:阐述医疗设备操作人员培训与考核体系,强调使用医疗设备前应对操作人员进行规范化培训和严格考核,使医疗设备发挥应有的功能。方法:运用系统论分析方法,从医疗设备分类、操作人员类别划分及建立培训机制等3个角度进行分析。结果:将操作人员分为医生、护士、技师、物业人员4个类别;医疗设备分为大型医疗仪器设备、检验类设备、病理诊断类设备、急救和生命支持类设备以及通用类设备5个类别。对各类医疗设备的相应操作人员进行不同级别的培训并实施考

  15. Post-cold war United Nations peacekeeping operations: a review of the case for a hybrid level 2+ medical treatment facility.

    Science.gov (United States)

    Johnson, Ralph Jay

    2015-01-01

    Post-Cold War, UN peacekeeping operations (UN PKOs) have become larger, more mobile, multi-faceted and conducted over vast areas of remote, rugged, and harsh geography. They have been increasingly involved in dangerous areas with ill-defined boundaries, simmering internecine armed conflict, and disregard on the part of some local parties for peacekeepers' security and role. Yet progressively there have been expectations of financial restraint and austerity. Additionally, UN PKOs have become more "robust," that is, engaged in preemptive, assertive operations. A statistically positive and significant relationship exists between missions' size, complexity, remoteness, and aggressive tenor and a higher probability of trauma or death, especially as a result of hostile actions or disease. Therefore, in the interest of "force protection" and optimizing operations, a key component of UN PKOs is health care and medical treatment. The expectation is that UN PKO medical support must conform to the general intent and structure of current UN PKOs to become more streamlined, portable, mobile, compartmentalized, and specialized, but also more varied and complex to address the medical aspects of these missions cost-efficiently. This article contends that establishing a hybrid level 2-a level 2 with level 3 modules and components (i.e., level 2+)-is a viable course of action when considering trends in the medical aspects of Post-Cold War UN PKOs. A level 2 medical treatment facility has the potential to provide needed forward mobile medical treatment, especially trauma care, for extended, complex, large-scale, and comprehensive UN PKOs. This is particularly the case for missions that include humanitarian outreach, preventive medicine, and psychiatry. The level 2 treatment facility is flexible enough to expand into a hybrid level 2+ with augmentation of modules based on changes in mission requirements and variation in medical aspects.

  16. The Relationship Between Distance and Post-operative Visit Attendance Following Medical Male Circumcision in Nyanza Province, Kenya.

    Science.gov (United States)

    Golub, Ginger; Herman-Roloff, Amy; Hoffman, Susie; Jaoko, Walter; Bailey, Robert C

    2016-11-01

    To date, there is no research on voluntary medical male circumcision (VMMC) catchment areas or the relationship between distance to a VMMC facility and attendance at a post-operative follow-up visit. We analyzed data from a randomly selected subset of males self-seeking circumcision at one of 16 participating facilities in Nyanza Province, Kenya between 2008 and 2010. Among 1437 participants, 46.7 % attended follow-up. The median distance from residence to utilized facility was 2.98 km (IQR 1.31-5.38). Nearly all participants (98.8 %) lived within 5 km from a facility, however, 26.3 % visited a facility more than 5 km away. Stratified results demonstrated that among those utilizing fixed facilities, greater distance was associated with higher odds of follow-up non-attendance (OR5.01-10km vs. 0-1km = 1.71, 95 % CI 1.08, 2.70, p = 0.02; OR>10km vs. 0-1 km = 2.80, 95 % CI 1.26, 6.21, p = 0.01), adjusting for age and district of residence. We found 5 km marked the threshold distance beyond which follow-up attendance significantly dropped. These results demonstrate distance is an important predictor of attending follow-up, and this relationship appears to be modified by facility type.

  17. Development of Sub-optimal Airway Protocols for the International Space Station (ISS) by the Medical Operation Support Team (MOST)

    Science.gov (United States)

    Polk, James D.; Parazynski, Scott; Kelly, Scott; Hurst, Victor, IV; Doerr, Harold K.

    2007-01-01

    Airway management techniques are necessary to establish and maintain a patent airway while treating a patient undergoing respiratory distress. There are situations where such settings are suboptimal, thus causing the caregiver to adapt to these suboptimal conditions. Such occurrences are no exception aboard the International Space Station (ISS). As a result, the NASA flight surgeon (FS) and NASA astronaut cohorts must be ready to adapt their optimal airway management techniques for suboptimal situations. Based on previous work conducted by the Medical Operation Support Team (MOST) and other investigators, the MOST had members of both the FS and astronaut cohorts evaluate two oral airway insertion techniques for the Intubating Laryngeal Mask Airway (ILMA) to determine whether either technique is sufficient to perform in suboptimal conditions within a microgravity environment. Methods All experiments were conducted in a simulated microgravity environment provided by parabolic flight aboard DC-9 aircraft. Each participant acted as a caregiver and was directed to attempt both suboptimal ILMA insertion techniques following a preflight instruction session on the day of the flight and a demonstration of the technique by an anesthesiologist physician in the simulated microgravity environment aboard the aircraft. Results Fourteen participants conducted 46 trials of the suboptimal ILMA insertion techniques. Overall, 43 of 46 trials (94%) conducted were properly performed based on criteria developed by the MOST and other investigators. Discussion The study demonstrated the use of airway management techniques in suboptimal conditions relating to space flight. Use of these techniques will provide a crew with options for using the ILMA to manage airway issues aboard the ISS. Although it is understood that the optimal method for patient care during space flight is to have both patient and caregiver restrained, these techniques provide a needed backup should conditions not present

  18. Ideas of medical evacuation of NBC medical rescue in non-war military operation%非战争军事行动"三防"医学救援医疗后送模式构想

    Institute of Scientific and Technical Information of China (English)

    潘辉; 焦小杰; 耿杰; 李伟; 徐雷

    2012-01-01

    To enhance capabilities of medical services in response to various security issues and fit it in diversified military missions. Analyze the factors of NBC medical rescue in a given non-war military operation, and summarize the types of hazard characteristics in the different tasks. Establish two medical evacuation programs of non-war military operation, nuclear and chemical medical evacuation program, and biological hazards program. Point out practicable strategic supports and technical means for advancing construction of the medical evacuation system of the NBC medical rescue, as well as perfecting the modern logistic services. They may be considered as the advantages in improvement of medical rescue and evacuation, and serving as strategic support and technical measures.%为了进一步提高应对多种安全威胁、完成多样化军事任务卫勤保障能力,笔者通过分析非战争军事行动"三防"医学救援医疗后送影响因素,总结不同任务形式危害类型规律特点.建立非战争军事行动核化和生物危害两种医疗后送方案.研究指出战略发展的机遇期,救治理论的进步,全面建设现代后勤物质成果等有力条件是推动"三防"医学救援医疗后送体制建设切实可行的战略支撑与技术手段.

  19. International patients on operation vacation: medical refuge and health system crisis Comment on "International patients on operation vacation - perspectives of patients travelling to Hungary for orthopaedic treatments".

    Science.gov (United States)

    Lunt, Neil

    2015-03-07

    An understanding of patient mobility, international patients and medical tourism includes supply and demand side considerations. As well as micro-level reports of motivation and satisfaction we must acknowledge broader system-level dynamics. Exploring these may unearth more complex geographies of patient travel.

  20. Discussion on marketing operation of medical insurance fund%医疗保险基金的市场化运营浅析

    Institute of Scientific and Technical Information of China (English)

    蒋蓉; 艾青

    2012-01-01

    我国医疗保险基金自运行以来,有效保障了人民医疗健康需求,但长期来看我国医疗保险基金收支平衡压力较大,因此需要寻找新的途径缓解基金收支平衡压力。对此,我国社会保障基金和美国医疗保险基金市场化运营的成功经验为我国医疗保险基金的市场化运营提供了经验借鉴,但当前的基金统筹制度、基金投资制度及资本市场环境限制了医疗保险基金市场化运营,建议政府应当逐步构建医疗保险基金市场化运营的政策环境,循序渐进地对其进行市场化运作。%Since the operation of China's medical insurance fund,it has effectively protected the citizens' health, but the medical health insurance fund is facing a serious balance pressure in the long run, so it would be necessary to explore new pathway to relieve this pressure. The marketing operation of the social insurance fund of China and medical health insurance of US has provided much experience to China's health insurance fund. But there are still many problems,such as the fund coordinating system,investment system,and capital market environment,which has hindered the marketing operation of China's medical health insurance, to solve these problems, the government should create a favorable environment for the marketing operation of medical health insurance.

  1. 洁净手术室医疗废物感染的管理%Management of medical waste in clean operating rooms

    Institute of Scientific and Technical Information of China (English)

    银彩霞; 董薪; 李丽霞; 龚珊; 文玉琴

    2012-01-01

    OBJECTIVE To investigate the management of medical waste in operating rooms so as to avoid secondary infections due to the contamination. METHODS The current status of administration of medical waste was analyzed, the whole management process of medical waste and innocuous disposal were explored. RESULTS Through all the measures, the awareness of the medical staff to the medical waster management was intensified, the classification and recovery rate of the medical waste reached up to 100. 0% , the infections due to leakage and diffusion did not occurred. CONCLUSION Through the establishment of sound organization and the completed management system, clear assignment of the department s duty, and enhancement of coordination and cooperation, the whole process management of medical waste in operating room has been achieved.%目的 探讨医院手术室医疗废物管理方法,防止污物扩散造成的二次感染.方法 分析手术室医疗废物管理现状,探讨医疗废物的全程管理及环境无害化处理.结果 各项措施得到落实,增强了医护人员对医疗废物管理意识,医疗废物分类回收率达100.0%,未发生泄漏、扩散造成感染.结论 通过建立健全组织机构、完善管理机制,明确各部门职责,加强协调与合作,实现了手术室医疗废物的全程管理.

  2. Interactive radiopharmaceutical facility between Yale Medical Center and Brookhaven National Laboratory. Progress report, June 1981-July 1982

    Energy Technology Data Exchange (ETDEWEB)

    Gottschalk, A

    1982-01-01

    Progress is reported in the following research areas: (1) evaluation of /sup 14/C-labelled carboxyethyl ester 2-cardoxy methyl ester of arachidonic acid; (2) the effects of drug intervention on cardiac inflammatory response following experimental myocardial infarction using indium-111 labeled autologous leukoyctes; (3) the evaluation of /sup 97/Ru-oxine to label human platelets in autologous plasma; and (4) the specific in vitro radiolabeling of human neutrophils. (ACR)

  3. Boron neutron capture therapy (BNCT) for glioblastoma multiforme using the epithermal neutron beam at the Brookhaven Medical Research Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Capala, J. [Brookhaven National Lab., Upton, NY (United States); Diaz, A.Z.; Chadha, M. [Univ. Hospital, State Univ. of New York, NY (United States)] [and others

    1997-12-31

    The abstract describes evaluation of boron neutron capture therapy (BNCT) for two groups of glioblastoma multiforme patients. From September 1994 to February 1996 15 patients have been treated. In September 1997 another 34 patients were examined. Authors determined a safe starting dose for BNCT using epithermal neutrons and BPA-F. They have also evaluated adverse effects of BNCT at this starting dose. Therapeutic effectiveness of this starting dose has been evaluated. No significant side effects from BPA-F infusion or BNCT treatment were observed in normal brains.

  4. Interactive radiopharmaceutical facility between Yale Medical Center and Brookhaven National Laboratory. Progress report, November 1, 1980-October 31, 1981

    Energy Technology Data Exchange (ETDEWEB)

    Gottschalk, A

    1981-10-31

    Research conducted in three principal areas is discussed and summarized. (1) Investigation of the influence of antiarrhythmic agents, such as lidocaine and procainamide, on the chemotaxis and nylon fiber adherence of indium-111-labelled human polymorphonulcear leukocytes (PMNs) in vitro revealed that at normal therapeutic levels of lidocaine and procaine, the adherence and chemotactic function of In-111-PMNs remain unaltered. Results with higher therapeutic blood levels are also discussed. (2) An improved method for labeling human platelets with In-111-oxine is outlined, and the influence of centrifugal force, oxine, ethanol, and radiation on platelet function is reported. Results indicate that normal labeling procedures induce no gross changes in platelet function. (3) The chemical preparation of radioiodinated arachidonic acid (AA) and nonradioactive acid ester of AA, and the analysis of metabolites of these compounds following myocardial ischemia were investigated in dogs. The tissue uptake of /sup 131/I-AA was compared to that of thallium-201.

  5. Using a videogame to facilitate nursing and medical students' first visit to the operating theatre. A randomized controlled trial.

    Science.gov (United States)

    Del Blanco, Ángel; Torrente, Javier; Fernández-Manjón, Baltasar; Ruiz, Pedro; Giner, Manuel

    2017-08-01

    First experiences in the operating theatre with real patients are always stressful and intimidating for students. We hypothesized that a game-like simulation could improve perceptions and performance of novices. A videogame was developed, combining pictures and short videos, by which students are interactively instructed on acting at the surgical block. Moreover, the game includes detailed descriptive information. After playing, students are given feedback on their performance. A randomized controlled trial was conducted with 132 nursing and medical students with no previous experience in surgery. Sixty two (47.0%) were allocated to a control group (CG) and 70 (53.0%) to an experimental group (EG). Subjects in EG played the game the day prior to their first experience in the theatre; CG had no access to the application. On the day after their experience at surgery, all students filled in a questionnaire in a 7-point Likert format collecting subjective data about their experience in the surgical block. Four constructs related to students' feelings, emotions and attitudes were measured through self-reported subjective scales, i.e. C1: fear to make mistakes, C2: perceived knowledge on how to behave, C3: perceived errors committed, and C4: attitude/behaviour towards patients and staff. The main research question was formulated as follows: do students show differences in constructs C1-C4 by exposure to the game? EG reported statistically significant higher scores on the four aspects measured than CG (p<0.05; Mann-Whitney U tests; Cohen's d standardized effect size d1=0.30; d2=1.05; d3=0.39; d4=0.49). Results show clear evidence that the exposure to the game-like simulation had a significant positive effect on all the constructs. After their first visit to the theatre, students in EG showed less fear (C1) and also perceived to have committed fewer errors (C3), while they showed higher perceived knowledge (C2) and a more collaborative attitude (C4). Copyright © 2017

  6. Proceedings of RIKEN BNL Research Center Workshop: Brookhaven Summer Program on Nucleon Spin Physics

    Energy Technology Data Exchange (ETDEWEB)

    Aschenauer, A.; Qiu, Jianwei; Vogelsang, W.; Yuan, F.

    2011-08-02

    Understanding the structure of the nucleon is of fundamental importance in sub-atomic physics. Already the experimental studies on the electro-magnetic form factors in the 1950s showed that the nucleon has a nontrivial internal structure, and the deep inelastic scattering experiments in the 1970s revealed the partonic substructure of the nucleon. Modern research focuses in particular on the spin and the gluonic structure of the nucleon. Experiments using deep inelastic scattering or polarized p-p collisions are carried out in the US at the CEBAF and RHIC facilities, respectively, and there are other experimental facilities around the world. More than twenty years ago, the European Muon Collaboration published their first experimental results on the proton spin structure as revealed in polarized deep inelastic lepton-nucleon scattering, and concluded that quarks contribute very little to the proton's spin. With additional experimental and theoretical investigations and progress in the following years, it is now established that, contrary to naive quark model expectations, quarks and anti-quarks carry only about 30% of the total spin of the proton. Twenty years later, the discovery from the polarized hadron collider at RHIC was equally surprising. For the phase space probed by existing RHIC experiments, gluons do not seem to contribute any to the proton's spin. To find out what carries the remaining part of proton's spin is a key focus in current hadronic physics and also a major driving force for the new generation of spin experiments at RHIC and Jefferson Lab and at a future Electron Ion Collider. It is therefore very important and timely to organize a series of annual spin physics meetings to summarize the status of proton spin physics, to focus the effort, and to layout the future perspectives. This summer program on 'Nucleon Spin Physics' held at Brookhaven National Laboratory (BNL) on July 14-27, 2010 [http://www.bnl.gov/spnsp/] is the

  7. Restraining Factors and Improving Paths for the Operation Mechanism of New Rural Cooperative Medical System in China

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    The new rural cooperative medical system has achieved periodical achievements since its establishment.Nevertheless,there are many factors hampering the development of the new system,such as the high cost,the difficulties in fund procurement,the lack of management,the narrow coverage of benefit,the ineffective constraint to the designated medical institutions,the high fund balance rate,and the poor medical facilities and services in rural areas.Countermeasures are put forward to solve these problems,including improving the system design,expanding the coverage of the system,expanding the fund sources,reducing the financing costs,strengthening the fund supervision,enhancing the supervision of designated medical institutions,and improving the capacity of health services in rural areas.

  8. Journal of Special Operations Medicine. Volume 7, Edition 1, Winter 2007. Training Supplement: USSOCOM Medic Certification Program

    Science.gov (United States)

    2007-01-01

    period. In short, we worked him up for cancer and sent him off to Walter Reed Army Medical Center. About five to six months later my PA looked at me...withhold or withdrawal of accreditation to the CAAHEP “STANDARDS AND GUIDELINES FOR THE ACCREDITATION OF EDUCAIONAL PROGRAMS IN THE EMERGENCY MEDICAL...Bruno, MAJ, MC, Attending Emergency Physician Lehigh Valley Hospital and Health Network Allentown, PA ADDITIONAL CONTRIBUTORS TO EARLIER EDITIONS CAPT

  9. Construction and operation of a system for secure and precise medical material distribution in disaster areas after Wenchuan earthquake.

    Science.gov (United States)

    Cheng, Yongzhong; Xu, Jiankang; Ma, Jian; Cheng, Shusen; Shi, Yingkang

    2009-11-01

    After the Wenchuan Earthquake on May 12th , 2008, under the strong leadership of the Sichuan Provincial Party Committee, the People's Government of Sichuan Province, and the Ministry of Health of the People's Republic of China, the Medical Security Team working at the Sichuan Provincial Headquarters for Wenchuan Earthquake and Disaster Relief Work constructed a secure medical material distribution system through coordination and interaction among and between regions, systems, and departments.

  10. PEST Analysis on Hospital Operation by Society under New Medical Reform%新医改背景下成都市社会办医的PEST分析

    Institute of Scientific and Technical Information of China (English)

    何思长; 高琦; 孙渤星; 陈瑜; 李娇月

    2015-01-01

    With the deepening of new medical reform,our nation encourages hospital operation by social capital, which accelerates various forms of hospital operation. With the encouragement of hospital operation by social capital,the authors make PEST analysis on the factors of politics,economy,society and technology in Chengdu City,put forward coun-termeasures and suggestions in order to promote healthy,orderly and fast development of hospital operation by social cap-ital,establish better structures of hospital operation by social capital and alleviate“difficulty in seeing a doctor and costli-ness in seeking medical treatment”.%随着新医改的深入,国家鼓励和引导社会资本办医,加快了形成多元化办医格局的步伐。笔者在鼓励社会资本办医的大背景下,运用PEST分析方法,对成都市社会办医的政治、经济、社会、技术因素进行分析,并提出对策建议,以期促进成都市社会办医健康、有序、快速发展,更好地形成多元化的办医格局,缓解“看病难、看病贵”。

  11. Medical operating personnel exposition levels during intracoronary irradiation using a Re188 full filled balloon catheter after percutaneous transluminal coronary artery

    Energy Technology Data Exchange (ETDEWEB)

    Ponce V, F.; Peix G, A.; Llerena R, L.; Santana V, L. [Instituto de Cardiologia, La Habana (Cuba); Lopez D, A. [Hospital Hermanos Amejeiras, La Habana (Cuba)

    2006-07-01

    The intracoronary irradiation using a full filled conventional balloon catheter with Rhenium 188 (Re188) after Percutaneous Transluminal Coronary Artery (PTCA) is a new relative treatment technique to reduce restenosis where the medical operating personnel are exposed to additional radiation ionizing level in the cath lab. In this study a radiation exposure level to medical operating personnel in the cath lab were measured with a Geiger Muller detector in 7 place to different distance from patient (to chest and abdominal region) catheter tabletop during a randomized clinical trial carried out in 25 patients whose were treated. The average concentrated Re188 activity used and treatment time were 5256{+-}2371 MBq/ml in 1.5-2 ml and 466{+-}195 seconds. At 3 cm from right arm patient the average maximum exposition rate were 0,63 mSv/h and 0,51 mSv h, to chest and abdominal patient level, respectively, where also average exposed dose per treated patient was 0,06 mSv and 0,05 mSv, respectively. Our results show that intracoronary irradiation with Re188 in the cath lab do not increase significatively the exposure radiation level to medical operating staff during treatment procedure and it is safe according national and international radiation protection regulations. (Author)

  12. Production capabilities in US nuclear reactors for medical radioisotopes

    Energy Technology Data Exchange (ETDEWEB)

    Mirzadeh, S.; Callahan, A.P.; Knapp, F.F. Jr. [Oak Ridge National Lab., TN (United States); Schenter, R.E. [Westinghouse Hanford Co., Richland, WA (United States)

    1992-11-01

    The availability of reactor-produced radioisotopes in the United States for use in medical research and nuclear medicine has traditionally depended on facilities which are an integral part of the US national laboratories and a few reactors at universities. One exception is the reactor in Sterling Forest, New York, originally operated as part of the Cintichem (Union Carbide) system, which is currently in the process of permanent shutdown. Since there are no industry-run reactors in the US, the national laboratories and universities thus play a critical role in providing reactor-produced radioisotopes for medical research and clinical use. The goal of this survey is to provide a comprehensive summary of these production capabilities. With the temporary shutdown of the Oak Ridge National Laboratory (ORNL) High Flux Isotope Reactor (HFIR) in November 1986, the radioisotopes required for DOE-supported radionuclide generators were made available at the Brookhaven National Laboratory (BNL) High Flux Beam Reactor (HFBR). In March 1988, however, the HFBR was temporarily shut down which forced investigators to look at other reactors for production of the radioisotopes. During this period the Missouri University Research Reactor (MURR) played an important role in providing these services. The HFIR resumed routine operation in July 1990 at 85 MW power, and the HFBR resumed operation in June 1991, at 30 MW power. At the time of the HFBR shutdown, there was no available comprehensive overview which could provide information on status of the reactors operating in the US and their capabilities for radioisotope production. The obvious need for a useful overview was thus the impetus for preparing this survey, which would provide an up-to-date summary of those reactors available in the US at both the DOE-funded national laboratories and at US universities where service irradiations are currently or expected to be conducted.

  13. The Allocation and Operation of Modern Prison Medical Resources%论现代监狱医疗资源配置与运营

    Institute of Scientific and Technical Information of China (English)

    陶新胜

    2016-01-01

    Prison medical is the basic guarantee of prison execution. The minimum standard of prison medical allocation is to meet the prison medical epidemic prevention safety and the basic medical treatment of prisoners. In the modern prison connotation of rule of law, prison health care must resect ills, adjust measures to local conditions, make combinatorial optimization of their own as well as the local medical resources, and strengthen the scientific allocation of medical resources and effective operation in order to guarantee the legitimate rights and interests of the smooth implementation of security prison execution. At present, the key points of the allocation of medical resources in prison are as follows:scientific planning of hospital (ambulance station) scale, a column list of necessary institutions and facilities, equipped with suitable standard amount of medical and public health technical persons, clear medical budget growth mechanism. The focus of medical institutions operational reform lies in establishing a complementary management system for prison medical human resources, giving full play to the positive role of the police, criminals, employees and community volunteers, setting up a social cooperation mechanism integrating prison medical resources, and introducing social medical resources from different channels to provide better medical services for the prison.%监狱医疗是监狱行刑的基本保障。监狱医疗的最低配置标准是必须满足监狱场所的防疫安全和在押罪犯的基本医疗。在现代监狱法治内涵下,监狱医疗必须割除弊病,因地制宜,优化组合自身和地方社会医疗资源,强化医疗资源的科学配置和有效运营,以保障监狱行刑的顺利实施和罪犯的合法权益得到基本满足。当下,监狱医疗资源配置的重点是:科学规划医院(救护站)规模、张列必备机构和设施清单、配备适格适量医疗卫生技术人员、明确医疗经费

  14. AN IMPACT OF THE EFFICIENT FUNCTIONING OF THE VENTILATION AND AIR-CONDITIONING SYSTEM ON THERMAL COMFORT OF THE MEDICAL STAFF IN THE OPERATING ROOM

    Directory of Open Access Journals (Sweden)

    Tomasz Jankowski

    2016-11-01

    Full Text Available Ventilation and air conditioning systems are necessary for developing proper parameters of indoor envi-ronment in operating rooms. The main task of ventilation and air conditioning in those specific areas consists in creating desirable temperature, reducing the number of microorganisms and the concen-trations of hazardous gases and substances in the air, as well as ensuring the proper direction of airflow. In Poland, indoor environment in operating rooms has to comply with the requirements set out in three regulations (Journal of Laws of 2002 No. 75, item 690, as amended, Journal of Laws of 2002 No. 217, item 1833, Journal of Laws of 2011 No. 31, item 158, as amended and the document entitled "Guidelines for the design of general hospitals". Given insufficient accuracy of the abovementioned national documents, it is a common practice to use foreign standards, i.e. ASHRAE Standard 170-2013, DIN 1946-4: 2008 and FprCEN TR 16244: 2011. When considering the conditions for thermal comfort, it is important to bear in mind a close link between air flow velocity and air temperature. Air in the zone occupied by patients and medical staff must not cause the sensation of draft. Furthermore, air velocity should be sufficient to eliminate interference caused by the presence of people and other sources of heat. It should also reduce the turbulence level in the air in the operating room. Efficient functioning of ventilation and air conditioning was tested during treatments and operations carried out on three wards of a Warsaw hospital. Tests were performed with the participation of medical staff from various surgical units. They were asked to perform minor manual tasks to simulate work on the op-erating table, and to complete a questionnaire on subjective thermal sensation. The applied methodology is widely used during testing of general and local ventilation in public buildings. Air temperature, relative humidity, air flow supply and exhaust air from the

  15. The Use of Dexamethasone in Support of High-Altitude Ground Operations: Review of the Literature & Current Training of U.S. Special Operations Medical Members

    Science.gov (United States)

    2013-03-14

    8) 8 mg twice daily starting the day before the ascent to 4,559 m throughout the 2-day study Dexamethasone improved VO2 - max (pɘ.05) and...4,559 m Dexamethasone improved VO2 - max (p=0.025); no significant difference existed in arterial O2 saturation during maximal exercise...AFRL-SA-WP-SR-2013-0006 The Use of Dexamethasone in Support of High-Altitude Ground Operations: Review of the Literature & Current

  16. Direct Comparison of Brookhaven Reflectivity Measurements with Free-Electron Theory

    Energy Technology Data Exchange (ETDEWEB)

    Bane, Karl L.F.

    2010-12-13

    The reflectivity at normal incidence of copper and aluminum samples was recently measured over a large frequency range at Brookhaven by one of us (JT). Then using the Kramers-Kroning integrals, and assuming the free-electron model of conductivity, the dependence of conductivity on frequency was obtained. The results seemed to suggest, for example, that the dc conductivities of the copper and evaporated aluminum samples are a factor of 3 lower than expected. We propose in this report, instead, directly fitting the free-electron model to the low frequency end of the reflectivity data. This fitting does not depend on the higher frequency results and on Kramers-Kronig integrations, but it does assume that the data at the low frequency end is sufficiently accurate. Note that for our LCLS wakefield studies, it is only over these (relatively) low frequencies that we need to know the electrical properties of the metals. The equations that relate reflectivity R with the free electron parameters dc conductivity {sigma} and relaxation time {tau} are: (1) {tilde {sigma}} = {sigma}/1-ikc{tau}; (2) {tilde n} = {radical} {tilde {epsilon}} = {radical}(1+4{pi}i{tilde k}c/{omega}); and (3) R = |{tilde n}-1/{tilde n} + 1|{sup 2}. The parameters are ac conductivity {tilde {sigma}}, index of refraction {tilde n}, dielectric constant {tilde {epsilon}}, and wave number k = {omega}/c, with {omega} frequency and c the speed of light. In Fig. 1 we show the ideal behavior of R for a reasonably good conducting metal, where {sigma} = 0.12 x 10{sup 17}/s and {tau} = 0.55 x 10{sup -14} s (solid line); these parameters are, respectively, 2% ({sigma}) and 20% ({tau}) of the nominal values for copper. The parameters were chosen so that the important features of R(k) could be seen easily in one plot. We see 3 distinct regions: (1) for low frequencies, k {approx}< 1/c{tau}, R continually decreases, with positive curvature, and with a low frequency asymptote of (1 - {radical}2kc/{pi}{sigma}); (2) for

  17. A System Approach to Navy Medical Education and Training. Appendix 36. Competency Curriculum for Operating Room Assistant and Operating Room Technician.

    Science.gov (United States)

    1974-08-31

    101 2. Peripheral-Vascular Procedures . . . .. .. . .102 3. Abdominal-Vascular Procedures . . . . . . . . . . 103 XII : Scrubbing for Cardiac...ORP) Unit XII : Scr’boing fcr Ca- iac Procadures 2MO D𔃼 1: CLOSED C*.". .C Pp-r .... TASYS a. Scrub for naricardiocto:iy b. Scrub for comiissurotomy...dona for and to him, transfar patient to operating tabla and taka any nece3sary naures to pzovida for patie3nt’ 3 aafety und co-mfort (Crit~azia

  18. A standard operating protocol (SOP) and minimum data set (MDS) for nursing and medical handover: considerations for flexible standardization in developing electronic tools.

    Science.gov (United States)

    Turner, Paul; Wong, Ming Chao; Yee, Kwang Chien

    2009-01-01

    As part of Australia's participation in the World Health Organization, the Australian Commission on Safety and Quality in Health Care (ACSQHC) is the leading federal government technical agency involved in the area of clinical handover improvement. The ACSQHC has funded a range of handover improvement projects in Australia including one at the Royal Hobart Hospital (RHH), Tasmania. The RHH project aims to investigate the potential for generalizable and transferable clinical handover solutions throughout the medical and nursing disciplines. More specifically, this project produced an over-arching minimum data set (MDS) and over-arching standardized operating protocol (SOP) based on research work on nursing and medical shift-to-shift clinical handover in general medicine, general surgery and emergency medicine. The over-arching MDS consists of five headings: situational awareness, patient identification, history and information, responsibility and tasks and accountability. The over-arching SOP has five phases: preparation; design; implementation; evaluation; and maintenance. This paper provides an overview of the project and the approach taken. It considers the implications of these standardized operating protocols and minimum data sets for developing electronic clinical handover support tools. Significantly, the paper highlights a human-centred design approach that actively involves medical and nursing staff in data collection, analysis, interpretation, and systems design. This approach reveals the dangers of info-centrism when considering electronic tools, as information emerges as the only factor amongst many others that influence the efficiency and effectiveness of clinical handover.

  19. Training Supplement Winter 2010 Journal of Special Operations Medicine. A Peer Reviewed Journal for SOF Medical Professionals

    Science.gov (United States)

    2010-01-01

    snakebites from toxic snakes involve severe, life-threatening envenomations. 3. Incision, excision, electrical shock, tourniquet, oral suction , and...cryotherapy should NOT be performed to treat snakebites. 4. Suction device is not effective for removing snake venom from a wound. If previously placed, it...after Combivir administration. 6. For GI side-effects of medication, treat per Nausea and Vomiting Protocol 7. Maintain hydration and nutrition

  20. Performance of the Operating Room Personnel in following of the standards of Infection Control in the Educational Hospitals of Yasuj University of Medical Sciences in 2009

    Directory of Open Access Journals (Sweden)

    A Rostaminejad

    2011-04-01

    Full Text Available Introduction & Objective: Surgical wound infection is one of the common nosocomial infections. During operation, members of the surgical team which are in contact with the tissue incision should observe the standards of infection control in the operating room since it has a great role in prevention and control of these infections. The present study aimed to determine the performance of the operating room personnel in observing the standards of infection control in educational hospitals of Yasuj University of Medical Sciences in 2009. Materials & Methods: Forty two operating room personnel participated in this cross-sectional analytic-descriptive study. A check list was used for unnoticeably collecting the data about the performance of personnel in respect of infection control standards at three different times. Their performances were classified into four levels (very weak, weak, moderate and good and the results were shown as absolute and relative frequency distribution. Data were analyzed using Chi-square and Fischer exact test by the SPSS software. Results: Performance of personnel in following the standards of infection control in this study was moderate. Conclusion: The results indicate that the participants of the study do not follow some of the standards of infection control in the operating rooms. Therefore, further activities of the committees of infection control and using of new antiseptic for surgical scrub are recommended.

  1. Thresholds and timing of pre-operative thrombocytosis and ovarian cancer survival: analysis of laboratory measures from electronic medical records.

    Science.gov (United States)

    Cozzi, Gabriella D; Samuel, Jacob M; Fromal, Jason T; Keene, Spencer; Crispens, Marta A; Khabele, Dineo; Beeghly-Fadiel, Alicia

    2016-08-08

    Thrombocytosis has been associated with poor ovarian cancer prognosis. However, comparisons of thresholds to define thrombocytosis and evaluation of relevant timing of platelet measurement has not been previously conducted. We selected Tumor Registry confirmed ovarian, primary peritoneal, and fallopian tube cancer cases diagnosed between 1995-2013 from the Vanderbilt University Medical Center. Laboratory measured platelet values from electronic medical records (EMR) were used to determine thrombocytosis at three thresholds: a platelet count greater than 350, 400, or 450 × 10(9)/liter. Timing was evaluated with 5 intervals: on the date of diagnosis, and up to 1, 2, 4, and 8 weeks prior to the date of diagnosis. Cox regression was used to calculate hazard ratios (HR) and confidence intervals (CI) for association with overall survival; adjustment included age, stage, grade, and histologic subtype of disease. Pre-diagnosis platelet measures were available for 136, 241, 280, 297, and 304 cases in the five intervals. The prevalence of thrombocytosis decreased with increasing thresholds and was generally consistent across the five time intervals, ranging from 44.8-53.2 %, 31.6-39.4 %, and 19.9-26.1 % across the three thresholds. Associations with higher grade and stage of disease gained significance as the threshold increased. With the exception of the lowest threshold on the date of diagnosis (HR350: 1.55, 95 % CI: 0.97-2.47), all other survival associations were significant, with the highest reaching twice the risk of death for thrombocytosis on the date of diagnosis (HR400: 2.01, 95 % CI: 1.25-3.23). Our EMR approach yielded associations comparable to published findings from medical record abstraction approaches. In addition, our results indicate that lower thrombocytosis thresholds and platelet measures up to 8 weeks before diagnosis may inform ovarian cancer characteristics and prognosis.

  2. Journal of Special Operation Medicine: A Peer Reviewed Journal for SOF Medical Professionals. Training Supplement, Winter 10

    Science.gov (United States)

    2010-01-01

    pancreatitis, periodontitis , sialadenitis, stomatitis, and ulcerative stomatitis o Endocrine system Cushing’s Syndrome, diabetes mellitus, and...i.e. mefloquine) or withdrawal. 3. Consider diabetic hypoglycemia as a cause of altered mental status. Journal of Special Operations MedicineA16...disease: smoking, diabetes , hypertension, elevated cholesterol, obesity, family history of MI at a young age, and patient age over 40. 2. The

  3. Risk assessment and optimization (ALARA) analysis for the environmental remediation of Brookhaven National Laboratory`s hazardous waste management facility

    Energy Technology Data Exchange (ETDEWEB)

    Dionne, B.J.; Morris, S. III; Baum, J.W. [and others

    1998-03-01

    The Department of Energy`s (DOE) Office of Environment, Safety, and Health (EH) sought examples of risk-based approaches to environmental restoration to include in their guidance for DOE nuclear facilities. Extensive measurements of radiological contamination in soil and ground water have been made at Brookhaven National Laboratory`s Hazardous Waste Management Facility (HWMF) as part of a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation process. This provided an ideal opportunity for a case study. This report provides a risk assessment and an {open_quotes}As Low as Reasonably Achievable{close_quotes} (ALARA) analysis for use at other DOE nuclear facilities as an example of a risk-based decision technique.

  4. Risk assessment and optimization (ALARA) analysis for the environmental remediation of Brookhaven National Laboratory`s hazardous waste management facility

    Energy Technology Data Exchange (ETDEWEB)

    Dionne, B.J.; Morris, S.C. III; Baum, J.W. [and others

    1998-01-01

    The Department of Energy`s (DOE) Office of Environment, Safety, and Health (EH) sought examples of risk-based approaches to environmental restoration to include in their guidance for DOE nuclear facilities. Extensive measurements of radiological contamination in soil and ground water have been made at Brookhaven National Laboratory`s Hazardous Waste Management Facility (HWMF) as part of a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation process. This provided an ideal opportunity for a case study. This report provides a risk assessment and an {open_quotes}As Low as Reasonably Achievable{close_quotes} (ALARA) analysis for use at other DOE nuclear facilities as an example of a risk-based decision technique. This document contains the Appendices for the report.

  5. Ground-water quality and geochemical processes at a municipal landfill, Town of Brookhaven, Long Island, New York

    Science.gov (United States)

    Pearsall, Kenneth A.; Aufderheide, Mary Jean

    1995-01-01

    The principal geochemical process within a plume of leachate-contaminated ground water downgradient from the municipal landfill in the Town of Brookhaven is the oxidation of organic matter. Concurrent reducing processes are the reduction of iron and manganese oxyhydroxides to soluble ferrous and manganous forms, of nitrate and nitrite to nitrogen and ammonia, of sulfate to sulfide (sulfide precipitates from solution as iron and manganese sulfides), and, under extreme conditions, of some organic matter to methane. Secondary processes unrelated to bacterial activity and redox processes are the exchange of dissolved sodium and potassium for calcium and magnesium at ion-exchange sites and the dissolution of calcium and magnesium silicate minerals; these processes cause sodium and potassium concentrations to decrease with depth and with distance from the landfill and cause calcium, magnesium, and silica concentrations to increase.

  6. Design and Fabrication of a Highly Integrated Silicon Detector for the STAR Experiment at Brookhaven National Laboratory

    CERN Document Server

    Buck, Benjamin; Bessuille, Jason; Cepeda, Mario; Johnson, Thomas; Kelsey, James; van Nieuwenhuizen, Gerrit; Visser, Gerard

    2014-01-01

    We present the design of a detector used as a particle tracking device in the STAR experiment at the RHIC collider of Brookhaven National Laboratories. The "stave," 24 of which make up the completed detector, is a highly mechanically integrated design comprised of 6 custom silicon sensors mounted on a Kapton substrate. 4608 wire bonds connect these sensors to 36 analog front-end chips which are mounted on the same substrate. Power and signal connectivity from the hybrid to the front-end chips is provided by wire bonds. The entire circuit is mounted on a carbon fiber base co-cured to the Kapton substrate. We present the unique design challenges for this detector and some novel techniques for overcoming them.

  7. Longitudinal Flow from 2-8 AGeV Au+Au Collisions at the Brookhaven AGS

    CERN Document Server

    Klay, J L; Alexander, J M; Anderson, M; Best, D; Brady, F P; Case, T; Caskey, W; Cebra, D; Chance, J L; Chung, P; Cole, B; Crowe, K; Das, A C; Draper, J E; Gilkes, M L; Gushue, S; Heffner, M; Hirsch, A S; Hjort, E L; Huo, L; Justice, M; Kaplan, M; Keane, D; Kintner, J C; Krofcheck, D; Lacey, R A; Law, C; Lauret, J; Lisa, M A; Liu, H; Liu, Y M; McGrath, R; Milosevich, Z; Odyniec, Grazyna Janina; Olson, D L; Panitkin, S Y; Pinkenburg, C H; Porile, N T; Rai, G; Ritter, H G; Romero, J L; Scharenberg, R P; Schröder, L; Srivastava, B; Stone, N T B; Symons, T J M; Wang, S; Wells, R; Whitfield, J; Wienold, T; Witt, R; Wood, L; Zhang Wei Ning

    2002-01-01

    Longitudinal flow extracted from the rapidity density distributions of protons from Au + Au collisions measured by the E895 Collaboration in the energy range from 2 to 8 AGeV at the Brookhaven AGS is presented. The almost 4pi coverage provided by the EOS Time Projection Chamber allows reconstruction of proton transverse mass spectra over a broad range of rapidities. The asymptotic slope of each mt-m0 spectrum provides a temperature with which to calculate an expected dN/dy using a thermal model which includes collective longitudinal flow. This expected dN/dy is fit to the data to extract the longitudinal flow. The results show an approximately linear increase in the longitudinal flow velocity, beta*gamma_{L}, as a function of the logarithm of beam energy.

  8. Employment of the 307th Medical Battalion (Airborne) in Operations Desert Shield and Desert Storm: A Personal Experience Monograph

    Science.gov (United States)

    1992-05-08

    limited in duration and scope, we didn’t deploy our heavier equipment; X-Ray, Dental , canvas tentage, cots, autoclaves, and miscellaneous support...Oxygen/Fluids Requirements MAJ Clark 16. Medical Supply Stockage 1LT Branch 17. Dental Configuration MAJ Madison 18. Personnel Decontamination SSG...APPARATUS GAS W/ 02 1 0 A6Z252 ANESTESIA SET FIELD: IN CHEST. .. A72260 ANTENNA RC-29- A0712b AXLE CABLE REEL: RL-27 1 0 A79381 ANTENNA GROUP, OE-254 2 1

  9. 精益医疗管理在手术室运营中的应用%Application of Refined Medical Care Management in Operation Room Process

    Institute of Scientific and Technical Information of China (English)

    关兵; 许海文; Juan Amador; Brent Dobsch; Jose Paredes

    2014-01-01

    Objective To understand the current status of operation room process , and find out the reason of the decrease of surgery operation.To propose the improving measures, and achieve continuous quality improve -ment.Method Observing the following items of certain third -level grade -A hospital operation room , including daily work processes, whole process of each operation from preparation to start to the end , all the time of each link. Rendering the value stream map, finding out the efficiency factors which influence the value flow of each link .Put forward some suggestions.Conclusion The main factors affecting the operation quantities of hospital were as fol -lows: the number of beds; the number of operation room; the number of medical personnel (including: the sur-geon, anesthesiologist, operation nurse), etc.%目的:了解手术室流程现状,找出外科手术量下降的原因,实施改进措施,持续监控改进效果。方法观察某三级甲等医院手术室每日工作流程,监测每台手术从准备、开始到结束的全部过程,并详细记录各环节所需时间,应用精益医疗的方法绘制手术室价值流图,找出影响价值流中各环节效率的问题并提出改进建议。结论影响某三甲医院手术量的主要因素为:①床位数量;②手术间数量;③医护人员数量(包括:外科医师、麻醉师、手术护士)等。

  10. Use of Operant Performance to Guide and Evaluate Medical Treatment in an Adult Male Cynomolgus Macaque (Macaca fascicularis)

    Science.gov (United States)

    2011-11-01

    treatment. The affected monkey received ketoprofen , buprenorphine, or their combination but continued to perform poorly during daily operant behavioral...evening administration of buprenorphine (0.01 mg/kg IM) was added to the treatment regimen of ketoprofen (2.0 mg/kg IM) ad- ministration in the...well below the reinforced band. Treatment with ketoprofen or the ketoprofen -buprenorphine combination failed to increase mean response duration

  11. Flagellated Magnetotactic Bacteria as Controlled MRI-trackable Propulsion and Steering Systems for Medical Nanorobots Operating in the Human Microvasculature.

    Science.gov (United States)

    Martel, Sylvain; Mohammadi, Mahmood; Felfoul, Ouajdi; Lu, Zhao; Pouponneau, Pierre

    2009-04-01

    Although nanorobots may play critical roles for many applications in the human body such as targeting tumoral lesions for therapeutic purposes, miniaturization of the power source with an effective onboard controllable propulsion and steering system have prevented the implementation of such mobile robots. Here, we show that the flagellated nanomotors combined with the nanometer-sized magnetosomes of a single Magnetotactic Bacterium (MTB) can be used as an effective integrated propulsion and steering system for devices such as nanorobots designed for targeting locations only accessible through the smallest capillaries in humans while being visible for tracking and monitoring purposes using modern medical imaging modalities such as Magnetic Resonance Imaging (MRI). Through directional and magnetic field intensities, the displacement speeds, directions, and behaviors of swarms of these bacterial actuators can be controlled from an external computer.

  12. [Potentiality of building-up the medical operations system for long-duration space missions by noncontact physiological functions recording during sleep time].

    Science.gov (United States)

    Baevskiĭ, R M; Bogomolov, V V; Funtova, I I; Slepchenkova, I N; Chernikova, A G

    2009-01-01

    Methods of investigating the physiological functions in space crews on extended missions during night sleep are of much fundamental and practical substance. The design of experiment "Sonocard" utilizes the method of seismocardiography. Purpose of the experiment is to validate the procedures of noncontact in-sleep physiological data recoding which are potent to enhance the space crew medical operations system. The experiment was performed systematically by ISS Russian crew members starting from mission-16. The experimental procedure is easy and does not cause discomfort to human subjects. Results of the initial experimental sessions demonstrated that, as on Earth, sleep in microgravity is crucial for the recovery of body functional reserves and that the innovative technology is instrumental in studying the recovery processes as well as person unique patterns of adaptation to extended space mission. It also allows conclusions about sleep quality, mechanisms of recreation, and body functionality. These data may enrich substantially the information used by medical operators of the space missions control centers.

  13. [Operational availability of ground-based emergency medical services in Rheinland-Palatinate: state-wide web-based system for collation, display and analysis].

    Science.gov (United States)

    Luiz, T; van Lengen, R H; Wickenkamp, A; Kranz, T; Madler, C

    2011-05-01

    A growing number of reports have been published in Germany related to problems with the operational readiness of mobile emergency physician services, although no systematic analyses have yet been presented. However, such investigations form the prerequisite for the deployment of countermeasures. Rhineland-Palatinate (4,060,000 inhabitants, 7,753 mi(2)) is a typical territorial state in the southwest of Germany with extensive wooded areas covering 42% of the state and only few metropolitan areas. These basic conditions represent a challenge to the provision of state-wide emergency medical services (EMS). On behalf of the Ministry of the Interior a web-based platform for the collation, display and analysis of the operational readiness of all 68 ground-based physician-staffed emergency units within the state was developed. Of these units 61 are affiliated to hospitals and 7 units to medical practices and 89,000 emergency missions are carried out annually. Within the study period (April 2009-March 2010) 56 of the 68 units (82.4%) reported 1 or more periods of unavailability of operational readiness. In total 2,613 periods of temporary unavailability were documented with a mean duration of 8.9 h. The mean unavailability of operational readiness was 3.9% for the whole state, 6.2% for the northern and 1.6% for the southern EMS districts. In 7 of the units (10.3%) the degree of unavailability exceeded 5% and in 8 units (11.7%) it exceeded 10%. Two thirds of all suspended services were the result of shortages of emergency physicians, with considerably higher deficits at bases affiliated with hospitals of lower levels of care or in rural regions. This tool enables the large-scale collation and analysis of the operational readiness of physician-based ambulance services. Currently the state does not suffer from a general lack of emergency physicians. However, rural areas as well as bases affiliated with small hospitals show a considerable deficit in operational readiness

  14. Development of Medical and Practical Plaster Operating Cart%医用实用型石膏材料操作车的研制

    Institute of Scientific and Technical Information of China (English)

    王艺

    2014-01-01

    The development process of a medical and practical plaster operating cart is introduced in this paper. The cart which is mainly made up of cart body, operation desk, accessory surface, funnel, waste entrance can meet the requirments of plasterfixing and residual cleaning. The cart with simple andfiexible operation method can help relevant staff to clear the residual materials with shorter time and less labor capacity. Thus the cart is very suitable to be used in the orthopedic wards.%本文阐述了一款医用实用型石膏材料操作车的研制过程。该车主要由车体、操作台面、辅助加长台面、抽拉漏斗、废料入口等组成,可满足各种石膏的制作及残料清理要求,操作方便,使用灵活,节时、节力,适用于骨科病房。

  15. "Quadruple whammy"- a preventable newly described syndrome of post-operative AKI in CKD II and CKD III patients on combination "Triple whammy" medications: a Mayo Clinic Health System, Eau Claire, Wisconsin experience.

    Science.gov (United States)

    Onuigbo, M A; Agbasi, N

    2014-01-01

    The potential combination of diuretics- angiotensin-converting enzyme inhibitors- Non-steroidal anti-inflammatory drugs (diuretics-ACEIs-NSAIDs), the so-called 'triple whammy', to produce clinically significant nephrotoxicity in chronic kidney disease (CKD) is often unrecognized. In 2013, in the British Medical Journal, we described accelerated post-operative acute kidney injury (AKI) in CKD patients concurrently on 'triple whammy' medications, a new syndrome that we aptly named 'quadruple whammy'. Two case reports. I. A 59-year-old Caucasian male, hypertensive CKD III, serum creatinine (SCr) 1.42 mg/dL, developed accelerated oliguric AKI after elective right nephrectomy. Outpatient medications included Lisinopril-Hydrochlorothiazide and Nabumetone (NSAID). SCr rapidly more than doubled with metabolic acidosis and hyperkalemia within 24 hours, peaking at 4.02 mg/dL. 'Triple whammy' medications were promptly stopped and the hypotension was corrected. SCr was 1.64 mg/dL and stable, after three months. II. A 46-year-old Caucasian male, hypertensive CKD II, SCr 1.21 mg/dL, developed accelerated AKI after elective right hip arthroplasty. Outpatient medications included Lisinopril and Hydrochlorothiazide. Celecoxib (200 mg) was given pre-operatively. Within 36 hours, SCr rapidly more than doubled to 2.58 mg/dL, with metabolic acidosis. 'Triple whammy' medications were promptly stopped and the hypotension was corrected. SCr was 0.99 mg/dL, and stable, after one month. We have described two cases of preventable accelerated AKI following post-operative hypotension in CKD patients concurrently on 'triple whammy' medications. We dubbed this new syndrome "Quadruple Whammy". It is not uncommon. 'Renoprevention', the pre-emptive withholding of (potentially nephrotoxic) medications, including 'triple whammy' medications, pre-operatively, in CKD patients, together with the simultaneous avoidance of peri-operative hypotension would help reduce, if not eliminate such AKI - a call

  16. Paper-Based Medical Records: the Challenges and Lessons Learned from Studying Obstetrics and Gynaecological Post-Operation Records in a Nigerian Hospital

    Directory of Open Access Journals (Sweden)

    Adekunle Yisau Abdulkadir

    2010-10-01

    Full Text Available AIM: With the background knowledge that auditing of Medical Records (MR for adequacy and completeness is necessary if it is to be useful and reliable in continuing patient care; protection of the legal interest of the patient, physicians, and the Hospital; and meeting requirements for researches, we scrutinized theatre records of our hospital to identify routine omissions or deficiencies, and correctable errors in our MR system. METHOD: Obstetrics and Gynaecological post operation theatre records between January 2006 and December 2008 were quantitatively and qualitatively analyzed for details that included: hospital number; Patients age; diagnosis; surgery performed; types and modes of anesthesia; date of surgery; patients’ ward; Anesthetists names; surgeons and attending nurses names, and abbreviations used with SPSS 15.0 for Windows. RESULTS: Hardly were any of the 1270 surgeries during the study period documented without an omission or an abbreviation. Hospital numbers and patients’ age were not documented in 21.8% (n=277 and 59.1% (n=750 respectively. Diagnoses and surgeries were recorded with varying abbreviations in about 96% of instances. Surgical team names were mostly abbreviated or initials only given. CONCLUSION: To improve the quality of Paper-based Medical Record, regular auditing, training and good orientation of medical personnel for good record practices, and discouraging large volume record book to reduce paper damages and sheet loss from handling are necessary else what we record toady may neither be useful nor available tomorrow. [TAF Prev Med Bull 2010; 9(5.000: 427-432

  17. Investigation of ISIS and Brookhaven National Laboratory ion source electrodes after extended operationa)

    Science.gov (United States)

    Lettry, J.; Alessi, J.; Faircloth, D.; Gerardin, A.; Kalvas, T.; Pereira, H.; Sgobba, S.

    2012-02-01

    Linac4 accelerator of Centre Européen de Recherches Nucléaires is under construction and a RF-driven H- ion source is being developed. The beam current requirement for Linac4 is very challenging: 80 mA must be provided. Cesiated plasma discharge ion sources such as Penning or magnetron sources are also potential candidates. Accelerator ion sources must achieve typical reliability figures of 95% and above. Investigating and understanding the underlying mechanisms involved with source failure or ageing is critical when selecting the ion source technology. Plasma discharge driven surface ion sources rely on molybdenum cathodes. Deformation of the cathode surfaces is visible after extended operation periods. A metallurgical investigation of an ISIS ion source is presented. The origin of the deformation is twofold: Molybdenum sputtering by cesium ions digs few tenths of mm cavities while a growth of molybdenum is observed in the immediate vicinity. The molybdenum growth under hydrogen atmosphere is hard and loosely bound to the bulk. It is, therefore, likely to peel off and be transported within the plasma volume. The observation of the cathode, anode, and extraction electrodes of the magnetron source operated at BNL for two years are presented. A beam simulation of H-, electrons, and Cs- ions was performed with the IBSimu code package to qualitatively explain the observations. This paper describes the operation conditions of the ion sources and discusses the metallurgical analysis and beam simulation results.

  18. The translational science training program at NIH: Introducing early career researchers to the science and operation of translation of basic research to medical interventions.

    Science.gov (United States)

    Gilliland, C Taylor; Sittampalam, G Sitta; Wang, Philip Y; Ryan, Philip E

    2017-01-02

    Translational science is an emerging field that holds great promise to accelerate the development of novel medical interventions. As the field grows, so does the demand for highly trained biomedical scientists to fill the positions that are being created. Many graduate and postdoctorate training programs do not provide their trainees with sufficient education to take advantage of this growing employment sector. To help better prepare the trainees at the National Institutes of Health for possible careers in translation, we have created the Translational Science Training Program (TSTP). The TSTP is an intensive 2- to 3-day training program that introduces NIH postdoctoral trainees and graduate students to the science and operation of turning basic research discoveries into a medical therapeutic, device or diagnostic, and also exposes them to the variety of career options in translational science. Through a combination of classroom teaching from practicing experts in the various disciplines of translation and small group interactions with pre-clinical development teams, participants in the TSTP gain knowledge that will aid them in obtaining a career in translational science and building a network to make the transition to the field. © 2016 by The International Union of Biochemistry and Molecular Biology, 45(1):13-24, 2017. © 2016 The International Union of Biochemistry and Molecular Biology.

  19. Successful interventions to reduce first-case tardiness in Dutch university medical centers: results of a nationwide operating room benchmark study.

    Science.gov (United States)

    van Veen-Berkx, Elizabeth; Elkhuizen, Sylvia G; Kalkman, Cor J; Buhre, Wolfgang F; Kazemier, Geert

    2014-06-01

    First-case tardiness is still a common source of frustration. In this study, a nationwide operating room (OR) Benchmark database was used to assess the effectiveness of interventions implemented to reduce tardiness and calculate its economic impact. Data from 8 University Medical Centers over 7 years were included: 190,295 elective inpatient first cases. Data were analyzed with SPSS statistics and multidisciplinary focus-group study meetings. Analysis of variance with contrast analysis measured the influence of interventions. Seven thousand ninety-four hours were lost annually to first-case tardiness, which has a considerable economic impact. Four University Medical Centers implemented interventions and effectuated a significant reduction in tardiness, eg providing feedbacks directly when ORs started too late, new agreements between OR and intensive care unit departments concerning "intensive care unit bed release" policy, and a shift in responsibilities regarding transport of patients to the OR. Nationwide benchmarking can be applied to identify and measure the effectiveness of interventions to reduce first-case tardiness in a university hospital OR environment. The implemented interventions in 4 centers were successful in significantly reducing first-case tardiness. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Comparative Analysis of Brookhaven National Laboratory Nuclear Decay Data and Super-Kamiokande Neutrino Data: Indication of a Solar Connection

    CERN Document Server

    Sturrock, P A

    2015-01-01

    An experiment carried out at the Brookhaven National Laboratory from February 1982 to December 1989 acquired 364 measurements of the beta-decay rates of a sample of 36Cl and of a sample of 32Si. The experimenters reported finding small periodic annual deviations of the data points from an exponential decay - of uncertain origin. We here analyze this dataset by power spectrum analysis and by forming spectrograms and phasegrams. We confirm the occurrence of annual oscillations but we also find evidence of oscillations in a band of frequencies appropriate for the internal rotation of the Sun. Both datasets show clear evidence of a transient oscillation with a frequency of 12.7 cycles per year that falls in the range of rotational frequencies for the solar radiative zone. We repeat these analyses for 358 neutrino measurements acquired by Super-Kamiokande over the interval May 1986 to August 2001. Spectrogram analysis yields a strong and steady oscillation at about 9.5 cycles per year and an intermittent oscillati...

  1. [Designing and Operating a Comprehensive Mental Health Management System to Support Faculty at a University That Contains a Medical School and University Hospital].

    Science.gov (United States)

    Kawanishi, Chiaki

    2016-01-01

    In Japan, healthcare professionals and healthcare workers typically practice a culture of self-assessment when it comes to managing their own health. Even where this background leads to instances of mental health disorders or other serious problems within a given organization, such cases are customarily addressed by the psychiatrists or psychiatric departments of the facilities affected. Organized occupational mental health initiatives for professionals and workers within the healthcare system are extremely rare across Japan, and there is little recognition of the need for such initiatives even among those most directly affected. The author has some experience designing and operating a comprehensive health management system to support students and faculty at a university in the Tokyo Metropolitan Area that contains a medical school and university hospital. At this university, various mental health-related problems were routinely being allowed to develop into serious cases, while the fundamental reforms required by the health management center and the mental health management scheme organized through the center had come to represent a challenge for the entire university. From this initial situation, we undertook several successive initiatives, including raising the number of staff in the health management center and its affiliated organizations, revising and drafting new health management rules and regulations, launching an employment support and management system, implementing screenings to identify people with mental ill-health, revamping and expanding a counselling response system, instituting regular collaboration meetings with academic affairs staff, and launching educational and awareness-raising activities. This resulted in the possibility of intervention in all cases of mental health crisis, such as suicidal ideation. We counted more than 2,400 consultations (cumulative total number; more than half of consultations was from the medical school, postgraduate

  2. Essential Medical Capabilities and Medical Readiness

    Science.gov (United States)

    2016-07-01

    15-001098 Copy Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks Sarah K...other national challenges. Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks...noted that the ability of the Military Health System to provide operational healthcare is measured by the readiness of its medical personnel and

  3. High Resolution Gamma Ray Analysis of Medical Isotopes

    Science.gov (United States)

    Chillery, Thomas

    2015-10-01

    Compton-suppressed high-purity Germanium detectors at the University of Massachusetts Lowell have been used to study medical radioisotopes produced at Brookhaven Linac Isotope Producer (BLIP), in particular isotopes such as Pt-191 used for cancer therapy in patients. The ability to precisely analyze the concentrations of such radio-isotopes is essential for both production facilities such as Brookhaven and consumer hospitals across the U.S. Without accurate knowledge of the quantities and strengths of these isotopes, it is possible for doctors to administer incorrect dosages to patients, thus leading to undesired results. Samples have been produced at Brookhaven and shipped to UML, and the advanced electronics and data acquisition capabilities at UML have been used to extract peak areas in the gamma decay spectra. Levels of Pt isotopes in diluted samples have been quantified, and reaction cross-sections deduced from the irradiation parameters. These provide both cross checks with published work, as well as a rigorous quantitative framework with high quality state-of-the-art detection apparatus in use in the experimental nuclear physics community.

  4. Which Came First, the Eggshell or the Egg? Answering Biomineralization Riddles (442nd Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    DiMasi, Elaine (NSLS)

    2008-11-12

    Some of the hardest and sturdiest materials are not made in the factory; they are made inside the bodies of animals through a process called biomineralization. Look no further than your refrigerator for one of the simplest products of this natural construction company: a chicken's eggshell. Made out of just about a half-millimeter of layered calcium carbonate and protein, eggshells might be thought of as fragile, but they also provide vital protection for the chick forming inside. Biomineralization, the process by which organisms form materials such as bones, mollusk shells, and other structures, has captured the attention of scientists for years. The cells in an animal's body have special ways of controlling the sizes and shapes of these mineral compounds and incorporating organic materials into the mix, making many materials that are stronger, harder, and more wear-resistant than rocks. Finding a way to mimic the properties of these sturdy and naturally made materials could lead to the medical engineering of replacement bone, teeth, and cartilage, as well as the development of new electronic and industrial materials. With collaborators at Stony Brook University, physicist Elaine DiMasi develops different biomineralization models, including a protein network that resembles real tissue. Then, the researchers use x-rays at the NSLS and a technique called shear modulation force microscopy to determine what biominerals look like and how they grow. In particular, DiMasi is interested in studying some of the earliest stages of biomineralization to find out what sets the process in motion.

  5. Commissioning and Early Operation for the NSLS-II Booster RF System

    Energy Technology Data Exchange (ETDEWEB)

    Marques, C. [Brookhaven National Lab. (BNL), Upton, NY (United States); Cupolo, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Davila, P. [Brookhaven National Lab. (BNL), Upton, NY (United States); Gao, F. [Brookhaven National Lab. (BNL), Upton, NY (United States); Goel, A. [Brookhaven National Lab. (BNL), Upton, NY (United States); Holub, B. [Brookhaven National Lab. (BNL), Upton, NY (United States); Kulpin, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); McDonald, K. [Brookhaven National Lab. (BNL), Upton, NY (United States); Oliva, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Papu, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Ramirez, G. [Brookhaven National Lab. (BNL), Upton, NY (United States); Rose, J. [Brookhaven National Lab. (BNL), Upton, NY (United States); Sikora, R. [Brookhaven National Lab. (BNL), Upton, NY (United States); Sorrentino, C. [Brookhaven National Lab. (BNL), Upton, NY (United States); Towne, N. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2015-05-03

    The National Synchrotron Light Source II (NSLS-II) at Brookhaven National Laboratory (BNL) is a third generation 3GeV, 500mA synchrotron light source. We discuss the booster synchrotron RF system responsible for providing power to accelerate an electron beam from 200MeV to 3GeV. The RF system design and construction are complete and is currently in the operational phase of the NSLS-II project. Preliminary operational data is also discussed.

  6. Linear accelerators for high energies. A report on the 1962 conference at Brookhaven

    Energy Technology Data Exchange (ETDEWEB)

    Blewett, John P.

    1963-01-01

    The linear accelerator was invented very early in the history of particle accelerators, but it has been one of the latest accelerators to be exploited. This is principally because of the very large quantities of radio-frequency power required to attain respectable energies in a reasonable distance. Radar developments during World War II resulted in production of the necessary megawatt oscillators or amplifiers, and linear accelerators, both for electrons and positive ions, are now operating in several centers. The electron linear accelerator has been extended to billion-volt energies, and in the Stanford two-mile version it will soon set new energy records between 20 and 40 BeV. The proton linear accelerator has had a less spectacular history. The highest energy yet achieved in a proton linac is about 70 MeV (at the University of Minnesota). Smaller proton linacs are in use as injectors for proton-synchrotrons, but no machine has been built or is under construction for the range above 100 MeV. This is because synchro-cyclotrons for this energy range are much cheaper and have been preferred for this reason, in spite of the fact that the beam from a synchro-cyclotron cannot be nearly as intense or as well collimated as the beam from a linear accelerator.

  7. High Temperature Superconducting Magnets: Revolutionizing Next Generation Accelerators and Other Applications (466th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, Ramesh (BNL Superconducting Magnet Division)

    2011-02-16

    BNL has always been a leader in the world of superconducting magnets, which are essential to the great modern ccelerators such as the Relativistic Heavy Ion Collider at BNL, or the Large Hadron Collider at CERN, Switzerland. These magnets are made of material that, cooled to 4 Kelvins (K) (-452° Farenheit) become superconducting, that is, lose essentially all resistance to electricity. For the past decade, however, Lab researchers have been exploring the use of new materials that become superconducting at higher temperatures. These materials can operate at the relatively high temperature of 77 K (-351°F), allowing them to be cooled by cheap, plentiful liquid nitrogen, rather than helium, and can create very high magnetic fields. Now far in the lead of this area of research, BNL scientists are exploring avenues for high temperature superconducting magnets that are energy efficient and have magnetic fields that are a million times stronger than the Earth’s. If successful, these new magnets could potentially revolutionize usage in future accelerators, play a key role in energy efficiency and storage, and make possible new applications such as muon colliders and MRI screening in remote areas.

  8. BROOKHAVEN NATIONAL LABORATORY INSTRUMENTATION DIVISION, R AND D PROGRAMS, FACILITIES, STAFF.

    Energy Technology Data Exchange (ETDEWEB)

    INSTRUMENTATION DIVISION STAFF

    1999-06-01

    To develop state-of-the-art instrumentation required for experimental research programs at BNL, and to maintain the expertise and facilities in specialized high technology areas essential for this work. Development of facilities is motivated by present BNL research programs and anticipated future directions of BNL research. The Division's research efforts also have a significant impact on programs throughout the world that rely on state-of-the-art radiation detectors and readout electronics. Our staff scientists are encouraged to: Become involved in challenging problems in collaborations with other scientists; Offer unique expertise in solving problems; and Develop new devices and instruments when not commercially available. Scientists from other BNL Departments are encouraged to bring problems and ideas directly to the Division staff members with the appropriate expertise. Division staff is encouraged to become involved with research problems in other Departments to advance the application of new ideas in instrumentation. The Division Head integrates these efforts when they evolve into larger projects, within available staff and budget resources, and defines the priorities and direction with concurrence of appropriate Laboratory program leaders. The Division Head also ensures that these efforts are accompanied by strict adherence to all ES and H regulatory mandates and policies of the Laboratory. The responsibility for safety and environmental protection is integrated with supervision of particular facilities and conduct of operations.

  9. Design, construction, system integration, and test results of the 1 MW CW RF system for the e-gun cavity in the energy recovery LINAC at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Lenci,S.J.; Eisen, E. L.; Dickey, D. L.; Sainz, J. E.; Utay, P. F.; Zaltsman, A.; Lambiase, R.

    2009-05-04

    Brookhaven's ERL (Energy Recovery LINAC) requires a 1 MW CW RF system for the superconducting electron gun cavity. The system consists primarily of a klystron tube, transmitter, and High-Voltage Power Supply (HVPS). The 703.75 MHz klystron made by CPl, Inc. provides RF power of 1MW CW with efficiency of 65%. It has a single output window, diode-type electron gun, and collector capable of dissipating the entire beam power. It was fully factory tested including 24-hour heat run at 1.1 MW CWo The solid state HVPS designed by Continental Electronics provides up to 100 kV at low ripple and 2.1 MW CW with over 95% efficiency. With minimal stored energy and a fast shut-down mode no crowbar circuit is needed. Continental 's transmitter includes PLC based user interface and monitoring, RF pre-amplifier, magnet and Vac-Ion pump supplies, cooling water instrumentation, and integral safety interlock system. BNL installed the klystron, HVPS, and transmitter along with other items, such as circulator, water load, and waveguide components. The collaboration of BNL, CPI, and Continental in the design, installation, and testing was essential to the successful operation of the 1MW system.

  10. CSEWG SYMPOSIUM, A CSWEG RETROSPECTIVE. 35TH ANNIVERSARY CROSS SECTION EVALUATION WORKING GROUP, NOV. 5, 2001, BROOKHAVEN NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    DUNFORD, C.; HOLDEN, N.; PEARLSTEIN, S.

    2001-11-05

    This publication has been prepared to record some of the history of the Cross Section Evaluation Working Group (CSEWG). CSEWG is responsible for creating the evaluated nuclear data file (ENDF/B) which is widely used by scientists and engineers who are involved in the development and maintenance of applied nuclear technologies. This organization has become the model for the development of nuclear data libraries throughout the world. The data format (ENDF) has been adopted as the international standard. On November 5, 2001, a symposium was held at Brookhaven National Laboratory to celebrate the 50 th meeting of the CSEWG organization and the 35 th anniversary of its first meeting in November 1966. The papers presented in this volume were prepared by present and former CSEWG members for presentation at the November 2001 symposium. All but two of the presentations are included. I have included an appendix to list all of the CSEWG members and their affiliations, which has been compiled from the minutes of each of the CSEWG meetings. Minutes exist for all meetings except the 4 th meeting held in January 1968. The list includes 348 individuals from 71 organizations. The dates for each of the 50 CSEWG meetings are listed. The committee structure and chairmen of all committees and subcommittees are also included in the appendix. This volume is dedicated to three individuals whose foresight and talents made CSEWG possible and successful. They are Henry Honeck who lead the effort to develop the ENDF format and the CSEWG system, Ira Zartman, the Atomic Energy Commission program manager who provided the programmatic direction and support, and Sol Pearlstein who led the development of the CESWG organization and the ENDF/B evaluated nuclear data library.

  11. Microbial evaluation of dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006

    Directory of Open Access Journals (Sweden)

    Memarian M.

    2008-10-01

    Full Text Available "nBackground and Aim: According to infection possibility in high risk patients, assessment of microbial contamination in water sources utilized at medico-dental units has become a recent concern. The purpose of this study was to evaluate the microbial contamination in dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006. "nMaterials and Methods: In this cross-sectional study, six dental units in the department of operative dentistry were selected to assess microbial contamination in water sources. Samples were taken on Saturdays (the first working day in a week and in the midweek, 64 and 16 hours respectively after turning the units off. Moreover, for investigating the effect of flushing, sampling was done at 30, 60, 90 and 120 seconds after flushing and were taken from three parts of each unit including air/water syringe, turbine handpiece and also cup filler water. Samples were transported in closed sterile containers to microbiology laboratory of the school pharmacy. Data were analyzed by Kruskal-Wallis and Dunn tests with p<0.05 as the level of significance. "nResults: E.coli was isolated from contaminated samples. Contamination decreased by flushing. In midweek after 90 seconds flushing, water contamination disappeared. On Saturdays 2 minutes flushing decreased contamination to lower that 200 cfu/ml (the rate recommended by ADA. Samples taken from turbine handpieces showed significantly higher contamination rate compared to air/water syringe and cup filler water (p<0.001. "nConclusion: According to the results of this study, dental units waterlines showed bacterial contamination which was eliminated after 120 seconds of flushing.

  12. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Scholar Program Resources RAS E-News RAS-JACS Journal Club Medical Students Operation Giving Back Operation Giving ... Conference Schedule Conference App Conference Objectives Claim CME Credits Claim CNE Credits Keynote Speaker 2017 Presentations Education ...

  13. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Scholar Program Resources RAS E-News RAS-JACS Journal Club Medical Students Operation Giving Back Operation Giving ... the ACS Catalog Find a Product Contribute Education Journal of the American College of Surgeons About JACS ...

  14. Ototoxic Medications (Medication Effects)

    Science.gov (United States)

    ... Information for the Public / Hearing and Balance Ototoxic Medications (Medication Effects) By Barbara Cone, Patricia Dorn, Dawn Konrad- ... Audiology Information Series [PDF]. What Is Ototoxicity? Certain medications can damage the ear, resulting in hearing loss, ...

  15. New Model of Medical Consumable materials Management in Operating Room' s Based on Information Platform%基于信息平台的手术室医用耗材管理新模式

    Institute of Scientific and Technical Information of China (English)

    曹阳; 王高仁; 薛恬

    2011-01-01

    This article introduces the information-based innovative model of medical supply and management used in operating rooms. The paper also specifically addresses this implementation from basic data, workflow, financial management and other aspects. The model achieves the entire dynamic chain management of medical consumable materials, and ensures medical supplies used in operating rooms.%介绍了手术室医用耗材管理的信息化创新模式,从基础数据、工作流程、财务管理等方面进行了具体阐述,实现了手术室医用耗材的全程动态环节管理,保证了医疗安全和手术室医用耗材的供应.

  16. Empirical Analysis of Operation Iraqi Freedom Combat Mortality Using the Navy-Marine Corps Combat Trauma Registry Expeditionary Medical Encounter Database for Applications to Tactical Medical Logistics Modeling and Simulation

    Science.gov (United States)

    2009-05-15

    Methods to more accurately forecast medical needs and effectively meet those needs are constantly being developed to support service-related modeling and...Self Non-Accident Sports/Recreation Training Unknown Other: N/A Glasgow Coma Scale (Circle each) Eye Opening Verbal...Methods to more accurately forecast medical needs, for example by tactical medical logistics modeling and simulation, are constantly being developed

  17. Energy-related perturbations of the northeast coastal zone: five years (1974-1979) of oceanographic research at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Walsh, J.J.

    1980-03-01

    Since inception of oceanographic research at Brookhaven National Laboratory in 1974, over 75 cruises and 150 papers and reports have been completed. In comparison of shelf ecosystems at high, mid, and low latitudes, an understanding of the natural variability of US coastal waters has been derived. Annual carbon and nitrogen budgets suggest that the energy flow is diverted to a pelagic food web in summer-fall and a demersal food web in winter-spring within the Mid-Atlantic Bight. The impact of energy-related perturbations can now be assessed within the context of natural oscillation of the coastal food web.

  18. Proceedings of RIKEN BNL Research Center Workshop: Brookhaven Summer Program on Quarkonium Production in Elementary and Heavy Ion Collisions

    Energy Technology Data Exchange (ETDEWEB)

    Dumitru, A.; Lourenco, C.; Petreczky, P.; Qiu, J., Ruan, L.

    2011-08-03

    Understanding the structure of the hadron is of fundamental importance in subatomic physics. Production of heavy quarkonia is arguably one of the most fascinating subjects in strong interaction physics. It offers unique perspectives into the formation of QCD bound states. Heavy quarkonia are among the most studied particles both theoretically and experimentally. They have been, and continue to be, the focus of measurements in all high energy colliders around the world. Because of their distinct multiple mass scales, heavy quarkonia were suggested as a probe of the hot quark-gluon matter produced in heavy-ion collisions; and their production has been one of the main subjects of the experimental heavy-ion programs at the SPS and RHIC. However, since the discovery of J/psi at Brookhaven National Laboratory and SLAC National Accelerator Laboratory over 36 years ago, theorists still have not been able to fully understand the production mechanism of heavy quarkonia, although major progresses have been made in recent years. With this in mind, a two-week program on quarkonium production was organized at BNL on June 6-17, 2011. Many new experimental data from LHC and from RHIC were presented during the program, including results from the LHC heavy ion run. To analyze and correctly interpret these measurements, and in order to quantify properties of the hot matter produced in heavy-ion collisions, it is necessary to improve our theoretical understanding of quarkonium production. Therefore, a wide range of theoretical aspects on the production mechanism in the vacuum as well as in cold nuclear and hot quark-gluon medium were discussed during the program from the controlled calculations in QCD and its effective theories such as NRQCD to various models, and to the first principle lattice calculation. The scientific program was divided into three major scientific parts: basic production mechanism for heavy quarkonium in vacuum or in high energy elementary collisions; the

  19. Brookhaven highlights 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    Established in 1947 on Long Island, New York, on the site of the former army Camp Upton, BNL is a multidisciplinary laboratory that carries out basic and applied research in the physical, biomedical and environmental sciences and in selected energy technologies. The Laboratory is managed by Associated Universities, Inc., under contract to the US Department of Energy. BNL`s annual budget is about $400 million, and the Laboratory`s facilities are valued at replacements cost in excess of over $2.8 billion. Employees number around 3,300,and over 4,000 guests, collaborators and students come each year to use the Laboratory`s facilities and work with the staff. Scientific and technical achievements at BNL have made their way into daily life in areas as varied as health care, construction materials and video games. The backbone of these developments is fundamental research, which is and always will be an investment in the future.

  20. Medical sociology as a heuristic instrument for medical tourism and cross-border healthcare: Comment on "International patients on operation vacation - perspectives of patients travelling to Hungary for orthopedic treatments".

    Science.gov (United States)

    Mainil, Tomas

    2015-04-01

    In this commentary, we establish a relationship between medical sociology and the study of medical tourism and cross-border healthcare by introducing Ronald Andersen's behavioral model of healthcare use, and linking this model to the recent empirical study of Kovacs et al. on patients travelling to Hungary for orthopedic treatment. Finally, we plead for more measurement in the field of patient mobility.

  1. Medical Applications

    CERN Document Server

    Biscari, C.

    2014-12-19

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field.

  2. STS-3 medical report

    Science.gov (United States)

    Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

    1982-01-01

    The medical operations report for STS-3, which includes a review of the health of the crew before, during, and immediately after the third Shuttle orbital flight is presented. Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical 'kit' carried in flight, tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, shuttle toxicology, radiological health, and cabin acoustic noise. Environmental effects of shuttle launch and landing medical information management, and management, planning, and implementation of the medical program are also dicussed.

  3. CHINA HEALTH INSURANCE%The Role of Social Security Agency in Serious Illness Insurance--Based on the Practice of Integrated Design and Operation of Basic Medical Insurance and Serious Illness Insurance in Jining

    Institute of Scientific and Technical Information of China (English)

    纪志强; 曹颖

    2016-01-01

    济宁市大病保险与基本医疗保险实行“六统一”:政策统一设计、信息系统统一开发、医保费统一征缴、医疗费用统一支付、医疗服务统一监管、医保服务统一经办,极大提升了大病保险的运行效率和质量。大病保险和基本医疗保险采取以社保经办机构为主的一体化管理方式,有助于减少基本医疗保险和大病保险的重复投入,节约运行成本,提升监管效率,有助于从就医诊疗行为的源头进行医疗行为监控,最大程度降低不合理医疗费用。%In Jining, the Serious Illness Insurance and Basic Medical Insurance are operated by “Six-unifi ed”model, i.e., unified policy design, unified information system development, unified premium collection, unified medical service payment, unifi ed medical service supervision, and unifi ed medical insurance handling. As a result, it has greatly improved the operational efficiency and quality of serious illness insurance. By taking the model of integrated management by social insurance agencies, it can help reducing repeated investment in insurance, saving operation cost, and improving supervision efficiency, and can conduct monitoring on medical service behavior at the very beginning and reduce unreasonable medical cost to a great extent.

  4. Investigation on Medical Equipment Joint Logistical Support in Joint Operations under IT-based Conditions%信息化条件下联合作战中战区卫生装备联勤保障的思考

    Institute of Scientific and Technical Information of China (English)

    孙文明; 赵斌; 张玉明; 郭琪

    2013-01-01

    Objective To improve medical equipment support ability in joint operations under IT-based conditions.Methods The current situation of medical equipment supporting of the military command was analyzed and the new demands and methods of the medical equipment support of the military command in joint operations under IT-based conditions were studied.Results Some methods and suggestions for medical equipment support in joint operations under IT-based conditions were put forward.Conclusion The medical equipment support ability in joint operations under IT-based conditions can be effectively improved by realizing distributed direction,networking supplying,strengthening military and civilian integration and building maintenance organization.%目的:提升信息化条件下联合作战中战区卫生装备保障能力.方法:分析战区卫生装备保障的现状,探讨信息化条件下联合作战对战区卫生装备保障的新要求、新对策.结果:提出了信息化条件下联合作战中战区卫生装备保障的对策建议.结论:通过实现分布式指挥、提供网络化支撑、加强军民融合和组建维修力量,有效提升了信息化条件下联合作战中战区卫生装备保障的能力.

  5. Medical Sociology as a Heuristic Instrument for Medical Tourism and Cross-Border Healthcare; Comment on “International Patients on Operation Vacation – Perspectives of Patients Travelling to Hungary for Orthopedic Treatments”

    Directory of Open Access Journals (Sweden)

    Tomas Mainil

    2015-04-01

    Full Text Available In this commentary, we establish a relationship between medical sociology and the study of medical tourism and cross-border healthcare by introducing Ronald Andersen’s behavioral model of healthcare use, and linking this model to the recent empirical study of Kovacs et al. on patients travelling to Hungary for orthopedic treatment. Finally, we plead for more measurement in the field of patient mobility.

  6. Decision support using anesthesia information management system records and accreditation council for graduate medical education case logs for resident operating room assignments.

    Science.gov (United States)

    Wanderer, Jonathan P; Charnin, Jonathan; Driscoll, William D; Bailin, Michael T; Baker, Keith

    2013-08-01

    Our goal in this study was to develop decision support systems for resident operating room (OR) assignments using anesthesia information management system (AIMS) records and Accreditation Council for Graduate Medical Education (ACGME) case logs and evaluate the implementations. We developed 2 Web-based systems: an ACGME case-log visualization tool, and Residents Helping in Navigating OR Scheduling (Rhinos), an interactive system that solicits OR assignment requests from residents and creates resident profiles. Resident profiles are snapshots of the cases and procedures each resident has done and were derived from AIMS records and ACGME case logs. A Rhinos pilot was performed for 6 weeks on 2 clinical services. One hundred sixty-five requests were entered and used in OR assignment decisions by a single attending anesthesiologist. Each request consisted of a rank ordered list of up to 3 ORs. Residents had access to detailed information about these cases including surgeon and patient name, age, procedure type, and admission status. Success rates at matching resident requests were determined by comparing requests with AIMS records. Of the 165 requests, 87 first-choice matches (52.7%), 27 second-choice matches (16.4%), and 8 third-choice matches (4.8%) were made. Forty-three requests were unmatched (26.1%). Thirty-nine first-choice requests overlapped (23.6%). Full implementation followed on 8 clinical services for 8 weeks. Seven hundred fifty-four requests were reviewed by 15 attending anesthesiologists, with 339 first-choice matches (45.0%), 122 second-choice matches (16.2%), 55 third-choice matches (7.3%), and 238 unmatched (31.5%). There were 279 overlapping first-choice requests (37.0%). The overall combined match success rate was 69.4%. Separately, we developed an ACGME case-log visualization tool that allows individual resident experiences to be compared against case minimums as well as resident peer groups. We conclude that it is feasible to use ACGME case

  7. 手术室护士长在协调医护关系中的作用分析%Operating Room Head Nurse Role in Coordinate the Relationship between the Medical Analysis

    Institute of Scientific and Technical Information of China (English)

    朱会群

    2015-01-01

    For hospital operating room key sites in severe cases, surgery and salvage its nursing trival, work fast and surgi-cal risk is high, easy to increase the contradiction between doctors and nurses, friction, affect the surgical treatment effect, so need to establish good relationship between medical care, to facilitate the operation is completed. This paper mainly from the characteristics of medical relationship, this article mainly from the operating room medical contradiction and cause and the coordination between (nurse) in the "four combinations" and "four relations" coordination between (medical) in the two aspects of the specific analysis of the operating room the role of the head nurse's role in coordinating the medical relations, so as to actively play a role of the operating room head nurse, to establish a harmonious relationship between medical care, improve the overall quality of life in patients with, realize the goal of the hospital and promote the development of each department.%手术室为医院实施手术与抢救重症患者关键场所,具有护理工作繁琐、工作节奏较快与手术风险高等特点,易增加手术医师与护理人员之间矛盾、摩擦,影响手术治疗效果,因此需建立良好医护关系,以利于手术顺利完成,该文主要从手术室医护关系的特点、医护矛盾与原因及"四结合"(护士间的协调)与"四关系"(医护间的协调)两方面具体分析手术室护士长在协调医护关系中的作用,以便积极发挥手术室护士长作用,建立和谐医护关系,提高患者整体生活质量,实现医院目标与促进各科室发展.

  8. 南京军区“医云工程”运维管理模式%Operation Maintenance Management Mode of Medical Cloud Project of Nanjing Military Region

    Institute of Scientific and Technical Information of China (English)

    薛以锋; 韩雄; 唐华; 马锡坤; 陈一君; 林亚忠

    2013-01-01

    Objective:To study the necessity and importance of operation maintenance management mode of Medical Cloud Project, and put forward the new pattern for operation maintenance management of digital hospital under the cloud computing conditions. Method: Business structure change and challenge after introduction of cloud computing by Medical Cloud Project are analyzed and implemented. Operation maintenance management requirements under the cloud computing conditions are studied. Solutions are provided. Results:According to the operation maintenance management requirements of cloud computing, the organization structure of operation maintenance management, various operation maintenance positions and responsibilities of cloud platform, operation maintenance boundary between them are defined. Combined with the corresponding operation maintenance rules and regulations and management process, it is restricted so as to realize an efficient and standard cloud platform operation maintenance management system. Conclusion:During the advancement of Medical Cloud Project, effect of cloud computing shall be given full play to, and operation maintenance management model of cloud computing shall be established.%  目的:探讨“医云工程”运维管理的必要性和重要性,提出云计算条件下的数字化医院运维管理新模式。方法:剖析实施“医云工程”引入云计算后的业务构架改变和挑战,研究云计算条件下的运维管理需求,提出解决办法。结果:按云计算的运维管理要求,理顺运维管理组织架构,落实云平台的各个运维岗位及职责,明确彼此间的运维边界,并结合相应的运维规章制度和管理流程加以约束,从而实现高效规范的云平台运维管理体系。结论:在推进“医云工程”的过程中,要充分发挥云计算效力,必须建立云计算的运维管理模式。

  9. 基于Access数据库手术室医疗设备管理系统的设计与实现%Design and Implementation of an Access-Database-Based Operating Room Medical Equipment Management System

    Institute of Scientific and Technical Information of China (English)

    王成跃

    2015-01-01

    Objective To design a management system to provide informationalized management for operating room medical equipment.Methods Based on the actual situation of operating room medical equipment management and the access database platform, a database was designed for management of medical equipment maintenance, accessory procurement and entry into & exit from the operating room.Results This system had realized the effective management of operating room medical equipment, and improved its informatization level. Conclusion This system demonstrated its superiority in friendly interface, stable functions, easy-to-use features.%目的:设计一种简易的手术室医疗设备管理系统,为手术室医疗设备提供信息化管理手段。方法依据我院手术室医疗设备管理的实际情况,基于Access数据库平台,为手术室医疗设备的维修管理、配件的采购管理、设备进出手术室管理等相间数据信息建立数据库。结果该系统实现了对手术室医疗设备高效管理,有效地提高了手术室管理的信息化水平。结论该系统界面友好,功能稳定,使用简单方便。

  10. The learning curve in treating coronary chronic total occlusion early in the experience of an operator at a tertiary medical center: The role of the hybrid approach.

    Science.gov (United States)

    Shammas, Nicolas W; Shammas, Gail A; Robken, Jon; Harris, Thomas; Madison, Ashley; Dinklenburg, Catherine; Shammas, Andrew N; Harb, Christine; Jerin, Michael

    2016-01-01

    Treatment of chronic total occlusion (CTO) is complex and has a low adoption rate by interventional cardiologists. The introduction of the hybrid approach has provided a systematic step-by-step approach to treat complex CTO lesions with a high success rate. We describe the overall experience with the use of the hybrid approach of a non-CTO operator and analyze differences in the procedural and long term outcomes before and after the initial 30 cases performed. A total of 67 unselected, consecutive patients (68 lesions) underwent PCI of a CTO between January 2012 and June 2013 by a non-CTO operator. Patients were followed up for 1year using office and hospital medical records and death certificates. Cases were divided into the first consecutive 30 patients and compared to the subsequent 37 patients. The primary endpoint was acute procedural success defined as residual narrowing of ≤30% with no major adverse events. Secondary endpoints included the independent outcomes of death, major bleeding, perforations with cardiac tamponade, acute stent thrombosis (ST), target lesion revascularization (TLR) and target vessel revascularization (TVR). Descriptive analysis was performed on all variables. Univariate analysis was used to compare both groups. Baseline characteristics were as follows: mean age 63.9±10.6years, males 80.6%, diabetes 41.8%, de novo lesions 100%, ejection fraction 49.9±13.8%, CTO length 76.9±45.7mm, number of drug eluting stents per CTO 2.8±1.6 (median 3), contrast use 397±161.3ml, fluoroscopy time 51±32min and procedure time 134.3±74.7min. Lesions were crossed using an antegrade approach in 70.6% and a combined retrograde/antegrade approach in 29.4%. Crossing was intraluminal in 83.8% and subintimal in 16.2%. Acute procedural success was 95.5%. MAE included pericardial effusion with tamponade in 4.5%. On follow-up, TLR occurred in 6.6% of patients and TVR in 13.1%. There were no definite ST, one (1.6%) probable ST and one (1.6%) possible ST

  11. Medical spa marketing.

    Science.gov (United States)

    Sadick, Neil S; Dinkes, Adam; Oskin, Larry

    2008-07-01

    Medical spas are different. We are not just selling medical and dermatology services; we are offering clients viable new solutions to their skin care, body care, and hair care challenges. Traditional medical marketing becomes blurred today, as the expansion and acceptance of medical spas helps you to effectively compete with traditional skin care clinics, salons, and spas, while offering more therapeutic treatments from professionally licensed doctors, nurses, aestheticians, massage therapists, spa professionals, and medical practitioners. We recommend that you make the choice to successfully and competitively become a market-driven medical spa with an annual strategic plan, rather than an operationally driven business.

  12. International Patients on Operation Vacation: Medical Refuge and Health System Crisis; Comment on “International Patients on Operation Vacation – Perspectives of Patients Travelling to Hungary for Orthopaedic Treatments”

    Directory of Open Access Journals (Sweden)

    Neil Lunt

    2015-05-01

    Full Text Available An understanding of patient mobility, international patients and medical tourism includes supply and demand side considerations. As well as micro-level reports of motivation and satisfaction we must acknowledge broader system-level dynamics. Exploring these may unearth more complex geographies of patient travel.

  13. Operating Dedicated Data Centers - Is It Cost-Effective?

    Science.gov (United States)

    Ernst, M.; Hogue, R.; Hollowell, C.; Strecker-Kellog, W.; Wong, A.; Zaytsev, A.

    2014-06-01

    The advent of cloud computing centres such as Amazon's EC2 and Google's Computing Engine has elicited comparisons with dedicated computing clusters. Discussions on appropriate usage of cloud resources (both academic and commercial) and costs have ensued. This presentation discusses a detailed analysis of the costs of operating and maintaining the RACF (RHIC and ATLAS Computing Facility) compute cluster at Brookhaven National Lab and compares them with the cost of cloud computing resources under various usage scenarios. An extrapolation of likely future cost effectiveness of dedicated computing resources is also presented.

  14. Wide Band-Gap Semiconductor Radiation Detectors: Science Fiction, Horror Story, or Headlines (460th Brookhaven Lecture)

    Energy Technology Data Exchange (ETDEWEB)

    James, Ralph (BNL Nonproliferation and National Security Department)

    2010-08-18

    With radiation constantly occurring from natural sources all around us -- from food, building materials, and rays from the sun, to name a few -- detecting radiotracers for medical procedures and other radiation to keep people safe is not easy. In order to make better use of radiation to diagnose or treat certain health conditions, or to track radiological materials being transported, stored, and used, the quest is on to develop improved radiation detectors. James gives a brief introduction on radiation detection and explain how it is used in applications ranging from medical to homeland security. He then discusses how new materials and better ways to analyze them here at the National Synchrotron Light Source (NSLS) and the future NSLS-II will lead to a new class of radiation detectors that will provide unprecedented advances in medical and industrial imaging, basic science, and the nonproliferation of nuclear materials.

  15. The Translational Science Training Program at NIH: Introducing Early Career Researchers to the Science and Operation of Translation of Basic Research to Medical Interventions

    Science.gov (United States)

    Gilliland, C. Taylor; Sittampalam, G. Sitta; Wang, Philip Y.; Ryan, Philip E.

    2017-01-01

    Translational science is an emerging field that holds great promise to accelerate the development of novel medical interventions. As the field grows, so does the demand for highly trained biomedical scientists to fill the positions that are being created. Many graduate and postdoctorate training programs do not provide their trainees with…

  16. AN IMPACT OF THE EFFICIENT FUNCTIONING OF THE VENTILATION AND AIR-CONDITIONING SYSTEM ON THERMAL COMFORT OF THE MEDICAL STAFF IN THE OPERATING ROOM

    OpenAIRE

    Tomasz Jankowski; Magdalena Młynarczyk

    2016-01-01

    Ventilation and air conditioning systems are necessary for developing proper parameters of indoor envi-ronment in operating rooms. The main task of ventilation and air conditioning in those specific areas consists in creating desirable temperature, reducing the number of microorganisms and the concen-trations of hazardous gases and substances in the air, as well as ensuring the proper direction of airflow. In Poland, indoor environment in operating rooms has to comply with the requirements se...

  17. Let’s Explore Health Services Delivery with Rams or A Vision for an Air Force Medical Home Concept of Operations

    Science.gov (United States)

    2013-07-01

    responses on the appropriate screening instruments , checks Individual Medical Readiness (IMR) status as applicable, and takes a detailed history...Approved for public release, distribution unlimited Release #88ABW-2014-4102, dated 29 August 2014 appropriate screening instruments , takes a detailed...with CRAM Score (that meet the criteria) 82.7% % with CHD Risk > 10% 1.7% Average PT Score 76.7% Immunization status – specific targets (flu, HPV

  18. Medical standards for mountain rescue operations using helicopters: official consensus recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).

    Science.gov (United States)

    Tomazin, Iztok; Ellerton, John; Reisten, Oliver; Soteras, Inigo; Avbelj, Miha

    2011-01-01

    The purpose of this article is to establish medical recommendations for safe and effective Helicopter Emergency Medical Systems (HEMS) in countries with a dedicated mountain rescue service. A nonsystematic search was undertaken and a consensus among members of International Commission for Mountain Emergency Medicine (ICAR Medcom) was reached. For the severely injured or ill patient, survival depends on approach time and quality of medical treatment by high-level providers. Helicopters can provide significant shortening of the times involved in mountain rescue. Safety is of utmost importance and everything possible should be done to minimize risk. Even in the mountainous environment, the patient should be reached as quickly as possible (optimallymountainous areas. The nearest qualified HEMS team to the incident site, regardless of administrative boundaries, should be dispatched. The 'air rescue optimal crew' concept with its flexibility and adaptability of crewmembers ensures that all HEMS tasks can be performed. The helicopter and all equipment should be appropriate for the conditions and specific for mountain related emergencies. These recommendations, agreed by ICAR Medcom, establish recommendations for safe and effective HEMS in mountain rescue.

  19. Architecture and Design of Medical Processor Units for Medical Networks

    CERN Document Server

    Ahamed, Syed V; 10.5121/ijcnc.2010.2602

    2011-01-01

    This paper introduces analogical and deductive methodologies for the design medical processor units (MPUs). From the study of evolution of numerous earlier processors, we derive the basis for the architecture of MPUs. These specialized processors perform unique medical functions encoded as medical operational codes (mopcs). From a pragmatic perspective, MPUs function very close to CPUs. Both processors have unique operation codes that command the hardware to perform a distinct chain of subprocesses upon operands and generate a specific result unique to the opcode and the operand(s). In medical environments, MPU decodes the mopcs and executes a series of medical sub-processes and sends out secondary commands to the medical machine. Whereas operands in a typical computer system are numerical and logical entities, the operands in medical machine are objects such as such as patients, blood samples, tissues, operating rooms, medical staff, medical bills, patient payments, etc. We follow the functional overlap betw...

  20. 医学伦理学在手术室带教中的应用效果研究%Study on application effect of medical ethics teaching in operation room

    Institute of Scientific and Technical Information of China (English)

    侯慧颖

    2012-01-01

    Objective: To investigate the teaching of medical ethics in the operating room in the application. Methods: The hospital in February 2010 to August 2011 the operating room internship intern randomly divided into experimental and control group , which controls for the characteristics of a simple operating room nursing teaching, the basis of the experimental group in the control group professor of medical ethics to give the relevant provisions in the operating room. To evaluate the clinical teacher's respected,emotion,justice,cautiousness and cautions when nurse students finished the practice in operation room. Results: The intern teaching behavior of teacher evaluation results significantly better than the control group (P < 0.05). Conclusion : The process taught in the operating room with the use of the theory of medical ethics teaching, training interns can approach the physician -patient relationship, and interns of related rights protection of patients have a better educational role.%[目的]:探讨医学伦理学在手术室带教中的应用效果.[方法]:2010年2月~2011年8月,我院手术室实习护生100名,随机分为试验组与对照组各50名,对照组采用传统手术室护理带教法,试验组在此基础上采用医学伦理学带教法,出科时两组护生分别对其带教老师带教中的尊重、情感、公正、慎独以及审慎等五方面进行统一评估.[结果]:试验组护生对老师带教行为的评价结果明显优于对照组(p<0.05).[结论]:手术室带教过程中采用医学伦理学的相关理论进行教学,可培养护生对医患关系的处理方法.

  1. The role of the operating room nurse manager in the successful implementation of preoperative briefings and postoperative debriefings in the VHA Medical Team Training Program.

    Science.gov (United States)

    Robinson, Lori D; Paull, Douglas E; Mazzia, Lisa M; Falzetta, Lisa; Hay, James; Neily, Julia; Mills, Peter D; Carney, Brian; Bagian, James P

    2010-10-01

    To improve communication within surgical teams, Veterans Health Administration (VHA) implemented a Medical Team Training Program (MTT) based on the principles of crew resource management. One hundred two VHA facilities were analyzed. Nursing leadership participation in the planning stages of the program was compared with outcomes at follow-up. Nurse manager participation in planning was associated with higher rates of implementation of preoperative briefing and postoperative debriefing. Nurse managers are a critical component in the planning phase of team training programs focused on OR clinical staff. Published by Elsevier Inc.

  2. 手术部医务人员血液传播性疾病职业暴露原因分析及对策%Cause analysis and Countermeasuresof occupation exposure to blood borne diseases of medical personnel operation

    Institute of Scientific and Technical Information of China (English)

    赵扣真

    2015-01-01

    objective to explore the main causes of medical personnel occupation exposure to blood and countermeasures. selection methods from January 2010 - december 2013 reported 95 cases of medical staff in the department of surgery were analyzed, and the analysis of the distribution.results all the 95 cases including medical personnel distribution: 72 nurses, physi-cians in 13 cases, 6 cases of 4 cases of mechanic, technician.the injured types include: 77 cases, 16 cases of damaged skin expo-sure, 1 cases of complete exposure of skin, mucous membrane exposure in 1 cases.conclusion: medical staff occupational expo-sure causes and exposure protection operation is currently the medical staff need to pay attention to the first question, undertake prevention.%目的:探讨医务人员血液传播性疾病职业暴露的主要原因及对策。方法选取我院2010年1月至2013年12月手术部上报的95例医务人员进行分析,分析分布情况。结果所有95例医务人员分布情况包括:护士72例,外科医师8例,麻醉医师5例,护工6例,保洁人员4例。受伤的类型包括:锐器损伤77例,破损皮肤暴露16例,完整皮肤暴露1例,粘膜暴露1例。结论医务人员职业暴露原因及暴露防护操作是目前医务人员需重视首要问题,应着手进行防范。

  3. Medical marijuana

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized ...

  4. Medical insurance claims and surveillance for occupational disease: analysis of respiratory, cardiac, and cancer outcomes in auto industry tool grinding operations.

    Science.gov (United States)

    Park, R M

    2001-04-01

    To evaluate medical insurance claims for chronic disease investigation, claims from eight automotive machining plants (1984 to 1993) were linked with work histories (1967 to 1993), and associations with respiratory, cardiac, and cancer conditions were investigated, in a case-control design analyzed with logistic regression. The primary focus was tool grinding, but other important processes examined were metal-working, welding, forging, heat treat, engine testing, and diverse-skilled trades work. Considerable variability in claim-derived incidence rates across plants was not explained by age or known exposure differences. Asthma incidence increased in tool grinding (at mean cumulative duration: odds ratio [OR], 3.0; 95% confidence interval [CI], 0.90 to 10.0), as did non-ischemic heart disease (cardiomyopathy, cor pulmonale, rheumatic heart disease, or hypertension; OR, 3.1; 95% CI, 1.26 to 7.6). These trends appeared in models with deficits (OR risk workers from the exposed group. The apparent cancer rates identified from claims greatly exceeded the expected rates from a cancer registry, suggesting that diagnostic, "rule-out," and surveillance functions were contributing. This study supports the epidemiologic use of medical insurance records in surveillance and, possibly, etiologic investigation and identifies issues requiring special attention or resolution.

  5. Fallout: The experiences of a medical team in the care of a Marshallese population accidently exposed to fallout radiation

    Energy Technology Data Exchange (ETDEWEB)

    Conard, R.A.

    1992-09-01

    This report presents an historical account of the experiences of the Brookhaven Medical Team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Noteworthy has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  6. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Energy Technology Data Exchange (ETDEWEB)

    Conard, R.A.

    1991-01-01

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  7. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Energy Technology Data Exchange (ETDEWEB)

    Conard, R.A.

    1991-12-31

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  8. Medical waste management plan.

    Energy Technology Data Exchange (ETDEWEB)

    Lane, Todd W.; VanderNoot, Victoria A.

    2004-12-01

    This plan describes the process for managing research generated medical waste at Sandia National Laboratories/California. It applies to operations at the Chemical and Radiation Detection Laboratory (CRDL), Building 968, and other biosafety level 1 or 2 activities at the site. It addresses the accumulation, storage, treatment and disposal of medical waste and sharps waste. It also describes the procedures to comply with regulatory requirements and SNL policies applicable to medical waste.

  9. 基于MedModel的野战医疗所手术流程仿真模型及应用%Simulation Modeling and Application on the Operation Process of Field Medical Station and Based on Med-Model

    Institute of Scientific and Technical Information of China (English)

    赵建军; 江雷; 王重; 彭海文; 任晓谦; 秦超

    2009-01-01

    Objective: To quantitatively evaluate the current technical and tactical indicators of the operation groups of the field aid station. Methods: According to the current constitution and doctrine of work flow and process at the operation groups of the field hospital, a simulation model of the operation groups are setup by using MedModel soft-ware. Different quantity of daily average wounded and operation rate are configured to eompute the number of oper-ations. The eorresponding utilization rate of the preoperative preparation group and operation group under these va-rious work loads are obtained and then compared by the model. Results: The utilization rate of the preoperative preparation group is lower than that of the operation group; The utilization rate of the operation group is reasonable when the daily quantity of wounded required surgery is about 70. Conclusion: The current constitution of operation groups is unreasonable. The utilization rate of resources is a reasonable quantitative measurement of the medical treatment facilities by the using of simulation models.%目的:定量评估野战医疗所手术组现行技战术指标.方法:采用MedModel软件,根据现行野战医疗所手术组编成和工作流程,建立手术组工作流程仿真模型;根据不同的伤员通过量和手术率,设定每批到达手术伤员量,计算相应的术前组和手术组利用率.结果:术前组利用率低于手术组利用率;当昼夜手术伤员量为70例时,手术组利用率比较合理.结论:现行手术组人员编成不尽合理;利用仿真模型,从资源利用率入手,可以为卫勤机构保障能力的定量评估提供新的手段和方法.

  10. Road map to scaling-up: translating operations research study’s results into actions for expanding medical abortion services in rural health facilities in Nepal

    OpenAIRE

    Puri, Mahesh; Regmi, Shophika; Tamang, Anand; Shrestha, Prabhakar

    2014-01-01

    Background Identifying unsafe abortion among the major causes of maternal deaths and respecting the rights to health of women, in 2002, the Nepali parliament liberalized abortion up to 12 weeks of pregnancy on request. However, enhancing women’s awareness on and access to safe and legal abortion services, particularly in rural areas, remains a challenge in Nepal despite a decade of the initiation of safe abortion services. Methods Between January 2011 and December 2012, an operations research...

  11. 精益管理在手术室医用耗材规范化管理中的应用分析%Application of lean management in the operating room medical consumables standardization management

    Institute of Scientific and Technical Information of China (English)

    吕寻伟

    2016-01-01

    目的:探讨精益管理措施在医院手术室医用耗材管理中的应用效果,为高效率利用医疗资源、规范医疗耗材使用提供指导建议。方法:通过对比分析2013年(传统管理模式)与2014年(精益管理模式)医院手术室医用耗材的使用、存储以及医生对供应品的满意度等指标,对精益管理模式下医用耗材管理效果进行评价。结果:2014年医院手术室医用耗材的库存量种类(665±47)种、规格种类(1033±112)种、库存资金总额(35.14±1.97)元以及库存面积(602.5±28.9)m2均显著低于2013年且差异均具有统计学意义(t=19.701,t=10.605,t=14.214,t=12.714;P<0.05);2014年医院手术医师对耗材的满意率为96.23%,显著高于2013年的82.98%,且差异具有统计学意义(x2=4.857,P<0.05);2014年医院手术医用耗材漏收费较2013年下降了92.86%,发票与物品不对应的发生率较2013年下降了100%。结论:精益管理措施在医院手术室医用耗材管理中的应用,有利于加强资金流通,规范管理以及提高效率。%Objective:Discussion on application effect of lean management practices in a hospital operating room medical supplies management.Methods: By comparison in 2013(the traditional management model) and 2014(lean management mode) of medical supplies hospital operating room use, storage, physician satisfaction of supplies and other indicators, the effect of medical supplies management lean management mode evaluation.Results: The 2014 hospital operating room medical supplies inventory types species, size species, total stock capital yuan, inventory area m2 were significantly lower and the differences were statistically significant(t=19.701,t=10.605,t=14.214,t=12.714;P<0.05) in 2013; significantly higher than in 2013(82.98%) and the difference in 2014 for supplies of hospital surgeon satisfaction rate (96.23%) were statistically significant(x2=4.857,P<0.05); 2014 hospital surgical

  12. Type and Concentration of Bioaerosols in the Operating Room of Educational Hospitals of Hamadan University of Medical Sciences and Effectiveness of Ventilation Systems, in Year 2004

    Directory of Open Access Journals (Sweden)

    F. Ghorbani Shahna

    2006-07-01

    Full Text Available Introduction & Objective: The bioaerosol is one of the operating room(OR hazards that can be threaten of personel health and capable to creating of postoperetive infection in the patients. Because of the hospital infection rate has correleted to bioaerosol concentration, therefore, it is important to determine of type and concentration of these microorganisms as the main goal of this study. Materials and Methods: In this research, 23 operation rooms in the 4 educational hospitals of the Hamadan City were studied. 115 air samples were collected in the various locations and conditions according to filtration method suggested by bioaerosol committee of ACGIH. The samples were transported to blood agar and cultivated immediatedly. The type and number of colonies were determined in the laberatory then, the bioaerosol concentration were calculated in terms of cfu/m3. The data of physical conditions of ORs , ventilation specifications and other environmental parameters have been recorded in the work sheet.Results: The results have demonstrated that the mean of total bioaerosol and pathogen bioaerosol concentration were 136 cfu/m3 and 4.01 cfu/m3 respectively. The concentration of 25.3% of the total pathogen samples be exceeded of recommended limit. It is apeared that have been correlation between concentration of bioaerosols and duration of surgry (P<0.05, also the concentration of morninig shift were higher than the other shifts(P<0.05.Conclusion: According to the detected bioaerosols pathogens in the samples, high cleaning class in the operating rooms is necessary. It is necessary to design and administrate the ventilation systems according to standards because of the absence of appropriate ventilation system in the three hospitals of four investigated hospitals.

  13. The Theory of Bio-Medical Knowledge Integration(Ⅸ)——A venture in methodology for operations on the cognitive segment in HER

    Institute of Scientific and Technical Information of China (English)

    BAO Han-fei

    2008-01-01

    This paper pointed out, in the cognitive or semantic processes, the data of EHR reflect their physical nature, which makes mathematics and informatics of less computing capability. Based on this argument a new concept cognitive segment (CS), which is considered with having both physical and formalized quality, was introduced. Centered on CS, the paper presented a series of new basic concepts and their definitions, a set of symbols and expressions, and afterwards explored the types, quasi-formalized expressions, mapping nature, methodology for operations, two distinguished differences, commonsensible background analyses, cognitive dimension regression, supervising function of CSs.

  14. RADIATION DOSIMETRY AT THE BNL HIGH FLUX BEAM REACTOR AND MEDICAL RESEARCH REACTOR.

    Energy Technology Data Exchange (ETDEWEB)

    HOLDEN,N.E.

    1999-09-10

    RADIATION DOSIMETRY MEASUREMENTS HAVE BEEN PERFORMED OVER A PERIOD OF MANY YEARS AT THE HIGH FLUX BEAM REACTOR (HFBR) AND THE MEDICAL RESEARCH REACTOR (BMRR) AT BROOKHAVEN NATIONAL LABORATORY TO PROVIDE INFORMATION ON THE ENERGY DISTRIBUTION OF THE NEUTRON FLUX, NEUTRON DOSE RATES, GAMMA-RAY FLUXES AND GAMMA-RAY DOSE RATES. THE MCNP PARTICLE TRANSPORT CODE PROVIDED MONTE CARLO RESULTS TO COMPARE WITH VARIOUS DOSIMETRY MEASUREMENTS PERFORMED AT THE EXPERIMENTAL PORTS, AT THE TREATMENT ROOMS AND IN THE THIMBLES AT BOTH HFBR AND BMRR.

  15. 肿瘤患者术中给药错误原因分析及预防对策%Analysis of Medication Errors and the Related Preventive Strategies during the Operation for Cancer Patients

    Institute of Scientific and Technical Information of China (English)

    曾丽萍; 李桂芳; 杨薇薇

    2012-01-01

    目的:分析肿瘤患者术中给药错误的原因并探讨解决的方法.方法:对34起手术室给药错误事件进行回顾性分析.结果:在给药错误发生的手术级别中,三级手术占58.8%,四级手术占35.3%;在给药错误的分类中,给药时间错误占44.1%,其次为遗漏给药占17.6%;在给药错误的药品种类中,抗生素给药造成的错误占73.5%;91.2%的给药错误未对患者造成伤害.在给药错误的人为因素中以人力不足和不遵守操作规程为主要原因,分别占61.8%和17.6%;给药错误的主要人群为工作年限5年以下的低年资护士,占76.5%.结论:加强术中给药管理,合理配备手术室护理人员.加强低年资护理人员用药相关知识和技能的培训以及责任心的培养和职业道德的教育,以减少给药错误事件的发生.%Objective; To analyze the causes and to explore the preventive ways of medication errors during the operation for cancer patients. Methods; Thirty-four cases of administering errors occurred in the operating room were retrospectively analyzed. Re-sults: Among the 34 cases, 58. 8% occurred in the third grade operations and 35. 3% in the fourth grade operations. As for the classification of theses errors, 44. 1% of the medicine was given in incorrect time, 17. 6% was the missed administrate ring. Antibiotics administrate ring errors accounted for 73. 5% of all errors; 91. 2% of the medication errors didn' t bring any harm to the patients. Under-staffing(61. 8% ) and disobeying of the operation procedures ( 17.1% ) were the main causes of human factors. Nurses with working experience fewer than 5 years accounted for 76. 5% of the crowds who made the medication administering errors. Conclusion; Medica- tion administering errors may be decreased by enhancing the medicineadministering managemetn during operation and improving the understaffing status in the hospital. The training of medication related basic knowledge-,skill and responsibility as

  16. Fibroma induction in rat skin following single or multiple doses of 1.0 GeV/nucleon 56Fe ions from the Brookhaven Alternating Gradient Synchrotron (AGS)

    Science.gov (United States)

    Burns, F. J.; Zhao, P.; Xu, G.; Roy, N.; Loomis, C.

    2001-01-01

    Rat skin was exposed to the plateau region of the 1.0 GeV/nucleon 56Fe beam at the Brookhaven AGS. Rats were irradiated or not with single of split doses of 56Fe or argon; some 56Fe-exposed rats were fed 250 ppm retinyl acetate continuously in the lab chow beginning 1 week before irradiation. All lesions were noted, photographed and identified for eventual histological diagnosis. The preponderance of the tumors so far are fibromas. The data show that single doses of 56Fe ions are 2 or 3 fold more effective than argon in producing tumors at 4.5 Gy but are about equally effective at 3.0 Gy and 9.0 Gy. The presence of 250 ppm retinyl acetate in the lab chow reduced the incidence of tumors by about 50-60% in comparison to groups exposed only to the radiation. These are preliminary findings based on only about one-fourth the eventual number of tumors expected.

  17. 手术室背景音乐对患者和医护人员心理状况的影响%Effects of background music on psychological state of patients and medical personnel in operation room

    Institute of Scientific and Technical Information of China (English)

    王春; 叶素君; 周英; 代娇

    2011-01-01

    Objective To investigate the effectiveness of background music in operating room on psychology of patients and medical personnels. Methods A total of 127 patients who would receive selective operation and 65 surgical staff in our hospital were randomly divided into the intervention group and the control group. There were 63 patients and 30 medical personnel in the intervention group, 64 patients and 35 medical personnel in the control group. Routine care was given to all patients, and background music was broadcasted after patients and medical personnels coming into operating room in the intervention group. The blood pressure and heart rate of patients were contrasted, and the anxiety status was evaluated by Self-Rating Anxiety Scales (SAS), Visual Analogue Scale was used to appraise the horror, discomfort and pain between the control group and the intervention group. Results Diastolic pressure and systolic pressure was higher and heart rate was more rapid in the control group than in the intervention group. SAS score of patients and medical personnel was higher in the control group than in the intervention groups, degree of horror, pain and complaint in patients was more apparent in the control group than in the intervention group. Conclusions Background music could release negative emotion and was helpful for stabling the mood of medical personnel and preserving physical and mental health of patients.%目的 评价手术室背景音乐对手术患者和医护人员心理的影响.方法 将在手术室行择期手术的127例患者及为其进行手术的65名医护人员随机分为2组,干预组患者63例,医护人员30人,对照组患者64例,医护人员35人,2组患者术中均给予常规护理,干预组患者及医护人员进入手术室后播放背景音乐.比较2组患者的血压、心率变化,采用SAS评分量表评价2组患者及医护人员的焦虑状态,采用VAS评分量表评价2组患者恐惧、不适及疼痛情况.结果 对照组患

  18. 质量控制体系有效运行的思考%Continual operation of quality system for drugs and medical devices

    Institute of Scientific and Technical Information of China (English)

    高慧; 丁璐

    2011-01-01

    目的:保证药品仪器质量体系持续有效运行,实现由经验性管理向规范化管理的转变。方法:依据国际、国家、军队质量控制标准,结合工作实际,建立质量管理体系,确定质量方针和目标,编写质量手册,明确各部门职责,规定各类活动的工作程序,实施内部审核和管理评审制度,完善保证检测结果准确的质量监督检查机制,制定全员培训计划,分析校准项目的测量结果不确定度,提供委托方溯源所需的全部信息;同时对检测设备、检测方法、环境监控、样品管理等环节均做出严格规定,实现对药品仪器检测工作质量的有效控制。结果:规范检测行为,及时发现问题,使质量体系不断改进、不断完善,不断提高。结论:只有认真贯彻执行各项质量控制文件,做好质量控制监督,坚持内部审核,才能使质量控制体系持续有效运行。%Objective: To make quality system operate always effectively. Methods:According to the international, national and military standards in combination with practical work, we set up quality management system; fix quality policy and goal; compile quality manual; clear the duty of every department; stipulate the procedures of all kinds of activities; implement internal check and evaluation system; complete the supervision and examine mechanism; plan the training program;analyze the examine results;offer all the information and realize an effective control. Results:We improved the examination and found problems on time to improve the quality system. Conclusion:Only implementing the documents, doing quality supervision and insisting on internal monitoring can make the quality system operate effectively.

  19. Abortion - medical

    Science.gov (United States)

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  20. Oral Medication

    Science.gov (United States)

    ... Size: A A A Listen En Español Oral Medication The first treatment for type 2 diabetes blood ... new — even over-the-counter items. Explore: Oral Medication How Much Do Oral Medications Cost? Save money ...

  1. A high-field 3He Metastability Exchange Optical Pumping polarizer operating in a 1.5 T medical scanner for lung MRI

    CERN Document Server

    Collier, G; Wojna, A; Głowacz, B; Suchanek, M; Olejniczak, Z; Dohnalik, T

    2013-01-01

    After being hyperpolarized using the technique of Metastability Exchange Optical Pumping (MEOP), 3He can be used as a contrast agent for lung magnetic resonance imaging (MRI). MEOP is usually performed at low magnetic field (~ 1 mT) and low pressure (~ 1 mbar), which results in a low magnetization production rate. A delicate polarization-preserving step of compression is also required. It was demonstrated in sealed cells that high nuclear polarization values can be obtained at higher pressures with MEOP, if performed at high magnetic field (non-standard conditions). In this work the feasibility of building a high-field polarizer that operates within a commercial 1.5 T scanner was evaluated. Preliminary measurements of nuclear polarization with sealed cells filled at different 3He gas pressures (1.33 to 267 mbar) were performed. The use of an annular shape for the laser beam increased by 25 % the achievable nuclear polarization equilibrium value (Meq) at 32 and 67 mbar as compared to a Gaussian beam shape. Meq...

  2. Architecture and Design of Medical Processor Units for Medical Networks

    Directory of Open Access Journals (Sweden)

    Syed V. Ahamed

    2010-11-01

    Full Text Available This paper1 introduces analogical and deductive methodologies for the design medical processor units(MPUs. From the study of evolution of numerous earlier processors, we derive the basis for thearchitecture of MPUs. These specialized processors perform unique medical functions encoded as medicaloperational codes (mopcs. From a pragmatic perspective, MPUs function very close to CPUs. Bothprocessors have unique operation codes that command the hardware to perform a distinct chain of subprocessesupon operands and generate a specific result unique to the opcode and the operand(s. Inmedical environments, MPU decodes the mopcs and executes a series of medical sub-processes and sendsout secondary commands to the medical machine. Whereas operands in a typical computer system arenumerical and logical entities, the operands in medical machine are objects such as such as patients, bloodsamples, tissues, operating rooms, medical staff, medical bills, patient payments, etc. We follow thefunctional overlap between the two processes and evolve the design of medical computer systems andnetworks.

  3. PHENIX CDR update: An experiment to be performed at the Brookhaven National Laboratory relativistic heavy ion collider. Revision

    Energy Technology Data Exchange (ETDEWEB)

    1994-11-01

    The PHENIX Conceptual Design Report Update (CDR Update) is intended for use together with the Conceptual Design Report (CDR). The CDR Update is a companion document to the CDR, and it describes the collaboration`s progress since the CDR was submitted in January 1993. Therefore, this document concentrates on changes, refinements, and decisions that have been made over the past year. These documents together define the baseline PHENIX detector that the collaboration intends to build for operation at RHIC startup. In this chapter the current status of the detector and its motivation are briefly described. In Chapters 2 and 3 the detector and the physics performance are more fully developed. In Chapters 4 through 13 the details of the present design status, the technology choices, and the construction costs and schedules are presented. The physics goals of PHENIX collaboration have remained exactly as they were described in the CDR. Primary among these is the detection of a new phase of matter, the quark-gluon plasma (QGP), and the measurement of its properties. The PHENIX experiment will measure many of the best potential QGP signatures to see if any or all of these physics variables show anomalies simultaneously due to the formation of the QGP.

  4. University-level Non-proliferation and Safeguards Education and Human Capital Development Activities at Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Bachner K. M.; Pepper, S.; Gomera, J.; Einwechter, M.; Toler, L. T.

    2016-07-24

    BNL has offered Nuclear Nonproliferation, Safeguards and Security in the 21st Century,? referred to as NNSS, every year since 2009 for graduate students in technical and policy fields related to nuclear safeguards and nonproliferation. The course focuses on relevant policy issues, in addition to technical components, and is part of a larger NGSI short course initiative that includes separate courses that are delivered at three other national laboratories and NNSA headquarters. [SCHOLZ and ROSENTHAL] The course includes lectures from esteemed nonproliferation experts, tours of various BNL facilities and laboratories, and in-field and table-top exercises on both technical and policy subjects. Topics include the history of the Treaty on the Non-proliferation of Nuclear Weapons (NPT) and other relevant treaties, the history of and advances in international nuclear safeguards, current relevant political situations in countries such as Iran, Iraq, and the Democratic Peoples? Republic of Korea (DPRK), nuclear science and technology, instrumentation and techniques used for verification activities, and associated research and development. The students conduct a mock Design Information Verification (DIV) at BNL?s decommissioned Medical Research Reactor. The capstone of the course includes a series of student presentations in which students act as policy advisors and provide recommendations in response to scenarios involving a current nonproliferation related event that are prepared by the course organizers. ?The course is open to domestic and foreign students, and caters to students in, entering, or recently having completed graduate school. Interested students must complete an application and provide a resume and a statement describing their interest in the course. Eighteen to 22 students attend annually; 165 students have completed the course to date. A stipend helps to defray students? travel and subsistence expenses. In 2015, the course was shortened from three weeks to

  5. Medical Physicists and AAPM

    Science.gov (United States)

    Amols, Howard

    2006-03-01

    The American Association of Physicists in Medicine (AAPM), a member society of the AIP is the largest professional society of medical physicists in the world with nearly 5700 members. Members operate in medical centers, university and community hospitals, research laboratories, industry, and private practice. Medical physics specialties include radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. The majority of AAPM members are based in hospital departments of radiation oncology or radiology and provide technical support for patient diagnosis and treatment in a clinical environment. Job functions include support of clinical care, calibration and quality assurance of medical devices such as linear accelerators for cancer therapy, CT, PET, MRI, and other diagnostic imaging devices, research, and teaching. Pathways into a career in medical physics require an advanced degree in medical physics, physics, engineering, or closely related field, plus clinical training in one or more medical physics specialties (radiation therapy physics, imaging physics, or radiation safety). Most clinically based medical physicists also obtain certification from the American Board of Radiology, and some states require licensure as well.

  6. PHENIX Conceptual Design Report. An experiment to be performed at the Brookhaven National Laboratory Relativistic Heavy Ion Collider

    Energy Technology Data Exchange (ETDEWEB)

    Nagamiya, Shoji; Aronson, Samuel H.; Young, Glenn R.; Paffrath, Leo

    1993-01-29

    The PHENIX Conceptual Design Report (CDR) describes the detector design of the PHENIX experiment for Day-1 operation at the Relativistic Heavy Ion Collider (RHIC). The CDR presents the physics capabilities, technical details, cost estimate, construction schedule, funding profile, management structure, and possible upgrade paths of the PHENIX experiment. The primary goals of the PHENIX experiment are to detect the quark-gluon plasma (QGP) and to measure its properties. Many of the potential signatures for the QGP are measured as a function of a well-defined common variable to see if any or all of these signatures show a simultaneous anomaly due to the formation of the QGP. In addition, basic quantum chromodynamics phenomena, collision dynamics, and thermodynamic features of the initial states of the collision are studied. To achieve these goals, the PHENIX experiment measures lepton pairs (dielectrons and dimuons) to study various properties of vector mesons, such as the mass, the width, and the degree of yield suppression due to the formation of the QGP. The effect of thermal radiation on the continuum is studied in different regions of rapidity and mass. The e{mu} coincidence is measured to study charm production, and aids in understanding the shape of the continuum dilepton spectrum. Photons are measured to study direct emission of single photons and to study {pi}{sup 0} and {eta} production. Charged hadrons are identified to study the spectrum shape, production of antinuclei, the {phi} meson (via K{sup +}K{sup {minus}} decay), jets, and two-boson correlations. The measurements are made down to small cross sections to allow the study of high p{sub T} spectra, and J/{psi} and {Upsilon} production. The PHENIX collaboration consists of over 300 scientists, engineers, and graduate students from 43 institutions in 10 countries. This large international collaboration is supported by US resources and significant foreign resources.

  7. PHENIX Conceptual Design Report. An experiment to be performed at the Brookhaven National Laboratory Relativistic Heavy Ion Collider

    Energy Technology Data Exchange (ETDEWEB)

    Nagamiya, Shoji; Aronson, Samuel H.; Young, Glenn R.; Paffrath, Leo

    1993-01-29

    The PHENIX Conceptual Design Report (CDR) describes the detector design of the PHENIX experiment for Day-1 operation at the Relativistic Heavy Ion Collider (RHIC). The CDR presents the physics capabilities, technical details, cost estimate, construction schedule, funding profile, management structure, and possible upgrade paths of the PHENIX experiment. The primary goals of the PHENIX experiment are to detect the quark-gluon plasma (QGP) and to measure its properties. Many of the potential signatures for the QGP are measured as a function of a well-defined common variable to see if any or all of these signatures show a simultaneous anomaly due to the formation of the QGP. In addition, basic quantum chromodynamics phenomena, collision dynamics, and thermodynamic features of the initial states of the collision are studied. To achieve these goals, the PHENIX experiment measures lepton pairs (dielectrons and dimuons) to study various properties of vector mesons, such as the mass, the width, and the degree of yield suppression due to the formation of the QGP. The effect of thermal radiation on the continuum is studied in different regions of rapidity and mass. The e{mu} coincidence is measured to study charm production, and aids in understanding the shape of the continuum dilepton spectrum. Photons are measured to study direct emission of single photons and to study {pi}{sup 0} and {eta} production. Charged hadrons are identified to study the spectrum shape, production of antinuclei, the {phi} meson (via K{sup +}K{sup {minus}} decay), jets, and two-boson correlations. The measurements are made down to small cross sections to allow the study of high p{sub T} spectra, and J/{psi} and {Upsilon} production. The PHENIX collaboration consists of over 300 scientists, engineers, and graduate students from 43 institutions in 10 countries. This large international collaboration is supported by US resources and significant foreign resources.

  8. National Synchrotron Light Source guidelines for the conduct of operations

    Energy Technology Data Exchange (ETDEWEB)

    Buckley, M. [Brookhaven National Lab., Upton, NY (United States). National Synchrotron Light Source

    1998-01-01

    To improve the quality and uniformity of operations at the Department of Energy`s facilities, the DOE issued Order 5480.19 ``Conduct of Operations Requirements at DOE facilities.`` This order recognizes that the success of a facilities mission critically depends upon a high level of performance by its personnel and equipment. This performance can be severely impaired if the facility`s Conduct of Operations pays inadequate attention to issues of organization, safety, health, and the environment. These guidelines are Brookhaven National Laboratory`s and the National Synchrotron Light Source`s acknowledgement of the principles of Conduct of Operations and the response to DOE Order 5480.19. These guidelines cover the following areas: (1) operations organization and administration; (2) shift routines and operating practices; (3) control area activities; (4) communications; (5) control of on-shift training; (6) investigation of abnormal events; (7) notifications; (8) control of equipment and system studies; (9) lockouts and tagouts; (10) independent verification; (11) log-keeping; (12) operations turnover; (13) operations aspects of facility process control (14) required reading; (15) timely orders to operators; (16) operations procedures; (17) operator aid posting; and (18) equipment sizing and labeling.

  9. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Want to Be a RAS-ACS Leader International Exchange Scholar Program Resources RAS E-News Operation Giving ... E-Learning Evidence-Based Decisions in Surgery Medical Student Resources So You Want to Be a Surgeon ...

  10. Five year report on the medical follow up of Marshallese receiving special medical care related to 1954 Bravo fallout radiation (January 1992--1996)

    Energy Technology Data Exchange (ETDEWEB)

    Vaswani, A.N.; Howard, J.E.

    1999-06-01

    This is the 17th and final report of the Marshall Islands Medical Program as carried out by the Brookhaven National Laboratory (BNL). The purpose of these publications has been to provide information on the medical status of 253 Marshallese exposed to radiation fallout in 1954. The medical program fulfills a commitment to disclose unique medical information relevant to public health. Details of the Bravo thermonuclear accident that caused the exposure have been published. A 1955 article in the Journal of the American Medical Association, which described the acute medical effects on the population that required special medical care, remains a definitive and relevant description of events. Marshallese participation in this Congressionally mandated program is voluntary. Throughout the 44 years of the program, each participating individual`s relevant medical findings, laboratory data, disease morbidity, and mortality have been published in the BNL reports in a manner preserving patient confidentiality. In each report, there has been an attempt to interpret these findings and to infer the role of radiation exposure in their development. An equally important aspect of the reports has been the presentation of data that allows for analyses of the medical consequences of the Marshallese exposure.

  11. Medical tourism.

    Science.gov (United States)

    Leggat, Peter

    2015-01-01

    Medical tourism is a burgeoning industry in our region. It involves patients travelling outside of their home country for medical treatment. This article provides an outline of the current research around medical tourism, especially its impact on Australians. Patients are increasingly seeking a variety of medical treatments abroad, particularly those involving cosmetic surgery and dental treatment, often in countries in South-East Asia. Adverse events may occur during medical treatment abroad, which raises medico-legal and insurance issues, as well as concerns regarding follow-up of patients. General practitioners need to be prepared to offer advice, including travel health advice, to patients seeking medical treatment abroad.

  12. Tactical emergency medical support.

    Science.gov (United States)

    Rinnert, Kathy J; Hall, William L

    2002-11-01

    As increases in criminal activity collide with more aggressive law enforcement postures, there is more contact between police officers and violent felons. Civilian law enforcement special operations teams routinely engage suspects in these violent, dynamic, and complex interdiction activities. Along with these activities comes the substantial and foreseeable risk of death or grievous harm to law officers, bystanders, hostages, or perpetrators. Further, law enforcement agencies who attempt to apprehend dangerous, heavily armed criminals with a special operations team that lacks the expertise to treat the medical consequences that may arise from such a confrontation may be negligent of deliberate indifference. Meanwhile, evidence exists within the military, civilian law enforcement, and medical literature that on-scene TEMS serves to improve mission success and team safety and health, while decreasing morbidity and mortality in the event of an injury or illness suffered during operations. National professional organizations within law enforcement and emergency medicine have identified and support the fundamental need for mission safety and the development of a standard model to train and incorporate TEMS into law enforcement special operations. The overall objective of TEMS is to minimize the potential for injury and illness and to promote optimal medical care from the scene of operations to a definitive care facility. The design, staffing, and implementation of a TEMS program that maximally uses the community resources integrates previously disparate law enforcement, EMS, and emergency medical/trauma center functions to form a new continuum of care [55].

  13. Medical Identity

    DEFF Research Database (Denmark)

    Musaeus, Peter

    2015-01-01

    Purpose: To examine philosophical stances underpinning medical identity and assess the conceptual relationship between physician, medical practice and culture. Argument: Medical identity is about the ideals and moral positions that physicians take when justifying themselves. Medical identity...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...... on the meaning of being a compassionate, good and skilled physician, making its relevance to person-centered medicine self-evident. Conclusion: Medical identity should be analyzed with reference to literature, philosophy and medical practice in order for the physician to exercise a reflective position...

  14. Medical Management

    Science.gov (United States)

    ... email share facebook twitter google plus linkedin Medical Management Although there’s no cure for CMT, there are ... individualized physical therapy program. For more on medical management of CMT, see Surgery Sometimes, Bracing Often, Caution ...

  15. Army Medical Department Support to Stability Operations

    Science.gov (United States)

    2007-02-28

    25 million dead and another 40 million infected , continues to spread at an alarming rate and nervous eyes are turned toward an anticipated influenza...million men , women, and children suffer from chronic malnutrition that often comes in the aftermath of natural and man-made disasters.10 According to...included cholera, diphtheria, leishmaniasis, malaria, measles, pertussis, poliomyelitis, schistosomiasis , typhoid fever, and the chronic malnutrition

  16. Medical Oxygen Concentrator for Microgravity Operation Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We have all seen people carrying portable oxygen tanks or concentrators to provide critical life support respiratory oxygen. Heavy, bulky, and for O2 concentrators,...

  17. Forecasting Medical Materiel Requirements for Contingency Operations

    Science.gov (United States)

    2007-11-02

    burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...6505015086910 00006013910 IVERMECTIN 6MG TABLETS, I.S., 10S (SPECTROMECTOL) BX Anthelmintics 6505013881364 00093910729 MEBENDAZOLE TABLETS USP 100MG I.S. 12S PG

  18. The Doctrinal Basis for Medical Stability Operations

    Science.gov (United States)

    2010-01-01

    security forces (HNSFs). As most developing countries have poor health systems, all levels and branches of the health sector should be targeted including...actors will be available in more permissive environments, perhaps by orders of magnitude. Poor coordi- nation fragments efforts, weakens health systems...further services unless there is imme- diate threat to life, limb, or eyesight . MEDCAPs may have a role in rural areas without services but government

  19. Medical Virtual Public Services

    Directory of Open Access Journals (Sweden)

    Iulia SURUGIU

    2008-01-01

    Full Text Available The healthcare enterprises are very disconnected. This paper intends to propose a solution that will provide citizens, businesses and medical enterprises with improved access to medical virtual public services. Referred medical services are based on existing national medical Web services and which support medically required services provided by physicians and supplementary health care practitioners, laboratory services and diagnostic procedures, clinics and hospitals’ services. Requirements and specific rules of these medical services are considered, and personalization of user preferences will to be supported. The architecture is based on adaptable process management technologies, allowing for virtual services which are dynamically combined from existing national medical services. In this way, a comprehensive workflow process is set up, allowing for service-level agreements, an audit trail and explanation of the process to the end user. The process engine operates on top of a virtual repository, providing a high-level semantic view of information retrieved from heterogeneous information sources, such as national sources of medical services. The system relies on a security framework to ensure all high-level security requirements are met. System’s architecture is business oriented: it focuses on Service Oriented Architecture - SOA concepts, asynchronously combining Web services, Business Process Management – BPM rules and BPEL standards.

  20. Brookhaven superconducting cable test facility

    Energy Technology Data Exchange (ETDEWEB)

    Forsyth, E.B.; Gibbs, R.J.

    1976-08-17

    Construction has started on an outdoor testing station for flexible ac superconducting power transmission cables. It is intended to serve as an intermediate step between laboratory-scale experiments and qualification testing of prototype-scale cables. The permanent equipment includes a 500 W supercritical helium refrigerator using a screw compressor and multistage turbine expanders. Helium storage for 250,000 cu ft of helium at 250 psi is provided. Initially, the cables will be tested in a horizontal cryostat some 250 ft long. High-voltage 60 Hz tests will be performed with the cable in a series resonant mode with a maximum line to ground capability of 240 kV, this is adequate for a 138 kV system design. Impulse testing up to about 650 kV is planned. The cable conductor will be energized by current transformers, initially at about 4 kA and later up to fault levels of 40 kA. The refrigerator is now at the site and testing on a dummy load will commence in the Fall of 1976. The cryostat will be installed in 1977 followed about a year later by the first cable tests.

  1. Medication safety.

    Science.gov (United States)

    Keohane, Carol A; Bates, David W

    2008-03-01

    Patient safety is a state of mind, not a technology. The technologies used in the medical setting represent tools that must be properly designed, used well, and assessed on an on-going basis. Moreover, in all settings, building a culture of safety is pivotal for improving safety, and many nontechnologic approaches, such as medication reconciliation and teaching patients about their medications, are also essential. This article addresses the topic of medication safety and examines specific strategies being used to decrease the incidence of medication errors across various clinical settings.

  2. Statistical analysis of regional capital and operating costs for electric power generation

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, L.R.; Myers, M.G.; Herrman, J.A.; Provanizano, A.J.

    1977-10-01

    This report presents the results of a three and one-half-month study conducted for Brookhaven National Lab. to develop capital and operating cost relationships for seven electric power generating technologies: oil-, coal-, gas-, and nuclear-fired steam-electric plants, hydroelectric plants, and gas-turbine plants. The methodology is based primarily on statistical analysis of Federal Power Commission data for plant construction and annual operating costs. The development of cost-output relationships for electric power generation is emphasized, considering the effects of scale, technology, and location on each of the generating processes investigated. The regional effects on cost are measured at the Census Region level to be consistent with the Brookhaven Multi-Regional Energy and Interindustry Regional Model of the United States. Preliminary cost relationships for system-wide costs - transmission, distribution, and general expenses - were also derived. These preliminary results cover the demand for transmission and distribution capacity and operating and maintenance costs in terms of system-service characteristics. 15 references, 6 figures, 23 tables.

  3. The Operation of the Overall Pooling Fund of Basic Medical Insurance for Fujian Urban Employees%福建省城镇职工医保统筹基金运行分析

    Institute of Scientific and Technical Information of China (English)

    李玉水; 阚小冬; 官孝熙; 陈新榕

    2014-01-01

    通过对参保人数变化、基金收支情况及累计结余、个人账户的情况分析,探讨了福建省职工医保统筹基金运行现状,并深入分析医保统筹基金平衡的相关因素,从基金收入、支出、管理三方面提出保持医保统筹基金平稳运行的建议。%By the analysis of the change of insured number, fund revenues and expenditures, accumulated balances and personal account, we discuss the operation status of the overall pooling fund of basic medical insurance for Fujian urban employees, and further analyze the relevant factors inlfuencing the balance of pooling fund. Then, we suggest from three areas, i.e., fund income, expenditure, and management to keep the overall pooling fund run smoothly.

  4. Exploration Medical System Technical Development

    Science.gov (United States)

    McGuire, K.; Middour, C.; Cerro, J.; Burba, T.; Hanson, A.; Reilly, J.; Mindock, J.

    2017-01-01

    The Exploration Medical Capability (ExMC) Element systems engineering goals include defining the technical system needed to implement exploration medical capabilities for Mars. This past year, scenarios captured in the medical system concept of operations laid the foundation for systems engineering technical development work. The systems engineering team analyzed scenario content to identify interactions between the medical system, crewmembers, the exploration vehicle, and the ground system. This enabled the definition of functions the medical system must provide and interfaces to crewmembers and other systems. These analyses additionally lead to the development of a conceptual medical system architecture. The work supports the ExMC community-wide understanding of the functional exploration needs to be met by the medical system, the subsequent development of medical system requirements, and the system verification and validation approach utilizing terrestrial analogs and precursor exploration missions.

  5. Survey of infection protection knowledge and personal protection condition of medical staff in operating rooms%手术室工作人员感染防护知识掌握及个人防护调查研究

    Institute of Scientific and Technical Information of China (English)

    高宝琴; 王丽娜; 杨彬霞; 朱玉花; 张永强

    2013-01-01

    OBJECTIVE To survey and research the infection protection knowledge and the personal protection condition of the medical staff in operating rooms and put forward rational improvement measures so as to better protect the physical and mental health of the operating room staff.METHODS A total of 50 operating room staff were randomly selected for questionnaire survey,and the questionnaire mainly included the infection protection knowledge and the personal protection measures,then the survey results were analyzed.RESULTS Totally 56.00% of the staff suffered from the sharp instrument injuries,78.00% of the staff could master the treatment measures after the sharp instrument injuries.Most of the staff lacked the infection protection knowledge when they carried out the infection operation or the blood transfusion for the patients,accounting for 22.00% and 26.00%,respectively;the staff who performed the assistant radiotherapy accounted for 68.00%,the staff who lacked the disinfectant protection knowledge 48.00 %.CONCLUSION The operating room staff lack the knowledge of the infection and the personal protection,it is necessary to carry out the targeted training of the protection awareness and the protection measures.%目的 调查研究手术室工作人员感染防护知识掌握情况及个人防护情况,提出合理改进措施,以更好保护手术室工作人员身心健康.方法 随机抽取50名手术室工作人员进行问卷调查,问卷内容主要包括感染防护知识及个人防护措施掌握两个部分,对问卷调查结果进行分析.结果 有56.00%的医护人员有锐器伤经历,78.00%的医护人员掌握锐器伤后正确处理措施;在进行感染手术及为患者抽血输液时多数缺乏感染防护知识,分别占22.00%及26.00%;放射辅助手术及消毒液防护意识知识缺乏,分别占68.00%及48.00%.结论 手术室工作人员在感染知识及个人防护上存在欠缺,需针对性加强防护意识及防护技能培训.

  6. Medical Scientists

    Science.gov (United States)

    ... Projected Employment, 2024 Change, 2014-24 Employment by Industry Percent Numeric SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program Medical scientists, except epidemiologists 19- ...

  7. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation, January 1983-December 1984

    Energy Technology Data Exchange (ETDEWEB)

    Adams, W.H.; Engle, J.R.; Harper, J.A.; Heotis, P.M.; Scott, W.A.

    1986-01-01

    March 1, 1984, was the 30th anniversary of the Bravo thermonuclear test that resulted in the accidental exposure of the populations of Rongelap and Utirik atolls to radioactive fallout. The chronicling of the medical events resulting from that exposure is continued in this report, which covers the period from January 1983 through December 1984. An updated listing of all relevant publications from the Medical Department Brookhaven National Laboratory, is presented in the Reference Section. Thirty years of observation continue to show no detectable increase in mortality in the exposed population as a result of that exposure. The survival curves of the high-exposure Rongelap group, the low-exposure Utirik population, and an unexposed group of Rongelap people matched by age and sex to the exposed Rongelap group in 1957 continue to be similar. 89 refs., 2 figs., 6 tabs.

  8. FROM POLLUTER TO PROTECTOR: THE CHALLENGES OF CHANGING CULTURE, OPERATIONS AND IMAGE

    Energy Technology Data Exchange (ETDEWEB)

    ZIMMERMAN,E.A.

    2000-07-25

    Brookhaven National Laboratory is a US Department of Energy (DOE) multi-program research facility, located in Suffolk County in Long Island, New York. In 1997, groundwater monitoring revealed significant levels of tritium contamination from a reactor fuel pool. The public reaction was immediate and intense. In an unprecedented move, DOE terminated the contractor and rebid the Laboratory management contract. Brookhaven Science Associates (BSA), a partnership between Battelle and the State University of New York at Stony Brook, won the contract. BSA faced enormous challenges in the environmental area. One was changing the culture and mindset of staff and management with regard to environmental protection. Another was changing operations to fully integrate environmental stewardship into all facets of the Laboratory's missions. And finally, BSA needed to change the Laboratory's public image. This paper describes how BSA faced those challenges. DOE and BSA entered into a voluntary agreement with the US Environmental Protection Agency to conduct an in-depth evaluation of the environmental aspects and impacts of all activities onsite. A project was initiated to explore environmental problems associated with historical activities. BSA also has made significant investments in developing and implementing an Environmental Management System that is consistent with the ISO 14001 standard, with enhancements in the area of compliance assurance. Finally, BSA improved its community involvement program to develop and maintain a positive, proactive and constructive relationship with stakeholders. This paper discusses the approach and results of these efforts. For example, one of major facilities at Brookhaven National Laboratory was recently certified to the ISO 14001 standard, becoming the first Long Island-based organization and the first DOE Office of Science facility to achieve registration.

  9. 我院药品运营的信息化管理与用药安全%Information Management of Drug Operations and Medication Safety in Our Hospital

    Institute of Scientific and Technical Information of China (English)

    沈怡雯; 王永庆; 孟玲; 王忠民; 顾民

    2016-01-01

    为实现医院药品运营的全程信息化管理,加强药品可溯源化管理,保障临床用药安全,引入RFID (Radio Frequency Identification,即射频识别)技术,通过医院内部 SCM (Supply Chain Management,即供应链管理)、WMS (Warehouse Management System,即仓储管理系统)、PASS (Prescription Automatic Screening System,即合理用药监测系统)、MCDEX (Clinical Drug Reference,即药物临床信息参考)合理用药信息支持系统等药品信息化平台的构建和运行,连接外部药品监管网络,建立了我院药品运营使用的全方位信息化管理模式。通过医院药品运营的多个管理软件系统的建设,达到了简化工作流程,提高工作效率,降低药品损耗,保障临床用药安全等优质管理目标。全方位的医院药品信息化安全建设,有利于加强药品可溯源化管理和患者用药安全。%In order to develop a whole process information system for drug operations and to ensure the safe clinical medication in our hospital, RFID (Radio Frequency Identification) technology was applied into the information management of drug operations. SCM (Supply Chain Management), WMS (Warehouse Management System), PASS (Prescription Automatic Screening System), MCDEX (Clinical Drug Reference) and other information systems were established and used for drug management in the hospital. The inner information systems were connected to exterior drug regulatory information systems, which formed a compre-hensive information system for drug management in the hospital. The drug management process was simpli-fied, work efficiency was improved, and drug wastage was dropped with the establishment of comprehensive information system in the hospital. In the meanwhile, drug safety for patients was also improved. The de-velopment of full range information system for drug security in hospitals is beneficial to strengthen drug tracing management and drug

  10. [Euthanasia: medications and medical procedures].

    Science.gov (United States)

    Lossignol, D

    2008-09-01

    The Belgian law relative to euthanasia has been published in 2002. A physician is allowed to help a patient with intractable suffering (physical or psychological). Legal conditions are clear. However, nothing is said about medical procedures or medications to be used. The present paper will present specific clinical situations at the end of life, practical procedures and medications. A special focus is made on psychological impact of euthanasia.

  11. Medical Abortion.

    Science.gov (United States)

    Costescu, Dustin; Guilbert, Edith; Bernardin, Jeanne; Black, Amanda; Dunn, Sheila; Fitzsimmons, Brian; Norman, Wendy V; Pymar, Helen; Soon, Judith; Trouton, Konia; Wagner, Marie-Soleil; Wiebe, Ellen; Gold, Karen; Murray, Marie-Ève; Winikoff, Beverly; Reeves, Matthew

    2016-04-01

    This guideline reviews the evidence relating to the provision of first-trimester medical induced abortion, including patient eligibility, counselling, and consent; evidence-based regimens; and special considerations for clinicians providing medical abortion care. Gynaecologists, family physicians, registered nurses, midwives, residents, and other healthcare providers who currently or intend to provide pregnancy options counselling, medical abortion care, or family planning services. Women with an unintended first trimester pregnancy. Published literature was retrieved through searches of PubMed, MEDLINE, and Cochrane Library between July 2015 and November 2015 using appropriately controlled vocabulary (MeSH search terms: Induced Abortion, Medical Abortion, Mifepristone, Misoprostol, Methotrexate). Results were restricted to systematic reviews, randomized controlled trials, clinical trials, and observational studies published from June 1986 to November 2015 in English. Additionally, existing guidelines from other countries were consulted for review. A grey literature search was not required. The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force for Preventive Medicine rating scale (Table 1). Medical abortion is safe and effective. Complications from medical abortion are rare. Access and costs will be dependent on provincial and territorial funding for combination mifepristone/misoprostol and provider availability. Introduction Pre-procedure care Medical abortion regimens Providing medical abortion Post-abortion care Introduction Pre-procedure care Medical abortion regimens Providing medical abortion Post-abortion care. Copyright © 2016 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

  12. Computers, medical care and privacy.

    Science.gov (United States)

    Fresse, J

    1985-01-01

    This paper describes Physician Actuated Computerized Treatment (PACT) which provides paperless Medical Office Management (MOM) (1). Software, hardware and physician are fused to produce an on-line database medical management system containing medical records, clerical functions and bookkeeping. PACT developed in the 1980's, was financed entirely by private physicians in a working clinical environment. MOM operates on a mini-computer with a minimum of 10 MB hard disk and 16K of memory. Maximum system design is a function of cost and total desired on-line storage. User friendly screens can prompt the operator in English, Spanish, French, German and Italian. Data entry is in native language.

  13. Medical Malpractice

    DEFF Research Database (Denmark)

    Grembi, Veronica

    2014-01-01

    MM first came to the attention of policy makers primarily in the USA where, from the 1970s, healthcare providers denounced problems in getting insurance for medical liability, pointing out to a crisis in the MM insurance market (Sage WM (2003) Understanding the first malpractice crisis of the 21th...... in the last decades also among European countries (Hospitals of the European Union (HOPE) (2004) Insurance and malpractice, final report. Brussels, www.hope.be; OECD (2006) Medical malpractice, insurance and coverage options, policy issues in insurance n.11; EC (European Commission, D.G. Sanco) (2006) Special...... eurobarometer medical errors)...

  14. Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1. Volume 5: Analysis of core damage frequency from seismic events for plant operational state 5 during a refueling outage

    Energy Technology Data Exchange (ETDEWEB)

    Budnitz, R.J. [Future Resources Associates, Inc., Berkeley, CA (United States); Davis, P.R. [PRD Consulting (United States); Ravindra, M.K.; Tong, W.H. [EQE International, Inc., Irvine, CA (United States)

    1994-08-01

    In 1989 the US Nuclear Regulatory Commission (NRC) initiated an extensive program to examine carefully the potential risks during low-power and shutdown operations. The program included two parallel projects, one at Sandia National Laboratories studying a boiling water reactor (Grand Gulf), and the other at Brookhaven National Laboratory studying a pressurized water reactor (Surry Unit 1). Both the Sandia and Brookhaven projects have examined only accidents initiated by internal plant faults---so-called ``internal initiators.`` This project, which has explored the likelihood of seismic-initiated core damage accidents during refueling outage conditions, is complementary to the internal-initiator analyses at Brookhaven and Sandia. This report covers the seismic analysis at Grand Gulf. All of the many systems modeling assumptions, component non-seismic failure rates, and human effort rates that were used in the internal-initiator study at Grand Gulf have been adopted here, so that the results of the study can be as comparable as possible. Both the Sandia study and this study examine only one shutdown plant operating state (POS) at Grand Gulf, namely POS 5 representing cold shutdown during a refueling outage. This analysis has been limited to work analogous to a level-1 seismic PRA, in which estimates have been developed for the core-damage frequency from seismic events during POS 5. The results of the analysis are that the core-damage frequency for earthquake-initiated accidents during refueling outages in POS 5 is found to be quite low in absolute terms, less than 10{sup {minus}7}/year.

  15. Operational amplifiers

    CERN Document Server

    Dostal, Jiri

    1993-01-01

    This book provides the reader with the practical knowledge necessary to select and use operational amplifier devices. It presents an extensive treatment of applications and a practically oriented, unified theory of operational circuits.Provides the reader with practical knowledge necessary to select and use operational amplifier devices. Presents an extensive treatment of applications and a practically oriented, unified theory of operational circuits

  16. Medical Imaging.

    Science.gov (United States)

    Barker, M. C. J.

    1996-01-01

    Discusses four main types of medical imaging (x-ray, radionuclide, ultrasound, and magnetic resonance) and considers their relative merits. Describes important recent and possible future developments in image processing. (Author/MKR)

  17. Medical error

    African Journals Online (AJOL)

    QuickSilver

    Michael Berk. Department of Psychiatry, University of Melbourne, Australia .... inaccurate and inflammatory media reports their community accepted the ex- ... non-medical situations such as the aviation industry and nuclear power tech- nology ...

  18. Medical Illustration

    Science.gov (United States)

    ... Accredited programs prepare students for a career in academic or research health science centers, industry, or consulting. As members of the health career profession with strong communication skills, medical illustrators work closely with clients to interpret ...

  19. Medical education.

    Science.gov (United States)

    Krishnan, P

    1992-01-01

    In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.

  20. Medical intellectuals: resisting medical orientalism.

    Science.gov (United States)

    Aull, Felice; Lewis, Bradley

    2004-01-01

    In this paper, we propose analogies between medical discourse and Edward Said's "Orientalism." Medical discourse, like Orientalism, tends to favor institutional interests and can be similarly dehumanizing in its reductionism, textual representations, and construction of its subjects. To resist Orientalism, Said recommends that critics--"intellectuals"--adopt the perspective of exile. We apply Said's paradigm of intellectual-as-exile to better understand the work of key physician-authors who cross personal and professional boundaries, who engage with patients in mutually therapeutic relationships, and who take on the public responsibility of representation and advocacy. We call these physician-authors "medical intellectuals" and encourage others to follow in their path.

  1. DEVELOPMENT, INSTALLATION AND OPERATION OF THE MPC&A OPERATIONS MONITORING (MOM) SYSTEM AT THE JOINT INSTITUTE FOR NUCLEAR RESEARCH (JINR) DUBNA, RUSSIA

    Energy Technology Data Exchange (ETDEWEB)

    Kartashov,V.V.; Pratt,W.; Romanov, Y.A.; Samoilov, V.N.; Shestakov, B.A.; Duncan, C.; Brownell, L.; Carbonaro, J.; White, R.M.; Coffing, J.A.

    2009-07-12

    The Material Protection, Control and Accounting (MPC&A) Operations Monitoring (MOM) systems handling at the International Intergovernmental Organization - Joint Institute for Nuclear Research (JINR) is described in this paper. Category I nuclear material (plutonium and uranium) is used in JINR research reactors, facilities and for scientific and research activities. A monitoring system (MOM) was installed at JINR in April 2003. The system design was based on a vulnerability analysis, which took into account the specifics of the Institute. The design and installation of the MOM system was a collaborative effort between JINR, Brookhaven National Laboratory (BNL) and the U.S. Department of Energy (DOE). Financial support was provided by DOE through BNL. The installed MOM system provides facility management with additional assurance that operations involving nuclear material (NM) are correctly followed by the facility personnel. The MOM system also provides additional confidence that the MPC&A systems continue to perform effectively.

  2. Medical treatment in carotid artery intervention

    NARCIS (Netherlands)

    Kolkert, J. L.; Meerwaldt, R.; Lefrandt, Johan; Geelkerken, R. H.; Zeebregts, C. J.

    2011-01-01

    Medical treatment has a pivotal role in the treatment of patients with occlusive carotid artery disease. Large trials have provided the justification for operative treatment besides medical treatment in patients with recent significant carotid artery stenosis two decades ago. Since then, medical the

  3. Emergency Medical Service

    Science.gov (United States)

    1980-01-01

    Lewis Research Center helped design the complex EMS Communication System, originating from space operated telemetry, including the telemetry link between ambulances and hospitals for advanced life support services. In emergency medical use telemetry links ambulances and hospitals for advanced life support services and allows transmission of physiological data -- an electrocardiogram from an ambulance to a hospital emergency room where a physician reads the telemetered message and prescribes emergency procedures to ambulance attendants.

  4. Medical Renaissance.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2015-06-01

    The Medical Renaissance started as the regular Renaissance did in the early 1400s and ended in the late 1600s. During this time great medical personalities and scholar humanists made unique advances to medicine and surgery. Linacre, Erasmus, Leonicello and Sylvius will be considered first, because they fit the early classic Renaissance period. Andreas Vesalius and Ambroise Paré followed thereafter, making outstanding anatomical contributions with the publication of the "Human Factory" (1543) by Vesalius, and describing unique surgical developments with the publication of the "The Apologie and Treatise of Ambroise Paré." At the end of the Renaissance and beginning of the New Science, William Harvey, noted British medical doctor and cardiovascular researcher, discovered the general circulation. He published his findings in "The Motu Cordis" in 1628 (Figure 1). The Medical Renaissance, in summary, included a great number of accomplished physicians and surgeons who made especial contributions to human anatomy; Vesalius assembled detailed anatomical information; Paré advanced surgical techniques; and Harvey, a medical genius, detailed the circulatory anatomy and physiology.

  5. 非战争军事行动应急药材保障存在的问题及对策建议%Problems and countermeasures of emergency medical material support in military operation other than war

    Institute of Scientific and Technical Information of China (English)

    王媛媛; 付岩岩; 陈盛新

    2011-01-01

    Objective To explore the problems and put forward the countermeasures of emergency medical material support in MOOTW. Methods According to the basic characteristics of emergency medical material support in MOOTW , the shortage of collection, reservation, supply and technical support of current emergency medical material support were analyzed. Results The collection training emergency medical material support should be enhanced. Variety reservation models of medical material support should be explored. The power of main channel supply should be strengthened. The technical support of medical material support should be improved.%目的 探讨非战争军事行动应急药材保障中存在的问题,并提出对策建议.方法 根据非战争军事行动应急药材保障的基本特点,分析当前应急药材保障上作在药材筹措、储备、供应和技术保障方面存在的不足之处.结果 非战争军事行动应急药材保障应进一步加强药材筹措训练,探索多种形式的药材储备模式,加大主渠道供应的力度,提高药材保障的技术支持.

  6. Fiscal 1998 survey report. Medical equipment (Development of fine sampling/analysis system for blood / Development of high-precision 3-D image diagnosis system / Development of low-invasion operation support system / Total development of artificial internal organ technologies); 1998 nendo chosa hokokusho. Iryo kiki (ketsuekinado biryo saishu, biryo bunseki system kaihatsu/koseido sanjigen eizo shindan system kaihatsu/teishinshu shujutsu shien system kaihatsu/jinko zoki gijutsu sogo kaihatsu)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    For efficient medical care supply systems, the R and D of advanced medical care technology and equipment largely contribute to productivity improvement for medical care services. Among them, a progress of medical care technology is becoming important for preparation of efficient and fair supply systems. MITI thus established 'Medical care and welfare equipment development project' in 1994, and has promoted the strategic long-term R and D project of medical care and welfare equipment as joint R and D project of NEDO and private enterprises. In fiscal 1998, on the development of the fine sampling/analysis system for blood, the high- precision 3-D image diagnosis system, the low-invasion operation support system, and the artificial internal organ technologies since fiscal 1996, this project clarified essential technical issues based on the future view, selected some themes to be newly developed in the future, and surveyed and evaluated the details of their R and D concretely. (NEDO)

  7. Medical emplotment

    DEFF Research Database (Denmark)

    Mønsted, Troels Sune

    ’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions...... philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients...

  8. Medical leasing.

    Science.gov (United States)

    Holden, Elizabeth A

    2012-01-01

    Leases for medical space can have far-reaching (and sometimes unintentional) consequences for the future of the practice and the costs of the business. In order to prevent hardship and expense down the line, it is especially important to review the lease to make sure that it reflects the practice's goals, needs, and structure. This article provides a number of provisions that are especially crucial to review and negotiate when leasing medical space, including use restrictions, assignment and subleasing clauses, build-out terms, and legal compliance requirements.

  9. Medical emplotment

    DEFF Research Database (Denmark)

    Mønsted, Troels Sune

    ’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions...... philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients...

  10. 新型城市医疗卫生服务体系下流行病学研究中的偏倚控制%CONTROL OF THE BIAS OF EPIDEMIOLOGICAL RESEARCHES UNDER THE SYSTEM OF IMPROVED CITY MEDICAL SERVICE CO-OPERATION

    Institute of Scientific and Technical Information of China (English)

    左群; 何蓓; 胡高潮; 张宗光; 刘辉

    2011-01-01

    本文分析了当前流行病学研究中偏倚问题的存在现状,从完善新型城市医疗卫生服务协作体系的角度,论述了在新的医疗卫生服务模式下,服务对象个人健康信息的完善对流行病学人群研究中控制失访偏倚、无应答偏倚、回忆偏倚、说谎偏倚、现患病例-新病例偏倚和混杂偏倚等的助益作用.%The current problems on the epidemiological research quality were reviewed. From the view of improving the city medical service co-operation system, it was discussed how the well-being of city medical service co-operation system benefited to control non-respondent bias, objective-losing bias, recall bias, lying bias, prevalence-incidence bias, and confounding bias, in order to explore the function of new city medical service co-operation system.

  11. Stability Analysis of ISS Medications

    Science.gov (United States)

    Wotring, V. E.

    2014-01-01

    It is known that medications degrade over time, and that extreme storage conditions will hasten their degradation. The temperature and humidity conditions of the ISS have been shown to be within the ideal ranges for medication storage, but the effects of other environmental factors, like elevated exposure to radiation, have not yet been evaluated. Current operational procedures ensure that ISS medications are re-stocked before expiration, but this may not be possible on long duration exploration missions. For this reason, medications that have experienced long duration storage on the ISS were returned to JSC for analysis to determine any unusual effects of aging in the low- Earth orbit environment. METHODS Medications were obtained by the JSC Pharmacy from commercial distributors and were re-packaged by JSC pharmacists to conserve up mass and volume. All medication doses were part of the ISS crew medical kit and were transported to the International Space Station (ISS) via NASA's Shuttle Transportation System (Space Shuttle). After 568 days of storage, the medications were removed from the supply chain and returned to Earth on a Dragon (SpaceX) capsule. Upon return to Earth, medications were transferred to temperature and humidity controlled environmental chambers until analysis. Nine medications were chosen on the basis of their availability for study. The medications included several of the most heavily used by US crewmembers: 2 sleep aids, 2 antihistamines/decongestants, 3 pain relievers, an antidiarrheal and an alertness medication. Each medication was available at a single time point; analysis of the same medication at multiple time points was not possible. Because the samples examined in this study were obtained opportunistically from medical supplies, there were no control samples available (i.e. samples aged for a similar period of time on the ground); a significant limitation of this study. Medications were analyzed using the HPLC/MS methods described in

  12. Operational calculus

    CERN Document Server

    Boehme, Thomas K

    1987-01-01

    Operational Calculus, Volume II is a methodical presentation of operational calculus. An outline of the general theory of linear differential equations with constant coefficients is presented. Integral operational calculus and advanced topics in operational calculus, including locally integrable functions and convergence in the space of operators, are also discussed. Formulas and tables are included.Comprised of four sections, this volume begins with a discussion on the general theory of linear differential equations with constant coefficients, focusing on such topics as homogeneous and non-ho

  13. Operating systems

    CERN Document Server

    Tsichritzis, Dionysios C; Rheinboldt, Werner

    1974-01-01

    Operating Systems deals with the fundamental concepts and principles that govern the behavior of operating systems. Many issues regarding the structure of operating systems, including the problems of managing processes, processors, and memory, are examined. Various aspects of operating systems are also discussed, from input-output and files to security, protection, reliability, design methods, performance evaluation, and implementation methods.Comprised of 10 chapters, this volume begins with an overview of what constitutes an operating system, followed by a discussion on the definition and pr

  14. Schwartz operators

    Science.gov (United States)

    Keyl, M.; Kiukas, J.; Werner, R. F.

    2016-05-01

    In this paper, we introduce Schwartz operators as a non-commutative analog of Schwartz functions and provide a detailed discussion of their properties. We equip them, in particular, with a number of different (but equivalent) families of seminorms which turns the space of Schwartz operators into a Fréchet space. The study of the topological dual leads to non-commutative tempered distributions which are discussed in detail as well. We show, in particular, that the latter can be identified with a certain class of quadratic forms, therefore making operations like products with bounded (and also some unbounded) operators and quantum harmonic analysis available to objects which are otherwise too singular for being a Hilbert space operator. Finally, we show how the new methods can be applied by studying operator moment problems and convergence properties of fluctuation operators.

  15. Transition Operators

    CERN Document Server

    Alcock-Zeilinger, Judith

    2016-01-01

    In this paper, we give a generic algorithm of the transition operators between Hermitian Young projection operators corresponding to equivalent irreducible representations of SU(N), using the compact expressions of Hermitian Young projection operators derived in a companion paper. We show that the Hermitian Young projection operators together with their transition operators constitute a fully orthogonal basis for the algebra of invariants of $V^{\\otimes m}$ that exhibits a systematically simplified multiplication table. We discuss the full algebra of invariants over $V^{\\otimes 3}$ and $V^{\\otimes 4}$ as explicit examples. In our presentation we make use of various standard concepts such as Young projection operators, Clebsch-Gordan operators, and invariants (in birdtrack notation). We tie these perspectives together and use them to shed light on each other.

  16. 非战争军事行动中军队医院机动卫勤分队模块化抽组的建设思考%Think about constructing modular pumping grouping of military hospital's mobile medical units in the military operations other than war

    Institute of Scientific and Technical Information of China (English)

    赵从林; 李思睿

    2015-01-01

    In the military operations other than war(MOOTW),the ability and efficiency of mobile medical units of military hospitals in performing medical tasks depend on the convenience and accuracy of modular pumping grouping. The modularity approach is an effective method in dealing with complicated tasks. In an attempt to illustrate the complex problem of pumping grouping in the modular approach through combining the modularization principle and mobile medical unit pumping grouping ,this research has been an useful endeavor to improve the medical capacity of mobile medical units in military hospitals.%在非战争军事行动背景下,军队综合性医院机动卫勤分队遂行卫勤保障任务的效率和能力,取决于模块化抽组的便捷性和准确性。模块化是处理复杂问题的有效方法之一,本文将模块化原理和机动卫勤分队抽组有机结合起来,试图把复杂的抽组问题通过模块化方式得以阐述,为提高军队医院机动卫勤分队卫勤保障能力进行尝试。

  17. Medical Transcriptionists

    Science.gov (United States)

    ... Contact & Help Economic Releases Latest Releases » Major Economic Indicators » Schedules for news Releases » By Month By News ... employed in 2014. Most medical transcriptionists work for hospitals or in ... risk management, legal issues relating to healthcare documentation, and English ...

  18. Glaucoma medications.

    Science.gov (United States)

    Chae, Bora; Cakiner-Egilmez, Tulay; Desai, Manishi

    2013-01-01

    Glaucoma is a common eye condition that affects millions of individuals worldwide, making it the second-leading cause of blindness. Because glaucoma is associated with increased IOP level, the primary goal in treatment of glaucoma includes lowering IOP to prevent further progression of the disease. While various surgical interventions exist, medical therapy is currently the first line of treatment. Medical treatment of glaucoma includes topical beta-blockers, alpha-2 agonists, prostaglandins, parasympathomimetics and CAIs. Anti-glaucoma agents help reduce IOP by affecting the production of aqueous humor or increasing the outflow of aqueous through the trabecular or uveoscleral pathway. Choosing an appropriate medical regimen can be challenging and various factors such as efficacy, safety, cost and patient compliance must be considered. First-line treatment is often topical beta-blockers or prostaglandin analogs. However, beta-blocking agents can be associated with systemic side effects and need to be used cautiously in patients with serious concomitant cardiopulmonary disease. Alpha-2 agonists and parasympathomimetics are often considered second- or third-line treatment options but good adjunctive agents. Oral CAIs are often indicated for patients with elevated IOP in an acute setting or for patients resistant to other glaucoma medications and patients who are not good surgical candidates.

  19. Medic Bleep.

    Science.gov (United States)

    2017-03-15

    Medic Bleep is a secure instant messaging app that enables clinicians to discuss patient care quickly, securely and legally. It looks and feels like WhatsApp, but has been designed for the healthcare market to enable staff to communicate with each other, and to help speed up conversations between clinicians to increase efficiency.

  20. Medication Errors

    Science.gov (United States)

    ... Proprietary Names (PDF - 146KB) Draft Guidance for Industry: Best Practices in Developing Proprietary Names for Drugs (PDF - 279KB) ... or (301) 796-3400 druginfo@fda.hhs.gov Human Drug ... in Medication Errors Resources for You Agency for Healthcare Research and Quality: ...

  1. Concepts and techniques: Active electronics and computers in safety-critical accelerator operation

    Energy Technology Data Exchange (ETDEWEB)

    Frankel, R.S.

    1995-12-31

    The Relativistic Heavy Ion Collider (RHIC) under construction at Brookhaven National Laboratory, requires an extensive Access Control System to protect personnel from Radiation, Oxygen Deficiency and Electrical hazards. In addition, the complicated nature of operation of the Collider as part of a complex of other Accelerators necessitates the use of active electronic measurement circuitry to ensure compliance with established Operational Safety Limits. Solutions were devised which permit the use of modern computer and interconnections technology for Safety-Critical applications, while preserving and enhancing, tried and proven protection methods. In addition a set of Guidelines, regarding required performance for Accelerator Safety Systems and a Handbook of design criteria and rules were developed to assist future system designers and to provide a framework for internal review and regulation.

  2. 医保第三方监管机制运行效果分析%Analysis of the Operational Effect of the Third Party Supervision Mechanism in Medical Insurance

    Institute of Scientific and Technical Information of China (English)

    叶琪望

    2014-01-01

    To deal with the situation of high specialty of medical services and the difficulty in effect supervision of excessive medical treatment, the effect introducing third party supervision mechanism in health insurance has been explored in Shaoguan since 2006. This article analyzed its effect , and puts forward several opinions and suggestions to improve third party supervision mechanism in the medical insurance system.%针对医保管理中,医疗服务的高度专业性、过度医疗难以有效监管问题,韶关市自2006年起探索医保第三方监管机制,本文分析了医保第三方监管机制的运行效果。

  3. Research on Zhejiang Province Rural Medical Assistance Operation Status and System%浙江省农村医疗救助运行现状与体系完善研究

    Institute of Scientific and Technical Information of China (English)

    林瑾; 俞林伟

    2015-01-01

    Rural medical treatment is the weakest link in the whole medical treatment system, but it is to ensure the most effective means of farmers health right and the right to survival.This is a measure can solve t the problem of poor medical treatment, At the same time ,can improve the social relief system. This paper selects several representative counties in Zhe-jiang province. carrying on the investigation and the analysis, according to the current urban and rural medical assistance system, from the objects of salvage, rescue standards, assistance program, rescue and other dimensions of several local rural medical assistance practice patterns to be compared and analyzed. Otherwise, the research group base on the survey data about “rural medical assistance to cognition questionnaire”from 45 counties in Zhejiang Province .On this basis, combined with the situation in Zhejiang Province and China rural medical assistance system development trend, and points out existing problems and put forward the future of Zhejiang Province rural medical assistance system to improve the path and strategy.%农村医疗救助是整个医疗救助体系中最薄弱的环节,但它却是保障农民健康权和生存权最有效的手段,是从制度层面缓解困难群众无力就医问题的重大举措,是完善城乡社会救助体系的重要步骤[1]。该研究选取了浙江省多个具有代表性的县(市区),根据其现行的医疗救助制度,从救助对象、救助标准、救助程序等维度对样本农村地区的医疗救助实践模式进行比较分析。并在面向浙江省45个县(市区)开展的有关“农民对医疗救助认知情况”调查数据基础上,分析浙江省农村医疗救助在实践运行中存在的问题并提出“加大救助投入”、“开展即时救助”、“与新农合制度衔接”等相应对策。

  4. A Study to Determine if Ethics Committees Should be a Decision-Making and Review Mechanism for Matters Relating to No-Code Orders in the Continental United States Army Medical Department Hospitals with over One Hundred Total Operating Beds

    Science.gov (United States)

    1984-08-01

    Mexico Air Force hospitals on DNR procedures with inclosures of the Air Force’s general policy and Wilford Hall USAF Medical Center’s DNR guidelines are at...with a request for "assisted suicide" or voluntary euthanasia . "Do Not .:Lsuscitate" does not mean that the medical staff will take any affirmative steps...practice in responding to issues raised in the management of terminally ill patients. 4. The New Mexico Right to Die Act (the "Act", 24-7-1 to 24-7-11

  5. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  6. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  7. Spacecraft operations

    CERN Document Server

    Sellmaier, Florian; Schmidhuber, Michael

    2015-01-01

    The book describes the basic concepts of spaceflight operations, for both, human and unmanned missions. The basic subsystems of a space vehicle are explained in dedicated chapters, the relationship of spacecraft design and the very unique space environment are laid out. Flight dynamics are taught as well as ground segment requirements. Mission operations are divided into preparation including management aspects, execution and planning. Deep space missions and space robotic operations are included as special cases. The book is based on a course held at the German Space Operation Center (GSOC).

  8. Advanced Medical Technology Capacity Building and the Medical Mentoring Event: A Unique Application of SOF Counterinsurgency Medical Engagement Strategies.

    Science.gov (United States)

    Irizarry, Dan; Tate, Charmaine; Wey, Pierre-Francois; Batjom, Emmanuel; Nicholas, Thomas A; Boedeker, Ben H

    2012-01-01

    Background The Medical Civic Assistance Program (MEDCAP) is a military commander?s tool developed during the Vietnam War to gain access to and positively influence an indigenous population through the provision of direct medical care provided by military medical personnel, particularly in Counter Insurgency Operations (COIN). An alternative to MEDCAPs is the medical seminar (MEDSEM). The MEDSEM uses a Commander?s military medical assets to share culturally appropriate medical information with a defined indigenous population in order to create a sustainable training resource for the local population?s health system. At the heart of the MEDSEM is the ?train the trainer? concept whereby medical information is passed to indigenous trainers who then pass that information to an indigenous population. The MEDSEM achieves the Commander?s objectives of increasing access and influence with the population through a medical training venue rather than direct patient care. Previous MEDSEMS conducted in Afghanistan by military forces focused on improvement of rural healthcare through creation of Village Health Care Workers. This model can also be used to engage host nation (HN) medical personnel and improve medical treatment capabilities in population centers. The authors describe a modification of the MEDSEM, a Medical Mentorship (MM), conducted in November 2010 in Kabul, Afghanistan, at the Afghan National Army (ANA) National Medical Hospital. This training was designed to improve intubation skills in Afghan National Army Hospitals by ANA medical providers, leave residual training capability, and build relationships within the institution that not only assist the institution, but can also be leveraged to foster Commanders? objectives, such as health and reconstruction initiatives and medical partnering for indigenous corps and medical forces described below. Methods We, the authors, developed a culturally appropriate endotracheal intubation training package including a Dari and

  9. Magnetic nanoparticles in medical nanorobotics

    Science.gov (United States)

    Martel, Sylvain

    2015-02-01

    Medical nanorobotics is a field of robotics that exploits the physics at the nanoscale to implement new functionalities in untethered robotic agents aimed for ultimate operations in constrained physiological environments of the human body. The implementation of such new functionalities is achieved by embedding specific nano-components in such robotic agents. Because magnetism has been and still widely used in medical nanorobotics, magnetic nanoparticles (MNP) in particular have shown to be well suited for this purpose. To date, although such magnetic nanoparticles play a critical role in medical nanorobotics, no literature has addressed specifically the use of MNP in medical nanorobotic agents. As such, this paper presents a short introductory tutorial and review of the use of magnetic nanoparticles in the field of medical nanorobotics with some of the related main functionalities that can be embedded in nanorobotic agents.

  10. Magnetic nanoparticles in medical nanorobotics

    Energy Technology Data Exchange (ETDEWEB)

    Martel, Sylvain, E-mail: sylvain.martel@polymtl.ca [Polytechnique Montréal, NanoRobotics Laboratory, Department of Computer and Software Engineering, Institute of Biomedical Engineering (Canada)

    2015-02-15

    Medical nanorobotics is a field of robotics that exploits the physics at the nanoscale to implement new functionalities in untethered robotic agents aimed for ultimate operations in constrained physiological environments of the human body. The implementation of such new functionalities is achieved by embedding specific nano-components in such robotic agents. Because magnetism has been and still widely used in medical nanorobotics, magnetic nanoparticles (MNP) in particular have shown to be well suited for this purpose. To date, although such magnetic nanoparticles play a critical role in medical nanorobotics, no literature has addressed specifically the use of MNP in medical nanorobotic agents. As such, this paper presents a short introductory tutorial and review of the use of magnetic nanoparticles in the field of medical nanorobotics with some of the related main functionalities that can be embedded in nanorobotic agents.

  11. A Study to Determine the Evolution of Advances in Medical Technology Expected in the Next 25 Years and Possible Impacts on Coast Guard Operations and Support Programs. Appendix A. Medicine: The 20-Year Outlook.

    Science.gov (United States)

    1980-05-01

    Recklinghausen neurofibromatosis , hereditary endocrine adenomatosis types 1 and 2, multiple mucosal neuroma, retinoblastoma, vero- 17 derma pigmentosum...plutonium is not dangerous." 3 9 Yet another 27-year study of plutonium workers in New Mexico found no medical indica- "ions could be traced directly

  12. Medical imaging

    CERN Document Server

    Townsend, David W

    1996-01-01

    Since the introduction of the X-ray scanner into radiology almost 25 years ago, non-invasive imaging has become firmly established as an essential tool in the diagnosis of disease. Fully three-dimensional imaging of internal organs is now possible, b and for studies which explore the functional status of the body. Powerful techniques to correlate anatomy and function are available, and scanners which combine anatomical and functional imaging in a single device are under development. Such techniques have been made possible through r ecent technological and mathematical advances. This series of lectures will review both the physical basis of medical imaging techniques using X-rays, gamma and positron emitting radiosiotopes, and nuclear magnetic resonance, and the mathematical methods used to reconstruct three-dimentional distributions from projection data. The lectures will trace the development of medical imaging from simple radiographs to the present-day non-invasive measurement of in vivo biochemistry. They ...

  13. Medical physics

    Energy Technology Data Exchange (ETDEWEB)

    Pope, J.A. (Plymouth College (UK))

    1989-01-01

    A book on 'Medical Physics' is written in three parts. Part I discusses the physics of the human body including the expenditure of energy, human mechanics and the human response to light and sound. Part II describes the monitoring of various physiological parameters, such as temperatures and pressure using specialized transducers and systems employing radiotelemetric, ultrasonic and fibre-optic techniques. Part III on ionizing radiations discusses the production, properties and detection of the different radiations and the elements of dosimetry. The different types of radiation detectors are also described. Finally the diagnostic applications of radioactive tracer studies are discussed. The material selected for inclusion in this book reflects the requirements of the Joint Matriculation Board's A-level option on Medical Physics and at the end of each of the 15 chapters, there are questions on the content. Part III of the book has been selected and indexed separately. (UK).

  14. The pollution level of CO2 pneumoperitoneum in operation room and its influence on the health of medical staff%手术室CO2气腹污染程度及对医护人员健康的影响

    Institute of Scientific and Technical Information of China (English)

    徐晓; 张培培; 李莎; 陈继红

    2013-01-01

    Objective The purpose of this study is to define the pollution level of CO2 pneumoperitoneum in operation room and its influence on the health of medical personnel,and put forward certain countermeasures.Methods This research consisted of four groups of experiments,and gradually proved that the use of pneumoperitoneum machine would lead to air pollution in the operation room,and the health of medical staff were influenced too.The four experiments were:the maximum CO2 gas leakage experiment;laparotomy and pneumoperitoneum surgery in the operating room CO2 gas concentration control experiment;CO2 gas concentration increase on the influence of the medical staff experiment; long-time pneumoperitoneum surgery operating room CO2 gas concentration change experiment.Results The maximum CO2gas leakage situation could cause the operation room CO2 gas concentration to increase(> l 000× 104); pneumoperitoneum machine in actual use process,could cause the increase of CO2 gas concentration in operation room; increase of CO2 gas concentration had an impact on the vital signs of the medical staff,the heart rate and blood pressure were statistically different before and after the operation; during pneumoperitoneum surgery for a long time,indoor CO2 gas concentration increased (>1000× 10-6)and reduced quickly postoperation.Conclusions The use of C02 pneumoperitoneum machine in operation room influence the health of medical personnel.Effective protective measures dealing with gas pollution should be taken to reduce the chronic injury to medical staff.%目的 明确手术室CO2气腹的污染程度及对医护人员健康的影响,并提出一定的应对措施.方法 通过4组实验,逐步证明手术室中气腹机的使用是否会对手术室空气造成污染,并且对医护人员的健康产生影响.4项实验分别为:CO2气体最大泄漏实验;开腹手术与气腹手术的手术室空气CO2气体浓度对照实验;CO2气体浓度升高对医护人员的影响实验;

  15. Operation REDWING

    Science.gov (United States)

    1956-07-31

    only 16mm cinemascope films would be available after 1 August 1956t Act- tion was taken to modify the screens of the Terrace and Starlite theaters...approximately 900, was in operation throughout the interim and operational period. The Starlite Theater, which seats approximately 600, opened in

  16. OPERATION ASKARI

    African Journals Online (AJOL)

    operation using conventional arms against Swapo Plan, while they were still massed in their .... stationed there was no real threat to our planned operation. the idea was to sow confusion in the minds ...... A four by four transport vehi- cle, based ...

  17. Operational Sequencing

    DEFF Research Database (Denmark)

    Nielsen, Thomas Rosendal; Hustvedt, Kjersti

    2016-01-01

    by Bakhtinian theory, Brian Edmiston developed a solution to this in the 1990s: the principle of ‘dialogic sequencing’. Aiming to escape the conflict between relativism and absolutism, we present an alternative to Edmiston’s approach, based on Niklas Luhmann’s theory of ‘operational closure’: operational...

  18. Business & Operations

    Science.gov (United States)

    Agron, Joe

    2007-01-01

    This article presents an interview with John D. Musso, executive director of the Association of School Business Officials (ASBO) International. Musso talks about trends and issues that will most affect school business and operations in 2007 and beyond. Despite the challenges facing school operations, he believes that the key to being successful at…

  19. Operation crosscheck

    Energy Technology Data Exchange (ETDEWEB)

    Gilbert, F. C.

    1964-11-06

    This report consists of three sections covering the three major areas of Lawrence Livermore Laboratory`s participation in Operation Crosscheck. These areas are: Diagnostic Aircraft; Radiochemical Sampling; and Device Assembly and Handling, Barbers Point. The information contained in these sections has been extracted from Crosscheck post-operation reports.

  20. Operational Amplifiers.

    Science.gov (United States)

    Foxcroft, G. E.

    1986-01-01

    Addresses the introduction of low cost equipment into high school and college physical science classes. Examines the properties of an "ideal" operational amplifier and discusses how it might be used under saturated and non-saturated conditions. Notes the action of a "real" operational amplifier. (TW)

  1. JSC Pharmacy Services for Remote Operations

    Science.gov (United States)

    Stoner, Paul S.; Bayuse, Tina

    2005-01-01

    The Johnson Space Center Pharmacy began operating in March of 2003. The pharmacy serves in two main capacities: to directly provide medications and services in support of the medical clinics at the Johnson Space Center, physician travel kits for NASA flight surgeon staff, and remote operations, such as the clinics in Devon Island, Star City and Moscow; and indirectly provide medications and services for the International Space Station and Space Shuttle medical kits. Process changes that occurred and continued to evolve in the advent of the installation of the new JSC Pharmacy, and the process of stocking medications for each of these aforementioned areas will be discussed. Methods: The incorporation of pharmacy involvement to provide services for remote operations and supplying medical kits was evaluated. The first step was to review the current processes and work the JSC Pharmacy into the existing system. The second step was to provide medications to these areas. Considerations for the timeline of expiring medications for shipment are reviewed with each request. The third step was the development of a process to provide accountability for the medications. Results: The JSC Pharmacy utilizes a pharmacy management system to document all medications leaving the pharmacy. Challenges inherent to providing medications to remote areas were encountered. A process has been designed to incorporate usage into the electronic medical record upon return of the information from these remote areas. This is an evolving program and several areas have been identified for further improvement.

  2. Analysis on Operation Efficiency of Collaborative Management of Medical Institutions in County and Township Areas Based on DEA Method%基于DEA方法的县乡两级医疗机构协同管理运行效率分析

    Institute of Scientific and Technical Information of China (English)

    王碧艳; 方鹏骞

    2014-01-01

    Objective: This paper researches on the operation efficiency of cooperation management of medical institutions in county and township areas to provide evidence for the decision to further optimize the distribution of medical resources and improve the efficiency of usage in the whole County areas.Methods:The field study selects 22 county medical institutions in Zhejiang, Hebei, Jiangxi and Hainan provinces.Col-lecting the panel data from 2008 till 2010 in every hospital to analyze the operation efficiency of cooperation management of medical institutions in county and township areas based on DEA.Results: Between the year 2008 and 2010, the better county operation efficiency of cooperation man-agement of medical institutions in county and township areas, the average value of comprehensive efficiency, pure technical efficiency and scale efficiency has increased sharply after the construction of the cooperation management in 1990.Otherwise, the average county operation efficiency of cooperation management of medical institutions in county and township areas, the mean value of comprehensive efficiency, pure technical effi-ciency and scale efficiency has changed a little .Conclusion:The paper suggests that the cooperation management of medical institutions in county and township areas could improve the operation efficiency of the whole county medical institutions.%目的:分析县乡两级医疗机构协同管理运行效率,为进一步优化医疗资源配置、提高县域内医疗资源整体利用效率提供依据。方法:对浙江、河北、江西、海南4省的22家县级医疗机构进行现场调研,收集调研医院2008-2010年面板数据,通过DEA方法对县乡两级医疗机构协同管理的运行效率进行分析。结果:2008-2010年,县乡两级医疗机构协同管理开展较好的县,其被调查的10家县级医疗机构的综合效率均值、纯技术效率均值和规模效率均值在2009年改革之后均有明显增长

  3. 层流手术中人员流动次数与空气含菌量的关系%Relationship between quantum of bacteria in air and the movement of medical staff in laminar flow operation room

    Institute of Scientific and Technical Information of China (English)

    宋玉翠; 邱香廷

    2009-01-01

    Objective To investigate and evaluate the effect of personnel movement frequency during operation to quantum of bacteria in air in laminar flow operation room. Methods Air samples during 20 operation cases were collected by plat slab exposure method. The sampling-time was from starting laminar flow for 30 minutes (patients came into operation room at this time)to operation finish. During this time,samples were taken from the rooms every 30 minutes and persons' movement fre-quency were recorded. Results At each phase,the correlation coeffcient of persons' movement frequency during operation and quantum of bacteria in air in laminar flow operation room was 0. 945. There was correlation between quantum of bacteria in air and persons' movement. Quantum of bacte-ria of air would exceed national sanitary standard of normal operation room when persons' movement frequency was accumulated counted to 60. Conclusions During operation, persons' movement frequency will effect quantum of bacteria in air in laminar flow operation room directly,so we must strictly limit the number of persons' moving in or out operation room.%目的 了解并评价层流手术室中人员流动对空气含菌量的影响.方法 采用平板暴露法对20例手术进行术中空气采样,采样时间从层流30 min后手术患者入室前开始至手术结束,每隔30 min采样计数空气细菌;同时记录各时间段内人员流动次数.结果 层流手术室中各时间段平均人员流动次数及空气菌落数的相关系数为0.945,空气细菌含量与人员流动具有相关性,术中人员流动累计达60人次时空气微生物超过国家规定的普通手术室空气静态标准.结论 术中人员流动的次数,直接影响层流手术室空气中的细菌含量,层流手术室术中必须严格限制入室人员.

  4. Medical Data Architecture Project Status

    Science.gov (United States)

    Krihak, M.; Middour, C.; Lindsey, A.; Marker, N.; Wolfe, S.; Winther, S.; Ronzano, K.; Bolles, D.; Toscano, W.; Shaw, T.

    2017-01-01

    The Medical Data Architecture (MDA) project supports the Exploration Medical Capability (ExMC) risk to minimize or reduce the risk of adverse health outcomes and decrements in performance due to in-flight medical capabilities on human exploration missions. To mitigate this risk, the ExMC MDA project addresses the technical limitations identified in ExMC Gap Med 07: We do not have the capability to comprehensively process medically-relevant information to support medical operations during exploration missions. This gap identifies that the current International Space Station (ISS) medical data management includes a combination of data collection and distribution methods that are minimally integrated with on-board medical devices and systems. Furthermore, there are variety of data sources and methods of data collection. For an exploration mission, the seamless management of such data will enable an increasingly autonomous crew than the current ISS paradigm. The MDA will develop capabilities that support automated data collection, and the necessary functionality and challenges in executing a self-contained medical system that approaches crew health care delivery without assistance from ground support. To attain this goal, the first year of the MDA project focused on reducing technical risk, developing documentation and instituting iterative development processes that established the basis for the first version of MDA software (or Test Bed 1). Test Bed 1 is based on a nominal operations scenario authored by the ExMC Element Scientist. This narrative was decomposed into a Concept of Operations that formed the basis for Test Bed 1 requirements. These requirements were successfully vetted through the MDA Test Bed 1 System Requirements Review, which permitted the MDA project to begin software code development and component integration. This paper highlights the MDA objectives, development processes, and accomplishments, and identifies the fiscal year 2017 milestones and

  5. 南京军区“医云工程”组织管理模式与运行机制%The Organizational Management Mode and Operation Mechanism of "Medical Cloud Project" of Nanjing Military Command

    Institute of Scientific and Technical Information of China (English)

    王大勇; 李杰; 韩雄; 杨文宏; 王小峰

    2013-01-01

      为加强对“医云工程”的组织领导,保障“医云工程”各项任务、目标要求、实施方法和督促检查等各个环节落到实处,南京军区卫生部专门成立了“医云工程”指导委员会、“医云工程”工作小组、“医云工程”研究实验中心和“医云工程”办公室,负责全区医院实施“医云工程”的组织协调、统筹规划、技术指导、科研培训、考核评估等工作,对“医云工程”实行全方位、全过程管控。%To strengthen the organizational leadership of medical cloud project, guarantee the implementation of various tasks, targets and requirements, methods and inspections, the Health Department of Nanjing Military Command established steering committee, working group, research laboratory and office for medical cloud project, which not only take charge of organizing and coordinating, overall planning, technical guidance, scientific training, examination and evaluation of the implementation of medical cloud project in the whole region, but also control the progress of medical cloud project in all aspects.

  6. Reactor operation

    CERN Document Server

    Shaw, J

    2013-01-01

    Reactor Operation covers the theoretical aspects and design information of nuclear reactors. This book is composed of nine chapters that also consider their control, calibration, and experimentation.The opening chapters present the general problems of reactor operation and the principles of reactor control and operation. The succeeding chapters deal with the instrumentation, start-up, pre-commissioning, and physical experiments of nuclear reactors. The remaining chapters are devoted to the control rod calibrations and temperature coefficient measurements in the reactor. These chapters also exp

  7. Operator programs and operator processes

    NARCIS (Netherlands)

    Bergstra, J.A.; Walters, P.

    2003-01-01

    We define a notion of program which is not a computer program but an operator program: a detailed description of actions performed and decisions taken by a human operator (computer user) performing a task to achieve a goal in a simple setting consisting of that user, one or more computers and a

  8. Operator programs and operator processes

    NARCIS (Netherlands)

    Bergstra, J.A.; Walters, P.

    2003-01-01

    We define a notion of program which is not a computer program but an operator program: a detailed description of actions performed and decisions taken by a human operator (computer user) performing a task to achieve a goal in a simple setting consisting of that user, one or more computers and a work

  9. Medical robotics

    CERN Document Server

    Troccaz, Jocelyne

    2013-01-01

    In this book, we present medical robotics, its evolution over the last 30 years in terms of architecture, design and control, and the main scientific and clinical contributions to the field. For more than two decades, robots have been part of hospitals and have progressively become a common tool for the clinician. Because this domain has now reached a certain level of maturity it seems important and useful to provide a state of the scientific, technological and clinical achievements and still open issues. This book describes the short history of the domain, its specificity and constraints, and

  10. Medical Physics

    OpenAIRE

    Voto Bernales, Juan; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    Medical Physics is to study the physical phenomena that occur in the body and exert action on the agents. It also addresses the manner taught natural agents in the study and exploration of the human body and in the way in the same agents for use in the treatment of disease can be used. La Física Médica tiene por objeto estudiar los fenómenos físicos que se realizan en el organismo y la acción que sobre el ejercen los agentes. Se ocupa, además, de enseñar la manera cómo pueden utilizarse lo...

  11. Medical revolution in Argentina.

    Science.gov (United States)

    Ballarin, V L; Isoardi, R A

    2010-01-01

    The paper discusses the major Argentineans contributors, medical physicists and scientists, in medical imaging and the development of medical imaging in Argentina. The following are presented: history of medical imaging in Argentina: the pioneers; medical imaging and medical revolution; nuclear medicine imaging; ultrasound imaging; and mathematics, physics, and electronics in medical image research: a multidisciplinary endeavor.

  12. Intelligent distributed medical image management

    Science.gov (United States)

    Garcia, Hong-Mei C.; Yun, David Y.

    1995-05-01

    The rapid advancements in high performance global communication have accelerated cooperative image-based medical services to a new frontier. Traditional image-based medical services such as radiology and diagnostic consultation can now fully utilize multimedia technologies in order to provide novel services, including remote cooperative medical triage, distributed virtual simulation of operations, as well as cross-country collaborative medical research and training. Fast (efficient) and easy (flexible) retrieval of relevant images remains a critical requirement for the provision of remote medical services. This paper describes the database system requirements, identifies technological building blocks for meeting the requirements, and presents a system architecture for our target image database system, MISSION-DBS, which has been designed to fulfill the goals of Project MISSION (medical imaging support via satellite integrated optical network) -- an experimental high performance gigabit satellite communication network with access to remote supercomputing power, medical image databases, and 3D visualization capabilities in addition to medical expertise anywhere and anytime around the country. The MISSION-DBS design employs a synergistic fusion of techniques in distributed databases (DDB) and artificial intelligence (AI) for storing, migrating, accessing, and exploring images. The efficient storage and retrieval of voluminous image information is achieved by integrating DDB modeling and AI techniques for image processing while the flexible retrieval mechanisms are accomplished by combining attribute- based and content-based retrievals.

  13. Net Operations

    Institute of Scientific and Technical Information of China (English)

    蒋昌俊; 吴哲辉

    1992-01-01

    Two kinds of net operations.addition and Cartesian production of P/T nets,are introduced.They are defined on the set of underlying net of P/T systems.The conditions for preserving structural properties of Petri net after these operations are discussed.It is shown that the set of P/T nets forms and Abelian group for net addition operation and the inverse net of a P/T net in usual meaning of net theory is exactly the inverse of this P/T net as an element of the P/T net group;and that the set of P/T nets forms an Abelian ring for net addition and Caresian product operations.

  14. Operable Units

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of operable unit data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different times and...

  15. Operator theory

    CERN Document Server

    2015-01-01

    A one-sentence definition of operator theory could be: The study of (linear) continuous operations between topological vector spaces, these being in general (but not exclusively) Fréchet, Banach, or Hilbert spaces (or their duals). Operator theory is thus a very wide field, with numerous facets, both applied and theoretical. There are deep connections with complex analysis, functional analysis, mathematical physics, and electrical engineering, to name a few. Fascinating new applications and directions regularly appear, such as operator spaces, free probability, and applications to Clifford analysis. In our choice of the sections, we tried to reflect this diversity. This is a dynamic ongoing project, and more sections are planned, to complete the picture. We hope you enjoy the reading, and profit from this endeavor.

  16. Medical robotics.

    Science.gov (United States)

    Ferrigno, Giancarlo; Baroni, Guido; Casolo, Federico; De Momi, Elena; Gini, Giuseppina; Matteucci, Matteo; Pedrocchi, Alessandra

    2011-01-01

    Information and communication technology (ICT) and mechatronics play a basic role in medical robotics and computer-aided therapy. In the last three decades, in fact, ICT technology has strongly entered the health-care field, bringing in new techniques to support therapy and rehabilitation. In this frame, medical robotics is an expansion of the service and professional robotics as well as other technologies, as surgical navigation has been introduced especially in minimally invasive surgery. Localization systems also provide treatments in radiotherapy and radiosurgery with high precision. Virtual or augmented reality plays a role for both surgical training and planning and for safe rehabilitation in the first stage of the recovery from neurological diseases. Also, in the chronic phase of motor diseases, robotics helps with special assistive devices and prostheses. Although, in the past, the actual need and advantage of navigation, localization, and robotics in surgery and therapy has been in doubt, today, the availability of better hardware (e.g., microrobots) and more sophisticated algorithms(e.g., machine learning and other cognitive approaches)has largely increased the field of applications of these technologies,making it more likely that, in the near future, their presence will be dramatically increased, taking advantage of the generational change of the end users and the increasing request of quality in health-care delivery and management.

  17. Smoking cessation medications

    Science.gov (United States)

    Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Creating a plan to help you deal with smoking urges. Getting support from a doctor, counselor, or ...

  18. Comparative Analyses of Brookhaven National Laboratory Nuclear Decay Measurements and Super-Kamiokande Solar Neutrino Measurements: Neutrinos and Neutrino-Induced Beta-Decays as Probes of the Deep Solar Interior

    Science.gov (United States)

    Sturrock, P. A.; Fischbach, E.; Scargle, J. D.

    2016-12-01

    An experiment carried out at the Brookhaven National Laboratory over a period of almost 8 years acquired 364 measurements of the beta-decay rates of a sample of {}^{32}Si and, for comparison, of a sample of {}^{36}Cl. The experimenters reported finding " small periodic annual deviations of the data points from an exponential decay … of uncertain origin". We find that power-spectrum and spectrogram analyses of these datasets show evidence not only of the annual oscillations, but also of transient oscillations with frequencies near 11 year-1 and 12.5 year-1. Similar analyses of 358 measurements of the solar neutrino flux acquired by the Super-Kamiokande neutrino observatory over a period of about 5 years yield evidence of an oscillation near 12.5 year-1 and another near 9.5 year-1. An oscillation near 12.5 year-1 is compatible with the influence of rotation of the radiative zone. We suggest that an oscillation near 9.5 year-1 may be indicative of rotation of the solar core, and that an oscillation near 11 year-1 may have its origin in a tachocline between the core and the radiative zone. Modulation of the solar neutrino flux may be attributed to an influence of the Sun's internal magnetic field by the Resonant Spin Flavor Precession (RSFP) mechanism, suggesting that neutrinos and neutrino-induced beta decays can provide information about the deep solar interior.

  19. Medical telesensors

    Science.gov (United States)

    Ferrell, Trinidad L.; Crilly, P. B.; Smith, S. F.; Wintenberg, Alan L.; Britton, Charles L., Jr.; Morrison, Gilbert W.; Ericson, M. N.; Hedden, D.; Bouldin, Donald W.; Passian, A.; Downey, Todd R.; Wig, A. G.; Meriaudeau, Fabrice

    1998-05-01

    Medical telesensors are self-contained integrated circuits for measuring and transmitting vital signs over a distance of approximately 1-2 meters. The circuits are unhoused and contain a sensor, signal processing and modulation electronics, a spread-spectrum transmitter, an antenna and a thin-film battery. We report on a body-temperature telesensor, which is sufficiently small to be placed on a tympanic membrane in a child's ear. We also report on a pulse-oximeter telesensor and a micropack receiver/long- range transmitter unit, which receives form a telesensor array and analyzes and re-transmits the vital signs over a longer range. Signal analytics are presented for the pulse oximeter, which is currently in the form of a finger ring. A multichip module is presented as the basic signal-analysis component. The module contains a microprocessor, a field=programmable gate array, memory elements and other components necessary for determining trauma and reporting signals.

  20. [MEDICAL CANNABIS].

    Science.gov (United States)

    Naftali, Timna

    2016-02-01

    The cannabis plant has been known to humanity for centuries as a remedy for pain, diarrhea and inflammation. Current research is inspecting the use of cannabis for many diseases, including multiple sclerosis, epilepsy, dystonia, and chronic pain. In inflammatory conditions cannabinoids improve pain in rheumatoid arthritis and:pain and diarrhea in Crohn's disease. Despite their therapeutic potential, cannabinoids are not free of side effects including psychosis, anxiety, paranoia, dependence and abuse. Controlled clinical studies investigating the therapeutic potential of cannabis are few and small, whereas pressure for expanding cannabis use is increasing. Currently, as long as cannabis is classified as an illicit drug and until further controlled studies are performed, the use of medical cannabis should be limited to patients who failed conventional better established treatment.

  1. Medical student fitness to practise committees at UK medical schools

    Directory of Open Access Journals (Sweden)

    Aldridge Jocelyne

    2009-06-01

    Full Text Available Abstract Background The aim was to explore the structures for managing student fitness to practise hearings in medical schools in the UK. We surveyed by email the named fitness to practise leads of all full members of the UK Medical Schools Council with a medical undergraduate programme. We asked whether student fitness to practise cases were considered by a committee/panel dedicated to medicine, or by one which also considered other undergraduate health and social care students. Findings All 31 medical schools responded. 19 medical schools had a fitness to practise committee dealing with medical students only. Three had a committee that dealt with students of medicine and dentistry. One had a committee that dealt with students of medicine and veterinary medicine. Eight had a committee that dealt with students of medicine and two or more other programmes, such as dentistry, nursing, midwifery, physiotherapy, dietetics, social work, pharmacy, psychology, audiology, speech therapy, operating department practice, veterinary medicine and education. Conclusion All 31 UK medical schools with undergraduate programmes have a fitness to practise committee to deal with students whose behaviour has given rise to concern about their fitness to practise. The variation in governance structures for student fitness to practise committees/panels can in part be explained by variations in University structures and the extent to which Universities co-manage undergraduate medicine with other courses.

  2. Applied Operations Research: Operator's Assistant

    Science.gov (United States)

    Cole, Stuart K.

    2015-01-01

    NASA operates high value critical equipment (HVCE) that requires trouble shooting, periodic maintenance and continued monitoring by Operations staff. The complexity HVCE and information required to maintain and trouble shoot HVCE to assure continued mission success as paper is voluminous. Training on new HVCE is commensurate with the need for equipment maintenance. LaRC Research Directorate has undertaken a proactive research to support Operations staff by initiation of the development and prototyping an electronic computer based portable maintenance aid (Operator's Assistant). This research established a goal with multiple objectives and a working prototype was developed. The research identified affordable solutions; constraints; demonstrated use of commercial off the shelf software; use of the US Coast Guard maintenance solution; NASA Procedure Representation Language; and the identification of computer system strategies; where these demonstrations and capabilities support the Operator, and maintenance. The results revealed validation against measures of effectiveness and overall proved a substantial training and capability sustainment tool. The research indicated that the OA could be deployed operationally at the LaRC Compressor Station with an expectation of satisfactorily results and to obtain additional lessons learned prior to deployment at other LaRC Research Directorate Facilities. The research revealed projected cost and time savings.

  3. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and ... Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

  4. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

  5. Medication/Drug Allergy

    Science.gov (United States)

    ... Science Education & Training Home Conditions Medication/Drug Allergy Medication/Drug Allergy Make an Appointment Find a Doctor ... immediate or delayed. What Is an Allergy to Medication/Drugs? Allergies to drugs/medications are complicated, because ...

  6. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications ... Psychological Treatments Understanding Stress Cognitive Behavioral ...

  7. The 2017 International Joint Working Group White Paper by INDUSEM, the Emergency Medicine Association and the Academic College of Emergency Experts on Establishing Standardized Regulations, Operational Mechanisms, and Accreditation Pathways for Education and Care Provided by the Prehospital Emergency Medical Service Systems in India.

    Science.gov (United States)

    Sikka, Veronica; Gautam, V; Galwankar, Sagar; Guleria, Randeep; Stawicki, Stanislaw P; Paladino, Lorenzo; Chauhan, Vivek; Menon, Geetha; Shah, Vijay; Srivastava, R P; Rana, B K; Batra, Bipin; Kalra, O P; Aggarwal, P; Bhoi, Sanjeev; Krishnan, S Vimal

    2017-01-01

    The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment of these services, there is an acute need for standardization of education and quality assurance regarding prehospital care provided. The International Joint Working Group has been actively involved in designing guidelines and establishing a comprehensive framework for ensuring high-quality education and clinical standards of care for prehospital services in India. This paper provides an independent expert opinion and a proposed framework for general operations and administration of a standardized, national prehospital emergency medical systems program. Program implementation, operational details, and regulations will require close collaboration between key stakeholders, including local, regional, and national governmental agencies of India.

  8. The 2017 International Joint Working Group white paper by INDUSEM, The Emergency Medicine Association and The Academic College of Emergency Experts on establishing standardized regulations, operational mechanisms, and accreditation pathways for education and care provided by the prehospital emergency medical service systems in India

    Directory of Open Access Journals (Sweden)

    Veronica Sikka

    2017-01-01

    Full Text Available The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment of these services, there is an acute need for standardization of education and quality assurance regarding prehospital care provided. The International Joint Working Group has been actively involved in designing guidelines and establishing a comprehensive framework for ensuring high-quality education and clinical standards of care for prehospital services in India. This paper provides an independent expert opinion and a proposed framework for general operations and administration of a standardized, national prehospital emergency medical systems program. Program implementation, operational details, and regulations will require close collaboration between key stakeholders, including local, regional, and national governmental agencies of India.

  9. High Performance Medical Classifiers

    Science.gov (United States)

    Fountoukis, S. G.; Bekakos, M. P.

    2009-08-01

    In this paper, parallelism methodologies for the mapping of machine learning algorithms derived rules on both software and hardware are investigated. Feeding the input of these algorithms with patient diseases data, medical diagnostic decision trees and their corresponding rules are outputted. These rules can be mapped on multithreaded object oriented programs and hardware chips. The programs can simulate the working of the chips and can exhibit the inherent parallelism of the chips design. The circuit of a chip can consist of many blocks, which are operating concurrently for various parts of the whole circuit. Threads and inter-thread communication can be used to simulate the blocks of the chips and the combination of block output signals. The chips and the corresponding parallel programs constitute medical classifiers, which can classify new patient instances. Measures taken from the patients can be fed both into chips and parallel programs and can be recognized according to the classification rules incorporated in the chips and the programs design. The chips and the programs constitute medical decision support systems and can be incorporated into portable micro devices, assisting physicians in their everyday diagnostic practice.

  10. Optimization of AGS Polarized Proton Operation with the Warm Helical Snake

    CERN Document Server

    Takano, Junpei; Bai, Mei; Brown, Kevin A; Gardner, Chris J; Glenn, Joseph; Hattori, Toshiyuki; Huang, Haixin; Luccio, Alfredo U; MacKay, William W; Okamura, Masahiro; Roser, Thomas; Tepikian, Steven; Tsoupas, Nicholaos

    2005-01-01

    A normal conducting helical dipole partial Siberian snake (Warm Snake) has been installed in the Alternating Gradient Synchrotron (AGS) at Brookhaven National Laboratory (BNL) for overcoming all of imperfection depolarizing resonances and reducing the transverse coupling resonances caused by the solenoidal Siberian snake which had been operated in AGS before the last polarized run. The polarized proton beam has been accelerated successfully with the warm snake and the polarization at extraction of the AGS was increased to 50% as opposed to 40% with the solenoidal snake. The magnetic field and beam trajectory in the warm snake was calculated by using the OPERA-3D/TOSCA software. We present optimization of the warm snake with beam during RUN5.

  11. Transverse operator method for wakefields in a rectangular dielectric loaded accelerating structure

    Directory of Open Access Journals (Sweden)

    S. S. Baturin

    2013-05-01

    Full Text Available Cherenkov radiation generated by a relativistic electron bunch in a rectangular dielectric-loaded waveguide is analyzed under the assumption that the dielectric layers are inhomogeneous normal to the beam path. We propose a method that uses eigenfunctions of the transverse operator applied to develop a rigorous full solution for the wakefields that are generated. The dispersion equation for the structure is derived and the wakefield analysis is carried out. The formalism developed here allows the direct solution of the inhomogeneous system of Maxwell equations, an alternative analytic approach to the analysis of wakefields in contrast to the previously used impedance method for rectangular structure analysis. The formalism described here was successfully applied to the analysis of rectangular dielectric-lined structures that have been recently beam tested at the Argonne (ANL/AWA and Brookhaven (BNL/ATF accelerator facilities.

  12. NSLS-II storage ring insertion device and front-end commissioning and operation

    Energy Technology Data Exchange (ETDEWEB)

    Wang, G., E-mail: gwang@bnl.gov; Shaftan, T.; Amundsen, C.; Bassi, G.; Bengtsson, J.; Blednykh, A.; Blum, E.; Cheng, W.; Choi, J.; Chubar, O.; Corwin, T.; Davidsaver, M.; Doom, L.; Guo, W.; Harder, D.; Hidaka, Y.; Hu, Y.; Ilinski, P.; Kitegi, C.; Kramer, S. [Brookhaven National Laboratory, Upton, NY 11973 (United States); and others

    2016-07-27

    The National Synchrotron Light Source II (NSLS-II) is a state of the art 3 GeV third generation light source at Brookhaven National Laboratory. During spring/ summer of 2014, the storage ring was commissioned up to 50 mA without insertion devices. In the fall of 2014, we began commissioning of the project beamlines, which included seven insertion devices on six ID ports. Beamlines IXS, HXN, CSX-1, CSX-2, CHX, SRX, and XPD-1 consist of elliptically polarized undulator (EPU), damping wigglers (DW) and in-vacuum undulators (IVU) covering from VUV to hard x-ray range. In this paper, experience with commissioning and operation is discussed. We focus on reaching storage ring performance with IDs, including injection, design emittance, compensation of orbit distortions caused by ID residual field, source point stability, beam alignment and tools for control, monitoring and protection of the ring chambers from ID radiation.

  13. Medical tourism private hospitals: focus India.

    Science.gov (United States)

    Brotman, Billie Ann

    2010-01-01

    This article examines demand factors for sophisticated medical treatments offered by private hospitals operating in India. Three types of medical tourism exist: Outbound, Inbound, and Intrabound. Increased profitability and positive growth trends by private hospital chains can be attributed to rising domestic income levels within India. Not all of the chains examined were financially solvent. Some of the hospital groups in this sample that advertised directly to potential Inbound medical tourists appear to be experiencing negative cash flows.

  14. AGS-2000: Experiments for the 21. Century. Proceedings of the workshop held at Brookhaven National Laboratory, May 13--17, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Littenberg, L. [ed.] [Brookhaven National Lab., Upton, NY (United States); Sandweiss, J. [ed.] [Yale Univ., New Haven, CT (United States)

    1996-10-01

    The AGS has a vital and interesting potential for new research. The reasons for this are a fortunate concomitance of the energy chosen for the AGS and the steady stream of technological advances which have both increased the intensity and flexibility of the AGS beams, and the capability of detectors to use these new beam parameters. The physics potentials of the future AGS program can be roughly divided into three broad areas. (1) fundamental elementary particle studies (based on rare kaon decays, rare muon processes and searches for new particles); (2) non-perturbative QCD; and (3) heavy ion physics. The overriding considerations for the operation of the AGS in the next decade must, of course, be the interest and potential of the scientific program. However, once that has been established, there are other aspects of the AGS program which deserve mention. Although experiments at the AGS are of increasing sophistication, they are smaller, less expensive, and more quickly executed than experiments at newer, larger facilities. Finally, the authors note that since the AGS must be maintained as a viable accelerator to serve as an injector to RHIC, the cost of an AGS fixed target experiment need be only the incremental cost of the experiment itself along with some modest additional operating costs. This means that AGS fixed target experiments are substantially cheaper than they would have been before the RHIC era. The remainder of this document contains brief summaries of the experiments considered by the working groups in the AGS-2000 Workshop. These summaries expand on points discussed here.

  15. Actuarial Evaluation of the Financial Operation Situation of China's Basic Medical Insurance System%中国基本医疗保险制度财务运行状况的精算评估

    Institute of Scientific and Technical Information of China (English)

    曾益; 任超然; 李媛媛

    2012-01-01

    人口老龄化的加剧可能会恶化我国城镇职工医疗保险制度的财务状况。文章在相关参数假设的基础上通过精算模型评估发现,虽然城镇职工医疗保险个人账户累计余额逐年增加,但是在2025年统筹基金将会收不抵支,收支差为-102.11亿元,这一差值还会逐年扩大,至2033年累计结余会使用完毕。针对以上状况,文章在评估了几种改善统筹基金财务状况的政策方案后发现,个人账户与统筹基金合并能将收不抵支和出现赤字的年份推迟到2034年和2046年,这一方案优于其他方案。%The increasing population aging may worsen the financial sit uation of China's urban resident basic medical insurance system. Based on the hypothesis of related parameters and the actuarial evaluation models, this paper finds that the accumulated amount of the urban resident medical sav ings accounts increases year by year, but the income of the pooling fund will not balance the expense in 2025; the gap between income and expenditure is -10. 211 billion yuan and as the gap will gradually widen, the accumulated amount of the pooling fund will be used up in 2033. After evaluating some policy options of improving the financial status of the pooling fund, this pa per shows that the integration of individual medical savings accounts and pooling fund can postpone the time of income over expenditure until 2034 and the time of deficit until 2046, so it is better than other policy options.

  16. Operational Circulars

    CERN Multimedia

    2003-01-01

    Operational Circular N° 4 - April 2003 Conditions for use by members of the CERN personnel of vehicles belonging to or rented by CERN - This circular has been drawn up. Operational Circular N° 5 - October 2000 Use of CERN computing facilities - Further details on the personal use of CERN computing facilities Operational Circular N° 5 and its Subsidiary Rules http://cern.ch/ComputingRules defines the rules for the use of CERN computing facilities. One of the basic principles governing such use is that it must come within the professional duties of the user concerned, as defined by the user's divisional hierarchy. However, personal use of the computing facilities is tolerated or allowed provided : a) It is in compliance with Operational Circular N° 5 and not detrimental to official duties, including those of other users; b) the frequency and duration is limited and there is a negligible use of CERN resources; c) it does not constitute a political, commercial and/or profit-making activity; d) it is not...

  17. Operative links

    DEFF Research Database (Denmark)

    Wistoft, Karen

    2010-01-01

    as networks: second, a semantic perspective on discourses and concepts of health, and, third, a health pedagogical perspective on participation, intervention, and roles. This paper argues for the importance of 'operative links' between different levels in health strategies. It is proposed that such links...

  18. Operation Context

    DEFF Research Database (Denmark)

    Stüben, Henning; Tietjen, Anne

    2006-01-01

    Abstract: This paper seeks to challenge the notion of context from an operational perspective. Can we grasp the forces that shape the complex conditions for an architectural or urban design within the notion of context? By shifting the gaze towards the agency of architecture, contextual analysis...

  19. The Integrated Medical Model: A Risk Assessment and Decision Support Tool for Space Flight Medical Systems

    Science.gov (United States)

    Kerstman, Eric; Minard, Charles; Saile, Lynn; deCarvalho, Mary Freire; Myers, Jerry; Walton, Marlei; Butler, Douglas; Iyengar, Sriram; Johnson-Throop, Kathy; Baumann, David

    2009-01-01

    The Integrated Medical Model (IMM) is a decision support tool that is useful to mission planners and medical system designers in assessing risks and designing medical systems for space flight missions. The IMM provides an evidence based approach for optimizing medical resources and minimizing risks within space flight operational constraints. The mathematical relationships among mission and crew profiles, medical condition incidence data, in-flight medical resources, potential crew functional impairments, and clinical end-states are established to determine probable mission outcomes. Stochastic computational methods are used to forecast probability distributions of crew health and medical resource utilization, as well as estimates of medical evacuation and loss of crew life. The IMM has been used in support of the International Space Station (ISS) medical kit redesign, the medical component of the ISS Probabilistic Risk Assessment, and the development of the Constellation Medical Conditions List. The IMM also will be used to refine medical requirements for the Constellation program. The IMM outputs for ISS and Constellation design reference missions will be presented to demonstrate the potential of the IMM in assessing risks, planning missions, and designing medical systems. The implementation of the IMM verification and validation plan will be reviewed. Additional planned capabilities of the IMM, including optimization techniques and the inclusion of a mission timeline, will be discussed. Given the space flight constraints of mass, volume, and crew medical training, the IMM is a valuable risk assessment and decision support tool for medical system design and mission planning.

  20. Conceptual Drivers for an Exploration Medical System

    Science.gov (United States)

    Antonsen, Erik; Hanson, Andrea; Shah, Ronak; Reed, Rebekah; Canga, Michael

    2016-01-01

    Interplanetary spaceflight, such as NASA's proposed three-year mission to Mars, provides unique and novel challenges when compared with human spaceflight to date. Extended distance and multi-year missions introduce new elements of operational complexity and additional risk. These elements include: inability to resupply medications and consumables, inability to evacuate injured or ill crew, uncharted psychosocial conditions, and communication delays that create a requirement for some level of autonomous medical capability. Because of these unique challenges, the approaches used in prior programs have limited application to a Mars mission. On a Mars mission, resource limitations will significantly constrain available medical capabilities, and require a paradigm shift in the approach to medical system design and risk mitigation for crew health. To respond to this need for a new paradigm, the Exploration Medical Capability (ExMC) Element is assessing each Mars mission phase-transit, surface stay, rendezvous, extravehicular activity, and return-to identify and prioritize medical needs for the journey beyond low Earth orbit (LEO). ExMC is addressing both planned medical operations, and unplanned contingency medical operations that meld clinical needs and research needs into a single system. This assessment is being used to derive a gap analysis and studies to support meaningful medical capabilities trades. These trades, in turn, allow the exploration medical system design to proceed from both a mission centric and ethics-based approach, and to manage the risks associated with the medical limitations inherent in an exploration class mission. This paper outlines the conceptual drivers used to derive medical system and vehicle needs from an integrated vision of how medical care will be provided within this paradigm. Keywords: (Max 6 keywords: exploration, medicine, spaceflight, Mars, research, NASA)

  1. Medical muddle.

    Science.gov (United States)

    Gartrell, Nanette

    2014-01-01

    Nanette Gartrell, MD, is a psychiatrist and researcher whose investigations have documented the mental health and psychological well-being of lesbian, gay, bisexual, and transgender (LGBT) people over the past four decades. Nanette is the principal investigator of an ongoing longitudinal study of lesbian families in which the children were conceived by donor insemination. Now in its 27th year, this project has been cited internationally in the debates over equality in marriage, foster care, and adoption. Previously on the faculty at Harvard Medical School and the University of California, San Francisco, Nanette is currently a Visiting Distinguished Scholar at the Williams Institute, UCLA School of Law. In 2013, Nanette received the Association of Women Psychiatrists Presidential Commendation Award for "selfless and enduring vision, leadership, wisdom, and mentorship in the fields of women's mental health, ethics, and gender research." At the age of 63, Nanette experienced a 3 ½ month period of intractable, incapacitating dizziness for which there was never a clear diagnosis.

  2. MEDICAL PROFESSIONALISH

    Directory of Open Access Journals (Sweden)

    Jože Drinovec

    2002-12-01

    Full Text Available Background. Due to restrictions imposed on a clinical freedom, interest for professionalism in healthcare has been getting bigger not only in medicine literature and various mass media but also in teaching and organisation of healthcare. Professionalism stands not only for a medicine’s contract with society, recognition of a physician status, privilege and monopoly but also for a genuine physician’s commitment to professional responsibilities.Analysis. In 2002 European and American associations approved a document on medical professionalism in the new millenium, so-called Physician Charter. This document includes fundamental principles of professionalism such as altruism, patient autonomy and social justice. In particular, it analyses a physician’s professional competency, honesty with patients, patient confidentiality, appropriate relations with patients, improvements regarding a healthcare quality, healthcare access, just distribution of finite funds, commitment to scientific knowledge, trust maintenance by managing conflicts of interest and a professional responsibility.Conclusions. Physician’s professionalism means philosophycal and sociological analysis of his/her profession and its position in a society. It includes a concern for improvements of his/ her own scientific knowledge, skills, a genuine ethic interest for an individual patient bearing in mind principles of equality and justice in society. Whether performing an organisational and public work or participating in professional health organizations, physician’s interest for a patient must prevail.

  3. Research on the Influence to the Operation of Medical Institution after New Finance and Accounting System Based on Economic Consequences Theory%以“经济后果说”研究新财务会计制度对医院运行的影响

    Institute of Scientific and Technical Information of China (English)

    郭文博; 张岚; 况景勤

    2011-01-01

    财务与会计制度实施后,势必会对医疗机构的经济运行产生影响,这种影响的路径是复杂的,并不是简单地由制度直接引起的,从“经济后果说”的角度来看,其路径是通过影响利益相关者,进而影响会计主体对财务与会计政策的使用(或选择),最终影响了医疗机构的经济运行.提出了从“经济后果说”的角度研究上述问题的一个思路.%Finance and accounting system reform affects the economic operations of medical institutions. In this paper, we analyze the path of the inluences and give a framework for further study. Based on economic consequences theory, the path is complicated: finance and accounting system reform firstly affects the Stakeholders'benefit,then accounting policy choices, and finally economic operations of medical institutions.

  4. Your Lung Operation: After Your Operation

    Medline Plus

    Full Text Available ... Surgeons Education Patients and Family Skills Programs Your Lung Operation Your Lung Operation DVD After Your Operation Back to Your Lung Operation Your Lung Operation DVD Welcome Your Lung ...

  5. Safety significance of inadvertent operation of motor operated valves in nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Ruger, C.J.; Higgins, J.C.; Carbonaro, J.F.; Hall, R.E.

    1994-05-01

    This report addresses concerns about the consequences of valve mispositioning which were brought to the forefront following an event at Davis Besse in 1985 (NRC, 1985a). The concern related to the ability to reposition ``position changeable`` motor operated valves (MOVs) in the event of their inadvertent operation from the control room and was documented in Nuclear Regulatory Commission (NRC) Bulletin 85-03 (NRC, 1985b) and Generic Letter (GL) 89-10 (NRC, 1989). The mispositioned MOVs may not be able to be returned to their required position due to high differential pressure (dP) or high flow conditions across the valves. The inability to reposition such valves may have significant safety consequences as in the Davis Besse event. However, full consideration of such mispositioning in safety analyses and in MOV test programs can be labor intensive and expensive. Industry raised concerns that consideration of position changeable valves under GL 89-10 would not decrease the probability of core damage to an extent which would justify licensee costs. As a response, Brookhaven National Laboratory (BNL) has conducted separate scoping studies for both Boiling Water Reactors (BWRS) and Pressurized Water Reactors (PWRs) using Probabilistic Risk Assessment (PRA) techniques to determine if such valve mispositioning by itself is significant to safety. The approach utilized internal events PRA models to survey the order of magnitude of the risk significance of valve mispositioning by considering the failure of selected position changeable MOVS. The change in core damage frequency (CDF) was determined for each valve considered and the results were presented as a risk increase ratio for each of four assumed MOV failure rates. The risk increase ratios resulting from this failure rate sensitivity study can be used as a basis for a judgement determination of the risk significance of the MOV mispositioning issue for BWRs and PWRS.

  6. Medical humanities and medical alterity in fiction and in life.

    Science.gov (United States)

    Hurwitz, Brian

    2015-01-01

    A widely accepted component of any answer to the question 'What is it to do good medical ethics?' is the commitment to benefit people's health, in principlist terminology, 'beneficence'. This paper addresses deliberate maleficence and the cultural otherness with which it is associated, focusing on the activities of the serial killer Dr Harold Shipman. It finds an uncanny 'fit' between the normal operation of healthcare services and this sort of alterity which has attracted little attention from bioethicists but has been addressed by novelists. To the extent that the medical humanities offers useful insights into hard moral problems, its capacities rest on taking account of both the fictional and the real.

  7. Operation Poorman

    Energy Technology Data Exchange (ETDEWEB)

    Pruvost, N.; Tsitouras, J.

    1981-03-18

    The objectives of Operation Poorman were to design and build a portable seismic system and to set up and use this system in a cold-weather environment. The equipment design uses current technology to achieve a low-power, lightweight system that is configured into three modules. The system was deployed in Alaska during wintertime, and the results provide a basis for specifying a mission-ready seismic verification system.

  8. Joint Operations

    Science.gov (United States)

    2006-09-17

    Unified Task Force (UNITAF) Somalia was formed with forces from France, Italy, Canada, Belgium, Egypt , Turkey, Saudi Arabia, and the United States...military presence, open-source intelligence ( OSINT ) may be the best immediately available information to prepare US forces to operate in a foreign...country. OSINT from radio broadcasts, newspapers, and periodicals often provide tip-offs for HUMINT and other intelligence and information collection

  9. Analysing the Non-medical Technical Factors that Affect the Normal Operation of Our Healthcare Based on the Incident of Amniotic Fluid Embolism%从羊水栓塞事件看影响医疗正常运行的非医疗技术因素

    Institute of Scientific and Technical Information of China (English)

    谢笛; 宋治

    2015-01-01

    By analysing the treatment of the county's postpartum hemorrhage deaths ,we believe the non‐medical technical factors that affect the normal operation of our healthcare are as follows :a serious lack of understanding of the importance of science popularization in serious common medical diseases or rare complications in the society . Overhigh medical treatment expectations exist in society .Media workers failed to have sufficient knowledge and professionalism in the fields of medical news reporting undermines trust between doctors and patients .Hospitals dealing with disputes fail to arm with exact law weapons .Doctors and patients should be alliance which strives to deal with diseases and remove the body pains . There should be mutual trust ,cooperation and understanding between them .However once a medical dispute or accident takes place ,this alliance splits and they stand in opposites .The mutual distrust leads to the escalation of the conflict . These reasons become the prominent non‐medical factors in strained relationships between doctors and patients .%分析某县产妇产后大出血死亡事件处置过程,认为存在以下影响我国医疗正常运行的非医疗技术因素:当代社会对医学常见疾病的严重、少见并发症科学普及的重要性及认识严重欠缺;社会对医疗效果普遍存在过高的期望值;媒体未能真正了解医疗的特殊性并作有专业水准的报道,影响了“医患”关系发展;医方处理纠纷法理依据运用欠妥当;医患双方本是共同对付疾病、去除病痛的同盟体,本应相互信任、配合、理解,但一旦出现医疗纠纷、事故,这个共同体却分裂为对立面,互不信任导致矛盾升级。这些原因成为医患矛盾中突出的非医疗技术因素。

  10. Turkish Medical Information System and Medical Librarianship

    Directory of Open Access Journals (Sweden)

    Huriye Çolaklar

    2010-01-01

    Full Text Available In Turkey, medical information is supported at state level according to national policies. However, although the history of medical libraries in Turkey goes back to the 13th century in Anatolia, modern medical library applications adopted since the 1950s have not received much state support. In the past thirteen years a few medical libraries joined forces under ÜNAK (the Association of University and Research Librarians to contribute to the organization and development of Turkish Medical Information through the establishment of a "Medical Working Group" in 2000.

  11. A Pilot Project Demonstrating that Combat Medics Can Safely Administer Parenteral Medications in the Emergency Department.

    Science.gov (United States)

    Schauer, Steven G; Cunningham, Cord W; Fisher, Andrew D; DeLorenzo, Robert A

    2017-08-15

    Introduction Select units in the military have improved combat medic training by integrating their functions into routine clinical care activities with measurable improvements in battlefield care. This level of integration is currently limited to special operations units. It is unknown if regular Army units and combat medics can emulate these successes. The goal of this project was to determine whether US Army combat medics can be integrated into routine emergency department (ED) clinical care, specifically medication administration. Project Design This was a quality assurance project that monitored training of combat medics to administer parenteral medications and to ensure patient safety. Combat medics were provided training that included direct supervision during medication administration. Once proficiency was demonstrated, combat medics would prepare the medications under direct supervision, followed by indirect supervision during administration. As part of the quality assurance and safety processes, combat medics were required to document all medication administrations, supervising provider, and unexpected adverse events. Additional quality assurance follow-up occurred via complete chart review by the project lead. Data During the project period, the combat medics administered the following medications: ketamine (n=13), morphine (n=8), ketorolac (n=7), fentanyl (n=5), ondansetron (n=4), and other (n=6). No adverse events or patient safety events were reported by the combat medics or discovered during the quality assurance process. In this limited case series, combat medics safely administered parenteral medications under indirect provider supervision. Future research is needed to further develop this training model for both the military and civilian setting. Schauer SG , Cunningham C W, Fisher AD , DeLorenzo RA . A pilot project demonstrating that combat medics can safely administer parenteral medications in the emergency department.

  12. Pre-Deployment Medical Readiness Preparation

    Science.gov (United States)

    2001-05-01

    Immunisation Coverage. Compliance with both the standardisation agreement (STANAG 2037) "Vaccination of NATO Forces" requirements and in response to medical...intelligence summaries for specific operations (e.g. as contained in the relevant operational plan). Appropriate immunisations must be given to all

  13. Medication dispenser for narcotic rehabilitation patients.

    Science.gov (United States)

    Ho, Vien Q; Gale, Timothy J; Stack, Clive R

    2009-01-01

    This paper describes the design of a medication dispenser developed for narcotic rehabilitation programs. The dispenser holds up to four doses of medication and operates under remote supervision. A direct-into-mouth dispensing mechanism is a feature of the device. The mechanical dispenser mechanism includes a rotating barrel, medication tubes and dispensing slider unit. The electronic design involves a microprocessor PIC18F4550, stepper-motors, sensing devices a LabVIEW-based computer interface for remote supervisory control and monitoring. The dispenser stores medication and successfully delivers it directly into the mouth under remote supervision.

  14. Stereoscopic medical data video quality issues.

    Science.gov (United States)

    Patrona, Foteini; Mademlis, Ioannis; Kalaganis, Fotios; Pitas, Ioannis; Lyroudia, Kleoniki

    2016-04-01

    Stereoscopic medical videos are recorded, e.g., in stereo endoscopy or during video recording medical/dental operations. This paper examines quality issues in the recorded stereoscopic medical videos, as insufficient quality may induce visual fatigue to doctors. No attention has been paid to stereo quality and ensuing fatigue issues in the scientific literature so far. Two of the most commonly encountered quality issues in stereoscopic data, namely stereoscopic window violations and bent windows, were searched for in stereo endoscopic medical videos. Furthermore, an additional stereo quality issue encountered in dental operation videos, namely excessive disparity, was detected and fixed. The conducted experiments prove the existence of such quality issues in stereoscopic medical data and highlight the need for their detection and correction.

  15. 药物治疗与手术治疗对儿童慢性鼻窦炎的疗效比较%Efficacy comparison of medical therapy and operation for children chronic rhinosinusitis

    Institute of Scientific and Technical Information of China (English)

    王英; 翟素娜; 吴玉瑛

    2016-01-01

    目的:比较内科药物治疗与手术治疗对儿童慢性鼻窦炎(CRS)的临床疗效。方法回顾性分析2015年1月至2015年7月的80例门诊及住院 CRS 患儿的临床资料。分别采用药物治疗(药物组)和手术治疗(手术组)。结果药物组与手术组患者经过1个月治疗后,症状 VAS 平均得分及鼻内窥镜评分均较治疗前明显下降(P 0.05),3、6个月后有效率比较差异均有统计学意义(P 0. 05),and the effective rates were significant different between the two groups 3 month and 6 month after treatment( P < 0. 05). Conclusions ①Drug therapy should be preferred,the normalization and systematization of the medical treatment which needs to be further studied. ②The surgical treatment of pediatric CRS can choose ade-noidectomy,tonsillectomy and FESS. ③Postoperative follow-up and surgery itself are equally important for pediatric CRS. Understanding of the situation of the surgical cavity can adjust timely postoperative therapy,reduce complications and improve the cure rate.

  16. Operation of Urban-Rural Residents Cooperative Medical Scheme in a District in West China%西部某县城乡居民合作医疗运行情况分析

    Institute of Scientific and Technical Information of China (English)

    张培艺; 顾雪非; 毛正中; 张振忠

    2011-01-01

    目的:通过分析西部某县城乡居民合作医疗运行情况,发现运行过程中出现的问题,提出解决问题的建议.方法:对2008年和2009年该县城乡居民合作医疗运行数据做对比分析.结果:该县在城乡居民合作医疗运行过程中出现了住院人次、住院率和住院费用增长过快,参舍居民受益水平增长不明显,城镇居民占用农村居民卫生服务资源的问题.结论:建议该县实施支付方式改革,适当调整补偿方案,完成合管办从卫生部门到人力资源与社会保障部门的平稳过渡.%Objective: To find out problems and propose countermeasures by analyzing the state of Cooperative Medical Scheme (CMS) in a west county in China.Methods: Comparing the data of CMS in 2008 and 2009.Result: The hospitalization, hospitalization rate, and hospital cost increase too fast during the running of the CMS in this county; the growth of benefit level of the participating residents is not obvious; and urban residents impropriate the health service resources of rural residents.Conclusion: The county should do some payment reform and adjust the compensation programs to make a smooth transition of CMS Management Office from the health department to human resources and social security departments.

  17. Reevaluation of photon activation yields of {sup 11}C. {sup 13}N, and {sup 15}O for the estimation of activity in gas and water induced by the operation of electron accelerates for medical use

    Energy Technology Data Exchange (ETDEWEB)

    Masumoto, Kazuyoshi; Matsumura, Hiroshi; Bessho, Kotaro; Toyoda, Akihiro [High Energy Accelerator Research Organization, Tsukuba (Japan); Kasako, Kazuaki [Shimizu Corporation, Tokyo (Japan)

    2016-09-15

    Activation of air and water in the electron linear accelerator for medical use has not been considered severely. By the new Japanese regulation for protection of radiation hazard, it became indispensable to evaluate of activation of air and water in the accelerator room. The measurement of induced activity in air and water components in the electron energy region of 10 to 20 MeV is very difficult, because this energy region is close to the threshold energy region of photonuclear reactions. Then, we measured the photonuclear reaction yields of {sup 13}N,{sup 15}O, and {sup 11}C by using the electron linear accelerator. Obtained data were compared with the data calculated by the Monte Carlo method. An activation experiment was performed at the Research Center for Electron Photon Science, Tohoku University. Highly purified SiO{sub 2}, Si{sub 3}N{sub 4}, and carbon disks were irradiated for 10 minutes by Bremsstrahlung converted by a tungsten plate. Induced activity from C, N, and O was obtained. Monte Carlo calculation was performed using MCNP5 and AERY (DCHAIN-SP) to simulate the experimental condition. Cross section data were adopted the KAERI dataset. In our experiment in hospital, calculated values were not agreed with experimental values. It might be three possible reasons as the cause of this deference, such as irradiation energy, calculation procedure and cross section data. Obtained data of this work, calculated and experimental values were good agreement with each other within one order. In this work, we used KAERI dataset of photonuclear reaction instead of JENDL. Therefore, it was found that the photonuclear cross section data of light elements are most important for yield calculation in these reactions. Further improvement for calculation using a new dataset JENDL/PD-2015 and considering electron energy spreading will be needed.

  18. Medical Sensor Network Infrastructures

    DEFF Research Database (Denmark)

    Andersen, Jacob

    is required, such as taking a blood sample, mailing it to a lab, where it is analysed and the result returned by mail. Due to the continuing size and cost reduction of electronic equipment, future medical sensors will be much smaller, cheaper and often disposable. Furthermore, integration of these sensors...... with the electronic health record (EHR) IT-systems will save a lot of work (and human errors), as the sensor readings will be directly recorded in the patient’s records by the sensors themselves, rather than by a transcription performed by a busy clinician. Although this development has been going on for at least...... a decade, most sensors are still quite big, heavy and difficult to operate, and a lot of research is revolving around minimising the instruments and making them easier to use. Several research experiments have demonstrated the utility of such sensors, but few of these experiments consider security...

  19. Medical alert bracelet (image)

    Science.gov (United States)

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an ...

  20. Implantable Medical Devices

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Implantable Medical Devices Updated:Sep 16,2016 For Rhythm Control ... a Heart Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack ...