WorldWideScience

Sample records for operations medical aspects

  1. 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.

  2. 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.

  3. [Anxiety--medical aspects].

    Science.gov (United States)

    Dosiak, M

    1997-01-01

    In this paper the author presented themes connected with anxiety disorder in general medical practice. Pathogenesis, classification, dependence between anxiety and somatic and psychical diseases were described there.

  4. Medical aspects of nuclear armament

    Energy Technology Data Exchange (ETDEWEB)

    Janse, M.J.; Schene, A.; Koch, K.

    1983-06-18

    The authors highlight a few medical, biological and psycological aspects of the use of nuclear weapons, drawing attention to their viewpoint that doctors should actively participate in the fight against nuclear armament. The short and long-term radiation effects on man and ecology are presented based on the Hiroshima and Nagasaki experiences. The danger of human error within this framework is emphasised and it is suggested that it is the medical profession's duty to point out how the effect of stress and boredom can lead to a nuclear catastrophe. Medical expertise may also help in the identification of unstable personalities among those who have access to nuclear weapons and in the understanding of the psycology of international conflicts and the psychopathology of those leaders who would use nuclear war as an instrument of national policy. Finally the effects of the nuclear war threat on children and teenagers are considered.

  5. Safety aspects of cryochamber operation

    Energy Technology Data Exchange (ETDEWEB)

    Chorowski, M.; Piotrowska, A. [Wroclaw University of Technology, Institute of Aviation, Processing and Power Machines Engineering, Process Control and Cryogenics Group, Wybrzeze Wyspianskiego 27, 50-370 Wroclaw (Poland); Sieron, A.; Stanek, A. [Medical University of Silesia, Department and Clinic of Internal Diseases, Angiology and Physiacal Medicine in Bytom (Poland)

    2014-01-29

    Local and whole body cryotherapy is well recognized, developed and appreciated both from medical and technical point of view. Poland is a country with a highest number of medical cryochambers in operation (above 200) and more than 3 millions of whole body cryotherapeutic sessions have been performed since 1989. Cryogenic temperatures applied for whole-body apart from medical effects have also significant influence on patient's psyche. A number of cryochambers is constantly increasing in hospitals, sport centers and spas. A temperature inside a cryochamber should be below 150 K. To achieve and stabilize such low temperature, either cascade compressor unit or liquid cryogens evaporation (N{sub 2} or synthetic air) are used. This paper presents safety oriented review of cryochamber design and constructions.

  6. Psychological aspects of peacekeeping operations

    Directory of Open Access Journals (Sweden)

    M. S. V. K. Raju

    2014-01-01

    Full Text Available Peacekeeping operations are but one aspect of the systems of peace that have evolved over the past seven decades in a world that is riven with violence of all kinds. With the end of cold war in the late eighties of the last century we have come to see much intrastate violence, in addition to usual interstate hostilities and war, arising out of religious, political, ethnic and economic differences between people. In the changed scenario peacekeeping operations have become complex politico-military-humanitarian efforts. A soldier, trained for conventional military operations, is obliged to participate in the unconventional operations of waging peace in alien lands often in volatile and violent situations and in the process he stands to get exposed to widely variable demands for adjustment that have the potential to bring to the fore many maladaptive responses. Peacekeeping operations also have the potential to offer opportunities for growth and resilience. India is a major player in peacekeeping activities for well over sixty years all over the world. It is necessary for the commanders and mental health professionals to understand the multifarious factors that impinge on the peacekeeping soldier′s mind and the emerging patterns of responses thereof for effective management trained manpower and fulfillment of mission objectives

  7. 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®), ...

  8. On the operational aspects of subsea systems

    Digital Repository Service at National Institute of Oceanography (India)

    Nayak, M.R.

    The scientific and commercial underwater activities in the next decades primarily in 'undersea vehicles' and 'manned submersibles' will be taking place in the oceans and ocean related technology. The paper underlines some of the operational aspects...

  9. Inflammatory Bowel Disease. Medical and psychological aspects

    NARCIS (Netherlands)

    Albersnagel, Frans; Dijkstra, Gerard

    2007-01-01

    A review is presented in which the state of the art of behavioural-scientific research on inflammatory bowel disease (BID) is sorted out. After a short introduction on medical aspects of the two diseases that constitute IBD, i.e. Crohn's disease and ulcerative colitis, the factors that may have an i

  10. Special radiation protection aspects of medical accelerators

    CERN Document Server

    Silari, Marco

    2001-01-01

    Radiation protection aspects relevant to medical accelerators are discussed. An overview is first given of general safety requirements. Next. shielding and labyrinth design are discussed in some detail for the various types of accelerators, devoting more attention to hadron machines as they are far less conventional than electron linear accelerators. Some specific aspects related to patient protection are also addressed. Finally, induced radioactivity in accelerator components and shielding walls is briefly discussed. Three classes of machines are considered: (1) medical electron linacs for 'conventional' radiation therapy. (2) low energy cyclotrons for production of radionuclides mainly for medical diagnostics and (3) medium energy cyclotrons and synchrotrons for advanced radiation therapy with protons or light ion beams (hadron therapy). (51 refs).

  11. J. Piaget's theory of intelligence: operational aspect

    Directory of Open Access Journals (Sweden)

    Xenia Naidenova

    2001-08-01

    Full Text Available The Piaget's theory of intelligence is considered from the point of view of genesis and gradual development of human thinking operations. Attention is given to operational aspects of cognitive structures and knowledge. The significance of the Piaget's theory of intelligence is revealed for modeling conceptual reasoning in the framework of artificial intelligence.

  12. Logistics aspects of petroleum pipeline operations

    Directory of Open Access Journals (Sweden)

    W. J. Pienaar

    2010-11-01

    Full Text Available The paper identifies, assesses and describes the logistics aspects of the commercial operation of petroleum pipelines. The nature of petroleum-product supply chains, in which pipelines play a role, is outlined and the types of petroleum pipeline systems are described. An outline is presented of the nature of the logistics activities of petroleum pipeline operations. The reasons for the cost efficiency of petroleum pipeline operations are given. The relative modal service effectiveness of petroleum pipeline transport, based on the most pertinent service performance measures, is offered. The segments in the petroleum-products supply chain where pipelines can play an efficient and effective role are identified.

  13. Security aspects of space operations data

    Science.gov (United States)

    Schmitz, Stefan

    1993-01-01

    This paper deals with data security. It identifies security threats to European Space Agency's (ESA) In Orbit Infrastructure Ground Segment (IOI GS) and proposes a method of dealing with its complex data structures from the security point of view. It is part of the 'Analysis of Failure Modes, Effects Hazards and Risks of the IOI GS for Operations, including Backup Facilities and Functions' carried out on behalf of the European Space Operations Center (ESOC). The security part of this analysis has been prepared with the following aspects in mind: ESA's large decentralized ground facilities for operations, the multiple organizations/users involved in the operations and the developments of ground data systems, and the large heterogeneous network structure enabling access to (sensitive) data which does involve crossing organizational boundaries. An IOI GS data objects classification is introduced to determine the extent of the necessary protection mechanisms. The proposal of security countermeasures is oriented towards the European 'Information Technology Security Evaluation Criteria (ITSEC)' whose hierarchically organized requirements can be directly mapped to the security sensitivity classification.

  14. Human Factors Aspects of Operating Small Reactors

    Energy Technology Data Exchange (ETDEWEB)

    OHara, J.M.; Higgins, J.; Deem, R. (BNL); Xing, J.; DAgostino, A. (NRC)

    2010-11-07

    The nuclear-power community has reached the stage of proposing advanced reactor designs to support power generation for decades to come. They are considering small modular reactors (SMRs) as one approach to meet these energy needs. While the power output of individual reactor modules is relatively small, they can be grouped to produce reactor sites with different outputs. Also, they can be designed to generate hydrogen, or to process heat. Many characteristics of SMRs are quite different from those of current plants, and so may require a concept of operations (ConOps) that also is different. The U.S. Nuclear Regulatory Commission (NRC) has begun examining the human factors engineering- (HFE) and ConOps- aspects of SMRs; if needed, they will formulate guidance to support SMR licensing reviews. We developed a ConOps model, consisting of the following dimensions: Plant mission; roles and responsibilities of all agents; staffing, qualifications, and training; management of normal operations; management of off-normal conditions and emergencies; and, management of maintenance and modifications. We are reviewing information on SMR design to obtain data about each of these dimensions, and have identified several preliminary issues. In addition, we are obtaining operations-related information from other types of multi-module systems, such as refineries, to identify lessons learned from their experience. Here, we describe the project's methodology and our preliminary findings.

  15. [Medical and behavioural aspects of Angelman syndrome].

    Science.gov (United States)

    Artigas-Pallarés, J; Brun-Gasca, C; Gabau-Vila, E; Guitart-Feliubadaló, M; Camprubí-Sánchez, C

    Angelman syndrome (AS) is a genetically-based disorder that is characterised by a physical and behavioural phenotype. Additionally, it presents a number of different systemic conditions that must also be taken into account. To evaluate the symptomatic spectrum of AS, we sought the aid of families linked to AS associations by sending them a questionnaire designed to investigate the clinical characteristics of AS. The families were sent a questionnaire aimed at determining the medical and behavioural characteristics of AS. Results from 68 patients were analysed. The mean age at diagnosis was 4.8 years. The first symptoms that called parents' attention were feeding problems, followed by gastroesophageal reflux and hypotonia. The mean age at which patients were capable of maintaining a sitting posture was 18 months, while autonomous walking was not achieved until 43 months. Epilepsy, which was present in 91% of cases, began with febrile seizures in 55% of patients. In this study we found that a high percentage of patients with AS have a high resistance to pain (67%), a very common symptom in Prader-Willi syndrome, but little known in AS. This study offers a wide array of information about the clinical spectrum of AS obtained from an extensive populational sample. Some highly prevalent clinical aspects, such as the relative insensitivity to pain, have not been reported in previous publications as a symptom that is typical of AS.

  16. Blyth Harbour wind farm - operational aspects

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This report is the last in a series of seven on various aspects of the monitoring and evaluation of the Blyth Northumberland off-shore wind farm project. The wind farm was the first to be built in the UK: it consists of two 2MW wind turbines about 1 km from the coast in water of depth 5-6 m. The subject of this report is the actual performance of the wind turbine relative to predicted performance. The study showed up the problems of operating a wind farm at sea and the need for comprehensive testing before installation. The problems encountered were numerous but in no case major. A lightning strike destroyed a turbine blade (for which no replacement was readily available) and there was a cable fault caused by installation deficiencies. Better planning could have avoided lengthy shutdowns. The report covers the availability of the turbines and performance of ancillary equipment.

  17. 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.

  18. Clinical aspects of medication overuse headaches.

    Science.gov (United States)

    Da Silva, Arnaldo Neves; Lake, Alvin E

    2014-01-01

    Medication overuse headache (MOH) is a subset of chronic daily headache, occurring from overuse of 1 or more classes of migraine abortive medication. Acetaminophen, combination analgesics (caffeine combinations), opioids, barbiturates (butalbital), non-steroidal anti-inflammatory drugs, and triptans are the main classes of drugs implicated in the genesis of MOH. Migraine seems to be the most common diagnosis leading to MOH. The development of MOH is associated with both frequency of use of medication and behavioral predispositions. MOH is not a unitary concept. The distinction between simple (type 1) vs complex (type 2) forms is based on both the class of overused medication and behavioral factors, including psychopathology and psychological drug dependence. MOH is a challenging disorder causing decline in the quality of life and causing physical symptoms, such as daily and incapacitating headaches, insomnia, and non-restorative sleep, as well as psychological distress and reduced functioning. MOH is associated with biochemical, structural, and functional brain changes. Relapse after detoxification is a challenge, but can be addressed if the patient is followed over a prolonged period of time with a combination of prophylactic pharmacotherapy, use of abortive medication with minimal risk of MOH, withholding previously overused medication, and providing psychological (cognitive-behavioral) therapy.

  19. Medicolegal aspects of medical radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Ross, W.M.

    1990-04-01

    This short note, based on an invited paper presented in Radiology '89 at Eastbourne, May 1989, outlines the medico-legal discussion under the following aspects: psychological effects, scarring, stochastic effects giving rise to cancer or fetal abnormalities, and the steps necessary to pursue a medicolegal action. (UK).

  20. Medical Aspects of Harsh Environments. Volume 2

    Science.gov (United States)

    2002-01-01

    Edema agudo del pulmon [Acute mountain sickness: Acute edema of the lungs]. An Fac Med (Lima). 1955;38:244. 9. Hurtado A. Pathological aspects of life...recommendations for career dose lim- its, based on lifetime excess risk of cancer mortality, take into account age at first exposure and gender. The ca- reer

  1. [Medical professionalism: historical and religious aspects].

    Science.gov (United States)

    Rodríguez P, José Adolfo

    2006-03-01

    The essence of the medical profession resides in the medical act, whereupon a sick human being meets another with the power to heal him or her. The source of this power has evolved from the divinity itself through magic to science or acquired knowledge. This power implies acknowledgement of values that are inherent to the profession as well as responsibility toward one's own conscience and toward society, elements considered constitutive of what we now call professionalism. From antiquity these principles have evolved into behavioral codes containing variable components according to the different ages and cultures, but also permenent core values such as respect for life, altruism, and honesty, among others. Scientific and technological advances have magnified medical power but at the same time they have required that the philosophical and ethical principles that ought to inform professional practice be made explicit. This happens at a time when certitudes are questioned or abandoned, relativism and secularism pervade culture, and traditional medical values are challenged. Therefore, consensus attainment appears for some as the only legitimation of the ethics of professional medical acts, while for others the ancestral principles and values of medicine have permanent validity as objective goods based on the dignity of the human person.

  2. [Changing aspects in continuing medical education].

    Science.gov (United States)

    Okisaka, Shigekuni

    2007-02-01

    Self-directed learning based on adult education theory and self-assessment are necessary for continuing medical education. Self-directed learning is the process whereby the individual takes the initiative in diagnosing his learning needs and setting his own individual learning goals, showing clearly the human and physical resources, putting an appropriate plan into practice, and evaluating the learning outcome. Because self-assessment is the evaluation of the process where the individual confirms his actual learning, portfolio assessment is utilized for this purpose. In the continuing medical education program of the Japanese Ophthalmological Society, it is vital that the appropriate credit and recognition program keep up with the changes in adult education theory. Therefore, portfolio assessment is introduced for self-assessment. The Ophthalmic Pathology Slide Seminar is a model of medical education based on self-directed learning.

  3. Topological aspects of generalized Harper operators

    CERN Document Server

    De Nittis, Giuseppe

    2012-01-01

    A generalized version of the TKNN-equations computing Hall conductances for generalized Dirac-like Harper operators is derived. Geometrically these equations relate Chern numbers of suitable (dual) bundles naturally associated to spectral projections of the operators.

  4. Structuring group medical practices: tax planning aspects.

    Science.gov (United States)

    Gassman, A S; Conetta, T F

    1992-01-01

    This article is the first in a series addressing the structuring of group medical practice entities, shareholder relationships, and general representation factors. In this article, a general background in federal tax planning is provided, including strategies for minimization of income tax payment and the potential problems that may be encountered when a group practice is not carefully structured.

  5. Medical and Scientific Aspects of Cycling.

    Science.gov (United States)

    Burke, Edmund R., Ed.; Newsom, Mary M., Ed.

    The 24 contributions to this volume were written by coaches, sport scientists, and medical authorities who surveyed recent research on biomechanics, physiology, psychology, nutrition, treatment of injuries, and training techniques for cyclists. There are four sections: (1) biomechanics and physiology; (2) research: techniques and results; (3)…

  6. Medical and Scientific Aspects of Cycling.

    Science.gov (United States)

    Burke, Edmund R., Ed.; Newsom, Mary M., Ed.

    The 24 contributions to this volume were written by coaches, sport scientists, and medical authorities who surveyed recent research on biomechanics, physiology, psychology, nutrition, treatment of injuries, and training techniques for cyclists. There are four sections: (1) biomechanics and physiology; (2) research: techniques and results; (3)…

  7. The historic and national aspects of medical ethics and deontology.

    OpenAIRE

    2009-01-01

    Researches of problems of medical ethics and deontology in activity of the medical worker presented. Historical and national aspects of the delivered problem are considered. They open diversity and complexity of realization of problems of formation of the person of the medical worker. The humanism in medicine makes its ethical basis and morals. The humanism serves moral development of the person of the medical worker. Without humanism the medicine loses the right on existence. Its scientific ...

  8. [Aspects of communication regarding medical malpractice suits].

    Science.gov (United States)

    Pilling, János; Erdélyi, Kamilla

    2016-04-24

    Due to problems experienced in health care, there is an increased amount of malpractice suits nowadays. Nevertheless, some physicians are more likely to be sued, or more frequently sued, than others. Numerous studies indicate that this phenomenon fundamentally results from a lack of interpersonal and communication skills on the part of the sued doctor, namely, deficiencies in questioning the patient, listening, conveying information, etc. Communication is of pivotal importance in patient care vis-à-vis medical errors as well. The majority of physicians aim to conceal the error, albeit this may lead to further deterioration of the patient's condition. In institutions where open communication regarding errors was introduced within the medical team and toward the patient and their family alike, the number of malpractice suits decreased. It is crucial to establish a means of support for doctors, and to promote communication trainings, as well as a supportive legal environment.

  9. [Assisted suicide - medical, legal, and ethical aspects].

    Science.gov (United States)

    Bosshard, G

    2012-02-01

    Unlike in most European countries, assisted suicide is not illegal in Switzerland. The number of assisted suicides procured by right-to-die organisations such as Exit or Dignitas has sharply increased in the last twenty years. Central part of the doctor's involvement is the prescription of a lethal dose of sodium pentobarbital. In doing so, the doctor has to apply to the rules of medical due care. A proper examination of the patient is required, who must be informed about his diagnosis, about the expected prognosis, and about different treatment options. Verification of the patient's decisional capacity is crucial. In general, a staff member of the organisation but not the doctor is present during suicide. Following death, the assisted suicide has to be reported to the police as an extraordinary death case.

  10. The History, Biology and Medical Aspects of Leprosy.

    Science.gov (United States)

    Eichman, Phillip

    1999-01-01

    Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

  11. The History, Biology and Medical Aspects of Leprosy.

    Science.gov (United States)

    Eichman, Phillip

    1999-01-01

    Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

  12. Operational aspects of experimental accelerator physics

    Energy Technology Data Exchange (ETDEWEB)

    Decker, G.A.

    1995-07-01

    During the normal course of high energy storage ring operations, it is customary for blocks of time to be allotted to something called ``machine studies,`` or more simply, just ``studies.`` It is during these periods of time that observations and measurement of accelerator behavior are actually performed. Almost invariably these studies are performed in support of normal machine operations. The machine physicist is either attempting to improve machine performance, or more often trying to recover previously attained ``good`` operation, for example after an extended machine down period. For the latter activity, a good portion of machine studies time is usually devoted to ``beam tuning`` activities: those standard measurements and adjustments required to recover good operations. Before continuing, please note that this paper is not intended to be comprehensive. It is intended solely to reflect one accelerator physicist`s impressions as to what goes on in an accelerator control room. Many topics are discussed, some in more detail than others, and it is not the intention that the techniques described herein be applied verbatim to any existing accelerator. It is hoped,, however, that by reading through the various sections, scientists, including accelerator physicists, engineers, and accelerator beam users, will come to appreciate the types of operations that are required to make an accelerator work.

  13. Medical aspects of the hazardous waste problem

    Energy Technology Data Exchange (ETDEWEB)

    Ozonoff, D.

    1982-12-01

    Although no one knows exactly how much toxic material continues to be released into our environment, most observers believe the amount is substantial. In the last few years, in the state of Massachusetts alone, 22 communities have had their municipal water supplies seriously compromised by chemical contamination, causing alarm and dismay among water users. Nation-wide, public concern has reached the point that in some opinion polls, hazardous waste ranks second only behind inflation as a cause of serious worry. Despite widespread anxiety, shared by public health officials, few studies have shown conclusive evidence of health consequences from toxic materials in the environment. Even in the case of such gross contamination as in the Love Canal area of Niagara Falls, New York, health effects have been difficult to establish. This is partly due to intrusion of the adversary process in cases where liability is involved; it is also a result, however, of inherent technical problems that plague any determination of health hazard. This paper reviews some of these problems, considers some current risk assessment approaches, and touches on medicolegal and regulatory aspects of the hazardous waste problem.

  14. Operator theoretic aspects of ergodic theory

    CERN Document Server

    Eisner, Tanja; Haase, Markus; Nagel, Rainer

    2015-01-01

    Stunning recent results by Host–Kra, Green–Tao, and others, highlight the timeliness of this systematic introduction to classical ergodic theory using the tools of operator theory. Assuming no prior exposure to ergodic theory, this book provides a modern foundation for introductory courses on ergodic theory, especially for students or researchers with an interest in functional analysis. While basic analytic notions and results are reviewed in several appendices, more advanced operator theoretic topics are developed in detail, even beyond their immediate connection with ergodic theory. As a consequence, the book is also suitable for advanced or special-topic courses on functional analysis with applications to ergodic theory. Topics include: •an intuitive introduction to ergodic theory •an introduction to the basic notions, constructions, and standard examples of topological dynamical systems •Koopman operators, Banach lattices, lattice and algebra homomorphisms, and the Gelfand–Naimark theorem •m...

  15. Thermodynamic aspects of heat pipe operation

    Science.gov (United States)

    Richter, Robert; Gottschlich, Joseph

    1990-01-01

    An expanded heat pipe operating model is described which includes thermodynamic and heat transfer considerations to reconcile disparities between actual and theoretical heat pipe performances. The analysis shows that thermodynamic considerations can explain the observed heat pipe performance limitations. A full understanding of thermodynamic processes could lead to advanced concepts for thermal transport devices.

  16. The historic and national aspects of medical ethics and deontology.

    Directory of Open Access Journals (Sweden)

    Prikhoda Igor' Viktorovich

    2009-02-01

    Full Text Available Researches of problems of medical ethics and deontology in activity of the medical worker presented. Historical and national aspects of the delivered problem are considered. They open diversity and complexity of realization of problems of formation of the person of the medical worker. The humanism in medicine makes its ethical basis and morals. The humanism serves moral development of the person of the medical worker. Without humanism the medicine loses the right on existence. Its scientific and professional principles conflict to its basic purpose - to serve the person.

  17. 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.

  18. Progeria: Medical Aspects, Psychosocial Perspectives, and Intervention Guidelines.

    Science.gov (United States)

    Livneh, Hanoch; And Others

    1995-01-01

    Discusses progeria (or Hutchinson-Gilford syndrome), a rare childhood disorder that invariably results in death during adolescence. Describes the major medical aspects of progeria, and discusses the psychosocial implications of the disorder with particular emphasis on grief-triggered reactions. Presents an overview of psychosocial intervention…

  19. Scientific and medical aspects of human reproductive cloning

    National Research Council Canada - National Science Library

    Committee on Science

    2002-01-01

    ...), and the Institute of Medicine (IOM). It is a result of work done by the Panel on Scientific and Medical Aspects of Human Cloning, a joint panel of the Committee on Science, Engineering, and Public Policy (COSEPUP) and the Board on Life Sciences (BLS). The members of the panel responsible for the report were chosen for their special competences and with regard ...

  20. 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.

  1. 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...

  2. Nuclear electric power safety, operation, and control aspects

    CERN Document Server

    Knowles, J Brian

    2013-01-01

    Assesses the engineering of renewable sources for commercial power generation and discusses the safety, operation, and control aspects of nuclear electric power From an expert who advised the European Commission and UK government in the aftermath of Three Mile Island and Chernobyl comes a book that contains experienced engineering assessments of the options for replacing the existing, aged, fossil-fired power stations with renewable, gas-fired, or nuclear plants. From geothermal, solar, and wind to tidal and hydro generation, Nuclear Electric Power: Safety, Operation, and Control Aspects ass

  3. Working session 5: Operational aspects and risk analysis

    Energy Technology Data Exchange (ETDEWEB)

    Cizelj, L. [Jozef Stefan Institute, Ljubljana (Slovenia); Donoghue, J. [Nuclear Regulatory Commission, Washington, DC (United States)

    1997-02-01

    A general observation is that both operational aspects and risk analysis cannot be adequately discussed without information presented in other sessions. Some overlap of conclusions and recommendations is therefore to be expected. Further, it was assumed that recommendations concerning improvements in some related topics were generated by other sessions and are not repeated here. These include: (1) Knowledge on degradation mechanisms (initiation, progression, and failure). (2) Modeling of degradation (initiation, progression, and failure). (3) Capabilities of NDE methods. (4) Preventive maintenance and repair. One should note here, however, that all of these directly affect both operational and risk aspects of affected plants. A list of conclusions and recommendations is based on available presentations and discussions addressing risk and operational experience. The authors aimed at reaching as broad a consensus as possible. It should be noted here that there is no strict delineation between operational and safety aspects of degradation of steam generator tubes. This is caused by different risk perceptions in different countries/societies. The conclusions and recommendations were divided into four broad groups: human reliability; leakage monitoring; risk impact; and consequence assessment.

  4. [Niccolo Paganini: medical aspects of his life and work].

    Science.gov (United States)

    Miranda C, Marcelo; Navarrete T, Luz; Zúñiga N, Gonzalo

    2008-07-01

    Niccolo Paganini is the most virtuous violinist of the history of music. He even received the nick name of "the violinist of the evil" for his outstanding skills on stage performance. It has been suggested that he had syphilis and tuberculosis, the commonest diseases of that time, but this hypothesis remains speculative. There are suggestions that he was the victim of iatrogenic mercurial poisoning. Furthermore, his body build suggests the presence of Ehlers-Danlos syndrome which could give him special anatomical conditions allowing him to achieve an amazing level of vírtuousness in his art. We herein review the medical aspects of this brilliant musician's life.

  5. Non-selfadjoint operators in quantum physics mathematical aspects

    CERN Document Server

    Gazeau, Jean Pierre; Szafraniec, Franciszek Hugon; Znojil, Miloslav

    2015-01-01

    A unique discussion of mathematical methods with applications to quantum mechanics Non-Selfadjoint Operators in Quantum Physics: Mathematical Aspects presents various mathematical constructions influenced by quantum mechanics and emphasizes the spectral theory of non-adjoint operators. Featuring coverage of functional analysis and algebraic methods in contemporary quantum physics, the book discusses recent emergence of the unboundedness of metric operators, which is a serious issue in the study of parity-time-symmetric quantum mechanics. The book also answers mathematical questions that are currently the subject of rigorous analysis, with potentially significant physical consequences. In addition to prompting a discussion of the role of mathematical methods in the contemporary development of quantum physics, the book features: * Chapter contributions written by well-known mathematical physicists who clarify numerous misunderstandings and misnomers while shedding light on new approaches in this growing area *...

  6. 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.

  7. 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.

  8. The medical aspects of the 1565 Great Siege of Malta.

    Science.gov (United States)

    Savona-Ventura, Charles

    2014-03-01

    The 1565 Siege of Malta served as a turning point in the westward Ottoman advance. The 4-month long siege was resisted by the indomitable belief of the defenders that their cause was just and holy. It also required prior detailed organisation to ensure sufficient war materials and that the overall health of the combatants and non-combatants was maintained throughout the months of the siege. This article reviews the contemporary and historical sources relating to the conflict to identify the medical operational plans used by the military during this historic siege.

  9. [The social and medicolegal aspects of maternal request or non-medically indicated cesarean section].

    Science.gov (United States)

    Fisher, Menachem; Shrem, David; Solt, Ido

    2013-07-01

    Patient choice cesarean or cesarean by maternal request/ demand is a controversial issue. The medical literature contains evidence based data on the medical aspects of patient choice cesarean, risks and benefits to the mother and her newborn. Fewer studies focused on the social and legal aspects of patient choice cesarean. This opinion paper discusses the social and legal aspects of patient choice cesarean.

  10. ERP systems: aspects of selection, implementation and sustainable operations

    Directory of Open Access Journals (Sweden)

    Torsten Munkelt

    2013-01-01

    Full Text Available This paper gives recommendations for selecting, implementing and sustainably operating ERP systems. We indicate special aspects which are important from our point of view. The paper addresses practitioners who are responsible for ERP systems, especially IT and project managers. The structure of the paper matches the three main phases of an ERP system’s lifecycle within an enterprise: selection, implementation and operations. General process models are given for selection and implementation of ERP systems. Our suggestions stretch from project management, business process reengineering, system selection criteria, reporting and customizing to choosing key users, data migration, and user training. Operations of ERP systems are commented according to the views defined by the ARIS concept. We are focusing on organizational issues, but give also remarks on business process maintenance, exploitation of ERP functions, and data management. While other publications give rather general advice, recommendations in this paper are selected to be use-oriented and easy to apply. The recommendations do not depend on any particular ERP system.

  11. [Personalized medicine and individual healthcare : Medical and information technology aspects].

    Science.gov (United States)

    Niederlag, W; Lemke, H U; Rienhoff, O

    2010-08-01

    The individualization of medicine and healthcare appears to be following a general societal trend. The terms "personalized medicine" and "personal health" are used to describe this process. Here it must be emphasized that personalized medicine is not limited to pharmacogenomics, but that the spectrum of personalized medicine is much broader. Applications range from individualized diagnostics, patient-specific pharmacological therapy, therapy with individual prostheses and implants to therapy approaches using autologous cells, and from patient model-based therapy in the operating room, electronic patient records through to the individual care of patients in their home environment with the use of technical systems and services. Although in some areas practical solutions have already been found, most applications will not be fully developed for many years to come. Medical and information technology are essential to personalized medicine and personal health, each driving the other forward.

  12. Wind power integration connection and system operational aspects

    CERN Document Server

    Fox, Brendan

    2014-01-01

    Wind Power Integration provides a wide-ranging discussion on all major aspects of wind power integration into electricity supply systems. This second edition has been fully revised and updated to take account of the significant growth in wind power deployment in the past few years. New discussions have been added to describe developments in wind turbine generator technology and control, the network integration of wind power, innovative ways to integrate wind power when its generation potential exceeds 50% of demand, case studies on how forecasting errors have affected system operation, and an update on how the wind energy sector has fared in the marketplace. Topics covered include: the development of wind power technology and its world-wide deployment; wind power technology and the interaction of various wind turbine generator types with the utility network; and wind power forecasting and the challenges faced by wind energy in modern electricity markets.

  13. [Establishing and operating a human biobank. Ethical aspects].

    Science.gov (United States)

    Jahns, Roland

    2016-03-01

    Particularly in the past decade which has been marked by efforts to foster individualized/personalized medicine the need for well-characterized high-quality collections of human biological material has significantly increased. When establishing and operating a human biobank the interests and the "freedom" of biomedical research must always be weighed against the interests and rights of patients and/or donors; in this process ethical aspects should be considered systematically. In addition, the importance of quality control and quality assurance has largely increased in human biobanking, both from a scientific and even more from an ethical point of view, because donated biological materials are potentially stored for decades and (on request) might serve for currently not foreseeable biomedical research purposes. In addition, the compatibility of national human biobanks with international biobank networks becomes increasingly important.

  14. Recent aspects of uranium toxicology in medical geology.

    Science.gov (United States)

    Bjørklund, Geir; Albert Christophersen, Olav; Chirumbolo, Salvatore; Selinus, Olle; Aaseth, Jan

    2017-07-01

    Uranium (U) is a chemo-toxic, radiotoxic and even a carcinogenic element. Due to its radioactivity, the effects of U on humans health have been extensively investigated. Prolonged U exposure may cause kidney disease and cancer. The geological distribution of U radionuclides is still a great concern for human health. Uranium in groundwater, frequently used as drinking water, and general environmental pollution with U raise concerns about the potential public health problem in several areas of Asia. The particular paleo-geological hallmark of India and other Southern Asiatic regions enhances the risk of U pollution in rural and urban communities. This paper highlights different health and environmental aspects of U as well as uptake and intake. It discusses levels of U in soil and water and the related health issues. Also described are different issues of U pollution, such as U and fertilizers, occupational exposure in miners, use and hazards of U in weapons (depleted U), U and plutonium as catalysts in the reaction between DNA and H2O2, and recycling of U from groundwater to surface soils in irrigation. For use in medical geology and U research, large databases and data warehouses are currently available in Europe and the United States. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. [Medical and social aspects of epilepsy (author's transl)].

    Science.gov (United States)

    Ritter, G

    1976-04-01

    A review of social aspects of epilepsy is given. Similar to the own experience the literature shows only little social prestige given to patients with epilepsy, an experience known from persons with psychiatric disorders. The prevalence rate for chronic epilepsy is 0.5%. So called genuine seizures decreased with diagnostic progress during the last years (about 50%). Lower social classes and negative social patterns are characteristic of employees with epileptic fits. Unemployed persons show normal social structure. A relation to social class and onset of epilepsy exists. Epileptics are socially immobile. Like other persons with chronic diseases epilepsy produces a special social attitude and often negative therapeutic motivation. In contrast to the literature non-hospitalized epileptics show normal intelligence. Neurotic symptoms are seen in many cases however (about 40%). Often social disturbances origin from broken home situations. There is no specific social and mental defect. According to the own experience social integration of epileptics depends upon the local economic structure. The common prejudice varies with the local area. Social drop-outs are not due to the seizures, but occur mainly in mentally retarded persons who are not able to follow therapeutic regimens. Delinquency is increased among the own patients (18%). The causes are psychoorganic syndromes, often in connection with negative therapeutic motivation and alcoholism. The tendency to specific crimes, known from the literature, could not be confirmed. Forensic problems in direct connection with epileptic fits are rare. Medical problems concerning ability to drive often occur. Many patients possess a driver licence (46.5%), gained after onset of epilepsy in 50%. But the accident rate is lower than in the general population. Special outpatient departments and therapeutic groups for epileptics--affiliated to neurological centers--can improve the exact diagnosis, therapeutic motivation and social

  16. On the evaluation of the safety aspects of nanomaterials in medical devices – a regulatory perspective

    OpenAIRE

    Wu, Eva; Chan, Christopher; Li, Albert

    2013-01-01

    Nanotechnology is widely used in many aspects of the design and manufacture of medical devices. To date, many of these new medical devices, referred to as nano medical devices, have been submitted to health authorities for premarket regulatory review. There are ongoing discussions between medical device manufacturers and regulatory authorities regarding the standards and methods required for the evaluation process. Taking into consideration aspects including nano-toxicology and biocompatibili...

  17. [Attitude of medical students to the preventive and social aspects of medical education and practice].

    Science.gov (United States)

    González Carbajal, E; Gutiérrez Avila, J H; Aguilar De La Garza, J; García Medrano, J

    1982-01-01

    This paper reports on a study carried out in the Faculty of Medicine of the Autonomous National University of Mexico to discover the attitudes of a group of students toward the preventive and social aspects of medicine, and their own professional aspirations. It was found that these students were aware of the importance of these aspects, and that they inclined by preference to the practice of a clinical specialty. No correlation was found between the patterns of the students' professional aspirations and their attitudes. The authors feel this could mean that attitudes are determined by the overall influence of the society, but the aspirations by the structure of the labor market and the prevailing medical practice model. It is suggested that a similar survey be done of the same group of students at the completion of their studies to determine the possible effects of the educational process on their attitudes. Comments are made and recommendations put forward for solving methodological problems that arise in studies of this type.

  18. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J

    2003-01-01

    services for both men and women was high infertility-related stress in the marital, personal and social domain. CONCLUSIONS: A supportive attitude from medical staff and the provision of both medical and psychosocial information and support should be integral aspects of medical care in fertility clinics...

  19. Medical Students' Opinions on Economic Aspects of the Health Care System.

    Science.gov (United States)

    Herman, Mary W.

    1985-01-01

    Responses of 423 freshmen and 410 seniors at Jefferson Medical College to 15 questions on economic aspects of health care were compared. A majority of students considered major problems to be costs of medical care and medical education, malpractice claims, and patients' failure to assume responsibility for their health. (Author/SW)

  20. Circadian aspects of post-operative morbidity and mortality

    DEFF Research Database (Denmark)

    Kvaslerud, T.; Hansen, M.V.; Rosenberg, J.;

    2010-01-01

    concerning post-operative circadian disturbances. We also present the literature concerning circadian variation in post-operative morbidity and mortality. PubMed and the Cochrane database were searched for papers using a combination of 'circadian,' 'surgery,' 'post-operative,' 'mortality' and 'morbidity...

  1. [Psychological aspects of spinal anesthesia. Vasovagal syncope and anxiolytic medication].

    Science.gov (United States)

    Tolksdorf, W; Merkel, G; Rehder, H; Rey, E R; Berlin, J

    1984-07-01

    In 61 male and female patients, the influence of the preoperative emotional state on vasovagal syncopes and anxiolytic medication during spinal anaesthesia for elective orthopaedic surgery was investigated. Male patients pretended to feel emotionally better than female patients, but had higher rates of anxiolytic medication and vasovagal syncopes. Patients in a bad (n = 8) and in a good emotional state (n = 3) received more anxiolytic medication than those with a mean emotional state. Vasovagal syncopes were registered in patients who pretended to feel good (n = 6), in those who felt bad (n = 4) and only in one patient of the mean group. The factors anxiety and depression were the most responsible for this result. The importance of coping-mechanisms for the development of psychological and psychophysiological reactions is discussed. Vasovagal syncope is interpreted as a psychophysiological reaction. In consequence it needs psychoprophylaxis.

  2. [Medical and environmental aspects of the drinking water supply crisis].

    Science.gov (United States)

    Él'piner, L I

    2013-01-01

    Modern data determining drinking water supply crisis in Russia have been considered. The probability of influence of drinking water quality used by population on current negative demographic indices was shown. The necessity of taking into account interests of public health care in the process of formation of water management decisions was grounded. To achieve this goal the application of medical ecological interdisciplinary approach was proposed Its use is mostly effective in construction of goal-directed medical ecological sections for territorial schemes of the rational use and protection of water resources. Stages of the elaboration of these sections, providing the basing of evaluation and prognostic medical and environmental constructions on similar engineering studies of related disciplinary areas (hydrological, hydrogeological, hydrobiological, hydrochemical, environmental, socio-economic, technical and technological) were determined.

  3. ETHICAL, SOCIO-PSYCHOLOGICAL AND MEDICAL ASPECTS OF CHILD NEGLECT

    Directory of Open Access Journals (Sweden)

    Smaranda Diaconescu

    2015-11-01

    Full Text Available Child neglect was and continues to be a matter of both professional and public interest, thoroughly debated by child protection researchers and specialists, sociologists, psychologists and social workers, specialists in education and health. Drawing on some examples encountered in current medical practice, we tried to identify the causal factors of child neglect from a medical point of view and the attitude that healthcare professionals should adopt towards such situations. The correct and efficient management of medical neglect cases requires an assessment of the child’s needs, the identification of the parents’ resources and guidance of their efforts so as to properly cater to the child’s needs for the purpose of ensuring the optimum health of the latter.

  4. 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...

  5. 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...

  6. 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...

  7. Elder Specialists: Psychosocial Aspects of Medical Education in Geriatric Care

    Science.gov (United States)

    McCann-Stone, Nancy; Robinson, Sherry B.; Rull, Gary; Rosher, Richard B.

    2009-01-01

    This paper describes an Elder Specialist Program developed by one school of medicine to sensitize medical students to geriatric psychosocial issues. Elder Specialists participate in panel discussions as part of each geriatric session. As an alternative to traditional senior mentoring programs, the Elder Specialist Program provides all students a…

  8. ANALYSIS OF LEGAL ASPECTS OF STORAGE OF MEDICAL PRODUCTS APPOINTED FOR MEDICAL AND SANITARY CONSEQUENCES OF EMERGENCIES MITIGATION

    Directory of Open Access Journals (Sweden)

    G. Ya. Ibragimova

    2015-01-01

    Full Text Available The article analyzes principal legal aspects of medical products storage, appointed for medical and sanitary consequences of emergencies mitigation. We have revealed that nowadays there is a whole range of legal gaps and uncertainties in the regulation of medical products storage. We have also offered the ways for their solution

  9. 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

  10. 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

  11. STUDENTS’ PERCEPTIONS OF ASPECTS AFFECTING MEDICAL EDUCATION QUALITY

    Directory of Open Access Journals (Sweden)

    Katya Peeva

    2013-06-01

    Full Text Available The student is the main subject in the education process. The goal of the study is to examine the relative weight of the components of learning process in the students’ evaluation assessment for quality of higher medical education. Direct individual inquiry with rank answers for 541 medical students was completed. Logistic regression analysis was done to create predictive models and derive relationships between quality of education factors and its dependents: assessment of quality and students' progress. Tolerance and respectfulness (OR = 13.1, high general culture (OR = 18.4, clearand accessiblecontemporaryteaching (OR = 9.2, engagement of the audience (OR = 3.4, are the teacher characteristics in the model. Application ofnew technologiesinlearning (OR = 4.2,discussion (OR = 5.9, patients observations and live contact (OR = 5.6 are educational methods determine the qualityof education. Accordinginterns quality of education isdetermined mainly by clinical facilities, quality lectures,solving clinical cases, and practical work. 

  12. [Intercultural aspects of medical care for undocumented migrants].

    Science.gov (United States)

    Cerda-Hegerl, Patricia

    2008-01-01

    In view of the cultural diversity in German society today, the time has long since come when medical care must adjust to its new clientele. This article provides an overview for doctors, medical personnel and psychologists of approaches, backgrounds and networks of migration to Germany, in particular over the little known undocumented migration. This migration has steadily increased in recent years. The author deals with the circumstances which create psychological problems for migrants and what happens when migrants living in this shadow world fall ill. In addition, the article offers an agenda for interculturally competent action in caring for documented and undocumented migrants. Dimensions of cultural differences such as collectivism versus individualism (most of the countries of origin of these migrants in Germany with or without documents are collectivistic) are explained along with differences in styles of communication. The following styles with their impact in actual practice are analyzed: indirect versus direct communication; emotional control versus expressiveness; functionalism versus relationship orientation.

  13. [Medical aspects of common non-lethal weapons].

    Science.gov (United States)

    Kunz, Sebastian Niko; Grove, Christina; Monticelli, Fabio

    2014-03-01

    The development and provision of non-lethal weapons (NLW) allow military and law enforcement personnel to exploit gradual engagement in countering potentially hazardous threats. Chemical, kinetic and electrical weapons systems are used to curb violence in civilian crowds. With inappropriate usage, these technologies can cause potentially fatal injuries that are not only of clinical, but also of legal relevance. In this context, the practicing physician is faced with treatment as well as assessment issues of new forms of injuries. In order to assure medical care and to be able to draw competent expert's conclusions, a detailed knowledge of the medical effects of these NLW is necessary. The review at hand presents today's most popular NLW and gives an overview of their possible injury potential and required treatments.

  14. [Psychological aspects of public activity of a forensic medical examiner].

    Science.gov (United States)

    Bashkireva, E A; Buromskiĭ, I V

    2009-01-01

    In the recent years, professional activity of forensic medical examiners has been gaining publicity which necessitates knowledge of individual psychologic personality traits, the ability to effectively communicate, and high vocational culture on the part of each specialist. The specific character of professional contacts of a forensic medical expert is self-evident taking into consideration that he (she) has to deal with a great variety of persons including law enforcement officials, law breakers and criminal offence victims, men and women, young and aged people, representatives of different social groups, subjects in a specific emotional state, etc. In order to organize efficacious cooperation with all these individuals, the expert must develop high communicative competence, possess knowledge of psychology of communication, abilities and skills necessary for the establishment and maintenance of professional and business contacts.

  15. Doctor-patient dialogue--basic aspect of medical consultation.

    Science.gov (United States)

    Murariu-Brujbu, Isabella Cristina; Macovei, Luana Andreea

    2013-01-01

    Family medicine is the specialty that provides ongoing primary medical care and improves the health status of the individual, of the family and of the community through preventive, educational, therapeutic and rehabilitation measures. The family doctor often makes the interdisciplinary synthesis, in a flexible manner, either alone or in most cases with interdisciplinary consultation. In the latter case, the family doctor initiates the team work and makes the final evaluation by using the longitudinal follow-up of the disease. The doctor-patient encounter represents the "confrontation" with the greatest moral weight, due to the complexity of the values involved, the status of the doctor in a society, and patient's involvement in decision making. The patient is a person who should be treated with respect, honesty, professionalism and loyalty, whatever the clinical status, severity of illness, mental competence or incompetence. A focus, on an international scale, is represented by the characteristics of a good doctor, family physician included, as the latter is the first link in the network of health services. Each model of consultation varies in a more or less subtle way in priorities assignment, and suggests slight differences regarding the role played by doctor and patient in their collaboration. The qualities of a good family physician include not only the strictly professional competences, that also apply to other medical specialties, but also duties, such as, clearly explaining to patients issues concerning their health, informing them about all the possible preventive measures of diseases, making a diagnosis, initiating and supervising a therapy. Medical responsibility lies at the crossroads between medical science and the conscience of the doctor.

  16. Circadian aspects of post-operative morbidity and mortality

    DEFF Research Database (Denmark)

    Kvaslerud, T.; Hansen, M.V.; Rosenberg, J.;

    2010-01-01

    concerning post-operative circadian disturbances. We also present the literature concerning circadian variation in post-operative morbidity and mortality. PubMed and the Cochrane database were searched for papers using a combination of 'circadian,' 'surgery,' 'post-operative,' 'mortality' and 'morbidity.......' Eleven relevant studies were found, and seven of these were excluded due to the use of time of surgery and not time of morbidity or mortality as the main variable. The results from the four articles showed a circadian distribution of morbidity and mortality that mimics the one seen without surgery....... There is a peak incidence of myocardial ischemia, fatal thromboembolism and sudden unexpected death in the morning hours. A circadian variation exists in post-operative morbidity and mortality. The observed circadian variation in post-operative morbidity and mortality may warrant a chronopharmacological approach...

  17. Management aspects of Gemini's base facility operations project

    Science.gov (United States)

    Arriagada, Gustavo; Nitta, Atsuko; Adamson, A. J.; Nunez, Arturo; Serio, Andrew; Cordova, Martin

    2016-08-01

    Gemini's Base Facilities Operations (BFO) Project provided the capabilities to perform routine nighttime operations without anyone on the summit. The expected benefits were to achieve money savings and to become an enabler of the future development of remote operations. The project was executed using a tailored version of Prince2 project management methodology. It was schedule driven and managing it demanded flexibility and creativity to produce what was needed, taking into consideration all the constraints present at the time: Time available to implement BFO at Gemini North (GN), two years. The project had to be done in a matrix resources environment. There were only three resources assigned exclusively to BFO. The implementation of new capabilities had to be done without disrupting operations. And we needed to succeed, introducing the new operational model that implied Telescope and instrumentation Operators (Science Operations Specialists - SOS) relying on technology to assess summit conditions. To meet schedule we created a large number of concurrent smaller projects called Work Packages (WP). To be reassured that we would successfully implement BFO, we initially spent a good portion of time and effort, collecting and learning about user's needs. This was done through close interaction with SOSs, Observers, Engineers and Technicians. Once we had a clear understanding of the requirements, we took the approach of implementing the "bare minimum" necessary technology that would meet them and that would be maintainable in the long term. Another key element was the introduction of the "gradual descent" concept. In this, we increasingly provided tools to the SOSs and Observers to prevent them from going outside the control room during nighttime operations, giving them the opportunity of familiarizing themselves with the new tools over a time span of several months. Also, by using these tools at an early stage, Engineers and Technicians had more time for debugging

  18. [Limits of pain treatment: medical and judicial aspects].

    Science.gov (United States)

    Zenz, M; Rissing-van Saan, R

    2011-08-01

    Medical principles of pain treatment are generally in line with the judicial principles. To relieve pain is one of the fundamentals of medicine and this has also been acknowledged by the Federal Court in Germany. It is criminal bodily harm, when a physician denies a possible pain treatment. Whereas courts clearly see an obligation to basic and continuing education in pain diagnosis and therapy, pain is still not represented in the German licensing regulations for physicians. Only palliative medicine has been added to the obligatory curriculum. Very similar pain is not mandatory in many clinical disciplines leaving physicians without the needed knowledge to treat pain. The need for interdisciplinary treatment is not yet acknowledged sufficiently, although meanwhile chronic pain is regarded as a bio-psycho-social illness.Since 2009 the advance directive is regulated by law. However, still many physicians are unaware that not only the position of the patient but also of the relatives have been strengthened. In 2010 the Federal Court has pronounced a judgment allowing "passive euthanasia" in certain conditions but prohibiting any active handling even in line with the patient's will. This is also in line with the European Human Rights Convention. The judicial unpunished assisted suicide has provoked an ethical discussion within the medical profession. However, what is not illegal is not automatically accepted as ethical handling for physicians. Palliative medicine is at least one alternative in this discussion.

  19. Some aspects of doping and medication control in equine sports.

    Science.gov (United States)

    Houghton, Ed; Maynard, Steve

    2010-01-01

    This chapter reviews drug and medication control in equestrian sports and addresses the rules of racing, the technological advances that have been made in drug detection and the importance of metabolism studies in the development of effective drug surveillance programmes. Typical approaches to screening and confirmatory analysis are discussed, as are the quality processes that underpin these procedures. The chapter also addresses four specific topics relevant to equestrian sports: substances controlled by threshold values, the approach adopted recently by European racing authorities to control some therapeutic substances, anabolic steroids in the horse and LC-MS analysis in drug testing in animal sports and metabolism studies. The purpose of discussing these specific topics is to emphasise the importance of research and development and collaboration to further global harmonisation and the development and support of international rules.

  20. [Alexander Pushkin's duel--biographic and medical aspects].

    Science.gov (United States)

    Tangen, J M

    2000-04-10

    The great Russian poet Aleksandr Pushkin (1799-1837) died 46 hours after being wounded by a pistol shot in a duel. The bullet penetrated the right pelvic bone, continued through the lower abdomen, and crushed the right part of the sacral bone. Biographical events leading to the duel are presented in the article, which also reviews articles in Russian medical journals describing the extent of the trauma and discussing the treatment possibilities at the time of the duel as well as present-day treatment. It is concluded that death was caused by peritonitis and that only modern extensive abdominal and orthopaedic surgery combined with antibiotic treatment could have saved the poet's life.

  1. Operational aspects of the VELO cooling system of LHCb

    CERN Document Server

    Jans, E

    2014-01-01

    The VELO is a silicon strip detector that is positioned around the interaction region of LHCb. It is placed inside a secondary vacuum with respect to that of the LHC. The cooling system of the VELO is based on the bi-phase accumulator controlled method, using CO$_2$ as coolant. The main objective is the removal of the heat produced by the front-end electronics. Moreover, the leakage currents of the sensors are strongly reduced and thermal runaway is prevented. Since the sensors have been irradiated in Run 1 they should always be cooled to below $^-$5 $^{\\rm{o}}$C. The operational principle and main characteristics of the system are described, as well as the warning and safety systems that guarantee the safe operation of the detector. The few problems that have been encountered during the four years of continuous operation are discussed together with the solutions that have been implemented.

  2. Materials and NDE aspects in the RPV operating conditions behaviour

    Energy Technology Data Exchange (ETDEWEB)

    Rupa, Nathalie [EDF, CEIDRE, 2 rue Ampere, F- 93206 Saint-Denis (France); Churier-Bossennec, Henriette [Electricite de France, SEPTEN, 12 - 14 av. Dutrievoz, 69628 Villeurbanne Cedex (France); Bezdikian, Georges [EDF CAPE, 1 place Pleyel, 93282 St Denis Cedex (France)

    2006-09-15

    The demonstration of the in-service resistance of the PWR vessels is based on the toughness evaluation of the materials constituting the vessels. The objective is indeed to compare the toughness to the solicitations applied on a crack, resulting from the different loading potentially experienced by the component. This article aims at presenting the in-service inspections - NDE aspects - as well as the toughness assessment method, closely linked with different materials aspects. The potential defects in the welded, cladded shells of the PWR vessels are only fabrication flaws. To date every core zone vessel has been entirely examined by a non destructive process. The implemented Ultrasonic Techniques are qualified according to the RSEM code since 1999. Thus, EDF has a reliable and exhaustive knowledge of the manufacturing defects to be found under the cladding of the PWR vessel core zones. The toughness of the materials is determined according to an indirect method. It is based on a codified lower bound curve associating the minimum K{sub IC} to a reference temperature, the RT{sub NDT}. RT{sub NDT} is characteristic for a material and integrates the evolutions due to neutronic bombardment through specific irradiation formulae. The Pressure Vessel Surveillance Program allows to verify that the formulae are conservative. The PVSP results and an analysis of the toughness assessment are presented in this paper. (authors)

  3. Sex and gender aspects in anesthetics and pain medication.

    Science.gov (United States)

    Campesi, Ilaria; Fois, Marco; Franconi, Flavia

    2012-01-01

    The influence of sex and gender on anesthesia and analgesic therapy remains poorly understood, nevertheless the numerous physiological and pharmacological differences present between men and women. Although in anesthesiology sex-gender aspects have attracted little attention, it has been reported that women have a greater sensitivity to the non-depolarizing neuroblocking agents, whereas males are more sensitive than females to propofol. It has been suggested that men wake slower than women after general anesthesia and have less postoperative nausea and vomiting. Sexual hormones seem to be of importance in the onset of differences. Nevertheless, in the last years, sex-gender influences on pain and analgesia have become a hot topic and data regarding sex-gender differences in response to pharmacologic and non-pharmacologic pain treatments are still scanty, inconsistent, and non-univocal. In particular, females seem to be more sensitive than males to opioid receptor agonists. Women may experience respiratory depression and other adverse effects more easily if they are given the same doses as males. Evidently, there is an obvious need for more research, which should include psychological and social factors in experimental preclinical and clinical paradigms in view of their importance on pain mechanism, in order to individualize analgesia to optimize pain relief.

  4. Operator Algebras and Noncommutative Geometric Aspects in Conformal Field Theory

    Science.gov (United States)

    Longo, Roberto

    2010-03-01

    The Operator Algebraic approach to Conformal Field Theory has been particularly fruitful in recent years (leading for example to the classification of all local conformal nets on the circle with central charge c < 1, jointly with Y. Kawahigashi). On the other hand the Operator Algebraic viewpoint offers a natural perspective for a Noncommutative Geometric context within Conformal Field Theory. One basic point here is to uncover the relevant structures. In this talk I will explain some of the basic steps in this "Noncommutative Geometrization program" up to the recent construction of a spectral triple associated with certain Ramond representations of the Supersymmetric Virasoro net. So Alain Connes framework enters into play. This is a joint work with S. Carpi, Y. Kawahigashi, and R. Hillier.

  5. Animal poisoning - veterinary-medical and criminal-legal aspects

    Directory of Open Access Journals (Sweden)

    Aleksić Jelena

    2014-01-01

    Full Text Available Apart from approved or planned poisoning with agricultural purpose, an increase in the number of cases of intentional animal poisoning (primarily referring to cats and dogs has been detected in Serbia, and it is suspected that their number is significantly larger than the one shown by the official statistics data. Under the conditions prescribed by the Criminal Code of the Republic of Serbia, such activities may represent the crime of killing and torture of animals, but also the crime of causing a general danger. It would be impossible to conduct the procedure of discovering and proving these criminal offences and the responsibility of their perpetrators without findings and opinion of forensic veterinary-medicine experts. They play an important role when it comes to site inspection, crime scene processing, collecting the samples from the crime scene, processing of samples and autopsy and exhumation of a potentially poisoned animal body. Just like other evidence in criminal procedure, findings and opinion of experts of veterinary medicine are estimated in accordance with the principle of free assessment of evidence. However, due to the specificity of such cases of killing and torture of animals, their impact on court’s decision on the existence of criminal offence and perpetrator’s liability is crucial. In this paper, the authors discuss the scope of animal poisoning in Serbia, particularly in Belgrade, analyze possible criminal - legal consequences of these illegal activities and point out to a significant role that experts of veterinary medical profession have in discovering and proving such cases and the liability of their perpetrators.

  6. 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.

  7. 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

  8. Yesterday's Doctors: The Human Aspects of Medical Education in Britain, 1957-93.

    Science.gov (United States)

    Bates, Victoria

    2017-01-01

    In the wake of the Second World War there was a movement to counterbalance the apparently increasingly technical nature of medical education. These reforms sought a more holistic model of care and to put people - rather than diseases - back at the centre of medical practice and medical education. This article shows that students often drove the early stages of education reform. Their innovations focused on relationships between doctors and their communities, and often took the form of informal discussions about medical ethics and the social dimensions of primary care. Medical schools began to pursue 'humanistic' education more formally from the 1980s onwards, particularly within the context of general practice curricula and with a focus on individual doctor-patient relationships. Overall from the 1950s to the 1990s there was a broad shift in discussions of the human aspects of medical education: from interest in patient communities to individuals; from social concerns to personal characteristics; and from the relatively abstract to the measurable and instrumental. There was no clear shift from 'less' to 'more' humanistic education, but rather a shift in the perceived goals of integrating human aspects of medical education. The human aspects of medicine show the importance of student activism in driving forward community and ethical medicine, and provide an important backdrop to the rise of competencies within general undergraduate education.

  9. Yesterday’s Doctors: The Human Aspects of Medical Education in Britain, 1957–93

    Science.gov (United States)

    Bates, Victoria

    2017-01-01

    In the wake of the Second World War there was a movement to counterbalance the apparently increasingly technical nature of medical education. These reforms sought a more holistic model of care and to put people – rather than diseases – back at the centre of medical practice and medical education. This article shows that students often drove the early stages of education reform. Their innovations focused on relationships between doctors and their communities, and often took the form of informal discussions about medical ethics and the social dimensions of primary care. Medical schools began to pursue ‘humanistic’ education more formally from the 1980s onwards, particularly within the context of general practice curricula and with a focus on individual doctor–patient relationships. Overall from the 1950s to the 1990s there was a broad shift in discussions of the human aspects of medical education: from interest in patient communities to individuals; from social concerns to personal characteristics; and from the relatively abstract to the measurable and instrumental. There was no clear shift from ‘less’ to ‘more’ humanistic education, but rather a shift in the perceived goals of integrating human aspects of medical education. The human aspects of medicine show the importance of student activism in driving forward community and ethical medicine, and provide an important backdrop to the rise of competencies within general undergraduate education. PMID:27998331

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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%.

  15. 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.

  16. A systematic review of social, economic and diplomatic aspects of short-term medical missions.

    Science.gov (United States)

    Caldron, Paul H; Impens, Ann; Pavlova, Milena; Groot, Wim

    2015-09-15

    Short-term medical missions (STMMs) represent a grass-roots form of aid, transferring medical services rather than funds or equipment. The objective of this paper is to review empirical studies on social, economic and diplomatic aspects of STMMs. A systematic literature review was conducted by searching PubMed and EBSCOhost for articles published from 1947-2014 about medical missions to lower and middle income countries (LMICs). Publications focused on military, disaster and dental service trips were excluded. A data extraction process was used to identify publications relevant to our objective stated above. PubMed and EBSCOhost searches provided 4138 and 3262 articles respectively for review. Most articles that provide useful information have appeared in the current millennium and are found in focused surgical journals. Little attention is paid to aspects of volunteerism, altruism and philanthropy related to STMM activity in the literature reviewed (1 article). Evidence of professionalization remains scarce, although elements including guidelines and tactical instructions have been emerging (27 articles). Information on costs (10 articles) and commentary on the relevance of market forces (1 article) are limited. Analyses of spill-over effects, i.e., changing attitudes of physicians or their communities towards aid, and characterizations of STMMs as meaningful foreign aid or strategic diplomacy are few (4 articles). The literature on key social, economic and diplomatic aspects of STMMs and their consequences is sparse. Guidelines, tactical instructions and attempts at outcome measures are emerging that may better professionalize the otherwise unregulated activity. A broader discussion of these key aspects may lead to improved accountability and intercultural professionalism to accompany medical professionalism in STMM activity.

  17. Practical aspects of steam injection processes: A handbook for independent operators

    Energy Technology Data Exchange (ETDEWEB)

    Sarathi, P.S.; Olsen, D.K.

    1992-10-01

    More than 80% of the total steam injection process operating costs are for the production of steam and the operation of surface and subsurface equipment. The proper design and operation of the surface equipment is of critical importance to the success of any steam injection operation. However, the published monographs on thermal recovery have attached very little importance to this aspect of thermal oil recovery; hence, a definite need exists for a comprehensive manual that places emphasis on steam injection field practices and problems. This handbook is an attempt to fulfill this need. This handbook explores the concept behind steam injection processes and discusses the information required to evaluate, design, and implement these processes in the field. The emphasis is on operational aspects and those factors that affect the technology and economics of oil recovery by steam. The first four chapters describe the screening criteria, engineering, and economics of steam injection operation as well as discussion of the steam injection fundamentals. The next four chapters begin by considering the treatment of the water used to generate steam and discuss in considerable detail the design, operation and problems of steam generations, distribution and steam quality determination. The subsurface aspects of steamflood operations are addressed in chapters 9 through 12. These include thermal well completion and cementing practices, insulated tubulars, and lifting equipment. The next two chapters are devoted to subsurface operational problems encountered with the use of steam. Briefly described in chapters 15 and 16 are the steam injection process surface production facilities, problems and practices. Chapter 17 discusses the importance of monitoring in a steam injection project. The environmental laws and issues of importance to steam injection operation are outlined in chapter 18.

  18. Practical aspects of steam injection processes: A handbook for independent operators

    Energy Technology Data Exchange (ETDEWEB)

    Sarathi, P.S.; Olsen, D.K.

    1992-10-01

    More than 80% of the total steam injection process operating costs are for the production of steam and the operation of surface and subsurface equipment. The proper design and operation of the surface equipment is of critical importance to the success of any steam injection operation. However, the published monographs on thermal recovery have attached very little importance to this aspect of thermal oil recovery; hence, a definite need exists for a comprehensive manual that places emphasis on steam injection field practices and problems. This handbook is an attempt to fulfill this need. This handbook explores the concept behind steam injection processes and discusses the information required to evaluate, design, and implement these processes in the field. The emphasis is on operational aspects and those factors that affect the technology and economics of oil recovery by steam. The first four chapters describe the screening criteria, engineering, and economics of steam injection operation as well as discussion of the steam injection fundamentals. The next four chapters begin by considering the treatment of the water used to generate steam and discuss in considerable detail the design, operation and problems of steam generations, distribution and steam quality determination. The subsurface aspects of steamflood operations are addressed in chapters 9 through 12. These include thermal well completion and cementing practices, insulated tubulars, and lifting equipment. The next two chapters are devoted to subsurface operational problems encountered with the use of steam. Briefly described in chapters 15 and 16 are the steam injection process surface production facilities, problems and practices. Chapter 17 discusses the importance of monitoring in a steam injection project. The environmental laws and issues of importance to steam injection operation are outlined in chapter 18.

  19. 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.

  20. 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

  1. FARMER-TO-CONSUMER DIRECT MARKETING: SALES AND ADVERTISING ASPECTS OF NEW JERSEY OPERATIONS

    OpenAIRE

    Nayga, Rodolfo M, Jr; Fabian, Morris S.; Thatch, Daymon W.; Wanzala, Maria N.

    1995-01-01

    This article provides insights into the sales and advertising operations and characteristics of direct marketing enterprises in New Jersey. Sales data are analyzed with respect to the number of acres planted, related products, products sold that were grown by marketers, and organic produce. The advertising aspects explored are dollar amount spent on advertising and methods of advertising.

  2. Psychosocial aspects of cancer in adults: implications for teaching medical students.

    Science.gov (United States)

    Blanchard, C G; Ruckdeschel, J C

    1986-01-01

    This article addresses psychosocial aspects of cancer and the cancer patient that the authors feel are important to teach medical students. A section on understanding the cancer patient deals with patient psychosocial responses to a diagnosis of cancer. Loss of control, anger and guilt, fear of abandonment, fear of pain, psychiatric disorders, and psychosocial factors all need to be explored by the health care team. Interventions, such as education, support groups, environmental manipulation, or psychological counseling including imagery or relaxation have proved to be effective. Relaxation therapy can also help to counteract the side effects of chemotherapy such as anticipatory nausea and vomiting. An increasing openness about discussing dying and the development of hospices have resulted in improvements of the care of the dying patient and family. Family members should be involved in the care of the cancer patient and can support the patient by promoting autonomy and control and by encouraging communication and expression of feelings. The doctor-patient relationship is central, and is changing from a paternalistic model to one encouraging greater patient participation. In studying the behavior of physicians at Albany Medical College, the authors found that oncologists spend more time with patients with the poorest prognoses. Patient satisfaction with the relationship was found to be high. Students can be instructed in these psychosocial aspects of oncology by means of videotapes, role-playing, or patient presentations, and more importantly by using the physicians as a role model. Comprehensive care of the cancer patient necessitates the integration of psychosocial aspects of care into the overall assessment and management plan. This article reviews the psychosocial aspects of care of the adult cancer patient taught to second year medical students as part of a 42 hour course entitled "The Cellular Basis of Cancer Medicine" at Albany Medical College. The didactic

  3. Botanical geographical aspects of plants cultivated in Medea's garden of medical plants in Colchis.

    Science.gov (United States)

    Gagnidze, R; Khelaia, N; Margalitadze, N; Batsatsashvili, K; Churadze, M

    2009-04-01

    The aim of the present work is to make a detailed investigation of the dissemination and dispersion of the plants which were cultivated in Medea's garden of medical plants in Colchis. It was found that the plants in the Medea's garden were highly heterogeneous from the point of plant geography. Plants from humid and arid Mediterranean basin, Near, Minor and East Asia zones were found in Medea's garden. Among the most important were the plants of floristic centers of Mediterranean basin. Study of the botanical geographical aspects of medical plants gave us opportunities to establish optimal time of dissemination of medical plants diasporas in Colchis; this process is associated with climate oscillations of Holocene and intensive migrations of peoples of Mediterranean.

  4. Systematic review of the economic aspects of nonadherence to antipsychotic medication in patients with schizophrenia

    Directory of Open Access Journals (Sweden)

    Dilla T

    2013-04-01

    Full Text Available Tatiana Dilla, Antonio Ciudad, María ÁlvarezDepartment of Clinical Research and Development, Lilly, S.A. Alcobendas, SpainPurpose: There is strong evidence supporting the link between nonadherence to antipsychotic medication and relapse of schizophrenia. However, less obvious are the economic consequences of nonadherence. The systematic review reported here evaluated the economic aspects of nonadherence to antipsychotic medication.Methods: A systematic review of scientific papers in the PubMed MEDLINE, Embase, PsychINFO, BIOSIS, and Evidence-Based Medicine Reviews databases was undertaken. Studies that measured adherence to antipsychotic medication and that provided comparative information on health care costs were included.Results: Eight studies met the inclusion criteria. All were observational. Despite the differences between the studies in terms of design, adherence measures, and cost components analyzed, the results of this systematic review indicate that nonadherence to antipsychotic medication is associated with increased hospitalization rates and resource utilization, resulting in increased direct health care costs.Conclusion: Nonadherence to antipsychotic medication results in poor health and economic outcomes; therefore, the authors suggest endorsing interventions aimed at improving adherence because they can improve patient health without substantially increasing costs.Keywords: adherence, costs, observational study, hospitalization rates, resource utilization

  5. Medical Aspects of Cold Weather Operations: A Handbook for Medical Officers

    Science.gov (United States)

    1993-04-01

    3.5.4 Chilblains (Pernio) ....... ............ .. 43 3.5.5 Solar Keratitis (Snow Blindness) and Sunburn 43 3.5.6 Eczema (Winter Itch, " Eczema Craquele...intense pain. Treatment is conservative using oral analgesics and protecting skin from further injury. 3.5.6 Eczema (.Mnter tch, " Eczema Craquele") This...tosylate and electrically induced cardiac arrhythmias during hypothermia in dogs . American Journal of Emergency Medicine 10:311-6, 1992. Post, P.W

  6. How sick is the defendant? Forensic and emergency medical aspects at trial.

    Science.gov (United States)

    Buschmann, C; Peters, M

    2013-01-01

    The evaluation of a defendant's ability to stand trial is a core task in the field of legal medicine as a supportive instrument of jurisprudence. Before the trial, the court-appointed expert informs him-/herself regarding existing somatic and psychological illness(-es) within the context of preparing an expert evaluation, then composing the written expert evaluation, which reflects the condition of the subject at the time of the examination and arrives at an assessment of the ability to stand trial. The decompensation or aggravation of illnesses - in particular in stressful situations, as is to be expected for the defendant in the courtroom - can thus be taken into consideration such that alongside the current evaluation of the defendant's health condition, emergency medical treatment may also become necessary in court at times. We present three case reports about forensic and emergency medical aspects at trial, considering how the forensic expert can be able to meet the subsequent challenges.

  7. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education.

    Science.gov (United States)

    Hochberg, Mark S; Seib, Carolyn D; Berman, Russell S; Kalet, Adina L; Zabar, Sondra R; Pachter, H Leon

    2011-03-01

    Understanding how medical malpractice occurs and is resolved is important to improving patient safety and preserving the viability of a physician's career in academic medicine. Every physician is likely to be sued by a patient, and how the physician responds can change his or her professional life. However, the principles of medical malpractice are rarely taught or addressed during residency training. In fact, many faculty at academic medical centers know little about malpractice.In this article, the authors propose that information about the inciting causes of malpractice claims and their resolution should be incorporated into residency professionalism curricula both to improve patient safety and to decrease physician anxiety about a crucial aspect of medicine that is not well understood. The authors provide information on national trends in malpractice litigation and residents' understanding of malpractice, then share the results of their in-depth review of surgical malpractice claims filed during 2001-2008 against their academic medical center. The authors incorporated those data into an evidence-driven curriculum for residents, which they propose as a model for helping residents better understand the events that lead to malpractice litigation, as well as its process and prevention.

  8. [August Gottlieb Richter: urological aspects of his comprehensive operative and scientific work].

    Science.gov (United States)

    Seifert, D

    2013-06-01

    August Gottlieb Richter (1742-1812) was one of the most distinguished surgeons in the second half of the eighteenth century. In this article his life and scientific career during an age shaken by wars and radical changes are described. Particular attention is paid to his achievements as a doctor, teacher and scientific author. The latter activity finds its foremost expression in the"Chirurgische Bibliothek" ("Surgical library"), a practice-oriented scientific journal, as well as in his later work"Anfangsgründe der Wundarzneykunst" ("Elements of wound surgery"). This article concentrates on the urological aspects of his work and compares these aspects with contemporary publications. Particular emphasis is placed on Richter's dispute about fashionable medical trends typical for that era as well as his culture of criticism and self-criticism.

  9. Introduction to grayscale calibration and related aspects of medical imaging grade liquid crystal displays.

    Science.gov (United States)

    Fetterly, Kenneth A; Blume, Hartwig R; Flynn, Michael J; Samei, Ehsan

    2008-06-01

    Consistent presentation of digital radiographic images at all locations within a medical center can help ensure a high level of patient care. Currently, liquid crystal displays (LCDs) are the electronic display technology of choice for viewing medical images. As the inherent luminance (and thereby perceived contrast) properties of different LCDs can vary substantially, calibration of the luminance response of these displays is required to ensure that observer perception of an image is consistent on all displays. The digital imaging and communication in medicine (DICOM) grayscale standard display function (GSDF) defines the luminance response of a display such that an observer's perception of image contrast is consistent throughout the pixel value range of a displayed image. The main purpose of this work is to review the theoretical and practical aspects of calibration of LCDs to the GSDF. Included herein is a review of LCD technology, principles of calibration, and other practical aspects related to calibration and observer perception of images presented on LCDs. Both grayscale and color displays are considered, and the influence of ambient light on calibration and perception is discussed.

  10. CLINICAL ASPECTS OF ACUTE POST-OPERATIVE PAIN MANAGEMENT & ITS ASSESSMENT

    Directory of Open Access Journals (Sweden)

    R.S.R Murthy

    2010-06-01

    Full Text Available Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.

  11. Clinical aspects of acute post-operative pain management & its assessment

    Directory of Open Access Journals (Sweden)

    Anuj Gupta

    2010-01-01

    Full Text Available Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.

  12. Attention-deficit hyperactivity disorder medication use: factors involved in prescribing, safety aspects and outcomes

    Science.gov (United States)

    Martinez-Raga, Jose; Ferreros, Amparo; Knecht, Carlos; de Alvaro, Raquel; Carabal, Eloisa

    2016-01-01

    While treatment of patients with attention-deficit hyperactivity disorder (ADHD) is based on a multimodal approach that combines medication with specific psychological interventions, pharmacotherapy alone is generally considered an essential and cost-effective element. This paper aims to comprehensively and critically review factors involved in prescribing and medication use in individuals diagnosed with ADHD, focusing on the difficulties facing patients with ADHD seeking treatment, as well as the safety and tolerability aspects of ADHD pharmacotherapies, with particular attention on the cardiovascular adverse events and the potential risk of misuse or diversion of ADHD medications. A comprehensive and systematic literature search of PubMed/MEDLINE database was conducted to identify studies published in peer-reviewed journals until 1 August 2016. Children, adolescents and adults often encounter significant difficulties in the process of accessing specialist assessment and treatment for ADHD as a consequence of disparities in service organization and available treatment provision. Despite the well-established efficacy and overall safety profile, ADHD medications are not exempt from adverse events. The cardiovascular safety of pharmacotherapies used for treating individuals with ADHD has raised particular concerns; however there is little evidence of serious cardiovascular adverse events, including no serious corrected QT (QTc) abnormalities associated with stimulants, atomoxetine or α2-adrenergic receptor agonists. Although the abuse of prescription stimulant drugs, particularly, short-acting stimulants is a prevalent and growing problem, nonmedical use of prescription stimulants within the clinical context is very limited. In addition, nonstimulant ADHD medications lack any reinforcing effects and consequently any abuse potential.

  13. Health Care Professionals’ Knowledge and Attitudes About Sexually Transmitted Diseases and Legal Aspects of Medical Services

    Directory of Open Access Journals (Sweden)

    Akpak Yaşam Kemal

    2016-01-01

    Full Text Available Objective: This study aims to investigate healthcare professionals’ (HCPs general level of knowledge about sexually transmitted diseases, their attitudes towards these patients and legal aspects of medical services. Materials and Methods: This was a multi-centered study. The participants were given 28 questions that mainly asked their level of knowledge on sexually transmitted diseases (STDs patients, their attitudes towards such patients, and their legal as well as ethical views on them. Results: A total of 234 HCPs, 124 (53% female and 110 (47% male, participated in the study. The majority of married HCPs have reported monogamy as the most reliable protection method, whereas single participants have marked "condoms." The most commonly known STD has been reported as AIDS in all groups. Even though HCPs find it medically unethical not to offer a medical intervention to patients with STDs, more than one-third of the participants believe that HCPs should have the right not to do so. Conclusion: It has been concluded that HCPs need further education on STDs. Nevertheless, such high level of care and attention on HCPs’ part does not necessarily decrease their need for proper medico legal regulations on such issues.

  14. [A young child with trisomy 21. Medical aspects: myths and reality].

    Science.gov (United States)

    Maurel Ollivier, A

    1990-10-01

    Everyone is familiar with Down syndrome but both the general public and the medical profession are inadequately educated about this disability. In this paper, medical aspects are briefly discussed. The incidence of Down syndrome, which is one in 700, is stable. Maternal age is under 35 years in 75% of cases. Fetal ultrasonography and biochemical screening can be expected to increase the frequency of antenatal fetal chromosome analysis. One of every three children with Down syndrome has congenital heart disease (common atrioventricular canal in 50% of cases); pulmonary hypertension develops unusually early and, consequently, prompt surgical treatment may be indicated. Hyperlaxity is variable and has little effect on motor development. Ocular anomalies and hearing loss should be detected and treated early since they have the potential for increasing the child's intellectual impairment. The life span of Down syndrome patients is increasing gradually as a result of medical advances and changes in lifestyles. Every Down syndrome child has abilities, a social and familial environment, and a personality, and all these elements are closely interrelated. Each child is a unique person to be discovered.

  15. [Proposed medical record to be used in rape cases. New diagnostic and medicolegal aspects].

    Science.gov (United States)

    Grassi, A; Fiorani, F; Ferrero, S; Silvestri, A; Agneni, M; Pisani, G

    1997-11-01

    The latest report of 1996 on human development in the UN development programme (UNDP) states that 130,000 women are raped every year in the industrialized countries. Illegal "violation" is defined as the sexual penetration of any orifice of the body without the victim's consent. The doctor's contribution is essential in order to ascertain this offence. It can be divided into two stages: precise and complete (... missing? ...) information regarding the sexual aggression which might have taken the form of rape. Management of a rape case represents an extremely complex undertaking for the doctor since it involves medical and legal aspects and requires a number of interventions that lead to a rational evaluation and appropriate treatment. In this context, the doctor's role is not only to protect the psychophysical integrity of the victim, but also to contribute, following an early diagnosis of sexual aggression, to the identification of the particulars of an offence which still risks remaining unpunished, owing to the difficulty of diagnosis and in spite of the recent enactment of Law no. 66 on 15 February 1996. The medical record proposed by the authors consists of a descriptive anamnestic part and a graphic part, thus making the evaluation of the victim more rapid and precise. The proposed medical record is subdivided into anamnesis, objective examination, psychological examination, laboratory tests, any consultancy requested and therapy.

  16. Biology and Mechanics of Blood Flows Part II: Mechanics and Medical Aspects

    CERN Document Server

    Thiriet, Marc

    2008-01-01

    Biology and Mechanics of Blood Flows presents the basic knowledge and state-of-the-art techniques necessary to carry out investigations of the cardiovascular system using modeling and simulation. Part II of this two-volume sequence, Mechanics and Medical Aspects, refers to the extraction of input data at the macroscopic scale for modeling the cardiovascular system, and complements Part I, which focuses on nanoscopic and microscopic components and processes. This volume contains chapters on anatomy, physiology, continuum mechanics, as well as pathological changes in the vasculature walls including the heart and their treatments. Methods of numerical simulations are given and illustrated in particular by application to wall diseases. This authoritative book will appeal to any biologist, chemist, physicist, or applied mathematician interested in the functioning of the cardiovascular system.

  17. [ISHAM-WG Symposium: Introduction of Medical Phycology, Retrospective Overview, and Prospective Aspect].

    Science.gov (United States)

    Kano, Rui; Matsumoto, Tadahiko

    2015-01-01

    Protothecosis is an emerging infectious zoonotic disease caused by species of the genus Prototheca (Trebouxiophyceae, Chlorophyta), which are classified as achlorophyllous algae closely related to the green algal genus Chlorella. Prototheca lost the ability to photosynthesize and are widely distributed throughout the natural world in sewage, soil, lakes, and marshes. It is therefore necessary to build an interdisciplinary network connecting human medicine, veterinary medicine, microbiological taxonomy, clinical microbiology, and environmental microbiology to increase knowledge in this area. We have established the working group "Medical Phycology : Protothecosis and Chlorellosis" (approved on May 4, 2014) under the umbrella of the International Society for Human and Animal Mycology (ISHAM) to support all scientific aspects dealing with this topic. We report the current circumstances and future prospects of this working group for the group to become better known by scientists.

  18. 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

  19. Behavioral, thermoregulatory, and operational aspects of shallow pool pens used in gilts production

    Directory of Open Access Journals (Sweden)

    Heverton Michael Biazzi

    2014-12-01

    Full Text Available This work was conducted to assess behaviors, thermoregulatory, and operational aspects of gilt breeding (Body weight, 25–110 kg whilst the animals were housed in 2-cm deep shallow pool pens (SPP, without the addition of water, compared to the use of fully compact floor pens (TSF during the winter and summer seasons. Commercial female strains for high lean tissue accretion were used, housed in grower/finisher pens for 108 days (11 animals/pen, 1.2 m2/animal. Instantaneous observations of behavior were carried out every 12 min between 7:00 and 19:00 hours throughout the six days of the raising period. At the end of the raising period, the operational aspects of cleaning the facilities were analyzed. A 2 × 2 factorial scheme design was used, with two types of floors and two seasons, with three replicates. The average temperatures in winter and summer were 19.9 ± 2.2°C and 24.5 ± 2.3°C, respectively. The use of SPP reduced aggressive behavior and increased exploratory behavior, increased the time for the daily cleaning, and reduced the time for the final cleaning of the pens.

  20. THEORETICAL ASPECTS OF RUSSIAN CONSUMER MARKET OPERATION SUBJECT TO THE GLOBALIZATION

    Directory of Open Access Journals (Sweden)

    Snimschikova I. V.

    2015-04-01

    Full Text Available This article describes the basic theoretical aspects of Russian consumer market and its operation problems subject to the globalization. Also, we have examined current trend of domestic consumer market expansion and made its indicator analysis. It is necessary to study thoroughly the theoretical aspects of economic reproduction cycle in order to implementation of a growth policy. In consequence, that is an influence on a real consumer market. Currently, the reproduction of labor-power situations is complexity and inconsistency. Obviously purchasing power raises the living standard of the population. Russia has large potential to satisfy social security. Modernization of domestic production can improve Russian economic stability and balance consumer market. Comprehensive approach is important because of large majority of countries all over the world has free market economy and world economic system is shaky. Quality of imported consumer goods is acute problem that should be solved. In certain cases imported consumer goods is not compliance with standards. Effective operation mechanism of Russian consumer market is condition of macroeconomic stabilization in this country and all over the world that depend on global common economic proportions

  1. Transurethral prostatectomy: practice aspects of the dominant operation in American urology.

    Science.gov (United States)

    Holtgrewe, H L; Mebust, W K; Dowd, J B; Cockett, A T; Peters, P C; Proctor, C

    1989-02-01

    In a national survey of all American urologists transurethral prostatectomy accounted for 38 per cent of the major surgical procedures performed by the respondents. They regarded the operation as complex and they believe achievement of proficiency requires that more be performed during residency training than any other urological operation. Furthermore, they assigned transurethral prostatectomy a significantly higher relative value than have medical economists doing research in the field of physician reimbursement. The effect of recent legislated congressional reductions in the allowable Medicare fees for transurethral prostatectomy is discussed along with the impact of these reductions on urological patient care and the American urologist. Practice patterns and geographic variations in the costs of transurethral prostatectomy also are considered.

  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. Aspects Regarding the Medical Data Processing - The Statistical Study of Malocclusions

    Directory of Open Access Journals (Sweden)

    Georgeta ZEGAN

    2012-11-01

    Full Text Available An important aspect in the analysis of medical data is represented by their statistical processing, which gives useful directions in finding the diagnosis and the most adequate treatment, especially when the amount of statistical data is very large and extended in time. We give an example in this paper, by presenting a statistical evaluation on a consignment of patients who have addressed the Dental Ambulatory for Children (Iaşi for orthodontic consulting over a period of 10 years (2000 – 2010. The study has been performed on 375 patients (157 boys and 218 girls, with ages between 4-24 years and malocclusions. The diagnosis was established by clinical and paraclinical exams (cast and radiological measurements. Both removable and fixed appliances were used in conducting the treatment. The patients in need of orthodontic treatment presented malocclusion I-st Class 63,2%, II-nd Class 28,3%, and III-rd Class 5,8%. The group and isolated malocclusion proportion varied on the basis of the clinical manifestations associated to the malocclusion class. Based on age, the patients were applied with prophylactic treatment 3%, interceptive treatment 5% and curative 92%. The Pearson correlations made on the sample of patients proved the existence of a directly proportional connection between the therapeutic results, the diagnosis of the malocclusions and the treatment chosen to be carried out. The results regarding the prevalence malocclusion types are comparable with those from the literature. The correlations that were carried out were based on medical reasoning. All these results are useful to depict the general characteristics of the Dental Ambulatory’s potential patients and, as a consequence, to establish easier the most accurate treatment.

  4. [Medical and legal aspects of genital mutilation and circumcision. Part II: Male circumcision].

    Science.gov (United States)

    Dettmeyer, Reinhard; Parzeller, Markus; Laux, Johannes; Friedl, Hannah; Zedler, Barbara; Bratzke, Hansjürgen

    2011-01-01

    In the last few years, male circumcision has become the subject of controversial discussion. On the one hand, medical and hygienic arguments, ideology, freedom of religion, cultural identity and social adequacy are claimed by those supporting male circumcision. On the other hand, the justification of this practice also has to be critically scrutinized just as the question whether the parents have the right to consent to the operation. Today, opinions range from those who claim that religion and culture alone justify the practice to those who consider circumcision of minors unable to give their consent as bodily injury subject to punishment. In contrast to female genital mutilation, most positions do not postulate that circumcision violates morality. If the person concerned is able to give his consent, freedom of religion may also justify circumcision after weighing its pros and cons as well as its risks and potential side effects.

  5. 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.

  6. EpiFloripa Health Survey: the methodological and operational aspects behind the scenes.

    Science.gov (United States)

    Boing, Alexandra Crispim; Peres, Karen Glazer; Boing, Antonio Fernando; Hallal, Pedro C; Silva, Nilza Nunes; Peres, Marco Aurélio

    2014-01-01

    The present study aims at describing the sampling plan, operational aspects and strategies used to optimize the field work of a cross-sectional, population-based study conducted in a southern capital of Brazil. For this purpose, the sample design, data collection instrument, selection of interviewers, pilot study, data collection, field logistics, quality control, consistency control, costs, and divulgation of results are herein described. The study's response rate was 85.3%. We found that the comparison of frequency measurements with and without self-assessment had no significant impact on the estimates, and that the design effect, estimated at 2, was sufficient for most calculations. The reproducibility of the questionnaire was satisfactory, with Kappa values and intraclass correlation coefficients ranging from 0.6 to 0.9. The strategies used to overcome operational problems, such as counting of households, use of maps, questionnaire structuring, rigorous organization of the field work and monitoring of the estimates were fundamental in conducting the study.

  7. EpiFloripa Health Survey: the methodological and operational aspects behind the scenes

    Directory of Open Access Journals (Sweden)

    Alexandra Crispim Boing

    2014-03-01

    Full Text Available The present study aims at describing the sampling plan, operational aspects and strategies used to optimize the field work of a cross-sectional, population-based study conducted in a southern capital of Brazil. For this purpose, the sample design, data collection instrument, selection of interviewers, pilot study, data collection, field logistics, quality control, consistency control, costs, and divulgation of results are herein described. The study's response rate was 85.3%. We found that the comparison of frequency measurements with and without self-assessment had no significant impact on the estimates, and that the design effect, estimated at 2, was sufficient for most calculations. The reproducibility of the questionnaire was satisfactory, with Kappa values and intraclass correlation coefficients ranging from 0.6 to 0.9. The strategies used to overcome operational problems, such as counting of households, use of maps, questionnaire structuring, rigorous organization of the field work and monitoring of the estimates were fundamental in conducting the study.

  8. An Overview of Multiple Sclerosis: Medical, Psychosocial, and Vocational Aspects of a Chronic and Unpredictable Neurological Disorder

    Science.gov (United States)

    Rumrill, Phillip D., Jr.; Roessler, Richard T.

    2015-01-01

    This article presents an overview of multiple sclerosis (MS), one of the most common neurological disorders in the western hemisphere. Medical and psychosocial aspects of the disease such as causes and risk factors, diagnosis, incidence and prevalence, symptoms, courses, and treatment are described. Existing research regarding the employment…

  9. Special aspects of quality management system functioning in Saratov State Medical University n.a. V.I. Razumovsky

    Directory of Open Access Journals (Sweden)

    Bugaeva I.0.

    2015-12-01

    Full Text Available The article considers specificity of quality management system functioning in educational institutions and presents an overview of the historical and contemporary aspects of the quality management system's development in Saratov State Medical University n.a. V. I. Razumovsky.

  10. 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.

  11. Legal and medical aspects of the ethics committee’s work relating to abortion

    Directory of Open Access Journals (Sweden)

    Ponjavić Zoran

    2011-01-01

    Full Text Available This paper analyses the legal and medical aspects of the work of ethics committees on abortion. According to the legislation of the Republic of Serbia, these committees are competent to determine justifiable terms for abortion after the twentieth week of the fetus. It is well known that abortion is not only a medical but a legal, ethic, social and demographic problem as well. A liberal solution in view of abortion in the first trimester has been accepted in most European countries, as by the legislature of the Republic of Serbia. Since prenatal diagnosis cannot always determine the fetus state with certainty but at times may do so at a later stage, abortion is then required when the child is already capable of extrauterine life. The necessity for performing abortion in the third trimester is thus a result of good knowledge of techno-medicine but also from the limited information it provides. In such situations, the physician needs confirmation and justification of his standpoint with respect to abortion through a legal formulation which should contain "minimum moral". Society has found a way to protect and help him through moral and ethic forms of prevention without anybody’s emotions being affected. Ethics committees should thus help the physician in view of determining the terms for performing late abortion, since the rules of doctor’s ethics are not sufficient in this case. The article especially analyses the work of the Ethics Committee of the Clinical Center in Kragujevac in the period 2000-2010. It is stated that the largest number of cases referred to determined diseases or fetus anomalies while only a negligible number (11.29% to the illness of the mother. There were no requests for abortions due to legal reasons (pregnancies from criminal offences. A significant number (40.28% of requests submitted to the Ethics Committee related to pregnancies under the 24th week of pregnancy. Since a pregnancy of 24 weeks represents a boundary

  12. Impact of health literacy level on aspects of medication nonadherence reported by underserved patients with type 2 diabetes.

    Science.gov (United States)

    Thurston, Maria Miller; Bourg, Catherine A; Phillips, Beth Bryles; Huston, Sally A

    2015-03-01

    Medication adherence can be affected by many factors, including health literacy. The purpose of this study is to determine (1) if a relationship exists between health literacy and self-reported or objectively measured medication adherence and (2) which aspect or aspects of medication nonadherence are most associated with health literacy. This is a multicenter, cross-sectional survey study of adult patients with type 2 diabetes mellitus (T2DM), taking one or more antidiabetes medication for ≥6 months with a hemoglobin A1c (HbA1c) measure on record. Data collected included patient demographics (age, gender, race, language, highest level of education, injectable diabetes medication use, last HbA1c, and diabetes medication refill history) and two survey instruments (the Morisky eight-item Medication Adherence Scale [MMAS-8] and the short-form Test of Functional Health Literacy in Adults [s-TOFHLA]). Descriptive statistics and bivariate correlations were assessed, along with linear and logistic regression. One hundred ninety-two patients with an average HbA1c level of 8.1% were included. Of these subjects, 32.8% had limited health literacy as measured by the s-TOFHLA, 58.9% had low adherence as measured by MMAS-8, and 65.1% were nonadherent based on cumulative medication gap (CMG) analysis. Age was associated with s-TOFHLA (-0.411; Pliteracy level is not associated with self-reported or objectively measured medication adherence in underserved patients with T2DM. Lower health literacy scores are associated with a patient experiencing difficulty remembering to take medications.

  13. Men in extreme conditions: some medical and psychological aspects of the Auschwitz concentration camp.

    Science.gov (United States)

    Radil-Weiss, T

    1983-08-01

    The second world war ended many years ago. Most of those who survived the stay at the German concentration camp at Auschwitz have already died of the consequences of their imprisonment; those still alive are already in the last third of their life. Is there any point in returning to the experiences of those days? Consideration of the mental hygiene of former prisoners cautions us that perhaps we should not do it. But consideration of the general interest holds that we are not entitled to ignore any knowledge that can contribute to social development--including medicine and psychology--even if acquired under unspeakably awful conditions. In addition, since the war new generations have grown up that play an increasingly significant role in various spheres of life but have little concrete information about those events; they can neither rationally nor emotionally understand how the horrors connected with fascism and the war could have happened. In a sense it is encouraging that they cannot grasp such inhuman behavior; nevertheless, we must adhere to the following motto: "Nothing must be forgotten, nobody will be forgotten." We owe it to those millions who did not survive--both the victims of the Holocaust and those who fought against it. These are arguments in favor of returning to the facts that are ineffaceably recorded somewhere in our memories. In doing so, however, we must remember that at times we are revisiting experiences of a boy of 14 as recalled by a 50-year-old man. The material below, examining the medical as well as psychological aspects of imprisonment at Auschwitz, is based on my own memories, as an adolescent imprisoned at Auschwitz. I have tried to move from this individual account to more general statements, although the methodological apparatus on which scientific analysis is usually based is absent.

  14. 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

  15. 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.

  16. 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.

  17. 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.

  18. Role of dentists in Indonesian disaster victim identification operations: religious and cultural aspects.

    Science.gov (United States)

    Sahelangi, P; Novita, M

    2012-11-30

    Indonesia is the largest archipelago in the world, consisting of five main islands and 17,500 smaller islands, spread across three seismic belts that run throughout the country. Indonesia is extremely prone to disasters, both natural and manmade. With a total population of nearly 250 million people, Indonesia's Muslim community exceeds 180 million - the largest Muslim population in the world. On December 26, 2004 an earthquake and tsunami hit Aceh resulting in an estimated 165,00 deaths (mostly Muslims) and half a million people displaced. The members of the Disaster Victim Identification (DVI) operations faced unique obstacles. Speed was required because families wished to bury their relatives within 24 hours (before the next prayer time) and the hot tropical climate caused rapid decomposition of bodies. At the same time, survivors needed medical help; there was total destruction of facilities; minimal equipment; ante mortem data destroyed by the flood; and no electricity, transportation, water or food. DVI was of necessity basic so that the team of 33 could process tens of thousands of victims. Lessons were learnt including the need to involve religions leaders immediately; revise the DVI protocols that were designed for manmade (and smaller) mass disasters; provision of individual cameras, laptops and portable x-ray devices; and attention to more efficient use of mass graves.

  19. 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.

  20. Medical complications of anorexia nervosa and their treatments: an update on some critical aspects.

    Science.gov (United States)

    Brown, Carrie; Mehler, Philip S

    2015-12-01

    Anorexia nervosa has the highest mortality rate of any psychiatric disorder. Many of the deaths are attributable to medical complications which arise as the malnutrition and weight loss worsens. Every body system may be adversely affected by anorexia nervosa. Yet, remarkably, most of the medical complications of anorexia nervosa are treatable and reversible with optimal medical care, as part of a multidisciplinary team who are often involved in the care of these patients. Herein, we will describe the medical complications of anorexia nervosa and their treatments.

  1. Improvement of environmental aspects of thermal power plant operation by advanced control concepts

    Directory of Open Access Journals (Sweden)

    Mikulandrić Robert

    2012-01-01

    Full Text Available The necessity of the reduction of greenhouse gas emissions, as formulated in the Kyoto Protocol, imposes the need for improving environmental aspects of existing thermal power plants operation. Improvements can be reached either by efficiency increment or by implementation of emission reduction measures. Investments in refurbishment of existing plant components or in plant upgrading by flue gas desulphurization, by primary and secondary measures of nitrogen oxides reduction, or by biomass co-firing, are usually accompanied by modernisation of thermal power plant instrumentation and control system including sensors, equipment diagnostics and advanced controls. Impact of advanced control solutions implementation depends on technical characteristics and status of existing instrumentation and control systems as well as on design characteristics and actual conditions of installed plant components. Evaluation of adequacy of implementation of advanced control concepts is especially important in Western Balkan region where thermal power plants portfolio is rather diversified in terms of size, type and commissioning year and where generally poor maintenance and lack of investments in power generation sector resulted in high greenhouse gases emissions and low efficiency of plants in operation. This paper is intended to present possibilities of implementation of advanced control concepts, and particularly those based on artificial intelligence, in selected thermal power plants in order to increase plant efficiency and to lower pollutants emissions and to comply with environmental quality standards prescribed in large combustion plant directive. [Acknowledgements. This paper has been created within WBalkICT - Supporting Common RTD actions in WBCs for developing Low Cost and Low Risk ICT based solutions for TPPs Energy Efficiency increasing, SEE-ERA.NET plus project in cooperation among partners from IPA SA - Romania, University of Zagreb - Croatia and Vinca

  2. From Research to Operations: Integrating Components of an Advanced Diagnostic System with an Aspect-Oriented Framework

    Science.gov (United States)

    Fletcher, Daryl P.; Alena, Richard L.; Akkawi, Faisal; Duncavage, Daniel P.

    2004-01-01

    This paper presents some of the challenges associated with bringing software projects from the research world into an operationa1 environment. While the core functional components of research-oriented software applications can have great utility in an operational setting, these applications often lack aspects important in an operational environment such as logging and security. Furthermore, these stand-alone applications, sometimes developed in isolation from one another, can produce data products useful to other applications in a software ecosystem.

  3. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar

    Directory of Open Access Journals (Sweden)

    Tsiamis Costas

    2016-03-01

    Full Text Available The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia, urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen’s ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  4. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar.

    Science.gov (United States)

    Tsiamis, Costas; Vrioni, Georgia; Poulakou-Rebelakou, Effie; Gennimata, Vasiliki; Murdjeva, Mariana А; Tsakris, Athanasios

    2016-03-01

    The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia), urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs) were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen's ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  5. 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.

  6. 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.

  7. Aspects of medical migration with particular reference to the United Kingdom and the Netherlands

    NARCIS (Netherlands)

    Herfs, Paulus

    2014-01-01

    Background In most countries of the European Economic Area (EEA), there is no large-scale migration of medical graduates with diplomas obtained outside the EEA, which are international medical graduates (IMGs). In the United Kingdom however, health care is in part dependent on the influx of IMGs. In

  8. Aspects of medical migration with particular reference to the United Kingdom and the Netherlands

    NARCIS (Netherlands)

    Herfs, Paulus

    2014-01-01

    Background In most countries of the European Economic Area (EEA), there is no large-scale migration of medical graduates with diplomas obtained outside the EEA, which are international medical graduates (IMGs). In the United Kingdom however, health care is in part dependent on the influx of IMGs. In

  9. Aspects of communication in medical life. Doctor-patient communication: differentiation and customization

    Science.gov (United States)

    Borţun, D; Matei, CS

    2017-01-01

    One of the weaknesses of the Romanian medical system is the absence of the communicational culture. This absence is felt at all levels of the healthcare system: doctor-patient relationship, doctor-patient’s relatives relationship, labor relations within the medical teams and units, the management of the large hospitals and of the medical institutions from the public administration system and last, but not least, the relationships of these units and institutions with the public opinion and, particularly, with the stakeholders. This paper tackled with some of the principles and values that underlie an efficient communication, the default of which was felt in various domains of the Romanian medical life. They were analyzed from the perspective of the Romanian and international literature and the conclusions drawn might inspire proposals for the improvement of the medical education as well as for the professional development of the Romanian doctors.

  10. Medical ethics and tomorrow's physicians: an aspect of coverage in the formal curriculum.

    Science.gov (United States)

    Al-Umran, Khalid Umran; Al-Shaikh, Basil Abdulrahman; Al-Awary, Bassam Hassan; Al-Rubaish, Abdullah Mohammed; Al-Muhanna, Fahd Abdulaziz

    2006-03-01

    Medical ethics has created contentious issues and requires reforms in medical education such as renewed emphasis on formal instruction. The aim here was to review the current status of bioethics teaching in medical schools, determine Saudi students' perception of its coverage in the formal curriculum and make recommendations. Using a self-administered questionnaire in a cross-sectional study, undergraduate students' opinion about medical ethics coverage was obtained. Fourteen clinical departments and 201 students were studied. Only 46% of respondents were satisfied with the current coverage of ethical issues in the formal curriculum; 23% were unaware of the value of the subject. Students' approval rate was highest in Neurology and Psychiatry (70%). The study confirmed inadequate formal instruction on medical ethics in a developing country. Five recommendations are made. At admission, students' integrity and character should be assessed. Bioethics should be taught in clinical settings. In the Islamic world, medical curricula should include the Islamic code of medical ethics. Peers, nurses and patients should evaluate graduates' performance in ethics at the bedside. Evidence-based assessment and continuous quality improvement are required to maintain the requisite standard.

  11. 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

  12. Groundwater Chemistry and Assessment of Its Effect on Health from the Aspect of Medical Geology

    Directory of Open Access Journals (Sweden)

    Simge Varol

    2008-08-01

    Full Text Available Geology and medicine are the oldest two sciences. Nowadays, medical geology is appeared to associate the researches related to environmental problems studied by geology and medical sciences. In the medical geology, researches related to effect of groundwater on human health is the most important subject. In this paper, elements which are the constituent of groundwater and health problems originated from those elements were explained. In addition, components polluting the groundwater widely were presented in detail. [TAF Prev Med Bull 2008; 7(4.000: 351-356

  13. 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

  14. RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    Otstavnov Stanislav Sergeevich

    2013-01-01

    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports. Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource. The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.

  15. RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    Станислав Сергеевич Отставнов

    2013-04-01

    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors  based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports.Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies  (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource.The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.DOI: http://dx.doi.org/10.12731/2218-7405-2013-1-31

  16. Legislative and ethical aspects of introducing new technologies in medical care for senior citizens in developed countries

    Directory of Open Access Journals (Sweden)

    Kacetl J

    2016-07-01

    Full Text Available Jaroslav Kacetl,1 Petra Maresova2 1Department of Applied Linguistics, 2Department of Economics, Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic Introduction: The majority of developed countries are currently experiencing demographic aging. The most frequently expressed concerns related to the changing age structure are the increased costs of social and medical care, a lack of labor force in the job market, and financial sustainability of the pension system. These concerns are often based on the pessimistic view of population aging. This view understands aging as a prolonged period of illness and suffering. On the other hand, optimists believe that a longer life span is a result of increased quality of life and better health care. The quality of life may be improved not only by medicaments, but also by rapidly developing area of medical devices, which allow better care for seniors in many areas.Aim: This contribution aims to assess the legislative environment and ethical questions related to the use of medical devices, especially medical devices, in medical care for senior citizens.Methods: The methods used in this study are literature reviews of legislative and ethical environment in the European Union (EU and the US.Results: Main findings of this study result from assessing the state of medical device regulations in Europe and the US. Namely, the US regulation seems to be better arranged, which is probably due to the fact that there is only one responsible body – the US Food and Drug Administration, which is responsible for all medical device regulations. On the other hand, in the EU, talks about new legislation are led by ministers from all the EU member states and it may take a long time before all the EU countries come to an agreement. Keywords: senior citizen, medical devices, legislation, ethical aspects

  17. Marketing aspects of development of medical waste management in health care institutions in Ukraine

    Directory of Open Access Journals (Sweden)

    Inesa Gurinа

    2015-02-01

    Full Text Available The concept of marketing approach to medical waste management in health care is suggested.The goal of research was to study the state of marketing activities of health care institutions on medical waste management and development trends of   resolution of outstanding issues.Methods. The methods, which were used in the research, are the methods of mathematical statistics, social studies and scientific knowledge.Results. Environmental marketing institutions of healthcare means perfectly safe for the environment provision of health services. The main directions of environmental marketing concept in health care institutions is the acceptance generally binding legal standards of Use Resources, strict control the formation and licensing of medical waste; economic incentives for workers, aimed at minimizing their interest in the volumes of medical waste; financing of R & D relative to the development of new waste and sound technologies; develop a system of taxes and penalties for polluting the environment and so on.Conclusions. As a result of the implementation of marketing strategies for managing medical waste of healthcare institutions are obtained strategic, social, environmental and economic benefits.

  18. Non-medical aspects of civilian-military collaboration in management of major incidents.

    Science.gov (United States)

    Khorram-Manesh, A; Lönroth, H; Rotter, P; Wilhelmsson, M; Aremyr, J; Berner, A; Andersson, A Nero; Carlström, E

    2017-03-02

    Disasters and major incidents demand a multidisciplinary management. Recent experiences from terrorist attacks worldwide have resulted in a search for better assessment of the needs, resources, and knowledge in the medical and non-medical management of these incidents and also actualized the need for collaboration between civilian and military healthcare. The aim of this study was to evaluate the impact of the civilian-military collaboration in a Swedish context with the main focus on its non-medical management. An exercise, simulating a foreign military attack centrally on Swedish soil, was designed, initiated, and conducted by a team consisting of civilian and military staff. Data were collected prospectively and evaluated by an expert team. Specific practical and technical issues were presented in collaboration between civilian and military staffs. In addition, shortcomings in decision-making, follow-up, communication, and collaboration due to prominent lack of training and exercising the tasks and positions in all managerial levels of the hospital were identified. Current social and political unrests and terror attacks worldwide necessitate civilian-military collaboration. Such collaboration, however, needs to be synchronized and adjusted to avoid preventable medical and non-medical consequences. Simulation exercises might be one important source to improve such collaboration.

  19. [Role and future aspects of hospital clinical laboratories in medical team approaches].

    Science.gov (United States)

    Suwabe, Akira

    2011-09-01

    The recent progress in medicine increases the routine works of the physicians or nurses and decreases the chances to obtain the new information on the laboratory medicine. Although the patients desire to know their test results in detail, it is likely to be difficult to obtain them from the physician in charge. Thereby, the quality of the medical services may be deteriorated. In these situations, needs of the medical team approaches in which the medical technologists (MTs) in the hospital laboratories participate are increasing. In Japan, there are a variety of medical team approaches in which MTs are involved. In our university hospital, MTs play important roles in the infection control team (ICT), in the nutrition support team (NST), in the educational class for the patients with diabetes mellitus, in the clinical research center, in the order-made medicine realizing project, in the infertility center and in the laboratory information room. In April 2010, the new payment system for the team approaches such as ICT or NST was established. In the future, the team approaches other than ICT or NST could be chosen for the subjects for the payment if they are recognized as important. The goal of the team approaches is to realize a patient-oriented medicine. MTs can reconfirm that they are working as one of the medical staffs through these team approaches. It is important to always find out a possibility of new team approaches.

  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. Antecedents of the people and organizational aspects of medical informatics: review of the literature.

    Science.gov (United States)

    Lorenzi, N M; Riley, R T; Blyth, A J; Southon, G; Dixon, B J

    1997-01-01

    People and organizational issues are critical in both implementing medical informatics systems and in dealing with the altered organizations that new systems often create. The people and organizational issues area--like medical informatics itself--is a blend of many disciplines. The academic disciplines of psychology, sociology, social psychology, social anthropology, organizational behavior and organizational development, management, and cognitive sciences are rich with research with significant potential to ease the introduction and on-going use of information technology in today's complex health systems. These academic areas contribute research data and core information for better understanding of such issues as the importance of and processes for creating future direction; managing a complex change process; effective strategies for involving individuals and groups in the informatics effort; and effectively managing the altered organization. This article reviews the behavioral and business referent disciplines that can potentially contribute to improved implementations and on-going management of change in the medical informatics arena.

  2. AN ASSESSMENT OF PERSONALITY ASPECTS OF THE STUDENTS OF TEHRAN UNIVERSITY OF MEDICAL SCIENCES

    Directory of Open Access Journals (Sweden)

    B. Nikpour

    1993-12-01

    Full Text Available In this study a base-scale is prepared for the evaluation of the personality grounds of the Tehran University of Medical Science students. Such a scoring scale may be useful to help the medical science students in career development, psychosocial consultations, and appropriate supportive care plans. A sample of 205 female and male students resident in dormitories were evaluated using “Bernreuter” personality questionnaires and computer programs prepared in this center. The percentiles of each scale is scored and represented in a systematic framework. Considering the normal distribution of the results using their means and standard deviations, the important percentages in each scale is tabulated.

  3. 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.

  4. NATO Handbook on the Medical Aspects of NBC Defensive Operations AMedP-6(B)

    Science.gov (United States)

    1996-02-01

    food products by humans or animals. Naturally occurring trichothecenes have been identified in agricultural products and have been implicated in a...disease of animals known as moldy corn toxicosis or poisoning. (b) There are no well-documented cases of clinical exposure of humans to trichothecenes ...Rate Exposure of Whole-Body Irradiation to Healthy Adults (9 of 9) Figure 6-II. Smoothed Average Time-Course of Neutrophil Changes in Human Cases from

  5. [Legal aspects of medical expert testimony and non-economic damage in civil liability of physician].

    Science.gov (United States)

    Pauković, Hrvoje

    2008-01-01

    In the establishment of civil liability of physicians for damage caused, it is extremely important to establish all relevant facts for the court to render the appropriate verdict. One of the crucial instruments in the establishment of a presumed civil liability of physicians as well as in the establishment of the criteria for the assessment of a proper award, is the medical expert testimony--utilised as an essential proof. The comprehension of medical and legal professionals' replies to questions which every profession must answer in order to provide an objective access to the claim and a right and full establishment of the factual situation, is the imperative for a correct application of the law in the handling and settling of these claims, especially in the light of the new set up of the concept of non-economic damage. The medical and legal profession shall help placing the problems of civil liability of physicians into real frameworks, preventing any attempts of unnecessary stigmatization of medical profession and cases of unjustified and unfounded indemnification, and it shall objectively and professionally, based on the law, enable a full and absolute protection of patients and third parties and their rights to physical and mental health.

  6. Orientation of Medical Residents to the Psychosocial Aspects of Primary Care: Influence of Training Program.

    Science.gov (United States)

    Eisenthal, Sherman; And Others

    1994-01-01

    A survey of 63 general medical residents found most accepted the psychosocial role of the primary care physician, found it most appropriate in ambulatory care settings, felt ambivalent about their ability to perform it, and assigned it secondary priority in patient care. More attention by training programs to ambulatory care and psychosocial…

  7. Crystal methamphetamine, its analogues, and HIV infection: medical and psychiatric aspects of a new epidemic.

    Science.gov (United States)

    Urbina, Antonio; Jones, Kristina

    2004-03-15

    The use of the recreational drug crystal methamphetamine among younger homosexual men is expanding, and with it, unsafe sex behaviors that increase the transmission of human immunodeficiency virus (HIV). This article reviews available literature on the medical and psychiatric morbidities associated with methamphetamine abuse in HIV-infected patients. Medical complications include hypertension, hyperthermia, rhabdoymyolysis, and stroke. One fatal case of ingestion of methamphetamine with HIV medication has been documented. Two fatal cases of ingestion of HIV medication with the amphetamine analogue n-methyl-3,4 methylenedioxymethamphetamine (MDMA, or "ecstasy") have also been reported. Some molecular researchers suggest that dopaminergic systems are vulnerable to the combined neurotoxicity of HIV infection and methamphetamine. Population surveys indicate high rates of HIV infection among methamphetamine abusers and high rates of unprotected anal intercourse during drug intoxication. Intoxication can sometimes produce paranoia, auditory hallucinations, and, occasionally, violent behavior. Amphetamine withdrawal commonly results in symptoms of depression. Methamphetamine is a new challenge related to treatment and prevention of HIV infection.

  8. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J

    2003-01-01

    BACKGROUND: The aims were (i) to identify gender differences in motivations to seek assisted reproduction and gender differences in expectations about medical and psychosocial services and (ii) to examine factors that predict the perceived importance of, and intention to use, psychosocial services...

  9. Probabilistic aspects of analysis and information operation of the system in situations of conflict

    Directory of Open Access Journals (Sweden)

    S. V. Gluschenko

    2012-01-01

    Full Text Available The problems of research of the parameters interaction structure and the conflict formation are considered in the stochastic systems by the general system theory. The mathematical aspects of relations conflict, promotion and indifference are analyzed. We consider the information approach for the analysis of the conflict.

  10. Legal aspects of administrating antipsychotic medications to jail and prison inmates.

    Science.gov (United States)

    Dlugacz, Henry; Wimmer, Christopher

    2013-01-01

    The administration of antipsychotic medications to jail and prison inmates involves two related components: conducting the informed consent process in a coercive environment and, where consent is not obtained, forcible administration of medication if needed. In the United States, both involve common law, statutory, and constitutional principles. Obtaining informed consent in correctional institutions is complicated. Patients in correctional institutions lack access to alternate sources of information, and depend on the correctional system completely - a system which they may distrust. This may influence the patient's view of the administering physician. Where consent cannot be obtained, forcible administration may be legally permissible for two primary reasons: to restore a criminal defendant to competency in order to stand trial and to ameliorate severe symptoms of mental disability, particularly when they threaten the safety of self, others, or in some instances, property. The interests at stake for the individual and the government, and the legal standards developed to balance these interests, differ between the two situations. When considering challenges to forcible medication of inmates serving a prison sentence, the United States Supreme Court has treated the interest of the institution in maintaining security as paramount. By contrast, when considering challenges to forcible medication of pretrial detainees, the Court's concern for the fair trial rights guaranteed by the Sixth Amendment has seemingly led it to moderate its emphasis on security. However, this distinction is not stable and may in fact be breaking down, as the recent case of Jared Loughner demonstrates. This article discusses the various federal, state, and international legal standards applicable to both informed consent and forcible medication, and their implementation in the correctional setting, focusing on issues related to the United States. Copyright © 2013 Elsevier Ltd. All rights

  11. Aspects of monopole operators in N=6 Chern-Simons theory

    CERN Document Server

    Kim, Seok

    2009-01-01

    We study local operators of U(N)xU(N) N=6 Chern-Simons-matter theory including a class of magnetic monopole operators. To take into account the interaction of monopoles and basic fields for large Chern-Simons level k, we consider the appropriate perturbation theory in 1/k which reliably describes small excitations around protected chiral operators. We also compute the superconformal index for the simplest monopole operators and show that it agrees with the recent result obtained from localization. For this agreement, it is crucial that excitations of gauge fields and some matter scalars mix, which is described classically by odd dimensional self-duality equations.

  12. 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.

  13. 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.

  14. [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.

  15. [Can eosinophilic bronchitis be considered as an occupational disease? Medical certification aspects].

    Science.gov (United States)

    Kleniewska, Aneta; Wiszniewska, Marta; Walusiak-Skorupa, Jolanta

    2013-01-01

    Eosinophilic bronchitis (EB) is a condition which can be associated with occupational exposure to low, as well as to high molecular weight allergens. The prevalence of occupational eosinophilic bronchitis is unknown and the data concerning its work-related etiology are available only from the case reports. However, there is a need to establish the principles, especially in the context of medical certification among workers occupationally exposed to allergens. This paper reviews current knowledge on the etiology, clinical features, and diagnostic procedures in the eosinophilic bronchitis. The importance of EB, especially in view of the problems emerging in the prophylactic care taken by occupational health services and the principles of medical certification when occupational etiology is suspected are also presented.

  16. Medication for older people - aspects of rational therapy from the general practitioner's point of view

    DEFF Research Database (Denmark)

    Vass, M; Hendriksen, C

    2005-01-01

    people and to consider different approaches when evaluating evidence of risk and benefit for the individual. Old people are facing a considerable risk of adverse drug reactions and recent initiatives, including the Continuous Medical Educational Efforts Programme, address issues of inappropriate...... state that a number of pharmacological regimens for older people are outperformed by non-pharmacological treatment alternatives involving competent individualised counselling and public provision of easy (transportation) possibilities for joining centres offering staff and equipment for physical......This paper discusses GP perspectives on the principles underlying rational pharmacotherapy for older people. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older...

  17. Can eosinophilic bronchitis be considered as an occupational disease? Medical certification aspects

    Directory of Open Access Journals (Sweden)

    Aneta Kleniewska

    2013-08-01

    Full Text Available Eosinophilic bronchitis (EB is a condition which can be associated with occupational exposure to low, as well as to high molecular weight allergens. The prevalence of occupational eosinophilic bronchitis is unknown and the data concerning its work-related etiology are available only from the case reports. However, there is a need to establish the principles, especially in the context of medical certification among workers occupationally exposed to allergens. This paper reviews current knowledge on the etiology, clinical features, and diagnostic procedures in the eosinophilic bronchitis. The importance of EB, especially in view of the problems emerging in the prophylactic care taken by occupational health services and the principles of medical certification when occupational etiology is suspected are also presented. Med Pr 2013;64(4:569–578

  18. 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.

  19. Methabolic Evaluation and Medical Aspects of Recurrent Urinary Tract Calcium Stones

    OpenAIRE

    Naime Canoruç; Fatih Atuğ

    2006-01-01

    Recurrent Stone formation in the urinary tract is a common and important problem. The most important component in the medical treatment of stones is establishing the correct metabolic diagnosis. Unfortunately a significant proportion of patients with recurrent stones do not undergo proper metabolic evaluation. Dietary modification still remains one of the most important strategies for therapy. Recent studies suggest that severe calcium restriction is not useful in patients with recurrent calc...

  20. ATTITUDE AND KNOWLEDGE OF MEDICAL STUDENTS ON PRACTICAL ASPECTS OF FORENSIC MEDICINE

    Directory of Open Access Journals (Sweden)

    Nihal

    2015-07-01

    Full Text Available This study explored medical students’ knowledge and attitude on the medico - legal autopsy demonstrations which formed part of their training in Forensic Medicine. 300 students of 2010, 2011 and 2012 batch of college were obtained by asking them to answer a questionnaire on the subject. The students were asked to respond anonymously to a questionnaire which dealt with their views on the autopsy practice, the knowledge of the procedure, attitude and perception towards medico legal autopsy. In present study majority of the students were aware of the situations where medico legal postmortem examination is mandatory as per Indian law and taking out of viscera for chemical analysis and histo - pathological examination for the purpose of medico - legal autopsy. 96% of the students agreed that autopsy is necessary in medical education. 37.95% of the students were very uncomfortable on the first exposure to postmortem examination. This study showed that medical students appreciate the medico - legal autopsy demonstration as a learning experience.

  1. 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.

  2. Metrological Aspects of Surface Topographies Produced by Different Machining Operations Regarding Their Potential Functionality

    Directory of Open Access Journals (Sweden)

    Żak Krzysztof

    2017-06-01

    Full Text Available This paper presents a comprehensive methodology for measuring and characterizing the surface topographies on machined steel parts produced by precision machining operations. The performed case studies concern a wide spectrum of topographic features of surfaces with different geometrical structures but the same values of the arithmetic mean height Sa. The tested machining operations included hard turning operations performed with CBN tools, grinding operations with Al2O3 ceramic and CBN wheels and superfinish using ceramic stones. As a result, several characteristic surface textures with the Sa roughness parameter value of about 0.2 μm were thoroughly characterized and compared regarding their potential functional capabilities. Apart from the standard 2D and 3D roughness parameters, the fractal, motif and frequency parameters were taken in the consideration.

  3. Competition and Co-operation between Stock Exchanges in Europe - Legal Aspects and Challenges

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig; Clausen, Nis Jul

    2002-01-01

    The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed.......The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed....

  4. [Actual sanitary, epidemiological and hygienic aspects of a dietitian's activities in stationary medical institutions].

    Science.gov (United States)

    Sukhanov, B P; Kerimoval, M G; Elizarova, E V; Petrenko, A S

    2015-01-01

    The article shows the relevance of the main areas of dietitians' training to sanitary and epidemiological and hygienic issues of organization of clinical nutrition in stationary medical institutions (MIs) at training and refresher courses on dietetics. The attention is focused on the new legislative, policy and regulatory instruments, sanitary and epidemiological and hygienic requirements, providing high quality, safety and efficacy of nutritional therapy in MIs. The role of dietitian in the organization of clinical nutrition is highlighted. There were set out rights and responsibilities of a dietitian as a representative of MI under inspections by Rospotrebnadzor bodies; the demands, put forward by these bodies to the tested object, and actions, taken by them.

  5. Some nuclear chemical aspects of medical generator nuclide production at the Los Alamos hot cell facility

    CERN Document Server

    Fassbender, M; Heaton, R C; Jamriska, D J; Kitten, J J; Nortier, F M; Peterson, E J; Phillips, D R; Pitt, L R; Salazar, L L; Valdez, F O; 10.1524/ract.92.4.237.35596

    2004-01-01

    Generator nuclides constitute a convenient tool for applications in nuclear medicine. In this paper, some radiochemical aspects of generator nuclide parents regularly processed at Los Alamos are introduced. The bulk production of the parent nuclides /sup 68/Ge, /sup 82/Sr, /sup 109/Cd and /sup 88/Zr using charged particle beams is discussed. Production nuclear reactions for these radioisotopes, and chemical separation procedures are presented. Experimental processing yields correspond to 80%-98% of the theoretical thick target yield. Reaction cross sections are modeled using the code ALICE-IPPE; it is observed that the model largely disagrees with experimental values for the nuclear processes treated. Radionuclide production batches are prepared 1-6 times yearly for sales. Batch activities range from 40MBq to 75 GBq.

  6. Widespread use of toxic skin lightening compounds: medical and psychosocial aspects.

    Science.gov (United States)

    Ladizinski, Barry; Mistry, Nisha; Kundu, Roopal V

    2011-01-01

    Hyperpigmentation disorders and skin lightening treatments have a significant impact on the dermatologic, physiologic, psychologic, economic, social, and cultural aspects of life. Skin lightening compounds, such as hydroquinone and topical corticosteroids, are often used to treat hyperpigmentation disorders, such as melasma, or lighten skin for cosmetic purposes. Despite their established effectiveness, a multitude of dermatologic and systemic complications have been associated with these agents. Regulatory agencies have also recognized the adverse effects of skin lighteners and many countries around the world now forbid the production and sale of these compounds, although this prohibition has not significantly curtailed distribution. Dermatologists and users of cosmetic products should be aware of the various components in bleaching compounds, their potential adverse effects, and alternative options for skin lightening.

  7. The limits of social justice as an aspect of medical professionalism.

    Science.gov (United States)

    Huddle, Thomas S

    2013-08-01

    Contemporary accounts of medical ethics and professionalism emphasize the importance of social justice as an ideal for physicians. This ideal is often specified as a commitment to attaining the universal availability of some level of health care, if not of other elements of a "decent minimum" standard of living. I observe that physicians, in general, have not accepted the importance of social justice for professional ethics, and I further argue that social justice does not belong among professional norms. Social justice is a norm of civic rather than professional life; professional groups may demand that their members conform to the requirements of citizenship but ought not to require civic virtues such as social justice. Nor should any such requirements foreclose reasonable disagreement as to the content of civic norms, as requiring adherence to common specifications of social justice would do. Demands for any given form of social justice among physicians are unlikely to bear fruit as medical education is powerless to produce this virtue.

  8. ASPECTS REGARDING THE SETTING OF TIME STANDARDS FOR THE PRODUCTION AND SEWING OPERATIONS

    Directory of Open Access Journals (Sweden)

    SECAN Cristina

    2014-05-01

    Full Text Available This paper presents the technological process of manufacture of a shoe for women in IL system in order to establish the time and the production norm in the processing-sewing procedure. The sequence of operations is presented in a case study that analyzed how can be obtained the upper assembly of a footwear product that later becomes integral part into the finished product. Drawing up the technological process is done considering both the manual operations and the manual-mechanical operations for processing and assembling the parts that make the whole upper assembly by gluing the parts, by seaming and securing the joints. The type of equipment chosen to carry out operations is influencing through its productivity the necessary material calculated and hence the labour force required. The amount of time consists of time needed for preparation-finishing time, operative time, time of working place service and time of regulated interruptions. These periods of times were determined basically by timing assistance of the manufacturing process throughout its development. Production norm is calculated on the basis of the standard time, taking into account that it represents the amount of products manufactured in a work shift In order to improve the process by reducing the time of production and the number of workers engaged we are considering the automation of the manufacturing process by using modern methods using laser cutting or cutting under running water, automatic sewing machines, strip conveyor belts with pace imposed etc.

  9. 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.

  10. [Medical, psychological, social and gender aspects of aging in modern Russia].

    Science.gov (United States)

    Miakotnykh, V S; Sidenkova, A P; Borovkova, T A; Berezina, D A

    2014-01-01

    In this article, the authors considered controversial issues ambiguous attitude to the aging process of the population of the Russian Federation on the basis of a number of individual differences--psychological, social, sexual, and medical. The thesis is that, unfortunately, the fight against aging appears rather to be more a struggle with an already existing old age, and you need to develop preventive measures against aging much earlier than is currently done. Submissions own research confirm this position. The system of training, adjustment to a new level of life, to the new conditions associated with aging process, in the form of a special kind of multidisciplinary centers that carry out the tasks of improving health and young is proposed.

  11. [Hygienic aspects of the lifestyle of medical students under the present conditions].

    Science.gov (United States)

    Kozhevnikova, N G; Kataeva, V A

    2011-01-01

    The paper gives the results of a study of the lifestyle of medical students. The students' motor activity has been found to be lower and to continue to drop in the undergraduates. Examination of the daily routine has shown that 92% of the students break the study-and-rest routine; the reported reasons for this are a high academic load, a prolonged academic day, a study-work combination, mental stress during examinations, and computer-aided learning. The students' nutrition is inadequate in major nutrients, poor-quality, irregular, and uncontrolled. The college crowd shows a preponderance of bad habits; 85% of cases had these or those combinations of risk factors: smoking, low motor activity, overweight, alcohol consumption, etc.

  12. Medical aspects of room air quality and CO/sub 2/ sensors

    Energy Technology Data Exchange (ETDEWEB)

    Ranscht-Froemsdorff, W.

    1987-05-01

    So far, CO/sub 2/ received only peripheral interest in the search for relevant factors and trace elements that are detrimental to comfort in living rooms and offices. Medically speaking, CO/sub 2/ is an analeptic substance, i.e. a substance that, given in small doses, stimulates like coffein; in larger doses, it has an alcohol-like effect, and overdoses are lethal as they arrest breathing. The author assumes that a rise in CO/sub 2/ in closed rooms will be accompanied by a rise in other trace elements, possibly with synergetic effects on the human organism. In the last few years, portable, light-weight sensors have become available. The use of CO/sub 2/ sensors is particularly important in air-conditioned rooms, where the fresh air supply exceeds the actual requirements, i.e. where an energy-saving effect could be achieved by combining the sensors with the air conditioning unit. (BWI).

  13. [Medical and legal aspects of genital mutilation and circumcision part I: female genital mutilation (FGM)].

    Science.gov (United States)

    Dettmeyer, Reinhard; Laux, Johannes; Friedl, Hannah; Zedler, Barbara; Bratzke, Hansjürgen; Parzeller, Markus

    2011-01-01

    Female genital mutilation (FGM) is considered to be against the law and against morality not only in Western countries, although a woman of age and able to consent may sometimes think differently. The procedure may have serious physical and emotional consequences for the girl or woman. Nevertheless there are attempts to justify the procedure with medical and hygienic pseudoarguments, ideology, freedom of religion, cultural identity and social adequacy. Outside the Western world, some people claim that religion and culture alone justify the practice. In Germany, parents can lose the right to determine the residence of their daughter, if she is faced with the risk of genital mutilation in order to prevent that the child or girl is taken to her home country. Genital mutilation as a gender-specific threat is recognized as a reason to grant asylum or prevent deportation. Proposals to make genital mutilation a separate punishable offence are presently discussed by the legislator.

  14. TU-CD-213-00: Administrative Aspects of Medical Physics

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-06-15

    As part of the AAPM’s Scope of Practice, medical physicists are expected to collaborate effectively with practioners and allied health care providers. Interpersonal skills such as communication, negotiation and persuasion are vital for successful collaboration to achieve shared goals. This session will provide some theoretical background of these interpersonal skills as well as specific techniques and practical tools to influence others. Applications of these interpersonal skills for administrative and human resource management purposes vital to medical physicists will be shared. Session attendees will gain knowledge and tools to help them effectively collaborate with administrative and physician leaders in areas such as capital and human resource selection, prioritization, and implementation. Participants will hear methods of how to articulate their goals and to understand the goals of administration, helping ensure alignment of purpose. Session speakers will present one of the topics: equipment selection, budget creation, contracts, and program-related policy development. Specifics may include designing a business case in language that administrators understand, calculating the prioritization of budget requests, and influencing policies for safe and effective care. Human resource topics may include staffing justification, recruitment for fit, employment contracts, and benefits. Speakers will provide examples in both radiation therapy and diagnostic imaging departments and will share experiences and outcomes of their approaches for better results. Learning Objectives: After this course attendees will be better able to Understand the shared goal between administrative and physicist leadership. Articulate the “why” of the technical or human resource need. Utilize communication, negotiation and persuasion tools to improve collaboration.

  15. The Case of Pharmacological Neuroenhancement: Medical, Judicial and Ethical Aspects from a German Perspective.

    Science.gov (United States)

    Franke, A G; Northoff, R; Hildt, E

    2015-11-01

    Pharmacological neuroenhancement (PN) describes the use of psychoactive drugs for the purpose of enhancing cognition (e. g., fatigue, concentration, memory etc.) by healthy subjects without medical need. Drugs used for this purpose can be divided into freely available, over-the-counter drugs (e. g., methylxanthines such as caffeine), prescription drugs (e. g., antidementia drugs, methylphenidate) and illicit drugs (e. g., illicit amphetamines). Clinical studies have shown that the aforementioned substances only have limited pro-cognitive effects and have considerable safety risks and side effects.The German judicial perspective shows legal differences between substances (drugs, food, food supplements, fortified food) that can be bought in a supermarket, drugs that can be bought in a pharmacy as over-the-counter- (OTC-) drugs, drugs with or without the need for a prescription and illicit drugs. Supermarket drugs and fortified food can be sold freely and follow the general rules of civil and penal law; regarding acquisition, parents are responsible for their children. OTC drugs require special information about therapy. Regarding prescription drugs, there are legal problems caused by an off-label use and the non-medical purposes of PN drugs. Furthermore, prescription stimulants for PN are governed by the specialized law for narcotics, and their use might be punished. Beyond the general lack of rules for regulation for PN drug use there are specific needs for prevention (e. g., control of the black market, etc.).Possible future policy will depend, among others, on the probability with which effective PN drugs with an acceptable risk-benefit ratio will be available, on individual and societal implications, and on public opinion towards PN. While 4 different general policy scenarios can be identified, it is important to advance a broad societal debate on PN to collect relevant empirical data and to address enhancement-related conceptual issues.

  16. Longitudinal PBL in Undergraduate Medical Education Develops Lifelong-Learning Habits and Clinical Competencies in Social Aspects.

    Science.gov (United States)

    Okubo, Yumiko; Matsushita, Susumu; Takakuwa, Yuichi; Yoshioka, Toshimasa; Nitta, Kosaku

    2016-01-01

    Problem-based learning (PBL) is popular in medical education in Japan. We wished to understand the influence of PBL on the clinical competence of medical residents, using self-assessment and observer assessment. Tokyo Women's Medical University (TWMU) implemented PBL longitudinally (long-time) for four years, and on this basis we analyzed whether long-time PBL education is useful for clinical work. A self-assessment questionnaire was sent to junior and senior residents who were alumni of several schools, and an observation-based assessment questionnaire to senior doctors instructing them. Respondents were asked if they had used the PBL process in daily clinical tasks, and if so in what processes. Senior doctors were asked whether TWMU graduates perform differently from graduates of other schools. TWMU graduates answered "used a lot" and "used a little" with regard to PBL at significantly higher rates than other graduates. As useful points of PBL, they mentioned extracting clinical problems, solving clinical problems, self-directed leaning, positive attitude, collaboration with others, presentation, doctor-patient relations, self-assessment, and share the knowledge with doctors at lower levels and students. Observer assessments of TWMU graduates by senior doctors represented them as adaptive, good at presenting, good at listening to others' opinions, practical, selfish, and eager in their instructional practice. Longitudinal PBL can be a good educational method to develop lifelong-learning habits and clinical competencies especially in terms of the social aspect.

  17. Legal aspects regarding the use and integration of electronic medical records for epidemiological purposes with focus on the Italian situation

    Directory of Open Access Journals (Sweden)

    Antonietta Stendardo

    2013-09-01

    Full Text Available The "Observational Studies" working group of the Italian Association of Medical Statistics and Clinical Epidemiology (SISMEC has undertaken to study the impact of recent healthcare sector regulations on the legal and organisational aspects of managing all EMR databases with emphasis on Legislative Decree No. 196/2003 (the Italian Personal Data Protection Law. This paper examines six issues relating to theirs legal implications. The first section, “Confidentiality”, provides definitions and the regulatory context for the terms "confidentiality" and "personal data". In the second, “Nature of data held in electronic medical record archives”, we discuss the problem of sensitive data and procedures to make the identification code anonymous. In “Data ownership” we highlight the difference between the data controller and the database controller. The fourth section, “Conditions for processing”, discusses problems associated with using research data from one study in other investigations. In the fifth, “Patient consent”, we address the problems related to patient consent. Finally in “Penalties” we outline the main civil and criminal liability issues applied in case of non-compliance with the provisions of the Personal Data Protection Code. Where possible, we provide suggestions on how to comply with the legal requirements of managing medical record archives in order to make it easier for researchers to remain in compliance with the relevant provisions. 

  18. [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.

  19. 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

  20. Cerritos Community College: Improvements Needed in Aspects of Operating the District and Its Auxiliary Organization.

    Science.gov (United States)

    California State Office of the Auditor General, Sacramento.

    This audit report discusses the operation of the Enterprise Fund by Cerritos Community College District in California. In addition, the Cerritos College Foundation's conflict of interest policies, its relationship with the district, and its award of contracts for services was reviewed. It was found that the district needed improvement in its…

  1. Multi-objective optimization for the operation of distributed energy systems considering economic and environmental aspects

    Energy Technology Data Exchange (ETDEWEB)

    Ren, Hongbo [Ritsumeikan Global Innovation Research Organization, Ritsumeikan University, 603-8577 Kyoto (Japan); Zhou, Weisheng; Nakagami, Ken' ichi [College of Policy Sciences, Ritsumeikan University, 603-8577 Kyoto (Japan); Gao, Weijun; Wu, Qiong [Faculty of Environmental Engineering, The University of Kitakyushu, 808-0135 Kitakyushu (Japan)

    2010-12-15

    Along with the continuing global warming, the environmental constraints are expected to play more and more important role in the operation of distributed energy resource (DER) systems, besides the economic objective. In this study, a multi-objective optimization model is developed to analyze the optimal operating strategy of a DER system while combining the minimization of energy cost with the minimization of environmental impact which is assessed in terms of CO{sub 2} emissions. The trade-off curve is obtained by using the compromise programming method. As an illustrative example, the DER system installed in an eco-campus in Japan has been selected for case study. The distributed technologies under consideration include photovoltaics (PV), fuel cell and gas engine for providing electrical and thermal demands. The obtained results demonstrate that increasing the satisfaction degree of economic objective leads to increased CO{sub 2} emissions. The operation of the DER system is more sensitive when environmental objective is paid more attention. Moreover, according to the sensitivity analysis, the consideration of electricity buy-back, carbon tax, as well as fuel switching to biogas, has more or less effect on the operation of DER systems. (author)

  2. Physiological and Medical Aspects That Put Women Soldiers at Increased Risk for Overuse Injuries.

    Science.gov (United States)

    Epstein, Yoram; Fleischmann, Chen; Yanovich, Ran; Heled, Yuval

    2015-11-01

    Anthropometric and physiological factors place female soldiers at a disadvantage relative to male soldiers in most aspects of physical performance. Average aerobic and anaerobic fitness levels are lower in women than in men. Thus, women have a lower overall work capacity and must exert themselves more than men to achieve the same output. The lower weight and fat-free mass and the higher body fat of women are associated with lower muscle strength and endurance, placing them at a disadvantage compared with men in performing military tasks such as lifting and carrying weights, or marching with a load. Working at a higher percentage of their maximal capacity to achieve the same performance levels as men, women tire earlier. Their smaller size, skeletal anatomy, and different bone geometry also predispose women to a higher incidence of exercise-related injuries. Consequently, the attrition rate of female soldiers in combat units is higher than that of their male counterparts. This review summarizes the literature on gender-related physiological and anatomical differences that put female soldiers at an increased risk of exercise-related injuries.

  3. Design criteria for soil cleaning operations in electrokinetic remediation: hydrodynamic aspects in a cylindrical geometry.

    Science.gov (United States)

    Oyanader, Mario A; Arce, Pedro; Dzurik, Andrew

    2005-08-01

    The applications of electrokinetics embrace a large family of important industrial, pharmaceutical, biomedical, and environmental applications. Processes such as separation, drug delivery, soil remediation, and others constitute alist of applications where electrical fields are used to induce the movement of solute species. Different transport driving forces participate in the motion of the solute. In the particular case of soil remediation, the electromechanisms may compete with buoyancy and advection, promoting distinct flow regimes. As a rule of thumb, some of the earlier applications of electrokinetic phenomena, mainly in the area of electrophoresis, neglected this competition, and therefore the hydrodynamics of the systems was considered simpler. The nature of the process in soil, a porous media, calls for a different approach and is in need of further analysis of the complete map of collaborating driving forces. The identification and analysis of the characteristic flow regimes may lead to important guidelines for improving the separation, avoiding the mixing, and more efficient cleaning in a given application. In this contribution, using a cylindrical capillary model, the basic aspects of the behavior of the system are captured. A differential model is formulated using simplifying assumptions, maintaining the mathematical aspects to a minimum level, and a solution is presented for the different fields, i.e., the temperature and the velocity. Based on the selection of values of the parameter space, several limiting cases and flow regimes are presented and discussed. Implications for the design of devices and cleaning strategies are also included. Needs for further research are identified. The main idea behind the study is to obtain a qualitative and semiquantitative description of the different flow regimes inside the channel. This information is useful to identify further aspects of the investigation and delineate a systematic approach for a more rigorous

  4. 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.

  5. Thermal Aspects Related to the Operation of Photovoltaic Collectors with Water Film Cleaning System

    Directory of Open Access Journals (Sweden)

    Andrei BUTUZA

    2014-02-01

    Full Text Available This study presents an explorative experimental investigation of solar photovoltaic collector's behavior, when equipped with a water film based cleaning system. The study was focused mainly on thermal aspects and demonstrated the thermal potential of the water film, to be used in preheating domestic water. The results obtained in temperate continental climate and in autumn conditions, are in good agreement with similar studies. The electric effects of the water film were also investigated. This category of results was affected by limited precision of the data acquisition but the trend of water film electric effects could be still revealed. The general practical conclusion of the study is that water film cleaning system of the solar photovoltaic collectors can be recommended only with reserves, because of reduced and uncertain global performances.

  6. Perfil da automedicação no Brasil Aspects of self-medication in Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio D. Arrais

    1997-02-01

    Full Text Available INTRODUÇÃO: Os dados apresentados fazem parte de um estudo multicêntrico sobre automedicação na América Latina realizado pela Organização Mundial de Saúde (OMS. Objetivou-se traçar um perfil da automedicação através da análise da procura de medicamentos em farmácias sem prescrição médica ou aconselhamento do farmacêutico/balconista. MATERIAL E MÉTODO: As especialidades farmacêuticas foram classificadas pelo código "Anatomical Therapeutical Classification" e analisadas sob quatro aspectos qualitativos: valor intrínseco, essencialidade (lista da OMS e Relação Nacional de Medicamentos Essenciais (RENAME, combinação em dose fixa e necessidade de prescrição médica. RESULTADOS: Foram solicitadas 5.332 especialidades farmacêuticas (785 diferentes princípios ativos, sendo 49,5% combinações em dose fixas, 53,0% de valor intrínseco não elevado, 44,1% sujeitos a prescrição médica, 71,0% não essenciais e 40,0% baseados em prescrições médicas anteriores. Os medicamentos mais solicitados foram analgésicos (17,3%, descongestionantes nasais (7,0%, antiinflamatório/antireumático e antiinfecciosos de uso sistêmico, ambos com 5,6%. CONCLUSÕES: Os dados sugerem que a automedicação no Brasil reflete as carências e hábitos da população, é consideravelmente influenciada pela prescrição médica e tem a sua qualidade prejudicada pela baixa seletividade do mercado farmacêutico.INTRODUCTION: The data presented are part of a World Health Organization (WHO multicenter study of self-medication in Latin America. Brazilian sites included: Belo Horizonte, Fortaleza, the city of S. Paulo and outlying locations. The objective was to characterize self-medication practices by analyzing drugs sought by consumers in pharmacies without a physician's prescription. MATERIAL AND METHOD: Drugs were classified according to the Anatomic Therapeutic Classification codes, and analyzed with respect to 1 intrinsic value; 2 recognition as

  7. 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.

  8. 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.

  9. [The psychodiagnostic aspects of the compliance with treatment in the course of medical rehabilitation].

    Science.gov (United States)

    Kotel'nikova, A V; Kukshina, A A

    2016-01-01

    The objective of the present study was to elucidate the possibility of using psycho-diagnostic tools for the preventive diagnostics of the patients' adherence to the treatment in the course of medical rehabilitation. The article presents the overview of the available literature concerning the problem of interest. It is shown that the important factors of preventive diagnostics of the compliance include the peculiar steady-state and dynamic features of the individual patients presenting with chronic pathology, their current emotional state, intellectual and motivational preparedness for the active and meaningful participation in the rehabilitation process. The psychometric characteristics of the main methodological techniques that can be used for diagnostics of these parameters are described. Also reported are the data illustrating the necessity of the neuropsychological studies of the higher mental functions as well as formal standard testing and clinical interviewing of the patients by health providers for the purpose of determining the patient's preparedness for the efficient engagement in the process of rehabilitation.

  10. Synthesis and retrofit design of operable heat exchanger networks; 1: Flexibility and structural controllability aspects

    Energy Technology Data Exchange (ETDEWEB)

    Papalexandri, K.P.; Pistikopoulos, E.N. (Imperial College of Science, Technology and Medicine, London (United Kingdom). Dept. of Chemical Engineering and Chemical Technology)

    1994-07-01

    A systematic framework for the synthesis and/or retrofit of flexible and structurally controllable heat exchanger networks is presented in this paper. Based on a multiperiod hyperstructure network representation, explicit structural controllability (total disturbance rejection) criteria are developed and included within a synthesis/retrofit mixed-integer nonlinear programming model, where a total annualized (operating and investment) cost is minimized. The proposed framework results in a network structure which features minimum annualized cost, while being (1) flexible to operate within a specified range (or discrete set) of uncertain stream flow rates, inlet temperature, and/or heat transfer coefficients and (2) structurally controllable for a given set of disturbances and control variables.

  11. Operational aspects of the energy efficiency act; A operacionalizacao de lei de eficiencia energetica

    Energy Technology Data Exchange (ETDEWEB)

    Haddad, Jamil [Universidade Federal de Itajuba (UNIFEI), MG (Brazil). Inst. de Sistemas Eletrico e Energia. Grupo de Estudos Energeticos (GEE)]. E-mail: jamil@unifei.edu.br; Porto, Laura Cristina da Fonseca; Leonelli, Paulo Augusto; Cruz, Paulo de Tarso de Alexandria [Ministerio das Minas e Energia (MME), Brasilia, DF (Brazil). Secretaria de Planejamento e Desenvolvimento Energetico. Dept. de Desenvolvimento Energetico]. E-mails: lporto@mme.gov.br; pleonelli@mme.gov.br; paulo.cruz@mme.gov.br

    2006-07-01

    This paper presents a regulatory mark related to the Law 10.295 dated of October 17, 2001, Decree 4508 dated of December 11, 2002, regulating the establishment of the energy specific consumption maximum levels, or energy efficiency minimum, machines and energy consumer devices fabricated and trading in Brazil. Institutional and operational questions besides some results will be approached viewing the improvement of these important instruments related to the energy efficiency theme.

  12. Air pollution control through biotrickling filters: a review considering operational aspects and expected performance.

    Science.gov (United States)

    Schiavon, Marco; Ragazzi, Marco; Rada, Elena Cristina; Torretta, Vincenzo

    2016-12-01

    The biological removal of pollutants, especially through biotrickling filters (BTFs), has recently become attractive for the low investment and operational costs and the low secondary pollution. This paper is intended to investigate the state of the art on BTF applications. After an overview on the biodegradation process and the typical parameters involved, this paper presents the analysis of a group of 16 literature studies chosen as the references for this sector. The reference studies differ from one another by the pollutants treated (volatile organic compounds [VOC], hydrogen sulphide, nitrogen oxides and trimethylamine), the geometry and size of the BTFs, and the procedures of the tests. The reference studies are analyzed and discussed in terms of the operational conditions and the results obtained, especially with respect to the removal efficiencies (REs) and the elimination capacities (ECs) of the pollutants considered. Empty bed residence time (EBRT), pollutant loading rate, temperature, pH, oxygen availability, trickling liquid flow rate, inoculum selection and biomass control strategies revealed to be the most important operational factors influencing the removal performance of a BTF.

  13. SOME ASPECTS OF REDUCING FRUIT DAMAGE DURING HARVESTING AND TRANSPORT OPERATIONS

    Directory of Open Access Journals (Sweden)

    Byshоv N. V.

    2016-09-01

    Full Text Available Fruit harvesting is the final and decisive operation in the general work plan for growing fruit, which largely determines the qualitative and quantitative indicators of production and economy of industry in general. Increasing productivity by improving the safety of fruits and vegetables is a priority and not an easy task. For example, the use of cleaning technologies with the use of machinery for harvesting of apples by shaking can significantly reduce the time of gathering fruit compared to hand harvesting. This technology may be applicable, if the fruit is grown for the manufacture of juices, jams, etc. Currently, in several European countries and in the USA, they widely use fruit harvesting platforms and machines. The leader in the production of fruit harvesting platforms is Italy. To reduce the damage to fruit in agriculture, the analysis of the traumatic factors is of great importance, with the analysis of available machines and their subsequent modernization with the aim of improving the reliability and quality of harvesting and transport process, taking into account of the algorithm for solving these problems, the creation of new varieties of fruits and vegetables suitable for machine processing, strict compliance with deadlines and agronomic requirements for the performed technological operations, taking into account the savings of energy and resources when using mobile technology. In addition to the modernization of the machines for efficient operation, it is necessary to improve also the scheme of planting of gardens and methods of cultivation, transfer horticulture to intensive way of development

  14. EU and international policies for hydrometeorological risks:Operational aspects and link to climate action

    Institute of Scientific and Technical Information of China (English)

    Philippe QUEVAUVILLER; Marco GEMMER

    2015-01-01

    Changes in hydrometeorological characteristics and risks have been observed and are projected to increase under climate change. These considerations are scientifically well studied and led to the development of a complex policy framework for adaptation and mitigation for hydrometeorological risks. Awareness for policy actions is growing worldwide but no legal framework is in place to tackle climate change impacts on water at a global scale. With the example of international frameworks and the legislation on EU-level, this article elaborates that hydrometeorological risks are not considered in the framework of one single policy. However, various policy instruments are directly or indirectly considering these risks at different operational levels. It is discussed that a tailor-made framework for hydrometeorological risks would improve coordination at international or national level. A major drawback for a single operational framework is that hydrometeorological risks are scientifically tackled in two large communities:the disaster risk reduction community and the climate change adaptation community, both of which are bound to different research and operational funding budgets. In future, disaster risk reduction and climate change adaptation will need been seen as a complementary set of actions that requires collaboration.

  15. Load carriage using packs: a review of physiological, biomechanical and medical aspects.

    Science.gov (United States)

    Knapik, J; Harman, E; Reynolds, K

    1996-06-01

    This paper reviews the biomedical aspects of transporting loads in packs and offers suggestions for improving load-carriage capability. Locating the load mass as close as possible to the body center of gravity appears to result in the lowest energy cost when carrying a pack. Thus, the double pack (half the load on the front of the body and half the load on the back) has a lower energy cost than the backpack. However, backpacks provide greater versatility in most situations. The energy cost of walking with backpack loads increases progressively with increases in load mass, body mass, walking speed or grade; type of terrain also influences energy cost. Predictive equations have been developed for estimating the energy cost of carrying loads during locomotion but these may not be accurate for prolonged (>2 h) or downhill carriage. Training with loads can result in greater energy efficiency since walking with backpack loads over several weeks decreases energy cost. Load-carriage speed can be increased with physical training that involves regular running and resistance training. Erector spinae electrical activity (EMG) is lower during load carriage than in unloaded walking until loads exceed 30-40 kg, at which point erector spinae EMG activity is higher than during unloaded walking. EMGs of the quadriceps and gastrocnemius, but not the tibialis anterior or hamstrings, increase with load. Framed packs with hip belts reduce the electrical activity of the trapezius muscles, presumably by shifting forces from the shoulders to the hips. Increases in the backpack load mass result in increases in forces exerted on the grounds, amount of knee flexion and the forward inclination of the trunk. Compared to backpacks, double packs produce fewer deviations from normal walking. Common injuries associated with prolonged load carriage include foot blisters, stress fractures, back strains, metatarsalgia (foot pain), rucksack palsy (shoulder traction injury) and knee pain. Closed

  16. Aspects of operating systems and software engineering with parallel computer architectures

    Energy Technology Data Exchange (ETDEWEB)

    Foessmeier, R.; Ruede, U.; Zenger, C.

    1988-05-01

    Making efficient use of parallel computer architectures generally requires special programming techniques. Usually, non-standardized parallel constructs are added to a traditional programming language. This reduces program portability and adds extra difficulties to programming. Coarse-grain parallelism can be exploited by parallel processes. In this field the operating system UNIX - now in widespread use - offers easy-to-use means for describing parallelism, sufficient for basic process synchronisation and communication. Problem structurization required for this kind of parallelism often contributes to the versatility and clarity of the programs. As an example, the elimination of a linear system is parallelized.

  17. Children sold for transplants: medical and legal aspects. Amnesty International--Danish Working Group for Children.

    Science.gov (United States)

    Fasting, U; Christensen, J; Glending, S

    1998-11-01

    Over the last few decades there has been a substantially higher percentage of successful organ transplants but also a significant imbalance between the demand for and the supply of organs, creating the basis for a highly profitable black market trade in human organs. Sometimes there are reports that children have been kidnapped, only to reappear later lacking one kidney, or that they simply disappear and are subsequently killed to have all their transplantable organs removed for profit. The European Union feels that there is a need for action and that it has a duty to act in this field, especially for ethical reasons. There is now established close co-operation between the various European transplant organizations. The legal protection of children with regard to organ transplantation is not specifically mentioned in the existing conventions because this issue was not foreseen at the time of their preparation. However, the issue is covered in a broader sense by more general provisions. There are endless rumours surrounding this area. Members of various organizations who travel in the suspected countries say that the trafficking in children who are sold for transplantation is well known, but it is too difficult and very dangerous to catch the people involved. We have to conclude that it has been impossible to prove or disprove the rumours, but they are consistent and we all, especially in the health care professions, have an obligation to be keenly aware of how and where organs are obtained.

  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. Technical and economic aspects of operation of thermal and hydro power systems

    Energy Technology Data Exchange (ETDEWEB)

    Bakken, Bjoern Harald

    1997-12-31

    This thesis studies system operation and operational costs of primary and secondary control in hydro and thermal power systems. The cost of providing primary control reserves in thermal power systems is estimated to 1-3% of total production cost. Hydro power units, on the other hand, provide a very cheap primary reserve compared to thermal units. The HVDC (High Voltage Direct Current) connection can be used for primary control in either direction but the thesis only considers substitution of reserves in the thermal system with reserves from the hydro system. Since the HVDC connection is easy to control, the transient characteristics are considerably improved, and one can substitute an amount of thermal spinning reserve corresponding to the available HVDC capacity with little disturbance in any system. A more realistic alternative, at present, is to sell secondary control reserves across the HVDC connections. Keeping spinning reserve for automatic secondary control in a thermal power system is estimated to cost 3-5% of total production cost. Secondary control reserves probably cannot compete with the value of the peak load export, but one should seriously consider using part of the HVDC capacity as secondary control reserve for the thermal system during off-peak hours with. The author discusses the concept of automatic secondary control both theoretically and by simulations and finds that there are no special technical difficulties in introducing automatic secondary control in the Nordel (an organization for Nordic power cooperation) system. 78 refs., 4 figs., 23 tabs.

  20. Aspects of operation of the Fermilab Booster RF System at very high intensity

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, J.E.

    1996-04-01

    The purpose of this note is to examine the likelihood and problems associated with operation of the Fermilab Booster rf systems as it presently exists, or with only minor modifications, at beam intensity approaching 5x10{sup 13} protons per pulse. Beam loading of the rf system at such an intensity will be one order of magnitude larger than at the present operation level. It is assumed that the injection energy will be raised to 1 GeV with no major increase in the injected energy spread (longitudinal emittance). The beam will be bunched by adiabatic capture as is presently done although it may be necessary to remove one or two bunches prior to acceleration to allow clean extraction at 8 GeV. At very high intensity the charge in each bunch will interact with the vacuum chamber impedance (and with itself) in such a way as to reduce in some cases the bucket area generated by the rf voltage. Because this decrement must be made up by changes in the rf ring voltage if the required bucket area is to be maintained, these effects must be taken into consideration in any analysis of the capability of the rf system to accelerate very large intensity.

  1. 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.

  2. Attitude of Iranian Medical Oncologists Toward Economic Aspects, and Policy-making in Relation to New Cancer Drugs.

    Science.gov (United States)

    Daroudi, Rajabali; Mirzania, Mehrzad; Zendehdel, Kazem

    2015-10-20

    Although medical oncologists can have an important role in controlling the cost of cancer treatment, there is little information about their attitudes toward the cost of cancer treatment and the impact of cost on their treatment recommendations, especially in low- and middle-income countries (LMICs). In this study, we assessed the attitude of Iranian medical oncologists toward some economic aspects of new cancer drugs. We translated a questionnaire that was used in similar studies in the United States and Canada into Persian and modified it according to the local setting in Iran. The face and content validity of the questionnaire were assessed by oncologists before being used in the survey. We distributed the questionnaire and collected the data from 80 oncologists who participated in the 13th Annual Congress of the Iranian Society of Medical Oncology and Hematology (ISMOH). Fifty-two oncologists participated in our study (a response rate of 65%). The majority of oncologists stated that drug costs and patient out-of-pocket (OOP) costs influence their treatment recommendations (92% and 94%, respectively). Most oncologists (70%) felt that they are ready enough to use cost-effectiveness information in their treatment decisions, and 74% believed that patients should only have access to cancer treatments that are cost-effective. Most oncologists agree that the government should have control over drug prices, and more use of cost-effectiveness data is required for decision-making about cancer drug coverage. Ninety-one percent of oncologists said that they always or frequently discuss cancer treatment costs with their patients. Oncologists believed that academic groups (research centers and scientific societies) (81%) and the Ministry of Health (MoH) (43%) are the most eligible groups for determining whether a drug provides good value. Iranian medical oncologists are ready to participate in the health technology assessment and priority-setting process. This situation

  3. ORGANIZATIONAL-ECONOMIC ASPECTS OF THE DEVELOPMENT AND OPERATION OF SMALL INNOVATIVE BUSINESS

    Directory of Open Access Journals (Sweden)

    M. Ya. Veselovsky

    2016-01-01

    foreign experts forecast the development of the innovative aspect of the Russian economy. The proposed measures aimed at the eff ective development of small innovative entrepreneurship.Conclusions / importance. Small innovative businesses in Russia will be able to successfully and quickly evolve only in the case of a deliberate and consistent policy of public authorities and with the active support of business and public organizations in the country.

  4. Engineering aspects of fluidized bed reactor operation applied to lactase treatment of whole whey

    Energy Technology Data Exchange (ETDEWEB)

    Metzdorf, C.; Fauquex, P.F.; Flaschel, E.; Renken, A.

    1985-01-01

    An interesting possibility for the use of lactoserum in human nutrition is the hydrolysis of lactose to glucose and galactose, sugars which exhibit a better digestibility, a higher solubility, and which have a greater sweetening power than lactose. The hydrolysis is catalyzed by an enzyme, the ..beta..-galactosidase which, due to its high price, must be used continuously, preferentially in immobilized form. The enzyme used for these studies has been immobilized on silica gel precoated with chitosan. When whole whey or partially deproteinized whey is treated, a fluidized bed reactor seems to be the most appropriate to circumvent problems with protein adsorption and reactor plugging. However the fluidization of fine particles with a small density difference between the solid and the liquid may give rise to stability problems. In order to prevent unstable operation of the fluidized bed, the reactor has been equipped with special internals. They impose a radial distribution of the liquid and the solid phase and increase the linear velocity required to achieve a given expansion by a factor of five. Besides the resulting high solids content, the back-mixing of the liquid decreases significantly when static mixer-packings are used.

  5. Operational Aspects of the Centers for Disease Control and Prevention Autocidal Gravid Ovitrap.

    Science.gov (United States)

    Acevedo, Verónica; Amador, Manuel; Félix, Gilberto; Barrera, Roberto

    2016-09-01

    Dengue viruses cause hundreds of millions of infections every year in tropical and subtropical countries. Unfortunately, there is not a single universal vector control method capable of suppressing Aedes aegypti (L.) populations. Amongst novel control tools or approaches are various types of traps targeting gravid females or their eggs. Here, we provide details of the operational use of the Centers for Disease Control and Prevention autocidal gravid ovitrap (CDC-AGO trap) for the surveillance and control of Ae. aegypti. Adult mosquitoes were monitored every week in 2 isolated neighborhoods treated with 3 AGO traps per house in 85% of houses and in 2 reference neighborhoods without control traps. Between March 2013 and April 2015 we serviced the AGO traps 14 times in each community (every 2 months). Common trap problems were absent or broken trap tops (1-1.5%), flooded (0.1-0.7%) or dry (0.5-1.3%) traps, and missing (0.3-0.8%) or vandalized (0.5-1.4%) traps. Most traps kept a volume of infusion between 45% and 97% of their original volume (10 liters). Nontarget organisms captured in AGO traps were mostly small flies, and to a lesser extent ants, cockroaches, grasshoppers, butterflies, dragonflies, and lizards. Trap coverage ranged between 83% and 87% of houses in both communities throughout the study. We interpret such high levels of trap retention over time as an expression of acceptance by the community.

  6. Research trends in biomimetic medical materials for tissue engineering: 3D bioprinting, surface modification, nano/micro-technology and clinical aspects in tissue engineering of cartilage and bone.

    Science.gov (United States)

    Chen, Cen; Bang, Sumi; Cho, Younghak; Lee, Sahnghoon; Lee, Inseop; Zhang, ShengMin; Noh, Insup

    2016-01-01

    This review discusses about biomimetic medical materials for tissue engineering of bone and cartilage, after previous scientific commentary of the invitation-based, Korea-China joint symposium on biomimetic medical materials, which was held in Seoul, Korea, from October 22 to 26, 2015. The contents of this review were evolved from the presentations of that symposium. Four topics of biomimetic medical materials were discussed from different research groups here: 1) 3D bioprinting medical materials, 2) nano/micro-technology, 3) surface modification of biomaterials for their interactions with cells and 4) clinical aspects of biomaterials for cartilage focusing on cells, scaffolds and cytokines.

  7. Platform development for merging various information sources for water management: methodological, technical and operational aspects

    Science.gov (United States)

    Galvao, Diogo

    2013-04-01

    As a result of various economic, social and environmental factors, we can all experience the increase in importance of water resources at a global scale. As a consequence, we can also notice the increasing need of methods and systems capable of efficiently managing and combining the rich and heterogeneous data available that concerns, directly or indirectly, these water resources, such as in-situ monitoring station data, Earth Observation images and measurements, Meteorological modeling forecasts and Hydrological modeling. Under the scope of the MyWater project, we developed a water management system capable of satisfying just such needs, under a flexible platform capable of accommodating future challenges, not only in terms of sources of data but also on applicable models to extract information from it. From a methodological point of view, the MyWater platform obtains data from distinct sources, and in distinct formats, be they Satellite images or meteorological model forecasts, transforms and combines them in ways that allow them to be fed to a variety of hydrological models (such as MOHID Land, SIMGRO, etc…), which themselves can also be combined, using such approaches as those advocated by the OpenMI standard, to extract information in an automated and time efficient manner. Such an approach brings its own deal of challenges, and further research was developed under this project on the best ways to combine such data and on novel approaches to hydrological modeling (like the PriceXD model). From a technical point of view, the MyWater platform is structured according to a classical SOA architecture, with a flexible object oriented modular backend service responsible for all the model process management and data treatment, while the information extracted can be interacted with using a variety of frontends, from a web portal, including also a desktop client, down to mobile phone and tablet applications. From an operational point of view, a user can not only see

  8. Attitude of Iranian Medical Oncologists Toward Economic Aspects, and Policy-making in Relation to New Cancer Drugs

    Directory of Open Access Journals (Sweden)

    Rajabali Daroudi

    2016-02-01

    Full Text Available Background Although medical oncologists can have an important role in controlling the cost of cancer treatment, there is little information about their attitudes toward the cost of cancer treatment and the impact of cost on their treatment recommendations, especially in low- and middle-income countries (LMICs. In this study, we assessed the attitude of Iranian medical oncologists toward some economic aspects of new cancer drugs. Methods We translated a questionnaire that was used in similar studies in the United States and Canada into Persian and modified it according to the local setting in Iran. The face and content validity of the questionnaire were assessed by oncologists before being used in the survey. We distributed the questionnaire and collected the data from 80 oncologists who participated in the 13th Annual Congress of the Iranian Society of Medical Oncology and Hematology (ISMOH. Results Fifty-two oncologists participated in our study (a response rate of 65%. The majority of oncologists stated that drug costs and patient out-of-pocket (OOP costs influence their treatment recommendations (92% and 94%, respectively. Most oncologists (70% felt that they are ready enough to use cost-effectiveness information in their treatment decisions, and 74% believed that patients should only have access to cancer treatments that are cost-effective. Most oncologists agree that the government should have control over drug prices, and more use of cost‐effectiveness data is required for decision-making about cancer drug coverage. Ninety-one percent of oncologists said that they always or frequently discuss cancer treatment costs with their patients. Oncologists believed that academic groups (research centers and scientific societies (81% and the Ministry of Health (MoH (43% are the most eligible groups for determining whether a drug provides good value. Conclusion Iranian medical oncologists are ready to participate in the health technology assessment

  9. 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

  10. Study of human factors and its basic aspects, focusing the operators of IEA-R1 research reactor

    Energy Technology Data Exchange (ETDEWEB)

    Martins, Maria da Penha Sanches; Andrade, Delvonei Alves de [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)]. E-mails: penhamartins@yahoo.com.br; delvonei@ipen.br

    2007-07-01

    The objective of this work is the study of human factors and situational variables, which, when modified, can interfere in the work actions of the operators of nuclear installations. This work is focused on the operators of the IEA-R1 research reactor, which is located in the Instituto de Pesquisas Energeticas e Nucleares - IPEN - CNEN/SP. The accidents in Nuclear Plants have shown that the most serious have occurred due to human failure. This work also considers the item 5.5.3 of CNEN-NN-3.01 standard - 'Actions must be taken to reduce, as much as possible, the human failures that may lead to accidents or even other events which may originate inadvertent or unintentional expositions in any individual'. The model named - Behavioral Analysis - is adopted. Relevant factors and aspects of the operators' routine are also considered. It is worth to remind that the performance depends on a series of variables, not only on the individual, but also the situational ones, which include physical, work, environment, organizational and social variables. Subjective factors are also considered, such as: attitude, ability, motivation etc., aiming at a global perspective of the situation, which counts on a set of principles for the behavior analysis and comprehension. After defining the applicability scenario, mechanisms and corrective actions to contribute with the reduction of failures will be proposed. (author)

  11. Study of human factors and its basic aspects, focusing the operators of IEA-R1 research reactor

    Energy Technology Data Exchange (ETDEWEB)

    Martins, Maria da Penha Sanches; Andrade, Delvonei Alves de [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)]. E-mails: penhamartins@yahoo.com.br; delvonei@ipen.br

    2008-03-15

    Human factors and situational variables, which ca, when modified, interfere in the actions of operators of nuclear installations is studied. This work is focused in the operators of the IEA-R1 research reactor, which is located in the Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Brazil. The accidents in Nuclear Plants have shown that the most serious have occurred due to human failure. This work also considers the item 5.5.3 of CNEN-NN-3.01 standard - 'Actions must be taken to reduce, as much as possible, the human failures that can lead to accidents or even other events which can originate inadvertent or unintentional expositions in any individual'. The model named 'Behavioral Analysis' is adopted. Relevant factors and aspects of the operators' routine are also considered. It is worth to remind that the performance depends on a series of variables, not only on the individual, but also situational, including in these categories; physical variables, work environment, organizational and the social ones. The subjective factors are also considered, such as: attitude, ability, motivation etc., aiming at a global perspective of the situation, which counts on a set of principles for the behaviour analysis and comprehension. After defining the applicability scenario, mechanisms and corrective actions to contribute with the reduction of failures will be proposed. (author)

  12. Medical Aspects of Lightning

    Science.gov (United States)

    ... StormReady TsunamiReady Owlie Kid's Page Cooperative Observers SKYWARN Storm Spotters NOAA Weather Radio Program Offices Daily Briefing ... an injury to the nervous system, often with brain injury and nerve injury. Serious burns seldom occur. ...

  13. Steganography and steganalysis in voice-over IP scenarios: operational aspects and first experiences with a new steganalysis tool set

    Science.gov (United States)

    Dittmann, Jana; Hesse, Danny; Hillert, Reyk

    2005-03-01

    Based on the knowledge and experiences from existing image steganalysis techniques, the overall objective of the paper is to evaluate existing audio steganography with a special focus on attacks in ad-hoc end-to-end media communications on the example of Voice over IP (VoIP) scenarios. One aspect is to understand operational requirements of recent steganographic techniques for VoIP applications. The other aspect is to elaborate possible steganalysis approaches applied to speech data. In particular we have examined existing VoIP applications with respect to their extensibility to steganographic algorithms. We have also paid attention to the part of steganalysis in PCM audio data which allows us to detect hidden communication while a running VoIP communication with the usage of the PCM codec. In our impelementation we use Jori's Voice over IP library by Jori Liesenborgs (JVOIPLIB) that provides primitives for a voice over IP communication. Finally we show first results of our prototypic implementation which extents the common VoIP scenario by the new feature of steganography. We also show the results for our PCM steganalyzer framework that is able to detect this kind of hidden communication by using a set of 13 first and second order statistics.

  14. Alternating Coordinate-Momentum Representation for Quantum States Based on Bopp Operators for Modelling Long-Distance Coherence Aspects

    Directory of Open Access Journals (Sweden)

    Ezzat G. Bakhoum

    2015-01-01

    Full Text Available This study presents an alternating coordinate-momentum representation for propagation and transition of associated wave function, based on Bopp operators and on a certain symbolic determinant corresponding to a set of two linear equations with null free terms. It is shown that this alternating representation can justify in a good manner the patterns created through reflection/refraction of waves on nonperfectly smooth interfaces and phase correspondence of diffracted beams without the need of supplementary support functions. Correlations with Lorentz transformation of wave functions by interaction with a certain material medium (the space-time origin of a wave-train being adjusted are also presented, and supplementary aspects regarding the use of electromagnetic scalar and vector potentials for modelling evolution within this alternating representation are added.

  15. 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.

  16. 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.

  17. 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.

  18. 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

  19. Demographic, medical and visual aspects of Dia- betic Retinopathy (DR and Diabetic Macular Edema (DME in South African diabetic patients*

    Directory of Open Access Journals (Sweden)

    Anusha Y. Sukha

    2009-12-01

    Full Text Available Objective: To investigate some of the demographic, medical, and visual aspects of diabetic retinopathy (DR and diabetic macula edema (DME in diabetics attending an urban clinic in Johannesburg, Gauteng.Design: In this cross-sectional study, 202 diabetic patients were recruited. Demographic variables included age, gender, race, age of diagnosis, duration of diabetes mellitus (DM, and social habits. Medical variables included systemic conditions present, blood pressures, body mass indices (BMI, lipid profiles, glycerated haemoglobin (HbA1c, and other biochemical data. Visual variables included distance, pinhole and near visual acuities, contrast visual acuities (CVA, refractive status, colour vision, central visual field evaluation with the Amsler grid, intraocular pressures (IOP, fundus photography and administration of the Impact of Visual Impairment (IVI questionnaire. All variables were compared between diabetic subjects with and with-out DR and DME in both right and left eyes.Results: Overall prevalence of DR was 22.8% and DME 12.5%. In DR subjects, significant results indicated that Whites were more likely to present with DR (p = 0.002. Subjects with DR had a higher mean duration of DM (p = 0.002 and a higher mean diastolic blood pressure (p = 0.035. Autorefraction suggested that more myopia and less astigmatism might be associated with DR. A higher mean CVA at the 2.5% level in DR was significant in both the right eyes (p = 0.042 and left eyes (p = 0.035. These subjects also reported a higher mean IVI score in the consumer and social interaction domain (p = 0.032. Similarly, DME subjects displayed a higher mean duration of DM (p = 0.042 and a higher mean diastolic blood pressure (p = 0.048. A higher mean CVA was associated at both the 10% level: right eyes (p = 0.021; and left eyes (p = 0.046, and at the 2.5% level: right eyes (p = 0.033 and left eyes (p = 0.045. A higher mean IVI score in leisure and work (p = 0.026, consumer and social

  20. 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.

  1. 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...

  2. 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.

  3. Teaching students on the specialty “Technology of Perfume-Cosmetic Preparations” in Zaporizhzhya State Medical University the legal aspects of pharmacist-cosmetologists professional activities

    Directory of Open Access Journals (Sweden)

    I. M. Alekseeva

    2012-12-01

    Full Text Available The article refl ects the experience of teaching the legal aspects of professional activities of pharmacists-cosmetologists to the students of Pharmaceutical Faculty, specialty «Technology of perfumery and cosmetics» in Zaporozhye State Medical University.

  4. Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 2. Equipment, Safe Driving Practices, Legal Aspects, Controlling the Situation, Action Evaluation Conference. Revised.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

    This student manual, the second in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains five sections that cover the following course content: ambulance equipment, safe driving practices for emergency vehicle drivers, legal aspects of the EMT's job, how to maintain control at an accident scene…

  5. [Perspectives on the development of quality management system for medical devices in China from the GMP aspects].

    Science.gov (United States)

    Jiang, Haihong

    2011-03-01

    The full implementation of GMP for medical devices, which is an important step to improve quality management system of medical devices production, will have a positive impact on the quality management system of medical device. It will improve and promote the development of quality management system for medical device, by updating the idea and rebuilding the frame and optimizing the contents.

  6. 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.

  7. Recognition of Autism Spectrum Disorder (ASD) symptoms and knowledge about some other aspects of ASD among final year medical students in Nigeria, Sub-Saharan Africa.

    Science.gov (United States)

    Bakare, M O; Tunde-Ayinmode, M F; Adewuya, A O; Bello-Mojeed, M A; Sale, S; James, B O; Yunusa, M A; Obindo, J T; Igwe, M N; Odinka, P C; Okafor, C J; Oshodi, Y O; Okonoda, K M; Munir, K M; Orovwigho, A O

    2015-09-18

    Earlier studies suggest that knowledge about Autism Spectrum Disorder (ASD) among healthcare workers in Nigeria is low. This present study assessed the knowledge of Nigerian final year medical students about symptoms of ASD and some other aspects of ASD. This is a cross sectional descriptive study that drew a total of seven hundred and fifty-seven (757) final year medical students from ten (10) randomly selected fully accredited medical schools out of a total of twenty-seven (27) fully accredited medical schools in Nigeria. Sociodemographic and Knowledge about Childhood Autism among Health Workers (KCAHW) questionnaires were used to assess knowledge of final year medical students about ASD and obtain demographic information. Only few, 218 (28.8 %) of the 757 final year medical students had seen and participated in evaluation and management of at least a child with ASD during their clinical postings in pediatrics and psychiatry. Knowledge and recognition of symptoms of ASD is observed to be better among this group of final year medical students as shown by higher mean scores in the four domains of KCAHW questionnaire. Knowledge about ASD varies across gender and regions. Misconceptions about ASD were also observed among the final year medical students. More focus needs to be given to ASD in the curriculum of Nigerian undergraduate medical students, especially during their psychiatry and pediatric clinical postings.

  8. 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.

  9. 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

  10. [The role and place of pathology services in ensuring and improving the quality of medical care: Organizational and legal aspects].

    Science.gov (United States)

    Timofeev, I V

    2015-01-01

    The paper considers the legal and organizational issues of the activity of pathology services in improving medical care. It shows the main (diagnostic and medico-organizational) areas of pathology work to improve the quality of medical care.

  11. Improving mining technology and organization of labor in the light of medical-biological aspects of physical health of miners

    Energy Technology Data Exchange (ETDEWEB)

    Egorov, P.V.; Nirenburg, K.G.; Davydova, N.N.; Dyatlova, L.A. (Kuzbasskii Politekhnicheskii Institut (USSR))

    1991-12-01

    Transfer to a contract-bonus system in mines of the Severokuzbassugol' and Leninskugol' associations (USSR) increased coal mining productivity by 42.2-54.4%, but, at the same time, problems concerning miners' health were noted. Presents data on the productivity and labor conditions of contract teams working at coal mining and in development faces. The influence of noise and vibration induced stresses on organisms of underground workers is analyzed. Investigations showed that 3 stages of exhaustion are likely to develop and that the most vulnerable are the cardiovascular system and the respiratory tract. The 3 stages of exhaustion and ability to recover were studied on mining machine operators and drivers of heading machines. Data showed that during the 1985-89 period, 972 miners received disability certificates; the rate of disability was 2.6 miners per 1 Mt of coal; 40.5% of miners over 40 years working on labor-intensive jobs had three or more chronic diseases which could cause permanent disability. In the structure of disability, cardio-vascular system cases accounted for 25%, osseous-muscular system cases for 20% and pulmonary diseases for 13%. Stresses the need for every mine to maintain its own medical center equipped with inhalation therapy, psychological relief, acupuncture and physiotherapy facilities.

  12. Aspects of spirituality in medical doctors and their relation to specific views of illness and dealing with their patients' individual situation

    DEFF Research Database (Denmark)

    Büssing, Arndt; Hirdes, Almut Tabea; Baumann, Klaus

    2013-01-01

    We intended to analyse which aspects of spirituality are of relevance for medical doctors in a mostly secular society and how their spiritual/religious attitudes are related to specific views of illness, their dealing with patients' individual situation, and finally physicians' life satisfaction...... they assume that they would deal with their patients' individual situation. Of interest, the specific aspects of spirituality were negatively correlated with the view of "illness as a meaningless interruption" of life, indicating that physicians with a spiritual attitude would see illness also as a chance...... for an "individual development" and associated with a "biographical meaning" rather than just a "useless interruption" of life....

  13. Development of an informative system on aspects of radiological protection in the medical practices; Desarrollo de un sistema informativo sobre aspectos de proteccion radiologica en las practicas medicas

    Energy Technology Data Exchange (ETDEWEB)

    Lopez B, G.M.; Martinez G, A.; Gonzalez R, N.; Hernandez A, R.; Valdes R, M.; Cardenas H, J.; Zaldivar H, W. [CPHR, Calle 20 No. 4113 e/41 y 47, Playa C.P. 11300 La Habana (Cuba); Diaz B, M.; Machado T, A. [Centro Nacional de Seguridad Nuclear, Ciudad de la Habana (Cuba)]. e-mail: gladys@cphr.edu.cu

    2006-07-01

    Today in day is difficult to imagine the development of the medical practices in the diagnosis and treatment of diverse illnesses without the use of the ionizing radiations. In spite of the diffusion and application of these practices, the patients and the public in general don't have full conscience of like the procedures are carried out and the risks that these involve. For it diverse international and national organizations in the last years recommend to include in the programs of radiological protection, all the information that should be given to the patients and the one public that attend as users to the medical institutions to undergo to procedures that imply the use of the ionizing radiations. In Cuba a growing and quick tendency exists to the introduction of nuclear techniques for medical ends, however paradoxically the relative aspects to the communication to the patients and the public in general about the risks of the procedures to that they will be subjected and in consequence on the measures to minimize them is not adequate. Keeping in mind the above-mentioned, specialists of national centers linked to the control and consultant ship in the topics of radiological protection in the medical practices that use ionizing radiations, they worked in the country in the design of an information system that should contribute to elevate the population's culture before the mentioned aspects. The present work describes the structure of this system in function of the different medical attention levels of our national health system. Additionally it exposes the development of a package of varied informative and training tools among those that are folding, posters, guides, instructions, CD Show that its approach general and specific aspects of the uses and risks of medical practices in nuclear medicine, radiodiagnostic and radiotherapy directed so much to health professionals, patients as public in general. (Author)

  14. [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.

  15. 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.

  16. 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.

  17. 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?

  18. 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.

  19. SOME ASPECTS OF ORGANIZATION OF HIGH TECHNOLOGY MEDICAL AID RENDERING AT SARATOV SCIENTIFIC RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS

    Directory of Open Access Journals (Sweden)

    T.A. Shulgina

    2009-03-01

    Full Text Available The article is devoted to the peculiarities of organization of high technology medical aid rendering at Saratov Scientific Research Institute of Traumatology and Orthopedics. Profiles and volumes of high technology medical aid and its order during 2006-2007 are presented.

  20. 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.

  1. 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.

  2. Energy, environmental and operation aspects of a SRF-fired fluidized bed waste-to-energy plant.

    Science.gov (United States)

    De Gisi, Sabino; Chiarelli, Agnese; Tagliente, Luca; Notarnicola, Michele

    2017-05-05

    A methodology based on the ISO 14031:2013 guideline has been developed and applied to a full-scale fluidized bed waste to energy plant (WtE) burning solid recovered fuel (SRF). With reference to 3years of operation, the data on energy and environmental performance, on raw materials consumptions such as sand and diesel fuel, accidental reasons of plant shutdown, have been acquired and analyzed. The obtained results have allowed to quantify the energy and environmental performance of the WtE plant under investigation by varying the amount and mixings of the inlet waste, available in form of thickened and fluff (similar to coriander) SRF. In terms of the energy performance, the fluidized bed technology applied to the SRF was able to guarantee an adequate production of electricity (satisfying the market demands), showing a relative flexibility with respect to the inlet waste. In terms of net energy production efficiency, the plant showed values in the range of 13.8-14.9% in line with similar installations. In terms of the environmental performance, the adoption of a cleaning system based on SNCR (Selective Non Catalitic Reduction)+semi-dry scrubbing+Fabric filter generated emissions usually well below the limits set by the EU Directive 2000/76/EC as well as the Italian Law 46/2014 (more restrictive) with reference to all the key parameters. In terms of the plant shutdown, the majority of problems focused on the combustion chamber and boiler due to the erosion of the refractory material of the furnace as well as to the breaking of the superheaters of the boiler. In contrast, the mechanical and electrical causes, along with those related to the control and instrumentation system, were of secondary importance. The sand bed de-fluidization was also among the leading causes of a frequent plant shutdown. In particular, results showed how although the SRF presents standard characteristics, the use of different mixtures may affect the number of plant shutdowns. The full

  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. Legal aspects of electric power supply. Grid operator obligations between entrepreneurial responsibility and state control; Das Recht der Elektrizitaetsversorgungsnetze. Netzbetreiberpflichten zwischen unternehmerischer Eigenverantwortung und staatlicher Steuerung

    Energy Technology Data Exchange (ETDEWEB)

    Maetzig, Karoline

    2012-07-01

    The publication provides a systematic outline of the legal boundary conditions governing the operation of electric power supply grids. It goes beyond mere regulatory aspects, covering also the projecting and construction of grids, the acquisition or leasing of land for power transmission line construction, operating licenses and utility certification, the organisational structure and purpose of electric utilities, as well as the operating, servicing and enhancement of electricity grids including calculation of electricity rates. In addition to this systematic outline of legal aspects, it is investigated how the balance between entrepreneurial responsibility and state control was defined in the EnWG 2011, and it is discussed if the law provides sufficient room for entrepreneurial decisions.

  6. 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

  7. 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%).

  8. Legislative and ethical aspects of introducing new technologies in medical care for senior citizens in developed countries

    Science.gov (United States)

    Kacetl, Jaroslav; Maresova, Petra

    2016-01-01

    Introduction The majority of developed countries are currently experiencing demographic aging. The most frequently expressed concerns related to the changing age structure are the increased costs of social and medical care, a lack of labor force in the job market, and financial sustainability of the pension system. These concerns are often based on the pessimistic view of population aging. This view understands aging as a prolonged period of illness and suffering. On the other hand, optimists believe that a longer life span is a result of increased quality of life and better health care. The quality of life may be improved not only by medicaments, but also by rapidly developing area of medical devices, which allow better care for seniors in many areas. Aim This contribution aims to assess the legislative environment and ethical questions related to the use of medical devices, especially medical devices, in medical care for senior citizens. Methods The methods used in this study are literature reviews of legislative and ethical environment in the European Union (EU) and the US. Results Main findings of this study result from assessing the state of medical device regulations in Europe and the US. Namely, the US regulation seems to be better arranged, which is probably due to the fact that there is only one responsible body – the US Food and Drug Administration, which is responsible for all medical device regulations. On the other hand, in the EU, talks about new legislation are led by ministers from all the EU member states and it may take a long time before all the EU countries come to an agreement. PMID:27499618

  9. An Internet-based exercise as a component of an overall training program addressing medical aspects of radiation emergency management.

    Science.gov (United States)

    Levy, K; Aghababian, R V; Hirsch, E F; Screnci, D; Boshyan, A; Ricks, R C; Samiei, M

    2000-01-01

    The use of ionizing radiation and radioactive materials continues to increase worldwide in industry, medicine, agriculture, research, electrical power generation, and nuclear weaponry. The risk of terrorism using weapons of mass destruction or simple radiological devices also has increased, leading to heightened concerns. Radiation accidents occur as a consequence of errors in transportation of radionuclides, use of radiation in medical diagnosis and therapy, industrial monitoring and sterilization procedures, and rarely, nuclear power generation. Compared to other industries, a small number of serious radiation accidents have occurred over the last six decades with recent cases in the Republic of Georgia, Peru, Japan, and Thailand. The medical, psychological, and political consequences of such accidents can be considerable. A number of programs designed to train medical responders in the techniques of radiation accident management have been developed and delivered in many countries. The low frequency of serious radiation accidents requires constant re-training, as skills are lost and medical staff turnover occurs. Not all of the training involves drills or exercises in which responders demonstrate learning or communication over the broad spectrum of medical response capabilities. Medical preparedness within the context of a total emergency response program is lacking in many parts of the world, particularly in Central and Eastern Europe and the Newly Independent States. This paper describes an effort to enhance medical preparedness in the context of a total program of international cooperation and conventions facilitated by the International Atomic Energy Agency. The paper concludes that novel application of telecommunications technology as part of a training activity in radiation accident preparedness can help address gaps in training in this field in which preparedness is essential but experience and practical field exercises are lacking.

  10. 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.

  11. 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.

  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. PMID:23573296

  13. Aspect Determination Using a Beacon with a Spiral Wave Front: Modeling and Performance Analysis in Operational Environments

    Science.gov (United States)

    2014-12-19

    phase dif- ference will be approximately equal to the aspect angle. V. LIMITATIONS The examples and applications of the mathematical transformation of the...Applied Physics Laboratory, University of Washington, Seattle, WA, USA, where he is currently a Senior Physicist in the Acoustics Department. His

  14. Virtual patients for assessing medical students--important aspects when considering the introduction of a new assessment format.

    Science.gov (United States)

    Waldmann, Uta-Maria; Gulich, Markus Sebastian; Zeitler, Hans-Peter

    2008-02-01

    A case-based online assessment tool has been accomplished at the University of Ulm by simulating consultations with virtual patients in General Practice setting. After a successful pilot study, more data on validity were needed as one important step when considering introducing this assessment format to replace the regular written course exam. Five distinct sources of validity evidence are addressed: content, response process, internal structure, relationship to other variables and consequences. An examination simulation was conducted including all students (147) of the General Practice course, scores of three virtual patient cases compared with the written course exam and data gathered regarding usability, acceptance, content and structural characteristics, and consequences. All five aspects were supported by collected data. Correlation to the written exam was moderate with r = 0.36, correlation between the cases higher with r = 0.50-0.56. Although a direct comparison of written course exams and dealing with virtual patients is difficult in many aspects and the study setting as an exam simulation caused confounders, this new assessment format is supported by many aspects of validity evidence. Solving virtual clinical scenarios addresses other abilities, skills and knowledge than traditional written exams and since "assessment drives learning" it could have positive implications on teaching and learning alike.

  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. ASPECTS OF SURGE ARRESTERS’ MAXIMUM OPERATING VOLTAGE CHOICE FOR ELECTRICAL EQUIPMENT INSULATION PROTECTION IN 6-35 KV MAINS

    Directory of Open Access Journals (Sweden)

    Yu. N. Shumilov

    2013-09-01

    Full Text Available The paper shows that, in 6-35 kV mains, application of a non-linear surge arrester (SA with the maximum continuous admissible operating voltage which is 10% higher than the mains’ maximum operating voltage results in the SA protection from overheating and subsequent breakdown at nonnormable lifetime of single-phase arc faults.

  17. Integration geschlechtersensibler Aspekte in die medizinische Lehre - Status Quo und Zukunftsperspektiven [Integration of gender-specific aspects into medical curricula - status quo und future perspectives

    Directory of Open Access Journals (Sweden)

    Pfleiderer, Bettina

    2012-11-01

    Full Text Available [english] The consideration of gender aspects in clinical routine is of high importance towards an individualized patient care and a starting point of diversity medicine. Gender-specific awareness is an indispensable basis for an optimized medical treatment. A current study at the medical faculties of Muenster and Duisburg-Essen University (Germany revealed an insufficient knowledge among students and lecturers in this area. An interdisciplinary, international workshop took place in Muenster (Germany in May 2012 on the topic how to integrate gender aspects into medical curricula in the future aiming at a better health care for both sexes in long term. This position paper summarizes the conclusions. It was suggested to teach gender-specific contents from the first semester comprehensively – using standardized definitions and a gender-neutral language, since it is crucial not to increase the students’ workload any further. The key to success is to implement gender aspects by using meaningful examples on a regular basis – ideally in a longitudinal manner. The content of teaching should be selected by the lecturers and full professors and be considered within students´ exams. To reach these goals, an absolute support of the respective medical faculties as well as the integration of these gender-specific learning objectives into the national competence-based learning catalogue for medical education (NKLM is obligatory.[german] Die Berücksichtigung von Geschlechteraspekten im klinischen Alltag ist ein wichtiger Schritt auf dem Weg zu passgenauer Medizin und der Beginn einer.Kenntnisse über geschlechtersensible Aspekte in der Medizin sind eine essentielle Grundlage für eine optimale PatientInnenversorgung. Diese Kompetenz ist sowohl unter Studierenden als auch Lehrenden unzureichend vorhanden - wie eine aktuelle Studie der Universitäten Münster und Duisburg-Essen belegt. Am 30./31. Mai 2012 fand in Münster ein internationaler

  18. 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.

  19. Oxygen/ozone as a medical gas mixture. A critical evaluation of the various methods clarifies positive and negative aspects

    Directory of Open Access Journals (Sweden)

    Bocci Velio

    2011-04-01

    Full Text Available Abstract Besides oxygen, several other gases such as NO, CO, H2, H2S, Xe and O3 have come to age over the past few years. With regards to O3, its mechanisms of action in medicine have been clarified during the last two decades so that now a comprehensive framework for understanding and recommending ozone therapy in various pathologies is available. O3 used within the determined therapeutic window is absolutely safe and more effective than golden standard medications in numerous pathologies, like vascular diseases. However, ozone therapy is mostly in practitioners' hands and some recent developments for increasing cost effectiveness and speed of treatment are neither standardized, nor evaluated toxicologically. Hence, the aim of this article is to emphasize the need to objectively assess the pros and cons of oxygen/ozone as a medical gas mixture in the hope that ozone therapy will be accepted by orthodox medicine in the near future.

  20. SCIENTIFIC AND HISTORICAL ASPECTS OF RADIATION HYGIENE TRAINING IN THE MILITARY MEDICAL ACADEMY AFTER S.M. KIROV

    Directory of Open Access Journals (Sweden)

    V. V. Omelchuk

    2013-01-01

    Full Text Available An article presents materials describing the historical stages of the development of radiation hygiene training in the Military Medical Academy after S.M. Kirov. Particular attention is paid to the development of scientific, methodological and pedagogical potential of the staff of naval and radiation hygiene department. The main achievements of doctoral and teaching staff in the radiation hygiene training are presented.

  1. 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.

  2. 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

  3. Sustaining Health and Performance in the Cold: A Pocket Guide to Environmental Medicine Aspects Of Cold-Weather Operations

    Science.gov (United States)

    1992-12-01

    RELATED: e. Alcohol, and to a lesser extent SUSTAINED OPERATIONS caffeine , cause the blood vessels in the INADEQUATE SHELTER skin to open which may...accelerate INACTIVITY (e.g. SENTRY) body heat loss. Also, alcohol and WETLAND OPERATIONS caffeine both increase urine formation, INDIVIDUAL: leading to...loss in wet clothing is double what it is in dry clothing. b. Swimmers and persons working or wading in water can lose a great deal of body heat even

  4. Obsessive-compulsive aspects as predictors of poor response to treatments in patients with chronic migraine and medication overuse.

    Science.gov (United States)

    Curone, M; D'Amico, D; Bussone, G

    2012-05-01

    Patients with chronic migraine (CM) and medication overuse (MO) have a high frequency of psychiatric comorbidity or psychopathological traits, the presence of which may have important implications for the course of the CM and the MO, both for response to treatment and possible relapses. Overuse of symptomatic drugs is regarded as one of the most important risk factor for the transformation of episodic migraine into CM and drug-seeking tendency due to fear of headache in chronic migraine patients shares with obsessive-compulsive disorder (OCD) the compulsive quality of the behavior. Aim of this study was to review the clinical history of a sample of CM patients with MO in which an obsessive-compulsive trait was identified, performing a comparison with a sample of patients without obsessive-compulsive trait. We selected 14 patients with positivity to Spectrum Project OBS (obsessive-compulsive disorder) questionnaire and other 14 patients with negativity to the same tool from among a sample of patients who were enrolled in a previous study on the psychopathological profile of patients suffering from CM with MO. According to data obtained from the clinical records referring to the previous 5 years, patients with OBS questionnaire positivity showed a worse clinical course and a tendency to early relapse in MO after symptomatic medication withdrawal. Our results show that the comorbidity of OCD should be always evaluated in patients with CM and MO as it may play a relevant role--particularly if not treated--among the risk factors favoring the progression of episodic migraine to the chronic form, and/or the tendency to a pathological behavior that prompts the overuse of symptomatic medications.

  5. [Medical and hygienic aspects of instrumental supervision system over nuclear materials and radioactive substances transport on Russian Federation territory].

    Science.gov (United States)

    Grabskiĭ, Iu V; Gavrish, N N; Shevchenko, G T; Viaz'min, S O; Pertsev, V S; Kirillov, V F; Tsov'ianov, A G

    2014-01-01

    Hygienic evaluation of radiation situation in operation of mobile and stationery elements within a project of national system for instrumental supervision over nuclear materials and radioactive substances transport, created with a Global initiative against nuclear terrorism. Levels of exposure to ionizing radiation of the screening complexes appeared to match requirements on radiation safety for service personnel and general population.

  6. 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

  7. Extended Analyses of the German IVF Registry (DIR: Andrological Aspects, Medical-Economical Assumptions Related to the Shift from IVF to ICSI and Stimulation with Gonadotropins

    Directory of Open Access Journals (Sweden)

    Bals-Pratsch M

    2010-01-01

    Full Text Available In addition to the annual report of the German IVF Registry (D·I·R the database of 498,784 ART cycles between 1998 and 2008 was analysed for aspects regarding andrology, medical and economical aspects of ICSI and stimulation with gonadotropins. The indication for an ICSI procedure is related to the retrieval of sperm. Seven percent of all ART cycles in the DIR are already performed with epididymal or testicular sperm due to azoospermia. The analysis of cycles with testicular sperm revealed that fertilisation and pregnancy rates are reduced in comparison to ejaculated or frozen sperm, but miscarriage and birth rates do not increase. The data recording of lifestyle parameters can be valuable in the future. The analysis of the D·I·R data demonstrates that restrictions on the reimbursement for ART cycles have significant impact on the use of IVF and ICSI treatments. Medical indications rather than economic reasons seem to be responsible for the increase in ICSI treatment. Since the commercial launch of GnRH antagonists in 1999 and 2000 more than 90 % of IVF and ICSI protocols in Germany are now performed with GnRH agonists (54.8 % and GnRH antagonists (31.5 %. Approximately 90% of the IVF and ICSI cycles in Germany are performed with recombinant FSH (rFSH, highly purified menotropin (HP-hMG or a combination of both. Non-medical factors can influence the choice of gonadotropins for stimulation. Women beyond the age of 34 probably have better IVF or ICSI outcome when the stimulation is performed with rFSH. J

  8. Some aspects of the CI engine modification aimed at operation on LPG with the application of spark ignition

    Science.gov (United States)

    Kaparuk, J.; Luft, S.; Skrzek, T.; Wojtyniak, M.

    2016-09-01

    A lot of investigation on modification of the compression ignition engine aimed at operation on LPG with the application of spark ignition has been carried out in the Laboratory of Vehicles and Combustion Engines at Kazimierz Pulaski University of Technology and Humanities in Radom. This paper presents results of investigation on establishment of the proper ignition advance angle in the modified engine. Within the framework of this investigation it was assessed the effect of this regulation on basic engine operating parameters, exhaust emission as well as basic combustion parameters.

  9. Some aspects of a medical anthropology: pathic existence and causality in Viktor von Weizsäcker.

    Science.gov (United States)

    Wiedebach, Hartwig

    2009-09-01

    'Life is not only an "event" that happens--but also something that is suffered'; this is the core principle of what Viktor von Weizsäcker (1886-1957), the German physician and founder of a 'Medical Anthropology', called the 'pathic' dimension. The personal voice of the human being himself becomes a constitutive principle within the medium of science. Concepts of cause and effect are no longer applicable in the customary functional sense of aetiology. Even the intellect or spirit (Geist) can no longer be regarded as unscathed. In order to handle pathic 'causality' Weizsäcker introduced his 'pathic pentagram'. The interplay of five modalities--must / may / want / should / can--creates a ground or reason of psychological and/or somatic explanation. Necessity and freedom of a person appear interwoven in a constitutive manner.

  10. [Medical and psychological aspects of the treatment of connatal dacryostenosis : Parental evaluation of their own and their child's stress].

    Science.gov (United States)

    Heichel, J; Bachner, F; Hübner, G; Struck, H-G; Bredehorn-Mayr, T

    2016-06-01

    Lacrimal probing and syringing for connatal dacryostenosis can be performed under local (LA) and general anesthesia (GA). In cases of invasive medical procedures, pain and anxiety can be distressing for children and their parents. Using questionnaires (n = 65), parents were asked to evaluate their own stress and that of their child during lacrimal probing and syringing. Analyzing different subgroups, the impact of the kind of anesthesia (LA vs. GA), trust in medical treatment, therapeutic success, prior experiences with GA, parental educational level, age of parents and children, number of children, and time between the intervention and the interview on the stress was examined. Stress level was evaluated on a scale from 1 (no stress) to 10 (maximal stress). Mean children's age was 8.5 ± 7.42 months. Mean age of the parents was 30.8 ± 6.17 years. Treating children under LA, parents reported moderate to severe stress levels for themselves (mean, M = 7.15) and for their children (M = 7.82). Children's stress levels were significantly higher when the treatment was performed under LA (n = 47; M = 7.34) in comparison to GA (n = 18; M = 6.06; p < 0.05). Parents having two or more children reported significantly lower stress levels than those with only one child. Furthermore, prior experiences with GA led to significantly higher parental stress levels when their children were treated under GA. Other factors did not show any impact on parent's and children's stress levels. Parents might have been influenced by hearing the children's reaction (e. g., crying) during the intervention under LA. Nevertheless, parents had a higher acceptance of this type of intervention (LA) in comparison to GA. This effect was even stronger among parents with prior experience of GA.

  11. 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.

  12. 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

  13. 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

  14. Nonsubsampled rotated complex wavelet transform (NSRCxWT) for medical image fusion related to clinical aspects in neurocysticercosis.

    Science.gov (United States)

    Chavan, Satishkumar S; Mahajan, Abhishek; Talbar, Sanjay N; Desai, Subhash; Thakur, Meenakshi; D'cruz, Anil

    2017-02-01

    Neurocysticercosis (NCC) is a parasite infection caused by the tapeworm Taenia solium in its larvae stage which affects the central nervous system of the human body (a definite host). It results in the formation of multiple lesions in the brain at different locations during its various stages. During diagnosis of such symptomatic patients, these lesions can be better visualized using a feature based fusion of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). This paper presents a novel approach to Multimodality Medical Image Fusion (MMIF) used for the analysis of the lesions for the diagnostic purpose and post treatment review of NCC. The MMIF presented here is a technique of combining CT and MRI data of the same patient into a new slice using a Nonsubsampled Rotated Complex Wavelet Transform (NSRCxWT). The forward NSRCxWT is applied on both the source modalities separately to extract the complementary and the edge related features. These features are then combined to form a composite spectral plane using average and maximum value selection fusion rules. The inverse transformation on this composite plane results into a new, visually better, and enriched fused image. The proposed technique is tested on the pilot study data sets of patients infected with NCC. The quality of these fused images is measured using objective and subjective evaluation metrics. Objective evaluation is performed by estimating the fusion parameters like entropy, fusion factor, image quality index, edge quality measure, mean structural similarity index measure, etc. The fused images are also evaluated for their visual quality using subjective analysis with the help of three expert radiologists. The experimental results on 43 image data sets of 17 patients are promising and superior when compared with the state of the art wavelet based fusion algorithms. The proposed algorithm can be a part of computer-aided detection and diagnosis (CADD) system which assists the radiologists in

  15. [Psychological aspects of induced abortion].

    Science.gov (United States)

    Sz Makó, Hajnalka; Veszprémi, Béla

    2011-01-01

    The present paper, based on the results of international studies, is focused on the reconsideration of the psychological aspects of induced abortion. By presenting a narrow cross-section of the Hungarian demographic data, we would like to emphasise the necessity and the significance of a deeper understanding of the subject. Factors behind the decision-making, short- and long term outcomes of the intervention influencing primarily the mental health of women and partner-relationship aspects are discussed in details. While acknowledging the complexity of the subject deriving from the legal, ethical, moral, religious, medical, social and sociological concerns, our aim is to call attention to the psychological aspects of induced abortion and the importance of psychological care of women undergoing surgical operation.

  16. 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

  17. Comparison of the Teaching Quality Aspects by Student Evaluation of Education Quality (SEEQ and Students Survey Questionnaires Health School, Kermanshah University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Gharatapeh A

    2015-08-01

    Full Text Available Aims: The purpose of the professors’ evaluation which partly left up to the students is to improve the teaching quality and enhance the educational level in universities. Regarding this, the use of valid evaluation forms that lead to the recognition of the problems of teaching and learning is important. This study aimed to compare the teaching quality aspects between Student Evaluation of Education Quality and Students Survey questionnaires. Instrument & Methods: In this descriptive-analytic study by correlation type that was performed during the second semester of 2012-13 academic year, 251 students of Health Department of Kermanshah University of Medical Sciences participated by census method. The research tools were the Student Evaluation of Education Quality and Students Survey questionnaires. For data analysis, independent- and paired T, Chi-square, Mann-Whitney U, Kruskal-Wallis, Pearson correlation coefficient and Tukey tests were utilized.  Findings: The difference of total evaluation scores of the professors based on their scientific degree and also the education level and major of students was significant between 2 questionnaires (p<0.05. There was also a significant relationship between the workload and level of interest for each course and the total evaluation score of the professors based on student evaluation of education quality questionnaire (p<0.001. Conclusion: Both questionnaires have acceptable reliability, but the student evaluation of education quality questionnaire highlights the multi aspects of teaching better and is more efficient in demonstrating the strength and weaknesses of teaching.

  18. 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。

  19. 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.

  20. 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...

  1. 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.

  2. Operational aspects of an externally driven neutron multiplier assembly concept using a Z-pinch 14-MeV Neutron Source (ZEDNA).

    Energy Technology Data Exchange (ETDEWEB)

    Smith, David Lewis; Heames, Terence John (Alion Science and Technology, Albuquerque, NM); Parma, Edward J., Jr.; Peters, Curtis D.; Suo-Anttila, Ahti Jorma (Alion Science and Technology, Albuquerque, NM)

    2007-09-01

    This report documents the key safety and operational aspects of a Z-pinch Externally Driven Nuclear Assembly (ZEDNA) reactor concept which is envisioned to be built and operated at the Z-machine facility in Technical Area IV. Operating parameters and reactor neutronic conditions are established that would meet the design requirements of the system. Accident and off-normal conditions are analyzed using a point-kinetics, one-dimensional thermo-mechanical code developed specifically for ZEDNA applications. Downwind dose calculations are presented to determine the potential dose to the collocated worker and public in the event of a hypothetical catastrophic accident. Current and magnetic impulse modeling and the debris shield design are examined for the interface between the Z machine and the ZEDNA. This work was performed as part of the Advanced Fusion Grand Challenge Laboratory Directed Research and Development Program. The conclusion of this work is that the ZEDNA concept is feasible and could be operated at the Z-machine facility without undue risk to collocated workers and the public.

  3. Operational aspects of an externally driven neutron multiplier assembly concept using a Z-pinch 14-MeV Neutron Source (ZEDNA).

    Energy Technology Data Exchange (ETDEWEB)

    Smith, David Lewis; Heames, Terence John (Alion Science and Technology, Albuquerque, NM); Parma, Edward J., Jr.; Peters, Curtis D.; Suo-Anttila, Ahti Jorma (Alion Science and Technology, Albuquerque, NM)

    2007-09-01

    This report documents the key safety and operational aspects of a Z-pinch Externally Driven Nuclear Assembly (ZEDNA) reactor concept which is envisioned to be built and operated at the Z-machine facility in Technical Area IV. Operating parameters and reactor neutronic conditions are established that would meet the design requirements of the system. Accident and off-normal conditions are analyzed using a point-kinetics, one-dimensional thermo-mechanical code developed specifically for ZEDNA applications. Downwind dose calculations are presented to determine the potential dose to the collocated worker and public in the event of a hypothetical catastrophic accident. Current and magnetic impulse modeling and the debris shield design are examined for the interface between the Z machine and the ZEDNA. This work was performed as part of the Advanced Fusion Grand Challenge Laboratory Directed Research and Development Program. The conclusion of this work is that the ZEDNA concept is feasible and could be operated at the Z-machine facility without undue risk to collocated workers and the public.

  4. [Current states and future aspects of graduate schools for adult graduate students: experiences of the master's course as a medical technologist].

    Science.gov (United States)

    Obara, Takehiro; Suwabe, Akira

    2012-12-01

    The educational system for medical technologists (MTs) has gradually shifted from a three-year technical school system to a four-year university system. It is worthwhile for MTs to advance to a graduate school, in order to improve their routine-work skills, performances, and also to advance their own research as well as to learn how to direct younger MTs. Recently, MTs who advance to the graduate school as adult graduate students are increasing. In this article, the current states and future aspects of the graduate school of Iwate Medical University are reported. In our Department of Central Clinical Laboratory in Iwate Medical University Hospital, three of my colleagues have completed the master's course of the graduate school as adult graduate students, and three are currently attending the school. Nevertheless, none of them has advanced to the doctor's course yet. The primary reason why they do not advance is the heavy burden on any adult graduate students physically, mentally, and financially to study in the graduate school and carry out routine duties at the same time. Thus, in order to encourage MTs to go or to graduate school education, it is important to arrange systems which will enable MTs to advance to the graduate school as adult graduate students. I believe there are three key elements to make this possible. Firstly, prepare easier access to curriculums for MTs to study special fields and learn special skills. Secondly, arrange an increase in the salary scheme depending on the degree attained from the graduate school. Thirdly, provide financial support for graduate school expenses. In conclusion, it is expected that a large number of MTs will advance to the graduate school if these changes for a better educational environment are made.

  5. 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.

  6. 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/

  7. 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.

  8. 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)

  9. 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...

  10. 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.

  11. Influencing factors on the design, optimal operation as well as on maintenance strategies of devices under economic aspects; Einflussfaktoren auf das Design, den optimalen Betrieb sowie die Instandhaltungsstrategien von Anlagen unter wirtschaftlichen Gesichtspunkten

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, Hans Christian; Harder, Hans-Otto [TUeV SUeD Industrie Service GmbH, Mannheim (Germany). Kraftwerks- und Anlagenservice

    2008-07-01

    There are many causes and mode of actions which result in damages and a reduction of the lifetime of process engineering plants. Here, planning, design, production, assembly, acceptance, operation and maintenance play an important role. These factors play an important role in the case of future expecting operation temperatures above 600 C. Under this aspect, the authors of the contribution under consideration present the changes which can be expected regarding to the design concepts and to the operationally enhanced operating stresses from the aspect of a certified supervisory board.

  12. Public health incident management: logistical and operational aspects of the 2009 initial outbreak of H1N1 influenza in Mexico.

    Science.gov (United States)

    Cruz, Miguel A; Hawk, Nicole M; Poulet, Christopher; Rovira, Jose; Rouse, Edward N

    2015-01-01

    Hosting an international outbreak response team can pose a challenge to jurisdictions not familiar with incident management frameworks. Basic principles of team forming, organizing, and executing mission critical activities require simple and flexible communication that can be easily understood by the host country's public health leadership and international support agencies. Familiarity with incident command system principles before a public health emergency could save time and effort during the initial phases of the response and aid in operationalizing and sustaining complex field activities throughout the response. The 2009 initial outbreak of H1N1 in Mexico highlighted the importance of adequately organizing and managing limited resources and expertise using incident management principles. This case study describes logistical and operational aspects of the response and highlights challenges faced during this response that may be relevant to the organization of public health responses and incidents requiring international assistance and cooperation.

  13. [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.

  14. 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.

  15. 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

  16. [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.

  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. Medical aspects of renewable energy shown by the example of German hospitals; Umweltmedizinische Gesichtspunkte der regenerativen Energieerzeugung am Beispiel deutscher Krankenhaeuser

    Energy Technology Data Exchange (ETDEWEB)

    Waschnewski, R.

    2007-07-01

    To what extend are renewable energy sources used in German hospitals? This is the main objective, this is paper is dealing with. The energy consumption profile is very specific in hospitals. In a questionnaire based study, 79 hospitals have been questioned to elucidate the current situation in German hospitals with respect to energy consumption, and to get an idea of the proportion of alternative energy sources already in use. Our analysis reveals that 14% of the hospitals analysed are already using renewable energy sources. Main sources already utilized are photovoltaic, solar thermal devices, and to a lower extend geothermic energy as well comes into operation. Almost three quarters of the questioned institutions claim, they are aware of funding possibilities and the option of contracting with respect to providing financial support in relation to aquisition of new establishments of alternative energy systems within their institution. Roughly half of the hospital's technical supervisors are aware of the precise energy potential of their institution. The situation about information and awareness with respect to possibilities related to the usage of green energy is deficient and should be improved, but the openness with respect to the topic in general seems to be very positive and advantage of that climate should be taken. Our survey allowed to get an initial estimate on the green energy situation in German hospitals. The focus of the discussion is channeled towards the environmental aspects of the energy production. The survey data allow to conclude that the current information situation is deficient. The data further provide insight into what are the main barriers with respect to the use of renewable energy. Based on our results future analyses can not focus on specific aspects and further evaluate approaches allowing to extend the usage of alternative energy sources in hospitals. (orig.)

  4. 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

  5. Practical aspects of change management at the Obstetrics and Gynecology Clinic at the University Hospital of Medical Sciences in Poznań, Poland.

    Science.gov (United States)

    Sobkowski, Maciej; Opala, Tomasz

    2014-01-01

    Recent changes to the Polish healthcare system have forced healthcare managers and administrators to implement modern instruments for strategic and operations management. The main aim of the study was to analyze the effect of managerial decisions in the area of human resources, resulting from the adopted restructuring program, on the economic situation of the OGCH, PUMS. The research material comprised of secondary sources on finance, accounting and human resources data: financial statements, analysis of costs incurred by individual hospital departments, reports on the implementation of NHF contracts for providing health services and on hospital workforce at the time of the study, as well as the results of patient satisfaction survey at the OGCH, PUMS. After implementation of the restructuring program all clinics apart from one - Surgical Gynecology Clinic - reached better beds occupancy rates in 2012 as compared to 2009, as well as significantly improved profit/per hospital bed. Over the course of three years, since the launch of the hospital restructuring program, a significant (20%) increase in the revenues from selling healthcare services and a simultaneous decrease (2%) of the operating cost was observed. Inclusion of department heads into the decision making processes of managerial accounting seems to be necessary to improve the overall financial condition of a hospital. However, it requires a more flexible hospital structure, what can be achieved by implementing a divisional organizational structure, which grants individual organizational units a certain autonomy in the process of making medical-financial decisions.

  6. 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.

  7. [Undergraduate Medical Students "On Call" to Assist in Theatre: Analysis of the Financial Aspects and a Mixed-Method Study Exploring Their Motives for Working].

    Science.gov (United States)

    Rabe, C; Ghadimi, M; König, S

    2017-02-01

    Background/Purpose: Surgical patient care has grown in complexity, as hospital workload has continuously increased. We therefore established a pool of "undergraduate medical students on call" to assist in the theatre outside working hours. We aimed to recruit talented students to reduce the burden on physicians and to motivate students into entering surgery. Methods: An exploratory mixed-method study was performed. In a qualitative study, guided interviews were conducted with five students about their reasons for working in the theatre and the results were used to construct an online questionnaire using EvaSys®. This was presented to 16 current and former students in a subsequent quantitative study. Furthermore, the cost of student employment was calculated and compared with physicians' salaries. Results: In 2013 and 2014, 8-9 students worked a total of 1063 and 1211 hours in the theatre, respectively. The difference in salaries between the students and surgical residents was € 28.37 per hour. We calculated that the annual savings were approximately € 60,000. When questioned on their motives during the interview, only a few students emphasised the financial aspects, whereas the majority emphasised the gain in experience. The analysis was based on comparison of the mean values (online survey) with a 4-point Likert scale (1 = high acceptance; 4 = no acceptance). We defined the motives with a mean ≤ 1.3 as primary. Based on this selection, gathering experience, fun/enjoyment, interest in surgery, and the change from studying were considered as distinct motives. In the interviews, students clearly pointed out that teaching and learning opportunities in the theatre were not commonly taken advantage of and that interaction with the surgeons should be improved. Conclusion: Students actively chose to work as assistants in the theatre, for a variety of motives. The financial aspects were subordinate. The concept of students assisting in the theatre is

  8. 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.

  9. 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.

  10. 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.

  11. Practical aspects of change management at the Obstetrics and Gynecology Clinic at the University Hospital of Medical Sciences in Poznań, Poland

    Directory of Open Access Journals (Sweden)

    Maciej Sobkowski

    2014-06-01

    Full Text Available introduction and objectives. Recent changes to the Polish healthcare system have forced healthcare managers and administrators to implement modern instruments for strategic and operations management. The main aim of the study was to analyze the effect of managerial decisions in the area of human resources, resulting from the adopted restructuring program, on the economic situation of the OGCH, PUMS. material and methods. The research material comprised of secondary sources on finance, accounting and human resources data: financial statements, analysis of costs incurred by individual hospital departments, reports on the implementation of NHF contracts for providing health services and on hospital workforce at the time of the study, as well as the results of patient satisfaction survey at the OGCH, PUMS. results. After implementation of the restructuring program all clinics apart from one – Surgical Gynecology Clinic – reached better beds occupancy rates in 2012 as compared to 2009, as well as significantly improved profit/per hospital bed. Over the course of three years, since the launch of the hospital restructuring program, a significant (20% increase in the revenues from selling healthcare services and a simultaneous decrease (2% of the operating cost was observed. conclusions. Inclusion of department heads into the decision making processes of managerial accounting seems to be necessary to improve the overall financial condition of a hospital. However, it requires a more flexible hospital structure, what can be achieved by implementing a divisional organizational structure, which grants individual organizational units a certain autonomy in the process of making medical-financial decisions.

  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. Comparison of design strategies for a three-arm clinical trial with time-to-event endpoint: Power, time-to-analysis, and operational aspects.

    Science.gov (United States)

    Asikanius, Elina; Rufibach, Kaspar; Bahlo, Jasmin; Bieska, Gabriele; Burger, Hans Ulrich

    2016-11-01

    To optimize resources, randomized clinical trials with multiple arms can be an attractive option to simultaneously test various treatment regimens in pharmaceutical drug development. The motivation for this work was the successful conduct and positive final outcome of a three-arm randomized clinical trial primarily assessing whether obinutuzumab plus chlorambucil in patients with chronic lympocytic lymphoma and coexisting conditions is superior to chlorambucil alone based on a time-to-event endpoint. The inference strategy of this trial was based on a closed testing procedure. We compare this strategy to three potential alternatives to run a three-arm clinical trial with a time-to-event endpoint. The primary goal is to quantify the differences between these strategies in terms of the time it takes until the first analysis and thus potential approval of a new drug, number of required events, and power. Operational aspects of implementing the various strategies are discussed. In conclusion, using a closed testing procedure results in the shortest time to the first analysis with a minimal loss in power. Therefore, closed testing procedures should be part of the statistician's standard clinical trials toolbox when planning multiarm clinical trials. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  14. Microdissection Testicular Sperm Extraction (micro-TESE as a Sperm Acquisition Method for Men with Nonobstructive Azoospermia Seeking Fertility: Operative and Laboratory Aspects

    Directory of Open Access Journals (Sweden)

    Sandro C. Esteves

    2013-06-01

    Full Text Available Introduction Rare foci of sperm production may be found in up to 60% of men with nonobstructive azoospermia (NOA. Sperm production, if present, is minimal for sperm appearance in the ejaculate. Given that there are no treatment options to restore fertility, sperm retrieval is the only alternative to find testicular sperm than then can be used for in vitro fertilization (IVF. Among sperm acquisition methods, micro-TESE has higher success rates at obtaining sperm compared with testicular sperm extraction and testicular sperm aspiration. Materials and Methods This video describes the operative aspects of micro-TESE, performed on an outpatient basis, in a man with NOA and history of cryptorchidism in whom orchidopexy was performed at age 6. The concept of micro-TESE is to identify areas of sperm production within the testes with the aid of optical magnification (15-25X and based on the size and appearance of the seminiferous tubules (ST. Conclusion Micro-TESE allowed the identification and extraction of sperm-containing STs with minimum tissue excision and marked reduction in time processing of testicular specimens for sperm injection.

  15. Preliminary FLUKA study of the proposed PSNF installation - A description of the implemented geometry with an analysis of some operational aspects

    CERN Document Server

    Calviani, M; Sala, P; Vlachoudis, V; CERN. Geneva. ATS Department

    2011-01-01

    A recent experimental proposal in the form of a Memorandum has been discussed at the SPSC (SPS and PS experiments Committee) session of April 2011, with the objective of investigating anomalous nu_mu --> nu_e neutrino oscillations; this proposal has followed a letter of intent published in 2009. The proposed experiment would be a short-baseline neutrino experiment with two detectors placed at 120 m and 850 m from the secondary production target. In order to achieve the required beam parameters, it has been proposed to reactivate the discontinued PS neutrino facility, which was operational in the early 80s, located in the TT7 tunnel. The present note describes the implementation of the secondary beam production elements of the proposed PS Neutrino Facility within the FLUKA Monte Carlo code as well as the complete infrastructure of the TT7 tunnel; the note also contains a respective analysis of some critical aspects related to energy deposition in the beam line, of the ambient dose rate equivalent in public a...

  16. Nominal aspect

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    1991-01-01

    In a general way the notion 'aspect' can be defined as the way in which a property or relation is represented in some dimension. Two kinds of aspect can be distinguished: verbal and nominal aspect. The study of verbal aspect has a long tradition, but nominal aspect has only been introduced recently......, at least in the sense in which it is used here (Rijkhoff 1989b, 1990a, 1990b). After a brief look at the more familiar verbal aspects, each of the nominal aspects is discussed in some detail. Then the relevance of nominal aspect will be considered in connection with (i) certain 'number markers' (which...... will be analysed as nominal aspect markers below), (ii) noun-incorporation, and (iii) predicate nouns....

  17. Cervical cancer screening by visual inspection in Côte d'Ivoire, operational and clinical aspects according to HIV status

    Directory of Open Access Journals (Sweden)

    Horo Apollinaire

    2012-03-01

    Full Text Available Abstract Background Cervical cancer screening is not yet standard of care of women attending HIV care clinics in Africa and presents operational challenges that need to be addressed. Methods A cervical cancer screening program based on visual inspection methods was conducted in clinics providing antiretroviral treatment (ART in Abidjan, Côte d'Ivoire. An itinerant team of midwives was in charge of proposing cervical cancer screening to all HIV-positive women enrolled in ART clinics as well as to HIV-negative women who were attending the Abidjan national blood donor clinic. Positively screened women were systematically referred to a colposcopic examination. A phone-based tracking procedure was implemented to reach positively screened women who did not attend the medical consultation. The association between HIV status and cervical cancer screening outcomes was estimated using a multivariate logistic model. Results The frequency of positive visual inspection was 9.0% (95% CI 8.0-10.0 in the 2,998 HIV-positive women and 3.9% (95% CI 2.7-5.1 in the 1,047 HIV-negative ones (p -4. In multivariate analysis, HIV infection was associated with a higher risk of positive visual inspection [OR = 2.28 (95% CI 1.61-3.23] as well as more extensive lesions involving the endocervical canal [OR = 2.42 (95% CI 1.15-5.08]. The use of a phone-based tracking procedure enabled a significant reduction of women not attending medical consultation after initial positive screening from 36.5% to 19.8% (p -4. Conclusion The higher frequency of positive visual inspection among HIV-positive women supports the need to extend cervical cancer screening program to all HIV clinics in West Africa. Women loss to follow-up after being positively screened is a major concern in cervical screening programs but yet, partly amenable to a phone tracking procedure.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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

  5. 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.

  6. 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

  7. Diagnostic aspects of gonorrhoea

    NARCIS (Netherlands)

    E. Stolz (Ernst)

    1974-01-01

    textabstractIn 1971 an investigation into the epidemiological, clinical, bacteriological and therapeutic aspects of gonorrhoea was started in collaboration with the Bacteriological Laboratory of the University Hospital/Medical Faculty Rotterdam. Jn the framework of this investigation, the data were

  8. 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.

  9. 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

  10. ["...such refuges are the collections and museums, which represent the current aspects of science, and prepare for its future". Social aspects of anatomy and the collections of the Vienna medical faculty, 1790 - 1840].

    Science.gov (United States)

    Oppenauer, Markus

    2014-01-01

    This paper arises out of my research which I have been conducting in the context of my dissertation project. It explores the relationship between teaching, research and collecting practices in Viennese anatomy during the late eighteenth and early nineteenth century. In a time in which Viennese medicine tried to reinvent itself through both the creation of a new curriculum and several other institutional measures the practice of establishing comparative and human anatomical collections can be seen as a strategic key field of action. By concentrating on scientific journals, popular texts, catalogues, correspondences and specimens this paper aims at revealing specific social systems which must be understood as parts of the 'social history' of Viennese anatomy. By looking closely at these social aspects of anatomical teaching and research, this work tries to contribute to recent discussions addressed by historians of science and medicine.

  11. 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

  12. 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.

  13. 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

  14. Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients : An in-depth look

    NARCIS (Netherlands)

    Jaarsma, Tiny; Nikolova-Simons, Mariana; van der Wal, Martje H. L.

    2012-01-01

    OBJECTIVE: Despite an increasing body of knowledge on self-care in heart failure patients, the need for effective interventions remains. We sought to deepen the understanding of interventions that heart failure nurses use in clinical practice to improve patient adherence to medication and symptom mo

  15. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics: Findings from the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Research Programme

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J

    2003-01-01

    among infertile people. METHODS: We conducted an epidemiological study based on questionnaires among all new couples attending five fertility clinics with a response rate of 80.0% and a total of 2250 patients. RESULTS: The vast majority of both men and women considered a high level of medical...

  16. Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients : An in-depth look

    NARCIS (Netherlands)

    Jaarsma, Tiny; Nikolova-Simons, Mariana; van der Wal, Martje H. L.

    2012-01-01

    OBJECTIVE: Despite an increasing body of knowledge on self-care in heart failure patients, the need for effective interventions remains. We sought to deepen the understanding of interventions that heart failure nurses use in clinical practice to improve patient adherence to medication and symptom

  17. 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.

  18. 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.

  19. What aspects of rehabilitation provision contribute to self-reported met needs for rehabilitation one year after stroke--amount, place, operator or timing?

    DEFF Research Database (Denmark)

    Tistad, Malin; von Koch, Lena; Sjöstrand, Christina

    2013-01-01

    therapist, speech therapist) and time after stroke onset. Multivariate logistic regression analyses regarding the aspects of rehabilitation were performed for the participants who were divided into three groups based on stroke severity at onset. RESULTS: Participants with moderate/severe stroke who had seen......BACKGROUND AND OBJECTIVE: To a large extent, people who have suffered a stroke report unmet needs for rehabilitation. The purpose of this study was to explore aspects of rehabilitation provision that potentially contribute to self-reported met needs for rehabilitation 12 months after stroke...... with consideration also to severity of stroke. METHODS: The participants (n = 173) received care at the stroke units at the Karolinska University Hospital, Sweden. Using a questionnaire, the dependent variable, self-reported met needs for rehabilitation, was collected at 12 months after stroke. The independent...

  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. Psychosocial Aspects of Heart Transplantation.

    Science.gov (United States)

    Suszycki, Lee H.

    1988-01-01

    Presents an overview of medical and psychosocial aspects of heart transplantation, with a focus on the program at Columbia-Presbyterian Medical Center. Describes social workers' interventions which help patients and families to achieve optimal psychosocial functioning before and after transplantation. (Author/ABL)

  3. Proposición de un programa de garantía de calidad de la radioterapia en los niños: aspectos médicos PROPOSITION OF A QUALITY ASSURANCE PROGRAM OF RADIOTHERAPY IN CHILDREN: MEDICAL ASPECTS

    Directory of Open Access Journals (Sweden)

    José Alert

    2005-03-01

    Full Text Available La radioterapia constituye una de las armas terapéuticas básicas en la atención de los tumores malignos de los niños. Para poder garantizar los objetivos del tratamiento radiante es preciso aplicar un Programa de Garantía de Calidad, que comprenda los aspectos médicos y físicos, estrechamente imbricados. En este trabajo nos referiremos a una proposición de Programa de Garantía de Calidad de la Radioterapia en los niños en sus aspectos médicos. El programa de sería aplicado a todo niño sometido a tratamiento radiante, y constituiría un sub-programa dentro del Programa de Garantía de Calidad Nacional. Entre los aspectos médicos incluye: a los programas o políticas de tratamiento; b los elementos técnicos y físicos, como controles en equipos de simulación, irradiación, etc., y la correcta aplicación diaria del tratamiento indicado y planificado y c revisiones periódicas de los programas de tratamiento, seguimiento de los casos y resultados obtenidos. Cada acápite comprende: 1 aspectos a auditar, y 2 cómo auditar. De todo lo anterior se infiere la necesidad de tener y aplicar un Programa de Garantía de Calidad del tratamiento radiante, que garantiza un tratamiento de calidad óptima.Radiotherapy is one of the basic therapeutic tools in the attention of malignant tumors in children. To guarantee the objectives of the radiant treatment it is necessary to apply a Quality Assurance Program comprising the medical and physical aspects closely related. In this paper, we refer to a proposition of the Quality Assurance Program of Radiotherapy in children in its medical aspects. The program will be applied to every child undergoing radiant treatment and it will be a subprogram within the National Quality Assurance Program. Among the medical aspects, we find: a the treatment programs or policies; b the technical and physical elements, such as controls in simulation equipment, irradiation, etc., and the correct daily application of the

  4. Relationship of coping and patterns of dependent behavior in patients with chronic pancreatitis of biliary and alcoholic etiology in aspect of differentiation of its medical and psychological support

    Directory of Open Access Journals (Sweden)

    Маріанна Владиславівна Маркова

    2015-08-01

    Full Text Available Choric pancreatitis is an actual medical and psychological problem in Ukraine. The aim of the work was to study the features of coping in patients with chronic pancreatitis of alcoholic and biliary etiology.Methods. For detecting coping-mechanisms the standard method WCQ Р of Lazarus was used. The study of addictive tendencies was carried out with the help of questionnaire AUDIT and UDIT-tests oriented on patterns of dependent behavior.Results. The study of features of coping-mechanisms and an addiction to dependent behavior in patients with chronic pancreatitis revealed intergroup and intragroup differences. Confrontation and low levels of self-control, responsibility and positive assessment were intrinsic for respondents with alcoholic etiology of pancreatitis. Women demonstrated the high addiction to the search of social support, men – to distancing. As to an addictive behavior there was revealed that the typical common tendencies were the consumption of coffee, alcohol, internet-dependence, the specific ones for women – TV, shopping-dependencies, for men – workaholism in patients with biliary and computer-addiction in patients with alcoholic chronic pancreatitis. Intergroup differences were demonstrated by an addiction to disorder of food behavior in patients with biliary and consumption of alcohol and smoking in respondents with alcoholic etiology of pancreatitis.Conclusions. The revealed differences in coping-strategies of patients with different nosological forms of chronic pancreatitis give important information for detecting the targets of medical and psychological influence and constructing of differentiated program of medical and psychological help to patients of this type

  5. [Professional, criminal and civil responsibility and the legal medical aspects of the performance of the dentist practicing local anesthesia and tooth extractions].

    Science.gov (United States)

    Debernardi, C

    1990-09-01

    The paper affirms that the dentist can come up against severe complications while exercising his profession which expose him to charges outlined by the Penal and Civil Codes. The circumstances in which the operator's responsibility can be questioned during the use of local anesthesia and extraction are discussed.

  6. 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.

  7. 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

  8. 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.

  9. 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”。

  10. 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)

  11. Constitution of subject in the aspect of the individualization of the technology of stereotaxic operations with chronic stenoses of the larynx (instant analysis

    Directory of Open Access Journals (Sweden)

    V.N. Nikolenko

    2010-03-01

    Full Text Available Nowadays there is a significant amount of theoretical and practical experience that proves influence of somatotype on arrangement of organs and systems. constitutional anthropology and stereomorphometry of hollow organs development open the new possibilities in individualization of operative accesses to the structures of larynx in patients whose anatomico-physiological distinctions define features of postoperative course of disease

  12. Family physicians' ability to perform population management is associated with adoption of other aspects of the patient-centered medical home.

    Science.gov (United States)

    Ottmar, Jessica; Blackburn, Brenna; Phillips, Robert L; Peterson, Lars E; Jaén, Carlos Roberto

    2015-04-01

    The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH components, a cross-sectional survey was conducted with physicians accessing the American Board of Family Medicine Web site in 2011. Bivariate analysis and logistic regression tested associations between physician and practice demographics and specific PCMH features. The primary outcome was performance of population management. The final sample included 3855 physicians, 37.3% of whom reported performing population management. Demographic characteristics significantly associated with greater use of population management were female sex and graduation from an international medical school. PCMH components that remained associated with population management after adjustment were access to clinical case managers (odds ratio [OR]=2.01, 95% confidence interval [95% CI]: 1.69, 2.39), behavioral health collaboration (OR=1.49, 95% CI: 1.26, 1.77), having an electronic health record that supports meaningful use (OR=1.47, 95% CI: 1.25, 1.74), recent participation in a quality improvement project (OR=2.47, 95% CI: 2.12, 2.89), and routine measurement of patient difficulty securing an appointment (OR=2.87, 95% CI: 2.45, 3.37). Performance of population management was associated with several PCMH elements and resources not present in traditional primary care offices. Attention to these elements likely will enhance delivery of population management services in primary care.

  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. El pterigión: más allá de los aspectos médicos Pterygium: going beyond the medical aspects

    Directory of Open Access Journals (Sweden)

    Eduardo Rojas Álvarez

    2007-12-01

    Full Text Available Se realizó un estudio exploratorio acerca de los aspectos ambientales, económicos, psicológicos y sociales relacionados con el pterigión, con el objetivo de realizar un análisis integral del tema que nos permita comprenderlo en toda su amplitud y elevar la calidad de vida de los pacientes. Se llegó a las siguientes conclusiones: la distribución geográfica del pterigión se encuentra íntimamente relacionada con las características ambientales, el costo del diagnóstico y tratamiento del pterigión apunta en los próximos años a la mayor presencia de la gratuidad de los servicios, la continua información por todas las vías acerca de la “Misión milagro”, y por tanto de todo el proceso salud-enfermedad del pterigión, influye notoriamente en la toma de decisiones de nuestros pacientes. Los elementos psicológicos de imagen, autoimagen y nivel de frustración son aspectos que deben tenerse en cuenta para el análisis integral del pterigión. La ocupación laboral y las características del medio ambiente resultan determinantes en la implementación de estrategias de promoción y prevención de salud efectivas, atendiendo a zonas y grupos de riesgo.An exploratory study was conducted about the environmental, economic, psychological and Social aspects related to pterygium, with the objective of making a comprehensive analysis of this topic that allows us to fully understand it and raise the quality of life of those patients suffering this disorder. The following conclusions were drawn> the geographical distribution of pterygium is closely related to the environmental characteristics, the cost of diagnosis and treatment of this disease points to an extension of free services in the coming years; the ongoing information using all the possible channels about "Miracle Mission" and the whole health-disease process of pterygium has a remarkable impact on the decision-making process of our patients. The psychological elements of image, self

  15. 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

  16. Investigating the condition of medical counseling and some of clinical aspects for fasting in holy month of Ramadan from the perspective of diabetic and hypertensive patients

    Directory of Open Access Journals (Sweden)

    Ahmad Mahmoudian

    2015-06-01

    Full Text Available Introduction: Although fasting has many benefits for health, it can be dangerous for patients. So it is necessary that physicians have adequate information about clinical aspects of fasting and they should advice patients. Therefore in this study we analyses the condition of physicians counseling about fasting from the perspective of patients. Methods:In this descriptive analytical cross-sectional study, patients with diabetes and hypertension who were going to doctors in Isfahan in holy month of Ramadan of 2012 and 2013 completed the questionnaires. A valid self-regulation questionnaire including patient`s satisfaction from the quality of physicians counseling about fasting (In the area of education, evaluation of the patient condition, communication /relationship with patients, caring for diseases in holy Ramadan and the incidence of symptoms in fasting had been used with  = 0.76. The patients completed the questionnaire after visit. The data was analyzed by Independent t-test, chi-square, Regression, one-way ANOVA in the19 spss software. Results: 285 patients, 199(69.8% female and 86(30.2% male, were selected. The mean satisfaction score of counseling was 70.50 ±13.23. The highest score (75.36±14.16 was referred to counseling of physician, and the least score (66.09±18.84 to patient assessment by physician. Mean score of Patients' satisfaction of specialists was higher than of general practitioner (p-value

  17. 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

  18. Medical-legal aspects of the fungal infection drug therapy in neonatology: evidence-based medicine and off-label prescribing

    Directory of Open Access Journals (Sweden)

    Marta Ciuffi

    2014-06-01

    Full Text Available The aim of this paper is to focus on the well-known issue of the clinical use of off-label drug therapy in neonatology with respect to evidence-based medicine, with particular reference to antifungal products, in comparison with the wider use in pediatric and adult population. Then we considered the new regulatory approaches carried out in the past decade by the FDA (Food and Drug Administration and the EMA (European Medicine Agency, aimed to improve newborn and children population inclusion into scientific trials and to promote drug labeling with respect to pediatric indications, and the goals nowadays achieved through the American Pediatric Research Equity Act / Best Pharmaceuticals for Children Act and the European Pediatric Investigation Plans. Finally we pointed out, on the basis of the Italian regulatory framework, the Italian medical-legal liability profiles related to the use of off-label therapies in neonatology. Further efforts are required in the international context to carry forward the process started while in the particular Italian scenario it is to be hoped that a general change of mind towards the off-label drug use in neonatology clinical practice may take place.

  19. Ensuring cleanliness in operating theatres.

    Science.gov (United States)

    Charkowska, Anna

    2008-01-01

    High cleanliness of a hospital environment is necessary to ensure safe working conditions for the medical staff, a correct process of hospitalization and to protect hospital visitors, an aspect rarely mentioned. A supply of air cleaned in highly-effective air filters to hospital wards with air conditioning systems and exhaust of infected air will help in maintaining the required standards of cleanliness. This article presents information on recommended classes of air and surface cleanliness, with special focus on operating theatres and suites.

  20. 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

  1. Use of reconnaissance level information for environmental assessment. [Information available from existing sources that satisfies information needs of siting and operational aspects of NPP

    Energy Technology Data Exchange (ETDEWEB)

    Foster, R.F.; Rickard, W.H.; Strand, J.A.; Warner, M.L.

    1979-11-01

    Reconnaissance level information (RLI) sufficient for comparing the environmental and socio-economic features of candidate sites for nuclear power stations and for guiding plant design, baseline surveys, and operational practices is usually available from published reports, public records, and knowledgeable individuals. Environmental concerns of special importance for site evaluation include: aquatic ecology, terrestrial ecology, land and water use, socio-economics, and institutional constraints. A scheme is suggested for using RLI to assign classifications to candidate sites based on the potential level of concern associated with the different environmental features.

  2. Tense and Aspect in English

    DEFF Research Database (Denmark)

    Davidsen-Nielsen, Niels

    2013-01-01

    In the 1990's the author cooperated with Carl Bache on a grammar of English. It turned out that the views they had previously arrived at individually on tense and aspect could be combined by operating with a fused system involving four ordered choices resulting in sixteen tense-aspect forms...

  3. 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.

  4. ASPECTS OF ARRANGEMENT AND TACTICS IN THE OPERATION OF ANTI-TERRORIST FORCES UNDER THE MINISTRY OF INTERIOR TO FREE HOSTAGES

    Directory of Open Access Journals (Sweden)

    Amur Mukhamedovich Chechenov

    2015-01-01

    Full Text Available The paper considered the cases of mass disturbance in penal system’ institutions generally followed by seizure of hostages from among the staff of these institutions. So far, from 1986 to 1990 160 hostage seizures have been committed in the ITU (i.e. corrective labor prison camps and SIZO (i.e. pre-trial prisons while 347 people have been captured; 635 convicts and detainees have taken part in these seizures, besides two hostages, three employees of the institutions of confinement and 50 participants in seizure of hostages have perished.In Russia, as in the CIS countries seizure of hostages in recent years (especially in the early and mid-1990-ies became a spread phenomenon. The factors the study should mention among the multiple ones (having significantly complicated the operational situation in Russian Federation with regard to hostage’ taking are as follows: political and social economic instability, generally worsened criminal situation and religious extremism in Southern Russia as well, ethnic conflicts, recurrent antiterrorist operation the federal forces performed there, and extremely hard economic situation, widespread unemployment, particularly in Chechnya, Dagestan, Ingushetia, Northern Ossetia - Alania, and proximity of State borders, and so forth.

  5. Final results from the ''investigation of design aspects and design options for wind turbines operating in complex terrain environments'' project

    Energy Technology Data Exchange (ETDEWEB)

    Fragoulis, A.N. [SPA Hellas Engineering S.A., Attiki (Greece); Markkilde, P.S.; Voutsinas, S.; Cuerva, A.; Winkelaar, D.; Ganander, H.

    1999-07-01

    Complex terrain sites are a major and critical market for wind energy development and knowledge regarding the wind structure and the WT response to it is insufficient. The paper presents the work and the final results of the COMTERID project (JOR3-CT95-0033), the successor and the follow-up of MOUNTURB, which was undertaken within the JOULE-III program by a number of National European R and D institutes and universities (CRES, NTUA, CIEMAT, RISO, ECN), consultants, designers and manufacturers (TG, LTL, VESTAS, ECOTECNIA, NWP) with the main objective to identify and quantify the complex terrain environment and its effects in the operation of WTs. The work identified and quantified the complex terrain wind structure conditions which were found to be different from the flat terrain standards and through the development of a parameter identification methodology it identified, evaluated and quantified the machine's performance sensitivity to the Wind-WT parameters. Increased turbulence was found in the vertical and lateral directions on all complex terrain sites studied and smaller length scales compared to the flat terrain standards. These parameters along with the difference in coherence and the small Weibull shape factors encountered (less than 2) are responsible for the increased fatigue loading that WTs experience at complex terrain environments. The project results indicate directions for new machine concepts, specifically for complex terrain operation, that will be both technically and economically efficient. (author)

  6. Aspectos médico legales de la infección por gonococo: gonorrea Medical legal aspects of the gonococcal infection: gonorrhea

    Directory of Open Access Journals (Sweden)

    Edgar Alonso Madrigal Ramírez

    2007-09-01

    Full Text Available El diagnóstico de una enfermedad de transmisión sexual en una víctima de abuso sexual debe ser adecuadamente interpretado a la luz de la historia médico legal, los hallazgos físicos, el laboratorio y la investigación sobre otras posibles formas de contagio. El objetivo de esta revisión bibliográfica, es actualizar los conocimientos sobre la Gonorrea, enfermedad que afecta principalmente la mucosa de los genitales masculinos y femeninos, la conjuntiva del ojo, la región anorectal y la faringe. En el niño menor de un año, la forma más frecuente de contagio es a través del canal de parto o por contacto accidental, sin embargo, la evidencia sugiere fuertemente que la gonorrea en niños mayores de un año y preadolescentes, al igual que en el adulto, es transmitida sexualmente. La transmisión vía fomites no ha sido comprobada, a pesar de que se ha aislado el microorganismo en objetos inanimados. Debido a las implicaciones legales del diagnóstico de gonorrea en niños, sólo se debe usar el procedimiento de cultivo estándar para aislar el germen.The diagnose of a sexual transmission disease in a sexually abused victim must be adequately interpreted under the knowledge of its medical?-legal history, physical findings, lab results and the research of different ways of contagious. The goal of this bibliographic revisit is to update the knowledge about Gonorrhea, disease that affects mainly male and female genital mucosa, the eyes conjuntive, annal rectal area and the faringe. Under one year-old children means of transmission are usually ? by birth process or accidental contact, but evidence strongly suggest that gonorrea on children older than one year, pre-adolescents and adults, is sexually transmitted. The transmission via fomites (via fomites transmission? has not been confirmed even though the micro-organism has been isolated in unanimated objects. Due to legal implications of gonorrhea diagnose on children, it should only be used

  7. 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

  8. NATIONAL SYNCHROTRON LIGHT SOURCE MEDICAL PERSONNEL PROTECTION INTERLOCK

    Energy Technology Data Exchange (ETDEWEB)

    BUDA,S.; GMUR,N.F.; LARSON,R.; THOMLINSON,W.

    1998-11-03

    This report is founded on reports written in April 1987 by Robert Hettel for angiography operations at the Stanford Synchrotron Research Laboratory (SSRL) and a subsequent report covering angiography operations at the National Synchrotron Light Source (NSLS); BNL Informal Report 47681, June 1992. The latter report has now been rewritten in order to accurately reflect the design and installation of a new medical safety system at the NSLS X17B2 beamline Synchrotron Medical Research Facility (SMERF). Known originally as the Angiography Personnel Protection Interlock (APPI), this system has been modified to incorporate other medical imaging research programs on the same beamline and thus the name has been changed to the more generic Medical Personnel Protection Interlock (MPPI). This report will deal almost exclusively with the human imaging (angiography, bronchography, mammography) aspects of the safety system, but will briefly explain the modular aspects of the system allowing other medical experiments to be incorporated.

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. 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。

  14. Regulatory aspects

    Science.gov (United States)

    Stern, Arthur M.

    1986-07-01

    At this time, there is no US legislation that is specifically aimed at regulating the environmental release of genetically engineered organisms or their modified components, either during the research and development stage or during application. There are some statutes, administered by several federal agencies, whose language is broad enough to allow the extension of intended coverage to include certain aspects of biotechnology. The one possible exception is FIFRA, which has already brought about the registration of several natural microbial pesticides but which also has provision for requiring the registration of “strain improved” microbial pesticides. Nevertheless, there may be gaps in coverage even if all pertinent statutes were to be actively applied to the control of environmental release of genetically modified substances. The decision to regulate biotechnology under TSCA was justified, in part, on the basis of its intended role as a gap-filling piece of environmental legislation. The advantage of regulating biotechnology under TSCA is that this statute, unlike others, is concerned with all media of exposure (air, water, soil, sediment, biota) that may pose health and environmental hazards. Experience may show that extending existing legislation to regulate biotechnology is a poor compromise compared to the promulgation of new legislation specifically designed for this purpose. It appears that many other countries are ultimately going to take the latter course to regulate biotechnology.

  15. Special aspects of wrist arthritis management for SLAC and SNAC wrists using midcarpal arthrodesis: results of bilateral operations and conversion to total arthrodesis.

    Science.gov (United States)

    Gohritz, Andreas; Gohla, Thomas; Stutz, Nicolas; Moser, Veith; Koch, Hilmar; Krimmer, Hermann; Lanz, Ulrich

    2005-01-01

    Although midcarpal wrist arthrodesis is recognized as a standard procedure to treat scapholuate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) of the wrist, little has been reported about patients with bilateral involvement and the number, cause, and results of failed cases requiring conversion to total wrist arthrodesis. This study investigated the results of 20 patients with bilateral procedures and of 22 patients who underwent total wrist fusion after failed midcarpal arthrodesis out of an overall group of 907 patients treated by this method during a 12-year period. Of these, 16 bilateral and 20 converted cases were reexamined after an average of 48 months and 42 months, respectively. Patients after bilateral midcarpal arthrodesis experienced a pain reduction by an average of 54% of the preoperative pain values at rest and by 56% at stress on the visual analog scale (scale range: 0 to 100) and from intolerable (3.7) to pain only during stress (1.9) on the verbal scale (scale range: I to 4). A mean arc of wrist extension and flexion of 53 degrees on the right and 49 of the left wrist was preserved. The mean DASH score was 45 points and 70% of the patients felt impaired only during certain activities. Total arthrodesis reduced pain in 18 of 20 reexamined wrists by 67% of the previous values after the failed partial arthrodesis at rest and by 46% at stress on the visual analog scale andfrom intolerable pain (3.7) to pain only during stress (2.1) on the verbal scale. Seven of the 20 reexamined patients noted complete pain relief at rest and two also under stress conditions. The DASH score averaged 39 points. A mean Krimmer score of 46 points and a mean Buck-Gramcko and Lohman evaluation of 6 points represented a satisfactory result. Grip strength of the operated hand averaged 53% of the opposite side. Subjectively, 30% felt impaired only during certain activities, 55%felt considerably and 15% strongly limited in daily life. However, all but

  16. 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

  17. 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.

  18. [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.

  19. [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

  20. Food irradiation facilities: Requirements and technical aspects

    Science.gov (United States)

    Mittendorfer, Josef

    2016-12-01

    This survey presents some aspects and requirement for food irradiation facilities. Topics like radiation source, dose ranges and dose rate are discussed, together with logistics and operational considerations

  1. Sports medical aspects of fitness and wellness

    OpenAIRE

    HOFFMANN, G; Siegfried, I

    2010-01-01

    Kongreßbericht: Seminar des Arbeitskreises Sportmedizin der Akademie für ärztliche Fortbildung und Weiterbildung der Landesärztekammer Hessen. Bad Nauheim, 18.03.2006. Ziel des Seminars war, sportmedizinische und präventivmedizinische Aspekte zu Fitness und Wellness zu präsentieren und hierbei insbesondere auf die historische Entwicklung der Sportmedizin einzugehen sowie Techniken und Wirkungen verschiedener Massageformen und ganzheitliche asiatische Gesundheitsansätze und Bewegungskünste zu ...

  2. Neurological Aspects of Medical Use of Cannabidiol.

    Science.gov (United States)

    Mannucci, Carmen; Navarra, Michele; Calapai, Fabrizio; Spagnolo, Elvira V; Busardò, Francesco P; Cas, Roberto D; Ippolito, Francesca M; Calapai, Gioacchino

    2017-01-01

    Cannabidiol (CBD) is among the major secondary metabolites of Cannabis devoid of the delta-9-tetra-hydrocannabinol psychoactive effects. It is a resorcinol-based compound with a broad spectrum of potential therapeutic properties, including neuroprotective effects in numerous pathological conditions. CBD neuroprotection is due to its antioxidant and antiinflammatory activities and the modulation of a large number of brain biological targets (receptors, channels) involved in the development and maintenance of neurodegenerative diseases. The aim of the present review was to describe the state of art about the pre-clinical research, the potential use and, when existing, the clinical evidence related to CBD in the neurological field. Collection of all the pre-clinical and clinical findings carried out investigating the effects of CBD alone, not in combination with other substances, in the neurological arena with the exclusion of studies on neuropsychiatric disorders. Laboratory and clinical studies on the potential role of CBD in Parkinson's disease (PD), Alzheimer's disease (AD), multiple sclerosis (MS), Huntington's disease (HD), amyotrophic lateral sclerosis ALS), cerebral ischemia, were examined. Pre-clinical evidence largely shows that CBD can produce beneficial effects in AD, PD and MS patients, but its employment for these disorders needs further confirmation from well designed clinical studies. CBD pre-clinical demonstration of antiepileptic activity is supported by recent clinical studies in human epileptic subjects resistant to standard antiepileptic drugs showing its potential use in children and young adults affected by refractory epilepsy. Evidence for use of CBD in PD is still not supported by sufficient data whereas only a few studies including a small number of patients are available. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  3. Medical physics aspects of particle therapy.

    Science.gov (United States)

    Jäkel, Oliver

    2009-11-01

    Charged particle beams offer an improved dose conformation to the target volume when compared with photon radiotherapy, with better sparing of normal tissue structures close to the target. In addition, beams of heavier ions exhibit a strong increase of the linear energy transfer in the Bragg peak when compared with the entrance region. These physical and biological properties make ion beams more favourable for radiation therapy of cancer than photon beams. As a consequence, particle therapy with protons and heavy ions has gained increasing interest worldwide. This contribution summarises the physical and biological principles of charged particle therapy with ion beams and highlights some of the developments in the field of beam delivery, the principles of treatment planning and the determination of absorbed dose in ion beams. The clinical experience gathered so far with carbon ion therapy is briefly reviewed.

  4. Medical aspects of ketone body metabolism.

    Science.gov (United States)

    Mitchell, G A; Kassovska-Bratinova, S; Boukaftane, Y; Robert, M F; Wang, S P; Ashmarina, L; Lambert, M; Lapierre, P; Potier, E

    1995-06-01

    Ketone bodies are produced in the liver, mainly from the oxidation of fatty acids, and are exported to peripheral tissues for use as an energy source. They are particularly important for the brain, which has no other substantial non-glucose-derived energy source. The 2 main ketone bodies are 3-hydroxybutyrate (3HB) and acetoacetate (AcAc). Biochemically, abnormalities of ketone body metabolism can present in 3 fashions: ketosis, hypoketotic hypoglycemia, and abnormalities of the 3HB/AcAc ratio. Normally, the presence of ketosis implies 2 things: that lipid energy metabolism has been activated and that the entire pathway of lipid degradation is intact. In rare patients, ketosis reflects an inability to utilize ketone bodies. Ketosis is normal during fasting, after prolonged exercise, and when a high-fat diet is consumed. During the neonatal period, infancy and pregnancy, times at which lipid energy metabolism is particularly active, ketosis develops readily. Pathologic causes of ketosis include diabetes, ketotic hypoglycemia of childhood, corticosteroid or growth hormone deficiency, intoxication with alcohol or salicylates, and several inborn errors of metabolism. The absence of ketosis in a patient with hypoglycemia is abnormal and suggests the diagnosis of either hyperinsulinism or an inborn error of fat energy metabolism. An abnormal elevation of the 3HB/AcAc ratio usually implies a non-oxidized state of the hepatocyte mitochondrial matrix resulting from hypoxia-ischemia or other causes. We summarize the differential diagnosis of abnormalities of ketone body metabolism, as well as pertinent recent advances in research.

  5. 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。

  6. 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

  7. The dentist's operating posture - ergonomic aspects.

    Science.gov (United States)

    Pîrvu, C; Pătraşcu, I; Pîrvu, D; Ionescu, C

    2014-06-15

    The practice of dentistry involves laborious high finesse dental preparations, precision and control in executions that require a particular attention, concentration and patience of the dentist and finally the dentist's physical and mental resistance. The optimal therapeutic approach and the success of practice involve special working conditions for the dentist and his team in an ergonomic environment. The meaning of the posture in ergonomics is the manner in which different parts of the body are located and thus the reports are established between them in order to allow a special task execution. This article discusses the posture adopted by dentists when they work, beginning with the balanced posture and going to different variants of posture. The ideal posture of a dentist gives him, on the one hand the optimal working conditions (access, visibility and control in the mouth) and on the other hand, physical and psychological comfort throughout the execution of the clinical acts. Although the theme of dentist posture is treated with great care and often presented in the undergraduate courses and the continuing education courses on ergonomics in dentistry, many dentists do not know the subject well enough nor the theoretical issues and therefore nor the practical applicability. The risk and perspective of the musculoskeletal disorders related to unbalanced postures should determine the dentists take postural corrective actions and compensation measures in order to limit the negative effects of working in a bad posture.

  8. Operational Aspects of Continuous Pharmaceutical Production

    DEFF Research Database (Denmark)

    Mitic, Aleksandar

    production process, should enable better designs of products and processes. Furthermore, easier process monitoring, control and au tomation are just some of the advantages that can be achieved as a consequence. Traditional production methods of Active Pharmaceuti cal Ingredients (APIs) are based on batch......-/at - and off-line process monitoring. The second example proce ss is the anti-Markovnikov hydroa mination between the “N746- Butadienes” and 1-(2-hydroxyethyl)piperazine (H EP) resulting into a mixture of cis/trans 4 ‐ [3 ‐ (2 ‐ Chlorothioxanthen ‐ 9 ‐ ylidene)propyl] ‐ 1 ‐ piperazineethanol (Clopenthixol...... and semi-batch processes which include plenty of supportive actions defined as non-value added activities (NVAs) or simply waste. It is therefore desirable to im plement a switch from batch based production to continuous manufacturi ng modes in order to minimize NVAs, as well as to enable easier...

  9. "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

  10. Proceedings of the Undersea Medical Society Workshop (7th) on Medical Aspects of Small Submersible Operations Held at Submarine Development Group 1, San Diego, California on 19-20 November 1974

    Science.gov (United States)

    1975-01-01

    LBHIR llf IIrUR I!~~rl~ YOM MrITIT imt 1e Fig. IC-1, Oxygen toxicity. of decreasing signal (which causes controlled PO2 level to increase), it is...fact surface swimmers using scuba gear and wetsuits. They are called diver/maintainers because, in addition to support diving, a V.O.L. diver also works...mes- senger line/buoy systems, a review of fastener technology, a variety of toggle designs, net-like capturing systems, and swimmer /divers with mani

  11. 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

  12. 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.

  13. 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.

  14. Operations of the Biblioteca Regional de Medicina (BIREME).

    Science.gov (United States)

    Neghme, A

    1975-04-01

    The operations and accomplishments of the Biblioteca Regional de Medicina (BIREME), the regional medical library of the Pan American Health Organization, are summarized. Aspects of BIREME's program which are described include: strengthening biomedical collections in Latin America, network organization, international cooperation, document and information delivery, bibliographic services, and educational efforts.

  15. Conducting the Medical History

    Science.gov (United States)

    Finkel, Martin A.; Alexander, Randell A.

    2011-01-01

    A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate,…

  16. Marketing aspect of paramedical

    Directory of Open Access Journals (Sweden)

    Dugalić Sretenka L.

    2003-01-01

    Full Text Available That's how the primary medical and ecological reasons as the well being for humanity came out of the satisfaction of specific health needs. Through operationally of these outcomes it tried to prove the need and the intentions of the customers, and through methodologies and strategies which stand to our service. Further developing activity acted as a useful to the innovation of the product and vertical structure of marketing, through the change in the way of thinking of the medical and pharmaceutical profession. The paper is concepted so that the received material inserted to the content part, do the following: 1. Meaning, characteristics and developing possibilities of phytotherapy; 2. Dimensions of market in managing of phytotherapic assortment. By observing the final results, which were obtained through means of representative sources and other research of phytotherapic products, it can be expected that the same can be applicable to broader spectrum in practice with kind input to the marketing ideas. Models, presented here, is meant to be for innovative applications in the medical marketing concept, by the results of wide spending in the food service industry (domain of dietetics, at manufacture of food for children at the manufacture of 'medical cosmetics' and cosmetic-druggist assortments (products for hygiene, shampoos, soap, creams and bubbles for bath.

  17. Diagnostic Imaging in the Medical Support of the Future Missions to the Moon

    Science.gov (United States)

    Sargsyan, Ashot E.; Jones, Jeffrey A.; Hamilton, Douglas R.; Dulchavsky, Scott A.; Duncan, J. Michael

    2007-01-01

    This viewgraph presentation is a course that reviews the diagnostic imaging techniques available for medical support on the future moon missions. The educational objectives of the course are to: 1) Update the audience on the curreultrasound imaging in space flight; 2) Discuss the unique aspects of conducting ultrasound imaging on ISS, interplanetary transit, ultrasound imaging on ISS, interplanetary transit, and lunar surface operations; and 3) Review preliminary data obtained in simulations of medical imaging in lunar surface operations.

  18. [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

  19. 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

  20. Aspects and Polymorphism in AspectJ

    DEFF Research Database (Denmark)

    Lorenz, David Harel; Ernst, Erik

    2003-01-01

    -oriented programming (AOP). In AOP, pieces of crosscutting behavior are extracted from the base code and localized in aspects, losing as a result their polymorphic capabilities while introducing new and unexplored issues. In this paper, we explore what kinds of polymorphism AOP languages should support, using AspectJ...... as the basis for the presentation. The results are not exclusive to AspectJ---aspectual polymorphism may make aspects in any comparable AOSD language more expressive and reusable across programs, while preserving safety....

  1. 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).

  2. AspectKE*

    DEFF Research Database (Denmark)

    Yang, Fan; Masuhara, Hidehiko; Aotani, Tomoyuki

    2010-01-01

    Enforcing security policies to distributed systems is difficult, in particular, when a system contains untrusted components. We designed AspectKE*, a distributed AOP language based on a tuple space, to tackle this issue. In AspectKE*, aspects can enforce access control policies that depend......KE*, and demonstrate usefulness of AspectKE* through a security aspect for a distributed chat system....

  3. Psychiatric Aspects of Infertility

    Directory of Open Access Journals (Sweden)

    Hacer Sezgin

    2014-06-01

    Full Text Available Infertility can be defined as a crisis with cultural, religious, and class related aspects, which coexists with medical, psychiatric, psychological, and social problems. Relation between psychiatric and psychological factors stem from a mutual interaction of both. Family is an important institution in maintaining human existence and raising individuals in line with society's expectations. Fertility and reproduction are seen as universal functions unique to women with raising children as the expected result of the family institution. Incidence of infertility has increased recently and can become a life crisis for a couple. Even though not being able to have a child affects both sexes emotionally, women feel greater amounts of stress, pressure, anxiety, and depression.Consequences of infertility arise from short and long-term devastating effects on both individual's physical and mental health, and marital system. Many studies focus on infertility related psychological and psychiatric disorders (depression, anxiety, grief, marital conflict, gender differences, relation between the causes of infertility and psychopathology, the effects of psychiatric evaluation and intervention -when necessaryon the course of infertility treatment, pregnancy rates, and childbirth. The most important underlying causes of high levels of stress and anxiety that infertile women experience are the loss of maternity, reproduction, sense of self, and genetic continuity. In this review article is to investigate the relationship between medically unexplained symptoms and psychiatric symptoms. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 165-185

  4. [Historiography of medical objects].

    Science.gov (United States)

    Cid, Felip

    2008-01-01

    It has become acceptable among historians of medicine to profess a predilection for the historiography of medical ideas. But it is justified all the same to ask whether the logical connection really caused the origin, the change, or the disappearance of the medical objects. The interaction of ideas and medical objects assure as much objectivity as possible. In consequence, the contents of the museums, medical objects, is an aspect rather that a branch of the history of medicine.

  5. 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.

  6. MEDICAL ETHICS COURSE IMPROVES MEDICAL PROFESSIONALISM: MEDICAL STUDENTS´ OPINIONS

    Directory of Open Access Journals (Sweden)

    Abdolreza Sotoodeh Jahromi

    2014-01-01

    Full Text Available Training physicians who are expert in many medical aspects is the most improtant mission of medical universities. One of these aspects, is professional behavior achievement. One of the important goals in training of ethics, is recognition of conflicts in different parts of ethics and having logical viewpoint for resolving and analyzing these conflicts. This descriptive and analytical study was done to evaluate the efficacy of medical ethics education in medical students´ professional attitudes improvement. One hundred and two medical students were selected randomly in different steps of education and were questioned and their opinions correlation with stage of education and gender were evaluated. There was a significant difference between female viewpoint (in roles of ethic course which is presented in preclinical step in professional attitude improvement (P = 0.009 and also a significant difference was seen in the viewpoint score between student stage with intern stage (P = 0.031. Medical students in educational student stage believe ethic course improve medical professionalism. Since there is no special course to train medical students in professionalism, some interventions are required in this field to improve this aspect of physicians' professional life.

  7. 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 ...

  8. 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 ...

  9. Application of Ozone Concentration Detection in the Medical Aspects and Its Development%臭氧浓度检测在医疗方面的应用及发展

    Institute of Scientific and Technical Information of China (English)

    金海龙; 成少彦; 宋俊杰

    2011-01-01

    This article introduces some commonly used methods of ozone concentration detection,including chemical method, UV absorption method, and electrochemical method etc, introduces the latest four ozone concentration sensors, and summarizes the advantages and disadvantages of each method. In addition, the article emphatically introduces the ozone's applications and development in the medical aspects. Prospects for the use of ozone concentration detection, ozone treatment and ozone therapy instrument are also demonstrated in it. The literature collected and reviewed on ozone concentration detection and ozone therapy includes 37 papers in English, and 50 papers in Chinese.but only 30 articles among them are included in this review (19 in Chinese and 11 in English) , according to the principle of eliminating the old information and repetitive contents. The present paper selects only those on ozone, ozone concentration, ozone therapy and ozone therapy instrument.%本文评述了几种常用的臭氧浓度检测方法,包括化学法、紫外线吸收法和电化学法等,介绍了四种最新的臭氧浓度传感器,总结了各种方法的利弊;另外还着重介绍了臭氧在医疗卫生方面的应用及发展,并对臭氧浓度检测、臭氧治疗和臭氧治疗仪的应用前景进行了展望.共收集到关于臭氧浓度检测以及臭氧治疗的英文文献37篇,中文文献50篇.按照排除资料年久和内容重复的原则,选取包括臭氧、臭氧浓度、臭氧治疗和臭氧治疗仪的文献.总共纳入30篇(中文文献19篇、英文文献11篇)符合要求的文献.

  10. Medications (for IBS)

    Medline Plus

    Full Text Available ... Gynecological Aspects of Irritable Bowel Syndrome Symptom Diary Testing in IBS Changes You Should Not Ignore if ... IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in irritable bowel syndrome ( ...

  11. 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

  12. Systemic lupus erythematosus: Clinical and experimental aspects

    Energy Technology Data Exchange (ETDEWEB)

    Smolen, J.S.

    1987-01-01

    This text covers questions related to the history, etiology, pathogenesis, clinical aspects and therapy of systematic lupus erythematosus (SLE). Both animal models and human SLE are considered. With regard to basic science, concise information on cellular immunology, autoantibodies, viral aspects and molecular biology in SLE is provided. Clinical topics then deal with medical, dermatologic, neurologic, radiologic, pathologic, and therapeutic aspects. The book not only presents the most recent information on clinical and experimental insights, but also looks at future aspects related to the diagnosis and therapy of SLE.

  13. Aspect and Reference time

    NARCIS (Netherlands)

    Borik, O.

    2002-01-01

    This thesis provides a theory of aspect in Russian based on the notion of Reference time. The main claim advocated in this study is that there are two types of aspect, predicational/telicity aspect and perspective or Reference time aspect. It is argued that these two types should be carefully distin

  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. Health promotion, preventive and curative aspects of diseases in astrology.

    Science.gov (United States)

    Sharma, Bhuvnesh Kumar; Subhakta, P K J P; Narayana, A

    2007-01-01

    The whole universe is intermingling into a unit in the period of globalization. Different cultures, life-styles and sciences are co-operating with each other in this situation. World Health Organization is working towards collaborating all prevalent medical sciences for attainment of good health and family welfare for each and every individual by 2020. Astrology is a part of Indian heritage. Astrology means the art of predicting or determining the influence of the planets and stars on human affairs. The origin of this word is from Greek word astron, star + logos (discourse). The account of deeds of good and bad during the present life and previous lives, their consequences of health or ill health during this life i.e. what, when and how the things takes place will be clearly known through Astrology. Highly advanced knowledge related to Astrology on medicine is preserved in Indian scriptures and the knowledge was transmitted from generation to generation. It is also a good source for health promotion, preventive, curative and other medical aspects. Brief direction related to astrological medical aspects is also available in Ayurvedic literature (Carakasamhită, Suśrutasamhhită, Aşţăngasangraha, Aşţăngahŗdaya, Sărngadharasamhită , Băvaprakăśa etc.) Some Ayurvedic practitioners, scholars and scientists realize the need of astrological knowledge related to medicine in the present time. In ancient times physician, astrologer and purŏhita (Hindu priest) simultaneously looked after the health and family welfare of individual, families and country. Astrologer guides medication and suitable time for the better cure of ailments. Even the medicinal herbs were collected and treated at appropriate time for their efficacy. Astrology and Ayurvĕda are inseparable sciences of life. Hence, in this article, a concise astrological evaluation related to health promotion, preventive and curative aspects of Astrology is being presented.

  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. 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.

  18. 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.

  19. Optimising AspectJ

    DEFF Research Database (Denmark)

    Avgustinov, Pavel; Christensen, Aske Simon; Hendren, Laurie

    2005-01-01

    AspectJ, an aspect-oriented extension of Java, is becoming increasingly popular. However, not much work has been directed at optimising compilers for AspectJ. Optimising AOP languages provides many new and interesting challenges for compiler writers, and this paper identifies and addresses three...... all of the techniques in this paper in abc, our AspectBench Compiler for AspectJ, and we demonstrate significant speedups with empirical results. Some of our techniques have already been integrated into the production AspectJ compiler, ajc 1.2.1....

  20. 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.

  1. 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.

  2. 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.

  3. Fundamentals of Medical Ultrasonics

    CERN Document Server

    Postema, Michiel

    2011-01-01

    This book sets out the physical and engineering principles of acoustics and ultrasound as used for medical applications. It covers the basics of linear acoustics, wave propagation, non-linear acoustics, acoustic properties of tissue, transducer components, and ultrasonic imaging modes, as well as the most common diagnostic and therapeutic applications. It offers students and professionals in medical physics and engineering a detailed overview of the technical aspects of medical ultrasonic imaging, whilst serving as a reference for clinical and research staff.

  4. Discovering Early Aspects

    NARCIS (Netherlands)

    Baniassad, E.; Clements, P.; Araujo, J.; Moreira, A.; Rashid, A.; Tekinerdogan, B.

    2006-01-01

    Traditionally, aspect-oriented software development (AOSD) has focused on the software life cycle's implementation phase: aspects are identified and captured mainly in code. But aspects are evident earlier in the life cycle, such as during requirements gathering and architecture development. Identif

  5. Aspects, Dependencies, and Interactions

    NARCIS (Netherlands)

    Chitchyan, R; Fabry, J.; Bergmans, Lodewijk; Südholt, M.; Consel, C.

    2007-01-01

    For Aspect-Oriented Software Development (AOSD) the topic of Aspects, Dependencies and Interactions is of high importance across the whole range of development activities – from requirements engineering through to language design. Aspect interactions must be adequately addressed all across the softw

  6. 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.

  7. Operator theory, operator algebras and applications

    CERN Document Server

    Lebre, Amarino; Samko, Stefan; Spitkovsky, Ilya

    2014-01-01

    This book consists of research papers that cover the scientific areas of the International Workshop on Operator Theory, Operator Algebras and Applications, held in Lisbon in September 2012. The volume particularly focuses on (i) operator theory and harmonic analysis (singular integral operators with shifts; pseudodifferential operators, factorization of almost periodic matrix functions; inequalities; Cauchy type integrals; maximal and singular operators on generalized Orlicz-Morrey spaces; the Riesz potential operator; modification of Hadamard fractional integro-differentiation), (ii) operator algebras (invertibility in groupoid C*-algebras; inner endomorphisms of some semi group, crossed products; C*-algebras generated by mappings which have finite orbits; Folner sequences in operator algebras; arithmetic aspect of C*_r SL(2); C*-algebras of singular integral operators; algebras of operator sequences) and (iii) mathematical physics (operator approach to diffraction from polygonal-conical screens; Poisson geo...

  8. Accelerators for Medical Applications Accelerators for Medical Application: What is so Special?

    CERN Document Server

    Schippers, J.M.

    2016-01-01

    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 requirements of the accelerated beam differ from those in a nuclear physics laboratory. The way of operating such a medical device requires not only operators, but also the possibility to have a safe machine operation by non accelerator specialists at different operating sites (treatment rooms). It will be shown that the organisation and role of the control/interlock system can be considered as being the most dedicated in a particle-therapy providing facility.

  9. 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

  10. HISTORICAL ASPECTS OF PHALLOPLASTY

    Directory of Open Access Journals (Sweden)

    P. S. Kyzlasov

    2017-01-01

    Full Text Available Reconstruction of the penis in transgender operations, amputation of the penis, congenital deformities and anomalies of the penis was and remains today an important issue in plastic surgery of the urogenital region. The only method to restore the penis is phalloplasty. In general, over the past decades, generations of clinicians have different ways and flaps for total fallouretheral reconstruction. Thus was formulated the characteristics of an ideal flap for the formation of neophallos, which should be safe, sensitive, without hair, and with long leg. However, despite the fact that the characteristics of a perfect flap, nowadays there is no “gold standard” in the formation of neophallos, as phalloplasty is a fairly complicated surgery, and the choice of method depends on many factors. The choice of methodology is determined by the plastics surgeon and to each patient is individual, depends on the etiology of the disease and the possibility of choosing the form of the donor’s transplant. This article presents a literature review devoted to the historical aspects of phalloplasty. In the article, in chronological order reflected the evolution of the different forming methods neofallos, phallourethrоplasty, describes their advantages and disadvantages.

  11. Symphonic electronic music: social aspects

    Directory of Open Access Journals (Sweden)

    Enfi A.

    2011-06-01

    Full Text Available In the article «Sympho-electronic music as deep-essential psychotherapy's tool of art-humanitarian practice» we provide definitions and characteristics of the new musicological concepts: «sympho-electronic music» (SEM, and show many benefits of using this music in depth-essential psychotherapy of art-humanitarian creativity, based on the implementation of major principles and basic medical-psychological aspects of the Essence Coding Theory (ECT. Demonstrated a specific example example of the use of SEM in psychotherapeutic practice.

  12. Osteoporosis, Global and Iranian Aspects

    Directory of Open Access Journals (Sweden)

    B Larijani

    2004-11-01

    Full Text Available Osteoporosis, characterized by low bone mass and microarchitectural deterioration of bone tissue leading to enlarged bone fragility and a consequent increase in fracture risk is a leading cause of morbidity and mortality in elderly people. The mortality rate in elderly persons with hip fracture approaches 20%. Half of them will be disabled in the remained life. Iranian Multicenter Osteoporosis Study (IMOS developed by Endocrinology and Metabolism Research Center of Tehran University of Medical Sciences (EMRC-TUMS and Ministry of Health and Medical Education in 2000. The aim of this study with more than 6000 participitants, was to determine normal range of BMD in Iranian population and assessing the current calcium and vitamin D status in Iran. The results were used for determining the normrmogram of BMD in Iranians and prevalence of Vit-D deficinecy among them. This document outlines all aspects of osteoporosis including risk factors, diagnosis, treatment and prevention of osteoporosis.

  13. 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。

  14. Aspects of the partnerships in the oil industry: remarks on dispute resolution provisions in the Join Operation Agreements-JOA; Aspectos das parcerias na industria do petroleo: consideracoes sobre a solucao de controversias no 'Joint Operating Agreement-JOA'

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Romulo Soares Brillo de [Leite, Tosto e Barros Advogados Associados, Sao Paulo, SP (Brazil)

    2008-07-01

    This essay intends to analyze some aspects of Article 18 of the Joint Operating Agreement model form, drafted by the Association of International Petroleum Negotiators (AIPN) and largely used by members of the international oil and gas industry, including Brazil. We will go through the suggested wording for the arbitration clause, electing arbitration as the dispute resolution mechanism, and the waiver of sovereign immunity by the parties to the agreement. We will proceed with the review of such provisions of the model form clause under Brazilian law, commenting on the lectures provided by legal authors and by the courts of Brazil on the matter. Afterwards, we will briefly analyze the case of Petroleo Brasileiro S.A. - PETROBRAS, the Brazilian state owned oil company, regarding the said subjects. Finally, upon completion of our review, we stress that the current Brazilian scenario is quite favorable to arbitration, which is accompanied by the rise of the notion of flexibility of the sovereign immunity standard, not applicable to cases of 'ius gestionis' acts carried out by subdivisions of the state. (author)

  15. 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。

  16. 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

  17. Aspects of petrochemistry in a fuels refinery

    Energy Technology Data Exchange (ETDEWEB)

    Esser, J.; Mielicke, C.J.; Maier, T. [MIRO - Mineraloelraffinerie Oberrhein GmbH und Co. KG, Karlsruhe (Germany)

    2007-07-01

    Classical links between refinery and petrochemical downstream operations are light naphtha, C2-C4-Olefins and various aromatic compounds. Additionally long chain paraffines from dewaxing or even heavy residues can be interesting starting materials for petrochemistry. Some aspects of these links between refining and petrochemistry as well as their impact on refinery operation and product pools are discussed. (orig.)

  18. 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.

  19. [Medical care for Russian cosmonauts' health on the ISS].

    Science.gov (United States)

    Bogomolov, V V; Kozlovskaia, I B; Alferova, I V; Egorov, A D; Kovachevich, I V

    2008-01-01

    Established with the personal participation of O.G. Gazenko, the Russian system of medical care for cosmonauts' health has been largely preserved till this day. The system was fully functional on board the orbital complex MIR and, with appropriate modifications, has been adopted as a core of the medical care for Russian members of the ISS crews. In the period of 2000-2008, 22 cosmonauts were members of 17 ISS increments from 140 to 216 days in duration. The main functions of the medical care system were to control health, physical and mental performance, and to support implementation of space researches. The flow of readaptation to the normal gravity was, in most cases similar to what has been typical on return from the Russian orbital stations; some deviations are accounted for by application of the in-flight countermeasures. The paper familiarizes reader with some aspects of the theoretical work of academician O.G. Gazenko in the field of medical care in space flight. It outlines the principles of ISS medical management. The integrated medical support system combines medical equipment and items available on the Russian and US segments; the integrated medical group consists of flight surgeons, medical experts and biomedical engineers of the international partners and coordinates planning and implementation of medical operations. Also, challenges of health care on the phase of ISS utilization are defined.

  20. 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.

  1. Functional aspects of spina bifida in childhood

    NARCIS (Netherlands)

    Schoenmakers, Maria Adriana Gerdina Cornelia

    2003-01-01

    Due to advanced medical treatment, more children with spina bifida survive into adulthood. Most outcome studies in the field of spina bifida research focus on disease aspects (‘pathology’) and its relation to one of the domains in the ‘disablement process’ such as physical functioning, cognitive abi

  2. Functional aspects of spina bifida in childhood

    NARCIS (Netherlands)

    Schoenmakers, Maria Adriana Gerdina Cornelia

    2003-01-01

    Due to advanced medical treatment, more children with spina bifida survive into adulthood. Most outcome studies in the field of spina bifida research focus on disease aspects (‘pathology’) and its relation to one of the domains in the ‘disablement process’ such as physical functioning, cognitive

  3. Incisional hernia: new approaches and aspects

    NARCIS (Netherlands)

    D. den Hartog (Dennis)

    2010-01-01

    textabstractThis thesis is about the anatomy, diagnosis, treatment and outcome of incisional hernia. New approaches and aspects are discussed in the following chapters. The following definitions were derived from Butterworth’s medical dictionary 1. A hernia is the protrusion of an internal organ

  4. Incisional hernia: new approaches and aspects

    NARCIS (Netherlands)

    D. den Hartog (Dennis)

    2010-01-01

    textabstractThis thesis is about the anatomy, diagnosis, treatment and outcome of incisional hernia. New approaches and aspects are discussed in the following chapters. The following definitions were derived from Butterworth’s medical dictionary 1. A hernia is the protrusion of an internal organ th

  5. Incisional hernia: new approaches and aspects

    NARCIS (Netherlands)

    D. den Hartog (Dennis)

    2010-01-01

    textabstractThis thesis is about the anatomy, diagnosis, treatment and outcome of incisional hernia. New approaches and aspects are discussed in the following chapters. The following definitions were derived from Butterworth’s medical dictionary 1. A hernia is the protrusion of an internal organ th

  6. 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…

  7. Lexical and Grammatical Aspect

    NARCIS (Netherlands)

    van Hout, Angeliek; Lidz, Jeffrey; Snyder, William; Pater, Joe

    The temporality of a given situation ‘out there in the world’ can be described in many ways. Tense and aspect offer the essential parameters. Lexical aspect characterizes event descriptions; a situation with a sleeping child can be referred to as a state of affairs (be asleep) or as a happening

  8. The Floristic and Forest Inventory of Santa Catarina State (IFFSC: methodological and operational aspects Inventário florístico florestal de Santa Catarina (IFFSC: aspectos metodológicos e operacionais

    Directory of Open Access Journals (Sweden)

    Alexander Christian Vibrans

    2010-12-01

    Full Text Available The purpose of this study is to contribute to the discussion on regional and national forest inventories, aiming mainly on aspects of methodos and operational. The Floristic and Forest Inventory of Santa Catarina State (IFFSC is an initiative of the state government and it was conceived in order to attend requirements of environmental laws. A pilot inventory took place in  2005; then the methodology was fitted to the proposal of the National Forest Inventory (IFN-BR in discussion at the time. IFFSC is carried out since 2007 in all natural forest formations all over the state’s territory, including floristic sampling (collection of fertile trees, shrubs and herbs within the sample unit and in its surroundings and survey of vascular epiphytes by specialized crews. The inventory applies a systematic sampling, with sample units containing clusters of four crosswise 1,000 m² plots (20 m x 50 m, distributed systematically at the intersections of a 10 km x 10 km grid all over the state’s territory (a 5 km x 5 km grid is applied on highly fragmentized Seasonal Deciduous Forests. Methodological details and some important operational issues are discussed beyond the four years experience of IFFSC. Major sampling intensity and lower diameter and height thresholds (in the arboreal and regeneration strata than in the nationwide inventory proposal (IFN-BR, as well as the execution of a floristic survey within and around the sample plots, showed to be important to record plant diversity of Santa Catarina’s forests.

    doi: 10.4336/2010.pfb.64.291

  1. Reducing medication errors.

    Science.gov (United States)

    Nute, Christine

    2014-11-25

    Most nurses are involved in medicines management, which is integral to promoting patient safety. Medicines management is prone to errors, which depending on the error can cause patient injury, increased hospital stay and significant legal expenses. This article describes a new approach to help minimise drug errors within healthcare settings where medications are prescribed, dispensed or administered. The acronym DRAINS, which considers all aspects of medicines management before administration, was devised to reduce medication errors on a cardiothoracic intensive care unit.

  2. SATIF-2 shielding aspects of accelerators, targets and irradiation facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    Particle accelerators have evolved over the last 50 years from simple devices to powerful machines, and will continue to have an important impact on research, technology and lifestyle. Today they cover a wide range of applications, from television and computer displays in households to the investigation of the origin and structure of matter. It has become common practice to use them for material science and medical applications. In recent years, requirements from new technological and research applications have emerged, such as increased particle beams intensities, higher flexibility, etc., giving rise to new radiation shielding aspects and problems. These proceedings review recent progress in radiation shielding of accelerator facilities, and evaluate advancements with respect to international co-operation in this field.

  3. Full-body-cold therapy plants of the Immanual hospital in Berlin-Wannsee. Pt. 3; Aspects of constructional and functional equipment and the operation of the coldest cooling chamber so far. Ganzkoerper-Kaeltetherapie im Immanuel-Krankenhaus Berlin-Wannsee. T. 3; Aspekte der baulichen und funktionellen Ausruestung und des Betriebes der bisher kaeltesten Kaeltekammer

    Energy Technology Data Exchange (ETDEWEB)

    Feurich, H.

    1994-04-01

    In the scope of this continued contribution, a report is given on the technical design of the full-body-cold therapy plants of the Immanuel hospital in Berlin-Wannsee. This part presents the following subjects: medical rooms, cooling chamber, process technology, cooling demand in different phases of treatment as well as operating costs. As a conclusion, comparative evaluations with other plants are presented. (BWI)

  4. 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.

  5. Aspects Regarding the Leasing Cost

    Directory of Open Access Journals (Sweden)

    Teodor HADA

    2011-03-01

    Full Text Available The paper aims to present legal aspects regarding leasing in Romania, and to take a look at the characteristics of the operational and financial leasing. The costs of the financial and operational leasing are also analyzed, as is the case study that approaches the cost of a bank loan. By using three examples of a real company, we wish to identify the components for each type of leasing and for the bank loan. The actuarial cost of leasing is determined with the help of an Excel method, which was adapted for this type of equation. By the end af the article, we wish to prove that leasing is beneficial for economic agents.

  6. Cognitive Aspects of Prejudice

    Science.gov (United States)

    Tajfel, Henri

    1969-01-01

    This paper is a slightly revised version of a contribution to a symposium on the "Biosocial Aspects of Race," held in London, September, 1968; symposium was published in the "Journal of Biosocial Science," Supplement No. 1, July, 1969. (RJ)

  7. Foundational aspects of security

    DEFF Research Database (Denmark)

    Chatzikokolakis, Konstantinos; Mödersheim, Sebastian Alexander; Palamidessi, Catuscia

    2014-01-01

    This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security.......This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security....

  8. Irish medical device industry update.

    Science.gov (United States)

    Higgins, Sharon

    2005-12-01

    The continued growth of the Irish medical technology industry has not been accidental. The sector is proactive in its drive for excellence in all aspects of the business, from concept to commercialisation. This reports on some recent initiatives.

  9. 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.

  10. Medical Information Resources Development in China

    Institute of Scientific and Technical Information of China (English)

    Hao Jiying; Zhan Youxiang

    2005-01-01

    This paper expatiates on the recent medical information resource development and utilization in China. A comparison isdrawn between the medical information resource development and utilization in China and developed countries in five aspects: outlay of medical information resources, constructing and sharing of medical information resources, medical information policy and related rules of law, revelation of library collections and quadratic exploiture, etc. Finally some suggestions are put forward for the medical information resource development in China.

  11. 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。

  12. [Wearable Medical Devices' MCU Selection Analysis Based on the ARM Cortex-MO+ Architecture].

    Science.gov (United States)

    Wu, Zaoquan; Liu, Mengxing; Qin, Liping; Ye, Shuming; Chen, Hang

    2015-03-01

    According to the characteristics of low cost, high performance, high integration and long battery life of wearable medical devices, the mainstream low-power microcontroller(MCU) series were compared, and came to the conclusion that the MCU series based on ARM Cortex-M0+ architecture were suitable for the development of wearable medical devices. In aspects of power consumption, operational performance, integrated peripherals and cost, the MCU series based on Cortex-M0+ architecture of primary semiconductor companies were compared, aimed at providing the guides of MCU selection for wearable medical devices.

  13. 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 ...

  14. 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.

  15. 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.

  16. 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.

  17. 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...

  18. Medical Monitoring During Firefighter Incident Scene Rehabilitation.

    Science.gov (United States)

    Barr, David A; Haigh, Craig A; Haller, Jeannie M; Smith, Denise L

    2016-01-01

    The objective of this study was to retrospectively investigate aspects of medical monitoring, including medical complaints, vital signs at entry, and vital sign recovery, in firefighters during rehabilitation following operational firefighting duties. Incident scene rehabilitation logs obtained over a 5-year span that included 53 incidents, approximately 40 fire departments, and more than 530 firefighters were reviewed. Only 13 of 694 cases involved a firefighter reporting a medical complaint. In most cases, vital signs were similar between firefighters who registered a complaint and those who did not. On average, heart rate was 104 ± 23 beats·min(-1), systolic blood pressure was 132 ± 17 mmHg, diastolic blood pressure was 81 ± 12 mmHg, and respiratory rate was 19 ± 3 breaths·min(-1) upon entry into rehabilitation. At least two measurements of heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate were obtained for 365, 383, 376, and 160 cases, respectively. Heart rate, systolic and diastolic blood pressures, and respiratory rate decreased significantly (p recovery were highly variable. Data from this study indicated that most firefighters recovered from the physiological stress of firefighting without any medical complaint or symptoms. Furthermore, vital signs were within fire service suggested guidelines for release within 10 or 20 minutes of rehabilitation. The data suggested that vital signs of firefighters with medical symptoms were not significantly different from vital signs of firefighters who had an unremarkable recovery.

  19. Aspects of functioning and environmental factors in medical work capacity evaluations of persons with chronic widespread pain and low back pain can be represented by a combination of applicable ICF Core Sets

    Science.gov (United States)

    2012-01-01

    Background Medical work capacity evaluations play a key role in social security schemes because they usually form the basis for eligibility decisions regarding disability benefits. However, the evaluations are often poorly standardized and lack transparency as decisions on work capacity are based on a claimant’s disease rather than on his or her functional capacity. A comprehensive and consistent illustration of a claimant’s lived experience in relation to functioning, applying the International Classification of Functioning, Disability and Health (ICF) and the ICF Core Sets (ICF-CS), potentially enhances transparency and standardization of work capacity evaluations. In our study we wanted to establish whether and how the relevant content of work capacity evaluations can be captured by ICF-CS, using disability claimants with chronic widespread pain (CWP) and low back pain (LBP) as examples. Methods Mixed methods study, involving a qualitative and quantitative content analysis of medical reports. The ICF was used for data coding. The coded categories were ranked according to the percentage of reports in which they were addressed. Relevance thresholds at 25% and 50% were applied. To determine the extent to which the categories above the thresholds are represented by applicable ICF-CS or combinations thereof, measures of the ICF-CS’ degree of coverage (i.e. content validity) and efficiency (i.e. practicability) were defined. Results Focusing on the 25% threshold and combining the Brief ICF-CS for CWP, LBP and depression for CWP reports, the coverage ratio reached 49% and the efficiency ratio 70%. Combining the Brief ICF-CS for LBP, CWP and obesity for LBP reports led to a coverage of 47% and an efficiency of 78%. Conclusions The relevant content of work capacity evaluations involving CWP and LBP can be represented by a combination of applicable ICF-CS. A suitable standard for documenting such evaluations could consist of the Brief ICF-CS for CWP, LBP, and

  20. Aspects of functioning and environmental factors in medical work capacity evaluations of persons with chronic widespread pain and low back pain can be represented by a combination of applicable ICF Core Sets

    Directory of Open Access Journals (Sweden)

    Schwegler Urban

    2012-12-01

    Full Text Available Abstract Background Medical work capacity evaluations play a key role in social security schemes because they usually form the basis for eligibility decisions regarding disability benefits. However, the evaluations are often poorly standardized and lack transparency as decisions on work capacity are based on a claimant’s disease rather than on his or her functional capacity. A comprehensive and consistent illustration of a claimant’s lived experience in relation to functioning, applying the International Classification of Functioning, Disability and Health (ICF and the ICF Core Sets (ICF-CS, potentially enhances transparency and standardization of work capacity evaluations. In our study we wanted to establish whether and how the relevant content of work capacity evaluations can be captured by ICF-CS, using disability claimants with chronic widespread pain (CWP and low back pain (LBP as examples. Methods Mixed methods study, involving a qualitative and quantitative content analysis of medical reports. The ICF was used for data coding. The coded categories were ranked according to the percentage of reports in which they were addressed. Relevance thresholds at 25% and 50% were applied. To determine the extent to which the categories above the thresholds are represented by applicable ICF-CS or combinations thereof, measures of the ICF-CS’ degree of coverage (i.e. content validity and efficiency (i.e. practicability were defined. Results Focusing on the 25% threshold and combining the Brief ICF-CS for CWP, LBP and depression for CWP reports, the coverage ratio reached 49% and the efficiency ratio 70%. Combining the Brief ICF-CS for LBP, CWP and obesity for LBP reports led to a coverage of 47% and an efficiency of 78%. Conclusions The relevant content of work capacity evaluations involving CWP and LBP can be represented by a combination of applicable ICF-CS. A suitable standard for documenting such evaluations could consist of the Brief ICF