Operations aspects of the Fermilab Central Helium Liquefier facility

International Nuclear Information System (INIS)

Geynisman, M.G.; Makara, J.N.

1996-09-01

The Fermilab Central Helium Liquefier (CHL) facility consists of helium and nitrogen reliquefier plants operated 24 hours-a-day to supply LHe at 4.6 K and LN 2 for the Fermilab Tevatron superconducting proton-antiproton collider ring and to recover warm return gases. Operating aspects of CHL, including different equipment and systems reliability, availability, maintenance experience, safety concerns, and economics aspects are discussed

Operations aspects of the Fermilab Central Helium Liquefier Facility

International Nuclear Information System (INIS)

Geynisman, M.G.; Makara, J.N.

1995-03-01

The Fermilab Central Helium Liquefier (CHL) facility consists of helium and nitrogen reliquefier plants operated 24 hours-a-day to supply LHe at 4.6 degrees K and LN 2 for the Fermilab Tevatron superconducting proton-antiproton collider ring and to recover warm return gases. Operating aspects of CHL, including different equipment and systems reliability, availability, maintenance experience, safety concerns, and economics aspects are discussed

Safety aspects of cryochamber operation

Science.gov (United States)

Chorowski, M.; Piotrowska, A.; Sieron, A.; Stanek, A.

2014-01-01

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 (N2 or synthetic air) are used. This paper presents safety oriented review of cryochamber design and constructions.

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.

Safety aspects of cryochamber operation

International Nuclear Information System (INIS)

Chorowski, M.; Piotrowska, A.; Sieron, A.; Stanek, A.

2014-01-01

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 2 or synthetic air) are used. This paper presents safety oriented review of cryochamber design and constructions

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

Legislative aspects of the development of medical devices.

Science.gov (United States)

Marešová, Petra; Klímová, Blanka; Krejcar, Ondřej; Kuča, Kamil

2015-09-01

European industry of medical device technologies represents 30% of all worlds sales. New health technologies bring effective treatment approaches, help shorten stays in hospital1),bring better treatment results and accelerate rehabilitation which leads to the earlier patients recovery.Legislative aspects are one of the key areas influencing the speed of development of medical devices and their launching. The aim of this article is to specify current state of legislation in the development of medical devices in the European Union in comparison with the market leaders such as China, Japan and USA.The best established market of medical devices is in the USA. Both Japan and China follow the USA model. However, a non-professional code of ethics in China in some respect contributes to the decrease of quality of medical devices, while Japan as well as the EU countries try really hard to conform to all the regulations imposed on the manufacturing of medical devices.

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.

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...

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.

Important radiation protection aspects of the operation of a commercial medical cyclotron

International Nuclear Information System (INIS)

Mukherjee, B.

1997-01-01

Since July 1991 the Radiopharmaceutical Division of the Australian Nuclear Science and Technology Organisation (ANSTO) operates a 30 MeV H'- ion Medical Cyclotron (Model; CYCLONE 30, Manufacturer: Ion Beam Applications, Louvain La Neuve, Belgium). During routine isotope production operations at the cyclotron a thick copper substrate plate electroplated with thin layer of selected enriched target material are bombarded with 30 MeV proton beam current up to 450 μA. The nuclear reaction of protons with the copper atoms result in the reduction of prompt evaporation neutrons with a peak energy of ∼ 1.8 MeV. These evaporation neutrons slow down via multiple collisions with the concrete shielding walls of the target cave, bounce back to the,interior space of the cave activating the cyclotron parts, beam tube components and other utilities installed in the irradiation cave. After the completion of 60 hour isotope production run, gamma dose equivalent rates of ∼10 5 μSvh -1 were measured at contact with the target irradiation stations and beam collimators. Evidently, these gamma rays emitted from the activated cyclotron components impose crucial radiation exposure hazard problems for the cyclotron maintenance technicians. Experiments had been carried out in order to identify the specific pathways of cyclotron component activation and to assess the probable personnel radiation exposure during handling of the activated cyclotron parts. The cool-down (radioactive decay) of the activated cyclotron components was estimated experimentally at different target bombardment conditions using the wall mounted gamma area monitors interfaced to the Health Physics Data Acquisition System. The gamma dose equivalent rates at contact with various locations of interest at the target irradiation station and at the typical work areas of the maintenance personnel were carefully recorded with a radiation (gamma) survey instrument during the three years operation period of the cyclotron. A

The Impact of CPOE Medication Systems' Design Aspects on Usability, Workflow and Medication Orders A Systematic Review

NARCIS (Netherlands)

Khajouei, R.; Jaspers, M. W. M.

2010-01-01

Objectives: To examine the impact of design aspects of computerized physician order entry (CPOE) systems for medication ordering on usability, physicians' workflow and on medication orders. Methods: We systematically searched Pub-Med, EMBASE and Ovid MEDLINE for articles published from 1986 to 2007.

Psychological aspects of peacekeeping operations.

Science.gov (United States)

Raju, M S V K

2014-01-01

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.

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

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.

Guide to good practices for operations aspects of unique processes

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-12-01

This Guide to Good Practices is written to enhance understanding of, and provide direction for, Operations Aspects of Facility Chemistry and Unique Processes, Chapter XIII of Department of Energy (DOE) Order 5480.19, Conduct of Operations Requirements for DOE Facilities. The practices in this guide should be considered when planning or reviewing employee training and facility management programs. Contractors are advised to adopt procedures that meet the intent of DOE Order 5480.19. Operations Aspects of Unique Processes is an element of an effective Conduct of Operations program. The complexity and array of activities performed in DOE facilities dictate the necessity for all personnel to coordinate interrelated activities affecting unique processes.

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.

Medical aspects of radiation protection law contribution to Austrian radiation protection law

International Nuclear Information System (INIS)

Moser, B.

1977-01-01

Some medical aspects of the radiation protection law, esp. in conjunction with medical surveillance of persons exposed to radiation, are dealt with. The discussion refers to the countries of the European Community and Austria and Switzerland. (VJ) [de

The Doctrinal Basis for Medical Stability Operations

Science.gov (United States)

2010-01-01

lead actor, preferably a HN agency, but sometimes the military must take the lead in medical stability operations when overwhelming violence prevents...34 Assessment Tasks Administration of hospital Communications Obstetrics , Pediatrics, Emergency room. Operating room Nursing procedures Medical supply

Operation Aspect of the Main Control Room of NPP

International Nuclear Information System (INIS)

Sahala M Lumbanraja

2009-01-01

The main control room of Nuclear Power Plant (NPP) is operational centre to control all of the operation activity of NPP. NPP must be operated carefully and safely. Many aspect that contributed to operation of NPP, such as man power whose operated, technology type used, ergonomic of main control room, operational management, etc. The disturbances of communication in control room must be anticipated so the high availability of NPP can be achieved. The ergonomic of the NPP control room that will be used in Indonesia must be designed suitable to anthropometric of Indonesia society. (author)

The philanthropic string: medical aspects of military strategy.

Science.gov (United States)

Dressler, D P; Hozid, J L

2001-04-01

Since antiquity, medical care has played an important role in both military strategy and conflict resolution. Although this is usually a negative and an unintended event, medical care can be a positive and a rational alternative to present-day weapons of mass destruction. Yet, military and civilian planners have not traditionally accepted, recognized, and used a "philanthropic string." Nevertheless, medical care can be an important factor in resolving international conflict, either in support of military operations or as a separate function. Therefore, it is timely, and pragmatic, to include humanitarian medical care in strategic military planning.

[Fundamental aspects for accrediting medical equipment calibration laboratories in Colombia].

Science.gov (United States)

Llamosa-Rincón, Luis E; López-Isaza, Giovanni A; Villarreal-Castro, Milton F

2010-02-01

Analysing the fundamental methodological aspects which should be considered when drawing up calibration procedure for electro-medical equipment, thereby permitting international standard-based accreditation of electro-medical metrology laboratories in Colombia. NTC-ISO-IEC 17025:2005 and GTC-51-based procedures for calibrating electro-medical equipment were implemented and then used as patterns. The mathematical model for determining the estimated uncertainty value when calibrating electro-medical equipment for accreditation by the Electrical Variable Metrology Laboratory's Electro-medical Equipment Calibration Area accredited in compliance with Superintendence of Industry and Commerce Resolution 25771 May 26th 2009 consists of two equations depending on the case; they are: E = (Ai + sigmaAi) - (Ar + sigmaAr + deltaAr1) and E = (Ai + sigmaAi) - (Ar + sigmaA + deltaAr1). The mathematical modelling implemented for measuring uncertainty in the Universidad Tecnológica de Pereira's Electrical Variable Metrology Laboratory (Electro-medical Equipment Calibration Area) will become a good guide for calibration initiated in other laboratories in Colombia and Latin-America.

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.

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.

Cosmonauts and astronauts during medical operations training

Science.gov (United States)

1994-01-01

Cosmonaut Alexandr F. Poleshchuk (right) inventories medical supplies with Ezra D. Kucharz, medical operations trainer for Krug Life Sciences, Incorporated. Poleshchuk, a Mir reserve crew member, and a number of other cosmonauts and astronauts participati

Medical aspects of pediatric rehabilitation after moderate to severe traumatic brain injury.

Science.gov (United States)

Cantore, Lisa; Norwood, Kenneth; Patrick, Peter

2012-01-01

Recovery from severe traumatic brain injury (TBI) is prolonged, complicated and challenging. Medical rehabilitation is the bridge from acute medical care and stabilization to community reintegration. The process of caring for the recovering brain introduces unknown challenges of neural plasticity with demands to restore and to also move the child and family back to the developmental trajectory they once knew. While the ongoing focus is to maintain and advance medical stability, co- morbid conditions are addressed, and a plan for ongoing health is established. While no one manuscript can cover all of the medical aspects, this article will present in a "systems review" manner the most challenging and demanding medical conditions that children may confront following severe brain injury.

Development of a National Consensus for Tactical Emergency Medical Support (TEMS) Training Programs--Operators and Medical Providers.

Science.gov (United States)

Schwartz, Richard; Lerner, Brooke; Llwewllyn, Craig; Pennardt, Andre; Wedmore, Ian; Callaway, David; Wightman, John; Casillas, Raymond; Eastman, Alex; Gerold, Kevin; Giebner, Stephen; Davidson, Robert; Kamin, Richard; Piazza, Gina; Bollard, Glenn; Carmona, Phillip; Sonstrom, Ben; Seifarth, William; Nicely, Barbara; Croushorn, John; Carmona, Richard

2014-01-01

Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight. Two face-to-face meetings took place. Using a modified Delphi technique, previously published TEMS competencies were reviewed and updated. The original 17 competency domains were modified and the most significant changes were the addition of Tactical Emergency Casualty Care (TECC), Tactical Familiarization, Legal Aspects of TEMS, and Mass Casualty Triage to the competency domains. Additionally, enabling and terminal learning objectives were developed for each competency domain. This project has developed a minimum set of medical competencies and learning objectives for both tactical medical providers and operators. This work should serve as a platform for ensuring minimum knowledge among providers, which will serve enhance team interoperability and improve the health and safety of tactical teams and the public. 2014.

Operational Aspects of Dealing with the Large BaBar Data Set

Energy Technology Data Exchange (ETDEWEB)

Trunov, Artem G

2003-06-13

To date, the BaBar experiment has stored over 0.7PB of data in an Objectivity/DB database. Approximately half this data-set comprises simulated data of which more than 70% has been produced at more than 20 collaborating institutes outside of SLAC. The operational aspects of managing such a large data set and providing access to the physicists in a timely manner is a challenging and complex problem. We describe the operational aspects of managing such a large distributed data-set as well as importing and exporting data from geographically spread BaBar collaborators. We also describe problems common to dealing with such large datasets.

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.

Development of an informative system on aspects of radiological protection in the medical practices

International Nuclear Information System (INIS)

Lopez B, G.M.; Martinez G, A.; Gonzalez R, N.; Hernandez A, R.; Valdes R, M.; Cardenas H, J.; Zaldivar H, W.; Diaz B, M.; Machado T, A.

2006-01-01

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)

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.

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

Mechanical Thrombectomy in Anterior Circulation Occlusion Could Be More Effective than Medical Management Even in Low DWI-ASPECTS Patients.

Science.gov (United States)

Ohta, Tsuyoshi; Morimoto, Masanori; Okada, Kenji; Fukuda, Maki; Onishi, Hirokazu; Masahira, Noritaka; Matsuoka, Toshiki; Tsuno, Takaya; Takemura, Mitsuhiro

2018-04-15

The purpose of this study was to investigate whether patients with low preoperative Diffusion-weighted Imaging Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS) could benefit from mechanical thrombectomy for acute anterior circulation occlusion. This was a retrospective, non-blinded, cohort study. From September 2012 to August 2016, 83 consecutive patients of acute anterior circulation occlusion were treated with thrombectomy using second-generation devices or medical management. The DWI-ASPECTS was scored after the first MRI. Patient characteristics and clinical outcomes were compared between the treatment groups. Significant dependence was defined as a modified Rankin scale score ≥3 at 90 days. As a result, 33 patients underwent mechanical thrombectomy and 50 received medical management. In the mechanical thrombectomy group, the variable of lower DWI-ASPECTS (5, 4-6 vs. 8, 7-8, P < 0.001), especially ≤6, was significantly associated with poor prognosis. However, compared with patients of DWI-ASPECTS ≤ 6 who received medical management, there were significantly fewer patients with poor outcomes in thrombectomy (dependent in 11 of 15 vs. 23 of 23, respectively; P = 0.019). Although patients with lower pretreatment DWI-ASPECTS could benefit less from thrombectomy, their outcomes were still better than medical management. Therefore, mechanical thrombectomy could be considered in some patients with low pretreatment DWI-ASPECTS.

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%.

Electronic Procedures for Medical Operations, Phase II

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...

Some Operational Aspects Relating to Quality Management and Total Quality Management

OpenAIRE

Sorin GRESOI; Aurelian DIACONU

2013-01-01

The work pass in review a few basic concepts found in quality management focusing on operational aspects of quality assurance in production activity and continue with issues regarding total quality strategy, the vector of competitiveness on the market.

OSTEOPOROSIS IN RUSSIAN FEDERATION: EPIDEMIOLOGY, SOCIO-MEDICAL AND ECONOMICAL ASPECTS (REVIEW)

OpenAIRE

O. M. Lesnyak; I. A. Baranova; K. Yu. Belova; E. N. Gladkova; L. P. Evstigneeva; O. B. Ershova; T. L. Karonova; A. Yu. Kochish; O. A. Nikitinskaya; I. A. Skripnikova; N. V. Toroptsova; R. M. Aramisova

2018-01-01

The authors performed an analysis of published stadies devoted to osteoporosis situation in Russian Federation including epidemiological, social, medical and economical aspects of this pathology. The analysis demonstrated that osteoporosis is reported in every third woman and every forth man of 50 years old and older. Seven vertebra fractures happen every minute and one fracture of proximal femur — every 5 minutes in Russia. An overall number of all key osteoporotic fractures will increase fr...

Tore Supra: technical aspects and early results after one year of operation

International Nuclear Information System (INIS)

Gravier, R.

1989-01-01

After one year operation (1988 to 1989), technical aspects of component systems and equipment of Tore Supra are summarized. Particular attention is given to the operation with: supraconducting toroidal field coil system, cryogenic system, poloidal field system, in vessel equipment, first wall conditioning, pump limiter. The ergodic divertor experiments and the current drive experiment are reported. The plasma heating methods adopted in Tore Supra are presented

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.

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.

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.

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

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.

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.

National synchrotron light source medical personnel protection interlock

International Nuclear Information System (INIS)

Buda, S.; Gmur, N.F.; Larson, R.; Thomlinson, W.

1998-01-01

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

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.

Habitat Demonstration Unit Medical Operations Workstation Upgrades

Science.gov (United States)

Trageser, Katherine H.

2011-01-01

This paper provides an overview of the design and fabrication associated with upgrades for the Medical Operations Workstation in the Habitat Demonstration Unit. The work spanned a ten week period. The upgrades will be used during the 2011 Desert Research and Technology Studies (Desert RATS) field campaign. Upgrades include a deployable privacy curtain system, a deployable tray table, an easily accessible biological waste container, reorganization and labeling of the medical supplies, and installation of a retractable camera. All of the items were completed within the ten week period.

Medical and radiological aspects of emergency preparedness and response at SevRAO facilities.

Science.gov (United States)

Savkin, M N; Sneve, M K; Grachev, M I; Frolov, G P; Shinkarev, S M; Jaworska, A

2008-12-01

Regulatory cooperation between the Norwegian Radiation Protection Authority and the Federal Medical Biological Agency (FMBA) of the Russian Federation has the overall goal of promoting improvements in radiation protection in Northwest Russia. One of the projects in this programme has the objectives to review and improve the existing medical emergency preparedness capabilities at the sites for temporary storage of spent nuclear fuel and radioactive waste. These are operated by SevRAO at Andreeva Bay and in Gremikha village on the Kola Peninsula. The work is also intended to provide a better basis for regulation of emergency response and medical emergency preparedness at similar facilities elsewhere in Russia. The purpose of this paper is to present the main results of that project, implemented by the Burnasyan Federal Medical Biophysical Centre. The first task was an analysis of the regulatory requirements and the current state of preparedness for medical emergency response at the SevRAO facilities. Although Russian regulatory documents are mostly consistent with international recommendations, some distinctions lead to numerical differences in operational intervention criteria under otherwise similar conditions. Radiological threats relating to possible accidents, and related gaps in the regulation of SevRAO facilities, were also identified. As part of the project, a special exercise on emergency medical response on-site at Andreeva Bay was prepared and carried out, and recommendations were proposed after the exercise. Following fruitful dialogue among regulators, designers and operators, special regulatory guidance has been issued by FMBA to account for the specific and unusual features of the SevRAO facilities. Detailed sections relate to the prevention of accidents, and emergency preparedness and response, supplementing the basic Russian regulatory requirements. Overall it is concluded that (a) the provision of medical and sanitary components of emergency

Nuclear, biological and chemical warfare. Part I: Medical aspects of nuclear warfare.

Science.gov (United States)

Kasthuri, A S; Pradhan, A B; Dham, S K; Bhalla, I P; Paul, J S

1990-04-01

Casualties in earlier wars were due much more to diseases than to weapons. Mention has been made in history of the use of biological agents in warfare, to deny the enemy food and water and to cause disease. In the first world war chemical agents were used to cause mass casualties. Nuclear weapons were introduced in the second world war. Several countries are now involved in developing nuclear, biological and chemical weapon systems, for the mass annihilation of human beings, animals and plants, and to destroy the economy of their enemies. Recently, natural calamities and accidents in nuclear, chemical and biological laboratories and industries have caused mass instantaneous deaths in civilian population. The effects of future wars will not be restricted to uniformed persons. It is time that physicians become aware of the destructive potential of these weapons. Awareness, immediate protective measures and first aid will save a large number of persons. This series of articles will outline the medical aspects of nuclear, biological and chemical weapon systems in three parts. Part I will deal with the biological effects of a nuclear explosion. The short and long term effects due to blast, heat and associated radiation are highlighted. In Part II, the role of biological agents which cause commoner or new disease patterns is mentioned. Some of the accidents from biological warfare laboratories are a testimony to its potential deleterious effects. Part III deals with medical aspects of chemical warfare agents, which in view of their mass effects can overwhelm the existing medical resources, both civilian and military.(ABSTRACT TRUNCATED AT 250 WORDS)

Safety aspects of whole-body cryochamber and cryosauna operation

Science.gov (United States)

Agnieszka, Piotrowska

2017-12-01

Interest in low temperature treatment is constantly increasing. Whole-body cryotherapy (WBC) devices are becoming available not only in medical centers but also in local gyms and spa centers. A new group of users are professional sport clubs where 3-minutes session of whole-body cryotherapy is post-training procedure to improve and speed up the recovery process. There are four different types of WBC devices available on the market and offered to commercial (non-medical) users. The American and European market is dominated by two of them: classic cryochambers and cryosaunas. Both constructions are supplied with liquid nitrogen. Low temperature inside classic cryochamber is produced by evaporating of liquid nitrogen in two or more heat exchangers. There is never a direct contact between user and cryogenic medium in any of system operation mode (closed supply system). Cryosauna is cooled down by filling with cold vapor of liquid nitrogen. Supply system is considered open because it allows for direct contact between user and cryogenic medium. Open supply system of cryosauna is primary and most questionable issue of its operational safety, particularly after tragic accident in October 2015. This paper presents the comparative analysis of classic cryochamber and cryosauna from safety point of view. Both devices have been analyzes and tested on existing systems in operation. Paper gives detailed analysis of constructions, supply systems and working parameters. Special attention has been focused to problem of oxygen deficiency hazard. Different failure or accident scenarios have been analyzed and discussed.

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. 2012.

Aspects of Global Health Issues: Diseases, Natural Disasters, and Pharmaceutical Corporations and Medical Research.

Science.gov (United States)

Brown, Geraldine

2016-01-01

Global health issues are concerns of all public health officials throughout the world. This entails reviewing aspects such as the impact of poverty and the lack of access to quality health care, ignored global killers such as Diseases (Infectious diseases-Malaria, HIV/AIDS), Natural Disasters (Earthquakes, Tsunamis, Floods, and Armed Conflict), Health in the Media, and the Involvement of Pharmaceutical Corporations and Medical Research. These issues are challenges to many needless deaths. Global initiatives are not advancing as they should, such as access to drugs and medications, which some are political.

Economic Aspects of Load Following in Flexible Operation. Annex IV

International Nuclear Information System (INIS)

2018-01-01

To supplement this publication, the IAEA has prepared an economic study to quantify the cost–revenue aspects for nuclear power plant operations in mixed energy systems, including flexible operation. The purpose of this study was to explore economic opportunities for using nuclear energy in future power markets with increasing deployment of renewable energy, specifically investigating the following: — How much power ramping could future reactors support and at what penalty? — What type of flexibility is required on the grid — larger down power and faster ramp rate for load following or increased start/stop capability? What is the optimal level of flexible capacity in a system? — How can nuclear energy be used in different grid environments (e.g. different sizes or complexities) to cope with variable power demand and fluctuating supply from renewable energy sources? — What are the economic implications (including different revenue streams) for using large reactors? — How do market regulation and real market interaction affect the economic viability of using nuclear power under the various system modes? To answer these questions, an analytical case study approach, which directly assesses the difference between energy specific production costs for a baseload nuclear system and a load following nuclear system, was selected. Such a study, based on a large scale country level power plant dispatching model, could assess the difference between the total short term costs of producing a given amount of electricity by both types of operation in a particular system. This approach may answer the questions of whether adding flexible nuclear operation to the power system is capable of generating overall system benefits by minimizing total system costs at different levels. This annex briefly summarizes the IAEA study, together with insights from the available sources, and underlines the pressing needs in filling the missing knowledge gaps in the economic aspects of

Association of pre-operative medication use with post-operative delirium in surgical oncology patients receiving comprehensive geriatric assessment.

Science.gov (United States)

Jeong, Young Mi; Lee, Eunsook; Kim, Kwang-Il; Chung, Jee Eun; In Park, Hae; Lee, Byung Koo; Gwak, Hye Sun

2016-07-07

Older patients undergoing surgery tend to have a higher frequency of delirium. Delirium is strongly associated with poor surgical outcomes. This study evaluated the association between pre-operative medication use and post-operative delirium (POD) in surgical oncology patients receiving comprehensive geriatric assessment (CGA). A total of 475 patients who were scheduled for cancer surgery and received CGA from January 2014 to June 2015 were included. Pre-operative medication review through CGA was conducted on polypharmacy (≥5 medications), delirium-inducing medications (DIMs), fall-inducing medications (FIMs), and potentially inappropriate medications (PIMs). POD was confirmed by psychiatric consultation, and DSM-V criteria were used for diagnosing delirium. The model fit of the prediction model was assessed by computing the Hosmer-Lemeshow goodness-of-fit test. Effect size was measured using the Nagelkerke R(2). Discrimination of the model was assessed by an analysis of the area under receiver operating curve (AUROC). Two models were constructed for multivariate analysis based on univariate analysis; model I included dementia and DIM in addition to age and sex, and model II included PIM instead of DIM of model I. Every one year increase of age increased the risk of POD by about 1.1-fold. DIM was a significant factor for POD after adjusting for confounders (AOR 12.78, 95 % CI 2.83-57.74). PIM was also a significant factor for POD (AOR 5.53, 95 % CI 2.03-15.05). The Hosmer-Lemeshow test results revealed good fits for both models (χ(2) = 3.842, p = 0.871 for model I and χ(2) = 8.130, p = 0.421 for model II). The Nagelkerke R(2) effect size and AUROC for model I was 0.215 and 0.833, respectively. Model II had the Nagelkerke R(2)effect size of 0.174 and AUROC of 0.819. These results suggest that pharmacists' comprehensive review for pre-operative medication use is critical for the post-operative outcomes like delirium in older patients.

Operational Radiological Protection and Aspects of Optimisation

International Nuclear Information System (INIS)

Lazo, E.; Lindvall, C.G.

2005-01-01

Since 1992, the Nuclear Energy Agency (NEA), along with the International Atomic Energy Agency (IAEA), has sponsored the Information System on Occupational Exposure (ISOE). ISOE collects and analyses occupational exposure data and experience from over 400 nuclear power plants around the world and is a forum for radiological protection experts from both nuclear power plants and regulatory authorities to share lessons learned and best practices in the management of worker radiation exposures. In connection to the ongoing work of the International Commission on Radiological Protection (ICRP) to develop new recommendations, the ISOE programme has been interested in how the new recommendations would affect operational radiological protection application at nuclear power plants. Bearing in mind that the ICRP is developing, in addition to new general recommendations, a new recommendation specifically on optimisation, the ISOE programme created a working group to study the operational aspects of optimisation, and to identify the key factors in optimisation that could usefully be reflected in ICRP recommendations. In addition, the Group identified areas where further ICRP clarification and guidance would be of assistance to practitioners, both at the plant and the regulatory authority. The specific objective of this ISOE work was to provide operational radiological protection input, based on practical experience, to the development of new ICRP recommendations, particularly in the area of optimisation. This will help assure that new recommendations will best serve the needs of those implementing radiation protection standards, for the public and for workers, at both national and international levels. (author)

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.

Operation of medical accelerator PATRO at Hyogo Ion Beam Medical Center

International Nuclear Information System (INIS)

Itano, A.; Akagi, T.; Higashi, A.; Fukushima, S.; Fujita, A.; Honda, Y.; Isa, H.; Nishikigouri, K.

2004-01-01

PATRO (Particle Accelerator for Therapy, Radiology and Oncology) is a medical accelerator facility for hadrontherapy of cancer at Hyogo Ion Beam Medical Center (HIBMC). Beam particles are proton (230 MeV) and carbon (320 MeV/u). After the beam commissioning and the tuning of irradiation system in 2000, we performed the clinical trials with proton and carbon beams from May 2001 until July 2002. We operated the accelerator for about 11,000 hours since the beginning of the beam tuning until the end of the clinical trials and for about 5,000 hours during the clinical trials. No serious troubles happened during the clinical trials. The stability and the reproducibility of the beams were well proved. (author)

[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.

Task force St. Bernard: operational issues and medical management of a National Guard disaster response operation.

Science.gov (United States)

Bonnett, Carl J; Schock, Tony R; McVaney, Kevin E; Colwell, Christopher B; Depass, Christopher

2007-01-01

After Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incorporated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encountered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

Toroidal Dielectric Tensor-Operator for Arbitrary Aspect-Ratio and Wave Frequency an Anisotropic-Resistivity MHD Formulation

International Nuclear Information System (INIS)

Komoshvili, K.; Cuperman, S.

1998-01-01

Motivated by the recently increased interest in small aspect ratio tokamaks, we have derived a 2(1/2)D dielectric tensor-operator which can properly describe the plasma response to r.f. waves, under conditions prevailing in the pre-heated stages of arbitrary aspect ratio, axisymmetric toroidal fusion devices. The derived dielectric tensor elements are based on a two-fluid, weakly collisional plasma description, with the Hall term included. They are characterized by the following features: (i) They are cast in a form evidencing the dielectric (non-operator) and operator contributions - the latter being due to the toroidal structure of the V-operators present in Maxwell's equations, on the background of equilibrium currents and pressure gradients; (ii) They are not subject to any I imitation on the (relative) magnitude of the toroidal effects - no expansion in the inverse aspect ratio parameter is used for their derivation; (iii) They include anisotropic - parallel and perpendicular to the magnetic field - contributions to the plasma resistivity; (iv) They are not Iimited by any restriction on the (relative) value of the wave frequency. The explicit, physically transparent formulation of the dielectric tensor is intended for the numerical solution of the full (E ll ≠ 0) wave equation and subsequently, evaluation of the Alfven wave current drive in small aspect ratio tokamaks

An Elective Seminar to Teach First-Year Students the Social and Medical Aspects of AIDS.

Science.gov (United States)

Goldman, Jonathon D.

1987-01-01

A seven-week seminar Northwestern University introduces medical students to a comprehensive approach to biological, psychological, and social aspects of AIDS. The course includes: a television movie and documentary film; roundtable discussions with AIDS patients, volunteers, and health care professionals; reading materials and lectures; and…

Medical support to military airborne training and operations.

Science.gov (United States)

Starkey, Kerry J; Lyon, J; Sigman, E; Pynn, H J; Nordmann, G

2018-05-01

Airborne operations enable large numbers of military forces to deploy on the ground in the shortest possible time. This however must be balanced by an increased risk of injury. The aim of this paper is to review the current UK military drop zone medical estimate process, which may help to predict the risk of potential injury and assist in planning appropriate levels of medical support. In spring 2015, a British Airborne Battlegroup (UKBG) deployed on a 7-week overseas interoperability training exercise in the USA with their American counterparts (USBG). This culminated in a 7-day Combined Joint Operations Access Exercise, which began with an airborne Joint Forcible Entry (JFE) of approximately 2100 paratroopers.The predicted number of jump-related injuries was estimated using Parachute Order Number 8 (PO No 8). Such injuries were defined as injuries occurring from the time the paratrooper exited the aircraft until they released their parachute harness on the ground. Overall, a total of 53 (2.5%) casualties occurred in the JFE phase of the exercise, lower than the predicted number of 168 (8%) using the PO No 8 tool. There was a higher incidence of back (30% actual vs 20% estimated) and head injuries (21% actual vs 5% estimated) than predicted with PO No 8. The current method for predicting the incidence of medical injuries after a parachute drop using the PO No 8 tool is potentially not accurate enough for current requirements. Further research into injury rate, influencing factors and injury type are urgently required in order to provide an evidence base to ensure optimal medical logistical and clinical planning for airborne training and operations in the future. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

[Asylum Law and Mental Health: An Interdisciplinary Analysis of the Coaction of Medical and Legal Aspects].

Science.gov (United States)

Hanewald, Bernd; Gieseking, Janina; Vogelbusch, Oliver; Markus, Inessa; Gallhofer, Bernd; Knipper, Michael

2016-04-01

Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the legal and medical facts are exposed, followed by a discussion referring to theoretical approaches from medical anthropology. Immigration laws and legal practice can have harmful consequences, which can be interpreted as "structural violence". In case of traumatized refugees, the coaction of legal and medical aspects has to be acknowledged seriously by the medical, legal and political parts involved. © Georg Thieme Verlag KG Stuttgart · New York.

Integrated Medical Model Overview

Science.gov (United States)

Myers, J.; Boley, L.; Foy, M.; Goodenow, D.; Griffin, D.; Keenan, A.; Kerstman, E.; Melton, S.; McGuire, K.; Saile, L.;

[Disease versus disorder. Medical and socio-environmental aspects of mental suffering].

Science.gov (United States)

Heinz, A

2015-01-01

A disease concept should be broad enough to provide social protection for all subjects suffering from this malady but at the same time it needs to be narrow enough to avoid pathologization of behavior that is merely socially undesirable. From a medical perspective a"disease" is present if functions are impaired that are relevant for individual survival. In the field of psychiatry and psychotherapy, such medically relevant functions include the ability to be alert and fully oriented, to ascribe one's own intentions to oneself and to modulate affects according to the situation. Beyond such medically relevant symptoms of a disease, any clinically relevant dysfunction should also be harmful for the individual if a mental malady is to be diagnosed. One such harmful consequence of a disease can be that the person feels ill and suffers from this state, another negative consequence for the individual can be due to an impairment of activities of daily living and social participation. These harmful consequences of a disease are usually discussed under the heading of the"illness experience" and the"sickness aspect" of any disorder. Beyond mental maladies characterized by disease symptoms that are accompanied either by an illness experience or impaired activities of daily living and social participation (sickness), there are many states of human suffering which can be objectified and classified but do not constitute a disease in the medical sense and should more aptly be named a disorder.

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.

Radiological safety aspects of the operation of neutron generators

International Nuclear Information System (INIS)

Boggs, R.F.

1976-01-01

The purpose of the manual is to provide some basic guidelines to persons with a minimum of training in radiological health or health physics, on some safety aspects of the operation of sealed-tube and Cockcroft-Walton type neutron generators. The manual does not state rules or regulations but presents a description of the most likely hazards. It is relevant to those relatively compact neutron generators which usually operate at less than 150-200 kV for the purpose of producing 14-MeV neutrons. The scope is limited to basic discussions of hazards and measurement techniques. Separate chapters are devoted to the characteristics and use of neutron generators; radiation hazards and safety considerations; radiation monitoring and interpretation of measurements; and requirements for an effective safety programme. Two appendices deal with non-radiation hazards and safety considerations, and with a neutron generator laboratory, respectively. An extensive list of bibliographic references is included

[Legal aspects of delegation and reorganisation of medical services in the psychiatric field].

Science.gov (United States)

Jordan, Wolfgang; Adler, Lothar; Bleich, Stefan; Cohrs, Stefan; von Einsiedel, Regina; Falkai, Peter; Grosskopf, Volker; Hauth, Iris; Steiner, Johann

2011-11-01

Current psychiatric-psychotherapeutic in-patient care takes place in an area of tension between increasing treatment requirements and the persistent lack of qualified staff. The optimisation of the diagnostic-therapeutic procedures in a clinic helps to reduce existing care deficits or to generate resources for future developments. The subject of delegation and substitution of medical services is considered in this context. Inadequate knowledge of the legal situation on the part of the decision makers impairs the indispensable trustful cooperation among the professions and adds to the uncertainty of all those concerned. The present paper outlines the legal, organisational and health policy aspects of delegation and the reorganisation of medical activities in the field of psychiatry. © Georg Thieme Verlag KG Stuttgart · New York.

Consultants' meeting on operational aspects of the global network ''isotopes in precipitation''

International Nuclear Information System (INIS)

1995-01-01

The Consultant's meeting on ''Operational Aspects of the Global Network - Isotopes in Precipitation'' was organized by the International Atomic Energy Agency (IAEA) in co-operation with the World Meteorological Organization (WMO), the Past Global Changes Project (PAGES) of the International Geosphere-Biosphere Programme (IGBP), the World Health Organization (WHO) and the International Association of Hydrological Sciences (IAHS). It was agreed to transfer the responsibility of running the GNIP and the collection of isotope data in precipitation to a Steering Committee, which will consist of representatives of the following organizations: IAEA, WMO, IGBP-PAGES, WHO, UNESCO and IAHS. The responsibilities of the International Atomic Energy Agency (IAEA) in the Steering Committee are as follows: Co-ordination of the sample analysis: Arrangements for and participation in the measuring programme. Monitoring analytical aspects of sample collection, storage, etc. Arrangements for interlaboratory comparison exercises; collection of isotope and meteorological data, maintenance of the GNIP database and data distribution to interested users; promotion of full use and wider application of GNIP data in practical hydrological applications. Figs, tabs

Technical aspects of ageing for long-term operation

International Nuclear Information System (INIS)

2003-01-01

The aspects of plant ageing management gained increasing attention over the last ten years. Numerous technical studies have been performed to study the impact of ageing mechanisms on the safe and reliable operation of nuclear power plants. National research activities have been initiated or are in progress to provide the technical basis for decision making processes. The long-term operation of nuclear power plants is influenced by economic considerations, the socio-economic environment including public acceptance, developments in research and the regulatory framework, the availability of technical infrastructure to maintain and service the systems, structures and components as well as qualified personnel. This document restricts itself to the technical aspects of the basis for long-term operation. Its objective is the characterisation of technical key items. Regulatory aspects are being discussed within CNRA. The light water reactor (LWR) nuclear power plants in operation are generically of pressurised water reactor (PWR) or boiling water reactor (BWR) type. The design principles of the nuclear steam supply system (NSSS) are proven in long-term operation as well as the principles being applied to the balance of plant (BOP), although a rather large variety of technical solutions do exist. The steps in the developments were tremendous in the 60's and 70's up to a power output of 1200 MWe followed by a period of further optimisation in the 80's and 90's, which raised it close to 1500 MWe. The NPPs in operation can be grouped into different generations of design in order to characterise similarities in technical principles and manufacturing standards. In the area of civil and mechanical structures and components there has been continuous development to optimise the design, the materials used as well as the manufacturing technology. The majority of these structures and components is still in use. In principle there are no major obstacles to further use of these

Exploration Medical System Technical Architecture Overview

Science.gov (United States)

Cerro, J.; Rubin, D.; Mindock, J.; Middour, C.; McGuire, K.; Hanson, A.; Reilly, J.; Burba, T.; Urbina, M.

2018-01-01

The Exploration Medical Capability (ExMC) Element Systems Engineering (SE) goals include defining the technical system needed to support medical capabilities for a Mars exploration mission. A draft medical system architecture was developed based on stakeholder needs, system goals, and system behaviors, as captured in an ExMC concept of operations document and a system model. This talk will discuss a high-level view of the medical system, as part of a larger crew health and performance system, both of which will support crew during Deep Space Transport missions. Other mission components, such as the flight system, ground system, caregiver, and patient, will be discussed as aspects of the context because the medical system will have important interactions with each. Additionally, important interactions with other aspects of the crew health and performance system are anticipated, such as health & wellness, mission task performance support, and environmental protection. This talk will highlight areas in which we are working with other disciplines to understand these interactions.

The criticality accident in Tokaimura and medical aspects of radiation emergency

International Nuclear Information System (INIS)

Chen Xiaohua; Mao Bingzhi

2003-01-01

A criticality accident occurred on September 30, 1999 at the uranium processing plant in Tokaimura Japan, which is the most severe accident since Chernobyl catastrophe. 213 people were exposed to radiation, among them 2 workers were exposed to 16-23 Gy and 6-10 Gy individually, one worker was 2 Gy, 2 people was 10 mSv and 208 person was 0-5 mSv. Author was invited to attend an international symposium on 'The Criticality Accident in Tokaimura Medical Aspects of Radiation Emergency' in Chiba Japan on December 2000. An overview of the accident, dose estimation and neutron relative biological effects are discussed in this article

Characterization of the medical department of pharmaceutical companies operating in Portugal

Directory of Open Access Journals (Sweden)

Acílio Gala

2017-04-01

Full Text Available In a context of strong regulatory demands and high economic pressures and constraints, medical departments within pharmaceutical companies, have demonstrated its strategic relevance even though the functions to embrace are not globally consensual. In this context, a study that intended to analyse the management of medical activities, in pharmaceutical companies operating in Portugal, including allocated human resources and investment trends, was implemented. Quantitative information was collected through an electronic survey, in pharmaceutical companies with activity in Portugal. The analysis of the results supported the conclusion that the majority of the companies are affiliates of international companies and that 79% of them have formalized medical departments. The human resources of the medical departments of the participant companies include several professional classes, with predominance of pharmacists. Globally, the number of employees of the medical area has registered a systematic growth in the last years. It was also possible to conclude that the majority of the companies are increasing the investment in medical affairs activities. This study enables the understanding of these activities in pharmaceutical companies operating in Portugal, within the international panorama of pharmaceutical industry. It contributes to improve the knowledge about the relevance of medical departments while enabling the definition of novel pathways to increase the competiveness and sustainability of the companies.

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.

Thermal, operational, and economic aspects of repository design alternatives

International Nuclear Information System (INIS)

Closs, K.D.; Papp, R.; Bechthold, W.; Engelmann, H.J.; Hartje, B.

1989-01-01

This paper discusses how a broad spectrum of heat-generating nuclear waste types like reprocessing waste (HLW, ILW), spent LWR, and spent HTR fuel will be disposed of in a future German repository located in a salt dome. Different package and emplacement concepts for the various waste forms are feasible, ranging from pure borehole emplacement of canisters and drums to pure drift emplacement of heavily shielded casks as well as combinations of both concepts. Optimization of the whole back-end system (waste treatment, interim storage, and disposal) is performed taking into account thermal, operational, and economic aspects. From a radiological viewpoint, the drift emplacement concept is superior to all concepts in as much as the occupational dose is lowest and zero release from the casks is attainable during normal and anomalous repository operation. As far as economics are concerned, the cost of the heavily shielded casks necessary for drift emplacement contributes markedly to the overall cost of the whole back-end system. Drift emplacement can compete economically with the other concepts only if the casks are used both for interim storage and disposal

Ergonomic Aspects of Transport of Patient through the Operating Theatre

Science.gov (United States)

Janowicz, Rafał

2017-10-01

One of the most crucial decisions to be made while designing and re-modernizing an operating theatre is selecting a method of transporting the patient through the hospital’s spatial arrangement. This decision, while irrelevant at first thought, implies numerous project and functional consequences. Designing an operating theatre within a hospital is related to numerous specialist requirements with an aim of minimizing the risk of microbiological contamination. Surgeries conducted on the operating theatre take place within sterile areas, usually within a protection area provided with laminar air flow. Furthermore, currently in Poland, there are applicable rules requiring to have entrances secured with tract locks leading towards the operational rooms for hospital personnel, patients as well as hospital equipment and materials. Such construction of an operating theatre provides the necessity of applying detailed procedures of transporting the patient, who in most cases is not able to reach the surgery on his or her own. In operating theatres functioning during the last decades, the operating tables were most often fixed to the floor. This resulted in the need to relocate the patient, who is ready for surgery, for several times. The consequences of this included risks related shock due to the relocations for the patient as well as physical overload for the medical staff. The aim of hereby article is to present modern designer solutions providing the opportunity to enhance ergonomics of using the operating theatre.

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

Science.gov (United States)

1996-02-01

1979. Alter, W. A., and Conklin, J. J. "Radiation Casualties" in: Handbook of Disaster Medicine . Medical Examination Publishing Co., 1983. Berdjis...disturbance produced in indoles (such as LSD) or the cannabinols (such as marihuana extracts) is not really delirium, because the casualties remain... medicinal properties similar to those of inorganic arsenic to which it is partially reduced in the body. However, no reduction to trivalent arsenic

Operational and safety aspects of vitrified waste casks

International Nuclear Information System (INIS)

Kirchner, B.

1993-01-01

For the time being two technical solutions have been developed for the interim storage: 1) one is based on forced air cooled pits set out in a concrete structure, as presently provided close to the Vitrification Facilities on reprocessing sites; 2) the other one is based on transportable storage casks standing vertically onto a storage pad, following principles similar to those already experienced with spent fuel storage casks. Considering these two solutions for interim storage, TRANSNUCLEAIRE has developed two main types of transportable casks for vitrified HAW; one is a routine transport cask; the other one is a transportable storage cask. Both are covered by the generic name TN28V and have already been described in previous papers. This paper deals with the safety and operation aspects of the casks under both transport and storage conditions. (J.P.N.)

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.

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.

Space Technology - Game Changing Development NASA Facts: Autonomous Medical Operations

Science.gov (United States)

Thompson, David E.

2018-01-01

The AMO (Autonomous Medical Operations) Project is working extensively to train medical models on the reliability and confidence of computer-aided interpretation of ultrasound images in various clinical settings, and of various anatomical structures. AI (Artificial Intelligence) algorithms recognize and classify features in the ultrasound images, and these are compared to those features that clinicians use to diagnose diseases. The acquisition of clinically validated image assessment and the use of the AI algorithms constitutes fundamental baseline for a Medical Decision Support System that will advise crew on long-duration, remote missions.

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.

Supervisory and managerial aspects on the safe operation of the Egyptian second research reactor

International Nuclear Information System (INIS)

Abdelrazek, I.D.; Shokr, A.M.

2000-01-01

ETRR-2 is a multipurpose reactor for radioisotopes production, neutron beam experiments, basic and applied research in physics and engineering, fuels and material tests, and for training. The reactor is an open pool type, 22 MW power, with average thermal neutron flux of 1.4x10 14 n/cm 2 sec, cooled and moderated by light water and with beryllium reflectors. Various experimental devices and irradiation facilities are integrated with the reactor. The reactor has been licensed for operation in November 1998. Several principles and regulations have been applied to all the reactor project stages to achieve safety. Moreover, other several principals, regulations, and aspects are enforced by the AEA, National Center for Nuclear Safety and Radiation Control, NCNSRC, and reactor management to achieve safety during reactor operation and utilization. Responsibility on Safety and Supervision Aspects AEA chairman has the ultimate responsibility on the reactor safety during operation and utilization. The primary responsible on the safety is the ETRR-2 supervisor, who is supervising the ETRR-2 site that includes the ETRR-2 reactor, Fuel Manufacturing Plant, and other two projects (under execution): Radioisotopes Production Plant and Dry Fuel Storage Facility. ETRR-2 supervisor is responsible to ensure that: the reactor is operated in accordance with the safety requirements by qualified and trained personnel, updating and enforcement of the reactor mandatory documentation, and the services are adequate for the reactor operation. He is responsible, also, to guarantee that: the reactor manager has enough authority and resources to carry out his function effectively and the reactor is kept operated in agreement with established procedures. A Technical Revision Committee, TRC, is formed to advice the ETRR-2 supervisor on the safety of the reactor and experiments. The committee members are from AEA experts with no direct relation to the reactor and experiments being performed. Members

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.

Assess of the Status of the Karaj Operating Rooms in Comparison with International Standards in 2011

Directory of Open Access Journals (Sweden)

M.H. Naseri

2012-10-01

Full Text Available Background: Because of making money, the operating room (OR is known as the beating heart of any clinical & health center. The effective and regular activity of the operating room guarantees a sustainable income for the hospital. So, in order to provide high quality treatment and care services, and to save the health and safety of OR staff, exploiting standard equipments and spaces as well as employing professional and skilled personnel is necessary. This study was aimed to assess the status of the Karaj operating rooms from physical, safety, sterilization, staffing and equipment aspects in comparison to the International Standards. Methods: This sectional descriptive study was conducted in Alborz University of Medical Sciences in 2011. Samples were 10 operating room wards from 10 surgical hospitals. Data were collected by a 70 items check-list at 5 fields of physical, safety, sterilization, staffing and equipment conditions and then compared to the international standards. The data were recorded in SPSS software and analyzed by statistical methods. Results: The results showed that compared to the international standards, the physical aspect was 60.5%, safety aspect 66%, sterilization aspect 68%, staffing aspect 63%, and equipment aspect was 80% close to the standard criteria. On the whole, in 10 assessed hospitals, equipment aspect with 80% had the best and the physical aspect with 60.5% had the worst conditions respectively. Conclusion: Due to admission in different medical and paramedical programs in Alborz University of Medical Sciences, renovation of the ORs is essential for training skilled students. Considering the results of this study could help the University authorities to improve the current condition.

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. © The Author(s) 2015.

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…

End of life decisions in newborns in The Netherlands : medical and legal aspects of the Groningen protocol

NARCIS (Netherlands)

Verhagen, E

The international press has been full of blood chilling accounts concerning a supposedly new practice in the Netherlands of terminating the life of severely defective newborn babies with a protocol. Our aim is to give insight into the medical and legal aspects of this protocol and to describe its

Army Medical Department Leaders in Military Operations Other Than War

National Research Council Canada - National Science Library

Sadlon, Gary

2000-01-01

.... Likewise, the Army Medical Department (AMEDD) must insure its leaders, specifically those selected to deploy world-wide, have a more diverse skill set that enables them to fully operate within the full spectrum of scenarios...

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 H 2 O 2, 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.

Reasons for medical evacuations of soldiers serving in International Security Assistance Force (ISAF) operation in Afghanistan.

Science.gov (United States)

Korzeniewski, Krzysztof; Gregulski, Robert

2014-01-01

The article presents the results of a research study into the reasons for medical evacuations of Polish military personnel taking part in the International Security Assistance Force (ISAF) operation in Afghanistan from 2007 to 2013. The authors have analysed medical records of 485 soldiers who were medically evacuated out of a combat zone in Afghanistan for battle injuries, non-battle injuries and diseases. Each medically evacuated Polish soldier was subjected to statistical analysis. The study population comprised 25,974 soldiers assigned to the Polish Military Contingent Afghanistan in the given period. From 2007 to 2013, 1.9% of the Polish military personnel (n = 485) participating in the ISAF operation in Afghanistan were evacuated for medical reasons before the scheduled termination of their contract. 40.6% of all medical evacuations were due to battle injuries, 32.4% due to non-battle injuries, and 27.0% due to diseases. ISAF is an example of a combat operation, in which battle injuries remain the leading health problem in mission participants. 3 of 4 Polish soldiers who were medically evacuated from Afghanistan were no longer fit for military service in the area of operations due to the traumas they had suffered.

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.

Design and implementation of a radiotherapy programme: Clinical, medical physics, radiation protection and safety aspects

International Nuclear Information System (INIS)

1998-09-01

It is widely acknowledged that the clinical aspects (diagnosis, decision, indication for treatment, follow-up) as well as the procedures related to the physical and technical aspects of patient treatment must be subjected to careful control and planning in order to ensure safe, high quality radiotherapy. Whilst it has long been recognized that the physical aspects of quality assurance in radiotherapy are vital to achieve and effective and safe treatment, it has been increasingly acknowledged only recently that a systematic approach is absolutely necessary to all steps within clinical and technical aspects of a radiotherapy programme as well. The need to establish general guidelines at the IAEA, taking into account clinical medical physics, radiation protection and safety considerations, for designing and implementing radiotherapy programmes in Member States has been identified through the Member States' increased interest in the efficient and safe application of radiation in health care. Several consultants and advisory group meetings were convened to prepare a report providing a basis for establishing a programme in radiotherapy. The present TECDOC is addressed to all professionals and administrators involved in the development, implementation and management of a radiotherapy programme in order to establish a common and consistent framework where all steps and procedures in radiotherapy are taken into account

Evaluation of the revised electrolytic reduction reactor from a remote operability aspect

Energy Technology Data Exchange (ETDEWEB)

Lee, Hyo Jik; Yoon, K. H.; Kim, K. H. (and others)

2008-01-15

This report presents an evaluation of the remote operability of the revised electrolytic reduction (ER) reactor installed in the ACP at KAERI. All operations have to be implemented in a fully remote manner since the ACPF is a hotcell for handling highly radioactive materials such as spent nuclear fuels. In particular, the ER process is a key process of the Advanced spent fuel Conditioning Process (ACP) and it needs a lot of other auxiliary equipment to perform it. Also, since the ER equipment is too big and complicated, and contrarily the ACPF is not big enough, and one common rail is allotted for a bridge transported servo manipulator, an in-cell crane and a gate crane, a remote handling of the ER reactor is accompanied by a difficulty for a remote operation. For an easy understanding, short overview of the ER process, the remote handling equipment, the structural configuration of the ACPF and the detail drawings of the ER equipment are presented. Through 4 month-remote operational tests, detailed operational procedures are presented along with pictures. The remote handling equipment and tools required in each operation are addressed in detail. Also, the procedure to implement each remote operation, and a task difficulty are evaluated from a remote operability aspect. All the remote tasks are distinguished according to whether a remote operation can be performed or not. Finally, partial improvement or an idea to solve the suggested problems is presented. This report will assist in modifying or scaling up the ER reactor.

Improve and reinforced aspects associated with the behaviour of control-room operators of NNPPS

International Nuclear Information System (INIS)

Lucas, A. S.

2002-01-01

This article is devoted to explain the training experience carried out in Tecnatom, in order to improve and reinforce aspects associated with the behavior of Control-Room (CR) Operators of Nuclear Power Stations (Reactor Operators/Supervisors) in the training Simulator-setting, centered mainly in aspects of: Team Work, Effective Communications, Use of Procedures, Self checking, Decisions Making, Diagnosis, Leadership, Motivation and other attitudes to promote during the shift. The experience has been positive for everybody and the results welcomed by the participants, who have fed back the process positively. The experienced training cycle is new and it basically consists in developing, in the Simulator setting and, with a specific programme, behaviors in such a way that the participants reflect and, consider as theirs, the expectations and criteria developed on the previously points, where the role of the instructor Assistant, is only to guide, help, observe, challenge, encourage, create possibilities, motivate, suggest and reflect in such a way that the participant may be able to learn by himself. (Author)

[Beginners' operations and medical specialist standards : Avoidance of criminal liability and civil liability].

Science.gov (United States)

Schneider, H

2018-05-16

In all phases, patients are entitled to receive medical treatment according to medical specialist standards. This does not mean that patients necessarily have to be treated by a medical specialist. Operations performed by "beginners", e. g. assistant physicians, are permitted. However, there are increased liability risks, both for the specialist and the assistant physician. Furthermore, there are risks of criminal responsibility for causing bodily harm by negligence or negligent manslaughter. This article portrays the requirements of civil liability and criminal responsibility concerning beginners' operations on the basis of cases and judgments of the Federal Court and the Higher Regional Courts in Germany. Additionally, the reception of the jurisprudence by the relevant legal literature will be discussed. Jurisprudence and legal literature categorize breaches of duty of care. Assistant physicians can be subject to contributory negligence liabilities, while specialists can bear liabilities for negligent selection, organization or supervision. Responsible specialist and assistant physicians can protect themselves (and the patient) and avoid legal risks by only performing operations adequate to their educational level or by delegating operations to beginners and ensuring intervention by a specialist by supervision of the operation which is suitable to the assistant physician's level of education.

Medical Operational Challenges in the Expedition 16 Landing and Recovery

Science.gov (United States)

Moynihan, S.; Johnston, S. L.; Ilcus, L. S.; Shevchenko, V.

2009-01-01

On April 19, 2008 the crew of Expedition 16 left the International Space Station and returned to earth via their Soyuz TMA-11 capsule after 192 days on orbit. Their capsule experienced the second consecutive and third ballistic reentry in the last 10 TMA recoveries and landed approximately 260 miles (420 km) from the prime landing site. Issues: The purpose of this presentation will be to describe, not only the typical medical operational challenges faced by Flight Surgeons recovering a long duration crew from space, but also address the unique challenges that existed with the Expedition 16 landing and crew recovery. Nominal Soyuz recovery challenges include remote recovery sites with crew exposures to sleep shifting and fatigue, dehydration, hypothermia and hyperthermia, and rotational, sustained, and impact g-forces. These environmental factors coupled with the patho-physiologic neuro-vestibular and orthostatic intolerance changes that occur secondary to the crews reintroduction into the earth s gravity field will be detailed. Additional challenges that were unique to this expedition included a ballistic reentry with higher g-loads, the presence of fire outside of the capsule on landing, a contingency medical event of a ground support personnel, and loss of communications with the crew just prior to landing and during recovery operations. Conclusions: In spite of these unique challenges the Russian Search and Rescue Forces and Medical Support personnel along with U.S. Medical Support performed well together. Possible improvements in training and coordination will be discussed.

Safety aspects of long term operation of water moderated reactors. Recommendations on the scope and content of programmes for safe long term operation. Final report of the extrabudgetary programme on safety aspects long term operation of water moderated reactors

International Nuclear Information System (INIS)

2007-07-01

During the last two decades, the number of IAEA Member States giving high priority to continuing the operation of nuclear power plants beyond the time frame originally anticipated is increasing. This is related to the age of nuclear power plants connected to the grid worldwide. The IAEA started to develop guidance on the safety aspects of ageing management in the 1990s. Recognizing the development in a number of its Member States, the IAEA initiated this Extrabudgetary Programme on Safety Aspects of Long Term Operation of Water Moderated Reactors in 2003. The objective of the Programme was to establish recommendations on the scope and content of activities to ensure safe long term operation of water moderated reactors. The term long term operation is used to accommodate various approaches in Member States and is defined as operation beyond an initial time frame set forth in design, standards, licence, and/or regulations, that is justified by safety assessment, considering life limiting processes and features for systems, structures and components. The scope of the Programme included general long term operation framework, mechanical components and materials, electrical components and instrumentation and control, and structural components and structures. The scope of the Programme was limited to physical structures of the NPPs. Four working groups addressed the above indicated technical areas. The Programme steering committee provided coordination and guidance and served as a forum for the exchange of information. The Programme implementation relied on voluntary in kind and financial contributions from the Czech Republic, Hungary, Slovakia, Sweden, the United Kingdom and the USA as well as in kind contributions from Bulgaria, Finland, the Netherlands, the Russian Federation, Spain, the Ukraine, and the European Commission. This report summarizes the main results, conclusions and recommendations of this Programme and provides in the Appendices I-IV detailed

Health aspects of Arctic exploration – Alaska's medical history based on the research files of Dr. Robert Fortuine

Directory of Open Access Journals (Sweden)

Kathleen Murray

2013-08-01

Full Text Available Background . Robert Fortuine provided basic medical care to Alaska Native people, chronicled the Health Aspects of Arctic Exploration and through a number of influential publications, was the first to thoroughly document and analyse Alaska's Medical History. This overview of his published work will provide the reader with a detailed overview, so that they can begin to explore Dr. Fortuine's many published works in more detail. Objective . This review will explore Alaska's Medical History and the Health Aspects of Arctic Exploration through the research files and the 10 most significant publications of Dr. Robert Fortuine. Design . Review of Dr. Fortuine's major works and the master bibliography has over 3,000 references and 81 subjects. The master bibliography is a merger of 55 separate bibliographies, which provides a wealth of bibliographic information. This paper will describe his 10 most significant publications, 2 of which began as a journal issue. Results . Dr. Fortuine was a prolific writer throughout his career, publishing 134 articles and books. He wrote papers and books on Alaska's medical history, tuberculosis and health care delivery from Russian–America through the Public Health Service efforts in the territory and then the State of Alaska. The master bibliography has over 3,000 references and 81 subjects. This list has a significant number of entries for tuberculosis with almost one-third of the entries including this heading. Others dwell on the history of “pre-contact” health, the history of Alaska Native health care, the history of the Alaska Department of Health, especially the tuberculosis programme, the role of the US Public Health Service and traditional medicine. He completely reviewed every Governors’ and the US Surgeon General's reports in regard to Alaska content. This paper describes his 10 most significant publications. Conclusions . Robert Fortuine's published works offer a wealth of information and insight

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.

Do medical students adhere to advice regarding a healthy lifestyle? A pilot study of BMI and some aspects of lifestyle in medical students in Poland.

Science.gov (United States)

Kanikowska, Dominika; Sikorska, Dorota; Kuczyńska, Barbara; Grzymisławski, Marian; Bręborowicz, Andrzej; Witowski, Janusz

2017-12-01

The components of lifestyle of medical students, with comprehensive reporting of their physical activity and drinking and eating behavior, are rarely evaluated. Being overweight (increased body mass index - BMI) is associated with health problems, an unhealthy lifestyle (inadequate sleep, diet and exercise) being implicated. The aim was to determine if there were discrepancies between assessments of actual lifestyle and advice regarding the principles of a healthy lifestyle. The relationship between lifestyle and BMI was investigated in 270 medical students (158 females, 112 males) who answered a questionnaire about aspects of their lifestyle. The mean ±SD BMI in males (23.41 ±0.25kg/m2) was significantly higher than in females (20.52 ±0.16kg/m2). Many aspects of lifestyle differed significantly with gender, including sleep habits, number of meals eaten, types of food eaten (fast food, amounts of fresh fruit and vegetables, sweets, etc.) and alcohol consumption, males generally having less healthy lifestyles. After correcting the associations between BMI and lifestyle factors for gender, one main finding was a positive association between BMI and alcohol intake, BMI rising by 0.014 kg/m2/g alcohol intake per week. These results show clear differences between actual and advised lifestyle with regard to many aspects of sleep, food and fluid intake, and exercise. Most students, particularly males, had not adopted a healthy lifestyle. Possible future problems associated with this require more emphasis.

[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.

PRACTICAL ASPECTS REGARDING FIDUCIARY OPERATIONS

Directory of Open Access Journals (Sweden)

Bazil Oglindă

2016-11-01

Full Text Available The trusts have been frequently used in the countries which function under the Anglo-Saxon law system, but it most certainly represents an innovation in the new Romanian legislation. For this reason, in this paper, we tried to highlight the main differences between the trust regulated in the Romanian Civil code and its corespondent in other legal systems. Observing that the trust in an institution that is mainly theoretical, and the reluctance of practicioners in using it, we tried to analyze the trust, regarding its practical side. In this paper, we will take into consideration the following aspects: the rights that the trustee acquires after establishing the trust, that will be explained through the new regulations regarding the division of assets, the quality of the parties and the limits in which the trustee may be held liable. Other important aspects are: the means that the new regulations provide in order to protect the interests of the creditors and at the same time, the fiduciary assets; the formalities which the law requires and the means of termination of the contract. In the end, in order to identify alternative solutions, we will compare the trust (regulated in the Civil code with the management of assets that belong to a third party.

OSTEOPOROSIS IN RUSSIAN FEDERATION: EPIDEMIOLOGY, SOCIO-MEDICAL AND ECONOMICAL ASPECTS (REVIEW

Directory of Open Access Journals (Sweden)

O. M. Lesnyak

2018-01-01

Full Text Available The authors performed an analysis of published stadies devoted to osteoporosis situation in Russian Federation including epidemiological, social, medical and economical aspects of this pathology. The analysis demonstrated that osteoporosis is reported in every third woman and every forth man of 50 years old and older. Seven vertebra fractures happen every minute and one fracture of proximal femur — every 5 minutes in Russia. An overall number of all key osteoporotic fractures will increase from 590 thousand up to 730 thousand cases by the year 2035. Osteoporosis is financially demanding for healthcare due to high treatment cost of fractures that are accompanied by life quality deterioration, high mortality and invalidization of patients. Epidemiological studies demonstrated that due to high fracture risk the osteoporosis therapy should be assigned to 31% of female and 4% of male patients over 50 years old. Such factors of osteoporosis risks are widespread in the society: smoking, low food calcium consumption, vitamin D deficit, low physical activity. The authors analyzed the problems in organization of medical care to patients with osteoporosis and osteoporotic fractures and possible solutions to existing issues. The organization of healthcare should be addressed at identification of high risk patient groups, early diagnosis and assignment of corresponding treatment aimed at decreasing potential fracture risk as well as at pathology prophylaxis.

Variables influencing medical student learning in the operating room.

Science.gov (United States)

Schwind, Cathy J; Boehler, Margaret L; Rogers, David A; Williams, Reed G; Dunnington, Gary; Folse, Roland; Markwell, Stephen J

2004-02-01

The operating room (OR) is an important venue where surgeons do much of medical student teaching and yet there has been little work evaluating variables that influence learning in this unique environment. We designed this study to identify variables that affected medical student learning in the OR. We developed a questionnaire based on surgery faculty observations of learning in the OR. The medical students completed the questionnaire on 114 learning episodes in the OR. Pearson correlation coefficient was used to establish the strength of association between various variables and the student's overall perception of learning. The students evaluated 27 variables that might impact their learning in the OR. Strong correlations were identified between the attending physician's attitude, interactions and teaching ability in the OR and the environment being conducive to learning. Surgical faculty behavior is a powerful determinant of student perceptions of what provides for a favorable learning environment in the OR.

Accounting and Legal Aspects regarding the Online Romanian Crowdfunding Platforms` Operations

Directory of Open Access Journals (Sweden)

Cristina Nicolaescu

2016-01-01

Full Text Available The present paper aims to detail the law and the accounting aspects related to the platforms of participative funding running. Even if, the crowdfunding, as a funding method, is internationally used more and more often and for a certain period of time, it represents a new concept in Romania. In principle, the crowd funding or the participative funding, as the term has been assumed in Romania, represents the funding of a project elaborated by an individual or by a legal entity, by any interested person. The operations unfold using online platforms, which connect the investors and the projects’ developers, requesting a commission in exchange for this service.

Safety of the medical gas pipeline system

Directory of Open Access Journals (Sweden)

Sushmita Sarangi

2018-01-01

Full Text Available Medical gases are nowadays being used for a number of diverse clinical applications and its piped delivery is a landmark achievement in the field of patient care. Patient safety is of paramount importance in the design, installation, commissioning, and operation of medical gas pipeline systems (MGPS. The system has to be operational round the clock, with practically zero downtime and its failure can be fatal if not restored at the earliest. There is a lack of awareness among the clinicians regarding the medico-legal aspect involved with the MGPS. It is a highly technical field; hence, an in-depth knowledge is a must to ensure safety with the system.

National Synchrotron Light Source medical personnel protection interlock

Energy Technology Data Exchange (ETDEWEB)

Buda, S.; Gmuer, N.F.; Larson, R.; Thomlinson, W.

1998-11-01

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. This MPPI report is organized such that the level of detail changes from a general overview to detailed engineering drawings of the hardware system. The general overview is presented in Section 1.0, MPPI Operational Mode and Procedures. The various MPPI components are described in detail in Section 2.0. Section 3.0 presents some simplified logic diagrams and accompanying text. This section was written to allow readers to become familiar with the logic system without having to work through the entire set of detailed engineering drawings listed in the Appendix. Detailed logic specifications are given in Section 4.0. The Appendix also contains copies of the current MPPI interlock test procedures for Setup and Patient Modes.

Medicolegal aspects of medical radiation exposure

International Nuclear Information System (INIS)

Ross, W.M.

1990-01-01

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)

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.

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

Protecting the Force - Occupational Medicine's Expanded Role in Future Theaters of Operation

National Research Council Canada - National Science Library

Stover, William

1998-01-01

.... Other aspects of health service support that are not so closely tied to the hospital like medical intelligence and preventive medicine must also be considered and included for in the operational planning process...

Nuclear accident: dosimetric and medical aspects

International Nuclear Information System (INIS)

Oliveira, A.R. de.

The conservation aspect of the treatment of patients who received whole-body exposure is presented. Such treatment to be started during the first hours after the accident (prodomal phase), as well as the nonconventional measures to be adopted when the critical phase of acute irradiation syndrome is reached. (E.G.) [pt

Ethical aspect in medical radiation use

International Nuclear Information System (INIS)

Kiefer, Juergen

2014-01-01

Medical radiation uses hold a specific position in radiation protection. Patients are purposely exposed to radiation while usually radiation exposure should be avoided. The radiation doses are (at least in principle) planned the risks may be estimated (again in principle). The hazards are justified by the medical benefit. Otherwise irradiation is a violation of physical integrity (article 2 Grundgesetz) that can be prosecuted. For patients no dose limits exist, the responsible physician decides on the real exposures. Justification and optimization are of predominant importance. The decision on the radiological measure, the applied technology is an ethically motivated decision besides the everyday routine.

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.

Proposed medical applications of the National Accelerator Centre facilities

International Nuclear Information System (INIS)

Jones, D.T.L.

1982-01-01

The National Accelerator Centre is at present under construction at Faure, near Cape Town. The complex will house a 200 MeV separated-sector cyclotron which will provide high quality beams for nuclear physics and related diciplines as well as high intensity beams for medical use. The medical aspects catered for will include particle radiotherapy, isotope production and possibly proton radiography. A 30-bed hospital is to be constructed on the site. Building operations are well advanced and the medical facilities should be available for use by the end of 1984

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.

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Science.gov (United States)

2010-10-01

... devices operating in the 608-614 MHz band. For a wireless medical telemetry device operating within the... 47 Telecommunication 5 2010-10-01 2010-10-01 false Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band. 95.1119 Section 95.1119 Telecommunication FEDERAL...

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.

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.

Radiological protection worker: occupational medical aspects

International Nuclear Information System (INIS)

Mora Ramirez, Erick

2008-01-01

International Organizations involved with radiation protection are presented in the first part. Also some documents related to the radiation that have been published by these organizations. Among the analyzed contents are the radiation and their patients, how to avoid the damage of radiation, pregnancy and exposure to medical radiation, effects of radiation, recommendations for the protection and safety standards. Occupational exposure is defined as the exposure received and understood by a worker during a period of work. In addition, it shows the types of occupational exposure, the protection that workers must have with the radiation, regulations, laws and the regulatory authority that protects the medical personnel in the uses of radiology [es

Boron neutron capture therapy: An interdisciplinary co-operation

International Nuclear Information System (INIS)

Sauerwein, W.; Hideghety, K.; Rassow, J.; Moss, R.L.; Stecher-Rasmussen, F.; Heimans, J.; Gabel, D.; Vries, M.J. de; Touw, D.J.

2001-01-01

The international (European) undertaking in BNCT in the Netherlands has required close scrutiny of the organisational structure required to establish BNCT facilities. The multidisciplinary co-operation and the tasks of the participants in the hospital (Radiation Oncologist, Medical Physicist, Pharmacist and other medical and paramedical staff) and those attached to the reactor) are described. The organisational structure and regulatory aspects required for the international functioning of the Petten treatment facility are provided for guidance to new projects in this field. (author)

Dosimetric and medical aspects of the radiological accident in Goiania in 1987

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-06-01

In September 1987, in Goiania, a city of one million inhabitants and capital of the Brazilian State of Goias, a rotating assembly of the shielding head of a teletherapy unit was removed and the capsule containing 50.9 TBq (1375 Ci) of {sup 137}Cs was dismantled. This serious radiological accident resulted in four fatalities, injuries to many people, and the widespread contamination of the central part of Goiania. This TECDOC describes the dosimetric and medical aspects of the Goiania accident, including the experience of some of the scientists and physicians who were involved in the management, monitoring and treatment of the victims. Many scientific papers have been published on the subject in different journals. This publication compiles up to data conclusions on the 10 year follow-up of the Goiania accident victims, and summarizes the experience that was acquired Refs, figs, tabs

Dosimetric and medical aspects of the radiological accident in Goiania in 1987

International Nuclear Information System (INIS)

1998-06-01

In September 1987, in Goiania, a city of one million inhabitants and capital of the Brazilian State of Goias, a rotating assembly of the shielding head of a teletherapy unit was removed and the capsule containing 50.9 TBq (1375 Ci) of 137 Cs was dismantled. This serious radiological accident resulted in four fatalities, injuries to many people, and the widespread contamination of the central part of Goiania. This TECDOC describes the dosimetric and medical aspects of the Goiania accident, including the experience of some of the scientists and physicians who were involved in the management, monitoring and treatment of the victims. Many scientific papers have been published on the subject in different journals. This publication compiles up to data conclusions on the 10 year follow-up of the Goiania accident victims, and summarizes the experience that was acquired

Economic aspects of the use of innovative methods of stationary medical services payment in obligatory health insurance system

Directory of Open Access Journals (Sweden)

Bryksina N.V.

2016-11-01

Full Text Available the article considers the payment of medical services experience in a hospital with clinical and statistical groups, formed in the system of obligatory medical insurance of the Sverdlovsk region. Based on the analysis of statistical data shows that the use of this method of payment meets the challenges of the single-channel financing, allowing to influence the structure of hospitalization, the use of new medical technologies, the increase in operational activity and contributes to more optimal allocation of limited financial resources in the system of obligatory medical insurance.

Using management of aging in German nuclear power plants - aspects of KTA 1403 pertaining to residual power operation, post-shutdown operation and residual operation

International Nuclear Information System (INIS)

Barreiro, Pablo; Bever, Thomas; Brast, Gerhard; Elsche, Bjoern; Reese, Sven H.; Grossmann, Patrick; Widera, Martin; Huettner, Frank; Linnemann, Thomas; Smit, Swen-Olaf; Zander, Ralf-Michael

2013-01-01

Management of aging in nuclear power plants originated in the United States of America and became a topic of debate in Germany from the late 1990s onward. On the basis of the existing plant-specific measures practiced comprehensively, KTA 1403, ''Management of Aging in Nuclear Power Plants'', was drafted and finalized in 2010. This publication first presents the context of AM with regard to German nuclear power plants, including references to national and international historical developments. Against this backdrop, the difference between management of aging and lifetime management is discussed next. This is followed by a description of the status of the AM process in nuclear power plants currently in operation, especially organizational plant-specific implementation. As a consequence of the decision by the German federal government to discontinue the peaceful use of nuclear power in Germany and the associated 13th amendment to the Atomic Energy Act of July 31, 2011, a considerable part of the German nuclear power plant park already lost its right of power operation. In this situation, aspects of AM are discussed for plants in the no-power, post-operation and residual operation phases. Finally, experience accumulated in plant-specific execution of the AM process on the basis of KTA 1403 is considered and summarized.

Environmental-technical aspects of the operation of the accelerator at NIKHEF-K

International Nuclear Information System (INIS)

Post, J.C.

1982-12-01

This report discusses those technical aspects of the operation of the Medium Energy Accelerator at NIKHEF-K which affect the environment. The accelerator produces an electron beam with a maximum capacity of 300 kW and, as by-products, intense gamma and neutron radiations. These radiations can contaminate components of the accelerator and the direct surroundings. The electron beam can also generate ozone in the air. The accelerator produces a small quantity of radioactive waste itself and research in the chemistry department also leads to the production of radioactive waste. These wastes are stored temporarily and transported for treatment/storage elsewhere in Holland once a year. (Auth.)

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

Science.gov (United States)

1993-04-01

mg po QID). For the penicillin allergic, clindamycin is an alternative. There is no consensus on the appropriate duration of prophylactic antibiotic...sensitivity to light touch and pin in the area of anesthesia within four to five weeks suggests reversible nerve injury and less likelihood of persistent...symptoms. Persistence of anesthesia to touch beyond six weeks suggests neuronal degeneration. Injury of that degree takes much longer to resolve and has

[Prescribing medication in 2013: legal aspects].

Science.gov (United States)

Berland-Benhaïm, C; Bartoli, C; Karsenty, G; Piercecchi-Marti, M-D

2013-11-01

To describe the legal framework of medicine prescription in France in 2013. With the assistance of lawyer and forensic pathologist, consultation (legifrance.gouv.fr), analysis, summary of French laws and rules surrounding drugs prescriptions to humans for medical purpose. Free medicine prescription is an essential feature of a doctor's action. To prescribe involve his responsibility at 3 levels: deontological, civilian and penal. Aim of the rules of medicine prescription is to preserve patient's safety and health. Doctors are encouraged to refer to recommendations and peer-reviewed publication every time the prescriptions go out of the case planned by law. Knowledge and respect of medicine prescription legal rules is essential for a good quality practice. Medical societies have a major role to improve medicine use among practitioners. Copyright © 2013. Published by Elsevier Masson SAS.

The Establishment and Administration of Operant Conditioning Programs in a State Hospital for the Retarded.

Science.gov (United States)

Ball, Thomas S., Ed.

Seven articles treat the establishment of operant conditioning programs for the mentally retarded at Pacific State Hospital in California. Emphasis is on the administrative rather than the demonstration of research aspects of operant conditioning programs. Following an introduction and overview, the medical director's point of view on operant…

Reactor operations Brookhaven medical research reactor, Brookhaven high flux beam reactor informal monthly report

International Nuclear Information System (INIS)

Hauptman, H.M.; Petro, J.N.; Jacobi, O.

1995-04-01

This document is the April 1995 summary report on reactor operations at the Brookhaven Medical Research Reactor and the Brookhaven High Flux Beam Reactor. Ongoing experiments/irradiations in each are listed, and other significant operations functions are also noted. The HFBR surveillance testing schedule is also listed

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.

Construction and Operation of a Deep Geological Spent Fuel Repository in Sweden; Some Regulatory Aspects and Challenges

International Nuclear Information System (INIS)

Hedberg, Bengt

2014-01-01

The implementation of a deep geological spent fuel disposal concept in Sweden poses challenges on both implementer and regulator in many aspects. One such challenge is the application of the regulatory framework in a different situation compared to conventional process type nuclear facilities. A specific challenge in this regard is how to understand and address constraints from post-closure safety related to the construction and operation of the repository. The maybe most challenging aspect, however, is the unusually long time frame, i.e. many generations, for realization of the project. This paper addresses some of these challenges from a regulatory perspective. (authors)

[Identification of circulatory diseases and their risk during medical examination of an adult population: methodological aspects].

Science.gov (United States)

Kalinina, A M; Ipatov, P V; Kaminskaya, A K; Kushunina, D V

2015-01-01

To study the efficiency of a methodology for the active detection of coronary heart disease (CHD) and cerebrovascular diseases (CVD) during medical examination and to determine the need and possible ways of its improvement. The medical examinations of 19.4 million people (94.6% of all the citizens who had undergone medical examinations in all the regions of Russia in 2013) were analyzed and the methodological aspects of identification of the circulatory diseases (CDs) that were induced by coronary and cerebral vessel atherosclerosis and had common risk factors, primarily CHD and CVD, were assessed. The medical examinations revealed 2,915,445 cases of CDs and their suspicions, during which its clinical diagnosis was established in 57.2%. The suspected disease requiring that its diagnosis should be further specified; off-medical examinations revealed hypertension in more than 770,000 cases, CHD in 232,000, and CVD in 146,000. The proportion of stable angina pectoris of all angina cases was much higher at a young age (25.6%) than at middle (15.6%) and elderly (11.3%) ages. Brachiocephalic artery stenoses were detected in almost 13,000 cases. According to the official health statistics, within the years preceding the introduction of large-scale medical examinations, there was a slight rise in new CD cases among the adult population of Russia, which was more significant in 2013 (according to the preliminary data) than in 2012. The methodology for the active detection of CDs through a two-step medical examination, which is used during a follow-up, makes it possible to substantially increase detection rates for CDs. There has been shown to be a need for the better quality and completeness of diagnostic examination in real practice.

Two aspects of the technical and ergonomical evaluation of the advanced control-room of the new French PWR units

International Nuclear Information System (INIS)

Montmayeul, R.; Lestien, A.; Dien, Y.; Bozec, J.

1987-01-01

In 1981 EDF decided to design a computerized control-room to improve operations. The first unit will be put on the grid in 1991. In order to get a rapid feed-back of operating experience from the design of the new control-room, a full scope simulator has been built for validation by operating teams in 1987-1988. An evaluation plan has been designed. The evaluation goal is to show operation feasibility under any condition and evaluate ergonomy of the control-room. Various aspects have been defined for evaluation: workstation ergonomy, man-machine dialogue and workstation management, work distribution within an operating team, visual and medical aspects, work place and physical environment of the control-room. For each aspect hypothesis have been set up and will be validated. Validation is based on record of operators'actions, observations of behaviour during simulations and interviews. Several series of simulations under normal, incidental and accidental situations are planned. One of the most specific aspects of the new control-room is the computerized man-machine dialogue which needs workstation management actions to get information and actuate controls. Hypothesis concerning this aspect of the validation have been set up from design documentation, before any observation of work was possible, and was based on knowledge of potential problems of this kind of interface in process-control. The validation method is comparative between various simulations, between operators, between a computerized control-room and a classical one. Another aspect concerns the tasks allocation between shifts members and work organization in the control-room. For this part of the evaluation, hypothesis and experimental protocoles were made on the basis of a detailed analysis of work conditions in the present control-rooms. These two aspects of the control-room evaluation are presented. (author)

Application of accelerator in the medical aspects

International Nuclear Information System (INIS)

Shi Lisheng; Wang Bairong; Yang Zhongping

2014-01-01

In recent years, the human life span compared with before there is an obvious increase in. With the extension of life, cancer incidence is increasing, at the same time, the diagnosis and treatment of cancer has been the development of. Based on the review of the past and present situation of diagnosis and treatment of cancer, the accelerator and the future to introduce, divided into the accelerator treatment, cancer diagnosis, accelerator accelerator with radioactive isotopes, medical accelerator conditions and medical accelerator built five content. (authors)

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

National Research Council Canada - National Science Library

Waddick, James L

2004-01-01

... their missions during the initial Operation Iraqi Freedom deployment (OIF 1). Additionally, the study sought to identify the potential benefit of additional training on key medical logistics tasks and training events...

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.

Preliminary results and prospects for research performed by the scientists of Ministry of Health of Ukraine on Chernobyl accident medical aspects

International Nuclear Information System (INIS)

Spyizhenko, Yu.P.; Rozenfel'd, L.G.; Mel'nik, V.M.

1993-01-01

Results of scientific management of Ministry of Health of Ukraine, as well as scientific researches of 23 scientific research institutes, 11 medical institutes, 6 scientific practical establishment were analyzed to cover Complex ecological research programme on Chernobyl accident outcomes for 1986-1990 (medical aspects). The data about the health of communities, epidemiology, peculiarities of the course, clinical features, diagnosis, treatment and prevention of inner organs and systems disorders and diseases in the exposed persons, which were obtained on the basis of environment radiologic are reported

Radiological safety aspects of the operation of electron linear accelerators

International Nuclear Information System (INIS)

Swanson, W.P.

1979-01-01

This manual is intended as a guide for the planning and implementation of radiation protection programmes for all types of electron linear accelerators. Material is provided for guidance in the planning and installation stages, as well as for the implementation of radiation protection for continuing operations. Because of their rapidly growing importance, the problems of installation and radiation safety of standard medical and industrial accelerators are discussed in separate sections. Special discussions are devoted to the radiation protection problems unique to electron accelerators: thick-target bremsstrahlung, the electromagnetic cascade, the estimation of secondary-radiation yields from thick targets, and instrumental corrections for accelerator duty factor. In addition, an extensive review of neutron production is given which includes new calculations of neutron production in various materials. A recalculation of activation in a variety of materials has been done for this manual, and specific gamma-ray constants have been recalculated for a number of nuclides to take into account the contribution of K X-rays. The subjects of air and water activation, as well as toxic gas production in air have been specially reviewed. Betatrons and electron microtrons operating at the same energy produce essentially the same kind of secondary radiation as electron linacs and the material given in this manual is directly applicable to them

47 CFR 95.1121 - Specific requirements for wireless medical telemetry devices operating in the 1395-1400 and 1427...

Science.gov (United States)

2010-10-01

... wireless medical telemetry devices operating in the 1395-1400 and 1427-1432 MHz bands. Due to the critical... 47 Telecommunication 5 2010-10-01 2010-10-01 false Specific requirements for wireless medical telemetry devices operating in the 1395-1400 and 1427-1432 MHz bands. 95.1121 Section 95.1121...

Deployment of field hospitals to disaster regions: Insights from ten medical relief operations spanning three decades.

Science.gov (United States)

Naor, Michael; Heyman, Samuel N; Bader, Tarif; Merin, Ofer

2017-01-01

The Israeli Defense Force (IDF) Medical Corps developed a model of airborne field hospital. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions worldwide. Interviews with physicians who actively participated in the missions from 1988 until 2015 as chief medical officers combined with literature review of principal medical and auxiliary publications in order to assess and integrate information about the assembly of these missions. A body of knowledge was accumulated over the years by the IDF Medical Corps from deploying numerous relief missions to both natural (earthquake, typhoon, and tsunami), and man-made disasters, occurring in nine countries (Armenia, Rwanda, Kosovo, Turkey, India, Haiti, Japan, Philippines, and Nepal). This study shows an evolutionary pattern with improvements implemented from one mission to the other, with special adaptations (creativity and improvisation) to accommodate logistics barriers. The principals and operative function for deploying medical relief system, proposed over 20 years ago, were challenged and validated in the subsequent missions of IDF outlined in the current study. These principals, with the advantage of the military infrastructure and the expertise of drafted civilian medical professionals enable the rapid assembly and allocation of highly competent medical facilities in disaster settings. This structure model is to large extent self-sufficient with a substantial operative flexibility that permits early deployment upon request while the disaster assessment and definition of needs are preliminary.

Training experience to improve and reinforce associated aspects to the control room operators' behaviour in the simulator setting

International Nuclear Information System (INIS)

Santiago Lucas Soriano, A.

2002-01-01

The experience, explained below, is based on the latest works carried out in TECNATOM, to improve the behaviour of the control room personnel, by an effective involvement of the operators in their own improvement, in which they create their own expectations and the instructors are only guides and advisors in a working place very close to the reality, that is, the simulator. The experience mainly deals with aspects such as: Teamwork, effective communications, use of procedures, self-checking, decision making, diagnose, motivation and other aspects that are present in the control room. (author)

Relevant aspects of a quality assurance program applied to a nuclear power plant operation

International Nuclear Information System (INIS)

Fernandez, J.C.

1987-01-01

The purpose of this work was to enumerate the most relevant subjects to be taken into account for the elaboration of a Quality Assurance Program aimed to regulate a nuclear power plant operation. At first, it was necessary to point out the relevance that implies the presence of a group of personnel, experienced in quality assurance with enough knowledge on the technical and organizing aspects of the plant. Other aspect to be taken into account was the contemplation of the international requirements, through the International Atomic Energy Agency and of the national requirements that each country had set up by the corresponding regulating agencies. These organizations pointed out the minimum rules that must be followed for the adequate and efficient execution of a program. The Quality Assurance Manual and the program and work procedures constituted the Quality Assurance Program which must be checked as regards its fulfillment by auditors and quality assurance supervisions. (Author)

Practical aspects during sterilization validation for medical devices at IRASM Microbiological Laboratory

International Nuclear Information System (INIS)

Trandafir, L.; Ene, M.; Alexandru, M.; Constantin, M.; Ionita, A.; Zorila, F.; Moise, I.V.

2011-01-01

Complete text of publication follows. The state of being free of living microorganisms is called sterility. The sterility state can be achieved by different means of sterilization. In practice the results of the process cannot be fully verified by tests, so the efficacy of the sterilization process must be validated. ISO 11137 established regulations for setting or substantiating the dose for achieving the desired sterility assurance level. The validation studies can be designed in particular for different types of product. Each product needs distinct protocol for bioburden determination and sterility testing. During time, the Microbiological Laboratories from Multipurpose Irradiation Center deals with different types of products, mainly for VD max 25 method. When it comes to microbiological evaluation the most challenging was cotton gauze. Special situation for establishing the sterilization validation method appears in cases of cotton, packed in large quantities. VD max 25 method can not be applied for items with average bioburden more than 1000 CFU / pack, no matter which is the weight of the package. This is a method limitation and implies increased costs for manufacturer, when choosing other method. For microbiological tests, culture condition should be selected in both cases the bioburden and sterility testing. These are time and money consuming. The costs can be reduced if taking into account some aspects. Reason for performing the bacteriostasis-fungistasis just for sterility testing will be given. The present study puts forward aspects during the validation studies for medical devices (cotton wool, cotton gauze, surgical sutures, dental screws), at IRASM Microbiological Laboratory.

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

[Medical negligence].

Science.gov (United States)

Zipper, St G

2016-06-01

Medical negligence is a matter of growing public interest. This review outlines various aspects of medical negligence: epidemiology, taxonomy, and the risks, causes, psychology, management and prevention of errors.

[The forensic medical aspects of the inappropriate medical care in the modern-day Ukraine].

Science.gov (United States)

Franchuk, V V

2018-01-01

Despite the fact that the ever growing relevance of the problem of the inappropriate medical care was long ago brought to the worldwide attention, it has not been practically addressed in the Ukraine since the country gained independence in 1991. The objective of the present study was to consider the specific features of expert examination of the cases of inappropriate medical care as exemplified by the materials of the legal actions and lawsuits instituted against healthcare specialists violating their occupational duties. The results of forensic medical examination by the local Bureaux of forensic medical expertise concerning the 350 so-called malpractice suits instituted in the Ternopol, Zhitomir, and Chernovtsy regions during the period from 207 to 2016 were available for the analysis. The facts of inadequate and inappropriate medical care were documented in 245 (72.0%) cases. The frequency of diagnostic and therapeutic errors amounted to 29.7% and 26.9% respectively while the improper formulation of the medical documentation was recorded in 21.3% of the cases. The cases of poor organization of the diagnostic and treatment process accounted for 14.6% of the total whereas the improper behaviour of the medical personnel was reported in 7.5% of all the known cases of provision of the healthcare services. It is concluded that in the majority of the cases, the citizens of the modern-day Ukraine receive the inappropriate (insufficient and untimely) medical care. Over 80% of the cases of the inappropriate medical care currently provided in the country can be accounted for by the objective reasons, with each fifths case being due to the violation of professional responsibilities by the healthcare providers.

The impact of disease on family members: a critical aspect of medical care.

Science.gov (United States)

Golics, Catherine Jane; Basra, Mohammad Khurshid Azam; Finlay, Andrew Yule; Salek, Sam

2013-10-01

Most existing health-related quality of life research concerns the impact of disease on patients. However, in several medical specialties including dermatology, oncology, and physical and mental disability, studies have been carried out investigating the impact of disease on the lives of families of patients. The aim of this paper is to review the literature which relates to the impact of disease on family members of patients. The OVIDSP Medline was selected as the primary database, Searches were limited to sources published in English. 158 papers were identified for review. The definition of "family" varied across the literature, and a broad definition was accepted in this review. This review shows that a wide variety of aspects of family members' lives can be affected, including emotional, financial, family relationships, education and work, leisure time, and social activities. Many of these themes are linked to one another, with themes including financial impact and social impact being linked to emotional impact. Some positive aspects were also identified from the literature, including family relationships growing stronger. Several instruments exist to measure the impact of illness on the family, and most are disease or specialty- specific. The impact of disease on families of patients is often unrecognised and underestimated. Taking into account the quality of life of families as well as patients can offer the clinician a unique insight into issues such as family relationships and the effect of treatment decisions on the patient's close social group of partner and family.

Shift systems in nuclear power plants - aspects for planning, shift systems, utility practice

International Nuclear Information System (INIS)

Grauf, E.

1986-01-01

This lecture contains the most important aspects of shift structure and shift organisation. The criteria for shift planning involving essential tasks, duties, laws and regulations, medical aspects, social aspects, will be presented. In the Federal Republic of Germany some basic models were established, which will be shown and explained with special reference to the number of teams, size of shift crews and absence regulations. Moreover, the lecture will deal with rotation systems and provisions for the transfer of shift responsibilities. By example of a utility plant commissioning time scale (1300 MW PWR) the practice of shift installations will be shown as well as the most important points of education and training. Within this compass the criteria and requirements for training and education of operational personnel in the Federal Republic of Germany will also be touched. (orig.)

Medical aspects of quality assurance in the United States

International Nuclear Information System (INIS)

Hanks, G.E.

1997-01-01

Three powerful national programs have been developed, and their acceptance and utilization in the United States have been accelerated by the recent development of managed competition. The first program was a model quality assurance program for day to day use in an individual radiation oncology facility. In addition to maintaining the physical aspects of the department, the medical side includes indicator items in patient evaluation and treatment and other measures that are periodically monitored. The entire process is comprehensive and is accepted by the Joint Commission on Hospital Accreditation as being satisfactory evidence of ongoing quality assurance and quality improvement. The second program was the development of a set of standards for radiation oncology in the United States. These standards were developed in the past and have recently been expanded into a more comprehensive document that describes the appropriate performance by this specialty. The third program was a Practice Accreditation program. The Practice Accreditation program is an on-site review of structure and processes of patient care by a radiation oncologist and data manager. This intense on-site review generated data that is then compared to similar facilities and to national averages to judge the adequacy of patient management in the facility. We have observed recently that various managed care programs require this practice accreditation before their patients can be treated in contracting facilities. Lastly, the Council of the American College of Radiology has made some extremely positive statements in support of improving radiation oncology practice, and the positive effects of these council resolutions can be clearly shown on the practice

Nuclear heat applications: design aspects and operating experience. Proceedings of four technical meetings held between December 1995 and April 1998

International Nuclear Information System (INIS)

1998-11-01

Proven to be safe, reliable, economic and having minimum impact on the environment, nuclear energy is playing an important role in electricity generation producing 175 of the world's electricity. But since most of the world's energy consumption is in the form of heat the market for nuclear heat has already been recognised. Considering the growing experience in application of power reactors for district heating, industrial processes and water desalination IAEA is periodically reviewing progress and new developments of nuclear heat applications. This proceedings includes the papers presented at the following four meetings: Advisory group meeting and consultancy on experience with nuclear heat applications: district heating, process heat and desalination, 13-15 December 1995 and 7-9 february 1996; Advisory group meeting on technology, design and safety aspects of non-electrical application of nuclear energy, 20-24 October 1997; Advisory group meeting on operational modes of nuclear desalination plants, 3-5 November 1997; Advisory group meeting on materials and equipment for the coupling interfaces of nuclear reactors with desalination and district heating plants, 21-23 April 1998. It is structured according to the subject areas: (1) design an safety aspects of nuclear heat application, (2) operational and material aspects of nuclear heat application and (3) operational experience with nuclear heat application. Each paper is described by a separate abstract

Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan).

Science.gov (United States)

Bricknell, Martin C M; Nadin, M

2017-08-01

This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan). The analysis involved a detailed review of the published academic literature, internal post-operational tour reports and post-tour interviews. The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis ' the golden thread ' and eight ' silver bullets ' as themes to institutionalise the learning to deliver the golden thread. One additional theme, mentoring indigenous healthcare systems and providers, emerged as a completely new capability requirement. The DMS has established a programme of work to implement these lessons. 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/.

Medical aspects of the treatment of irradiated persons

International Nuclear Information System (INIS)

Carpaij, W.J.M.

1976-01-01

The possibilities of a medical assistance of patients after a nuclear accident and also the specific demands that supposes such an assistance, are discussed. On the basis of literary subjects, prevention as well as diagnostic and treatment are examined. It appears that such a medical assistance program cannot be drafted in detail beforehand, but must be fixed on the basis of the accidental situation. (author)

Common Elements in Operational Events across Technologies

International Nuclear Information System (INIS)

Bley, Dennis C.; Wreathall, John; Cooper, Susan E.

1998-01-01

The ATHEANA project, sponsored by the US NRC, began as a study of operational events during low power and shutdown conditions at US commercial nuclear power plants. The purpose was to develop an approach for human reliability analysis that is supported by the experience; i.e., with the history of operational events. As the analysis of operational events progressed, a multidisciplinary framework evolved that can structure the analysis, highlighting significant aspects of each event. The ATHEANA multidisciplinary framework has been used as the basis for retrospective analysis of human performance in operational events in the nuclear power, chemical process, aviation, and medical technologies. The results of these analyses are exemplified by three operational events from different industries. Attention is drawn to those common elements in serious operational events that have negative impacts on human performance. (authors)

Worker radiological protection: occupational medical aspects

International Nuclear Information System (INIS)

Cardenas Herrera, Juan; Fernandez Gomez, Isis Maria

2008-01-01

Radiation exposures experienced by workers are widely explained. The first evidences of biological effects, the implications for human health and the radiological protection have been covered. The conceptual structure that covers the radiological protection and adequate protection without limiting benefits, the scientific basis of radiology, the benefits and risks of the radiological protection are specified. The effective per capita doses are exposed in medical uses both for Latin America and for other regions in the average radiology, dental radiology, nuclear medicine and radiotherapy. The manners of occupational exposures in the medicine are presented. Industrial uses have also its average effective dose in the industrial irradiation, industrial radiography and radioisotopes production. Within the natural radiation the natural sources can significantly contribute to occupational exposure and have their average effective dose. Occupational medical surveillance to be taken into industrial sites is detailed. In addition, the plan of international action for the solution of dilemmas of occupational exposures is mentioned and the different dilemmas of radioactive exposure are showed. The external irradiation, the acute diseases by radiations, the cutaneous syndrome of the chronic radiation, the radioactive contamination, the internal radioactive contamination, the combined lesion and accidental exposures are also treated [es

Your Lung Operation: After Your Operation

Medline Plus

Full Text Available ... Medical Student Core Curriculum ACS/ASE Medical Student Simulation-Based Surgical Skills Curriculum Cancer Education Cancer Education ... Surgeons Education Patients and Family Skills Programs Your Lung Operation Your Lung Operation DVD After Your Operation ...

Medical physics aspects of ophthalmic brachytherapy

International Nuclear Information System (INIS)

Sharma, S.D.; Shanta, A.; Palani Selvam, T.; Tripathi, U.B.; Bhatt, B.C.

2004-11-01

Intraocular melanoma is the most common primary malignancy of the eye. Radiation therapy using ophthalmic plaque has proved successful in the management of various ocular lesions. Although a few centres were using 90 Sr/ 90 Y plaques for shallow turtlours some years ago, eye plaque therapy was not a common practice in India. A revived interest in the use of eye plaque therapy and very high cost of imported sources has led to the development and production of 125 I seed sources by the Radiopharmaceuticals Division, BARC. This report presents a brief description on the clinical, dosimetry and radiation safety aspects of 90 Sr/ 90 Y and 106 Ru/ 106 Rh beta ray and 125 I gamma ray eye plaque applicators. This report has been divided in five Sections. Section I presents general introduction of ophthalmic brachytherapy including the structure of a human eye, types of ophthalmic plaques and characteristics of radioisotopes commonly used in such applications. A brief review of sources, applicators and dosimetry of 90 Sr/ 90 Y and 106 Ru/ 106 Rh beta and 125 I gamma ophthalmic plaques are given in Section II and Section III, respectively. Section IV contains the single seed dosimetry data of BARC OcuProsta 125 I seed as well as dosimetry data of typical eye plaques loaded with BARC OcuProsta 125 I seed. Quality assurance and radiation safety aspects of these eye applicators are described in Section V. A proforma of the application required to be filled in by the user institution for obtaining regulatory consent to start eye plaque therapy has also been appended to this report. (author)

YKAe - Research programme on nuclear power plant systems behaviour and operational aspects of safety

International Nuclear Information System (INIS)

Mattila, L.; Vanttola, T.

1992-01-01

The major part of nuclear energy research in Finland has been organised as five-year nationally coordinated research programs. The research programme on Systems Behaviour and Operational Aspects of Safety is under way during 1990-1994. Its annual volume has been about 35 person-years and its annual expenditure about FIM 18 million. Studies in the field on safe operational margins of nuclear fuel and reactor core concentrate on fuel high burn-up behaviour, VVER fuel experiments, and reactor core behaviour in complex reactivity transients such as 3-D phenomena and ATWS events. The PACTEL facility is used for the thermal hydraulic studies of the Loviisa type reactors (scaled 1:305). Validation of accident analysis codes is carried out by participation in international standard problems. Advanced foreign computer codes for severe reactor accidents are implemented, modified as needed and applied to level-2 PSAs and the improvement of accident management procedures. Fire simulation methods are tested using data from experiments in the German HDR facility. A nuclear plant analyzer for efficient safety analyses is being developed using the APROS process simulation environment. Computerized operator support systems are being studied in cooperation with the OECD Halden Project. The basic factors affecting plant operator activities and the development of their competence are being investigated. A comprehensive system for the control of plant operational safety is being developed by combining living PSA and safety indicators

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......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...... 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...

Continuously Operating Biosensor and Its Integration into a Hermetically Sealed Medical Implant

Directory of Open Access Journals (Sweden)

Mario Birkholz

2016-10-01

Full Text Available An integration concept for an implantable biosensor for the continuous monitoring of blood sugar levels is presented. The system architecture is based on technical modules used in cardiovascular implants in order to minimize legal certification efforts for its perspective usage in medical applications. The sensor chip operates via the principle of affinity viscometry, which is realized by a fully embedded biomedical microelectromechanical systems (BioMEMS prepared in 0.25-µm complementary metal–oxide–semiconductor (CMOS/BiCMOS technology. Communication with a base station is established in the 402–405 MHz band used for medical implant communication services (MICS. The implant shall operate within the interstitial tissue, and the hermetical sealing of the electronic system against interaction with the body fluid is established using titanium housing. Only the sensor chip and the antenna are encapsulated in an epoxy header closely connected to the metallic housing. The study demonstrates that biosensor implants for the sensing of low-molecular-weight metabolites in the interstitial may successfully rely on components already established in cardiovascular implantology.

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.

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.

Radiological accident 'The Citadel' medical aspects

International Nuclear Information System (INIS)

Cardenas Herrera, Juan; Fernandez, Isis M.; Lopez, Gladys; Garcia, Omar; Lamadrid, Ana I.; Ramos, Enma O.; Villa, Rosario; Giron, Carmen M.; Escobar, Myrian; Zerpa, Miguel; Romero, Argenis H.; Medina, Julio; Laurenti, Zenia; Oliva, Maria T.; Sierra, Nitza; Lorenzo, Alexis

2008-01-01

The work exposes the medical actions carried out in the mitigation of the consequences of the accident and its main results. In a facility of storage of radioactive waste in Caracas, Venezuela, it was happened a radiological accident. This event caused radioactive contamination of the environment, as well as the irradiation and radioactive contamination of at least 10 people involved in the fact, in its majority children. Cuban institutions participated in response to the accident. Among the decisions adopted by the team of combined work Cuban-Venezuelan, we find the one of transferring affected people to Cuba, for their dosimetric and medical evaluation. Being designed a work strategy to develop the investigations to people affected by the radiological accident, in correspondence with the circumstances, magnitude and consequences of the accident. The obtained main results are: 100% presented affectations in its health, not associate directly to the accident, although the accident influenced in its psychological state. In 3 of studied people they were detected radioactive contamination with Cesium -137 with dose among 2.01 X 10-4 Sv up to 2.78 X 10-4 Sv. This accident demonstrated the necessity to have technical capacities to face these events and the importance of the international solidarity. (author)

An investigation of safety aspects of operating the end-shields in a brittle condition

International Nuclear Information System (INIS)

Seth, V.K.; Patwardhan, V.M.

1975-01-01

Published data on radiation embrittlement of 3.5% Ni steels (material for RAPP-1, RAPP-2 and MAPP-1 end shields - with charpy V notch value of 2.074 gm at -101 0 C) indicates that the nil ductility transition temperature rise would be of the order of 205 0 C to 260 0 C at the end of 30 year reactor life, against earlier figure of around 120 0 C. Surveillance programme on radiation embrittlement of the end-shields is being conducted to get an idea of the actual condition of the material at any required time. A study has been made to investigate safety aspects of operating the end shields in 'Brittle condition' of the material under the presently designed operating conditions. This study is based on the concept of crack arrest approach (employing fracture analysis diagram; FAD and linear elastic fracture mechanics (using possible correlation between Ksub(Ic) and CVN values). (author)

Mobile technology use in medical education.

Science.gov (United States)

Luanrattana, Rattiporn; Win, Khin Than; Fulcher, John; Iverson, Don

2012-02-01

This study was undertaken to determine the PDA functionalities for a problem-based learning (PBL) medical curriculum at the Graduate School of Medicine (GSM), the University of Wollongong (UOW). The study determines the factors/aspects of incorporating PDAs, and the attitudes of stakeholders regarding the use of PDAs in such a PBL-based medical curriculum. In-depth interviews were designed and conducted with medical faculty, the medical education technology team and honorary medical academics. Four major PDA functionalities were identified, these being: clinical-log, reference, communication, and general functions. Two major aspects for the incorporation of PDAs into the PBL-medical curriculum at the UOW were determined from the interviews, these being technical and practical aspects. There is a potential for PDAs to be incorporated into the PBL-medical curricula at the UOW. However, a clear strategy needs to be defined as to how best to incorporate PDAs into PBL-medical curricula with minimal impact on students, as well as financial and resource implications for the GSM.

Organizational aspects of NPP operator training

International Nuclear Information System (INIS)

Vel'chinskij, V.I.

1992-01-01

The main points of the document regulating the selection, prepation, permission for work and in-service control of NPP personnel developed on the basis of the IAEA requirements are considered. The specialists engaged for work are subjected to qualification, medical, professional, psychological and psychophysiological selections. The scheduled monthly instructive lessons are conducted during the work. The antiaccident and fire-fighting trainings are organized not rarely than twice in three months

Organisational aspects, research required, educational aspects

International Nuclear Information System (INIS)

Rueterjans, H.

1987-01-01

In addition to the clinical testing of NMR imaging, there were activities for studying the basic principles of NMR spectroscopy, also for routine applications in university clinics and larger hospitals. Equipment is available now at different places; research projects should be coordinated in order to ensure direct access to the equipment for a sufficient, task-specific period of time. There is demand for research in this field in the Federal Republic of Germany. Education and further training should be organised taking into account physical and medical aspects. (TRV) [de

THE DECREASE OF AIRLINE OCCUPATIONAL ENVIRONMENTAL RISK FACTORS. LEGISLATIVE AND MEDICAL ASPECTS

Directory of Open Access Journals (Sweden)

Vadim E. Andrusov

2017-01-01

Full Text Available Russian Federation is entering a new system of Occupational standards as norm of competence that people are ex- pected to achieve in their work, and the knowledge and skills they need to apply effectively. There may be conflicts in pro- fessional co-operation between the new system of Occupational standards and the old system of Managers, specialists and workforce qualification reference books. It may affect the common area of occupational environmental hazards. Employ- ees, who passed compulsory medical examination, can have poor health conditions. It affects the inability of the employees to perform their aircraft maintenance duties. It may be a particular occupational environment factor. A five-point scale of possible damage severity was proposed for this factor. It is known that a sick employee's duties are redistributed among the remaining employees. Redistributing of a sick employee's duties increases the task load of the remaining ones in terms of overtime work for instance. It, ultimately, may compromise normal operation of employees. The results can be used when taking management decisions in process organization of airlines, as well as in other industries.

Scanography - Radiation protection: medical sector FR 4

International Nuclear Information System (INIS)

Herain, C.; Machacek, C.; Menechal, P.; Aubert, B.; Rehel, J.L.; Vidal, J.P.; Biau, A.; Barbe, R.; Lahaye, T.; Gauron, C.; Gambini, D.; Pierrat, N.; Donnarieix, D.; Marande, J.L.; Barret, C.; Guerin, C.

2011-09-01

This document presents the various aspects and measures related to radiation protection when performing a scanography examination for diagnosis purposes, as well as interventional actions for diagnosis or treatment purposes. It presents the concerned personnel, describes the operational process, indicates the associated hazards and the risk related to ionizing radiation, and describes how the risk is to be assessed and how exposure levels are to be determined (elements of risk assessment, delimitation of controlled and monitored areas, personnel classification, and choice of the dose monitoring method). It describes the various components of a risk management strategy (risk reduction, technical measures regarding the installation and the personnel, training and information, prevention, incident and dysfunction). It indicates the different practices and aspects of medical monitoring (personnel, pregnant women, treatment of anomalies and incidents, medical file, certificate of occupational exposure). It evokes how risk management is to be assessed, and mentions other related risks (biological risk, handling and posture, electric risk). The appendix proposes an example of workstation study in the case of scanography

System contamination and radiological aspects after 12 years' operation of KNK I/II

International Nuclear Information System (INIS)

Finke, G.; Richard, H.; Menges, K.H.

1984-01-01

After 12 years operation of KNK I and KNK II a survey is given of experience with radiation control and other radiological aspects at KNK like main sources of radiation with respect to personnel exposure, the behaviour and share of impurities and fission products in the primary circuits and the possibilities of influence to get personnel doses as low as possible. The amount of liquid and solid waste and the discharges of the plant stack are figured. This experience at KNK confirms the good experiences with other LMFBRs but also shows, that we have to focus our attention on the further development of the radiation level in the primary cell and on careful timing of any work in this area. (author)

The Establishment and operation of Longjing Medical College - The History of Longjing Medical College as Frontier History: Focusing on its ‘Disconnection’ and ‘Continuity’ -

Directory of Open Access Journals (Sweden)

Mira MOON

2017-08-01

Full Text Available Longjing Medial College, established in Longjing, Yanbian, China on September 12, 1945, existed for about 1 year and 6 months until it was renamed as the Medical Department of Dongbei Junzheng Daxue Jilin Fenxiao in April 1947. However, there are only few records and studies on Longjing Medical College in Yanbian as well as in Korea. In order to fill the gap, this study attempted to restore the history of Longjing Medical College built in Yanbian, China immediately after the liberation. In particular, it analyzed how and why the Longjing Medical College was founded and operated, and which relations the college had with the post-war medical educational institutions, focusing on the ‘disconnection’ and ‘continuity’ in the historical sense. Since the establishment of Manchukuo, the Japanese colonial government had made it a major “frontier” and actively promoted the mass migration of Japanese and Koreans. For them, the government also set up three Exploitation Medical Schools in 1940. As a part of these three institutions, Longjing Exploitation Medical School educated more than 150 students by 1945, of which about one third was Korean. After the liberation, the Longjing Educational Alliance decided to pursue the return-movement of the Longjing Exploitation Medical School and took over the institution. On September 12, 1945, Longjing Medical College opened at the school site of Longjing Exploitation Medical School. Longjing Medical College was founded by people who had ‘the perspective of Korean nationality’ in an atmosphere where the ‘ethnicity’ of the Koreans exercised considerable power. Nevertheless, in 1946, when the Chinese Civil War began and the Yanbian region became an important base of the Chinese Communist Party, the Party began to expand and strengthen their influences in the region. Accordingly, the operation rights of Longjing Medical College were transferred to the Yanbian Administrative offices of Supervision and

Don't forget the learner: an essential aspect for developing effective hypermedia online learning in continuing medical education.

Science.gov (United States)

Sandars, John; Homer, Matthew; Walsh, Kieran; Rutherford, Alaster

2012-03-01

There is increasing use of hypermedia online learning in continuing medical education (CME) that presents the learner with a wide range of different learning resources, requiring the learner to use self-regulated learning (SRL) skills. This study is the first to apply an SRL perspective to understand how learners engage with hypermedia online learning in CME. We found that the main SRL skills used by learners were use of strategies and monitoring. The increasing use of strategies was associated with increasing interest in the topic and with increasing satisfaction with the learning experience. Further research is recommended to understand SRL processes and its impact on learning in other aspects of hypermedia online learning across the different phases of medical education. Research is also recommended to implement and evaluate the learning impact of a variety of approaches to develop the SRL skills of hypermedia online learners in CME.

Accelerators for Medical Applications 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.

[The medical social aspects of ambulatory medical care to victims of road traffic accidents].

Science.gov (United States)

Gorbunkov, V Ia; Bugaev, D A; Derevianko, D V

2012-01-01

The article discusses the issues of the organization of medical care to victims of road traffic accidents. The analysis of primary appealability of patients to the first-aid center of Stavropol and Novorossiysk during 2008-2010 is presented. The sampling consisted of 904 cases of this kind of trauma. It is established that among victims of road traffic accident appealed to first-aid centers the pedestrians consist the major part. The traumas of limbs are among the most frequently occurred cases. The victims with cranio-cerebral injuries are among those who appealed most frequently for medical aid. Besides that in most cases (63.4%) the victims with cranio-cerebral injuries were transported not to the neurologic surgery clinic but to the first-aid center This action increased the number of transport stages and duration of time gap before specialized medical care was applied. The conclusion is made concerning the need of further development of out-patient urgent medical care to victims of road traffic accidents.

Radiological and the other safety aspects in the operation of electron beam facility

International Nuclear Information System (INIS)

Loterina, Roel Alamares

2003-01-01

The radiological safety aspects of the operation of an electron beam facility in general and the 3 MeV ALURTRON electron beam facility of the Malaysian Institute of Nuclear Technology Research (MINT) in particular were reviewed and evaluated. Evaluation was made based on existing records as well as actual monitoring around facility. Area monitoring results using TLDs are within permissible levels. The maximum reading of 7.29 mSv measured in year 2000 is very low as compared to the annual dose limit of 50 mSv/year. In general, the shielding for the installation is adequate and no significant radiation leakage were detected based on radiation survey results. However, measured radiation levels with a maximum of 1.9 mSv/h at the sampling ports easily exceed the limit of 25μSv/h. The facility is equipped with safety features, such as interlocked system, adequate shielding, engineered safety design of irradiation and accelerator rooms, and accessories such as conveyor system and product handling system. Warning lights and signals are adequately installed around the facility. Other identified hazards that may affect the operator, workers, and personnel were also evaluated based on previous records of monitoring. The ozone concentration levels with a maximum reading of 0.05 ppm measured in the environment of the facility are within the threshold limit value of 0.1 ppm. The measured noise levels at all locations around facility are generally below the maximum permissible level of 80dB. The ALURTRON has achieved a minimum safety requirement to warrant its full operation without relying on administrative controls and procedures to ensure safety in operation. (Auth.)

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)

Quality aspects of research reactor operations for instrumental neutron activation analysis. Report of an advisory group meeting

International Nuclear Information System (INIS)

2001-05-01

This publication is intended to provide guidance on quality aspects of research reactor utilization with emphasis on neutron activation analysis (NAA). It is written to provide users with the practical information required to improve their work and to help reactor staff understand the quality assurance requirements that users need from their facilities. While the report is intended to take into account the situation of research reactors in Africa, it should also be of value to other facilities. This publication is applicable to the establishment and implementation of quality aspects at various stages of the utilization of research reactors with emphasis on NAA. It is not intended to be complete and it should be considered as a stepping stone for improvement. It includes references to other documentation that is readily available. This TECDOC provides guidelines for practical quality assurance in the areas of reactor operations and facilities, preparation for irradiations, the irradiation process and conduct of analyses. It also covers areas of general consideration in quality management and includes recommendations for monitoring, registration, correction and prevention for the effective implementation of the programme. It is expected that the guidelines in this report will also be useful in establishing effective cooperation between reactor operators and experimenters for improved and more reliable utilization

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.

Systemic lupus erythematosus: Clinical and experimental aspects

International Nuclear Information System (INIS)

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

Safety aspects in decontamination operations: Lessons learned during the decommissioning of a small PWR reactor

International Nuclear Information System (INIS)

Klein, M.; Ponnet, M.; Emond, O.

2002-01-01

Decontamination operations are generally executed during the decommissioning of nuclear installations for different objectives: decontamination of loops or large pieces to reduce the dose rate inside a contaminated plant or decontamination to minimize the amount of radioactive waste. These decontamination operations raise safety issues such as radiological exposure, classical safety, environmental releases, production and management of secondary waste, management of primary resources, etc. This paper presents the return of experience from decontamination operations performed during the dismantling of the BR3 PWR reactor. The safety issues are discussed for 3 types of decontamination operations: full system decontamination of the primary loop with a chemical process to reduce the dose rate by a factor of 10; thorough decontamination with an aggressive chemical process of dismantled pieces to reach the unconditional clearance values; and thorough decontamination processes with physical processes of metals and of concrete to reach the unconditional clearance values. For the protection of the workers, we must consider the ALARA aspects and the classical safety issues. During the progress of our dismantling operations, the dose rate issue was becoming less important but the classical safety issues were becoming preponderant due to the use of very aggressive techniques. For the protection of the environment, we must take all the precautions to avoid any leakages from the plant and we must use processes which minimize the use of toxic products and which minimize the production of secondary wastes. We therefore promote the use of regenerative processes. (author)

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.

Proceedings of the specialist meeting on nuclear fuel and control rods: operating experience, design evolution and safety aspects

International Nuclear Information System (INIS)

1997-01-01

Design and management of nuclear fuel has undergone a strong evolution process during past years. The increase of the operating cycle length and of the discharge burnup has led to the use of more advanced fuel designs, as well as to the adoption of fuel efficient operational strategies. The analysis of recent operational experience highlighted a number of issues related to nuclear fuel and control rod events raising concerns about the safety aspects of these new designs and operational strategies, which led to the organisation of this Specialists Meeting on fuel and control rod issues. The meeting was intended to provide a forum for the exchange of information on lessons learned and safety concern related to operating experience with fuel and control rods (degradation, reliability, experience with high burnup fuel, and others). After an opening session 6 papers), this meeting was subdivided into four sessions: Operating experience and safety concern (technical session I - 6 papers), Fuel performance and operational issues (technical session II - 7 papers), Control rod issues (technical session III - 9 papers), Improvement of fuel design (technical session IV.A - 4 papers), Improvement on fuel fabrication and core management (technical session IV.B - 6 papers)

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.

Ghana Medical Journal

African Journals Online (AJOL)

The Ghana Medical Journal is a peer-reviewed, open access journal published by the Ghana Medical Association. It was established in 1962 It publishes quality manuscripts in in all aspects of health, health care and the medical sciences. The full text of published articles are available online at this website and at African ...

SOME ASPECTS OF USING MATHEMATICS IN MEDICAL SCIENCES

Directory of Open Access Journals (Sweden)

Ivana Ilic

2008-01-01

Full Text Available The aim of the paper was to present some new possibilities of using mathematicsin medical sciences and medical practice. The so-called mathematical way of thinkingis presented, which is, basically, the starting point of usual way of thinking, and alsothe essence of scientific and technological literacy, necessary for the development oftheoretical and practical modern medicine. The aim of the paper was to show that it isreasonable to choose certain mathematical points of view, present them to thestudents of medicine, and thus, help them to use that knowledge in their futurestudies in order to be more successful in their professions. Modern mathematical andstatistical methods are important in professional and scientific work in clinical andlaboratory environment.

General safety aspects

International Nuclear Information System (INIS)

1998-01-01

In this part next aspects are described: (1) Priority to safety; (2) Financial and human resources;; (3) Human factor; (4) Operator's quality assurance system; (5) Safety assessment and Verification; (6) Radiation protection and (7) Emergency preparedness

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.

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...

Concept of Operations Evaluation for Mitigating Space Flight-Relevant Medical Issues in a Planetary Habitat

Science.gov (United States)

Barsten, Kristina; Hurst, Victor, IV; Scheuring, Richard; Baumann, David K.; Johnson-Throop, Kathy

2010-01-01

Introduction: Analogue environments assist the NASA Human Research Program (HRP) in developing capabilities to mitigate high risk issues to crew health and performance for space exploration. The Habitat Demonstration Unit (HDU) is an analogue habitat used to assess space-related products for planetary missions. The Exploration Medical Capability (ExMC) element at the NASA Johnson Space Center (JSC) was tasked with developing planetary-relevant medical scenarios to evaluate the concept of operations for mitigating medical issues in such an environment. Methods: Two medical scenarios were conducted within the simulated planetary habitat with the crew executing two space flight-relevant procedures: Eye Examination with a corneal injury and Skin Laceration. Remote guidance for the crew was provided by a flight surgeon (FS) stationed at a console outside of the habitat. Audio and video data were collected to capture the communication between the crew and the FS, as well as the movements of the crew executing the procedures. Questionnaire data regarding procedure content and remote guidance performance also were collected from the crew immediately after the sessions. Results: Preliminary review of the audio, video, and questionnaire data from the two scenarios conducted within the HDU indicate that remote guidance techniques from an FS on console can help crew members within a planetary habitat mitigate planetary-relevant medical issues. The content and format of the procedures were considered concise and intuitive, respectively. Discussion: Overall, the preliminary data from the evaluation suggest that use of remote guidance techniques by a FS can help HDU crew execute space exploration-relevant medical procedures within a habitat relevant to planetary missions, however further evaluations will be needed to implement this strategy into the complete concept of operations for conducting general space medicine within similar environments

Physical aspects of quality assurance in radiotherapy: A protocol for quality control

International Nuclear Information System (INIS)

Aguirre, J.F.; Alfonso-Laguardia, R.; Andreo, P.; Brunetto, M.; Marenco-Zuniga, H.; Gutt, F.; Torres-Calderon, A.

2000-06-01

In consistency with the increasing requests from Member States for establishing radiotherapy programmes, an IAEA Technical Co-operation project was initiated in Latin America aimed at improving the physical aspects (as a complement to the clinical issues) of quality assurance in radiotherapy; this ARCAL XXX project (RLA/6/032) was classified as a Model Project of the IAEA. Among the important outcomes of the project were (i) the training of a considerable number of medical physicists in hospitals of the region, (ii) the development of a protocol for quality control procedures, and (iii) the organization of quality audit site visits (to the participant countries) where the implementation in hospitals of the developed quality control procedures is verified. The present publication is the protocol for quality control of the physical aspects of radiotherapy. It contains detailed procedures on what should be measured by a medical physicist in a radiotherapy treatment unit and related equipment, and how this should be made. The latter is made through several appendices, which make the document rather unique. The protocol was developed by medical physicists of the region for the professionals of the region, and it is the first document of this kind ever written in Spanish. A training course was organized in November 1998 (Havana, Cuba) where its practical implementation was taught. There are plans to have this document translated into different languages for the various regions having similar TC projects. (author)

Translating medical documents into plain language enhances communication skills in medical students--A pilot study.

Science.gov (United States)

Bittner, Anja; Jonietz, Ansgar; Bittner, Johannes; Beickert, Luise; Harendza, Sigrid

2015-09-01

To train and assess undergraduate medical students' written communication skills by exercises in translating medical reports into plain language for real patients. 27 medical students participated in a newly developed communication course. They attended a 3-h seminar including a briefing on patient-centered communication and an introduction to working with the internet platform http://washabich.de. In the following ten weeks, participants "translated" one medical report every fortnight on this platform receiving feedback by a near-peer supervisor. A pre- and post-course assignment consisted of a self-assessment questionnaire on communication skills, analysis of a medical text with respect to medical jargon, and the translation of a medical report into plain language. In the self-assessment, students rated themselves in most aspects of patient-centered communication significantly higher after attending the course. After the course they marked significantly more medical jargon terms correctly than before (pcommunicative aspects (pcommunication skills and medical knowledge in undergraduate medical students. To include translation exercises in the undergraduate medical curriculum. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Digital medical imaging

International Nuclear Information System (INIS)

Goeringer, F.; Mun, S.K.; Kerlin, B.D.

1989-01-01

In formulating an implementation strategy for digital medical imaging, three interrelated thrusts have emerged for the defense medical establishment. These thrusts: totally filmless medical imaging on the battlefield, teleradiology, and DIN/PACS for peacetime military health care are discussed. They have implications in their fully developed form as resource savers and quality improvers for the unique aspects of military health care

Psychosocial and psychosexual aspects of disorders of sex development

NARCIS (Netherlands)

Cohen-Kettenis, P.T.

2010-01-01

Psychosocial aspects of the treatment of disorders of sex development (DSDs) concern gender assignment, information management and communication, timing of medical interventions, consequences of surgery, and sexuality. Although outcome is often satisfactory, a variety of medical and psychosocial

SALTO Peer Review Guidelines. Guidelines for Peer Review of Safety Aspects of Long Term Operation of Nuclear Power Plants

International Nuclear Information System (INIS)

2014-01-01

International peer review is a useful tool for Member States to exchange experiences, learn from each other and apply good practices in the long term operation (LTO) of nuclear power plants (NPPs). The peer review is also an important mechanism through which the IAEA supports Member States in enhancing the safety of NPPs. The IAEA has conducted various types of safety review that indirectly address aspects of LTO, including safety reviews for design, engineering, operation and external hazards. Operational Safety Review Team (OSART) services include review of ageing management programmes. In addition, several Member States have requested Ageing Management Assessment Team (AMAT) missions. Through these experiences, it was recognized that a comprehensive peer review on LTO would be very useful to Member States. The Safety Aspects of Long Term Operation (SALTO) peer review addresses strategy and key elements for the safe LTO of NPPs, which includes AMAT objectives and complements OSART reviews. The SALTO peer review is designed to assist operating organizations in adopting a proper approach to LTP including implementing appropriate activities to ensure that plant safety will be maintained during the LTO period. The SALTO peer review can be tailored to focus on ageing management programmes (AMPs) or on other activities related to LTO to support the Member State in enhancing the safety of its NPPs. The SALTO peer review can also support regulators in establishing or improving regulatory and licensing strategies for the LTO of NPPs. The guidelines in this publication are primarily intended for members of a SALTO review team and provide a basic structure and common reference for peer reviews of LTO. Additionally, the guidelines also provide useful information to the operating organizations of NPPs (or technical support organizations) for carrying out their own self-assessments or comprehensive programme reviews. The guidelines are intended to be generic, as there are

Performance Support Tools for Space Medical Operations

Science.gov (United States)

Byrne, Vicky E.; Schmidt, Josef; Barshi, Immanuel

2009-01-01

The early Constellation space missions are expected to have medical capabilities very similar to those currently on the Space Shuttle and International Space Station (ISS). For Crew Exploration Vehicle (CEV) missions to ISS, medical equipment will be located on ISS, and carried into CEV in the event of an emergency. Flight Surgeons (FS) on the ground in Mission Control will be expected to direct the Crew Medical Officer (CMO) during medical situations. If there is a loss of signal and the crew is unable to communicate with the ground, a CMO would be expected to carry out medical procedures without the aid of a FS. In these situations, performance support tools can be used to reduce errors and time to perform emergency medical tasks. Human factors personnel at Johnson Space Center have recently investigated medical performance support tools for CMOs on-orbit, and FSs on the ground. This area of research involved the feasibility of Just-in-time (JIT) training techniques and concepts for real-time medical procedures. In Phase 1, preliminary feasibility data was gathered for two types of prototype display technologies: a hand-held PDA, and a Head Mounted Display (HMD). The PDA and HMD were compared while performing a simulated medical procedure using ISS flight-like medical equipment. Based on the outcome of Phase 1, including data on user preferences, further testing was completed using the PDA only. Phase 2 explored a wrist-mounted PDA, and compared it to a paper cue card. For each phase, time to complete procedures, errors, and user satisfaction were captured. Information needed by the FS during ISS mission support, especially for an emergency situation (e.g. fire onboard ISS), may be located in many different places around the FS s console. A performance support tool prototype is being developed to address this issue by bringing all of the relevant information together in one place. The tool is designed to include procedures and other information needed by a FS

Social, Psychological, and Medical Aspects of Chronic Pain.

Science.gov (United States)

Sparks, Jayne A.; Clark, Donald W.

1981-01-01

Discusses certain factors that contribute to the development of chronic pain. Psychosocial factors are explored with a summary of their implications for treatment. Medical treatment for chronic pain is reviewed and holistic treatment is surveyed. (Author)

General aspects of radiological protection to consider for the licensing a hospital cyclotron

International Nuclear Information System (INIS)

Andrada Contardi, F.A.; Fruttero, N.H.; Bozzo, R.H.; Moschella, E.G.

2010-01-01

The use of PET/PET-CT studies for a variety of diagnoses has increased significantly on a global scale. Modern medical cyclotrons must be placed in or near hospitals on account of the short radioactive half-life of the pharmaceuticals used in such studies. Many countries in Latin America are now licensing cyclotrons and laboratories for the production of radio-pharmaceuticals for the first time, and most are expected to have installations within the near future. This report outlines the general aspects of radiological protection important to consideration during the licensing of these facilities, and includes the following: general operation of the cyclotron and laboratory for the production of radiopharmaceuticals, safety systems (shielding, interlocks, ventilation, manual safety systems, alarms and monitors), and general aspects for licensing an installation (monitoring, accidental and incidental events, activation of components, etc.) and personnel. (authors) [es

Psychosocial aspects of medication nonadherence after kidney transplantation

NARCIS (Netherlands)

M. Moors-Tielen (Mirjam)

2016-01-01

markdownabstract__Background:__ Patients have to take immunosuppressive medication after kidney transplantation to prevent rejection of the graft. This thesis investigated patients’ adherence behavior, attitudes and beliefs about the immunosuppressive regime. The research questions were (1) What is

The Daily Relationship Between Aspects of Food Insecurity and Medication Adherence Among People Living with HIV with Recent Experiences of Hunger.

Science.gov (United States)

Pellowski, Jennifer A; Kalichman, Seth C; Cherry, Sabrina; Conway-Washington, Christopher; Cherry, Chauncey; Grebler, Tamar; Krug, Larissa

2016-12-01

Limited access to resources can significantly impact health behaviors. Previous research on food insecurity and HIV has focused on establishing the relationship between lacking access to nutritious food and antiretroviral (ARV) medication non-adherence in a variety of social contexts. This study aims to determine if several aspects of food insecurity co-occur with missed doses of medication on a daily basis among a sample of people living with HIV who have recently experienced hunger. The current study utilized a prospective, observational design to test the daily relationship between food insecurity and medication non-adherence. Participants were followed for 45 days and completed daily assessments of food insecurity and alcohol use via interactive text message surveys and electronic medication adherence monitoring using the Wisepill. Fifty-nine men and women living with HIV contributed a total of 2,655 days of data. Results showed that severe food insecurity (i.e., hunger), but not less severe food insecurity (i.e., worrying about having food), significantly predicted missed doses of medication on a daily level. Daily alcohol use moderated this relationship in an unexpected way; when individuals were hungry and drank alcohol on a given day, they were less likely to miss a dose of medication. Among people living with HIV with recent experiences of hunger, this study demonstrates that there is a daily relationship between hunger and non-adherence to antiretroviral therapy. Future research is needed to test interventions designed to directly address the daily relationship between food insecurity and medication non-adherence.

Triple-aspect monism: physiological, mental unconscious and conscious aspects of brain activity.

Science.gov (United States)

Pereira, Alfredo

2014-06-01

Brain activity contains three fundamental aspects: (a) The physiological aspect, covering all kinds of processes that involve matter and/or energy; (b) the mental unconscious aspect, consisting of dynamical patterns (i.e., frequency, amplitude and phase-modulated waves) embodied in neural activity. These patterns are variously operated (transmitted, stored, combined, matched, amplified, erased, etc), forming cognitive and emotional unconscious processes and (c) the mental conscious aspect, consisting of feelings experienced in the first-person perspective and cognitive functions grounded in feelings, as memory formation, selection of the focus of attention, voluntary behavior, aesthetical appraisal and ethical judgment. Triple-aspect monism (TAM) is a philosophical theory that provides a model of the relation of the three aspects. Spatially distributed neuronal dendritic potentials generate amplitude-modulated waveforms transmitted to the extracellular medium and adjacent astrocytes, prompting the formation of large waves in the astrocyte network, which are claimed to both integrate distributed information and instantiate feelings. According to the valence of the feeling, the large wave feeds back on neuronal synapses, modulating (reinforcing or depressing) cognitive and behavioral functions.

Core management, operational limits and conditions and safety aspects of the Australian High Flux Reactor (HIFAR)

International Nuclear Information System (INIS)

Town, S.L.

1997-01-01

HIFAR is a DIDO class reactor which commenced routine operation at approximately 10 MW in 1960. It is principally used for production of medical radio-isotopes, scientific research using neutron scattering facilities and irradiation of silicon ingots for the electronics industry. A detailed description of the core, including fuel types, is presented. Details are given of the current fuel management program HIFUEL and the experimental measurements associated with reactor physics analysis of HIFAR are discussed. (author)

Security of medical data transfer and storage in Internet. Cryptography, antiviral security and electronic signature problems, which must be solved in nearest future in practical context.

Science.gov (United States)

Kasztelowicz, Piotr; Czubenko, Marek; Zieba, Iwona

2003-01-01

The informatical revolution in computer age, which gives significant benefit in transfer of medical information requests to pay still more attention for aspect of network security. All known advantages of network technologies--first of all simplicity of copying, multiplication and sending information to many individuals can be also dangerous, if illegal, not permitted persons get access to medical data bases. Internet is assumed to be as especially "anarchic" medium, therefore in order to use it in professional work any security principles should be bewared. In our presentation we will try to find the optimal security solution in organisational and technological aspects for any medical network. In our opinion the harmonious co-operation between users, medical authorities and network administrators is core of the success.

Evaluation of nuclear data for radiation shielding by model calculations and international co-operation aspects

International Nuclear Information System (INIS)

Canetta, E.; Maino, G.; Menapace, E.

2001-01-01

The matter is reviewed, also following previous discussions at ICRS-9, concerning evaluation and related theoretical activities on nuclear data for radiation shielding within the framework of international co-operation initiatives, according to recognised needs and priorities. Both cross-section data.- for reactions induced by neutrons and photons - and nuclear structure data have been considered. In this context, main contributions and typical results are presented from theoretical and evaluation activities at the ENEA Applied Physics Division, especially concerning neutron induced reaction data up to 20 MeV and photonuclear reaction data such as photon absorption and (gamma,n) cross-sections. Relevant aspects of algebraic nuclear models and of evaporation and pre-equilibrium models are discussed. (authors)

MEDIC: medical embedded device for individualized care.

Science.gov (United States)

Wu, Winston H; Bui, Alex A T; Batalin, Maxim A; Au, Lawrence K; Binney, Jonathan D; Kaiser, William J

2008-02-01

Presented work highlights the development and initial validation of a medical embedded device for individualized care (MEDIC), which is based on a novel software architecture, enabling sensor management and disease prediction capabilities, and commercially available microelectronic components, sensors and conventional personal digital assistant (PDA) (or a cell phone). In this paper, we present a general architecture for a wearable sensor system that can be customized to an individual patient's needs. This architecture is based on embedded artificial intelligence that permits autonomous operation, sensor management and inference, and may be applied to a general purpose wearable medical diagnostics. A prototype of the system has been developed based on a standard PDA and wireless sensor nodes equipped with commercially available Bluetooth radio components, permitting real-time streaming of high-bandwidth data from various physiological and contextual sensors. We also present the results of abnormal gait diagnosis using the complete system from our evaluation, and illustrate how the wearable system and its operation can be remotely configured and managed by either enterprise systems or medical personnel at centralized locations. By using commercially available hardware components and software architecture presented in this paper, the MEDIC system can be rapidly configured, providing medical researchers with broadband sensor data from remote patients and platform access to best adapt operation for diagnostic operation objectives.

Medical and legal aspects of teleradiology in Germany

International Nuclear Information System (INIS)

Rosenberg, C.; Langner, S.; Rosenberg, B.; Hosten, N.

2011-01-01

In teleradiology, imaging data are transferred over a distance. This service is provided for the purpose of consulting or teleradiological reading in the narrower sense. Once a justification has been proposed in the latter, the examination is performed under the responsibility of a radiologist who is not present on site. The need for teleradiology services often derives from sparsely populated areas, a shortage of doctors, or the need for cost-efficient provision of radiological examinations. The providers and recipients of teleradiology services enter into an agreement specifying conditions for data transfer. The German ionizing radiation (medical exposure) regulations demand that the teleradiologist holds radiation protection qualifications and is able to reach the examination site within 45 - 60 minutes. In Germany, teleradiology services are still limited to nights, weekends, and vacations, although the German regulations allow an expansion under certain circumstances. Efforts to fundamentally change radiology in favor of teleradiology are putting the status of a radiological medical act as well as current teaching models at risk, thereby indirectly sustaining physician shortage. Transnational teleradiology services offer the possibility of cost reduction, taking advantage of out-of-hour reading and wage fluctuation. At the same time, such services are associated with deficits in quality and availability of personnel as well as the quality of medical services. In the long-term teleradiology concepts will fundamentally change radiology. Smaller radiology units will concentrate on daily business and fast reporting. Larger units also providing academic teaching can use teleradiology networks to offer specialized readings. (orig.)

The lifesaving potential of specialized on-scene medical support for urban tactical operations.

Science.gov (United States)

Metzger, Jeffery C; Eastman, Alexander L; Benitez, Fernando L; Pepe, Paul E

2009-01-01

Since the 1980s, the specialized field of tactical medicine has evolved with growing support from numerous law-enforcement and medical organizations. On-scene backup from tactical emergency medical support (TEMS) providers has not only permitted more immediate advanced medical aid to injured officers, victims, bystanders, and suspects, but also allows for rapid after-incident medical screening or minor treatments that can obviate an unnecessary transport to an emergency department. The purpose of this report is to document one very explicit benefit of TEMS deployment, namely, a situation in which a police officer's life was saved by the routine on-scene presence of specialized TEMS physicians. In this specific case, a police officer was shot in the anterior neck during a law-enforcement operation and became moribund with massive hemorrhage and compromised airway. Two TEMS physicians, who had been integrated into the tactical law-enforcement team, were on scene, controlled the hemorrhage, and provided a surgical airway. By the time of arrival at the hospital, the patient had begun purposeful movements and, within 12 hours, was alert and oriented. Considering the rapid decline in the patient's condition, it was later deemed by quality assurance reviewers that the on-scene presence of these TEMS providers was lifesaving.

Organisational aspects of the qualification and involvement of Medical Physicists in Radiology

International Nuclear Information System (INIS)

Vassileva, J.

2004-01-01

The specialist in Medical Physics has a key position in Quality Assurance process at diagnostic and therapeutic process and in Radiation Protection at medical use of ionizing radiation. The International Basic Safety Standards for protection against ionizing radiation of IAEA recommend and the EURATOM Directives 96/23 and 97/43 require qualified expert in medical physics to be involved in all the activities with ionizing radiation. In radiotherapeutic process this expert shall be closely involved and in nuclear medicine and diagnostic radiology this specialist shall be available. The International Organization for Medical Physics (IOMP), the European Federation of Organizations for Medical Physics (EFOMP) as well as a number of national organizations for Medical Physics in different countries have a clear concept for the qualification levels of the medical physics specialists, for the recognition scheme of their qualification and for the organization of the medical physics activities in a clinical environment. The legal requirements for medical physics expert's involvement in medicine is introducing in Bulgaria with the new Ordinance for Radiation Protection of Individuals at Medical Exposure that is expected to come into force in the beginning of next year. Some problems for discussion are submitted here finding necessary changes in the existing system for education and training of Medical physicists as well as in the organization of their involvement in health centers in the country. (author)

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

Technical, socio-economic, radioecological and medical aspects of works in the World during 1986-1997 which are connected with the Chernobyl accident

International Nuclear Information System (INIS)

Trofimenko, A.P.; Pisanko, Zh.I.; Kuprava, O.M.

1999-01-01

Technical, social, radioecological and medical aspects of works in the World during the years 1986-1997 in which causes and different aspects of Chernobyl accident were studied, are considered. Main directions of these works were found and the role each of them was quantitatively evaluated. A new method of INIS database analysis was used for this purpose. It permits to find subject fields of research and to give their general characteristics. An analysis of the topical content of some publications permitted to describe qualitatively their results. The obtained information can be used by the specialists who are dealing with the problems of Chernobyl accident mitigation, in finding the most important directions of work in this field, and in planning and realization of new research. 10 refs., 9 tab

[Sport as a profession: medical and social aspects].

Science.gov (United States)

Izmerov, N F

2011-01-01

The author analyses possible use of methods and achievements of industrial medicine in solving problems of acme in sports. The article covers theoretic, methodologic and practical basis for possible integration of industrial medicine and sports medicine. Mechanisms of such interdisciplinary integration include current legal basis, scientific research (mostly, concept of occupational risk, norm and pathology concept, doctrine of preventive medicine, etc), practical experience accumulated in this country and abroad. Some aspects of public health preservation in contemporary Russia are also tackled.

An elective seminar to teach first-year students the social and medical aspects of AIDS.

Science.gov (United States)

Goldman, J D

1987-07-01

First-year students at a midwestern medical school are introduced to a comprehensive approach to the biological, psychological, and social aspects of acquired immune deficiency syndrome (AIDS). In a seven-week elective seminar (approximately 12 hours in length), the students view a television movie and a documentary film about persons with AIDS and their families and friends, and they participate in roundtable discussions with AIDS patients, volunteers who coordinate support and advocacy for persons with AIDS, and health care professionals involved in the care of AIDS patients. They receive reading materials and lectures on the pathology, epidemiology, and history of AIDS, and they monitor and discuss radio and television reporting on AIDS. In wrap-up sessions and evaluation questionnaires, the students have reported the seminar to be valuable in helping them overcome their fear of the disease, develop empathy for patients with catastrophic diseases, and understand a comprehensive approach to a complex disease.

Ireland and medical research with minors: some medico-legal aspects.

Science.gov (United States)

Sheikh, Asim A

2008-07-01

The practice of medical research with minors in Ireland consist of practices pertaining to therapeutic and non-therapeutic medical research. Clinical trials (a category of therapeutic research), is governed by legislation. However, any other therapeutic research (non-clinical trials research) and non-therapeutic research, e.g. observational medical research such as a longitudinal study of children or non-therapeutic research such as blood sample collection for analysis of cause of disease, are unregulated by legislation. This, article will outline and describe some of the medico-legal issues involved in both types of research and will comment on matters such as what national law exists, how the directive on good clinical practice has been implemented, what guidelines, if any, exist.

Wilms' tumour: a comparison of surgical aspects in patients with or without pre-operative chemotherapy

International Nuclear Information System (INIS)

Safdar, C.A.; Aslam, M.; Awan, S.H.; Ahmed, I.; Badshah, S.

2006-01-01

To compare the technical aspects of Wilms' tumour (WT) surgery in patients with and without pre-operative chemotherapy. Patients of WT, presenting between January 1999 and December 2001, were treated, using the NWTSG protocol, with primary surgery (group I). Between January 2001 and December 2004, WT patients were treated according to SIOP protocol, with pre-operative chemotherapy followed by surgery (group II). Volume reduction with chemotherapy, duration of surgery, rupture of tumour, extent of excision, adherence and damage to surrounding structures, blood loss, complications, stay in hospital and event-free survival (EFS) were compared in the two groups. Out of 22 patients in group I, 19 (86.4%) underwent primary surgery. Of the 23 patients in group II, 21 (91.3%) received pre-operative chemotherapy followed by surgery. Average volume reduction in this group was 54% with chemotherapy. Difference in duration of surgery and blood loss was significantly low in group II (p=0.003 and p<0.001, respectively). In group I, rupture (6 vs 2), adherence (14 vs 10) and damage to surrounding structures (5 vs 2) were more. Complete macroscopic excision was possible in 90.5% of WT in group II as compared to 73.7% in group I. Immediate postoperative complications and length of hospital stay were similar in both groups. There was no difference in EFS. (author)

[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.

Exposure Based Health Issues Project Report: Phase I of High Level Tank Operations, Retrieval, Pretreatment, and Vitrification Exposure Based Health Issues Analysis

International Nuclear Information System (INIS)

Stenner, Robert D.; Bowers, Harold N.; Kenoyer, Judson L.; Strenge, Dennis L.; Brady, William H.; Ladue, Buffi; Samuels, Joseph K.

2001-01-01

The Department of Energy (DOE) has the responsibility to understand the ''big picture'' of worker health and safety which includes fully recognizing the vulnerabilities and associated programs necessary to protect workers at the various DOE sites across the complex. Exposure analysis and medical surveillance are key aspects for understanding this big picture, as is understanding current health and safety practices and how they may need to change to relate to future health and safety management needs. The exposure-based health issues project was initiated to assemble the components necessary to understand potential exposure situations and their medical surveillance and clinical aspects. Phase I focused only on current Hanford tank farm operations and serves as a starting point for the overall project. It is also anticipated that once the pilot is fully developed for Hanford HLW (i.e., current operations, retrieval, pretreatment, vitrification, and disposal), the process and analysis methods developed will be available and applicable for other DOE operations and sites. The purpose of this Phase I project report is to present the health impact information collected regarding ongoing tank waste maintenance operations, show the various aspects of health and safety involved in protecting workers, introduce the reader to the kinds of information that will need to be analyzed in order to effectively manage worker safety

Statistical analysis of operating efficiency and failures of a medical linear accelerator for ten years

International Nuclear Information System (INIS)

Ju, Sang Gyu; Huh, Seung Jae; Han, Young Yih

2005-01-01

To improve the management of a medical linear accelerator, the records of operational failures of a Varian CL2100C over a ten year period were retrospectively analyzed. The failures were classified according to the involved functional subunits, with each class rated into one of three levels depending on the operational conditions. The relationships between the failure rate and working ratio and between the failure rate and outside temperature were investigated. In addition, the average life time of the main part and the operating efficiency over the last 4 years were analyzed. Among the recorded failures (total 587 failures), the most frequent failure was observed in the parts related with the collimation system, including the monitor chamber, which accounted for 20% of all failures. With regard to the operational conditions, 2nd level of failures, which temporally interrupted treatments, were the most frequent. Third level of failures, which interrupted treatment for more than several hours, were mostly caused by the accelerating subunit. The number of failures was increased with number of treatments and operating time. The average life-times of the Klystron and Thyratron became shorter as the working ratio increased, and were 42 and 83% of the expected values, respectively. The operating efficiency was maintained at 95% or higher, but this value slightly decreased. There was no significant correlation between the number of failures and the outside temperature. The maintenance of detailed equipment problems and failures records over a long period of time can provide good knowledge of equipment function as well as the capability of predicting future failure. More rigorous equipment maintenance is required for old medical linear accelerators for the advanced avoidance of serious failure and to improve the quality of patient treatment

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…

Medical support to Sri Lanka in the wake of tsunamis: planning considerations and lessons learned.

Science.gov (United States)

Lane, David A

2006-10-01

When massive tsunamis affected the coast of Sri Lanka and other Indian Ocean littorals, elements of the Third Force Service Support Group and assigned Navy, Air Force, Army, and Coast Guard units from the U.S. Pacific Command were "task organized" to form Combined Support Group-Sri Lanka (CSG-SL), charged to conduct humanitarian assistance/disaster relief (HA/DR) operations. The specific mission was to provide immediate relief to the affected population of Sri Lanka and the Maldives, to minimize loss of life, and to mitigate human suffering. A 30-person health care team deployed to the northern province of Jaffna and provided medical assistance to that chronically underserved and acutely overstressed region. For a 12-day period, the team served as the principal medical staff of an under-resourced government hospital and conducted mobile primary care clinics at nearby welfare camps housing > 7,000 internally displaced persons made homeless by the tsunamis. By every measurable standard, CSG-SL accomplished its assigned HA/DR task in Sri Lanka, including the medical mission. In doing so, the medical team learned many important lessons, including five of particular value to planners of similar relief operations in the future. This article discusses the context in which CSG-SL planned and executed the medical aspects of its HA/DR operations in Sri Lanka, and it describes the most significant medical lessons learned.

Radiation protection in medical imaging and radiation oncology

CERN Document Server

Stoeva, Magdalena S

2016-01-01

Radiation Protection in Medical Imaging and Radiation Oncology focuses on the professional, operational, and regulatory aspects of radiation protection. Advances in radiation medicine have resulted in new modalities and procedures, some of which have significant potential to cause serious harm. Examples include radiologic procedures that require very long fluoroscopy times, radiolabeled monoclonal antibodies, and intravascular brachytherapy. This book summarizes evidence supporting changes in consensus recommendations, regulations, and health physics practices associated with these recent advances in radiology, nuclear medicine, and radiation oncology. It supports intelligent and practical methods for protection of personnel, the public, and patients. The book is based on current recommendations by the International Commission on Radiological Protection and is complemented by detailed practical sections and professional discussions by the world’s leading medical and health physics professionals. It also ...

Munchausen syndrome by proxy in Mexican children: medical, social, psychological and legal aspects.

Science.gov (United States)

Trejo-Hernández, Jorge; Loredo-Abdalá, Arturo; Orozco-Garibay, José Manuel

2011-01-01

The Munchausen Syndrome by Proxy (MSP), is considered as an unusual less frequent variety of child abuse (CA). In this type of abuse the perpetrators purposely provide factitious information, tamper with specimens or actually induce an illness in a child. Nowadays, it is a clinical entity described in pediatrics as more frequently than before. Despite the fact of its presence worldwide, there are still problems in order to get an appropriate diagnostic. It is also difficult to handle both the clinical and legal aspects in various countries. Make our academic fellows aware of various pediatric, psychological, social and legal aspects of a series of cases attended at the Clínica de Atención Integral al Niño Maltratado from Instituto Nacional de Pediatría (CAINM-INP), Mexico [Integral Clinic of Attention for Abused Children, at National Institute of Pediatrics, Mexico]. From a series of 25 cases, 18 minors of age were considered with this syndrome since we found that they shared medical, psychological, social and legal characteristics. 18 minors of age belonged to 14 families. 4 of those families had two affected children each one. These affected children were girls 13/18, predominant in children under six years in 10/18. Syndrome expression was distributed as follows: fever from a non determined origin, seizures, chronic diarrhea, hematuria, and probable sexual abuse. 14 children were hospitalized. In all cases, the aggressor was the mother. The psychological evaluation of six perpetrators revealed psychotic, histrionic, and compulsive-obsessive traits. The socio-economic condition was low in 50% of the cases. A legal demand was posed for seven patients in which all the children remained under the custody of the mother. In Mexico, reports of CA have increased within the last years according to experience. Some complex forms as MSP require the participation of an interdisciplinary team for both diagnosis and integral attention.

[Discussion on Quality Evaluation Method of Medical Device During Life-Cycle in Operation Based on the Analytic Hierarchy Process].

Science.gov (United States)

Zheng, Caixian; Zheng, Kun; Shen, Yunming; Wu, Yunyun

2016-01-01

The content related to the quality during life-cycle in operation of medical device includes daily use, repair volume, preventive maintenance, quality control and adverse event monitoring. In view of this, the article aims at discussion on the quality evaluation method of medical devices during their life cycle in operation based on the Analytic Hierarchy Process (AHP). The presented method is proved to be effective by evaluating patient monitors as example. The method presented in can promote and guide the device quality control work, and it can provide valuable inputs to decisions about purchase of new device.

Large Aspect Ratio Tokamak Study

International Nuclear Information System (INIS)

Reid, R.L.; Holmes, J.A.; Houlberg, W.A.; Peng, Y.K.M.; Strickler, D.J.; Brown, T.G.; Wiseman, G.W.

1980-06-01

The Large Aspect Ratio Tokamak Study (LARTS) at Oak Ridge National Laboratory (ORNL) investigated the potential for producing a viable longburn tokamak reactor by enhancing the volt-second capability of the ohmic heating transformer through the use of high aspect ratio designs. The plasma physics, engineering, and economic implications of high aspect ratio tokamaks were assessed in the context of extended burn operation. Using a one-dimensional transport code plasma startup and burn parameters were addressed. The pulsed electrical power requirements for the poloidal field system, which have a major impact on reactor economics, were minimized by optimizing the startup and shutdown portions of the tokamak cycle. A representative large aspect ratio tokamak with an aspect ratio of 8 was found to achieve a burn time of 3.5 h at capital cost only approx. 25% greater than that of a moderate aspect ratio design tokamak

Large aspect ratio tokamak study

International Nuclear Information System (INIS)

Reid, R.L.; Holmes, J.A.; Houlberg, W.A.; Peng, Y.K.M.; Strickler, D.J.; Brown, T.G.; Sardella, C.; Wiseman, G.W.

1979-01-01

The Large Aspect Ratio Tokamak Study (LARTS) investigated the potential for producing a viable long burn tokamak reactor through enhanced volt-second capability of the ohmic heating transformer by employing high aspect ratio designs. The plasma physics, engineering, and economic implications of high aspect ratio tokamaks were accessed in the context of extended burn operation. Plasma startup and burn parameters were addressed using a one-dimensional transport code. The pulsed electrical power requirements for the poloidal field system, which have a major impact on reactor economics, were minimized by optimizing the field in the ohmic heating coil and the wave shape of the ohmic heating discharge. A high aspect ratio reference reactor was chosen and configured

Radiation safety in 'install and operate type' irradiator

International Nuclear Information System (INIS)

Sahoo, D.K.; Kohli, A.K.

2003-01-01

Install and operate type irradiator has been designed to carry out radiation processing of various food products as well as medical products. It is a category 1 type batch irradiator. This paper brings out the radiation safety aspects of this irradiator. Comparison has been made with conveyor type category IV irradiators, which are more common in use for commercial purposes. The design has many features that make it a very safe, convenient and economical method for processing of all items that are permitted and amenable for gamma radiation processing. (author)

Optimization method concerning target conflicts between safety aspects and occupational safety aspects in nuclear power plant operations

International Nuclear Information System (INIS)

Mueller, W.

1991-01-01

The simplified cost-benefit analysis has not been considered for applications in nuclear engineering with complex decisions between safety aspects and occupational safety aspects. The extended cost-benefit analysis encounters problems with non-monetary criteria. Solutions are in sight, however with a subjective element. A major problem in implementing the method is the psychological barrier as against an evaluation of human life. The multi-attribute utility analysis overcomes the difficulties of the extended cost-benefit analysis, however, it also creates new problems on account of the complicated construction of the utility functions. The problems are solved most elegantly with the multi-criteria outranking analysis, the only disadvantage possibly being less transparency at first sight. (orig./HP) [de

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

[Cirurgia Taurina--emergency medical treatment of bullfighters in Spain].

Science.gov (United States)

Lehmann, V; Lehmann, J

2003-08-01

A considerable risk of life-threatening injury is inherent to bullfighting. Thus, a unique form of emergency treatment has evolved over recent decades of organized bull-fighting. Today bullfight arenas in larger cities are equipped with emergency facilities including fully furnished operating rooms. During a fiesta these facilities are run by a medical team consisting of three surgeons, one intensive care specialist, and one anesthesiologist with their supporting medical personnel. In smaller arenas or villages immediate care units consist of emergency vehicles, and a mobile container equipped with a fully functional operating room. Of all toreros the matadores including the novilleros are most often injured in 56 % of cases. This rate decreases for banderillos (30 %), and for picadores (14 %). Parts of the body that are most frequently affected are thighs, and the inguinal region (54 %). Head and neck injuries are seen in 19 %, and 12 % of cases present with open abdominal wounds including liver or gastrointestinal tract traumas. 10 % of injuries affect the thorax, and 4 % the pelvic floor. The particular form of organised medical treatment for bullfighters in Spain has only developed since the nineteen-thirties. In 1972 a scientific society for bullfight surgery was founded in Spain by specialized surgeons, and immediate care specialists holding a first convention that year. The society is continuously striving to improve technical and logistical aspects of immediate medical care for injured bullfighters.

[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.

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

International Nuclear Information System (INIS)

1995-01-01

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

Medical Art Therapy

Directory of Open Access Journals (Sweden)

Birgul Aydin

2012-03-01

Full Text Available Art therapy is a form of expressive therapy that uses art materials. Art therapy combines traditional psychotherapeutic theories and techniques with an understanding of the psychological aspects of the creative process, especially the affective properties of the different art materials. Medical art therapy has been defined as the clinical application of art expression and imagery with individuals who are physically ill, experiencing physical trauma or undergoing invasive or aggressive medical procedures such as surgery or chemotherapy and is considered as a form of complementary or integrative medicine. Several studies have shown that patients with physical illness benefit from medical art therapy in different aspects. Unlike other therapies, art therapy can take the patients away from their illness for a while by means of creative activities during sessions, can make them forget the illness or lost abilities. Art therapy leads to re-experiencing normality and personal power even with short creative activity sessions. In this article definition, influence and necessity of medical art therapy are briefly reviewed.

Operation of emergency operating centers during mass casualty incidents in taiwan: a disaster management perspective.

Science.gov (United States)

Wen, Jet-Chau; Tsai, Chia-Chou; Chen, Mei-Hsuan; Chang, Wei-Ta

2014-10-01

On April 27, 2011, a train derailed and crashed in Taiwan, causing a mass casualty incident (MCI) that was similar to a previous event and with similar consequences. In both disasters, the emergency operating centers (EOCs) could not effectively integrate associated agencies to deal with the incident. The coordination and utilization of resources were inefficient, which caused difficulty in command structure operation and casualty evacuation. This study was designed to create a survey questionnaire with problem items using disaster management phases mandated by Taiwan's Emergency Medical Care Law (EMCL), use statistical methods (t test) to analyze the results and issues the EOCs encountered during the operation, and propose solutions for those problems. Findings showed that EOCs lacked authority to intervene or coordinate with associated agencies. Also, placing emphasis on the recovery phase should improve future prevention and response mechanisms. To improve the response to MCIs, the EMCL needs to be amended to give EOCs the lead during disasters; use feedback from the recovery phase to improve future disaster management and operation coordination; and establish an information-sharing platform across agencies to address all aspects of relief work.(Disaster Med Public Health Preparedness. 2014;0:1-6).

Medical Tourism in Malaysia: Prospect and Challenges.

Science.gov (United States)

Sarwar, Abdullah

2013-08-01

Tourism, combined with the phrase medical, seems to be a new form of tourism which has gained huge popularity in recent decades. Though, a number of literatures available with regard to the tourism industry and the competitiveness of the destination, however, the major aspects which determine the satisfaction of medical tourists are hardly focused specifically on Malaysia. There is a lack of empirical evidence in this area of study which needs to be bridged. Hence, this study aimed at investigating the various factors contributing towards the development of medical tourism in Malaysia. As the purpose of the research was to find out various factors contributing towards the development of medical tourism in Malaysia, so this study used Structural Equation modeling (SEM) for data analysis. The target population for this study consisted of the medical tourists coming to Malaysia with the primary intension of seeking medical procedures other than sightseeing. A total sample size of 266 was collected through non-probability judgment sampling during the period between December 2012 and February 2013. The result confirms that destination competitiveness and service quality play an important role in the medical tourist's mind towards medical tourism aspect in Malaysia. Thus, Malaysia need to promote various medical success stories together with the services they offer to attract more foreign patients. This study contributes to the theoretical development in the tourism industry by offering the structured relationship among various aspects contributing towards the development of medical tourism in Malaysia.

Medical Information & Technology: Rapidly Expanding Vast Horizons

Science.gov (United States)

Sahni, Anil K.

2012-12-01

During ÑMedical Council Of India?, Platinum Jubilee Year (1933-2008) Celebrations, In Year 2008, Several Scientific Meeting/Seminar/Symposium, On Various Topics Of Contemporary Importance And Relevance In The Field Of ÑMedical Education And Ethics?, Were Organized, By Different Medical Colleges At Various Local, State, National Levels. The Present Discussion, Is An Comprehensive Summary Of Various Different Aspects of ìMedical Information Communication Technologyî, Especially UseFul For The Audience Stratum Group Of Those Amateur Medical & Paramedical Staff, With No Previous Work Experience Knowledge Of Computronics Applications. Outlining The, i.Administration Applications: Medical Records Etc, ii. Clinical Applications: Pros pective Scope Of TeleMedicine Applicabilities Etc iii. Other Applications: Efforts To Augment Improvement Of Medical Education, Medical Presentations, Medical Education And Research Etc. ÑMedical Trancription? & Related Recent Study Fields e.g ÑModern Pharmaceuticals?,ÑBio-Engineering?, ÑBio-Mechanics?, ÑBio-Technology? Etc., Along With Important Aspects Of Computers-General Considerations, Computer Ergonomics Assembled To Summarize, The AwareNess Regarding Basic Fundamentals Of Medical Computronics & Its Practically SuccessFul Utilities.

Why OR.NET? Requirements and perspectives from a medical user's, clinical operator's and device manufacturer's points of view.

Science.gov (United States)

Czaplik, Michael; Voigt, Verena; Kenngott, Hannes; Clusmann, Hans; Hoffmann, Rüdiger; Will, Armin

2018-02-23

In the past decades, modern medicine has been undergoing a change in the direction of digitalisation and automation. Not only the integration of new digital technologies, but also the interconnection of all components can simplify clinical processes and allow progress and development of new innovations. The integration and interconnection of medical devices with each other and with information technology (IT) systems was addressed within the framework of the Federal Ministry of Education and Research (BMBF)-funded lighthouse project OR.NET ("Secure dynamic networking in the operating room and clinic".) (OR.net-Forschungskonsortium (OR.net Research Syndicate.) OR.net - Sichere dynamische Vernetzung in Operationssaal und Klinik [Online]. Available: www.ornet.org. [last accessed 22 March 2017]). In this project the standards and concepts for interdisciplinary networking in the operating room (OR) were developed. In this paper, the diverse advantages of the OR.NET concept are presented and explained by the OR.NET "Medical Board". This board represents the forum of clinical users and includes clinicians and experts from various specialties. Furthermore, the opinion from the viewpoint of operators is presented. In a concluding comment of the "Operator Board", clinical user needs are aligned with technical requirements.

Aspects of development of leader creative thinking of medical student at the undergraduate level of medical education.

Science.gov (United States)

Sydorchuk, Аniuta S; Moskaliuk, Vasyl D; Randiuk, Yuriy O; Sorokhan, Vasyl D; Golyar, Oksana I; Sydorchuk, Leonid І; Humenna, Anna V

Current issue deals with analysis of possible ways to develop leadership in medical students. Taking into consideration the reforming in National Ukrainian educative system and contemporary tendencies of world integration, the development of skillful personality is the prioritize task. The aim of study is to emphasize on the best-used ways for a development of leader creative thinking at the first basic level of medical education. methodology used here is descriptive analytical investigation based upon the own experience have been since 2005-2015 with undergraduate foreign medical students who studied disciplines « Infectious diseases » and «Epidemiology of Infectious diseases»,«Tropical Medicine and Clinical Parasitology» at the Higher state educational establishment of Ukraine « Bukovinian State Medical University » (Chernivtsi, Ukraine). the authors state that creative thinking of a leader is necessary and important part of innovative pedagogy nowadays. From the positive side of it, formation of new generation of medical students learned by competence-based approach with readiness to carry out multitasks. Coupled with, « thinking out of the box » development in individual person helps to discover maximum features of personality. From the negative side of it, there are difficulties to keep activity within certain limits. Most pre-graduate medical students actively express their best creativity in extra-class time within university events like Round Tables dedicated to International days of hepatitis B&C, malaria, HIV etc. to share with others of prevention recommendations. There are many methods to develop creativity and flexibility of cognitive processes, such as brainstorming session, case study, micro-reality, SCAMPER and lateral thinking method etc. Thus, leadership skills and creative thinking both had targeted for excellent qualitative medical education.

Misconceiving medical leadership.

Science.gov (United States)

Parker, Malcolm

2013-01-01

Medical leadership and leadership education have recently emerged as subjects of an expanding though as yet uncritical literature. Considerable attention is being given to the development of courses and electives, together with some proposals for generalizing these offerings to all medical students and doctors. This article briefly sketches this development and its derivation from business and corporate leadership models and accompanying literature, and subjects its adoption by medicine to critical scrutiny. Putative motivations for these developments are discussed, and an alternative explanation is offered, tied to the loss of physician status. The nature of leadership as complex, emergent, and unpredictable has been ignored in the promotion of medical leadership and leadership training, and this is reflected in the false assumption that leadership in medicine is something that can be taught. Although the leadership literature is beginning to recognize these complex aspects of leadership, so far their implications have not been acknowledged. This article aims to stimulate further analytic discussion of this under-theorized aspect of medicine.

Toxoplasmosis - Awareness and knowledge among medical doctors in Nigeria.

Science.gov (United States)

Efunshile, Akinwale Michael; Elikwu, Charles John; Jokelainen, Pikka

2017-01-01

Toxoplasma gondii is a zoonotic parasite causing high disease burden worldwide. A One Health approach is needed to understand, prevent, and control toxoplasmosis, while knowledge gaps in the One Health aspects have been identified among medical professionals in earlier studies. As a One Health collaboration between veterinary and medical fields, we surveyed the knowledge on toxoplasmosis among medical doctors in Nigeria. The knowledge questions, which the participants answered without consulting literature and colleagues, covered epidemiological One Health aspects as well as clinical interspecialty aspects of T. gondii infections. Altogether 522 medical doctors from four tertiary hospitals completed the questionnaire. The mean number of correct answers in the knowledge questions was 7.5, and 8.4% of the participants selected at least 12 of the 17 correct answers. The proportion of medical doctors scoring such a high score was significantly higher among those who reported having seen a case of clinical toxoplasmosis than in those who did not. While 62% of the medical doctors participating in our study knew that cats can shed T. gondii in their feces, 36% incorrectly suggested that humans could do that too. That T. gondii infection can be meatborne was known by 69%, but that it can be also waterborne only by 28% of the medical doctors participating in our study. Most of the medical doctors, 78%, knew that clinical toxoplasmosis may involve the central nervous system, while only 37% answered that it can involve the eyes. Our results suggested knowledge gaps, which need to be addressed in Continuous Medical Education. The identified gaps included both intersectoral One Health aspects and interspecialty aspects: For prevention and management of toxoplasmosis, knowing the main transmission routes and that the parasite can affect several organs is relevant.

["AGAINST ALL ODDS" - PROMOTING RESEARCH, CLINICAL DEVELOPMENT AND MEDICAL SERVICES OF THE CONFLICT IN THE GALILEE MEDICAL CENTER].

Science.gov (United States)

Bornstein, Jacob

2017-05-01

The Galilee Medical Center (GMC) is unique in several aspects. Firstly, in the clinical aspect: In recent years, led by the Director of Medical Center, Dr. Masad Barhoum, a considerable momentum of development has taken place to reduce health discrepancies between the center and the periphery. Despite the under- financing of the health system in the Galilee, the GMC opened new clinical departments, introduced advanced medical technology and key staff members were added. This approach is depicted in publications presented in the current issue. Secondly, the aspect of medicine standoff: The GMC is the nearest hospital to the border with neighboring countries. It is also a tertiary center for trauma, due to the establishment of the Department of Neurosurgery, Department of Oral and Maxillofacial Surgery and the Departments of Orthopedic Surgery, general invasive radiology and invasive radiology of the brain. In recent years, the medical center treated hundreds of victims of the civil war in Syria, a third of them - women and children. The injured patients presented unique medical problems that are described in the papers in this issue. Thirdly, the research aspect: The medical center is the main teaching facility of medical students of the Faculty of Medicine in the Galilee of Bar-Ilan University. The Faculty of Medicine, led by the Dean, Prof. Ran Tur-Kaspa, promotes research and teaching in the medical center. Even before the establishment of the Faculty of Medicine, former hospital director, Prof. Shaul Shasha, not only extolled the importance of research, but established a research laboratory years ago. The laboratory continues to pursue translational research by the physicians of the medical center, led by Dr. Shifra Sela and Prof. Batya Kristal, and supported by the current medical center director, Dr. Masad Barhoum. Several studies conducted in this research laboratory are published herewith. With these unique aspects and despite the discrimination in funding

Integrated Medical Model Project - Overview and Summary of Historical Application

Science.gov (United States)

Myers, J.; Boley, L.; Butler, D.; Foy, M.; Goodenow, D.; Griffin, D.; Keenan, A.; Kerstman, E.; Melton, S.; McGuire, K.;

Important Aspects of Pharmacist-led Medication Reviews in an Acute Medical Ward

DEFF Research Database (Denmark)

Bülow, Cille; Faerch, Kirstine Ullitz; Armandi, Helle

2018-01-01

In some hospitals, clinical pharmacists review the medication to find drug-related problems (DRPs) in acutely admitted patients. We aimed to identify the nature of identified DRPs and investigate factors of potential importance for the clinical implementation of pharmacist suggestions. In 100.......05). The most frequently implemented suggestions were based on DRPs concerning 'indication for drug treatment not noticed', 'inappropriate drug form' and 'drug dose too low', with implementation rates of 83%, 67% and 63%, respectively. In our sample, the pharmacist's MR suggestions were only implemented...

Medical Physics expert and competence in radiation protection

International Nuclear Information System (INIS)

Vano, E.; Lamn, I. N.; Guerra, A. del; Van Kleffens, H. J.

2003-01-01

The Council Directive 97/43/EURATOM on health protection of individuals against the dangers of ionizing radiation in relation to medical exposure, defines the Medical Physical Expert as an expert in radiation physics or radiation technology applied to exposure, within the scope of the Directive, whose training and competence to act is recognized by the competent authorities; and who, as appropriate, acts or gives advice on patient dosimetry, on the development and use of complex techniques and equipment, on optimization, on quality assurance, including quality control, and on other matters relating to radiation protection, concerning exposure within the scope of this Directive. As a consequence, it might be implied that his competence in radiation protection should also cover the staff and the public. In fact, the training programmes of medical physics experts include all the aspects concerning these topics. Some confusion could arise in the medical area when the Qualified Expert defined in the Council Directive 96/29/Euratom laying down basic safety standards for the protection of the health of workers and the general public against the dangers arising from ionizing radiation is considered. The Qualified Expert is defined as a person having the knowledge and training needed to carry out physical, technical or radiochemical tests enabling doses to be assessed, and to give advice in order to ensure effective protection of individuals and the correct operation of protective equipment, whose capacity to act a qualified expert is recognized by the competent authorities. A qualified expert may be assigned the technical responsibility for the tasks of radiation protection of workers and members of the public. In Europe, the Qualified Expert is acting at present in the Medical Area in countries where there are not enough Medical Physics Experts or in countries where this role was established before the publication of the Council Directive 97/43/EURATOM. Now, the coherent

[The notion of occupational skin disease. Medical and legal aspects].

Science.gov (United States)

Elsner, P; Schliemann, S

2015-03-01

The different definitions of skin disease in medicine and in law are frequently confusing for dermatologists. While a skin disease may be defined medically referring to the definition of health by the WHO as a pathological condition of the skin leading to a disruption of the physical, mental and social well-being of the individual, legal definitions vary depending on the field of insurance law that is referred to. In the law of private health insurance, a skin disease is defined as an anomalous condition of the skin requiring medical treatment that exists independently of the subjective judgement of the insured person and needs to be objectively confirmed by a medical evaluation. In contrast, in the law of the social health insurance, the Federal Court of Social Justice defines disease as irregular physical or mental condition, deviating from the perception of a healthy human being that requires medical treatment or leads to inability to work. Substantial bodily disfigurement may be regarded as an irregular physical condition. In the law of the statutory accident insurance, occupational skin diseases are defined under clause 5101 of the occupational disease regulation as serious or repeatedly relapsing skin diseases that have forced a person to refrain from any work activities causal for the development, the aggravation or the recurrence of the disease. The Federal Court of Social Justice interprets the term "skin disease" from the protective purpose of the law, i.e. the protection against the economic and health consequences of the exposure to harmful agents and a thereby forced change of profession. This broad interpretation of the term "skin disease" leads to the recognition of diseases of the conjunctiva of the eye or diseases of the blood vessels of the skin due to cold damage as skin diseases according to clause 5101. For the correct treatment and possibly notification of occupational skin diseases in collaboration with various insurance carriers

An introduction to medical statistics

International Nuclear Information System (INIS)

Hilgers, R.D.; Bauer, P.; Scheiber, V.; Heitmann, K.U.

2002-01-01

This textbook teaches all aspects and methods of biometrics as a field of concentration in medical education. Instrumental interpretations of the theory, concepts and terminology of medical statistics are enhanced by numerous illustrations and examples. With problems, questions and answers. (orig./CB) [de

Nuclear medicine software: safety aspects

International Nuclear Information System (INIS)

Anon.

1989-01-01

A brief editorial discusses the safety aspects of nuclear medicine software. Topics covered include some specific features which should be incorporated into a well-written piece of software, some specific points regarding software testing and legal liability if inappropriate medical treatment was initiated as a result of information derived from a piece of clinical apparatus incorporating a malfunctioning computer program. (U.K.)

Army Medical Support for Peace Operations and Humanitarian Assistance,

Science.gov (United States)

1996-01-01

or contractors. Some coalition troops may uti - lize the theater medical system in ways it was not intended. Coalition partners’ own medical assets...agencies, and the State Depart- ment often urge the Army to expand medical services and to uti - lize any excess capacity for purposes other than the...Psychologists (new 67D). Similar concerns involved comptrollers and preventive medicine officers, field medical pharmacists , and personnel managers

Role and liabilities of the medical physicist in the validation of oncologic treatments in internal vectorized radiation therapy. S.F.P.M. report nr 31, June 2015

International Nuclear Information System (INIS)

Farman, Bardia; Defez, Didier; Martineau, Antoine; Vrigneaud, Jean-Marc; Dieudonne, Arnaud; Giraud, Fabienne; Divry, Guillaume; Bardies, Manuel; Laffont, Sophie; Santoro, Lore; Ferrer, Ludovic; Guilhem, Marie-Therese; Meyer, Philippe; Simon, Luc

2015-06-01

According to legal arrangements and decrees, the medical physicist must validate the preparation of each treatment based on the use of radio-elements in non-sealed sources. As the medical physicist is therefore liable of this validation, this report addresses the approach to be followed to comply with the law. The authors first outline that this report only concerns oncologic internal vectorized radiation therapy, and does not address the dosimetric aspect of these treatments. After having recalled the principles of internal vectorized radiography, they describe the role of the different actors: nuclear physician, medical physicist, radio-pharmacist, radio-pharmacy dispenser, medical electro-radiology operator, state nurse. They address the various aspects of the process of validation of a treatment preparation: technical prerequisites, organisational prerequisite, validation process, traceability, dosimetry. Several examples are proposed in appendix regarding traceability, dosimetry software, examples of PRM files

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

Science.gov (United States)

Borţun, D; Matei, C S

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.

Novel aspects of plasma control in ITER

Energy Technology Data Exchange (ETDEWEB)

Humphreys, D.; Jackson, G.; Walker, M.; Welander, A. [General Atomics P.O. Box 85608, San Diego, California 92186-5608 (United States); Ambrosino, G.; Pironti, A. [CREATE/University of Naples Federico II, Napoli (Italy); Vries, P. de; Kim, S. H.; Snipes, J.; Winter, A.; Zabeo, L. [ITER Organization, St. Paul Lez durance Cedex (France); Felici, F. [Eindhoven University of Technology, Eindhoven (Netherlands); Kallenbach, A.; Raupp, G.; Treutterer, W. [Max-Planck Institut für Plasmaphysik, Garching (Germany); Kolemen, E. [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543-0451 (United States); Lister, J.; Sauter, O. [Centre de Recherches en Physique des Plasmas, Ecole Polytechnique Federale de Lausanne, Lausanne (Switzerland); Moreau, D. [CEA, IRFM, 13108 St. Paul-lez Durance (France); Schuster, E. [Lehigh University, Bethlehem, Pennsylvania (United States)

2015-02-15

ITER plasma control design solutions and performance requirements are strongly driven by its nuclear mission, aggressive commissioning constraints, and limited number of operational discharges. In addition, high plasma energy content, heat fluxes, neutron fluxes, and very long pulse operation place novel demands on control performance in many areas ranging from plasma boundary and divertor regulation to plasma kinetics and stability control. Both commissioning and experimental operations schedules provide limited time for tuning of control algorithms relative to operating devices. Although many aspects of the control solutions required by ITER have been well-demonstrated in present devices and even designed satisfactorily for ITER application, many elements unique to ITER including various crucial integration issues are presently under development. We describe selected novel aspects of plasma control in ITER, identifying unique parts of the control problem and highlighting some key areas of research remaining. Novel control areas described include control physics understanding (e.g., current profile regulation, tearing mode (TM) suppression), control mathematics (e.g., algorithmic and simulation approaches to high confidence robust performance), and integration solutions (e.g., methods for management of highly subscribed control resources). We identify unique aspects of the ITER TM suppression scheme, which will pulse gyrotrons to drive current within a magnetic island, and turn the drive off following suppression in order to minimize use of auxiliary power and maximize fusion gain. The potential role of active current profile control and approaches to design in ITER are discussed. Issues and approaches to fault handling algorithms are described, along with novel aspects of actuator sharing in ITER.

Deontological aspects of the amyotrophic lateral sclerosis

Directory of Open Access Journals (Sweden)

T. M. Alekseeva

2017-01-01

Full Text Available One of the significant problems in deontology is the degree of awareness of terminally ill patients regarding the diagnosis and prognosis of their disease. This topic is complex and relevant, it touches ethical and psychological, legal and medical aspects. The article discusses the positive and negative aspects of fully informing patients  with amyotrophic lateral sclerosis about the fatal diagnosis. There are 2  clinical cases reflecting different approaches of this complex issue: full awareness and concealment of the diagnosis.

MEDICAL SERVICES OR MEDICAL CARE – AN URGENT ISSUE FOR PUBLIC HEALTH INSTITUTIONS

Directory of Open Access Journals (Sweden)

E. V. Pesennikova

2017-01-01

Full Text Available Purpose. To consider the relationship between the concepts of “medical service” and “medical care” in the work of public medical institutions, based on the analysis of normative legal documents of the modern period.Materials and methods. In the course of the research, more than 18 legal and regulatory documents that were published during the period from 1990 to 2017 were analyzed, an analysis of judicial practice and related literature sources (periodicals was carried out.Results. The analysis made it possible to distinguish the stages in the development of the organizational and legal framework for the provision of paid medical services in the Russian Federation and the dynamics of the relationship between the terms “medical care” and “medical service”. It was revealed that the concept of “medical services” appeared much later and was associated with the development of paid medical services and the need to establish legal aspects of health care. The provision of medical assistance is regulated mainly by public law, and the provision of medical services is governed by private law. The term “medical care” is broader than the “medical service” from the standpoint of the social aspect. At the same time, the concept of “medical service” can be considered more widely than medical care in cases when it is not only about measures aimed at treating the patient, but also about providing additional services to the patient in the process of receiving medical care.Conclusion. Thus, we concluded that the categories of medical care and medical services should not be identified, but also not completely different concepts, but rather enter into a partial intersection relationship. The need to distinguish between the concepts of “medical care” and “medical service” is dictated not only by the category relations or opinion of the population and the medical community, but also by the need for legal support for the process of

ORGANIZATIONAL, LEGAL AND TECHNOLOGICAL ASPECTS OF HEALTH INFORMATION EXCHANGE

Directory of Open Access Journals (Sweden)

N. A. Karasev

2017-01-01

Full Text Available The article discusses organizational and legal aspects of electronic health information exchange in developed countries, particularly, introduction of electronic medical records in the United States and Europe, as well as topical issues related to standardization of information technologies in health care. We briefly describe the most popular standards used in e-medicine, such as Digital Imaging and Communications in Medicine (DICOM, openEHR and HL7. The questions of syntactic and semantic interoperability in the exchange of electronic medical records and some aspects of the digital signature use are also considered. We suggest mechanisms for implementation of electronic document management and sharing of digital medical information, as one of the most important directions of information technologies in health care. It is noted that today, the main limiting factor in providing the digital exchange of health information in Russian Federation is unresolved legal issues, i.e. the absence of a legal framework of electronic medical records share. At the same time, the level of IT development in our country is quite sufficient to meet current challenges. It is stated that, despite the unresolved number of problems (for example, completeness of medical data on a patient, given to relatives in critical situations, the adoption of a single electronic card is able to bring medical care to a new level, especially in emergency and urgent medicine.

Operational experience and recent developments at the National Medical Cyclotron, Sydney

International Nuclear Information System (INIS)

Conard, E.M.; Arnott, D.W.

1996-01-01

The National Medical Cyclotron, Sydney, Australia commenced operation in mid 1991, with a mission to provide PET and SPECT radionuclides throughout Australia. The realization of the present production capacity has been synonymous with the development of the facility's industrial cyclotron (IBA Cyclone 30). The choice of cyclotron was based on the Cyclone 30's virtues as a compact, user-friendly, energy efficient cyclotron, offering the beam quality characteristic of negative ion technology. Development of the cyclotron has improved reliability and increased beam capacity, while improvements to targetry have increased production reliability. More recently, the installation and commissioning of a new solid target irradiation facility has provided much needed redundancy. This paper describes the major cyclotron and targetry developments carried out to date. (orig.)

Medicalization, markets and consumers.

Science.gov (United States)

Conrad, Peter; Leiter, Valerie

2004-01-01

This paper examines the impact of changes in the medical marketplace on medicalization in U.S. society. Using four cases (Viagra, Paxil, human growth hormone and in vitro fertilization), we focus on two aspects of the changing medical marketplace: the role of direct-to-consumer advertising of prescription drugs and the emergence of private medical markets. We demonstrate how consumers and pharmaceutical corporations contribute to medicalization, with physicians, insurance coverage, and changes in regulatory practices playing facilitating roles. In some cases, insurers attempt to counteract medicalization by restricting access. We distinguish mediated and private medical markets, each characterized by differing relationships with corporations, insurers, consumers, and physicians. In the changing medical environment, with medical markets as intervening factors, corporations and insurers are becoming more significant determinants in the medicalization process.

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

2016-06-21

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.

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

Ionizing radiation for sterilization of medical products and biological tissues

Energy Technology Data Exchange (ETDEWEB)

Kumar, S K; Raghevendrarao, M K [Bhabha Atomic Research Centre, Bombay (India). Library and Technical Information Section

1975-10-01

The article reviews the deliberations of the International Symposium on Ionizing Radiation for Sterilization of Medical Products and Biological Tissues which was held during 9-13 December 1974 under the auspices of the IAEA at the Bhabha Atomic Research Centre, Bombay. 42 papers were presented in the following broad subject areas: (1) Microbiological Control aspects of radiation sterilization, (2) Dosimetry aspects of radiation sterilization practices, (3) Effects of sterilizing radiation dose on the constituents of medical products, (4) Application of radiation sterilization of medical products of biological origin, (5) Technological aspects of radiation sterilization facilities, (6) Radiation sterilization of pharmaceutical substances, (7) Reports on current status of radiation sterilization of medical products in IAEA member states and (8) Working group discussion on the revision of the IAEA recommended code of practice for radiation sterilization of medical products.

[Motivation and self-directed learning among medical students].

Science.gov (United States)

Fasce H, Eduardo; Ortega B, Javiera; Ibáñez G, Pilar; Márquez U, Carolina; Pérez V, Cristhian; Bustamante D, Carolina; Ortiz M, Liliana; Matus B, Olga; Bastías V, Nancy; Espinoza P, Camila

2016-05-01

Motivation is an essential aspect in the training process of medical students. The association that motivation can have with learning self-regulation is of utmost importance for the design of curriculum, teaching methods and evaluation. To describe the motivational aspects of self-directed learning among medical students from a traditional Chilean University. A qualitative, descriptive study based on grounded theory of Strauss and Corbin. Twenty 4th and 5th year medical students were selected using a maximum variation sampling technique. After obtaining an informed consent, semi-structured interviews and field notes were carried out. Data were analyzed to the level of open coding through Atlas-ti 7.5.2. From the student point of view, personal motivational aspects are linked to the search for information, constant updating, the perception of the physician-patient relationship and interest in subject matters. From the scope of teachers, a main issue is related to their ability to motivate students to develop independent study skills. Personal motivational aspects facilitate the development of independent study skills, specifically in the search of information. The role of teachers is crucial in promoting these skills and the perception of medical students from their learning process.

[What medical students want - evaluation of medical recruitment ads by future physicians].

Science.gov (United States)

Renkawitz, T; Schuster, T; Benditz, A; Craiovan, B; Grifka, J; Lechler, P

2013-10-01

Three-quarters of all hospitals in Germany are now struggling to fill open positions for doctors. The medical job ad is a vital tool for human resources marketing and an important image factor. The present study examines the importance of information and offers in medical recruitment ads on application decisions by medical students. A total of 184 future physicians from clinical semesters participated voluntarily in an anonymous cross-sectional survey. Using a standardised questionnaire, the importance of 49 -individual items extracted from medical recruitment ads were rated with the help of a 4-point Likert Scale. Finally, the study participants prioritised their reasons for an application as a physician. Primary influence on the application decision on medical recruitment ads by medical students had offers/information in relation to education and training aspects and work-life balance. Payment rates for physicians and work load played an important role for the application motivation. Additional earnings for, e. g., emergency calls, providing of medical expertise and assistance with housing, relocation and reimbursement of interview expenses were less crucial. In prioritising key reasons for selecting a prospective employer "regular working hours," an "individual training concept" and an "attractive work-life balance" scored the highest priority. The "opportunity for scientific work" was assigned only a small significance. High importance for the application decision by future physicians on medical recruitment ads is placed on jobs with an opportunity for personal development and aspects that contribute to work-life balance. © Georg Thieme Verlag KG Stuttgart · New York.

Incidence, characteristics and management of pain in one operational area of medical emergency teams.

Science.gov (United States)

Kosiński, Sylweriusz; Bryja, Magdalena; Wojtaszowicz, Rafał; Górka, Andrzej

2014-01-01

Experience of pain associated with both chronic as well as acute medical conditions is a main cause for call for ambulance. The aim of this study was to establish both frequency and characteristics of pain reported by patients treated in pre-hospital environment in a single operational area. The supplementary goal was an analysis of methods of pain alleviation applied by medical personnel in the above described scenario. The written documentation of 6 months of year 2009 provided by doctor-manned as well as paramedic-only ambulances operating in Tatra county, Małopolska, Poland was analyzed. Medical personnel inquired about pain experienced in 57.4% of cases, 10-point numerical rating scale was used in 22.3% of patients. Pain was reported by 43.8% of patients, the most frequent reasons of experienced pain were trauma and cardiovascular diseases. In almost half of the cases pain was referred to the areas of chest and abdomen. Non-traumatic pain was reported by 47.7% of patients, post-traumatic in 41.3% of cases, 11% of subjects reported ischemic chest pain. 42.3% of pain-reporting patients received some form of analgesia, yet only 3% of subjects in this group received opiates. Personnel of paramedic-only ambulances tended to use pain intensity scale more often (P < 0.01), yet administered pain alleviating drugs noticeably less often than the doctor-manned teams (P < 0.01). The use of pain alleviating drugs, opiates especially, was inadequate in proportion to frequency and intensity of pain reported by patients. General, nation-wide standards of pain measurement and treatment in pre-hospital rescue are suggested as a means to improve the efficacy of pain reduction treatment.

Health Physics and Medical Services report for 1986

International Nuclear Information System (INIS)

Burt, A.K.; Bird, R.W.

1987-09-01

A Health Physics and Medical Services report is presented for Harwell Laboratory for 1986. Health physics aspects covered include safety policy and organisation, monitoring results for the working environment and personnel, an analysis of radiological incidents and radioactive waste disposal, and protection of the public. Other non-radiological aspects of health and safety are briefly considered. The section on Medical Services contains details of the staffing, the types of medical examinations performed, the treatments received, work on the safety of asbestos and manmade mineral fibres and training and education programmes. (UK)

HFETR operation management

International Nuclear Information System (INIS)

Liu Rong; Yang Shuchun; Peng Jun; Zhou Shoukang

2003-01-01

Experiences and work methods with High Flux Engineering Test Reactor (HFETR) operation are introduced, which have been accumulated in a long period of operation, in the aspects as reactor operation, test, maintenance, operator training and incident management. It's clear that the safety operation of HFETR has been ensured, and the methods are valid. (authors)

Medical Home Implementation Gaps for Seniors: Perceptions and Experiences of Primary Care Medical Practices.

Science.gov (United States)

Hoff, Timothy; DePuccio, Matthew

2018-07-01

The study objective was to better understand specific implementation gaps for various aspects of patient-centered medical home (PCMH) care delivered to seniors. The study illuminates the physician and staff experience by focusing on how individuals make sense of and respond behaviorally to aspects of PCMH implementation. Qualitative data from 51 in-depth, semi-structured interviews across six different National Committee for Quality Assurance (NCQA)-accredited primary care practices were collected and analyzed. Physicians and staff identified PCMH implementation gaps for their seniors: (a) performing in-depth clinical assessments, (b) identifying seniors' life needs and linking them with community resources, and (c) care management and coordination, in particular self-management support for seniors. Prior experiences trying to perform these aspects of PCMH care for older adults produced collective understandings that led to inaction and avoidance by medical practices around the first two gaps, and proactive behavior that took strategic advantage of external incentives for addressing the third gap. Greater understanding of physician and staff's PCMH implementation experiences, and the learning that accumulates from these experiences, allows for a deeper understanding of how primary care practices choose to enact the medical home model for seniors on an everyday basis.

JURIDICAL AND FISCAL ASPECTS REGARDING THE RESTRUCTURING OF

Directory of Open Access Journals (Sweden)

DRAGOS (COMAN DORICA

2015-08-01

Full Text Available The purpose of this paper is the study of the juridical and fiscal aspects regarding the restructuring of the economical entities. Based on analyzing of the different materials on legislative advancements at national level and on European directives, rules and recommendations and other reference works, this study accomplished a synthesis of the main juridical aspects regarding the economical restructuring in Romania and in the European Union. The study emphasizes the importance of the knowledge of the fiscal aspects in order to draft a fiscal strategy ,which needs to be developed prior to any formal offers or detailed studying of the target company, and which reveals the characteristics, the stages and the effects of the fusion operation of an economic entity. The results of the study points out the main juridical and fiscal aspects regarding the restructuring of the trading companies, as well as the main components of a fusion operation.

Your Lung Operation: After Your Operation

Medline Plus

Full Text Available ... to Participate Resources Webinars for Young Surgeons YFA E-News YFA Advocacy Essay Contest Resident and Associate ... ACS Leader International Exchange Scholar Program Resources RAS E-News Medical Students Operation Giving Back Operation Giving ...

Social and legal aspects of preparing the construction and operation of a nuclear power source

International Nuclear Information System (INIS)

Curin, K.

1989-01-01

The main activities are described involved in creating territorial, technical and economic conditions for the building of nuclear power plants. The basic precondition is the prognostic evaluation of national requirements for power in each planning time stage. From this proceeds the need of a range of power sources with a definition of their types and their incorporation in the power system and of possible power supply to the district heating system. As for nuclear power plants the building should be divided into three stages: from planning investments to the issuance of an investment intent, the stage of construction and that of operation. A detailed description is presented of the activities of all participants in building nuclear power plants in Czechoslovak conditions. Attention is devoted to the aspects of reliability and safety of nuclear power plants and to the effect of the respective activities on reliability and safety. (Z.M.). 1 tab

Speech-language pathologist job satisfaction in school versus medical settings.

Science.gov (United States)

Kalkhoff, Nicole L; Collins, Dana R

2012-04-01

The goal of this study was to determine if job satisfaction differs between speech-language pathologists (SLPs) working in school settings and SLPs working in medical settings. The Job Satisfaction Survey (JSS) by Spector (1997) was sent via electronic mail to 250 SLPs in each of the 2 settings. Job satisfaction scores were computed from subscale category ratings and were compared between the 2 settings. Subscale category ratings for pay, promotion, supervision, benefits, contingent rewards, operating conditions, coworkers, nature of work, and communication were analyzed for differences between and within settings. Age, caseload size, and years-at-position were analyzed by linear regression to determine whether these factors might predict SLPs' job satisfaction. The survey had a response rate of 19.6% (N = 98 participants). Although SLPs in both settings were generally satisfied with their jobs, SLPs in medical settings had significantly higher total job satisfaction scores. Respondents from both settings had similar satisfaction ratings for subscale categories, with nature of work receiving the highest rating and operating conditions and promotion the lowest. Results of the linear regression analysis for age, caseload size, and years-at-position were not significant. Further research should evaluate important aspects of job satisfaction in both settings, especially nature of work operating conditions, and promotion.

Co-operation of medical and chemical services to provide radiation safety in special zone during Chernobyl' accident response

International Nuclear Information System (INIS)

Terent'ev, V.I.

1990-01-01

Cooperation of medical and chemical services of the operation group in the special zone during intensive decontamination of the site and neighboring herritories at the Chernobyl NPP are considered. Responsibilities of medical and chemical services, their relations with civie and millitary organizations within the ChNPP region and 30-km zone are reviewed. Cooperation of the services mentioned above consisted in information exchange aimed at overall comprehension of the situation, cooperative activities in the commision and at elaboration of recommendations with an account of radiation safety measures

[Judicial and medical/legal aspects of the responsibility of workers appointed to carry out first aid].

Science.gov (United States)

Caprioli, L C; Ciavarella, M; Sacco, A

2005-01-01

One of the innovations introduced by law 626/94 [the Italian law on occupational health and safety of workers] is the obligation of the employer to designate workers responsible for first aid. To identify and discuss the duties, the role and the medical and legal responsibility of workers appointed to carry out first aid measures. Analysis of legislation and current practice concerning medical and legal responsibility in first aid procedures. The worker appointed to carry out first aid measures is, by virtue of his appointment, obliged to take action. Therefore, he could commit an illegitimate act both by "acting" and by "omitting" to carry out a duty that is his responsibility. In the first case the worker could be accused of committing an unpremeditated criminal offence when his actions involve negligence, imprudence, inexperience or violation of regulations concerning his duties. A "serious criminal offence" is committed when the most elementary rules of diligence, prudence and skill are violated; the offence is "slight" when negligence, imprudence or inexperience are involved in particularly complex situations. The reference parameter for inexperience is not a first aid volunteer, nor a member of the public, but a worker designated to carry out first aid possessing "average" attitudes, training and ability. Briefly, a guilty error by the appointed worker consists of the following: i) the professional conduct of the operator was clearly wrong, serious and unjustifiable; ii) the operator clearly omitted doing his/her duty; iii) the consequence of the error is physical personal damage. The observations made clearly illustrate the delicacy of the tasks of the worker appointed to carry out first aid measures. Essential elements for minimizing wrong and/or negligent conduct are appropriate choice of the designated workers and their adequate training.

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

International Nuclear Information System (INIS)

Martins, Maria da Penha Sanches; Andrade, Delvonei Alves de

2008-01-01

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)

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

International Nuclear Information System (INIS)

Martins, Maria da Penha Sanches; Andrade, Delvonei Alves de

2007-01-01

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)

Investigation of the effects of radiolytic-gas bubbles on the long-term operation of solution reactors for medical-isotope production

Science.gov (United States)

Souto Mantecon, Francisco Javier

One of the most common and important medical radioisotopes is 99Mo, which is currently produced using the target irradiation technology in heterogeneous nuclear reactors. The medical isotope 99Mo can also be produced from uranium fission using aqueous homogeneous solution reactors. In solution reactors, 99Mo is generated directly in the fuel solution, resulting in potential advantages when compared with the target irradiation process in heterogeneous reactors, such as lower reactor power, less waste heat, and reduction by a factor of about 100 in the generation of spent fuel. The commercial production of medical isotopes in solution reactors requires steady-state operation at about 200 kW. At this power regime, the formation of radiolytic-gas bubbles creates a void volume in the fuel solution that introduces a negative coefficient of reactivity, resulting in power reduction and instabilities that may impede reactor operation for medical-isotope production. A model has been developed considering that reactivity effects are due to the increase in the fuel-solution temperature and the formation of radiolytic-gas bubbles. The model has been validated against experimental results from the Los Alamos National Laboratory uranyl fluoride Solution High-Energy Burst Assembly (SHEBA), and the SILENE uranyl nitrate solution reactor, commissioned at the Commissariat a l'Energie Atomique, in Valduc, France. The model shows the feasibility of solution reactors for the commercial production of medical isotopes and reveals some of the important parameters to consider in their design, including the fuel-solution type, 235U enrichment, uranium concentration, reactor vessel geometry, and neutron reflectors surrounding the reactor vessel. The work presented herein indicates that steady-state operation at 200 kW can be achieved with a solution reactor consisting of 120 L of uranyl nitrate solution enriched up to 20% with 235U and a uranium concentration of 145 kg/m3 in a graphite

4. S.F.R.P. days on the optimization of radiation protection in the electronuclear, industrial and medical areas; 4. journees SFRP sur l'optimisation de la radioprotection dans les domaines electronucleaire, industriel et medical

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-07-01

These days are dedicated to the implementation of the radiation protection optimization in the activities of the electronuclear sector, of the industrial sector, the medical sector, the laboratories and the centers of research and the university sector. All the aspects of the practical application of the radiation protection optimization of the workers, the public and the patients will be approached. The oral communications and posters concern the following subjects: foundations of the optimization principle, new statutory context, transmission of ALARA principle, operational dosimetry, conception, operating and maintenance of the installations, the construction sites of dismantling, industrial radiology, radioactive waste management. (N.C.)

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.

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

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...

Environmental aspects of nuclear power

International Nuclear Information System (INIS)

Warner, Sir F.

1984-01-01

The paper discusses the environmental aspects of nuclear power, including the problems of waste, with special reference to the effect on humans. The following aspects are covered: the public fear of the risk of cancer, the kind of exposure that people are likely to have, what can be and is being done about it; recommendations and activities of the International Commission on Radiological Protection, the UK Health and Safety Executive, the Nuclear Installations Inspectorate, the National Radiological Protection Board and other relevant organisations; public relations in relation to nuclear facilities' operations. (U.K.)

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

Medical x-ray

International Nuclear Information System (INIS)

Abd Aziz Mhd Ramli; Gui Ah Auu; Husaini Salleh; Idris Besar; Mohd Ashhar Khalid; Muhammad Jamal Md Isa; Shaharuddin Mohd; Siti Najila Mohd Janib; Mohamed Ali Abdul Khader; Mahalatchimi Dave; Mohd Fazly Abdul Rahim; Ng Chee Moon; Ram Piari; Teoh Hoon Heng; Lee Peter

2004-01-01

This book describes the fundamental subject about medical radiography. It is a multidisciplinary field that requires cross professional input from scientists, engineers and medical doctors. However, it is presented in simple language to suit different levels of readers from x-ray operators and radiographers to physists, general practitioners and radiology specialists.The book is written in accordance to the requirements of the standard syllabus approved by the Ministry of Health Malaysia for the training of medical x-ray operator and general practitioners. In general, the content is not only designed to provide relevant and essential subject for related professionals in medical radiological services such as x-ray operator, radiographer and radiologists, but also to address those in associated radiological services including nurses, medical technologists and physicists.The book is organized and arranged sequentially into 3 parts for easy reference: Radiation safety; X-ray equipment and associated facilities; Radiography practices. With proper grasping of all these parts, the radiological services could be provided with confident and the highest professional standard. Thus, medical imaging with highest quality that can provide useful diagnostic information at minimum doses and at cost effective could be assured

Conduct of operations: establishing operational focus and setting operational standards

International Nuclear Information System (INIS)

Lane, L.; McGuigan, K.

1998-01-01

Due to the nature of our business, we have often tended to focus on the technological aspects of the nuclear industry. The focus of this paper is directed towards the importance of addressing the people skills, attitudes, and 'culture' within, and surrounding, our facilities as key areas of improvement. Within Ontario Hydro Nuclear (OLIN) we have developed the terminology 'event free' operation and 'event free' culture. 'Event Free' recognizes errors as a part of human performance. 'Event Free' takes into account human weaknesses, and provides tools (such as standards) to manage, control, and mitigate errors. In essence, 'Event Free' encompasses two concepts: 1. Prevent errors from occurring; 2. If an error is made, catch it before it can affect safe operation of the facility, learn from the error, and ensure that it does not happen again. In addressing these business realities, Ontario Hydro has identified a number of key support mechanisms and corresponding performance standards that are essential for achieving operating excellence and an 'event free' business culture. This paper will discuss two operational aspects of an 'event free' culture, the first being a set of expectations to enhance the culture, and the second an example of cultural change: 1. Operating Standards - establishing clear expectations for human performance in operating staff; 2. Operational Focus - the understanding that, as a nuclear worker, you should consider every task, activity, in fact everything you do in this business, for the potential to affect safe and reliable operation of a nuclear facility. Note that although the term 'Operational' appears in the title, this concept applies to every individual in the nuclear business, from the cleaner, to the Board of Directors, to the external supplier. (author)

Regulatory aspects of construction and operation in Switzerland

International Nuclear Information System (INIS)

Hugi, Markus

2014-01-01

The regulatory mission with respect to radioactive waste disposal in Switzerland consists of the following tasks: to assess proposed solutions and supervise the preparation for geological disposal of radioactive waste, to review the licence applications in accord with the stepwise implementation process; to supervise the transport of radioactive material to and from nuclear installations; to supervise surface facilities and underground installations of deep geological repositories; and to supervise the safety of staff and the public and their protection from radiation. Related nuclear legislation consists of the Nuclear Energy Act, the Radiological Protection Act including the corresponding Ordinances, and the Ordinance on the Decommissioning Fund and the Waste Disposal Fund for Nuclear Installations. Design, construction and operating principles for DGRs and requirements for the safety case have been developed recently by the Swiss regulatory body. The corresponding guideline specifies protection objectives, protection criteria and specific requirements for DGRs, defines the procedure to be followed for demonstrating the safety of a geological repository, and identifies requirements for the operation of facilities and for their closure. The Nuclear Energy Act stipulates a series of licences that must be obtained prior to completion of a DGR - starting with a general licence, followed by the licences for construction and operation, and finally the closure order

High aspect ratio spheromak experiments

International Nuclear Information System (INIS)

Robertson, S.; Schmid, P.

1987-05-01

The Reversatron RFP (R/a = 50cm/8cm) has been operated as an ohmically heated spheromak of high aspect ratio. We find that the dynamo can drive the toroidal field upward at rates as high as 10 6 G/sec. Discharges can be initiated and ramped upward from seed fields as low as 50 G. Small toroidal bias fields of either polarity (-0.2 < F < 0.2) do not significantly affect operation. 5 refs., 3 figs

Medical error disclosure and patient safety: legal aspects

Directory of Open Access Journals (Sweden)

Olivier Guillod

2013-12-01

Full Text Available Reducing the number of preventable adverse events has become a public health issue. The paper discusses in which ways the law can contribute to that goal, especially by encouraging a culture of safety among healthcare professionals. It assesses the need or the usefulness to pass so-called disclosure laws and apology laws, to adopt mandatory but strictly confidential Critical Incidents Reporting Systems in hospitals, to change the fault-based system of medical liability or to amend the rules on criminal liability. The paper eventually calls for adding the law to the present agenda of patient safety.

Medical negligence- Meaning and Scope in India

Directory of Open Access Journals (Sweden)

L Kumar

2011-03-01

Full Text Available It is a principle recognized by our as well as by other legal systems that ignorance of the law is no excuse for violating it. The rule is also expressed in the form of a legal presumption that everyone knows the law. It is the duty of every man to know that part of it which concerns him. A doctor, in particular, is conclusively presumed to know the law, and is dealt with as if he did know it, because in general he can and ought to know it. In the matter of professional liability, the medical profession differs from other occupations for the reason that the former operates in spheres where success cannot be achieved in every case and very often success or failure depends upon factors beyond a medical man’s control. Due to the increasing awareness of the rights of a patient in present day society, a medical man has become more vulnerable to being sued by a litigation suit of any kind, civil or criminal. The basis of a medical negligence suit is still alien to the majority of the practicing doctors in our country. Hence, the present article aims at discussing the various aspects of negligence, like the meaning and types of negligence, and the concept of duty of care, degree of care, and standard. Keywords: degree of care, duty of care, medical negligence, standard of care.

Ethical aspects of personality disorders.

Science.gov (United States)

Bendelow, Gillian

2010-11-01

To review recent literature around the controversial diagnosis of personality disorder, and to assess the ethical aspects of its status as a medical disorder. The diagnostic currency of personality disorder as a psychiatric/medical disorder has a longstanding history of ethical and social challenges through critiques of the medicalization of deviance. More recently controversies by reflexive physicians around the inclusion of the category in the forthcoming revisions of International Classification of Diseases and Diagnostic and Statistical Manual of Mental Disorders classifications reflect the problems of value-laden criteria, with the diagnostic category being severely challenged from within psychiatry as well as from without. The clinical diagnostic criteria for extremely value-laden psychiatric conditions such as personality disorder need to be analyzed through the lens of values-based medicine, as well as through clinical evidence, as the propensity for political and sociolegal appropriation of the categories can render their clinical and diagnostic value meaningless.

Technological aspects of the radiation chemistry

International Nuclear Information System (INIS)

Chmielewski, A.G.

2006-01-01

Main technological aspects of the radiation chemistry are reviewed: network formation in polymers and caoutchouc, production of the sterile hydrogels, sterilisation of the expendable medical equipment and the environmental protection technologies (e.g. purification of the combustion gases from the sulfur oxides). Achievements of the are reviewed Institute of Nuclear Chemistry and Technology, Warsaw (Poland) in these fields are presented

Overview on technological and operational aspects of PLIM

International Nuclear Information System (INIS)

Nevander, Olli; Hytoenen, Yrjoe; Raitanen, Raimo

2002-01-01

Full text: Loviisa NPP with two VVER 440 units is owned and operated by Fortum. In year 1997 after the power uprating and relicensing project a comprehensive life management strategy with a target lifetime of 50 years was selected as a key issue for the remaining lifetime. Two licensed fuel suppliers as well as the successful power uprating assist with long-term economy of production. The plant has recently established a life management programme (LMP), which should improve and unify the present programmes and separate ageing projects. The scope of the new LMP of the Loviisa NPP comprises the scientific and analytic research of the ageing phenomena as well as routine repairs and preventive maintenance at the site. On one hand, the work emphasises practical repair and replacement of active components, and, on the other hand, the structural and safety review of the passive nonreplaceable main components as well. The goal of the development is that all maintenance and inspection activities should support plant life management. In general, an effective approach of ageing management of systems, structures and components (SSC) is a mixture of four elements: careful operation and maintenance, replacement strategy, technical modifications of SSCs and mitigation of analysed ageing effects. Therefore, at Loviisa the organisation and functions of LMP are included as far as possible in the normal operating organisation. Thus the practical LMP program includes effective links from operating experiences to the ageing database and also to the long-term decision making. The difficulty in the implementation of the LMP is to apply an adequate and balanced approach through all areas and important components in long-term. Therefore, such assessment tools as cost-benefit analysis and classification of components according to their impact on safety and operation is needed. During the past few years, the most important ageing attributes of main passive components and safety systems of

The Atlantic Seaduck Project: Medical Aspects

Science.gov (United States)

Olsen, Glenn H.; Perry, M.C.; Wells, A.M.; Lohnes, E.J.R.; Osenton, P.C.

2005-01-01

Some populations of seaducks, especially scoters along the Atlantic Coast, have been declining over recent decades. A joint US-Canadian tearn has been working to capture and surgically implant satellite radio transmitters in these ducks. Black scoters (Melanitta nigra) captured on the Restigouche River in New Brunswick, Canada and surf scoters (M. perspicilata) captured on Chesapeake Bay, Maryland, USA have been tracked by the use of Argos/NOAA polar orbiting operational environmental satellites to their breeding and molting areas and back south to their wintering ranges. Successful capture techniques included night-lighting and a capture net gun. A captive colony of seaducks has been maintained for feeding habits and nutritional studies. Veterinary medicine has played a key role in the surgical implantation of the satellite transmitters and in developing heath procedures for the captive seaduck colony.

Foucault could have been an operating room nurse.

Science.gov (United States)

Riley, Robin; Manias, Elizabeth

2002-08-01

Operating room nursing is an under-researched area of nursing practice. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. This paper explores the possibility of understanding operating room nursing in a different way. Using the work of Michel Foucault to analyse the work of operating room nursing, this paper argues the relevance of the framework for a more in-depth analysis of this specialty area of practice. The concepts of power, discipline and subjectivity are used to demonstrate how operating room nursing is constructed as a discipline and how operating room nurses act to govern and construct the specialty. Exemplars are drawn from extensive professional experience, from guidelines of professional operating room nursing associations, as well as published texts. The focus is predominantly on the regulation of space and time to maintain the integrity of the sterile surgical field and issues of management, as well as the use of the ethical concept of the 'surgical conscience'. This form of analysis provides a level and depth of inquiry that has rarely been undertaken in operating room nursing. As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development.

Operational measurements in radioprotection in the industrial and medical environments

International Nuclear Information System (INIS)

Rodde, S.; Vial, Th.; Truffert, H.; Kramar, R.; Batalla, A.; Roine, Ph.; Pin, A.; Lahaye, Th.; Rodde, S.; Bordy, J.M.; Paquet, F.; Veres, A.; Cadiou, A.; Branthonne, J.Y.; Noel, A.; Laloubere, L.; Moreau, St.; Gensdarmes, F.; Marques, S.; Lestang, M.; Valendru, N.; Tranchant, Ph.; Martel, P.; Bernhard, S.; Chareyre, P.; Gardin, I.; Casanova, Ph.; De Vita, A.; Tenailleau, L.; Masson, B.; Feret, B.; Guerin, M.; Guillot, L.; Gaultier, E.

2009-01-01

This document gathers the slides of the available presentations given during these conference days. Thirty presentations are assembled in the document and deal with: 1 - enforcement circular of the labor code dispositions relative to workers protection against ionizing radiation hazards (T. Lahaye); 2 - context and regulatory evolutions - public health code (S. Rodde); 3 - references and perspectives in external dosimetry (J.M. Bordy); 4 - CIPR's Committee 2 works (F. Paquet); 5 - from protection data to measurement data (A. Pin); 6 - dosimetric control in radiotherapy (A. Veres); 7 - calibration of irradiation measurement devices in industrial environment (A. Cadiou); 8 - calibration and verification of nuclear measurement devices (J.Y. Branthonne); 9 - calibration of measurement devices in medical environment (J.M. Bordy); 10 - quality control in radiotherapy (A. Batalla); 11 - in-vivo dosimetry in radiotherapy (A. Noel); 12 - calibration metrology of fixed post irradiation sensors (L. Laloubere); 13 - design requirements for the radiological zoning and the wastes cleanliness of Flamanville 3 EPR reactor (S. Moreau); 14 - efficiency of aerosol capture systems used in CNPE EDF (F. Gensdarmes); 15 - mobile surveillance means of the atmospheric contamination of CNPE EDF's reactor building (S. Marques and M. Lestang); 16 - experience feedback about the security gates at EDF's nuclear facilities (N. Valendru); 17 - metrology needs for radioprotection technical controls (P. Tranchant); 18 - technical evaluation of a flowmeter/dosemeter in the framework of the regulatory control of X-ray electric generators used in radio-diagnosis (P. Martel); 19 - reinforced natural radioactivity - the case of radon measurement (S. Bernhard); 20 - fires during radioactive materials transport (P. Chareyre); 21 - measurement in the framework of medical examinations: radiology service (A. Noel); 22 - operational measurements in nuclear medicine (I. Gardin); 23 - from the operational

Environmental and Socio-economic Aspects of the Operation of Industrial Regions: The Case Study of the Industrial Area of Alexandroupolis (Greece)

International Nuclear Information System (INIS)

Theofanoudi, Aglaia; Diakaki, Christina; Katsivela, Eleftheria

2009-01-01

The paper summarizes the results of a study concerning the operation of industrial plants and their effects to the environment. It also addresses, shortly, the consequences to the quality of human life and proposes potential measures that may contribute to the reduction of the negative environmental impacts. The relatively small organized Industrial Area of Alexandroupolis (Greece) is examined as a case study. In particular, the activities of its major industrial facilities are presented and their emissions to the environment are examined. In addition, the socio-economic aspects of the operation of the Industrial Area are studied. The results of the study showed that the operation of the Industrial Area has specific negative effects in the natural environment of the region and in the quality of life of the residents. Methodological and legislative tools, such as control systems for the environmental pollution, the green chemistry, and the environmental management systems, may be employed to assist the prevention and confrontation of environmental problems

Operator-related aspects in endodontic malpractice claims in Finland.

Science.gov (United States)

Vehkalahti, Miira M; Swanljung, Outi

2017-04-01

We analyzed operator-related differences in endodontic malpractice claims in Finland. Data comprised the endodontic malpractice claims handled at the Patient Insurance Centre (PIC) in 2002-2006 and 2011-2013. Two dental advisors at the PIC scrutinized the original documents of the cases (n = 1271). The case-related information included patient's age and gender, type of tooth, presence of radiographs, and methods of instrumentation and apex location. As injuries, we recorded broken instrument, perforation, injuries due to root canal irrigants/medicaments, and miscellaneous injuries. We categorized the injuries according to the PIC decisions as avoidable, unavoidable, or no injury. Operator-related information included dentist's age, gender, specialization, and service sector. We assessed level of patient documentation as adequate, moderate, or poor. Chi-squared tests, t-tests, and logistic regression modelling served in statistical analyses. Patients' mean age was 44.7 (range 8-85) years, and 71% were women. The private sector constituted 54% of claim cases. Younger patients, female dentists, and general practitioners predominated in the public sector. We found no sector differences in patients' gender, dentists' age, or type of injured tooth. PIC advisors confirmed no injury in 24% of claim cases; the advisors considered 65% of injury cases (n = 970) as avoidable and 35% as unavoidable. We found no operator-related differences in these figures. Working methods differed by operator's age and gender. Adequate patient documentation predominated in the public sector and among female, younger, or specialized dentists. Operator-related factors had no impact on endodontic malpractice claims.

Mediation in Medical Malpractice - Realities and Prospects

Directory of Open Access Journals (Sweden)

Alexandru Boroi

2015-05-01

Full Text Available Medical professional liability is the result of specific breaches of the medical profession, which are contained in Law 95/2006 on health reform. Beyond the motivation of blaming medical personnel activity, there are many other aspects that may give rise to controversy in terms of medical ethics, from the informed consent of the patient and to the need for reaching criminal responsibility and compensation in cases of medical malpractice.

Medical negligence- meaning and scope in India.

Science.gov (United States)

Kumar, L; Bastia, B K

2011-01-01

It is a principle recognized by our as well as by other legal systems that ignorance of the law is no excuse for violating it. The rule is also expressed in the form of a legal presumption that everyone knows the law. It is the duty of every man to know that part of it which concerns him. A doctor, in particular, is conclusively presumed to know the law, and is dealt with as if he did know it, because in general he can and ought to know it. In the matter of professional liability, the medical profession differs from other occupations for the reason that the former operates in spheres where success cannot be achieved in every case and very often success or failure depends upon factors beyond a medical man's control. Due to the increasing awareness of the rights of a patient in present day society, a medical man has become more vulnerable to being sued by a litigation suit of any kind, civil or criminal. The basis of a medical negligence suit is still alien to the majority of the practicing doctors in our country. Hence, the present article aims at discussing the various aspects of negligence, like the meaning and types of negligence, and the concept of duty of care, degree of care, and standard of care, as considered by the law.

Legal aspects and regulations of roentgenofluorographic examinations

International Nuclear Information System (INIS)

Vasil'ev, Yu.D.

1988-01-01

Organization and execution of roentgenofluorographic examinations in the USSR is supervised by laws of the Ministry of public health of the USSR, instructions, methodical recommendations. These documents and their additions concerning preventive measures against tuberculosis, standard norms of medical personnel, necessary preventive examinations and other aspects of conducting roentgenofluorographic examinations are discussed

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.

Intercultural training of medical students.

Science.gov (United States)

van Wieringen, J.C.M.; Schulpen, T.W.J.; Kuyvenhoven, M.M.

2001-01-01

Until recently the Utrecht Medical School had a traditional curriculum with a predominantly biomedical orientation and strong emphasis on curative medicine. In 1997 an experimental 'Multi-cultural Family Attachment Course' started at the Utrecht Medical School with 20 second-year medical students. Each student was attached to a native Dutch and an ethnic minority family with a newborn or chronically ill child. In a period of 1.5 years students had to visit each family at home four times. The students monitored growth and development of the child and discussed several aspects of health and disease with the parents according to a structured schedule. In regular group sessions students reported back their experiences. In this way, the influence of socioeconomic circumstances, culture and environment on health becomes a real-life experience. This paper aims to describe some aspects of this pilot-course and the reactions of the students.

Biological Aspects of Anorexia Nervosa and Bulimia Nervosa.

Science.gov (United States)

Kaplan, Allan S.; Woodside, D. Blake

1987-01-01

Reviews biological factors relevant to the understanding of anorexia nervosa and bulimia nervosa. Considers the physical presentation of these disorders; the medical complications of starvation, binging, and purging; and the cognitive and behavioral effects of starvation. Reviews neurophysiological and neurochemical aspects of these illnesses and…

An elementary aspect of the Weyl-Wigner representation

DEFF Research Database (Denmark)

Dahl, Jens Peder; Schleich, W.P.

2003-01-01

It is an elementary aspect of the Weyl-Wigner representation of quantum mechanics that the dynamical phase-space function corresponding to the square of a quantum-mechanical operator is, in general, different from the square of the function representing the operator itself. We call attention...

Training for the medical response in radiological emergency experiences and results

International Nuclear Information System (INIS)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-01-01

The use of the nuclear techniques int he social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and

Advances in medical image computing.

Science.gov (United States)

Tolxdorff, T; Deserno, T M; Handels, H; Meinzer, H-P

2009-01-01

Medical image computing has become a key technology in high-tech applications in medicine and an ubiquitous part of modern imaging systems and the related processes of clinical diagnosis and intervention. Over the past years significant progress has been made in the field, both on methodological and on application level. Despite this progress there are still big challenges to meet in order to establish image processing routinely in health care. In this issue, selected contributions of the German Conference on Medical Image Processing (BVM) are assembled to present latest advances in the field of medical image computing. The winners of scientific awards of the German Conference on Medical Image Processing (BVM) 2008 were invited to submit a manuscript on their latest developments and results for possible publication in Methods of Information in Medicine. Finally, seven excellent papers were selected to describe important aspects of recent advances in the field of medical image processing. The selected papers give an impression of the breadth and heterogeneity of new developments. New methods for improved image segmentation, non-linear image registration and modeling of organs are presented together with applications of image analysis methods in different medical disciplines. Furthermore, state-of-the-art tools and techniques to support the development and evaluation of medical image processing systems in practice are described. The selected articles describe different aspects of the intense development in medical image computing. The image processing methods presented enable new insights into the patient's image data and have the future potential to improve medical diagnostics and patient treatment.

Echography and operated or irradiated breasts; Echographie et seins operes, irradies

Energy Technology Data Exchange (ETDEWEB)

Baratte, B.; Neel-Paprocki, V.; Grumbach, Y. [Centre Hospitalier Universitaire, 80 - Amiens (France)

1995-12-31

Since 1985, the medical survey of patients operated even for benign or malignant initial breast injury comprises an X-ray mammal examination and a mammal echography. Until 1993, the echography was performed with a CGR scanner device with a 7.5 MHz barrette. Now, a GE RTX 400 device with two MHz barrettes is used, one with a removable interposition equipment and the other for echography controlled punctures. Echographic modifications are dependent on the treatment used: partial or complete surgery and/or irradiation. Early and late normal echographic aspects must be known. Echography is particularly efficient for the diagnosis of post-surgery hematoma, lymphocele and abscess and for the detection of recurrence in the case of dense breast. Its combination with X-ray radiography can solve most diagnosis problems. In any case of doubt, puncture or tru-cut biopsy must be done, and if not sufficient, the use of NMR imaging remains of great help. (J.S.).

Second regime tokamak operation at large aspect ratio

International Nuclear Information System (INIS)

Navratil, G.A.

1989-01-01

This paper reviews the need for high beta in economic tokamak reactors and summarizes recent results on the scaling of the second regime beta limit for high-n ballooning modes using optimized pressure profiles as well as results on low-n mode stability at the first regime beta limit from the Columbia HBT tokamak. While several experiments have studied ballooning limits using high εβ p plasmas, the most important question for the use of the second stability regime for tokamak reactor improvement is how to achieve these high values of εβ p while at the same time increasing the value of beta to several times the Troyon beta limit. An approach to the study of this key question on beta limits using modest sized, large aspect ratio tokamaks is described. (author). 28 refs, 7 figs, 1 tab

Risk management in nuclear power social aspects

International Nuclear Information System (INIS)

Sappa, N.N.

1996-01-01

Problems connected with safety evaluation and risk management during operation of nuclear power installations are considered. Social aspects of risk assessment of enterprises with increased danger are discussed

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

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

Medical Operations Decision Support System, Phase I

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...

OR.NET: a service-oriented architecture for safe and dynamic medical device interoperability.

Science.gov (United States)

Kasparick, Martin; Schmitz, Malte; Andersen, Björn; Rockstroh, Max; Franke, Stefan; Schlichting, Stefan; Golatowski, Frank; Timmermann, Dirk

2018-02-23

Modern surgical departments are characterized by a high degree of automation supporting complex procedures. It recently became apparent that integrated operating rooms can improve the quality of care, simplify clinical workflows, and mitigate equipment-related incidents and human errors. Particularly using computer assistance based on data from integrated surgical devices is a promising opportunity. However, the lack of manufacturer-independent interoperability often prevents the deployment of collaborative assistive systems. The German flagship project OR.NET has therefore developed, implemented, validated, and standardized concepts for open medical device interoperability. This paper describes the universal OR.NET interoperability concept enabling a safe and dynamic manufacturer-independent interconnection of point-of-care (PoC) medical devices in the operating room and the whole clinic. It is based on a protocol specifically addressing the requirements of device-to-device communication, yet also provides solutions for connecting the clinical information technology (IT) infrastructure. We present the concept of a service-oriented medical device architecture (SOMDA) as well as an introduction to the technical specification implementing the SOMDA paradigm, currently being standardized within the IEEE 11073 service-oriented device connectivity (SDC) series. In addition, the Session concept is introduced as a key enabler for safe device interconnection in highly dynamic ensembles of networked medical devices; and finally, some security aspects of a SOMDA are discussed.

Medical aspects of the nuclear accident in the Chernobylsk-4 reactor

International Nuclear Information System (INIS)

Arndt, D.; Schmidt, W.

1989-01-01

The Kiev conference on the Chernobylsk reactor accident was concerned with the following items: (1) Medical consequences and organization of medical assistance as well as aftercare of radiation-exposed persons. (2) Analysis of the postirradiation situation and judgement of the consequences of the accident as to the USSR population. (3) Peculiarities of external and internal radiation exposure of the population in the area controlled. (4) Organization and efficiency of the epidemiological register of the USSR. (5) Organization and judgement of educational work and public relations concerning the sanitary conditions in populations exposed to an increased contamination

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.

Code of practice for the design and safe operation of non-medical irradiation facilities (1988)

International Nuclear Information System (INIS)

1988-01-01

This Code establishes requirements for the design and operation of irradiation facilities which use X-rays, electrons or gamma radiation for non-medical purposes such as the sterilisation of therapeutic goods. These requirements aim to ensure that exposure of workers and members of the public to ionizing and non-ionizing radiation as well as to noxious gases and radioactive contamination of the environment and facilities are controlled through the design of engineering safety features, approved administrative controls and appropriate radiation monitoring [fr

The selected aspects of emotional labour and emotion regulation in medical jobs

Directory of Open Access Journals (Sweden)

Maciej Załuski

2017-07-01

Full Text Available Background: the term of emotional labour describes the processes which occur at the medical staff while carrying out emotional expectations of patients. There are links between emotional labour, work strain and the exhaustion of physical and emotional strenght. Goal of dissertation: to discuss certain problems connected with the phenomenon of the emotional labour and the emotion regulation processes which occur to the medical staff during the contact with patients. Summary and conclusion: there are a lot of research which confirm the negative health effects of some kinds of emotional labour and emotion regulation. Discussed issues rarely appear in Polish medical magazines in spite of the increasing number of foreign publications. Key words: emotional intelligence, interpersonal relations, health personnel

Some Trends and Applications of Operational Research/Management Science to Operations Management

Directory of Open Access Journals (Sweden)

Ramón Companys Pascual

2015-01-01

Full Text Available The editor suggested us to write about our point of view on the current use of Operations Research techniques applied to the Operations Management and about its future evolution. With some of unconsciousness we accept it, but it is obvious that our vision, even though we try to do our best, will be partial and biased. Hence the title chosen shows signs of prudence. More caution have been applied to the development where, after a glance at the past and reflection on the abundance of new denominations without content, we consider five aspects that, nowadays, acquire increasing importance and that will strongly influence in future developments. Among the five aspects two correspond to trends in the field of operations research techniques, one is a philosophy in the field of operations management, another to an area of the company and the last one to an industrial sector in which operations management, supported by operations research methods, is taking a predominant role.

An anthropological approach to teach and evaluate cultural competence in medical students - the application of mini-ethnography in medical history taking.

Science.gov (United States)

Hsieh, Jyh-Gang; Hsu, Mutsu; Wang, Ying-Wei

2016-01-01

Purpose To use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students. Methods Between September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach. Results Ninety-one students handed in mini-ethnographies, of whom 56 were male (61.5%) and 35 were female (38.5%). From the mini-ethnographies, three core aspects were derived: 1) the explanatory models and perceptions of illness, 2) culture and health care, and 3) society, resources, and health care. Based on the qualities of each aspect, nine secondary nodes were classified: expectations and attitude about illness/treatment, perceptions about their own prognosis in particular, knowledge and feelings regarding illness, cause of illness, choice of treatment method (including traditional medical treatments), prejudice and discrimination, influences of traditional culture and language, social support and resources, and inequality in health care. Conclusions Mini-ethnography is an effective teaching method that can help students to develop cultural competence. It also serves as an effective instrument to assess the cultural competence of medical students.

International Standards for Radiation Sterilization of Medical Devices

International Nuclear Information System (INIS)

Miller, A.

2007-01-01

For a terminally sterilized medical device to be designated '' STERILE '', probability of finding the viable micro-organisms in the device shall be equal to or less than 1 x 10 -6 (EN 556-1:2001: Sterilization of medical devices - Requirements for medical devices to be designated '' STERILE '' - Part 1: Requirements for terminally sterilized medical devices). Author presents the main legal aspects of the international standards for radiation sterilization of medical devices

Practical aspects of decentralized wind energy systems

Energy Technology Data Exchange (ETDEWEB)

Beurskens, H J.M.

1982-11-01

Some practical aspects of wind energy systems are described with emphasis on small wind energy conversion systems, both horizontal and vertical axis turbines. Reviewed are the power train of the installation including the speed control and power construction. Power efficiency of small wind turbines available and in operation in the Netherlands is dealt with. Environmental aspects such as noise, disturbance of tv and radio signals, impact on birds and the landscape are mentioned briefly.

Quality and Reliability Aspects in Nuclear Power Reactor Fuel Engineering

International Nuclear Information System (INIS)

2015-01-01

In order to decrease costs and increase competitiveness, nuclear utilities use more challenging operational conditions, longer fuel cycles and higher burnups, which require modifications in fuel designs and materials. Different aspects of quality assurance and control, as well as analysis of fuel performance have been considered in a number of specialized publications. The present publication provides a concise but comprehensive overview of all interconnected quality and reliability issues in fuel fabrication, design and operation. It jointly tackles technical, safety and organizational aspects, and contains examples of state of the art developments and good practices of coordinated work of fuel designers, vendors and reactor operators

General aspects of meteorology and wind flow patterns at the National Medical Cyclotron site, Camperdown, NSW, Australia

International Nuclear Information System (INIS)

Clark, G.H.; Bartsch, F.J.K.

1994-06-01

As part of an assessment into the consequences of a potential accident at the National Medical Cyclotron, Camperdown, NSW., Australia, two meteorological stations were installed to monitor the winds, temperatures and atmospheric dispersion conditions. The data will be used to assess environmental impacts of the Cyclotron's operation. In spite of the relatively poor performance of the stations, the wind data indicated significant effects of local buildings and the general urban surface roughness features. The prevailing winds during the study were from the north-north-west at night and south-south-west or north-east sea breezes during the day. Atmospheric stability/dispersion categories were typical of an urban heat island location. 11 refs., 10 tabs, 6 figs

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.)

Teaching Medical Students Clinical Anesthesia.

Science.gov (United States)

Curry, Saundra E

2018-05-01

There are many reasons for evaluating our approach and improving our teaching of America's future doctors, whether they become anesthesiologists (recruitment) or participate in patient management in the perioperative period (general patient care). Teaching medical students the seminal aspects of any medical specialty is a continual challenge. Although no definitive curricula or single clinical approach has been defined, certain key features can be ascertained from clinical experience and the literature. A survey was conducted among US anesthesiology teaching programs regarding the teaching content and approaches currently used to teach US medical students clinical anesthesia. Using the Accreditation Council for Graduate Medical Education website that lists 133 accredited anesthesiology programs, residency directors were contacted via e-mail. Based on those responses and follow-up phone calls, teaching representatives from 125 anesthesiology departments were identified and asked via e-mail to complete a survey. The survey was returned by 85 programs, yielding a response rate of 68% of individuals contacted and 63% of all departments. Ninety-one percent of the responding departments teach medical students, most in the final 2 years of medical school. Medical student exposure to clinical anesthesia occurred as elective only at 42% of the institutions, was requirement only at 16% of responding institutions, and the remainder had both elective and required courses. Anesthesiology faculty at 43% of the responding institutions reported teaching in the preclinical years of medical school, primarily in the departments of pharmacology and physiology. Forty-five percent of programs reported interdisciplinary teaching with other departments teaching classes such as gross anatomy. There is little exposure of anesthesiology faculty to medical students in other general courses. Teaching in the operating room is the primary teaching method in the clinical years. Students are

Medical Students’ and Interns’ Attitudes toward Medical Ethics Education in a Thai Medical School

Directory of Open Access Journals (Sweden)

Sakda Sathirareuangchai

2016-03-01

Full Text Available Background: Medical ethics has been accepted as part of every accredited medical curriculum for the past 40 years. Medical students’ attitudes have an important role for development and improvement of the curriculum. Faculty of Medicine Siriraj Hospital is the oldest and largest medical school in Thailand, and has been teaching medical ethics since 1907. Objective: To determine attitudes among medical students and interns toward medical ethics education and understand the factors influencing their attitudes. Methods: Mixed quantitative and qualitative research was conducted with early 6th year medical students and interns. A questionnaire was adapted from previous studies and included some original items. Results: Of the 550 questionnaires distributed, 386 were returned (70.2% response rate. Males (n=180 made up 46.63 % of the sample. Interns (n=219, 56.74 % tended to have more positive attitudes toward ethics learning than did medical students (n = 167, 43.26 %. Male participants tended to agree more with negative statements about ethics learning than did females. There was no statistically significant effect of hometown (Bangkok versus elsewhere or grade point average on attitudes. The main problem cited with medical ethics education was lack of engaging methods. Conclusion: Because clinical experience has an effect on learners’ attitudes towards ethics education, medical ethics should be taught at the appropriate time and with proper techniques, such as drawing explicit ties between ethical principles and real-life situations. Attention to the more detailed aspects of these data should also facilitate improvements to curriculum content, thereby ensuring better educational outcomes.

Technical aspects of 3MV particle accelerator at GGV Bilaspur

International Nuclear Information System (INIS)

Mallik, C.

2013-01-01

The accelerator at GGV, Bilaspur is a 3 MV pelletron operating is Tandem mode. The talk will describe the technical aspects of the accelerator. It will also discuss the beam aspects of the pelletron and the feasibility options with the accelerator. (author)

Egyptian Journal of Medical Laboratory Sciences

African Journals Online (AJOL)

The main objective of this journal is to cover all aspects of medical laboratory science. Contributions are received from staff members of academic, basic and laboratory science departments of the different medical schools and research centres all over Egypt and it fulfils a real need amongst Egyptian doctors working in the ...

Medical Student Empathy: Interpersonal Distinctions and Correlates

Science.gov (United States)

Jordan, Kevin D.; Foster, Penni Smith

2016-01-01

Attention to interpersonal behaviors, communication, and relational factors is taking on increasing importance in medical education. Medical student empathy is one aspect of the physician-patient relationship that is often involved in beneficial interactions leading to improved clinical outcomes and patient satisfaction. As an interpersonal…

Annals of Medical and Health Sciences Research

African Journals Online (AJOL)

The journal covers technical and clinical studies related to health, ethical and social issues in field of all aspects of medicine (Basic and Clinical), Health Sciences, Nursing, Medical Laboratory Sciences, Medical Radiography and Rehabilitation, Pharmacy, Biomedical Engineering, etc. Articles with clinical interest and ...

USE OF ELECTRONIC CASE HISTORIES IN OPERATION OF MEDICAL UNITS

Directory of Open Access Journals (Sweden)

I. B. Boltenkova

2016-01-01

Full Text Available Introduction of electronic case histories to medical units including TB units is one of the factors allowing enhancing quality of medical care provision. Use of the electronic case histories provides conditions for information transparency improvement in a medical unit: financial, statistic and medico-technological. Information contained in the electronic case history is important and required both for internal and external use. Use of electronic case histories contributes to reduction of labor costs of workers in medical units, provides fast access of medical personnel to information, formalizes data, provides preservation, invariance and reliability of the information entered into electronic case history during the whole period of storage, regulates the access rights and confidentiality, personifies data and allows unifying health data of all Russian population into one pool.

Clinical aspects of Chernobyl's accidents response (the researches of Military-medical academy)

International Nuclear Information System (INIS)

Shevchenko, Yu.L.

1996-01-01

The results of medical examinations of the persons taking part in elimination of consequences of Chernobyl's disaster obtained by the specialists of Military-medical academy allowed to verify the conseption of damage action of radiation and nonradiation complex of injury factors, to estimate well-information of stale and new biological indicators of radiation dose, to plan the ways of rescuers reabilitation during stationary, policlinic and sanatorium stages of treatment

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…

[Teaching courses on aspects of medical history taking and communication skills in Germany: a survey among students of 12 medical faculties].

Science.gov (United States)

Schildmann, Jan; Kampmann, Margareta; Schwantes, Ulrich

2004-06-01

Good communication between patients and doctors has positive effects on health and the patients' quality of life. Communication skills can be trained. In many countries communication skills training is an important part of medical education and continuing medical education. In this study German medical students were questioned about current communication training. Questionnaires were sent to 28 Medical Schools in Germany and distributed in General Practice courses. Using Likert scales students were asked to rate both existing teaching courses on communication skills and their ability to communicate. 377 students of 12 Medical Schools participated in this study. Two Medical Schools offer teaching courses on communication skills as part of their regular curriculum. On a scale ranging from 1 (no such courses available) to 7 (courses fully available) students assessed the practical teaching of communication skills to be 3 (median). In addition, on a scale ranging from 1 to 7 students rated their general communication skills as 3 (median) and their ability of taking a sexual history and breaking bad news as 4 (median). Although these results are not representative, they give a general idea of communication skills teaching in Germany. During their clinical education students should be especially trained for difficult situations in the patient-doctor encounter. The international experience of other Medical Schools should be taken into account when implementing communication skills training as part of medical education.

The experimental research on electrodischarge drilling of high aspect ratio holes in Inconel 718

Science.gov (United States)

Lipiec, Piotr; Machno, Magdalena; Skoczypiec, Sebastian

2018-05-01

In recent years the drilling operations become important area of electrodischarge machining (EDM) application. This especially concerns drilling of, small (D 10) holes in difficult-to-cut materials (i.e. nickel or titanium alloys). Drilling of such a holes is significantly beyond mechanical drilling capabilities. Therefore electrodischarge machining is good and cost efficient alternative for such application. EDM gives possibility to drill accurate, burr free and high aspect ratio holes and is applicable to machine wide range of conductive materials, irrespective of their hardness and toughness. However it is worth to underline its main disadvantages such as: significant tool wear, low material removal rate and poor surface integrity. The last one is especially important in reliable applications in aircraft or medical industry.

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

[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.

Operational limits and conditions and operating procedures for research reactors. Safety guide

International Nuclear Information System (INIS)

2008-01-01

This publication provides practical guidance on all important aspects of developing, formulating and presenting the operational limits and conditions as well as the operating procedures for research reactors. It covers the concept of operational limits and conditions, their content, and the responsibilities of the operating organization with respect to their establishment, modification, documentation and compliance. The guidance also covers the training of operating personnel on performing periodic testing, established by the operational limits and conditions, and operating procedures

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.

Study on operational aspect of natural circulation HLMC reactor (1)

International Nuclear Information System (INIS)

Sienicki, J.J.; Cahalan, J.E.; Spencer, B.W.

2000-08-01

The concept of a heavy liquid metal cooled fast reactor that achieves 100% natural circulation heat removal from the core has the potential to attain improved cost competitiveness through extreme simplification, proliferation resistance, and heightened passive safety. The concept offers the potential for simplifications in plant control strategies wherein inherent reactor feedbacks may restore balance between energy release and heat removal from the reactor during operation as well as providing passive reactivity shutdown in the event of transients involving failure to scram. This study was initiated to evaluate the operational characteristics of the 100% natural circulation reactor under normal and transient states using a plant dynamics analysis computer code and to seek design and operational optimization of the concept. In the current Phase I of the project, the stage for the overall study has been prepared. A coupled thermal hydraulics-kinetics plant dynamics analysis code has been developed/modified that has the capabilities to calculate operational and accident transients. Code input has been prepared for the heavy liquid metal cooled natural circulation reactor concept. A preliminary analysis using the plant dynamics code and its input to calculate three illustrative cases relevant to initial startup, shutdown following long-term operation, and change in turbine load demonstrates the capability to analyze typical transient cases. (author)

Some aspects of floating ice related to sea surface operations in the Barents sea

International Nuclear Information System (INIS)

Loeset, S.

1993-01-01

The present work highlights some aspects of floating ice related to sea surface operations in the Barents sea. The thesis consists of eight papers which fall into two main categories; one part deals with numerical modeling of the temperature distribution and ablation of icebergs (three papers), and the other part studies the behavior of broken ice, focusing on both laboratory experiments and numerical modeling. The temperature distribution within an iceberg affects the mechanical strength of the ice and is therefore crucial in engineering applications when estimating loads from impinging icebergs on offshore structures. A numerical model which simulates the temperature distribution and ablation of icebergs has been developed. The model shows that the depth of the thermal disturbance and slope of the temperature gradient of an iceberg depend on the boundary conditions and the time at sea. By about 12 m into the ice, the temperature is virtually free of any thermal boundary influence. Oil spill response techniques are vulnerable to the presence of sea ice. Deflecting ice upstream of a spill site by means of a flexible boom will facilitate the application of conventional oil spill recovery systems such as oil skimmers and booms. Experiments with such an ice deflecting boom were conducted in an ice tank to determine the loads on the boom and to study the ice-free wake. The study indicated the technical feasibility of the ice boom concept as an operational tool for oil spill cleanups. A two-dimensional discrete element model has been developed. This model simulates the dynamics and interaction forces between distinct ice floes in a broken ice field. The numerical model was applied to estimate the loads on a boom used for ice management. 121 refs., 70 figs., 10 tabs

Data base of the environmental aspects of the transuranics

International Nuclear Information System (INIS)

Pfuderer, H.

1975-01-01

Indexed and abstracted references to the environmental aspects of the transuranium elements are entered into and are retrievable from a dynamic, computerized information file (or data base) that is easily modified to reflect changing research needs. The information is distilled from the documents with the specific needs of the researcher in mind, such as numeric results, new methods, or instrumentation. The major areas of evaluation are: biological and medical studies on the effects of the transuranics, particularly as these elements relate to health considerations in man; biological and ecological availability, turnover, and food chain dynamics; analysis of environmental materials; environmental transport mechanisms, including resuspension; waste disposal as related to environmental concerns; monitoring; and regulations and standards for environmental levels. Annotated references are indexed to allow easy access for retrieving references to documents of interest to the user. The goal is to furnish the users all the references related to their specific query and few that are unrelated. This is done by liberal use of subject categories and keyterms. The studies on man and animals are divided into the subject categories of medical and biological aspects. Those aspects that are considered important when the document is analyzed are tabulated. These data are sought for in the article, included in the abstracts, and indexed with keyterms. This checklist is one of the ways the Data Base on the Environmental Aspects of the Transuranics strives to give users a reference to every paper in their subject area

Operational and passive safety aspects of the STAR-LM natural convection HLMC reactor. Study on operational aspects of a natural circulation HLMC reactor. 2

International Nuclear Information System (INIS)

Sienicki, J.J.; Petkov, P.V.

2001-09-01

The concept of a heavy liquid metal cooled fast reactor that achieves 100+% natural circulation heat removal from the core has the potential to attain improved cost competitiveness through extreme simplification, proliferation resistance, and heightened passive safety. The concept offers the potential for simplifications in plant control strategies wherein inherent reactor feedbacks may restore balance between energy release and heat removal from the reactor during operation as well as providing passive reactivity shutdown in the event of transients involving failure to scram. This study was initiated to evaluate the operational characteristics of the 100+% natural circulation reactor under normal and transient states using a plant dynamics analysis computer code and to seek design and operational optimization of the concept. In the earlier Phase 1 of the project, the stage for the overall study was prepared. A coupled thermal hydraulics-kinetics plant dynamics analysis code was developed that has the capabilities to calculate operational and accident transients. Code input was prepared for the heavy liquid metal cooled natural circulation reactor concept. A preliminary analysis using the plant dynamics code and its input to calculate three illustrative cases relevant to initial startup, shutdown following long-term operation, and change-in-turbine load demonstrated the capability to analyze typical transient cases. The present second phase of the study involves documentation of the plant dynamics analysis computer code including major assumptions and thermal hydraulic equations as well as application of the code to calculate operational transients and postulated accidents. The following normal and accident scenarios are calculated: initial startup; normal shutdown; startup from hot standby; decrease-in-turbine load; increase-in-turbine load; loss-of-heat sink without scram; overcooling event without scram; and unprotected transient overpower. For the decrease

Sustainability management for operating organizations of research reactors

Energy Technology Data Exchange (ETDEWEB)

Kibrit, Eduardo; Aquino, Afonso Rodrigues de, E-mail: ekibrit@ipen.br, E-mail: araquino@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNE-SP), Sao Paulo, SP (Brazil)

2017-07-01

Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. In a country like Brazil, where nuclear activity is geared towards peaceful purposes, any operating organization of research reactor should emphasize its commitment to social, environmental, economic and institutional aspects. Social aspects include research and development, production and supply of radiopharmaceuticals, radiation safety and special training for the nuclear sector. Environmental aspects include control of the surroundings and knowledge directed towards environment preservation. Economic aspects include import substitution and diversification of production. Institutional aspects include technology, innovation and knowledge. These aspects, if considered in the management system of an operating organization of research reactor, will help with its long-term maintenance and success in an increasingly competitive market scenario. About this, we propose a sustainability management system approach for operating organizations of research reactors. A bibliographical review on the theme is made. A methodology for identifying indicators for measuring sustainability in nuclear research reactors processes is also described. Finally, we propose a methodology for sustainability perception assessment to be applied at operating organizations of research reactors. (author)

Sustainability management for operating organizations of research reactors

International Nuclear Information System (INIS)

Kibrit, Eduardo; Aquino, Afonso Rodrigues de

2017-01-01

Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. In a country like Brazil, where nuclear activity is geared towards peaceful purposes, any operating organization of research reactor should emphasize its commitment to social, environmental, economic and institutional aspects. Social aspects include research and development, production and supply of radiopharmaceuticals, radiation safety and special training for the nuclear sector. Environmental aspects include control of the surroundings and knowledge directed towards environment preservation. Economic aspects include import substitution and diversification of production. Institutional aspects include technology, innovation and knowledge. These aspects, if considered in the management system of an operating organization of research reactor, will help with its long-term maintenance and success in an increasingly competitive market scenario. About this, we propose a sustainability management system approach for operating organizations of research reactors. A bibliographical review on the theme is made. A methodology for identifying indicators for measuring sustainability in nuclear research reactors processes is also described. Finally, we propose a methodology for sustainability perception assessment to be applied at operating organizations of research reactors. (author)

4. S.F.R.P. days on the optimization of radiation protection in the electronuclear, industrial and medical areas

International Nuclear Information System (INIS)

2006-01-01

These days are dedicated to the implementation of the radiation protection optimization in the activities of the electronuclear sector, of the industrial sector, the medical sector, the laboratories and the centers of research and the university sector. All the aspects of the practical application of the radiation protection optimization of the workers, the public and the patients will be approached. The oral communications and posters concern the following subjects: foundations of the optimization principle, new statutory context, transmission of ALARA principle, operational dosimetry, conception, operating and maintenance of the installations, the construction sites of dismantling, industrial radiology, radioactive waste management. (N.C.)

YKAe Research programme on nuclear power plant systems behaviour and operational aspects of safety 1990-1994, Final report

International Nuclear Information System (INIS)

Mattila, L.; Vanttola, T.

1995-04-01

The research programme on Nuclear Power Plant Systems Behaviour and Operational Aspects of Safety was carried out between 1990 and 1994. In the field of Safe operational margins of nuclear fuel and reactor core, an up-to-date steady-state fuel performance model was validated for higher burn-ups and well-characterized VVER fuel experiments were carried out. A comprehensive reactor analysis code system was extended and validated for complex 3-D phenomena, such as ATWS and boron dilution transients. Advanced hydraulics methods were added to the dynamics codes. Experiments were carried out with PACTEL, the most comprehensive thermal-hydraulic test facility for VVER-440-type reactors worldwide. For example, a series of natural circulation tests were provided for the first VVER-related international standard problem of the OECD/NEA. Advanced foreign computer codes for severe accidents were evaluated and modified for the needs of Finnish power plants. Specific progress was made in modelling the reflooding of an overheated core and in the structural analysis of a pressure vessel under corium load, as well as in experimental and theoretical studies of aerosol and hydrogen behaviour. Fire modelling was improved by implementing advanced calculation methods and by validating them against our own experiments and international test data. Techniques in living probabilistic safety assessment and risk decision-making were refined in pilot applications for continuous monitoring, follow-up and management of risks of an operating power plant. In the area of human reliability and organizational performance, factors important for the continuous development of the competence of control room operator teams and plant maintenance staff were identified. (237 refs., 75 figs., 13 tabs.)

Medical, psychological and socioeconomic aspects of aging in Poland: assumptions and objectives of the PolSenior project.

Science.gov (United States)

Bledowski, Piotr; Mossakowska, Malgorzata; Chudek, Jerzy; Grodzicki, Tomasz; Milewicz, Andrzej; Szybalska, Aleksandra; Wieczorowska-Tobis, Katarzyna; Wiecek, Andrzej; Bartoszek, Adam; Dabrowski, Andrzej; Zdrojewski, Tomasz

2011-12-01

Both descriptive and longitudinal studies of aging are nowadays a subject of growing interest in different countries worldwide. However, in Poland and other Central-Eastern European countries, such comprehensive, nationally representative, multidimensional studies were never performed in the past in elderly population. The present paper describes the PolSenior project including its objectives, sample selection and structure, methods, fieldwork procedures and study flow. The aim of the project was to examine medical, psychological and socioeconomic aspects of aging in Poland. The research sample included 5695 respondents (2899 males and 2796 females) split into six equally sized age groups of elderly individuals (65-69 years, 70-74 years, 75-79 years, 80-84 years, 85-89 years, 90+years) and one group of subjects just about to enter old age (55-59 years). Subjects were recruited using three stage stratified, proportional draw. The response rate was 42% and ranged from 32% to 61% between provinces. The study consisted of three visits performed by trained nurses including questionnaire survey, comprehensive geriatric assessment and blood and urine sampling. The questionnaire consisted of medical and specific socioeconomic questions. The comprehensive geriatric assessment included blood pressure and anthropometric measurements, as well as selected scales and tests routinely used in the examination of elderly subjects. Blood and urine samples were collected from 4737 and 4526 individuals, respectively. More than 50 biochemical parameters were measured, and DNA was isolated and banked. In a selected group of 1018 subjects, a medical examination by a physician was performed. The self-rated health was lower in females than in males in age groups 70-84, but similar in individuals of both sexes aged 65-69 and 85 years. Besides providing data on health and functioning of elderly population, the PolSenior project aims to analyze interrelationships between different elements of

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).

[Humanities in medical education: between reduction and integration].

Science.gov (United States)

Han, Taehee

2015-09-01

Reductive logic has been a major reasoning style in development of modern biomedical sciences. However, when "medical humanities" is developed by reductive reasoning, integrative and holistic values of humanities tend to be weakened. In that sense, identity and significance of "medical humanities" continue to be controversial despite of its literal clarity. Humanities in medical education should be established by strengthening humanistic and socialistic aspects of regular medical curriculum as well as developing individual "medical humanities" programs.

Knowledge and Practice of Self-medication among Undergraduate Medical Students

Directory of Open Access Journals (Sweden)

Anishma Karmacharya

2018-05-01

Full Text Available Introduction: Self-medication is an important aspect of self-care. It is a common practice in society and medical students are no exception. The aim of this study was to explore the knowledge and practice of self-medication among students of a medical school in Western Nepal. Methods: A cross sectional study was conducted among basic science and clinical students after obtaining prior consent from those willing to participate. Respondents’ degree of agreement with a set of 25 statements was noted using Likert scale to assess their knowledge. The practice of self-medication was studied by asking about the use of selected groups of medicines during the past one-year period and noting the pattern of use. Results: Three hundred and thirty of the 356 students (92.6% participated in the study. Mean knowledge score was 93.2 (SD = 8.1. Self-medication was practiced by 83.3% (n = 275 of respondents. Knowledge about self-medication differed among respondents according to gender (p = 0.03 and nationality (p = 0.04 but not other variables. Practice of self-medication was associated with father’s profession (p = 0.03 and nationality of the respondents (p = 0.04. Conclusions: Students’ knowledge about self-medication was good and they commonly practiced self-medication. Pain-killers were the most commonly used drug.

Selected aspects of industrial psychology in reactor operation

Energy Technology Data Exchange (ETDEWEB)

Bohr, E; Thau, G

1980-08-01

An appropriate consideration of human factors in the operation of nuclear power plants may contribute to plant safety and availability. This requires an adequate evaluation of the role and the significance of human factors and a realistic understanding of human characteristics and needs. Some common misconceptions are discussed, and some outlines for future developments are proposed.

Selected aspects of industrial psychology in reactor operation

International Nuclear Information System (INIS)

Bohr, E.; Thau, G.

1980-01-01

An appropriate consideration of human factors in the operation of nuclear power plants may contribute to plant safety and availability. This requires an adequate evaluation of the role and the significance of human factors and a realistic understanding of human characteristics and needs. Some common misconceptions are discussed, and some outlines for future developments are proposed. (orig.) [de

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.

[Aesthetic medicine and aspects related to liability, medical professional and social law].

Science.gov (United States)

Jansen, Christoph

2006-01-01

There are no special legal arrangements for the field of aesthetic medicine; rather, the general medico-legal regulations apply although they raise specific questions as far as aesthetic medicine is concerned. Legally, a contract exists between physician and patient which is also applicable to aesthetic medicine. This means that the physician owes the patient only the provision of a proper, non-defective service, but does not need to guarantee that it actually leads to the desired outcome. Before performing a medically non-indicated procedure the physician is obliged to provide the patient with particularly thorough information about this procedure. Various problems and issues are raised by the advertising limitations for medical professionals and the maintenance of the boundaries confining the special field of aesthetic medicine. Medically indicated procedures are suitable for statutory reimbursement if the patient suffers from "physical disfigurement" or somatic complaints that lead to considerable impairment and if there are no other, cheaper treatment options available.

Regulatory safety aspects of nuclear waste management operations in India

International Nuclear Information System (INIS)

Sundararajan, A.R.

2000-01-01

The Department of Atomic Energy in India as part of its programme to harness the nuclear energy for generation of nuclear power has been operating a whole range of nuclear fuel cycle facilities including waste management plants for more than four decades. The waste management plants include three high level waste immobilisation plants, one in operation, one under commissioning and one more under construction. Atomic Energy Regulatory Board is mandated to review and authorise from the safety angle the siting, the design, the construction and the operation of the waste management plants. The regulatory procedures, which involve multi-tier review adopted for ensuring the safety of these facilities, are described in this paper. (author)

Operational experience and recent developments at the National Medical Cyclotron

International Nuclear Information System (INIS)

Conard, E.; Pac, B.; Arnott, D.W.

1994-01-01

The National Medical Cyclotron is a radioisotope production facility run by ANSTO and located on the grounds of the Royal Prince Alfred Hospital in Sydney, Australia. A CYCLONE 30 (IBA) cyclotron is used in the production of short-lived PET radiopharmaceuticals required by the hospital's PET Scanner and also to produce a number of bulk radiochemicals for processing and distribution throughout Australasia. Following commissioning of the cyclotron and beam lines in October 1991, and the overcoming of a number of early open-quote teething close-quote problems especially relating to the reliability of the r.f. and solid target transport systems, a steady program of improvements has been pursued. These improvements have included development of new beam diagnostics and the design and installation of a new beam line for SPECT radioisotope production. The current operations schedule includes the production of 18 FDG, 13 NH 3 , 15 O 2 and 201 Tl, 67 Ga and 123 I. This paper will discuss the process of development of the cyclotron to ably meet the present demands on it, and the problems resolved in the pursuit of this goal

South African medical students' perceptions and knowledge about ...

African Journals Online (AJOL)

Background. Education of medical students has been identified by the World Health Organization as an important aspect of antibiotic resistance (ABR) containment. Surveys from high-income countries consistently reveal that medical students recognise the importance of antibiotic prescribing knowledge, but feel ...

Radiation protection aspects gained from the operation of FBTR. Basis for approach and criteria for future LMFBRs

International Nuclear Information System (INIS)

Meenakshisundaram, V.; Jose, M. T.

2008-01-01

Health Physics experience gained from the operation of Fast Breeder Test Reactor since more than twenty years is outlined. These include area monitoring, stack monitoring, annual discharge of activity released vis-a-vis technical specification limits, personnel monitoring that include man-rem expenditure, waste disposal etc. Basic aspects of Radiation and Air Activity Monitoring System (RAAMS), meant to monitor and record the radiation and air activity levels at various controlled areas in FBTR complex are given. Installation, calibration and usefulness of special monitors, unique to LMFBRs, such as gas flow ion chambers in the Clad Rupture Detection (CRD) argon circuit for detection of gaseous fission products, fume activity monitors in the ventilation ducts to indicate sodium leak / fire, sodium aerosol detection monitors in the primary double envelop sampling line and gas activity monitors are highlighted. Radiologically significant incidents such as minor sodium leak in the primary purification system in 2002 and special operations are reported. The experience gained during successful handling, treatment, and disposal of active primary sodium and decontamination of active sodium bearing components following steam-nitrogen process is brought out. Towards controlling external exposures to occupational workers during maintenance work, the salient features of the study conducted to assess the deposition of radioactive corrosion and activation products and dose rates in the primary sodium pipelines and various components of FBTR, which are housed in B-cells, are highlighted. The environmental aspects of LMFBRs are also briefly outlined. The lessons learnt from the experience gained such as lowering of alarm limit for particulate activity monitors to enable detection of primary sodium leak within reactor containment building, identification of deposition of 54 Mn in the interiors of primary sodium lines as a major contributor to the external dose component, the

Tacit knowledge and visual expertise in medical diagnostic reasoning: implications for medical education

DEFF Research Database (Denmark)

Heiberg Engel, Peter Johan

2008-01-01

BACKGROUND: Much education--especially at the university level--has been criticized for having primarily dealt with explicit knowledge, i.e. those aspects of mental activities, which are verbal and conscious. Furthermore, research in medical diagnostic reasoning has been criticized for having...... focused on the specialty of intern medicine, while specialties with other skills, i.e. perceptive skills within pathology and radiology, have been ignored. AIMS: To show that the concept of tacit knowledge is important in medical education-at all levels and in medical diagnostic reasoning. METHODS...... such as "non-analytical reasoning" and "dual process of reasoning." CONCLUSION: It is important that educators are trained in how explicit and implicit knowledge is attained and that tacit knowledge is included in educational programmes of all medical specialties....

Processing of medical images

International Nuclear Information System (INIS)

Restrepo, A.

1998-01-01

Thanks to the innovations in the technology for the processing of medical images, to the high development of better and cheaper computers, and, additionally, to the advances in the systems of communications of medical images, the acquisition, storage and handling of digital images has acquired great importance in all the branches of the medicine. It is sought in this article to introduce some fundamental ideas of prosecution of digital images that include such aspects as their representation, storage, improvement, visualization and understanding

Psychological aspects of cosmetic rhinoplasty.

Science.gov (United States)

Marcus, P

1984-07-01

This paper summarises some of the major findings of a doctoral research entitled "Psychological Aspects of Cosmetic Rhinoplasty" carried out when the author was working in the United Kingdom on a thesis that was accepted for the degree of PhD by the University of London. From the point of view of the clinical psychologist there can be no doubt that cosmetic rhinoplasty does have largely beneficial short- and long-term psychological and behavioural effects on patients who request the operation and several observations and experiments are described to account for the efficacy and therapeutic value of this operation.

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

Standardization of spedalized medical care to patients with shin fractures in multifield city hospital

Directory of Open Access Journals (Sweden)

R. M. Tikhilov

2013-01-01

Full Text Available The aim of the investigation was development of science-based recommendations for increasing efficiency of operative treatment of adult patients with shin fractures in multiprofile city hospital. Investigation was made in Saint-Petersburg Alexandrovskiy City Hospital. Clinical material was presented by official hospital reports, individual medical documentation and results of direct survey of patients treated in this hospital in period 1999-2010 years. All patients had follow up treatment in outpatient department of this hospital. Information was completed following federal and local laws. Recommendations for standardization of modern specialized medical care of patients with shin fractures, based on methods of internal fixation, were performed. We took into consideration possibilities of conventional and minimally invasive fixation of closed and open fractures including politrauma injuries. Models of patients with shin fractures depending on method of internal fixation and list of basic diagnostic procedures and treatment were formed. Operations classifier of internal shin fractures fixation was developed. This classifier includes calculation of hospital costs in process of specialized medical care considering actual correction coefficients. Calculation of each surgical procedure component was performed. List and composition of instrument sets and expense materials for such operations were formed. Analisis of organizational, medico-technological, economica aspect and expert evaluation of clinical results of different methods of long bones fractures fixation have provided conceptual approach to treatment standardization. On this base we have developed medico-economical standards of long bones fractures treatment in city multiprofile hospital.

Special Forces Medical Sergeants' perceptions and beliefs regarding their current medical sustainment program: implications for the field.

Science.gov (United States)

Wilson, Ramey L; DeZee, Kent J

2014-01-01

Special Forces Medical Sergeants (SFMS) are trained to provide trauma and medical care in support of military operations and diplomatic missions throughout the world with indirect physician oversight. This study assessed their perceptions of the current program designed to sustain their medical skills. An Internet-based survey was developed using the constructs of the Theory of Reasoned Action/Planned Behavior and validated through survey best practices. Of the 334 respondents, 92.8% had deployed at least once as an SFMS. Respondents reported spending 4 hours per week sustaining their medical skills and were highly confident that they could perform their duties on a no-notice deployment. On a 5-point, Likert-type response scale, SFMS felt that only slight change is needed to the Special Operations Medical Skills Sustainment Course (mean: 2.17; standard deviation [SD]: 1.05), while moderate change is needed to the Medical Proficiency Training (mean: 2.82; SD: 1.21) and nontrauma modules (mean: 3.02; SD: 1.22). Respondents desire a medical sustainment program that is provided by subject matter experts, involves actual patient care, incorporates new technology, uses hands-on simulation, and is always available. SFMS are challenged to sustain their medical skills in the current operational environment, and barriers to medical training should be minimized to facilitate sustainment training. Changes to the current medical sustainment program should incorporate operator-level perspectives to ensure acceptability and utility but must be balanced with organizational realities. Improving the medical sustainment program will prepare SFMS for the challenges of future missions. 2014.

Linguistic aspects of eponymic professional endocrinologic terminology

Directory of Open Access Journals (Sweden)

N.I. Bytsko

2017-03-01

Full Text Available Background. Special linguistic researches of terminological units of different branches of medicine allow analyzing in details the ways of creating the systems of clinical terminology from different aspects: historical, scientific, cultural, linguistic and semantic. There is a wide area of terminology related to the clinical and experimental endocrino­logy within general medical terminological system. The purpose of the study: to demonstrate the structure of endocrine medical terms — eponyms through the prism of systematization of methodological researches on eponymic vocabulary. Materials and methods. The actual material received as a result of a total choice of eponyms (there were 296 terms from the “Reference dictionary for endocrinologist”, which was composed by the scientists of V. Danilevsky Institute of Endocrine Pathology Problems and Kharkiv Medical Academy of Postgraduate education — A.V. Kozakov, N.A. Kravchun, I.M. Ilyina, M.I. Zubko, O.A. Goncharova, I.V. Cherniavska has 10,000 endocrine terms, the authors successfully streamlined medical terms of the clinical and experimental endocrinology into the vocabulary. The method of total choice of terms from professional literature, the descriptive method and distributive method were used in the study that allowed distinguishing lexical and semantic features of eponymic terms in the branch of endocrinology. Results. The obtained results point out to the modernity of studies in the field of clinical and experimental endocrinology, which is due to the fact that this is the oldest terminology, by the example of which it is possible to trace the ways of formation, development and improvement of terms, the realization of semantic processes, certain trends, ways and means of word formation. Conclusions. The results of the research on the above mentioned sublanguage of clinical medicine at the level of linguistic observations of the functio­ning in dictionaries and scientific works will

Compliance and Cognitive Function: A Methodological Approach to Measuring Unintentional Errors in Medication Compliance in the Elderly.

Science.gov (United States)

Isaac, Lisa M.; And Others

1993-01-01

Assessed multiple aspects of cognitive performance, medication planning ability, and medication compliance in 20 elderly outpatients. Findings suggest that aspects of attention/concentration, visual and verbal memory, and motor function which are untapped by simple mental status assessment are related to medication access, planning, and compliance…

General practitioners' beliefs about effectiveness and intentions to prescribe smoking cessation medications: qualitative and quantitative studies

Directory of Open Access Journals (Sweden)

Marteau Theresa M

2006-11-01

Full Text Available Abstract Background General practitioners' (GPs negative beliefs about nicotine dependence medications may act as barriers to prescribing them. Methods Study1: Twenty-five GPs from 16 practices across London were interviewed in this qualitative study. Framework analysis was used to identify key themes. Study 2: A convenience sample of 367 GPs completed an internet-based survey. Path-analysis was used to examine the relations between beliefs and intentions to prescribe smoking cessation medications. Results Study 1: Whilst nicotine replacement therapy (NRT and bupropion were generally perceived as effective and cost-effective, the effectiveness of NRT was seen as critically dependent on behavioural support for smoking cessation. This dependence appeared to be influenced by perceptions that without support smokers would neglect psychological aspects of smoking and use NRT incorrectly. GPs perceived bupropion as dangerous and were concerned about its side-effects. Study 2: GPs' beliefs had medium (NRT, f2 = .23 to large (bupropion, f2=.45; NRT without support, f2=.59 effects on their intentions to prescribe medications. Beliefs about effectiveness of NRT and bupropion and the perceived danger of bupropion were the key predictors of intentions to prescribe NRT and bupropion, respectively. Beliefs about neglecting psychological aspects of smoking and incorrect use had indirect effects on intentions to prescribe NRT without support, operating via beliefs about effectiveness. Conclusion GPs vary in their beliefs about the effectiveness and safety of smoking cessation medications. Their intentions to prescribe these medications vary in line with these beliefs. Interventions aimed at increasing the likelihood with which GPs prescribe these medications may be more effective if they addressed these beliefs.

A pilot survey of junior doctors' confidence in tasks related to broad aspects of competence

DEFF Research Database (Denmark)

Davis, Deborah J; Skaarup, Anne Marie; Ringsted, Charlotte

2005-01-01

Medical authorities and society are recommending that postgraduate medical education prepare physicians for broad aspects of competence. The most effective ways to prepare physicians for these are not known. The aim of this pilot study was to survey junior doctors' growth in confidence in different...... useful in facilitating learning of the tasks. These results suggest that growth of confidence in the physician roles proceeds at different rates during postgraduate training. Additional research is needed to identify effective ways for junior doctors to learn broad aspects of competence. Longitudinal...

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

International Nuclear Information System (INIS)

2015-01-01

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

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.

Economic aspects of telemedical trainings realization in conditions of medical services outsourcing

Directory of Open Access Journals (Sweden)

Bushmanov A.Yu.

2016-12-01

Full Text Available Economic efficiency of various telemedical services are still a subject of scientific discussion. The article considers approaches to a complex estimation of economic benefit and economic efficiency of services in remote education. Calculations are submitted on the basis of realization of remote trainings series on training to receptions of urgent medical aid and occupational medicine for the medical personnel of the large oil-extracting company. Preparation of the program, materials, including videofragments, presentations and demonstrations, and also realization of trainings were carried out by autsourcing by experts of the foreign organizations.

The Mathematics of Medical Imaging in the Classroom.

Science.gov (United States)

Funkhouser, Charles P.; Jafari, Farhad; Eubank, William B.

2002-01-01

Presents an integrated exposition of aspects of secondary school mathematics and a medical science specialty. Reviews clinical medical practice and theoretical and empirical literature in mathematics education and radiology to develop and pilot model integrative classroom topics and activities. Suggests mathematical applications in numeration and…

Semantic equivalences in Romanian medical terminology

Directory of Open Access Journals (Sweden)

Corina Lungu

2014-12-01

Full Text Available The present paper aims to underline some aspects concerning the presence of synonymy semantic relationship in specialized medical terminology, having as object of study Romanian medical terms. For this study we use a descriptive, conceptual and lexical semantic research method to provide the understanding of different couples, groups or synonymic series where medical terms have several variations: specialized/common terms, syntagms and patronyms of French or different origin. We propose a classification scheme of synonyms of medical lexicon, terms or synonymic syntagms, total and partial, in order to meet the accessibility needs in scientific communication.

Some radiation safety aspects of operating medical generators of VHF electromagnetic energy

International Nuclear Information System (INIS)

Bosevski, V.; Radev, S.; Donev, Ch.

1977-01-01

The state of radiation safety in physiotherapy practice using very-high-frequency diathermy was studied with regard to personnel and patient protection. A specially devised shielding set to protect patients and personnel is offered for adoption, and the necessity is insistently stressed of prohibiting any patient head or gonad exposure. It is pointed out that the protective set developed may also be used at facilities employing other types of VHF electromagnetic energy sources. (author)

Ethics and medico legal aspects of "Not for Resuscitation"

Directory of Open Access Journals (Sweden)

Naveen Sulakshan Salins

2010-01-01

Full Text Available Not for resuscitation in India still remains an abstract concept with no clear guidelines or legal frame work. Cardiopulmonary resuscitation is a complex medical intervention which is often used inappropriately in hospitalized patients and usually guided by medical decision making rather than patient-directed choices. Patient autonomy still remains a weak concept and relatives are expected to make this big decision in a short time and at a time of great emotional distress. This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting.

On history of medical radiology development in Ukraine: war period and after war reconstruction (1941-1947)

International Nuclear Information System (INIS)

Pilipenko, M.Yi.; Artamonova, N.O.; Busigyina, N.O.; Kononenko, O.K.

1994-01-01

The paper is devoted to history of Ukrainian medical radiology development, namely main problems of its scientific and practical aspects of development during 1941-1947. The authors describe the work of Ukrainian roentgenologists and radiologists during the war and after war restoration of radiological service. Contribution of Ukrainian scientists to practical and theoretical achievements of military roentgenology is shown. Operative mobilization of all the forces for restoration of destroyed during the war years roentgenological service allowed to start scientific research within a short term (already in 1945)

Building a Scientifically Based Knowledge for Operating the Ninh Thuan NPP in Vietnam: Case Study on the Aspects of Water Chemistry

International Nuclear Information System (INIS)

Nguyen, T. K. D.

2016-01-01

Full text: In preparing for the first nuclear power plant in Vietnam, as part of the quality assurance, it is important to educate and train the staff of the plant beforehand. Such training includes, amongst other important subjects, the scientific background on the complex processes, the operational safety, use of the instruments for reading and controlling parameters, evaluation of these data, the quality management system, and staff responsibilities and interactions during routine and non-routine activities. This paper refers to the one aspect of operating a nuclear power plant: the water chemistry. Various important parameters of the plant, such as reactivity, corrosion rate, dose rate, material stress, interreaction and/or behaviour between water coolant and materials, filter lifetime, and heat exchanger efficiency can be influenced and/or controlled in terms of water composition, radionuclides arising during starting stage,during operation and in shutdown stage, its pH, additives, water management and purification. Also, ecologic considerations play an essential role. We report here about a project to establish such education and training as one of the missions of our institute in terms of support for the new nuclear power plants in Vietnam. (author

Low Aspect-Ratio Wings for Wing-Ships

DEFF Research Database (Denmark)

Filippone, Antonino; Selig, M.

1998-01-01

Flying on ground poses technical and aerodynamical challenges. The requirements for compactness, efficiency, manouverability, off-design operation,open new areas of investigations in the fieldof aerodynamic analysis and design. A review ofthe characteristics of low-aspect ratio wings, in- and out...

Medication deserts: survey of neighborhood disparities in availability of prescription medications

Science.gov (United States)

2012-01-01

Background Only a small amount of research has focused on the relationship between socio-economic status (SES) and geographic access to prescription medications at community pharmacies in North America and Europe. To examine the relationship between a community’s socio-economic context and its residents’ geographic access to common medications in pharmacies, we hypothesized that differences are present in access to pharmacies across communities with different socio-economic environments, and in availability of commonly prescribed medications within pharmacies located in communities with different socio-economic status. Methods We visited 408 pharmacies located in 168 socio-economically diverse communities to assess the availability of commonly prescribed medications. We collected the following information at each pharmacy visited: hours of operation, pharmacy type, in-store medication availability, and the cash price of the 13 most commonly prescribed medications. We calculated descriptive statistics for the sample and fitted a series of hierarchical linear models to test our hypothesis that the in-stock availability of medications differs by the socio-economic conditions of the community. This was accomplished by modeling medication availability in pharmacies on the socio-economic factors operating at the community level in a socio-economically devise urban area. Results Pharmacies in poor communities had significantly higher odds of medications being out of stock, OR=1.24, 95% CI [1.02, 1.52]. There was also a significant difference in density of smaller, independent pharmacies with very limited stock and hours of operation, and larger, chain pharmacies in poor communities as compared to the middle and low-poverty communities. Conclusions The findings suggest that geographic access to a neighborhood pharmacy, the type of pharmacy, and availability of commonly prescribed medications varies significantly across communities. In extreme cases, entire communities

AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY DISEASE STATE CLINICAL REVIEW: MANAGEMENT OF ACROMEGALY PATIENTS: WHAT IS THE ROLE OF PRE-OPERATIVE MEDICAL THERAPY?

Science.gov (United States)

Fleseriu, Maria; Hoffman, Andrew R; Katznelson, Laurence

2015-06-01

Acromegaly is a complex disease characterized by growth hormone (GH) excess originating in most cases from a pituitary tumor. The goals of treatment include removing the tumor or reducing tumor burden, normalizing GH secretion and insulin-like growth factor 1 levels, and preserving normal pituitary function if possible. Surgery by an experienced neurosurgeon is still considered first-line therapy, especially in cases with small tumors. In the last few decades, significant progress in the development of selective pharmacologic agents has greatly facilitated the management of active acromegaly, with agents such as somatostatin-receptor ligands (SRLs), GH-receptor antagonists, and dopamine agonists. In addition to adjuvant treatment, pre-operative medical therapy and primary therapy in de novo patients are increasingly employed. A United States National Library of Medicine PubMed search (through July 2014) was conducted for the following terms: acromegaly, pre-operative medical therapy, somatostatin-receptor ligands, and somatostatin analogs. Articles not in English and those not in peer-reviewed journals were excluded. In reviewing pertinent articles, focus was placed on biochemical and other postoperative outcomes of medical therapy. An analysis of the full effect of pre-operative use of SRLs on surgical outcomes (remission rates and peri-operative complications) is limited by heterogeneity of methodology, low overall surgical cure rates, and different study designs. The assumption that SRL use prior to surgery reduces peri-operative surgical risk has yet to be proven. A variable degree of tumor shrinkage with preoperative SRLs is observed. Likewise, SRL treatment 3 months before surgery may improve surgical remission rates in the short term; however, positive results do not persist in the long term. We consider that medical therapy before surgery could play a role in carefully selected patients, but treatment should be individualized. Primary medical therapy with a

[Medical science and the human image--on the theory of medical tasks].

Science.gov (United States)

Jenny, S

1993-06-22

Our science-determined medicine interprets the non-individual partial aspects of disease that are approachable by causal analytical thought; therefore, it becomes only then an art of healing when it is complemented by medical craftsmanship and philosophic reflection. Naturopathy perceives the individual as an open self-regulatory system whose innumerable mechanisms and strategies for maintenance of integrity have to be supported. In medical practise both concepts have always to be available concomitantly and and in equal rights, not only for repair of lesions but also for real healing.

Enhancing operational safety

Energy Technology Data Exchange (ETDEWEB)

Wiebe, J S

1997-09-01

The presentation briefly considers the following aspects concerning enhancing operational safety of NPP: licensed control room supervision, reactivity changes, personnel access to control room, simulator training.

Botany in Edinburgh's Medical Curriculum.

Science.gov (United States)

Wilson, Hazel

2012-01-01

In the early 18th century, at the founding of Edinburgh University Medical School, the study of botany was regarded as an essential component of medical training. Botanical teaching began as basic instruction in the recognition of medical plants, considered a vital aspect of a physician's Materia Medica studies. Over the next hundred years growing importance was given to the study of botany as a science, its popularity peaking under John Hutton Balfour's tenure as Professor (1845-1879). The relevance of botanical study later declined in the undergraduate medical curriculum until its cessation in 1961 .This paper considers the history of botanical studies in Edinburgh, including the reasons for its introduction and its changing importance over time.

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.

Medical intervention in radiological emergencies, formation and training

International Nuclear Information System (INIS)

Cardenas H, J.

2006-01-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)

Some Medicolegal Aspects of the Russian Cardiopulmonary Resuscitation Protocol

Directory of Open Access Journals (Sweden)

V. A. Kuksinsky

2006-01-01

Full Text Available The purpose of the study was to analyze the Russian legislation to identify the medicolegal aspects of cardiopulmonary resuscitation, which are most significant for an intensive care anesthesiologist. Statutory acts concerning human health care, including those pertinent to cardiopulmonary resuscitation and those providing for the responsibility of medical workers in some cases were analyzed. A number of discrepancies in various legal acts concerning human death verification and resuscitative measures were identified. The analysis has revealed the aspects of cardiopulmonary resuscitation, which are, from the point of view of legislation, most important for the physician.

Regulatory Compliance to Assure the Safety of the Operation of a Medical Cyclotron

International Nuclear Information System (INIS)

Dela Cruz, Joselito

2015-01-01

Khealth Corporation, in Partnership with the National Kidney and Transplant Institute, has established a medical cyclotron facility to accommodate the up-and-coming needs of tracers for PET/CT in different centers and hospitals all over the country. This facility houses a 16.5 MeV GE PET trace 880 particle accelerator that can produce 14 Ci (518 GBq) of Fluorine-18. Its structure has adopted global standard designs in meeting the safety during its use, radiopharmaceutical production and distribution. Compliances were remarkably fulfilled from the building construction, machine acquisition, commissioning, operations up to the quality control and assurance. Furthermore, various regulatory challenges during the current standardization of radiopharmaceutical utilization were encountered however time dedication and efforts were wielded until all have been successfully justified and acquired. (author)

[Prevention of medical device-related adverse events in hospitals: Specifying the recommendations of the German Coalition for Patient Safety (APS) for users and operators of anaesthesia equipment].

Science.gov (United States)

Bohnet-Joschko, Sabine; Zippel, Claus; Siebert, Hartmut

2015-01-01

The use and organisation of medical technology has an important role to play for patient and user safety in anaesthesia. Specification of the recommendations of the German Coalition for Patient Safety (APS) for users and operators of anaesthesia equipment, explore opportunities and challenges for the safe use and organisation of anaesthesia devices. We conducted a literature search in Medline/PubMed for studies dealing with the APS recommendations for the prevention of medical device-related risks in the context of anaesthesia. In addition, we performed an internet search for reports and recommendations focusing on the use and organisation of medical devices in anaesthesia. Identified studies were grouped and assigned to the recommendations. The division into users and operators was maintained. Instruction and training in anaesthesia machines is sometimes of minor importance. Failure to perform functional testing seems to be a common cause of critical incidents in anaesthesia. There is a potential for reporting to the federal authority. Starting points for the safe operation of anaesthetic devices can be identified, in particular, at the interface of staff, organisation, and (anaesthesia) technology. The APS recommendations provide valuable information on promoting the safe use of medical devices and organisation in anaesthesia. The focus will be on risks relating to the application as well as on principles and materials for the safe operation of anaesthesia equipment. Copyright © 2015. Published by Elsevier GmbH.

Biomedical programs operations plans

Science.gov (United States)

Walbrecher, H. F.

1974-01-01

Operational guidelines for the space shuttle life sciences payloads are presented. An operational assessment of the medical experimental altitude test for Skylab, and Skylab life sciences documentation are discussed along with the operations posture and collection of space shuttle operational planning data.

Gender bias in specialty preferences among Danish medical students

DEFF Research Database (Denmark)

Pedersen, Laura Erna Toftegaard; Skytte, Nanna Hasle Bak; Dissing, Agnete Skovlund

2011-01-01

Female medical students tend to prefer person-oriented specialties characterized by close doctor-patient contact and aspects of care. Conversely, male medical students tend to seek towards specialties with elements of autonomy, technology and "action" . Furthermore, female doctors will outnumber ...

Safety and operational aspects in in-situ electrical baking of large vacuum systems of Indus accelerators

International Nuclear Information System (INIS)

Bhatnagar, Prateek; Bhange, Nilesh; Joshi, Sujata; Sridhar, R.

2016-01-01

In order to achieve pressures in UHV (Ultra High Vacuum) range, the vacuum chambers and associated vacuum components, necessarily made of UHV compatible materials, should be baked sufficiently long enough so as to reduce outgassing rates. The baking period usually ranges from 48 hours to 72 hours for an electrical load of more than 30 kW per sector, in which baking temperatures, a characteristic parameter and specific to material, range from 150°C-180°C for Aluminium alloy and 250°C-300°C for SS (stainless steel). Indus accelerators vacuum installations include more than 300 m long vacuum chamber which are subjected to rigorous, standardized and labour intensive electrical baking procedure involving an intelligent ON-OFF distributed temperature control system with in-built defence of electrical safety and expandability as per the needs. The paper discusses various in built electrical safely features, operational aspects, work practices and challenges involved in accomplishing an interrupt free continuous electrical baking for distributed electrical load of more than 30 kW for a typical vacuum segment of Indus accelerator. (author)

Evaluation of Randomly Selected Completed Medical Records Sheets in Teaching Hospitals of Jahrom University of Medical Sciences, 2009

Directory of Open Access Journals (Sweden)

Mohammad Parsa Mahjob

2011-06-01

Full Text Available Background and objective: Medical record documentation, often use to protect the patients legal rights, also providing information for medical researchers, general studies, education of health care staff and qualitative surveys is used. There is a need to control the amount of data entered in the medical record sheets of patients, considering the completion of these sheets is often carried out after completion of service delivery to the patients. Therefore, in this study the prevalence of completeness of medical history, operation reports, and physician order sheets by different documentaries in Jahrom teaching hospitals during year 2009 was analyzed. Methods and Materials: In this descriptive / retrospective study, the 400 medical record sheets of the patients from two teaching hospitals affiliated to Jahrom medical university was randomly selected. The tool of data collection was a checklist based on the content of medical history sheet, operation report and physician order sheets. The data were analyzed by SPSS (Version10 software and Microsoft Office Excel 2003. Results: Average of personal (Demography data entered in medical history, physician order and operation report sheets which is done by department's secretaries were 32.9, 35.8 and 40.18 percent. Average of clinical data entered by physician in medical history sheet is 38 percent. Surgical data entered by the surgeon in operation report sheet was 94.77 percent. Average of data entered by operation room's nurse in operation report sheet was 36.78 percent; Average of physician order data in physician order sheet entered by physician was 99.3 percent. Conclusion: According to this study, the rate of completed record papers reviewed by documentary in Jahrom teaching hospitals were not desirable and in some cases were very weak and incomplete. This deficiency was due to different reason such as medical record documentaries negligence, lack of adequate education for documentaries, High work

Cryogenic aspects of the experience in operating the U-25 superconducting MHD magnet in conjunction with the MHD generator

International Nuclear Information System (INIS)

Niemann, R.C.; Mataya, K.F.; Smith, R.P.; McWilliams, D.A.; Borden, R.; Streeter, M.H.; Wickson, R.; Privalov, N.P.

1978-01-01

In order to facilitate the rapid development of MHD technology for the generation of electrical energy, the U.S. and U.S.S.R. are jointly conducting research within the framework of the Program of Scientific and Technical Cooperation. The Institute for High Temperature (IVTAN) of the U.S.S.R. has designed and fabricated a special MHD facility which uses as its base much of the equipment of the existing U-25 Facility. The new MHD fow train consisting of a combustor, magnet, channel, and diffuser is named U-25B. The U.S. has provided a superconducting magnet system for the U-25B MHD Facility. As a result of these joint efforts, a unique and broad range of experimental test conditions similar to those that will exist in operation of commercial MHD generators has been created. The United States Superconducting Magnet System (U.S. SCMS) was designed, fabricated, and delivered to the U-25B Facility by the Argonne National Laboratory (ANL) under the sponsorship of the U.S. Department of Energy. The following description focuses on the cryogenic-related aspects of the magnet system commissioning and operation in the U.S.S.R

Communication Skills in Medical Education: An Integrated Approach

Science.gov (United States)

Bennett, Kellie; Lyons, Zaza

2011-01-01

The importance of teaching communication skills in any undergraduate medical curriculum cannot be overstated. Effective doctor-patient communication is widely recognised as an essential aspect of quality patient care. A communication skills module developed for first year medical students at the University of Western Australia (UWA) is described…

Economic aspects of hydroelectric power scheme rehabilitation

International Nuclear Information System (INIS)

Dupuy, M.

1991-01-01

As part of the management of a utility, it is necessary to check, beyond the technical aspect, the economic suitability of deciding whether to perform the maintenance or rehabilitation of an installation. The decision criteria involved are to be found within the framework of the utility's management system itself. After having set out the decision-making process of hydroelectric power station maintenance or rehabilitation, the document goes on to give a description of the economic advantage of such an operation. The latter is determined after having properly defined the overall cost of maintenance or rehabilitation: direct expenses and induced costs, and expected savings: economic performance, short and medium-term reduction of expenses as a result of the profitability and productivity of the rehabilitation. The profitability is calculated as the ratio between the economic balance and the amount of the operation. Productivity means the improvement of the utility's management indicators. The random aspect of savings and a simple method making it possible to integrate them into a calculation is mentioned, as well as the classification and aggregation of various operations of a similar nature that have to come into the budget requirements of the utility. (Author)

Human-machine interface aspects and use of computer-based operator support systems in control room upgrades and new control room designs for nuclear power plants

International Nuclear Information System (INIS)

Berg, O.

1997-01-01

At the Halden Project efforts are made to explore the possibilities through design, development and validation of Computer-based Operator Support Systems (COSSes) which can assist the operators in different operational situations, ranging from normal operation to disturbance and accident conditions. The programme comprises four main activities: 1) verification and validation of safety critical software systems; 2) man-machine interaction research emphasizing improvements in man-machine interfaces on the basis of human factors studies; 3) computerized operator support systems assisting the operator in fault detection/diagnosis and planning of control actions; and 4) control room development providing a basis for retrofitting of existing control rooms and for the design of advanced concepts. The paper presents the status of this development programme, including descriptions of specific operator support functions implemented in the simulator-based, experimental control room at Halden (HAMMLAB, HAlden Man-Machine LABoratory). These operator aids comprise advanced alarms systems, diagnostic support functions, electronic procedures, critical safety functions surveillance and accident management support systems. The different operator support systems development at the Halden Project are tested and evaluated in HAMMLAB with operators from the Halden Reactor, and occasionally from commercial NPPs, as test subjects. These evaluations provide data on the merits of different operator support systems in an advanced control room setting, as well as on how such systems should be integrated to enhance operator performance. The paper discusses these aspects and the role of computerized operator support systems in plant operation based on the experience from this work at the Halden Project. 15 refs, 5 figs

Human-machine interface aspects and use of computer-based operator support systems in control room upgrades and new control room designs for nuclear power plants

Energy Technology Data Exchange (ETDEWEB)

Berg, O [Institutt for Energiteknikk, OECD Halden Reactor Project (Netherlands)

1997-07-01

At the Halden Project efforts are made to explore the possibilities through design, development and validation of Computer-based Operator Support Systems (COSSes) which can assist the operators in different operational situations, ranging from normal operation to disturbance and accident conditions. The programme comprises four main activities: 1) verification and validation of safety critical software systems; 2) man-machine interaction research emphasizing improvements in man-machine interfaces on the basis of human factors studies; 3) computerized operator support systems assisting the operator in fault detection/diagnosis and planning of control actions; and 4) control room development providing a basis for retrofitting of existing control rooms and for the design of advanced concepts. The paper presents the status of this development programme, including descriptions of specific operator support functions implemented in the simulator-based, experimental control room at Halden (HAMMLAB, HAlden Man-Machine LABoratory). These operator aids comprise advanced alarms systems, diagnostic support functions, electronic procedures, critical safety functions surveillance and accident management support systems. The different operator support systems development at the Halden Project are tested and evaluated in HAMMLAB with operators from the Halden Reactor, and occasionally from commercial NPPs, as test subjects. These evaluations provide data on the merits of different operator support systems in an advanced control room setting, as well as on how such systems should be integrated to enhance operator performance. The paper discusses these aspects and the role of computerized operator support systems in plant operation based on the experience from this work at the Halden Project. 15 refs, 5 figs.

Medical-Information-Management System

Science.gov (United States)

Alterescu, Sidney; Friedman, Carl A.; Frankowski, James W.

1989-01-01

Medical Information Management System (MIMS) computer program interactive, general-purpose software system for storage and retrieval of information. Offers immediate assistance where manipulation of large data bases required. User quickly and efficiently extracts, displays, and analyzes data. Used in management of medical data and handling all aspects of data related to care of patients. Other applications include management of data on occupational safety in public and private sectors, handling judicial information, systemizing purchasing and procurement systems, and analyses of cost structures of organizations. Written in Microsoft FORTRAN 77.

Mosquito and Fly Surveillance and Control Research at the USDA-ARS Center for Medical, Agricultural and Veterinary Entomology: Solving Operational Challenges

Science.gov (United States)

The Mosquito and Fly Research Unit of the USDA-ARS Center for Medical, Agricultural and Veterinary Entomology located in Gainesville Florida is the largest Federal laboratory devoted to specifically solving operational mosquito and fly surveillance and control challenges in the U.S. and internationa...

Evaluation of radiological protection aspects in radiodiagnostic rooms in Mexico City

International Nuclear Information System (INIS)

Escobar A, L.; Vizuet G, J.; Ruiz, M.A.

1996-01-01

The preliminary results of an evaluation of radiological protection carried out in radiology services of different hospitals of Mexico are shown. The evaluated points were: relative aspects of the room, operation parameters of operation of the equipment, work procedures and training about radiological protection for the equipment operators. (authors). 2 refs., 1 fig

Ethical aspects of medical age assessment in the asylum process: a Swedish perspective.

Science.gov (United States)

Malmqvist, Erik; Furberg, Elisabeth; Sandman, Lars

2018-05-01

According to European regulations and the legislations of individual member states, children who seek asylum have a different set of rights than adults in a similar position. To protect these rights and ensure rule of law, migration authorities are commonly required to assess the age of asylum seekers who lack reliable documentation, including through various medical methods. However, many healthcare professionals and other commentators consider medical age assessment to be ethically problematic. This paper presents a simplified and amended account of the main findings of a recent ethical analysis of medical age assessment in the asylum process commissioned by the Swedish National Board of Health and Welfare. A number of ethical challenges related to conflicting goals, equality and fairness, autonomy and informed consent, privacy and integrity, and professional values and roles are identified and analysed. It is concluded that most of these challenges can be met, but that this requires a system where the assessment is sufficiently accurate and where adequate safeguards are in place. Two important ethical questions are found to warrant further analysis. The first is whether asylum seekers' consent to the procedure can be considered genuinely voluntary. The second is whether and how medical age assessments could affect negative public attitudes towards asylum seekers or discriminatory societal views more generally.

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.

How the Station will operate. [operation, management, and maintenance in space

Science.gov (United States)

Cox, John T.

1988-01-01

Aspects of the upcoming operational phase of the Space Station (SS) are examined. What the crew members will do with their time in their specialized roles is addressed. SS maintenance and servicing and the interaction of the SS Control Center with Johnson Space Center is discussed. The planning of payload operations and strategic planning for the SS are examined.

Considerations on operation schedule and maintenance aspects of FCC-hh

CERN Document Server

Niemi, Arto; Foraz, Katy

2018-01-01

The Future Circular Hadron Collider (FCC-hh) has ambitious goals for integrated luminosity production. Reaching these goals requires reducing the time for planned technical stops and commissioning, compared to the LHC. This note describes potential options for an FCC-hh operation schedule. Special attention is given to considerations on how to accomplish the required maintenance activities in a limited time frame. The note recommends to study further the feasibility and cost-efficiency of operating without annual stops and longer intervals between long shutdowns.

Ethical aspects of medical age assessment in the asylum process : a Swedish perspective.

OpenAIRE

Malmqvist, Erik; Furberg, Elisabeth; Sandman, Lars

2018-01-01

According to European regulations and the legislations of individual member states, children who seek asylum have a different set of rights than adults in a similar position. To protect these rights and ensure rule of law, migration authorities are commonly required to assess the age of asylum seekers who lack reliable documentation, including through various medical methods. However, many healthcare professionals and other commentators consider medical age assessment to be ethically problema...

Proceedings of the 6. Brazilian congress on medical physics

International Nuclear Information System (INIS)

2001-01-01

The 6. Brazilian congress on medical physics has presented and discussed recent research results and themes about state-of-the-art of the applications of Physics methods in prevention, diagnosis and pathology treatments. Also has included questions of Safety and Protection in the medical practices and some aspects of Formation/Education emphasizing the situation of medical physics in Brazil - present and future

Satif-3: Shielding aspects of accelerators, targets, and irradiation facilities. Tohoku University, Sendai, Japan, 12--13 May 1997

International Nuclear Information System (INIS)

1998-01-01

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, giving rise to new radiation shielding aspects and problems. These proceedings review recent progress in radiation shielding of accelerator facilities, evaluate advancements and discuss further developments needed with respect to international co-operation in this field

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.

[Software as medical devices/medical apps : Tasks, requirements, and experiences from the point of view of a competent authority].

Science.gov (United States)

Terhechte, Arno

2018-03-01

Software can be classified as a medical device according to the Medical Device Directive 93/42/EEC. The number of software products and medical apps is continuously increasing and so too is the use in health institutions (e. g., in hospitals and doctors' surgeries) for diagnosis and therapy.Different aspects of standalone software and medical apps from the perspective of the authority responsible are presented. The quality system implemented to establish a risk-based systematic inspection and supervision of manufacturers is discussed. The legal framework, as well as additional standards that are the basis for inspection, are outlined. The article highlights special aspects that occur during inspection like verification of software and interfaces, and the clinical evaluation of software. The Bezirksregierung, as the local government authority responsible in North Rhine-Westphalia, is also in charge of inspection of health institutions. Therefore this article is not limited to the manufacturers placing the software on the market, but in addition it describes the management and use of software as a medical device in hospitals.The future legal framework, the Medical Device Regulation, will strengthen the requirements and engage notified bodies more than today in the conformity assessment of software as a medical device.Manufacturers, health institutions, notified bodies and the authorities responsible are in charge of intensifying their efforts towards software as a medical device. Mutual information, improvement of skills, and inspections will lead to compliance with regulatory requirements.

Operational measurements during medical examinations: nuclear medicine department

International Nuclear Information System (INIS)

Gardin, I.

2009-01-01

After having briefly recalled the nuclear medicine principles and objectives, and the main radiations used for different purposes (positrons for diagnosis, photons for diagnosis, electrons for therapy or diagnosis), the author presents the principle of determination of the absorbed dose: how this dose is expressed, how it is calculated per cumulative activity unit, how cumulative activity is determined. Then, she discusses some practical aspects of dosimetric assessments during diagnosis or therapeutic examinations

10 CFR 55.21 - Medical examination.

Science.gov (United States)

2010-01-01

... 10 Energy 2 2010-01-01 2010-01-01 false Medical examination. 55.21 Section 55.21 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) OPERATORS' LICENSES Medical Requirements § 55.21 Medical examination. An applicant for a license shall have a medical examination by a physician. A licensee shall have a medical...

OR.NET: multi-perspective qualitative evaluation of an integrated operating room based on IEEE 11073 SDC.

Science.gov (United States)

Rockstroh, M; Franke, S; Hofer, M; Will, A; Kasparick, M; Andersen, B; Neumuth, T

2017-08-01

Clinical working environments have become very complex imposing many different tasks in diagnosis, medical treatment, and care procedures. During the German flagship project OR.NET, more than 50 partners developed technologies for an open integration of medical devices and IT systems in the operating room. The aim of the present work was to evaluate a large set of the proposed concepts from the perspectives of various stakeholders. The demonstration OR is focused on interventions from the head and neck surgery and was developed in close cooperation with surgeons and numerous colleagues of the project partners. The demonstration OR was qualitatively evaluated including technical as well as clinical aspects. In the evaluation, a questionnaire was used to obtain feedback from hospital operators. The clinical implications were covered by structured interviews with surgeons, anesthesiologists and OR staff. In the present work, we qualitatively evaluate a subset of the proposed concepts from the perspectives of various stakeholders. The feedback of the clinicians indicates that there is a need for a flexible data and control integration. The hospital operators stress the need for tools to simplify risk management in openly integrated operating rooms. The implementation of openly integrated operating rooms will positively affect the surgeons, the anesthesiologists, the surgical nursing staff, as well as the technical personnel and the hospital operators. The evaluation demonstrated the need for OR integration technologies and identified the missing tools to support risk management and approval as the main barriers for future installments.

Medical basis for radiation accident preparedness

International Nuclear Information System (INIS)

Huebner, K.F.; Fry, S.A.

1980-01-01

The International Conference on The Medical Basis for Radiation Accident Preparedness was organized by the staff of the Radiation Emergency Assistance Center/Training Site (REAC/TS) of the Medical and Health Sciences Division of Oak Ridge Associated Universities (ORAU). The philosophical importance of relating, through investigation and education, the intellectual resources of higher education to the important social problems associated with energy, health, and the environment was the foundation of the meeting. The symposium, held under the auspices of the US Department of Energy, was the ninth since 1960 of a series of international conferences addressing the various aspects of radiation accidents. The approach of this most recent conference differed somewhat from that of those preceding it, in that it sought an international review of the gamut of the medical aspects of radiation injury, not only for the experts in the field, but also for other physicians and scientists who, in view of current events, have had the need to know thrust upon them. Individual entries were made for the separate papers

The Texas Medication Algorithm Project (TMAP) schizophrenia algorithms.

Science.gov (United States)

Miller, A L; Chiles, J A; Chiles, J K; Crismon, M L; Rush, A J; Shon, S P

1999-10-01

In the Texas Medication Algorithm Project (TMAP), detailed guidelines for medication management of schizophrenia and related disorders, bipolar disorders, and major depressive disorders have been developed and implemented. This article describes the algorithms developed for medication treatment of schizophrenia and related disorders. The guidelines recommend a sequence of medications and discuss dosing, duration, and switch-over tactics. They also specify response criteria at each stage of the algorithm for both positive and negative symptoms. The rationale and evidence for each aspect of the algorithms are presented.

Preventive chemotherapy in human helminthiasis: theoretical and operational aspects

Science.gov (United States)

Chitsulo, L.; Engels, D.; Savioli, L.

2017-01-01

Preventive chemotherapy (PC), the large-scale distribution of anthelminthic drugs to population groups at risk, is the core intervention recommended by the WHO for reducing morbidity and transmission of the four main helminth infections, namely lymphatic filariasis, onchocerciasis, schistosomiasis and soil-transmitted helminthiasis. The strategy is widely implemented worldwide but its general theoretical foundations have not been described so far in a comprehensive and cohesive manner. Starting from the information available on the biological and epidemiological characteristics of helminth infections, as well as from the experience generated by disease control and elimination interventions across the world, we extrapolate the fundamentals and synthesise the principles that regulate PC and justify its implementation as a sound and essential public health intervention. The outline of the theoretical aspects of PC contributes to a thorough understanding of the different facets of this strategy and helps comprehend opportunities and limits of control and elimination interventions directed against helminth infections. PMID:22040463

How much time does it take to prescribe a new medication?

Science.gov (United States)

Tarn, Derjung M; Paterniti, Debora A; Kravitz, Richard L; Heritage, John; Liu, Honghu; Kim, Sue; Wenger, Neil S

2008-08-01

To measure the length of time spent discussing all aspects of new prescriptions and guideline-recommended aspects of counseling, and to evaluate factors associated with duration of discussion. We analyzed tape recordings in which 181 patients received 234 new medication prescriptions from 16 family physicians, 18 internists, and 11 cardiologists in 2 healthcare systems in Sacramento, California between January and November 1999. Of the mean total visit time of 15.9min (S.D.=434s), a mean of 26s (S.D.=28s) was allocated to guideline-recommended components and a mean of 23s (S.D.=25s) was allocated to discussion of all other aspects of new prescription medications. The majority of time spent discussing individual new prescriptions was dedicated to: medication purpose or justification, directions and duration of use, and side effects. On average, more complete discussion of these components was associated with more time. More time was spent talking about guideline-recommended information if patients were in better health, if there was a third party in the room, and if the medication belonged to a psychiatric, compared to an ear, nose, throat medication class. Less time was spent discussing over-the-counter (OTC) medications and those prescribed to patients with a previous visit to the physician. Higher quality information transmission between physicians and patients about new medications requires more time, and may be difficult to achieve in short office visits. Time-compressed office visits may need to be redesigned to promote improved provider-patient communication about new medications.

Economic and fiscal aspects of oil and gas field abandonment

International Nuclear Information System (INIS)

Kemp, A.G.

1992-01-01

The abandonment of fields in the North Sea raises a number of physical, environmental, and economic issues. Key economic aspects are (a) the costs incurred in the abandonment operations: (b), the criteria to be employed in determining the optimal timing of field abandonment; (c), the fiscal reliefs available for the expenditures incurred; and, (d) the (financial) security aspects relating to the activity. These topics are discussed in this paper with particular reference to the UK Continental Shelf (UKCS). Comparisons with Norway and the Netherlands are made on the fiscal aspects. (Author)

Mechanisms of Low-Energy Operation of XCT-SOI CMOS Devices—Prospect of Sub-20-nm Regime

Directory of Open Access Journals (Sweden)

Yasuhisa Omura

2014-01-01

Full Text Available This paper describes the performance prospect of scaled cross-current tetrode (XCT CMOS devices and demonstrates the outstanding low-energy aspects of sub-30-nm-long gate XCT-SOI CMOS by analyzing device operations. The energy efficiency improvement of such scaled XCT CMOS circuits (two orders higher stems from the “source potential floating effect”, which offers the dynamic reduction of effective gate capacitance. It is expected that this feature will be very important in many medical implant applications that demand a long device lifetime without recharging the battery.

Current Pathophysiological Aspects and Therapeutic Modalities for Pemphigus Vulgaris : A Review

Directory of Open Access Journals (Sweden)

J Raviraj

2007-01-01

Full Text Available Pemphigus vulgaris (PV is an autoimmune disorder manifesting primarily as blisters involving the mucocutaneous systems. The current medical literature indicates many breakthroughs in the research of pathophysiology and treatment aspects of PV. This article tries to describe some of the novel aspects briefing the role of nondesmoglein antibodies and the role of TNF-alpha in the etiopathogenesis of pemphigus vulgaris and the role of newer therapeutic modalities like Rituximab, Etanercept, intravenous Immunoglobulins, cholinergic drugs, arid the like in the treatment of PV.

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

Participation and Progression: New Medical Graduates Entering Professional Practice

Science.gov (United States)

Bearman, Margaret; Lawson, Mary; Jones, Alison

2011-01-01

The first year of practice after medical school is considered to be an essential part of becoming a medical practitioner in Australia. Previous qualitative investigations have investigated a number of significant aspects of this early stage of professional development. This qualitative study explores experiences and developing professional…

An architecture for diversity-aware search for medical web content.

Science.gov (United States)

Denecke, K

2012-01-01

The Web provides a huge source of information, also on medical and health-related issues. In particular the content of medical social media data can be diverse due to the background of an author, the source or the topic. Diversity in this context means that a document covers different aspects of a topic or a topic is described in different ways. In this paper, we introduce an approach that allows to consider the diverse aspects of a search query when providing retrieval results to a user. We introduce a system architecture for a diversity-aware search engine that allows retrieving medical information from the web. The diversity of retrieval results is assessed by calculating diversity measures that rely upon semantic information derived from a mapping to concepts of a medical terminology. Considering these measures, the result set is diversified by ranking more diverse texts higher. The methods and system architecture are implemented in a retrieval engine for medical web content. The diversity measures reflect the diversity of aspects considered in a text and its type of information content. They are used for result presentation, filtering and ranking. In a user evaluation we assess the user satisfaction with an ordering of retrieval results that considers the diversity measures. It is shown through the evaluation that diversity-aware retrieval considering diversity measures in ranking could increase the user satisfaction with retrieval results.

[New possibilities in emergency medical transportation and emergency services of Polish Medical Air Rescue].

Science.gov (United States)

Gałazkowski, Robert

2010-01-01

In Poland, two types of medical services are accomplished by the Medical Air Rescue (MAR) operating all over the country: emergency transport from the incident scene to hospital and inter-hospital transport. Helicopters or planes are used for this purpose. In 2009, helicopters performed 4359 flights to incidents and 1537 inter-hospital transports whereas planes performed 589 inter-hospital ambulance and 196 rescue flights. MAR operates from 17 bases of the Helicopter Emergency Medical Service (HEMS) and one airbase. Helicopters are mainly used when medical transport is emergent, within the operational region of a given base whereas planes when the distance between the present and target airports exceeds 250 km. In 2008, new modern aircraft were introduced to HEMS-helicopters EC 135. They fulfil all requirements of air transport regulations and are adjusted to visual (VFR) and instrumental (IFR) flights rules, at day and night. The medical cabin of EC 135 is ergonomic and functional considering the majority of rescue activities under life-saving circumstances. It is equipped with ventilator, defibrillator, infusion pumps etc. Defibrillators have 12-lead ECG, E(T)CO2, SpO2, NIBP, and IBP modules. Transport ventilators can work in a variety of ventilation modes including CMV, SIMV, SVV, BILEVEL, PCV, ASB, PPV and CPAP. The purchase of helicopters with modern avionic and medical configuration ensures high quality services of MAR for many years to come.

Exo-buccal dental radiology - Radiation protection: medical sheet ED 4250

International Nuclear Information System (INIS)

Celier, D.; Megnigbeto, C.; Aubert, B.; Rehel, J.L.; Vidal, J.P.; Biau, A.; Lahaye, T.; Gauron, C.; Ariscon, J.M.; Barret, C.; Devaux, M.J.; Dohan, D.; Gambini, D.; Guerin, C.; Le Denmat, D.; Rocher, P.; Sevalle, M.

2009-10-01

This document presents the various aspects and measures related to radiation protection when performing exo-buccal examinations (by either panoramic radiography or by volume tomography). It presents the concerned personnel, describes the operational process of snapshot taking, indicates the associated hazards and the risk related to ionizing radiation, and describes how the risk is to be assessed and how exposure levels are to be determined (elements of risk assessment, delimitation of controlled and monitored areas, personnel classification, and choice of the dose monitoring method). It describes the various components of a risk management strategy (risk reduction, technical measures regarding the installation and the personnel, training and information, prevention and medical monitoring). It briefly presents how risk management is to be assessed, and mentions other related risks

Antidepressant medications and osteoporosis.

Science.gov (United States)

Rizzoli, R; Cooper, C; Reginster, J-Y; Abrahamsen, B; Adachi, J D; Brandi, M L; Bruyère, O; Compston, J; Ducy, P; Ferrari, S; Harvey, N C; Kanis, J A; Karsenty, G; Laslop, A; Rabenda, V; Vestergaard, P

2012-09-01

Use of antidepressant medications that act on the serotonin system has been linked to detrimental impacts on bone mineral density (BMD), and to osteoporosis. This article reviews current evidence for such effects, and identifies themes for future research. Serotonin receptors are found in all major types of bone cell (osteoblasts, osteocytes, and osteoclasts), indicating an important role of the neuroendocrine system in bone. Observational studies indicate a complex relationship between depression, antidepressants, and fracture. First, the presence of depression itself increases fracture risk, in relation with decreased BMD and an increase in falls. A range of aspects of depression may operate, including behavioral factors (e.g., smoking and nutrition), biological changes, and confounders (e.g., comorbidities and concomitant medications). A substantial proportion of depressed patients receive antidepressants, mostly selective serotonin reuptake inhibitors (SSRIs). Some of these have been linked to decreased BMD (SSRIs) and increased fracture risk (SSRIs and tricyclic agents). Current use of SSRIs and tricyclics increases fracture risk by as much as twofold versus nonusers, even after adjustment for potential confounders. While there is a dose-response relationship for SSRIs, the effect does not appear to be homogeneous across the whole class of drugs and may be linked to affinity for the serotonin transporter system. The increase in risk is the greatest in the early stages of treatment, with a dramatic increase after initiation, reaching a peak within 1 month for tricyclics and 8 months for SSRIs. Treatment-associated increased risk diminishes towards baseline in the year following discontinuation. The body of evidence suggests that SSRIs should be considered in the list of medications that are risk factors for osteoporotic fractures. Copyright © 2012 Elsevier Inc. All rights reserved.

Radiation physics for medical physicists

CERN Document Server

Podgorsak, Ervin B

2006-01-01

This book summarizes the radiation physics knowledge that professionals working in medical physics need to master for efficient and safe dealings with ionizing radiation. It contains eight chapters, each chapter covering a specific group of subjects related to radiation physics and is intended as a textbook for a course in radiation physics in medical-physics graduate programs. However, the book may also be of interest to the large number of professionals, not only medical physicists, who in their daily occupations deal with various aspects of medical physics and find a need to improve their understanding of radiation physics. The main target audience for this book is graduate students studying for M.Sc. and Ph.D. degrees in medical physics, who have to possess the necessary physics and mathematics background knowledge to be able to follow and master the complete textbook. Medical residents, technology students and biomedical engineering students may find certain sections too challenging or esoteric, yet they...

Emergency medical technician education and training.

Science.gov (United States)

Lauro, Joseph; Sullivan, Francis; Williams, Kenneth A

2013-12-03

Emergency Medical Services (EMS) training and education are vital and vibrant aspects of a young and evolving profession. This article provides a perspective on this effort in the United States and reviews current activity in Rhode Island.